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HomeMy WebLinkAboutBoard of Health December 5 20001 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 WHATCOM COUNTY COUNCIL Board of Health December 5, 2000 The meeting was called to order at 12:30 p.m. by Council Chair Marlene Dawson in the Council Chambers, 311 Grand Avenue, Bellingham, Washington. Also Present: Absent: Dan McShane None L. Ward Nelson Connie Hoag Barbara Brenner Sam Crawford Robert Imhof 1. INTRODUCTIONS Regina Delahunt, Interim Director of Health and Human Services Department, stated Terry Hinz is now the Health and Human Services Department Assistant Director. He would do much of the financial and contract management. 2. PUBLIC SESSION No one spoke. 3. 2001 HEALTH BOARD MEETING SCHEDULE Dawson stated four dates were scheduled for Board of Health meetings for 2001. The department requested a time change to meet from 10:30 a.m. to noon. Nelson questioned whether that would conflict with the Water Resources work sessions. Dawson stated they would check with Council staff to see if any of the dates conflict. Delahunt stated it is important that Dr. Stern attend the Board of Health meetings to provide input. Brenner asked to lengthen the Board of Health meetings. Many times, there are important items on the agenda and they tend to go over the allotted time. If they are going to have back -to -back meetings with another meeting, they should schedule more time for Board of Health. Dawson stated they would leave it up to staff. Board of Health, 12/5/2000, Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Delahunt stated that, to allow Dr. Stern to attend, he needs to know a firm time because he has his clinical practice. If there was a longer agenda, they could address the items involving Dr. Stern first. Brenner stated the need to make sure they are done at noon, so they have a break between meetings, but she didn't want to leave work undone. Nelson moved that the Council staff work with the Health Department and Water Resources Division in looking at the schedule for the 2001 Board of Health meetings so there are no conflicts. Motion carried unanimously 4 -0 with Imhof, Crawford, and Hoag absent. 4. WHATCOM COUNTY NEEDLE EXCHANGE PROGRAM UPDATE Rebecca Johnson, HIV Prevention Outreach Program Coordinator, stated the needle exchange program has been operating for the last 17 months. It started in August 1999 as part of the bloodborne infection prevention plan. The idea was to update the Board on the program. She provided a brief summary in the packet. Dawson asked if there was a desire expressed by the users to have the evening exchange. That would make sense. Johnson stated they had an ad hoc committee that had representation from the Health Advisory Board and that had looked at locations for a second needle exchange site. She thought it may go to another county location because she has people who do come in to town, although the majority are from Bellingham addresses. The law enforcement input was that the highest traffic area was at Railroad Avenue. If they could have a downtown Bellingham location, which is close to where they are operating now at the State Street office, they would be located in the best place to be. The issue of access was regarding the hours. They are doing a morning exchange now, but many don't get up in the morning. The idea is not to add additional hours or staff, but to shift to a more accessible time. That begins this Thursday. Brenner stated she would like to see the demographics more clearly defined, not by zip code. They could gather that information without infringing on people's privacy. She was curious about where some of the other areas are. Johnson stated there is a group of folks who come from Blaine, and people in Lynden. She would provide a breakdown of the demographics. Brenner stated she sent a copy of an article to the former Health Department director, Chuck Benjamin. It was supposed to be brought up as part of the discussion. The article wasn't by someone who was against the needle- exchange program. The article was about what is happening in Vancouver and that it is not really working well there. Johnson stated there has been extensive public health research on the failures relative to HIV outbreak numbers in Montreal and Vancouver. There was a real increase in the numbers in 1996. There is a report that looked into the needle exchange practices. The report is often cited by those Board of Health, 12/5/2000, Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 opposed to the program. However, public health officials indicate that needle exchange is still an important piece of prevention. Brenner stated the article said there wasn't enough referral to programs. (Clerk's Note: Crawford arrived at 12:40 p.m.) Johnson continued to state that the Whatcom County program addressed referral issues. The needle- exchange program is part of a comprehensive plan for bloodborne prevention. In Vancouver, when they began their program, they limited the exchanges to either 10 or 20 syringes per incident. They found that many of these people were cocaine injectors with an average number of injections at 40 per day. Therefore, 20 needles per day was not adequate. Those that do the needle exchange also have higher rates of HIV infection. It's an area that already has a higher rate of HIV, plus the individuals engage in behaviors that increase their risk factors. Brenner stated they could also have had HIV before they started the needle exchange. Johnson stated that was correct. Brenner stated the referral rates didn't look very high. Johnson stated the raw data sheet is what she provided to the Board. They don't look like huge numbers in terms of referral. When