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HomeMy WebLinkAboutResolution - 2006-R0083 - Contract Change No. 5 - TX DSHS - STD And HIV Testing And Prevention Activities - 02_24_2006Resolution No. 2006-R0083 February 24, 2006 Item No. 5.15 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute for and on behalf of the City of Lubbock a Contract Change No. 5 to a Contract with the Texas Department of State Health Services (DSHS Document No. 7560005906 2006) for STD and HIV prevention and testing activities and any associated documents by and between the City of Lubbock and the Texas Department of State Health Services, a copy of which Contract Change No. 5 and associated documents are attached hereto and which shall be spread upon the minutes of this Council and as spread upon the minutes of this Council shall constitute and be a part hereof as if fully copied herein in detail. Passed by the City Council this 24th day of February , 2006. o - ""/ ARC MCD, UGAL, MAYOR ATTEST: Re cca Garza, City Secretary APPROVED AS TO CONTENT: Tommy CgDen, Health Director APPROVED AS TO Donald G. Vandiver, Attorney of DDres/TDHcon06Chg5Res February 9, 2006 CONTRACT NO. Resolution No. 2006 R0083 6756 February 24, 2006 Item No. 5.15 DEPARTMENT OF STATE HEALTH SERVICES 1100 WEST 49TH STREET AUSTIN, TEXAS 78756-3199 STATE OF TEXAS DSHS Document No. 7560005906 2006 COUNTY OF TRAVIS Contract Change Notice No. 05 The Department of State Health Services, hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in writing with LUBBOCK CITY HEALTH DEPARTMENT hereinafter referred to as PERFORMING AGENCY. The parties thereto now desire to amend such contract attactiment(s) as tollows: SUMMARY OF TRANSACTION: ATT NO.01A : RLSS-LOCAL PUBLIC HEALTH SYSTEM All terms and conditions not herebv amended remain in full force and effect. EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. CITY OF LUBBOCK HEALTH DEPARTMENT Authorized Contracting Entity (type above if different from PERFORMING AGENCY) for and in behalf of: PERFORMING AGENCY: LUBBOCK CITY HEALTH By: ARTMENT authorized to sign) MARC McDOUtAL,MAYOR (Name and Title) Date: RECOMME ;ED� By(PRFORMINGENCY Director, if different from person authorized to sign contract RECEIVING AGENCY: DEPARTMENT OF STATE HEALTH SERVICES By: (Signature of person authorized to sign) Bob Burnette, Director Client Services Contracting Unit (Name and Title) Date: 3 c� 7 V JC' C:SC i 1- Rev. 6/O5 ATTEST: Aj}Fp( U tt>7: is c 'J ?i d' 3 .Y City atwmey x= _ e ecca Garza, C1 y ecretary _�. �J Z Cover Page 1 DETAILS OF ATTACHMENTS Att/ DSHS Program ID/ Term Financial Assistance Direct Total Amount Amd DSHS Purchase Assistance (DSHS Share) No. Order Number Begin End Source of Amount Funds* 01A RLSS/LPHS 09/01/05 08/31/06 State 93.991 108,204.00 0.00 108,204.00 0000309837 02 HIV/SURV 09/01/05 08/31/06 State 50,251.00 0.00 50,251.00 0000309133 03 IMM/LOCALS 09/01/05 08/31/06 State 93.268 138,264.00 0.00 138,264.00 0000309160 04 CPSBIOTERR 09/01/05 08/31/06 93.283 349,318.00 0.00 349,318.00 0000310020 05 CPSBIO-LAB 09/01/05 08/31/06 93.283 199,760.00 0.00 199,760.00 0000310169 ES Document No.7560005906 2006 Totals $845,797.00 $ 0.00 $845,797.00 e No. OS *Federal funds are indicated by a number from the Catalog of Federal Domestic Assistance (CFDA), if applicable. REFER TO BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS. Cover Page 2 DOCUMENT NO. 7560005906-2006 ATTACHMENT NO. 0 1 A PURCHASE ORDER NO.0000309837 PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT RECEIVING AGENCY PROGRAM: REGIONAL AND LOCAL SERVICES SECTION TERM: September 01, 2005 THRU: August 31, 2006 It is mutually agreed by and between the contracting parties to amend the conditions of Document No. 7560005906 2006 -01as written below. All other conditions not hereby amended are to remain in full force and effect. SECTION I. SCOPE OF WORK is revised to include the following: PERFORMING AGENCY shall comply with applicable RECEIVING AGENCY programmatic guidelines in accordance with activities outlined in the final