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Health Services Fiscal Year 2023 Budget Presentation
Copyrighted March 3, 2022 City of Dubuque Public Hearings # 1. Special Meeting ITEM TITLE: Health Services Fiscal Year2023 Budget Presentation SUMMARY: SUGGESTED DISPOSITION: ATTACHMENTS: Description Type Health Services Policy Budget Book Supporting Documentation Presentation_Uploaded 3.3.22 Supporting Documentation Health Services -1- This page intentionally left blank. -2- HEALTH SERVICES DEPARTMENT FY 2021 FY 2022 FY 2023 From FY o22 Budget Highlights Actual Budget Requested Budget Employee Expense 514,681 555,383 592,363 6.7 % Supplies and Services 332,525 363,236 373,684 2.9 % Machinery and Equipment 2,753 1,800 5,390 199.4 % Total 849,959 920,419 971,437 5.5 % Operating Revenue 425,490 460,669 457,261 (0.7)% State Grant 6,610 8,802 8,802 — % Total 432,100 469,471 466,063 (0.7)% Property Tax Support 417,859 450,948 505,374 54,426 Percent Increase (Decrease) 12.1 % Personnel -Authorized FTE 6.14 6.14 6.14 Improvement Packaqe Summar� 1 of 6 This improvement request is for 40 hours overtime compensation for our Environmental Sanitarian Service Level Changes:Additional hours to the Environmental Sanitarians to allow after regular- hours inspections for special events like weekend and night markets or festivals that serve food, and facilities that only operate outside of the 8am-5 pm Monday through Friday, and to respond to public health/city emergencies when needed. Continuously building up comp time, then using comp time for these positions is not sustainable because then vacation time cannot be used due to workload. Impact on City operations, impact on community:Ability to assure safe food, and response to public health emergencies. Relationship to City Council Goals & Priorities: Vibrant Community: Healthy & Safe, Financially Responsible, High-Performance City Organization: Sustainable, Equitable, and Effective Service Delivery, Partnership for a Better Dubuque: Building our Community that is Viable, Livable, and Equitable Related Cost: $ 2,258 Tax Funds Recurring Recommend -Yes Net Property Tax Cost $ 2,258 Property Tax Impact: $(0.0009) (0.01)% Activity: Inspection - Food Establishments 2of6 This improvement request is for 80 hours of overtime compensation for our two Animal Control Officers. Service Level Changes:Animal Control Services and response to animal control calls requiring immediate and timely response will be addressed. Often situations must be addressed and stabilized — even if they occur at the end of a shift or require significant time. -3- Impact on City operations, impact on community: Provide consistent animal control coverage hours without having to cut scheduled animal control coverage due to emergencies and needed response that occur outside regular hours. If Animal Control Officers extend their work hours outside of the allotted schedule, hours must be cut during that pay period. This results in no service for the citizens during the time they normally expect it. Also, comp time is not an ongoing option due to continuously building up comp time then using comp time, but unable to use accrued vacation time. Relationship to City Council Goals & Priorities: Vibrant Community: Healthy & Safe, Financially Responsible, High-Performance City Organization: Sustainable, Equitable, and Effective Service Delivery, Partnership for a Better Dubuque: Building our Community that is Viable, Livable, and Equitable Related Cost: $ 4,274 Tax Funds Recurring Recommend -Yes Property Tax Impact: $ 0.0017 0.02% Activity: Health Services 3 of 6 This improvement request is for a full standing desk unit for the Confidential Account Clerk. This was approved in FY22 for$750 for a desktop version. Approved funds will be carried over from FY22 to FY23 to cover quoted expenses of$3,650. Since the Confidential Account Clerk was new in her role last budget cycle, and was not fully used to the existing workspace, we are now requesting a full standing desk. The full standing desk offers more workspace by getting the computer towers from off the desktop and the monitors elevated, and the workspace on one level. Service Level Changes: The ability to stand up and efficiently serve citizens at the service window. This also provides needed physical movement outside of sitting, promoting health and proper ergonomics. Relationship to City Council Goals & Priorities: Vibrant Community: Healthy & Safe, Financially Responsible, High-Performance City Organization: Sustainable, Equitable, and Effective Service Delivery Related Cost: $ 2,900 Tax Funds Non-Recurring Recommend -Yes Property Tax Impact: $ 0.0011 0.01°/o Activity: Health Administration 4of6 The improvement level request is for Environmental Sanitarian to sit for the National Environmental Health Association (NEHA) REHS/RS credential exam. Service level changes: The REHS/RS credential demonstrates competency in an impressive range of environmental health issues, directing and training personnel to respond to routine or emergency environmental situations, and providing education to their communities on environmental health concerns. Impact on City operations, impact on community: This certification requires demonstration of environmental health knowledge and the ability to think critically, analyze problems and demonstrate knowledge in daily operations regarding environmental health issues. In addition, REHS/RS credential holders are key members in ensuring communities are in compliance with local, state, and federal environmental health regulations. Many health departments across the country require sanitarians to acquire this credential, which acknowledges knowledge and professionalism. One of the current Environmental Sanitarians has held this credential since 1999. Many other lowa sanitarians maintain this credential as well. Relationship to City Council Goals & Priorities: Vibrant Community: Healthy & Safe, Financially Responsible, High-Performance City Organization: Sustainable, Equitable, and Effective Service Delivery, Partnership for a Better Dubuque: Building our Community that is Viable, Livable, and Equitable Networking and learning about operations in other