Ingham County Health Department 2019 & 2020 Annual report

Ingham County Health Department

2019 & 2020

Annual Report

Public Health in Action

2019 & 2020 Table of Contents

Health Officer's Letter......................................3
About Ingham County.......................................4
Financial Report...............................................5
Ingham Community Health Centers.................6,7
Communicable Disease Control.........................8
Public Health in Action, COVID-19...................9
Environmental Health......................................10
Health Promotion and Prevention.....................11
Maternal and Child Health...............................12
Community Health, Planning and Partnerships..13
Ingham County Boards and Administration.......14

2

LETTER FROM THE 10 Essential Public
Health Services
HEALTH OFFICER
1 Assess and monitor population health
On behalf of the Ingham County Health Department, we are pleased to status, factors that influence health, and
present to you our 2019-2020 combined Annual Report. community needs and assets

This report’s theme, “Public Health in Action,” demonstrates the 2 Investigate, diagnose, and address
dedication and hard work of our staff and community during the last health problems and hazards affecting
two years, as we experienced a public health crisis unlike many have the population
experienced in their lifetime. The work of public health promotes and
protects the health of people in the communities where they live, work, 3 Communicate effectively to inform and
and play. While this work is completed through the services that we educate people about health, factors that
offer daily within the department, in 2019 and 2020, Ingham County influence it, and how to improve it
and the global population, saw Public Health in Action.
4 Strengthen, support, and mobilize
Throughout the last two years, our community has looked towards the communities and partnerships to
Ingham County Health Department to provide guidance, resources and improve health
support in navigating the COVID-19 pandemic. We have been
challenged to adapt to the rapidly-evolving disease and to be 5 Create, champion, and implement
transparent with the data, science, and prevention practices against policies, plans, and laws that impact
COVID-19. While dedicating time, resources, and staff to addressing health
the burden of COVID-19, the Ingham County Health Department has
continued to provide regular public health services and programs, 6 Utilize legal and regulatory actions
which we are proud to share with you in this report. designed to improve and protect the
public’s health
Looking ahead, the Ingham County Health Department remains
committed to keeping you informed about the health of our community 7 Assure an effective system that enables
and keeping Ingham County residents safe and healthy. equitable access to the individual
services and care needed to be healthy
Sincerely,
8 Build and support a diverse and skilled
Linda S. Vail, MPA public health workforce
Ingham County Health Officer
9 Improve and innovate public health
functions through ongoing evaluation,
research, and continuous quality
improvement

10 Build and maintain a strong
organizational infrastructure for public
health

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ABOUT

INGHAM COUNTY

County Seat Mason, Michigan

Population Density 522.9 persons per square mile

Births 3,054 (2019)

Deaths 2,238 (2019)

Leading Causes of Death Cancer, Heart Disease, Unintentional Injuries, Chronic Lower
Respiratory Diseases, Alzheimer's Disease

Population: Infant Mortality Rate Total: 6.4 ± 1.6 deaths per 1,000 births
292,406 White: 5.4 ± 1.9 deaths per 1,000 births
(2017-2019) Black: 13.8 ±5.3 deaths per 1,000 births

Median Age: Age Group Under 5 years: 5.5%, 5-19 years: 21.2%, 20-44 years, 37.8%,
32.4 45 -64 years, 21.7%, 65+ years: 13.8%

Median Household White: 74.6%, Black or African American: 12.5%, Hispanic or
Income: Race/Ethnicity Latino (any race): 8.0%, American Indian/Alaskan Native: 0.7%,
$54,395
Asian/Pacific Islander: 7.0%, Two or More Races: 4.4%

Persons in Poverty 17.7%

*Due to the impact of the COVID-19 pandemic, the Census Bureau has changed their 2020 American Community Survey release schedule.
Information provided is from the 2019 State of Michigan Health and Human Services data.

Ingham County Health Department

We serve the cities of Dansville, East Lansing, Haslett, Holt, Lansing, Leslie, Mason, Okemos,
Onondaga, Stockbridge, Webberville, and Williamston.




OUR MISSION Protect, improve, and advocate for the health and well-being of our
community by identifying and advancing the conditions under
which all people can achieve optimum health.

OUR VISION Excellence in health and well-being for all, honoring our diverse
community.

