Board of Health Meeting - Tuesday, September 24, 2024 ...

[Mission]
To assure access to quality services and to improve community health and wellness.
Board of Health Meeting
Tuesday, September 24, 2024
Agenda
Surmeet Bedi, M.D. Jennifer Forrester, M.D. Edward B. Herzig, M.D.
Christopher Lewis, M.D. Monica Mitchell, Ph.D, MBA Raynal Moore
Ken Patel Kiana Trabue Ashlee Young
6:00 pm – 6:05 pm Call to Order and Roll Call
6:05 pm – 6:10 pm Review and Approval of Minutes
o Vote: Motion to Approve the Minutes from August 27, 2024, Board of Health Meeting.
Old Business
6:10 pm – 6:20 pm Food License & Facility Review Fees for License Year 2025-2026 Presentation: Reading #2—
Antonio Young
6:20 pm – 6:30 pm Commissioner’s report—Dr. Grant Mussman
6:30 pm – 6:40 pm COVID-19 Update – Ms. Kim Wright
6:40 pm - 6:50pm Finance Committee – Ms. Ashlee Young
o Vote: Motion to Approve Talbert Services, Incorporated – Contract 55x10701
6:50 pm – 7:00 pm Finance Update – Mr. Mark Menkhaus Jr.
7:00 pm – 7:05 pm Personnel Actions—Dr. Grant Mussman
o Vote: Motion to Approve Personnel Actions dated September 24, 2024
New Business
7:05 pm – 7:15 pm Elections of Officers
o Vote: Motion to Elect nominee Ms. Ashlee Young as Board Chair
o Vote: Motion to Elect nominee Dr. Jennifer Forrester as Board Vice-Chair
7:15 pm – 7:20pm Additional New Business and Public Comments
7:20 pm Adjourn
Next Meeting October 22, 2024

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CINCINNATI BOARD OF HEALTH
BOARD OF HEALTH MEETING
August 27, 2024
Dr. Monica Mitchell, Chair of the Board of Health, called the August 27, 2024, meeting of the Cincinnati
Board of Health to order at 6:00 p.m.
I. ROLL CALL:
Board Members Attending: Dr. Jennifer Forrester, Dr. Edward Herzig, Dr. Christopher Lewis, Dr. Monica
Mitchell, Ms. Raynal Moore, Mr. Ken Patel, Ms. Ashlee Young
Absent: Dr. Surmeet Bedi, Ms. Kiana Trabue
Others Present: Mr. Harry Barnes, Mr. Timothy Collier, Ms. Sa-Leemah Cunningham-Clerk, Dr. Michelle
Daniels, Mr. Ian Doig, Mr. Jose Marques, Mr. Mark Menkhaus Jr, Ms. Chante Randolph, Ms. Ashanti Salter,
Mr. Robert Smith, Ms. Kim Wright, Mr. Antonio Young
AGENDA
August BOH Agenda
Packet-8.27.24.pdf
ITEM TOPIC RESPONSIBLE
PARTY
ACTION/MOTION
Minutes Motion that the Board of Health approves the minutes
from the July 23, 2024, Board of Health Meeting.
(Dr. Forrester and Dr. Lewis joined after this vote)
Sa-Leemah
Cunningham
Vote: Approval of
Minutes
Motion: Dr. Edward
Herzig
2nd: Ms. Raynal Moore
Action: 5-0 Passed
Old Business
Commissioner’s
Report
Discussion Items: Memo included in the agenda
packet.
Dr. Grant Mussman presented his commissioner’s
report to the Board.
Facilities planning
• Dr. Mussman informed the board that the team is
working with the Department of Planning and
Engagement to host a public information session in
the following 4-6 weeks. The agenda of the session
will be to share the findings from the Jensen
Partners report with the public and introduce a
survey to gather information from the public.
• Dr. Mussman explained that this meeting will be an
information session, it will not be a decision-
making session.
Dr. Grant
Mussman,
Commissioner
n/a

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Welcome back to our school nurses!
• Dr. Mussman updated the board that CHD had
welcomed back its school nursing staff He gave
Kudos to the amazing CHD nursing leadership and
to Assistant Commissioner Dr. Michelle Daniels for
a busy summer of planning and preparation. The
team looked forward to a great school year.
OneOhio Opioid Settlement local funds
• Dr. Mussman informed the board hat CHD will be
leading an RFP for local distribution of Cincinnati’s
OneOhio local funds.
• He explained that the OneOhio plan is a process for
combining settlements of local jurisdictions with
pharmaceutical companies for their role in the
opioid crisis. 30% of the funds are distributed
directly to cities and municipalities to address
immediate needs, 55% are distributed to regional
boards under the OneOhio Foundation to plan for
and sustain efforts to address the epidemic, and
15% is retained for projects scoped at the state
level. The team will be collaborating with the
Hamilton County Office of Addiction Response to
engage stakeholders, determine priorities for
funding, and avoid duplication of effort with the
County’s process.
• Lastly, Dr. Mussman stated the team had been
working on establishing a timeline for the RFP.
COVID-19 Update Discussion Items: Memo included in the agenda
packet.
COVID-19 update
BOH 8.16.2024 (1).docx
Ms. Wright updated the Board on the COVID-19 Data
for August 2024.
Highlights
• As of August 15, 2024; 95,563 cases of COVID were
reported.
• There were 3,530 hospitalizations reported.
• There were 808 deaths reported.
• Transmission levels were substantial.
• The highest incident rate was amongst the 70+ age
group. The lowest was the 0-19 age group.
• CHD received more reports of outbreaks amongst
long-term care and congregate settings.
• There had already been reports of outbreaks in
schools.
• There had been more requests from the
community for free test kits.
Dr. Kim Wright n/a

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• Ms. Wright spoke at the Midwest Regional Black
Family reunion regarding COVID and was invited by
the National Council of Negro Women. She also
provided them with free test kits.
• COVID levels were very high in wastewater.
• ER visits due to COVID had increased.
• KP3.1.1, KP3, KP2.3 variants are responsible for
most of the wastewater activity nationally.
• FDA approved the 2024-2025 COVID Vaccines. All
ages 6 months and older are recommended to get
the vaccine.
o If someone recently had COVID, they are
recommended to wait 3 months to
receive a vaccination.
• There was 1 Flu “Type A” hospitalization reported.
• CDC reported the highest hospitalization rate was
the 65 and older age group.
• RSV levels were reportedly increasing in 0-4 age
group.
• Mpox Update: the FDA approved the JYNNEOS
vaccine to prevent Mpox for commercial use. ODH
would discontinue providing it from the national
strategic stockpile at that point.
Food License &
Facility Review
Fees for License
Year 2025-2026
Presentation—
Reading #1
Attachment 4.docx	Attachment 3
RESOLUTION_Amending Reg 00079 to update fees and add mobile food service operations (00407128-3xC2130).docx
Attachment 2.docx
Attachment 1.docx	2025 - 2026 BOH
Memo.docx
Discussion Items: Document and Presentation
included in the agenda.
Mr. Antonio Young Discussed the Food License &
Facility Review Fees for License Year 2025-2026 and
BOH resolution 2024-003.
• Food license calendar goes from March 1-March 1
• The Ohio food code requires that all local health
departments calculate their costs and come up
with fees yearly. This ensures that our fees are fair
and consistently cover the costs of administering
the program.
• Everything that is calculated from the previous
calendar goes into these fees.
• Fees are not for profit and ensure smooth
operation.
• Mr. Young proposed the following Food Fee
Resolution 3 reading timeline:
o August 27, 2024: Proposed Food fees
document presented to BOH for
discussion - 1st Reading. Mail proposed
fees schedule and public notification
letter to license holders by September 4,
Mr. Antonio
Young
n/a

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2024, inviting their comments at the
September 24, 2024, BOH meeting.
o September 24, 2024: Public comments
and 2nd reading of the proposed Food
Fees document.
o October 22, 2024: 3rd Reading of the
proposed fees by staff. BOH resolution of
2025-2026 fees.
• Mr. Young discussed how the fees are calculated.
o The cost methodology calculates the
maximum allowable fees for risk-based
restaurants and grocery stores, mobile
(food trucks), temporary (5 days or less),
and vending food licenses.
o Calculations are based solely on
inspections, enforcement, and
administration of food programs.
• Mr. Young reviewed the projected fees/revenues.
The food fees increase naturally each year and CHD
does not set out to make a profit from fees.
Sewage
Treatment
System Variance
Resolution 2024-
004
8.27.24 AY_HSTS
Variance PP.ppt
Sewage treatment
system variance resolution.pdf
 Discussion Items: Document included in the agenda.
Mr. Antonio Young Discussed the Sewage Treatment
System Variance Resolution 2024-004.
• Mr. Young explained to the Board that the
Household Sewage Treatment System
Replacement Variance is related to a household
sewage treatment system that needed
replacement on Shepherd Road.
• Mr. Young explained that a household sewage
treatment system treats the wastewater that
comes out of homes to not harm the environment.
o There are 486 in CHD jurisdiction.
o Usually located in areas that do not have
access to public sanitary sewars.
o CHD inspects these at least once per year;
but with this type of system, it is usually
inspected twice a year.
o Inspections are conducted to ensure
systems are working efficiently and not
contaminating water.
• The system at Shepard Road is currently failing and
Mr. Young presented a picture to the board.
• The reason for the variance was due to the optimal
location for the installation of the sewage system
being within 10 feet of the property line.
• Mr. Young discussed the Proposed system location
of the installation.
•
Motion to Suspend the statutory rule requiring three
readings of Resolution No. 2024-004
Mr. Antonio
Young
Vote: Waive 3x reading
for Resolution 2024-004
Motion: Dr. Monica
Mitchell
2nd: Dr. Edward Herzig
Action: 7-0 Passed
Vote: Approval of
Resolution 2024-004
Motion: Dr. Edward
Herzig
2nd: Ms. Raynal Moore
Action: 7-0 Passed

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Motion to Approve Resolution 2024-004, approving Tahoe
Real Estate Investments LLC’s request for limited variance to
waive the horizontal isolation distance requirement in OAC
for components of a replacement HSTS at 5227 Shepherd
Rd in accordance with the Ohio Revised Code and the Ohio
Administrative Code.
Lead Safe Ohio
Program-
Contract #
55x10689
CONTRACT INFO
SHEET -Lead Safe Ohio Program 55x10689.docx 
Discussion Items: Document included in the agenda.
Mr. Mark Menkhaus Jr. Presented the Lead Safe Ohio
Program– Contract 55x10689 to the Board. This
contract did not make the board packet and was a late
and emergent submission.
• The Cincinnati Health Department (CHD) was granted
funding from the Ohio Department of Development
(ODOD) for Lead Safe Ohio funding. ODOD’s funding
provides opportunity to have lead safe renovations
conducted as a source of primary prevention to reduce
the risk of lead exposure to youth in the City of
Cincinnati. This funding will give The Hamilton County
Land Reutilization Corporation an opportunity to provide
lead safe renovations to their owned properties in the
City of Cincinnati.
Motion to Approve Lead Safe Ohio Contract – Contract
55x10689
Mr. Mark
Menkhaus
Motion: Dr. Edward
Herzig
2nd: Ms. Raynal Moore
Action: 7-0 Passed
Finance Update Discussion Items: Memo and materials were included
in the agenda.
Mr. Menkhaus gave an update on CHD Financials for
June 2024 and Year over Year.
Highlights
• Overtime hours decreased by 10%.
• Revenue total was $74,113,239.97, an increase
of 1.71%.
o Tattoo/body increased by 14.70%.
o Private Pay Insurance increased by 4.49%.
o Prior Year Reimbursement increased by
53.99%.
o Medicare decreased by 1.39%.
o Medicaid decreased by 14.09%.
o Medicaid managed care increased by
11.67%.
o Self-Pay patients decreased by 5.06%.
o Board of Ed Svcs (School Nurse’s Salary)
increased by 12.09%.
o Grants/Federal decreased by 13.05%.
• Expenses were $67,022,821,40, an increase of
11.16%.
o Property expenses increased by 32.72%.
Mr. Mark
Menkhaus Jr.
N/A

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o Personnel expenses increased by 3.60%.
o Contractual costs increased by 5.35%.
o Material costs increased by 128.62%.
o Fixed costs increased by 13.05%.
o Fringes increased by 3.86%.
The total available is $8,317,418.57, decreased by
55.75%
Personnel Actions Motion to Approve the personnel actions dated
August 27, 2024
Dr. Grant
Mussman
Motion: Dr. Monica
Mitchell
2nd: Dr. Christopher
Lewis
Action: 7-0 passed
New Business
Chair and Board
Chair Nominations
Dr. Monica Mitchell Accepted Nominations for Board
Chair and Vice-Chair Roles
Board Chair Nominations
• Dr. Christopher Lewis Nominated Ms. Ashlee
Young for Board Chair. Dr. Lewis explained the
reasons for his nomination.
1. Dr. Lewis spoke about Ms. Young’s
unwavering commitment to the
community for many years. He spoke
about Ms. Young’s time serving on the
Hamilton County Mental Health and
Recovery Services Board, Board of the
Urban League, Ensemble Theater Board.
2. Dr. Lewis spoke about her extensive
experience with other community
businesses and non-profits.
3. Ms. Young has spent the last 2 years as
the Chair of the Board of Health Finance
Committee and done excellently in the
role.
• Dr. Lewis feels Ms. Young would be an
amazing leader for the Board of Health; as she
has demonstrated the commitment and work
ethic the Board of Health needs in a Board
chair.
• Ms. Young accepted the nomination.
Board Vice-Chair Nominations
• Dr. Edward Herzig nominated Dr. Jennifer
Forrester for Board Vice-Chair. Dr. Herzig
explained the reasons for his nomination.
o Dr. Herzig spoke about Dr. Forrester’s
extensive background as a clinical
researcher, full professor at the
University of Cincinnati College of
Medicine and Department of Infectious
Disease. Dr. Forrester has been a
tremendous resource that has assisted
Dr. Monica
Mitchell
n/a

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the board in the understanding of the
pandemic.
o Dr. Herzig stated Dr. Forrester’s
experience, background, and knowledge
would make her an exceptional
candidate for Board Vice-Chair.
o Dr. Lewis added that he worked with Dr.
Forrester on the University of Cincinnati
COVID team. He shared that in addition
to her knowledge of infectious diseases,
she is an exceptional leader and knows
how to get things accomplished. Dr.
Lewis believes Dr. Forrester would serve
very well in the role of Board Vice-Chair.
• Dr. Forrester accepted the nomination.
Dr. Mitchell added that she had the chance to work
with both Ms. Young and Dr. Forrester and they have
been excellent and committed board members with
very high attendance at the board meetings. Their
commitment to the work shows and she feels both are
excellent candidates.
Formal Elections will take place at the September 24,
2024 meeting and a quorum will be required for
voting.
Executive Session Motion for Executive Session – That the Board of Health
enter an Executive Session pursuant to Ohio Revised Code
Section 121.22(G)(1) to discuss discipline of an employee.
Motion to Approve the adaptation of the recommendation
of disciplinary action decided upon in the Board Executive
Session.
Dr. Monica
Mitchell
Vote: Enter Executive
Session
Motion: Dr. Monica
Mitchell
2nd: Dr. Edward Herzig
Action: 7-0 passed
Vote: the adaptation of
the recommendations of
disciplinary actions
decided upon in the
Board Executive Session.
Motion: Dr. Monica
Mitchell
2nd: Dr. Jennifer
Forrester
Action: 7-0 passed
Additional New
Business and
Public Comments
Public Comments
• There were no public comments.
Dr. Monica
Mitchell
n/a
7:25 p.m. adjourned.
Next meeting: Tuesday, September 24, 2024, at 6pm via Zoom.
THE MEETING CAN BE VIEWED AT https://archive.org/details/boh-8-27-24

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Minutes Approved by:
_________________________ ____________________________
Sa-Leemah Cunningham Monica Johnson Mitchell
Cincinnati Board of Health Clerk Chairperson, Board of Health

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Board Members Roll Call
7.23.24 BOH
Meeting
Minutes
Waive 3x
reading for
resolution
2024-004
Approval of
Resolution 2024-
004
Lead Safe
Ohio
Contract –
Contract
55x10689
Personnel
Actions dated
8.27.24
Motion to
move into
Executive
Session to
discuss
personnel
action
Adoption of the
recommendation of
HR for employee
discussed in
executive session
Dr. Surmeet Bedi x Present
Dr. Jennifer Forrester x M 2nd Yay
Dr. Edward Herzig x M 2nd M 2nd Nay
Dr. Christopher Lewis x 2nd Absent
Dr. Monica Mitchell-Chair x M M M M Didn't vote but present
Ms. Raynal Moore x 2nd 2nd 2nd M Move
Mr. Ken Patel x 2nd Second
Ms. Kiana Trabue
Ms. Ashlee Young x
Motion Result: Quorum Passed Passed Passed Passed Passed Passed Passed
STAFF
Sa-Leemah Cunningham (clerk) x
Dr. Grant Mussman-Commissioner x
Antonio Young x
Ian Doig x
Mark Menkhaus Jr. x
Ashanti Salter x
Kim Wright x
Jose Marques x
Timothy Collier x
Dr. Michelle Daniels x
David Miller x
Dr. Camille Jones x
Harry Barnes x
Robert Smith x
Chante Randolph x
August 27, 2024 Meeting Attendance/vote sheet

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Date: August 27, 2024
To: Members of the Board of Health
From: Grant Mussman, MD, MHSA, Health Commissioner
Subject: Food License and Facility Review Fees for LY 2025-2026
Environmental Services has completed the prescribed cost methodology and proposes license fee changes for
retail food establishments (RFE)/ food service operations (FSO), mobile food businesses, temporary food
stands, and vending machines.
Background: RFEs refer to those entities whose primary business is selling prepackaged food, not necessarily
meant to be consumed on the premises (e.g. grocery stores, supermarkets). FSOs are entities whose primary
business is selling food prepared for consumption on the premises (e.g. restaurants). For locations with both
types of sales, a single license is given for the primary business (based on sales volume) with a rider permitting
the secondary business. Mobile businesses are RFEs or FSOs “on wheels” (e.g. ice cream truck, hot dog stand).
Temporary businesses are typically stands set up for short-term events like Oktoberfest and Taste of Cincinnati.
For FSOs and RFEs, the license fees and number of inspection are all based on the risk level the operation falls
into. Risk levels are based on potential risk to the public in terms of sanitation and are generally determined by
menu, preparation, and cooking processes. A higher risk level (categorized I-IV) indicates a higher potential for
health risk. Additional detail on these risk levels is found in Attachment 1.
LY 2025-26 Fees: The license fees for license year 2025-26 (LY 2025-26) are based on costs derived from time
staff spent in calendar year 2023 (CY 2023) fulfilling licensing, inspection, and administration requirements.
The State of Ohio mandates the methodology used to calculate these costs. RFEs, FSOs, and vending machines
have additional legislative constraints (caps) on how fees are calculated, while mobile and temporary businesses
have no additional caps. A table depicting a more complete analysis of the changes in license fees and expected
revenue is provided in Attachment 2.
Timetable: To accommodate the legal requirements for the Board to amend BOH Regulation 00079, I am
proposing the following timetable:
Month Action
August 27th Proposed Food fees document presented to BOH for discussion - 1st Reading. Mail
proposed fees schedule and public notification letter to license holders by
September 4th, 2024, inviting their comments at September 24, 2024 BOH meeting.
September 24th Public comments and 2nd reading of the proposed Food Fees document.
October 22nd 3rd Reading of the proposed fees by staff. BOH resolution of 2025-2026 fees.

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Attachment 1
OAC 3701-21-02.3 Risk level of food service operations.
The licensor shall determine the risk level based on the highest risk level activity of the food service operation in
accordance with the following criteria:
(A) Risk level I poses potential risk to the public in terms of sanitation, food labeling, sources of food, storage practices,
or expiration dates. Examples of risk level I activities include, but are not limited to, an operation that offers for sale or
sells:
(1) Coffee, self-service fountain drinks, prepackaged non-potentially hazardous beverages;
(2) Pre-packaged refrigerated or frozen potentially hazardous foods;
(3) Pre-packaged non-potentially hazardous foods; or
(4) Baby food or formula.
(B) Risk level II poses a higher potential risk to the public than risk level I because of hand contact or employee health
concerns but minimal possibility of pathogenic growth exists. Examples of risk level II activities include, but are not
limited to:
(1) Handling, heat treating, or preparing non-potentially hazardous food;
(2) Holding for sale or serving potentially hazardous food at the same proper holding temperature at which it was
received; or
(3) Heating individually packaged, commercially processed potentially hazardous foods for immediate service.
(C) Risk level III poses a higher potential risk to the public than risk level II because of the following concerns: proper
cooking temperatures, proper cooling procedures, proper holding temperatures, contamination issues or improper heat
treatment in association with longer holding times before consumption, or processing a raw food product requiring
bacterial load reduction procedures in order to sell it as ready-to-eat. Examples of risk level III activities include, but are
not limited to:
(1) Handling, cutting, or grinding raw meat products;
(2) Cutting or slicing ready-to-eat meats and cheeses;
(3) Assembling or cooking potentially hazardous food that is immediately served, held hot or cold, or cooled;
(4) Operating a heat treatment dispensing freezer;
(5) Reheating in individual portions only; or
(6) Heating of a product, from an intact, hermetically sealed package and holding it hot.
(D) Risk level IV poses a higher potential risk to the public than risk level III because of concerns associated with:
handling or preparing food using a procedure with several preparation steps that includes reheating of a product or
ingredient of a product where multiple temperature controls are needed to preclude bacterial growth; offering as ready-to-
eat a raw potentially hazardous meat, poultry product, fish, or shellfish or a food with these raw potentially hazardous
items as ingredients; using freezing as a means to achieve parasite destruction; serving a primarily high risk clientele
including immuno-compromised or elderly individuals in a facility that provides either health care or assisted living; or
using time in lieu of temperature as a public health control for potentially hazardous food. Examples of risk level IV
activities include, but are not limited to:
(1) Reheating bulk quantities of leftover potentially hazardous food more than once every seven days; or
(2) Caterers or other similar food service operations that transport potentially hazardous food.

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Attachment 2
Analysis of LY 2025-2026 License Fees and Projected Revenues
Food
License
Type
Risk
Class
Actual Cost-
based
Maximum
Allowed
Cost-based
Maximum
Proposed
Fee
Current Fee Number
of
Licenses
Projected
Cost
Projected
Revenue
Shortfall
using
proposed
I 	$323.06 $323.06 $323.00 $292.00 199 $64,288.94 $64,277.00 $11.94
<25,000 ft.2 II $364.48 $364.48 $364.00 $330.00 400 $145,792.00 $145,600.00 $192.00
III $700.76 $700.76 $700.00 $635.00 685 $480,020.60 $479,500.00 $520.60
IV $889.62 $889.62 $889.00 $805.00 789 $701,910.18 $701,421.00 $489.18
Risk-based
RFE & FSO
I 	$468.84 $468.64 $468.00 $423.00 	0 	$0.00 	$0.00 $0.00
II $493.69 $493.69 $493.00 $447.00 	0 	$0.00 	$0.00 $0.00
>25,000 ft.2 III $1,760.99 $1,760.99 $1,760.00 $1,596.00 	6 $10,565.94 $10,560.00 $5.94
IV $1,867.01 $1,867.01 $1,867.00 $1,692.00 	13 $24,271.13 $24,271.00 $0.13
Temporary
RFE & FSO 	$220.59 $220.59 $220.00 $154.00 210 $46,323.90 $46,200.00 $123.90
Mobile
RFE & FSO
High
Risk $154.63 $154.63 $154.00 $151.00 200 $30,926.00 $30,800.00 $126.00
Low
Risk
* 	$77.32 $77.32 $77.00 $0.00 	0 	$0.00 	$0.00 $0.00
Vending # 	$98.49 $13.89 $13.89 $13.44 	82 $8,076.18 $1,138.98 $6,937.20
$1,512,174.87 $1,503,767.98 $8,406.89
# Vending is limited to last year's fee + CPI. In this case $13.44x3.4%=.045, $13.44+.45=13.89	x3.4%=0.45 $13.44+0.45=13.89
* Low Risk Fee for FSO and RFE mobiles were adopted in 2024

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{00407128-3}
Attachment 3
Cincinnati Board of Health
Resolution No. 2024-___
RESOLUTION
BOARD OF HEALTH OF THE CITY OF CINCINNATI
A RESOLUTION of the Board of Health of the City of Cincinnati, amending Board of Health
Regulation No. 00079, “Fees Retail Food Establishments; Food Service Operations,” to establish
updated fees for the licensing of retail food establishments and food service operations, and to
establish new fees for the licensing of mobile food service operations in accordance with the new
risk level established in the Ohio Administrative Code.
WHEREAS, Ohio Revised Code (“ORC”) §§ 3717.21 and 3717.41 require all retail food
establishments and food service operations in Cincinnati to obtain a license from the Board of
Health of the City of Cincinnati (the “Licensor”), which issues new licenses and renewals through
the Cincinnati Health Department (“CHD”); and
WHEREAS, ORC §§ 3717.25 and 3717.45 permit Licensors to establish fees for the
licensing of retail food establishments and food service operations; and
WHEREAS, Ohio Administrative Code (“OAC”) § 3701-21-02.2, “Cost analysis and
calculation,” and OAC § 901:3-4, “Cost analysis and license fee calculation,” require Licensors to
reassess these fees on an annual basis; and
WHEREAS, the Board of Health, acting as a Licensor of retail food establishments and
food service operations in the City of Cincinnati, has determined that its licensing fees in
Regulation 00079 should be amended in accordance with its annual reassessments; and
WHEREAS, OAC § 3701-21-2.3, “Risk Level of Food Service Operations,” previously
did not differentiate risk levels for mobile food service operations, but effective as of September 1,
2024, the Ohio Department of Health amended OAC § 3701-21-2.3 to create two new risk levels for
mobile food service operations: “low risk” and “high risk”; and
WHEREAS, OAC § 3701-21-02.1(A)(4) requires that the licensing fee for “low risk”
mobile food service operations must be equal to fifty percent of the mobile food service operation
fee otherwise established pursuant to the rule; and
WHEREAS, Regulation 00079 must be amended to reflect these two new risk levels for
mobile food services operations, and to describe the licensing fees associated with these new risk
levels; now, therefore,
BE IT RESOLVED by the Board of Health of the City of Cincinnati, State of Ohio:

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{00407128-3}
Section 1. That the Board of Health Regulation 00079 is hereby amended to read as
follows:
§00079—Fees Retail Food Establishments; Food Service Operations
The cost of a license for a Retail Food Establishment or Food Service Operation as defined
in Section 3717.01 of the Ohio Revised Code shall be any amount determined pursuant to
Sections 3717.45 and 3717.25 of the Ohio Revised Code, plus the following license fees,
based on the risk levels established in Ohio Administrative Code Sections 3701-21-02.3
and 901:4-4-05:
(A) Retail Food Establishment/Food Service Operation Fees
1) < 25,000 ft.2
Risk Class Level 1 $292.00 $323.00
Risk Class Level 2 $330.00 $364.00
Risk Class Level 3 $635.00 $700.00
Risk Class Level 4 $805.00 $889.00
2) ≥ 25,000 ft.2
Risk Class Level 1 $423.00 $468.00
Risk Class Level 2 $447.00 $493.00
Risk Class Level 3 $1,596.00 $1,760.00
Risk Class Level 4 $1,692.00 $1,867.00
(B) Fees for Temporary Food
Service Operations (per single
event, not to exceed a
maximum of five consecutive
days)
$154.00 $220.00
(C) Fees for Mobile Food Service Operations $151.00
1) High Risk $154.00
2) Low Risk $77.00
(D) Fees for Mobile Retail Food Establishments
1) High Risk $151.00 $154.00
2) Low Risk $75.50 $77.00
(E) Fees for Vending Food Service Operations $13.44 $13.89

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{00407128-3}
(F) Facility Review/Equipment Specification Fees For New Construction or Major
Changes (for example: structural changes; installation of new equipment;
operational changes such as converting the building use or type of food service; or
modifying facilities that have not previously been licensed as a food service).
1) < 10,000 ft.2
Risk Class Level 1 $200.00
Risk Class Level 2, 3 & 4 $400.00
2) ≥ 10,000 ft.2
Risk Class Level 1 $300.00
Risk Class Level 2, 3 & 4 $600.00
(G) Facility Review/Equipment Specification Fees For Minimal Changes (such as floor
layout alteration, equipment placement, or facilities that have not been operated in
over a year as a food service).
1) < 10,000 ft.2
Risk Class Levels 1 $100.00
Risk Class Levels 2, 3 & 4 $200.00
2) > 10,000 ft.2
Risk Class Levels 1 $150.00
Risk Class Levels 2, 3 & 4 $300.00
(H) Facility Review/Equipment Specification Fees $100.00
for Change of Ownership only
(I) Any such fee or portion of such fee retained by the Board of Health shall be paid
into a special fund as provided in Sections 3717.45 and 3717.25 of the Ohio
Revised Code and used only for the purpose of administering and enforcing
Sections 3717.01 to 3717.99 of the Revised Code.
(J) If a license fee is received by the Board of Health after March 1 of each year, a
penalty of 25 percent of the applicable fee for that year shall be imposed and paid
as provided in Sections 901:3-4-02 and 3701-21-02 of the Ohio Administrative
Code. This subsection does not apply to Mobile Food Service Operations,
Temporary Food Service Operations, Mobile Retail Food Establishments,
Temporary Retail Food Establishments, or to a new Food Service Operation or
Retail Food Establishment that opened for business subsequent to March 1 of that
year.

