Public Health Activities and Services

Measures For State Total

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Measure Name 2014
Permanent food service establishments permitted 35678 (33 out of 35)
Routine permanent food service establishment inspections 52568 (33 out of 35)
Inspections With 35 or more Critical Points N/A
Temporary food service establishments permitted 15664 (33 out of 35)
Temporary food service establishment inspections 11737 (33 out of 35)
Food worker cards issued 314502 (33 out of 35)
Permanent food service establishments inspected 33727 (33 out of 35)
Temporary food service establishments inspected 10646 (33 out of 35)
LHJ provided Primary Care Services 2
Unduplicated Primary Care Services clients 18566 (2 out of 35)
Primary Care Services client visits 53725 (2 out of 35)
Hospitals licensed by DOH 96
Hospital inspections 85
LHJ conducted or participated in a broadly focused community health assessment (CHA) project 21
LHJ conducted assessments other than the CHA 23
Focus: Maternal or Child Health N/A
Focus: Communicable Disease N/A
Focus: Environmental Health N/A
Focus: Chronic Disease Prevention N/A
Focus: Health Disparities N/A
LHJs Provide TB Screening services N/A
TB Screening Clients (unduplicated) N/A
LHJ directly provided TB infection treatment 15
Unduplicated TB infection treatment clients 425 (15 out of 35)
TB infection treatment client visits 2115 (14 out of 35)
TB infection cases newly diagnosed by LHJ 579 (32 out of 35)
People with TB infection newly diagnosed by LHJ and started treatment 282 (14 out of 35)
People with TB infection newly diagnosed by LHJ and completed treatment 197 (13 out of 35)
LHJ Provides Child Immunizations N/A
Child Immunization Doses administerd to patients by LHJ N/A
Providers enrolled in the Washington State Immunization Information System N/A
Doses of Childhood Vaccine Ordered by LHJ offices only N/A
Doses of Childhood Vaccine Ordered by Providers (not including LHJ offices) N/A
Vaccine For Children Site Visits N/A
Immunization doses (including those of influenza) administered by LHJ to children 0-5 years 2,311,538
Immunization doses (including those of influenza) administered by LHJ to children 6-18 years 582000
Total immunization doses (including those of influenza) administered by LHJ to children 2,893,538
Children 19-35 months who were up-to-date on immunizations 51%
LHJs have an Alerting System for Health Care Providers N/A
Utilized Alerting System for Health Care Providers N/A
Agency reviewed and updated its Public Health Emergency Plan 32
LHJ directly provided Early Intervention Services Program 11
Unduplicated Early Intervention Services clients 972 (10 out of 35)
Early Intervention Services client visits 5161 (10 out of 35)
LHJ directly provided an Early Family Support Service Program 0
Unduplicated Early Family Support Services clients (0 out of 35)
Early Family Support Services client visits (0 out of 35)
Foodborne Illness Complaints Investigated N/A
Lab confirmed foodborne illness outbreak investigations 16
Cases investigated as part of a lab confirmed foodborne illness outbreaks 205
Food product recalls and safety alerts issued by DOH 147
Food service establishment complaints investigated 4139 (31 out of 35)
Investigations of reported foodborne/waterborne disease cases 1438 (32 out of 35)
Mental or Behavioral Health Assessments N/A
Focus: Injury Prevention N/A
Focus: Health Care System Issues N/A
Focus: Built Environment N/A
Focus: Other Assessments N/A
Other Focus Topic N/A
LHJ had an assessment program with its own clearly identified budget and staffing 18
FTEs of staff time involved in assessment activities 32.25 (32 out of 35)
Unduplicated active TB treatment clients 208 (20 out of 35)
Active TB treatment client visits 11240 (20 out of 35)
New TB cases investigated and reported in calender year N/A
LHJ directly provided contact investigation services for active TB cases 21
Unduplicated people (contacts of active disease cases) who were contacted 825 (21 out of 35)
LHJ directly provided active TB treatment 20
Reported newely diagnosed active TB cases 195
Active TB cases placed on directly observed therapy 172 (20 out of 35)