she counts a referral to drug treatment, it's when she's really engaged an individual in an actual conversation about referral. Everyone who tells her they are thinking of treatment is not counted as a referral. When she has a total of 39 drug treatment referrals, those are people with whom she's engaged in serious conversations, and she is marking them more than one time. They are not unduplicated numbers in that raw data sheet. She has 12 of 82 individuals in the program who she knows have stopped using. That is 16 percent. Those include people who've handed in syringes and not asked for any back. She's been engaged in conversations with many of them regarding treatment. Their policy is for people to know that the exchange program is still available if they need it, even after treatment. Brenner stated that, unless there are referrals, no one is asked about Hepatitis A or B. Johnson stated that as part of the registration process, they don't ask people to disclose their HIV or Hepatitis status. It is only recorded if it comes up in conversation. Most people don't talk about Hepatitis B. The State Street clinic is now taking walk -in vaccinations for Hepatitis B, Hepatitis C, and tetanus vaccines to individuals who, because of their high -risk behaviors, are more at risk. They can be on a sliding fee scale and it is a walk -in clinic. They are talking to them about a vaccine. There is a high concern about Hepatitis C. They make referrals for people to get in and get tested. In terms of tracking numbers on the daily tally sheet, she only logs in the first visit so as not to duplicate numbers. Nelson congratulated Johnson on the twelve people that have stopped using. They are people who would still be using. It is a wonderful step. He was positively surprised at the rate. It is a start. Vancouver had problems because the program Board of Health, 12/5/2000, Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 wasn't geared toward treatment. In Vancouver, they made a political decision to not deal with the drug problem, and instead centralize the drug problem in one location in the city. The drug culture has their own standards of their operation. The center became the social gathering point. By intent, Whatcom County won't develop the same type of program. Make the area accessible and don't draw attention to one specific area as the drug area. Johnson stated her understanding from law enforcement was that is where the drugs and dealers are, at that specific location between Holly and Chestnut. People are coming into Bellingham and purchasing drugs. Nelson stated they need to keep in mind that they don't centralize the drug culture downtown. They should look at the people demographically and by economic strata, to determine where they are. Johnson stated there has been a cross - section of people from many backgrounds. Nelson suggested keeping some data if they can. It is important to know if the program reaches the entire community. Johnson stated there are some homeless people, mothers, and college students. There is a broad base of people. Dawson stated she would be concerned if the needle exchange is located where the social activity is. In some regards, it might discourage people from use. Nelson stated they want to keep what is happening in Vancouver in the back of their minds. He asked about treatment centers in the rural areas that are already contracted for substance abuse services. Johnson stated she contacted them to see if any of them had any interest in participating in the needle- exchange programs out there. All they give out are cards. She also gives out information about which pharmacies in town are easier to get needles from. Nelson stated pharmacies don't have information for people purchasing needles. The pharmacies should have generic information on needles, such as how to dispose of them and resources on transmittable diseases. Johnson stated their role is to make sure that people who already are using have access to clean syringes. The studies indicate that, by providing those clean syringes, it doesn't entice one into using drugs. They don't see an increase in increase in needle use by non - needle users. Brenner stated she wanted, as they expand the program, to offer it periodically at other locations in the county. Dawson questioned what a "cooker request" is. Johnson stated a cooker is what the drug users use to cook the drug in, such as spoon. Other programs offer clean cookers. It was determined not to offer cooker exchanges at the needle exchange, but she would like to include those materials. HIV prevention doesn't always prevent Hepatitis C, but Hepatitis C prevention would prevent HIV. There are lots of issues in terms of behaviors while injecting. Drug users use the same cooker or cotton filter and it is an opportunity to transmit a disease. Board of Health, 12/5/2000, Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 S. DRAFT DRINKING WATER REGULATIONS Delahunt introduced Paul Chudeck. Currently they don't have a local drinking water ordinance. Approvals for new water supplies are based on an interim policy that has been in place since 1993. They took a look at policy and decided to make the interim policy official by making it an ordinance. With the Public Health Advisory Board (PHAB), they came up with additional items proposed for the drinking water ordinance. Paul Chudeck, Environmental Health Supervisor, stated the PHAB formed a drinking water subcommittee in October 1999. That subcommittee met and decided it should be expanded. They attempted to draw in community members, including representatives from the Board of Realtors, the Building Industry Association (BIA), Conservation District, and the private well