accepted FY06 Service Delivery Plan. PERFORMANCE MEASURES PERFORMING AGENCY shall complete the PERFORMANCE MEASURES as stated in the FY 06 LPHS Service Delivery Plan, and as agreed upon by RECEIVING AGENCY, and hereby attached as Exhibit B. SECTION I. SCOPE OF WORK, fourth paragraph, is revised to add the following bulleted items: • PERFORMING AGENCY'S FY 06 LPHS Service Delivery Plan; • FY 05 Texas Application for Preventive Health and Health Services Block Grant Funds; and • Government Code section 403.1055, "Permanent Fund for Children and Public Health". SECTION 11. SPECIAL PROVISIONS, second paragraph, is revised to add the following: PERFORMING AGENCY shall submit an Annual Budget and Expenditures Report in a format specified by and to RECEIVING AGENCY by December 15, 2006. ATTACHMENT — Page 1 DEPARTMENT OF STATE HEALTH SERVICES RECEIVING AGENCY PROGRAM: REGIONAL AND LOCAL SERVICES SECTION PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT CONTRACT TERM: 09/01/05 THRU: 08/31/06 BUDGET PERIOD: 09/01/05 THRU 08/31/06 DSHS DOC. NO.7560005906 200601A CHG. 05 REVISED CONTRACT BUDGET FINANCIAL ASSISTANCE OBJECT CLASS CATEGORIES CURRENT APPROVED BUDGET (A) CHANGE REQUESTED (B) NEW OR REVISED BUDGET (C) Personnel Fringe Benefits Travel Equipment Supplies Contractual Other Total Direct Charges Indirect Charges TOTAL PERFORMING AGENCY SHARE: Program Income Other Match RECEIVING AGENCY SHARE PERFORMING AGENCY SHARE $44,804.00 $63,400.00 $108,204.00 14,473.00 ( 14,473.00 ) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $59,277.00 $48,927.00 $108,204.00 0.00 0.00 0.00 $59,277.00 $48,927.00 $108,204.00 0.00 0.00 0.00 0.00 0.00 0.00 $59,277.00 $48,927.00 $108,204.00 $0.00 $0.00 $0.00 Detail on Indirect Cost Rate Type: Rate 0.00 Base $0.00 Total $0.00 Budget Justification: Amendment is to extend end term from 02/28/06 to 08/31/06 and budget funds for additional 6 months. Revised Number to be Served/Units of Service: 6,500 Form No. GC-9 ECPS - Rev. 10/04 Financial status reports are due the 30th of December, 30th of March, 30th of June, and the 30th of November. Updated on 10/27/2005 11:39 AM EXHIBIT B FY 2006 Request for Local Public Health Services (Triple O) Funds Service Delivery Plan Contract Term: September 1, 2005 through August 31, 2006 This Service Delivery Plan (Plan) must be completed and submitted by October 31, 2005 to renew Triple 0 Contracts for FY 2006. The Plan must outline how essential public health services will be carried out to meeticomplete proposed objective(s) and activities to address a public health issue(s), and describe how resources (personnel, equipment, etc) funded through this contract will be used to accomplish the proposed Plan. Local Health Department: City of Lubbock Address: PO Box 2548/1902 Texas Avenue City, State, Zip Lubbock TX 79408 LHD Triple 0 Contact Tommy Camden or Beckie Brawley Telephone: 806-775-2899 or 806-775-2939 Email: tcamden@mail.ci.lubbock.tx.us or bbrawley@mail.ci.lubbock.tx.us Budget Narrative: Complete the budget table below by showing the breakdown by budget category. Also, include a brief description of how these categorical funds will be used to meet the proposed objective(s) as outlined in the attached Service Delivery Plan. Description/justification of Resources - Briefly describe how the funds in each category will be Budget Category Amount used to meet the proposed objective(s). (Include the public heakh issue if the Plan will include more than one public health issue.) 3/a time Registered Nurse and tlz time Licensed Vocational Nurse ---Perform education, testing, and Personnel $ 108,204.00 treatment for sexually transmitted diseases. Refer clients in the STD clinic to alternate agencies as needed for immunizations. V4 time Registered Nurse and V2 time Licensed Vocational Nurse ---Provide education and administer immunizations to adults and children. Refer to alternate agencies as needed for immunizations. 1 Medical Technologist ---Perform syphilis, HIV, wet preps, gram smears, and pregnancy testing. 