Winnebago County Health Department
2014 Annual Report
112 Otter Avenue | PO Box 2808 | Oshkosh, WI 54903-2808
211 Walnut Street | Neenah, WI 54956
211 N Commercial Street | Neenah, WI 54956
(920) 232-3000 | health@co.winnebago.wi.us | www.winnebagopublichealth.org
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Table of Contents
General Health Department Information ............................................................................ 3
2014 Highlights ........................................................................................................... 4
Community Health and Prevention ................................................................................... 6
re:TH!NK, Winnebago’s Healthy Living Partnership .................................................. 7
WI Well Woman Program ................................................................................... 8
Environmental Health ................................................................................................... 9
Public Health Nursing ................................................................................................. 11
Family Child Health ......................................................................................... 11
Healthy Aging ................................................................................................ 12
Communicable Disease ..................................................................................... 14
Public Health Preparedness ........................................................................................... 18
Women, Infants, Children (WIC) ................................................................................... 19
Time Allocation & Financial Measures.............................................................................. 21
2014 Accomplishments ................................................................................................ 23
2015 Goals ............................................................................................................... 24
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Winnebago County Public Health Department
Serving 150,495 residents in the City of Oshkosh, City of Neenah, City of Omro, Village of Winneconne
and surrounding Townships of Winnebago County
The Winnebago County Health Department (WCHD) is 1 of 87 local public health departments in the state and one of two in Winnebago County.
WCHD is located on the 2nd floor of the County Administration Building in downtown Oshkosh and in Neenah City Hall. It provides public health
services to all sixteen townships, the Cities of Neenah, Omro, and Oshkosh, and the Village of Winneconne. WCHD’s services focus on the
promotion of wellness, prevention of disease, and assurance of a healthful environment.
General program areas include:
 Administration and Support
 Community Health and Prevention
 Environmental Health
 Public Health Nursing
 Public Health Preparedness
 WIC (Women, Infants, and Children)
Public Health is the science and art of protecting and improving the health of communities
through education, promotion of healthy lifestyles, and research for prevention. It aids in
the improvement of the health and well-being of individuals in communities across our
nation and helps those less fortunate to obtain a healthier lifestyle (whatispublichealth.org).
Winnebago County Health Department Site Locations
Oshkosh Office and WIC
112 Otter Avenue
(920) 232-3000
Neenah Office
211 Walnut Street
(920) 727-2894
Neenah WIC
211 N. Commercial Street
(920) 729-2945
Additional Health Department in
Winnebago County
Menasha Health Department,
316 Racine St. Menasha, WI 54952
Winnebago County Board of Health
The Winnebago County Board of Health is a nine member board, appointed by the County Executive, with County Board and citizen
representation. The Board advises and advocates for the provision of reasonable and necessary public health services and provides leadership that
fosters local involvement and commitment. This board’s leadership emphasizes public health needs and advocates for equitable distribution of
public health resources and complementary private activities commensurate with public health needs.
Board Members
Name
Position/Title
Term Expires
Name
Position/Title
Term Expires
Dr. Shiloh Ramos
Chairman and County Board Supervisor 7/1/16
Thomas Ellis
County Board Supervisor
7/1/16
Dr. Sam Hofman
Vice-Chairman, Community Member
7/1/16
Mike Norton
County Board Supervisor
7/1/16
Rachel Youngquist
Secretary, County Board Supervisor
7/1/16
Ann W Marshall
Community Member
7/1/16
Dr. Jan Edelstein
Community Member
7/1/16
Vacant
Thomas Egan
County Board Supervisor
7/1/16
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2014 Highlights
Health Department Consolidation in Full Swing
The approved plan of consolidation of the Winnebago County Health Department with the City of Oshkosh Health Services Division and the City
of Neenah Health Department in mid 2012 continues to realize efficiencies, streamline partnerships and offer increased access to services for area
residents. Opportunities afforded by consolidation worked on in 2014 included:
Departmental reorganization – changes in staffing due to and since consolidation combined with increased emphasis on population based
services lead to a staff involved restructuring plan that looks to achieve increased integration of staff across program areas, particularly the
integration of health educators into nursing, WIC and environmental health areas; greater depth of expertise in individual program areas by creating
core teams and staff leads within the areas of communicable disease prevention, chronic disease prevention and chronic disease management; and
new job descriptions for future recruitment to address current gaps in communications and planning. Implementation of reorganization will occur
in 2015.
Consolidation of the two Neenah offices – currently public health staff occupy two offices in Neenah, one in Neenah City Hall and the other
at the County Neenah Human Services Building. These offices are about one-half mile apart in the City of Neenah. Combing the staff of these two
offices would result in efficiencies in support staffing and allow for more Public Health services to be delivered in one location. WIC clients would
particularly benefit from not having to travel to different offices for pre-natal care coordination, immunizations, and services available to the public
would be similar to the combined WIC and Public Health services offered in Oshkosh. The County would also save the expenses of leasing the City
Hall space from the City of Neenah. Location consolidation discussions began in 2014 and will continue into 2015.
Ricin
On Halloween 2014, local, State and Federal law enforcement officials
responded to a credible threat of the manufacture of ricin, an extremely
toxic substance and listed bioterrorism agent at the residence of a university
student in Oshkosh. After two days of investigation, search and seizure of
materials from the house it was turned over to the Winnebago County
Health Department. WCHD placarded the home to restrict entry until the
home could be deemed safe for normal residential occupancy. Three
students lived in the home until the investigation and were not allowed back
in the home nor were any possessions allowed to be removed. The
manufacture of ricin was confirmed and testing for ricin by the FBI revealed
several areas that tested positive for ricin.
WCHD worked with the owner to have the home professionally cleaned
and tested but no action to address the contamination in the home was
Partners from the EPA Region 5 assisted with the clean up. Photo courtesy Oshkosh Northwestern
taken by the property owner. After a month of no action by the property
owner the Health Department took steps to assure the home would not
present further risk and be a blight to the community. The Health Department contacted the Environmental Protection Agency (EPA) and a team
of personnel and contractors from the Health Department, EPA, National Guard 54 th Civil Support Team, and State Department of Health Services
was assembled to enter, decontaminate and clearance test the home for over two days in mid December. After the clean-up the home was released
from placard by the Health Department and tenants and the owners were allowed access to the home.
Drug-Free Communities Grant Funding
re:TH!NK and the Winnebago County Health Department were one of 197 chosen recipients from across the country to
receive a 5-year Drug Free Communities grant through the White House Office of National Drug Control Policy (ONDCP)
focused on establishing community-based coalitions to reduce youth substance abuse. This $625,000 grant will assist re:TH!