caucus, folks from public drinking water supplies, the Planning Department, and others. The subcommittee ended up being the PHAB, the Planning staff, and one well driller who also was a member of the BIA. They were not successful in getting folks from the real estate community to attend the meetings. They truly did try. The subcommittee worked and decided to ask the PHAB to give them the authority to prepare an ordinance, which they did with staff. It was presented to the PHAB a month ago, who recommended it to the Board of Health. As an agency, they have worked without a drinking water ordinance. Sometimes, that was not the best way to do business. They don't always have clear guidelines and rules for the community and staff to follow. It is difficult for staff when there is not clear statutory authority for some of the issues they actually work on. This particular draft, from the subcommittee's recommendation, focuses on three different areas; water supply disclosure requirements when property is sold; group B public water supply rules, including enforcement; and codifying the water availability guidelines. The water supply disclosure requirements when property is sold is an outgrowth of some of the concerns that were voiced when the issues north and west of Lynden, when ethylene dibromide and 1,2, dichloropropane (DCP) first surfaced. Those impact primarily private water supplies. There were several different occasions when people flat out declared that they had no idea they had actually purchased property in an area where the water was actually contaminated. It was never disclosed to them. They were clearly upset, and may not have chosen to purchase a home in an area where water was actually contaminated. This is an outgrowth of that. They realized there are a number of different areas in the community where there are contaminants in groundwater. Currently, they have a joint plan of operation with the state Department of Health (DOH) for the group B public water supply rules, including the enforcement. It grants the County the authority to regulate and enforce the smaller public group Board of Health, 12/5/2000, Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 B water supplies. The problem is that there is not a very clean enforcement tool, unless the County adopts something locally. Regarding the 1993 Water Availability Guidelines, the staff has done a remarkable job for the last six or seven years running on an interim guideline. Most of the bugs have been worked out of the interim guideline. It may be time to move forward. They are talking about water availability for building on vested lots. There is another section that deals with determining adequacy of water for subdivisions. They've split the two out. They are very similar in some instances, but there are some special cases they do want to make. There is an entire section that is about building on vested lots, which are primarily the 1993 guidelines put into code. Determining adequacy of water for subdivisions is a compilation of many local policies and procedures that they've used for years. They tried to take into account what was going on with the Coordinated Water System Plan and Title 21. The item of public water supplies is a section by itself. There is a section on disclosure when property is sold. There is also another section on inspection. Those are things that are different than what they might expect to see in any ordinary ordinance. For vested lots, they prefer first that the lot hook to public water if it's there, available, and the purveyor can provide it in a reasonable and timely fashion. The second choice is shared wells, which are public by definition. The third choice is a private well, using groundwater. If groundwater is not available, then a spring source would be the next option. The last option is surface water. There are sets of circumstances that surround each option, but their interest is in trying to encourage people to at least use public water when it's available. Brenner questioned what other types of approved drinking water sources for private systems there are. Chudek stated there is rainwater catchment and desalination. People are fairly creative at times. They don't have the local infrastructure to approve that at this time. Dawson stated other counties are using desalination. Just because there isn't the infrastructure here in the county, they shouldn't discourage others from using it. She wanted to see desalination included. She questioned why they would discourage someone with storage tank. Brenner suggested allowing other technologies in the ordinance for the future. Dawson questioned why they would want to keep someone from using a storage tank if they have contaminated groundwater. Chudeck stated that if someone has contaminated water on a vested lot, they have in the past helped with treatment. They are trying to sort out the long -term protection of public health. They are being asked to assure that the water system or source would work for a long time, and the more complex it gets, the more difficult it becomes to track. Board of Health, 12/5/2000, Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 Delahunt stated this ordinance is for new construction and private water resources, not existing residences. The County doesn't have the authority over private supplies once they are in place. Dawson stated they should include a maintenance program with the inclusion of the desalination, but not exclude desalination. Crawford asked from what desalination is excluded. Dawson stated it is not included in the ordinance as a source. It is clearly a source in Whatcom County. They've never had an ordinance in place. Crawford stated all of Eliza Island