District Board of Health Meeting Notice and Agenda - Final


Members

Devon Reese, Chair

Clara Andriola, Vice Chair Paul Anderson

Michael Brown

Dr. Reka Danko, MD Steve Driscoll

Dr. Eloy Ituarte, MD

Thursday, June 26, 2025

1:00 p.m.


Washoe County Administration

Complex Commission Chambers, Building A

1001 East Ninth Street

Reno, NV


TO ATTEND VIRTUALLY, PLEASE USE THE LINK BELOW

https://washoecounty-gov.zoom.us/j/98998549419

NOTE: This option will require a computer with audio capabilities if you wish to make Public Comment.

1:00 p.m.

  1. Roll Call and Determination of Quorum.

  2. Pledge of Allegiance.


    1001 East Ninth Street, Building B, Reno, NV 89512 Telephone: 775.328.2416 Fax: 775.328.3752

  3. Public Comment.

    Action may not be taken on any matter raised during this public comment period unless the matter is specifically listed on an agenda as an action item. All public comment is limited to three minutes per person. Members of the public may submit public comment by either attending the meeting in person or attending the meeting via Zoom only.

    Please log into the ZOOM meeting via the above link and utilize the "Raise Hand" feature during any public comment period.


    Other requests for public comment must be submitted to jlawson@nnph.org no later than 1:00 p.m. on the day before the scheduled meeting. Please log into the ZOOM meeting via the above link and utilize the "Raise Hand" feature during any public comment period. Reasonable efforts will be made to hear all public comment during the meeting.

  4. Approval of Agenda. (FOR POSSIBLE ACTION)


  5. Recognitions.

    NEW HIRES

    1. Kasimu Muhetaer - Statistics & Informatics Supervisor - EPHP YEARS OF SERVICE

    1. Lisa Lottritz - Division Director CCHS - 30 years 6/26/1995 (Retiring 7/8/25)

    2. Maria Guadalupe Mendoza - WIC Office Specialist - CCHS - 20 years 6/30/05 HEALTH HEROES

    1. Gia Bethea (EHS) - Collaboration

    2. Kaleigh Behrendt (CCHS), Kellisa Shirane (CCHS), Tyler Henderson (EHS),

      Luke Franklin (EHS), Josh Foster (EHS) - Collaboration, Compassion

    3. Megan Rennie (AQM), Candace Brown (AQM), Dawn Edwards (CCHS), Lauren Huntsman (CCHS) - Collaboration, Compassion

    WASHOE STARS

    1. Anne Stoll-Truelock - Quality Public Service - AHS

    2. Stacy Dozier - Effective Communication - AHS

  6. Consent Items. (FOR POSSIBLE ACTION)


    1. Possible approval of May 22, 2025, Draft Minutes. (FOR POSSIBLE ACTION)

      Attachments: 05222025 _Draft Minutes

      6.Bi. Recommendation to approve FY26 purchases in the approximate amount not to exceed $150,000 from Merck & Company Inc. for vaccines in support of clinic operations on behalf of the Community and Clinical Health Services Division in Washoe County. (FOR POSSIBLE ACTION)

      Staff Representative: Irene Dominguez and Christina Sheppard


      Attachments:

      DBOH 6-26-25 Merck PO

      Merck Sole Source $150k


      6.Bii. Acknowledge the 5-year renewal for the Fiscal Years 2026-2030 (July 2025 - June 2030) of Accela, in the amount of $644,566.80, for the regional permitting software maintenance and support, with Washoe County. (FOR POSSIBLE ACTION)

      Staff Representative: Kristen Palmer


      Attachments:

      06-26-25 DBOH Accela Renewal

      Washoe, NV - County of_Q-36481 SaaS -New OF AMD 3 - Washoe County, NV [PD 5.23.2025]


      6.Biii. Approve a Grant Award and Agreement from Nevada Clinical Services, Inc. for the period of July 1, 2025 through June 30, 2027 in the amount of $162,692.00 each fiscal year (no match required) in support of the Community and Clinical Health Services Division (CCHS) Tobacco Prevention & Control Program and authorize the District Health Officer to execute the Grant Award and any future amendments. (FOR POSSIBLE ACTION)

      Staff Representative: Irene Dominguez and Christina Sheppard


      Attachments:

      DBOH 06-26-25 Tobacco Prevention & Control Program NCS Fourth Amendment to Grant Renewal Agrmt with 

      Northern Nevada Public Health (162712) 07.01.25 - 06.30.27 (00266685xBD172)

      6.Biv. Review the State Public Health Funds Priorities for the period of upon execution by the Nevada Board of Examiners through June 30, 2027, in the total amount of 2,364,160 ($1,182,080 per fiscal year), in support of core functions of public health, and authorize the Chair of the Board of Health to execute the Interlocal

      Agreement upon receipt, with staff to present the signed ILA to DBOH at the July DBOH meeting. (FOR POSSIBLE ACTION)

      Staff Representative: Kristen Palmer


      Attachments:

      FY26_State Public Health Funds_DBOH

      Priority Determinations NNPH Submittal DBOH June 2025


      6.C. Acknowledge receipt of the Health Fund Financial Review for May, Fiscal Year 2025. (FOR POSSIBLE ACTION)