1 Licensed Vocational Nurse ---Provide educational sessionsthandouts and health fairs t o citizens to increase awareness regarding cancer awareness. Investigate, educate and provide treatment to persons with notable conditions. N/A (No justification required for this category.) Fringe Travel Equipment items must be submitted separately using the "EQUIPMENT Budget Category Detail Equipment Form" attached. Funding of "one-time" purchases will be considered using "one-time funds" identified (not from contract base budgets) if available during the fiscal year. Undated on 10/27/2005 11:39 AM Supplies Contractual Other Total Amount Requested $108,204.00 N/A (No justification required for this category.) Signature: Date: Updated on 10/27/2005 11:39 AM FY 2006 Local Public Health Services (Triple O) Project Service Delivery Plan Complete the table below to outline how FY06 Local Public Health Services (LPHS) Contract funds will be used to address a public health issue through essential public health services. The Plan should include a brief description of the public health issue(s) or public health program to be addressed by LPHS funded staff, and measurable objective(s) and activities for addressing the issue. List only public health issues/programs, objectives and activities conducted and supported by LPHS funded staff. List at least one objective and subsequent required information for each public health issue or public health program that will be addressed with these contract funds. The plan must also describe a clear method for evaluating the services that will be provided, including identification of a specific evaluation standard, as well as recommendations or plans for improving essential public health services delivery based on the results of the evaluation. Complete the table below for each public health issue or public health program addressed by LPHS funded staff. The table below (example) and on the following page may be duplicated as needed for this purpose. Public Health Issue: Briefly describe the public health issue to be addressed. Number issues if more than one issue will be addressed. The need to proved an accurate assessment of local public health systems in order to provide for essential public health services. 1. Knowledge regarding sexually transmitted disease testing, diagnosis, and treatment. 2. Knowledge regarding required/recommended vaccines for adults and children 3. Knowledge regarding disease transmission, treatment, and prevention of notifiable conditions 4. Knowledge regarding cancer risks Essential Public Health Service(s): List the EPHS(s) that will be provided or supported with FY 06 LPHS Contract funds Diagnose and investigate health problems and health hazards in the community (ESPH#2). Monitor health status to identify community health problems (ESPH#1). Inform, educate, and empower people about health issues (ESPH#3). Objective(s): List at least one measurable objective to be achieved with resources funded through this contract. Number all objectives to match issue being addressed. Ex: 1.1, 1.2, 2.1, 2.2, etc.) 1. Ensure clients seen in the sexually transmitted disease clinic (STD) at the City of Lubbock Health Department (CLHD) receive appropriate testing, education and treatment. 2. Ensure process for syphilis, HIV, wet preps, gram smears, and pregnancy testing are performed efficiently. 3. Ensure clients seen in the immunization and STD clinics at the CLHD are educated on required/recommended vaccines and provided vaccine or referred to agencies to secure vaccine. 4. Ensure clients and contacts of clients with a notifiable condition receive treatment and education regarding disease process and prevention. 5. Ensure participants attending seminars and health fairs have increased cancer awareness. Upadmea on mu llzw-) i riy AM _ Performance Measure: List the performance measure that will be used to determine if the objective has been met. List a performance measure for each objective listed above. 1. 95 % of clients seen in the STD clinic at the CLHD receive appropriate testing, education, and treatment according to CDC guidelines. 