The Board of Supervisors to order this morning.

Supervisor Giovanni Supervisor White Supervisor Horton.

Here Mayor Bagwell.

Here.

You have your quorum.

Thank you so much.

And I see Pastor Jarvis from Living Stones is here.

Would you get us started this morning?

Lord God, you have given this Board of Supervisors and everyone present.

Gifts that reflect your nature, gifts of leadership, administration, gifts to manage, gifts of creativity and invention.

And we pray that through these gifts, Carson City would flourish, that they would be on full display, that you would encourage the Board of Supervisors and everyone that works for this city with your mighty hands.

And that through this prayer, we commit it to you, knowing that there are many things that is mortals that we don't have the foresight for, but we pray that you would watch over our city and that you would use these decisions for the common good and so that everyone would thrive here.

I pray all this in Jesus' name.

Amen.

Thank you so much for that.

Heather, will you do us the uh pleasure of leading the pledge?

And to the republic or which is one nation under God, indivisible with liberty and justice for all.

Thank you so much.

It was a good morning.

Okay, we're now on to opening public comment.

Um I think you might be it.

Come on up, Denny.

Thank you, Mayor.

Denny French, Carson City, Nevada.

I have several things on my mind that just uh are busting out all over.

And I um I was told that I would be um anyhow.

The main thing is the work session was um very interesting opportunity for me to see the new station.

I really appreciated that opportunity.

I also have um let an observation that I had about their sound system be known, and it's on their list of considerations, and I really appreciate that.

Thank you.

Um, the next thing is uh state water talks.

They're talking Colorado and um they're not getting through.

They're considering Nevada one that's not necessarily come to any conclusions or any consideration that uh will move things forward.

So they're set stalemates, and that brings me to the fact that I haven't heard too much about water lately as far as community and where we are on our um having to mix water to make it potable and different things like that.

And I'd like to hear more about that.

So I would like to maybe get that on some of the future agenda just through some of you considerations.

Um also on my list are uh uh short-term rentals.

I still feel that there's a lot of discussion that should be needed there.

I really oppose to saying it should be everywhere or be allowed everywhere.

It sort of started where I'm going, okay.

What are their legal concerns with this issue?

Because those things were brought up as it's gonna come, but how are we gonna handle it so we're not in a bond or we're in a difficult time?

So I'd like to hear more about that.

Um, plans and replacements for trees.

I personally don't want any more funding given to the tree situation until there's a better consideration of who's on first.

Is it public works or is it parks and who has responsibility for those areas and who has responsibilities for the the ground area between our sidewalks and our businesses, because some of those are up in the air as well.

I also am concerned about um children's vision, so that will be coming up in the the health aspect, and with the clock going like that, I have no idea where I am.

I don't have my little turn.

So faces will let me know if I run over and they'll grab me if I run way over.

So my concern is transparency and availability.

Having work sessions and locations that are nice for me to get a chance to look at is great, but they're not filmed, and I think that accessibility is something that we really look into.

Anywhere you have a work session, they should be videoed so people can see it as it's happening, and if they're able, they can be there.

But um, those are my main concerns for the moment.

I have a list like this.

I think it's sort of like Luther's thing to the church, but um we won't go there right now.

Thank you.

Thank you.

Hey, you had 13 seconds.

Good job.

Is there any further public comment?

Okay, I don't see any, so we're gonna move on to agenda item uh six A.

This is approval of our February 5th minutes.

Are there any corrections anyone has?

See none.

Supervisor Geomi, a motion, please.

I move to approve the aforementioned meeting minutes of 5 February 2026 is presented.

I have a motion and a second for approval.

All those in favor, please say aye.

Aye.

Aye.

Any opposed say no.

Let the record reflect it was unanimous.

Okay.

I did not have any requests for the consent, so I'll accept a motion, Supervisor Giomi.

Are you ready?

Move to approve the consent agenda consisting of items 7A, 8A, 8B, and 8 C.

All is presented.

I second.

I have a motion by Supervisor Giomi and a second by Supervisor Shuty.

All those in favor, please say aye.

Aye aye.

Any opposed say no.

Let the record reflect that was unanimous.

We're now on to agenda item 10, which is discussion and possible action regarding uh the business impact statement and revising our utility ratepayer assistance program, and to introduce on first reading the proposed ordinance revising uh provisions on that.

Uh Treasurer Razor, just a little highlight on that, please.

Yeah, good morning, Mayor Board of Supervisors, thank you for the opportunity.

Again, for the record, Andrew Razor, Carson City Treasurer's Office.

And so the pro uh proposed ordinance that's presented to you here today is intended to make the process to apply for the utility rate assistance program much easier for those who are in need of financial assistance to pay their water, sewer, or stormwater bill.

Um the biggest things that we've seen is that the intention for the URAP program, while good, it does have some setbacks and make it more difficult for those who do need it to apply.

And so the current process, as it's advertised and promoted as a program is to assist home homeowners who may need help paying their water bill, and to allow homeowners to apply between February 1st and April 30th of each year.

And so this allows individuals who do need that assistance to apply, they'll apply through FISH, which is the third party administrator, and then FISH will then use the the rubric that's set in the current code to determine who is eligible for utility rate assistance.

The issue at hand, and this is under Carson City Municipal Code 12.01.100, is that when you have a delinquency, and that's um somebody who's delinquent after 21 days, that's when they can start to accrue those penalties.

But the problem is if an individual can apply for utility rate assistance between February 1st and April 30th, it doesn't take effect until July 1st of the uh next or upcoming fiscal year.

And that makes it difficult for those who need it right then and there to apply.

And one of the issues that we've seen at the treasurer's office is that when we are preparing the tax bill, um let me back up here.

When we sent out the notices, we sent out a courtesy notice in January, advising those who are delinquent that you know they have delinquent balances, and then we also sent it again in May and provide them until the third Thursday in June to get their water uh account current.

