[{"_1":2,"_112":-5,"_113":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88,100],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6177239,"mediaKeyId","5341032-9ed650043758dcd3fb6abbf729c984f1","parentId",5341032,"title","Health department reports: communicable diseases, FEP funding cut and health fair planning","audioSeconds",223,"startMs",2931000,"endMs",3154000,"viewUrl","/Search/View?dp=1&key=5341032-9ed650043758dcd3fb6abbf729c984f1&start=2931&end=3154","thumbnailUrl","https://assets.pipeline.soar.com/5341032-9ed650043758dcd3fb6abbf729c984f1/thumbnail_2931000.jpg","articleUrl","/articles/6177239/Ohio/Health-department-reports-communicable-diseases-FEP-funding-cut-and-health-fair-planning","mediaUrl","https://secure.pipeline.soar.com/6177239-80e62dc14abecbe183a4ef562e221da1/orig.mp4?Expires=1776305680&Signature=lrllJ8DJzjJMBgljEq~PtMfBzN5DKISd37szALc3ydexPc7AOGjEWH1N4dN-GenbgcxscxTW8Ibhi~q2O263hCVj1DcOcf0AmC3SwkYm~P0vN-~rP5XWS0~uLge7BeIWz3hXvNAQSMtUrhkuoWLcn8hhinRJgJB9IsMIzlOmUmHy4dslKK4z1z9n4VHUgki4DapPfRB8e4XZG26vzVpeTFa1TIfOerdq6yHm7noTYs~CvmwecEDZ0BuzD-K6RJSczOgQpl4y8QX77jDij-Rqe6LGk9zyV8P8sxKZG9ji3Pq~7dmERG8adInoyT9EkQOJA8Zc2bV1EbrcERd0VWRoKQ__&Key-Pair-Id=KUT5TJCACFTXG","author","City Council of Middletown OH","date","2025-07-08T17:25:41Z","article","The Middletown Board of Health received routine epidemiology and program reports covering communicable-disease counts, an anticipated funding reduction for the FEP public-health emergency program and updates on the upcoming health fair.

Medical staff reported June case counts including chlamydia (18), gonorrhea (12), hepatitis C (3), hepatitis B (2 chronic), varicella (2), syphilis (1), pertussis (1), aseptic meningitis (1), campylobacter (2) and one Candida auris case. Nursing staff said a hospitalized influenza case in June was notable because flu hospitalizations are uncommon that late in the season.

The director of nursing said two campylobacter cases were being followed up; public-health staff are investigating whether they relate to an ongoing outbreak tied to unpasteurized dairy products in Butler County. Follow-up with patients and labs was in progress.

Staff reported the FEP (public-health emergency) funding stream is expected to be reduced by approximately 28% statewide; the health department does not yet know its final allotment from Butler County and said deliverables tied to the grant will be adjusted to match the funding level.

The board was briefed on the Sept. 27 health fair at the Middletown Event Center, 3907 Central, from 10 a.m. to 2 p.m. Staff said vendor registration continues and that Premier (a vendor) will offer free cholesterol, glucose and possibly A1c screening and blood-pressure checks for attendees. The event center will handle sponsorship recruitment and Primary Health Solutions will provide dental outreach.

No formal board actions were recorded on these reports; board members asked clarifying questions about outbreak follow-up and the implications of the FEP funding reduction for program deliverables.","mediaType","Video","parentTitle","Board of Health Meeting 07.08.2025","oneSentenceSummary","The Board received routine reports on communicable disease counts for June, learned the FEP grant will be reduced by about 28% statewide, and heard that planning for the Sept. 27 health fair is underway with free screenings and vendor participation.","taxTitle","Middletown City Council, Middletown, Butler County, Ohio","taxId",68987,"location","Ohio","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6177244,"Health department proposes targeted fee changes to cover testing costs, board review required",399,2264000,2663000,"/Search/View?dp=1&key=5341032-9ed650043758dcd3fb6abbf729c984f1&start=2264&end=2663","https://assets.pipeline.soar.com/5341032-9ed650043758dcd3fb6abbf729c984f1/thumbnail_2264000.jpg","/articles/6177244/Ohio/Health-department-proposes-targeted-fee-changes-to-cover-testing-costs-board-review-required","https://secure.pipeline.soar.com/6177244-bc67e001989c37e701ccfded001d280d/orig.mp4?Expires=1776305680&Signature=IpqjbWmbqstUcs9YChK~YlqQuhTH8V-R~GUuMHdPOljhDYuRCC7G7sxghVTXVbnu-K31wnPOFY124l7OenU-onoZn7fkx5ebJWONSmyFdEbpjcb62YJAzeCGl~pAOlj2GlmJ6-rurii2afCaDZPp0K-K4SzhYGjVLY0DEdkvC2bfOFrDQXdEzVmrAiYeQWhvsWPoSa2FFrJpBzk299lC-fbqGuuBAhnDiJ8J8bYKKdrKeKGuCX44vOkRdLYrUYLfouynxhVwtgPfE-x1kcvmvKJANIhkPWyq4x0J5yhY95jGLUCcQQsc417HF3oZn5oAhgkre2wGPYn7jqpbnumr-A__&Key-Pair-Id=KUT5TJCACFTXG","Health department staff presented a draft schedule of proposed environmental fees for fiscal 2025\u00002026 and explained why some fees were recommended to rise while others would be held steady.

