Board of Health Meeting - Tuesday, April 22, 2025 Agenda

[Mission]
To assure access to quality services and to improve community health and wellness.
Board of Health Meeting
Tuesday, April 22, 2025
Agenda
Jagdish Bhati Mary Carol Burkhardt, M.D. Jennifer Forrester, M.D.
Edward B. Herzig, M.D. Christopher Lewis, M.D. 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 March 25, 2025, Board of Health Meeting.
Old Business
6:10 pm – 6:20 pm Commissioner’s Report – Dr. Grant Mussman
6:20 pm – 6:30 pm Communicable Disease Unit (CDU) report: What's bugging us? – Ms. Kim Wright
6:30 pm – 6:40 pm Newborn Systems of Change Presentation—Dr. Stephanie Courtney
6:40 pm – 6:50 pm Finance Committee – Ms. Kiana Trabue
o Vote: Motion to Approve Hamilton County Public Health—Contract 55x10786
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 April 22, 2025
New Business
7:05 pm – 7:25 pm 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.
7:25 pm – 7:30 pm Additional New Business and Public Comments
7:30 pm Adjourn
Next Meeting May 27, 2025

-- 1 of 83 --

CINCINNATI BOARD OF HEALTH
BOARD OF HEALTH MEETING
March 25, 2025
Ms. Ashlee Young, Chair of the Board of Health, called March 25, 2025, meeting of the Cincinnati Board
of Health to order at 6:04 p.m.
I. ROLL CALL:
Board Members Attending: Mr. Jagdish Bhati, Dr. Edward Herzig, Dr. Christopher Lewis, Ms.
Raynal Moore, Ms. Ashlee Young
Absent: Dr. Mary Carol Burkhardt, Dr. Jennifer Forrester, Mr. Ken Patel, Ms. Kiana Trabue
Others Present: Dr. Maryse Amin, Mr. Tim Collier, Ms. Sa-Leemah Cunningham, Mr. Ian Doig, Dr. Camille
Jones, Mr. Mark Menkhaus Jr, Ms. Angela Mullins, Dr. Ashanti Salter, Dr. Nick Taylor, Ms. Angela Uran, Ms.
Kimberly Wright,
AGENDA PACKET → March-BOH-Agenda-Packet-3.25.25.pdf
ITEM TOPIC RESPONSIBLE
PARTY
ACTION/MOTION
Minutes Motion that the Board of Health approves the minutes
from February 25, 2025, Board of Health Meeting.
Motion that the Board of Health approves the minutes
from March 6, 2025, Continuation Board of Health
Meeting.
Ms. Sa-Leemah
Cunningham
Vote: Approval of
Minutes from 2.25.25
Motion: Mr. Jagdish
Bhati
2nd: Dr. Edward Herzig
Action: 5-0 Passed
Vote: Approval of
Minutes from 3.6.25
Motion: Dr. Edward
Herzig
2nd: Dr. Christopher
Lewis
Action: 5-0 Passed
Old Business
Commissioner’s
Report
Dr. Maryse Amin shared a brief commissioner’s update
with the Board.
Measles Preparedness and Response
• Dr. Amin reported that there was one case of
measles in Ohio, an adult from Ashland
County, with no immediate risk, which Ms.
Wright elaborated on her during her report.
Medical Debt Relief
• Dr. Amin discussed the relief of medical debt
for 47,000 cases over a 10-year period,
Dr. Maryse
Amin-in place of
Dr. Grant
Mussman
n/a