has a containment system. Delahunt stated they are talking about a private supply. They were not so sure if there was any desalination private supply. Chudeck continued to discuss subdivisions. They may need to change some things to coordinate with the new Title 21. They tried to coordinate with Title 21 and the existing Coordinated Water System Plan that was passed earlier in the year for the requirements for subdivisions. The first choice is to have a public water supply if available. The second choice is to have a new public water system, which would follow the process outlined in the existing Coordinated Water System Plan. The third choice is to allow private allows, if allowed in Title 21. The ordinance does not allow water availability or withdrawals in areas where the state Department of Ecology (DOE) determined that water is not available. Dawson questioned whether DOE has made that determination in any location in the county. Chudek stated they have, by rule. When DOE determines by rule that there is no water, they have to go through a rule- making process, which then declares the aquifer area closed. The staff would like to be consistent with Title 21 and not have a different interpretation of when water is available. There are some major changes for subdivisions. If private wells are used now for a subdivision, they do not do well site inspections. If someone does a short plat with four wells, one on each lot, they do not go out and verify location of the wells. In this proposed draft, it says that they will begin doing that. It is new work and new regulation. Protective zone covenants for each well would include even when the proposed well location is sitting in the middle of the parcel. They are asking that the owner define the protective zone around the well and place a covenant on that so it goes with the property in the future, and everyone realizes that is the protective zone for the well. Many times when a person buys a piece of property, there isn't information on where the well is. If Title 21 requires public water, and the applicant uses two -party wells, each two -party well must meet all group B standards. Right now, two -part wells in Board of Health, 12/5/2000, Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Whatcom County are exempt from most requirements and are treated more as a single - family residential well than as a two -party well. However, they are public by definition. The joint plan of operation with the state DOH grants the County the authority to virtually waive all of the requirements for two -party wells if they choose to locally. Or, they can require two -party wells to comply with all of the group B standards. Their proposal is to treat the supplies that are developed as true public water supplies where monitoring would be required. If treatment is required, then public water is also required. Nelson questioned how they would treat two -party wells from now on. Chudek stated that if a determination has been made that public water is required for plat approval, and the developer chooses to create a two -party well, then each two -party well would be considered a public water supply, classified as a group B supply, and would require monitoring. Nelson questioned what that does to existing two -party wells. Chudek stated nothing. (Clerk's Note: End of tape one, side A.) Chudek stated they are not trying to apply the regulations retroactively. Dawson questioned whether the developer has to have state approval for a class B system. Chudek stated he or she does if it is contaminated water requiring treatment. The County gives approval locally. Nelson stated it would eliminate the creation of multiple wells. If they are going to have a group B system, the owner may as well have one well with four hookups. Chudek stated that is a choice of the developer. Nelson questioned how many hookups are allowed on one well. Chudek stated 15 residential service connections are allowed. They would not have to have a water right if they draw less than 5,000 gallons per day. Brenner questioned whether the opposite could happen, and this could cause an increase in subdivisions punching in wells on every lot to avoid group B wells. Chudek stated Title 21 restricts when private wells can be put in. Delahunt stated there are circumstances in Title 21 where there must be a public water supply. They are saying that, in those instances, a two -party well will be a full - fledged public water supply. Dawson questioned whether two -party well owners would have to do more testing. Chudek stated they would have to check for nitrates once every three years and do bacteriological monitoring once every year. That is for new subdivisions, not for existing vested lots. Board of Health, 12/5/2000, Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 Chudek discussed the changes for private water. More legal covenants are required. They want to make sure they define the area of protection around the well, and it is actually filed, so it goes with the property. Many times, that protection area has been encroached upon considerably, and the owner comes back to get water availability for another purpose. Quantity verification is an interesting area for staff. It is quite timely. They actually had a member of the community in their office at the end of last week who currently has no water. Currently, all a person has to do to show quantity is to do a yield or pump test. They propose now to require some time of a pump test during the dry system if the system only produces one gallon per minute or less. To begin discussion, they propose that the dry season be the first of August to the end of September. This is only for wells that produce one gallon of