organizations nationwide will lead to creating a more -4- vibrant community for our citizens. Becoming more efficient in daily operations and develop creative workflows to attribute to a high-performance organization. Creating more livable communities/ neighborhoods by having better skills and new tools for code enforcement. Related Cost: $ 590 Tax Funds Non-Recurring Recommend -Yes Property Tax Impact: $ 0.0002 —% Activity: Inspection - Food Establishments 5of6 This improvement request is for Environmental Sanitarian to attend the Leadership Dubuque class. Leadership Dubuque will allow the Environmental Sanitarian the opportunity to learn about community resources, government, businesses, educational opportunities, and about the impact of economic development on the community. Service Level Changes: Leadership Dubuque will allow for the Environmental Sanitarian to enhance leadership skills, exchange ideas and experiences both formally and informally. Being an employee of the Health Services Department for less than two years, this course will assist the employee in learning the skills to develop new business contacts, relationships, and partnerships both within the leadership class and the community. Leadership Dubuque prepares employees to become actively involved in leadership in the community to enrich quality of life and shape the future. This course will develop knowledge, skills, and confidence. Relationship to Council Goals & Priorities: This will contribute City Council goals: Partnership for a Better Dubuque: Building our Community that is Viable, Livable, and Equitable and Financially Responsible, High Performance City Organization, Sustainable, Equitable, and Effective Service Delivery. Related Cost: $ 1,495 Tax Funds Recurring Recommend -Yes Property Tax Impact: $ 0.0006 0.01°/o 2 Years Activity: Inspection - Food Establishments 6 of 6 This improvement request is for payment for elevated blood lead level (EBL) environmental home inspections for children who are lead poisoned and meet the environmental health inspection protocol set forth by the lowa Department of Public health (IDPH). Although the Health Services Department has a Certified EBL Inspector, these inspections have been conducted by Housing and Community Development Department Certified Lead Inspectors in the HUD Lead Healthy Homes Program. The inspectors in the HUD Lead Paint Program do inspections regularly, maintain the equipment, and most of the time these properties enroll in the HUD Lead Paint Grant Program to make the properties lead safe. However, occasionally the property owner does not qualify for the HUD Lead Paint Program or chooses not to enroll and makes the necessary repairs themselves. Since the inspectors conducting the inspections from the HUD Lead Paint Program are funded by that grant program, other funds must be used to pay for these inspections. The IDPH Childhood Lead Poisoning Prevention grant received annually by the Health Services Department does not have the funds to cover all of this expense, therefore additional funding is needed. Service Level Changes: Current services will be maintained but charged to the Health Services Department Impact on City operations, impact on community: environmental, home lead inspections will be conducted in a timely manner according to IDPH protocol and to assure children with elevated blood levels are in safe environments Relationship to City Council Goals & Priorities: Vibrant Community: Healthy & Safe, Livable Neighborhoods and Housing: Great Place to Live, Partnership for a Better Dubuque: Building Our Community that is Viable, -5- Livable, and Equitable Related Cost: $ 1,815 Tax Funds Recurring Recommend -Yes Property Tax Impact: $ 0.0007 0.01°/o Activity: Animal Control Significant Line Items Employee Expense 1. FY 2023 employee expense reflects a 3.25% wage package increase. 2. The lowa Public Employee Retirement System (IPERS) City contribution of 9.44% is unchanged —% from FY 2022 City contribution of 9.44%. The employee contribution of 6.29% is unchanged from FY 2022. 3. The City portion of health insurance expense increased from $1,086 in FY 2022 to $1,119 in FY 2023 per month per contract which results in annual increase of$2,400 or 3.04%. 4. Overtime expense is increased from $1,500 in FY 2022 to $7,079 in FY 2023. FY 2021 actual was $2,610. 5. An additional increase in employee expense ($3,470) reflects the approved 0.14 FTE Public Health Intern associated expense not included in prior year calculation. Supplies & Services 6. Court Costs and Record Fees decreased from $29,933 in FY 2022 to $27,150 in FY 2023 based on FY 2021 actual of$24,892. Beginning January 1, 2016, the court requires the $95 filing fee for municipal infractions to be paid up front by the City. The Court then enters judgment, and if a defendant if found guilty, the defendant will pay a fine plus $95 in court costs and the Court will distribute the fine portion and reimburse the City for the filing fee that was paid up front by the City. If a defendant is found not guilty, the City will pay for the court costs using the $95 filing fee paid upfront instead of deducting the $95 from the City's judgments, which was the process done by the Court previous to January 1, 2016. Departments that file municipal infractions must budget the upfront filing fee and a portion of the amount is reimbursed to the department going forward. The offsetting revenue is budgeted in lowa District Court Fines and is $27,973 in FY 2023 . Due to time delay of reimbursements, the revenue received is more than the expense. 7. Payments to OtherAgencies increased from $196,341 in FY 2022 to $203,308 in FY 2023 due to the annual consumer price index increase on the Humane Society contract. The Consumer Price Index (CPI) dictates the Humane Society contractual increase per year. The CPI is 5.4% over the last 12 months. The Humane Society contract has a maximum increase of 5.0% and it utilized to project a FY 2023 budget of$146,308. Most of these contracted services for animal control are expenses that the City would have within its organization regardless of who provides the services. In addition, there is $50,000 budgeted for Crescent Community Health Center patient health and wellness programming operating expenses. There is also $7,000 budgeted for the Visiting Nurse Association to provide medical case management of lead poisoned children, which is funded by the lowa Department of Public Health grant. -6- 8. Bill Collection Services increased from $50,890 in FY 2022 to $52,756 in FY 2023 based on FY 2021 actual $52,756. This line item represents the amount paid to PetData Services for pet licensing. 