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{00407128-3}
Section 2. That the benefit of the reduced licensing fee for “Low Risk” Mobile Food
Service Operations implemented by this Resolution shall inure to all ”Low Risk” mobile food
service operations receiving licenses after September 1, 2024.
Section 3. That the Health Commissioner and his designee(s) are authorized to do all things
necessary and proper to comply with the terms of this Resolution.
Section 4. That this Resolution shall take effect and be in force from and after the earliest
period allowed by law.
ADOPTED: , 2024
Monica Mitchell, PhD, MBA
Chairperson, Board of Health
Grant Mussman, MD, MHSA
Health Commissioner
Cincinnati Board of Health
New language underscored. Deleted language indicated by strikethrough.

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Attachment 4
August 30, 2024
Dear Food Service/Food Establishment/Temporary Food Service/Mobile Food Service/Vending Food Service
Operator:
Ohio Revised Code 3717.071 mandates a food license cost recalculation each year. This enables the local health
department to compare costs and revenues, adjusting as needed. Therefore, we are proposing that the Board of
Health revise its food license fees for the 2025-2026 licensing year. The revised fees are shown on the reverse
side of this letter.
You may contact John Sanders at (513) 564-1757 for questions concerning these new fees or food protection
program laws.
In accordance with the law, a public hearing regarding the new food fees will be held on September 24, 2024.
Following is an announcement of the public hearing.
Respectfully,
Grant Mussman, MD, MHSA
Interim Health Commissioner

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NOTICE OF
BOARD OF HEALTH
PUBLIC HEARING
The Board of Health for the City of Cincinnati Health Department will hold a Public Hearing to receive
comments from the public concerning proposed new Board of Health Regulation 00079 (Fees Retail Food
Establishments/ Food Service Operations) to establish fees for licensing Retail Food Establishments and Food
Service Operations.
Requests for copies of the proposed new Regulation 00079 (Retail Food Establishments; Food Service
Operations) should be directed to Sa-Leemah Cunningham, Cincinnati Health Department, at (513) 357-7362.
The hearing will be held on Tuesday, September 24, 2024, at 6:00 PM during the regular monthly Board of
Health meeting. The Board of Health meeting is being held via video conference, the link is below. To be
permitted to the meeting, please pre-register to speak at this public hearing, or to request interpretation services
for the hearing impaired, contact Mrs. Cunningham, at BOHClerk@cincinnati-oh.gov.
Zoom link: https://cincinnati-oh.zoom.us/j/86845515616?pwd=bT4btdTd1ZQ69z2Tp8PtCKjMot7j17.1
Food Protection License Fees 2025-2026
Food License Type Size Risk Class New License
Fee
Risk Based Operations Level 1 $323.00
Level 2 $364.00
<25,000 ft.2 Level 3 $700.00
Level 4 $889.00
Level 1 $468.00
Level 2 $493.00
≥25,000 ft.2 Level 3 $1,760.00
Level 4 $1,867.00
Temporary Food Operation* $220.00
Mobile Food Operation High Risk $154.00
Low Risk $77.00
Vending Food Operation $13.89
* Per single event, not to exceed a maximum of 5 consecutive days
This table does not reflect the Ohio Department of Health and Ohio Department of Agriculture state fees that
must be added to the base fee.

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DATE: September 20, 2024
TO: Board of Health Members
FROM: Dr. Grant Mussman, Health Commissioner
SUBJECT: Health Commissioner Executive Summary
Information session regarding CHD’s health centers:
• We held a public meeting on September 19th to discuss the recommendations made by a
consultant regarding its facilities. This meeting served as a platform for us to share the
findings of the Facilities Master Plan with the community and initiate a transparent
engagement process. We are dedicated to ensuring robust public participation throughout
the decision-making process. During the meeting, we outlined the steps involved in
evaluating the consultant's recommendations and how final decisions will be made.
Furthermore, the CHD detailed the mechanisms through which public feedback will be
collected, considered, and integrated into the planning process.
• It is important to emphasize that no decisions have been made concerning CHD facilities
at this time. The public meeting marks the beginning of an ongoing dialogue to ensure
that the future of CHD facilities aligns with the needs and priorities of the community.
Association of Ohio Health Commissioners (AOHC) Fall Public Health Conference
• I was able to attend the AOHC fall public health conference was held September 18th and
19th.
• The program included important content including updates on the challenges and success
with public health and health equity in Ohio, as well as topical content on emerging
public health issues including marijuana regulation, PFAS chemicals, and infectious
disease threats.
• This also is an important opportunity to network with other health commissioners in Ohio
and spread learnings and best practices.
Ohio Association of Community Health Centers (OACHC)Fall 2024 Conference
• The OACHC annual fall conference will be held on September 26th – 27th. CHD
clinical leadership will be in attendance.
• The OACHC is the primary care association for the state of Ohio. OACHC advocates for
issues concerning the vitality of health centers and their ability to provide high-quality,
comprehensive health care to the residents of Ohio.

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1
DATE: September 20, 2024
TO: Cincinnati Health Department Board of Health
FROM: Kim Wright, Supervising Epidemiologist Communicable Disease Prevention
and Control - CHES
SUBJECT: September COVID-19 and CDU Update
Cincinnati COVID-19 Data Highlights:
• As of September 12, 2024, CHD reported a cumulative total of 93,693 COVID-19
confirmed and probable cases (92,563 were reported last meeting), 3558 (3505)
COVID-19 hospitalizations, and 809 (809) COVID-19 deaths.
• The Cincinnati community transmission peaked at 115.0 (56.3) new cases per
100,000 cumulative over a 7-day period, which is High (>100) at the end of August
and is 55 or Moderate at time of this report
• The Greater Cincinnati Pandemic Dashboard updated on September 13, 2024, notes
the Hamilton County transmission level similarly peaked in the High range and
returned to Moderate. Age groups visualizations no longer display numerical rates in
the report, but it appears the 80+ age group had the highest weekly incidence rate,
well over 200 (90), followed by the 70-79 age group and 0-19 age group that peaked
around 150. 0-19 closer to 50 and once again the lowest rate of all the age groups at
the time of this report. The full report is included in the packet.
• Deaths remain low in the region and there are no deaths reported in Cincinnati since
our last report.
COVID-19 Vaccination Updates
• On June 27, 2024, the CDC Director adopted the ACIP’s recommendations for use of
2024–2025 COVID-19 vaccines in people ages 6 months and older as approved or
authorized by FDA. The 2024–2025 vaccines are expected to be available in fall 2024.
This page will be updated at that time to align with the new recommendations. Learn
more: www.cdc.gov/media/releases/2024/s-t0627-vaccine-recommendations.html.
• The Bridge Program offering free COVID-19 vaccine to unvaccinated and under
vaccinated ended in August.2024 according to CDC as well as the updates formerly
provided on Get ready for the fall and winter virus season (vaccines.gov). CDC plans to
offer vaccine locator resources again when the new 2024-2025 COVID-19 vaccine is
available. The webpage currently shares the following Frequently Asked Questions and
resources:

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2
Get ready for the fall and winter virus season
Updated flu and COVID-19 vaccines are coming soon. Until then, here are a few ways you
can prepare:
1. Talk to your doctor about vaccines recommended for you.
2. Check your health insurance benefits.
3. Learn about how to protect yourself and others from flu, COVID-19 and RSV .
Frequently Asked Questions
Q: When will updated vaccines for respiratory illness be available?
A: We expect that updated influenza and COVID-19 vaccines will be widely available in
September. RSV vaccines are currently available.
Q: If I skipped the recommended flu or COVID-19 vaccinations last season, should I
get them now?
A: CDC recommends that everyone 6 months and older get a COVID-19 vaccine. It is not
too late to get vaccinated if you haven't received a 2023-2024 COVID-19 vaccine and are at
high risk for serious COVID-19 . For influenza vaccination, CDC recommends annual
vaccination for everyone 6 months or older with rare exception. Influenza vaccination in
July and August is not recommended for most adults but can be considered for some groups.
Vaccination by the end of October is recommended, if possible.
Q: Should I get an RSV vaccination?
A: CDC recommends RSV vaccines for adults aged 60–74 years who are at increased risk of
severe RSV, and for everyone aged 75 years and older. Adults ages 60-74 are at increased
risk if they have certain medical conditions, such as chronic heart or lung disease, a
weakened immune system, or live in a nursing home.
RSV vaccine is not currently an annual vaccine, meaning older adults do not need to get a
dose every RSV season. That means if you have already gotten an RSV vaccine, you do not
need to get another one at this time.
If RSV vaccine is recommended for you, the best time to get vaccinated is late summer or
early fall, just prior to the fall and winter respiratory virus season.
Resources
Children may be eligible for free vaccinations through the Vaccines for Children Program.
The Disability Information and Access Line (DIAL) helps people with disabilities access
vaccinations. DIAL can also connect you with local transportation and health insurance
counseling resources.
1-800-677-1199
DIAL@n4a.org
Vaccinations may be available through your local health department .
CDC-INFO agents are trained to search available CDC resources for the most relevant
information.
1-800-232-0233
1-800-720-7489

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3
COVID-19 Test to Treat
• https://aspr.hhs.gov/TestToTreat/Pages/default.aspx provides information about the
available resources in the community.
• CHD continues to offer free home test kits to the community and congregate settings
while supplies last.
COVID-19 Wastewater Analysis
• CHD reports the Greater Cincinnati Wastewater COVID-19 levels detected by ODH
below on the City of Cincinnati COVID-19 Report and this data is also available to
the public on the CHD website. N2 COVID levels increasing over the time period
from August 20, 2024 to September 8, 2024 at Little Miami WWTP, steady at and
Muddy Creek and Taylor Creek WWTPs, and decreasing at Mill Creek WWTP
during the same time period. Sporadic Influenza B was detected in the Muddy Creek
WWTP samples at the beginning of September, Influenza A and B were detected in
the Taylor Creek WWTP. For more information visit ODH WW Dashboard.
ODH COVID Reports September 12, 2024
• Key State Indicators at right show cases
steady over the last 3 weeks,
hospitalizations rising, ICU admissions
peaked the week prior and are trending
down, while death dropped the week prior
but increased slightly, averaging 24 per
week.

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4
CDC COVID Reports September 16, 2024
CDC COVID Variant Report
Nationally, CDC Nowcast estimates KP.3.1.1 at 52.7% (36.8%), KP2.2 at 12.2%
(14.4%), and LB.1 at 10.9% (14.4%) of the variants detected in clinical specimens in
the US as of September 14, 2024. For more variant analysis please visit
https://covid.cdc.gov/covid-data-tracker/#variant-proportions.
CDC Respiratory Guidance Links
• As of March 1, 2024 CDC aligned COVID-19 guidance with other Respiratory
Guidance that recommends people stay home until they have been fever free for 24
hours without having taken fever reducing medication, and then continue to take
precautions to prevent spread of disease, as illustrated in the CDC graphic below.
This change did not include health care workers who have COVID-19.

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5
• CHD issued a media release on April 15, 2024 to provide updated guidance to the
public.
CDC Respiratory Guidance
• CDC offers a respiratory activity locator that displays the current trends and
prevention recommendations. Ohio trends pictured below.

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6
• However, for all of the United States, CDC shows increasing influenza and RSV
visits to emergency departments.
• CDC Respiratory Virus Hospitalization Surveillance Network (RESP-NET)
Weekly Rates of Respiratory Virus-Associated Hospitalizations by Season

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7
COVID Command Center Highlights
• CHD is currently fielding approximately 100 calls per week to our 513-357-7462 line
from residents seeking COVID-19 vaccination or testing opportunities in Cincinnati,
having questions about isolation or in need of a replacement vaccination card. They
continue to receive calls regarding JYNNEOS vaccine and measles as well.
• On-site 3 contractual staff are currently making approximately 200 calls per week.
This includes investigations, and returning calls made after regular business hours.
• Designated Command Center staff continue communicate regularly with congregate
setting facilities, in support of the LV23 and CF23 grant funded activities and
resources that can be offered. CHD was able to purchase handheld indoor air
monitoring equipment and portable UV light disinfection units to assist congregate
settings with prevention of COVID-19 transmission in their facilities and mitigation
through infection control. These are offered to City of Cincinnati long term care
settings and related congregate settings under free lease agreements with terms
required by the grants.
• Free COVID-19 Test Kits are offered to congregate settings, households of positive
cases, community groups, daycares and other settings where the residents of
Cincinnati can have access to free testing resources, while supplies last.
• CHD continues to also assist residents with proof of COVID-19 vaccination or
testing results as needed for work, school, and/or travel.
• In December the COVID Command Center was briefed about mpox and plans to
offer JYNNEOS Vaccine. They will receive Bookings training to help schedule
patients when and if the demand exceeds CDU’s capacity to manage appointment
scheduling and questions from the public. These activities are supported by the
same grant.
• On March 15, 2024, Command Center staff were briefed on measles response and
provided talking points to assist CDU in the measles response which may include
testing symptomatic persons. Weekly updates are provided to the team to keep them
prepared for calls that may come in.
Communicable Disease Prevention and Control Unit Updates
• Mpox updates:
o CDU reports a total of 26 cases of mpox (25 total cases were reported last
month).
o Clade I has not yet been detected in the United States. CDC issued a Health
Advisory on August 7, 2024 regarding the spread of mpox clade I from the
Democratic Republic of the Congo (DRC) to neighboring countries, and a
Swedish traveler.
o The ongoing global mpox outbreak that began in 2022 and is responsible for
the local cases has been caused by clade II, which is described as not as
severe. Clade I is also reported by the World Health Organization to be
spreading by skin to skin contact in children more so than the 2022 outbreak.
o CDU has scheduled 3 all day free JYNNEOS vaccination sessions in addition
to each regular Thursday afternoon session as demand for the free vaccine
has increased. The vaccine is FDA approved for and expected to protect
against both clades and all subclades of mpox according to the CDC.
o A media release was issued by the communications director and both our
nurse supervisor and epi supervisor were interviewed regarding the end of
the free vaccination clinics October 31, 2024, as JYNNEOS vaccine is
approved for commercial use by the FDA and ODH announced it would

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8
discontinue supplying JYNNEOS vaccine from the Strategic National
Stockpile (SNS) inventory. All current inventory at ODH and CHD expires
October 31, 2024.
o CHD’s TPOXX for the treatment of Mpox does not expire until 2025 and
continues to be available for providers who diagnose Mpox in patients at high
risk for severe disease.
o CDU updated its Jynneos brochure, and the metro bus and bus stop
advertisements continue to run until October.
Influenza A(H5N1) Bird Flu Current Situation
• H5 Bird Flu Detections in USA
• Dairy cattle: Ongoing multi-state outbreak
• Wild Birds: Widespread
• Poultry Flocks: Sporadic outbreaks
• Mammals: Sporadic infections
• Person-to-person spread: None
• Current public health risk: Low
• Local providers in Cincinnati were provided guidance and encouraged to continue
influenza surveillance through the summer, provided instructions for reporting
Novel Influenzas (Class A) and submitting specimens to ODH for further typing and
H5/H7 rule out. Seasonal influenza surveillance begins again in Ohio in October.

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9
Healthcare Associated Infections/Antimicrobial Resistance
• On Friday, September 13, 2024 CDU staff attended the APIC Chapter 26 Annual
Education Conference with fellow Infection Preventionists from our region.
• CDU nurses are sharing education and best practices for the prevention and control
of Candida auris and other multidrug-resistant organisms (MDROs) with acute and
long-term care providers as cases are diagnosed and clusters are detected in
healthcare facilities in Cincinnati.
Southwest Ohio Public Health Regional Epidemiologists and Disease
Investigators (SWOH REDI)
CHD will host the October 2022 SWOH REDI meeting at B & K. The guest speaker
will be the Director of Animal Health at the Cincinnati Zoo & Botanical Garden,
Michael Wenninger DVM, CertAqV.
CHD CDU Reports and Dashboards
• Please find the July Communicable Disease Report included in the packet or visit
the Communicable Disease Dashboard, available on the CHD website.
• ODH also announced recently the creation of a dashboard for the state that can be
found on the ODH website: Summary of Infectious Diseases in Ohio | DataOhio.
CHD Environmental Health Reports
CHD Environmental Health Epidemiologist, Merial Vigran has submitted two
reports included in the board packet this month. If you would like more information
about either of these, please reach out to her.
• The 2023 Lead Annual Report will be available to the public and interested
parties on the Epidemiology Lead Page and our Lead Poisoning Prevention Program
page.
• The Cincy Air Watch Project Overview document is a brief synopsis of the
launch of an air quality monitoring research project in partnership with the Office of
Environment and Sustainability. A more comprehensive project packet will be sent
out separately, including the project methodology, air quality epidemiological brief, a
sample dashboard, and project specifics.

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1
City of Cincinnati Board of Health Finance Committee
Ashlee Young, Chair of the Board of Health Finance Committee, called the
Tuesday, September 17, 2024 Finance Committee meeting to order at 5:02 p.m.
Roll Call
Members present: Tim Collier (5:14), Dr. Edward Herzig, Mark Menkhaus Jr., Commissioner Dr. Grant Mussman, and
Ashlee Young.
Topic Discussion Action/Motion
Approval of
Minutes
The Chair asked Committee members if everyone had the opportunity to review
the minutes from July 16, 2024.
Motion: That the Board of Health (BOH) Finance Committee approves the minutes
from July 16, 2024.
Motion: Herzig
Second: Mussman
Action: Pass
Review of
Contracts for
BOH
Approval:
Sept. 17,
2024
The Chair began reviewing contracts going to BOH for approval.
Talbert Services, Incorporated-55x10701
Mr. Menkhaus Jr. explained that this is a renewal agreement for the Western Hills
WIC office located at 4966 Glenway Ave. Our real estate office has reviewed the
proposed 3.5% annual rent increase and considers it to be fair and reasonable.
Motion: That the BOH Finance Committee recommends approval.
Motion: Young
Second: Herzig
Action: Pass
Review of
Contracts for
BOH
Information:
Sept. 17,
2024
The Chair began reviewing the following contract going to BOH for information.
Findlay Market Agreement
Dr. Mussman shared that this agreement allows Findlay Market merchants to park
in our employee lot on Saturdays and Sundays when the Bobbie Sterne health
center is closed. This arrangement, which involves 30-35 parking spaces, has been
successful for the past year. No funds are exchanged.
Dr. Herzg inquired about liability concerns. Mr. Menkhaus clarified that the
agreement outlines the associated risks, stating that we are not responsible for
guaranteeing parking spaces or any loss of property. Findlay Market will not cover
their merchants' losses, and any damage or theft will be the owner's responsibility.
Dr. Herzig further asked if signage indicating "park at your own risk" would be
displayed. Mr. Menkhaus confirmed that it would.
Dr. Jones inquired about the timeframe for exiting the agreement if necessary. Mr.
Menkhaus explained that both the previous and current agreements are for one
year, and termination is possible with a 30-day notice.

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2
Financial
Update
Mr. Menkhaus provided an overview of the financial statement for the period
ending in July 2024
Total Revenue: As of the end of July was $4,335,802.42. Which is a 67.21% increase
from July of 2023.
o Expenses as of July 2024 totaled $4,050,574.92 which is a 56.43% increase
from July 2023. Total net gain after the capital revenue transfer was
$2,468,528.10.
o As of July, we had $18,574.01 in overtime compared to July of 2023’s total
of $9,911.14. Neither year had any disaster overtime in the month of July.
o Capital revenue transfer for FY25 in the amount of $2,187,000. In FY24 we
received partial revenue transfer in December and the balance in February
for a total of $1,227,000.00.
Total Expenses: $29 million in FY ’24.
o 71--Personnel increased by 293.97%. This increase is due to the month of
July in the calendar year 2024 having a total of 3 pay periods. In FY24 the
3 pay period month occurred in August of 2023.
o 75-Fringes: Fringes saw a corresponding increase of 32.47%.
o 72-Contractual and 73-Material: - Contractual Services saw a decrease of
16.26%), and Materials & Supplies increased by 35.58%. The increases are
due to the timing of invoices paid. Cardinal invoices from FY24 were paid
in FY25.
o 74-Fixed Cost: increased by 35.92%. The increase is the timing of invoices
paid. Rent for WIC locations, Millvale, and Crest Smile Shoppe were paid
in July.
o 76-Property: Property increased by 32.47%. This was due to an AHU leak
repair at B&K
Total Available: $2,472,227.50
New
Business
Mr. Menkhaus Jr. brought to the committee's attention the upcoming public
information session regarding our facilities master plan. This session will take
place on September 19th at the Administration Building, 3101 Burnet Avenue. At
this time no final decision has been made. Members of the public are welcome to
attend.
Public
Comment
Ms. Salter stated that as of 5 p.m. today, no questions or comments from the
public were received.
Meeting Adjourned: 5:15 p.m.
Next Meeting: Tuesday, October 15, 2024, 5 p.m.
Minutes prepared by Ashanti Salter
The meeting can be viewed and is incorporated in the minutes: https://fb.watch/pD-N3kOzkN/

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3
Board of Health Finance Committee Roll Calls for September 17, 2024
Roll Call Minutes Talbert Services, Incorporated-55x10701
Tim Collier - - -
Dr. Edward Herzig Y 2Y 2Y
Dr. Camille Jones Y - Y
Mark Menkhaus Jr. Y Y Y
Dr. Grant Mussman Y Y 2Y
Joyce Tate Y Y Y
Ashlee Young Y MY MY
Y=Yes | N=No | A=Abstain | P=Present | R=Recuse | M=Moved | 2=Second
Others present: Dr. Michelle Daniels, Ashanti Salter (Clerk).

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Preparation Date: 9/12/24
CINCINNATI HEALTH DEPARTMENT CONTRACT AND GRANT INFORMATION SHEET
This information must be supplied to the Contract Liaison no less than one week prior to the Board of
Health meeting.
Vendor Talbert Services, Incorporated
Contract # 55x10701
Person and Division responsible for administering contract/grant/lease:
InitiatorPerson& Phone # Betsy Buchanan 513-821-7188
Division Head& Phone # Joyce Tate, 513-357-7361
Division Health-WIC
Type of Contract/Agreement Accounts Payable Accounts Receivable
Service Contract (no $) X Lease
Funding Source General Fund X Grant Fund Other Funding
Action Required: X Board Approval Board Information
CONTRACT DOLLAR AMOUNT
Original Amount $121,776.38
TERM
Original Term Start Date October 1, 2024
End Date
9/30/2025 w/2 add ’l 1 -
year renewals
EXECUTIVE SUMMARY
The WIC grant operates ten offices in the Cincinnati area. This contract is a lease agreement for
the Western Hills WIC office located at 4966 Glenway Ave., Cincinnati, OH 45238. This is the
location of our west side WIC office serving approximately 2,200 participants. This location is
on the bus line and ADA accessible. WIC has worked out of this location since 2004. This
contract is needed to serve the low-income at-risk families living in this part of our city.

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DATE: September 24, 2024
TO: City of Cincinnati Board of Health
FROM: Mark Menkhaus, Jr., CFO
SUBJECT: Fiscal Presentation 2025
FINANCIAL STATEMENTS REVIEW FOR THE FISCAL YEAR 2025 – July
2024 July Highlights:
o Revenue as of the end of July was $4,335,802.42. Which is a 67.21% increase from July
of 2023. Expenses as of July 2024 totaled $4,050,574.92 which is a 56.43% increase
from July 2023. Total net gain after the capital revenue transfer was $2,468,528.10.
Year over Year:
o As of July, we had $18,574.01 in overtime compared to July of 2023’s total of $9,911.14.
Neither year had any disaster overtime in the month of July.
o We received capital revenue transfer for FY25 in the amount of $2,187,000. In FY24
we received partial revenue transfer in December and the balance in February for a
total of $1,227,000.00.
o 7100-Personnel increased by 293.97%. This increase is due to the month of July in the
calendar year 2024 having a total of 3 pay periods. In FY24 the 3 pay period month
occurred in August of 2023. 7500-Fringes saw a corresponding increase of 32.47%.
o 7200- Contractual Services saw a decrease of 16.26%, and 7300- Materials & Supplies
increased by 35.58%. The increases are due to the timing of invoices paid. Cardinal
invoices from FY24 were paid in FY25.
o 7400-Fixed Costs increased by 35.92%. The increase is the timing of invoices paid.
Rent for WIC locations, Millvale, and Crest Smile Shoppe were paid in July.
o 7600-Property increased by 32.47%. This was due to an AHU leak repair at B&K.