2. 95 % of syphilis, HIV, wet preps, gram smears, and pregnancy tests are performed according to CLIA guidelines. 3. 95% of clients in the immunization and STD clinic receive education on required/recommended immunizations according to the ACIP guidelines and are provided vaccine or referred to agencies to secure vaccine. 4. 95% of clients and contacts of clients with a notifiable condition will receive education and treatment according to the DSHS guidelines. 5. On a yearly basis, 750 citizens will receive cancer education and/or materials with participation in ten health fairs regarding cancer awareness. Activities List the activities conducted to meet the Evaluation and Improvement Plan List the standard and Deliverable Describe the tangible proposed objective. Use numbering system to designate describe how it is used to evaluate the activities conducted. evidence that the activity was completed match between issues/arograms and obiectives. 1.1 Provide STD testing, education, and treatment. 2.1 Perform laboratory testing on samples collected. 3.1 Provide immunizations and education. 1. The standard used will be the Centers for Disease Control Sexually Transmitted Disease (STD) Treatment Guidelines 2002 and the City of Lubbock STD Policy and Procedure Manual. 1.1 Review a minimum of 25 client charts quarterly to assess testing, treatment, and education and develop improvement plans as needed. 2. The standard used will be the Clinical Laboratory Improvement Act (CLIA), Centers for Disease Control guidelines, and the City of Lubbock Laboratory Policy and Procedure manual. 2.1 Compile and review data from lab at quarterly QA meetings to assess and develop improvement plans as needed. 3. The standard used with be the American Council on Immunization Practices (ACID), the American Academy of Pediatrics (AAP), the Centers for Disease Control guidelines, the Texas Department of State Health Services (DSHS) Immunization requirements for schools and daycares, and the City of Lubbock Health Quarterly reports with improvements noted as needed. Quarterly improvement reports on 1viz //zWJ 11:jyAM 4.1 Provide education and treatment for notifiable conditions. 5.1 Provide cancer awareness seminars/health fairs in the community and at businesses as requested and as time allows. Department Immunization Policy and Procedure manual. 3.1 Review a minimum of 25 client charts quarterly to Quarterly reports with assess administration of immunizations and develop improvements as needed. improvement plans as needed. 3.2 Maintain referral list of providers as referral agencies I Updated list of referral agencies for adult and children's immunizations. 4. The standard used will be the Centers for Disease Control, Texas Department of State Health Services (DSHS) Notifiable Conditions Rules and Regulations, and the City of Lubbock Health Department Disease Surveillance Policy and Procedure Manual. 4.1 Maintain case investigation forms on all notifiable conditions. 4.2 Review investigation forms upon completion to assess treatment and develop improvement plans as needed. 5. The American Cancer Society guidelines for education. 5.1 Secure completed evaluation form from each participant after completion of an educational event. Completed files of case investigation forms on all notifiable conditions. Weekly review of completed investigation forms with improvement plans as needed. Completed evaluation forms will be used to revise educational presentations to increase understanding of participants. Updated on 10/27/2005 11:39 AM Public Health Issue: Briefly describe the public health issue to be addressed. Number issues if more than one issue will be addressed. The need to proved an accurate assessment of local public health systems in order to provide for essential public health services. Essential Public Health Service(s): List the EPHS(s) that will be provided or supported with FY 06 LPHS Contract funds Ob jective(s): List at least one measurable objective to