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HomeMy WebLinkAboutAgenda Report - January 21, 1987 (88)CITY LOUNCIL FRED M REID, Mavor EVELYN M OLSON Mayor Pro Tempore DAVID M. HINCHMAN IA.MES W PINKERTON. Ir )OHN R. (Randy) SNIDER CITY OF LODI CITY HALL, 221 WEST PINE STREET CALL BOX 3006 LODE, CALIFORNIA 95241-1910 (209) 334-5634 January 28, 1987 Mr. Jams F. Culbertson President San Joaquin Local health District 641 North Pacific Avenue Lodi, CA 95240 Dear Jim THOMAS A PETERSON City :✓tanager ALICE M. REiMCHF City Clerk RONALD M, STEI!%t City Attorney On behalf of the Lodi City Council, may I extend our sincere appreciation to you and Dr. Khanna for your presentation at the last Council meetinq regardinq the State of the District and its goals. It was a most informative report. Also we would like to thank yrvu for your kind invitation to your open house. I would like b, take this means of o mending you for your ongoing cmutment of time and energy in serving your oommmity on this most impurtant bc> rd. Very truly yomn, AlicE M. Reimc Citv Clerk AMR: J J LODI HEALTH CENTER CLINIC SERVICES The Lodi Health Center Clinic is the busiest clinic of the outlying area clinics. Clinic service hours were increased by 8 hours for a yearly total of 604 hours. Through the use of the Mobile Health Clinic, another clinic site is offered on the east side of Lodi at Heritage School. Special measles clinics have also been held at school sites. Services offered at the Lodi Health Center Clinic include: Well child screening physicals, CHDP physicals, adult screening physicals, hearing and vision screenings, travel immunizations, senior flu_ and pneumonia immunizations, immunizations for children and adults, PPDs, premarital blood draws, and annual rabies clinics. In 1986 1,182 physical exams were conducted at the Lodi Heelth Center. A total of 21,683 immunizations were given. Four hundred and ninety-nine canine rabies vaccinations were given and a total of 1,354 miscellaneous service units were rendered. Total unduplicated patient count for Jan -Dec 1986 was 8,239. CLINIC SCHEDLZES-SAN .IOAQUIN LOCAL HEALTH DISTRICT ALL CLINICS ARE BY APPOINTMENT. WITH THE EXCEPTION OF SEXUALLY TRANSMITTED DISEASE AND IMMUNIZATION CLINIC t STOCKTON HEALTH CENTER -1601 EAST HAZELTON AVENUE" TELEPHONE: 466-6781 immunizations -Adults & Children Premarital Examinations Child Health Examinations Sexually Transmitted Disease Well Baby Examinations Youth Examinations HTLV-III Antibody Testing Tues. 1-4:30, Wed. 8-11:30 Mon., Wed., Fri. 1-4:00 Mon. A.H., Thurs. all day Mon., Wed., Fri. 1-4:00 (Summer Wed. 1-6:00) Mon. A.M., Tues. A.M., Thurs- P.M.. Fri. A.H. Mon. A.M. Mon., Wed., Fri. 1-4:00 LODI HEALTH CENTER: -300 WEST OAR STREET, TELEPHONE: 369-3621 Immunizations Well Baby Examinations Child Health Examinations Fri., 1-4:30, 1-5:30(Summer) Thurs. P.M. Thurs. P.K. Open By Appointment By Appointment Open T Appointment By Appointment Ope Open By Appointment By Appointment MANTECA HEALTH CEN1•ER-124SYCOMORE AVENUE TELEPHONE: 823-7104 1st., 2nd.. & 4th. Wed. Open Iasmuni�ations 1:00-4:30 1st. '& 4th. Wed..A.M. By Appointment Well Baby Examinations 2nd. Wed. A.H. By Appointment Child Health Examinations T,vACY HEALTH CENTER --205 WEST NINTH STREET, TELEPHONE: 835-6385 or 835-6386 1st,. 2nd.. & 4th. Tues., Open Immunizations 1-4:30 2nd. & 4th. Tues.. P.M. By Appointment Well Baby Examinations 1st. Tues.. P.M. By Appointment Child Health Examinations Fridays. A.M. By Appointment Antepartum Clinic ESCA3,ON MOBILE CENTER -1055 ESCALONi AVENUE TELEPHONE, 823-7104 3rd Thurs., 8:30 '- 11:30 Opp Immunizations 3rd Thurs . , A . M .: By App ointment Examinations Baby Examiations 3rd Thurs . • A - M -1 By Appointment Child Health Examinations RIPON HEALT3 CENTER -127 SOUTH ACACIA s �T, TpyyEPH0IIE: 823-7104 Immunizations - Well Baby Examinations Child Health Examinations 3rd. Wed. 8:30-11:30 3rd. Wed, p.m. 3rd. Wed. P.M. *Antepartum Clinics in Tracy are San Joaquin General Hospital Clinics Open By Appointment By Appointment i � + ` .