OUR CORE Health Equity & Social Justice; Respect for Others; Service
VALUES Excellence; Accountability; Continuous Mutual Learning; Innovation

4

FUNDS & EXPENDITURES

FINANCIAL REPORT

Funding Expenditures

$46,764,748 $46,764,748

Other Sources Communicable Medical
Examiner
11.4% Disease Control
1.5%
General Fund 9.8%

26.6% Environmental

Federal/State Health
30.3%
5.2%

Community Community 2019
Health Centers Health Centers
Administration
Clinical
11.1% 43.3%

Fees (Environmental Maternal and Child Health Department
Health) Health Administration
3.7% 9.3% 6.0%

Jail Medical/Youth

Medicare/Medicaid/ Center Health Promotion
Commercial 3.3% and Prevention
Payments
28.0% 10.5%

Funding Expenditures

$46,931,000 $46,931,000

Other Sources Medical COVID-19
11% Examiner 8.6%

General Fund Federal/State 1.4% Community 2020
24.7% 38.9% Communicable Health Centers
Disease Control
Clinical
7.8% 40.4%
Environmental

Health
4.7%

Community
Health Centers
Administration

10.6%

Fees (Environmental Medicare/Medicaid Maternal and Child Health Department
Health) /Commercial Health
3.6% Payments 8.2% Health Promotion Administration
21.8%
Jail Medical/Youth and Prevention 5.7%
Center
3.8% 8.8%

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DEPARTMENT DIVISION

INGHAM COMMUNITY 2019

HEALTH CENTERS

Ingham Community Health Centers (CHCs) are comprised of eleven care delivery sites in Lansing.
They were the first public-entity administered Federally Qualified Health Centers (FQHCs) in the
state.

TOTAL VISITS: 9,372
79,266
Dental Visits
58,524 11,370

Medical Visits Behavioral
Health Visits

TOTAL PATIENTS: 4,930 2,727 124
22,215
School-based Homeless Patients Patients who are
6 Health Center Veterans

Visits

2019 HIGHLIGHTS

The Ryan White Program began the Life With
HIV campaign; a campaign to decrease HIV
stigma, increase access to services, and reduce
HIV/STD related disparities and health inequities.
The CHCs began offering Medication-Assisted
Treatment (MAT) services for patients diagnosed
with a substance use disorder at New Hope and
Birch Community Health Centers, allowing
trained providers to dispense or prescribe narcotic
medication such as buprenorphine, in settings
other than an opioid treatment program.

DEPARTMENT DIVISION

2020

TOTAL VISITS: 4,875
58,365
Dental Visits
48,582 4,908

Medical Visits Behavioral
Health Visits

TOTAL PATIENTS:
19,960

3,882 2,103 86

School-based Homeless Patients Patients who are
Health Center Veterans

Visits

2020 HIGHLIGHTS

In 2020, the Ingham Community Health Centers
implemented a telehealth program in partnership
with Luma Health for their patients, allowing for
improved patient access to care in the midst of
Michigan's emergency shut-down orders. At the
height of operations, approximately 30% of patient
appointments were telehealth visits.
Willow Health Center relocated to a more central
Lansing location in March of 2020.

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DEPARTMENT DIVISION

COMMUNICABLE
DISEASE CONTROL

The Communicable Disease Control Division is responsible for the epidemiological investigation,
prevention, intervention, control, and surveillance of communicable diseases in Ingham County to
protect the public's health.

2020 2019 4,308 20,004 6 3

STI/HIV Vaccines Lyme Disease Rabid Bats
Clinic Visits (injections, in. flu) Cases

3,143 5,861 7 3

Communicable Disease Cases Investigated 2019 & 2020 HIGHLIGHTS

2017 1,591 In 2019, the Immunizations Program
continued to manage the hepatitis A
2018 1,564 10,000 13,754 outbreak by completing outreach and
2019 1,508 holding 82 clinics in the community.
2020 15,000 The Communicable Disease Control
5,000 Division saw an approximate 812%
0 increase between 2019 and 2020 in
communicable disease cases investigated
as a result of the COVID-19 pandemic.