-- 2 of 83 --

amounting to $47 million. This was done in
conjunction with the City Manager’s office and
the Department of Human Services.
Communicable
Disease Unit
(CDU) report:
What’s Bugging
Us
Discussion Items: Memo and presentation included in
the agenda packet.
Ms. Wright presented her report, Communicable
Disease Unit (CDU): What’s Bugging Us to the board.
Highlights
• Dr. Mussman requested that Ms. Wright focus on
one main topic for the evening: measles.
1. CDC Health Alert
• CDC issued its second health alert of 2025 on
March 7 concerning rising measles cases.
• The alert advises health care providers to:
o Be vigilant for febrile rash illness.
o Isolate suspected cases immediately.
o Follow airborne and standard precautions.
o Ensure providers have presumptive
evidence of immunity.
o Encourage MMR vaccination for
domestic/international travelers.
2. Measles Overview
• Highly contagious, vaccine-preventable respiratory
disease.
• A Class A reportable disease in Ohio:
o Requires immediate notification to local
and state health departments.
o 24/7 availability and response from health
departments is mandated.
3. Symptoms & Complications
• Prodromal stage: 3–5 days of high fever (103–
105°F), cough, conjunctivitis, and coryza.
• Rash stage: Lasts 5–6 days.
• Potential complications include:
o Ear infections, pneumonia, encephalitis,
diarrhea, and death.
o High-risk groups: Children under 5,
pregnant individuals, and immuno-
compromised people.
4. Historical Context
• Measles declared eliminated in the U.S. in 2000.
• Only two confirmed Cincinnati cases since then
(2001 and 2012), both travel-related.
• Notable local exposure: Disney on Ice event
(March 2024), exposed approx. 5,000 people.
5. 2025 Measles Statistics (YTD)
• 378 confirmed U.S. cases (17 states + NYC);
Compared to 285 total cases in 2024.
• Three outbreaks (defined as 3+ related cases).
• 90% of 2025 cases are outbreak-associated.
Dr. Kim Wright n/a

-- 3 of 83 --

• 95% of cases unvaccinated or unknown status.
• 64 hospitalizations; 2 deaths.
6. CHD Communicable Disease Unit (CDU) Response
• Investigation begins immediately upon report.
• Confirms patient isolation during infectious
period: 4 days before and after rash onset.
• Conducts contact tracing, starting with:
o Household exposures
o Daycare/school/healthcare settings
o Travel history
• Confirms vaccination status and reinforces
isolation protocol.
• May recommend vaccination or quarantine for
household contacts.
• Notifies ODH and inputs case into state reporting
system (ODRS).
7. CDU Follow-Up Actions
• Works with facilities to define exposure window
(up to 2 hours post-exposure).
• Contacts exposed individuals directly.
• Reviews: Immunity status, post-exposure guidance,
21-day monitoring.
• Offers testing for known contacts through state lab
(free if criteria met).
• Ongoing provider education and public
communications.
8. Risk Assessment & Outbreak Categories
• CDC outlines 3 types of outbreaks:
o No outbreak: Well-vaccinated communities.
o Small/medium outbreak: Under vaccinated
general populations.
o Large outbreak: Close-knit, under vaccinated
communities.
• Examples include Amish (OH), Orthodox Jewish
communities (NY), Afghan evacuees, Mennonites
(TX/NM).
9. Current Risk Factors
• Driven by Global measles activity and declining
U.S. Vaccination rates.
• Ohio’s kindergarten MMR rate: 88.3% (below 95%
threshold).
• Increases in religious/philosophical exemptions
noted.
• Other vulnerable groups: post-secondary students,
travelers, healthcare personnel, HIV-positive
individuals, and adults vaccinated with earlier
“killed” vaccine.
Questions:
• Mr. Bhati inquired about the density of low-
immunization communities in Cincinnati, and

