Allegheny County Health Department 2012 Services & Programs Allegheny County Health Department Ronald Voorhees, M.D., M.P.H., Acting Director Board of Health Lee Harrison, M.D. Chair William Youngblood, Vice Chair Donald S. Burke, M.D. Joan Cleary, R.N. Anthony Ferraro Kotayya Kondaveeti, M.D. Joylette L. Portlock, Ph.D. Edith Shapira, M.D. Ellen C. Stewart, M.D. Ronald Voorhees, M.D., M.P.H., Secretary ALLEGHENY COUNTY HEALTH DEPARTMENT PROGRAM DESCRIPTIONS INTRODUCTION ................................................................................................................ i OFFICE OF THE DIRECTOR ........................................................................................... 1 ADMINISTRATION AND SUPPORT SERVICES ............................................................ 2 AIR QUALITY PROGRAM ................................................................................................ 4 AMERICORPS/PITTSBURGH HEALTH CORPS PROGRAM ....................................... 6 CHILDHOOD LEAD POISONING PREVENTION PROGRAM ....................................... 7 CHRONIC DISEASE PREVENTION PROGRAM ............................................................ 8 DENTAL PROGRAM ...................................................................................................... 10 EMERGENCY PREPAREDNESS AND RESPONSE .................................................... 12 FOOD SAFETY PROGRAM ........................................................................................... 14 HIV AND AIDS PROGRAM ............................................................................................ 16 HOUSING AND COMMUNITY ENVIRONMENT ........................................................... 18 INFECTIOUS DISEASES PROGRAM ........................................................................... 20 INJURY PREVENTION PROGRAM ............................................................................... 22 MATERNAL AND CHILD HEALTH PROGRAM ........................................................... 23 PLUMBING SECTION .................................................................................................... 26 PUBLIC DRINKING WATER SECTION......................................................................... 28 RECYCLING SECTION .................................................................................................. 30 SEXUALLY TRANSMITTED DISEASE PROGRAM AND CLINIC ............................... 31 SOLID WASTE SECTION .............................................................................................. 33 TUBERCULOSIS PROGRAM AND CLINIC .................................................................. 34 WATER POLLUTION CONTROL SECTION ................................................................. 35 WIC PROGRAM .............................................................................................................. 37 AFFILIATED NON-PROFIT ............................................................................................ 41 ACHD OFFICE LOCATIONS MAP ................................................................................ 42 INTRODUCTION ―Health can be defined negatively, as the absence of illness, functionally, as the ability to cope with everyday activities, or positively, as fitness and well-being. It has also been noted that in the modern world, health still has a moral dimension.‖ Mildred Blaxter (1990), Health and lifestyles. London (Routledge) ―CONTINUING THE MISSION‖ THROUGH PROGRAMS & SERVICES The Allegheny County Health Department’s mission is ― To assure quality public health services by promoting individual and community wellness; preventing injury, illness, and premature death or disability; and protecting the population from harmful effects of chemical, biological and physical hazards within the environment.‖ The Department carries out this mission in Human and Environmental Health by providing three public health core functions and ten essential services. 1. Assessment All of our programs, in general, monitor the health status in Allegheny County to identify and solve health problems through community health profiles and vital statistics. The Epidemiology and Biostatistics section and Public Health Laboratory investigate and diagnose health problems in the community. 2. Policy Development The daily operations in our programs help inform, educate, and empower people about emerging health issues. Specifically, Public Information, Chronic Disease Control, Housing & Community Environment, Maternal & Child Health, and the Women, Infant & Children Supplemental Nutrition Program place great emphasis on these services. Broad-based advisory committees in Air Quality, STD/AIDS, Emergency Response, and the Pittsburgh Health Corps convene and facilitate community groups to identify and solve health problems. Our Board of Health and Department Director develop policies and plans that support individual and community health efforts. These efforts take the form of leadership development and health system planning. 3. Assurance Environmental Quality, Infectious Disease, and Legal sections enforce laws and regulations that protect public health and ensure safety. Our Human Health programs link people to needed personal health services and ensure that health care is provided, when it is otherwise unavailable. The Training Office and Emergency Response staff, through education and training, assures that we have a competent public and personal health care workforce. The Director’s Office, through continuous monitoring of our programs, evaluates the effectiveness, accessibility, and quality of personal- and population-based health services. Our Epidemiology and Biostatistics program has linked with the University of Pittsburgh to conduct epidemiological research for new insights and innovative solutions to public and environmental health problems. To learn more about us, please read about the following Programs & Services for 2012. i OFFICE OF THE DIRECTOR RONALD E. VOORHEES, M.D., M.P.H. (Acting Director) 3333 FORBES AVENUE PITTSBURGH, PA 15213 PHONE: (412) 578-8008 FAX: (412) 578-8325 LEGAL SECTION PHONE: (412) 578-8320 FAX: (412) 578-8325 Provides legal services and advice to the Director and the Board of Health. PUBLIC INFORMATION OFFICE TELEPHONE CENTER: (412) 687-ACHD (2243) PHONE: (412) 578-8004 FAX: (412) 578-8325 MEDIA RELATIONS - Manages communications with print, broadcast and electronic media to publicize and promote the programs, services and activities of the Health Department. COMMUNITY RELATIONS - Educates the public and community groups by providing information about public health and environmental health topics. TELEPHONE CENTER - Provides the public with information about programs and services offered by the Health Department. Processes complaints from citizens regarding environmental and public health problems. 1 ADMINISTRATION AND SUPPORT SERVICES 3333 FORBES AVENUE PITTSBURGH, PA 15213 PHONE: (412) 578-8005 FAX: (412) 578-8325 ADMINISTRATIVE HEARINGS PHONE: (412) 578-8074 FAX: (412) 578-8325 Each person who is issued a notice of violation by the Department is entitled to appeal the notice to the Director. The Director appoints an Administrative Hearing Officer to adjudicate these appeals as provided in the Department’s Rules and Regulations. BUDGET, FISCAL, AND FACILITIES PHONE: (412) 578-8005 FAX: (412) 578-8325 The Budget, Fiscal and Facilities unit is responsible for preparing and monitoring the budget; processing purchase orders, vouchers, permit applications; and collecting permit fees and civil penalties. HUMAN RESOURCE MANAGEMENT PHONE: (412) 578-8016 FAX: (412) 578-8325 Human Resource Management (HRM) administers the Civil Service Code of the Department. It also assures all vacancies are filled with qualified candidates and administers all other written and oral examinations for the Department. All reports required by the Federal and/or State government are prepared and submitted by HRM. HRM oversees all Department disciplinary actions, grievance procedures, and collective bargaining agreements implementation. OFFICE OF EPIDEMIOLOGY AND BIOSTATISTICS (OEB) PHONE: 412-578-8066 FAX: 412-578-8025 The Office of Epidemiology and Biostatistics (OEB) collects and analyzes health data in order to determine and help reduce the causes of disease. OEB maintains birth and death statistics for the county. OEB tracks infectious disease outbreaks and determines ways to control them. OEB also collects and analyzes data on other conditions such as cancer, infant mortality and chronic diseases in order to support efforts to reduce causes of ill-health. OEB informs the general population about health conditions and responds to requests for data and reports. These activities help develop and improve ACHD’s efforts to prevent disease and promote health. DATA COLLECTION AND ANALYSIS – OEB maintains resident birth, death and cancer incidence and hospitalization databases for Allegheny County. These data are analyzed to monitor trends in birth-related risks and outcomes, causes of death and cancer incidence in the county. OEB also tracks patterns of public health conditions, including reported infectious diseases, environmental health data, health care data and special studies. 2 HEALTH HAZARD INVESTIGATIONS - Epidemiologists assist programs to investigate health hazards in the community and to evaluate the effectiveness of prevention efforts. These hazards include infectious disease agents, causes of injury or chronic diseases and environmental conditions. OEB and the Infectious Disease Program respond to outbreaks and other infectious diseases. Goal is to attempt to identify risk factors in order to prevent further illness. OEB investigates and assists control efforts during public health emergencies. DISSEMINATION OF DATA - OEB disseminates information to help control public health conditions. OEB provides data to the US Centers for Disease Control and Prevention so that our data contributes to national efforts to prevent disease and promote health. OEB helps keep people in Allegheny County informed of potential health hazards through the Public Information Office. PHARMACY PHONE: (412) 578-8168 FAX: (412) 578-7905 The pharmacy procures, stores, inventories, and dispenses all drugs and pharmaceutical supplies for ACHD programs. It assures compliance with all applicable laws and regulations and follows all accepted pharmaceutical standards and practices. PUBLIC HEALTH LABORATORY PHONE: (412) 578-8070 FAX: (412) 687-2904 The Allegheny County Health Department Public Health Laboratory provides public health laboratory testing services to support Health Department programs. The Public Health Laboratory also provides support for other County agencies, such as the Allegheny County Medical Examiner’s Office, Shuman Center, the County Courts, and the Allegheny County Correctional Health Services. The Public Health Laboratory moved into a new facility in Lawrenceville as of August 2009. TRAINING PHONE: (412) 578-8364 FAX: (412) 578-8325 The Training Office is responsible for assessing the training needs of staff and for providing required and/or needed training pertinent to all Department staff. The training/education ranges from basic office computer skills to highly technical skills. Assistance is provided to Program Managers to meet program specific training needs. The Office is charged with providing certain training to maintain