NK to positively impact students in the Oshkosh, Neenah, Menasha, Omro, and Winneconne school districts. By using evidence-based practices, re:TH!NK not only focuses on local teens, but also works with community partners who have a role in
making Winnebago County a healthy and vibrant area to raise families, work, and play.
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2014 Highlights
Ebola Outbreak in Africa
The Ebola outbreak in Guinea, Liberia, and Sierra Leone became a worldwide concern in 2014. In Texas, an ill traveler returning from the affected
area and the subsequent spread of disease to health care providers and the death of that traveler, showed a nationwide awareness for ebola preparedness Local health departments prepared for monitoring travelers for signs of active disease once they returned home from these countries. WCHD
did not have any individuals requiring 21 day monitoring. One pilot was identified as possibly requiring monitoring but this was ruled out.
The 2014 Ebola epidemic is the largest in history, affecting multiple countries in West Africa. Two imported cases, including one death, and two
locally acquired cases in healthcare workers have been reported in the United States. CDC and partners are taking precautions to prevent additional
cases of Ebola in the United States.
Public health was at the forefront preparing for potential cases in Winnebago County. Much planning and collaboration took place to ensure our
community was prepared. It involved planning our response, educating our staff, communicating with our partners including health care facilities,
EMS, police and state health officials.
Care Transitions Community Team and Coalition
With the Support of the Healthy Wisconsin Leadership Institute a community team completed a root cause analysis of care transitions through a
community forum and local assessment with health care systems in Winnebago County. The process identified 3 major areas of concern that have
led to the development of the Winnebago County Care Transitions Coalition. This coalition has three work groups focusing on creating a
consistent structure for discharge: creating, using, and educating community support systems about discharge and resources; and educating and
marketing the external resources for improving self management following a discharge.
Fox Valley Thrives
A strategic alliance began in 2014 through efforts of THRIVE WI, an alliance of community organizers and public health working to advance health
equity by building connections between local and state efforts and stakeholders to co-learn, share lessons, and engage in collective action to affect
the social, economic, and environmental factors that shape health. Fox Valley Thrives is bringing public health, planning professionals, and community organizers together to address very complex social issues. A core group met several times in 2014, held three gatherings/conversations with
other stakeholders and decided on “access to healthy transportation options” for their first issue to work on jointly in 2015. The group plans to conduct additional partner alignment and training meetings and will also evaluate working together to determine if the model is fruitful.
Mary Jo Turner Retirement
Mary Jo Turner, public health nurse supervisor retired after 35
years of service to the Winnebago County Health Department.
She supervised the Maternal Child Health, and immunization
and influenza vaccination programs and staff. In 2009 she was a
recipient of the Nightingale Award for excellence in Nursing
Practice and the Wisconsin Public Health Distinguished Service
to Public health award in 2009.
Among her many contributions some of her most noted were
the development “Comenzando Bien” a prenatal class for
Hispanic women and their partners, a safe crib program for families who could not afford to purchase safe sleep environment
products for their infants and creating a robust mentor/preceptor program for RN students. She was a great asset to our
department and the residents of Winnebago County. She will be missed by all.
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Community Health & Prevention
Supervisor: Doug Gieryn
Number of FTE: 7.59
Major Projects and Initiative Areas: Heroin Task Force, re:TH!NK, WI Well Woman Program
Community Partnerships
Winnebago County Heroin Task Force
The Winnebago County Heroin Task Force was very busy in 2014. The 4 pillars of prevention, treatment, harm reduction and law enforcement
made progress on all fronts. The Prevention pillar organized the first re:TH!NK Addiction Run/Walk, a 5k event designed to raise awareness about
substance abuse and break the stigma of addiction. Over 400 people participated and raised
over $14,000 that was donated to the Winnebago County D.A.R.E. program, the Angel
scholarship fund at Nova Counseling, and Solutions Recovery, Inc.
The 1st ever re:TH!NK Addiction Run/Walk drew over 400 participants
who raised awareness for drug addiction and the negative effects it has on
the lives of our residents and community.
The Treatment pillar has focused on detox options, local treatment resources, and
improving communication between organizations and systems to facilitate quicker
treatment placements. The Harm Reduction pillar has worked to bring Addiction Medical
Services Group to Oshkosh to open a clinic that will provide medication assisted treatment
in addition to counseling services designed to improve the lives of those suffering from
addiction. The Law Enforcement pillar has implemented a 24/7 drug testing program for
individuals in the criminal justice system. The program aims to provide incentives for
staying clean and staying out of prison.
Bicycle/Pedestrian Plan Grant Awarded
The Winnebago County Health, Highway and Parks Departments wrote for and received a Transportation Alternatives Program (TAP) grant from
the Wisconsin Department of Transportation. The grant funds will be used to create a Bicycle & Pedestrian Plan for the rural areas of the county,
connecting residents to routes and destinations in the more urban areas of the county that are currently included in other bike/ped plans. Work for
this plan will begin in early 2015.
SmartPlate
After a 2-year pilot program, eatsmart! has grown to include several new features, and a new name and
logo. Re-launched as SmartPlate in November 2014, this project is the next phase in a community-wide
initiative highlighting menu items that get a "thumbs up" from local health professionals. Registered
Dietitians analyze menu items for calories, fat, sugar, and salt content as well as their inclusion of fruits,
vegetables, whole grains, lean meats and healthy fats, using ThedaCare’s Optimal Nutrition Guidelines.
The SmartPlate icon clearly identifies menu items that people can eat everyday and now offers more healthy
options for restaurant-goers, businesses looking to cater, and students. SmartPlate has expanded to include more local restaurants and has now partnered with local caterers and Fox Valley Technical College to provide smart, nutritious food to our community. Not only are SmartPlate options
being offered in the FVTC cafeteria, but culinary students are working to create new SmartPlate entrees while learning how to prepare tasty,
nutritious food. Equipped with this skill set, they can enter into the workforce with the tools needed to prepare healthy food for the community.
New SmartPlate locations are being added as the program grows. SmartPlate is a collaborative effort with local healthcare agencies and health
departments in Winnebago, Outagamie, and Calumet counties.
Alignment with Other Community Partners
re:TH!NK and WCHD staff communicate regularly with several local, regional and state groups and organizations that have
similar goals in creating a community where the healthy choice is the easy choice. Staff, community organizations, and
partners work to align priorities and activities as opportunities present themselves. Groups include: Weight of the Fox Valley,
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Well City Fox Cities, Well Oshkosh, THRIVE WI, East Central WI Regional Planning Commission (Safe Routes to School, Regional Bicycle/
Pedestrian Committee), Oshkosh Collaboration Workgroup, Winnebago County Heroin Task Force, Fox Valley Substance Abuse Coalition, UW
Oshkosh AODA Task Force, Alliance for WI Youth, and Northeast WI Mental Health Connection. Several of WCHD’s community health initiatives involved these partners and re:TH!NK.
re:TH!NK, Winnebago’s Healthy Living Partnership
The community outreach and engagement “arm” of Winnebago County Health Department is re:TH!NK,
Winnebago’s Healthy Living Partnership. WCHD staff work alongside community leaders and coalition members to
accomplish goals set out in the coalition’s action plan. re:TH!NK also engages residents through various communication channels including social
media, The Oshkosh Scene,
videos on The Oshkosh Northwestern’s website, radio Public Service Announcements (PSAs) and their local cable TV show.