      Staff Representative: Jack Zenteno

      Attachments: DBOH 06-26-25 - AHS - May Financials

      ZS16 May 2025


      End of Consent Items


  7. Presentation and Recognition of Gear Hut for their GreenBiz Award in May 2023. Staff Representative: David Kelly

    Attachments: DBOH - June 2025 - Green Biz Presention - Gear Hut


  8. Presentation By Sophia Morton on Environmental Impacts of E-Cigarettes and Barriers to Proper Disposal.

    Staff Representative: David Kelly

    Attachments: Disposal of Electronic Cigarettes CONDENSED_FINAL

  9. Recommendation to accept the REMSA Health Monthly Franchise Report for May 2025 which includes REMSA Health Accounts Receivables Summary, Compliance by Zones, Average Response Times, Incident Details Reporting, Summary Penalty Fund Reconciliation, Ground Ambulance Operations Report, Patient Experience Report and Comments, Education Report, and Public Relations Report, and provide possible Board direction. (FOR POSSIBLE ACTION)

    Presented by: Barry Duplantis


    Attachments:

    DBOH - 6-26-2025 - REMSA Health Monthly Franchise Report DBOH 6-26-2025 - REMSA Health Monthly Franchise Report –May 2025


  10. Recommendation for the Board to uphold the decisions of the Air Pollution Control Hearing Board to uphold the appeal of Notice of Violation No. AQMV25-0003, and deny the appeal of Notice of Violation No.’s AQMV25- 0004, 0005, 0006, and 0007, associated with Case No. 1511, issued to Saronic Investments, LLC and levy a reduced total Administrative Penalty in the amount of $95,000.00 for multiple violations of 40 CFR 61, Subpart M - National Emissions Standards for Asbestos. (FOR POSSIBLE ACTION)

    Staff Representative: Francisco Vega


    Attachments:

    DBOH - 6-26-2025 - AQMD - Case No. 1511 NOV No. AQMV25-0003_0004_0005_0006_0007 (Staff Report) DBOH - 6-26-2025 - AQMD - Case No. 1511 Sup Doc


  11. Presentation and recommendation to accept the "Washoe County, Nevada Air Quality Trends Report (2015-2024)". (FOR POSSIBLE ACTION)

    Staff Representative: Ben McMullen


    Attachments:

    DBOH - 6-26-25 - Washoe County AQ Trends Staff Report (2015-24)

    DBOH - 6-26-25 - Washoe County AQ Trends Report (2015-2024)

    Washoe County, Nevada Trends Report 2015-24 - Presentation

  12. Presentation and Discussion of the NNPH Extensively Drug Resistant Organisms Database.

    Staff Representative: Christabell Sotelo-Zecena

    Attachments: DBOH - 6-26-2025 -Epidemiology Presentation - June 2025


  13. Presentation and Discussion of the NNPH Strategic Reorganization for Alignment. Staff Representative: Chad Kingsley

    Attachments: NNPH Strategic Reorganization July-1-2025


  14. Review, discussion, and direction to staff regarding the provisions of the Interlocal Agreement (ILA) entered into by the Cities of Reno and Sparks and Washoe County for the creation of the Health District. Take action to accept the ILA in its current form or direct staff to forward any additional recommendations for possible amendments to Reno, Sparks and Washoe County. (FOR POSSIBLE ACTION) Presented by: Dania Reid, DDA

    Attachments: 2025 Interlocal Staff Report 6-26-2025


  15. Staff Reports and Program Updates.


    1. Air Quality Management - Congress Disapproves California Waivers for Vehicle Standards, March 2025 EPA Small Business Newsletter, Divisional Update, Program Reports, Monitoring and Planning, Permitting and Compliance

      Staff Representative: Francisco Vega

      Attachments: DBOH 06-26-2025 AQMD DD Staff Report (May)


    2. Community and Clinical Health Services - Chronic Disease and Injury Prevention Overview; Data & Metrics; Sexual Health (Outreach and Disease Investigation), Immunizations, Tuberculosis Prevention and Control Program, Reproductive and Sexual Health Services, Chronic Disease Injury Prevention Program, Maternal Child and Adolescent Health, Women Infants and Children, and Community Health Workers

      Staff Representative: Christina Sheppard

      Attachments: DBOH 6-26-2025 CCHS Director Staff Report

    3. Environmental Health Services Program - Consumer Protection (Food Safety Plan Review & Operations, Commercial Plan Review, Foodborne Illness, Special Events, Permitted Facilities); Environmental Protection (Land Development, Safe Drinking Water, Vector-borne Disease Surveillance, Waste Management / Underground Storage Tanks).

      Staff Representative: Robert Fyda

      Attachments: 2024.06.26 - DBOH EHS Division Report


    4. Epidemiology and Public Health Preparedness - Epidemiology, Public Health Preparedness, Emergency Medical Services, Vital Statistics.