9. Consultant Services decreased from $10,158 in FY 2022 to $9,055 in FY 2023 based on FY 2021 actual $6,638. This line item represents vet services for after hour veterinarian calls. This line item is also used for vet services for injured dogs or cats when the owner is unknown, rabies confinement of animals when the owner is unknown, wild animal confinement, and neglect cases of animals when being held waiting for a court appearance. 10. Conferences increased from $8,294 in FY 2022 to $10,549 in FY 2023. This line item includes attendance to Race in the Heartland ($180), One National, Regional, & State Conference for the Public Health Specialist ($3,750), lowa Public Health Association Conference ($1,924). The increase is to provide for additional conferences on Current Public Health topics which are often reimbursed or paid in full by an agency scholarship or grant ($3,500). 11. Education and Training increased from $11,289 in FY 2022 to $13,674 in FY 2023. This line item represents public health and nursing continuing education ($350); National Animal Care & Control Training forAnimal Control Officers ($6,000); lowa Department of Inspections and Appeals Training for Sanitarians ($3,239); and Childhood Lead Poisoning Prevention Training and Lead and Healthy Homes Training ($2,000) which is covered by a grant. Most trainings were cancelled for FY21 due to COVID, so education and training for certifications will be necessary. Machinery 8� Equipment 12. Equipment replacement items include ($5,390): Health Administration (1) Smart Phone $ 350 Desk/Chairs $ 2,900 Animal Control (2) Body Cameras $ 1,790 Inspections (1) Smart Phone $ 350 Total $ 5,390 Revenue 13. Dog and cat license revenue is unchanged from $262,923 in FY 2022 to $262,923 in FY 2023 based on FY 2022 budget. This projection for the budget year remains the same as FY 2022 due to past history of fees remaining level for the first year of a fee increase. 14. Business license revenue is unchanged from $143,528 in FY 2022 to $143,528 in FY 2023 based on FY 2022 budget. 15. Weed enforcement decreased from $3,426 in FY 2022 to $0 in FY 2023. This decrease is due to enforcement of overgrown grass &weed complaints moving to Housing and Community Development ($-3,426). 16. lowa District Court Fines increased from $25,000 in FY 2022 to $27,973 in FY 2023. FY 2021 actual was $27,248. This revenue represents the reimbursement of the cost of Court Costs and Record Fees -7- for municipal infractions fee paid up front by the City and then reimbursed to the City by the Court. The reduction of this revenue can be attributed to fewer citations issued and processed during the pandemic. 17. Swimming pool inspection revenue is unchanged from $10,000 in FY 2022 to $10,000 in FY 2023. This is based on FY 2022 due to a decreased number of opened pools that impacted FY 2021 actual revenue. Miscellaneous 18. The Animal Control activity is 66.7°/o self-supporting in FY 2023 versus 69.0% self-supporting in FY 2022. 19. The Inspection of Food Establishments activity is 67.0% self-supporting in FY 2023 versus 75.0% self- supporting in FY 2022. -8- 0 d � � �� ..�"� " �T��' ^�TION TADT � � � � ' , Animal Control � dfficer[2] �i � Public Health � — 5pecialist - _ = `� / En�ironmental puhlic Health Intern[U.14] Sanitarian[2] -9- HEALTH SERVICES Public Health provides an effective service to protect, maintain and promote the physical health, environmental health and well-being of the citizens of the community. SUCCESS IS ABOUT PLANNING, PARTNERSHIPS AND PEOPLE LEADING TO OUTCOMES Planning The Dubuque County Community Health Needs Assessment and Health Improvement plan is a community-wide effort to assess People the community's health needs and The Health Services Department decide how to meet them. strives to respond to conditions that affect the overall health of the The Dubuque County Health Care community in a timely manner. Preparedness Coalition is a multi- disciplinary partnership that assesses jurisdictional risk and responds cohesively to public health incidents and emergencies. ��1�N 3, ���n�iH,� G!eei}r<flcalFhyHo�nesl��ft-zT�ve �.. � �4. x; Q ��,-.` �'i`•: :;,�'p. �.:��� } �:..:''.: •.;: tZ ��� .,:?��•�l'�s�` , i c :� - ; ..n �'71 ��;�'�"/� xr ::. 'i�4� 4 Crescent Comrnunity * �/� �r`'ro�..,. �' ��613 Iy�r� � _ Partnerships Partnerships allow public health to perform its activities in an effective, efficient, and inclusive manner. Some partners include the Crescent Community Health Center, lowa Department of Public Health, Dubuque Community Schools, Dubuque Visiting Nurses Association, Dubuque County Health Department, MercyOne Dubuque, Unity Point Health/Finley Hospital, The Community Foundation of Greater Dubuque, local health care providers, and many others. -10- HEALTH SERVICES FY 2021 FY 2022 FY 2023 Full-Time Equivalent 6.14 6.14 6.14 Resources and Property Tax Support $600,000 $400,000 � $200,000 $0 Operating Revenue State Grant Property Tax Support � FY 2021 FY 2022 FY 2023 The Health Department is supported by 6.14 full-time equivalent employees, which accounts for 60.98% of the department expense as seen below. Overall, the departments' expenses are expected to increase by 5.54% in FY 2023 compared to FY 2022. Expenditures by Category by Fiscal Year $514,68 Employee Expense $555,383 $332,525 Supplies and Services $363,236 $373,684 $2,753 Machinery and Equipment $1,800 $5,390 $0 $100,000 $200,000 $300,000 $400,000 $500,000 FY 2021 FY 2022 � FY 2023 -11- HEALTH SERVICES Administration/Community Health Mission & Services Community Health provides assessment, assurance, and policy development to address public health problems and issues in the community. The Health Services Department works with the Dubuque County Board of