►
Description
0:22 - Call to Order
0:32 - Roll Call
0:44 - Minutes (5/21/19)
0:55 - Citizen Input
0:59 - Petitions and Communications
1:02 - A. Mark Rankin, District 9 Director, MSU Extension - 2018 Annual Report
5:15 - B. Information Systems Director - Updating Acceptable Use Policy
5:29 - C. Personnel Director - Vacancies
7:28 - D. Financial Analyst - Split Court Allows Retiree Health Care Changes
8:17 - E1. Health Officer - Temporary Agreement w/ Dr. Kanu Virani to Continue Forensic Pathology Services
24:38 - E2. Health Officer - Amendment #4 to CPBC Agreement
24:57 - E3. Health Officer - Affiliation Agreement w/ Ferris State University
25:11 - E4. Health Officer - Grant Sub Award Agreement w/ Amalgam LLC and Other Data Users Necessary for Implementation of an Opioid Overdose Surveillance System
25:33 - E5. Health Officer - Agreement w/ Mary Kushion Consulting, LLC to Provide Consultation for Strategic Planning
25:52 - E6. Health Officer - Acceptance of Local Public Health Strategic Planning Grant Funding
26:07 - Referrals
26:09 - Unfinished Business
26:11 - New Business
26:14 - Miscellaneous
26:16 - Announcements
27:18 - Adjournment
A
B
A
You
minutes
from
May
21st
of
94
for
my
movie
supporter
all
in
favor
signify
division
sign,
I
po
same
sign,
carry
any
public
input
at
this
time,
seeing
no
one
from
the
public
will
move
on
to
dishes
and
communications.
We
have
mark
Rankin
here
today,
district
9,
director,
MSU
Extension
for
a
2018,
a
report
mark.
C
Good
afternoon
and
thank
you,
I
want
to
start
out
by
saying
I
appreciate
your
guys's
continued
support
for
MSU
Extension
I,
just
celebrated
my
one-year
anniversary
in
this
role,
and
it's
been
a
learning
experience.
It's
been
a
huge
learning
curve,
I'm
shocked
at
the
number
of
programs
that
MSU
Extension
offers
to
counties
and
to
residents,
and
it
has
been
an
honor
to
serve
you
and
to
serve
your
residents
here
in
Bay.
County
I.
C
Don't
want
to
read
this
report
to
you
because
you
guys
can
read
the
report,
but
I
do
want
to
draw
attention
to
some
of
the
numbers.
On
the
left-hand
side.
This
information
was
conducted
by
Andersen
economic
group.
It
can
be
found
at
my
Spartan
impact,
MSU
edu
and
based
on
the
report.
Msu
has
had
a
15
million
dollar
economic
impact
here
in
Bay
County.
C
We
spent
one
point:
four
million
dollars
with
local
businesses
here
in
Bay
County
and
for
every
dollar
we
get
from
the
county
general
funds,
we're
able
to
leverage
those
funds
to
bring
in
five
to
ten
dollars
for
every
dollar
we
receive
so
I'm,
proud
of
some
of
the
work
that
we're
doing
and
I'm
still
learning
every
day.
Some
of
the
programs
that
we
have
to
offer.
C
In
addition
to
that,
we
have
Jody
Schultz,
who
works
here,
she's
a
statewide
educator
and
she
does
staved
safe
training
around
the
state.
So
she
trains
all
our
4-h
agents.
She
also
works
with
all
of
our
4-h
volunteers
around
the
state
and
does
an
excellent
job
with
that.
We
have
snapped
that
program,
which
is
a
USDA
Supplemental
Nutrition
Assistance
Program,
and
that
is
a
federally
funded
program
and
we
provide
programs
both
Series
and
one-time
presentations
throughout
the
county.
In
addition
to
that,
we
also
have
farm
management.
C
We
have
five
different
educators
that
come
into
Bay
County
do
programming
throughout
the
year
and,
with
the
wet
summer,
I've
been
informed
that
we're
also
going
to
be
doing
some
farm
stress
classes
as
well,
because
there's
a
lot
of
farmers
that
aren't
stressed
due
to
the
weather
and
planting
season.
In
addition
to
that,
we
have
Shawn
Erick,
who
does
social
and
emotional
programs
here
in
Bay
County,
we
had
over
273
people,
participate
and
stress,
loss
with
mindfulness
and
also
relaxed
alternatives
to
anger
programs.
C
We
also
have
Kylee
Romano,
it's
who's,
early
childhood
educator
and
comes
in
and
does
programs
with
day
care
programs
and
Head
Start
programs
in
Bay,
County
and
she's
also
do
an
AA
program,
July
10th,
with
the
importance
of
outdoor
play
and
physical
activity
for
students
and
healthy
nutrition
and
living
for
students
as
well.
