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in young adults also associated with heroin in Cuyahoga County <br /> (http://opiatecollaborative.cuyahogacounty.us). <br /> We released both a community health status assessment for Cuyahoga County <br /> (http://ccbh.info/hipcuyahoga/?page id=1175) and a Community Health Improvement <br /> Plan (www.hipcuyahoga.orq) and seek to engage the community in addressing our <br /> priority health problems. <br /> Our work also focuses on a range of existing and emerging public health issues <br /> including school age childhood vaccinations and boosters; influenza and pneumonia <br /> vaccinations; responding to and mitigating the proliferation of bed bug-related <br /> complaints in residential, business and institutional settings. On the clinical front, we <br /> provide safety net services for underinsured and uninsured clients as these roles are <br /> evolving in the context of the Affordable Care Act (ACA). <br /> As we know, infectious diseases do not recognize borders, as evidenced by our <br /> community response to the threat of Ebola in Northeast Ohio. Our comprehensive <br /> efforts included educating the public on Ebola and how it is transmitted; tracking those <br /> who may have come in contact with someone exposed to Ebola for symptoms; working <br /> with hospitals, emergency medical services on a range of transport and care issues; <br /> and continued monitoring of travelers coming to our community from countries with <br /> Ebola outbreaks. To date, there have been no cases of Ebola transmitted anywhere in <br /> Ohio and we believe our risk is very low. As travelers will continue to come to Ohio <br /> from West Africa, we are standardizing our response plans for the long term. <br /> Currently, our new five year Strategic Plan is under development for release to the <br /> community this winter. As always, we remain focused on delivering high quality public <br /> health services to your community. <br /> Please contact me if you have any questions concerning the 2016 contract, or if you <br /> would like us to come to your city and present our contract to your administration or <br /> council. <br /> Sincerely, <br /> Terrence M. Allan, RS, MPH <br /> Health Commissioner <br /> 5550 Venture Drive • Parma, Ohio 44130 <br /> Direct: 216-201-2000 • Fax: 216-676-1311 ♦ TTY: 216.676-1313 ♦ www.ccbh.net <br /> Terrence M. Allan, R.S., M.P.H. Health Commissioner <br />