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Public Health Yreveni Yrornotc. Proteci. TvorYheast Ohiu Publie llcalth Partnersliip t F+ t = t Chapter 3709 oi'the Ohio Revised Code siipulates that each ciry i? the State of Oliio "...must provide health services either through a city health disirict or b}' a valid conlract or union with the county health district oi- an adjacent city health district." The Director of the Ohio Department of Healtli certifies this provision of health services annually. To remain certified, the conh-act needs to be approved by your council and returned to the Cuyahoga County Board of Health by December 31, 2007. The Board of Health is cliai-ging a uniform rate of $3.60 per pE;rson throughout the health district for 2008 services, matching the 2007 rate. This represents the total cost for all contract public health services and is amoiig the lowest rate in the State of Ohio for a general health district. Community service is the most important part of our public health mission. We make it our priority to stay in close contact with community leaders to identify emerging public health concerns. Based on these new requests and community needs, the Cuyahoga County Board of health expanded our Epidemiology and Surveillance services in 2007 to include assessment of reported cancer cluster concerns. Our annual distribution of over 50,000 fishmeal baits designed to vaccinate raccoons and prevent and control the movement of raccoon strain rabies into Cuyahoga County was very successful, with only one recorded case of raccoon rabies in the county this year. Our Vl/est Nile Virus program was also very successful in limiting mosquito- borne disease in our contract communities. We have been working diligently to educate the public on the Consumer Products Safety Commission information concerning children's toys tJiat may contain lead. We are continuing to track cases of Methicillin Resistant Staphloccocus Aureus (MRSA) among high school athletes and to make recommendations on reducing exposures. We are now preparing to deliver 25,000 doses of flu vaccine to seniors and other vulnerable members of our community just as we increase community awareness and preparedness on pandemic influenza. We remain committed to delivering high quality public health services to your community. Please contact ine if you have any questions concerning the 2008 contract or if you would like us to come to your city and present our contract to your administration or council. Sincerely, , ? Terrence M. Allan, RS, MPH Health Commissioner Se7-14770r the cities, villages and townships of Cu.vahoga Cou77h'si77ce 1919 THIS AGENCY 1S AN EQUAL PKOVIDLR OF SERVICES AND AN BQUAL EMPLOYMENT OPPORTUNITY EMPLOYER CN]L RIGHTS ACT ] 964 ? Enclosed please iind the 2008 cuntract f()r puNic health services provided by the Cuyahoga County I3oard of 1-lealth.