Mental Health Share Shop
re:TH!NK’s Mental Health Share Shop (MHSS) has been working hard to distribute 211 posters throughout
Winnebago County. 211 posters raise visibility of “No Health without Mental Health“ in the community, as well as
how to access mental health providers and resources. Distribution has been ongoing by WCHD AmeriCorps
volunteers Kimberly Taito and Lynnsey Erickson, Winnebago County Board of Health member Mike Norton,
UWO Nursing Students, and MHSS members at large. As of December 2014, 463 posters have been placed on local
community boards, businesses, and restroom stall doors. Funding for these posters was provided by the Winnebago
County Health Department and the Child Death Review Team.
Another project of the Mental Health Share Shop is the Connected Community Wellness Screen. See the Family Child
Health (FCH) section, page 12, for information on the Connected Community Wellness Screen.
No Wrong Door
Community partners, including staff from Winnebago County/re:TH!NK, have been working together to implement a “No Wrong Door”
philosophy through the NEW Mental Health Connection. Part of this initiative is providing training to staff of healthcare providers on topics such as
compassion fatigue, customer service and knowledge of local resources. The first round of training took place this summer. The second part of the
initiative is implementing a software tool called RAIL (Referral Access Information Link) for healthcare providers to make and receive referrals.
The goal is to reduce barriers for clients and streamline the process. A pilot group of providers is ready to give the software a try as soon as it is
ready! In the future, we hope all of our providers and community partners are connected to RAIL!
Farm to School
re:TH!NK staff working on Farm to School and the food service staff from Omro, Winneconne, and Oshkosh schools teamed up this year in August
to prepare and freeze over 1,250 lbs of Ratatouille sauce to add freshness and vitality to the school lunch menus. Locally grown tomatoes, squash,
eggplant, peppers, onions, garlic, and fresh herbs from Wisconsin farms were used to make the sauce. Over 12,000 students had the opportunity to
try the ratatouille in their school lunches on pizza or as a side dish. This project was made possible through the USDA Farm to School and the
Transform Wisconsin grants.
Ratatouille pizza was served at local high
schools featuring locally grown vegetables.
Students sample a locally grown produce item during one of
re:TH!NK’s Fun Food of the Month Taste Testing events.
In 2014, an AmeriCorps Farm to School member serving
with re:TH!NK worked with 5 school districts and taught
nutrition lessons to over 600 students in the county. In
addition to these projects, re:TH!NK, Growing Oshkosh, and
the Oshkosh Area School District, have joined forces to add a
school garden at Washington Elementary in Oshkosh, as part
of the Winnebago County Farm to School program. School
gardens allow students in every grade the opportunity to
learn basic gardening skills, as well as lessons on topics such
as the environment, agriculture, sustainable foods, and health
and nutrition. re:TH!NK is looking forward to plans for
continuing the partnership with Growing Oshkosh to add
more school gardens in Winnebago County each year!
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Active Schools
Winnebago County/re:TH!NK staff in addition to many Winnebago County school district and community
partners worked together to both implement and sustain active schools programming in area elementary
schools. 2014 ended with nearly 220 teachers participating in active classrooms programming, reaching nearly
5,500 elementary age students. In addition to the active classroom programming, two schools implemented and
sustained recess walking programs and PE extra credit programs, allowing students at these schools more
opportunities to engage in physical activity both in and out of school. We are very pleased with the outcomes
this year in the area of active schools and look forward to the 2015-16 school year!
Health Department staff worked with Oshkosh Recreation Department to revise their existing building use
policy to streamline the reservation process and increase access to the nearly 25 school district buildings,
gymnasiums and outdoor recreation spaces.
Wilson Elementary in Neenah’s recess
walking program.
5,500 elementary school students participated in Active Classrooms
Tobacco Prevention
“Vape” was the 2014 Oxford word of the year and re:TH!NK’s work in tobacco prevention throughout 2014 definitely aligns with the trend,
focusing on vaping, e-cigarettes, or electronic delivery devices. Education, meetings, presentations, trainings, interviews, articles, news media,
social media, conferences, and conversations routinely came back to or revolved around e-cigarettes. Many educational presentations were
conducted to explain what e-cigarettes are, how they work, and why public health and tobacco prevention experts are concerned about their rapid
increase in popularity by adults and youth. Additional assistance and resources have been made available and provided to local communities looking
to create a policy on electronic delivery devices or include them in current smoke free air policies. Tobacco prevention efforts in 2014 laid the
ground work for continued education and assistance in future e-cigarette conversations.
Tobacco compliance checks through the Wisconsin Wins program were again completed in partnership with local law enforcement and youth
volunteers. Tobacco sales to minors in Winnebago County jumped from 7.7% in 2013 to 12.6% in 2014. The spike in underage tobacco sales calls
attention to the decreasing amount of checks conducted over the last few years due to decreases in funding of the Tobacco Prevention and Control
Program. Compliance checks in addition to retailer and clerk education creates accountability, therefore clerks and owners are less likely to allow
the sale of tobacco to minors.
re:TH!NK Youth Coalition
Youth Coalition members decided to focus on cigarette butt clean
ups in area parks for their activity of choice for 2014. Two
community cigarette butt clean ups were completed, one at
Menominee Park in May on World No Tobacco Day, and one at
Riverside Park/Oshkosh Riverwalk in July. The cigarette butts
were collected into an educational display that the youth plan to
use when speaking with local decision makers on the impact that
littered butts have on the environment. Their plan is to try to get
a policy passed for Tobacco Free Parks in Winnebago County.