If not, Nevada revised statute uh 244.36605 and also Carson City Municipal Code 12.010105, allow the treasurer to transfer that delinquent water bill over to the real property taxes.

And so when we're rep repairing the uh real property tax bill in July, we do that around the second week of July, send it off to the printer so that the uh citizens can have that so they can make the payment by that third uh Monday in um August.

The problem is is once we transfer over that delinquency, the people that really need it now, that balance is transferred over to the real property taxes.

So that utility rate assistance, first of all, they can't apply that to the real property taxes because now that's been transferred over to that, and then now their water uh balance that was delinquent is actually less.

And so with this proposed amendment, that would change it to where we would allow anybody to apply for URAP now, and it wouldn't be having to go into the next fiscal year.

So once it they apply and then they are approved, they can get that uh utility rate assistance.

The other big problem with this that we see is that right now URAP, the way it is written, only allows for the homeowner because Carson City Municipal Code requires that the utility bill be in the name of the property owner, not the renter.

And so when you have renters that are delinquent on the water bill, even though that's you know ultimately the responsibility of the homeowner, it's the renter who's asking for that assistance.

And so the proposed uh ordinance that we have here now not only changes the time frames, but it also changes um the language so that the renter can now apply and receive that utility rate assistance.

One of the other things that we've noted too is that in the ordinance the way it is currently, is there's a rubric like I mentioned that dictates you know the the kind of the formula uh that is done away with and actually makes it easier now for individuals to apply and allows fish or the third party administrator to determine who's eligible.

And just to kind of give you a case in point.

Sorry.

Irritating.

Who is it the closest to?

It sounds like it's coming from over there.

It does to me too near the door.

I don't think it's me.

Was it that radio?

I think it was the radio.

Oh, was it was it Denny?

Probably.

I saw him playing with his phone, so I thought, oh, he already paying candy crush.

Is that candy press?

Perfect.

Go ahead.

So going back to the kind of a case in point, like I mentioned, the current rubric will determine how uh application or assistance is provided.

Uh the new formula would allow fish to determine it based on their standards as that third party administrator.

And so, as I mentioned, we recently had an individual who came in who was delinquent on her water bills.

She has a good job, she works for the state, however, she is going through cancer treatment.

And one of the things that she noted is that she probably wouldn't qualify for the federal poverty rate just because she has a decent paying job, but she would find it difficult to get utility rate assistance.

And so we actually provided her the uh the form, which is what we usually send out, you know, in the mailers that we give, so that she could provide so the new standard actually makes it also easier for fish to apply the eligibility uh criteria for individuals to apply.

So with the ordinance, the way it's revised now, we believe this would provide a better opportunity for individuals to submit applications and to receive it because currently right now we're just not seeing a lot of individuals take an uh opportunity with it because we do see a lot of individual individuals who are renters that of course they're now excluded because they're not the homeowner, and then that time frame as well makes it difficult for individuals to apply because there's that limited window, and then it only um allows it to be applied in the next fiscal year.

Thank you so much.

Is there any questions anyone has?

Pretty straight, pretty straightforward.

Okay, thank you so much.

Is there uh any public comment on this item?

No.

Okay.

Oh sure, Mr.

French, Denny French, Carson City, Nevada, and I would prefer to be able to have said this out otherwise, but it's nice to have Mr.

Razor involved in these things because he has not only the background, but he has the temperament and the consideration and the empathy.

So thank you.

Okay, thank you.

All right.

Um, so I want to bring it back up here then for a motion.

Would someone like to make that supervisor shooting?

I move to accept the business impact statement as presented and introduced on first reading bill number one zero four.

Second.

I have a motion and a second for approval.

All those in favor, please say aye.

Aye.

Aye.

Any opposed, say no.

Let the record reflect it was unanimous.

Thank you so much for working on that.

Okay, we're now to agenda item 11A, um, discussion and possible action regarding a recommendation from the planning commission to request approve a master plan amendment to change designation from industrial to public quasi public to public quasi public.

That's good.

Big mouthful there for 13.91 acres at 3,000 North Lampa.

Uh Ms.

Manzo, we've heard this already several times from different reports and different things.

Is there any highlights or anything you have for this one?

There's no changes that are highlights uh based on previous discussion.

That's what's presented today.

No changes, no anything.

Is there any specific question though that anyone has on it?

Pretty straightforward one.

Any public comment on this item?

I'll accept a motion.

Uh move to accept the planning commission's recommendation to this board to approve the master plan amendment and further move to approve without modification the original request for amendment based on the record of the planning commission meeting of uh January 28, 2026, including evidence on the record as well as the ability to make the findings uh make all the findings as discussed on the record today.

I second.

I have a motion and a second for approval.

All those in favor, please say aye.

Aye.

Any opposed say no.

Let the record reflect it was unanimous.

Okay, we're gonna move on to agenda item 11B.

This one is discussion and possible action on another recommendation from the Planning Commission for Master Plan Amendment from public quasi public to high descent city residential for 0.42 acres at 4015 LaPier Drive.

We have again heard this one several times or anything, but is there any highlight changes, anything of significance?

Um, I think it's important.

Heather Fair's for the record, I think it's important just to highlight the fact that this is a privately owned parcel.

I think there's been some confusion about that.

Um it is privately owned, immediately adjacent to um parks property, and um it was uh inadvertently changed to public quasi public with the master plan update.

Um so this would really just be changing it back to an appropriate designation.

Okay.

Anyone have any questions?

Is there any public comment on this item?

Okay, I'll accept a motion.

We'd like to do this one.

Curtis gonna do it.

I got it.

Okay.

Um I move to accept the planning commission's recommendation to this board to approve the master plan amendment and further move to approve without modification the original request for amendment based on the record of the planning commission meeting of January 28, 2026, including evidence on the record, as well as the ability to make all the findings as discussed on the record today.

I have a motion and a second for approval.

All those in favor, please say aye.

Aye.