In
addition
to
that,
we
have
a
secret
agent
who
started
in
March
she's
been
doing
a
lot
with
the
bay
restoration
project.
C
She
also
did
the
base
Turgeon
reintroduction
effort
also
doing
a
lot
of
stuff
with
the
base
of
species
and
also
healthy
waterways,
for
the
Saginaw
Bay
area
and
I've
been
able
to
go
and
witness
some
of
these
programs
that
our
educators
do
and
we
get
really
strong
response.
So
a
lot
of
times
we
do
evaluations
with
the
series
that
we
provide
and
also
the
programs
we
provide
and
they're
really
really
well
received
by
the
community
members.
C
So
once
again,
I
appreciate
your
support
for
MSU
Extension
I'm
excited
about
some
of
the
programs,
we're
offering
and
I'm,
always
looking
for
more
partnerships
and
more
opportunities
for
programs
based
on
the
needs
of
your
community
in
your
residence.
So
thank
you
very
much
for
the
opportunity
to
share
some
of
the
things
that
we
did
last
year.
Thank.
A
You
most
recently
or
they
moved
supported
all
those
in
favor
signify
the
usual
signs
ah-ho
same
size
and
carry
another
big
informational
assistant
director.
Updating
this
I
guess
this
is
going
to
be
brought
up
at
a
later
date.
So
we'll
move
on
to
see
from
the
personnel
director
of
vacancies,
9-1-1,
Central,
Dispatch,
three
full-time
and
then
both
is
there
support
or
Jambu
supportive
Commissioner
Krieger.
D
E
Do
have
a
pool,
we're
continuing
to
add
to
the
pool
some
matter
of
fact,
one
of
the
vacancies
we
already
have
ready
to
go
once
it's
approved
so
yeah
we
have
a.
We
continue
to
build
out
that
pool
we're
not
going
to
tell
your
staffing
level
is
with
20
individuals
and
23
is
fully
staffed
and
even
at
20,
the
level
20
is
still
sufficiently
higher
than
we
have
been
in
the
years
past.
So,
even
though
we're
down
three
I'm
relative
to
staffing
in
prior
years,
we're
still
in
a
really
good
shape,
especially
in
the
summer.
E
D
E
Recruiting
has
been
good,
we
had
put
it
on
an
ND
indeed,
and
we
had
178
applicants
and
we're
testing
some
of
those
folks
right
now
of
178.
We
went
out
that
number
down,
of
course,
and
we're
testing
about
a
hundred
applicants
and
we'll
probably
get
10
or
12
folks,
so
fast,
critical
and
from
that
pool.
Hopefully,
you've
had
some
good
candidates.
A
Any
other
questions
seeing
none
all
in
favor
signify
32
sign
full
same
side
character
from
the
Department
on
Aging.
We
have
a
part-time
driver
and
a
part-time
in
home
care
worker.
What
is
your
pleasure?
My
move
supporter
ladies
got
seeing.
None
all
in
favor
signify
by
the
user
side.
I
pose
same
sign,
carry
from
the
Financial
Analysts.
A
split
court
allows
retiree
health
care
changes.
A
D
F
Did
the
board
authorize
an
RFP
back
in
February,
I
believe
and
that's
been
issued,
we're
actually
meeting
tomorrow
morning
on
the
medical,
examiner
and
medical
director?
We
have
one
one
at
one
submission
for
the
forensic
pathologist
that
was
also
submitted
for
medical
examiner
as
well,
so
we'll
also
be
discussing
that
tomorrow
at
our
meeting.
F
F
D
D
F
Do
not
have
a
forensic
pathologist,
they
have
medical
pathologists.
That
would
normally
take
a
look
at
like
how
cancer
is
spread
and
diseases
spread,
but
the
forensic
pathologist
has
special
training
for
accidents
and
injuries
and
criminal
activities,
and
things
like
that.
There
is
actually
a
pretty
severe
shortage
of
forensic
pathologist
in
the
United
States.
Dr.
F
What
he
is
compensated
currently
at
his
old
contract
rate
is
very
far
below
the
industry
standard,
so
this
actually
brings
him
up
in
line
with
what
his
new
contracts
are.
With
around
this
several,
the
'quran
of
the
counties
here,
but
even
then
I
would
say
that
it's
still
below
to
some
extent
what
other
counties
are
paying
throughout
the
state
of
Michigan
down
in
southwestern
Michigan
Wayne's.
F
Excuse
me,
Western
Michigan
University
in
their
pathology,
forensic
pathology
department
has
contracts
with
multiple
counties
down
there,
and
it
is
not
too
unusual
to
see
autopsies
done
at
a
much
higher
rate.
