1001 East Ninth Stre  
Reno, NV  
Washoe County  
Northern Nevada Public Health  
Devon Reese, Chair  
Paul Anderson  
Clara Andriola  
Michael Brown  
Dr. Reka Danko, MD  
Steve Driscoll  
Dr. Eloy Ituarte, MD  
Thursday, February 27, 2025  
1:00 PM  
Washoe County Administration  
Complex  
Commission Chambers, Building A  
Pursuant to NRS 241.020, the Agenda for the Northern Nevada Public Health has been posted at the following  
locations: Washoe County Administration Building (1001 E. 9th Street, Bldg. A), Washoe County  
Courthouse-Second Judicial District Court (75 Court Street), Reno City Hall - Clerk's Office (1 E. 1st Street);  
Sparks Justice Court (1675 East Prater Way); www.washoecounty.gov/bcc/board_committees/ and  
Although no longer required under NRS 241.020, the agenda has been physically posted at the following  
locations: Washoe County Courthouse-Second Judicial District Court (75 Court Street), Reno City Hall - Clerk's  
Office (1 E. 1st Street), Sparks Justice Court (1675 East Prater Way).  
Support documentation for the items on the agenda, provided to the Washoe County Board of Commissioners,  
is available to members of the public at the County Manager’s Office (1001 E. 9th Street, Bldg. A, 2nd Floor,  
Reno, Nevada) Washoe 311 (washoe311@washoecounty.gov), (775) 328-2000 and on Washoe County’s website  
We begin by acknowledging that we gather today on the ancestral homelands of the Waší·šiw (Washoe), Numu  
(Northern Paiute), Newe (Western Shoshone), Nuwu (Southern Paiute), and Pipa Aha (Mojave), the original  
caretakers of the land that we now call Nevada. Washoe County, formally named after the Washoe people in  
1861, continues to be a gathering place and home for Indigenous Peoples, and we recognize their rich history  
and deep connections to these lands. May we honor their past, present, and future stewardship by  
remembering that the health of the land and its people are inextricably linked.  
TO ATTEND VIRTUALLY OR TELEPHONICALLY, PLEASE USE THE  
LINK/NUMBER BELOW  
Phone: 1-669-900-6833  
Meeting ID: 820 9018 1273  
NOTE: This option will require a computer with audio and video  
capabilities.  
(Please be sure to keep your devices on mute and do not place  
the meeting on hold)  
1:00 p.m.  
1.  
2.  
Roll Call and Determination of Quorum.  
Pledge of Allegiance.  
3.  
Election of District Board of Health Vice Chair for the  
period 2/27/25-12/31/2026. Candidates include Clara  
Andriola, Paul Anderson, Steve Driscoll, Michael Brown,  
Dr. Eloy Ituarte, and Dr. Reka Danko. (FOR POSSIBLE  
ACTION)  
Attachments:  
4.  
Approval of Agenda. (FOR POSSIBLE ACTION)  
5.  
Recognitions.  
NEW HIRES  
i. Caitlin Farrell - University of Nevada Las Vegas  
Epidemiology Fellow - 12/9/24  
ii. Enrique Llamas - EHS Trainee - EHS - 12/30/2024  
iii. Nadia Noel - EHS Trainee - EHS - 1/13/2025  
iv. Lauren Staffen - EHS Trainee - EHS - 1/3/2025  
v. Sarah Velto - EHS Trainee - EHS - 1/13/2025  
YEARS OF SERVICE  
i. Maria Magana - Office Specialist - CCHS - 30 years -  
2/13/1995  
ii. Jessica Cabrales - Office Specialist - AQM - 20 years  
1/3/2005  
iii. Karley Crane - Office Specialist - CCHS - 5 years  
1/21/2020  
iv. Narcisa Perez-Zapata - Office Specialist - EHS - 5 years  
1/21/2020  
v. Joshua Philpott - Environmental Health Specialist -  
EHS - 5 years 1/21/2020  
vi. Anastasia Gunawan - Statistician - EPHP - 5 years -  
2/3/2020  
vii. Maricruz Schaefer - Sr. Public Health Nurse - 5 years  
- 2/18/2020  
HEALTH HEROES - December and January  
i. Lorena Solorio - CCHO  
ii. Camarina Augusto - ODHO  
iii. Dianna Karlicek - EHS  
iv. Itzayana Montoya (x3) -  
ODHO  
v. Cindy Hawks - EPHP  
vii. Jackie Chaidez - CCHS  
ix. Eva Sandoval - ODHO  
vi. April Miller - EPHP  
viii. Amber English - EHS  
x. Cindy Arredondo, Sahara Cruz, Briana Contreras -  
CCHS  
xi. Matt Simpson and Daniel Timmons - EHS  
xii. Bianca Trujillo, Karla Aguirre, Lili Ponce - CCHS  
6.  
