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10/31-11/4/2005 Meetings for the week of October 31st -November 4th Page 1 of 1 E "` The City of Saint Paul AiIlk Alma Meetings for the Week of October 31st, thru November 4th, 2005 MONDAY - October 31st Legislative Hearing for C K Star 10:00 AM Room 330, City Hall Liquor Warehouse *Ramsey County Budget Hearing 1:30 PM Council Chambers, City Hall TUESDAY - November 1st Legislative Hearing 10:00 AM Room 330, City Hall Legislative Hearing 1:30 PM Room 330, City Hall WEDNESDAY - November 2nd *City Council Budget Meeting 10:00 AM Council Chambers, City Hall *City Council --- see Agenda 3:30 PM Council Chambers, City Hall *City Council Public Hearing 5:30 PM Council Chambers, City Hall THURSDAY - November 3rd Heritage Preservation Commission 5:00 PM 4th Floor, Central Library FRIDAY - November 4th Planning Commission 8:30 AM Room 40, City Hall * Cablecast live and repeated on Saint Paul Channel 18. Interpreter service for the hearing impaired will be provided at public meetings upon request. Request can be made by calling(651)266-8509(Voice and TDD)Monday thru Friday, 8.00 A.M. to 4:30 P.M.A minimum of two days notice is required. For more information on any of these meetings,you can send Email to: citizen.serviceAci.stpaul.mn.us, or call the Saint Paul Citizen Service Office at 651-266-8989 http://www.stpaul.gov/depts/meetings.html 10/28/2005 S A I T ST PAUL CITY COUNCIL REC rZa ED CITY OF SAINT PAUL P A U L Dept.of Planning and OCTZ j 2005 Economic Development Phone:(651)266-6589 ROM CITY CLERK Fax: (651)228-3220 Public Hearing Notice i, H FILE#05-130-725 PURPOSE: Rezoning from B2(Community Business)and R3(Single Family Residential)to RM2(Multi-family Residential)to construct a 30-unit condominium. PROPERTY ADDRESS: 1199 White Bear,1187 White Bear,1758 Maryland,SW Corner Maryland at White Bear FILE NAME: North East Neighborhoods Development Corp. HEARING DATE: Wednesday,November 2,2005,at 5:30 p.m. All public hearings are held in City Council Chambers,3`d Floor City Hall-Court House, 15 W.Kellogg Boulevard.You may send written comments to the Zoning office at the address listed on the reverse side of this card. Please call(651)266-6591,or e-mail emily.ulmer@ci.stpaul.mn.us,or call your District Council representative at (651)774-2220 if you have any questions. Mailed: October 21,2005 Christine Haas- Meetings of the Week Calendar Page 1 From: Racquel Naylor To: Haas, Christine; Moore, Shari Date: 10/24/2005 4:17:09 PM Subject: Meetings of the Week Calendar Please add the following to the calendar: Legislative Hearing for C K Star Liquor Warehouse Monday, Halloween 10:05 a.m. Room 330 Courthouse. Thanks in advance. -Racquel, 6-8573 "'" SAINT PAUL - RAMSEY COUNTY Elb 40, COMMUNITY HEALTH SERVICES imik ADVISORY COMMITTEE TO THE SAINT PAUL CITY COUNCIL AND THE RAMSEY COUNTY BOARD OF COMMISSIONERS AAAA 555 Cedar Street Q /�Saint Paul,Minnesota 55101-2260 RECEIv RAMSEY COUNTY 651-266-1200 ED OCT-2 7 2005 MEETING NOTICE CITY CLERK WEDNESDAY, NOVEMBER 2, 2005 SAINT PAUL - RAMSEY COUNTY DEPARTMENT OF PUBLIC HEALTH Ramsey County Government Center West (RCGC-West) 50 West Kellogg Boulevard, Suite 930 - STAR Room Saint Paul ** Enter on the river side/back of the building. ** AGENDA 1. Call to Order 2. Continued Discussion on Infant Mortality 3. Chairperson's Report 4. Director's Report 5. Adjourn CHSAC Public Meeting will begin at 5:30 p.m. NEXT MEETING DECEMBER 7, 2005 PACKET ENCLOSURES 1. October 5, 2005 Meeting Minutes 2. October 2005 Section Updates 3. Summer/Fall 2005 issue of Thought for Food ** Attention CHS Advisory Committee Members ** Please contact Jan Pierson if you will not be attending the meeting: Phone: 651-266-2408 (between 8:00-4:30) E-Mail: jan.pierson@co.ramsey.mn.us ninnmow SAINF SAINT PAUL - RAMSEY COUNTY 110 PAUL COMMUNITY HEALTH SERVICES A A A 1! ADVISORY COMMITTEE TO THE SAINT PAUL CITY COUNCIL AND THE RAMSEY COUNTY BOARD OF COMMISSIONERS 555 Cedar Street Saint Paul,Minnesota 55101-2260 RAMSEY COUNTY 651-266-1200 MINUTES COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE OCTOBER 5, 2005 MEMBERS PRESENT MEMBERS EXCUSED MEMBERS ABSENT Mary Ackerman Mary Ann Mathews Kalia Lo Coral Garner Tyler Schmidtz Kathy Wilken Debbie Ibarra-Luna Alyssa Vang Jennifer Rauch Joanne Westergard Regina Rippel Jack Rossbach STAFF/GUESTS Murray Sagsveen Rob Fulton, Staff Sheri Smith Richard Ragan, Staff Esther Tatley Caroline Conrad, Guest Mark Wolf "Let's Get Moving" — Caroline Conrad Caroline Conrad presented information regarding a program called "Let's Get Moving" that encourages Latina