Health to carry out public health essential services necessary for an effective public health system. Responsibilities include evaluating, reviewing, and updating animal, noise, nuisance, sewer, refuse, and food ordinances, polices and workflows enforced by the Health Department. Health Administration/Community Health Funding Summary FY 2021 Actual FY 2022 Budget FY 2023 Requested Expenditures $283,192 $272,595 $288,104 Resources $7,020 $9,468 $9,482 Health Administration/Community Health Position Summary FY 2023 Public Health Specialist 1.00 Public Health Intern 0.14 Account Clerk 1.00 Total Full-Time Equivalent Employees 2.14 Performance Measures City Council Goal: Vibrant Community: Healthy and Safe � Dept. Objective: Ensure accessibility and quality of primary care and population-based health services. Performance Measure KPI Tar et FY 2019 FY 2020 FY 2021 Performance � � g Actual Actual Estimated Indicator Crescent Community Health Center total g057 6370 7043 8216 � patients served % patients served at or below 100% of � poverty level of total demographic in 56% 58% 66°/o 43% � Dubuque % of patients served without insurance 30°/o 48% 53% 48% � City Council Goal: Vibrant Community- Healthy & Safe 2 Dept. Objective: Maintain a Childhood Lead Poisoning Prevention Program % of children with elevated blood lead <1% 0.9% N/A 1.2% C�� levels City Council Goal: Partnerships for a Better Dubuque 3 Dept. Objective: Mobilize community partnerships to identify and investigate public health problems and emerging issues Communic � Annual review, maintenance and 1 section or Risk Risk demonstration (exercising)of Public Health exercise/ ation & Communic Communicatio _ Emergency Response Plan sections year notification ation n drill -12- HEALTH SERVICES Environmental Health Mission & Services Environmental Health promotes a safe and healthy environment by assuring sanitary conditions and practices in accordance with municipal public health and environmental ordinances, codes and regulations. Responsibilities include responding to complaints, inspecting pools, spas, tanning, and tattoo facilities, and inspecting and licensing food establishments, stands, and mobile units, while assuring compliance with codes and regulations. Food Inspection/Environmental Health Funding Summary FY 2021 Actual FY 2022 Budget FY 2023 Requested Expenditures $204,315 $219,966 $236,657 Resources $150,715 $164,931 $158,503 Food Inspection/Environmental Health Position Summary FY 2023 Environmental Sanitarian 2.00 Total Full-Time Equivalent Employees 2.00 Performance Measures City Council Goal: Vibrant Community: Healthy & Safe � Dept. Objective: Assure safe and sanitary public swimming pools, spas and tattoo facilities by providing a minimum of one inspection per year within Dubuque County. Performance Measure KPI Tar et FY20 FY21 FY 2022 Performance � � g Actual Actual Estimated Indicator #of closures of public pool/spa 0 0 0 1 a 2 Dept. Objective: All permanent and temporary food establishments, mobile food units and hotels/motels/inns are inspected and licensed through a contract with the lowa Department of Inspections&Appeals. #of new/change ownership food N/A 68 42 56 N/A establishments % of food service establishments that do Decrease by o 0 0 � not have accessible or fully stocked hand 50�0 30/0 29/0 24/o washing sink 3 Dept. Objective: Alleviate improper garbage/refuse storage and disposal and other public nuisances through code enforcement. # municipal infractions (Mls) issued for 25 23 NA* 20 _ nuisance violations. *did not do nuisance in FY21 due to COVID -13- HEALTH SERVICES Overview Animal Control enforces the City Animal Ordinance which provides for licensing of all cats and dogs, the prohibition of dogs and cats running at-large within the city, inoculation of all dogs and cats against rabies, investigation of animal bites and assurance of proper rabies confinement, prohibition of harboring a vicious or potentially vicious animal or dangerous animal and prohibition of animals causing serious disturbance or nuisance. Animal Control Funding Summary FY 2021 Actual FY 2022 Budget FY 2023 Requested Expenditures $388,767 $427,858 $446,676 Resources $274,365 $295,072 $298,078 Animal Control Position Summary FY 2023 ANIMAL CONTROL OFFICER 2.00 Total Full-Time Equivalent Employees 2.00 Performance Measures City Council Goal: Vibrant Community: Healthy 8� Safe � Dept. Objective: Respond to and abate the problems and nuisances of cats and dogs. Performance Measure KPI Tar et FY20 FY21 FY 2022 Performance � � g Actual Actual Estimated Indicator #of citations issued for violations of Animal N/A 39 54 60 N/A Control ordinance 2 Dept. Objective: Control the spread of rabies among and between animals. #of Pet Licenses sold 11,000 10,858 11,736 12,111 � #of citations for failure to license a pet 1,700 925 924 1,200 � 3 Dept. Objective: Assess and evaluate animal bites, injuries and attacks for determining potentially vicious and vicious animal declarations. #of animal bites N/A 218 177 200 N/A City Council Goal: Partnerships for a Better Dubuque 4 Dept. Objective: Provide shelter for dogs, cats and other animals without homes in Dubuque. Maintain agreement with Dubuque Improving New Under Under � Regional Humane Society Agreement contract contract -14- This page intentionally left blank. -15- Recommended Operating Revenue Budget - Department Total 17-HEALTH SERVICES FY20 Actual FY21 Actual FY22 Adopted FY23 Recomm'd Fund Account Account Title Revenue Revenue Budget Budget 100 42105 BUSINESS LICENSES 143,528 137,445 143,528 143,528 100 42120 ANIMAL LICENSES 173,968 241,314 262,923 262,923 100 42125 CAT LICENSES 14,532 0 0 0 100 42169 TATTOO LICENSES 1,208 3,500 3,000 3,250 100 42235 REFUSE HAULING PERMITS 0 1,600 775 825 100 42325 SWIMMING POOL INSP.FEES 3,394 7,783 10,000 10,000 100 42330 ANIMAL iMPOLJNDMENT FEES 8,074 5,970 8,074 8,074 42 LICENSES AND PERMITS -Total � 344,704 397,612 � 428,300 � 428,600 100 45701 STATF.GRANTS 11,340 6,610 8,802 8,802 45 STATE GRANTS -Total � 11,340 6,610 � 8,802 � 8,802 100 51178 CREDIT CARD FEE 36 0 0 0 100 51215 LATE PAYMENT PENALTY 75 0 75 0 100 51987 WEED CUTTING CHARGES 3,426 0 3,426 0 51 CHARGES FOR SERVICES -Total 3,537 