certifications required by the Department over and above those required by state or federal law. The Training Office also maintains the Nursing Licenses of all Department Nursing employees and is charged with compiling the Department Annual Program Plan. 3 ALLEGHENY COUNTY HEALTH DEPARTMENT AIR QUALITY PROGRAM: 301 39TH STREET, BLDG. #7 PITTSBURGH, PA 15201-1891 PHONE: (412) 578-8103 OR (412) 687-ACHD (2243) FAX: (412) 578-8144 MONITORING: This Section operates a network of 22 monitoring stations throughout the County to collect and assess ambient air quality data on the concentrations of particulates (dust and smoke), sulfur dioxide, carbon monoxide, ozone, nitrogen oxides (ozone and nitrogen oxides are involved in smog formation), lead and weather data. Monitoring is also carried out for hazardous air pollutants (HAPs) that are often referred to as air toxics (e.g., benzene). In addition, this section routinely overviews industry tests of stack emissions and certifies continuous emission stack monitors. ENGINEERING: This Section assists industry and small businesses in complying with the Clean Air Act and with Health Department Air Pollution Regulations (Article XXI). Sources of air pollution must obtain permits to operate and to install new units or to modify existing equipment. ENFORCEMENT: This Section inspects sources of air pollution to assure compliance with emission limitations and takes action to return violators back to compliance. EMISSIONS INVENTORY: This Section is charged with developing an annual assessment of the amounts of pollutants emitted into the air from industrial sources and maintaining Health Department and federal EPA databases on these sources. PLANNING: To assure that the County air quality continues to improve where needed to meet federal air quality standards; this Section develops comprehensive State Implementation Plans (SIPs) which are submitted to the Commonwealth of Pennsylvania and federal government for their formal approval. It also develops policy and plans for implementing new state and/or federal programs; for example, New Source Performance Standard (NSPS). The Section assists industry in preparing computerized modeling demonstrations for installation and operating permit applications. It also analyzes, interprets, and reports the air quality data obtained from the monitoring network, and does special studies as needed. POLLUTION PREVENTION: Encourages voluntary industrial initiatives in air, water and waste to reduce the generation of pollution in order to further clean the environment. ABRASIVE BLASTING: Reduces emissions of dust and contaminants by assuring compliance with abrasive (sand) blasting and power tool cleaning regulations through a permitting and inspection program and assists the regulated community by providing specific project guidance. 4 ASBESTOS: Minimizes the risk of public exposure to asbestos by assuring compliance with asbestos removal regulations through a permitting and inspection program and assists the regulated community by providing specific project guidance. ACCIDENTAL RELEASE PREVENTION: Implements Clean Air Act § 112(r) to prevent, control or minimize the harmful effects of accidental releases of extremely hazardous substances in cooperation with OSHA (Occupational Safety and Health Administration) and CEMA (County Emergency Management Agency). AIR/CHEMICAL TOXICS: Implements a comprehensive program, under EPA delegation, for reducing emissions of hazardous air pollutants by integrating air toxics provisions into air permits issued by the Engineering Section. 5 ALLEGHENY COUNTY HEALTH DEPARTMENT AMERICORPS/PGH. HEALTH CORPS PROGRAM 3333 FORBES AVENUE, 3RD FLOOR PITTSBURGH, PA 15213 PHONE: (412) 578-8360 FAX: (412) 578-8025 AmeriCorps is a network of local, state, and national service programs that connects more than 80,000 Americans each year in intensive service to meet our country’s critical needs in education, public safety, health, and the environment. AmeriCorps is a program of the Corporation for National and Community Service (CNCS), an independent federal agency created in 1993 to connect Americans of all ages and backgrounds with opportunities to give back to their communities and their nation. The Pittsburgh Health Corps (PHC) is an AmeriCorps program that is administered through the Allegheny County Health Department. The goal of the PHC is to increase healthy behavior and access to health services by enhancing the capacity of community and faith-based organizations in Allegheny County. One of the program’s goals is to encourage the members’ career choice in the field of public health or health-related careers. In collaboration with program partners, the PHC members provide a cost-effective means of delivering services to populations impacted by a myriad of poor health problems. Members are committed to serving the community to improve access to health care and to promote healthier lifestyle choices. Each year, the PHC accepts 18 members into the program. Most PHC members are college graduates. A member is expected to serve 46 weeks beginning in September and typically ending late July. Members receive the support and hands-on training needed for a competitive and demanding career in public health and human services. Minimum requirements to be in AmeriCorps member: Must be a U.S. Citizen. Must be at least 17 years of age and possess a high school diploma or GED. Must be willing and able to complete their term of service and have a passion and commitment for serving the community. If these minimum qualifications can be met, visit the AmeriCorps website at www.pittsburghhealthcorps.org. _________________________________________________________________________________ Become a Partner Site A program partner is the agency, institution, or organization where a member serves their term of service. Become a Member An AmeriCorps member is contracted to serve 1700 hours and in return receives a living allowance of $12,100 and upon completion of service, an educational award of $5,550. If you would like more information about PHC, visit our website at www.pittsburghhealthcorps.org or call Dannai Harriel, AmeriCorps Program Manager at (412) 578-8360. 6 ALLEGHENY COUNTY HEALTH DEPARTMENT CHILDHOOD LEAD POISONING PREVENTION PROGRAM: 3190 SASSAFRAS WAY PITTSBURGH, PA 15201-1443 PHONE: (412) 350-4048 FAX: (412) 350-2792 The Allegheny County’s Childhood Lead Poisoning Prevention Program (CLPPP) provides services to an estimated 109,000 children in Allegheny County from 0 to 6 years of age. Of these 109,000 children, approximately 4% are believed to have blood lead levels in excess of 9 μg/dL, which is considered positive under CDC guidelines. As a comprehensive lead poisoning prevention program, the ACHD CLPPP provides blood lead screening, laboratory services for environmental sample analysis, medical case management, environmental inspections, environmental management, informational and educational services, and coordination of collaborative efforts. Blood lead screening is accomplished at two ACHD WIC offices, Allegheny County Intermediate Units, and other fixed-site locations. Laboratory testing services are provided by the Pennsylvania Department of Health Bureau of Laboratories. Medical case management is provided to all children who screen with a blood lead level > 10 μg/dL. This management includes monitoring repeat blood test results and reminders to parents to have children retested on schedule. Environmental inspections are performed in children’s homes when a blood test is > 15 g/dL by using X-ray Fluorescence (XRF) technology and wet chemistry. Official notices are issued to owners of properties that are in violation of ACHD Rules and Regulations, Article VI, Section #649. This Program provides information and education to both public and professional audiences through a variety of methods and also acts as coordinator of collaborative efforts with community and social awareness groups. 7 ALLEGHENY COUNTY HEALTH DEPARTMENT CHRONIC DISEASE PREVENTION PROGRAM: 907 WEST STREET, 2ND FLOOR PITTSBURGH, PA 15221 PHONE: (412) 247-7800 FAX: (412) 247-7815 The Chronic Disease Prevention Program works to improve the quality of life of Allegheny County residents by enabling them to prevent, detect, delay and/or manage heart disease, high blood pressure, diabetes and cancer. In addition, the Chronic Disease Prevention Program tracks trends in illness and death in Allegheny County residents from these major diseases using information from death certificates, hospital discharge data, and the Allegheny County Behavioral Risk Factor Surveillance Survey. Our program continues to address health inequities in the community. To this end, ACHD is engaging in developing collaborations and partnerships necessary to implement policy, systems, and environmental changes within municipalities and county wide. Community agencies, health care providers and consumers are welcome to call the Chronic Disease Prevention Office about any of the programs listed below. The Chronic Disease Prevention Program seeks and receives grant funding for its programs. CANCER AWARENESS: This program is designed to educate the public about colorectal, prostate, skin, and ovarian cancers. In 2007, colorectal, prostate, skin, and ovarian cancers accounted for approximately 27 percent of invasive cancers diagnosed in Pennsylvania, which is why the program has undertaken these specified cancers. Through this programming, we promote cancer screenings with health education outreach programs that supply up-to-date lectures and resources on each cancer. Skin cancer and ovarian cancer programming targets 18 plus year old residents living in Allegheny County. Colon cancer and prostate cancer programming targets 40 plus year old residents living in Allegheny County. This program works with the State Health Improvement Plans (SHIPs), American Cancer Society, National Ovarian Cancer Coalition, Obediah Cole Foundation for Prostate Cancer, and Tobacco Free Allegheny. The program seeks partnerships in communities with high risk residents and occupations. SAFE AND HEALTHY COMMUNITIES PROGRAM: The purpose of this program is to focus on embedding safety strategies into community efforts to promote healthy eating and physical activity. The activities performed by the Chronic Disease Prevention Program address the links between violence, healthy eating and physical activity; reducing injuries through local policy and community-based activities; sustaining food systems that promote health; and improving land use, zoning and community design to enhance health and safety. Based on community needs, this program works to develop, implement, and evaluate best practice safe and healthy lifestyle interventions to prevent or delay the development of chronic diseases. COMMUNITY PUBLIC HEALTH EDUCATION and ENGAGEMENT: Our Chronic Disease Public Health Nurse serves as a resource to social service agencies, community organizations, and health care providers for information on diabetes prevention and control, best diabetes management practices, cancer awareness, prevention and recommended screenings, as well as cardiovascular disease, healthy eating and physical activity. The Chronic Disease Prevention Program actively seeks partnerships in communities at high risk for chronic diseases to facilitate community based health education and support groups that are geared to the needs of people with chronic 8 diseases and