Inter-Departmental Correspondence

Health System



April 29, 2011


May 24, 2011







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


John Conley, Director, Public Health


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



Amendment One to the Agreement with California Department of Public Health for Center for Disease Control, Public Health Emergency Response H1N1 Phase III



Adopt a Resolution authorizing the President of the Board to execute Amendment One to Agreement EPO P3-41 with the California Department of Public Health for the Health System to provide public health emergency preparedness services, amending the term of the Agreement to July 31, 2009 through July 30, 2011, and increasing the Agreement maximum by $100,000 to a new maximum of $1,284,499.



A novel influenza virus (H1N1) discovered in the Spring of 2009 presented a significant health threat to the public. In September 2009 the California Department of Public Health (CDPH) awarded the Health System a series of grants for H1N1 planning and response activities.


In the Fall of 2009 the CDPH awarded the Health System a Phase III grant in the H1N1 series, and on December 15, 2009, your Board adopted a Resolution 070567 authorizing the execution of Agreement EPO P3-41 with the CDPH in the amount of $1,184,499 for such grant. The third phase of the grant series was intended to provide funds to continue the planning and response activities, and remedy any operational gaps identified during the Spring 2009 outbreak.



The State identified counties that were unable to spend all of their H1N1 funds and conducted an application process for those counties wishing to apply for more resources. In February 2011 San Mateo County Public Health Emergency Preparedness applied for an additional $100,000 and was awarded said amount. The additional funds have been used for planning vaccination clinics, recruiting vaccinators, training vaccination administration, administering vaccine, monitoring the implementation of community mitigation efforts, updating and redesigning the Public Health website to provide timely H1N1 information to the community, providing epidemiological surveillance, and increasing the Public Health Laboratory’s surge capacity.


The work required by the terms of Amendment One has been undertaken by the Health System on written assurance and direction of CDPH.


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


Amendment One and the Resolution have been reviewed and approved by County Counsel.


Amendment One 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 2010-11, 50% of Health System managers will have participated in the Federal Emergency Management Agency emergency management Incident Command Structure courses.


Performance Measure:


FY 2010-11

FY 2011-12

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





The term of the Amended Agreement is July 31, 2009 through July 30, 2011. The maximum amount of funding is $1,284,499. There is no Net County Cost associated with accepting this grant funding. 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.