Staff said the department compared local peer rates and cost components before recommending changes. Food-service fees, mobile vending and temporary permits were not recommended for increases this year because the program had been inconsistent and staff had just raised fees the previous year.

For water and sewer-related permits and services, staff recommended increases largely to cover the direct cost of water sampling and laboratory analysis. Staff gave the example of a real-estate water survey, which the presenter said would increase from $100 to $300 in part because routine water samples now run about $100 and several tests also require lab fees that can exceed previously budgeted amounts. \"The water samples are about $100,\" the presenter said.

Staff also recommended adding a 12-month septic O&M inspection fee and revising site-review and permitting fees that had not been updated in decades. The presenter said the department has not increased some fees in 25 years and needs to align charges with time and lab costs.

Board members asked whether neighboring jurisdictions were raising similar fees and were told Butler County and Hamilton City use comparable fee frameworks; vital-statistics fee decisions at the county level may prompt a future local change. The presenter reminded the board that health-department fees require Board of Health approval before taking effect.

The item was presented for the board's review and questions; no formal vote to adopt the fee schedule was recorded during this meeting. Staff said they will return any recommended final fee schedule to the board for action once peer comparisons and lab-cost estimates are finalized.","Middletown health staff presented proposed environmental and water/sewer fee adjustments for 2025\u00002026, including increased charges to cover laboratory and water-sampling costs; food-service fees were not recommended for increases this year.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6177248,"Middletown health staff clear final steps to open septic repair assistance program",122,2100000,2222000,"/Search/View?dp=1&key=5341032-9ed650043758dcd3fb6abbf729c984f1&start=2100&end=2222","https://assets.pipeline.soar.com/5341032-9ed650043758dcd3fb6abbf729c984f1/thumbnail_2100000.jpg","/articles/6177248/Ohio/Middletown-health-staff-clear-final-steps-to-open-septic-repair-assistance-program","https://secure.pipeline.soar.com/6177248-7cb177a3ae0a74ac7e7437e81324315b/orig.mp4?Expires=1776305680&Signature=LuBqTULqrV40Ddu8kt1Z-E0dt11E2CeOBriS7iFcmHMUzTPgYQ86mPcBj3NgbOtTFAce8~hlquuDzkyQaMGOgpsYQwKB6wNd45c5EEfNoyigz~AdmusxBZ2C0uzmKbWTwTo3-MSVsYegdtf88KFrvzT57hNFFSAMsYCi5eSNo90mewqIhEkApSfw-YJXXYwkvNoYbuCeSod3DW7D9f6IlU0sPkzknfiefIMVEW~aCjwB2LXQPcmYzkjXVmxRykm9nZL2DU9gReByb0LtxyN15vpDFG-RREaObaieU2B3bYbV8bvWmWqWjda9sPJkM3MdXi79fAkQzjTh4XyP3icUSA__&Key-Pair-Id=KUT5TJCACFTXG","Middletown health department staff told the Board of Health that the final Water Pollution Control Loan Fund assistance agreement has been accepted and will allow the city to begin taking applications for assistance to repair or replace failed septic systems and to help residents connect to city sewer.

Staff said the program is now ready to accept applications for households with failed onsite sewage treatment systems, failed repairs, or for residents who need financial help to connect to the municipal sewer system. \"We can start accepting applications for septic systems that have failed or if someone needs to connect to the city sewer,\" the staff presenter said.

Why it matters: Staff identified an initial program allocation of $150,000 and said the funds will be used to subsidize repairs, replacements or connections for eligible residents. Staff also said other funding sources may be sought to increase assistance so the health board would not need to displace residents from their homes.

A limitation remains: although staff can process and review applications immediately, they cannot accept contractor bids or encumber funds until the loan fund dollars are formally encumbered and available. \"We can process the applications, but we can't accept bids yet because the funds haven't been encumbered,\" staff said.

Board members acknowledged the work of local partners, including Middletown Connect and the city manager's office, in preparing the application flow and encouraged continued outreach to identify households in need. Staff said they will monitor the program as applications are processed and report back to the board on lessons and possible adjustments.