Any opposed say no.

Let the record reflect it was unanimous.

We're now moving on to agenda item 11 C discussion and possible action from the Planning Commission's recommendation to approve a master plan change for 1.1 acre parcel located at Lompa Ranch North Specific Plan Area and to the southern terminus terminus of Pilot Peak Court.

Again, Miss Manzo, anything special, anything that needs to be on the record for this one.

Heather Manzo for the record, no no changes and nothing unique that's new today.

Thank you.

Does anyone have a question on this one?

Is there any public comment?

Seeing that, I'll accept a motion.

Supervisor Shudy.

I move to accept the planning commission's recommendation to this board to approve the master plan map amendment and further move to approve without modification the original request for amendment based on the record of the planning commission meeting of January 28th, 2026, including evidence on the record as well as the ability to make all findings as discussed on the record today.

I have a motion and a second.

All those in favor, please say aye.

Aye.

Any opposed, say no.

Let the record reflect it was unanimous.

Thank you so much.

Okay.

We are now on to our non-Bord of Supervisors action items.

Um have anyone?

Anyone have anyone to share?

Anything to share.

Uh, Supervisor Shuddy.

I just wanted to uh give a shout out um to Hope and her team.

And and I don't remember if I gave this shout out the last meeting, but it's worked a second one.

Um if if I already had over the listening um tour about the parking and you know, um just the effort made to really hear from the community and get ideas and how to um how to proceed and make things um work as well as possible.

And so I just wanted to to share that.

Anyone else?

See anything else?

Okay, we're gonna then move on to our final public comment for the Board of Supervisors.

Do I have any Mr.

French?

Thank you, Mayor.

Danny French, Carson City, Nevada.

I'd like to give a shout out not only to Hope and her crew.

Um, I'd like to give a shout out to uh Commissioner Border, uh Chair Cron, DJ Christopher, Preston, Peterson, and Piles.

Um they worked their fannies off, and I really hate to see the master plan dismantled as it goes along.

If we're making corrections, they should be for improvement, not for more chaos or such.

And I and I'm sorry, I I sort of felt like well, I'm not sorry I have feelings or that I have observations, but that I'm sorry that it seemed to me that all their hard work was misplaced.

As if it was a board of supervisors versus uh building or or um community development or planning.

And community was pulled into that by your requests that it was brought in, and then I feel basically disregarded in some ways.

And that was, I think, unfortunate, but I like to see everything that moves forward when the community is allowed into it, that it really is considered a partner in it.

You all have big steps and stuff that you have to consider, but I felt and I still do that that was a real tough deal to follow the way it was presented as far as the development with the state and such, and that was unfortunate, and it left a lot of questions still to be answered for myself personally, so that I could add it up, quantify it, but the way it was put out was unfortunate.

Thank you very much.

Thank you.

Travis, any other nope.

Okay, then if there's no objection, we will adjourn as the Board of Supervisors and let the health team come on up.

Where do we have our city?

Bring a chair.

Okay.

It's like, wait a second.

Oh, usually there's a chair over there.

Do we have another chair up there?

Okay.

Oh, sorry.

Okay, my privilege to call this meeting of the Carson City Board of Health to order.

And ask for roll call.

Chairperson Lyons.

Here.

Vice Chair Giomi.

Here.

Member Bagwell.

Here.

Member Furlong.

Member Horton.

Member Shuddy.

Here.

Member White.

You have your quorum.

Thank you.

And with that, we'll move to public comment.

And public is invited at this time to provide comment on any topic that relates to a matter over which this public body, the Board of Health, has supervision, control, jurisdiction, or advisory power, including any such matter that is not specifically included on the agenda as an action item.

No action may be taken on a matter raised during the period of public comment and public comment is limited to three minutes.

Mr.

French.

Thank you, Dr.

Lyon and Board.

As I looked at the agenda and I read over the material, I wanted to do a bit more study on actually what was done between October 1st, 2005, and December 31st, 2005.

And I looked at that list, and I have two pages, and I and I narrowed it all down.

If she's not one of the busiest persons that I know of, I'm I'm missing something.

One of the things that was brought up that wasn't in this particular list of items in in its fullness, um, was the fact that children's vision is something that we haven't really talked about, and and I know there are pre-u-school uh diagnostic requirements, so a child has to have a uh exam to see how fit they are, their hearing, their vision, and such like that, and all I still don't know where that fits in.

But there's a concern about screen time and the real problems it's doing the physical eye, not just the emotional or some of the basic vision, but the actual mechanics of eyeballs.

And I just I think that that's something that was brought up to me by yourself, actually.

Uh um, Dr.

Lyon, in that I think those discussions need to be made now that they're making transitions to uh limiting time on screens if if that's enough, or if there are other things that have to be stepped in.

Uh protective glasses, if screens aren't a protective in themselves, such like that.

So, but I was just really impressed, and I just want to appreciate the hard work that goes behind all that we see on such a little deal.

One paragraph can't go in, can't even start to show how much work's done.

And I just appreciate it very much.

Thank you.

Thank you, Mr.

French.

Are there any other public comments at this time?

Okay, um, hearing none, we'll move on to um for possible action approval of the minutes from September 4th.

I uh I do have one correction.

Um, sorry I didn't send this to you ahead of time on page four.

I'll wait till you get there at 1207 eleven.

You good?

Um the six line uh instead of duplicates, it's the duplicates.

I checked my funk and wagnol, and that's not a word, soupates.

I would the duplicates, yeah.

Okay.

So uh with that correction, um noted I move to approve the meeting minutes of December 4, 2025 of this Carson City Board of Health.

I second.

All those in favor.

Aye.

Any opposed hearing none, the motion passes uh unanimously and moving on to the um next item, which is um my report.

Somehow I have okay, got it.

I have my report.

Okay.

Um I'll just point out a couple things on the report.

Um, and that is as of uh now, we have um surpassed fit 50 percent of the cases, case numbers that we experienced last year in regards to measles.