0 3,501 0 100 53201 REFUNDS 158 0 158 0 100 53403 lA DISTRICT COURT F1NES 33,406 27,248 25,000 27,973 100 53620 RF.iMBURSF.MF.NTS-GF,NERAL 3,202 630 3,202 188 100 53625 REIMBURSEMENTS-TRAINING 508 0 508 500 53 MISCELLANEOUS -Total 37,274 27,878 28,868 28,661 HEALTH SERVICES -Total 396,854 432,100 469,471 466,063 -16- Recommended Operating Expenditure Budget - Department Total 17-HEALTH SERVICES FY20 Actual FY21 Actual FY22 Adopted FY 23 Recomm'd Fund Account Account Title Expense Expense Budget Budget 100 61010 FULL-TIME EMPLOYEES 263,203 342,878 404,599 424,456 261 61010 FULL-TIME EMPLOYEES 25,622 (18,379) 0 0 100 61020 PART-TIME EMPLOYEES 49,760 37,197 0 0 100 61030 SEASONAL EMPLOYEES 10,759 (79) 0 3,470 100 61050 OVERTIME PAY 3,061 5,057 1,500 7,079 261 61050 OVERTIME PAY 2,742 (2,447) 0 0 100 61070 HOLIDAY PAY 0 0 919 1,162 100 61084 ISOLATION ORDER 0 721 0 0 100 61091 SICK LEAVE PAYOFF 3,292 0 0 0 100 61092 VACATION PAYOFF 7,634 0 0 0 100 61096 50%SICK LEAVE PAYOUT 1,238 1,649 1,238 1,649 100 61310 IPERS 30,623 36,642 38,425 41,274 261 61310 IPERS 2,700 (1,989) 0 0 100 61320 SOCIAL SECURITY 24,910 28,543 31,232 33,573 261 61320 SOCIAL SECURITY 2,094 (1,540) 0 0 100 61410 HEALTH INSURANCE 46,531 81,859 71,676 74,076 261 61410 HEALTH INSURANCE 2,447 (1,935) 0 0 100 61415 WORKMENS'COMPENSATION 5,685 6,211 5,307 4,847 100 61416 LIFE INSURANCE 228 316 349 277 261 61416 LIFE INSURANCE 29 (23) 0 0 100 61651 MEALS NO OVERNIGHT 10 0 0 0 100 61660 EMPLOYEE PHYSICALS 138 0 138 500 61-WAGES AND BENEFITS 482,707 514,681 555,383 592,363 100 62010 OFFICE SUPPLIES 866 983 1,329 1,342 100 62011 LTNIFORM PURCHASES 257 1,643 930 1,000 100 62030 POSTAGE AND SHIPPING 7,843 5,245 8,538 7,943 100 62031 PROCESSING MATERIALS 25 0 25 25 100 62061 DP EQUIP.MAINT CONTRACTS 8,654 9,532 9,532 9,731 100 62063 SAFETY RELATED SUPPLIES 120 172 122 176 100 62067 ANIMAL CONTROL SUPPLIES 135 1,037 1,338 500 100 62090 PRINTING&BINDING 743 3,502 3,558 3,948 100 62ll0 COPYING/REPRODUCTION 513 433 672 761 100 62130 LEGAL NOTICES&ADS 1,288 429 1,787 1,656 100 62170 SUBSCRIPTIONS-BOOKS-MAPS 0 0 221 221 100 62190 DUES&MEMBERSHIPS 660 945 989 1,370 100 62204 REFLTNDS 242 347 350 350 100 62208 GENERAL LIABILITY INSURAN 3,957 4,088 4,320 4,172 100 62230 COURT COSTS&RECORD FEES 28,393 24,892 29,933 27,150 100 62310 TRAVEL-CONFERENCES 3,914 0 8,294 10,549 100 62320 TRAVEL-CITY BUSINESS 609 311 721 1,259 100 62340 MILEAGE/LOCAL TRANSP 8 103 ll8 175 100 62360 EDUCATION&TRAINING 5,836 992 ll,289 13,674 100 62421 TELEPHONE 4,076 4,173 4,076 4,214 100 62424 RADIO/PAGER FEE 316 3,014 323 320 100 62436 RENTAL OF SPACE 1,848 2,046 2,046 2,262 100 62511 FUEL,MOTOR VEffiCLE 2,184 2,246 2,722 2,994 100 62521 MOTOR VEHICLE MAINT. 1,425 2,436 2,488 2,485 100 62528 MOTOR VEH.MAINT.OUTSOUR 200 83 1,030 1,030 -17- Recommended Operating Expenditure Budget - Department Total 17-HEALTH SERVICES FY20 Actual FY21 Actual FY22 Adopted FY 23 Recomm'd Fund Account Account Title Expense Expense Budget Budget 100 62614 EQUIP MAINT CONTRACT 26 26 26 26 100 62663 SOFTWARE LICENSE EXP 164 35 165 150 100 62666 CREDIT CARD CHARGE 61 1,092 1,400 0 100 62667 DATA SERVICES 648 662 432 1,848 100 62668 PROGRAM EQUIP/SUPPLIES 954 789 650 789 100 62671 MISC.OPERATING SUPPLIES 0 0 500 500 100 62683 FIELD OPERATIONS SUPPLIES 124 307 285 307 100 62716 CONSULTANT SERVICES 10,158 6,638 10,158 9,055 100 62725 BILL COLLECTION SERVICES 50,890 52,756 50,890 52,756 100 62727 FINANCIAL SERVICE FEES 600 600 600 600 100 62732 TEMP HELPCONTRACT SERV. 0 2,383 2,998 2,998 100 62736 CATERING SERVICES 131 0 225 225 100 62761 PAY TO OTHER AGENCY 141,481 196,826 196,341 203,308 100 62780 HAULING SERVICES 1,037 1,054 1,815 1,815 100 62781 LAWN CARE SERVICES 0 704 0 0 62-SUPPLIES AND SERVICES 280,385 332,525 363,236 373,684 100 71ll0 MISC.OFFICE EQUIPMENT 7 0 0 0 100 71ll8 PROJECTOR/CAMERA 1,352 0 0 1,790 100 7ll20 PERIPHERALS,COMPUTER 0 473 0 0 100 7ll22 PRINTER 99 0 0 0 100 7ll24 COMPUTER 0 2,191 0 0 100 71211 DESKS/CHAIRS 1,059 0 750 2,900 100 72418 TELEPHONE RELATED 41 89 1,050 700 71-EQUIPMENT 2,559 2,753 1,800 5,390 17-HEALTH SERVICES TOTAL 765,651 849,960 920,419 971,437 -18- Recommended Expenditure Budget Report by Activity & Funding Source 17-HEALTH SERVICES HEALTH SERVICES ADMINISTR- 17100 FUNDING SOURCE: MEDIA SERVICE Account FY21 Actual Expense FY22 Adopted Budget FY23 Recomm'd Budget WAGES AND BENEFITS (26,314) 0 CDBG CARES ACT �26,3ta� 0 0 EQUIPMENT 124 750 3,250 SUPPLIF.S AND SF,RVICF.S 32,776 14,389 13,917 WAGES AND BENEFITS 151,075 132,992 137,246 HEALTH SERVICES ADMINISTR 183,974 148,131 154,413 ANIMAL CONTROL -17200 FUNDING SOURCE: GENERAL Account FY21 Actual Expense FY22 Adopted Budget FY23 Recomm'd Budget EQUIPMENT 2,629 700 1,790 SUPPLIES AND SERVICES 241,770 258,457 262,090 WAGBS AND BF,NEFiTS 144,368 168,701 182,796 ANIMAL CONTROL 388,767 427,858 446,676 INSP.-FOOD ESTBLMNTS - 17300 FUNDING SOURCE: GENERAL Account FY21 Actual Expense FY22 Adopted Budget FY23 Recomm'd Budget EQUIPMENT - 350 350 SUPPLIES AND SERVICES 20,302 27,491 32,053 WAGES AND BENEFITS 184,013 192,125 204,254 INSP.-FOOD ESTBLMNTS 204,315 219,966 236,657 COMMUNITY HEALTH SERV. -17400 FUNDING SOURCE: GENERAL Account FY21 Actual Expense FY22 Adopted Budget FY23 Recomm'd Budget SUPPLiF.S AND SF.RVICF.S 25,865 52,657 55,309 WAGF,S AND BF,NEFITS 61,539 61,565 67,598 COMMUNITY HEALTH SERV. 87,405 ll4,222 122,907 LEAD PAINT PROGRAM -17500 FUNDING SOURCE: GENERAL Account FY21 Actual Expense FY22 AdoPted Budget FY23 Recomm'd Budget SUPPLIES AND SERVICES 11,813 10,242 10,315 WAGES AND BENEFITS 469 LEAD PAINT PROGRAM 11,813 10,242 10,784 HEALTH SERVICES TOTAL $849,960 $920,419 $971,437 -19- CITY OF DUBUQUE , IOWA DEPARTMENT DETAIL-PERSONNEL COMPLEMENT 17 HEALTH SERVICES DEPARTMENT FY 2021 FY 2022 FY 2023 FD JC WP-GR JOB CLASS FTE BUDGET FTE BUDGET FTE BUDGET 61010 Full Time Employee Expense 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 1.00 97,912 1.00 99,360 1.00 102,582 100 7500 GE-32 ENVIRONMENTAL SANITARIAN 2.00 141,324 2.00 136,054 2.00 143,979 100 7400 GE-29 ANIMAL CONTROL OFFICER 2.00 114,270 2.00 119,428 2.00 126,530 100 225 GE-25 CONFIDENTIALACCOUNT CLERK 1.00 39,588 1.00 49,757 1.00 51,365 TOTAL FULL TIME EMPLOYEES 6.00 393,094 6.00 404,599 6.00 424,456 61030 Seasonal Employee Expense 100 PUBLIC HEALTH INTERN 0.14 0 0.14 0 0.14 3,470 TOTAL SEASONAL EMPLOYEES 0.14 0 0.14 0 0.14 3,470 TOTAL HEALTH SERVICES 6.14 393,094 6.14 404,599 6.14 427,926 -20- CITY OF DUBUQUE,IOWA ACTIVITY PERSONNEL COMPLEMENT SUMMARY FY 2021 FY 2022 FY 2023 ACCT FD JC WP-GR POSITION CLASS FTE BUDGET FTE BUDGET FTE BUDGET Health Services Administration-General Fund --... .