Vote — approved

Steve Gallardo	yes
Jack Sellers	abstain
Bill Gates	abstain
Clint Hickman	yes
Steve Chucri	yes

66.MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH HEPATITIS A OUTBREAK RESPONSEIn accordance with A.R.S. §42-17106(B), authorize the following budget appropriation adjustments: 1. Decrease expenditure appropriation in Correctional Health (D260) General Fund (100) Operating (OPER) by $600,000;2. Increase expenditure appropriation in Public Health (D860) General Fund (100) Hepatitis A Vaccinations (HAV0) by $600,000.As part of a national Hepatitis A virus (HAV) outbreak predominantly among individual

Item Text

66. MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH HEPATITIS A OUTBREAK RESPONSE In accordance with A.R.S. §42-17106(B), authorize the following budget appropriation adjustments: 1. Decrease expenditure appropriation in Correctional Health (D260) General Fund (100) Operating (OPER) by $600,000; 2. Increase expenditure appropriation in Public Health (D860) General Fund (100) Hepatitis A Vaccinations (HAV0) by $600,000. As part of a national Hepatitis A virus (HAV) outbreak predominantly among individuals who use illicit substances, those experiencing homelessness, and recent incarceration, Maricopa county is amidst a rapidly expanding outbreak, with disease spread now occurring in individuals without any risk factors (community spread). Nationwide there have been in excess of 17,000 cases with 170 deaths. CDC has identified our area as being at high risk for an “explosion” of cases and strongly recommends that we prioritize outbreak response immediately. Vaccination of highest risk groups is the most effective way to prevent community spread of HAV. Since February, MCDPH has identified in excess of 135 Hepatitis A cases, predominantly among those with homelessness, substance use, and recent incarceration, with 83% requiring hospitalization. Half of all cases have been incarcerated in the last year and six of those cases exposed over 2000 individuals in the jail system. Weekly disease case counts are increasing at an average rate of 60% (15-20 per week). These budget appropriation adjustments are needed to provide vaccine and staff to administer vaccine to high risk populations, as well as to provide post exposure prophylaxis to stop community spread of HAV in Maricopa County. (C-86-19-054-2-00)