So in the first two months of the year, we're already passed 50 percent of the total for last year.

So measles um continues to be a significant problem, and um I know that the health department under Genie's um direction has done everything possible to prepare for when we see it here in whatever capacity we end up seeing it here.

And then um under the chat GBT, um it's not probably a surprise that such a large number of people are using it for medical information, but I thought it was interesting to note the number of people that are utilizing it to help um work with their insurance to do comparisons well, not just comparisons, but uh figuring out how to bill in questions, claims, um cost sharing, you know, basically how in the heck does my insurance work for me.

Um tremendous number of questions about that.

And then um regarding US uh healthcare spending having risen uh just above 7% over a period of a year, that's actually um pretty decent for what I have noted in the past.

We're currently at 18% of gross domestic product, um, meaning that pretty much um one in every five dollars spent in the United States is spent on health care, and that is a lot.

Um and it uh that increase has not been driven by inflationary prices, but rather by um care volume and intensity.

So people are sicker uh meet by intensity, and um that hospital services have grown nearly nine percent.

Uh that might be partly an aging population, um that sort of thing.

And then under the World Health Organization, we have exited the exited as of January 22nd, the World Health Organization.

And I think that's an amber alert that I received on the way down.

I have another one.

Turn my noise off.

Yeah.

That involves a possible abduction of a 10-month-old out of Las Vegas.

So anyway, the withdrawal from the World Health Organization does limit the U.S.'s access to critical disease intelligence and reduces the American influence over global outbreak responses.

But there are some states that are working on cooperative agreements with the WHO.

So hopefully will allow us still some access and influence there.

And in regards to the Affordable Care Act, this suspension of the expanded subsidies, which expired in January 1st, the insurers outside of the Affordable Care Act have secured premium increases to offset potential membership losses.

And we were just talking about what PERS is noted here in the state of Nevada the other day, fairly significant increases in premiums.

Medicare Advantage again data to show that Medicare Advantage plans where a person signs over their Medicare benefit to an insurance company to manage that benefit for them, that those plants have consistently exceeded traditional Medicare costs by at least 13% and reached 20 to 21% in 2022-2023.

Further information about that is that a lot of hospitals and providers and health systems are finding that the onus of working with Medicare Advantage plans is excessive and are beginning to withdraw from those plans.

More on that at our next meeting.

A public health alliance was formed in September to establish independent vaccine recommendations and public health guidance.

That we had some of that flow over the Sierras into the Reno area for sure because of that crossover.

And Las Vegas is significantly impacted by the LA area.

So that alliance and what California will be doing will affect us.

And then regarding the patient Ed, when I put this together, of course, it was January and February is heart month.

It is now March.

But anyway, I thought this was a great handout to keep in mind the signs of heart attack and the signs of stroke.

And it's amazing how many people delay care of like wait and see attitude, and you want to avoid that attitude.

So one of the things about heart attack is it's not always chest pain.

Sometimes the things preceding heart attack are shortness of breath.

So beginning to experience shortness of breath, it's out of character for you for yourself is something that you want to look at.

And for women, it is less common to have the to have it's more common to have other presentations besides chest pain, so nausea, vomiting, back or jaw pain.

And for women, it is less common to have the um to have it's more common to have other presentations besides um chest pain, so nausea, vomiting, back or jaw pain, and then in regards to stroke to remember that acronym fast for a facial droop, slurred speech, um, or trouble understanding um speech or finding the right words, so difficulty speaking, arm weakness, and so if you want to test your your mom or your grandma, have them extend their arms and can they do that and can they hold it, or does one arm begin to drift down?

Okay, um, and then call 911 because there are things that can be done about a brain attack, a stroke.

And then this is something interesting that there's starting to be some emphasis in regards to um sepsis.

Um my stepfather um suffered this despite my advice to my mother uh regarding how to care for him.

Uh and so when we talk about infections, most often here we're talking about viral infections, the influence of the RSV, the COVID.

But sepsis is generally a bacterial infection for which we need antibiotics, IV in a hospital setting, ASAP to prevent death or disability.

And so we're usually talking about an initial source of pneumonia, a urinary tract infection, or something on the skin, a wound.

So to be aware that if you have something on the skin to keep it clean, um, to keep your vaccinations up to date, for instance, the pneumonia shop for those over 50 and older.

Um and I want to emphasize avoiding using triple antibiotic um ointments on the skin because of the neomyosin present in those that can cause um skin reactions, and so best to use bacitration if you're going to use something on the skin.

And then know the symptoms.

Um, and one of the biggest health advice I think we can offer our public is that everybody should have an uh thermometer at home and one should use it.

So uh just the other day was called by my um daughter in law about uh our uh eight-month-old grandson, and he had a significant rash.

It was a rather odd rash.

Um, and my first question was does he have a fever?

I don't know.

I haven't checked it.

Okay, check it and we'll be over.

So have a thermometer.

If you have a fever greater than a fever is considered greater than 100.4, 100.4 or greater.

Um, and uh that increases your concern if you have a fever.

Um, but if you have a temperature more than three days, you should be seen.

If you have a fever of 103 or greater, you should be seen.

So um to take a look at um that interesting um handout about um sepsis.

So if there are there any questions or comments about the health officer report report.

Huh?

Just trying to educate you all so you can educate the public.

There you go.

Thank you.

Um, so hearing um no questions or comments, do we have a motion to accept the report?

I move to accept the report as presented.

Okay, thank you.

Second.

And um, all those in favor?

Aye.

Aye.

Opposed.

Okay, thank you.

Um motion passes unanimously, and then on to um item number 15 um B.

And that is the um report from the director of the Carson City Health and Human Services, Jeannie Freeman.

Good morning, members of the Board of Health.

Jeannie Freeman for the record, director for Carson City Health and Human Services.

And today I'm gonna give you a brief presentation related to the report that you all had in your materials and have reviewed.