      Staff Representative: Dr. Nancy Diao

      Attachments: DBOH 6-26-2025 - EPHP-Division Report


    5. Office of the District Health Officer Report - Northern Nevada Public Health Communications Update, Accreditation, Quality Improvement, Workforce Development, Community Health Improvement Program, Equity Projects/Collaborations, Community Events, and Public Communications and Outreach.

      Staff Representative: Dr. Chad Kingsley


      Attachments:

      DBOH 06-26-2025 - ODHO Division Report May-Media-Mentions-2025

      FHF Results at a Glance 05.22.2025 Group 3

  16. Public Comment.

Action may not be taken on any matter raised during this public comment period unless the matter is specifically listed on an agenda as an action item. All public comment is limited to three minutes per person. Members of the public may submit public comment by either attending the meeting in person or attending the meeting via Zoom only. Please log into the ZOOM meeting via the above link and utilize the "Raise Hand" feature during any public comment period.


Other requests for public comment must be submitted to jlawson@nnph.org no later than 1:00 p.m. on the day before the scheduled meeting. Please log into the ZOOM meeting via the above link and utilize the "Raise Hand" feature during any public comment period. Reasonable efforts will be made to hear all public comment during the meeting.

Adjournment.

Possible Changes to Agenda Order and Timing: Items on the agenda may be taken out of order, combined with other items, withdrawn from the agenda, moved to the agenda of another later meeting; moved to or from the Consent section, or they may be voted on in a block. Items with a specific time designation will not be heard prior to the stated time, but may be heard later. Items listed in the Consent section of the agenda are voted on as a block and will not be read or considered separately unless withdrawn from the Consent agenda.

Special Accommodations: The Northern Nevada Public Health Meetings are accessible to the disabled. Disabled members of the public who require special accommodations or assistance at the meeting are requested to notify the Office of the District Health Officer in writing at the Northern Nevada Public Health, 1001 E. 9th Street, Building B, Reno, NV 89512, or by calling 775.328.2416, 24 hours prior to the meeting.

Public Comment: During the “Public Comment” items, anyone may speak pertaining to any matter either on or off the agenda, to include items to be heard on consent, by filling out a “Request to Speak” form and/or submit comments for the record to the Recording Secretary. For the remainder of the agenda, public comment will only be heard during items that are marked FOR POSSIBLE ACTION. All public comment should be addressed to the Board of Health and not an individual member. The Board asks that your comments are expressed in a courteous manner. Any public comment for hearing items will be heard before action is taken on the item and must be about the specific item being considered by the Board. Public comment and presentations for individual agenda items are limited as follows: fifteen minutes each for staff and applicant presentations, five minutes for a speaker representing a group, and three minutes for individual speakers unless extended by questions from the Board or by action of the Chair. Reasonable efforts will be made to hear all public comment during the meeting.

All public comment is limited to three minutes per person. Unused time may not be reserved by the speaker nor allocated to another speaker.

Members of the public that wish to attend via Zoom may make public comment by submitting an email comment to jlawson@nnph.org before the scheduled meeting, which includes the name of the commenter and the agenda item number for which the comment is submitted.

Response to Public Comment: The Board of Health can deliberate or take action only if a matter has been listed on an agenda properly posted prior to the meeting. During the public comment period, speakers may address matters listed or not listed on the published agenda. The Open Meeting Law does not expressly prohibit responses to public comments by the Board of Health. However, responses from the Board members to unlisted public comment topics could become deliberation on a matter without notice to the public. On the advice of legal counsel and to ensure the public has notice of all matters the Board of Health will consider, Board members may choose not to respond to public comments, except to correct factual inaccuracies, ask for Northern Nevada Public Health staff action or to ask that a matter be listed on a future agenda. The Board of Health may do this either during the public comment item or during the following item: “Board Comments District Board of Health Member’s announcements, reports and updates, request for information or topics for future agendas. (No discussion among Board Members will take place on the item)”

Posting of Agenda; Location of Website:

Pursuant to NRS 241.020, Notice of this meeting was posted electronically at the following locations:

Northern Nevada Public Health, 1001 E. 9th St., Reno, NV Reno City Hall, 1 E. 1st St., Reno, NV

Sparks City Hall, 431 Prater Way, Sparks, NV

Washoe County Administration Building, 1001 E. 9th St, Reno, NV Downtown Reno Library, 301 S. Center St., Reno, NV

Northern Nevada Public Health Website https://www.NNPH.org State of Nevada Website: https://notice.nv.gov

The meeting will be televised live and replayed on Washoe Channel at: https://www.washoecounty.gov/mgrsoff/divisions/Communications/wctv-live.php and also on Youtube at: https://www.youtube.com/user/WashoeCountyTV

How to Get Copies of Agenda and Support Materials: Supporting materials are available to the public at the Northern Nevada Public Health located at 1001 E. 9th Street, in Reno, Nevada. Ms. Jackie Lawson, Recording Secretary to the Board of Health is the person designated by the Board of Health to respond to requests for supporting materials. Ms. Lawson is located at the Northern Nevada Public Health and may be reached by telephone at (775) 328-2415 or by email at jlawson@nnph.org. Supporting materials are also available at the Northern Nevada Public Health Website https://www.NNPH.org pursuant to the requirements of NRS 241.020.