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Cincinnati Board of Health Financial Statement for the period of July
FY25 Actual FY24 Actual Variance
Revenue
8236-Pools/Spa $18.25 $1,218.98 -98.50%
8237-Household Sewage System $530.00 $150.00 253.33%
8239-Tatto/ Body, Environmental Waste License Fee $0.00 $600.00 -100.00%
8241-Food Service (Mobile-Temporary) $26,714.00 $14,497.00 84.27%
8242-Vending Machine Licenses $0.00 $0.00 0.00%
8244-Food Establishments $14,396.25 $0.00 0.00%
8249-Food, NOC $9,955.25 $6,863.75 45.04%
8432-Vending Machine Proceeds $0.00 $0.00 0.00%
8536-Grants\State $61,690.95 $52,500.00 17.51%
8541-Grant Community Development $0.00 $0.00 0.00%
8556-Grants\Federal $830,500.59 $541,928.52 53.25%
8563-Bd of Ed Svc (School Nurses Sal.) $12,867.52 $47,893.21 -73.13%
8564-Ham Co Service $55,945.26 $0.00 0.00%
8571-Specific Purpose\Private Org. $58,445.32 $0.00 0.00%
8617-Non-Department Fringe Benefit Reimbursement $0.00 $0.00 0.00%
8731-Birth & Death Certificates $42,975.16 $50,069.34 -14.17%
8732-Vital Stats - Other $246.48 $370.12 -33.41%
8733-Self-Pay Patient $83,228.53 $79,270.69 4.99%
8734-Medicare $433,373.73 $262,730.80 64.95%
8736-Medicaid $366,849.84 $304,698.70 20.40%
8737-Private Pay Insurance $96,639.95 $83,528.11 15.70%
8738-Medicaid Managed Care $690,762.73 $436,683.90 58.18%
8739-Misc. (Medical rec.\smoke free inv.) $138,745.66 $22,983.61 503.67%
8784-Private Lot Litter & Weed $0.00 $0.00 0.00%
8811-Unclaimed Remains $0.00 $0.00 0.00%
8914-Bond/Note Proceeds $0.00 $0.00 0.00%
8917-Deferred Sewer Assessment Collections $0.00 $0.00 0.00%
8932-Prior Year Reimbursement $22,750.00 $0.00 0.00%
% That is attributable from 416 $1,389,166.95 $687,080.56 102.18%
Total Revenue $4,335,802.42 $2,593,067.29 67.21%
Expenses
71-Personnel $1,631,329.09 $414,078.26 293.97%
72-Contractual $698,115.80 $833,633.95 -16.26%
73-Material $267,510.29 $197,314.73 35.58%
74-Fixed Cost $213,469.24 $157,053.35 35.92%
75-Fringes $1,232,202.50 $981,287.60 25.57%
76-Property $7,948.00 $6,000.00 32.47%
Total Expenses $4,050,574.92 $2,589,367.89 56.43%
Net Gain (Losses) $285,227.50 $3,699.40 7610.10%
8936-Transfer $2,187,000.00 $0.00
Total Available $2,472,227.50 $3,699.40 66727.80%

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Interdepartmental
Correspondence Sheet
To: 	MEMBERS of the BOARD of HEALTH
From: 	Grant Mussman, MD MHSA, Health Commissioner
Copies: 	Leadership Team, HR File
Subject: 	PERSONNEL ACTIONS for September 24, 2024 BOARD of HEALTH MEETING
NON-COMPETITIVE APPOINTMENT –pending EHS and/or background check
OTTERIA MILLER 	DENTIST 	CCPC
(Resignation)
Salary Bi-Weekly Range: 	$6,170.69 to $7,908.46 	Grant
Dr. Otteria Miller is a graduate of University of Louisville School of Dentistry (May 2016) where she
received her Doctorate in Dental Medicine. Since graduating from dental school, Dr. Miller has over eight
years of experience working in general dentistry. She currently owns her own private office, providing care
to a diverse patient population, including 40-45% of patients with Medicaid. Dr. Miller has a passion for
working with underserved populations and will provide valuable services to Cincinnati Health Department
dental patients.
ALYSSA O’BRYANT 	MEDICAL ASSISTANT 	CCPC
(Promotion)
Salary Bi-Weekly Range: 	$5,607.18 to $6,500.26 	Revenue
Alyssa O’Bryant received her associate’s degree in health science technology which included becoming a
certified medical assistant, from Cincinnati State and Technical College in 2016.
Ms. O’Bryant has an extensive history of working in the medical field. She was a Health Unit Coordinator
at The Christ Hospital from 2009 through 2016. After becoming a certified medical assistant in 2016, she
worked at Mercy Health Physicians as a medical assistant with a focus on primary care, floating between 4
providers. Ms. O’Bryant is also a previous employee of the Cincinnati Health Department, working as a
medical assistant in the School Health Program from 2018 through 2021. After leaving the Health
Department, she has worked with worker’s comp claims at Sheakly Unicorp and is currently working as a
human resources specialist at Hamilton County Education Services.
The skills and experience Ms. O’Bryant has directly aligned with the medical assistant position in the School
Based Health Center Program. Ms. O’Bryant has a desire to serve students, family, and the community. Her
skills, knowledge, and caring attitude with children and families will be an asset for both the Cincinnati
Health Department and the School Based Health Centers.
Ms. O’Bryant is excited to have the opportunity to return to the Health Department and grow in her field
within the organization.
Date: 	9/24/2024

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PERSONNEL ACTIONS for September 24, 2024 , BOARD of HEALTH MEETING
Page 2 of 2
NON-COMPETITIVE APPOINTMENT –pending EHS and/or background check
AISHA OLIVER 	PHARMACIST 	CCPC
(Resignation)
Salary Bi-Weekly Range: 	$5,607.18 to $6,500.26 	Revenue
Aisha Oliver is a registered pharmacist with eleven years of experience. She received her
Doctor of Pharmacy from Ohio Northern University and her bachelor’s from Interamerican University of
Puerto Rico.
Aisha comes to us from CVS where she served as a Pharmacist, Pharmacy Supervisor, and District Manager,
mostly serving patients in underprivileged locations. Aisha is bi-lingual in English and Spanish and her
references indicate that she has experience in MTM interventions as well as excellent patient counseling
service skills, excellent attendance, strong organizational skills, and extensive people-management skills.
She will be an asset to the city’s Pharmacy program.
AMANDA SOKOL 	DIETITIAN 	WIC
(Retirement)
Salary Bi-Weekly Range: 	$2,029.55 to $2,794.68 	Grant
Amanda Sokol received her bachelor’s and master’s degrees in clinical nutrition and dietetics from the
University of Pittsburgh. She is a registered dietitian with two years of WIC experience. She currently
provides telehealth nutrition and breastfeeding support to pre and postnatal women. Amanda is a certified
lactation counselor which will be beneficial to the WIC Program’s breastfeeding team. She has interim
supervisor experience and has a positive attitude. She will be an asset to the WIC Program.
LUCAS YOUNG 	ENVIRONMENTAL HEALTH
SPECIALIST
CHES
(Promotion)
Salary Bi-Weekly Range: 	$2,519.22 to $2,793.61 	General
Lucas Young is being presented for the position of Environmental Health Specialist. Mr. Young has a
Bachelor of Science degree from Miami University and recently passed the exam to become a Registered
Environmental Health Specialist while working for the Butler County General Health District. He brings
over three years of experience, particularly in the field of household sewage treatment systems. Lucas’ skills
and enthusiasm for public health will be an asset to the Technical Environmental Services office.
PROMOTIONS
TONYA S. BANKS 	HEALTH COUNSELOR 	CCPC
(Resignation)
Salary Bi-Weekly Range: 	$2,295.94 to $3,085.55 	Grant
The City of Cincinnati Primary Care would like to hire Tonya S. Banks as a Health Counselor. Ms. Banks
earned her Master of Arts in Clinical Mental Health and Counseling from Xavier University in 2021. She is
licensed by the State of Ohio as a Counselor, Social Worker, and Marriage & Family Therapist and has a
certification as a Licensed Professional Counselor (LPC). Ms. Banks has a desire to serve the community,
and her skills, knowledge, and empathy will be an asset to CCPC.

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Health Commissioner’s Report |1
August 2024
.
WIC Updates August 2024
1. The WIC caseload in August was 15,870. Women:3673, Infants:4059, Children:8138
2. August breastfeeding initiation rate for WIC infants was 62%. Breastfeeding at 6 months was 35%.
Breastfeeding rates have been stable.
3. WIC’s goal for FY24 is to inform all women of the Urgent Maternal Warning Signs. WIC reviews
warning signs and provides a handout to all pregnant and postpartum women during their visit. In
August WIC provided this education to 412 women participants.
4. WIC distributed 1,288 sets of coupons equaling $30 per set to families to purchase fresh fruits and
vegetables with local farmers. This is a part of the annual Farmer Market Nutrition Program. WIC
was at Findlay market and had two markets at the Roselawn WIC office with local farmers. WIC ran
out of farmer market coupons due to popular demand. This is a great opportunity to support local
farmers and provide WIC participants with local produce.
5. WIC celebrated World Breastfeeding Week on August 5th alongside the Farmer’s Market at the
Roselawn WIC office. Local community agencies joined in on the celebration. Agencies that set up
tables at the outside event included representatives from AMEN (sharing with LECHE and Southwest
Ohio Breastfeeding Coalition), BOOBS, Cradle/Queens Village/Mama Certified, UC and Mercy
Baby Cafes, Every Child Succeeds, and Imagination Library.
Date: 	September 24, 	2024
To: Board of Health
From: 	Grand Mussman, 	MD, 	Health 	Commissioner
Subject: Health Commissioner’s Report, Reflects 	August 	2024

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Community Health and Environmental Services (CHES) Updates for CHD BOH
Meeting 9.24.2024
Community Health and Environmental Services (CHES) updates:
• Cincinnati Health Department is partnering with the City Manager’s Office to launch a medical debt relief project
in response to Mayor Pureval’s Financial Freedom Blueprint
• Cincinnati Health Department continues to meet with the Cincy CHIP action teams on the five priorities set for
the next three years. 1) Access to Care, 2) Mental and Behavioral Health, 3) Nutrition and Food Access, 4) Infant
Vitality, 5) Housing. More information in the Accreditation section.
• Alternative Response to Crisis (ARC) pilot diverting low acuity 911 calls to a behavioral health and EMT team is
continuing in the Cincinnati community, more information can be found with the link below:
Alternative Response to Crisis (cincinnati-oh.gov)
Epidemiology
Epidemiology Data Briefs and Educational Guides:
Data Briefs and Educational Guides can be found using the website below.
https://www.cincinnati-oh.gov/health/community-health-data/epidemiology-data-briefs/
The Emergency of Antimicrobial Resistance in Cincinnati (2017-2022)
C:\Users\KIMBER~1.WRI\AppData\Local\Temp\msoA228.tmp (cincinnati-oh.gov)
2022 Annual Lead Report:
2022-LEAD-ANNUAL-REPORT-FINAL.pdf (cincinnati-oh.gov)

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Epidemiologic Infant data:
These numbers are provisional for 2021-2024:
** May 2024’s report is delayed due to ODH data warehouse update
Deaths for 2020:
City 2020 = 44
County (minus the city) 2020 = 33
Total Hamilton County 2020 = 77
The finalized number of births for 2020 (births extracted from Ohio Resident live births database (by residence
city/county) as of 9.20.22):
City of Cincinnati = 4,220
Hamilton County births outside of the City limits = 6,110
Hamilton County inclusive of the City = 10,330
The finalized infant mortality rate for 2020 based on our current numbers:
City of Cincinnati IMR = 10.4 per 1,000 live births
Hamilton County outside the City limits = 5.4 per 1,000 live births
Hamilton County IMR = 7.5 per 1,000 live births (inclusive of the city numbers)
Provisional deaths for 2021:
City 2021 = 41
County (minus the city) 2021 = 24
Total Hamilton County 2021 = 65
The provisional number of births for 2021 (births extracted from Ohio Resident live births database (by residence
city/county) as of 2.9.23):
City of Cincinnati = 4,111
Hamilton County births outside of the City limits = 6,154
Hamilton County inclusive of the City = 10,265
The provisional infant mortality rate for 2021 based on our current numbers:
City of Cincinnati IMR = 10.0 per 1,000 live births
Hamilton County outside the City limits = 3.9 per 1,000 live births
Hamilton County IMR = 6.3 per 1,000 live births (inclusive of the city numbers)
Provisional deaths for 2022:
City 2022 = 47
County (minus the city) 2022 = 42
Total Hamilton County 2022 = 89*
*three deaths OOJ excluded
The provisional number of births for 2022 (births extracted from Ohio Resident live births database (by residence
city/county) as of 2.28.24):
City of Cincinnati = 4,155
Hamilton County births outside of the City limits = 6,034
Hamilton County inclusive of the City = 10,189
The provisional infant mortality rate for 2022 based on our current numbers:
City of Cincinnati IMR = 11.3 per 1,000 live births

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Hamilton County outside the City limits = 7.0 per 1,000 live births
Hamilton County IMR = 8.7 per 1,000 live births (inclusive of the city numbers)
Provisional deaths for 2023:
City 2023 = 29
County (minus the city) 2023 = 29
Total Hamilton County 2023 = 58
The provisional number of births for 2023 (births extracted from Ohio Resident live births database (by residence
city/county) as of 2.28.24):
City of Cincinnati = 4,122
Hamilton County births outside of the City limits = 5,907
Hamilton County inclusive of the City = 10,029
The provisional infant mortality rate for 2023 based on our current numbers:
City of Cincinnati IMR = 7.0 per 1,000 live births
Hamilton County outside the City limits = 4.9 per 1,000 live births
Hamilton County IMR = 5.8 per 1,000 live births (inclusive of the city numbers)
Provisional deaths for 2024:
City 2024 = 13
County (minus the city) 2024 = 10
Total Hamilton County 2024 = 23
The provisional number of births for 2024 (births extracted from state database (by residence city/county) as of
8.12.24):
City of Cincinnati = 2472
Hamilton County births outside of the City limits = 3436
Hamilton County inclusive of the City = 5908
The provisional infant mortality rate for 2023 based on our current numbers:
City of Cincinnati IMR = 5.3 per 1,000 live births
Hamilton County outside the City limits = 2.9 per 1,000 live births
Hamilton County IMR = 3.9 per 1,000 live births (inclusive of the city numbers)
Communicable Disease
COVID-19 Summary
Cincinnati Health Department continues to participate in weekly conference calls with the Ohio Department
of Health in which routine COVID-19 updates are provided. Our Command Center and Communicable
Disease Unit staff continue conducting positive case investigations and working with ODH for active
monitoring of positive cases as well as follow up regarding outbreak investigations. CHD closed the
vaccination operations at our main building March 31, 2023, and Hamilton County Public Health closed the
vaccination operations as of June 2, 2023. Community members can seek vaccination with local pharmacies

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as well as our City of Cincinnati Primary Care Health Centers. We extend great appreciation to the entire
CHD team for all their tremendous efforts. Our CCPC sites will be providing COVID-19 vaccinations for the
Pfizer 6 months to 4 years of age. The new COVID-19 vaccine is available this Fall at our CCPC sites in
limited quantity, our COVID-19 Command Center is prepared to assist callers with locations of how to get
the vaccine at local pharmacies.

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CCPC UPDATE
Figure 1. Number of Completed Patient Visits to All CCPC Community Health Center Sites
Table 1. Number of Completed Patient Visits by Location for August 2024 and FYTD
Table 2. Number of Pharmacy Fills for August 2024 and FYTD
0
200
400
600
800
1000
1200
1400
7-Aug
21-Aug
4-Sep
18-Sep
2-Oct
16-Oct	
30-Oct
8-Jan
22-Jan	
5-Feb
19-Feb	
4-Mar
18-Mar
1-Apr
15-Apr	
29-Apr	
13-May	
27-May	
10-Jun	
24-Jun
8-Jul
22-Jul
5-Aug
19-Aug
Aug Sep Oct Jan Feb Mar Apr May Jun Jul Aug
2023 2024
Count
Week Beginning On
CCPC Visit Counts by Week - All Locations
August 1, 2023 - Present
PRACTITIONER VISITS NURSE VISISTS TOTAL VISITS
CCPC Community Health Centers 	8/5 	8/12 	8/19 	8/26 August
2025 Total
August
2024
Total
2025 FYTD
Total
2024 FYTD
Total
VISITS 	886 	889 	934 	989 	3698 	3476 	8330 	8275
AMBROSE CLEMENT 	154 	124 	130 	110 	518 	155 	1070 	373
AMBROSE CLEMENT BH 	28 	33 	36 	40 	137 	88 	278 	218
BRAXTON CANN 	92 	87 	91 	52 	322 	347 	796 	915
BRAXTON CANN BH 	0 	0 	0 	0 	0 	0 	0 	0
ELM ST. BH 	14 	8 	14 	12 	48 	17 	98 	36
ELM ST. 	88 	141 	125 	134 	488 	698 	1320 	1568
MILLVALE 	107 	68 	95 	124 	394 	587 	882 	1245
MILLVALE BH 	11 	2 	0 	3 	16 	61 	78 	118
NORTHSIDE 	141 	134 	143 	185 	603 	487 	1334 	1284
NORTHSIDE BH 	2 	4 	0 	3 	9 	61 	17 	138
PRICE HILL 	223 	241 	288 	294 	1046 	802 	2189 	2051
PRICE HILL BH 	26 	47 	12 	32 	117 	173 	268 	329
NEW PATIENTS 	56 	52 	66 	67 	241 	209 	524 	476
AMBROSE CLEMENT 	12 	10 	17 	13 	52 	9 	99 	22
AMBROSE CLEMENT BH 	0 	0 	2 	0 	2 	2 	6 	7
BRAXTON CANN 	6 	3 	3 	11 	23 	29 	50 	64
BRAXTON CANN BH 	0 	0 	0 	0 	0 	0 	0 	0
ELM ST. BH 	0 	0 	0 	1 	1 	0 	1 	0
ELM ST. 	2 	4 	2 	12 	20 	32 	69 	77
MILLVALE 	5 	3 	6 	2 	16 	57 	54 	119
MILLVALE BH 	0 	0 	0 	0 	0 	0 	0 	0
NORTHSIDE 	11 	7 	15 	12 	45 	37 	93 	87
NORTHSIDE BH 	0 	0 	0 	0 	0 	1 	0 	4
PRICE HILL 	20 	25 	21 	16 	82 	39 	150 	91
PRICE HILL BH 	0 	0 	0 	0 	0 	3 	2 	5

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Figure 2. Number of Completed CCPC Dental Visits for July 2024 by Location
*AUGUST dental data will be updated next month
Reproductive Health and Wellness Program (RHWP) Data Report
CCPC PHARMACY LOCATION 	8/5 8/12 8/19 8/26 August
2025 Total
August
2024 Total
2025 FYTD
Total
2024 FYTD
Total
NUMBER OF FILLS 	2083 1924 1897 2106 8010 8128 20381 19939
AMBROSE CLEMENT 	310 311 369 291 1281 1064 3289 2439
BRAXTON CANN 	293 309 260 286 1148 1135 2685 2967
ELM ST. 	373 418 369 382 1542 2079 3857 4727
MILLVALE 	294 253 243 324 1114 1325 2962 3151
NORTHSIDE 	270 191 267 296 1024 865 2734 2445
PRICE HILL 	543 442 389 527 1901 1660 4854 4210

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Figure 1a. City of Cincinnati Primary Care Health Center Reproductive Health Visits by Gender and Month, Fiscal
Year 2024 – 2025
Figure 1b. City of Cincinnati Primary Care Health Center Reproductive Health Visits by Gender and Month,
Fiscal Year 2023 – 2024
FY23/24 Visits with Men: 221 patients
FY23/24 Visits with Women: 6476
patients
FY23/24 Visits Combined (men/women): 6697
patients
FY23/24 Control (Expected) Visits: 7000 patients
FY23/24 Visits as % of Control Total: 95.7%
FY24/25 Visits with Men: 141 patients
FY24/25 Visits with Women: 2427
patients
FY24/25 Visits Combined (men/women): 2568
patients
FY24/25 Control (Expected) Visits: 2332 patients
FY24/25 Visits as % of Control Total: 110.0%
Page 7 of 17

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Figure 2a. Long-acting Reversible Contraception (LARC) (Intrauterine Devices) provision by Month and Insurance Type for patients
seen at our City of Cincinnati Primary Care Health Centers, Fiscal Year 2024 – 2025
Figure 2b. Long-acting Reversible Contraception (LARC) (Intrauterine Devices) provision by Month and Insurance Type for
patients seen at our City of Cincinnati Primary Care Health Centers, Fiscal Year 2023 – 2024
Figure 3a. Long-acting Reversible Contraception (LARC) (Implants) provision by Month and Insurance Type for patients
seen at our City of Cincinnati Primary Care Health Centers, Fiscal Year 2024 – 2025

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Figure 3b. Long-acting Reversible Contraception (LARC) (Implants) provision by Month and Insurance Type for
patients seen at our City of Cincinnati Primary Care Health Centers, Fiscal Year 2023 - 2024
Table 1. Selected Demographic Characteristics of Unduplicated RHWP Patients, July 2024
Female % in col. Male % in col. Total % in col.
Race
AI/AN 5 0.73% 0.00% 5 0.69%
Asian 10 1.47% 1 2.63% 11 1.53%
Black 360 52.79% 27 71.05% 387 53.75%
PI/HN 7 1.03% 0.00% 7 0.97%
Unknown 88 12.90% 0.00% 88 12.22%
White 212 31.09% 10 26.32% 222 30.83%
Ethnicity
Hispanic 245 35.92% 1 2.63% 246 34.17%
Non-Hispanic 437 64.08% 37 97.37% 474 65.83%
Income
<=100% FPL 601 88.12% 25 65.79% 626 86.94%
101-249% FPL 77 11.29% 12 31.58% 89 12.36%
>=250% FPL 4 0.59% 1 2.63% 5 0.69%
Insurance
Private 70 10.26% 17 44.74% 87 12.08%
Public 302 44.28% 8 21.05% 310 43.06%
Uninsured 310 45.45% 13 34.21% 323 44.86%
Age (years)
<15 4 0.59% 1 2.63% 5 0.69%
15-49 627 91.94% 33 86.84% 660 91.67%
>50 51 7.48% 4 10.53% 55 7.64%
Limited English
No 409 59.97% 36 94.74% 445 61.81%
Yes 273 40.03% 2 5.26% 275 38.19%

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Table 2. Unduplicated RHWP Patients by CCPC Health Center, July 2024
Female % in col. Male % in col. Total % in col.
Health Center
Ambrose Clement 83 12.17% 36 94.74% 119 16.53%
Braxton Cann 53 7.77% 0.00% 53 7.36%
Bobbie Sterne 154 22.58% 1 2.63% 155 21.53%
Millvale 51 7.48% 1 2.63% 52 7.22%
Northside 122 17.89% 0.00% 122 16.94%
Price Hill 219 32.11% 0.00% 219 30.42%
* Reproductive health data is based on services as part of the Title X grant provided by our City of Cincinnati Primary
Care (CCPC) Health Centers.
Accreditation
PHAB Action Plan Update:
The PHAB annual report was submitted for 2024, it focused on the foundational capabilities of the health department
surrounding quality improvement efforts. The 2025 annual report will include an application for PHAB to conduct a
reaccreditation readiness assessment as our annual report submission in preparation for reaccreditation in 2026.

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CHD CHA Update:
Cincinnati Health Department has completed the CHD Community Health Assessment (CHA). The CHA was posted on
the CHD website and the public comment period has closed. CHD will continue to seek feedback from the community
through our partnerships by attending several community events throughout the year.
Cincy CHIP Update:
The Cincy CHIP action teams continue to work on developing strategies to address their specific focus area. The action
team chairs met to discuss the intersection of strategies and potential alignment opportunities.
The Cincy CHIP focus areas for the upcoming Cincy CHIP cycle are as follows:
• Access to Care
• Behavior and Mental Health
• Infant Vitality
• Nutrition and Food Access
• Housing
Regional CHNA and CHIP Update:
The Regional CHNA lead by The Health Collaborative (THC) was released January 2022. CHD is participating in the
Regional Behavioral Health Continuity of Care group, 2024 Regional CHNA Advisory committee, and 2024 CHNA
Public Health Task Force.
Quality Improvement/ Quality Assurance
Clinical QI committee has resumed meeting. Public Health QI is working with CCHMC to build the systems dashboard
for public health programs. QI training sessions have completed their training for the Healthy Homes and Lead
Programs and are in monitoring stages. Through our continued partnership with Children’s Hospital, several CHD staff
members have been selected to attend their improvement science course, ImpactU which begins in October. Our CHD
QI Steering Committee continues to meet monthly to review progress on highlighted projects and provide feedback to
colleagues.
GET VACCINATED GRANT- MONTHLY DATA TABLE 2024-2025
MONTH RM
0-18
Years
RC
0-18
Years
IQIP
Initial
Site
visit
With
office
IQIP
2 M
Follow
up
IQIP
6 M
Follow
up
IQIP
12 M
Follow
up
MOBI TIES PERI
HEPB
NEW
CASES
PERI
HEPB
CLOSED
CASES
July 570 642 0 0 0 0 0 0 0 2
August 906 1124 0 0 6 2 10 10 0 0

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September
October
November
December
January
February
March
April
May
June
TOTAL
RM=reminders to families for immunizations now due
RC=recalls to families behind on immunizations
IQIP= Immunization Quality Improvement Process (CDC tool including audit) (2M/6M/12M=follow ups with practices
involved in QI process)
MOBI=Maximizing Office Based Immunization education presentation for providers
TIES=Teenage Immunization Education Session -immunization education for providers regarding adolescents
Peri HEPB=Peri-natal Hepatitis
*JULY- MOBI, TIES, (7/18) and IQIP (7/30) required ODH training completed. Training required PRIOR to initiating
MOBI, TIES, IQIP outreach.

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Healthy Communities Program – Tiffany White
Live Work Play Cincinnati Coalition
A multi-sector coalition that works to improve health outcomes by addressing health-related social needs and social
determinants of health at the community level.
Date of Meeting Location & Presentations Next Steps
09/11/24 Location
1701 Mercy Health Pl.,
Cincinnati, OH 45237
Presentations
QPR Training
Ashley Gray
Community Program Manager
&
Kelly Barry
Senior Program Manager
1N5
Next meeting is October 9, 2024, at
2533 Kemper Ln,
Cincinnati, OH 45206
Meeting frequency: 2nd Wednesday of each
month.
Infant Vitality – Malina Harris
ODH- Cribs for Kids Subgrantee
The Ohio Department of Health (ODH), Bureau of Maternal, Child and Family Health is partnering with Cribs for Kids® and
local organizations throughout Ohio to provide Cribettes® and safe sleep education to eligible families.
# of families served
since last report
Project Partners and Status Next Steps
88 families Partners:
All In Cincinnati, Bethany House Services,
Cherished Hearts CPR Family, Community
Action Agency, Cradle Cincinnati Connections
(CCC), Crossroad Health Center, First Step
Home, Greater Cincinnati Behavioral Health
Services, Healthcare Access Now
(HCAN),Healthy Homes: Block by Block
(Community Matters),Healthy Moms & Babes,
Helping Young Mothers Mentor, Inc., Home
Health/CHD, Interfaith Hospitality Network of
Greater Cincinnati (IHNGC),Mercy Health –
Perinatal Outreach Program, Nurse Family
Partnership/ECS-Pathways to Home,
Rosemary’s Babies Co., Santa Maria
Community Service, Sigma Gamma Rho
Sorority, Inc. Su Casa Hispanic Center, The
Children’s Hospital/ECS, The Children’s Home
of Cincinnati/ECS/Costars, The Christ
Hospital, The Community Builders
(TCB),TriHealth, The Salvation Army,
University of Cincinnati Medical Center
(UCMC)/Hoxworth/Women’s Center, WIC,
Women’s Center of Ohio, TriHealth
---------------------
Status: Active
Plan: Cribs for Kids and ODH contract for cribs is
being evaluated. All 1,141crib have been ordered for
the grant cycle as of 6/18.
Meeting frequency: ODH TA Meetings are
Quarterly.
Last meeting 7/29/24
Next meeting: 9/16/24
Meetings are Quarterly
Sweet Cheeks Diaper Bank and Tidal Babe- Partner
Sweet Cheeks Diaper Bank partners with local social service agencies to provide free diapers to low-income families while
raising awareness of the basic health need for diapers. Our vision is to eliminate the existence of diaper need in our community

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so that ALL babies have a chance to be healthy, happy, and safe.
# distributed since
last report
Project Partners and Status Next Steps
200 diapers have
been distributed since
the last BOH report.
Partners:
Sweet Cheeks Diaper Bank
HCAN, Mercy Health, Health Vine, UC
Women’s Center, Hamilton County OEI,
Cincinnati Health Department Home Health,
WIC
---------------------
Status: Active
Plan:
Families have been referred to other agencies to
receive diapers
Planning Diaper drive at one of the CHD Health
Centers during a health fair.
Volunteered with HC Team. Facility is moving to
Walnut Hills 2231 Terhune Alley, Cincinnati, OH
45203
Meeting frequency:
Annually
Next Meeting scheduled for:
TBD
CAT- The Cincinnati-Hamilton County Community Action Team
The mission of the Cincinnati-Hamilton County Community Action Team is to optimize equitable health outcomes for women,
infants, children, and families in Cincinnati-Hamilton County through collaboration, education, and action. This group meets
monthly.
# of meetings since
last report
Project Partners and Status Next Steps
1-Last Meeting:
7/18/24
Partners:
Hamilton County
---------------------
Status: Active
Plan: Discuss the results of the Maternal & Child
Health Survey. The work Group is being reconfigured
and will meet on a quarterly basis.
Meeting frequency: Quarterly
TBD
OIPP/CIAG- Ohio Injury Prevention Partnership: Child Injury Action Group
The function of the Child Injury Action Group (CIAG) is to identify priorities and strategies to reduce child injury in Ohio. The
CIAG has identified focus areas to address in their five-year strategic plan including teen driving, traumatic brain injury, safe
sleep, youth suicide and child passenger safety.
# of meeting since
last report
Project Partners and Status Next Steps
1 Partners:
Ohio Department of Health
---------------------
Status: Active
Plan:
Strategic Plan Update
Shared progress on the standardized data
presentation the subcommittee members will be able
to brand as their own and share within their
respected communities. The presentation includes
quantitative and qualitative data from multiple
reporting sources (OPAS, CFR, etc.), representing all
of Ohio.
Presented on current work being done in the Infant
Vitality Program.
Meeting frequency: Quarterly
Next Meeting 9/12/24
Program supported projects/ meetings:
8/16/24- ODH Doula Webinar
8/21/24- MCHA NAXCHO workgroup Meeting
8/22/24- Produce Perks
8/27/24- CIAG Meeting
8/29/24- CHIP Infant Vitality Subgroup meeting
8/29/24- Produce Perks
9/3/24- Fatherhood collaborative meeting

