HomeMy WebLinkAboutOrdinance 17555-05-2007Ordinance No. 17555-05-2007
AN ORDINANCE INCREASING ESTIMATED RECEIPTS AND
APPROPRIATIONS IN THE GRANTS FUND IN THE AMOUNT OF $100,000,
SUBJECT TO RECEIPT OF THE GRANT FROM THE TEXAS DEPARTMENT OF
STATE HEALTH SERVICES, FOR THE PURPOSE OF FUNDING THE PUBLIC
HEALTH DEPARTMENT IMMUNIZATION OUTREACH PROGRAM; MAKING
THIS ORDINANCE CUMULATIVE OF PRIOR ORDINANCES IN CONFLICT
HEREWITH; AND PROVIDING AN EFFECTIVE DATE.
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF FORT WORTH,
TEXAS:
SECTION 1
That in addition to those amounts allocated to the various City departments for Fiscal Year 2006-
2007 and in the Budget of the City Manager, there shall also be increased estimated receipts and
appropriations in the Grants Fund in the amount of $100,000, subject to receipt of the grant from the
Texas Department of State Health Services, for the purpose of funding the Public Health's
Department Immunization Outreach program.
SECTION 2.
That should any portion, section or part of a section of this ordinance be declared invalid,
inoperative or void for any reason by a court of competent jurisdiction, such decision, opinion or
judgment shall in no way impair the remaining portions, sections, or parts of sections of this
ordinance, which said remaining provisions shall be and remain in full force and effect.
SECTION 3.
That this ordinance shall be cumulative of Ordinance No. 17142 and all other ordinances and
appropriations amending the same except in those instances where the provisions of this ordinance
are in direct conflict with such other ordinances and appropriations, in which instance said
conflicting provisions of said prior ordinances and appropriations are hereby expressly repealed.
SECTION 4.
This ordinance shall take effect upon adoption.
APPROVED AS TO FORM AND LEGALITY:
Assist nt Ci ttorn y
ADOPTED AND EFFECTIVE: MaY22, 2007
City of Fort Worth, i~exas
Mayor and Council Communication
COUNCIL ACTION: Approved on 5/22/2007 -Ordinance No. 17555-05-2007
DATE: Tuesday, May 22, 2007
LOG NAME: 501MMUNIZATIONS REFERENCE NO.: **C-22129
SUBJECT:
Authorize Execution of a Grant Contract with the Texas Department of State Health Services to
Provide Immunization Outreach to the Community from September 1, 2007, to August 31, 2008,
Waive Indirect Costs, Authorize an Interfund Loan and Adopt Appropriation Ordinance
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize the City Manager to apply for, accept and execute, if awarded, a grant contract with the Texas
Department of State Health Services for up to $100,000.00 to be used to increase immunization levels in
birth to 18 year old children and provide awareness and education at the community level; from September
1, 200?, to August 31, 2008;
2. Adopt the attached appropriation ordinance increasing estimated receipts and appropriations by
$100,000.00 in the Grants Fund;
3. Waive indirect costs of 17.59 percent of related salary and fringe benefits which are the most recent
rates indicated by the Finance Department; and
4. Authorize anon-interest bearing interfund loan from the General Fund to the Grants Fund in the amount
of $25,000.00 for the interim financing of this grant pending contract execution to provide for a smooth
transition from one grant funding to the next.
DISCUSSION:
The CDC's National Immunization Survey, which tracks immunization rates among preschool children,
found that the Texas rate for a key vaccine series was 76.8 percent in 2005. That's an 11 percent increase
over the state's 2004 rate of 69.3 percent, and it's the first time the survey's inception in 1995 that Texas
ranked above the national average. Texas now ranks 24th in the nation for immunization rates, up from 41st
in 2004.
The National Immunization Survey provides vaccination coverage estimates far children 19 through 35
months of age. State rankings are based on the percentage of children completing the 4:3:1:3:3:1 series of
immunizations. That series includes four doses of Diphtheria, Tetanus, and Pertussis (DTaP), three doses
of Polio Vaccine, one dose of Measles-containing vaccine, three doses of Hib vaccine, three doses of
Hepatitis B vaccine, and one dose of Varicella vaccine.
The fundamental reasons for under immunization are factors related to poverty. These factors can be
overcome by removing financial and access barriers. The City's Public Health Department, Outreach
Division, is proposing a continued partnership with the Fire Department to immunize children birth to 18
years of age. -This partnership with emergency personnel makes sense for our community. The personnel
are medically trained, know their neighborhoods, and the fire stations are known "safe havens" in the
Logname: SOIMMUNIZATIONS Page 1 of 2
community. The fire stations are easily accessible, Americans with Disabilities Act compliant, and
appealing to young children. Flexible hours of operation help remove the barrier of access for working
parents. Enlisting firefighters and paramedics to become immunization partners is an innovative way to
keep improving immunization coverage in this vulnerable population. The end result is protection for all the
residents of Fort Worth. There will continue to be no charge to the citizens for these immunizations.
The goal of this proposal is to utilize immunization funds to achieve and maintain 90 percent vaccine
coverage for vaccine preventable diseases. Currently vaccines are given for DTaP (tetanus, diphtheria,
and acellular pertussis), IPV (inactivated poliovirus vaccine), MMR (measles, mumps, and rubella), HepB
(Hepatitis B), HepA (Hepatitis A), Varicella (chickenpox), Hib (haemophilus influenza type b), PVC 7
(Pneumococcal Disease), MCV-4 (Meningococcal), HPV (human papillomavirus vaccine), Td
(Tetanus/Diphtheria), Tdap (Tetanus/Pertussis). The immunization program has provided 7,768 vaccines to
2,617 children from January 2002, through February 2007. Of these children, 1583 (60.5 percent) were not
insured, 152 (5.8 percent) were underinsured, 803 (30.7 percent) were on Medicaid, and 79 (3 percent)
were on the Children's Health Insurance Program (CHIP).
As part of the advocacy role, Outreach staff is aware of the lack of culturally competent access to
services. Immunization services must be provided in a way that encourages compliance by meeting the
needs of the population at highest risk for not being immunized. The continuation of this immunization
program will help insure access.
The current locations for this program are Station 15 (3100 Azle Avenue), Station 17 (212 East Felix ,
Street), and Station 3 (4700 Ramey). Protocol and standing delegation orders are in place and quality
assurance is maintained through a collaborative effort between the Public Health Department and the Fire
Department.
The Outreach staff distributes information about the availability of services throughout the City in recreation
centers, day care centers, child care provider classes, and faith based organizations, for example. Data
collection is done using the Statistical Package for the Social Sciences (SPSS) Version 11.0. Data is
entered into the Tarrant County Immunization Registry and downloaded to the State's "ImmTrac" data base.
Staff recommends the waiver of indirect costs to maximize the funds toward the grant objective.
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that upon approval of the above recommendations and adoption of the
attached appropriation ordinance, funds will be available in the current operating budget, as appropriated, of
the Grants Fund. Upon execution of the grant contract, the interim inter-fund loan will be returned to the
General Fund.
TO Fund/Account/Centers FROM Fund/AccountlCenters
GR76 451923 050301196000 $100.000.00 GG01 136076 000000 $25,000.00
GR76 5(VARIOUS~ 050301196010 $100,000.00
GR76 220001 000301196000 $25.000.00
Submitted for City Manager's Office b~ Joe Paniagua (6575)
Originating Department Head: Daniel Reimer (871-8903)
Additional Information Contact: Leticia Azocar (871-6212)
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