those trying to prevent or delay chronic diseases. Emphasis is placed on working with community partners to encourage systems change and policy development that promote healthier lifestyles, which can decrease risk factors for chronic diseases. Our Public Health Nurse provides chronic disease prevention educational displays and materials to libraries, barbershops, beauty salons, laundromats, and other outlets in underserved communities that can reach at-risk populations with greatest health disparities. In addition, our Public Health Nurse provides referrals to individuals with no health insurance and regularly updates Underinsured or Uninsured: A Guide to Health Care Resources in Allegheny County, available on the ACHD website. Because formal diabetes education is a Healthy People 2020, our Public Health Nurse compiles and updates the ACHD Guide to Local Diabetes Education Programs, which is distributed broadly and available on the ACHD website also. POLICY, SYSTEMS AND ENVIRONMENTAL STRATEGIES: As our society has changed over the years, the challenges of living a healthy lifestyle have become more complex. Yet, we have made significant advances in scientific understanding of programs and strategies that can improve the public’s health. Strong action at the community level is critical to complementing individual health behaviors and reversing chronic disease trends. Action Communities for Health, Innovation, and EnVironmental Change (ACHIEVE) mobilizes community resources to bring change to the places and organizations that touch people’s lives every day – at work sites, schools, community centers, and health care settings – to stem the growth of chronic disease. RESOURCES: Brochures, guides, and written materials are available at no charge to consumers and professionals. These materials address the above-described diseases. 9 ALLEGHENY COUNTY HEALTH DEPARTMENT DENTAL PROGRAM: FRANK B. CLACK HEALTH CENTER 3901 PENN AVENUE, BLDG. #1 PITTSBURGH, PA 15224-1318 PHONE: (412) 578-8378 FAX: (412) 578-7905 CLINICAL: The Allegheny County Health Department’s Dental Program provides preventive and corrective treatment for children 1 - 21 years of age. These services include: examinations, cleanings, fluoride treatments, x-rays, fillings, extractions, fluoride varnish, and sealants. Approximately 12,000 patient visits are provided each year. Services are provided in three two-chair Clinics. These are located in the following areas: 1. Central City: Hill House Association, 1835 Centre Avenue, Pittsburgh, PA 15219 Phone: (412) 392-4441 Fax: (412) 392-4462 2. Mt. Oliver: UPMC South Pittsburgh, 1630 Arlington Avenue Pittsburgh, PA 15210 Phone: (412) 432-1620 Fax: (412) 432-1650 3. McKeesport: Wander Building, 339 Fifth Avenue McKeesport, PA 15132 Phone: (412) 664-8858 Fax: (412) 664-8857 The Dental Program serves financially compromised clients. All three clinics are located in neighborhoods of ―high need.‖ The neighborhoods where these Clinics are located average 29.3% of families below poverty level. Seventy-two percent (72%) of clients served by the Dental Program reside in the ten communities of ―high need‖ in Allegheny County, while these areas are only 33.1% of the total population of the county. Minorities are 38% of our clients, but only 12.5% of the population of Allegheny County. OUTREACH SERVICES: Children from the Family Health Services, Three Rivers Youth, Latino Family Council, Catholic Charities, and the Lawrenceville Somalian Community Center are included in our program and are seen on an on-going basis. COMMUNITY PUBLIC HEALTH PROGRAM: A county-wide school based sealant program is in place to provide 2nd and 6th graders with oral examinations and placement of sealants. Parents are informed of the exam results and are advised to seek dental treatment. If such treatment is unavailable to them, they are encouraged to come to our clinics. Approximately 1,500 children in highrisk areas are provided this service each year. A preventive fluoride varnish program was initiated in 2009 to provide oral examinations, cleanings and fluoride varnish applications for Head Start children in sites operated by the Allegheny Intermediate Unit, the Pittsburgh Public Schools, other public school districts, parochial schools, and charter schools. As with the Sealant Program, parents are informed of the exam results and encouraged to seek follow-up treatment. 10 DENTAL HEALTH PROMOTION: Each year we provide, on request, dental health education to the following: 1. 2. 3. 4. Head Start Classes Homeless Shelters Community and School Health Fairs Day Care Centers 11 ALLEGHENY COUNTY HEALTH DEPARTMENT EMERGENCY PREPAREDNESS AND RESPONSE: PHONE: (412) 687-ACHD (2243) FAX: (412) 578-8325 PURPOSE OF EMERGENCY MANAGEMENT: To prepare for and assure the delivery of essential public health services during disease outbreaks, natural and man-made disasters, hazardous materials incidents, civil disturbances, acts of terrorism, or enemy attack. The Department serves as the principal public health agency for Allegheny County and the county's 130 political subdivisions. It has overall responsibility for coordinating the delivery of public health services in Allegheny County, in cooperation with state and federal health authorities. RESPONSE FUNCTIONS: The Department responds to outbreaks of disease; assesses health risks; issues health advisories and warnings; provides direct medical services and directs medication dispensing/vaccination efforts to control the spread of infectious diseases; coordinates volunteer resources through the Medical Reserve Corps; and is an integral member of the county's hazardous materials response teams. We assist responders in acquiring and distributing needed medical equipment and supplies, including Strategic National Stockpile assets, during disasters; carry out environmental sampling and monitoring; and provide technical information to responders and the general public alike. In our regulatory capacity, the Department assures the safety of food and drinking water supplies; air quality; wastewater treatment operations; landfills and solid waste management operations; and sanitary conditions in schools, nursing homes, institutions, group care and child care facilities. Assistance is provided to municipalities in performing field surveys and damage assessments of water and sewage facilities following major storms and floods. The Director is empowered to order corrective actions necessary to protect the public’s health. The Health Department’s Radiological Officer organizes radiological protection services in cooperation with Allegheny County Emergency Services. The Infectious Disease Program coordinates rabies control and zoonotic disease surveillance systems. Our Medical Entomologist oversees the control of insect and rodent vectors. We often cooperate with the American Red Cross in planning and setting-up temporary mass care shelters at area schools and we deliver supportive nursing services, such as immunizations for disaster victims. We work closely with the County Department of Human Services and County Emergency Medical Services to assure that public health, medical, and mental health services are available for all victims, their families, and affected communities. EMERGENCY RESPONSES TO VARIOUS SITUATIONS DISEASE OUTBREAKS: Epidemiological investigations are performed to determine the source of the outbreak (air, food, water, or person-to-person contact); define exposed populations, and determine whether such outbreaks are naturally occurring or deliberate acts requiring criminal investigation. A localized dispersal of an infectious agent may be followed by movement of those exposed individuals across wide geographical areas and multiple public health jurisdictions, requiring coordination with state and federal health officials. Special surveillance systems organized by the Health Department take 12 advantage of non-traditional sources of information including monitoring sales of overthe-counter medications, 9-1-1 emergency calls, ambulance transport data, school or employer absenteeism, food-borne or water-borne disease reports, and Poison Center calls. Prompt diagnosis and reporting of unusual or suspicious health problems in animals, as well as in humans, is a critical component of an effective ―public health and medical intelligence system,‖ a vital role for health officials. Early detection of an outbreak can save lives, lessen health and economic impacts, prevent repeated incidents, and aid in criminal investigations. Because most medical care in the United States is provided in the private sector, any major health crisis depends heavily on service capacity, clinical preparedness, information technology, and communications. The Health Department may at any time be called upon to coordinate the delivery of care to patients in varied clinical settings, including emergency departments, physician offices, and walk-in clinics. NATURAL DISASTERS: Floods, tornados, winter storms, high wind damage, prolonged and extreme high or low temperatures, and fires may directly cause bodily harm, disrupt utilities, or damage critical infrastructures, all of which can result in a public health emergency. ENVIRONMENTAL HEALTH EMERGENCIES: Examples include air pollution or contamination of food or drinking water, housing emergencies, and spills of hazardous materials. Accidental chemical releases may impact on air and water quality or present dangerous conditions. EMERGENCY PREPAREDNESS PLANNING FOR MASS CASUALTY AND TERRORISM INCIDENTS: As a result of increasing concerns about nuclear, biological, and chemical weapons of mass destruction, the Department is actively involved in the development of plans for a multicounty response to mass casualty and terrorism incidents. The possible need to provide life-saving medicines or vaccines to all affected individuals in the region upon recognizing bioterrorism or pandemic disease agents is the force that drives Strategic National Stockpile and Pandemic Influenza planning. These planning efforts are shared with the PA Department of Health and with regional emergency management agencies to ensure a rapid, coordinated response to such instances. EQUIPMENT AND TECHNICAL EXPERTISE: The Department maintains an array of sophisticated biological, chemical and radiation sampling and detection instruments as well as air, water, and soil sampling equipment. Staff are skilled in the use of computerized emergency information retrieval systems and special software required to support hazardous materials responses by City and County Hazmat Teams. 