WI Well Woman Program
This year the Wisconsin Well Woman Program (WWWP) experienced a sharp decline in enrollment due to the Affordable Care Act insurance
requirement and new Badgercare qualifying rules for childless adults under 100% of the Federal Poverty Guidelines. These changes presented a
great opportunity to help uninsured women sign up for health care coverage that would eliminate their need for enrolling in the WWWP for
services. Well Woman Program Coordinator, Susan Garcia Franz participated in the Regional Enrollment Network to make sure women in the
program got connected to Certified Application Counselors to get them the help they needed in getting health insurance coverage. Access to
insurance will give women the opportunity for a new medical home and preventive services to help improve their overall health in addition to the
services the WWWP provided. The WWWP program remains available for those who still need access to breast and cervical cancer screenings that
have no insurance and are under 250% of the Federal Poverty Guidelines as well as those women with high deductibles that go on for diagnostic
screenings that are under the same guidelines. Our local program worked with the State WWWP office on the planning for a new structure of
WWWP coordination and service provision that will roll out in 2015. WCHD additionally said good-bye to WWWP Coordinator Kristen Biese
who left for another employment opportunity.
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Environmental Health
Supervisor: Anne Boyce
Number of FTE: 4.05
Major Projects and Initiative Areas: Inspections and Licensing, Water Quality, Radon Testing
Environmental health focuses on the protection and promotion of a healthy
environment by preventing, assessing, correcting, and controlling agents in the
environment, which could have adverse affects on the health and well-being of
individuals and communities of Winnebago County.
Inspections and Licensing
The Environmental Health (EH) section of WCHD licenses and inspects the
following: all restaurants, retail food operations, lodging facilities, mobile home
parks, public swimming pools/spas, campgrounds, tattoo/piercing establishments,
vending machines, and recreational camps that operate within the jurisdiction. The
goal of the program is to prevent communicable diseases & illnesses from affecting
County residents and visitors.
EH staff conducted inspections at numerous temporary events including, Quarry
Quest, EAA, Rock USA, Country USA, Sawdust Days, County Fair, Lifest.
Water Quality
The EH section of WCHD provides the sampling and inspection of transient, non-community water systems (TNCs). A TNC is defined as a well
water system that serves at least twenty-five people per day for at least sixty days per year: for example, rural churches, restaurants, taverns,
convenience stores, motels, and campgrounds.
The Lake Winnebago lake system is monitored throughout the summer months to assure safe recreational waters for boaters
and swimmers. Of the 110 recreational water samples that were collected and analyzed, 11 (10%) were over the health
standard of 235 colony forming units of coliform bacteria per 100ml of water.
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Radon
Radon is the second leading cause of lung cancer in the US, behind only tobacco smoke. Results were obtained from 32 radon kits provided to Winnebago County residents at a reduced cost. Environmental Protection Agency (EPA) health standards for radon is 4.0 pCi/l.
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44% of radon results were less than or equal to 4.0pCi/l
34% were between 4.1 and 7.9 pCi/l
19% were over 8.0 p/Ci/l
One kit could not be tested
Human Health Hazard Complaints
Human health hazard complaints include but are not limited to: sewage (backed up/not working), no running water/electricity, presence of mold,
standing water, poor indoor air quality, animal hording, presence unknown chemicals/substances, and other unfit living conditions.
Rabies/Animal Control
Of the 265 reported bite incidents, one (1) bat tested positive for rabies.
The remaining 264 incidents involved the following species (see chart at
right):
West Nile Virus
Corvids (Blue Jays, Crows and Ravens) are sent to the State Lab for testing. Birds are collected from the public until the County has a positive
result from a dead bird. Once West Nile Virus is confirmed as being in
the County the testing of dead birds is discontinued for the season.
In 2014 there were no positive West Nile Virus results from dead birds,
however a human tested positive for the virus.
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Public Health Nursing
Supervisors: Mary Jo Turner, Cindy Draws
Number of FTE: 13.31
Major Projects and Initiative Areas: Family & Child Health, Healthy Aging, Refugee
Family & Child Health
Life Course
Public Health Nurses from the Health Department have been offering trainings to organizations regarding Life
Course. Life Course is a framework that looks at health through an individual’s life starting before conception.
The health choices parents make in their lifetime have an impact on their children’s health across their lifetime.
Other areas that impact their health are social, economic and physical environments in which children and
families live, work and play. Higher income and social status are linked to better health.
Life Course suggests many biological, behavioral, psychological and social protective and risk factors contribute
to one’s health outcomes. The framework focuses on critical periods and early life events with an emphasis on the wear and tear a person
experiences over time. By educating members in the community about Life Course creates opportunities for organizations to build protective
factors and reduce risk factors into their programming which has positive outcomes in our community so everyone can strive for the best health
over a lifetime and across generations.
73 individuals were educated about Life Course in 2014
Injury Prevention
A focus on injury prevention to reduce accidental injury and death in children occurred throughout the year. Nurses participated in car seat safety
in collaboration with Safe Kids Fox Valley. This program provides instructions and demonstration on the proper installation of car seats at monthly
fitting stations and community events and is provided free of charge to promote the safety of children in automobiles.
In addition, staff participated in the following injury prevention events:
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62 parents educated about “Parents are Key to Safe Teen
Driving” at P.A.R.T.Y. at the PAC
240 bike helmets were distributed at Bike to Boogie
community event in Neenah in partnership with Future
Neenah, Cranked Bike shop and City of Neenah Park &
Recreation Dept. Financial support to provide helmets by
Neenah Rotary and Fox Valley Safe Kids.
164 children from low income families received car seats
provided through a grant from the WI Department of
Transportation
124 gun locks given out at Back to School Fairs and to
WIC participants
1,500 families educated about gun safety
Gun lock safety educational display at Oshkosh Area Back to School Fair.
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Community Wellness Screen
In fall 2014, the Winnebago County Health Department, in conjunction with re:TH!NK’s Healthy Lifestyles committee’s work, supported
Samaritan Counseling Center in their implementation of the Connected Community Wellness Screen at Oshkosh West and Oshkosh North High
Schools. The Connected Community Wellness Screen is a free and voluntary resource for
students who want to have a mental health “check-in” and is a great program to ensure
mental well-being for students. The Wellness Screen targets 9th grade youth, but is
available to all students at the high schools through referral and consent of both the parent
and the student. Two of WCHD’s AmeriCorps members played an intricate part of the
screening days, assisting with Health Class presentations, creation of Wellness Screen
enewsletter content, and walking the students to and from the screening. In the fall 2014
semester, a total of 120 students were screened at Oshkosh West and North High Schools.
Screening will continue into the spring 2015 semester. Additionally, one of WCHD’s
AmeriCorps members assisted the Wellness Screen case manager from Samaritan in teaching 132 freshmen students at Oshkosh North’s health classes in October about stress, copAmeriCorps member Lynnsey Erickson and Wellness Screen Case Manager
ing skills, and mental health. So far, Wellness Screen seems to be well-received at both
Hannah Episcopo teach during a freshmen health class at Oshkosh West High
Oshkosh high schools and is looking forward to expanding to additional Winnebago
School about stress, coping skills, and the Wellness Screen program
County schools in Fall 2015.
