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CUYAHOGA COUNTY OPIATE TASK FORCE Since 2007, Cuyahoga County has experienced an alarming rise in overdose fatalities attributed to the abuse of prescription medications. In response to this national and statewide epidemic in 2010 the CCBH partnered with the Ohio Department of Health for an education and awareness campaign Prescription for Prevention: Stop the Epidemic. Cuyahoga County was one of the initial local health departments responsible for creating a local multi -disciplinary coalition to address this public health emergency. This multi -disciplinary coalition aims to strengthen existing initiatives while identifying areas of improvement to reduce the rising trends and illnesses associated with the misuse of prescription medication. SCHOOL HEALTH The CCBH contracts with public and private schools, providing comprehensive school nurse services that are designed to meet the specific health needs of the school community. These services include health screenings; communicable disease investigation, management, and follow-up; health education offerings and training of staff; maintenance of health records, including review of physicals and immunizations; ; first aid and illness assessment; and case management of children with special health care needs. Additionally, our Environmental public health staff conducts comprehensive environmental health and safety inspections in over 300 school facilities within our jurisdiction. These inspections are conducted on a semi-annual basis and integrate traditional building and classroom sanitation and safety inspections along with emerging issues of chemical laboratory safety, indoor air quality, integrated pest management, playground safety, chemical storage, and vocational safety. CCBH is actively working to promote healthy eating in our school systems through a farm to school initiative. Farm to School links schools and local farms with the goals of serving healthy meals in schools, improve student options, educate students and support local and regional farmers. CCBH is also actively involved in Safe Routes to School Programs with communities and school districts collaboratively to expand and improve children's health and safety while walking and biking to or from school. SCHOOL-BASED DENTAL SEALANT PROGRAM This program provides quality dental sealants in a cost-effective manner to the maximum number of Ohio's school children at high risk for dental caries by targeting schools with high rates of eligibility for the Free and Reduced Price Meal Program (FRPMP). SPECIAL NEEDS CHILD CARE Public health nurses provide technical assistance to child care providers in order to better serve children with special health care needs. Services include health screenings, development of individualized care plans, child care provider education, training on medication administration, and medical equipment loans. Additionally, the Division of Environmental Public Health is collaborating with the Ohio Department of Education to administer the licensing and inspection of preschool and school-age child care programs, including Head Start agencies, County Boards of Mental Retardation and Developmental Disabilities, and chartered nonpublic schools within our jurisdiction. Environmental Health and Safety FOOD PROTECTION The Food Protection programs are an integration of food safety education, inspections, consultations, disease prevention, surveillance, food defense (preventing intentional contamination of food) and educational offerings. The emerging disease events and persistent food allergies in our jurisdiction have also led to an increased response to food recalls and numerous consumer food safety education sessions in grocery stores, civic meetings and various public events. This unit responds to customer complaints, illness investigations and public health nuisances about food to prevent biological, chemical and physical contamination of food. Food inspections can be viewed on-line by visiting the CCBH website.