13 ALLEGHENY COUNTY HEALTH DEPARTMENT FOOD SAFETY PROGRAM: FRANK B. CLACK HEALTH CENTER 3901 PENN AVENUE, BUILDING #1 PITTSBURGH, PENNSYLVANIA 15224-1318 PHONE: (412) 578-8044 FAX: (412) 578-8190 The Allegheny County Health Department’s Food Safety Program serves the entire population of the County by conducting a comprehensive surveillance, monitoring and complaint investigation program for approximately 7,200 food facilities. Facilities regulated by this program include restaurants, retail markets, food processors, caterers, warehouses, mobile vendors and temporary food establishments. All facilities must obtain a health permit prior to operating in the County. Inspectors in this program regularly perform comprehensive, unannounced inspections of regulated facilities. The focus of the inspection program is to prevent the occurrence of conditions that pose the greatest risk of causing a foodborne illness. These conditions are referred to as ―Critical Violations‖ and include conditions such as: improper cooling, unsafe hot or cold holding temperatures, inadequate cooking temperature, improper reheating, crosscontaminating foods, the presence of an infected food handler, poor food handler hygiene, or inadequate sanitization. Food facilities are prioritized and surveillance and monitoring activities are heightened for those which pose the highest risk. In addition to monitoring for food safety violations, inspectors investigate consumer complaints, including foodborne illness, and educate the operators on important food safety issues. Food inspectors also respond immediately to emergencies affecting food facilities such as fires, flooding, or utility shutoff. The Food Safety Program investigates foodborne illnesses on a complaint basis. All foodborne illnesses are to be investigated within 24 hours after the complaint is received. An on-site investigation of the suspected food facility is conducted by an investigation team. The illness investigation is led by an Epidemiologist and includes the Department’s Infectious Disease staff, who coordinate the development of a food history questionnaire. Interviews are conducted with those individuals who had eaten the suspect meal. Food Safety staff attempt to obtain samples of the suspect foods as well as control samples for laboratory analysis. The facility managers are interviewed and preparation methods for all suspect foods are obtained and reviewed by investigators for clues as to the origin of possible contributing factors, such as contamination and/or temperature abuse. Violations discovered during this process are cited and must be corrected immediately. A re-inspection is conducted within twenty-four hours to verify compliance with all items relating to the alleged foodborne illness. The Food Safety staff also investigate consumer complaints regarding food facilities. These complaints involve a wide range of alleged conditions in the food facilities and are typically investigated within one to five days of their receipt. Another important part of the Food Safety Program is Plan Review. This service is provided to assist prospective food operators in meeting the requirements of the County’s Article III, ―Food Safety,‖ through the installation of appropriate food service equipment and the proper structural design of the facility. Approximately 350 plans are received and reviewed every year resulting in pre-operational 14 inspections for permit issuance. Some of these plans are received from facilities that already possess a permit, but wish to upgrade or remodel their existing facility. Complete construction plans include a floor plan drawn-to-scale, a list of food service equipment, a menu or general list of the types of food to be handled or sold, and a completed questionnaire. All equipment must be equivalent to the NSF International (commercial) Standards. Plan Review also works closely with the ACHD Plumbing Division, food service equipment and kitchen design companies as well as with architects to interpret the requirements of the regulation. Lastly, the Food Safety Program offers training in the form of a Food Manager Certification Program. Seminars focus on the factors that commonly contribute to foodborne illness and the critical controls to be implemented which eliminate these factors. There is a two-day Food Safety Certification Course, a one-day Recertification Course, as well as a Challenge Exam. Most food facilities in Allegheny County are required to have a certified manager on duty at all times of operation. The Program certifies nearly 2,500 people each year. Allegheny County Health Department’s Food Safety Certification Program has been recognized nationally as well as by the Pennsylvania Department of Agriculture as an accepted program. 15 ALLEGHENY COUNTY HEALTH DEPARTMENT HIV AND AIDS PROGRAM: 3441 FORBES AVENUE PITTSBURGH, PA 15213 PHONE: (412) 578-8332 FAX: (412) 578-8300 HIV TESTING AND COUNSELING: The Department operates a voluntary and confidential HIV testing program. Patients receive pre-test and post-test counseling concerning HIV risks and the meaning of test results. Testing is done on a volunteer basis with the patient’s informed consent. All patients receive pre-test and post-test counseling as a part of the testing process. Patients that are HIV positive receive counseling and are encouraged to refer their sex partners for counseling and testing. MEDICAL SERVICES: A person identified as being HIV positive is strongly encouraged to begin medical monitoring. Testing for presence of Hepatitis A, B, or C, TB testing, Tcell testing, and viral load testing are routinely offered. If a patient does not have a doctor or medical insurance, primary medical care is provided and includes: assessment, evaluation, treatment, monitoring via laboratory tests, home/hospital visits, medical reporting to obtain benefits, family education, and coordination of care. OUTREACH PROGRAM: The HIV/AIDS Program conducts outreach to targeted groups through its Outreach Program. Individuals employed in this program are hired for their experience with the target populations. It is anticipated that they can reach high-risk youth, IV drug users and sexual minorities resulting in behavior changes, which reduce the risk of acquiring HIV. Counseling, testing, and outreach education is directed to those areas of Allegheny County that are identified as high-risk neighborhoods. The program now collaborates with the Allegheny County Drug and Alcohol Abuse HIV Intervention Program in providing technical support and STD training for substance abuse facilities that test and counsel individuals in treatment. This is an effort aimed at offering HIV testing to known IV drug users. HEALTH EDUCATION: The HIV/AIDS Program has a variety of educational brochures and pamphlets available upon request. SURVEILLANCE: The AIDS Surveillance Program conducts active surveillance at major hospitals and selected outpatient clinics in Allegheny County. The staff reviews hospital case records on the basis of ICD-9 identifier codes. These codes are used in computerized hospital medical records and indicate an AIDS diagnosis according to CDC guidelines. The purpose of the Surveillance Program is to ensure that all HIV or AIDS cases, diagnosed in Allegheny County, have been properly reported and that any misdiagnosed AIDS cases become incorporated into the case report. The AIDS Program works in conjunction with the ACHD TB Control Program to screen TB patients for HIV infection and to make sure that identified HIV-positive individuals are skin tested for tuberculosis. 16 As of June 1, 2001, the ACHD added HIV to the list of reportable diseases. Article V, ―Reporting of HIV,‖ requires physicians, laboratories, health care facilities and all HIV test sites to report positive HIV test results to the County. The AIDS Surveillance Program conducts reviews of patients’ medical records and insures that all positive cases at HIV testing sites and health care facilities are being reported. As of October 18, 2002, HIV cases must be reported to the State by name. In 2006, the State Health Department implemented a database entitled the PA National Electronic Disease Surveillance System (PA NEDSS) for the collection of HIV/AIDS information throughout the state. Surveillance also entails the monitoring of PA NEDSS for all potential new cases of HIV/AIDS. 17 ALLEGHENY COUNTY HEALTH DEPARTMENT HOUSING AND COMMUNITY ENVIRONMENT: 3190 SASSAFRAS WAY PITTSBURGH, PA 15201 PHONE: (412) 350-4046 FAX: (412) 350-2792 COMPLAINT HOUSING PROGRAM: Tenants living in deteriorated houses, who are unable to get the landlord to make repairs, can call the Health Department's Housing Program for assistance. The Housing Program will inspect the home for such things as lack of heat, lack of hot water, plumbing deficiencies, leaky roofs, rats and roaches and issue orders to the landlord to correct the problems which are in violation of the Department's Housing Code. In some cases, tenants are also issued orders to correct problems for which they are responsible. Inspectors will re-inspect the home to ascertain if the problems have been corrected. If not remedied, the Health Department can assess a penalty or file a Criminal Complaint in Pittsburgh Housing Court or Magistrate Court to achieve a solution. ROOMING HOUSE/BOARDING HOME PROGRAM: All rooming houses and boarding homes in the county are permitted and inspected for public health violations. These inspections include an evaluation of the entire structure, which includes the water supply, heating facilities, sewage disposal, garbage disposal, rodent and vector control, and food preparation area. VECTOR CONTROL: Sanitation in the home and yard is the best way to prevent rats and insects that may spread disease and create a nuisance. Elimination of stagnant water in the yard will help prevent mosquito breeding and the spread of West Nile Virus. Staff will assist local municipal representatives through code enforcement and education in removing the environmental conditions that allow insects and rodents to breed. Information about pest animals and insects in the home and yard, as well as the safety of pesticides used to control them, is available to the public on request. A trap loan program provides live catch traps to residents wishing to relocate nuisance animals from their property. COMMUNITY ENVIRONMENT INSPECTION: Some environmental problems are not inside the home. Accumulated garbage can lead to rodent or insect problems. Inspectors investigate complaint conditions that provide food or shelter for rodents or insects. Inspectors also investigate other community environment complaints and require corrective action as needed. SCHOOLS: Schools in the County are inspected in accordance with State Regulations. This includes all school buildings, both public and private, that teach from Kindergarten to Grade 12. Cafeterias in schools are inspected in accordance with Article III County regulations, the same as restaurants. INSTITUTIONS: Nursing homes and Personal Care Boarding Homes are permitted and inspected for public health violations. The Allegheny County Health Department works in conjunction with the State Department of Health and the State Department of Public Welfare to insure that residents of these facilities are provided with a safe and healthy environment. 18 BATHING PLACES: The improper operation of public swimming pools, spas, hot tubs and water slides can pose both disease and injury hazards. These facilities are licensed and inspected each year to assure proper water quality, sanitation, lifeguard coverage and performance of required chemical and bacteriological testing. INDOOR AIR POLLUTION AND RADON: Indoor Air Quality is an issue of increasing concern to Environmental Health Professionals. Exposure to pollutants in indoor air poses a potential greater health threat than outdoor air. The Health Department investigates carbon monoxide problems. In addition to yearly inspections of indoor ice rinks, we also provide information on a variety of indoor air topics including: mold, asbestos, carbon monoxide, and radon. EMERGENCY MASS CARE SITE INSPECTION PROGRAM: When an emergency mass care site is put into operation, it is inspected to assure conformance with the minimum standards set forth by the Health Department and the Local and State Emergency Management Agencies. 