So change seems to be the theme at Carson City Health and Human Services, and I can promise that there is change on the horizon again for the next report.

Um we are resilient uh agency for sure.

Uh, we definitely look at change as an opportunity uh for us to reevaluate and so forth.

But some of those changes are things to celebrate too.

We had a couple of staff that retired, they've been with us for a long time.

They've dedicated a lot of energy and passion for Carson City, and so we celebrate Judy and Veronica or Ronnie, as you would know her, uh, for all the years that they've given to us.

We've had staff that have gone through some different trainings and gotten some additional certifications, which add to their subject matter expertise, which is definitely something to celebrate.

It takes, um, it's not required.

These are things that they are doing to help make them better in their service to our community.

And then when opportunities have arisen, we've had staff that have chosen to apply for positions and change their challenges in front of them and to grow and to see how they can continue to serve not only in the agency but the community.

And then I'm excited to welcome Tina, our new front desk staff member.

She is, I got to call the office yesterday.

What a pleasant voice.

I was really excited when she answered.

I was like, oh, that's so nice to hear.

You could tell she was smiling when she answered the phone.

Um and she, and she can't tell that it's my phone number that's coming in.

So that's nice to know as well.

But one of the other great things that happened in this last quarter is with the leadership of our assessment and accreditation coordinator.

Um, we submitted our annual report to the public health accreditation board related to our annual review, and we submitted our quality improvement project.

And both of them were accepted without comment, and our quality improvement project was accepted as part of the documentation for our next reaccreditation if that is something that we choose to pursue.

And in that, that's nice to know that we are already meeting those uh standards.

And in fact, the comment that came back was that we are exceeding those standards.

So that was nice to hear as well.

We have a job fair that we are leading the collaboration on.

If you remember uh last time, Christy had given an update related to the last job fair that we had done.

And the feedback that we had received was to do the job fair later in the day because it would allow those in the community who may be working but seeking other opportunities to also be part of that opportunity, uh, that access to employers.

We already have 18 employers that are signed up for this event, uh, which is great.

It'll be held at the community center from three to five.

So this is actually on a Friday afternoon from three to five.

We have some partners that are going to come in and talk with people about uh career dress and attire and also work on their resumes with them and run them through mock interviews.

Many of the employers have already stated that they are going to be ready to interview people on site.

So that's a great opportunity for people to come in, interview, and maybe even walk away with a job at that afternoon, which is really kind of a great place to be.

That job fair.

Um, we have many other employers that we've been reaching out to.

I saw it in actually the posting for the chamber earlier today that they have been helping get that word out about the job fair for employers to also engage with.

And if anybody's interested in being present at the job fair, they can reach out to us at our main number, which is 887-2190.

So, talking a little bit about some of the things that have happened in this last uh quarter, we had the point in time count, which happened in January on January Thursday, January 29th.

And there were numerous community social services partners, and we had the sheriff's office, we had some volunteers that got together and met at the health department at about 4:30 in the morning.

That's even early for me, and I'm a morning person, but they got together at 4:30 and they were ready to go at 4:30.

If I'm waking up at 4:30, I'm not ready to go.

But they were there and they mapped out the entire city and they broke up into teams and then they went out and they did their counts within their assigned area.

And we don't have the numbers associated with that yet.

We'll have them in the next couple of months.

But when we looked at this, the collaboration was phenomenal with all these different partners, and we were really appreciative.

And in the time that they were out in the community doing the counts, they were able to actually give information about the resource fair that was happening later that morning, which started at 8:30 in the morning here at the community center.

And there was a full warm breakfast that was provided.

We had one of our vendors that provided that, and it was paid for by one of our local religious organizations.

And we had more than 25 different social services agencies that were partnering there at the resource fair.

And there were all kinds of things that were great.

So people were able to connect and learn about different resources that were available in Carson.

But then we also had a partner that came down and was giving haircuts, and so many haircuts were given, and people said that they felt like a new being to be able to have that.

And it was just really such this wonderful experience.

There were some warm jackets that were provided, and we actually had a couple of people who walk who came over to Carson City Health and Human Services later that afternoon.

And after the haircut and after getting a warm jacket, they said, I'm now ready.

I need somebody to walk me through getting a job.

I'm looking to have a job because they felt like they now had confidence to be able to move in that direction, which I realized that it may not be an astronomical number of individuals, but one or two, it like it changed where they saw themselves and what they were at.

So really just so appreciative to all the partners that worked with us as you saw that long list within the report of those different entities and just grateful.

So there was actually a lot of feedback from those partners where they said they'd be interested in doing a even if we didn't do a point in time count every year because it's required every other year by HUD, that they'd be interested in doing a resource fare once a year, and that would provide an opportunity.

And I'll talk a little bit later about what we've been doing with the social services landscape assessment, and that might be valuable in having people understand when we discuss services, what those services are that we're really talking about.

Then moving on to our women, infants, and children or WIC program.

Um, in this last quarter, it was up and down.

It was a roller coaster for our WIC staff because we were open one day, we were going to be closed the next.

Wait, just kidding, we weren't gonna be closed, we'll close next week.

Not really, but we're gonna close the following week.

And it really was all over the place.

Our WIC staff were phenomenal, even in all of that roller coaster, because that roller coaster is about not only the people that they serve, but their own lives, right?

It's their jobs and stuff as to whether or not there's funding to support that.

And they maintained a really positive outlook and a positive interaction with their clients.

And we serve over 500 different WIC recipients in Carson with Carson City Health and Human Services.

There is another WIC program in Carson that is a much smaller dynamic, but we need both of them to be able to actually serve the numbers that we have in Carson.

The federal funding is back, it's there to support the WIC program, but the impact kind of made a lot of people nervous, and there was a lot of confusion about what that looked like.

So really proud of our WIC staff, they supported our community members and were doing everything they could they could when they knew they had appointments the next week.

