Inter-Departmental Correspondence

Health System



October 16, 2009


November 10, 2009







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Brian J. Zamora, Director, Community Health Division


Scott Morrow, M.D., M.P.H., Health Officer



Agreement with California Department of Public Health for Center for Disease Control, Hospital Preparedness Program and Cities Readiness Initiative Grants



1) Adopt a Resolution authorizing the President of the Board to execute Agreement EPO 09-41 with the California Department of Public Health to provide public health emergency preparedness for the period of July 1, 2009 through August 9, 2010, in the amount of $2,037,681; and


2) Approve an Appropriation Transfer Request recognizing unanticipated revenue in the amount of $710,010 and increasing appropriations in Public Health Bioterrorism Programs for FY 2009-10.



The attacks of September 11, 2001, brought to light the need to address certain deficiencies in local public health infrastructure. Further, a novel influenza virus (H1N1) discovered in the Spring of 2009 presents a significant health threat to the public. In response, federal funds have been made available through the states for the enhancement of the nations public health infrastructure. The funds are to be used for emergency planning, training, exercises and practice drills; laboratory supplies and equipment; disease and outbreak surveillance; vaccination and anti-viral distribution; and building up pharmaceutical caches and hospital emergency stockpiles.


The Health System has and will continue consulting and coordinating with the County Office of Emergency Services (OES) regarding the activities associated with this Agreement. OES staff members also participate on the Health System’s Disaster Response and Coordinating Committee.



In September 2009 California Department of Public Health (CDPH) awarded the Health System eight grants for health emergency preparedness, H1N1 planning and related activities. Under the grants for this year, work will continue in key areas: general health emergency planning; enhancing epidemiological and disease surveillance; implementing technological improvements; developing an all-hazards plan; purchasing laboratory supplies and equipment; emergency training, exercises and drills for public health and clinical staff; and coordinating emergency preparedness activities for hospitals. One of the grants is specific to pandemic influenza planning, drills and exercises. Three of the grants are specific to H1N1 planning and response. The remaining four grants are for general public health emergency preparedness.


This Agreement includes $710,010 in unanticipated revenue. The purpose of such revenue is to prepare and implement the County’s response to the H1N1 pandemic.


The work required by the terms of the Agreement has been undertaken by the Health System on written assurance and direction of California Department of Public Health.


County Counsel has reviewed the Agreement and Resolution.


Approval of this Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing funds to continue to plan for public health emergency preparedness and other emerging public health threats to San Mateo County. It is anticipated that by the end of FY 2009-10, 25% of Health System managers will have participated in the Federal Emergency Management Agency emergency management Incident Command Structure courses.


Performance Measure:


FY 2008-09

FY 2009-10

Percentage of Health System managers who have participated in the Federal Emergency Management Agency emergency management Incident Command Structure courses.





The term of the Agreement is July 1, 2009 through August 9, 2010, and the maximum amount of funding is $2,037,681. The total amount of State and federal assistance for preparedness and readiness projects for the current fiscal year from this and the prior grant is $2,096,216; $1,386,206 is included in the Community Health FY 2009-10 Adopted Budget. There is an Appropriation Transfer Request (ATR) accompanying this Agreement for the difference of $710,010. There is no Net County Cost required with this Agreement; however, Net County Cost for the programs funded by this Agreement is $88,000. As required in the terms of the Agreement, all funds received will be placed in the Local Public Health Preparedness Trust Fund that was established for this purpose.