19 ALLEGHENY COUNTY HEALTH DEPARTMENT INFECTIOUS DISEASES PROGRAM: 3441 FORBES AVENUE PITTSBURGH, PA 15213 PHONE: (412) 578-8060 FAX: (412) 578-8300 INFECTIOUS DISEASES SURVEILLANCE AND FOLLOW-UP: There are some 70 infectious diseases/conditions that are reportable to the Health Department. The role of the Infectious Diseases Program is to protect the health of the public by interrupting the chain of communicable disease transmission through active surveillance and prompt contact follow-up. CLINIC SERVICES: Services include adult, childhood and travel vaccinations and antibody screening for selected diseases. During the fall and winter months, flu vaccine is administered daily to children and adults. Adult Services Provides a range of adult immunizations, including influenza and pneumococcal vaccines at the walk-in Clinic in Oakland. On average, more than 500 persons are served weekly. Childhood Immunizations: Federally-funded and administered free-of-charge to children through 18 years of age. Additionally, compliance with Allegheny County and Pennsylvania School Immunization Laws is assured through regular audits of school health records. Travel Immunizations: Administered to persons of all ages, as determined after appropriate travel consultation. Screening Tests: Blood testing, to determine antibody levels for diseases such as hepatitis B, rubella and measles, is offered. Tuberculosis Mantoux skin testing is provided to more than 150 persons per week. WIC Certification: Screening for hemoglobin, weight and height are performed for the Women, Infants and Children (WIC) Program. PUBLIC HEALTH NURSING: Community-based nursing visits may be made to investigate significant infectious disease outbreaks and assess community health needs. Consultations with school nurses and administrators regarding issues affecting school-age children are conducted on an ongoing basis. Infectious Diseases public health nurses maintain direct communications with infection control practitioners and physicians at Allegheny County hospitals. 20 ALLEGHENY COUNTY IMMUNIZATION COALITION (ACIC): Utilizes a multi-disciplinary approach to promote access to and understanding of immunizations across the lifespan. Community initiatives include poster contests, health fairs, and immunization advertisements through television, radio, print and website media. An educational conference is held annually and features nationally recognized speakers. The ACIC website provides immunization news and connections to reliable resources for parents and health care professionals. PERINATAL HEPATITIS B (PHB) PROJECT: Pregnant women who test positive for hepatitis B surface antigen (HBsAg) are identified during the first trimester of pregnancy. Their infants are followed through the PHB project to insure that they receive hepatitis B immune globulin and hepatitis B vaccine at birth, as well as subsequent hepatitis B vaccine at intervals recommended by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC). Household members are offered hepatitis B screening and hepatitis B vaccine as indicated. PUBLIC HEALTH EDUCATION: Pamphlets and fact sheets on a variety of infectious disease-related issues are developed, regularly updated, and made available to the public, community organizations, and health care professionals. Speakers are also available to provide informational programs on immunizations and communicable disease prevention. ZOONOSES: Animal bites/exposures are investigated and recommendations made for follow-up care as appropriate. Information about pre and post exposure rabies protocols and procedures are available for hospital emergency room personnel, physicians and veterinarians. Educational materials about rabies, Lyme disease, West Nile virus, and other zoonotic illnesses are available to health care professionals and to the general public. TRAVEL CONSULTATION: Travel consultations, including immunization requirements and recommendations, specifically tailored to the area(s) being visited, are provided by phone, fax, e-mail, and in person. 21 ALLEGHENY COUNTY HEALTH DEPARTMENT INJURY PREVENTION PROGRAM: 907 WEST STREET PITTSBURGH, PA 15221 PHONE: (412) 247-7945 FAX: (412) 247-7815 INJURY SURVEILLANCE AND INTERVENTION: Traffic Safety Education Project (TSEP): Program staff, intent on reducing traffic-related deaths and injuries by effecting positive behavior change, administers a comprehensive public information and education program. The TSEP employs effective health promotion strategies and provides educational interventions and materials. Local, state and national data are collected, reviewed and used for program planning. Topics of Interest include: Occupant Protection - Safety Belt and Child Passenger Safety Pedestrian Safety School Bus Safety Motorcycle Safety Older Driver Safety Teen Driver Safety Aggressive Driving/Speeding Distracted Driving and DUI Safe Driving Characteristics 22 ALLEGHENY COUNTY HEALTH DEPARTMENT MATERNAL AND CHILD HEALTH PROGRAM 907 WEST STREET PITTSBURGH, PA 15221 PHONE: (412) 247-7950 FAX: (412) 247-7959 PRIMARY CARE CENTERS: Partnerships have been developed with the following Centers to provide comprehensive primary care. Services include routine health supervision, prevention, and care when sick for all family members. Public Health Nursing home visiting services are available for at-risk pregnant women and families with young children. Bloomfield-Garfield Family Health Center Lawrenceville Family Health Center Wilkinsburg Family Health Center (412) 361-7562 (412) 622-7343 (412) 247-5216 MATERNAL AND CHILD HEALTH SERVICES Breastfeeding Promotion Program: The Breastfeeding Promotion Program is designed to help increase the proportion of mothers who breastfeed their infants. Lactation Consultants work with pregnant and breastfeeding mothers to educate them on the benefits of breastfeeding and help them establish and continue breastfeeding. Electric breast pumps are loaned to WIC breastfeeding mothers who must be separated from their babies for part of the day. The Allegheny County Breastfeeding Coalition works to establish breastfeeding as the preferred infant feeding method. Child Death Review: Representatives from several local hospitals, the Allegheny County Office of Behavioral Health, Pittsburgh Public Schools, police departments, the Medical Examiner’s and District Attorney's offices, Juvenile Court, Children, Youth and Families, and traffic safety and injury prevention experts meet regularly to review confidentially the circumstances of each death of an Allegheny County child from birth to twenty years of age. The Team works to determine, if and how, the death might have been prevented and then plans and implements preventive strategies. Liaison Nursing Services: Hospital-based public health nurses link prenatal and postpartum women and infants receiving hospital services to Department services and available community resources in their communities. Liaison nurse services are provided at Magee-Women’s, Mercy, West Penn, and Allegheny General. Liaison nurses will assess the needs of post-partum women. MCH Home Visiting Program: Public health nurses provide prenatal, post-partum and pediatric home visits to assess and assure families receive appropriate medical services and anticipatory guidance to improve their health. Educational emphasis is placed on early regular prenatal and infant care, nutrition, smoking cessation, pre-term labor, safe sleeping, child development, immunizations, and child safety. Needs Assessment: The health needs assessment of families with children in Allegheny County is ongoing. Special initiatives focus on the needs of uninsured and underinsured children, access to care and other issues related to pregnant women, infants, children, and adolescents. 23 Project LAMB (Love and Mother your Baby): This Project is designed to serve mothers who had little or no prenatal care. Public Health Nurses make home visits to assure that mothers and infants receive postpartum and ongoing pediatric care. Maternal and child health education and anticipatory guidance are offered on each home visit. Resource Mothers Project: This is a community-oriented partnership aimed at reducing infant mortality, low birth weight, and other risks facing young families. The goal is to identify at-risk pregnant women who live in McKeesport, North Braddock, Homestead, Munhall, Versailles, North Versailles, and Duquesne early in their pregnancies to provide practical assistance and support until the baby is two years of age. COLLABORATIVE PROJECTS: Alliance for Infants: In partnership with the Allegheny County Department of Human Services, the MCH Program provides new staff training and other educational presentations. MCH Program will continue to refer children 0-3, with developmental delays, and children of depressed mothers for Early Intervention Services. MCH Program will accept referrals for premature infants and infants with other high risk medical conditions for nursing home visit services. Early Head Start--Family Foundations: A Public Health Nurse addresses the health needs of families enrolled in this comprehensive family support project in the Hill District and Clairton. Home Visiting Network: The Home Visiting Network (HVN) is a collaborative effort of the Allegheny County Health Department, Healthy Start, Inc., and agencies that provide home visits to mothers, infants and families serving Allegheny County, and other health agencies that do not provide home visitation as one of its services but recognize belonging to the HVN supports their mission. There are two HVN subcommittees. The Partnership Subcommittee goals are to continuously recruit for maternal and child health agencies in Allegheny County to be active members of the Home Visiting Network and to provide a communication media among the various members of the Home Visiting Network to discuss critical and timely issues relevant to member agencies. The Training Subcommittee goals are to provide training on topics relevant to maternal and child health home visiting agencies located in Allegheny County; a yearly seminar is held for HVN members. Quarterly meetings provide member agencies a chance to network and get support from other home visiting agencies, and to participate in trainings pertinent to the home visitor and to enhance their own services by sharing community resources. Infant Safe Sleep Church Outreach Committee: The mission of the Allegheny County Infant Safe Sleep Church Outreach Committee (ISSCOC) is to improve the health and wellbeing of our most vulnerable residents—infants—through an infant safe sleep church and community outreach and health promotion initiative. The ISSCOC is comprised of a group of community and church members that are working to reach families and other caregivers with a newborn living in the targeted areas of Allegheny County (primarily the City of Pittsburgh) through intensive outreach to church leaders whose primary congregation consists of African Americans. It is the hope of the ISSCOC that our unified effort to educate parents, grandparents, and caregivers of infants about infant safe sleep will reduce the number of deaths related to infant sleep position and unsafe sleep environment. Nurse-Family Partnership Program: Nurses provide intensive home visits to first-time pregnant and postpartum women and their children up to two years of age. The goal is 24 to foster healthy pregnancies, improve the health and development of children and encourage self-sufficiency. Women are enrolled early in pregnancy. They must live in designated areas of Allegheny County and meet income guidelines. Phenylketonuria (PKU) Program (Children’s Hospital of Pittsburgh PKU Center and Pennsylvania Department of Health): In cooperation with Children’s Hospital, nurses collect blood samples and provide education and counseling for families with infants and children born with this metabolic condition. Sudden Infant Death Syndrome Program: Home visits are made as often as needed to offer grief counseling to family members and to encourage participation in the SIDS parent support groups. W.E.C.A.R.E. (Welcoming Extraordinary Children by providing Assessments, Referrals and Education): Public health nurses provide care coordination, home visits and case management to special needs children, age birth-22 years and their families to assess and arrange needed services and to establish a medical home for their children. 