�-A r �, f� ' �� Y t• �� r� i •� e e e � e r e ' `� a •e. T N j 0 A— t ADOLESCENT FAMILY LIFE PROGRAM- - case m=w.macrit sor prep= mid pareving teens - As--ssmerd MW referral ID CDMMM14 resDurl:es - Ages 17 z -A under arc eligNie - C-0 468-548#1 AMS EDUCATION Spe2W VMMUSDM and - Written and audio-rrstnal resomte OMMM00, comseling and referrals C2U 468-3495 AIR POLUU;;Umn N 'cbgTRbL Ck=ordeny peaaftsloxlrpoUu*m soum Monbwftand=veMzweof* ponation 9 11 r - r - - Airqja&ynzzUgauentpl=ft AfficulturAbcmpermfts PruawkWon of new rulellm U I N =L 0 C BIRTH DEFECTS M019 MIG PROGRAM state program to mm" xid mvviga birth dekM PorAa5on based registry cfEen with zqxuu-A cof;jwAd;,no= D= base avagabie to & -,enfi or physicians for research Imposes CHILDREN SERVICB- MEDICAL THERAPY PROGRAM - nqsiw and OmTxiorzd SPYFVVW in a School S" - chwren with neummusafir and related p1maw we WMAY ftwe - Binh to 21 years - CA 944.4593 ,CHILD HEALTH DMBRM PREVENTION PROGRAM. - ASdZ dW Sanjoaquin County M*MaL aiK Ado&moent Heft Board - outrexh, case rowurm-meut, and rebT& for Me" and other ebgftk youth, age 0 to 21 years Assists and audits rt e(W CHDP providers DENTAL DISEASE i PREVENTION PROGRAM Tadiesoral hygiene, nutrition. safety Provides ftos!, toothbrushes and fluoride moudwirlse Any K-6 cies; is eligiNe can 469-3491 R0FIRONMENTAL HEALTH SEIRVICFS - Adivitles include inspecticm, monitoring xw auvemwice - ftmrns WUde raises control, food, water, toxics, wwW, lmd use and vwoe conbd 4 AM COMMUNICABLE DISEASE SERVICES Qcmmnky and xboa e&x;don camuit2tion Heft e&xation and FWK*iM .St2ffde-VeiopmedCrud e&xzian F&Xgk),W mxffws h I S T R I C 5 E R \' I C E S -. l 9 -— HEALTH EDUCATION SERVICES - Gommunitg and school education consWtation ` - Health education and promotion de%T10pr1 st and education Educational materials # HOME HEALTH SERVICES - Sashed nursing care - tide case - For qualified homebound f IMMUNIZATION SERVICES - Routine immunization for children - Tmvders' immunizations - 1`toinimri ng and consultation to 5dWIs - Patent record information - Annual influenza and pneumonia vaccine clintics B..vaodn2 ion for *risk . professionals MEDICAL EXAMINATION SERVICES Routine adult physicals - . Premarital eXms - Sports physicals Mobde beatth clinics Weil child clinics PERINATAL SERVICES ' - Liaison bets vm physicians and State - Technical assistance to providers in subsidized programs . - Public inbvintion and educasion - PIN visits on referral to ho risk population► i PUBLIC HEALTH LABORATOR i - Laboratory analysis and epidmiolow studies - Fm ironmenW tcswg - con.Atltwort and Iefmxe wivim PUBLIC HEAL'T'H NURSING - Home visit by tefetal to high risk PWUWJM end ooze disease act 1, A atzvio - School beahh m� sand ttttEsing - sms f k"r-up - High tisk k f = - older I&* stet V at sued sites O . s i SEXUALLY TRANSMITTED DISEASE CLINIC _ Diagnosis and uxasment Foflow-up of amtaus iff (AIDS) antibody test - I f v v v V ' I SOUTHEAST ASIAN REFUGEE HEALTH SERVICES - PHN assessment and referral with interpreters - Communicable disease services - Maternal and child health services - Tubenulosis aaml services E IT11 TUBERCULOSIS SERVICES - Sidn tests and Y rays - Mural treatment at Bret Harte clinic Home follow-up Intermittent therapy VITAL STATISTICS - Yuan statutia and oommunflatHe disease data . - R of births and deaths - CetiW Caples of birth and death certificates WOMEN, INFANT AND CHILDREN - voudnens kis supplemental foods - Nutrition education and counseling - pregnant and breast -f wAng anmen, Wants, and children up to age 5 are 1 ea fi -9 8 7 B_ - 0 A R D M E IM B E R JaMCS F CAJ&7MM 'I Fn� - M I I Daniel L Flores Suxkton fiAn D. Mase, M -D_ EarlN4entrl T—Y XIM"', T­Ujoyce Escabn Varnm t. 