County public health staff reported steady activity in the second quarter, with increased pregnancy-care referrals, continuing immunization outreach and planned school clinics ahead of the fall term.

Public health staff member Jody (public health office) told the Board of County Commissioners the office received 13 referrals for pregnancy care in the quarter and accepted 11, and that her ongoing caseload in June was 55 mothers seen over the April–June quarter, up roughly six from the previous quarter. "The majority of our referrals come from Medicaid and from the WIC program," she said, and added that the office follows up with clients about five to six times, typically weekly, during enrollment.

Jody said the office completed hepatitis B vaccine series for sheriff's office staff, held an MMR clinic and will host immunization clinics before school starts in Florence and at Watertown Intermediate School during open house events in August. She reported a July 16 measles update for South Dakota showing 12 cases statewide, with 8 in Lincoln County, 2 in Meade and 2 in Pennington, and that all 12 were recorded as unvaccinated or with unknown vaccination status.

Staffing changes were discussed: an employee (Kya/Kaya) will go on maternity leave next week and Jody said she will cover an additional county office in Grant one day per week; phone coverage in Watertown will continue via staff member Sarah. The board asked whether the additional coverage would affect local services; Jody said she will be in Watertown four days a week and travel to Grant one day a week.

On budget lines, Jody outlined modest adjustments: a 4% cost-of-living adjustment for salaries, a decreased repair and maintenance line (from $800 to $500 proposed), maintenance of current rent and supplies estimates, and a $100 travel increase to cover occasional reimbursements for accompanying staff to school clinics while the maternity-leave employee is absent. Commissioners discussed leaving a larger repair/maintenance cushion because it can be hard to restore once reduced.

The board did not take formal action on the public health budget at the meeting; commissioners asked for clarification on specific line items and expenditure pacing.