-- 52 of 116 --

9/6/24- OCPIM Statewide Townhall Meeting
9/21/24- CIAG Meeting
Food Equity (Healthy Eating)- Jasmine Robinson
Heart of Hamilton County
The Heart of Hamilton County Health Fair and Food Distribution is an event that includes food demos and giveaways
and is a larger benefit for those who will attend by having health education, health screenings and more.
# of Meetings Since Last
Report
Project Partners and Status Next Steps
0 Hamilton County ReSource Wasted Food
Stops with Us initiative, the Cincinnati
Health Department’s Food Equity
Program, Love in Action, Freestore
Foodbank, Last Mile Food Rescue, and
La Soupe.
---------------------
Status: Active (next event on 8/30/24)
Serve as project lead and manage health
partners; find new health partners to participate in
events
Meeting frequency: as needed
Produce Perks- Community Supported Agriculture Distribution (Fruit and Vegetable Program)
Produce Perks and CHD partnered to increase access to healthy fresh fruits and vegetables in the Winton Hills neighborhood.
The partnership has distributed over $50,000 in healthy foods purchased directly from Mustard Seed Farms (a local, Cincinnati
small-scale farm) strengthen healthy dietary habits and increasing nutritional/cooking knowledge in hundreds of Winton Hills
community members.
# of Meetings Since Last
BOH Report
Project Partners and Status Next Steps
2 Produce Perks, CMHA, and Mustard
Seed Farm
---------------------
Status: Active (event began 5/9/24; last
distribution completed on 9/12/24- 24 total
signups)
Plan for 2024 distribution and events. Find
community champion
Meeting frequency: as needed for planning
CHD Healthy Communities Freezer
The Cincinnati Health Department (CHD) Healthy Communities Program will partner with Cincinnati Recreation Commission
(CRC) Hirsch and Millvale locations to implement a pilot community freezer program.
# of Meetings Since Last
BOH Report
Project Partners and Status Next Steps
1 COC Office of Environment and
Sustainability, CRC, La Soupe, and
Hamilton County ReSource
---------------------
Status: Active (award received)
Find a non-profit organization to own freezers;
then, complete partner meeting to discuss kickoff
and opening events
Meetings frequency: as needed based on
project updates.
Systems to Achieve Food Equity (SAFE) Network
a sub-network of All Children Thrive made up of individuals and organizations committed to improving food security in Cincinnati
to ensure that all children have the food that they need to grow, develop, learn, and thrive.
# of Meetings Since Last Project Partners and Status Next Steps

-- 53 of 116 --

BOH Report
1 CCHMC, Freestore Foodbank, Hamilton
County ReSource, La Soupe, and more.
---------------------
Status: Active (participating in SAFE’s
communication, stewardship, and food
access teams as well.)
Network planning for food distribution in the City
of Cincinnati; current project funding covers works
in Avondale, East and Lower Price Hill
Meeting frequency: 3rd Thursday of every month
---------------------
Stakeholder meeting to report on organizational
updates, events, and needs working towards food
equity in Cincinnati.
Meeting frequency: 1st Thursday of every month
Food Equity Program Newsletter
Each month, the Food Equity Coordinator sends a newsletter that includes local food related events such as food/produce
distribution sites, pop ups, cooking improv learning sessions and more.
# of Meetings Since Last
BOH Report
Project Partners and Status Next Steps
1 Newsletter sent to community members
and partners by the 2nd Tuesday of each
month.
---------------------
Status: Active (last newsletter sent on
9/4//24 to over 180 recipients)
Continue to mold newsletter content and layout to
meet the reader’s needs
Meeting frequency: included in monthly program
meeting with HCP program manager; as needed
meetings scheduled with SAFE’s SSF
Communications team for discussion/ review
Program supported projects/ meetings:
8/21/24: Exclusive Services: Emotional Intelligence Training
8/22/24: Cincinnati Parks Foundation/ CHD Collaboration Discussion
8/26/24: Avondale Respite Center Discussion
8/28/24: Community Food Projects Competitive Grant Program August Webinar (pt.1)
8/29/24: Mandela Fellow Farewell Presentation and Celebration
8/30/24: CHD Food Equity and AHA Collaboration Discussion
9/3/24: Fatherhood Collaborative of Hamilton County Meeting
9/5/24: Monthly CCHMC Food Stakeholder Meeting- System to Achieve Food Equity (SAFE) in Cincinnati
9/6/24: OCPIM Statewide Townhall Meeting
9/6/24: 1n5/ Food Equity Collaboration Discussion
9/9/24: Urban Food Festival Resource Discussion
9/9/24: Jasmine: Mt. Airy Weekly Afterschool Presentation Series
9/10/24: Food Equity and CAA Collaboration Discussion
9/10/24: Dangers of Youth Vaping: What Parents Need to Know in 2024 webinar
9/13/24: Healthy Communities & WeTHRIVE! Meeting
9/14/24: Food Equity Youth MOVE Presentation (NAMI)
Tobacco Free Living (TFL) – Courthney Calvin
Project/ Meeting Title: Youth Vape Presentation
Educate Cincinnati youth on the dangers of e-cig use.
# of Students Project Partners and Status Next Steps
Schools on Summer
Break
Partners:
---------------------
Status: Active
Plan:
Meeting frequency:

-- 54 of 116 --

Program supported projects/ meetings:
8/29/24: Mandela Fellow Farewell Presentation and Celebration
9/9/24: Jasmine: Mt. Airy Weekly Afterschool Presentation Series
9/12/24: Meeting with director of CHD pharmacy-Cessation project
9/12/24: Meeting with Title X/Reproductive health manager-Education in schools
9/13/24: University of Cincinnati Cancer Advisory Board Retreat
Tobacco 21/Tobacco Retail License (TRL) - Allyn Griffith
Tobacco Retail Licensing/T21
License any retailer in the City of Cincinnati selling tobacco products. Conduct underage buy attempts and issue citations to
enforce tobacco 21 laws.
Status Next Steps
223 - TRL renewals made.
29 - Annual applications completed.
291 - Identified retailers registered.
160 of inspections (55% total retailers
inspected).
Plan:
• Continue Inspections until further notice.
• Hire underage buyer(s).
Worksite Wellness & Active Living – Scott Dean
Healthy Eating Active Living (HEAL) Capacity Building Grant for Carthage
Increased capacity for Carthage residents to engage in Healthy Eating and Active Living (HEAL) projects by conducting the
PSE assessment and identifying 1 priority health strategy.
# of Meeting since last
report
Project Partners and Status Next Steps
4 Partners: Identified 36 partner agencies
---------------------
Status: Active
Completed Back to School event on
Carthage Night Out and continued to push
the usage of our CAGIS Pedestrian Hazard
Map. Around 400 community members
were in attendance.
• Walk audit with smaller groups.
• Continue pushing usage of the CAGIS
Pedestrian Hazard map we created for
the community to track issues.
Meeting frequency:
Monthly with additional meetings as needed
Y.E.S on Bike & Pedestrian Safety
The aim of this education series is to increase youth knowledge around the responsibilities of pedestrians, cyclists, and drivers
to create a culture of safe transportation in neighborhoods.
# of Meeting since last
report
Project Partners and Status Next Steps

-- 55 of 116 --

1 Partners: Cincinnati Public School (CPS),
Tri-State Trails, Green Umbrella: Green
Schoolyards Team
---------------------
Status: Active
Finalized pilot curriculum and began
presentations.
Continuing to find partners to present to
• Working with CPS contact to identify
which schools to target for this
education.
• Continue work on developing a
comprehensive curriculum.
Meeting frequency: Monthly
Program supported projects/ meetings:
8/22/24 – Cincinnati Parks Foundation Meeting and Brainstorming
8/23/24 – 7Hills Neighborhood House Live on Linn event
8/28/24 – Healthy Lifestyles Wellness Committee Focus Group
8/28/24 – Monthly Steering Committee for Winton Hills Plan
8/30/24 – Eviction Prevention Meeting
8/30/24 – CHIP Housing Team Meeting
9/4/24 – Walk, Ride, and Roll Webinar Series: Celebrating Ruby Bridges Walk to School Day
9/4/24 – LEAP Traffic Garding Project and Funding Meeting
9/4/24 – Carthage Civic League Night out
9/6/24 – University of Cincinnati’s Counselor and Community Meeting
9/9/24 – Making the case for increasing physical activity through community design
9/9/24 – Mt. Airy Afterschool Presentation
9/10/24 – Mill Creek Triangle Steering Committee Meeting
9/13/24 – Healthy Communities/WeTHRIVE Joint Meeting
9/13/24 – Eviction Prevention Meeting
Men’s Health – Eric Washington
Project/ Meeting Title: Buckeye Health Plan and Men’s Health
# of Meetings Since
Last BOH Meeting
Project Partners and Status Next Steps
3
Meetings
Partners:
Buckeye Health Plan – “What’s your
numbers.”
Status: Ongoing
Plan:
• Final Report Submitted
• Next Step: Review Barbershop Series for
fall ‘24
Meeting frequency: Monthly x2
Project/ Meeting Title: Brother You’re On My Mind
Details/ description
# of Events Since Last
BOH Meeting
Project Partners and Status Next Steps
Monthly (Barbershop) and
Weekly for Mentorship
Partners:
Omega Psi Phi – Barbershop Talk
(Mental Health) and Youth Mentorship
(Bowling)
Status: (Ongoing Monthly)
Plan:
• Conversation dealing w/ Mental Health
and Youth Mentorship
Meeting frequency: Monthly x1 & Weekly
Project/ Meeting Title: Men’s Health Partnership/Resource (Maple Towers)
Details/ description
# of Events Since Last
BOH Meeting
Project Partners and Status Next Steps
1 Meeting Partners: Maple Towers Plan:

-- 56 of 116 --

Awareness, Education and Prevention
Status: Ongoing
• Ask the Doctor with Mandela W. Fellow -
Discuss around Chronic Disease, Mental
Health
Meeting frequency: Monthly x1
Project/ Meeting Title: Men’s Health (Senior Chateau)
Details/ description
# of Meetings Since
Last Meeting
Project Partners and Status Next Steps
1 meeting Partners: Senior Chateau
-Awareness, Education, Resource and
Prevention
Status: Ongoing/Pending
Plan:
• Establish meeting dates and times.
• Future Topics (Men’s Health)
• Next Meeting March 15th 1-3:00
Meeting frequency: Monthly x1
Project/ Meeting Title: Men’s Health Referral System and Survey
Details/ description
# of Projects Since Last
BOH Meetings
Project Partners and Status Next Steps
Project Partners:
Potential Partners:
CHD Community Health Workers/Home
Health
Shared QR Status: (Ongoing)
Plan:
• Review and Re-evaluate
Meeting frequency: Ongoing
Project/ Meeting Title: Citi Camp
Details/ description
# of Meetings Since
Last BOH Meetings
Project Partners and Status Next Steps
3 Partners:
• Cincinnati Police
Status: (Ongoing/Pending
Plan: Planning meeting - TBD
Meeting frequency: Monthly x 3
Meeting Dates:
8/19/24 – The Heart of Northside -Meeting with Dr. Florence Rothenberg
- Hamilton County Public Health Meeting w/ E. Ventus – Black Men’s Wellness Walk
8/20/24 – Recovery Ohio Drug Trends Monthly Meeting
- Input Update TRL/T21 ON Policy Mapping
8/21/24 – CHIP Behavioral Health Workgroup
8/22/24 – CHES Core Staff Meeting
8/23/24 - OPP Youth Mentoring Meeting
8/26/24 - Community Tour Meeting w/ J. Berry
- AHA Meeting
- One Stop Meeting
8/27/24 - Community Meeting w/ J. Berry
- OneOhio Update Meeting
8/28/24 – Healthy Communities Meeting
- Healthy Lifestyles Committee Focus Group Meeting
8/29/24 – Title X Meeting

-- 57 of 116 --

Mandela Fellow Farewell Presentation
Maple Tower Meet the Doctor
9/12/24 – LWPC Meeting
Community Outreach – Justin Berry (August)
Project/ Meeting Title – Community Outreach
Details/ description
# of … Project Partners and Status Next Steps
3 Meeting and
Community
Members reached)
89
Partners:
GCB, City Gospel, Heroin Coalition Team,
CCRC, Step Stone and DeCoach, First Step
Home, Treatment Team, CRC Rec Center,
Our daily Bread)
Status: (Ongoing)
Nacarn- 30 kits passed out in community
Narcan trainings-
Chase Park
8/21/24
Plan:
Meeting frequency:
(Monthly and Bi-Monthly)
The month of August was a good month as far as
connecting with people. Over the month of August I
have successfully helped four people with changing
lives events. The biggest highlight of the month was
me helping someone receive a job. I assisted the
client with filling out the application, checking and
calling about the job, and assuring he had the proper
attire for the interview. I was able to talk to the
manager at a motel and he let my client say there for
free so he could shower in the morning for his
interview. I showed up to the motel, at 6am and gave
client a hair cut. Client was thankful and he received
the job. This client had been client for 20+ years but
relapsed during Covid and had be struggling, but he
has been client.

-- 58 of 116 --

MONTH: (2024) JAN FEB MAR APR MAY JUN JUL AUG
SEP OC
T
NO
V
DEC
Open cases: 97 92 97 86 83 84 84 87
3.5-9 μg/dL case mgt &
follow-up: *
22&
22
22&
24
20/2
0
16/2
0 8/10 16/7
27/1
5
41/1
2
10+ μg/dL case mgt &
follow-up:
4&1
5
2&1
8 3/15 4/12 2/20 3/11 6/12 3/10
Risk assessments: 4 1 2 2 3 1 5 3
Orders issued: 0 2 0 4 2 0 5 2
Clearances EBL: 1 1 1 3 4 1 1 1
Clearances HUD: 0 0 1 2 0 0 6 2
Owner meetings EBL: 1 3 0 0 3 0 0 0
Owner meetings HUD: 1 1 0 0 4 1 1 1
Compliance checks EBL: 23 25 19 22 21 62 20
Compliance checks
HUD: 0 0 3 0 1 0 1 1
Contractor mtgs EBL: 0 0 1 0 0 0 2 0
Contractor Meetings
HUD: 3 5 4 3 1 9 5 7
Filed for prosecution: 0 0 0 0 0 0 0 0
LIRAs: 8 4 8 4 6 5 5 4
Grant apps uploaded
(ODH /ODD/HUD) 7&2 11 1/2 5/1 4/0 2/0 13/0
3/4/
1
Case Update w/ Lead
Clinic: 10 12 13 10 11 9 7 11
Affidavit of Fact 0 0 0 0 0 0 0 0

-- 59 of 116 --

Risk Assessment: If a child has a lead level of 10 ug/dL and above, a risk assessment of the property is conducted to
determine the source of lead poisoning.
Orders issued: If lead hazards are present on the property, orders are issued to the property owner to ensure compliance.
Clearances: These include soil and dust sample analysis for lead on EBL & HUD grant properties.
Owner Meetings: Meet with owners to discuss compliance with orders; meet with owners to discuss the HUD grant
program.
Compliance checks: These are conducted to inspect the licensed lead abatement contractors and workers on the project
sites for the EBL as well as the grant program.
Contractor meetings: Meet with the licensed lead abatement contractor at the job site/property to discuss the orders/work
specifications for the EBL/HUD grant program.
Filed for prosecution: When non-compliance is achieved, the property owner is referred to the Law Department for
enforcement action.
PIRA’s: Paint Inspection/Risk Assessment of the house to evaluate lead hazards for lead remediation by the HUD grant.
Case update with Lead Clinic: Collaboration with CCHMC Lead Clinic every Thursday.
Affidavit of Fact (AF): When all resources for compliance are exhausted, the AF is sent to the Auditor’s Office to flag
properties with lead hazards so new owners are aware of the BOH Lead orders on the property.

-- 60 of 116 --

August 2024 BOH Report
Emergency Preparedness/Safety
Meetings, Grants, and Employee Safety
Attended and presented at the City-Wide Safety Task Force meeting on August 7.
Conducted respirator fit testing at the Burnet and Jing offices August 9.
Attended the ODH Integrated Preparedness Planning Workshop August 12.
Conducted respirator fit testing at Millvale Health Center August 19.
Attended DHS CWMD exercise team Final Planning Meeting for the BioWatch Functional Exercise on August
19.
Conducted respirator fit testing at Braxton Can Health Center August 22.
Attended CHES Core Staff Meeting August 22.
Conducted Respirator fit testing at Bobbie Sterne Health Center August 23.
Training Exercises and Improvement Plans
Staff successfully participated in the biannual MARCS radio communication test on August 6.
Response/Preparedness Activities
Staff conducted indoor air monitoring for carbon monoxide at the Monster Jam event at Heritage Bank Center
August 24 and 25.

-- 61 of 116 --

Cincinnati Vital Records and Statistics Program
Monthly Dashboard for August 2024
Vital Records received payment for 38 affidavits, staff assisted customers with birth certificate corrections
using the affidavit process.
Vital Records staff assisted 9 families with paternity affidavit process to add the father to a birth
certificate.
Vital Records received 138 payments for permits (burial, cremation, transport, or entombment).
Birth and Death Certificates requested from the kiosk, web system, mail and VitalChek are shown in the
chart that follows.
May 2024 Kiosk Web VitalChek@ Mail
Birth Certificates 1867 1278 223 7
Death Certificates 138 1260 56 24
Total Payments $44,881 $62,495 $6,418 $810

-- 62 of 116 --

*Note: CCP = Critical Control Point Inspections.
*Note: FSO = Food Service Operations; RFE = Retail Food Establishment.
Environmental Health
The Environmental Health Division strives to provide quality community-based services to Cincinnati citizens through the enforcement of public health laws. Through five offices (including Licensing Administration), the Division
issues licenses, investigates complaints, abates public health nuisances, and conducts inspections of Cincinnati’s restaurants, food trucks, grocery stores, festivals, composting facilities, tattoo and body piercing parlors, infectious
waste facilities, junk vehicles, solid waste open dumps, swimming pools and spray grounds, mosquitoes, rabies exposures, household sewage treatment systems, smoking in public places, mold, no water, no heat, rat and mouse,
surfacing sewage, roaches, defective plumbing, schools, unsanitary living conditions, hotels, and institutions, along with other programs. The Environmental Health Specialists focus on prevention, consultation, and educating our
thriving community on health risks and maintaining a safe environment.
*Averages for each category are based on the last five years average for the same month.
CITY OF CINCINNATI ENVONMENTAL HEALTH REPORT
FOOD INSPECTION PROGRAM
The Food Safety Program reported the new food license fees for 2025 to the Board of Health. We issued 18 Temporary licenses this month. Holy Cross Imaculata (8/2/24), Hard Rock Casino (8/9/24), Black Family Reunion (8/15/24), P&G Event
(8/21/24), EWH Farmer's Market (8/22/24), Monster Jam (8/25/24), Hard Rock Casino (8/31/24).
2694
2510 2655
2471
2666 2652
3007
1365	1337
968
328 310
514
759 617
210
1172 1250
1050 1026
1285
1092
1280
613
0
500
1000
1500
2000
2500
3000
3500
2017 2018 2019 2020 2021 2022 2023 2024
Food Service Operations (FSO) by Year Inspections
Reinspections
CCP Inspections
62 	29
Reinspections
Total
	Last Month	
AUG Average
249 	226
Inspections
AUG Average	
Total
	Last Month
113 	142
CCP Inspections
AUG Average 	Total
	Last Month
 695
604 609 575 585 562
658
329
456
229
84 100
164 154
102
35	
56 55 55 44 60 57 37 31	
4 2 4 6
64
7 9 4
0
100
200
300
400
500
600
700
800
2017 2018 2019 2020 2021 2022 2023 2024
RFE Program by Year RFE Inspections
RFE Reinspections
RFE Process Review
Variance Verification
52 	40
RFE Inspections
AUG Average 	Total
	Last Month
13 	4
RFE Reinspections
AUG Average 	Total
	Last Month
6 	8
RFE Process Reviews
AUG Average 	Total
	Last Month
1 	0
Variance Verifications
AUG Average 	Total
	Last Month
310 338
381
253 226
288
491
264
100
45	
78 73
34 35 33 19
0
100
200
300
400
500
600
2017 2018 2019 2020 2021 2022 2023 2024
FSO & RFE Complaints by Year
Complaints - Inspection
Complaints - Reinspection
26 	2
Complaints - Inspection
AUG Average 	Total
	Last Month
4 	2
Complaints - Reinspection
AUG Average 	Total
	Last Month
402
261 271
38
154
291 287
244
10 5	
26 14 10 5 12 20
46
15	
38 43 52 61 54 72	
50 63 63
133
67
43
142
80
35
65
90
121
31
58 46 48
0
50
100
150
200
250
300
350
400
450
2017 2018 2019 2020 2021 2022 2023 2024
Temp Mobile Vending Licenses by Year Temporaries License
Temporary Day Inspections
Mobile Licenses, New
Mobile Inspections
Vending Inspections
25 	18
Temporaries Licenses
AUG Average 	Total
Last Month
1 	0
Temporary Day Inspections
AUG Average 	Total
	Last Month
6 	17
Mobile Licenses, New
AUG Average 	Total
	Last Month
6 	18
Mobile Inspections
AUG Average 	Total
	Last Month
0 	0
Vending Inspections
AUG Average 	Total
	Last Month
226
191
245 240 250
214	
230
171
149
125 138 128
176
133
163
109
55 56
110 100 114
96
118
51
0
50
100
150
200
250
300
2017 2018 2019 2020 2021 2022 2023 2024
Plan Review Applications by Year FSO/RFE Plans Received
FSO/Plans Approved
FSO/RFE Plans Rejected
20 	19
FSO/RFE Plans Received
AUG Average 	Total
	Last Month
14 	22
FSO/RFE Plans Approved
AUG Average 	Total
	Last Month
6 	7
FSO/RFE Plans Rejected
AUG Average 	Total
	Last Month
 14
8
9
8 8
6 6
4
14
7
9 9 9
7
4
6
0
2
4
6
8
10
12
14
16
2017 2018 2019 2020 2021 2022 2023 2024
Food Safety Traning Classes by Year
ServSafe Training Classes
PIC Training Classes
1 	1
ServSafe Training Classes
AUG Average 	Total
	Last Month
1 	1
PIC Training Classes
AUG Average 	Total
	Last Month

-- 63 of 116 --

*Note: Plan Reviews are only completed when there is a new facility or renovation
*Note: Class is based on food preparation risk and facilities size.
*Note: This data reflects the number of complaints received for the entire city
HEALTHY HOMES PROGRAM
The Healthy Home Staff had a meeting with REM Capital, Law Department and B&I to discuss July inspections of their Cincinnati portfolios and lawsuit agreement. The team participated in CERT and PIVOT meetings.
14 9 18 11 4 3 7 0
25 19 18 15 22 19 16 16
43	
33 35 32 39 44 41 33
152
140
158
60
163
135
171
135	
146 140
84
15
0
128
171
119
0 0 0 0 0 0 0 0	
0
20
40
60
80
100
120
140
160
180
2017 2018 2019 2020 2021 2022 2023 2024
School Food Inspections/Healthy Homes RFE/FSO - Class 1
RFE/FSO - Class 2
RFE/FSO - Class 3
RFE/FSO - Class 4
RFE/FSO - CCP
RFE/FSO - Mobile
0 	0
RFE/FSO-Class 1
AUG Average 	Total
	Last Month
0 	0
RFE/FSO-Class 2
AUG Average 	Total
	Last Month
0 	0
RFE/FSO-Class 3
AUG Average 	Total
	Last Month
1 	0
RFE/FSO-Class 4
AUG Average 	Total
	Last Month
0 	0
RFE/FSO-CCP
AUG Average 	Total
	Last Month
0 	0
RFE/FSO-Mobile
AUG Average 	Total
	Last Month
0
4 4
2
1 1 1 1
0
4 4
2
0
1 1 1
0 0 0 0 0 0 0 0	
0
1
2
3
4
5
2017 2018 2019 2020 2021 2022 2023 2024
School Food Plan Review Applications by Year
FSO/RFE Plans Received
FSO/RFE Plans Approved
FSO/RFE Plans Rejected
0 	1
FSO/RFE Plans Received
AUG Average 	Total
	Last Month
0 	1
FSO/RFE Plans Approved
AUG Average 	Total
	Last Month
0 	0
FSO/RFE Plans Rejected
AUG Average 	Total
	Last Month
3129 3084
2750
2367
2885
3933 3751
2307
2903 2974
2434 2287
2680 2737 2945
1944
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2017 2018 2019 2020 2021 2022 2023 2024
General Nuisance by Year Total Complaints
Received
Total Complaints
Finished
329 	316
Complaints Received
AUG Average 	Total
	Last Month
262 	328
Complaints Finished
AUG Average 	Total
	Last Month
0
200
400
600
800
1000
1200 General Nuisance Complaints 2018
2019
2020
2021
2022
2023
2024
25
31
22
17
14
11
25
10
31 30
37
14 15
11
23
9
0
5
10
15
20
25
30
35
40
2017 2018 2019 2020 2021 2022 2023 2024
Smoking Complaints by Year
Complaints Received
Complaints Finished
3 	2
Complaints Received
AUG Average 	Total
	Last Month
2 	0
Complaints Finished
AUG Average 	Total
	Last Month

-- 64 of 116 --

ENVIRONMENTAL WASTE PROGRAM
The Waste Unit conducted plan review, inspected and licensed one new body art establishment. Whitton Container Waste & Recycling was inspected and will be receiving their PTI for the Processing Facility.
3 	2
Complaints Received
AUG Average 	Total
	Last Month
2 	0
Complaints Finished
AUG Average 	Total
	Last Month
1072
871
971 942 902 918 960
864
1076
979 969 909 916 887
974
735	757
578
687 652 658
787 793
668
320 262 274 260 270	
200 223 165
0
200
400
600
800
1000
1200
2017 2018 2019 2020 2021 2022 2023 2024
Junk Vehicles by Year Junk Vehicle Complaints,
New
Junk Vehicle Re-
Investigations
Junk Vehicle Complaints
Closed
Junk Motor Complaints
Refer to Tow
95 	129
Junk Vehicle Complaints, New
AUG Average 	Total
	Last Month
92 	78
Junk Vehicle Re-investigations
AUG Average 	Total
	Last Month
73 	93
Junk Vehicle Complaints Closed
AUG Average 	Total
	Last Month
25 	23
Junk Motor Complaints Refer to Tow
AUG Average 	Total
	Last Month
71
28 24 29 27 32 30
14
223
105 95
128	
140
123
177
42
63
25 30 36 34 36 41
11
0
50
100
150
200
250
2017 2018 2019 2020 2021 2022 2023 2024
Open Dumping by Year Open Dumping Complaints, New
Open Dumping Re-Investigations
Open Dumping Complaints Closed
5 	4
Open-Dumping Complaints
AUG Average 	Total
	Last Month
16 	10
Open-Dumping Re-Investigations
AUG Average 	Total
	Last Month
4 	4
Open-Dumping Complaints Closed
AUG Average 	Total
	Last Month
30 29 34
15 21 24 24
10
133
102
123
0
75
93 92
59
7 3 0 0 1 0 0 0	1 0 0 0 0 0 0 0	
0
20
40
60
80
100
120
140
2017 2018 2019 2020 2021 2022 2023 2024
Infectious Disease by Year Treatment Facility Inspections
IW Large Quantity Generator
Inspect
IW LQG Re-Inspections
0 	0
Treatment Facility Inspections
AUG Average 	Total
	Last Month
7 	0
IW Large Quantity Generator Inspections
AUG Average 	Total
	Last Month
0 	0
IW LQG Re-Inspections
AUG Average 	Total
	Last Month
0 	0
IW Complaints
AUG Average 	Total
	Last Month
4 4 4 4
5
4
5
3
6
4
5
4 4 4
5
4
5
4
5
4
6
7
6
2
0
1
2
3
4
5
6
7
8
9
10
2017 2018 2019 2020 2021 2022 2023 2024
Landfill Inspections by Year Closed Landfill
Inspections
Transfer Station
Inspection
Compost Facility
Inspections
0 	0
Closed Landfill Inspections
AUG Average 	Total
	Last Month
0 	1
Transfer Station Inspection
AUG Average 	Total
	Last Month
0 	0
Compost Facility Inspections
AUG Average 	Total
	Last Month
73
54 61 61
74
60
158
49
91
53 46 42
59
48
116
38
0
20
40
60
80
100
120
140
160
180
2017 2018 2019 2020 2021 2022 2023 2024
Tire Storage Facility Inspections by Year Tire Storage Facility
Inspections
Tire Storage Facility Re-
Inspections
7 	4
Tire Storage Facility Inspections
AUG Average 	Total
	Last Month
7 	5
Tire Storage Facility Re-Inspections
AUG Average 	Total
	Last Month
82
21 16 11 33 0 3
100
17 10 10 10 0 2
196
4 5 5 6
99
1
87
1 14 14 12 2 9
246
7 11 11 8
136
4
431
4 22
309
14
295
7
548
0 17 13 10
401
9
585
1
462 462
9
440
1	
0
100
200
300
400
500
600
700
Body Art
Inspections
Body Art Re-
Inspections
Body Art Plans
Received
Body Art Plans
Approved
Body Art Licenses
Issued (New)
Body Art Temp
License Issued
Body Art
Complaints
Body Art 2017
2018
2019
2020
2021
2022
2023
2024

