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Carson City Health Department adopts strategic plan, sets state public-health spending priorities

3684418 · June 5, 2025
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Summary

Carson City Health and Human Services approved a revised strategic plan and transmitted recommended state funding priorities so the city can receive and spend Nevada Public Health funding for FY 2026–27; staff also reported lab-waiver steps to provide rapid syphilis testing and outlined mosquito-abatement and other public-health actions.

Carson City Health and Human Services on June 5 approved a revised departmental strategic plan and adopted a distribution of state public-health funding priorities the department will submit to the state to secure Nevada Public Health funds for fiscal year 2026–27.

Director Jeannie Freeman told the Board the funding stream has changed compared with the prior Senate Bill 118 allocation; the new program requires local agencies to align spending with both a community health needs assessment and the foundational public-health-services framework. Freeman said Carson City must submit use plans to the State by the following week to be placed on the Board of Examiners agenda for August; funding cannot be spent until interlocal agreements are in place and unspent allocations revert at year-end.

The Board approved the proposed priority distribution unanimously. Freeman said staff will aim to be nimble in how funds are used, preferring flexible interlocal agreements rather than tightly prescriptive subgrants. "If we don't spend it, we have to give it back to the state," Freeman said, urging timely action.

Health department updates delivered to the Board included several operational items:

- Rapid syphilis testing: Freeman said the clinic has applied for a CLIA lab waiver to run rapid syphilis tests locally. If approved, staff will be able to test and treat during the same visit, reducing loss to follow-up for pregnant people and others at risk. "We're just waiting for the lab waiver to be approved; as soon as that's approved, then we have the authority to purchase and to start implementing," Freeman said.

- Mosquito abatement: The department performed an aerial mosquito treatment by helicopter on May 19 and planned additional aerial and early-morning ground fogging in neighborhoods. Freeman described trap-based surveillance and new CO2 attractant methods being piloted to reduce operating costs.

- Vaccine and infectious disease surveillance: The department reported an active influenza season with higher hospitalization rates than recent years and urged residents to be vaccinated in the fall, and noted no local measles cases but emphasized vigilance and provider outreach. Freeman also cited state-level concerns about congenital syphilis and said rapid on-site testing will increase treatment speed.

- Staffing and accreditation: The Board learned the department recently hired an environmental health manager, Candace Harvey; Freeman also announced Tennille Chaplin will join as deputy director June 13. Freeman credited outgoing staff and noted ongoing workforce-development training provided to several employees through a Cornell University program.

- Strategic plan timing adjustments: The Board reviewed a redlined strategic plan that pushes certain objectives into 2026 and removes one proposed new legal entity for convening partners in favor of working with existing coalitions. The plan was approved unanimously.

Ending: Freeman said staff will return with detailed program allocations and interlocal agreements for Board review and will continue monthly updates to the Board of Health and the Board of Supervisors.