Can we move them up to this week so that we can make sure that the information is there and that they were able to support?

They still have they're still doing a wonderful job related to breastfeeding and emphasizing that breastfeeding and the importance of that.

And so both of our staff just really continue to show how much they care for the Carson City community and the ones who have such high vulnerability.

All right, disease surveillance.

So epidemi epidemiology, and then giving you some vaccine updates.

So in 2025, um, just in Carson City, our Epi Division uh did investigations on over on 20 different outbreaks, what would be constituted as outbreaks.

The majority of those were in schools or in healthcare facilities, and 19 out of the 20 of them were actually respiratory related.

Um, when you look at some of them, some of those outbreaks were what we call hand foot and mouth.

A lot of people don't think of that as being respiratory related, but it is.

The virus that causes it ends up coming in through the respiratory system and then causes those rashes and so forth.

So they spend a lot of time doing the contact tracing and assisting these different agencies with ways to sanitize and to prevent further outbreaks.

And then our respiratory illness season in 2026, um, I would like to say it came in like leading us to believe we were gonna be calm this year and it didn't really show up that way.

It kind of looked like other respiratory illness seasons and started slow and then it did a huge spike.

And so we see the flu, we see RSV, we saw COVID and stuff, and it gave a spike right around a middle of to end of December, uh, which sounds pretty typical.

We get a lot of people who spend time together during the holidays, and we share a lot with one another during the holidays.

We do, we do share a lot with one another, and we shared our germs as well.

So when we see what's happening with respiratory illness season, we are seeing that the flu season, um, we're starting to see a slight increase again, which is something that we anticipate because we're seeing a shift from influenza A to influenza B, which is their as a reminder for folks, uh flu season doesn't end until sometime in May.

So it's um important to keep that.

Let's not share anymore.

So I know we teach that in kindergarten, but we share to an extent.

We also teach hand washing, which is important.

Then we look at vaccine preventable diseases.

So earlier, actually in January, the Centers for Disease Control and Prevention, they gave a change in recommendations related to childhood vaccinations.

Two vaccinations, I mean, the whole list is available, but two of those vaccinations that didn't change were related to measles, which is your MMR vaccine, and then your other one that deals with pretussis or whooping cough.

That those recommendations for those vaccines did not change.

And both of them become important for us because we have been paying attention to what's been happening.

As Dr.

Lyons reported in her report, we're seeing an uptick in measles.

And actually later this summer, there's a discussion that's happening on the international level to actually determine whether or not they're going to remove the eradication label for measles in the United States.

So because the cases have been growing so rapidly and what that looks like.

So one of the things that we're actually going to do is we're meeting with the chief nursing officer with the school district and having some conversations about this so that we can help her and her team with the education surrounding vaccines because the changes have created some confusion for parents.

So we want to make sure that we're helping with that transition for them.

But then we're also going to spend some time doing some modeling.

So there's some modeling that's out there that based on what the vaccine compliance rates are within a community or within a school, you can plug that into this model software that's available and we're able to say, like if you had one child that was unvaccinated that was positive for measles or somebody who was positive for measles, what would that look like in your school?

And the reason we want to do that is because something like measles, if they're unvaccinated, they're automatically excluded from school for 21 days.

21 days is a lot of days to be out of school.

And so we need to help.

We feel like if we can provide some of that modeling, then the school district can take a look at well, how would we continue to educate those children when they're out of school?

Because if they were to come back and then be exposed again, 21 more days.

And so it's kind of an interesting dynamic, but we want to be able to give them information so that they can start talking about what this might look like in their educational environment.

Um the protessus, the whooping cough is different than measles.

You don't automatically get excluded, but there are some different things that can happen.

And we've seen that up in Washoe County.

They've recently had a couple of schools that they've had some protussis outbreaks in, and their recommendation was children who come to school should not have any symptoms.

If they have symptoms, they need to be tested negative and before they can be allowed in school.

And they had a surge on their urgent care centers and on their hospital, and they ran out of supplies in one day within the community with that kind of order.

So that helps us learn too about what kinds of dynamics we would want to be considering when it comes to that education for our healthcare community, but then also what recommendations we would make.

Do you have a question?

Yeah, can you can you clarify the measles comment?

So if if there's an exposure, the individuals exposed have a 21-day exclusion.

Is that what that comment?

If they're unvaccinated.

Correct.

Yes.

Right.

So if they're vaccinated, it it's there isn't uh classification.

But if you have unvaccinated children, if if they're yeah, depending on the exposure and the contact, the vaccine the vaccination, uh, they may have some exclusions depending upon the number of vaccines that they've had, if they've had both of them or if they've had one generally speaking, yes.

Unvaccinated, say in the same classroom as someone who has a case of measles would likely be excluded.

Yes.

For 21 days.

Yes.

So it could be a whole class.

Yes.

Okay.

Thank you.

We are what I'm what is nice to know is that in Carson City, so I pulled this morning, I pulled the 2024-2025 vaccination report card for Carson City when it comes to childhood immunizations.

And what's nice to see is that as of the 23-24 school year, because that's the most current that we have, um, for the MMR, Carson City was 95.54% vaccinated within our kindergarten class classes.

So that's encouraging for us.

We are definitely stronger than some of our neighboring counties, um, which dipped down into the 80s, the high 80s, um, which we need to be cognizant of because that does impact us, right?

They are neighbors and we shop across borders and so forth.

You have info as to how that might have changed over time.

I don't.

I can I can bring that, I can find that and get that too.

What was it, 95%?

95.54%.

Um, I mean, that that's a great number that's standing alone.

I it's hard to understand the significance of it.

Is it nice?

If it was 100%, if it was 99, if it was 82 when it went up, it would be good to know.

So I know that maybe it's not available easily, but I think that would be an interesting number to see and to understand.

And I can take a look at that and get back to you on that, Supervisor GMI.

Uh, we have there is the resource that I can go and pull up the dashboard from the state and kind of look at the trends over over where we are.