PNCC
Prenatal Care Coordination (PNCC) is a benefit of the Badgercare program for pregnant women. A public health nurse meets with the pregnant
woman at least once every month to provide support and help her learn about pregnancy, birth and childcare. The program also helps the new
mom access the community resources she needs to have a healthy baby.
258 office, home and telephone PNCC visits were made in 2014.
WCHD, with collaboration from community partners, offers prenatal classes
for pregnant women and their partners. The classes are located at the Oshkosh
office. A nurse facilitator and local experts from the community teach classes
on pregnancy discomforts, breastfeeding, labor and birth, nutrition, early
brain development, healthy relationships, and infant care and safety. The free
classes run weekly for five weeks then repeat. All pregnant women and their
partners are welcome to attend one or all the classes. In 2014, 20 women
and their partners attended classes.
Participants at a PNCC class held at the health department.
Healthy Aging
The health department provides services to residents of Winnebago County 55 and older through home visits, community classes and coalition
leadership. These services assist with chronic disease management and promote prevention of chronic disease and injury prevention.
2014 Chronic Disease Management Statistics
Nail Care
PH home
visits
Medication
Set ups
Housing
Authority
visits
Housing
Authority
clinic visits
Home Fall
Assessments
Long Term
Support
Assessments
2011
134
281
132
858
185
5
71
2012
144
411
151
800
205
12
27
2013
168
489
140
743
249
48
4
2014
76
513
307
768
473
21
2
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Falls Coalition
Falls Coalition developed a resource guide/user guide of fall prevention activities and programs in the community. Over 4,000 guides have been
distributed to health care providers, clinics, hospitals, the ADRC and others. This resource guide was shared nationwide to state falls prevention
coalitions through the Falls Free Initiative of the National Coalition on Aging.
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At least 5 counties have contacted us to inquire on duplication
Affinity Visiting Nurses hand the guide out to their clients
Theda Clark Rehabilitation Program is giving them out to their patients.
Living Well with Chronic Conditions
This is a 6-week evidenced-based workshop out of Stanford University that provides tools for living a healthy life with chronic health conditions.
One (1) Living Well Class was held in collaboration with Network Health with 10 attendees in 2014.
Strong Bones
Strong Bones is a 12-week strength training program designed for men and woman middleaged and older. Research shows that strength training will improve bone density, reduce
falls, improve arthritis symptoms, increase flexibility and improve your mood and attitude.
This program is appropriate for both sedentary and very active women and men.
The program is designed for men and women 55 and older however anyone that can benefit
from the exercises is welcome to join! Two new instructors joined us this year with the
addition of classes in Omro and Winneconne. Welcome Amanda Pinter and Cyndi Regan!
Classes were held at four (4) separate Winnebago County locations in 2014, including the
addition of two new sites in Omro and Winneconne.
64 Winnebago County residents participated in one or more of the classes held in 2014. Assessments completed before and after showed substantial
improvements in strength and endurance, and participants report that activities of daily living are easier for them.
Stay Active Be Confident
Stay Active Be Confident Fall Risk Assessment program is a fall risk screening that mirrors the CDC STEADI assessment tool. WCHD’s
goal is to increase fall risk awareness and educate individuals 65 and older about how to reduce those risks and make them aware of resources that
will help them reduce their risk for a fall.
Outreach:




Mailed fall risk information to 25 managers of Senior Independent Living Apartments
Provided five community education presentations on fall risks and assessments in Senior Living Apartments
Trained 30 -35 EMS/paramedics for Gold Cross Ambulance
Mailed information about Fall screening and reduction resources to providers to the three health care systems
Stay Active Be Confident Falls Assessment Monthly Statistics
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2014
# of OFD Referrals
8
3
2
2
3
3
5
4
8
2
10
3
53
# of Gold Cross Referrals
0
0
0
1
1
1
0
0
1
0
0
2
6
Refused w/nurse call
6
1
0
2
3
3
2
2
5
2
6
3
35
Home Visit by Nurse
2
1
2
1
1
1
3
2
3
2
1
2
21
# of Risks identified
7
5
10
2
1
5
9
14
15
5
5
9
87
# of Risks removed
3
2
4
2
1
4
7
8
6
4
5
8
54
Outcomes:
13
Communicable Disease
Communicable Disease follow up is a mandated function of the health department. It is the role of the health department to ensure communicable
disease transmission is prevented or minimized with all residents in Winnebago County.
Reproductive Health and STIs
The Reproductive Health Group is a committee of many community partners that meets twice a year to discuss issues and share resources
around sexually transmitted diseases (STD), Teen pregnancy, and lesbian, gay, bisexual, transgender (LGBT) concerns. From this group, two work
groups were formed, the condom distribution work group and parent education team.
HIGHLIGHT: Condom Distribution Work Group
1119 condoms distributed in 2014
Sustained 9 current condom distribution sites in Winnebago County with locations in Oshkosh(8) and Neenah (1)
Secured an additional distribution site in Neenah
Worked with community members to plan for 2015 implementation of additional distribution sites in Winnebago County
Attended Planned Parenthood’s Safe, Healthy, Strong Conference, gaining knowledge and techniques for future condom
distribution efforts in Winnebago County.
Promoted condom distribution sites through a wallet size resource booklet distributed to high school students through STI
education, school counselors, and World AIDS Day event at UW – Oshkosh.
STI High School Education offered: Education about STI prevention, testing, treatment and local resources was provided in 9 th grade health
classes. Accomplishments include sustained 9th grade STI presentations in Omro, Oshkosh West and Oshkosh North High schools and
implementation of new 9th grade presentations in Neenah High School.
Wisconsin Partnership Program development grant afforded WCHD the opportunity to pilot a human growth and development
curriculum that meets the National Sexuality Education Standards. This pilot was completed in spring of 2014 with Oshkosh 7 th grade students.
The results of the study are being analyzed in 2015. Initial results show:



There was no statistically significant relationship between the curriculum and the students’ level of knowledge
regarding sexual health.
New curriculum group scored higher in their attitude toward being respectful to people of all gender and
sexual orientation at a statistically significant level.
New curriculum showed higher scores in knowledge of community resources.
HIV Counseling and Testing: Rapid HIV counseling and testing services are offered to high risk
individuals at the Winnebago County Jail and NOVA treatment center. WCHD also offers this at
our office upon request by two trained public health nurses. The goal is to educate, test, and link to
resources any high risk individual. High risk includes men who have sex with men (MSM), intravenous drug users (IDU), and high risk heterosexuals who include opposite sex partners of
person with HIV disease and/or history of recreational injection drug use, or women who have male
sexual partners who have had sex with men.
In 2014 we tested 165 individuals, 104 of them were high risk.