-- 65 of 116 --

Technical licensed two new swimming pools and one new spa in August. Our three seasonal swimming pool techs finished their assignments at the end of the month. Staff interviewed candidates for an open EHS position.
TECHNICAL ENVIRONMENTAL SERVICES (TES)
7 	4
Tire Storage Facility Inspections
AUG Average 	Total
	Last Month
7 	5
Tire Storage Facility Re-Inspections
AUG Average 	Total
	Last Month
583
528 515
433
537
677
793
492	
465
544
707 726
856 829
530
385
0
100
200
300
400
500
600
700
800
900
2017 2018 2019 2020 2021 2022 2023 2024
Rabies Investigations by Year Investigation
Re-investigation
55 	58
Investigations
AUG Average 	Total
	Last Month
59 	54
Re-Investigations
AUG Average 	Total
	Last Month
601 599
775	
834 840
902
1075
802
456 417 438
308
395 356 304 260
1015 1033 1013
652
1011
884
733
830
13 33 75 111 91 117 86 66	58 98 91 57 100 51 37 46
0
200
400
600
800
1000
1200
2017 2018 2019 2020 2021 2022 2023 2024
Swimming Pools by Year Inspections
Complaint Investigation
Sampling
Re-inspection
Complaint Re-
investigation
155 	136
Inspections
AUG Average 	Total
	Last Month
87 	53
Complaint Investigations
AUG Average 	Total
	Last Month
254 	223
Sampling
AUG Average 	Total
	Last Month
14 	13
Re-Inspections
AUG Average 	Total
	Last Month
7 	0
Complaint Re-Investigations
AUG Average 	Total
	Last Month
613
537 503
623
570
699
782
344
130 112 102 122 151 132
236
76	66
129 120 132 168	
124 130 128
8
81 93 66 82 101 78 71	63
373 407
291 312
424 431
248
0
100
200
300
400
500
600
700
800
900
2017 2018 2019 2020 2021 2022 2023 2024
Sewage (HSTS) by Year Inspections
Investigation
Completed
Re-inspection
Sampling/Recorder
8 	6
Inspections
AUG Average 	Total
	Last Month
1 	4
Investigations
AUG Average 	Total
	Last Month
2 	1
Completed
AUG Average 	Total
	Last Month
2 	0
Re-Inspection
AUG Average 	Total
	Last Month
4 	6
Sampling/Recorder
AUG Average 	Total
	Last Month
740
1189
1448
985
1748
987
824
489
58
811 853
715
849
461
598
364
19
282	
387 433
736
361
485
212
0
495 550
307 277
476	
371
542
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2017 2018 2019 2020 2021 2022 2023 2024
Sewer Baiting by Year Rodent Baiting
Complaint Investigation
Complaint Re-
investigation	
Recorder
53 	10
Rodent Baiting
AUG Average 	Total
	Last Month
50 	23
Complaint Investigations
AUG Average 	Total
	Last Month
29 	6
Complaint Re-Investigations
AUG Average 	Total
	Last Month
9 	20
Recorder
AUG Average 	Total
	Last Month
25
28
22
20
15 15 15 15
10
25
29
32
28
2 3
8
0
5
10
15
20
25
30
35
2017 2018 2019 2020 2021 2022 2023 2024
Vectorborne Disease by Year Complaint Investigation
Complaint Re-
investigation
2 	1
Complaint Investigations
AUG Average 	Total
	Last Month
1 	1
Complaint Re-Investigations
AUG Average 	Total
	Last Month
61 61 56 32 23 24 25 37
534 565
399
469
408 433
578
434
31	
73 64
15 21 18 17 14
67 80 76 55 40 21 24 41
0
100
200
300
400
500
600
700
2017 2018 2019 2020 2021 2022 2023 2024
Mosquito by Year Complaint Investigation
Monitoring/Sampling
Sampling/Recorder
Complaint Re-investigation
7 	9
Complaint Investigations
AUG Average 	Total
	Last Month
121 	151
Monitoring/Sampling
AUG Average 	Total
	Last Month
5 	4
Sampling/Recorder
AUG Average 	Total
	Last Month
7 	7
Complaint Re-Investigations
AUG Average 	Total
	Last Month

-- 66 of 116 --

Monthly Infectious Disease
Surveillance Summary,
August 2024
Reportable Condition is by Category (For a description of listed conditions, see
https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/infectious-
disease-control-manual/section3/idcm-section-3.)
2024
August 2024 YTD 2023
August 2023 YTD 2023 Rate
Cincinnati 5 Year
Average Rate
(2019-2023)
Ohio 5 Year
Average Rate
(2015-2019)
Food- or Waterborne 15 94 20 100 46.22 47.32 12.32
Amebiasis 1 0.33 0.19 0.10
Brucellosis 0.06 < 0.001
Botulism 0.06 0.10
Campylobacteriosis 1 18 2 22 10.0 10.65 18
Cryptosporidiosis 7 14 7 15 7.43 3.25 7.50
Cyclosporiasis 2 0.66 0.84 0.50
E. coli, Shiga Toxin-Producing O157:H7 1 5 1 8 4.52 3.76 0.70
Giardiasis 7 2 8 4.20 4.22 3.70
Hepatitis A (also vaccine-preventable) 2 2 0.66 2.86 6.10
Legionellosis - Legionnaires' Disease 1 5 8 3.88 3.96 5.90
Listeriosis 0.52 0.30
Salmonellosis 1 25 4 15 6.78 9.42 12.70
Salmonella Typhi* 1 1
Shigellosis 3 11 1 12 5.17 6.30 5.80
Vibriosis (not cholera) 2 0.33 0.32 0.30
Yersiniosis 1 7 6 2.26 0.91 0.60
Vectorborne 0 12 1 7 3.24 2.92 0.60
Chikungunya Virus Disease* 0.13 <0.001
Dengue 2 0.13 0.10
Lyme disease 3 1 2 0.66 1.30 2.30
Malaria* 6 5 2.58 1.17 0.50
Spotted Fever Rickettsiosis 0.13 0.30
Ehrlichiosis-Ehrlichia chaffeensis 0.06 0.10
Anaplasmosis-Anaplasma phagocytophilum 1 0 -
Vaccine-Preventable 4 303 3 57 43.62 86.37 91.00
Hemophilus influenzae, invasive disease 6 10 3.23 3.05 2.10
Influenza-associated hospitalization 1 253 15 23.9 67.34 77.30
Mumps 1 0.26 0.40
Pertussis 6 1 1.62 3.12 7.20
Meningococcal disease – Neisseria meningitidis 0.33 0.13 -

-- 67 of 116 --

S. pneumoniae, invasive (abx susceptible/unknown) 20 23 11.63 9.68 -
S. pneumoniae, invasive (abx resistant) 1 7 3 5 0.97 2.79 -
Varicella (chickenpox) 2 10 3 1.94 2.39 3.90
Reportable Condition2 by Category (For a description of listed conditions, see
https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/infectious-
disease-control-manual/section3/idcm-section-3.)
2024
August
2024
YTD
2023
August
2023
YTD 2023 Rate
Cincinnati 5 Year
Average Rate (2019-
2023)
Ohio 5 Year
Average Rate
(2015-2019)
Viral Hepatitis 29 288 33 292 144.76 178.58 193.12
Hepatitis B, acute (also vaccine-preventable) 4 0.33 1.56 2.80
Hepatitis B, chronic, newly identified (also vaccine-preventable) 7 87 8 50 24.23 25.91 20.62
Hepatitis B, perinatal 0.13 -
Hepatitis C, acute 1 2 0.33 2.47 2.68
Hepatitis C, perinatal 3 0.33 0.52 <0.001
Hepatitis C, chronic, newly identified 22 193 25 242 119.54 147.99 167.02
Other Conditions# 1237 4202 717 4018 2511.39 - 2.34
Carbapenemase-Producing Organisms (CPO) 1 14 4 28 14.86 5.58 Not Yet Reportable
Candida Auris 4 63 13 84 38.45 18.44 <0.001
COVID-19 1226 4077 698 3852 2432.21 5,793.38 (4-year rate) Not yet Reportable
Coccidioidomycosis 1 1 0.33 0.65 0.20
Creutzfeldt-Jakob Disease 0.06 0.10
Hemolytic uremic syndrome (HUS) 0.06 <0.001
Meningitis, aseptic 1 11 10 4.85 5.06 5.40
Meningitis, bacterial (not N. meningitidis) 2 7 1 4 2.26 2.60 1.10
MPOX 2 2 0.97 1.50 (2-year rate) Not Yet Reportable
Multisystem Inflammatory Syndrome in Children (MIS-C)
associated with COVID-19 1.17 (4-year rate) Not Yet Reportable
Staphylococcal aureus - intermediate resistance to vancomycin
(VISA) 0.06 0.10
Streptococcal, Group A, invasive 2 24 1 32 15.51 9.29 4.80
Streptococcal, Group B, newborn 1 3 3 1.29 0.84 -
Toxic Shock Syndrome (TSS) 2 0.66 0.39 <0.001
Typhus Fever 0.06 -
TOTAL CONFIRMED AND PROBABLE CASES 1285 4899 777 4474 2749.23 - 299.38
Dermatologic 1 3 1 8 3.86 0.93
Gastrointestinal 3 1 5 1.62 1.46
Respiratory 6 35 11 43 27.46 25.61
Other 5 0.66 0.65
Outbreaks (Investigation started) 7 44 13 56 33.60
1) Confirmed and probable cases reported by health care providers and laboratories among residents of the City of Cincinnati by date of event (most frequently, the date of event is the date of illness onset).
2) List includes only reportable conditions for which at least one case was reported in either year; the full list of reportable conditions in Ohio can be found at https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/infectious-disease-control-manual.
3) All data was provided through the Ohio Disease Reporting System – All data is provisional and subject to change.
*Acquired through international travel
^CP-CRE (Carbapenemase-Producing Carbapenem-Resistant Enterobacteriaceae) is a multi-drug resistant condition newly reportable as of March 2018.

-- 68 of 116 --

#Note that sexually-transmitted infections, Human Immunodeficiency Virus (HIV) infections (including AIDS) and Tuberculosis are investigated and reported by Hamilton County Public Health and are not included here.
- Case rates use the 2019 5-year U.S Census estimates and are per 100,000 residents
Any dash (-) indicates there was no available data at the time this report was published due to either lack of cases in the last 10 years, or age restrictions when calculating rates with population.

-- 69 of 116 --

Power BI Desktop
TOTAL CASES
93693
Active Cases
747
Total Hospitalized
3558
TOTAL DEATHS
809
Recovered Cases
92125
73535
Confirmed
20158
Probable
116
Probable
693
Confirmed
Females
53126
Males
39680
Age Range
0 - 107
Median Age
34 Onset of Symptoms
1/5/2020 - 9/9/2024
Total New Cases
167 75
New Confirmed
92
New Probable
New Cases by Sex
92 (55%)
74 (44%)
1 (1%)
Sex
Female
Male
Unknown
New Cases by Race
(50.3%)
(40.12%)
5% (5.39%)
50%
40%
Race
White
Black
Other
Unknown
Asian
HawaiinNative_…
Sex 	0-1 1-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99
Female 	1 3 	14 	19 	9 	7 	10 	13 	9 	7
Male 	2 8 	6 	9 	2 	6 	8 	13 	12 	7 	1
Unknown 	1
Total 	3 11 	20 	28 	11 	13 	18 	26 	22 	14 	1
New Cases by Age & Sex
0
10
20
Age Group
0-1 	1-9 	10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99
Sex Female Male Unknown
Epidemiological Curve - Weekly Reported Cases
0
100
200
300
Number of Cases Reported Weekly
Jan 2023 	Jul 2023 	Jan 2024 	Jul 2024
Confirmed Probable
Epidemiological Curve (Weekly Case Rate per 100,000)
0
50
100
Date
Rate Per 100,000
Jan 2023 	Jul 2023 	Jan 2024 	Jul 2024
Confirmed Rate Probable Rate
93693
Total Cases
Total Cases by Sex
53126 (57%)
39680 (42%)
887 (1%)
Sex
Female
Male
Unknown
Total Cases by Race
(39.94%)
38% (38.39%)
(11.63%)
8% (7.86%) 40%
12%
Race
White
Black
Unknown
Other
Asian
AmericanIndia…
RefusedToAns…
HawaiinNative…
Total Cases by Age & Sex
0K
10K
Age Group
0-1 	1-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99 100-120
Sex Female Male Unknown
Sex 	0-1 1-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99 100-120
Female 	649 2719 5166 12958 10181 6737 5718 4863 2430 1205 471 	28
Male 	775 2765 4251 8801 7175 4536 4420 3817 2088 804 237 	7
Unknown 	43 80 	82 181 136 	97 105 	92 	41 	22 	7
Total 	1467 5564 9499 21940 17492 11370 10243 8772 4559 2031 715 	35
3558
Total Hospitalized
Total Hospitalized Cases by Age & Sex
0
200
400
Age Group
0-1 	1-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99 100-120
Sex Female Male Unknown
Sex 	0-1 1-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99 100-120
Female 	22 17 	38 177 188 156 310 399 298 231 103 	3
Male 	19 17 	23 	64 135 165 239 384 309 180 	71 	2
Unknown 	1 	1 	1 	1 	1 	1 	2
Total 	41 35 	62 242 323 322 550 784 609 411 174 	5
Total Hospitalized Cases by Sex
(55%)
(45%)
8 (0%)
1942
1608
Sex
Female
Male
Unknown
Total Hospitalized Cases by Race
2046 (58%)
(35%)
170 (5%)(0%)
1252
9 	Race
Black
White
Other
Unknown
Asian
HawaiinNative…
AmericanIndia…
RefusedToAns…
809
Total Deaths
Total Deaths by Sex
(50%)
(50%)
2 (0%)
404
403
Sex
Male
Female
Unknown
Total Deaths by Race
(50%)
379 (47%)
14 (2%)
402
Race
White
Black
Other
Unknown
Asian
HawaiinNative…
AmericanIndia…
Total Deaths by Age & Sex
0
50
100
Age Group
0-1 	10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99 100-120
Sex Female Male Unknown
Sex 	0-1 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99 100-120
Female 	2 	4 	2 	8 	18 	49 	64 	92 	83 	73 	8
Male 	1 	2 	7 	28 	47 	84 	94 	94 	46 	1
Unknown 	1 	1
Total 	2 	5 	4 	15 	46 	96 148 187 178 119 	9
92125
Total Recovered
Total Recovered Cases by Sex
52261 (57%)
(42%)
883 (1%)
38981
Sex
Female
Male
Unknown
Total Recovered Cases by Race
36734 (40%)
35207 (38%)
(12%)
7314 (8%)
10843
Race
White
Black
Unknown
Other
Asian
AmericanIndia…
RefusedToAns…
HawaiinNative…
Total Recovered Cases by Age & Sex
0K
10K
Age Group
0-1 	1-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99 100-120
Sex Female Male Unknown
Sex 	0-1 1-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99 100-120
Female 	635 2687 5100 12875 10102 6666 5635 4734 2302 1109 395 	20
Male 	763 2737 4207 8765 7146 4481 4350 3692 1956 686 188 	6
Unknown 	43 79 	82 181 136 	97 105 	92 	39 	21 	7
Total 	1441 5503 9389 21821 17384 11244 10090 8518 4297 1816 590 	26
Hospitalizations by Week
0
50
100
Date
2021 	2022 	2023 	2024
Number of Cases (By Week)
0
200
Jul 2024 	Aug 2024 	Sep 2024
48
167
349
53
231 230
71
129
292 234
107
191
255
Interviewed Cases Symptomatic vs. Asymptomatic
28048 (91%)
2789 (9%)
Symptoms
Symptomatic
Asymptomatic
%Hospitalized
3.8%of Total Cases
0.9%Case Fatality Rate
Deaths by Week
0
20
Date
2021 	2022 	2023 	2024
Average Age by Month
0
20
40
Date Month
2022 Septe…	
2022 October
2022 November	
2022 December
2023 January	
2023 February
2023 March	
2023 April	
2023 May	
2023 June	
2023 July
2023 August
2023 September
2023 October
2023 November	
2023 December
2024 January	
2024 February
2024 March	
2024 April	
2024 May	
2024 June	
2024 July
2024 August
2024 September
43.2 43.8 44.6 45.1 41.2 43.5 44.2
48.5 45.9 48.4 45.8
41.2 41.4 41.0 42.7 42.5 41.8 41.1
46.0 44.3 45.4 46.1 43.0 40.7 44.9
7 Day Cumulative New
Cases (Per 100,000)
54.9
CDC Transmission Rate Per 100,000
0
100
200
Jul 2024 	Aug 2024 	Sep 2024
16
55
115
17
76 	76
23 42
96 77
35 63 84
CITY OF CINCINNATI COVID-19 REPORT
Updated 9/12/2024
DATA SHOWN FOR TODAY REFLECTS PAST 24 HOURS
*DATA IS PROVISIONAL CONTINGENT UPON COMPLETION OF CONTACT TRACING AND CONFIRMATION OF JURISDICTIONAL RESIDENCE
**IN ACCORDANCE WITH THE NEW CDC GUIDELINES, THE CDC EXPANDED (PROBABLE) CASE DEFINITION IS INCLUDED IN THIS REPORT. SEE:
https://www.cdc.gov/coronavirus/2019-ncov/covid-data/faq-surveillance.html
**Presumed recovered cases is defined as cases with a symptom onset date/test date >21 days prior who are not deceased. Active cases are defined as cases
with a symptom onset/test date <21 days.
***Jurisdictional transfers added based on the date they were originally reported to the local health department. These are not classified as new cases.
****For more information including detailed maps of City of Cincinnati data, please visit
https://insights.cincinnati-oh.gov/stories/s/x9if-5i85
*****Transmission indicator based on CDC defined criteria
STATE DATA SOURCE: OHIO DISEASE REPORTING SYSTEM (ODRS)
KEY METRICS
WEEKLY NEW CASE INFORMATION
DEMOGRAPHIC REPORT
ADDITIONAL COVID-19 INFORMATION
Regional COVID-19 Variant Report
The graphic below represents genomic surveillance by the CDC for the United States
Variant proportions can be found at https://covid.cdc.gov/covid-data-tracker/#variant-proportions
*Updated 9/12/2024
For more up to date information regarding hospitalizations, please refer to the Center for Clinical &
Translational Science & Training (CCTST) website at: https://www.cctst.org/covid19
*Note this is a regional report and includes data outside of the City of Cincinnati jurisdictional limits
*Transmission rate graph represents the last 3 months

-- 70 of 116 --

Power BI Desktop
Total Cases and %Interviews Completed by Month
0
1000
20%
40%
60%
Date Month
Total Cases
%Interviews Completed
2022 September
2022 October
2022 November	
2022 December
2023 January	
2023 February
2023 March	
2023 April	
2023 May	
2023 June	
2023 July
2023 August
2023 September
2023 October
2023 November	
2023 December
2024 January	
2024 February
2024 March	
2024 April	
2024 May	
2024 June	
2024 July
2024 August
2024 September
Total Cases %Interviews Completed
Symptom Onset to Test Average by Month
2
4
Year
2021 	2022 	2023 	2024
4.24
2.07
4.31
1.75
2.59
3.02
2.16
3.00
2.61
1.93	1.92
2.47 2.61
2.09
Test to Result Average by Month
0
2
4
Year
2021 	2022 	2023 	2024
4.91
0.06
1.43
2.39
0.61
1.15
0.40 0.58 0.24
0.57	0.55	0.50 0.60
0.14
Year %Interviews
Completed
Total Cases
2020 	57.1% 	17113
2021 	30.8% 	32805
2022 	27.7% 	31804
2023 	39.7% 	7620
2024 	31.1% 	4351
Total 	35.3% 	93693
Year Symptom Onset to
Test Average
2020 	2.43
2021 	2.41
2022 	2.30
2023 	2.12
2024 	2.26
Total 	2.34
Year 	Test to Result
Average
2020 	1.69
2021 	0.84
2022 	0.63
2023 	0.25
2024 	0.08
Total 	0.85
CDC Transmission Rate Per 100,000
0
20
40
60
80
100
120
140
Date
Apr 2024 	May 2024 	Jun 2024 	Jul 2024 	Aug 2024 	Sep 2024
22
55
115
6
17
76 	76
23
8
19
9
14 11	9
42
8
16
96
8 	10
77
35
63
12 	14
84
KEY METRICS
COVID-19 Mortality Data
710#COVID-19 Deaths
COVID-19 Deaths and Mortality Rate (per 100,000) by Year
0
100
200
300
0
50
100
Year of Death
#Deaths
Mortality Rate
2020 	2021 	2022 	2023 	2024
226
6
295
40
143
#Deaths 	Mortality Rate
Mortality Rate (per 100,000) by Race
0
100
Year of Death
Mortality Rate
2020 	2021 	2022 	2023 	2024
72
3
82
20
47
86
1
130
7
54
White Mortality Rate Black Mortality Rate
Mortality Rate (per 100,000) by Sex
0
50
100
Year of Death
Mortality Rate
2020 	2021 	2022 	2023 	2024
79
1
97
9
48
71
3
99
17
47
Male Mortality Rate Female Mortality Rate
47.11Total Pop. Mortality Rate
44.72
White Mortality Rate
55.60
Black Mortality Rate
46.74
Male Mortality Rate
47.46
Female Mortality Rate
Result to LHD Average by Month
1
2
3
4
Year
2021 	2022 	2023 	2024
0.92 	0.91
3.95
1.05
1.43
2.10 	2.01
1.01 1.14
0.95 	0.99
1.72
0.93
1.58
Year Average of Result to
LHD
2020 	1.55
2021 	2.07
2022 	2.23
2023 	1.59
2024 	1.27
Total 	1.96
LHD to Monitoring Average by Month
0
5
10
Year
2021 	2022 	2023 	2024
2.33
1.38
11.44
1.38	1.60
6.82
1.91
4.80
1.79
2.97 	2.66 	2.61
1.45 1.96
Year 	Average of LHD to
Monitoring
2020 	4.16
2021 	3.06
2022 	2.09
2023 	1.76
2024 	1.59
Total 	2.89
Symptoms to Monitoring Average by Month
5
10
15
Year
2021 	2022 	2023 	2024
11.89
4.32
15.49
6.13 	5.85
12.56
6.72
10.18
9.13
6.10
8.46
5.12
6.88
5.59
Year 	Average of
Symptoms to
Monitoring
2020 	9.67
2021 	7.32
2022 	5.72
2023 	4.90
2024 	5.02
Total 	6.91
Positive Cases by Race and Sex
0
200
Race
#Positive Cases
Black/African
American
White 	Unknown 	Asian 	Patient
Refused
American
Indian
Pacific
Islander
234
154
42 14 	8 	2
138
84
33 7 	10 	1 	1
Gender Female Male
5258Total CCPC Tested
City of Cincinnati Primary Care COVID-19 Information
728Total CCPC Confirmed Cases
Positive Cases by Sex
454 (62.4%)
(37.6%)
274
Gender
Female
Male
Positive Cases by Race
(51.1%)
(32.7%)
(10.3%)
372
238
75 Race
Black/African…
White
Unknown
Asian
Patient Refus…
American Ind…
Pacific Islander
Positive Cases by Age Group
0
100
Age Group
#Positive Cases
0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90
and
older
93
144
92
139
88 86
61
21 3 	1
Total CCPC Tests and Positivity Rate
0
200
400
0%
10%
20%
30%
#CCPC COVID-19 Tests
Positivity Rate
2020 March	
2020 April	
2020 May	
2020 June	
2020 July
2020 August
2020 Septem…	
2020 October
2020 November	
2020 December
2021 January	
2021 February
2021 March	
2021 April	
2021 May	
2021 June	
2021 July
2021 August
2021 Septem…	
2021 October
2021 November	
2021 December
2022 January	
2022 February
2022 March	
2022 April	
2022 May	
2022 June	
2022 July
2022 August
2022 Septem…	
2022 October
2022 November	
2022 December
2023 January	
2023 February
2023 March
Confirmed CCPC NotDetected CCPC Positivity Rate
13.8%CCPC Positivity Rate
Data Source: Ohio Department of Health, Office of Vital Statistics
*Note the difference between total deaths from vital statistics and the Ohio Disease
Reporting System. This can be due to a variety of factors including: time lag of death
certificate reporting, difference in residential address, and ICD coding.
*Mortality data updated monthly
*CCPC data updated monthly
*Data is provisional Contingent Upon Completion of
Contact Tracing and Confirmation of Jurisdictional
Residence
*Data Source: Epic EMR for City of Cincinnati Primary
Care
Average N2 Levels and COVID-19 Cases (Last 12 Months)
0
500
1000
0E+000
1E+013
2E+013
3E+013
4E+013
Week
Cincinnati and Sewershed Cases
Load_N2_Avg
9/22/2023	
9/29/2023	
10/6/2023	
10/13/2023	
10/20/2023	
10/27/2023	
11/3/2023	
11/10/2023	
11/17/2023	
11/24/2023	
12/1/2023	
12/8/2023	
12/15/2023	
12/22/2023	
12/29/2023
1/5/2024	
1/12/2024	
1/19/2024	
1/26/2024	
2/2/2024	
2/9/2024	
2/16/2024	
2/23/2024	
3/1/2024	
3/8/2024	
3/15/2024	
3/22/2024	
3/29/2024	
4/5/2024	
4/12/2024	
4/19/2024	
4/26/2024	
5/3/2024	
5/10/2024	
5/17/2024	
5/24/2024	
5/31/2024	
6/7/2024	
6/14/2024	
6/21/2024	
6/28/2024	
7/5/2024	
7/12/2024	
7/19/2024	
7/26/2024	
8/2/2024	
8/9/2024	
8/16/2024	
8/23/2024	
8/30/2024	
9/6/2024
Cincinnati Cases Sewershed Cases Load_N2_Avg
Wastewater Data
*The graph above represents the number of reported cases in the City of Cincinnati, reported cases in each greater Cincinnati
sewershed (Little Miami, Mill Creek, Muddy Creek, and Taylor Creek), and compared to the wastewater data (Load N2 Average).
**On 9/25/22, a new method was implemented to improve extraction efficiency (from an average of 15% to about 50%) resulting in
about 50% higher gene copies/L.
**Sample collections paused for the month of September 2023
*Note the date differences for each variable (all grouped by week)
*Sewershed cases based on symptom onset date
*Cincinnati cases based on case report date
*Load N2 Average based on sample collection date
**Updated Weekly
Source: Ohio Disease Reporting System (ODRS), https://coronavirus.ohio.gov/dashboards/other-resources/wastewater

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Greater Cincinnati COVID-19 Situational Awareness*
September 13, 2024
*This information is provided “as-is.” The Health Collaborative and its partners make no representation or warranty, express or implied, including
without limitation any warranties of merchantability, fitness for a particular purposes, non-infringement, or warranties as to the quality, accuracy, or
completeness of the information. Any use or reliance on this information is at the user’s sole risk.