water per minute or less. The problem is that the gallon of water in April may not be there in August or September. It is interesting where development has encroached onto areas where it hasn't occurred before. They run the risk of this occurring more often. Dawson questioned whether an owner could use holding tanks. Chudek stated he or she could. It is usually required when the yield is very low. The problem is determining the size of a holding tank that is required. He is saying that one gallon of water per minute is probably the least that one would be able to get by with. Chudek continued to state that similar language is included for areas of known groundwater contamination. They've seen that in Title 21. Their first choice for private wells is, again, if groundwater is available use it first, and only use springs or surface water if groundwater is not available. They want to do some site inspections for springs, prior to spring development. Regarding public water, they simply adopted group B rules by reference. They will take on only those responsibilities that are defined in the existing joint plan of operation, which is a contractual agreement with the state of Washington. Their proposal is to use the enforcement options that the County already has in RCW 24.07 for enforcement. For disclosure, a supplemental disclosure form would have to be presented to the buyer by the seller. They realize already that there is a real estate form that is used. It is minimal. The subcommittee proposes a form that is more substantial. It provides information for both public and private supplies. For private supplies, it talks about quality and quantity issues that the seller actually knows about. The way that it is set up is that the seller simply presents the information to the buyer. This disclosure must occur prior to the real estate transaction. Regarding inspections, they are only asking for the right to inspect in a couple of situations. For public water supplies, the rule allows them to inspect to determine compliance. For private supplies, they are only interested to gain information to be able to prove a water availability or for a plat application. They Board of Health, 12/5/2000, Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 feel that they need to have access, if someone is asking them to approve something and they need to verify it. They wrote into the draft a provision to allow them to look at it to verify it. For staff, it is important to have that right. Regarding costs, existing staff can perform all of the new tasks that are contained in the draft. There is an inspection fee for private well site inspections. They propose to use that fee. For vested lots, they would simply use the existing water availability fee, which is collected at the time of application for the building permit. They are not currently suggesting new fees. They are comfortable that staff can go out and do the needed site inspections. There have been a number of good suggestions already that have come from the board. They are interested in including the board's recommendations. If the Board of Health thinks that this is a worthwhile endeavor and they should go forward with an ordinance, they would like to get more information from the community, including the BIA and private well owners caucus. Brenner suggested printing an advertisement or public notice. Ask the media to print the notice so people with private wells know about it. She didn't want to depend on the caucus. Crawford asked if Mr. Chudek was asking for approval of the draft to present to the community. Chudek stated he was. He would also like to coordinate with the real estate associations, Planning and Development Services and the Water Resources Division, Conservation District, and large and small water systems. Crawford asked if the disclosure is for every real estate transaction in the county and the cities. Chudek stated it is if there is a building involved. The ordinance disclosure would also be required in the cities. Crawford asked if there is any current reporting method. Chudeck stated there is. It is extremely minimal. Delahunt stated it is state law. This new disclosure gets more specific. Brenner asked to add the people who do drain fields, the on -site septic installers. They should also comment. People who do septic fields have to deal with wells. Chudek agreed. Nelson stated that many times realtors and groups are not interested. It would be nice to have comments, but not require them. Chudek agreed. They were held hostage in the process because people didn't provide input. Brenner referenced the definitions. The definition of the word "adequate" is that it is acceptable to the director. She didn't like that definition. There should be a standard of what "adequate" is. It is too nebulous and subjective. They should give an idea of what "adequate" means. She suggested also adding wording in the definition of "authorized agent" because there are many people in the department Board of Health, 12/5/2000, Page 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 who are recognized as an authorized agent. The wording should say that the authorized agent also "has the authority to make a specific decision regarding drinking water" rather than allow someone who is not working specific to this issue to make a decision. She was uncomfortable with the phrases "contaminant" and "contaminated groundwater." When they get further on, the language talks about contaminants. If a "contaminant" doesn't affect the consumer's health, they shouldn't stick the County's nose into it. Only address any health hazard, not aesthetics. McShane stated there are aesthetic water quality standards of the DOH. There are substantial