8

DEPARTMENT DIVISION

Public Health in Action

COVID-19

The COVID-19 pandemic challenged local health departments to increase our resources, our
staff-time, and identify unique and safe ways to reach our residents. Looking back on 2019 and
2020, we are reminded of the strength and resilience of our staff, partners, and community members.
Our dedicated team of public health professionals took on many roles beyond their regular positions
and ICHD expanded our workforce to increase our ability to respond during unprecedented times.

COVID-19 44 Community outreach testing events
Testing
In 2020, the Ingham County Health Department held over 44 testing events
between the months of May and December through collaboration with
community partners, including: churches, senior apartment complexes,
schools, refugee communities, shelters, youth homes, and many more.

3,364Tests provided by the Community Health Centers

In 2020, the Ingham Community Health Centers (CHCs) provided 3,364
COVID-19 tests. The CHCs responded to the increased need for testing by
mobilizing a COVID-19 testing drive-thru, increasing the ability to provide
critical services to the community and their patients, while ensuring patient
and staff safety.

Isolation & 232 Individuals provided isolation or quarantine
Quarantine
housing
ICHD Workforce
Beginning in March of 2020, ICHD supported 232 individuals who needed to
self-isolate or quarantine due to homelessness or inability to safely isolate at
home. Through partnerships with an area hotel, the Capital Area Transit
Authority (CATA), and Tri-County Office on Aging (TCOA), the hotel
participants were able to safely complete their isolation or quarantine time
due to their COVID positive (or presumed positive) status.

159% Increase in employee overtime between 2019

and 2020
The COVID-19 response required health department staff to work beyond
their regular work positions and hours. Employee overtime increased from
2,011.93 hours in 2019 to at least 5,206.43 hours in 2020.

$4,013,127 Spent on COVID-19 response

9

DEPARTMENT DIVISION

ENVIRONMENTAL
HEALTH

Environmental Health (EH) protects the public from adverse impacts of environmental factors (man-
made, natural, biological, or chemical) by responding to complaints and enforcing federal, state, and
local statutes.

2019 Pounds of Household Hazardous Waste Collected

1,050 130 2018 101,535

Licensed Fixed Well Permits 2019 101.150
Food Service
Establishments

2020 2020 68,198

0 25,000 50,000 75,000 100,000 125,000

996 66

2019 & 2020 HIGHLIGHTS

In 2019, Ingham County's Household Hazardous
Waste Program served approximately 1,778
vehicles. In 2020, they served 1,408 vehicles.
In 2019 and 2020, the Household Hazardous
Waste Program collected:

11,703 pounds of aerosol materials
94,182 pounds of flammable materials
13,019 pounds of household cleaners
21,706 pounds of pesticides

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DEPARTMENT DIVISION

HEALTH PROMOTION
AND PREVENTION

Health Promotion and Prevention (HPP) works to promote wellness and prevent illness across the
lifespan. Initiatives focus on maintaining the health and well-being of adults and families in the
county.

2019 Cancers Found through the Breast and Cervical
Cancer Control Navigation Program (BC3NP)

2,766 502 270 2018 3
3
People Enrolled in People screened Tobacco Retailer 9 4
Health Plans by for breast and Compliance
Registration & cervical cancer Checks 2019
Enrollment
22
2020
2020

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4,047 293 268 BREAST CERVICAL
CANCER CANCER

2019 & 2020 HIGHLIGHTS 11

In 2019, the HPP division conducted 49 trainings and
trained 528 people to use naloxone (Narcan), a rescue
medication for emergency treatment of overdose.
In 2019, the Tobacco Use Reduction Program
(TURP) assisted 166 Ryan White clients, providing at
least one of the 5 A's to Intervention - Ask, Advise,
Assess, Assist, and Arrange. In 2020, TURP assisted
258 Ryan White clients.
In 2020, the HPP division developed an online
resource guide to increase the understanding of health
plan options.

DEPARTMENT DIVISION

MATERNAL AND
CHILD HEALTH

Maternal and Child Health Division (MCHD) provides home visiting, community nursing, nutrition
education, and social work services. MCH staff meet families in homes, schools, and other community
settings to provide preventative services that focus on improving health outcomes.