-- 72 of 116 --

Highland County 	Warren County
Clermont County 	Clinton County 	Hamilton County
Adams County 	Brown County 	Butler County
Apr 	May 	Jun 	Jul 	Aug 	Sep 	Apr 	May 	Jun 	Jul 	Aug 	Sep
Apr 	May 	Jun 	Jul 	Aug 	Sep
0
50
100
150
200
0
50
100
150
200
0
50
100
150
200
New COVID-19 cases per 100k in Region 6 by county by week as of 2024-09-11
Source: ODH COVID-19 Dashboard updated on 09/11/2024. Population estimates from US Census Population Estimates Program, Vintage 2019

-- 73 of 116 --

50-59 	60-69 	70-79 	80+
0-19 	20-29 	30-39 	40-49
Apr May Jun Jul Aug Sep 	Apr May Jun Jul Aug Sep 	Apr May Jun Jul Aug Sep 	Apr May Jun Jul Aug Sep
Apr May Jun Jul Aug Sep 	Apr May Jun Jul Aug Sep 	Apr May Jun Jul Aug Sep 	Apr May Jun Jul Aug Sep
0
100
200
300
0
100
200
300
New COVID-19 cases per 100k in Region 6 by age group by week as of 2024-09-11
Source: ODH COVID-19 Dashboard updated on 09/11/2024. Population estimates from US Census Population Estimates Program, Vintage 2019

-- 74 of 116 --

0
50
100
150
Jan
2020
Mar May Jul Sep Nov Jan
2021
Mar May Jul Sep Nov Jan
2022
Mar May Jul Sep Nov Jan
2023
Mar May Jul Sep Nov Jan
2024
Mar May Jul Sep
There have been 5836 deaths due to COVID-19 in Southwestern Ohio
Source: ODH COVID-19 Dashboard updated on 09/11/2024. Population estimates from US Census Population Estimates Program, Vintage 2019

-- 75 of 116 --

Station 273 	Station 304 	Station 395
Station 170 	Station 221 	Station 255
Oct23 	Jan24 	Apr24 	Jul24 	Oct23 	Jan24 	Apr24 	Jul24 	Oct23 	Jan24 	Apr24 	Jul24
0
25
50
75
100
0
25
50
75
100
Percentile
Waste water COVID-19 virus detection level percentile by week in Region 6
Source: https://data.cdc.gov/Public-Health-Surveillance/NWSS-Public-SARS-CoV-2-Wastewater-Metric-Data/2ew6-ywp6

-- 76 of 116 --

Rationale
In support of the 2023 Green Cincinnati Plan strategy to “Increase air
quality studies, education, and reduce pollution from air emissions,”
the City of Cincinnati Office of Environment and Sustainability (OES)
in partnership with the Cincinnati Health Department (CHD) launched
the Cincy Air Watch Project.3
Many Cincinnati residents experience poor outdoor air quality which
contributes to adverse health conditions, including asthma and lung
disease. In 2022, the U.S. Environmental Protection Agency (EPA)
registered 181 days with “moderate,” “unhealthy for sensitive
groups,” or “unhealthy,” air quality index ratings in Cincinnati.4 Ozone
and Particulate Matter (PM) 2.5 contribute significantly to these low
ratings. Other factors include vehicle emissions and industrial
emissions. High air temperatures and ultraviolet radiation further
exacerbate poor air quality. The 2023 GCP identified a goal of
improving air quality so that Air Quality Index healthy days are
increased by 30% by 2028.4
The GCP outlines four priority actions in regard to air quality:3
(1) Expand monitoring of air quality and nuisance odors
incorporating citizen science in priority neighborhoods.
(2) Provide services, resources, and education for residents in
priority neighborhoods on air quality alert system, sources of
poor air quality, and air quality regulations.
(3) Support and fund the development of natural corridors and tree
barriers along streams and rivers, interstates and highways.
(4) Strengthen emissions regulations.
Cincy Air Watch plans to focus initially on the first two actions in
hopes of better informing the second two actions in later phases.
The Green Cincinnati Plan
The city of Cincinnati’s mission is to create
the highest quality of life for its 309,317
residents.1 The city's primary focus is to
address community concerns using data and
feedback from community members, with a
strong emphasis on equity, inclusion, and
people-centered planning.2
The Green Cincinnati Plan (GCP) has been
the city’s sustainability plan since 2008.
Updated every five years (2013, 2018, and
now 2023), the GCP has helped Cincinnati
earn a reputation as an international leader
in climate action. Since 2008, the actions
outlined in the GCP have helped deliver a
36.6% reduction in the city’s carbon
emissions. The 2023 GCP is organized into
eight focus areas that articulate the city’s
visions, goals, strategies, and actions in
response to the climate crisis: Buildings and
Energy, City Operations, Community
Activation, Food, Mobility, Natural
Environment, Resilience and Climate
Adaptation, Zero Waste.3
Cincinnati City Council adopted the 2023
GCP by unanimous vote on Wednesday,
April 19, 2023, committing to taking action
to address climate change in Cincinnati.2
Cincy Air Watch- Project Overview
Community Air Quality Monitoring with PurpleAir Sensors
1

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Background
Priority Neighborhoods
The 2021 Climate Equity Indicators Report, a study by the City of Cincinnati, UC, and Green Umbrella identified the
top neighborhoods with relatively higher asthma rates than other neighborhoods as priority neighborhoods.
These neighborhoods are:
 Millvale
 South Cumminsville
 Lower Price Hill
 Queensgate
 Riverside East
 Sedamsville
 Villages at Roll Hill
 South Fairmont
 North Fairmont
 English Woods
 West End
 Winton Hills
 Avondale
Many of these communities are in
proximity to highways and industrial
development, which are expected
to be primary sources of health
concern. 5
Cincinnati neighborhoods with high rates of asthma often overlap with areas of low tree canopy cover and urban heat
islands* according to the 2021 Climate Equity Indicators Report. Data from this project will help inform the
relationship between local air quality and Cincinnati health outcomes such as asthma, as well as the relationship
between local air quality and our built environment**. 5
Particulate Matter
Poor air quality is proven to negatively impact our health and environment. 3,4,5 The term air quality relates to the
amount of pollution or tiny pieces suspended in the air. The five most commonly studied types of air pollution are
carbon monoxide (CO), ozone (O3), nitrogen dioxide (NO2), sulfur dioxide (SO2), and solid particle pollution called
particulate matter (PM).6
 Particles less than 10 microns or micrometers (μm) in diameter, PM10 (coarse particles).
 Particles less than 2.5 microns or micrometers (μm) in diameter, PM2.5 (fine particles).
Particle size is directly related to potential to cause adverse
respiratory problems. Larger particles impact the upper
respiratory tract and can sometimes be dislodged by coughing,
yet smaller particles can enter lower into the lungs, respiratory
tract, and bloodstream becoming more dangerous and harder to
expel from the body. PM is known to cause aggravated asthma,
decreased lung function, increase respiratory symptoms such as
irritated airways, coughing, or difficulty breathing. It is also linked
to nonfatal heart attacks, irregular heartbeat, and premature
death in individuals with heart or lung disease.6 The Cincy Air
Watch Project has chosen to monitor PM2.5 because of its known
link to adverse health effects.
Cincinnati Asthma Prevalence Map (2021) from the 2021 Climate Equity Indicators Report
*Urban heat islands refer to urbanized areas that experience higher temperatures when compared to
outlying areas due to the density of structures such as buildings, roads, and other infrastructure absorbing
and re-emitting the sun’s heat more than the natural landscape.
** The built environment refers to a person’s physical surroundings in which people live, work, and play
including elements such as buildings, roads and bridges, public spaces, landscapes, utilities and services, and
urban planning.	2

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Project Overview
Cincy Air Watch aims to utilize PurpleAir monitors to measure and communicate real-time outdoor air quality data
for particulate matter (PM2.5) in priority neighborhoods. These small air quality monitors can be easily installed and
upload the air quality data in real-time to a publicly available map on the PurpleAir website.
In the first year of this project, OES and CHD will install 24 monitors in priority neighborhoods, with a focus on areas
where there is expected to be high levels of pollution, such as in proximity to industrial sites and high traffic roadways.
Populations living in these areas are often referred to as environmental justice (EJ) communities, as they experience
disproportionately higher rates of health outcomes, often as a result of environmental stressors.7
This project will add to the current network of PurpleAir monitors in the city that have already been installed by
community groups and individuals. This project meets the GCP priority recommendations to:
 Expand monitoring of air quality and nuisance odors, incorporating citizen science in priority neighborhoods.
 Provide services, resources, and education for residents in priority neighborhoods on air quality alert systems,
sources of poor air quality, and air quality regulations.
Cincy Air watch plans to provide services, resources, and education for residents in priority neighborhoods on air
quality alert systems, sources of poor air quality, and air quality regulations though a mix of educational materials and
resources. These services and resources include:
1.) At strategic monitoring sites, we plan to display signs with QR codes that navigate to the Cincy Air Watch dashboard
to engage the community with the data at monitoring sites and bring awareness to the project.
2.) Build an Air Quality Dashboard that integrates data from all publicly available PurpleAir monitors in Cincinnati
through the use of an API data call for visualization and analysis.
3.) Educational materials such as an Educational Brief about air quality to describe what the data means, background
on air quality, local history, how it affects your health, how to take steps to improve air quality, and how to get
involved.
3

-- 79 of 116 --

Monitor Selection
PurpleAir Flex
This project is utilizing the PurpleAir Flex Air Quality Monitor selected based on its cost-
effective price point, accuracy and precision, ease of install, existing network use by
citizen scientists, connectivity to Wi-Fi, transparency of data, lifespan, and ability to
measure PM2.5 concentrations.
The Purple Air Flex costs $289.00 and is 3.5 x 3.5 x 5 inches (85 x 85 x125 mm), weighing
approximately 12.6 ounces. The monitor has an expected life span of 3 years. The
monitors will be installed outdoors and are rated for temperatures and weather from
-40°F to 185°F. It can receive power from an outdoor rated (IP68) outlet through a 5V
USB-3A (15W) to Type A (USA) plug running at 50/60Hz of input and costs $40.00 if
purchased through the PurpleAir. The monitors can be easily installed using zip ties
from the monitor’s bracket or screwed into a stationary surface.8
Accuracy and Precision
A sensor needs to provide reliable data that is both accurate and precise. Accuracy is the overall agreement that the
measurements of the sensors are true to the concentration of pollution in the air and precision is how well a sensor
reproduces a measurement under identical circumstances.6
Accuracy of a sensor is assessed by linear regression. This is
done by plotting the readings of the senser against reference
data, such as an EPA standardized monitor experiencing the
same weather, atmospheric, and air pollution conditions; this
is called collocation. Using the equation y = mx + b, and a
coefficient of determination, R2 we can test to see if data
follows a trend of accurate readings against a known accurate
set of data. R2 is a statistical measure of how close the data is to the slope-intercept line or how much scatter is in the
data. The closer R2 is to 1 the better the agreement between the sensor and the reference data. In a intercomparison of
PurpleAir Sensor Performance, PurpleAir monitors were tested with an average R2 of 0.977. Precision is quantified by
standard deviation. Standard deviation describes how much the data is spread out. A low standard deviation indicates
that values are close to the average of a set of data.6, 9
How the Sensors Work
PurpleAir Flex sensor periodically measures the amount of PM2.5 in the air by drawing in a fresh sample of air using a
small fan past a laser beam that reflects light from the particulate matter onto a detection plate to determine the size
and amount of particles. The sensor cannot determine the composition of the particles (mold, dust, chemical
compound etc.). It then reports the data to the PurpleAir map over Wi-Fi or is stored on an internal secure digital (SD)
chip.8
Data
PurpleAir Monitors report data directly to the PurpleAir map over Wi-Fi or store data on an internal secure digital (SD)
chip. Monitors on Wi-Fi can be publicly or privately connected. Publicly connected monitors such as those used in this
project send data directly to the PurpleAir map, which acts as a data repository and server. Data can be called through
the use of an application programming interface (API), which is a programming connection that allows two pieces of
software to communicate with one another. In this case, the PurpleAir map and excel. This allows our team to pull
only the data from all publicly available monitors in our jurisdiction and pull data from new monitors that appear as
citizen scientists install them. We can then connect
this data to data visualization software, like
PowerBi, to make the data easily analyzed and
more digestible and interactive on the city website.
4

-- 80 of 116 --

Collaboration
The city of Cincinnati participated in the RISE Communities program. The program is funded by a NIEHS
grant and is a partnership between the Cincinnati Children’s Hospital Medical Center Division of
Biostatistics and Epidemiology and the University of Cincinnati Department of Family and Community
Medicine.7
The goal of the RISE Communities program is to empower communities to pursue change through fostering
community-academic partnerships through research education, training, and team development.
This program provides training for participants with
technical training in the application of low-cost PurpleAir sensors for
indoor and outdoor, and personal air monitoring in environmental justice
communities. Helping establish a community of practice to build air
quality monitoring networks in communities nationwide.7
Project Managers
References:
1.) City of Cincinnati (2020). Citywide Census. cincinnati-oh.gov/sites/planning/assets/2020%20CENSUS/Citywide_2020.pdf
2.) City of Cincinnati (2023). How the Green Cincinnati Plan was Created. cincinnati-oh.gov/oes/green-cincinnati-plan/individual-gcp-
chapters-printable-versions/how-was-the-greencincinnatiplanco-created/
3.) City of Cincinnati (2023). Green Cincinnati Plan. cincinnati-oh.gov/oes/climate/climate-protection-green-cincinnati-plan/green-
cincinnati-plan-2023-spreads/
4.) Air Quality Report (2022). In EPA.gov. Retrieved March 2024. from epa.gov/outdoor-air-quality-data
5. ) Even, T.L., Trott C.D., Gray, E.S., Roncker, J., Basaraba, A., Harrison, T., Petersen, S. Sullivan, S., & Revis, S. (2021). Climate Equity
Indictors Report– 2021, City of Cincinnati. The American Cities Climate Challenge Equity Capacity Building Fund, Bloomberg Founda-
tion.
6.) Polidori A., Papapstolou V., Collier-Oxandale A. Hafner H., and Blakey T. (2021) Community in Action: A Comprehensive Guide-
book on Air Quality Sensors. April Available on the South Coast AQMD’S AQ-SPEC website: aqmd.gov/aq-spec/special-projects/star-
grant
7.) RISE communities (2023). In ejsensors.com Retrieved April 2024. from ejsensors.com
8.) PurpleAir Flex Air Quality Monitor (2024). Retrieved March 2024. from www2.purpleair.com/products
9.) Wallace L. Intercomparison of PurpleAir Sensor Performance over Three Years Indoors and Outdoors at a Home: Bias, Precision,
and Limit of Detection Using an Improved Algorithm for Calculating PM2.5. Sensors (Basel). 2022 Apr 2;22(7):2755. doi: 10.3390/
s22072755. PMID: 35408369; PMCID: PMC9002513.
5

-- 81 of 116 --

Cincy Air Watch
Project Packet
A Joint Effort with Cincinnati Health Department
and Office of Environment & Sustainability
1

-- 82 of 116 --

Table of Contents
Management & Stakeholders
Program Managers
Program Partners & Stakeholders
Funding
External Collaboration
Background
Green Cincinnati Plan
Project Rationale
Particulate Matter
Monitor Selection
Project Overview
Priority Neighborhoods
Planned Citywide Monitoring Location List
Planned Citywide Monitoring Map
PurpleAir Active Monitor Map
External Documents
Abstract of Air Quality Epidemiology Educational Brief
What We Know
Leading Types of Air Pollution
How Air Pollution Can Affect Your Health
What Causes Air Pollution
How to Improve Your Air Quality
Air Quality Measurement
A Brief History of Local Air Quality Monitoring
Local Air Monitoring: The Cincy Air Watch Project
How to Get Involved: Take Action (Guide)
Where to Check AQI: Resources (Guide)
Definitions
References
Abstract of Cincy Air Watch Dashboard
Current
Historical
Example Sign
Appendix A: Cincy Air Watch - Project Overview Sheet
Appendix B: Round 2 Neighborhood Needs Rankings
References
3
3
3
4
5
5
5
6
7
8
9
10
12
12
13
14
14
15
16
17
18
19
20
21
22
23
24
25
26
26
27
28
34
35
2

-- 83 of 116 --

Management & Stakeholders
Program Managers
Program Partners & Stakeholders
Funding
The Cincy Air Watch project is funded by the Office of Environment and Sustainability (OES), which
provides resources for monitors and supplies. The city currently owns 24 air monitors (valued at $289.00
each), 20 air monitors with power cords (valued at $40.00 each) procured through OES, and four air
monitors donated by the RISE Communities Program.1
3

-- 84 of 116 --

External Collaboration
1. The RISE Communities Program
The City of Cincinnati participated in the RISE Communities Program, a partnership between the
Cincinnati Children's Hospital Medical Center Division of Biostatistics and Epidemiology and the
University of Cincinnati Department of Family and Community Medicine. Funded by a National Institute
of Environmental Health Sciences (NIEHS) grant, the program aims to empower communities through
fostering community-academic partnerships through research, education, training, and team
development.1
The program provides participants with technical training in the application of low-cost PurpleAir sensors
for indoor, outdoor, and personal air monitoring in environmental justice communities. This helps
establish a community of practice to build air quality monitoring networks nationwide.
2. Cincinnati Children’s Hospital Medical Center (CCHMC)
CCHMC shares our mission to help all children reach their full potential. Through their Health Equity
Network (HEN), they bring together experts from various specialties to organize and share core services
that clinical practices will need to accelerate equity. This work includes connecting clinical leaders,
uncovering root causes of inequities, supporting increased response to social needs, and building a
library of innovations for use across different care settings. Health Equity Network teams are supported
by quality improvement, data, and community engagement specialists to catalyze learning and action.2
The top 15 conditions with excess admissions by primary diagnosis at CCHMC revealed asthma as the
leading diagnosis, with 339 admissions. This is 4.4 times higher than the second most common
diagnosis, impulse control and conduct disorders, which had 77 admissions. Providing air quality data
and working to create predictive models will hopefully reduce asthma admission rates and improve
community health.2
3. University of Cincinnati EPIC CoLab
In partnership with the Environmental Planning & Design Innovation Collaborative Lab (EPIC CoLab), the
Cincy Air Watch Project works with the University of Cincinnati Office of Design Architecture Art and
Planning (UC DAAP) to study air quality in select neighborhoods in the Cincinnati Air Quality Exploratory
Study (CARES) led by Dr. Sangyong Cho. This project focuses on the Central Business District, West
End, and Over-the-Rhine. Monitors are owned by UC DAAP, though city-owned facilities are being
utilized for the study.3
4. Groundwork Ohio River Valley (Data Bloom)
While Cincy Air Watch operates within Cincinnati jurisdiction, air quality is a public health concern that
affects more than just our residents. We are working with Data Bloom and Groundwork Ohio River Valley
to make our data accessible to them as they focus on studying regional air quality patterns in the greater
Cincinnati metro region including northern Kentucky and eastern Indiana.
4

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Background
Green Cincinnati Plan
The city of Cincinnati’s mission is to create the highest quality of life for its 309,317 residents.4 The city's
primary focus is to address community concerns using data and feedback from community members,
with a strong emphasis on equity, inclusion, and people-centered planning.5
The Green Cincinnati Plan (GCP) has been the
City’s sustainability plan since 2008. Updated every
five years (2013, 2018, and now 2023), the GCP has
helped Cincinnati earn a reputation as an
international leader in climate action. Since 2008,
the actions outlined in the GCP have helped deliver
a 36.6% reduction in the city’s carbon emissions.
The 2023 GCP is organized into eight focus areas
that articulate the city’s visions, goals, strategies,
and actions in response to the climate crisis:
Buildings and Energy, City Operations, Community
Activation, Food, Mobility, Natural Environment,
Resilience and Climate Adaptation, Zero Waste.6
Cincinnati City Council adopted the 2023 GCP by
unanimous vote on Wednesday, April 19, 2023,
committing to taking action to address climate
change in Cincinnati.5
Project Rationale
In support of the 2023 Green Cincinnati Plan strategy to “Increase air quality studies, education, and
reduce pollution from air emissions,” the City of Cincinnati Office of Environment and Sustainability
(OES) in partnership with the Cincinnati Health Department (CHD) launched the Cincy Air Watch
Project.6
Many Cincinnati residents experience poor outdoor air quality which contributes to adverse health
conditions, including asthma and lung disease. In 2022, the U.S. Environmental Protection Agency (EPA)
registered 181 days with “moderate,” “unhealthy for sensitive groups,” or “unhealthy,” air quality index
ratings in Cincinnati.4 Ozone and Particulate Matter (PM) 2.5 contribute significantly to these low ratings.
Other factors include vehicle emissions and industrial emissions. High air temperatures and ultraviolet
radiation further exacerbate poor air quality. The 2023 GCP identified a goal of improving air quality so
that Air Quality Index (AQI) healthy days are increased by 30% by 2028.6, 7
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The GCP outlines four priority actions in regard to air quality: 6
1. Expand monitoring of air quality and nuisance odors incorporating citizen science in
priority neighborhoods.
2. Provide services, resources, and education for residents in priority neighborhoods on air quality
alert system, sources of poor air quality, and air quality regulations.
3. Support and fund the development of natural corridors and tree barriers along streams and rivers,
interstates and highways.
4. Strengthen emissions regulations.
Cincy Air Watch plans to focus initially on the first two priority actions in hopes of better informing the
second two actions in later phases. Program approach will be outlined in more detail in Project Overview.
Particulate Matter
Poor air quality is proven to negatively impact our health and environment. The term air quality relates to
the amount of pollution or tiny pieces suspended in the air. The five most commonly studied types of air
pollution are carbon monoxide (CO), ozone (O3), nitrogen dioxide (NO2), sulfur dioxide (SO2), and solid
particle pollution called particulate matter (PM).6, 7, 8
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• Particles less than 10 microns or micrometers (μm)
in diameter, PM10 (coarse particles).
• Particles less than 2.5 microns or micrometers (μm)
in diameter, PM2.5 (fine particles).
Particle size is directly related to the potential to cause
adverse respiratory problems. Larger particles impact the
upper respiratory tract and can sometimes be dislodged by
coughing, yet smaller particles can enter lower into the
lungs, respiratory tract, and bloodstream becoming more
dangerous and harder to expel from the body. PM is known
to cause aggravated asthma, decreased lung function,
increased respiratory symptoms such as irritated airways, coughing, or difficulty breathing. It is
also linked to nonfatal heart attacks, irregular heartbeat, and premature death in individuals with heart or
lung disease.8 The Cincy Air Watch Project has chosen to monitor PM2.5 because of its known link to
adverse health effects.
Monitor Selection
PurpleAir Flex
This project is utilizing the PurpleAir Flex Air Quality Monitor selected
based on its cost-effective price point, accuracy and precision, ease
of install, existing network use by citizen scientists, connectivity to
Wi-Fi, transparency of data, lifespan, and ability to measure PM2.5
concentrations.
The Purple Air Flex costs $289.00 and is 3.5 x 3.5 x 5 inches,
weighing approximately 12.6 ounces. The monitor has an expected
life span of 3 years. The monitors will be installed outdoors and are
rated for temperatures and weather from -40°F to 185°F. It can
receive power from an outdoor rated (IP68) outlet through a 5V USB-3A (15W) to Type A (USA) plug
running at 50/60Hz of input and costs an additional $40.00. The monitors can be easily installed using
zip ties from the monitor’s bracket or screwed into a stationary surface.11
How the Sensors Work
PurpleAir Flex sensor periodically measures the amount of PM2.5 in the air by drawing in a fresh sample
of air using a small fan past a laser beam that reflects light from the particulate matter onto a detection
plate to determine the size and number of particles. The sensor cannot determine the composition of the
particles (mold, dust, chemical compound etc.). It then reports the data to the PurpleAir map over Wi-Fi
or is stored on an internal secure digital (SD) chip.11
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* A summary handout of the Project Overview and Background intended for
stakeholder engagement is attached in Appendix A.
8
Project Overview*
Cincy Air Watch aims to utilize 	PurpleAir 	monitors 	to measure 	and communicate real-time 	outdoor air
quality data for 	PM2.5 	in 	priority 	neighborhoods. 	These small air 	quality monitors can be easily 	installed
and upload the air 	quality data in real-time to 	a 	publicly available map 	on the 	PurpleAir website.10
In the first year of this project, OES and CHD will install 	24 monitors in 	priority neighborhoods, with a
focus on 	areas where there is expected to be high levels of 	pollution, such as in proximity to industrial
sites and 	high traffic roadways. Populations living in these areas are often referred to as environmental
justice (EJ) communities, as they experience disproportionately higher rates of health outcomes,
including asthma, often as 	a result of environmental stressors.1
This project will add to the 	existing 	network of PurpleAir monitors in the city that 	have already been
installed by 	studies 	such as 	Groundwork Ohio River Valley and University of Cincinnati 	CARES project.
Additionally, 	Cincy Air 	Watch plans to provide services, resources, and education for 	residents on air
quality 	alert systems, sources of poor air quality, and air 	quality regulations though a mix of educational
materials and resources. These services and resources include:
➢ An 	Air Quality Epidemiology Educational Brief 	about air quality to educate the public on leading types
of air pollution, how it can affect health, what causes air pollution, how to improve air quality, how to
read the air quality index, local history of air quality, how to get involved, and further resources.
➢ A publicly available 	Cincy Air Watch Dashboard 	available on the Cincy Insights website that
integrates data from all publicly available PurpleAir monitors in Cincinnati through the use of an API
data call for visualization and analysis to have data transparency 	with local residents.
➢ Signs 	available at 	strategic monitoring sites to display QR codes that navigate to the Cincy Air Watch
dashboard to engage the community with the data at monitoring sites and bring awareness to the
project.
The first year of the Cincy Air Watch 	project meets the GCP priority 	recommendations to:
1. Expand monitoring of air
quality and nuisance 	odors,
incorporating citizen
science in
priority 	neighborhoods.
2. Provide services,
resources, and education
for 	residents in priority
neighborhoods on air
quality 	alert systems,
sources of poor air quality,
and air 	quality regulations.

