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RYAN WHITE The Ryan White HIV/AIDS Part A program provides HIV-related services for those who do not have sufficient health care coverage or financial resources for coping with HIV disease. The Cuyahoga County Board of Health (CCBH) serves as the Program Administrator of the Cleveland Transitional Grant Area (TGA) which serves the following Ohio Counties: Cuyahoga, Ashtabula, Geauga, Lake, Lorain, and Medina. The Ryan white Part A program contracts with local community partners to provide services in the areas of: outpatient ambulatory health care, medical case management, oral health, medical nutrition therapy, mental health, early intervention, home health care, home and community-based health care, substance abuse inpatient and outpatient, non-medical case management, medical transportation, outreach, food bank/home delivered meals and psychosocial support services. Community Assessments CHRONIC DISEASE SURVEILLANCE A specialized team of experts including data analysts, environmental health sanitarians, and public health nurses address chronic disease clusters of major public health concern. The program consists of: 1) disease identification and investigation of community risk factors; 2) appropriate environmental follow-up/sampling; 3) education; 4) and community collaboration. REPORTABLE DISEASE SURVEILLANCE/PUBLIC HEALTH PREPAREDNESS This program encompasses reportable disease tracking and disease surveillance activities. The purpose of this program is to increase public health response and capacity regarding infectious disease case management and surveillance, acts of bioterrorism and other major public health events. Activities also include developing emergency plans and supporting the County Emergency Operations Plan by serving as the lead agency under Emergency Support Function (ESF) #8. This program is supported by the Public Health Emergency Preparedness grant (PHEP) and the Cities Readiness Initiative (CRI) grant. IMMUNIZATION ACTION PLAN (IAP) This program is designed to raise childhood immunization rates in Ohio so that 90% of children will be up to date by 24 months of age and 80% of adolescents are up-to-date. This is accomplished by implementing best practices identified to increase immunization rates including immunization assessment, education and tracking objectives. These efforts are delivered through education sessions and immunization rate audits provided to Cuyahoga county pediatric and family practice providers. The program also includes outreach to guardians of young children to promote the importance of vaccines to protect the health of young children. MATERNAL AND CHILD HEALTH PROGRAM This program is designed as an organized community effort to improve the health status of women and children in Cuyahoga County, including assessment and monitoring of maternal and child health indicators at the individual community or neighborhood level. The program also provides funding to partner agencies to address child and adolescent health needs, as well as the needs of pregnant women and teens at risk for poor birth outcomes. CHILD FATALITY REVIEW This program reviews circumstances surrounding the deaths of children in efforts to make recommendations for actions to reduce preventable deaths in children in Cuyahoga County.