A
good
example,
too
of
that
would
be
in
Grand
Traverse
County,
which
is
actually
a
lower
population
than
Bay
County.
They
spent
over
five
hundred
thousand
dollars
on
autopsy
services.
They
have
a
much
healthier
population,
and
so
I
would
assume
that
they
are
paying
much
more
than
what
dr.
Virani
is
currently
offering.
F
He
does
several
a
day
and
pretty
much.
Yes,
there
are
times
when
he
has
his
assistants,
like
dr.
Cho,
has
done
on
average
about
five
to
ten
per
year
for
bay
county,
but
you
know
he
takes
vacations
and
he
has
time
off
and
everything
in
Oakland
County
where
he's
stationed
he
has
deputies
down
there.
That
will
normally
take
care
of
these
things.
G
F
F
B
B
F
D
F
Determined
that
they
died
of
natural
circumstances
and
you
were
like
well,
what
did
they
die
of
and
then
that's
where
the
the
medical
pathologists
at
the
hospital
would
come
into
place.
But
it
autopsies
done
by
the
medical
examiner's
office
are
anything
that's
done
of
a
mysterious
or
mysterious
nature,
an
unexpected
death
without
illness
or
injury,
murder
or
homicide,
apparent
murder,
homicide,
I,
should
say,
and
any
kind
of
accident
as
well.
F
There's
also
been
quite
a
bit
of
debate
on
whether
that
also
is
that
most
suicides
are
autopsy,
but
there's
quite
a
bit
of
debate
about
when
we're
doing
autopsies
for
suicides,
whether
we
should
be
doing
toxicology's,
especially
in
this
day
and
age.
When
so
many
people
are
addicted
to
drugs,
so
because
it
is
it's
reason
that
their
addiction
factors
into
the
suicide
decision.
H
H
Last
yeah
Joel
I
know
it's
not
on
the
agenda,
but
could
you
share
over
the
board
myself
here
what
you
learned
that
you
regarding
her
presence
at
the
red
pipe
tissue
in
Hampton
Township
last
night,
I
was
unable
to
attend
myself
from
4
to
6
I
had
a
conflict
but
either
the
great
job
of
teenage
driving,
because
you
maybe
just
update
us
because
I'm
sure.
Well,
it's
not
going
to
be
limited
to
Hampton
Township
in
Bay,
County,
I
think
the
city.
It
will
have
an
issue
and
possibly
some
other
units
of
government.
F
Care
for
the
news,
as
you
all
know,
or
you
may
not
know,
Hampton
Township
in
addition
to
all
the
other
municipalities
within
the
county,
submitted
samples
to
the
department
or
used
to
be
DMV
MDEQ
now
Eagle,
the
lead
and
copper
rule.
It's
a
part
requirement
annual
requirement
every
year,
and
so
they
take
samples
from
various
residences
where
it's
it's
either
randomly
sampled
or
the
is
known
that
they
have
a
potential
problem
with
lead
or
copper.
F
Hampton
Township
chose
to
sample
all
of
their
blood
and
copper
sites.
I
think
there
was
23
in
total,
but
40
samples
were
submitted
of
those
40
samples.
8
came
back
that
were
positive
for
lead,
but
they
of
those
8.
They
were
strong
enough
that
it
moved
them
into
the
90th
percentile,
so
they
had
a.
They
were
legally
bound
to
notify
their
local
residents,
so
they
were
very
proactive.
They
worked
with
DEQ
and
Michigan
Department
of
Health
and
Human
Services.
F
They're
going
to
be
actually
taking
a
look
and
trying
to
determine
if
there
are
more
lead
service
lines
that
extend
the
two
residences
now,
just
as
an
aside
blood
service
lines
were
pretty
common
up
until
about
the
1950s
and
that's
when
they
stopped
doing
them
and
pretty
much
went
either
to
copper
or
other
ways
to
service
the
line
and
in
most
cases
the
service
lines
have
been
replaced
over
time.
But
there
are
still
a
number
of
them
out
there.
F
Now
in
the
past,
they
would
replace
the
lead
service
line
up
to
the
sidewalk
and
then
anything
from
the
sidewalk
on
would
be
the
homeowners
responsibility.
At
least
that's
the
way.
It
was
in
Bay
City
now
in
in
Hampton
Township,
with
this
basically
they're
still
trying
to
discern
if
there
are
still
a
number
of
blood
service
lines.
F
So
they
had
a
meeting
with
the
general
public.
It
wasn't
set
up
like
a
town
hall,
it
was
actually
set
up
table
with
specific
tables
and
every
department
that
was
representative
presence
at
a
table
and
folks
could
sign
in
to
have
the
township
go
and
check
their
property
to
see
if
they
do
have
a
let
service
line,
so
it
can
be
replaced.