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Priority Neighborhoods†
Round 1 of the Cincy Air Watch Project focuses on deploying 24 air quality monitors in priority
neighborhoods* identified through a rigorous analysis of asthma rates, as outlined in the 2021 Climate
Equity Indicators Report. The rationale for using asthma rates as our initial variable predictor is outlined
in our Cincy Air Watch - Project Overview. The top neighborhoods experiencing disproportionately higher
asthma rates are:2
• Millvale
• South Cumminsville
• Lower Price Hill
• Queensgate
• Riverside East
• Sedamsville
• Villages at Roll Hill
• South Fairmont
• North Fairmont
• English Woods
• West End
• Winton Hills
• Avondale
Once monitor placement in these priority neighborhoods is complete, remaining devices will be
strategically located across Cincinnati based on geographic distribution, site suitability, and community
partnerships. A detailed list of all Round 1 locations is available on the Planned Citywide Monitoring
Location List and the Planned Citywide Monitoring Location Map.
Round 2 aims to expand monitoring to every Cincinnati neighborhood contingent on funding availability.
A multivariable regression model, considering factors of existing monitoring efforts (β0), asthma rates
(β1), PM2.5 factor (β2), tree canopy cover (β3), and heat island exposure (β4) was developed to prioritize
neighborhoods for monitor placement. A comprehensive list of Neighborhood Needs Ranking can be
found in Appendix B.
ŷ=-7.396-0.317x1+0.806x2+0.507x3-0.038x4
Round 3 will further expand data collection by adding additional monitors to neighborhoods based on
geographic gaps by incorporating size and shape of neighborhoods to ensure equitable distribution of
monitors. This will enhance study accuracy and reliability.
† For this research project, priority neighborhoods are defined as areas with
heighted air quality concern due to their correlation with asthma prevalence.
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Planned Citywide Monitoring Location List
The planned citywide monitoring location list is a comprehensive list of all known PurpleAir monitors within
city of Cincinnati jurisdiction and the project the monitor is associated with as of 9/11/2024.
Count
Monitor
Status Address Neighborhood Location Name
City
Dept Team‡
1 IN PLACE Avondale Cincinnati Zoo CITY
2 California GCWW Richard Miller GCWW CITY
3 IN PLACE College Hill College Hill Library CITY
4 IN PLACE Avondale Hirsh Rec Center REC CITY
5 IN PLACE Evanston Evanston Rec Center REC CITY
6 IN PLACE Corryville Cincinnati Health
Department Health CITY
7 Hartwell Hartwell Rec Center REC CITY
8 PLANNED Kennedy
Heights CITY
9 PLANNED Linwood Reeves Golf Course REC CITY
10 IN PLACE Madisonville CPS John P. Parker CPS CITY
11 PLANNED Walnut Hills Krohn Conservatory Parks CITY
12 PLANNED West Price Hill Fire Station 24 Fire CITY
13 PLANNED Oakley CITY
14 PLANNED Queensgate CITY
15 IN PLACE Camp
Washington Fire Station 12 Fire CITY
16 East Price Hill Price Hill Rec Center REC CITY
17 IN PLACE Millvale Millvale Rec Center REC CITY
18 IN PLACE Westwood Westwood Library CITY
19 PLANNED Mt. Lookout CITY
20 IN PLACE Spring Grove GCWW Spring Grove
Offices GCWW CITY
21 IN PLACE Westwood Dunham Rec Center REC CITY
22 Saylor Park Sayler Park Rec Center REC CITY
23 PLANNED Sedamsville CITY
24 PLANNED CUF CITY
25 IN PLACE Downtown Broadway Garage Parking UC
26 IN PLACE West End Centennial II Facilities UC
27 Downtown Lytle Park Parks UC
28 IN PLACE Downtown Garfield Garage Parking UC
29 PLANNED CUF University of Cincinnati UC
30 IN PLACE OTR Washington Park Parks UC
31 IN PLACE OTR Ziegler Playground Parks UC
32 PLANNED OTR Streetcar Building DOTE UC
33 IN PLACE West End Firehouse 29 Facilities UC
34 PLANNED Downtown Fountain Square DCED UC
35 West End Lincoln Rec Center REC UC
36 PLANNED OTR Findlay Market DCED UC
APPROVED
APPROVED
APPROVED
APPROVED
APPROVED
APPROVED
Community Partner
Community Partner
Community Partner
Community Partner
Community Partner
Community Partner
‡ 	Teams: CITY is the Cincy Air Watch Project, UC is the CARES project collaboration between UC DAAP and Cincy Air
Watch, GWO are Groundwork Ohio River Valley monitors, EPA/GOV are 	Southwest Ohio Regional Air Quality Agency,
& Community are citizen scientists owned by unidentified projects,members of the public, or community groups.
This list has redacted community partners whose contracts with the city have not yet been finalized; for a
complete list of sites and addresses please reach out to a project manager.
10

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Count
Monitor
Status Neighborhood Location Name
City
Dept Team‡
37 PLANNED Roselawn Roselawn Park & Ball
Fields REC UC
38 PLANNED Bond Hill Bond Hill Rec Center REC UC
39 PLANNED OTR OTR Rec Center REC UC
40 IN PLACE West End COMMUNITY
41 OFFLINE OTR COMMUNITY
42 IN PLACE OTR COMMUNITY
43 IN PLACE Clifton COMMUNITY
44 IN PLACE Clifton COMMUNITY
45 IN PLACE Northside COMMUNITY
46 OFFLINE Northside COMMUNITY
47 IN PLACE Camp
Washington COMMUNITY
48 OFFLINE East Price Hill COMMUNITY
49 IN PLACE Hyde Park COMMUNITY
50 IN PLACE Hyde Park COMMUNITY
51 IN PLACE Mt. Washington COMMUNITY
52 IN PLACE Downtown COMMUNITY
53 IN PLACE East Price Hill Meals on Wheels COMMUNITY
54 IN PLACE Lower Price Hill MSD 6 MSD GWO
55 OFFLINE Lower Price Hill Meiser’s Market GWO
56 IN PLACE Lower Price Hill Groundwork Sanctuary GWO
57 OFFLINE Lower Price Hill McAndrew's Glass Co. GWO
58 OFFLINE Corryville Hamilton County Public
Health EPA/GOV
59 Camp
Washington Hamilton County Land EPA/GOV
60 Lower Price Hill Station 17 Fire EPA/GOV
61 IN PLACE Carthage Station 2 Fire EPA/GOV
62 IN_PLACE/
ERRORS Pleasant Ridge NIOSH-EHS Building EPA/GOV
63 IN PLACE Madisonville Seven Hills Schools COMMUNITY
64 OFFLINE Northside Happen Inc. COMMUNITY
65 OFFLINE Lower Price Hill Oyler House GWO
66 OFFLINE South
Fairmount COMMUNITY
67 IN PLACE Hyde Park The Summit Country
Day School COMMUNITY
68 OFFLINE Mount Lookout COMMUNITY
69 IN PLACE Clifton COMMUNITY
IN 	PLACE
IN 	PLACE
11

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Planned Citywide Monitoring Location Map
Geographic locations of all planned monitors locations as of 9/11/24 by project team and
neighborhood. This is an internal planning tool used to visualize all known monitor locations and planned
future locations.
PurpleAir Active Monitoring Map
A screenshot of all currently installed publicly available, Wi-Fi enabled PurpleAir Monitors, in Cincinnati
as of 9/11/24 from the PurpleAir map. The map displays the current AQI reading of each monitor and
the corresponding AQI color category.
City is the Cincy Air Watch Project
UC is the CARES project (collab of UC DAAP &
Cincy Air Watch)
GWO is Groundwork Ohio River Valley
EPA/GOV are operated by Southwest Ohio
Regional Air Quality Agency
Community are citizen scientists owned by
unidentified projects, members of the public,
or community groups.
12

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Abstract: Air Quality Epidemiology Educational Brief
The Epidemiology Educational Brief document is intended for public education and to be
published on our website as well as being shared with external stakeholders. It is intended to be a
clear and informative document that empowers residents to take action to improve air quality and protect
their health.
The Epidemiology Educational Brief is a document designed to inform and educate the public about air
quality and its impact on health while connecting residents with resources and information. It aims to:
• Increase public awareness: Provide easy-to-understand information about air quality, its effects,
and personal actions to address it.
• Empower residents: Offer practical steps for individuals to protect themselves and contribute to
better air quality.
• Align with city goals: Support the Green Cincinnati Plan's objective “to provide services,
resources, and education for residents in priority neighborhoods on air quality alert systems,
sources of poor quality, and air quality regulations”.3
Please note: While the brief will provide information about air quality and its impacts, it will not include
specific research data from the Cincy Air Watch Dashboard. That data will be analyzed separately.
This document will also be linked to from the Cincy Air Watch Dashboard page and the Cincy Air Watch
Program page on the OES website.
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Epidemiology Educational Guide
Air Quality
September 2024 Issue 4
What We Know
Air pollution is a mixture of hazardous
substances from human-made and
natural sources. Air pollution can be
split into two classifications: indoor air
pollution and outdoor air pollution, also
called ambient air pollution.1
Air pollution affects both air quality and
human health. The World Health
Organization (WHO) identifies air
pollution as one of the greatest
environmental risks to human health.
Current research indicates that poor
air quality can result in adverse health
effects, particularly cardiovascular and
respiratory diseases including asthma.
WHO calculates that the effects of air
pollutions are associated with an
average of 6.7 million premature
deaths annually.1, 2
Air quality is monitored by many
agencies globally. In the United States
(U.S.), air quality standards are set by
the U.S. Environmental Protection
Agency (EPA). Official readings use a
combination of tools to determine
accurate Air Quality Index (AQI) by
looking at the amount of pollution or
tiny particles suspended in the air. The
most commonly studied and regulated
types of air pollution are ozone (O3),
particulate matter (PM2.5 & PM10 ),
nitrogen dioxide (NO2), sulfur dioxide
(SO2), carbon monoxide (CO), and
lead (Pb).3, 4, 5
The AQI is the scale on which air
quality is reported. There are six
levels:6
0-50: Good
51-100: Moderate
101-150: Unhealthy for Sensitive
Groups
151-200: Unhealthy
201-300: Very Unhealthy
301 and Above: Hazardous
Leading Types of Air Pollution
Air quality refers to the amount of pollution or tiny particles suspended in
the air. Air pollution refers to the contaminants present. These
contaminants can be gas and solid particles. There are six commonly
studied types of air pollution, referred to as criteria pollutants. The EPA
established criteria pollutants through the Clean Air Act (CAA). The CAA
requires EPA to set National Ambient Air Quality Standards (NAAQS)
for specific pollutants based on scientific evidence to protect against the
adverse impacts of air pollution. These pollutants are:7, 8
Ozone (O3): Tropospheric ozone, more commonly called ground-level
ozone, is one of the major contributors of smog. It is formed when sunlight
triggers a reaction between nitrogen oxides (NOx) and volatile organic
compounds (VOCs) released from vehicle exhaust, gasoline vapors, or
solvents.2, 8, 9
Particulate Matter (PM2.5 & PM10): There are two main categories of PM:
PM10 and PM2.5. PM10 are particles with a diameter of less than 10 μm but
greater than 2.5 μm; smaller then a grain of sand. PM2.5 are particles with
a diameter of less than 2.5 μm, a fraction of the width of a human hair.
These particles can be generated by dust storms, smoke, fossil fuel
combustion, fertilizer use, and gas to particle conversion.2, 8, 9
Nitrogen Dioxide (NO2): This reactive gas comes from various sources,
including vehicle exhaust (cars, buses, planes, and boats), and the
burning of fuels like coal and charcoal. It can sometimes give cities a hazy
brown cast.2, 8, 9
Sulfur Dioxide (SO2): This gas forms during the burning of fossil fuels
like coal and oil, or during industrial processes.2, 8, 9
Carbon Monoxide (CO): This is a toxic gas that has no color and smell. It
is produced when carbon in fuels are not burned completely, called
incomplete combustion, such as in vehicle exhaust, gas appliances in the
home, or woodburning.2, 8, 9, 10
Lead (Pb): Tiny lead particles can become suspended in the air from
various industrial activities, including ore processing, lead smelters, and
even some aircrafts using leaded aviation fuel.2, 8, 11
Data from Our Nation's Air 20208
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How Air Pollutants Can Affect Your Health
Ozone (O3): Ground-level ozone harms your lungs, making it
harder to breathe and can cause coughing or shortness of
breath. It is especially harmful for people with asthma or lung
diseases, leading to increased medication use, hospital visits,
and emergency room trips. Long-term exposure may increase
the risk of death from respiratory problems.2, 9
Particulate Matter (PM2.5 & PM10): Particle size is directly
related to the potential to cause adverse respiratory problems.
Larger PM10 particles impact the upper respiratory tract. PM10
can sometimes be dislodged by coughing, yet due to its tiny
size, PM2.5 can bypass the bodies natural defenses, travel
deep into the lungs, and enter the bloodstream. This poses a
significant health risk as exposure to PM2.5 has been linked to
a variety of health problems, including heart attacks, strokes,
and respiratory issues like asthma attacks. It can also worsen
existing lung conditions and contribute to premature death.2, 8, 9
Nitrogen Dioxide (NO2):NO2 exposure can irritate the lungs, making it harder to breathe. This is especially true
for people with asthma, who may experience more frequent symptoms, hospital visits, and emergency room trips
due to NO2 exposure. Long-term exposure to NO2 might even contribute to developing asthma and make you
more susceptible to respiratory infections.2, 8
Sulfur Dioxide (SO2):SO2 irritates the lungs, making breathing difficult, especially for people with asthma.
Children, older adults, and asthmatics are more susceptible to these effects, which can lead to more frequent
hospital visits.2, 8, 9
Carbon Monoxide (CO): Breathing elevated levels of CO disrupts the body’s ability to take oxygen to the organs
through the bloods since CO binds to hemoglobin at a higher rate than oxygen. This can cause flu-like symptoms,
confusion, seizures, and even death. High exposure can lead to long lasting brain and heart damage.2, 8, 9
Lead (Pb): Lead exposure, even in small amounts can be harmful, affecting brain and nervous system
development in children resulting in lower IQs, learning deficits and behavioral problems. Lead can cause various
health problems in adults, including heart disease, high blood pressure, and kidney damage.2, 8, 11
Overall, air quality affects everyone’s health. Long-term exposure to poor air quality may not have an immediate
effect, but it can impact a person’s quality of life overtime. The primary health concerns of poor air quality are
cardiovascular and respiratory complications, though many systems are affected.1, 9
Cardiovascular
Increased risk of overall heart disease, increased blood
pressure, and increased risk of coronary artery
diseases.12 , 13
Cancer
Leading risk of lung cancer, increased risk of breast
cancer in women, exposures to hazardous chemicals
like benzene found in gasoline can cause leukemia
and is associated with non-Hodgkin Lymphoma.12
Heart Disease
Increased risk of heart attack, stroke, and heart failure
events, leading to the increase of death caused by
cardiovascular diseases.12 , 13
Neurological
Lead exposure, even in small amounts can be harmful,
affecting brain and nervous system development in
children resulting in lower IQs, learning deficits and
behavioral problems.11, 12
Respiratory
Increased risk of asthma, chronic bronchitis, chronic
obstructive pulmonary disease (COPD), and
Emphysema.12 , 14, 15
Reproductive
Traffic related air pollution exposure can cause
hypertensive disorder among pregnant woman;
Hypertensive disorder increases a pregnant woman’s
risk for dangerous changes in blood pressure.1, 12
Asthma
Indoor and outdoor air pollution are major public health
threats that can cause and worsen existing asthma.
12 , 14, 15
Diabetes
Air pollution can increase the risk of developing type II
diabetes, especially in individuals already at risk due to
factors like obesity or family history.1, 13
Primary Health Concerns Other Health Concerns
15

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What Causes Air Pollution
Indoor Air Pollution
Indoor air pollution is defined as the existence of pollutants at high concentrations inside of buildings. It is caused
by sources that release gases or particles into air, and is affected by poor ventilation and filtration and can lead to
an increase in the build up of pollutant levels.9,16, 17
Sources of indoor air pollution include:16, 17
Outdoor Air Pollution
Outdoor air pollution is the presence of pollutants in the air outside buildings from ground level to several miles
above the earth’s surface. It is also called ambient air pollution, and both human-made and naturally occurring
sources cause it. Outdoor air pollution is affected by human activities such as industrial emissions, vehicle
emissions, agricultural practices, and deforestation; natural factors like wildfires, dust storms, and volcanic
eruptions; and meteorological events such as atmospheric conditions, wind patterns, and sunlight.1, 9, 18, 19
Sources of outdoor air pollution include:1, 9, 18, 19
16

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How to Improve Your Air Quality
You can take steps to improve your air quality both indoors and outdoors using these basic strategies:
Reduce
Source Control
The most effective way to improve air quality is to eliminate pollution sources or to reduce their emissions. There
are many ways to reduce sources of both indoor and outdoor air pollution. These can include:
 Avoid burning from combustion appliances, tobacco products, candles, fireplaces, and grills.
 Remove or seal dangerous pollutants from building materials such as deteriorated asbestos-containing
insulation, lead paint, or off-gassing from new products, such as newly installed flooring, upholstery or carpet,
cabinetry, or furniture made of certain pressed wood products.
 Switch from gas to electric appliances and tools whenever possible.
 Use environmentally safe products when possible. Products for household cleaning and maintenance,
personal care, or hobbies could contain harmful chemicals such as VOCs that can become suspended in the
air when used.
Some sources, such as building materials, furnishings, and products like air fresheners, can release pollutants
continuously. Other sources related to smoking, cleaning, redecorating, or using gas powered appliances and
tools release pollutants intermittently. Pollutant concentrations can remain in the air for long periods after some
activities.17
Excess Moisture
Dampness and moisture indoors can lead to mold and poorer respiratory symptoms. Central heating and cooling
systems and dehumidification devices can help remove water from the air reducing humidity levels indoors. Using
a dehumidifier, turning on a fan or opening a window when showering or cooking can also help eliminate airborne
water. Try to eliminate areas of pooling water or moisture in your home.17, 20
Remove
Ventilation Improvements
Since many activities can create air pollution, areas
with a buildup of pollutants require proper ventilation.
Pollutants can accumulate to levels that can cause
health problems when there is little to no ventilation,
mostly occurring indoors due to a lack of airflow.
However, it is important that buildings have a way to
release air pollution so it is not built up. Outdoor air
enters and leaves a house through natural ventilation
and mechanical ventilation. Natural ventilation is
when air also flows into the house through openings,
joints, cracks in walls, floors, ceilings, and around
windows and doors. Several mechanical ventilation
devices are available to help circulate air within the
house and exchange air between outside and inside
and are often included in newer homes. These
include outdoor-vented fans that remove air from a
single room and air handling systems that use fans
and ducts to distribute filtered and conditioned air
throughout the house. Some of these designs
include energy-efficient heat recovery ventilators.17, 20
Air Cleaners
Air filtration can be an excellent way to remove harmful pollutants from the air and improve air quality. Indoor
portable air cleaners, also known as air purifiers or air sanitizers, are designed to filter the air in a single room or
area. In contrast, central furnaces or HVAC filters are designed to filter air throughout a home. Portable air
cleaners and HVAC filters can reduce indoor air pollution; however, they cannot remove all pollutants from the
air. Generally, air cleaners are not designed to remove gaseous pollutants but can effectively eliminate PM; that
is why filters can remove dust but not smells. The effectiveness of an air cleaner depends on how well it collects
pollutants from indoor air and how much air it draws through the air filter. Outdoors, planting trees can help
improve air quality as trees help store and break down pollutants and reduce energy costs for cooling from
shade. Tiny openings on leaves called stomata take in air, which can include pollutants like ozone, sulfur dioxide,
and nitrogen dioxide. These pollutants are absorbed by the tree and broken down.17, 20, 21
17

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Air Quality Measurement
Air Quality Index (AQI)
AQI is an EPA tool that is used to communicate daily air quality. The index is a scale from 0-500 divided into six
categories with a higher number meaning of greater concern. Each category has a standardized color and index
range to reflect the air quality. Guidance about the level of concern can vary, so it is important to seek out
trusted sources.5, 6, 7, 22
Pollutant Measurement by Concentration
Ozone parts per billion (ppb)
PM micrograms per cubic meter (μg/m³)
SO2 parts per billion (ppb)
NO2 parts per billion (ppb)
CO parts per million (ppm)
AQI scale image from Cowaymega air quality index blog 25
How AQI is Determined
The AQI is determined using the NAAQS based on
the criteria pollutants ozone, PM, carbon monoxide,
sulfur dioxide, and nitrogen dioxide. The official AQI
is measured at specific EPA sites called continuous
air monitoring stations (CAMS) around the
country, with three sites in the Cincinnati area.
Individual monitoring sites may monitor only a single
pollutant for research rather then regulation. Each
pollutant is measured by concentration, than
converted to AQI using a pollutant specific formula.
Once converted to AQI, the highest value among the
pollutants becomes the overall AQI for that time
period and the pollutant of highest value becomes
the primary pollutant. If only one pollutant is tested
then that is labelled as the pollutant of
investigation.5, 7, 23
For more information on N95 Respirators, Surgical
Masks, Face Masks, and Barrier Face Coverings
guidelines please see the FDA guidance here.24
18

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A Brief History of Local Air Quality Monitoring3, 4
Image from South Coast air Quality Management
District Community in Action Guide9
19

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Local Air Monitoring: The Cincy Air Watch Project
Background
In support of the 2023 Green Cincinnati Plan (GCP) strategy to “Increase air quality studies,
education, and reduce pollution from air emissions,” the City of Cincinnati Office of
Environment and Sustainability (OES) in partnership with the Cincinnati
Health Department (CHD) launched the Cincy Air Watch Project.29
Many Cincinnati residents experience poor
outdoor air quality which contributes to adverse
health conditions, including asthma and lung
disease. In 2022, the EPA registered 181 days
with “moderate,” “unhealthy for sensitive
groups,” or “unhealthy,” AQI ratings in Cincin-
nati. Ozone and PM2.5 were the highest contrib-
utors to these low ratings. The 2023 GCP identi-
fied a goal of improving air quality so that AQI
healthy days are increased by 30% by 2028.30
Methods
The GCP outlines four priority actions in regard to air quality: 29
(1) Expand monitoring of air quality and nuisance odors incorporating citizen science in priority neighborhoods.
(2) Provide services, resources, and education for residents in priority neighborhoods on air quality alert system,
sources of poor air quality, and air quality regulations.
(3) Support and fund the development of natural corridors and tree barriers along streams and rivers, interstates
and highways.
(4) Strengthen emissions regulations.
Cincy Air Watch plans to focus initially on the first two actions in hopes of better informing the second two actions in
later phases.
In the process of expanding air quality monitoring, the Cincy Air Watch Project has chosen to monitor PM2.5
because of its contribution to high AQI days locally and its known link to adverse health effects. This project
focuses on priority neighborhoods in Cincinnati with relatively higher rates of asthma as identified in the 2021
Climate Equity Indicators Report, a study by the City of Cincinnati, University of Cincinnati, and Green Umbrella.
These neighborhoods are: Millvale, South Cumminsville, Lower Price Hill, Queensgate, Riverside East,
Sedamsville, Villages at Roll Hill, South Fairmont, North Fairmont, English Woods, West End, Winton Hills, and
Avondale. These communities are in proximity to highways and industrial development, which are expected to be
primary sources of health concern.31
These monitors will continuously measure PM2.5 levels and share this data publicly on our dashboard at
CincyInsights.com. This will help researchers understand the link between air quality and health problems like
asthma in these neighborhoods. This project will also help inform the relationship between local air quality and our
built environment. If your are interested in contributing to this study you can purchase your own PurpleAir monitor
and add it to the map.29, 32
The Cincy Air Watch Project aims to utilize PurpleAir Flex monitors to measure and
communicate real-time outdoor PM2.5 data in priority neighborhoods. These small stationary
air quality monitors can be easily installed in order to upload data in real-time to a publicly
available map on the PurpleAir website. PurpleAir Flex sensors periodically measure the
amount of PM2.5 in the air by drawing in a fresh sample of air using a small fan. The sample
moves past a laser beam that reflects light from the particulate matter onto a detection plate to
determine the size and amount of particles. One limitation is that the sensor cannot determine
Image from PurpleAir Flex Air
Quality Monitor 32
the composition of the particles (mold, dust, chemical compound, etc.).9, 	33, 	34, 	35
20

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How to Get Involved
Use an Air Quality Monitor at Home
If you want more detailed information about the air quality at your home, you can
purchase an air quality monitor. There are low-cost air monitor options are
available which can help assess air quality in or outside your home. These
monitors can measure a number of different factors including PM2.5 or PM10, ozone,
nitrogen dioxide, and carbon monoxide and come in models for outdoor or indoor
use. Potential benefits of using a low-cost air monitor include:
 Affordable and Easy to Use: Low-cost air pollution monitors are much cheaper
than CAMS and don't require any special skills to set up.
 See What's in Your Air: They can track the amount of dust or smoke particles that can affect your health.
 Early Warning System: You can detect changes in air quality and can take action to clean indoor air or take
precautions to protect against poor outdoor air.
 Learn and Improve: Having a monitor at home can raise awareness about how daily activities can impact air
quality and encourage healthier habits.9, 33, 34, 35
Start Your Own Project
If you are interested in starting your own air monitoring study in your neighborhood, the RISE Communities
program aims to empower communities to pursue change through fostering community-academic partnerships
through research education, training, and team development. The program is funded by a NIEHS grant and is a
partnership between the Cincinnati Children’s Hospital Medical Center Division of Biostatistics and Epidemiology
and the University of Cincinnati Department of Family and Community Medicine and is
open to any team nationwide. This program provides technical training for participants
with the application of low-cost PurpleAir sensors for indoor, outdoor, and personal air
monitoring in environmental justice communities, helping establish a community of
practice to build air quality monitoring networks in communities nationwide. Learn
more at ejsensors.com.36
Get Involved in Local Projects
If you are interested in getting involved in local air quality studies, the Office of Environment and Sustainability
regularly updates a list of Cincinnati area projects on the Office of Environment and Sustainability Website. 37
Sign-Up for Air Quality Alerts
AirNow's EnviroFlash sends air quality information for your city to your email or mobile phone. Air quality forecasts
and alerts allow you to adjust your plans when necessary on unhealthy air quality days. This can be especially
helpful for people who are sensitive to air pollution, such as children, people with asthma, and the elderly. Sign up
at enviroflash.info.38
Radon
Radon is a naturally occurring, radioactive gas that can seep through the foundation of your home and
accumulate to dangerous levels. It is an indoor air pollutant that is not currently regulated. Nonetheless, it is the
leading cause of lung cancer in the U.S. among non-smokers and the EPA recommends testing your home. See
the US EPA’s Citizen’s Guide to Radon if you are concerned about this particular airborne pollutant.9, 39
Get a Healthy Homes Inspection
Have a Healthy Homes assessment done by a Cincinnati Health Department professional inspector at no cost to
you. The assessment may identify potential health risk issues in your home by looking at what may contribute to
poor health, may present safety hazards or may cause accidents. Visit the Cincinnati Health Department website
for more information about the Health Homes Program.40
Air Quality Complaints
Are you concerned about air emissions? To report an odor, smoke, dust, or other air quality concerns: Call the Air
Quality Hotline Line: 513-946-7777 or 1-800-889-0474 or southwestohioair.org/260/Complaints.
3101 Burnet Avenue Grant Mussman, MD, MHSA CHD Main Line: 513-357-7200
Cincinnati, OH 45229 Health Commissioner www.cincinnati-oh.gov/health

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Where to Check AQI
3101 Burnet Avenue Grant Mussman, MD, MHSA CHD Main Line: 513-357-7200
Cincinnati, OH 45229 Health Commissioner www.cincinnati-oh.gov/health
Southwest Ohio Air
Quality Agency
The local air quality outpost that
monitors and regulates air
emissions for Butler, Clermont,
Clinton, Hamilton, and Warren
counties.
The National Weather
Service
Focuses on predicting air quality
using atmospheric models to
create air quality forecasts twice
a day for pollutants like ozone
and smoke and issue air quality
alerts.
Cincy Air Watch
The City of Cincinnati’s current
air quality dashboard, including
AQI, an interactive map,
educational guide, and local
climate equity projects.
AirNow
The U.S. EPA current air quality
information in a user-friendly
format, including the AQI, a
daily forecast air quality, and an
interactive map.
Air Data
The U.S. EPA access to raw
and historical air quality data. A
good resource for detailed air
quality research or in-depth
analysis. Subscribe to local
alerts called EnviroFlash.
The Weather Channel
Offers current weather
forecasts alongside AQI for
your location.
PurpleAir
A community-based sensor
network with a real time PM
AQI map, downloadable data,
and sensor sales for people
who want to contribute to the
monitoring network or track
their own local air quality.
Weather Underground
Provides air quality data,
weather forecasts for your area,
along with details on specific
pollutants, pollen counts, and
air quality forecasts.