middle school girls to participate in sports to reduce the affects of childhood obesity. Melpomene, the sponsor, is a non-profit, resource center that helps girls and women link physical activity and health through research, publications and education. The event will be held November 7th and/or 8th. For updates see the website: www.melpomene.orq Joint Meeting The health advisory committees of Saint Paul-Ramsey County, Hennepin County and Minneapolis will conduct a joint meeting on December 7, 2005. The agenda will include: a review of the organization and missions of the different committees, a review of the legislative agendas for the respective local governments, a featured speaker followed by question and answers and discussion, and possible action item(s). Jan Malcolm, MN Commissioner of Health during the Ventura Administration, will be the moderator for the event. The meeting will be held at the Metro Counties Government Center, 2099 University Avenue W, St. Paul at the corner of University and Transfer Rd. Invitations will be sent to all committee members. Introductions Introductions were made and a new member, Regina Ripple, was introduced. Regina works on the issues of finance, housing and benefits for the MN Aids Project. Disparity in Infant Mortality Rates Rob Fulton presented the evening's discussion topic: disparity in infant mortality rates. Minnesota's African American infant mortality rates have been two to three times higher than the White rate for 20 years. Most recent data indicates that for every thousand births, almost 1 12 African American babies died before their first birthday, compared to five White babies. The excess deaths are primarily a result of higher rates of low birth weight (LBW) and pre-term births (PTB). The reasons for LBW/PTB may include hypertension, infections, poor weight gain and closely spaced pregnancies. Research indicates that stress and adverse social and environmental conditions combined with an individual's vulnerability to these conditions contribute to LBW/PTB. Access to culturally acceptable primary preventive health care, family planning services, preconception care, and early prenatal care is essential to manage these conditions. Saint Paul had the 4th highest African American infant mortality rate in the country and Minneapolis had the 11th highest for Hispanic babies. The Minneapolis Department of Health and Family Support has run the Twin Cities Health Start Program since 1999. The program serves Minneapolis and Saint Paul through community based agencies. The goal is to decrease infant mortality and poor birth outcomes among African American and American Indian women and their infants. Ramsey County has been involved with the "Doula" program. A Doula is a woman who gives support during pregnancy, labor and delivery of babies. Saint Paul - Ramsey County Public Health spends resources on adolescent parenting programs. Updates Rob gave updates on the following topics: Active Living Walkable Communities, the Department's 2006/07 Budget, the Department's new website, update on hurricane Katrina and staff involvement and tuberculosis monitoring within the County. Next Meeting November 2, 2005, 5:30-7:30 pm, in the STAR Room at Government Center West. 2 1 7444t *Milk 11111 „4. Ramey County Saint PauC- Ramsey County Department of Public Health Section Updates - October zoos MEDICAL DIRECTOR During October and November, the Depai tnient will be hosting a physician from the occupational medicine residency at Regions Hospital, Dr. Sharda Katyal. She will be observing and participating in activities here at St. Paul -Ramsey County Department of Public Health, the Minnesota Institute of Public Health, and the Environmental Resource Council two days a week. Dr. Katyal is a second-year resident in the Occupational Medicine program at Regions Hospital. Originally from India, she has finished a master's degree in public health year at the University of Minnesota. After she completes her residency, she plans to practice occupational medicine on the East Coast. I am serving as the chair of the Minnesota Heart Disease and Stroke Prevention Program Steering Committee for 2005 and 2006. The group's function is to guide the strategic planning process for implementing the recently completed Minnesota Heart Disease and Stroke 2004-2010 Prevention Plan to which Rob Fulton was a major contributor. The new committee's responsibility is to create solid action plans consistent with some of the identified strategies under the Plan's goals. Its 25 members will serve as liaisons to their own organization/field/industry/community