Active TB cases placed on directly observed therapy and completed it 148 (20 out of 35)
Unduplicated people (contacts of active disease cases) evaluated for TB infection 704 (20 out of 35)
LHJ involved in Initiatives to change the foods/beverages available at schools and school-sponsored events 19
LHJ involved in Initiatives to change the foods/beverages served and/or sold by government agencies and government-sponsored programs 10
LHJ involved in Initiatives to change the foods/beverages served and/or sold by restaurants, food service establishments, and food vendors in the community 7
LHJ involved in development of policies to require menu labeling and calorie disclosure for the foods/beverages served and/or sold by restaurants, food service establishments, and food vendors in the community 1
LHJ involved in initiatives to promote the availability of fresh produce outlets in the community, such as grocery stores, farmer’s markets 18
LHJ involved in initiatives to promote the availability and/or use of community gardens 21
LHJ involved in initiatives to change the price of foods/beverages in school and/or community settings 4
LHJ involved in initiatives to change the marketing practices used for foods/beverages in school and/or community settings 9
LHJ involved in initiatives to promote and facilitate breastfeeding in clinical, workplace, and/or community settings 25
LHJ FTE dedicated to increasing access to healthy foods including WIC Staff 140.466 (33 out of 35)
From the number to the left, FTEs strictly dedicated to WIC services 107.236 (26 out of 35)
On-site sewage system permits issued 6366 (33 out of 35)
On-site sewage system repair permits issued 2494 (32 out of 35)
On-site sewage system failures with corrective action began within 2 weeks 1531 (29 out of 35)
On-site sewage system failures reported 2277 (32 out of 35)
On-site sewage system complaints investigated 2833 (32 out of 35)
LHJs Provide Oral Health N/A
Oral Health Patients N/A
Oral Health Visits N/A
Developed and/or disseminated educational materials via print or media 24
Developed and/or disseminated culturally/linguistically tailored educational materials via print or media 19
Implemented educational and/or training programs to improve oral health 17
Implemented culturally/linguistically tailored educational and/or training programs to improve oral health 10
Implemented community development activities 16
Involved in policy development activities 12
Implemented oral health screening activities 9
Individuals screened by LHJ for dental/oral health conditions 23277 (9 out of 35)
LHJ provided preventive dental services 5
Preventive dental services clients 25387 (5 out of 35)
Ambulance and aid services licensed 500
Trauma Patient Records collected and analyzed for quality 27485
EMS Patient Records collected and analyzed for quality 388261
Ambulance and aid services vehicles licensed 2835
Adults interviewed for BRFSS 9342
Hospital patient discharge records collected 609524
LHJ directly provided STD clinical services 15
Unduplicated STD clinical services clients 8768 (13 out of 35)
STD clinical services client visits 13223 (13 out of 35)
LHJ directly provided STD partner notification and therapy 25
Total unduplicated partner services clients 13187 (25 out of 35)
STD Contacts Followed N/A
Unduplicated partner services clients Gonorrhea 4463 (25 out of 35)
Unduplicated partner services clients Chlamydia 7871 (25 out of 35)
Unduplicated partner services clients Syphilis 574 (23 out of 35)
Unduplicated partner services clients HIV 279 (24 out of 35)
LHJs Provide Adult Vaccinations N/A
Adult Vaccination Doses Administered to Patients by the LHJ N/A
LHJ had a 24/7 public response system which allows for receiving calls about emergencies 33
Utilized Public Response System N/A
Secures: Medium and High Level Alerts (Both Test and Actual) N/A
Secures: Proportion of times the LHJ confirmed receipt within timeframe N/A
LHJ was a Nurse-Family Partnership implementing agency 12
Families served in the Nurse-Family Partnership Program 1539 (12 out of 35)
Nurse-Family Partnership Program client visits 14634 (12 out of 35)
Initiative: Increased Access to Healthy Foods (HF) N/A
