2021 Annual Report

Ingham County Health Department

2021

Annual Report

Strength, Resiliency, and A Shot of Hope

2021

Table of Contents

Health Officer's Letter.............................................3
About Ingham County..............................................4
Financial Report......................................................4
Ingham Community Health Centers..........................5
Communicable Disease Control................................6
Strength, Resiliency, and A Shot of Hope.................7
Environmental Health..............................................8
Health Promotion and Prevention.............................9
Maternal and Child Health......................................10
Community Health, Planning and Partnerships.........11
Ingham County Boards and Administration.............12

2

LETTER FROM THE 10 Essential Public
Health Services
HEALTH OFFICER
Assess and monitor population health
On behalf of the Ingham County Health Department, we are
pleased to present our 2021 Annual Report. 1 status, factors that influence health, and
The COVID-19 pandemic challenged us immensely, changing community needs and assets
many things--including the way we work and what we do, yet
Strength, Resiliency, and A Shot of Hope were the pillars of the Investigate, diagnose, and address
Ingham County Health Department’s work during 2021.
2 health problems and hazards affecting
Our staff continued to show their dedication to keeping the the population
community safe. The Communicable Disease Control division
investigated a record number of cases due to COVID-19 while Communicate effectively to inform and
managing other routine activities and investigations. All divisions
across the Health Department worked to ensure continued access 3 educate people about health, factors that
to services virtually and in person when it was safe to do so. influence it, and how to improve it
Ingham Community Health Centers received several recognitions
for their services by going above and beyond for every patient. Strengthen, support, and mobilize

I am especially grateful for the effort Ingham County Health 4 communities and partnerships to
Department staff and volunteers put in to ensure COVID-19 improve health
vaccines were efficiently and equitably administered in our
community. We administered over 120,000 doses of COVID-19 Create, champion, and implement
vaccine in 2021; emphasizing our strength and ability to succeed
during challenging times. 5 policies, plans, and laws that impact
health
With support from our community, the Ingham County Health
Department remains committed to keeping Ingham County safe Utilize legal and regulatory actions
and healthy. I am proud of the health department’s work in 2021
and look ahead to another year of progress and accomplishments. 6 designed to improve and protect the
public’s health
Sincerely,
Assure an effective system that enables
Linda S. Vail, MPA
Ingham County Health Officer 7 equitable access to the individual
services and care needed to be healthy

8 Build and support a diverse and skilled
public health workforce

Improve and innovate public health

9 functions through ongoing evaluation,
research, and continuous quality
improvement

Build and maintain a strong

10 organizational infrastructure for public
health

3

ABOUT

INGHAM COUNTY

County Seat Mason, Michigan

Population Density 519.7 persons per square mile

Births 2,815 (2020)

Deaths 2,598 (2020)
Heart Disease, Cancer, COVID-19, Unintentional Injuries,

Leading Causes of Death Stroke

Population: Total: 7.6 ± 1.8 deaths per 1,000 births
284,034 Infant Mortality Rate White: 5.9 ± 2.0 deaths per 1,000 births

Median Age: (2018-2020) Black: 16.4 ± 5.8 deaths per 1,000 births
33.8
Age Group Under 5 years: 5.1%, 5-19 years: 21.2%, 20-44 years,
Median Household 38.4%, 45 -64 years, 20.7%, 65+ years: 15.4%
Income:
$57,228 White: 69.1%, Black or African American: 11.5%,
Hispanic or Latino (any race): 8.2%, American
Race/Ethnicity Indian/Alaskan Native: 0.6%, Asian/Pacific
Islander: 5.6%, Two or More Races: 10.6%

Persons in Poverty 15.5%

Information provided is from the 2020 Michigan Department of Health and Human Services Division of Vital
Records and Health Statistics and the 2021 American Community Survey 1-Year Estimates.

FINANCIAL REPORT Expenditures

Funding $48,749,580

$48,749,580 COVID-19 Health
7.3% Promotion and
Other
Sources Community Prevention
10.8% Health Centers 9.2%
Jail
Federal/State Clinical Medical/Youth
42.8% 41.4% Center
3.3%
General
Fund Maternal and
18.6% Child Health

8.3%

Fees Medicare/Medicaid/ Health Community
(Environmental Commercial Department Health Centers
Payments Administration Administration
Health) 24.1%
3.7% 5.8% Medical 10.6%
Examiner Environmental
4 1.8%
Health
Communicable 4.8%
Disease Control

7.5%

INGHAM COMMUNITY
HEALTH CENTERS

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

TOTAL VISITS:
57,183

40,425 5,128 11,630

Medical Visits Dental Visits Behavioral
Health Visits

TOTAL PATIENTS:
17,463

8,298 2,250 229

School-based Homeless Patients Patients who are
Health Center Veterans

Visits

2021 HIGHLIGHTS

In 2021, Ingham Community Health Centers successfully passed the Health Resources and
Services Administration site visit with zero major findings and scored a rating of 100%
compliance.
ICHC received $4,255,625 in funding from HRSA to support health center operations during the
COVID-19 pandemic.
ICHC was recognized a one of the top Ryan White programs in the state by the Michigan
Department of Health and Human Services.
ICHC was once again recognized as a Health Equity Index Leader in LGBTQ Healthcare Equality
by the Human Rights Campaign Foundation.