'Amm4ca See ,,t,y-San),,q.in Nary Anm Vice Presidew - San Joaquin 4 Sanjoaqwn U== %fi.cant The Board of Trustees serves as the governing body for the San Joaqvin tpr_il t, 1-h Wtrict. They oversee the Health I)istricl in its mission to -wotect and promote the health of all county residetits. Six Ir"ecs are selected by city g(nwriments I mid three (xhc, are chosen b-1 the San Joaquin County Board of Supervisors_ - !k)mc Health District services are provided free of dim-ge tither service charges are bared on income and family sim - Nk)-st clinics can arrange translation services in Spanish, Tagalog. Xletnzwse, Cambodian. Laotian, etc. - -AM)intments are necessary for some clinics and services. 1 f AREA OFFICES r Stockton 1601 L -Hazelton Avenue 466-6781 M -on. -fflri., 8 to 11:30 am.', I to 4 Lodi 300 W. Oak. Street.• 369-3621 it I ikid',`ay, 1:00 to 4:30 p.m. Manteca --�,424 sycamore street .,:.823-7104 Wednesday, L.00 to 4:30 P.m. Tracy_ 205N. 9th Street, 835-6385 Itiesday, 1:00 to 4:30 PA. Residents of Escajon and Ripon should call the Manted offim Prorklesome- " services for hdormation- A mobile vans to all cities in S&ijoxpjin County, including linden and Th6rnton. Call the.%&.on office for m`oreinfbr�tion. A cash. SAN JOAQUIN LOCAL HEALTH DISTRICT 1641 E. Hazelton Avenue PO. Box 2009 - Stockton, CA 95201' PUBLIC HEALTH MISSION Mission of Public Health is to protect, preserve and promote the health of the community, irrespective of age, sex, race, ethnicity, or income in San Joaquin County. PUBLIC HEALTH GOAL Protect, preserve and promote health of all San Joaquin county residents by: I. Prevention of preventable diseases; 2. Prevention of premature death, deformity and disability; 3. Promotion of optimal physical emotional and social wellbeing. ONGOING FUNCTIONS & RESPONSIBILITIES OF PUBLIC HEALTH I. Provide educational activities to establish or modify knowledge, attitudes or behaviors e.g. health education, health promotion, patient education (hypert.nsion, breast self-examination, PAP smear, prenatal education, safety education, dental education_), healtL risk reduction education, senior health promotion, injury prevention for senioi:z; infant car seat and seat belt use education, health effects of toxics and air pollutants in the air. 2_ Frovide pi:orams with preventive actions, immunization, WIC vouchers (for pregnant women, infants, preschool and headstart children). Dental edu:ation for k-6 plaque control, fluoride mouth rinse, nutrition education, TB prophylaxis. 3. Early detection of health problems, eg high blood pressure screening, TB skin testing, child health screening clinics, senior's health, sexually transmitted disease clinic, HTL\: III antibody testing and counseling program (with counseling and referral for definitive diagnosis). 4. Other cervices include Public Health Laboratory Services, Vital Statistics, general Public Health Nursing field services, Home Health Agency, Eavironmental Health Services in the areas general sanitation, restaurant inspections, housing program. t z I MAJOR CAUSE'S OF DEATH 1. Diseases of the heart 2. Malignant Seoplasas LLLNTROLLABLE RISK FACTORS SAN JOAQUIN COUNTY 1981 RATES UC CALIF. U. S. 2 RISK FACTOR 283.8 264.2 324.4 Sawking. hypertansi"n, ele- vatedserum cholesterol (diet) lack of .tercise. diabetes, stress. family history. 193.9 175.6 3. Cerebrovascular Disease 57.1 60.0 4. Accidents and adverse effects Moto= vehicle Other accidents b adverse effects 5. Chronic obstructive pulmonary disease b allied conditions 48.3 39_9 28.3 20.8 20.0 19.1 39.6 31.1 191.6 Smoking, worksite carcinogens alcohol, diet. euvironmantal carcinogens. aclar radiation, ionising ggents.lnfectitious agents. me3ications. 