2020 2019 7,008 1,000 6,670 25 14,700 18,400

Total MCH Children's Average Strong Start | Hearing Vision
Home Visits Special Health monthly Healthy Start Screenings Screenings
Care Services participation in
WIC programs Education
Clients Workshops

5,037 1,258 7,806 14 10,318 10,987




WIC Clients Initiating Breastfeeding at Birth in 2020 63.9%
Michigan

Ingham County 72.2%

2019 & 2020 HIGHLIGHTS

MCHD staff organized community health nursing
training sessions, observation and hands-on
opportunities for 63 nursing students from Michigan
State University and the University of Michigan.
In 2019, the MCHD partnered with Sparrow Hospital
to provide childbirth education sessions for families
who were pregnant and nearing delivery, serving 56
individuals and their 51 support people.
Staff offered 30 Safe Sleep Outreach and Education
Workshops, to teach the importance of safe sleep
12 practices during infancy.

DEPARTMENT DIVISION

COMMUNITY HEALTH,
PLANNING, AND PARTNERSHIPS

Community Health, Planning, and Partnerships (CHPP) works to power data-informed decision
making and to address social determinants of health, while developing partnerships and engaging in
planning to promote wellness and health equity throughout Ingham County.

2019 12 70 94% 860

Volunteers Recruited Media Contacts Staff Training in Medical
by AmeriCorps VISTA Incident Command Examiner Cases

System

2020 13 1,024 94% 1,073
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2019 & 2020 HIGHLIGHTS

Local organizations hosting AmeriCorps VISTA
members included: Spartan Housing Cooperative,
Firecracker Foundation, Refugee Development Center,
Capital Area College Access Network, Edgewood
Village Network Center, Lansing Promise, and the
MSU Community-AID Laboratory.
AmeriCorps VISTA program recruited and managed
455 volunteers.

ICHD LEADERSHIP

INGHAM COUNTY BOARD OF COMMISSIONERS

Bryan Crenshaw, Chairperson, District 4 Mark Grebner, District 8
Derrell Slaughter, Vice- Chairperson, District 3 Irene Cahill, District 9
Randy Maiville, Vice Chairperson Pro Tem, District 6 Robert Peña, District 10
Victor Celentino, District 1 Emily Stivers, District 11
Ryan Sebolt, District 2 Mark Polsdofer, District 12
Todd Tennis, District 5 Randy Schafer, District 13
Chris Trubac, District 7 Robin Naeyaert, District 14

INGHAM COUNTY BOARD OF HEALTH

Alexander Woods, Board Chair Heather Dover, MS, RDN

Derrell Slaughter, Ingham Co. Commissioner, Vice Chair Barbara Worgess

Denise Chrysler, JD A'Lynne Dukes, MMA, CAN, CDP

Saturnino Rodriguez, PhD Ed Dore

Gary Rowe, RS, MS Felicia Eshragh, JD, MPH

Abby Schwartz, BA, MPH

INGHAM COUNTY COMMUNITY HEALTH CENTERS BOARD

Hope Lovell, Board Chair Monica Trevino
Katreva Bisbee, Board Vice Chair Florensio Hernandez
Jeffrey Brown, Board Secretary Mary Molloy
Todd Tennis, Ingham Co. Commissioner Dr. Douglas Edema
Vijay Fitzpatrick Vincent Hall
Dan Ross Garrett Wheat
Spencer Simmons Royce Jones

INGHAM COUNTY HEALTH DEPARTMENT ADMINISTRATION

Linda S. Vail, MPA, Health Officer
Adenike Shoyinka, MD, MPH, Medical Director
Eric Thelen, MBA, Chief Financial Officer
Joel Murr, MPA, Deputy Health Officer
Brittany Moore, RN, MSH-PH, Deputy Health Officer
Kris Drake, MHA, FACHE, Deputy Health Officer, Executive Director of the Ingham Community Health Centers
Ronald Charles, MD, MHA, FACP, FACHE, Medical Director of the Ingham Community Health Centers

*This list is current as of November 2021

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Our Mission

Our mission is to protect, improve, and
advocate for the health and well-being

of our community by identifying and
advancing the conditions under which all

people can achieve optimum health.

5303 S. Cedar St • P.O. Box 30161 • Lansing, MI 48909-7661
Ph: (517) 887-4311 • Fax: (517) 887-4310 • hd.ingham.org
Ingham County is an Equal Opportunity Employer