to encourage implementation of Plan's goals and strategies. The ultimate goal is to reduce morbidity and mortality from cardiovascular disease in Minnesota by building collaborative activities in cardiovascular health and disease prevention, advocating for reducing health disparities among minority groups, identifying barriers to cardiovascular health, and proposing resolutions. For questions,please contact Dr. Stan Shanedling at the Minnesota Department of Health. On October 3rd, I represented the Minnesota Medical Association as well as our Department at the Minnesota Responds! Health Professional Volunteer Registry awareness session. The meeting, hosted by the Minnesota Department of Health, was held to announce and explain the state-based systems for advanced registration of health professionals as volunteers during natural or human-caused disasters. I continue to serve on the residency advisory committees for the Mayo Preventive Medicine Fellowship and the Regions Hospital Occupational Medicine Residency. Also, I am a member of the Tuberculosis Advisory Committee and the Maternal/Child Health Advisory Task Force of the Minnesota Department of Health. Recently I joined the board of directors of the Ramsey Medical Society Foundation. ENVIRONMENTAL HEALTH SECTION COMMUNITY ENVIRONMENTAL HEALTH Lori Green, Community Environmental Health, gave three presentations in August/September to all employees of the Head Start program in St. Paul. These employees included teachers, teachers' 1 assistants, food service workers and drivers. Head Start currently has an enrollment of approximately 1,200 children and has fourteen locations where food is served,according to Donna Malum, Dietician. Food safety was the focus of the presentation,with an emphasis on food borne outbreaks and the lack of proper hand washing associated with these situations. "I'm a Fan of Hand washing" fans were provided courtesy of Minnesota Department of Health and given to the employees. YARD WASTE PROGRAM Winter Hours: The regular season for all seven yard waste sites ends November 30th(weather permitting). However, three of the sites will be open one weekend per month Dec.-Mar. as follows (weather permitting): Midway, Frank& Sims, and White Bear Township sites ONLY: Dec. 17th & 18th Jan. 14th & 15th Feb. 11th & 12th Mar. 11th $ 12th Saturdays 9:00 a.m. - 5:00 p.m. Sundays 11:00 a.m. 5:00 p.m. CLOSED weekdays and unscheduled weekends The three sites will accept brush from Ramsey County residents. Commercial operations and non- Ramsey County residents are prohibited from using the sites. White Bear Township site Construction of a new yard waste collection and composting site began recently to replace the current yard waste site located south of County Rd. J on Sherwood Rd. The new site will be located just to the north of the existing site and is scheduled to open Spring of 2006. It will offer more space for the collection of yard waste and improve composting operations. The ability to compost at this site is very important because all of the finished compost distributed to residents at all seven yard waste sites is composted at the White Bear Township site. The County will also be able to have brush ground(chipped) on site before being hauled off to the District Energy wood-burning plant next to RCGC-West. The Township has not allowed grinding to occur at the current site because of noise concerns,but staff was able to have a grinder on site in September for a demonstration that convinced residents in nearby Lino Lakes that the noise was acceptable. Grinding on site vastly reduces the number of trucks needed for hauling and will thus save the County$30,000 or more per year. The current site will be returned to a natural landscape and serve as a buffer between the new site and North Oaks properties to the south. Storm Debris Over 5,400 cubic yards of brush was collected at the Arden Hills yard waste site from the storms that went through the northwest corner of Ramsey County on September 21. The Cities of MoundsView, New Brighton, and Arden Hills are also offering their residents curbside collection of tree waste from the storms and have collected tens of thousands of cubic yards at a temporary storage location in New Brighton. Solid and Hazardous Waste/Policy and Planning Environmental Health staff were asked to host a 6-member ICMA(International City/County Management Association) exchange delegation from India on the morning of Tuesday, September 20th. The group was interested in learning more about the integrated solid waste management system in Minnesota. Norm