Total Assigned-HIV Partner Services
9
Closed to State
8
Interviewed - Telephone
4
Interviewed - Field
2
Not Interviewed - Declined PS
1
Not Interviewed - Out of Jurisdiction
1
HIV Partner Services program is designed to assist HIV positive persons identify and notify
sexual and needle sharing partners of possible exposure, get them tested and assure they are linked to care and services. WCHD offers this for Winnebago, Waushara, and Marquette counties.
14
Communicable Disease Follow Up
Communicable Disease follow up is a mandated function of the health department. It is the role of the health department to ensure communicable
disease transmission is prevented or minimized with all residents in Winnebago County.
STI
2010
2011
2012
2013
2014
Chlamydia
Gonorrhea
Syphilis
500
55
2
603
73
0
569
43
2
604
49
6
592
56
0
2014 Respiratory Outbreaks
Influenza outbreaks
LTCF
Confirmed
4
Suspect
1
Not a Case
1
CBRF
1
Sexually Transmitted Infections: As in all other years, STIs top
our list for number of reported cases that we did follow up on:
Outbreak Investigations: This year respiratory outbreaks primarily
occurred in December of 2014 and were a reflection of the high
number of influenza cases in Wisconsin due to Influenza A H3N2. The
vaccine was not a good match for this circulating virus and resulted in
higher number of outbreaks and hospitalizations. Health department
Rhino/enteritis
1
2014 GI Outbreaks
LTCF
CBRF
4
7
2
2
2
2
1
Norovirus
Confirmed
Suspect
Not a case
Salmonella
SCHOOL
CORRECTIONS
RESTAURANTS
1
3
2
1
staff worked with area long-term care facilities (LTCF’s) to provide guidance, recommendations, education and access to anti-viral
medication to control spread in the facilities.
Any report of clusters of gastrointestinal (GI) illness associated with a facility or restaurant are immediately investigated by health department staff.
Many GI illness outbreaks are found to be Norovirus which occurs throughout the year but tends to peak in the winter. Norovirus is characterized
by sudden onset of nausea, vomiting, diarrhea and many times fever and chills. Norovirus is very contagious. Health department staff works with
schools, correctional facilities, CBRF’s/LTCF’s to provide guidance, recommendations, education to prevent spread and also testing to identify the
organism.
GI illness reports related to restaurants require rapid response and a
GI Other coordinated effort from public health nurses and sanitarians. The restaurant is inspected and food samples may be collected for testing. Interviews of both ill and well patrons are done to identify possible sources
of illness.
2013
20
1
7
10
2
Testing of ill patrons and restaurant staff is provided free through the
2014
36
3
8
25
Wisconsin State Laboratory of Hygiene (WSLH). Public health staff
work together with state experts to identify the source and stop
transmission to others. Restaurant related outbreaks have the ability to affect large numbers of individuals in the community and are very resource
intensive.
Total Outbreak
Investigations
Food
Borne
Respiratory
The restaurant related salmonella outbreak in 2014 affected 27 individuals in several jurisdictions. Approximately 100 interviews were done by
WCHD staff.
15
Immunizations
The Health Department strongly supports the use of vaccines as an effective way to prevent disease and offers
all recommended childhood vaccines at no charge. WCHD also offer some free adult vaccine, as well as
others for a fee. Three major areas of focus in the immunization program include childhood vaccines, influenza, and human papillomavirus (HPV) vaccine.
341 vaccines were given to children age 2 months-10 years
PHN Mary Burns vaccinates a toddler.
Age Group
# of Influenza Vaccines Given 2014
Children age 6 months to 18 years
79
Adults 19 years and older
771
Childhood Vaccines: Protecting children’s health and safety is important to area residents. Immunization is the powerful, safe, effective way to
keep our children healthy! There is no better protection from 14 serious childhood diseases. WCHD is a strong advocate of vaccination and offers
all recommended childhood vaccines. 79% of children in Winnebago County were fully vaccinated by the age of 2 in 2014.
Protection Against Influenza:
HPV Vaccine = Cancer Prevention: The Northeast Wisconsin Immunization Coalition (NEWIC) received grant funding from the State of
Wisconsin to promote the importance of HPV (Human Papillomavirus) vaccination in cancer prevention. In late December, the coalition ran a PSA
entitled “Closing the Door to Cancer” at two movie theaters in Winnebago County. This PSA promoted being vaccinated with the HPV vaccine at
11-12 years old and was run before each movie at the theaters. Thousands of people saw this important message!
114 newly arriving refugees were provided service in 2014
Refugees arrived from:
Iraq
Syria
Iran
Cuba
Burma
Congo
Refugee Health Program
The Health Department provided services to refugees to promote and improve their health, prevent disease,
and introduce them to the U.S. health-care system. This was accomplished in collaboration with World Relief Fox Valley and Catholic Charities.
Public Health Nurses work with local private care providers to assure health screenings are done within 30-90 days after arrival.
16
Communicable Disease Report 2014
Data obtained from the Wisconsin Public Health Information Network – Analysis, Visualization and Reporting Portal. This report is based on
episode date and is provided as PROVISIONAL information for health care professionals and may not represent final counts of cases.