Carson's also quite a bit lower on their exemption rates than some of our neighboring counties.

Um, so that's also a positive.

And our school district here is adamant about people being compliant in order to go to school.

So that's been one of the areas having that partnership where the schools are also ensuring that compliance with what the recommendation or what the requirements are with the state helps us be successful with that in our community.

Because there are some that can't be vaccinated for a variety of reasons.

All right, thank you.

Yes, sir.

Jeannie, can you tell me though, once they get the vaccine, how long is it for it to be for the efficacy?

What how is it 10 days right away, two weeks that the vaccine will actually stop if you get a second outbreak?

Sure.

So I'm not aware of that.

Maybe Dr.

Lyons has the information associated with your with your question.

I would I don't know the exact either.

But when we look at um influenza, which is another viral um illness, um, if we have an exposure in an unvaccinated uh person for influenza, we know that giving the shot right then uh can make a difference uh in terms of how they might end up experiencing influenza.

So my guess would be that it's pretty rapid, but in terms of saying uh, okay, we gave gave you a shot, can you return to school?

Well, not exactly because if they had that exposure, um they're still gonna have to do the 21 days because it doesn't cut it to 10 days.

Yeah, it's not like you can say, oh, well, you're not immunized, you've been exposed, here's the shot, now you can go back to school.

No.

When it comes to um protestis, if they test positive, then they do the treatment, then they can return to school um within a few days uh with after the treatment, and I'll look at Dustin to see his head nodding carefully, five days.

Five days.

Yeah, Dustin is an incredible resource.

Dustin, do you have anything you'd want to add to any of this?

No, okay.

Five days.

He's like, no, don't put me on the spot.

Sure.

Perfect.

Dustin's an incredible resource.

We're gonna pull on Dustin.

I'm gonna call a friend.

Yeah.

Um for the record Dustin Booth, um, epidemiology uh manager.

So in regards to protussis, um, if somebody um is symptomatic, diagnosed with it, they take the standard if they can take the center treatment, it's a five-day course.

Once they finish that five-day course, they still may have a cough, but they're no longer considered infectious, and they can come, they can go back to work, go back to school.

Um, in regards to measles, um there is um concerned that because it's such a long incubation period, even though the getting the vaccine of somebody who is unvaccinated, they can still develop symptoms, and so that there still would be um a window after um of exclusion after getting a vaccine.

And if you're already vaccinated and exposed, you're just monitoring for symptoms.

Um but if somebody were to be vaccinated or they were vaccinated and exposed, then um if they develop symptoms, then they need to be excluded even though they're vaccinated.

Um studies have shown that individuals who are vaccinated for measles and that do get measles are less infectious than people that are not vaccinated get measles.

They are very, very infectious and usually, you know.

There's a recent study done.

Um, you know, they were on an infectious person was on a plane and 17 people got it from uh from a plane flight.

So measles is one of the most infectious um viruses out there.

Um it it usually it likes finding the unvaccinated populations, and that's what it will do.

It will continue to um so it's really really when we have to concentrate on and and really encourage people to do that vaccination for measles.

Yes.

Okay, thank you.

And I would just point out a couple things for clarification, and that is protestus whipping cough is a bacterial uh problem, so it can response to antibiotics.

Um measles is a virus, and we do not have any antivirals like we do for COVID or influenza or hepatitis B or you know, some of the other viral infections.

We do not have anything for measles.

The CDC uh estimates that 20% of people who um come down with the measles will rew require hospitalization.

And whipping cough is no fun.

It goes on and on and on.

It's very unpleasant.

Just to follow up with that.

Um so um whipping cough, their cussis, it's a childhood vaccine.

It's also for adults.

And so, as for children, they get the D tap, and for the adults, we get a TDAP.

And so it's it's involved with our tetanus.

So we need to remember to be getting that every 10 years.

So we provide protection for ourselves for tetanus.

But also protesses.

And it's also for us adults.

It's important to remember that we're protecting ourselves.

And our little ones.

And we want to protect the babies because that's where the most morbidity is.

And actually, mortality for protustes is in our little ones.

And they're not protected until starting, you know, they get their first doses at two months.

So that first two months is they're very, very vulnerable.

And that is where there is a lot of mortality in related to protossis.

It is a in the old days they call it the hundred-day cough.

You will cough for 100 days.

As an adult, you will cough so hard you will break ribs.

And just think about if you've ever broke a rib and try to cough.

And there's nothing.

There's nothing to stop that cough.

And it is a lot of very, very painful for people.

And you just can't stop it, can't suppress it.

So the best prevention is getting that vaccine.

But and it's also a dual, you know, dual coverage.

It protects you for tetanus, which you don't want.

And then also protussis.

And just remember as an adult, you don't there's usually nothing making us get it.

Be you know, just remember it's due every 10 years.

Just remember 20, 30, 40, 50, right?

It should be your milestone birthdays.

So you remember to do it.

So your obstetricians encourage the pregnant moms to be sure that they're up to date on that, but also that that pregnant mom makes sure that everybody surrounding that baby grandparents and aunts and uncles and um the other kids.

So the kid we start to see this in middle school is kind of when we are looking at a booster for GDAP in the schools too.

So thank you.

Appreciate that.

Thanks, Dustin.

All right, then some other agency uh changes and improvements.

Um our environmental health division, our branch has been going through all kinds of growth and changes, and a lot of really exciting opportunities there have occurred, and our staff have done a great job.

Out of our five staff, we now have three that have passed their REHSRS exam.

It has been more than two years since we've had this level of expertise since subject matter expertise within our agency, and it is exciting to be back there, and they're doing a great job.

Um, our environmental health manager along with several other managers have completed a uh leadership uh certificate program, which was 16 weeks, involved um collaboration with different leaders from across the country, and allowed them to do things like writing their leader's intent and figuring out how they can implement that within their organization and tie it into the strategic plan for the agency as well as the city.