Schiferl provided the group with an overview of solid waste management in the Metro, and Michael Reed arranged tours for the group at the Ramsey/Washington County Resource Recovery Facility in Newport and Stericycle's infectious waste treatment facility in St. Paul. 2 i HEALTHY COMMUNITIES SECTION Recently, the"Shoulder to Shoulder: Raising Teens Together" social marketing program was presented a 2005 National Association of Counties (NACo) award at the September 20, 2005 Hennepin County Board meeting. "Shoulder to Shoulder: Raising Teens Together" is asocial marketing program designed to develop unique and effective ways to provide positive parenting techniques for parents and other caregivers of teens in the Twin Cities metropolitan area. It is unique in that support materials and activities were developed for parents of teens, with extensive input from parents of teens. This program was developed by an intergovernmental collaborative comprised of Dakota, Hennepin, Ramsey, and Washington Counties as well as the cities of Bloomington, Edina, Minneapolis, and Richfield and the University of Minnesota Extension Service. The "Shoulder to Shoulder: Raising Teens Together"positive parenting approach attempts to reduce risky behaviors among adolescents—a highly susceptible and impressionable age group. The annual Achievement Award Program is a non-competitive awards program that seeks to recognize innovative county government programs called County Model Programs. Created as a part of NACo's New County, USA campaign, the Achievement Award Program continues to embody the grassroots and local government energy the program was designed to promote. The main emphasis of the New County, USA campaign was to modernize and streamline county government and to increase its services to its citizens. The Ramsey County Board of Commissioners will be recognizing the award at a board meeting in November. HEALTHY FAMILIES SECTION We have received confirmation of a CDC educational grant award to host a Fetal Alcohol Spectrum Disorder(FASD) conference next summer. This is a community collaborative effort and includes representatives from the Healthy Family section and Mother's First staff of St. Paul Ramsey County Public Health,American Indian Family Center, UMN School of Public Health's Center for Public Health, March of Dimes, and the Minnesota Organization on Fetal Alcohol Syndrome (MOFAS). Our conference, Hand in Hand: A Symposium on Multidisciplinary Challenges for Parents and Professionals Involved with FASD, will be held at the Continuing Education and Conference Center in St. Paul on June 14 & 15, 2006. Keynote addresses will be given by Susan Carlson, founder and president of MOFAS and a representative from the nationally recognized Fetal Alcohol and Drug Unit at the University of Washington School of Medicine. This conference will seek to provide health care professionals working with persons affected by FASD the tools and skills needed to enhance the quality of services provided to these individuals. The conference will also include break-out sessions for professionals,parents, and people who are either living with someone affected by FASD or who themselves are affected by it. The final session of the conference will provide a forum in which participants will share ideas and strategies for dealing with FASD. The intended audience includes public health and human service professionals, chemical and mental health specialists, healthcare professionals,parents, people involved in adoptive services and early educators. By bringing this diverse audience together,we hope parents and professionals will share effective coping strategies for children who are born with FASD, and effective coping strategies as adults living with FASD. 3 Coalition members include: Joyce Holl & Sue Terway from MOFAS; Jill Lindahl, Deb Schuhmacher, Anna Haubrich, Jeannette Kpissay&Talli Brown from Healthy Families childhood and Mother's First, Marianne Keuhn with March of Dimes, LaVon Lee,Jessica Gourneau, and Jennifer Champagne from American Indian Family Center, and Sharon Vegoe from UMN School of Public Health. Increased Incidence of Elevated Blood Lead Levels CDC has found an increased incidence of elevated blood lead levels developing in refugee children 3-6 months after their arrival in the U.S. Many of these children are anemic. The Childhood Lead Program has received a$20,000 MDH/CDC grant to do follow up on refugee children under the age of 16 utilizing the Juenneman clinic for their initial Refugee screen. Blood work screening for anemia and lead will be drawn on this