__......_..----�-� 10017100 61010 100 225 GE-25 CLERK 1.00 $ 39,588 1.00 $ 49,757 1.00 $ 51,365 10017100 61010 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 0.50 $ 48,956 0.50 $ 49,680 0.50 $ 51,291 Total 1.50 $ 88,544 1.50 $ 99,437 1.50 $102,656 Community Health Services-FT General Fund 10017400 61010 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 0.50 $ 48,956 0.50 $ 49,680 0.50 $ 51,291 Total 0.50 $ 48,956 0.50 $ 49,680 0.50 $ 51,291 Community Health Services-Seasonal General Fund 10017400 61030 100 NA-10 PUBLIC HEALTH INTERN 0.14 $ - 0.14 $ - 0.14 $ 3,470 Total 0.14 $ - 0.14 $ - 0.14 $ 3,470 Inspection of Food Est./Environmental-FT General Fund 10017300 61010 100 7500 GE-32 ENVIRONMENTAL SANITARIAN 2.00 $141,324 2.00 $ 136,054 2.00 $143,979 10017300 61010 100 7375 GE-27 ENVIRON.SANITARIAN ASST - $ - - - Total 2.00 $141,324 2.00 $ 136,054 2.00 $143,979 Animal Control-FT General Fund 10017200 61010 100 7400 GE-29 ANIMAL CONTROL OFFICER 2.00 $114,270 2.00 $ 119,428 2.00 $126,530 Total 2.00 $114,270 2.00 $ 119,428 2.00 $126,530 TOTAL HEALTH SERVICES DEPT. 6.14 $393,094 6.14 $ 404,599 6.14 $427,926 -21- Capital Improvement Projects by Department/Division Health Services CIP FY 20 Actual FY 21 Actual FY 22 Adopted FY 23 Recomm'd Number Capital Improvement Project Title Expense Expense Budget Budget 2602778 CRF.SCF.NT HFALTH CENTFR 200,000 100,000 Health Services TOTAL 200,000 100,000 0 0 -22- ']ki I�.�.i'L'Y C]1' I�L�� � ��rr��er�r�rcr�r]r� 1�1r�11�'1r�wr�4i{��xr 1 1 � ' � , � � � � � HUMAN E D U B U Q U E R E G I � N A L , socIETY COMMUNITY OF UNCONDITIONAL LOVE i �� ��;��'���5r'��. --��ree�&Healthy l��m�s�n�tiatiu� �#!� ,�'� � ��'.�i� ti�.'Y�_�`�iS�p �� . �-+"�,�`+• � •.s'*��=� ..,,• . 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'�, Ir � . "^�F.yl.-¢ir:�.[.F'". I ��=, I ,� r ,�<' :Y.��;; �,�w s:'�;..�:.. HOSTEU BY: « � �� � ..��. . y,,�:,� - � p SWITCHING PLACES loinan FacehaoX 5 '.. �.5,•. � ���.�:.�ig%f.�+ ?:� V,�� ��Sa„WrVER FOONUATION � � www�acehoak cam/queensAPeace `� � ��f'����� �• vF� a� .�,� .,°u r�.,..i." � � � 1�;.;�&'�:��,- I� r _�r,�1:.'�...� �'. . / o/'"{�r � � i i"� ��� �I i ��'� /. � ... '% /.I � .. , , � /�� � , _ `j'� F , ENVIRONMENTAL HEALTH � � - ' �p - ( - ' � ,�.,.�,� ,,� . ��';�i-�� '``- ��, � r-�v _ - E- , - . - -- ..---_ -- _ _.__�= h � p _ . � _ � � 7R1�v� �1���i�1 �`.� ��'��4��' '171�T �1n1 1Rf n� �i • . i i�' �_ . �7�. � �r�' _1t_��-`—,"---� . . _ . _ e � :k u:i,�,u � I'�e .i.uax..:• . ��W ���� .�:��w- Lu....u.� ' . 11�'lA _ � . �. �.. _ " k� . Promote a safe and health env�ronment b � . ��= � .: y y _ ., ,� assuring sanitary conditions and practices � . � - , - � 3 v �s �Y' • Food I ns ections � � `� ��i� � �` � � � �� �� p -d� � �� �.r� ti+ �.,�� �, s b�_4s �" a� 4�: �`�r � ��F . . . . �-a�.� 3ft.K x �7' .� ' ;,;� � _ ,y 1' � ., ;: • wimmin I in i n �� ��: . _ ,� � ��� S g poo /s pa s pect o s ���� � � � _ gr � = ��� . �- .` ::� .�� �- '� r � � ' �,,,- s� � ,�> ■ ■ a=, � � f �' � �' ,�,`�.� �. • ' �` ��' _ S • Tattoo ins ections � � a� � � ��w����:�� =� �� �� �� �4 � � � _ :����' ��_ ,�: � �� � . . ,,,�y��}': .' ,��- y�e_� �G� ..;i • Nuisance control � i� � � � ��� ���x �� ` � � � �k. -p,,.k,�. ��. � �, `.n"-�� � � a. ,� �: � i ' 4 Yr � . �:... ,, '� ' w' ��_ . a�' ' '�3 � ��- �� �, • Public Health Pre aredness ��� � � � � ' ' ' J� °u°� � =��3 � � � � '" ' ` V �"� � :,a��' �., :_ •�„� . - � � - ',�' ., � Plannin and Res onse � ���- - � - � '-�� J p � f ��.� � � �_ - ,� .�- � � .�. N - ' .. �i f, _� � . . , -��3 - • ' t P f —Y� 1 . i,-, ,� i _ I - f�Y� ��`Y ����i 7 �;� � ���.XY .�, �,". llk„c,,.� t 's F,� .�•� . 1 �� ^ .J� P" 'Y�('� �..F{ S' - �T ��, � Y.:�'14.d� �� ,` '� F k \' ... R -.- f).�.s , i r .f:�...�. � .�.F:�,� . . ,.��f�x .,, ti ..._ � _... . . . . .—.-. FOOD LICENSE REVENUE FY 2021 FY 2020 . .�i FY 2019 � FY 2018 � FY 2017 •� FY 2016 $0 $20,000 $40,000 $60,000 $80,000 $100,000 $120,000 $140,000 $160,000 Total Licensed Food Establishments FY 21 FY 20 FY 19 FY 18 FY 17 420 430 440 450 460 470 480 490 This includes Food service, retail food, hotels, home bakeries, and unattended retail food such as self service vending machines. Five Year Trend 35 30 25 20 2 15 10 - - ---- - - - - - - ---- - 9- - - - --- - - - --- - - - --- 5 0 FY17 FY18 FY19 FY20 FY21 Change of Ownership Out of Business New Establishments �_ -�- ---- �.,,� -'_ ,' � ��!� I' ;. ' ��I� �rf I I 11! � r` 1� �� ` t [�� 9 �1�1����� � FOOD ESTABLISHMENTS � ---- _ __ - �` - .���_� � ;� � � ,_ �� �� , ;�,,� _ 26 � Am Dr■'v'e•In. -�. � � 5 4 . . . -- New Change New Food Out of - Ownership Truck Business � � FY21 ,�*�,�� M��� . - -► _. � :� _ _ _ - =� ti� = 34 � � -- - �� li ! y 2V �� I�V _ �`_ � ����'�: Sweet T's Bakery LLC��^� � � -= � 22 = �T 1. Bakery 2� LAINRENCE BROTHERS BARBEC�UE FY16 FY17 FY18 FY19 FY20 FY21 � :- �, �..�. r' l��l .�� � New Food Establishments .��-�� , -�-�- �� �. y- ` , Sustainability Resiliency Equity Compassion �hin�se Thai �����i������ Minority Owned Businesses: �� �� �' � �� � i' � � 41 total currently licensed with the city �� �. . .�" �. � - 6 new in FY21 �h�u�i �u�:�wi k�;T�;�,. �, ^.. ����' '"�'�- ��� 3 new as of February 2022 � �� � �Cor��n Ja��r�es� � �, - _ � � � �:�,.?X w� ,. • �'�i � � � � � ��� � � _+ _� �� � �u�hi . ��' .���� � • � �'� - � ;��� ,'.,� �;;�. 4 � - �,,� �,ti a � , E11��15�'1 � .� - - � .r i .ir � �UShI � � . � � "'� , x � � , � o�400d gc Drug pff,.,as Com letion of Standards c l p .�° w� .