25 ALLEGHENY COUNTY HEALTH DEPARTMENT PLUMBING SECTION: FRANK B. CLACK HEALTH CENTER 3901 PENN AVENUE, BUILDING #5 PITTSBURGH, PA 15224-1318 PHONE: (412) 578-8036 FAX: (412) 578-8053 The Plumbing Section handles the permitting and inspection of all new or modified plumbing installations in both residential and commercial structures within Allegheny County. This Section also handles the licensing of plumbers. INSPECTIONS: Approximately 40,000 inspections are conducted on an as-requested basis each year. Inspection(s) are conducted in phases, beginning with the roughed-in plumbing to the final inspection at which time a ―Certificate of Final Inspection‖ is issued. PLANS/PERMITS: A plumbing plan/permit must be submitted to the Department for any plumbing that is installed or altered, including the replacement card(s) for installation of water heater and dishwasher transmittal sheet(s), prior to commencing plumbing work. A plumbing permit is obtained to perform plumbing work in accordance with the Allegheny County Health Department Rules and Regulations, Article XV, ―Plumbing‖. The plumbing plan indicates any/all fixtures to be installed, in addition to water service and building sewers. The reverse side of the plan (abstract) requires a drawing showing the location, connections and types of materials to be installed. Once the plan is approved and a permit obtained, plumbing work may then be installed and inspection(s) will be conducted as work proceeds. A final inspection is required of all plumbing plan/permits issued. Approximately 13,000 plans are filed, reviewed and issued annually. LICENSING OF PLUMBERS: Apprentice plumbers, when registered at an accredited apprenticeship program, will be issued an Apprentice Plumbers Card, which expires on September 30 of the calendar year. The Apprentice Plumbers Card allows the candidate to do plumbing work as long as a Journeyman or Master Plumber is present. Upon completion of school (576 hours) and employment (4 years) with a registered master plumber, a candidate makes application through the Plumbing Section to take the Journeyman Plumbers Examination at a cost of $100.00 per examination, which is administered twice a year (Spring and Fall) and as needed for non-resident licensed plumbers. After successfully passing this examination, the candidate is issued a Health Permit Number. The Journeyman Plumber license is renewed annually on the Journeyman Plumber’s date of birth and a fee of $100.00 is assessed. A Journeyman wishing to take the Master’s Examination must have completed two years of experience as a journeyman, make application to the Department's Plumbing Section and, if/when accepted, submit to the examination at a cost of $200.00 per examination, which is administered twice a year (Spring and Fall) and as needed for non-resident licensed plumbers. After successfully passing this examination, the candidate is issued a Master Plumber License. The Health Permit Number that was issued for their Journeyman License remains the same. The Master Plumber License is renewed annually on the Master Plumber’s date of birth and a fee of $300.00 is assessed. 26 COMPLAINTS, REFERRALS AND SERVICE REQUESTS: Complaints, referrals and service requests may originate from the public, the Department’s Housing and Food Safety Programs, City of Pittsburgh Mayor’s Service Center, Pittsburgh Water and Sewer Authority, City of Pittsburgh Bureau of Building Inspection, municipal officials from any borough or township, etc. Plumbing staff attempt to investigate/inspect all of the above in a timely fashion, with notices of violations issued to have plumbing violations corrected and abated. If necessary, when the Plumbing Section does not receive a response, legal action or a civil penalty assessment occurs. APPLICABLE LAWS AND REGULATIONS: Allegheny County Health Department Rules and Regulations, Article XV, "Plumbing" and the Pennsylvania Uniform Construction Code Act (Act 45 of 1999). 27 ALLEGHENY COUNTY HEALTH DEPARTMENT PUBLIC DRINKING WATER SECTION: FRANK B. CLACK HEALTH CENTER 3901 PENN AVENUE, BUILDING #5 PITTSBURGH, PA 15224-1318 PHONE: (412) 578-8047 FAX: (412) 578-8053 The Public Drinking Water Section (PDW) is responsible for the inspection and oversight of 68 public water systems in Allegheny County, which serve approximately 99% of the county's residents. The systems include facilities such as the Pittsburgh Water and Sewer Authority, to small systems serving less than 50 people, to water vending machines. All of these facilities are regulated under the Pennsylvania Safe Drinking Water Act, the primary purpose of which is to assure that proper water treatment is being performed and reduce the threat of biological and chemical pollutants through proper treatment and monitoring. INSPECTIONS: The public water systems are permitted by the state and inspected by PDW. All public water systems receive an annual comprehensive inspection. All equipment and components of the facility are visually examined and water samples from various stages of treatment are collected for analysis. Additional investigations throughout the distribution and storage facilities may also be conducted to check on construction activities, in response to a complaint, or for other specialized investigations. SANITARY SURVEYS/INVENTORIES: This information is collected as it pertains to the infrastructure, which comprises the larger water systems and is a tool, which may aid in identifying potential problems. The inventories include both drawings and narrative information such as population served, treatment schematics, locations of storage and treatment facilities, distribution network, and location of valves, hydrants, and emergency interconnects, as well as other pertinent information describing the water system. FILTER PLANT PERFORMANCE EVALUATION (FPPE): This is a comprehensive inspection performed at surface water treatment plants to assure that all of the treatment processes are optimized and barriers established to prevent passage of waterborne pathogens (Cryptosporidium and Giardia). As waterborne diseases have lately received national media exposure, our section has spent considerable money to obtain the most technologically advanced particle counter and turbidimeter available for performing these evaluations to best protect the public. PDW staff conduct FPPEs at up to four community water systems per year. NEW REGULATIONS AFFECTING PUBLIC WATER SUPPLIERS: The United States Environmental Protection Agency (EPA) continues to promulgate new regulations, which subsequently require public water suppliers to perform additional monitoring, reporting, and may require additional treatment. Examples of this are the Stage 2 Disinfectant Byproducts Rule (Stage 2), the Long Term 2 Surface Water Treatment Rule (LT 2) and the Groundwater Rule. The Stage 2 Rule, an expansion of the Stage 1 Rule, has systems performing studies of their distribution system for the purpose of determining where disinfectant byproducts are forming. Effective April 1, 2012, systems serving >100,000 customers or receiving bulk water from a system serving >100,000 people, will begin their Stage 2 Disinfectant Byproduct monitoring. The LT 2 Rule has 28 required surface water treatment plants to monitor the source water for cryptosporidium over the course of one year. Additional treatment will be required when a system has found excessive cryptosporidium in the source water. Currently the surface water plants in Allegheny County are meeting the necessary level of treatment. The Groundwater Rule will require all community and non-community water systems utilizing groundwater to meet four log (99.99%) treatments to assure the inactivation of any viruses. This rule began in November 2009. Also the Pennsylvania Department of Environmental Protection is updating many of their regulations, one of which is the method of delivery of a Tier 1 Public Notification (imminent public health hazard). All community public water systems will be required to have a reverse 911 notification method to notify all customers by phone message, e-mail or both, of the Tier 1 condition affecting them. EMERGENCIES: Emergencies are handled on a 24-hour basis and will take precedence over routine inspections and monitoring. APPLICABLE LAWS AND REGULATIONS: Pennsylvania Safe Drinking Water Act; Pennsylvania Department of Environmental Protection Rules and Regulations, Title 25, Chapter 109. 29 ALLEGHENY COUNTY HEALTH DEPARTMENT RECYCLING SECTION: FRANK B. CLACK HEALTH CENTER 3901 PENN AVENUE, BUILDING #5 PITTSBURGH, PA 15224-1318 PHONE: (412) 578-8390 FAX: (412) 578-8053 The Recycling Section was integrated into the Public Drinking Water and Waste Management Program at the beginning of 1996. Pennsylvania Act 101, the Municipal Waste Planning, Recycling, and Waste Reduction Act (Act 101) requires the development of a recycling plan to assist municipalities with making recycling programs financially self-sufficient. In order to accomplish this, it is important to work with municipalities to improve their recycling programs, increase public awareness of the need to recycle, and encourage the purchase of products with high recycled content. WHO RECYCLES: Of the 130 municipalities in Allegheny County, 82 of them have a curbside collection program and 20 have a drop-off program. Communities not included in the mandate to recycle are those which have a population of 5,000 or less; although, many municipalities with under 5,000 residents have chosen to participate. The rules of Act 101 apply across the Commonwealth. WHAT ITEMS ARE RECYCLED: Most residential municipal recycling programs collect a combination of the following types of items: aluminum and steel cans, plastics, clear and colored glass, leaf waste, and newsprint. Businesses and institutions located in communities with mandatory recycling programs must collect cardboard, high-grade office paper, aluminum cans, and leaf waste. HOW RECYCLING IS PROMOTED: Schools, businesses, or municipalities are sometimes unsure of how to develop or manage a recycling program. The Department's Recycling Officer is available to answer questions or make site visits to offer suggestions on how best to handle a specific recycling situation. Recycling education programs are also developed and presented. A Recycling Resource Directory is available, which contains information on items to recycle and where to take