Diseases
Arboviral Disease
Blastomycosis
Campylobacteriosis
Chlamydia
2012 cases
2013 cases
2014 cases
2014 WC Inc*
2014 WI Inc*
2
1
1
0.59
0.77
0
1
2
1.18
1.25
36
34
34
20.05
21.49
567
604
592
349.18
399.57
20
20
9
5.31
9.39
E-COLI (STEC)
7
3
7
4.13
3.94
Ehrlich/Anaplas
8
8
6
3.54
9.09
Giardiasis
11
17
10
5.90
8.36
Gonorrhea
46
49
56
33.03
70.94
Cryptosporidiosis
0
3
1
0.59
1.45
Hepatitis B
15
18
7
4.13
6.36
Hepatitis C
90
80
78
46.01
50.97
Haemoph Inf Inv
Histoplasmosis
0
1
1
0.59
0.14
Influenza hosp
15
55
83
48.96
64.38
Inv Strep A & B
10
15
20
11.80
12.15
Kawasaki Disease
0
1
0
Legionellosis
4
0
1
Listeriosis
2
0
0
Lyme Disease
9
7
4
Malaria
2
1
0
Other Bact Meningitis
0
2
1
Meningococcal
1
2
0
Mumps
0
0
1
0.59
1.11
52
58
36
21.23
19.36
0
1
0
266
59
31
18.28
24.78
Q Fever
2
0
0
0.00
0.14
RMSF (tickborne)
0
1
0
26
12
44
25.95
15.05
0
1
5
2.95
5.96
12
12
8
4.72
7.16
Syphilis
5
7
0
0.00
5.31
Trichinosis
1
0
0
Mycobact (Non-TB)
PID
Pertussis
Salmonellosis
Shigellosis
Strep Pneumo Inv
0.28
0.59
1.39
2.36
21.82
0.21
0.19
0.59
0.33
0.17
0.21
0.19
0.02
0
1
0
0.00
0.92
24
40
20
11.80
10.17
0
0
1
0.59
0.03
Varicella (Chickenpox)
10
11
12
7.08
7.07
Vibriosis, Non Cholera
0
1
0
Yersiniosis
0
1
1
Tuberculosis
Tuberculosis Infection (LTBI)
Typhoid Fever
Total
1,253
1,131
1,074
0.24
0.59
0.10
633.48
789.24
Run date 02/16/2015
*Inc = Incidence = number of cases/100,000 population. WC population 2010 = 166,994 WI population 2010 = 5,686,986
17
Public Health Preparedness
Supervisor: Doug Gieryn
Number of FTE: 1.02
Major Projects and Initiative Areas: Training and Professional Development, Conducting Exercises, Building Partnerships
Trainings and Professional Development
Incident Command System (ICS)
This year Winnebago County Health Department trained several staff members in Incident Command System (ICS) at the intermediate and
advanced level. The ICS 300 course was held in our area on March 5-6. The ICS 400 course was hosted at the WCHD on May 4-5. The learning
objectives for these two courses covered coordination of resources during incidents involving several jurisdictions and disciplines through the use of
Area and Unified Command. Training additional staff in ICS principles allowed for more staff members to take on responsibilities in our Incident
Command organizational chart.
October 1 was the annual Staff Training Day. The theme this year again focused on Preparedness.
A training and activity geared toward a greater understanding of utilizing Incident Command System
(ICS) to organize an emergency response was conducted. Staff members were challenged to apply ICS
planning principles, hierarchy and related forms to address issues during real life situations,
removing the mystique from ICS and seeing the practicality of organizing actions in this fashion.
National Summit
Health Officer Doug Gieryn attended the Public Health Preparedness 2014 National Summit in
Atlanta, GA on a scholarship provided by Wisconsin Department of Public Health April 1-4. Sessions
included topics on preparing jointly with healthcare systems and lessons learned from large disasters
Staff showing of an example of what public health looks like
including
Hurricane Katrina and the Boston Marathon bombing. Representatives from all 50 states
in the community during a “scavenger hunt” at the Annual
attended
the
conference.
Staff Training Day.
Exercises and Partnerships
WCHD and partners from the Northeast Wisconsin (NEW) Public Health Preparedness Partnership participated in a functional exercise on
March 25. The scenario chosen for this exercise was tornado occurrence with widespread damage and power outages. This exercise tested our ability to connect with other health departments and response partners including emergency management and healthcare systems.
The 2014 Ebola outbreak in West Africa allowed WCHD to work closely with our healthcare systems and neighboring health departments, along
with Wisconsin Department of Health Services, to determine the best approach to monitoring persons locally who were potentially exposed to
Ebola virus disease (EVD) and keep the healthcare workers and the public at large safe from further exposure. While no confirmed cases of EVD
were discovered in Wisconsin, the exercises, webcasts, meetings and training sessions were invaluable to increasing awareness and readiness for
such an event.
Plans and Reports
WCHD completed a mid-year report with the Wisconsin Division of Public Health (DPH) on February 12, 2015 for the grant cycle running from
July 1, 2014 to June 30, 2015. An annual review of the Public Health Emergency Plan (PHEP) was completed during 2014. Relevant updates were
made and implemented into the local plan accordingly.
July 1, 2014 marked the start of the 2014 – 2015 preparedness grant objectives. Objectives this year will focus on the priority preparedness
capabilities in Community Recovery, Mass Care and Fatality Management. Baseline data was collected last year to determine our department’s
strengths as well as areas to close gaps related to these capabilities. WCHD will close gaps based on the assessment of training needs, existing plans,
exercise/real event experience and available resources and addressing our shortfalls.
An outbreak of salmonella during the fall of 2014 provided an opportunity for the department to complete an after action
meeting on October 6. Following this meeting an After Action Report (AAR) was developed to build on the successes during
this response and begin forward planning for how the department can become more prepared for the next outbreak.
18
Women, Infant & Children (WIC)
Supervisors: Barb Sheldon
Number of FTE: 7.35
Major Projects and Initiative Areas: Nutrition Education/Counseling, Food Vouchers, Breastfeeding Support
Nutrition Education and Counseling
The WIC Program is funded through the USDA and operated locally by WCHD. The purpose of the WIC Program is to promote and maintain the
health and well-being of nutritionally at-risk pregnant, breastfeeding and postpartum women, infants and children. WIC provides counseling and
information about nutrition for mothers and their children, including prenatal breastfeeding education and post-delivery support to participants, breast pumps to eligible women,
infant and child feeding practices and recommendations, suggestions about shopping and
recipes. WIC works in partnership with the UW Extension Family Nutrition Program to
provide information to families about eating nutritiously on a budget.
Participant Certification
Infant weight is monitored at WIC Clinic for adequate weight gain.
In order to be enrolled in the WIC Program, applicants must provide proof of income,
identification and residence. Each applicant is weighed, measured for length/height and
tested for blood iron level (hemoglobin). Applicants/guardians are interviewed regarding
health and diet practices. This information is used to assess a health or nutritional risk
factor for enrollment, for education/counseling and referral. Certifications are completed
during pregnancy, after delivery, and every 12 months up to 5th birthday.
Food Vouchers
Participants are issued vouchers to purchase nutritious foods: milk including soy milk and low lactose, eggs, iron-fortified cereal, 100% juice,
peanut butter and dried beans and peas, whole grain breads, brown rice, whole wheat or soft corn tortillas, fruits, vegetables and baby foods.
Women who fully breastfeed their infants also receive cheese and tuna or salmon. Infants who are not breastfed are issued vouchers for ironfortified formula. During the growing season, an additional set of vouchers are issued to spend at local farmers’ markets and stands to purchase
locally grown produce. While $1,621,176 in WIC vouchers are spent at local grocery stores and pharmacies, an additional $11,305 WIC vouchers
are spent at local farmers’ markets and farm stands.
$11, 305 in WIC vouchers were spent at local farm markets/stands in 2014
Referrals & Resources
WIC staff also provides referral for other community resources including dental, prenatal education and public health. Car seat vouchers (supplied
through grant funding) are issued to eligible families and blood lead tests are done as needed for children.
Breastfeeding Class is being offered each month by the Peer Counselor to equip women with the information they will need to reach their breastfeeding goal. Contact with the Peer Counselor is available after delivery to guide new moms through their breastfeeding experience.