Public Comment.  
Action may not be taken on any matter raised during this  
public comment period until the matter is specifically  
listed on an agenda as an action item. All public comment  
is limited to three minutes per person. Members of the  
public may submit public comment by either attending the  
meeting in person, attending the meeting via  
teleconference or attending by telephone only.  
Requests for public comment via zoom must be submitted  
to jlawson@nnph.org no later than 4:00 p.m. on the day  
before the scheduled meeting. Please log into the ZOOM  
meeting via the above link and utilize the "Raise Hand"  
feature during any public comment period. To provide  
public comment via telephone only, press *9 and *6 to  
mute/unmute. Reasonable efforts will be made to hear all  
public comment during the meeting.  
7.  
Consent Items. (FOR POSSIBLE ACTION)  
7.A.  
Approval of minutes for the District Board of Health  
Strategic Planning meeting of January 13, 2025. (FOR  
POSSIBLE ACTION)  
Attachments:  
7.B.  
Budget Amendments/Interlocal Agreements. (FOR  
POSSIBLE ACTION)  
Approve a Notice of Subaward from the State of Nevada  
Department of Health and Human Services, Division of  
Public & Behavioral Health retroactive to January 1, 2025  
through June 30, 2025 in the total amount of  
$425,001.00(no required match) in support of the  
Community and Clinical Health Services Division (CCHS)  
COVID Immunization Round 3 Program and authorize the  
District Health Officer to execute the Notice of Subaward  
and any future amendments. (FOR POSSIBLE ACTION)  
Staff Representative: Irene Dominguez  
Attachments:  
Approve a Notice of Subaward from the State of Nevada  
Department of Health and Human Services, Division of  
Public & Behavioral Health retroactive to January, 1, 2025  
through June 30, 2025 in the total amount of  
$418,504.00(no required match) in support of the  
Community and Clinical Health Services Division (CCHS)  
COVID Immunization Round 4 Program and authorize the  
District Health Officer to execute the Notice of Subaward  
and any future amendments. (FOR POSSIBLE ACTION)  
Staff Representative: Irene Dominguez  
Attachments:  
Approve a Notice of Subaward from the State of Nevada  
Department of Health and Human Services, Division of  
Public & Behavioral Health retroactive to January 1, 2025  
through December 31, 2025 in the total amount of  
$108,999.00 (no required match) in support of the  
Community and Clinical Health Services Division (CCHS)  
Tuberculosis Prevention Program and authorize the  
District Health Officer to execute the Subaward and any  
future amendments. (FOR POSSIBLE ACTION)  
Staff Representative: Irene Dominquez and Lisa Lottritz  
Attachments:  
Retroactively approve FY25 purchases in an amount not to  
exceed $200,000 from Merck & Company Inc. for vaccine in  
support of clinic operations on behalf of the Community  
and Clinical Health Services Division in Washoe County.  
(FOR POSSIBLE ACTION)  
Staff Representative: Irene Dominguez  
Attachments:  
Retroactively approve FY25 purchases in an amount not to  
exceed $115,000 from IC Media for social media campaigns  
targeting vaccination information and promotion of  
events in support of the clinic operations on behalf of the  
Community and Clinical Health Services Division in  
Washoe County. (FOR POSSIBLE ACTION)  
Staff Representative: Irene Dominguez  
Attachments:  
Retroactively approve FY25 purchases in an amount not to  
exceed $160,000.00 from Acro Service Corp for temporary  
surge staffing in support of COVID-19 response efforts and  
Influenza and/or COVID-19 vaccination events on behalf of  
the Community and Clinical Health Services Division in  
Washoe County. (FOR POSSIBLE ACTION)  
Staff Representative: Irene Dominguez  
Attachments:  
7.C.  
Acknowledge receipt of the Health Fund Financial Review  
for December and January, Fiscal Year 2025 (FOR POSSIBLE  
ACTION)  
Staff Representative: Jack Zenteno  
Attachments:  
End of Consent Items.  
8.  
Recommendation to accept the REMSA Health Monthly  
Franchise Reports for November 2024, December 2024, and  
January 2025 which includes REMSA Health Accounts  
Receivables Summary, Compliance by Zones, Average Response  
Times, Incident Details Reporting, Summary Penalty Fund  
Reconciliation, Ground Ambulance Operations Report, Patient  
Experience Report and Comments, Education Report, and Public  
Relations Report, and provide possible Board direction. (FOR  
POSSIBLE ACTION)  
Presented by: Barry Duplantis  
Attachments:  
9.  
Presentation and discussion of REMSA Health's Fiscal Year 2024  
Audited Financial Statements.  
Presented by: Barry Duplantis and Shirley Roberts  
Attachments:  
10.  
