TITLE
Recommendation to authorize City Manager, or designee, to execute an agreement, and all necessary documents, subcontracts or subsequent amendments, including amending the award amount, with the California Department of Public Health to accept and expend grant funding in an amount not to exceed $150,481, with an allotment of up to $8,954 for Food, Shelter, Incentives, and Enablers (FSIE) expenditures, for a total amount not to exceed $159,435, for tuberculosis prevention and control activities, for the period of July 1, 2022 through June 30, 2023, with the option to extend the agreement for five additional one year periods, at the discretion of the City Manager. (Citywide)
DISCUSSION
As a local health jurisdiction, the City of Long Beach (City) Health and Human Services Department (Health Department) receives Tuberculosis (TB) Control Local Assistance Funding to meet the critical mandate of TB control. These funds have been used to support core public health TB control through preventive therapy, diagnosis, and treatment of active TB disease, and to conduct contact investigations to limit the spread of the disease. The Food, Shelter, Incentives and Enablers (FSIE) allotment is used to enhance treatment adherence, prevent homelessness, and allow the use of less restrictive alternatives that decrease or prevent the need for civil detention.
The California Department of Public Health, TB Control Branch, has granted the Health Department a base award of $150,481 and an allotment of up to $8,954 for FSIE expenditures. These funds are awarded to carry out TB prevention and control activities for the period of July 1, 2022, through June 30, 2023.
Tuberculosis persists to be the world’s biggest killer among infectious causes, with more than 4,000 deaths daily. This global health issue is further aggravated by the unprecedented coronavirus pandemic, as people with TB are deemed vulnerable due to pre-existing lung damage. The City TB Program continues with unfaltering efforts on TB detection, evaluation, treatment, and care during the pandemic. In 2021, there were 21 confirmed cases of TB; a 22 percent increase in TB cases rates compared to 2020. For 2021, preliminary report shows that there 108 contacts identified and recommended for TB evaluation. There were nine contacts that were fully evaluated, out of the 34 individuals diagnosed with latent tuberculosis infection, 28 had started on treatment.
This matter was reviewed by Deputy City Attorney, Taylor M. Anderson on June 14, 2022 and by Budget Analysis Officer Greg Sorensen on June 15, 2022.
TIMING CONSIDERATIONS
City Council action is requested on July 5, 2022, to continue the program without interruption.
FISCAL IMPACT
The City will receive grant revenues in the amount of $150,481 plus an allotment of up to $8,954, for a total amount not to exceed $159,435 to reimburse program expenditures from July 1, 2022 through June 30, 2023. Sufficient appropriation is available in the Health Fund Group in the Health and Human Services Department. Any indirect costs that might not ultimately be eligible for grant funds will be funded by the Health Operating Fund, General Fund, or other eligible grant funds. This grant has no match or in-kind service mandate. This recommendation has no staffing impact beyond the normal budgeted scope of duties and is consistent with existing City Council priorities. There is no local job impact associated with this recommendation.
SUGGESTED ACTION
Approve recommendation.
Respectfully Submitted,
KELLY COLOPY
DIRECTOR
HEALTH AND HUMAN SERVICES
APPROVED:
THOMAS B. MODICA
CITY MANAGER