costs to those aesthetic issues. One would want to know if there are those types of aesthetics problems because the water runs through home appliances. It is costly to maintain a household with that type of water in the house. Brenner stated her biggest concern is that they are not supposed to wipe everyone's noses. Their job is as the Health Board. It is not the Health Board's job to force that kind of thing. Delahunt stated the staff would go through the document to see how the word 'contaminant" was used. Chudek stated the State of Washington has some requirements for group B water systems regarding aesthetic qualities as well as those that impact human health. They will go back and look through what it was. Nelson stated it refers to state requirements. Brenner referenced packet page 11 the last sentence in definition 19. Remove that sentence. If one is using a group home or barracks -type of accommodations, it suggests that it could be more than a single - family residence. The same rules should apply to anything. Chudek stated that language was out of state law. When they deal with group B rules, they would be required to use state definitions. Brenner referenced definition 22 regarding "Spring." When she first read it, it didn't make sense. The definition should say, "...in contact with the above ground surface." It wasn't clean the way it was written. McShane stated he had wording for that definition he would provide. Brenner referenced definition 28 regarding "water system." She didn't like interchanging "water system" with "water supply." A system includes the maintenance and everything in the system, whereas "water supply" sounds like the amount of water. She would rather they not be interchangeable. Chudek stated it was taken out of state law. McShane stated he had specific recommendations he would give to Ms. Delahunt. He wanted more discussion on arsenic. He was concerned that the EPA will change the drinking water standards. They'd already set a proposed number in Board of Health, 12/5/2000, Page 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 June that is supposed to go into effect in January. That number they are kicking around is a level of .005 milligrams per liter for arsenic. Delahunt stated it would cause many of the water systems and private wells to exceed the standards for arsenic. McShane stated the current standard is .05 milligrams per liter for arsenic. This would be ten times more protective. Sarah Cierebiej, Environmental Health Specialist, stated the level is going to 5 parts per million (ppm). McShane stated he came across this while doing some work for the County a number of years ago. The drinking water standard for arsenic was .05 milligrams per liter, and the Washington State groundwater standard for arsenic is .00005 milligrams per liter. He questioned why it is a thousand times different. The reason is that the groundwater arsenic standard for the State of Washington is based on cancer risk to humans. It is definitely a cause of cancer, even at low levels. The reason that the drinking water standard could be 1,000 times above that rate is because arsenic is naturally occurring and shows up in places like Lummi Island. It is also difficult to treat for arsenic at that level, and also difficult to test for below that level. The Environmental Protection Agency (EPA) discussed that much of it has to do the fact that they don't believe it is treatable and because laboratories around the country are not set up for it. Regardless of all that, the studies are disturbing. Many carcinogens are known, but the results are questionable at low numbers. They know that low numbers of arsenic causes cancer. In this ordinance, he questioned whether they want to simply adopt the minimum contamination level (MCL), even though they know there are places in Whatcom County that have arsenic levels above the rate they know people will get cancer. Nelson stated he hadn't seen the studies. He wanted to see other types of metals or chemicals that were in the water and associated with arsenic. He questioned whether the study was strictly associated with arsenic levels or whether it was also associated with the amounts of other chemicals, heavy metals, or metals that were in the water at the same time. He questioned whether there was an association between arsenic and other chemicals. Arsenic binds with other chemicals. McShane stated the toxicity levels are nowhere near the numbers he quoted. Nelson stated he couldn't answer any of his questions. Before they raise fear in Whatcom County about cancer levels associated with arsenic, they need to address what specifically the numbers mean regarding arsenic and also other elements that may be in the water at the same time. They also need to address the conditions regarding quantity. This is a tremendous cost. McShane stated that if the Council is interested in going there, besides looking at just the MCL, they need to have a lengthy discussion on why the EPA would settle on a standard above the known rate in which cancer has been Board of Health, 12/5/2000, Page 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 discovered. There are large areas of the country where one doesn't have a choice but to drink water with arsenic in it. The question is whether they should allow people to put in new wells in new developments where they are going to be drinking water with arsenic in it and potentially, over a long- enough period of time, would get cancer. Chudek questioned whether the studies looked at the effective treatment technology. McShane stated that is part of what they have to look at. Chudek stated that is part of how they set the MCL's. McShane stated the existing arsenic standard