HomeMy WebLinkAbout20250924.tiffWeld County Board of Health Minutes
March 25, 2025 - 9:00 A.M.
Weld County Department of Public Health and Environment
Second Floor Hearing Room 210 & via Microsoft Teams
The Weld County Board of Health met on March 25, 2025, at 9:00 a.m. in the second -floor hearing
room of the Weld County Department of Public Health and Environment and by via Microsoft
Teams.
Those present included:
Board Members: Tom Cope, Lonnie Ford, Michael Wailes, Linda Kautz, and Bree Lukens.
Due to technical difficulties with teams' log in Aaron Lam and Anthony Gallardo were not able to
log in to online meeting but are counted as present for their attempt and time taken to attend
virtually.
Others: Katie Sall from Environmental Health, Weld County Department of Public Health and
environment.
APPROVAL OF AGENDA
The meeting was called to order at 9:00 AM. A motion was made by Tom Cope to approve the
agenda. Michael Wailes seconded the motion, and the motion was carried unanimously.
APPROVAL OF MINUTES
The board approved the minutes of the February 25, 2025, meeting. A motion was made to
approve by Michael Wailes, Tom Cope seconded the motion, and the motion was carried
unanimously.
ADMINISTRATIVE REPORT: No report given.
Biosolids Renewal:
Denali Water Solutions — Katie Sall presented 7 biosolid renewal applications.
No public comment or concerns were received. Environmental Health recommends approval.
DS -200423, DS -200548, DS -200704, DS -201402, DS -1700002, DS -2100001, and DS -2400001.
Permit N. DS -200423
Applicant: DENALI WATER SOLUTIONS
Owner: RONALD J ROBERTS
Legal Description: W2 OF NW4 522 T3N R66W
Location: WCR 32 & WCR 31
�urS
kas
2025-0924
Permit No: DS -200548
Applicant: DENALI WATER SOLUTIONS
Owner: BRNAK JAMES JOSEPH
Legal Description: PORTION OF SE4 S10 T1N 64W
PORTION OF SE4 S11 T1N 64W
PORTION OF W2 S10 T1N 64W
PORTION OF W2 Sil T1N 64W
Location: WCR 10 & WCR 55
Permit No: DS -200704
Applicant: DENALI WATER SOLUTIONS
Owner: HAROLD AMERIN
Legal Description: SW4 S11 T1N R67W
Location: WCR 10 & WCR 21
Permit No: DS -201402
Applicant: DENALI WATER SOLUTIONS
Owner: ANDERSON -CLARK KRISTY J
Legal Description: SW4 S22 T17N R65W
Location: WCR 43 & WCR 78
Permit No: DS -1700002
Applicant: DENALI WATER SOLUTIONS
Owner: COOKSEY DUSTIN J
Legal Description: NW4 S24 Tl R61W
Location: WCR 6 & WCR 95
Permit No: DS -2100001
Applicant: DENALI WATER SOLUTIONS
Owner: KING FAMILY HOLDINGS LLC
Legal Description: W2 S34 T1N R61W
Location: WCR 91 & WCR 4
Permit No: DS -2400001
Applicant: DENALI WATER SOLUTIONS
Owner: COLORADO STATE OF
Legal Description: S2 & PORTION OF N2 S36 T2N R62W
Location: WCR 38 & WCR 14
A motion was made by Tom Cope to approval the renewals. Bree Lukens seconded the motion, and
the motion was carried unanimously.
PRESENTATIONS: Greg Prahl, MPH, Epidemiologist, Weld County Department of Public Health and
Environment presented updates on Measles.
Measles is a vaccine preventable, febrile (fever causing) illness caused by a virus Measles morbillivirus
(MeV). The signs & symptoms include:
7-14 days post infection: Prodrome — high fever, cough, rash on inside of mouth (Koplik's spots), runny
nose, red, watery eyes (conjunctivitis).
3-5 days after prodrome onset — maculopapular rash, flat discolored areas (macules), raised bumps
(papules), not itchy at first it starts at head and spreads downwards (looks like a "bucket of measles" was
dumped on someone)
Complications include: ear infections, diarrhea, croup, in cases of severe infections 20% of unvaccinated
people are hospitalized, 5% of people develop pneumonia,1 out of 1,000 cases develop encephalitis and
1-3 per 1,000 cases die, causes immune -amnesia 11-74% of different antibodies can be wiped out, can
take 2-3 years to rebuild memory immune cells, leaving children vulnerable to other infections, children
with measles die at higher rates for years after infection than their non -infected peers, also Subacute
sclerosing panencephalitis (SSPE) a progressive neurological disorder of children and young adults that
affects the central nervous system (CNS), average of 7 years after a person has measles (even if they are
fully recovered), almost always fatal and 7-11 out to 100,000 people who had measles.
Treatment: No cure, No antivirals, Supportive treatment for symptoms or secondary infections like fever
reducer and antibiotics for pneumonia, Vitamin A (in certain cases).
Measles spreads: Airborne large respiratory droplets, can stay in the air for up to 2 hours, it is
highly contagious >90% secondary attack rate among susceptible contacts, the infectious period is 4
days before rash onset to 4 days after rash onset, humans are only known host.
Prevention: Vaccination two doses of MMR (Measles, Mumps, Rubella) or MMRV (Measles,
Mumps, Rubella, Varicella) given at 12-15 months old & 4-6 years, vaccine is 97% effective at
preventing disease.
NO evidence that the MMR vaccine causes autism. Severe adverse events are rare but can happen
usually occur at significantly lower rates than complications from disease.
Key takeaways: Mortality: two deaths per 1,000 measles cases vs 397 deaths TOTAL in vaccine
adverse events reporting system. Encephalitis: 1 case per 1,000 measles cases vs 1 case per 3
million vaccinations. SSPE 8.5 cases per 1 million measles case vs 0-0.7 cases per 1 million
vaccinations. Pneumonia: 1 case per 20 measles case (most common cause of death in children
from measles) vs 2 cases per 1 million vaccinations.
Colorado has only had 6 reported cases from 2014-2023, none reported cases were in Weld County,
and majority were unvaccinated or had unknown vaccination status. The communities typically
effected are the rural communities, migrant/refugee and certain religious groups due to lack of
access to care, distrust of government or because "it's a childhood illness".
As of 3/21/25 there have been: 351 cases 42 hospitalizations and 2 deaths reported in Texas and
New Mexico, the outbreak began in a county with highest rates of vaccine exemptions in Texas —
only 6 cases across Texas and New Mexico have been vaccinated with at least one dose. Data shows
that outbreak started 2/5/2025 reporting 6 cases growing to 24 cases by 2/11/25 crossing state
lines first case reported in New Mexico 2/11/25, the first death of an unvaccinated, otherwise
healthy child from Texas was reported 2/26/25, measles continued to spread and by 2/28/25 Texas
had reported 146 cases in 9 counties, the second death in New Mexico was reported 3/6/25.
Current numbers are 351 confirmed cases - 42 in New Mexico and 309 in Texas.
Weld County overall is well protected, working alongside CDPHE to monitor situation, training on
responding to measles.
Staff Discussion:
Katie asked board members if any specific program that they would like to have a presentation,
members requested to have an update on the medical van.
Meeting was adjourned at 9:42 am. Next meeting is April 22, 2025.
Respectfully submitted,
�-
Silvia Cerrillo
PH Office Tech Supervisor
Weld County Department of Public Health & Environment
Hello