HF: How addressed N/A
HF: Attend trainings N/A
HF: Develop policy proposals N/A
HF: Engage stake-holders N/A
HF: Implement change N/A
HF: LHJ FTE N/A
Total confirmed STD cases 33671
STD cases investigated for disease surveillance 14111
STD (Chlamydia and Gonorrhea only) tests analyzed by state lab (and other contracted DOH labs) N/A
Confirmed STD cases Gonorrhea 6136
Confirmed STD cases Chlamydia 26246
Confirmed STD cases Syphilis 842
Confirmed STD cases HIV 447
STD (gonorrhea, chlamydia, syphilis, HIV) tests analyzed by the state lab and other DOH contracted labs 20674
Large public drinking water system (Group A) surveys 802
Samples from large public drinking water systems (Group A) submitted and evaluated for public health protection 147065
Drinking water health advisories issued 135
People affected by drinking water health advisories 58758
Lab confirmed waterborne illness outbreak investigations 0
People served by large public drinking water systems (Group A) 7,528,299
Number of these people served by systems with no maximum contamination level violations 7,316,529
LHJs Provide Behavioral Health N/A
Behavioral Health Patients N/A
Behavioral Health Visits N/A
Licensed health care professionals 396286
Clinical laboratory inspections conducted for quality assurance 256
Complaint investigations about health care professionals 3374
Clinical laboratories licensed by DOH 4167
Health care professional licenses issued 51142
Birth certificates issued 260837 (35 out of 35)
Death certificates issued 13430 (0 out of 35)
Birth records registered 88428
Death records registered 52062
Amendments and corrections to birth and death certificates 44948
LHJ directly provided HIV testing and counseling services 17
Unduplicated HIV testing clients 7466 (17 out of 35)
Total HIV testing client visits 8115 (16 out of 35)
Provide HIV/AIDS Treatment N/A
HIV/AIDS Treatment Clients N/A
HIV/AIDS Treatment Visits N/A
Direct Administration of Flu Vaccine N/A
Flu Vaccine Doses Adminstered to Patients by the LHJ N/A
Doses of Flu Vaccine Ordered by Providers (not including LHJ offices) N/A
Fatal Lab Confirmed Influenza Cases N/A
Flu vaccinations given by LHJs and providers to patients of all ages N/A
Incident Command System was activated in response to a public health event 26 (33 out of 35)
Incident Command System was activated for other reasons such as an exercise 27 (33 out of 35)
First Steps Maternity Support Services unduplicated clients 15693 (16 out of 35)
First Steps Maternity Support Services clients visits 56027 (16 out of 35)
Unduplicated Infant Case Management clients 9196 (11 out of 35)
Infant Case management clients visits 23401 (11 out of 35)
LHJ provided directly or through contracted providers First Steps Maternity Support Services and Infant Case Management 16
LHJ directly provided HIV medical case management 8
Unduplicated HIV medical case management clients 900 (8 out of 35)
HIV medical case management client visits 7526 (7 out of 35)
New HIV cases that required investigation and case reporting 447
HIV tests/specimens processed by the state lab and other DOH contracted labs 1364
New AIDS progression cases investigated by LHJ 72
Initiative: Reduce Food Insecurity (FI) N/A
FI: How addressed N/A
FI: Attend trainings N/A
FI: Develop policy proposals N/A
FI: Engage stake-holders N/A
FI: Implement change N/A
FI: LHJ FTE N/A
Water recreational facilities permitted 4571 (33 out of 35)
Water recreational facility inspections 8259 (33 out of 35)
Water recreational facility closures 959 (33 out of 35)
LHJ provided Family Planning Services 11
Unduplicated Family Planning Services clients 13867 (10 out of 35)
Family Planning client clinical visits 24549 (10 out of 35)
New chronic Hepatitis B cases that required LHJ investigation and case reporting 1263
New chronic Hepatitis C cases that required LHJ investigation and case reporting 7109
Twinrix Hepatitis A and B doses administered N/A
Hepatitis C tests performed using test kits provided by DOH 2340
LHJs Provide Travel Immunizations N/A
Travel Vaccination Doses Administered by the LHJ N/A
LHJ provided directly or through contracted providers WIC Services 25
Unduplicated WIC Services clients 128036
