DATE:

 

09/03/2002

SUBJECT: FINAL READING ORDINANCE NO. 2002-O-223

Amending the City of Laredo 2001-2002 budget by increasing revenues and expenditures in the amount of $17,430 from the Texas Department of Health for the Tuberculosis Community Health Worker – Promotora Project  of the City of Laredo Health Department for the period beginning June 1, 2002, through December 31, 2002.

INITIATED BY:                                                            STAFF SOURCE:               

Cynthia Collazo                                                               Hector F. Gonzalez, M.D., M.P.H.                                  

Acting City Manager                                                       Health Director                                        

PREVIOUS COUNCIL ACTION:   On August 19, 2002, Council held public hearing introducing ordinance and instructed staff to proceed with final reading.

BACKGROUND:

The Texas Department of Health has contracted with the City of Laredo to provide public health services to residents of Laredo and Webb County through the City of Laredo Health Department.

 

 The Tuberculosis Elimination Program provides services for tuberculosis prevention and control consistent with the policies of the American Thoracic Society and Centers for Disease Control Joint Statements for tuberculosis prevention and control.  These services include: A) administrative and professional direction of the tuberculosis control program in accordance with local and state policies; B) maintenance of records documenting program services; C) development and  carrying out expanded outreach services to individuals of identified sub-groups who have tuberculosis or are at high risk of developing tuberculosis; D) testing appropriate individuals for tuberculosis; E) providing clinical diagnosis and treatment services; F) providing directly observed therapy (DOT) to non-compliant patients; G) evaluating progress of therapy on 90% of patients monthly; H) locating and investigating persons suspected of being exposed to  tuberculosis; and I) maintaining a tuberculosis register.  These public health services are provided to residents of Laredo and Webb County.

 

The Tuberculosis Community Health Worker – Promotora Project  funds will be utilized to sub-contract with the Texas A&M University for four (4) Promotoras (a person from the community that has knowledge of beliefs and practices within local subculture/groups) to:  (1) perform a needs assessment by collecting data to provide a profile of the semi-rural population; (2) assess barriers and identify gaps in the provision of services that tend to perpetuate infectivity in this population; (3) facilitate the identification of resources or alternatives that will enhance services, promote awareness of the disease and  increase compliance of treatment for cases and preventive therapy of infected person; and (4) provide assistance in the following procedures:

 

 

 

CONTINUED ON PAGE 2

 

FINANCIAL:  The City of Laredo 2001-2002 budget will increase revenues and expenditures in the amount of $17,430 in funds for the Tuberculosis Elimination Program of the City of Laredo Health Department for the period beginning June 1, 2002, through December 31, 2002.

RECOMMENDATION:

STAFF:  Recommends that Council approve ordinance.

 

 

Educate peers through presentations, door to door, and groups about the signs and symptoms of tuberculosis;

Observe for signs and symptoms of TB;

Refer clients to the City of Laredo Health Department for further evaluation;

Provide Directly Observed Preventive Therapy (DOPT); and

Provide transportation for medical appointments to patients with signs and/or symptoms of TB.

 

                                                                                   BUDGET

 

                                                 

 

 

ORDINANCE NO. 2002-O-223

 

AMENDING the City of Laredo FY 2001-2002 budget by increasing REVENUES AND EXPENDITURES in the amount of $17,430 FROM THE TEXAS DEPARTMENT OF HEALTH for the Tuberculosis Community Health Worker – Promotora Project  of the City of Laredo Health Department for the period jUNE 1, 2001, through DECEMBER 31, 2002.

 

            WHEREAS, the Texas Department of Health (TDH) is contracting with the City of Laredo to provide public health services to residents of Laredo and Webb County through the City of Laredo Health Department, and

 

            WHEREAS,  the Tuberculosis Elimination Program  provides services for tuberculosis prevention and control consistent with the policies of the American Thoracic Society and Centers for Disease Control Joint Statements for tuberculosis prevention and control.  These services include: A) administrative and professional direction of the tuberculosis control program in accordance with local and state policies; B) maintenance of records documenting program services; C) development and  carrying out expanded outreach services to individuals of identified sub-groups who have tuberculosis or are at high risk of developing tuberculosis; D) testing appropriate individuals for tuberculosis; E) providing clinical diagnosis and treatment services; F) providing directly observed therapy (DOT) to non-compliant patients; G) evaluating progress of therapy on 90% of patients monthly; H) locating and investigating persons suspected of being exposed to  tuberculosis; and I) maintaining a tuberculosis register.  These public health services are provided to residents of Laredo and Webb County; and

 

                WHEREAS,  the Tuberculosis Community Health Worker – Promotora Project  funds will be utilized to sub-contract with the Texas A&M University for four (4) Promotoras (a person from the community that has knowledge of beliefs and practices within local subculture/groups) to:  (1) perform a needs assessment by collecting data to provide a profile of the semi-rural population; (2) assess barriers and identify gaps in the provision of services that tend to perpetuate infectivity in this population; (3) facilitate the identification of resources or alternatives that will enhance services, promote awareness of the disease and  increase compliance of treatment for cases and preventive therapy of infected person; and (4) provide assistance in the following procedures:

 

·        Educate peers through presentations, door to door, and groups about the signs and symptoms of tuberculosis;

 

 NOW, THEREFORE BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF LAREDO THAT:

 

 

Section 1:        The City Manager is hereby authorized to execute the contract and accept the grants and their provisions as set forth by the Texas Department of Health.

                                   

Section 2:        The City of Laredo accepts funds in the amount of $17,430 in funds for the Tuberculosis Elimination Program – Promotora Grant of the City of Laredo Health Department.

 

Section 3:        Revenue line item 226-0000-323-4091 is increased from $0 to $17,430.

 

Section 4:        Expenditure line item 226-6092 is hereby increased from $0 to $17,430.

 

Section 5:        The City Manager is hereby authorized to make transfers within the budget as allowable under the General Provisions of the existing general contract with the Texas Department of Health to meet the necessary costs to accomplish the scope of work for the project.

 

 

            PASSED BY THE CITY COUNCIL AND APPROVED BY THE MAYOR

 

ON THIS _________________ DAY OF ________________________, 2002.

 

 

 

 

 

 

________________________

ELIZABETH G. FLORES

MAYOR

 

 

ATTEST:

 

________________________

GUSTAVO GUEVARA, JR.

CITY SECRETARY

 

 

APPROVED AS TO FORM:

 

________________________

JAIME FLORES

CITY ATTORNEY