be achieved with resources funded through this contract. Number all objectives to match issue being addressed. Ex: 1.1, 1.2, 2.1, 2.2, etc.) Performance Measure: List the performance measure that will be used to determine if the objective has been met. List a performance measure for each objective listed above. Activities List the activities conducted to meet the Evaluation and Improvement Plan List the standard and Deliverable Describe the tangible proposed objective. Use numbering system to designate describe how it is used to evaluate the activities conducted. evidence that the activity was completed. match between issues/ programs and objectives. p 1. f, CERTIFICATION REGARDING LOBBYING CERTIFICATION FOR CONTRACTS, GRANTS, LOANS AND COOPERATIVE AGREEMENTS The undersigned certifies, to the best of his or her knowledge and belief that: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or an employee of any agency, a member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. (2) If any funds other than federal appropriated funds have been paid -or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-111, "Disclosure Form to Report Lobbying," in accordance with it's instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 andnot more than $100,000 for each such failure. Si— g"a u e Date MARC McDOUGAL, MAYOR Print Name of Authorized Individual 7560005906 2006-01 Application or Contract Number LUBBOCK CITY HEALTH DEPARTMENT Organization Name and Address 1902 TEXAS AVE LUBBOCK, TX 79411-2117 r p.# '-,-.a .i ATTEST: Rebecca Garza, Cit Secretary �, Ci[y Attorney 1100 West 49th Street Austin, Texas 78756-3199 Department of State Health Services FINANCIAL STATUS REPORT FSR269A Fiscal Division/Accounts Payable Phone (512) 458-7435 Contractor Name: LUBBOCK CITY HEALTH DEPARTMENT DSHS Program: RLSS/LPHS DSHS Document # Year Attachment # Payee Acct. No.: 7560005906 2006 01A Payee Vendor ID No.: 17560005906001 Basis: [ ] Cash [ ] Accrual Payee Name: CITY OF LUBBOCK Address: PO BOX 2000 City, ST, zip: LUBBOCK, TX 79408-2000 Contract Term: (Month/Day/Year) From:09/01/2005 To: 08/31/2006 Period Covered by this Report: From: 03/01/2006 To: 05/31/2006 PO Number: 0000309837 Final Report? [ ] Yes [ X No (i) Budget Categories Approved Budget Project Cost per General Ledger (v) Remaining Budget Balance (ii minus iv) (iii) This Period (iv) Cumulative a. Personnel [ ] 108,204.00 b. Fringe Benefits [ ] 0.00 c. Travel [ ] 0.00 d. Eciuioment [ ] 0•00 e. Supplies [ ] 0.00 f. Contractual [ ] 0.00 g.Other [ ] 0•00 h. Total Direct Charges 108,204.00 i. Indirect Charges [ ] 0.00 i. Total Charges 108,204.00 LESS:k. Program Income Collected 1. Non-DSHS Funding m. ADVANCE:Received (Col. iii)/ Repaid (Col. ivy Balance Owed Col. v n. Total Reimbursement Requested o. Total Reimbursement Received Prepared by: Title: Phone #: CERTIFICATION:I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for the purposes set forth in the award documents. Signature of Authorized Certifying Official Date Submitted: Typed or Printed Name and Title of Certifying Official Telephone: DSHS Form GC-4a (269a) Revised 6/04 "r^' 1100 West 49th Street Austin, Texas 78756-3199 Department of State Health Services FINANCIAL STATUS REPORT FSR269A Fiscal Division/Accounts Payable Phone (512) 458-7435 ContractorName: LUBBOCK CITY HEALTH DEPARTMENT DSHS Program: RLSS/LPHS DSHS Document # Year Attachment # Payee Acct. No.: 7560005906 2006 01A Payee Vendor ID No.: 17560005906001 Basis: [ ] Cash [ ] Accrual Payee Name: CITY OF LUBBOCK Address: PO BOX 2000 City, ST, zip: LUBBOCK, TX 79408-2000 Contract Term: (Month/Day/Year) From:09/01/2005 To: 08/31/2006 Period Covered by this Report: From: 06/01/2006 To: 08/31/2006 PO Number: 0000309837 Final Report? [ XYes 1 ] No (i) Budget Categories (ii) Approved Budget Project Cost per General Ledger (v) Remaining Budget Balance (ii minus iv) (iii) This Period (iv) Cumulative a. Personnel [ ] 108,204.00 b. Fringe Benefits 0.00 c. Travel 0•00 d. Equipment [ ] 0.00 e. Su lies [ 1 0.00 f. Contractual [ l 0.00 g.Other [ ] 