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Informal Meeting Minutes Monday, August 01, 2016 Board Members 10:00 AM Clint Hickman, Chairman, District 4 Andrew Kunasek, Vice Chairman, District 3 BOARD OF SUPERVISORS Denny Barney, District 1 Maricopa County, Arizona Steve Chucri, District 2 (and the Boards of Directors of the Flood Control District, Steve Gallardo, District 5 Library District, Stadium District, Improvement Districts, and/or Board of Deposit) County Manager Joy Rich "The mission of Maricopa County is to Clerk of the Board provide regional leadership and fiscally Fran McCarroll responsible, necessary public services to its residents so they can enjoy living in healthy and safe communities.” Meeting Location Supervisors' Conference Room 301 W. Jefferson, 10th Floor Phoenix, AZ 85003 BOARD OF SUPERVISORS The Board of Supervisors of Maricopa County, Phoenix, Arizona, convened in Informal Session at 10:00 AM on Monday, August 01, 2016, in the Supervisors' Conference Room, 301 W. Jefferson, 10th Floor, Phoenix, AZ 85003, with the following members present: Clint Hickman, Chairman, District 4; Denny Barney, District 1; Steve Chucri, District 2; Steve Gallardo, District 5 (entered late). Absent: Andrew Kunasek, Vice Chairman, District 3. Also present: Fran McCarroll, Clerk of the Board; Maria Ceaglske, Minutes Coordinator; Joy Rich, County Manager; and Michelle Wood, Legal Counsel. PRESENTATION Environmental Services 1. ZIKA VIRUS PRESENTATION Presentation regarding the Zika Virus. John Townsend, Division Manager, Environmental Services Bob England, Director, Public Health Presentation of the Zika Virus history, symptoms, complications and transmission. Present Vector Control's abatement process for green pools and the current Maricopa County action plan for Zika, Chikungunya and Dengue Fever. (C-88-17-001-P-00) John Townsend, Division Manager, Environmental Services, opened the presentation by noting the roles Environmental Services and Pubic Health plays within the community. Dr. Bob England, Director, Public Health, noted the current issues: 1. The mosquito abatement process was determined in the era of the West Nile virus. 2. Zika, Dengue and Chikungunya require a different type of intervention. 3. The length of time to intervene using the existing process is too long to prevent local spread. 4. Any local spread would create an unprecedented disaster for people and the economy. Informal Meeting Minutes Monday, August 01, 2016 Page 2 of 3 Mr. Townsend noted the origin of the Zika virus in Uganda and noted that it has spread from Africa to the Philippines to Brazil and most recently imported into the United States. There are two types of mosquitos that carry the virus, one of which has been found within Maricopa County and the other has been found in neighboring California. Dr. England said the following are signs and symptoms of the Zika virus that last from several days to a week: fever, rash, joint pain, red eyes, muscle pain, headache, pain behind the eyes, and vomiting. He noted the Zika virus is most problematic to pregnant women because it causes microcephaly, which is a rare neurological condition where an infant’s brain is underdeveloped and the head appears significantly smaller and can occur before or after birth. Dr. England stated Guillain-Barre syndrome is also a complication of the Zika virus. It is a rare disorder in which the body’s immune system attacks the nerves and can lead to paralysis. He said the virus can be transmitted through mosquito bites, mother to child through pregnancy, sexual contact and blood transfusion. The transmission of the virus is largely through mosquito bites. ~ Supervisor Gallardo entered the meeting ~ Mr. Townsend indicated where cases of the Zika virus has been linked throughout the World and stated there have been nine confirmed imported cases of the Zika virus within the United States. He pointed out the locations where the Zika virus carrier mosquitos have been found within Maricopa County and said these particular mosquitos prefer human blood so they tend to migrate in largely populated and established neighborhoods. Mr. Townsend explained the processes currently being used by Environmental Services/Vector Control to inspect a homeowner’s property for mosquito breeding. The major concern is the lapse of time from an initial complaint to treatment of the property when the owner is not home. The protocol requires the department to obtain a search warrant and engage local police to visit the property. Often this process can take 7-10 days. Mr. Townsend noted the mosquitos that carry the Zika virus do not fly at night, prefer human blood and stay within a small radius of the breeding location. Obtaining access to an entire property is necessary for proper treatment. He noted the surveillance and treatment procedures and stressed the importance of treating within 100 meters of the active breeding site. Mr. Townsend said Environmental Services and Public Health worked together and developed a detailed response plan. He explained the Environmental Services response to the mosquito portion and said there is also a Public Health response to the human portion. Supervisor Gallardo questioned the logic of where the mosquito traps are placed and noted the importance of educating the public on the issue. Mr. Townsend responded that historical data is used in addition to past resident complaints. There are nearly 800 traps strewn throughout the County and several within the highly inhabited metro region. Supervisor Barney stated he has seen how quick a complaint can be mitigated when Environmental Services is able to properly access the property without delay. He noted the importance of property management and legal rights when it comes to safety that go beyond the nuisance factor and hit significant health concerns. He said additional steps will need to be taken other than public awareness and outreach on the Zika virus issue. Dr. England said if an imported case is brought to the attention of the Public Health and Environmental Services they must act quickly but the County’s current process takes longer than several other counties within Arizona. He asked that the County Attorney be given an opportunity to revisit the current process in light of the Zika virus issue. Informal Meeting Minutes Monday, August 01, 2016 Page 3 of 3 Supervisor Chucri asked how vacant homes are being addressed. Mr. Townsend responded that an agreement has been made with the banks and realtors to give the County quick access to properties when a problem arises. Chairman Hickman asked that Joy Rich, County Manager, work with the County Attorney to allow Environmental Services access to properties and to keep in mind of the owner’s property rights. Joy Rich, County Manager, clarified that what is being asked today is a change to the property access procedures to allow for quicker access. Dr. England concurred and stated that when an imported case is found and Environmental Services find the mosquitos that carry the Zika virus they would like mitigation to take place within a 24 hour period. Supervisor Barney stated there is a compelling amount of information given to do what is best to protect public health. Supervisor Chucri suggested that protocols within other Arizona counties be looked at. Supervisor Gallardo requested continued public education. Mr. Townsend noted that educating the public on backyard breeding is continual. 2. EXECUTIVE SESSION Vote to convene in Executive Session to consider items on the Executive Agenda dated August 01, 2016, for Board of Supervisors and relevant Special Districts pursuant to statutory authority listed for each item. Motion to approve by Supervisor Chucri, seconded by Supervisor Kunasek Ayes: Hickman, Kunasek, Chucri Absent: Barney, Gallardo MEETING ADJOURNED After discussion on the executive items and there being no further business to come before the Board, the meeting was adjourned. _______________________________ Clint Hickman, Chairman of the Board ATTEST _____________________________ Fran McCarroll, Clerk of the Board