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44. GRANT FUND NON-RECURRING BUDGET APPROPRIATION ADJUSTMENT FOR OFFICE OF EPIDEMIOLOGY Approve a one-time expenditure of $109,437 from fund balance in the Department of Public Health Grant Fund (532). In addition, per A.R.S. 42-17106(B), reduce the FY2017 expenditure appropriation in the Non-Departmental (470) Non-Departmental Grants Fund (249) Non-Recurring (1001). Potential Expenditures from Fund Balance line by $109,437 and increase the FY2017 expenditure appropriation in the Department of Public Health (860) Department of Public Health Grant Fund (532) Non-Recurring/Non-Project (1001) by $109,437. Approval of this action will support the Office of Epidemiology’s mandated investigations of communicable diseases by allowing the hiring of two County Contract positions for the period of October 1, 2016 through December 31, 2018. This appropriation will provide the funding for October 1, 2016 to June 30, 2017. The Department of Public Health’s FY2016-17 indirect rate for grants is 15.1%; therefore $14,357 is allowable and fully recoverable. The Office of Epidemiology (EPI) would like to request a one-time use of grant fund balance moneys to create two (2) contract positions for communicable disease investigators to support the nurse epidemiologists with a surge in Zika investigations and to assist with additional outbreak investigations. We are currently in the midst of a county wide Cryptosporidium and a large Salmonella outbreak that are continuing to spread in the community, both of which have caused us to exceed our epidemiology capacity, which is already stressed with over 400 Zika investigations ongoing. Because we anticipate the workload from Zika investigations to continue and likely increase for at least one year, and the backlog of additional cases from prioritizing work to take even longer, this position would be active until December 31, 2018 Detailed cost list below: Salary: $65,458 Benefits: $29,622 Indirect Costs: $14,357 Total: $109,437 Continuation of these positions will be requested in the FY2017-18 budget. (C-86-17-008-M-00)