population in the Refugee Program. The Lead program will work to facilitate a repeat lead level 3-6 months from that date. This will be a a collaboration between the SPRCDPH Refugee Program, the Lead Program, our lab and MDH Lead and Refugee programs. CityMatch Conference In Sept., Sue Mitchell, Mary Elizabeth Berglund, Deb Hendricks and Leah Bower(an evaluator in the Human Services department) attended the annual CityMatch conference in Fort Worth, TX. They won the honorable mention award for their poster presentation: Climbing to Success: Teen Parent Decision Making: Choosing School Over Work The poster was the final project of the year long CityMatch Data Institute where a team comprised of staff from SPRCDPH and the St. Paul Public Schools looked at graduation rates for MFIP teen parents served by the APP and REACH home visiting teams. The ongoing evaluation of our teen parent program will continue even though the Data Institute is finished. Sue Mitchell and our Human Services Evaluation Unit continue to supervise two public health MPH graduate students from the University to assist with program evaluations. While at the CityMatch conference in TX, several participants had the opportunity to volunteer at a local shelter/hotel interviewing Hurricane Katrina families about their needs. MFIP Sanction Outreach Program is Revised The MFIP Sanction Outreach Team began to receive referrals for the newly revised sanction outreach program. Prior to August,referrals were sent to the team for MFIP clients who were just about to have their cash grants sanctioned for failure to comply with MFIP employment services requirements. PHN's assess families to determine if there is "good cause" for them not to comply and suggest ways in which their mandatory employment plans be changed and/or enhanced in order to better meet individual client needs. Our county department, Workforce Solutions, changed the outreach policy and now families are referred to the team after they have already been in sanction for two months. The theory is that many clients will come into compliance and cure their own sanctions in the first two months and public health resources will be saved for the clients who do not, or are unable to cure their sanctions. Nurses can suggest that the sanctions be lifted retroactively for those clients where good cause is found. An evaluation of the outreach program is underway. WIC SECTION Our WIC program was recognized with a "2005 Working Family Appreciation Award" by the Working Family Resource Center. Earlier this year, the entire WIC staff received training on balancing the demands of work and family life. Another all-time caseload high! In September 17,586 participants were served--an increase of 47 over August. 4 _ _ _ . . THOUGHT FOR FOOD . _ Saint Paul—Ramsey County Volume 9, Issue 2 4. I Department of Public Health Environmental Health Section Summer/Fall 2005 Food-Borne Illness Risk Factors and cooked cereal grains such as rice. Because of the By Mark Clary, R.S. high potential for rapid bacterial growth in these foods they are known as "potentially hazardous foods." "Foodborne Illness Risk Factors" is a term you are The temperature range at which bacteria grow best in beginning to hear more frequently when it comes to pre- potentially hazardous foods is between 41° F and 140° venting foodborne illnesses. There are many risk fac- F. The goal of all temperature controls is to either keep tors that can cause foodborne illnesses. The idea is to foods entirely out of this "danger zone" or to pass foods determine what those risk factors are, such as improper through this "danger zone" as quickly as possible. holding temperatures, and focus on eliminating them (Bacteria grow most rapidly in this danger zone be- from your food establishment. tween 41° F and 140° F, doubling in number in as little Based on the Centers for Disease Control and Preven- as 20 minutes.) In its simplest form, this means: tion (CDC) Surveillance Report for 1988— 1992, five • Keep cold foods cold (41° F or lower) broad categories of risk factors contributing to food- borne illness were identified. The identified risk factors • Keep hot foods hot (140°F or higher) include: • And whenever a food passes through a heat- • Food from Unsafe Sources ing or cooling cycle, do it as rapidly as possi- • Inadequate Cooking ble to prevent a large increase in microorgan- isms. • Improper Holding Temperatures This is why, when you reheat food to 165° F, you need Contaminated Equipment to do it quickly, like on a stove or in a microwave. This • is why you should not put cold food into