5

COMMUNICABLE
DISEASE CONTROL

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

1,181 134,910 14 5

STI/HIV Vaccines Lyme Disease Rabid Bats
Clinic Visits (including flu and Cases

COVID-19)

Communicable Disease Cases Investigated 2021 HIGHLIGHTS

2018 1,564 The HIV/STI Prevention program
hosted National HIV Test Day on June
2019 1,508 16,340 25. 39 people were tested, the largest
number of testers since 2011.
2020 The continuation of the COVID-19
pandemic lead to an approximate
2021 33,543 106% increase between 2020 and 2021
0 in communicable disease cases
10,000 20,000 30,000 40,000 investigated by the Communicable
Disease Control Division .

6

Strength, Resiliency, and a
SHOT OF HOPE

As the COVID-19 pandemic continued, the ability to face the challenges presented head-on and
overcome never wavered. Administering the new COVID-19 vaccines proved to be no
different. ICHD's dedicated team of public health professionals stood up one of the largest
mass-vaccination sites in Michigan at the MSU Pavilion where nearly 100,00 doses of vaccine
were given between December of 2020 and June of 2021. Countless vaccination clinics were
held across the county throughout 2021 to ensure access to all.

7

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.

Pounds of Household Hazardous Waste Collected

1,037 2019 101.150
2020 68,198
Licensed Fixed Food
Service Establishments

2021 98,888

2,714 0 25,000 50,000 75,000 100,000

Pounds of Medication
Incinerated through Take-Back

Meds Program

2021 HIGHLIGHTS

118 The Land and Water staff completed 597 point of sale reviews
Well Permits in 2021, the most ever completed since the beginning of the
program.
257 EH staff attended community outreach events to educate on
Tobacco Retailer household hazardous waste and safe disposal.
Compliance Checks The Food Program completed a total of 2,473 inspections, of
8 those:

1,292 Routine inspections
47 Special transitory food unit first inspections
51 Pre-opening inspections

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.

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

2018 22 4

940 315

People Enrolled in Health People screened 2019 13 3
Plans by Registration & for breast and
Enrollment cervical cancer 2020

2021 HIGHLIGHTS 51 CERVICAL
CANCER
The Mobile Health Unit held 121 events in BREAST
underserved areas throughout Ingham County, CANCER
offering health services, vaccinations, and
health resources.
The HPP division conducted 139 trainings and
trained 587 people to use naloxone (Narcan), a
rescue medication for emergency treatment of
overdose. HPP staff also distributed 360
Naloxone kits.
Pathways to Care Program staff completed
5,699 home, shelter, jail, encampment, and/or
phone visits with more than 600 clients.

9

MATERNAL AND
CHILD HEALTH

Maternal and Child Health (MCH) 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.

5,019 1,155 7,958 22 1,105 939

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

WIC Clients Initiating Breastfeeding at Birth in 2021

Michigan 67.0%

Ingham County 75.9%

2021 HIGHLIGHTS

MCH provided childbirth education sessions for families who were pregnant and nearing
delivery, serving 34 individuals and their 6 support people.
Strong Start | Healthy Start program staff held a virtual Fatherhood conference,
Reflections of Fatherhood, with 8 speakers and over 90 community members. The
conference focused on the importance of dads in improving health outcomes for our
infants and families.

10

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.

20 1,000 86% 1,144

AmeriCorps VISTA Media Contacts Staff Training in Medical
members serving Incident Command Examiner Cases
throughout Ingham County
System

2021 HIGHLIGHTS

Local organizations hosting AmeriCorps
VISTA members included: Edgewood
Village Network Center, Communities in
Schools, Child and Family Charities, Capital
Area College Access Network, and the
Spartan Housing Cooperative.
The Community Health Assessment team
completed the 2021 Healthy! Capital
Counties, a regional community health
assessment and prioritization project.

13

INGHAM COUNTY HEALTH
DEPARTMENT LEADERSHIP

INGHAM COUNTY BOARD OF COMMISSIONERS

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

INGHAM COUNTY BOARD OF HEALTH Heather Dover, MS, RDN
Abby Schwartz, BA, MPH
Alexander Woods, BS, Board Chair A'Lynne Dukes, MMA, CAN, CDP
Derrell Slaughter, Ingham Co. Commissioner Liaison Barbara Worges, MPH
Denise Chrysler, JD Felicia Eshragh, JD, MPH
Ed Dore, MPA
Nino Rodriguez, PhD
Gary Rowe, RS, MS

INGHAM COUNTY COMMUNITY HEALTH CENTERS BOARD

Hope Lovell, Board Chair Vijay Fitzpatrick
Katreva Bisbee, Board Vice Chair Josephin Washington
Garrett Wheat, Board Secretary Monica Trevino
Todd Tennis, Ingham Co. Commissioner Vincent Hall
Aurelius Christian Florensio Hernandez
Dr. Douglas Edema

INGHAM COUNTY HEALTH DEPARTMENT ADMINISTRATION

Linda S. Vail, MPA, Health Officer
Adenike Shoyinka, MD, MPH, Medical Director
Eric Thelen, MBA, CGFM, Chief Financial Officer
Anne Barna, MA, Deputy Health Officer
Brenda Gray, PhD, 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

*Health Department Administration is current for October 2022

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We serve the communities 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

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