65.6 Hypertension, smokinge ele- vated serum cholesterol. st.ess. 40.1 19.6 Alcohol, no seatbelts, epeed, roadway design. vehicle -agineerinq 20.4 1.1cohol. drug abuse, smoking (fire product. design, home ba_ards. handgun availabilit, 29.8 Air pollution. smoking. S. Influenza 6 pneumonia 20.8 25.9 25.0 Smoking. vaccination status. 7. Diabetes Mellitus E7.0 11.3 (9) 15.6 (7) Obesity, hypertension. S. 9. Chromic Liver Disease and cirrhosis Homicide 15.0 16.1 14.0 11.1 (10) 11.3 (9) 8.3(12) Alcohol abuse. Stress. alcohol and drug agupe. aid gun availability. I0. Atherosclerosis 12.8 10.1 10.4 Hypertension, smoking, els' vated aarsa ebolastarol. stress. 11. SuicideI2.3 14.4 12.3 (a) Strass. alcohol andrug�ity. abuse, and gun Congenital aaamalies 3.8 6.0 S.6 Maternal age, radiation drub alcohol. MOMA9, infections agent 1441 of prenatal diagnosis, Otbar perinatal 5.8 4.3 8.0 (13) Matarnal age and refit! smoking, drags. alcohol, conditions lack of prenatal care, short pragnancl interval, nutrition. 1Qm: Numbers in parenthesis iadteate rankings different from those of San Joaquin County. _ 1. 2, Rates are per 10o,000 population. "Healthy People, the Surgeon General Report on Health Promotion B.S. Dept. of Health. Education, Welfare." Vol. ii. 1979. and Disease preveutiOn. 3. Data - 1984 - C^mparisous. 4. provisional Data. From the Desk of Your Health Officer PROTECTING THE PUBLIC'S HEALTH IS OUR BUSINESS The purpose of publrc Health is to protect. preserve. and promote the health of the community, irrespective of age. sex. race, ethnicity. or income. The goals of pub5c health programs at the San Joaquin Local Health District are to prevent premature disease and disabiGlty. and to promote optimal physical, emotional and sociai well being_ The services of the Health District are: public health nursing. communicable disease control. imrrwnizatiora. child health screening, public health laboratory, birth defects monitoring. health education. environmental health, and air pollution controL These are all designed to protect the heath and well being of our broad constituency, from intancy to old age. Communicable Disease Control is one of the major responsibilities of public health. An epidartaotogi al approach is used to identify, quantity, and apply control measures to prevent the spread of communicable diseases. Tuberculosis, hepatitis, meningitis, sexually- transmitted diseases, AIDS. and other reportable diseases are monitored by this program. Diagnosis, treatment, referral and follow-up for sexuatly- trarsmitted disease are available, along with corddential ACOS antibody testing and counseling. Your cooperation in reporting these illnesses helps the Health District to aocuratehy assess disease activity in the community. Addressing Maternal and Child Heath needs is another major componert of preserving the public's heatis_ The Health District offers child health and dsabTty, prevention services. adolescent and family life case management. perinatal health. dental health education, and nutrition education and food voucher distribution through the Women. kdarts and Children (WIC) program- Disabled children can receive medical therapY from the California Children's Services (CCS) program. Public Heath Nursing supports all of the above-mentioned services, as well as other medcai and heath education programs with home and community site visits. Health promotion. counseling, case finding. and monitoring. 