a steam well to • Poor Personal Hygiene warm up, which takes too long to get through the 41° F- 140° F temperature danger zone. If the safety of food is to be significantly improved, the Likewise, when you cool foods to 41° F, you need to food industry and the regulatory community must focus cool food quickly(from 140° F to 70° F within 2 hours their efforts to reduce the incidence of these risk factors. and then from 70° F to 41°F within another 4 hours). _ Taking a long time to get through the temperature dan- ger zone can cause a large growth in microorganisms, Food Manager Certification Applications r (Minnesota Department of Health) -ice IduanillIMI As of August 1, 2005 the fee for food manager certifi- cation applications is $28. The new fee is effective for Inadequate food temperature controls are the most initial applications postmarked August 1, 2005 and later common factor contributing to outbreaks of foodborne and for renewal applications that expire October 1, disease. Disease causing bacteria grow particularly well 2005 and later. in foods high in protein such as meats,poultry, seafood, Visit MDH website for more information. eggs, dairy products, cooked vegetables such as beans, www.health.state.mn.us/divs/eh/food/fmc/index.html continued on back Handwashing Employees should wash their hands after: • Using the restroom By Molly Wellens, R.S. • Coughing, sneezing or using a tissue The most common organisms that cause foodborne ill- • Eating, drinking, smoking or taking a break ness can be eliminated by effective handwashing. Ac- • Touching their face, nose, mouth, eyes,hair or cording to the CDC,the single most important thing we other parts of their skin can do to keep from getting sick and spreading illness is • Wiping their hands on a dirty apron to wash our hands. Handwashing is seen as the simplest • Handling dirty kitchen equipment, dirty utensils disease prevention practice, however it is the most ne- or dishes glected. • Handling money • Handling raw animal products such as eggs or Do people really not wash their hands? According to meat the American Society of Microbiology, 97% of females • Handling garbage or recyclables and 92% of males say they wash but actually only 75% of females and 58% of males wash. Did you know that How do you effectively wash your hands? on each square centimeter of your skin there are about 1. Wet hands using hot water. 1,500 bacteria? There are also an average of 229,000 2. Apply "germs"per square inch on frequently touched faucet up y soap. 3. Rub your hands together for 20 seconds. handles. 4. Use a fingernail brush to remove dirt, debris, and other organisms from underneath your nails. 5. Scrub between your fingers up your forearm. 0' „ Pay special attention to the back of both hands.' 'h+ nds spread 6. Rinse. disease wash the ota 7. Dry your hands and forearms. 8. Turn off the water. Employees should understand the importance of hand- Cross-contamination, undercooked foods and the lack washing and be motivated to do so. It is important that of personal hygiene are contributing factors to food- managers set a good example by washing their hands borne illness. Disease causing organisms that can not be often. All handsinks should be in locations that are ac- seen can be transferred from unwashed hands to food cessible, convenient and easy to use and should have all and food equipment. Effective handwashing only takes of the necessary tools. Handsinks that are without soap, 20 to 30 seconds and this will reduce the number of or- hot water,paper towels and a fingernail brush are inef- ganisms on your hands one hundred fold! fective! www.co.ramsey.mn.us select Environmental Health Home Page Food Manager Class click on Safe Food With comments on the Newsletter contact via email:lori.green@co.ramsey.mn. us or by telephone:651.773.4486. If you need to be certified, call Zack Hansen,Section Manager 651-773-4498 to get Saint Paul-Ramsey County Department of Public Health information regarding classes Environmental Health Section 1670BeamAvenue,SuiteA offered by the St. Paul-Ramsey Maplewood,MN 55109-1176 Phone: 651.773.4466 County Department of Public Fax: 651.773.4454 Health Food Class Info Line:651.773.4498 Environmental Health The purpose of"Thought for Food"is to provide useful information to managers Section. of food service establishments licensed by the Saint Paul-Ramsey County Envi- ronmental Health Section. "Thought for Food"is published quarterly by the Saint Paul-Ramsey County Department of Public Health Environmental Health Section and is distributed with your free copy of"Food Talk".