0.00 h. Total Direct Charges 108,204.00 i. Indirect Charges [� 0•00 ' . Total Charges 108,204.00 LESS:k. Program Income Collected ( ) ( ) 1. Non-DSHS Funding( ) m. ADVANCE:Received (Col, iii)/ Repaid (Col. ivy Balance Owed Col. v ( ) n. Total Reimbursement Requested o. Total Reimbursement Received Prepared by: Title: Phone #: CERTIFICATION:I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for the purposes set forth in the award documents. Signature of Authorized Certifying Official Date Submitted: Typed or Printed Name and Title of Certifying Official Telephone DSHS Form GC-4a (269a) Revised 6/04 CITY OF LUBBOCK MEMO TO: LEE ANN DUMBAULD, CITY MANAGER I'ROM: `TOMMY CAMDEN, HEALTH DEPARTMENT DIRECTOR SLJI3JI:C': AGENDA COMMENTS - February 24, 2006 CI"hY COUNCIL, MEETING DATE: FEBRUARY 10, 2006 ITEM# / SUBJECT: Consider a resolution authorizing and directing the Mayor to execute for and on behalf of the City of. Lubbock a contract Change No. 5 to a Contract with the Texas Department of State Health Services (DSHS Document No. 760005906 2006) for STD and HIV prevention and testing activities and any associated documents by and between the City of Lubbock and the Texas Department of State Health Services. 13ACKGROUND/ DISCUSSION: I'his contract provides funding under the Regional and Local Services Section (Rl. SS) / i_,ocal Public Health System. (LPHS), commonly referred to as Triple 0 funds. The initial 6 month funding for Triple 0 under our FY06 contract with DSHS was approved by Council on September 21, 2005 (Resolution # 2005-R0445). This current request funds the remaining 6-month period covering 2/28/06 to 8/31/06. The funding delay was attributed to federal funding issues. This FY06 annual contract with the Department of State Health Services, DSHS Document No. 7560005906 2006, provides financial assistance to improve or strengthen local public I ealth infrastructure by developing objectives to address public health issues and utilize resources provided through this contract to conduct activities and services that provide or support the delivery of essential public health services. Programs will also assess, monitor, and evaluate the essential public health services, and develop strategies to improve the delivery of essential public health services to identified service areas. This attachment supports comprehensive public health services that are consistent with the Health Department Mission Statement. This attachment supports developing a functional and effective public health system with the specific goal of improving public health capacity to respond to both emerging and continuing public health threats. Grant objectives include STD treatment and education, working with child-care agencies and schools on proper handwashing procedures, cancer awareness education, and blood pressure screenings. The Sexually Transmitted Disease Program is designed to stop the 9':iS Contracts 2005-06 Triple 909 Agenda Comments February 2005 spread of disease by tracking down the partners of those diagnosed with sexually transmitted diseases and either treating them or referring them to another clinic or physician. The $48,927.00 in financial assistance provides salaries and fringe benefits for four City employees. Of the four employees, two work in the S.T.D. program, one works in the laboratory, one in Health Education. FISCAL IMPACT $48,927.00 total for 6 month period from 2/28/06 to 8/31/06. The total amount approved for the entire contract year amounts to $108,204.00, which is level funding, compared to the previous contract year in FY05. SUMMARY/RECOMMENDATION: These programs fulfill the Core Missions of Public Health —those of Disease Prevention and Health Education. Without the funding from the Department of State Health Services contract, our local public health efforts would be greatly impaired and the risk of illness in Lubbock citizens would increase. Therefore, Health Department staff recommends approval of the resolution. SrS Cor�,racts 2005-06 Triple 000 Agenda Comments February 2006