� � 0 Standard 9, Verification Audit and Registry Report. Met on 8/5/2021 � ' - r -��FI� , ,�.. Contract with Department of Inspections and Appeals requires Standard 2,3,4,6, and 9. � Now fully meet Standards 1 , 2, 3, 4, 6, 7, and 9 Foundedl��6 � Standard 4 reassessed and completed January 2022 � Reassess other 8 Standards Awarded $5,000 to Complete a Comprehensive Strategic Improvement Plan from the NEHA-FDA • ■ ' ■ • ' Awarded $2,364 to attend the Self-Assessment and Verification Audit workshop ' ' � � � ' ' � " to be held August 2022 in Charlotte, NC ■ - � � ► . � ► • � Standard 1 : Regulatory Foundation Standard 2: Trained Regulatory Staff : _ . . � Standard 3: Inspection Program Based on HACCP Principles � Standard 4: Uniform Inspection Program � � " � � � � � � � " Standard 5: Foodborne Illness and Food Defense Preparedness and Response Standard 6: Compliance and Enforcement Standard 7: Industry and Community Relations Standard 8: Program Support and Resources Standard 9: Program Assessment ; � _ _��` � ENVIRONMENTAL HEALTH �,�- � � � � �5 � � ' . Hotel/Pool/Tattoo/Inspect�ons � - � _ � -��� �-. �� .� � � � :=� .:�� �� ���� Most common pool violation= Record Keepinq � -- . � , ��` ;;�` -_- r �4� �;4 ,* 1— y c' , �' ��. -• , � : � ,� _.....ti • H ote I s : 8 .�:- � � �, -_ - _.____ __ _ _ _ � ..� , - � � � �- � � � � - , `�� ��. - - r�� � r�► ,� . - ,..�.�'r . � ;'ir " � , � �- _ • PooIs : 35 - . �l�-�� � ,� � �� .�` "'.+� - _ .� v_ --�� � • Tattoo : 12 , - - -� - �► _ � � � - ��� ; :�; � �� Tota l : 55 � -� �� �� Environmental Health Grants AFDO-Managed Retail Program Standards Grant Program Awarded $1 ,082 for a Data Logging Thermometer —supported by the Food and Drug Administration (FDA) —Allows for staff to track cooling rate of food products over a period of time F"'KE � ] ],� 3:0: 9�F � Kn� � Awarded $5,000 to Complete a Comprehensive Strategic Improvement Plan from NEHA-FDA �� ' � 0 � � � ___ _ '� Awarded $2,364 to attend the Self-Assessment and Verification Audit workshop ���,_-_ to be held August 2022 in Charlotte, NC � - ■ ■ � � � � � � � � � � � � � � � '� . - E�`b.. . 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' r �i.,: ,�{r�� i3 " � • �xiy:7f,��. � "•1 ��'i,�.�. .{�.I�.11}S. . � I i . �i . � ��i.�.. i . � ':.�.. �;;i . �A'.;`;i. i'•„ .1� . �� �.� �,� —. r '. �. Y:.,�''..ra 1''�'. - . •y.i:'ii?'� �r.`l,.``�.'�s. �, �. 7 . - - _ � . .�t. - _ ��.���; .,�.;,,... � �t,. ,�. �.r: , ��x:Y N 4�tt: �� - - -; � �,',�� ��.,:.,�f�:�'s f ��.���'.• -�� L � �a�� -- � -- - - -.�.;;.", ; •,•)t�'��'• ����, •�� �•�;t;'S",r'.• -:.1�''; ��.z_�t: -��:�_:�: ��4:��� .:�;=. : ��;;� `���;s����:�f��:= �`�:�;{��t�`��;`�:�:�;�:�����,�:.::, FY13 �Y14 FY15 FY16 FY1 l FY'18 FY19 FY2Q FY2'I �+-�-�Qa��::.. . . Animal Control Complaints � Police Complaints Number of Animals Taken to the Dubuque Regional H u mane Society - —,�- +'y . 1• — �� . ��.;� :�'��4� 545 � � . ��}� �' 547 :��. �:�,, ��` �.��. � fifi4 � . � '.�� ���� � :f. _s "k�y �_!` I ' �� + � . �'������ �. � r . � 47� � _ - - - � . � � _ � �� - ,� � . _ �R��� . � � r 'r �. i. � �} � �' r � �` F_ �'., ��j . T ' � ' ' �� �`-�`� � 'a� _.� � k-— �. ' . . '-� -�.;� ; �.I� � � �# � . ,{ - � 435 � , `� '�` � 4 � '� � — — � , �� � , � 371 � � 365 ..� .��, 3 � . _ �y : � 29fi � 275 329 .� �.. �� - � . r .* � 252 248 230 � � ■ ■ � -�� ti�, �- FY13 FY14 FY'I 5 FY'I fi FY17 FY1$ FY'I 9 FY24 FY2'I � _� � ` - � � Animal Control � Police Public �� � �,, � . � �� - ����� . �� � � �' �� r , � y - .�� , �, .�� PET LICENSES �Z,000 � � ,�36 11 ,500 � , ,, 11 ,000 � 1Q,��$ 10 309 10,439 � 10,500 1D D91 � o oss � - � � � 10,000 � � 9,897 _ - _ � 9 341 9,43� 9,485 � 9,5�� � ---- - _ 9,055 - -:. 9,000 _ _ .� , , 8,5�� g,19� � s,000 FY1� FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY2Q FY21 878 more licenses purchased from FY20 to FY21 PET LICENSE REVENUE �260,000 $49,559 increase from 240,384 $240,00o FY20 to FY21 (21 %) �� $224,000 ' " " �� $204,00� 19a, 5 $180,000 � $16Q,000 � � 155,548 � $144,400 129,29 124 �00 = � � , � $104,00� 2410 2015 2021 �` • ;�, � Astra: Heather Satterly & ''" � ` � ; Olive: Randy Gehl Marco: Sarah Berna , . , ` � � Y J F k ' i � I. � Acorn: Gina Bell ! - -�'' _ � � � r �� � � �� _ _ � � ;�t « r . ._ __ .� � :� � �.__ . � � � � _ ..r,_- - �= . , -+Y �ti,.�`�� t � ::� - �- �` �-... � _ � ..�:�i,� � � - rs���` �`r ,ti��.-� � � ' • y . . :. � 3 1 - _� - . . —� ."1.h . 1 . . �.'�•'+,�$�• - • �.,�� . ""�- . npr i -;,,'t' ���-�t '� �� - - �! ,#�.-.;�;r�s ,c ��,*? . � "� � . _ . � r .� � --� � � � Mabel. Cori Burbach k�� • � ro ,, Rocky: Kelli Buchena�► . - � '� � ' _.:,,,,�.r, �, � �� ' �w ''- .. - '.�.r'.y�"`.. .:'If�''11 Lv .� �x,` '_' �;•� � � - i�f -" l. r ��r_ �- , . . . ` Jimmy J.: Sarah ,. , a '. ��5t�� i��t. ,�, r ; �'�;��'�y���' ''`R,��'�,*; ��� ,�' �� � �� �► - Petersen X�Yv� �. ,-:�_ ' �_, � � :- ��� _ IKi.,^'1�11� IA � �17 X4 !^? ' - °-�, +7 .��� ����� f''' 1 ��e:+i�.�'T � � ��>, � ,� Oden. i��ro'w 1��- �' � .K i s ��r� ,! ,� :.;� � . �' ,��,�. � � � ,� . ... _ . _ .t. ,.,���If. v�. . , .. . _ �r'e� - � y��. - ,y. � � � , �� Brad Cavanagh ,„�`�'��' �; :�� ��� �, 4s,-.��,r.=, ��: �' ,��, y7 � Y� � '°��� `�.,� ` ���.-- �� ',� .�y'i4 \ f`s ha ;j ``_ �"FR, �:.",_ ��'F f. \�� . � _��; �� 'i;� � a e� .,' ` -�,., :' � �.� , ,.� � ,�'r� 4 , .�,; 1 ' ;} IU .J. � . �; '�.� i .� +, . � �\ , �� _ +y, r._, � _ .. ; � - � ,�'' �¢ �a�� � � �� � � �� ' .� �� I�r'" ';,., °�F.� � � �, �'� r ; � 1 , - . �.�i,y�� � -'j������i. r' �� �`� f� ,� w �y.-� y— J •, ? � � � j ��.�,.: ♦ !4j� � � f l � yy � f E�}�, ... � ��.f• � � � a^D�`S�'� .^"��y'`._7 ��� -I \ , � . � .).t•� Y �y ��S �' ��. !r y- S;R� ,�.9 ' :. �� , tti'. � �� � � � '��f�tf � �� ,1��1_"� ,' � O,.N'k"�+ �� c '+. �5.:j��4k�C�� r , �✓r � .L-. � ' i ` �' Nabu: - -I 4 Kr � i 5 / � ',���`� . 1�� .h�4 s �+� ��� ,na y�' � 1 y`�i � �. . ' ' ;�'` �;�a �'' �.� �f.��•.•� ' �' J�' �ti� '` np:lY� k� i � _ y� r Y :L f�r�� i � ��` \� - �, e� rf j� � �' �' ��_� Kelly . �M. Y,,�i��f'�rr��i �.v � i.r�i`�#� \.�,��±'e�� �� r �* .�1 i���' ��...,.'_v'- ' ``:` ' :��,�rt��`.y:�1ti:.:�4�1M1.�Ii�3.����1] .Z�y'6'.l:��Y:� � Larson Teddy: Ken Miller Buddy: Laura Roussel Ruby and Toto: Jenny Larson ANIMAL BITES REPORTED �+ . 218 k � � _�� ~ ;�,�-.. . ;.:�'.�, •. ��`�F r.r� a - , •:��-��,�� ', ��:�-:,�. _ .. 179 183 �I 77 i'_� � �;:.r :_,_ � � _ ' � 144 - " � '134 136 '13 �"� - .. 128 '129 �� 124 �, . .:-�;`�+ �' _ `-, `" '117 120 . 121 '�� 109 _ k ,. 104 98 -_ ..� ,�, -=- �;r-- - 91 :�� --=r`�;5 --- 69 � 59 - 54 - j � �, 47 „ ^ 27 29 25 28 _ � 18�� _ _-- --_- ___-___- _ � r �} � .