was set in 1942. One reason it was set at that level was because it is difficult to treat. They are talking about whether they want to require a higher local level of treatment. One of the issues is a simple matter of dissolved versus total arsenic in water. He's seen wells in Whatcom County where the total arsenic is above the standard, but the dissolved amounts are low. If the solids were removed, the arsenic level would be reduced to that .003 milligrams per liter, which is what the labs usually give. Dawson stated she would be interested to look at the levels of cancer on Lummi Island. McShane stated Councilmember Nelson would need to see the studies in Finland and India showing the results. He was not a cancer proponent. He worked with many chemicals that are known carcinogens in environmental cleanups, and many times find them very irritating. He was convinced it does cause cancer at very low levels. Nelson stated many things cause cancer. Sunlight causes cancer. McShane stated that Councilmember Nelson should take the opportunity to read the information, and asked him not to make such comparisons. Nelson stated that sunlight has caused more cancer than arsenic. McShane stated this is a cancer they can avoid. Nelson stated he wasn't sure about that. That is why he wanted to see the information. Chudek stated arsenic doesn't occur just on Lummi Island. It is sprinkled throughout the county. The work they would do would be work that could apply to a number of different areas in the county. Delahunt stated she could talk to the state Department of Health in relation to the new arsenic standard. Board of Health, 12/5/2000, Page 13 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 Chudek stated they would map all the contaminants that they know of, and arsenic is one they could map. Nelson stated one of his concerns was that there was an appeal process. Delahunt stated it is in Whatcom County Code 24.07, the enforcement code. Nelson asked what would happen if a person disagrees with the decision of the director in any of these issues. Delahunt stated the Health and Human Services Department determines water availability as part of the building permit process. If they found that water was not available, they would supply that information to the Planning and Development Department, which would deny the building permit, based on the Health Department's findings. The applicant would go through that process. Dawson stated that the applicant would appeal a determination by the Health Director through the Planning Department, which is unrelated to the Health Department. He questioned how that worked. Chudek stated the applicant would appeal not getting his or her building permit. Nelson stated the Planning Department could reject the building permit based upon information from the Health Department. He questioned how that is handled. Brenner stated they need an appeal process. Delahunt stated an appeal process could be specified, even if it is through the Planning Department. Chudek stated there are other things that would not go through the Planning Department. Nelson stated they would need that specified also. Brenner referenced packet page 13 under the section General Requirements. The director would and would not approve certain kinds of systems. She would like to see language that acknowledges those hummocky aquifers. There should be more requirements put on people when they are drilling these wells in hummocky areas to ensure that a neighbor's existing well is not impacted. Someone may punch in subdivision wells, and an existing neighbor may immediately lose water, but it is too expensive for the neighbor to prove. Chudek stated there is an example of such language on packet page 31, section (j)(ii), "The vulnerability of sources is " Brenner referenced packet page 15, section (2)(c). It is confusing. It should say that water is not available. She didn't want people to think that water does not exist. The people should be aware that the state Department of Ecology (DOE) has determined that the water is not allowed to be used, which is more accurate. Board of Health, 12/5/2000, Page 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 Delahunt stated they would clarify that language. They needed to change that paragraph anyway. Brenner referenced packet page 16. She didn't understand about consolidated and unconsolidated formations. She was nervous about changing standards (f)(i)(1) and (f)(i)(2). She didn't want to allow too much discretion in lowering the sanitary control area. McShane stated they were good ideas to put those in. He was concerned that a well should be within a certain depth for the consolidated formation. There is not much surface grain to water surface interaction in bedrock when water is moving through fractures. Bedrock doesn't do a good job of removing contaminants. Crawford stated he had no argument with any of the comments made. If the action is to incorporate Brenner's and McShane's suggestions, that was fine with him. They are not anywhere near close to the end of the process. Nelson stated any changes need to have the fiscal impact. Nelson moved to continue forward with comments by Council and through the public process. All comments would be incorporated. Motion to move forward carried unanimously. (Clerk's Note: Councilmembers Crawford and Nelson left at 2:00 p.m. The quorum was lost. Discussion continued for information purposes.) ADJOURN The meeting adjourned at 2:00 p.m. Jill Nixon, Minutes Transcription These minutes were approved by Council on February 6 , 2001. ATTEST: WHATCOM COUNTY COUNCIL WHATCOM COUNTY, WASHINGTON Dana Brown - Davis, Council Clerk Marlene Dawson, Council Chair Board of Health, 12/5/2000, Page 15