No formal board vote on program parameters or allocation was recorded during the meeting; the item was presented for review and the board asked clarifying questions about the application process and next steps.","The Board reviewed the final Water Pollution Control Loan Fund assistance agreement that will let the city accept applications to help residents replace failed septic systems or connect to sewer lines; $150,000 was identified as the program amount but bids cannot be accepted until funds are encumbered.",{"_33":101,"_35":36,"_37":38,"_39":102,"_41":103,"_43":104,"_45":105,"_47":106,"_49":107,"_51":108,"_53":109,"_55":56,"_57":58,"_59":110,"_61":62,"_63":64,"_65":111,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6177252,"Local health officials urge prevention as diabetes rates climb",1894,169000,2063000,"/Search/View?dp=1&key=5341032-9ed650043758dcd3fb6abbf729c984f1&start=169&end=2063","https://assets.pipeline.soar.com/5341032-9ed650043758dcd3fb6abbf729c984f1/thumbnail_169000.jpg","/articles/6177252/Ohio/Local-health-officials-urge-prevention-as-diabetes-rates-climb","https://secure.pipeline.soar.com/6177252-2dccb117bb26cfe2bcad24f160c479fb/orig.mp4?Expires=1776305680&Signature=SfSq6tmYVaKd8n4FK0Br899LPSwRUwitlNIvo2FxfutG-bfTRp0CnyiOXVwOi6srxFsCtybUCmPr4iziwQDMaEbiv5qLuYQttndfs~762HW3vz~e2XJFH1Pgl7235fAv-pIfhimERzplqSIxDN~fn-9eHyrlYhdLsmt6PhEEpOLX~ZUXkru6twnU8lnoFyzxECuK-Y4H7OMhbVSB24cYC9NvHiSQenlYBDa1AbunSnYpld-Nzfkgxm266JemXR7REyKSbBr1xYRGQm4rQNAFQXvTUdZhe4Ss0kfgX4yv5witOCNecb7oh7eiLMgUqCQ0ouPHxTUJxVo86QLpLobN1A__&Key-Pair-Id=KUT5TJCACFTXG","A physician who presented to the Middletown Board of Health on diabetes outlined how the disease is diagnosed, the differences among type 1, type 2 and gestational diabetes, and the long-term complications that make prevention a public-health priority.

The presenter said diabetes is a chronic metabolic disorder characterized by high blood-sugar levels and noted three diagnostic tests commonly used: a fasting blood glucose above 126 mg/dL, a two-hour oral glucose tolerance test above 200 mg/dL, and a hemoglobin A1c of 6.5% or higher. \"Any one of those three would diagnose you with diabetes,\" the presenter said.

Why it matters: The presenter cited global and U.S. estimates and described the human and fiscal costs of uncontrolled diabetes, including heart attack, stroke, amputations, blindness and dialysis. The board discussed ways to emphasize prevention and education at community events, including Middletown\u0000s upcoming health fair on Sept. 27.

Board members and attendees described barriers to prevention in Middletown, including food access, convenience culture and limited public education. At least one attendee emphasized that healthy food can be more expensive and that cultural diets and convenience make behavior change difficult. The presenter agreed education and early interventions are key, saying long-term complications are often irreversible once they appear.

On treatment, the presenter summarized current options: insulin therapy for people who lack endogenous insulin; oral agents such as metformin and newer oral medications for many with type 2 diabetes; injectable GLP-1 receptor agonists and continuous glucose monitors and insulin pumps in certain patients. The presenter noted the clinical benefits of recent drug classes but added, \"They are very expensive,\" and said payor hurdles limit access for some patients.

Several board members and staff asked how the health board could amplify prevention efforts. Suggestions included programming at the health fair, nutrition education for families, demonstration gardens and outreach to younger adults who may not seek routine care. The presenter and staff noted the health fair will offer free screenings — including cholesterol, glucose and possibly A1c testing — and a table on nutrition and dental health.

The presentation closed with a reminder to prioritize early education and regular screening. \"If a diabetic gets their A1c below 6.5, they dramatically reduce their 10-year risk for complications,\" the presenter said. The board agreed to highlight prevention and screening at the Sept. 27 event at the Middletown Event Center.","At a Middletown Board of Health meeting, a physician-led education presentation reviewed diabetes types, diagnosis, complications and treatments and urged earlier prevention and community education ahead of the city\u0000s Sept. 27 health fair.","actionData","errors"]

Article not found

Health department reports: communicable diseases, FEP funding cut and health fair planning

Health department proposes targeted fee changes to cover testing costs, board review required

Middletown health staff clear final steps to open septic repair assistance program

Local health officials urge prevention as diabetes rates climb