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| AI- 45037 |
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| Health Care Foundation |
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| Information |
| Department Action |
| Attached for approval is the application for federal funds from the Texas Department of State Health Services (DSHS). The grant is designated for the provision of tuberculosis (TB) prevention and control efforts in our county. DSHS recently issued a memo indicating the county’s current TB Federal contract would be extended an additional year. The current contract (HHS000047600001) began on 1/1/2018, was due to end on 12/31/2018, and will now be extended through 12/31/2019. Consequently, our county submitted a budget and Inter-Local Application to cover the extended contract period of one year in the amount of $114,386. The County match as required by the state is $22,877. We will meet the match requirement by using existing employee salary and fringe benefits. The Federal TB grant has been renewed every year for several years, and the FY2019 allocation reflects level funding for the upcoming fiscal year.
According to the World Health Organization (WHO), if left untreated, each person with active TB disease will infect on average between 10 and 15 people every year. But people infected with TB bacilli will not necessarily become sick with the disease. The immune system "walls off" the TB bacilli which, protected by a thick waxy coat, can lie dormant for years. When someone's immune system is weakened, the chances of becoming sick are greater.
• Someone in the world is newly infected with TB bacilli every second.
• Overall, one-third of the world's population is currently infected with the TB bacillus.
• 5-10% of people who are infected with TB bacilli (but who are not infected with HIV) become sick or infectious at some time during their life. People with HIV and TB infection are much more likely to develop TB.
The best way to stop transmission is to identify and isolate patients with infectious TB immediately and start effective TB therapy. Infectiousness declines rapidly after adequate therapy is started, as long as the patient adheres to the prescribed regimen. The overall goals for treatment of tuberculosis are (1) to cure the individual patient, and (2) to minimize the transmission of TB to other persons. Thus, successful treatment of tuberculosis has benefits both for the individual patient and the community in which the patient resides.
TB is a communicable disease caused by Mycobacterium tuberculosis. TB is spread from person to person through the air. When a person with pulmonary or laryngeal TB coughs, sneezes, speaks, or sings, droplet nuclei containing M. tuberculosis are expelled into the air. Depending on the environment, these tiny particles (1-5 microns in diameter) can remain suspended in the air for several hours. If another person inhales air containing droplet nuclei, transmission may occur.
Texas is ranked second in the top five leading U.S. States by number of TB cases. Collin County has outpaced Texas and the nation in population growth over the last several years and the demands for TB services in Collin County remain constant. In order to keep up with those demands and to continue to fulfill our assigned public health role, we will use this money to continue to fund TB staffing, purchase office supplies, travel for home visits, and meet other TB clinic needs.
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| Purchasing Department Action |
| Request Health Care Foundation approval of the renewal application for the Tuberculosis (TB) prevention grant from the Texas Department of State Health Services (DSHS) for the period 1/1/2019 through 12/31/2019 and authorize County Judge to execute. sh |
| HR and/or IT Action |
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| Budget Department Action |
FY 2019 DSHS Federal Grant for TB Prevention and Control in the amount of $114,386 with an in kind match of $22,877 to be met with existing employee salaries and benefits. Total program funding is $137,263. Grant includes personnel, training and travel, supplies, contract services with Prima Care, language line, patient transport and wireless service. Grant term is January 1, 2019 through December 31, 2019.
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| Auditor's Office Action |
| Grant application has been reviewed by the grant review committee as per attached. Grant application for federal funds in the amount of $114,386 with a required match amount of $22,877 which can be in-kind. Grant is to reduce the risk of communicable disease (TB) in the community through the TB Elimination Program as required in Texas Administrative Code Sections 97.2-97.8. Grant period is 1/1/2019 through 12/31/2019. |
| Commissioners Court |
| Grant application for the FY 2019 Tuberculosis Prevention and Control Federal Funds through the Texas Department of State Health Services (DSHS), Health Care. |
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| Budget Information |
| Information about available funds |
| Budgeted: |
Funds Available: |
Adjustment: |
Amount Available: |
$114,386 |
| Unbudgeted: |
Funds NOT Available: |
Amendment: |
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| Fund Transfers |
| Remarks: |
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