Children under the age of five which were provided WIC Services to 90891
Unduplicated pregnant, breast feeding and postpartum women which were provided WIC Services to 37145
WIC Nutrition Counseling/Education sessions provided by all staff 298016
Value of food checks redeemed by WIC Services clients 50044564.00
Value of fruit and vegetable checks redeemed by WIC Services clients 4351506.00
LHJ referras made to WIC families for preventive health or social services 490532
WIC ‘Loving Support’ peer counseling individual breastfeeding sessions 28686
Initiative: Increase Breast Feeding (IBF) N/A
IBF: How addressed N/A
IBF: Attend trainings N/A
IBF: Develop policy proposals N/A
IBF: Engage stake-holders N/A
IBF: Implement change N/A
IBF: LHJ FTE N/A
Solid waste facilities permitted 528 (33 out of 35)
Routine solid waste facility inspections 1839 (33 out of 35)
Solid waste complaints investigated 4353 (33 out of 35)
Other Clinical Health Services N/A
LHJ involved in a community coalition to address health care access in the community 29
Role in Coalition N/A
Direct client access to Health Care services program N/A
Health Care Access Program Clients N/A
Other Role in Coalition N/A
LHJ involved in the development of an Accountable Community of Health Not formally participating 0
LHJ involved in the development of an Accountable Community of Health Not formally participating, but gave input or participated in ACH-related meetings 4
LHJ involved in the development of an Accountable Community of Health Formally participating as an ACH partner, but not in the leadership 10
LHJ involved in the development of an Accountable Community of Health Contractual linkage through MOU or other instrument 6
LHJ involved in the development of an Accountable Community of Health Participation on ACH board/leadership by LHJ leadership or BOH member 26
LHJ involved in the development of an Accountable Community of Health Fiscal involvement 12
LHJ involved in the development of an Accountable Community of Health Other 3
LHJ provided needle exchange program 14
Needles exchanged 11752777 (14 out of 35)
Providers registered with DOH to order and receive vaccine through the state supplied vaccine program 1092
Assessment Feedback Incentive Exchange (AFIX) site visits made to providers registered with DOH to improve immunization rates 223
Unduplicated Children with Special Health Care Need Program clients 12486 (36 out of 35)
LHJ involved in community-wide health education campaigns 16
LHJ involved in community-wide stair use campaigns 1
LHJ working with school-based PE programs 10
LHJ involved in social support interventions in community 9
LHJ involved in individually adapted health behavior change programs 6
LHJ involved in initiatives to create or enhance access to places for physical activity combined with informational outreach activities 17
LHJ involved in community-level urban design initiatives 18
Funding LHJ allocated for physical activity promotion 1845250.3 (26 out of 35)
Funding cited to the left exclusively for physical activity promotion 8
Facilities using X-ray machines registered with DOH for safety and regulatory compliance 6245
Routine X-ray facility inspections to evaluate for safety 1663
Communicable diseases investigated by LHJ and reported to DOH (Non STD, TB, HIV/AIDS, Hepatitis, pertussis, measles, mumps, West Nile virus and salmonella) 3624
Total Pertusis cases 601
Total Mumps cases 9
Total Measles cases 33
Salmonellosis Cases N/A
Animal rabies tests 435
Human West Nile Virus Cases N/A
Vaccine-preventable disease cases Pertusis (vaccinated) 310
Vaccine-preventable disease cases Pertusis (unvaccinated) 231
Vaccine-preventable disease cases Pertusis (unknown vaccine status) 60
Vaccine-preventable disease cases Mumps (vaccinated) 4
Vaccine-preventable disease cases Mumps (unvaccinated) 0
Vaccine-preventable disease cases Mumps (unknown vaccine status) 5
Vaccine-preventable disease cases Measles (vaccinated) 4
Vaccine-preventable disease cases Measles (unvaccinated) 18
Vaccine-preventable disease cases Measles (unknown vaccine status) 11
Reported cases of foodborne/waterborne disease 2842
Confirmed cases of foodborne/waterborne disease 2373