14 with emphasis on high risk mothers and infants. are provided. Special outreach and education programs address the needs of senior citizens and Southeast Asian refugees. Translation into Spanish, Laotian, Hmong, Vietnamese. and Cambodian is available for services at the Heath District. The Health District's Public Health Laboratory provides extensive laboratory services for diagnosis and epidemiological investigations. Consultation, references, and referrals to other tabs and medial services are also available. The Division of Environmenla7 Heath is responsible for protecting health and safety through monitoring air, water, soil, and food. Surveillance, enforcement arr_' education are accomplished by State registered sankarians in the areas of milk, food, recreational health, water supplies. housing, rabies control, liquid waste, land use and development. solid waste, underground storage tanks, hazardous waste. and infectious waste. During the last 25 years, there has been a growing national commitment to protect the public's heath from the effects of air pollution. Federal legislation, particularly the 1977 amendments to the Clean Air Act, have guided government agencies, industry, and the public in a cooperative effort aimed at solving the technological and social problems involved in cleaning the nation's air. The Air Pollution Control program has established clean air as a top priority_ The levels of criteria continued p.2 LM PESTICIDES- k..'ub!ic Healih Approach to Toxic Exposure y Vona Bernstein As the largest agricultural slate. California applies almost 30% of all pesticides used in the United States- Pesticides tates- Pesti ides are used to kill insects. weeds. fungus. molds. and rodents in homes, industry and agriculture. Because of their c,hemical tomity and extensive use. pesticides pose substantial health risks to workers and community residents. Agmiltural workers are exposed to pesticide concentrate, field residues and aerial drift. Emergency response personnel may come in contact with dangerous pesticides from spills- leaks and fires. The communky at targe may be exposed to pesticides via drinking water contamination. food residues, drM from aerial applicaltion, and hazardous waste disposal. In 1983 in San Joaauin County alone. 82 pesticide- related illnesses were reposed: 70 were related to work while 12 were rtonaccupationaf. Of the 70 occupationally -related pesticide illnesses. 54 were connected to agricultura! work. California is the only state that requires physicians tc report cases of suspected pesticide illness. For this reason. Caltomia has the best statistics on the extent of the problem. However. we may only be seeing the tip of the iceberg because the majority of pesticide health problems tray go unreported. Accurate diagnosis in poisoning incidents may be difficult to make due to the vague nature of symptoms and lack of inform: tion on specifio chemicals involved. In addition. physicians ma: not be familiar with their reporting requirements. Chronic disease is even more difficult to associate with a history of pesticide exposures and would. therefore. not show up in the statistics. Farm workers may be reluctant to report poisonings due to fear of losing their jobs. or because of immigration status. Pesticide exposures to pregnant women is another concern as data on reproductive effects become known, as well as exposures to children and infants because of their increased senxsitivily to chemicals. The San Joaquin Local Health District is pleased to iruroduce this new publication. PUBLIC HEALTH UPDATE. to you. The quarterly newsletter will provide information on our programs, Federal, state and soca! public health news. and veal statistics for the oounty. Please tell us what you think. so this bulletin can best address your needs. it you would Ike to respond to any of the articles, or A you have further questions• please contact us at 466-6781, ext.40. PUBLIC HEALTH ... pollutants, such as sulfur dioxide. carbon monoxide, ozorx, nitrogen dioxide. lead, and particles like soot and dust. are monitored to identify and prevent potential heater. problem}-. Public health addresses the health needs and treats the community as a whole. as refected in the services of the San ,Joaquin Local Health District. Physicians diagnose and treat indivirivais