them. REPORTING/DATA MANAGEMENT: The Department is responsible for generating reports on the overall status of recycling in Allegheny County. The information is available to all municipalities to aid in their recycling ventures. APPLICABLE LAWS AND REGULATIONS: Pennsylvania Act 101 of 1988, Municipal Waste Planning, Recycling, and Waste Reduction Act. 30 ALLEGHENY COUNTY HEALTH DEPARTMENT SEXUALLY TRANSMITTED DISEASE PROGRAM AND CLINIC: 3441 FORBES AVENUE PITTSBURGH, PA 15213 PHONE: (412) 578-8080 FAX: (412) 578-8300 STD PROGRAM: This program is mandated by Pennsylvania law and serves as the focal point for control of sexually transmitted disease (STD) in Allegheny County. The services provided are convenient, confidential, and free of charge. Every effort has been made to minimize barriers encountered by patients and to maximize access to care. Policies and procedures are developed in accordance with the recommendations of the United States Centers for Disease Control and Prevention (CDC), the Acting Director, Dr. Ronald Voorhees and the Co-Director, Dr. Harold Wiesenfeld. STD CLINIC: The clinic operates five days a week, including one evening clinic. It is staffed by nurses, public health assistants, disease intervention specialists, and clerical personnel. The clinic provides free and confidential examinations and treatment. Tests are routinely done for HIV, syphilis, gonorrhea, and chlamydia. Other STD tests are performed depending on the patient’s symptoms. Laboratory services are provided by Allegheny County Health Department Laboratories, often allowing for same day diagnosis. The clinic also offers Hepatitis A and Hepatitis B vaccinations to patients receiving a full STD exam. The clinic is run on a walk-in basis. Patients take a number on admission and are generally seen in order. DISEASE INTERVENTION: Disease Intervention Specialists (DIS) interview infected patients to determine the source of infection and to elicit names and location information on exposed sex partners. Patients with a positive test for gonorrhea, chlamydia or syphilis, may be interviewed and counseled by the DIS staff. Patients are given the option of notifying their own contacts or having the DIS do it confidentially. This means the DIS cannot tell contacts who named them. The DIS routinely travel to all parts of the county to locate and notify exposed sex partners. If a patient wishes to see his own doctor, the DIS notifies the physician of the specific reason for the exam and the recommended tests and treatment. DIS epidemiological investigations are critical to rapid prevention and intervention in the spread of STDs. SURVEILLANCE: Chlamydia, gonorrhea, and syphilis are reportable diseases, by state law. Laboratories are required to report all significant findings concerning these diseases and, additionally, physicians must report all diagnoses. All reports must be verified for an accurate account of the morbidity. All reactive syphilis serologies are retained permanently in the PA National Electronic Disease Surveillance System (NEDSS) so that patients who were previously treated can be serologically followed. Patients with reactive serologies and no prior history are investigated to ensure diagnoses, proper treatment and epidemiologic follow-up. STD morbidity trends are carefully analyzed so that program activities can be focused on problem areas. GONORRHEA/CHLAMYDIA SCREENING PROGRAM: The STD Program, through a state grant, screens females at 20 sites for gonorrhea and chlamydia. A significant number of females with these infections in the county are identified through this program. 31 Screening sites include emergency rooms, community clinics and family planning clinics. All sites are provided with kits and materials to screen and treat women. A courier transports the kits to the county lab for processing. CASE MANAGEMENT: Social Service staff provides short-term counseling and referrals for mental health issues. Assistance and direction are provided to clients seeking low cost clinical medical care, domestic violence counseling, drug and alcohol counseling, employment issues, and other human services for which they may be eligible. EDUCATION SERVICES: The STD Program has an education component, which provides distribution of information through pamphlets, video loan, and an annual statistical summary report. OUTREACH: These individuals conduct street education, presentations, and counseling services regarding STDs and HIV/AIDS. 32 ALLEGHENY COUNTY HEALTH DEPARTMENT SOLID WASTE SECTION: FRANK B. CLACK HEALTH CENTER 3901 PENN AVENUE, BUILDING #5 PITTSBURGH, PA 15224-1318 PHONE: (412) 578-8047 FAX: (412) 578-8053 The Solid Waste Section is responsible for the inspection and oversight of 50 facilities, which include both operating and closed landfills, waste processing facilities, material recovery facilities, and leaf/yard waste composting sites. The landfills accept waste not only from Allegheny County, but also from surrounding counties and states. We, as residents of Allegheny County, are fortunate to have these facilities in such close proximity, as it serves to keep the cost of disposal down for everyone. INSPECTIONS: The permitted landfills are inspected at least monthly; waste processing and material recovery facilities quarterly; leaf/yard waste sites twice a year; as well as inspections of solid waste, and recyclable materials transportation vehicles. During an inspection, the facilities are checked for compliance with the state and county regulations governing them. A written inspection report is left with the facility manager. If violations are cited, reinspections are conducted after a reasonable period of time to determine compliance. PERMIT APPLICATION REVIEWS: The permits for landfills are frequently modified. Permit modification applications are forwarded to this office for our review and comment. INFECTIOUS WASTE: Large generators of infectious waste, such as hospitals, are surveyed periodically; however, small generators, such as doctor's offices, are not. When complaints are received concerning improper handling of infectious waste, this office will investigate and issue orders as necessary to abate the problem. COMPLAINTS: All complaints concerning solid waste sites or vehicles are investigated. If violations are noted, orders are issued or a referral is made to the agency responsible for taking corrective action. ENFORCEMENT: If violations found during inspections of either fixed facilities or solid waste vehicles are not corrected within the allotted time, enforcement action is usually taken. The severity and number of the violations dictate the type of enforcement action. Minor violations may be handled with a legal action or Civil Penalty Assessment; more serious, recurring, or multiple unresolved violations may necessitate litigation or a Consent Order and Agreement. The goal is to achieve abatement of the violations so the facility or vehicle is in compliance. EMERGENCIES: Emergencies involving solid waste sites are investigated on a 24-hour basis and take priority over all other program activities. APPLICABLE LAWS AND REGULATIONS: Pennsylvania Solid Waste Management Act; Pennsylvania Department of Environmental Protection Rules and Regulations; Municipal Solid Waste Regulations, Chapters 271-285; and the Allegheny County Health Department Rules and Regulations, Article VIII, "Solid Waste and Recycling Management." 33 ALLEGHENY COUNTY HEALTH DEPARTMENT TUBERCULOSIS PROGRAM AND CLINIC: CLACK HEALTH CENTER-BLDG. #1 3901 PENN AVENUE PITTSBURGH, PA 15224-1318 PHONE: (412) 578-8084 FAX: (412) 578-7905 CLINIC: (412) 578-8162 PHARMACY: (412) 578-8168 TUBERCULOSIS CLINIC: Provides screening (tuberculin skin testing), evaluation and treatment of patients with tuberculosis, and directly observed therapy (DOT) as indicated. Radiological services and selected diagnostic tests are provided as indicated. HIV counseling and testing is offered to all clinic patients. Hours: Monday, through Friday, 8:30 A.M. - 12:00 Noon and 1:00 P.M. - 4:00 P.M. LABORATORY SERVICES: The Tuberculosis (TB) Program through the UPMC Microbiology Laboratory, which is under contract with the Allegheny County Health Department (ACHD), provides smear and culture identification and drug susceptibility testing for patients who are followed at the ACHD TB Clinic. These laboratory services are also available to Allegheny County private physicians and local hospitals. CONTACT FOLLOW-UP: Public Health Nurses identify and evaluate close contacts to tuberculosis patients. HOME VISITS: Public Health Nurses are available to make home visits for patient evaluation and medication as indicated. MEDICATIONS: Medications are provided both to clinic patients as well as private physicians’ patients, upon presentation of a valid prescription. DATA COLLECTION: A current database of Allegheny County tuberculosis disease incidence and prevalence is maintained. EDUCATIONAL PROGRAMS AND MATERIALS: TB Program staff are available to conduct educational programs. TB-related educational materials are available to health care professionals and the general public upon request. 34 ALLEGHENY COUNTY HEALTH DEPARTMENT WATER POLLUTION CONTROL SECTION: FRANK B. CLACK HEALTH CENTER 3901 PENN AVENUE, BUILDING #5 PITTSBURGH, PA 15224-1318 PHONE: (412) 578-8040 FAX: (412) 578-8053 The Water Pollution Control Section is responsible for the inspection and oversight of all sewage treatment plants and sewage collection and conveyance systems in Allegheny County. These plants process raw sewage, then discharge the effluent into a waterway for which they have received a National Pollutant Discharge Elimination System (NPDES) permit from the Pennsylvania Department of Environmental Protection (DEP). Many of these discharges are to the Ohio, Allegheny, Youghiogheny and Monongahela Rivers, although some are to streams, creeks, or tributaries. Ninety percent of all drinking water in Allegheny County is drawn from the three rivers. There are 67 sewage treatment plants and 208 pump stations under this section’s jurisdiction. In addition to conducting regular inspections of permitted treatment facilities, program staff investigate water quality complaints pertaining to stream pollution, malfunctioning on-lot sewage systems, and public sewer problems. Combined sewer overflow requirements are also evaluated in 4 NPDES permits for combined sewer communities. INSPECTIONS: Each of the 67 permitted sewage treatment facilities are inspected annually, during which time all aspects of the operation are checked for compliance with the federal, state and county regulations governing them. During these inspections, samples of treated effluent are taken for analysis. In addition, approximately 70 of the 208 pump stations are inspected annually to determine compliance with the applicable regulations governing them. The facilities are provided a written copy of the conditions noted and, if violations are noted, are given a specified amount of time in which they must achieve compliance. If upon reinspection, the violations are still found, further action will be taken to enforce the regulations. CSO EVALUATIONS: Staff evaluate CSO control requirements in 4 NPDES permits for combined sewer communities, identify areas of non-compliance, and ensure that noncomplying communities meet permit requirements. PLANNING MODULE REVIEW: Planning modules for land development by public sewerage or on-lot sewage disposal systems are reviewed and a recommendation is made for approval or rejection and then sent to DEP for approval. PERMIT REVIEW: Permit amendments, variance requests, or exemption requests are sent to this office for review and comment, and then forwarded to DEP for final approval. SELF-MONITORING REPORT REVIEW: All of the 67 permitted sewage treatment facilities are required to submit monthly self-monitoring reports. These reports provide information on effluent quality and quantity. Any level that significantly or chronically exceeds the permitted levels could be cause to issue orders for corrective action. COMPLAINTS: In the course of a year, between 200 to 300 complaints are received and handled by the Water Pollution Control Section. Most of the complaints concern sewer overflows, sewer line breaks or blockages, odors from permitted facilities, sewage backups into homes, stream pollution, drainage from an unknown source, and malfunctioning on-lot sewage systems. While most complaints are resolved quickly, approximately 15% require long-term effort to abate. 