And I think that that gives good practice because a lot of times people move into a management role, but you don't really know what that all entails until you're living it, and then you question did I make the right choice?

Um, but this helps give them a few tools and some exploration and some time for them to reflect on where they're at, but then to also engage with others and build their own personal board of supervisors or their own personal board of directors that can give them feedback and be honest with them about where they're at.

So strong encouragement for them to collaborate with others outside of the agency, um, whether it be within the city or other places, that they can have that safe place for them to engage and have that dialogue.

Mosquito abatement, um, as I shared in the report or was shared in the report, um, it seems that our efforts were well appreciated last year and um like that.

But I think that it is also really important for us to spend some time thinking about how uh we can get better and really what is the intent of what we're doing there.

And so um, you know, we have the intent from the board, and then we have uh the intent from our public, uh which is important for us to consider as well.

There's a lot of collaboration that's happening across city departments related to um abatement, and we're doing these, we're having good conversations and making good action plans to make sure that we're aligning, strategizing and being efficient, um, which is all part of the Carson way.

And so we want to really make sure that we're talking about what those impacts are and how we can be best with that so that we don't have too many people trying to make the pie when we just need some of the people eating the pie and one person making the pie.

So we want to um have that, and so this year will be uh quite similar to what we did last year, but then I think you can anticipate hearing from us as a collaborative of departments about what we're looking to do in the future to really make sure that we're being efficient and effective uh with what those efforts are.

And then lastly, um, well, lastly for this slide, uh Carson City Health and Human Services has partnered with Credible Mind.

This is an online platform.

I think I shared with you all previously about what the intent was behind this.

And we have a wonderful employee assistance program that we can do through HR, but this is to kind of give us other tools that we can utilize ahead of time.

So we launched this in early February.

And so far, I was given the report yesterday that we've had 54 staff that have engaged with credible mind.

And that's positive.

So even if it's an exploration of what they can do, but my biometric ring tells me that I need to spend a little bit more time in Credible Mind to address my stress and ways to bring my stress down.

I like stress, but I have to figure out how to balance it, I think a little better.

So when we do this, this is another great resource.

And we have given HR access to this so that they can kind of see the platform and see if it's something to evaluate to possibly include for other staff down the road.

But we've got this for two years to pilot it and just kind of see how that's going to move our agency forward and get some feedback from staff.

And then before you take your before I take your questions, I wanted to provide a little bit of an update related to the social services landscape assessment.

I don't have data for you today, but I did want to give you a little bit of that update.

So we have completed the provider and the community surveys.

We had um 23 service provider surveys that were filled out and more than 260 community surveys that were filled out.

This week, the staff are working on collecting the data through focus groups and key informant interviews.

So those will finish up tomorrow.

And I just really want to express um how grateful and how proud of the staff I am when it comes to this project.

They have had to pivot multiple times, especially with the changes in the time frame that we had desired to do the project to needing to shorten it dramatically so that we could get information that would help make other decisions that have ripple effects within the city.

And so I'm really proud of what they've been doing and the positive attitude that they have had through that process.

We did um anecdotally, we have captured something that I don't know that we knew we would capture.

And some of that is really built around trust.

And I think that that trust piece was really how providers trust one another, like those service providers, how they interact and they collaborate daily for us to be able to measure success and how they trust one another and they know how to do that.

But really, the public and what they've had in their comments about trust and that they know certain agencies and that's where they start and that's where they trust.

And um, some of what we were doing and getting the public surveys, we were actually out in the public at events and getting people to complete surveys.

And we found that when service providers were with us that individuals recognized or that they knew the agency's name, they were more likely to fill out the survey than if it was just my staff there that people did not have an interaction with.

And so that community build is really important, and that trust becomes really uh great.

Not that my staff aren't trustworthy, it's just they aren't recognized and familiarity builds trust, and that familiarity um becomes really important.

So we I know that the service providers have been putting a lot of effort into this.

So many of them have given us space and time to be able to do in-person survey collection, but then also if those focus groups and those um key informant interviews and just really appreciative of what that is.

You will have me have a presentation for you early in April about what we've seen associated with the pillars in the gaps that then can be utilized as was discussed during the workshop meeting.

And then we'll have that for you.

Any questions for me.

Thank you.

Thanks.

Without any questions or comments, do we have a motion to accept um the director's report?

So moved.

Second.

Um, all those in favor?

Aye.

Any opposed?

Motion passes uh unanimously to accept um Jeannie's report.

Thank you.

And now for any additional uh public comment, Mr.

French.

Thank you, Doctor.

Thank you, Dr.

Lion Denny French, Carson City.

I just wanted to add my appreciation to health and human services.

I've been utilizing their facility information more recently than before, and uh thank their staff very much.

Um, also I'd like to just bring up the fact that mosquitoes were brought up just earlier and mitigation.

Um I just remind people that it's tick season earlier than it should be, and to keep an eye out for any unusual uh blips on your body, and then also fatigue and muscle and and such.

Uh get help right away, and that will minimize some of your long term.

But ticks are out, so be cautious with your creators and yourselves.

Thank you.

Thank you.

Um are there any other public comments?

Dr.

Lyons, Jeannie Freeman, for the record, I'd like to make a public comment.

Yes.

I'm gonna read this because um it'll keep me from being teary.

Uh the first Friday of March is staff appreciation day.

However, I want to take a moment to highlight the incredible individuals who make up our Carson City Health and Human Services team.

The staff don't just show up to a job, they show up to serve this community.

Much of the work that is done is behind the scenes and doesn't come with daily praises or accolades, yet these staff serve the community every day with humility, determination, and gumption to improve the quality of life for Carson City residents and visitors.

Each day, I am grateful that I get to do this job alongside them.

I just wanted to make the point that they are incredible.

Thank you, Jeannie, and certainly I concur.

Any other public comment?

Okay, hearing none, I adjourn this meeting.

Thank you.