on a one -tonne basis. local health pre provrdws and publico health are partners. supporting each other and working together to achieve and maintain good health for everyone in San Joaquin County. all of the above reasons we may no! be able to accurately assess the true extent of risk tc the hlh's health. Taking a preventive approach, the San .loacum Local Health District recently irrVemenled a new project. the Pesticide Education Project to address hazards from pesticide exposures. As a large agricultural county, we recognize the need for a broad- :aced approach that involves the community, workers, employers and professionals. With funding from the California Department of Health Services, the Pesticide Education Project vM provide education and training for our stall, education and training for health providers in the county, improved coordination of services among agencies. and outreach to our clients on preventive measures. Components of this project include: • in-service staff training on health effects. prevention, and resources for referral. to be followed up with community pesticide assessment. educatio;u and outreach: • continuing medical education workshops on specific chronic and acute diseases associated with pesticide exposures. Watch for a series of lectures in 1987: • dissemination of information, health education materials, resources, and referrals to our clients: and • coordination of a countywide Pesticide Committee to enhance communication and coordination of services, identity areas of need, make recommendations to appropriate agencies, improve compliance with current regulations, and support waisting preventive efforts. We look forward to an exciting year working on this innovative approach to addressing a major commiunitty concern. Please contacr Mona Bernstein, the coordinator for the Pesticide Education Project, at 466.5781 x40 i you have arty questions or need assistance. P L OPEN HOUSE AT THE SAN JOAQUIN LOCAL HEALTH DISTRICT TUESDAY, JANUARY 271987 1:004:00 PM 1601 E. Hazelton Ave. Stockton C OMPREHENSI T PE, .�ATAt SERVICES PROGRAM.- AR 3021 THE MARGOLIN BILL In the fall e 1984, the governor signed into lay. AS 3021. known as the Margolin Bill. Currenty. the regutations are working their way through the legislative process. with a target irs,plemeruatan date of January. 1987. AB 3021 provides for We coverage. untie- Medi -Cal, of comprehensive perinatal services for low-in=rne women. from conception through one month postpartum In addition to medical care• program components wiK wck,de rxrtritionat, pyschosociai, and heath education assessments and referrals. Perinatal and parenting education ctasses wry be avaiable. as wet as prenatal vitamin and ffw* al SAVIernents- The bill states that a cornprehensive perinatal provider can be a general or family practice Physiaan. an obstetrician-gynecobgist. Pediatrician• a group, any of whose members is one of the above-named physicians, or any clinic holding a valid and current Medi -Cal provider number. The comprehensive provider may contract wr h or employ other heafth care professionals- such as other ptrysicians, physician assisMr85, certified riurse-midwives. nurse practitioners. registered nurses. social workers, health educators and registered dietitians. for service delivery. Participation in the perinatal services program it vojM-ay for physicians and reapierar of services. For more information concerting the Margolin acrivities in San Joaquin County, please catact: Sue GrW*U AB 3021 Coordinator San Joaquin Local Heath District 466-6781 ext 32 KAU MAO I OP a w 1 1 uA� ` - EAL:THsDIL Please don't drink & drive? j WELL -CH [LD CARE The Chad HeaM and Dis� Program (CHDP) is a well-csid program. providing reimbursemesas to public and private providers for corroete health assessrnertts for CIS early detectio.I ana pray