__- 3 � ,.: 4 5 � 3 3 5 2 �����:�� �� . �.sr. FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20 FY21 Dog Bites Cat Bites f 4ther Bites # Total CRUELTY & NEGLECT �11 INVESTIGATIONS 13; l �� 1� � � � � 143 '��5 � � ` �L �� taken outsici� of the fenceci runs s$ _ �.� -- ; � , � 42 � ; ' �� � �, 29 � � i �;I - 21 26 I � ; �: � � � �� i ' Animals left in Vehicles Neglect 1 Cruef' � � � FY18 FY19 FY20 FY2 � _ _'`��__ , ANIMAL CONTROL ENFORCEMENT License Citations Other Citations 1787 �3 72 'I 489 1532 63 1446 1318 48 48 45 1153 1037 "IU74 47 44 925 39 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY2Q FY21 FY13 FY14 FY1v FY16 FY17 FY18 FY19 FY20 FY21 Wild Animal Requests for Service �_ ��-.-. �. �.- . . � ., - � . _ :,� -- . - r--- _.�a �. �:``- ..1 f • �J'�. �+er i' r�i, r' � :.�', t ,i �, f. ,.�:� � �. -y.t.�- .�'..- �� � -- � �•.,-.: ,�_ � � .. ,_ . . . ;X _.�'l.._, - . � � j' ,_ l f y �r'3' .�.../�"'`w�� �,- ' . . rr,.d'�.. 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'� tr'������` �� 83 � � '! �'^ l�.�f'r - - ..,� ��\�§�+�r�•'y'� . , � '+-�� z. � r !•+'�, " �•'t.. � -r ;f. r•.! ..�":M1 ' , ••� \ � . =� . � ' � �,. 4 � f - � 56 ,�t�:.. � .. � � �. � ~ ' _�1 � � �. ` ,�. , `4 , �-r. / a�� ,. � � ` i. y \� ' r �7[7 �.'"`.. �� - � „� • 30 � s � ,-.Y�.�M, r �� � �� � �-� � _ �.�;;'�'. � - • - � � `� '4 ' �+� � r . . . `�'i�,'�'♦ � � i� .. ��}�`' �� ` L , { - r ��^, �� ��'/� �� 4 y` ,�� ��� ♦lµ��,:�� r�-a� �'`' ` ._ , �•.�'F`I• � �,�.��,��:'� � �� ��"`�` ���:`:�t` ��� FY15 FY16 FY17 FY18 FY19 FY20 FY21 � 4�J��,`� �h �. °� �' � ,:i ���, �" ` � � �=� ',,—,, , '� � . . � _�:' ;�J �'j.'�� lyy �� !� �� �il.� ��,�"��" ���`" — ���� .: Stray Trapping Activities Trapping Activities 135 � '� 120 :� - '� '�� 105 •4fi4�Y�•�. .�4 � ��F r - . �_, � � .f.4f rb� � F� ,�,� � 90 �� f ''� � � M1 75 'k� �� - � • � ��:�4 ' ;,�. � �i�; ;�•-�:=_ -� 6� � � w.\�` " -+t�r - �• ��� ;• � - "`�' .-� ' �' `;:,' �r --_-;�# • ���E��I` 45 r�:,� �. „�""�'y ;�' � ,� , f� y ,r � -,�i� . � 30 �.,� ��. �,- �Y 15 , �,. -�_: ,f� ' , 0 � I 1 �, — I I � FY16 FY17 FY18 FY19 FY2Q FY21 Trap Requests Traps 5et � Cats Trapped Other Animals Trapped Pets In Parks Pets I n Parks 22 21 ,,,, , . •.;�u��•'`:�h:? •-;,ti�:'�;_ .����;`u�:;..; *r � ' s`y�•: . ;�p:' '. ,. ;��.... , t.,,:;: �. .. 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I� f �- .� _��i�l: • . • Daily monitoring of: ✓ CDC updates, guidance and COVID-19 data � � ✓White House briefings ✓ lowa and Dubuque County COVID-19 cases, testing, vaccine administration, deaths, ✓ IDPH guidance and data ✓ Numerous website for data and information � . / ' / . • City council presentations every meeting since March 2020 - monthly since � � October 2021 • Prevention R��o�at�o��a�t���,e5 1 , 1 , r • Contact tracing / investigation (VNA) on Roshek Building 2A `-r i� Wahlert'sKamer�tzfakes M � �/�� ' Testing hisgametonewlevell� r���� r_��� `���� • Mask Policy with BOS, BOH, city council CricketHollowowners Resnickretiring • Vaccination :e4ruary3.:022•TxWgraufiH-iciiJ::on'�.�CLL�iJ•�e�.��;m appeal judge's ruling 5r from NISOM 7A • Treatment CouMyCOVl0.19cases . • OSHA vaccination requirements �,� x- ��� V�rus cases surge past i,000 �. � -+ .� �y��. �� "� I�ll�)I�C�LIP�lOti�)Iltl�ti.I10\��E'V�C[; ��� �� � � �a� �cowo-i9. 4 q_�![ . h -I 1 �I I I- I.[1t -Wn reF Pd9e]n �1 �� j.��, . � r�po�L d€op in CO�'[D 19 p�Lticnl5 � �� , � � �; �•��,�,� b 'dl tly N 1 A Ibepas� k ald- �,. 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" -- -- weekzpan. m.sthan�irinru�a�v�ix veelJe-iipd�eas�iikefra�i�ihe . /` v ^-� � .. • VnAt�hesanrlin�ethrnumb�[of o']�hntlil�c(fsn�r�c&mll�. ��rlon I.H, �r.1sesm�arlvAlhe��enous .SerCOVIDI9.PLC£36 .y� � * . � DUB � F. `�far�'vtv � `MA�NAGEMENT ... , ����m�,w..a.a�,�„ � � : � � ■ � ' : i AL G�IlERNIIlIEN L�NG TERM 1NALGREENS FEDERALLY QUALIFIED HEALTH CENTERS � y CARE FACILITIES y Limited surplus dases for {FQHC] 1Nal�eens/CV5 (Jan.&Feh.) GS+, �ubuque la�atians Canti nge n# � l On 5upplies �TATE �F 1�1NA FEDERAL RETAIL lawa Qept.of Puhlic Health pHARMACY PR�GRAIVI L,4UNCH—FEB. 11 �Crescent Cammunity � - - . . . Health Center �p��TIES ' ' ' ' ' ' Lacal Puhlic HeaFth(IMT) l l t . . Hy-llee & CVSr Hartigr Vllalgreens� Dubuque County �p�EN �IVlercyOne] Vllalmartr e#c. S LE E�IES �=�� 1�accine Prvviders . �pi =- . . � : � � Public Health IMT updates with PIO Facebook video updates PROTECTYOURSELF,YOURFAMILY,ANOYOURCOMMUNITY. � � � � GET VACCINATED! All Iwansage I6 entl otler are nvY eligible i riM1a COYIA-19 nccine. Media releases and interviews- TV, radio, newspaper, Politico CalltheSleevesUp.CaIlCenterat etc 563-690-MAKE (6253) Nead aeaistance making a wainaem eppointment? Whm you call[he Oubuque Caunty Sleeves Up!Call Center, a avigarorwillhelpYoufi�qlacalvaccination Mailers handouts billboards newspaper ads social media ePPortunilieeandwaiti�gliatapmvidedby�ubuqueCoonty heallhcare pmviAera antl pharmaciea as well as public > > 'J 'J dinics when they are afferetl. . / . „O�r� NeaE a ritle ro evecanelion eppoinhnml? p a, CaINheRTAa1563-508-0592or1-BOOA39-5005,ordial ��� ]11forRelaylowa.lfyouexperienceotlierbarriers sing Ne vaxine,call Ihe City of Oubuque Human Rights�epartment at 563-589-0190 so that tM1ey can work wilh vaccine planning groupa to atltlresa communiry neetla. . Weekly presentations/meetings with• qllavailableC0V10l9mccineaeRectivetypreventiMectionand . 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COVID-19 II�/IPACT The Universfty aF3owa Colleye of Pu61ic Health � � �� �� � � - � Catchingup `r • Food inspections • CHNAHIP • Pet license enforcement, • Employee performance reviews, ; a , � . education & training r� � -� � Lead & Healthy Home program case � , management and community education ��� � �� _ • What's next? � � � • Improving public health capabilities � �' ' • Updating/revising plans . � �� � • Training and education for staff � � • Exercises & drills ,. - • Grants and funding? . � _ IOWA � -� , � � .�, ��1�11� ;;"n� -'. f ' � � �� : � - �.1' ��,. �r�d .�n /�. _ `'��r � � � � � �� � I i k ' � '� � . ���i tr %��. ,�1Y+ �� �•� -. � +�'"�� r�� � �� �f -� �- � �. '`.. - ��, �� ��,� �'� ' . �`�.'" �� � '. _ ti �! �a , ���. 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