F
But
the
nice
thing
about
having
the
individual
table
is
I
was
kind
of
scratching
my
head
at
first,
but
this
was
actually
very
good
for
everyone
because
it
allowed
every
resident
that
came
in
to
have
a
one-on-one
conversation
with
the
folks
from
either
Hampton
Township,
the
Health
Department,
the
the
County
Water
Department,
and
then
the
Municipal
Water
Authority,
and
also
the
Hampton
Township
government.
It
was
very
well
attended.
There
was
a
big
rush
of
people
about
four
o'clock.
We
were
able
to
talk
to
everyone,
joël
cackowski,
they
mark
their
mental
health
manager
was
there.
F
The
sampling
process,
what
people's
options
were?
We
reassured
a
fair
amount
of
folks
that,
especially
that
had
homes
built
within
the
1970s
and
onward
that
their
risk
was
minimal,
but
they
you
know
they
could
still
get
their
water
tested.
If
necessary,
we
talked
a
great
length
about
different
strategies
that
people
could
do
to
minimize
their
risk
if
it
was
a
known
or
an
unknown
source
of
contamination.
F
They
talked
at
great
length
to
the
township
about
what
their
different
options
were
as
well,
and
so
this
is
going
to
be
an
ongoing
issue
within
Hampton
Township
now.
I
know
that
you
have
to
understand
too,
is
that
every
every
municipality
in
this
county
submitted
samples
at
the
same
time.
So
at
this
time
it
was
Hampton
Township
that
came
up
high
I
know
in
the
city
of
Bay
City.
There
are
far
number
far
number
more
known
lead
service
lines
that
are
being
replaced
and
now
they're
replacing
them
to
the
home
as
well.
F
In
fact,
I've
talked
to
the
city
about
this
and
in
the
past
the
other
thing
that
we're
doing
as
far
as
education
and
outreach
is
not
only
are
we
taking
building
calls
and
giving
out
sampling
bottles.
We
also
explain
that
there
might
be
some
expense
to
the
homeowner
and
getting
their
water
sample
if
they
don't
qualify
under
the
townships
redistribution
policy,
but
also
we're
also
doing
some
outreach
and
education
to
the
general
public
about
different
strategies
that
they
can
that
they
should
know
about
to
minimize
the
risk
from
lead.
F
There
was
a
lot
of
people
who
had
a
lot
of
very,
very
good
questions.
A
lot
of
people
were
very
scared.
They
thought
things
were
going
to
turn
into
like
a
flint
type
of
situation,
and
that
certainly
is
not
the
case.
It's
two
completely
different
circumstances.
In
Flint,
you
had
water
being
drawn
as
a
source
from
the
Flint
River
that
was
naturally
corrosive.
F
The
other
thing
that
is
also
different
from
us
and
from
Flint
is
that
we
do
a
very,
very
good
job
here
in
Bay,
County
of
screening
young
children
for
for
Ludd,
and
it's
estimated
that
with
our
Medicaid
children,
we
screen
about
eighty
to
ninety
percent
every
year
for
lead
that
are
eligible
for
screening
purposes
as
soon
as
they're
screened.
If
they
come
up
with
higher
numbers,
we
reach
out
to
the
parents
to
try
to
educate.
F
Do
some
outreach
do
a
referral
to
medical
providers
for
that,
and
then,
if
it's
necessary,
if
it's
high
enough
for
a
long
sustained
time,
we
actually
work
with
the
family
and
the
state
to
do
an
investigation
within
the
home
and
in
some
cases
the
daycares
or
other
places
where
that
child
might
exist.
So
we're
at
much
more
on
top
of
it
than
Flint
was
at
the
time
where
Genesee
County
was
at
the
time.
A
They
move
a
supported
any
discussion,
seeing
none
all
in
favor
signify
by
the
usual
sign,
I
full
of
saints,
I'm,
Cary
Grant
sub
award
agreement
with
a
medical
gam
LLC,
and
what
is
your
pleasure
work
and
build
and
support
it?
Any
display
seem
none
all
in
favor
signify
by
the
usual
slang,
full
same
sign,
Jerry
agree
with
Mary
cushion
Consulting
LLC.
What's
your
pleasure.
B
Heric
big
white
horse
festival
assignment
one
seventh
of
their
three
mile
run
and
finishing
it
off
using
a
kid
down
there,
Tuesday
and
Saturday
and
Sunday.
They
have
anybody,
I,
messed
up,
I
cheated
dinner
and
then
something
to
wash
it
down.
After
that
it
all
organized.
We
were
going
up
down
there.
So
let's
go
mom,
see
ya.