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Definitions:
A
Air Pollution: The presence of substances in the air that interfere with human health, or the environment.
Air Quality: The condition of the air in relation to human health and welfare.
Air Quality Index (AQI): A numerical scale used to communicate the level of air pollution to the public. It ranges from 0 to 500, with higher
numbers indicating worse air quality.
B
Built Environment: The physical structures and spaces that make up a community.
C
Carbon Monoxide (CO): A colorless, odorless, and poisonous gas produced by burning fossil fuels.
Cincinnati Health Department (CHD): A city department responsible for public health.
Cincy Air Watch Project: A project to monitor air quality on a neighborhood level in Cincinnati.
Clean Air Act (CAA): A U.S. federal law that regulates air emissions from stationary and mobile sources.
Continuous Air Monitoring Stations (CAMS): Stations that continuously measure air quality.
Criteria Pollutants: Six common air pollutants regulated by the EPA: ozone, particulate matter, nitrogen dioxide, sulfur dioxide, carbon
monoxide, and lead. As outlined in the EPA’s NAAQS through the CAA.
E
Environmental Justice Communities: Communities that are disproportionately affected by pollution and other environmental hazards.
G
Green Cincinnati Plan (GCP): Cincinnati’s Plan to improve the city’s sustainability.
I
Indoor Air Pollution: Air pollution within enclosed spaces.
L
Lead (Pb): A heavy metal that can be harmful to human health and the environment.
M
Mechanical Ventilation: The process of replacing indoor air with outdoor air using mechanical equipment.
N
National Ambient Air Quality Standards (NAAQS): The maximum allowable levels for the six criteria pollutants set by the EPA; ozone,
particulate matter, nitrogen dioxide, sulfur dioxide, carbon monoxide, and lead.
Natural Ventilation: The process of replacing indoor air with outdoor air through natural openings.
Nitrogen Dioxide (NO2): A reddish-brown gas formed from burning fossil fuels.
Nitrogen Oxides (NOx): A group of gases that includes nitric oxide (NO) and nitrogen dioxide (NO2).
O
Office of Environment and Sustainability (OES): A city department responsible for environmental protection and sustainability.
Outdoor Air Pollution (ambient): Air pollution outside of buildings.
Ozone (O3): A colorless gas formed by chemical reactions between pollutants in the presence of sunlight.
P
Particulate Matter 10 (PM10): Inhalable particles, with diameters that are generally 10 micrometers and smaller.
Particulate Matter 2.5 (PM 2.5): Fine inhalable particles, with diameters that are generally 2.5 micrometers and smaller.
Primary Pollutant: The pollutant of highest AQI over a set timeframe.
Pollutant of Investigation: A pollutant that is being studied for its potential impact on human health or the environment.
Priority Neighborhoods: Neighborhoods of concern based on the research problem, in this case asthma and air quality.
S
Solid Particle Pollution: A mixture of solid particles and liquid droplets suspended in the air.
Source Control: Reducing pollution at the point of emission.
Southwest Ohio Air Quality Agency (SWOAQA): A division of Hamilton County Environmental Services, is the local regulatory body for air
pollution and monitoring.
Sulfur Dioxide (SO2): A colorless gas with a strong, irritating odor produced by burning fossil fuels that contain sulfur.
U
U.S. Environmental Protection Agency (EPA): A U.S. government agency responsible for protecting human health and the environment that
set federal standards for air quality.
V
Volatile Organic Compounds (VOCs): Organic compounds that easily evaporate into the air and contribute to ozone.
W
World Health Organization (WHO): A United Nations agency responsible for international public health.
This report is intended to provide more information about Air Quality and is not intended to be individual
medical advice. If you have questions specific to your situation, contact your healthcare provider.
3101 Burnet Avenue Grant Mussman, MD, MHSA CHD Main Line: 513-357-7200
Cincinnati, OH 45229 Health Commissioner www.cincinnati-oh.gov/health

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3101 Burnet Avenue Grant Mussman, MD, MHSA CHD Main Line: 513-357-7200
Cincinnati, OH 45229 Health Commissioner www.cincinnati-oh.gov/health
Authors: Meriel Vigran, MPH, Jiahe Wang, CNMT
Contact: Meriel Vigran, MPH, meriel.vigran@cincinnati-oh.gov
References:
1) U.S. Department of Health and Human Services. (2023, December 13). Air Pollution and Your Health. National Institute of Environmental Health Sci-
ences. niehs.nih.gov/health/topics/agents/air-pollution
2) World Health Organization. (2022, December 19). Ambient (outdoor) Air Pollution. World Health Organization. who.int/news-room/fact-sheets/detail/
ambient-(outdoor)-air-quality-and-health
3) Southwest Ohio Air Quality Agency. (n.d.). History. History | Hamilton County Environmental Services, OH. southwestohioair.org/281/
History#:~:text=The%20Ohio%20EPA%20established%20a,be%20used%20among%20the%20nation.
4) Southwest Ohio Air Quality Agency. (2006). The History of Air Pollution Control in Cincinnati, Ohio. southwestohioair.org/DocumentCenter/View/293/
The-History-of-Air-Pollution-Control-in-Cincinnati-PDF?bidId= .
5) AirNow.gov, U.S. EPA. (n.d.). Using Air Quality index. Using Air Quality Index | AirNow.gov. airnow.gov/aqi/aqi-basics/using-air-quality-index/
6) AirNow.gov, U.S. EPA. (n.d.). AQI Basics. AQI Basics | AirNow.gov. airnow.gov/aqi/aqi-basics/
7) U.S. Environmental Protection Agency. (2023). Reviewing National Ambient Air Quality Standards (NAAQS): Scientific and Technical Information.
epa.gov/naaqs
8) US Environmental Protection Agency (2023). Our Nation’s Air 2023. Retrieved from epa.gov/reports-maps/our-nations-air
9) Polidori, A., Papapostolou, V., Collier-Oxandale, A., Hafner, H., & Blakey, T. (2021, April). Community in Action A Comprehensive Guidebook on Air
Quality Sensors. STAR Grant. gov/docs/default-source/aq-spec/star-grant/community-in-action-a-comprehensive-guidebook-on-air-quality-
sensors.pdf?sfvrsn=10
10) National Institute for Occupational Safety and Health [NIOSH] (n.d.). Carbon Monoxide [CO]. Centers for Disease Control and Prevention. Retrieved
May 2024. from https://www.cdc.gov/niosh/topics/co-comp/default.html
11) California Air Resources Board. (n.d.). Lead Risk Management Guidelines. ww2.arb.ca.gov/resources/documents/lead-risk-management-guidelines
12) Hoek, G., Krishnan, R. M., Beelen, R., Peters, A., Ostro, B., Brunekreef, B., & Kaufman, J. D. (2013). Long-term air pollution exposure and cardio-
respiratory mortality: a review. Environmental health : a global access science source, 12(1), 43. ncbi.nlm.nih.gov/pmc/articles/PMC3679821/
13) Bourdrel, T., Bind, M. A., Béjot, Y., Morel, O., & Argacha, J. F. (2017). Cardiovascular effects of air pollution. Archives of cardiovascular diseases, 110
(11), 634–642. ncbi.nlm.nih.gov/pmc/articles/PMC5963518/
14) Tiotiu, A. I., Novakova, P., Nedeva, D., Chong-Neto, H. J., Novakova, S., Steiropoulos, P., & Kowal, K. (2020). Impact of Air Pollution on Asthma
Outcomes. International journal of environmental research and public health, 17(17), 6212. ncbi.nlm.nih.gov/pmc/articles/PMC7503605/
15) Breysse, P. N., Diette, G. B., Matsui, E. C., Butz, A. M., Hansel, N. N., & McCormack, M. C. (2010). Indoor air pollution and asthma in children.
Proceedings of the American Thoracic Society, 7(2), 102–106. ncbi.nlm.nih.gov/pmc/articles/PMC3266016/
16) Tran, V. V., Park, D., & Lee, Y. C. (2020). Indoor Air Pollution, Related Human Diseases, and Recent Trends in the Control and Improvement of Indoor
Air Quality. International journal of environmental research and public health, 17(8), 2927. ncbi.nlm.nih.gov/pmc/articles/PMC7215772/
17) United States Environmental Protection Agency. (2023, June 22). The Inside Story: A Guide to Indoor Air Quality. Indoor Air Quality (IAQ). epa.gov/
indoor-air-quality-iaq/inside-story-guide-indoor-air-quality
18) IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Outdoor air pollution. Lyon (FR): International Agency for Research on
Cancer; 2016. (IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, No. 109.) 1.2, Sources of air pollutants. Available from:
www.ncbi.nlm.nih.gov/books/NBK368029/
19) National Cancer Institute (NCI). (n.d.). Outdoor air pollution from traffic, industrial, and agricultural sources. [Website]. cancer.gov. [Accessed April 10,
2024].
20) Telloian, C. (2022, March 9). How to Improve Air Quality at Home: 8 Tips to Try. Healthline. healthline.com/health/how-to-improve-air-quality-at-home
21) National Park Service. (n.d.). Air Pollution Removal by Urban Forests. nps.gov/articles/000/uerla-trees-air-pollution.htm
22) U.S. Environmental Protection Agency (EPA). (n.d.). Air Quality Guide for Particle Pollution. Retrieved from AirNow - Air Quality Index (AQI) - US
document.airnow.gov/air-quality-guide-for-particle-pollutioni.pdf
23) AirNow.gov, U.S. EPA. (2020). Technical Assistance Document for the Reporting of Daily Air Quality– the Air Quality Index (AQI) aqi-technical-
assistance-document-sept2018.pdf (airnow.gov)
24) U.S. Food and Drug Administration (FDA). (n.d.). N95 Respirators, Surgical Masks, Face Masks, and Barrier Face Coverings. gov/medical-devices/
personal-protective-equipment-infection-control/n95-respirators-surgical-masks-face-masks-and-barrier-face-coverings
25) Coway Mega. (n.d.). Air Quality Index. Retrieved April 2024. from cowaymega.com/blogs/blog/air-quality-index
26) Detroit Publishing Co, P. View from Mount Adams, Cincinnati, Ohio. United States Ohio Cincinnati, None. [Between 1900 and 1910] [Photograph]
Retrieved from the Library of Congress, loc.gov/item/2016810630/
27) Indiana Department of Environmental Management, A typical continuous air monitoring station (CAMs) United States Indiana, None. [2016]
[[Photograph] Retrieved from Indiana Department of Environmental Management
28) Edward F. Jerome, Smoke Abatement League, Proceedings, Annual Report, Smoke Abatement League of Cincinnati and Hamilton County, Ohio,
December 1911.
29) City of Cincinnati (2023). Green Cincinnati Plan. cincinnati-oh.gov/oes/climate/green-cincinnati-plan-2023-spreads/
30) Air Quality Report (2022). In EPA.gov. Retrieved March 2024. from epa.gov/outdoor-air-quality-data
31) Even, T.L., Trott C.D., Gray, E.S., Roncker, J., Basaraba, A., Harrison, T., Petersen, S. Sullivan, S., & Revis, S. (2021). Climate Equity Indictors
Report– 2021, City of Cincinnati. The American Cities Climate Challenge Equity Capacity Building Fund, Bloomberg Foundation.
32) CincyInsights. (2024). The City of Cincinnati’s official visual open data portal. Cincy Air Watch. from CincyInsights
33) PurpleAir Flex Air Quality Monitor. PurpleAir, Inc. (2024). Retrieved April 2024 from purpleair.com/products/purpleair-flex
34) PurpleAir Monitoring Map. PurpleAir, Inc. (2024). Retrieved March 2024 from map.purpleair.com/
35) Wallace L. Intercomparison of PurpleAir Sensor Performance over Three Years Indoors and Outdoors at a Home: Bias, Precision, and Limit of Detec-
tion Using an Improved Algorithm for Calculating PM2.5. Sensors (Basel). 2022 Apr 2;22(7):2755. doi: 10.3390/s22072755. PMID: 35408369; PMCID:
PMC9002513.
36) RISE communities (2023). In ejsensors.com Retrieved April 2024. from ejsensors.com
37.) City of Cincinnati (2024). Office of Environment and Sustainability cincinnati-oh.gov/oes/natural-environment/air-quality
38.) Environmental Protection Agency (EPA). (2024). EnviroFlash mobile app. EnviroFlash.info
39.) Environmental Protection Agency (EPA). (May 2012). A Citizen’s Guide to Radon epa.gov/sites/default/files/2016-02/
documents/2012_a_citizens_guide_to_radon.pdf
40.) City of Cincinnati (2024). Cincinnati Health Department cincinnati-oh.gov/health/chd-programs/environmental-health/healthy-homes
This report is intended to provide more information about Air Quality and is not intended to be individual
medical advice. If you have questions specific to your situation, contact your healthcare provider.

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Cincy Air Watch Dashboard
The Cincy Air Watch Dashboard is designed to inform and educate the public about air quality. It
will be accessible on the OES website and linked to CincyInsights. This interactive tool will provide real-
time PM2.5 air quality data at a neighborhood level, empowering residents to check conditions in their
area.
All data from publicly available Purple Air monitors is pulled through to the Cincy Air Watch Dashboard.
Residents can contribute to the dashboard by hosting their own air quality sensors. This information will
create a more comprehensive understanding of local air quality in Cincinnati.
Please note: Only data from verified projects will be used in research studies. These studies will help us
better understand the impact of air quality on our community.
This dashboard will also be linked to the Air Quality Epidemiological Educational Brief on the Health
Department webpage and the Cincy Air Watch Program page on the OES website.
25

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Cincy Air Watch Dashboard - Current
The Cincy Air Watch dashboard’s “Current” page consists of real-time PM2.5 data in Cincinnati. This data
is shown by each monitor’s location. When you scroll over a specific monitor a tool tip appears giving
more information.
Cincy Air Watch Dashboard - Historical
The Cincy Air Watch
dashboard’s second
page consists of
historical PM2.5 data
in Cincinnati going
back to January 1st,
2000. This data is
aggregated daily as
a city average and
are filtered by AQI
category and date
ranges in the
lefthand corner.
26

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Example Signs
These signs have been shared with air monitoring site partners to help spread awareness about the
Cincy Air Watch project and guide members of the public and community partners to resources and
education links.
27

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Appendix A: Cincy Air Watch - Project Overview
The Project Overview document is intended for internal city staff and external stakeholders. It
provides a concise, high-level summary of the project to equip city representatives with essential
information for effective communication with media and community partners.
For stakeholders, this document offers a foundational understanding of the project’s goals, rationale, and
potential impacts. It also includes technical details relevant to project logistics and planning.
Most information presented in this document can be found throughout this project packet but has been
summarized here to be shared efficiently or kept on hand.
Please note: This document is a starting point for discussion and exploration. It does not constitute a
comprehensive project management plan and should not be considered a substitute for more detailed
project information.
28

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Rationale
In support of the 2023 Green Cincinnati Plan strategy to “Increase air
quality studies, education, and reduce pollution from air emissions,”
the City of Cincinnati Office of Environment and Sustainability (OES)
in partnership with the Cincinnati Health Department (CHD) launched
the Cincy Air Watch Project.3
Many Cincinnati residents experience poor outdoor air quality which
contributes to adverse health conditions, including asthma and lung
disease. In 2022, the U.S. Environmental Protection Agency (EPA)
registered 181 days with “moderate,” “unhealthy for sensitive
groups,” or “unhealthy,” air quality index ratings in Cincinnati.4 Ozone
and Particulate Matter (PM) 2.5 contribute significantly to these low
ratings. Other factors include vehicle emissions and industrial
emissions. High air temperatures and ultraviolet radiation further
exacerbate poor air quality. The 2023 GCP identified a goal of
improving air quality so that Air Quality Index healthy days are
increased by 30% by 2028.4
The GCP outlines four priority actions in regard to air quality:3
(1) Expand monitoring of air quality and nuisance odors
incorporating citizen science in priority neighborhoods.
(2) Provide services, resources, and education for residents in
priority neighborhoods on air quality alert system, sources of
poor air quality, and air quality regulations.
(3) Support and fund the development of natural corridors and tree
barriers along streams and rivers, interstates and highways.
(4) Strengthen emissions regulations.
Cincy Air Watch plans to focus initially on the first two actions in
hopes of better informing the second two actions in later phases.
The Green Cincinnati Plan
The city of Cincinnati’s mission is to create
the highest quality of life for its 309,317
residents.1 The city's primary focus is to
address community concerns using data and
feedback from community members, with a
strong emphasis on equity, inclusion, and
people-centered planning.2
The Green Cincinnati Plan (GCP) has been
the city’s sustainability plan since 2008.
Updated every five years (2013, 2018, and
now 2023), the GCP has helped Cincinnati
earn a reputation as an international leader
in climate action. Since 2008, the actions
outlined in the GCP have helped deliver a
36.6% reduction in the city’s carbon
emissions. The 2023 GCP is organized into
eight focus areas that articulate the city’s
visions, goals, strategies, and actions in
response to the climate crisis: Buildings and
Energy, City Operations, Community
Activation, Food, Mobility, Natural
Environment, Resilience and Climate
Adaptation, Zero Waste.3
Cincinnati City Council adopted the 2023
GCP by unanimous vote on Wednesday,
April 19, 2023, committing to taking action
to address climate change in Cincinnati.2
Cincy Air Watch- Project Overview
Community Air Quality Monitoring with PurpleAir Sensors
29

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Background
Priority Neighborhoods
The 2021 Climate Equity Indicators Report, a study by the City of Cincinnati, UC, and Green Umbrella identified the
top neighborhoods with relatively higher asthma rates than other neighborhoods as priority neighborhoods.
These neighborhoods are:
 Millvale
 South Cumminsville
 Lower Price Hill
 Queensgate
 Riverside East
 Sedamsville
 Villages at Roll Hill
 South Fairmont
 North Fairmont
 English Woods
 West End
 Winton Hills
 Avondale
Many of these communities are in
proximity to highways and industrial
development, which are expected
to be primary sources of health
concern. 5
Cincinnati neighborhoods with high rates of asthma often overlap with areas of low tree canopy cover and urban heat
islands* according to the 2021 Climate Equity Indicators Report. Data from this project will help inform the
relationship between local air quality and Cincinnati health outcomes such as asthma, as well as the relationship
between local air quality and our built environment**. 5
Particulate Matter
Poor air quality is proven to negatively impact our health and environment. 3,4,5 The term air quality relates to the
amount of pollution or tiny pieces suspended in the air. The five most commonly studied types of air pollution are
carbon monoxide (CO), ozone (O3), nitrogen dioxide (NO2), sulfur dioxide (SO2), and solid particle pollution called
particulate matter (PM).6
 Particles less than 10 microns or micrometers (μm) in diameter, PM10 (coarse particles).
 Particles less than 2.5 microns or micrometers (μm) in diameter, PM2.5 (fine particles).
Particle size is directly related to potential to cause adverse
respiratory problems. Larger particles impact the upper
respiratory tract and can sometimes be dislodged by coughing,
yet smaller particles can enter lower into the lungs, respiratory
tract, and bloodstream becoming more dangerous and harder to
expel from the body. PM is known to cause aggravated asthma,
decreased lung function, increase respiratory symptoms such as
irritated airways, coughing, or difficulty breathing. It is also linked
to nonfatal heart attacks, irregular heartbeat, and premature
death in individuals with heart or lung disease.6 The Cincy Air
Watch Project has chosen to monitor PM2.5 because of its known
link to adverse health effects.
Cincinnati Asthma Prevalence Map (2021) from the 2021 Climate Equity Indicators Report
*Urban heat islands refer to urbanized areas that experience higher temperatures when compared to
outlying areas due to the density of structures such as buildings, roads, and other infrastructure absorbing
and re-emitting the sun’s heat more than the natural landscape.
** The built environment refers to a person’s physical surroundings in which people live, work, and play
including elements such as buildings, roads and bridges, public spaces, landscapes, utilities and services, and
urban planning.

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Project Overview
Cincy Air Watch aims to utilize PurpleAir monitors to measure and communicate real-time outdoor air quality data
for particulate matter (PM2.5) in priority neighborhoods. These small air quality monitors can be easily installed and
upload the air quality data in real-time to a publicly available map on the PurpleAir website.
In the first year of this project, OES and CHD will install 24 monitors in priority neighborhoods, with a focus on areas
where there is expected to be high levels of pollution, such as in proximity to industrial sites and high traffic roadways.
Populations living in these areas are often referred to as environmental justice (EJ) communities, as they experience
disproportionately higher rates of health outcomes, often as a result of environmental stressors.7
This project will add to the current network of PurpleAir monitors in the city that have already been installed by
community groups and individuals. This project meets the GCP priority recommendations to:
 Expand monitoring of air quality and nuisance odors, incorporating citizen science in priority neighborhoods.
 Provide services, resources, and education for residents in priority neighborhoods on air quality alert systems,
sources of poor air quality, and air quality regulations.
Cincy Air watch plans to provide services, resources, and education for residents in priority neighborhoods on air
quality alert systems, sources of poor air quality, and air quality regulations though a mix of educational materials and
resources. These services and resources include:
1.) At strategic monitoring sites, we plan to display signs with QR codes that navigate to the Cincy Air Watch dashboard
to engage the community with the data at monitoring sites and bring awareness to the project.
2.) Build an Air Quality Dashboard that integrates data from all publicly available PurpleAir monitors in Cincinnati
through the use of an API data call for visualization and analysis.
3.) Educational materials such as an Educational Brief about air quality to describe what the data means, background
on air quality, local history, how it affects your health, how to take steps to improve air quality, and how to get
involved.
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Monitor Selection
PurpleAir Flex
This project is utilizing the PurpleAir Flex Air Quality Monitor selected based on its cost-
effective price point, accuracy and precision, ease of install, existing network use by
citizen scientists, connectivity to Wi-Fi, transparency of data, lifespan, and ability to
measure PM2.5 concentrations.
The Purple Air Flex costs $289.00 and is 3.5 x 3.5 x 5 inches (85 x 85 x125 mm), weighing
approximately 12.6 ounces. The monitor has an expected life span of 3 years. The
monitors will be installed outdoors and are rated for temperatures and weather from
-40°F to 185°F. It can receive power from an outdoor rated (IP68) outlet through a 5V
USB-3A (15W) to Type A (USA) plug running at 50/60Hz of input and costs $40.00 if
purchased through the PurpleAir. The monitors can be easily installed using zip ties
from the monitor’s bracket or screwed into a stationary surface.8
Accuracy and Precision
A sensor needs to provide reliable data that is both accurate and precise. Accuracy is the overall agreement that the
measurements of the sensors are true to the concentration of pollution in the air and precision is how well a sensor
reproduces a measurement under identical circumstances.6
Accuracy of a sensor is assessed by linear regression. This is
done by plotting the readings of the senser against reference
data, such as an EPA standardized monitor experiencing the
same weather, atmospheric, and air pollution conditions; this
is called collocation. Using the equation y = mx + b, and a
coefficient of determination, R2 we can test to see if data
follows a trend of accurate readings against a known accurate
set of data. R2 is a statistical measure of how close the data is to the slope-intercept line or how much scatter is in the
data. The closer R2 is to 1 the better the agreement between the sensor and the reference data. In a intercomparison of
PurpleAir Sensor Performance, PurpleAir monitors were tested with an average R2 of 0.977. Precision is quantified by
standard deviation. Standard deviation describes how much the data is spread out. A low standard deviation indicates
that values are close to the average of a set of data.6, 9
How the Sensors Work
PurpleAir Flex sensor periodically measures the amount of PM2.5 in the air by drawing in a fresh sample of air using a
small fan past a laser beam that reflects light from the particulate matter onto a detection plate to determine the size
and amount of particles. The sensor cannot determine the composition of the particles (mold, dust, chemical
compound etc.). It then reports the data to the PurpleAir map over Wi-Fi or is stored on an internal secure digital (SD)
chip.8
Data
PurpleAir Monitors report data directly to the PurpleAir map over Wi-Fi or store data on an internal secure digital (SD)
chip. Monitors on Wi-Fi can be publicly or privately connected. Publicly connected monitors such as those used in this
project send data directly to the PurpleAir map, which acts as a data repository and server. Data can be called through
the use of an application programming interface (API), which is a programming connection that allows two pieces of
software to communicate with one another. In this case, the PurpleAir map and excel. This allows our team to pull
only the data from all publicly available monitors in our jurisdiction and pull data from new monitors that appear as
citizen scientists install them. We can then connect
this data to data visualization software, like
PowerBi, to make the data easily analyzed and
more digestible and interactive on the city website.
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Collaboration
The city of Cincinnati participated in the RISE Communities program. The program is funded by a NIEHS
grant and is a partnership between the Cincinnati Children’s Hospital Medical Center Division of
Biostatistics and Epidemiology and the University of Cincinnati Department of Family and Community
Medicine.7
The goal of the RISE Communities program is to empower communities to pursue change through fostering
community-academic partnerships through research education, training, and team development.
This program provides training for participants with
technical training in the application of low-cost PurpleAir sensors for
indoor and outdoor, and personal air monitoring in environmental justice
communities. Helping establish a community of practice to build air
quality monitoring networks in communities nationwide.7
Project Managers
References:
1.) City of Cincinnati (2020). Citywide Census. cincinnati-oh.gov/sites/planning/assets/2020%20CENSUS/Citywide_2020.pdf
2.) City of Cincinnati (2023). How the Green Cincinnati Plan was Created. cincinnati-oh.gov/oes/green-cincinnati-plan/individual-gcp-
chapters-printable-versions/how-was-the-greencincinnatiplanco-created/
3.) City of Cincinnati (2023). Green Cincinnati Plan. cincinnati-oh.gov/oes/climate/climate-protection-green-cincinnati-plan/green-
cincinnati-plan-2023-spreads/
4.) Air Quality Report (2022). In EPA.gov. Retrieved March 2024. from epa.gov/outdoor-air-quality-data
5. ) Even, T.L., Trott C.D., Gray, E.S., Roncker, J., Basaraba, A., Harrison, T., Petersen, S. Sullivan, S., & Revis, S. (2021). Climate Equity
Indictors Report– 2021, City of Cincinnati. The American Cities Climate Challenge Equity Capacity Building Fund, Bloomberg Founda-
tion.
6.) Polidori A., Papapstolou V., Collier-Oxandale A. Hafner H., and Blakey T. (2021) Community in Action: A Comprehensive Guide-
book on Air Quality Sensors. April Available on the South Coast AQMD’S AQ-SPEC website: aqmd.gov/aq-spec/special-projects/star-
grant
7.) RISE communities (2023). In ejsensors.com Retrieved April 2024. from ejsensors.com
8.) PurpleAir Flex Air Quality Monitor (2024). Retrieved March 2024. from www2.purpleair.com/products
9.) Wallace L. Intercomparison of PurpleAir Sensor Performance over Three Years Indoors and Outdoors at a Home: Bias, Precision,
and Limit of Detection Using an Improved Algorithm for Calculating PM2.5. Sensors (Basel). 2022 Apr 2;22(7):2755. doi: 10.3390/
s22072755. PMID: 35408369; PMCID: PMC9002513.
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Appendix B: Round 2 Neighborhood Needs Rankings
ŷ=-7.396-0.317x1+0.806x2+0.507x3-0.038x4
Neighborhood
(N=51)
Needs
Ranking ŷ
Round
1
Over-the -Rhine 1 0.28920 No
Pendleton 2 0.30534 No
West End 3 0.30909 No
Lower Price Hill 4 0.36039 No
Mount Adams 5 0.38279 No
Downtown 6 0.38770 No
East End 7 0.40096 No
Riverside 8 0.40643 No
Mount Washington 9 0.43202 No
Roselawn 10 0.44509 No
Mount Auburn 11 0.45002 No
Bond Hill 12 0.45233 No
South Cumminsville 13 0.46860 No
East Walnut Hills 14 0.50576 No
Carthage 15 0.52314 No
Pleasant Ridge 16 0.53137 No
Hyde Park 17 0.53819 No
South Fairmount 18 0.55616 No
Columbia
Tusculum 19 0.57026 No
Northside 20 0.59649 No
Winton Hills 21 0.60115 No
English Woods 22 0.61596 No
Villages at Roll Hill 23 0.62731 No
Clifton 24 0.66393 No
North Avondale -
Paddock Hills 25 0.66992 No
North Fairmount 26 0.67888 No
East Westwood 27 0.68377 No
Mount Airy 28 0.70268 No
Neighborhood
(N=51)
Needs
Ranking ŷ
Round
1
Queensgate 0.30296 Yes
Sayler Park 0.33139 Yes
Linwood 0.35410 Yes
Corryville 0.35789 Yes
Camp Washington 0.40836 Yes
Oakley 0.42144 Yes
California 0.42286 Yes
Walnut Hills 0.42904 Yes
West Price Hill 0.43037 Yes
Evanston 0.44270 Yes
CUF 0.47982 Yes
Avondale 0.49677 Yes
Madisonville 0.51512 Yes
Westwood 0.52483 Yes
Hartwell 0.53670 Yes
East Price Hill 0.54286 Yes
Sedamsville 0.55450 Yes
Kennedy Heights 0.55479 Yes
Mount Lookout 0.58399 Yes
Millvale 0.63291 Yes
College Hill 0.63543 Yes
Spring Grove 0.63621 Yes
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References
(1) RISE communities (2023). In ejsensors.com Retrieved April 2024. from ejsensors.com
(2) Research Horizons (2024, January 24). A Deeper Commitment to Health Justice and Eliminating
Health Inequities. Cincinnati Children’s Hospital Medical Center. Retrieved August 2024. From
scienceblog.cincinnatichildrens.org/a-deeper-commitment-to-health-justice-and-eliminating-
health-inequities/
(3) University of Cincinnati College of Design, Architecture, Art and Planning. (2024). In CARES
Retrieved August 2024. From epiccolab.org/CARES.
(4) City of Cincinnati (2020). Citywide Census. From cincinnati-
oh.gov/sites/planning/assets/2020%20CENSUS/Citywide_2020.pdf
(5) City of Cincinnati (2023). How the Green Cincinnati Plan was Created. From cincinnati-
oh.gov/oes/green-cincinnati-plan/individual-gcp-chapters-printable-versions/how-was-the-
greencincinnatiplanco-created/
(6) City of Cincinnati (2023). Green Cincinnati Plan. From cincinnati-oh.gov/oes/climate/climate-
protection-green-cincinnati-plan/green-cincinnati-plan-2023-spreads/
(7) Air Quality Report (2022). In EPA.gov. Retrieved March 2024. From epa.gov/outdoor-air-quality-
data
(8) Polidori A., Papapstolou V., Collier-Oxandale A. Hafner H., and Blakey T. (2021) Community in
Action: A Comprehensive Guidebook on Air Quality Sensors. April Available on the South Coast
AQMD’S AQ-SPEC website: aqmd.gov/aq-spec/special-projects/star-grant
(9) Even, T.L., Trott C.D., Gray, E.S., Roncker, J., Basaraba, A., Harrison, T., Petersen, S. Sullivan,
S., & Revis, S. (2021). Climate Equity Indictors Report– 2021, City of Cincinnati. The American
Cities Climate Challenge Equity Capacity Building Fund, Bloomberg Foundation.
(10) Purple Air Map (2024). Retrieved August 2024. From map.purpleair.com/1/i/ls/mAQI/a0/p0/cC0
(11) PurpleAir Flex Air Quality Monitor (2024). Retrieved March 2024. from
www2.purpleair.com/products
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