rftn of disease and dies in chadren- A CHDP provider is be able to provide or arrange for vision screening, hearing tests. tuberculin tests. herrmfocnyherroglobin testirg, urine dipstick. and irirmuraizations- tf you are not a CHDP provider and would We to become one, ptease contact the CHDP Program in San Joaquin minty at: San .)oaqutn Loca! Health Disbxl Ernest Fufknoto. MD 465-6781 ext 66 BUCKLE UP: One car accident in California occurs every minute. Use your seat belts. It coufd save your ife. Services are provided at the following San Joaquin local Health District offices: Stockton 1601 E Hazelton Ave. 466-6781 M -F 8:00-11:30.1:00.4:30 Lodi 30o W. Oak St 3593621 Thursday 1:00.430 Tracy 205 W. 9th St 835.5385 Tuesday 1:00-430 Manteca 124 Sycamore St. 823 -?104 Wednesday 1-0.430 Sacramento St. 83&7652 41h Wednesday 8:00-11:30 t=scalon 1420 S. Acacia St 599-3525 3rd Wednesday 8--MI1:30 Ripon 127 Selected Reportable Disease_ Reported jartjary - September 1986 '. SAN JOACIUMI COUNW , . 1 STOCKTON ; TOM Joyce � _ ESCALON PACE SAN JOACIIIIN COUNTY OF RESIDENCE . . MANTECA. Vacant Seat o< Vacant Seat SAN JOAQUiN COUNiY SAN JOAQUIN LOCAL HEALTH DISTRICT P.O. Box 2009 o w w TOTAL } Y > w z _j Ce0M TO v¢ ow – U- ow U¢ 4w r¢ zw a. Q aw 4¢ vw 2 z¢�.c DATE DISEASE o i- a f a Q w a z D 1986 1985 w a AIDS 5 - - - - - - 5 6 ANIMAL RABIES - 6 - - - - 6 14 COCCIDIOIDOMYCOSIS 3 - i - - - 4 5 ENCEPHALITIS - - - 6 4 EPILEPSY 60 33 1 11 - 2 12 119 117 RUBELLA GONORRHEA - 1036 - 92 52 1 43 1 9 - 2 - 89 2 1323 1 1477 HEPATITIS -TYPE A 196 22 21 32 4 3 10 288 190 HEPATITIS -TYPE B 203 13 8 20 I 1 246 137 HEPATITIS -NON A/B 19 3 1 4 = 1 28 21 1 HEPATITIS-UNSPEC. 13 - 1 1 1 16 13 MALARIA 8 - 1 - - - - 9 9 2 RUBEOLA 5 - 1 1 - 1 - - - - - 1 5 16 9 MENINGO. INF. 12 6 0 MUMPS 3 - I 1 - - 1 1 0 f PERTUSSIS t I- 60 11 - 2 - 5 _ - 3 - 7 88 94 SALMONELLOSIS SHIGELLOSIS 52 11 1 3 - - 3 70 129 STREP. INF. 118 7 9 't1 6 1 10 192 459 SYPHILIS 126 :6 5 4 2 - 3 156 132 TUBERCULOSIS -NEW 56 5 3 2 1 - - 67 49 TUBERCULOSIS -REACT. 1 1 _ _ _ _ 4 4 TYPHOID FEVER 1 --1— 1 4 Board of Trtsstees..SarrJoaqui Locaf Health District James Culbertson, Presx>ent LOD{ Patricia E . Varinuccc.,Se y. '. SAN JOACIUMI COUNW , . t)azsiei' L Flores -:` - STOCKTON ; TOM Joyce � _ ESCALON Mary Anna tore, Vice. Presidersf SAN JOACIIIIN COUNTY John D. Mast, MD TRACY Earl Pimeniel MANTECA. Vacant Seat RIPON Vacant Seat SAN JOAQUiN COUNiY SAN JOAQUIN LOCAL HEALTH DISTRICT P.O. Box 2009 Stockton, CA 95201 President, Board of Trustees: James Culbertscn District Health Officer: Jogi Khanna, MD, MPH Editor Mona Bernstein, MPH Graphics/Layout: Ruben Smith, III BOARD OF TRUSTEES James Culbertson. Pres. Patricia E _ Vannuccl. Secy. Tommy Joyce Earl Pime•ntel Fem Bugbee Daniel L. Flores John D. Mast, M.D. William J. Wade Mary Anna Love 14-4 SAN JOAOUIN LOCAL HEALTH DISTRICT 1601 East Hazetton Avenue, P. O. Box 2009 Stockton, Callfomia 95201 209/466-6781 Jogi Khanna, M.D., M.P.H., District Health Officer January 6, 1987 SERVING City of Lodi San Joaquin County City of Escalon City of Manteca City of Ripon City of Stockton City of Tracy San Joaquin County San Joaquin County .9,g8, Thomas A. Peterson, City Manager Citv of Lodi P.O. Box 320 Lodi, CA 95240 DearMr- Peterson: ct Health Officer, and I, as Representative Jogi Khanna, M.D., Distri ident of the Board of Trustees of the San for the City of Lodi and Pres would like to address the Lodi City Council. Joaquin Local Health District Health to We would like to share with you the PubleCouncil eonathelservices the citizens of the City of Lodi, pdatet that were provided during the past year. 15 minutes of time on your agenda at the We would appreciate about g next City Council Meeting. Yours truly, - I .f 1 f E9 ?, Z� (,C� i� X AMES�F. &LBERTSON, PRESIDENT / Board of Trustees San Joaquin Local Health District JFC/rg