Presentation, discussion, and possible approval of the Regional  
Emergency Medical Services Authority (REMSA) Health Franchise  
Compliance Report for the period of 7/1/2023 through  
6/30/2024 (FY24). (FOR POSSIBLE ACTION)  
Presented by: Andrea Esp  
Attachments:  
11.  
Recommendation to uphold the decision of the Sewage,  
Wastewater & Sanitation (SWS) Hearing Board to approve  
Variance Case #H24-0004VARI of the Northern Nevada Public  
Health Regulations Governing Sewage, Wastewater, and  
Sanitation, allowing a reduction in minimum lot size for a new  
subdivision to be served by septic, by holding sufficient  
additional land open in perpetuity to meet the maximum septic  
density intended by the regulations, for Palomino Farms LLC,  
owner of 0 Whiskey Springs Rd/0 Safe Flat Rd, Washoe County,  
Nevada, Assessor's Parcel Numbers 077-090-13 and 077-090-14.  
(FOR POSSIBLE ACTION)  
Staff Representative: David Kelly  
Attachments:  
12.  
13.  
Discussion on the FY26 Budget status, timelines, and next steps.  
Staff Representative: Jack Zenteno  
Recommendation for appointment to the Air Pollution Control  
Hearing Board as an At-Large Committee Member. Staff  
recommends: The appointment of Mr. Chaitanya Korra for a  
three-year term beginning on February 27, 2025, and concluding  
on February 26, 2028; Applicants include: William Foster McCoy,  
Ph.D., and Stephen Birdsall. (FOR POSSIBLE ACTION)  
Staff Representative: Francisco Vega  
Attachments:  
14.  
Review, discussion, and possible adoption of the Business  
Impact Statement regarding proposed revisions to the District  
Board of Health Regulations Governing Air Quality Management,  
Chapter 040 (Prohibited Emissions), Part 040.110 (Asbestos  
Control Standards), and Part 040.115 (Acknowledgment of  
Asbestos Assessment) with a finding that the revised regulations  
do not impose a direct and significant economic burden on a  
business; nor do the revised regulations directly restrict the  
formation, operation, or expansion of a business; and set a  
public hearing for possible adoption of the proposed revisions  
to the Regulations for March 27, 2025, at 1:00 p.m.. (FOR  
POSSIBLE ACTION)  
Staff Representative: Francisco Vega  
Attachments:  
15.  
16.  
Presentation on delivery, objectives, and outcomes of  
community meetings with Environmental Health and Air Quality.  
Staff Representative: Erin Dixon  
Attachments:  
Presentation and possible acceptance of the FY25 Q2 Strategic  
Plan Results. (FOR POSSIBLE ACTION)  
Staff Representative: Rayona LaVoie  
Attachments:  
17.  
Review and Approve the District Health Officer's (DHO) Annual  
Performance Evaluation Tool, Participant List for the DHO's  
Evaluation, and Direct Staff to Administer the Evaluation Using  
an Online Survey Program. (FOR POSSIBLE ACTION).  
Staff Representatives: Rayona LaVoie  
Attachments:  
18.  
Staff Reports and Program Updates.  
Air Quality Management - Update on Executive Orders and  
Air Quality, Lee M. Zeldin Sworn in as 17th EPA  
Administrator, October and November 2024 EPA Small  
Business Newsletters, Divisional Update, Program Reports,  
Monitoring and Planning, Permitting and Compliance.  
Staff Representative: Francisco Vega  
Attachments:  
Community and Clinical Health Services -WIC Program  
Update; Data & Metrics; Sexual Health (Outreach and  
Disease Investigation), Immunizations, Tuberculosis  
Prevention and Control Program, Reproductive and Sexual  
Health Services, Chronic Disease Injury Prevention  
Program, Maternal Child and Adolescent Health, Women  
Infants and Children, and Community Health Workers.  
Staff Representative: Lisa Lottritz  
Attachments:  
Environmental Health Services Program - Consumer  
Protection (Food Safety Plan Review & Operations,  
Commercial Plan Review, Foodborne Illness, Special  
Events, Permitted Facilities); Environmental Protection  
(Land Development, Safe Drinking Water, Vector-borne  
Disease Surveillance, Waste Management / Underground  
Storage Tanks).  
Staff Representative: Robert Fyda  
Attachments:  
Epidemiology and Public Health Preparedness -  
Epidemiology, Public Health Preparedness, Emergency  
Medical Services, Vital Statistics.  
Staff Representative: Dr. Nancy Diao  
Attachments:  
Office of the District Health Officer Report - Northern  
Nevada Public Health Communications Update,  
Accreditation, Quality Improvement, Workforce  
Development, Community Health Improvement Program,  
Equity Projects/Collaborations, Community Events, and  
Public Communications and Outreach.  
Staff Representative: Dr. Chad Kingsley  
Attachments:  
19.  
Board Comment.  
Adjournment.