Human cases of zoonotic diseases (including human cases of rabies and West Nile virus, excluding foodborne/waterborne diseases) 101
Clinical sample/specimens processed by the state lab for microbiological testing 35085
Infants referred by DOH for missed newborn hearing screenings or diagnostic evaluations 4954 (36 out of 35)
Initiative: Access to Low Cost Rec Opportunities (ARO) N/A
ARO: How addressed N/A
ARO: Attend trainings N/A
ARO: Develop policy proposals N/A
ARO: Engage stake-holders N/A
ARO: Implement change N/A
ARO: LHJ FTE N/A
Samples collected and analyzed for safe shellfish consumption Marine Biotoxins 3586
Samples collected and analyzed for safe shellfish consumption Vibrio parahaemolyticus 270 (8 out of 35)
Samples collected and analyzed for safe shellfish consumption Total 3856 (14 out of 35)
Families which received genetic services at DOH contracted clinics 4509
Newborn infants identified with a positive screening result who require follow-up for congenital disorders 364
Initiative: Increase Child Physical Activity (CPA) N/A
CPA: How addressed N/A
CPA: Attend trainings N/A
CPA: Develop policy proposals N/A
CPA: Engage stake-holders N/A
CPA: Implement change N/A
CPA: LHJ FTE N/A
Initiative: Active Community Environment (ACE) N/A
ACE: How addressed N/A
ACE: Attend trainings N/A
ACE: Develop policy proposals N/A
ACE: Engage stake-holders N/A
ACE: Implement change N/A
ACE: LHJ FTE N/A
Cases of elevated blood lead (>=5 mcg/dL) in children ages 0-6 years 316
Cases of elevated blood lead in children age 0-6 years investigated 329 (30 out of 35)
Pesticide illness incidents investigated, both agricultural and non-agricultural 315
Mosquito samples analyzed for West Nile virus 1247
Birds tested for West Nile virus 17
Environmental samples tested at the state lab for chemical, radiological, or microbiological analysis 26953
Cases investigated for possible pesticide exposure 319 (35 out of 35)
Developed and/or disseminated educational materials via print or media 18
Developed and/or disseminated culturally/linguistically tailored educational materials via print or media 12
Implemented educational and/or training programs to reduce tobacco use and/or tobacco exposure 12
Implemented culturally/linguistically tailored educational and/or training programs to reduce tobacco use and/or tobacco exposure 9
Implemented community development activities 14
Participated in policy development activities 24
Participated in policy implementation and enforcement activities 21
Conducted surveillance activities regarding adult tobacco use 10
Conducted surveillance activities regarding youth tobacco use 13
Reported cases of clean indoor air policy violations in the community 387 (28 out of 35)
Compliance inspections/investigations conducted 142 (27 out of 35)
Citations/fines issued for violations 31 (29 out of 35)
Initiative: Tobacco Free (TF) N/A
TF: How addressed N/A
TF: Attend trainings N/A
TF: Develop policy proposals N/A
TF: Engage stake-holders N/A
TF: Implement change N/A
Tobacco retailer compliance checks conducted by LHJ N/A
TF: LHJ FTE N/A
LHJ involved in initiatives to decrease rate of injury in the community 11
IR: How addressed N/A
IR: Attend trainings N/A
IR: Develop policy proposals N/A
IR: Engage stake-holders N/A
IR: Implement change N/A
IR: LHJ FTE N/A
Other P&W: Broad P&W Project N/A
Other P&W: Diabetes N/A
LHJ addressed other health risks through prevention and wellness initiatives Asthma 4
LHJ addressed other health risks through prevention and wellness initiatives HIV/AIDS 16
LHJ addressed other health risks through prevention and wellness initiatives Sexual health/STDs 19
Other P&W: Oral Health N/A
LHJ addressed other health risks through prevention and wellness initiatives Violence 10
LHJ addressed other health risks through prevention and wellness initiatives Substance abuse 21
LHJ addressed other health risks through prevention and wellness initiatives Mental health/Behavioral health 22
LHJ addressed other health risks through prevention and wellness initiatives Land use and/or transportation plans 21
Other P&W: All Other Topics N/A
Other P&W: All Other Topics Text N/A
Policies Enacted N/A