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CUYA H OG A CO UNTY BOAR D O F HE ALTH YOUR TRUSTED SOURCE FOR PUBLIC HEALTH INFORMATION October 25, 2013 Mayor Kevin M. Kennedy City of North Olmsted 5200 Dover Center Rd North Olmsted, OH 44070 Dear Mayor Kennedy: Enclosed please find the 2014 contract for public health services provided by the Cuyahoga County Board of Health (CCBH). Atso included is a list of all our program activities offered to citizens in our health district, some of which may require income qualification. ? Chapter 3709 of the Ohio Revised Code stipulates that each city in the State of Ohio . must provide health services either through a city health district or by a valid contract; ? or union with the county heatth district or an adjacent city health district." The Director iof the Ohio Department of Health certifies this provision of health services annually. To remain certified, the contract needs to be approved by your council and returned to the Cuyahoga County Board of Health by December 31, 2013. The Board of Health bases our public health service contracts on population. Our per capita rate was $3.84 for the years 2012 and 2013. Our per capita rate for the upcoming 2014 calendar year is $3.92, which is a 2% increase. By comparison, the per capita rates in other health jurisdictions are twenty-five to fifty percent higher. This contract represents the total cost for public health services and remains among the lowest rates in the State of Ohio. As a demonstration of our continued diversification of our funding streams to meet the public health needs of the community while controlling costs to the cities, villages and townships we serve, approximately half of our budget is now supported by federal, state and local grants and contracts. These additional funding sources substantially increase the scope of our service to the citizens of your community. With the economic downturn, we have seen an increase in public health service needs among citizens throughout Cuyahoga County. The Cuyahoga County Board of Health works with our contract communities on a wide range of public health issues that impact your citizens. Chief among these issues is the prevention and control of chronic diseases like asthma, diabetes, cancer and heart disease, which account for 75% of all healthcare costs. We have also been a convener of a countywide taskforce that is working to address the significant rise in the misuse of opiate prescription drugs and the corresponding and alarming rise in deaths in young 5550 Venture Drive ? Parma, Ohio 44130 Direct:216-201-2000 ? Fax:216-676-1311 ? TTY:216-67fi-1313 ? www.ccbh.nat Terrence M. Allan, R.S., M.P.H. Health Commissioner