HomeMy WebLinkAboutOrdinance 13481;,
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Ordinance No.
AN ORDINANCE INCREASING THE ESTIMATED RECEIPTS AND APPROPRIATIONS IN THE
GRANTS FUND IN THE AMOUNT OF $100,000 00 SUBJECT TO THE RECEIPT OF THE GRANT
FROM THE TEXAS DEPARTMENT OF HEALTH AND THE TEXAS DIABETES COUNCIL FOR
THE PURPOSE OF FUNDING THE DIABETES AWARENESS AND EDUCATION IN THE
COMMUNITY PROGRAM, PROVIDING FOR A SEVERABILITY CLAUSE, MAKING THIS
ORDINANCE CUMULATIVE OF PRIOR ORDINANCES AND REPEALING ALL 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 the Fiscal Year 1998-99 and in the Budget of
the City Manager, there shall also be increased estimated receipts and appropnations the Grants Fund in the amount of
$100,000 00 subject to the receipt of the grant from the Texas Department of Health and the Texas Diabetes Council for the
purpose of funding the Diabetes Awareness and Education in the Community Program.
SECTION 2.
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. 13111 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repealed.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 and be in full force and effect and after the date of its passage, and it is so ordained.
APPROVED AS TO FORM AND LEGALITY
i LJ
Assistant Attorney
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Date
9~--cd'
Adopted
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Effective
City of Fort Worth, Texas
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DATE REFERENCE NUMBER ~ LOG NAME PAGE
6/9/98 **C-16822 50DIABETES 1 of 2
SUBJECT .APPROPRIATION ORDINANCE AND CONTRACT WITH THE. TEXAS DEPARTMENT OF
HEALTH AND TEXAS DIABETES COUNCIL FOR A DIABETES AWARENESS AND
EDUCATION 1N THE COMMUNITY (DAEC) GRANT
RECOMMENDATION
It is recommended that the City Council
1 Authorize the City Manager to apply for and, if offered, accept and execute a grant contract with the
Texas Department of Health (TDH) and Texas Diabetes Council (TDP/C) for $100,000 to be used to
increase diabetes awareness and education at the community level, and
2. Adopt the attached appropriation ordinance increasing appropriations and estimated receipts by
$100,000 in the Grant Fund
DISCUSSION
Diabetes is an epidemic and a public health crisis in Texas. The incidence rate has increased ten fold
in the last 60 years (3 7 per 1,000 in 1936 to 30 6 per 1,000 in 1995) The estimated prevalence of
diabetes in Texas is 6 5% Diabetes impacts minorities disproportionately, i e., 11 4% for African
Americans and 9 3% for Hispanic Americans. Based on the cost methodology developed by the
University of Texas ("Direct and Indirect Costs of Diabetes in Texas, 1992", by Dr David Warner, LBJ
School of Public Affairs, et al ), it is estimated that the annual cost of diabetes in Texas is approximately
$4 billion Using this same cost methodology, the financial burden of diabetes annually for the City of
Fort Worth is estimated to be $102,168,000 Yet we continue to spend health care dollars on
downstream medical technology and treatment, rather than focusing on prevention and intervention
The medical complications associated with diabetes are serious. It is estimated that as many as 915 to
1,830 Texans will go blind each year as a result of diabetic retinopathy Another 4,118 Texans will
undergo amputations because of diabetes. It is also estimated 1,509 Texans will develop kidney
disease as a result of diabetes. Most individuals with Type 2 Diabetes have another chronic condition
to manage and each health condition intensifies the severity of the other condition(s) Cardiovascular
disease is two to four times more common in individuals with diabetes. Stroke is 2 5 times more
common, and high blood pressure affects 60 to 65% of the individuals with diabetes. Over 40% of the
individuals with any chronic health condition have more than one condition to manage, and most
chronic health conditions are behaviorally related Type 2 Diabetes may be preventable through proper
nutrition and physical activity It is estimated that 50% of the blindness and 60% of the amputations are
preventable Even with new medications and management methodology, diabetes is still the leading
cause of blindness, kidney disease, and amputations in Texas, making it one of our most serious,
costly, and common public health threats
The main objective of this Diabetes Awareness and Education in the Community (DAEC) grant is to
develop and implement a community project that reduces the burden of diabetes, increases the
understanding of diabetes; and builds community and organizational capacity It is community focused
and prevention oriented The DAEC is modeled after the Healthy Communities 2000 Model Standards,
City of Fort Worth, Texas
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DATE REFERENCE NUMBER <p LOG NAME ~ .. PAGE. -~t'""`~°,~ x
6/9/98 **C-16822 50DIABETES 2 of 2
SUBJECT,' APPROPRlAT10N ORDINANCE AND CONTRACT WITH THE.TEXAS DEPARTMENT OF
HEALTH AND TEXAS DIABETES COUNCIL FOR A DIABETES~~ AWARENESS AND
EDUCATION 1N THE COMMUNITY (DAEC) GRANT
the Center for Disease Control and Prevention Planned Approach to Community Health (PATCH) and
Diabetes Today The Fort Worth Public Health Department plans to accomplish these objectives by
researching existing services and establishing baseline data, forming a coalition including reporting
structure and mechanism; developing and implementing adiabetes-specific assessment; designing and
implementing an awareness campaign; and evaluating program activities including an assessment and
awareness campaign
Beginning October 1,.1997, the City of Fort Worth Public Health Department reorganized to develop a
population-based program to improve the heath of our citizens. With that reorganization, the Health
Information Assessment Outreach (IAO) Division and Public Health Promotion and Education Section
were created The lA0 Division is currently working on a community assessment; and, the Public
Health Promotion and Education section is working in the area of community education Together,
these programs can use this grant to further expand upon the work that they are currently doing with a
focus on diabetes awareness, education, and community prevention. The term of the grant will be one-
yearand is projected to begin September 1, 1998
FISrAL INFORMATION/CERTIFICATION
The Director of the Department of Finance certifies that upon acceptance and execution of this grant
contract and adoption of the attached appropriation ordinance, funds will be available in the current
operating budgets, as appropriated, of the Grant Fund :
LW•m
Submitted for City Manager's FUND• ACCOUNT CENTER AMOUNT CITY SECRETARY
Office by: (to)
.GR76 451923 050301523000 $100,000.00 APPROVED
Libby Watson 61$3
GR76
5 (various)
050301523010
$100,000.00 • {{
C~TY COUNCIf.
Originating Department Head:
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Bob Galvan 7201 (from)
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Additional Information Contact: of the
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City of Fort ~lorth, Texas
Rowena Wooters 5971
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