35 ON-LOT SEWAGE SYSTEMS: These are individual sewage systems, also known as septic systems, located on a piece of property and serving a specific structure. Permitting activities are carried out by the Public Drinking Water & Waste Management’s Plumbing Section. TRAINING: Training is provided, on request, to wastewater industry personnel and municipal officials on topics such as laboratory analysis methods, confined space entry, treatment technologies, and any other relevant subjects. Technical assistance is also provided to aid in the development of a variety of plans needed to operate and maintain the wastewater facility. EMERGENCY RESPONSE: Emergency situations actually or potentially affecting one or more wastewater facilities are investigated on a 24-hour basis. Emergencies involving the failure of a plant or pump station will take precedence over all other activities. SPECIAL PROJECTS: A limited number of special projects are undertaken each year. These projects include stream surveys centered on sampling and analysis with identification of pollutant sources, and intensive work with other regulatory agencies and municipalities to solve severe or wide-ranging problems with specific sewerage collection and conveyance systems. ENFORCEMENT: A variety of enforcement tools are used to achieve compliance with the regulations. These enforcement tools include issuing notices of violation, the filing of criminal complaints, execution of Consent Order & Agreements, and instituting equity actions. APPLICABLE LAWS AND REGULATIONS: Pennsylvania Clean Streams Law; Pennsylvania Sewage Facilities Act; Pennsylvania Department of Environmental Protection Rules and Regulations, Chapters 71, 72, 73, 92, 94, and 95; and the ACHD Rules & Regulations Article XIV, ―Sewage Management,‖ as amended. 36 ALLEGHENY COUNTY HEALTH DEPARTMENT WIC PROGRAM: ADMINISTRATIVE OFFICE INVESTMENT BUILDING, 6TH FLOOR 239 FOURTH AVENUE PITTSBURGH, PA 15222 PHONE: (412) 350-5801 FAX: (412) 350-4424 The Women, Infants and Children (WIC) Program is a health and supplemental nutrition program for pregnant women; breastfeeding women up to 12 months postpartum; nonbreastfeeding women up to 6 months post-partum; infants and children up to 5 years of age who have a medical/nutritional risk and meet financial eligibility criteria. Funding is provided by the United States Department of Agriculture. WIC is administered by the Department of Health at the State level and the Allegheny County Health Department at the local level. PROGRAM SITES There are 9 WIC offices located throughout Allegheny County. Specifically, WIC has sites in Carnegie, Clairton, Downtown Pittsburgh, McKeesport, McKees Rocks, Mt. Oliver, Springdale, Turtle Creek, and Wilkinsburg. The administrative office is located in Downtown Pittsburgh, as well. PROGRAM SERVICES SUPPLEMENTAL FOODS: Foods available through WIC provide nutrients that are important in the diets of women, infants, and children at medical/nutritional risk. These foods include milk, eggs, cheese, juice, cereal, soy milk, tofu, whole grain breads, rolls, tortillas, brown rice, peanut butter, or dried beans. A separate voucher for fresh, frozen or canned fruits and vegetables is also provided. These foods contain key nutrients needed to promote healthy growth. WIC is a supplemental food program and does not provide all the food a woman may need for herself and her children. Since breast milk is the ideal food for infants, WIC encourages breastfeeding. In addition to foods provided above, extra milk, cheese, juice, eggs, and canned fish are provided to breastfeeding women who receive no formula from the WIC Program. The average value of WIC foods provided to participants each month is $75.00. For women who do not breastfeed or those who partially breastfeed, WIC provides iron-fortified formula for infants during the first year of life. A wide variety of special formulas such as Nutramigen, Alimentum, and Pediasure are provided to infants and children with special medical needs when prescribed by a physician. All infants receive jarred baby fruits and vegetables and cereal at six months of age. Fully breastfed infants receive jarred infant meats in addition. The types and amounts of WIC food to be purchased each month are printed on a set of food vouchers. The food vouchers are redeemed at any Pennsylvania WIC-authorized retail grocery store selected by the participant. In Allegheny County, there are approximately 95 retail grocery stores that are authorized to redeem WIC vouchers. Special nutritional formulas are provided through the WIC Formula Distribution Center in Lancaster, PA. 37 FARMER’S MARKET NUTRITION PROGRAM: During the summer months, the WIC Program also distributes vouchers to purchase Pennsylvania-grown fresh fruits and vegetables at participating farmer’s markets and farm stands. Vouchers worth $20 are distributed to pregnant, breastfeeding, postpartum women, and children from 2 to 5 years of age. BREASTFEEDING PROMOTION PROGRAM: The Breastfeeding Promotion Program is designed to help increase the number of mothers who successfully breastfeed their infants. The Breastfeeding Help Line (412-247-1000) provides counseling daily, including weekends and holidays, from 8:00 a.m. to 10:00 p.m. to all breastfeeding women in Allegheny County. Board-Certified Lactation Consultants also work with WIC pregnant and breastfeeding mothers to educate them on the benefits of breastfeeding and help them establish and continue this practice. A breast pump may be provided to WIC breastfeeding women who meet WIC Program criteria. The Allegheny County Breastfeeding Promotion Steering Committee works to eliminate barriers and establish breastfeeding as the preferred infant feeding method. NUTRITION EDUCATION: Nutrition information is provided to all WIC participants to ensure that foods will be used properly to improve the dietary and health habits of the entire family. Each WIC office has at least one nutritionist on its staff that counsels participants on nutrition-related concerns such as obesity and iron deficiency anemia. The nutritionist helps the WIC participant set realistic goals to achieve desired eating behaviors. Beyond offering nutrition education, the WIC Program is involved in addressing other areas of maternal and child health, such as educating participants about the dangers of drugs, alcohol and tobacco use. Children needing immunizations are referred to their health care provider or the Health Department Immunization Clinic. WIC promotes good dental health for children and refers them to the Health Department Dental Clinics. Lead screening is done by a Childhood Lead Poisoning Prevention Program nurse in three WIC offices. REFERRALS: WIC provides limited referrals to health and social services. Participants not receiving medical services are encouraged to seek and maintain appropriate care. Families whose children do not have health insurance are referred to children’s health insurance programs available in Pennsylvania. WIC also offers participants the opportunity to register to vote as part of the Pennsylvania Motor Voter Initiative. ENROLLMENT: WIC is currently serving approximately 16,000 participants in Allegheny County and has funding to serve more applicants. To enroll, the applicant’s health care provider must complete a WIC application form. These are available on the Health Department’s WIC website at www.achd.net/wic or by calling 412-350-5801. The WIC Program staff will review the completed application to determine the medical/nutritional risk and will review income sources to determine financial eligibility. If eligible, the applicant will be contacted by the WIC Program and given an appointment to be enrolled in the WIC office of their choice. WIC encourages all potentially eligible individuals to apply for WIC Program benefits. 38 39 ALLEGHENY COUNTY HEALTH DEPARTMENT WIC PROGRAM SITES Carnegie – 115 School House, Suite 110 1100 Washington Avenue Carnegie, PA 15106 Phone: (412) 278-2510 FAX: (412) 278-2521 Days: Monday – Friday One Saturday a month Hours: 8:00 a.m. – 4:00 p.m. McKeesport – 112 Wander Building 339 Fifth Avenue McKeesport, PA 15132 Phone: (412) 664-8870 FAX: (412) 664-8857 Days: Monday – Friday Two Saturdays a month Hours: 8:00 a.m. – 4:00 p.m. Springdale – 106 830 Pittsburgh Street Springdale, PA 15144 Phone: (724) 274-6411 FAX: (724) 275-1081 Days: Wednesday, Thursday, and Friday Hours: 8:00 a.m. – 4:00 p.m. Clairton – 113 Clairton Health Center 559 Miller Avenue Clairton, PA 15025 Phone: (412) 641-3267 FAX: (412) 233-5004 Days: Every Monday and/or Tuesday Hours: 8:00 a.m. – 4:00 p.m. McKees Rocks – 145 Focus on Renewal Center (FOR) 710 Thompson Avenue McKees Rocks, PA 15136 Phone: (412) 331-5410 Fax: (412) 331-5329 Days: Monday—Friday Hours: 8:00 a.m. – 4:00 p.m. Turtle Creek – 127 Westinghouse Valley Human Service Center 519 Penn Avenue Turtle Creek, PA 15145 Phone: (412) 823-1333 FAX: (412) 823-1598 Days: Monday – Friday Hours: 8:00 a.m. – 4:00 p.m. Downtown Pittsburgh–147 Investment Building, 3rd Floor 239 Fourth Avenue Pittsburgh, PA 15222 Phone: (412) 350-7240 FAX: (412) 350-6184 Days: Monday – Friday Two Saturdays a month Hours: 7:30 a.m. – 4:00 p.m. Mt. Oliver – 136 UPMC South Pittsburgh Health Center 1630 Arlington Avenue Mt. Oliver, PA 15210 Phone: (412) 481-2780 FAX: (412) 432-1650 Days: Monday – Friday Hours: 8:00 a.m. – 4:00 p.m. Wilkinsburg – 120 Hosanna House 807 Wallace Street, Suite 202 Pittsburgh, PA 15221 Phone: (412) 241-3860 FAX: (412) 241-1364 Days: Monday – Friday Hours: 8:00 a.m. – 4:00 p.m. Sites offering extended hours upon need Sites offering Saturday hours WIC Administrative Office th Investment Building, 6 Floor 239 Fourth Avenue Pittsburgh, PA 15222 Phone: (412) 350-5801 Fax: (412) 350-4424 Days: Monday – Friday Hours: 8:00 a.m. – 4:30 p.m. 10/7/11 40 AFFILIATED NON-PROFIT ALLEGHENY CORRECTIONAL HEALTH SERVICES: 3333 FORBES AVENUE PITTSBURGH, PA 15213 PHONE: (412) 578-8318 FAX: (412) 578-8325 Allegheny Correctional Health Services, Inc. is a non-profit corporation formed to provide medical services to those detained in the Allegheny County Jail. While it is a stand-alone corporation, with its own board of directors and staff, the Allegheny County Health Department provides budget and fiscal services and general administrative oversight. 41 42
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