Breastfeeding Support
In December 2014, 71% of infants born to women enrolled in WIC initiated breastfeeding at
time of delivery. Breastfeeding is associated with less illness and better health, therefore,
consuming less healthcare dollars. WIC encourages breastfeeding exclusively for 6 months and
to continue breastfeeding with complementary foods to 1-year old.
19
Breastfeeding Alliance (BFAN)
BFAN continues it’s mission to improve the health of Northeastern WI residents by working collaboratively to protect, promote, and support
breastfeeding. WCHD has monthly breastfeeding classes in Neenah and Oshkosh which are open to the public.
“The Tongue-tie Project” is a two year project funded by 2013 and 2014 Wisconsin Association of Lactation Consultants (WALC) grants which
allowed BFAN to increase knowledge amongst medical professionals regarding tongue-tie and how a restricted tongue can affect breastfeeding. The
2013 education project was directed towards physicians in a 5-county area. This project increased collaboration among lactation professionals and
other medical providers in helping dyads with breastfeeding problems.
In 2014, the education project culminated in two hands-on workshops facilitated by Dr. Alison Hazelbaker on assessing tongue-function. Participants included physicians, lactation professionals, dentists, pediatric speech language pathologists, and chiropractors. The 2014 WALC grant was
used to offset costs associated with the workshop.
In addition to “The Tongue-tie Project,” BFAN members lecture on breastfeeding at local nursing colleges once a semester.
Milk Depot
WCHD is a milk depot for the Mothers’ Milk Bank of the Western Great Lakes www.milkbankwgl.org. Human milk banks collect, screen and
process human breast milk to meet the specific needs of those for whom it is prescribed. The milk is made available to hospitals primarily for
premature or ill infants. A local milk depot provides women an opportunity to become involved in this important and vital work. Milk depot responsibilities will be to accept, store and ship to the milk bank.
The pasteurized milk is shipped out throughout the Midwest. Donor milk banks also serve
the community by partnering with breastfeeding supporters to increase awareness of
breastfeeding and human milk banking. They provide education to the public and medical
professionals about human milk as the standard of care, which contributes significantly to the
health of families in their area.
Women who are interested in becoming a donor can contact Allison Laverty Montag IBCLC
at (920) 765-4375 or (920) 232-3000.
Freezer full of donated breast milk ready to be shipped to the Milk Bank
of the Western Great Lakes.
20
Time Allocations
FTE by Program Area 2014
Administration
Environmental
Public Health Nursing
Community Health
Preparedness
WIC
TOTAL
Clinic Visits in 2014
Visit Type
3.33
4.05
13.31
7.59
1.02
7.35
36.65
2013
# of Visits
# of Visits
Immunization
1,342
1,609
TB Skin Tests
576
685
5,077
5,354
Housing Authority
477
249
Car Seats*
206
120
Screenings*
3
n/a
166
277
102
43
2
4
76
168
8,027
8,509
WIC
HIV Counseling/
Testing*
Lead*
Long Term
Assessments*
Nail Care*
*Other
Total Visits
21
Financials
Revenue Sources by Year
Year
Total Expenditures*
Non-Levy Revenues**
Levy
2010
$2,295,371
$1,144,326
$900,000
2011
$2,214,114
$1,333,259
$880,855
2012
$3,004,777
$1,996,006
$1,008,772
2013
$3,456,821
$2,184,231
$1,272,590
2014
$3,352,774
$2,027,386
$1,325,388
*Expenditures: Labor, Mileage/Travel, Operations, and Contractual **Non-Levy Revenues: Intergovernmental, Public Services, and Non- Operating Income
22
2014 Accomplishments
1.
Awarded a Farm to School 2-year grant for $100K to help local schools increase the nutritional quality of meals with
locally grown produce.
2.
Established, with community partners, a Winnebago County Heroin Task Force to address growing heroin availability,
use, addiction and recovery in our community.
3.
Completed a sexually transmitted infection research project piloting an updated sexual health education curriculum in
Oshkosh Area School District Middle Schools.
4.
Planned a collaborative adult behavioral risk factor survey with two adjacent counties and three health care systems for a
community needs assessment.
5.
Funded Drug Free Communities work with reserve funding and successfully applied for another 5-year round of grant
funding.
6.
Applied for new CDC access to prevention of chronic disease grant funding of over $3.75M over the next three years.
7.
Implementation of Connected Community Wellness screening in Oshkosh high schools.
8.
Through the Falls Coalition developed a falls prevention tool called “Stand Tall Don’t Fall” handout for individuals at risk
for a fall and entered into a referral agreement with Gold Cross.
9.
Completed a Care Transitions assessment process through a community team with the Healthy Wisconsin Leadership
Institute resulting in a larger community group to work on implementation.
10. Drafted a Winnebago County Health Resource Directory guidebook to empower individuals and their families to access
medical resources easier.
11. Developed new action plans and objectives for most WCHD programs.
12. Increased condom distribution sites in Winnebago County with the help of a condom distribution community work group.
13. Expanded Strong Bones classes to Omro and Winneconne with two new volunteer instructors.
14. Moved Refugee to an office based program reducing costs and streaming activities with health care providers and
World Relief.
15. Developed a communicable disease prevention program to expand efforts to keep our health care providers and others
informed of communicable disease concerns.
16. Partnered to launch “No Wrong Door” training to help connect those in need of mental health services with service
providers.
17. Worked on or in numerous obesity prevention activities with schools, restaurants and “Weight of the Fox Valley”
initiative.
18. Awarded a Farm to School AmeriCorps Member placement to bring locally grown foods and nutrition education into area
school districts.
19. Awarded at WISDOT Transportation Alternatives Program grant along with Highway and Parks Departments to conduct
bicycle/pedestrian study in rural areas of the County.
23
2015 Goals & Objectives
1.
Consolidate the northern county WIC and public health offices into a single location.
2.
Successfully pass a five-year State-run health department review based on WI DHS Administrative Code 140 and retain
Level III health department status.
3.
Implement a needle exchange program to help reduce the transmission of Hepatitis C and HIV from needle sharing of
intravenous drug users.
4.
Continue to transition toward more population-based services with an emphasis on health equality.
5.
Expand sexually transmitted infection education to the Neenah School district.
6.
Establish a collaborative and routine form of communicable disease communication with local providers and local
health departments.
7.
Collaborate with local senior centers, ADRC and health insurance providers to establish a unified approach for the
provision of evidenced based prevention programs.
8.
Implement at least one initiative to improve care transitions in Winnebago County.
9.
Improve marketing strategies and abilities among health department staff and partners.
10. Establish prenatal education for pregnant teens in Winnebago County high schools.
24