-- 4 of 83 --

Wright explained the challenges in obtaining
comprehensive data.
Healthy Homes
Presentation
Discussion Items: Presentation included in the
agenda.
Dr. Amin provided an overview of the department's
structure, highlighting
Ms. Angela Uran, Supervising Environmental Health
Specialist, presented an overview of the Healthy
Homes unit, including their programs and team
structure.
Highlights
• Dr. Amin introduced Ms. Uran and informed that
she works in the Environmental services section of
the Health Department, which is overseen by Mr.
Antonio Young. Ms. Uran oversees Nine
Environmental Health Specialist, Two Senior
Environmental Health Specialists, One CRR.
• Ms. Uran detailed the inspections and licensing
activities for recreational vehicle parks, mobile
home parks, Job Corps, and hotels.
o Recreational Vehicle Park (Kellogg Avenue,
opened 2021): Licensed and inspected
annually. Mandated by the Ohio
Department of Health.
o Mobile Home Park: Located within city
limits. Inspections conducted annually
under a contract with the Ohio
Department of Commerce.
o Job Corps (Western Avenue): Residential
and educational facility for young adults
learning trades (e.g., culinary,
automotive).Quarterly inspections of
residential and classroom areas.
Conducted under contract to meet
Department of Labor requirements.
o Hotels: 30 hotels licensed and inspected
annually. Governed under Board of Health
Regulation 000-11.
o Schools: 138 schools (public, private,
charter) inspected twice per year. Includes
both environmental and Food Service
Operations (FSO) inspections.
• Ms. Uran explained the process for handling
nuisance complaints, including on-site inspections
and enforcement actions.
o Nuisance Complaints
▪ Over 3,400 housing complaints
were recorded last year.
▪ Complaints include lack of
heat/water, pests (roaches,
Ms. Angela Uran n/a

-- 5 of 83 --

mice, rats), plumbing issues,
sewage problems, and unsafe
living conditions.
▪ Complaint Process:
a. On-site inspections.
b. Board of Health orders
issued when complaints
are validated.
c. Non-compliance may
result in: Civil citations
($300–$1,250) and
Housing court
proceedings with legal
support from the City’s
Quality of Life attorneys.
o Shelter Inspections.
▪ Environmental and food service
checklist inspections.
▪ Conducted annually in
coordination with the
Compliance Officer for Strategies
to Prevent Homelessness.
o Smoke-Free Workplace Program
▪ Investigation of smoking
complaints.
▪ Contracted through the Ohio
Department of Health.
• Ms. Uran highlighted the department's
collaborations with Children's Hospital, the city
manager's office, and other community partners.
o Children’s Hospital - CLEAR Program
▪ Partnership with Dr. Beck’s
group to address environmental
asthma risks.
▪ Referrals received for pest/mold
conditions.
▪ Investigations conducted, and
outcomes shared with hospital.
o City Manager’s Office - Place-Based
Initiatives
▪ Partnership with Ms. Brooke
Lipscomb on hoarding cases.
▪ Focus on owner-occupied homes
and mental health support over
prosecution.
o Internal Health Department
Collaborations
▪ Working with Impact U (Antonio
Young) on CLEAR.
▪ Collaboration with Sonia
Williams to improve complaint
response times and data
tracking.
o Additional Community Outreach
▪ Team participates in:
Neighborhood Summits, Tenant

-- 6 of 83 --

association meetings, 311 Citizen
Academy, Legal Aid sessions
▪ Pop-up education tables in
neighborhoods (e.g., Shell gas
station with Brooke Lipscomb’s
team).
• Ms. Uran shared that their office is located at the
Bobbie Sterne Health Center and gave her contact
information in the presentation.
Finance
Committee
Discussion Items: Documents included in the agenda.
Mr. Mark Menkhaus Jr. presented the contracts that
were discussed and presented at the Board of Health
Finance Committee Meeting to the Board.
Clark Schaefer Hackett—Contract 55x0556, 3rd
Amendment
• This is an amendment to our contract with Clark
Shafer Hackett contract, 55x 0556, what we're
presenting tonight is the third amendment to
the contract. It's worth $405,000, bringing the
total contract amount to 1.7 million. Clark Shafer
Hackett is an accounting firm that does auditing
for CHD cost reports. Every year. They've been
doing this for CHD since 2014 and this latest
amendment will extend the contract for another
three-year cycle. Clark Shaffer Hackett is the
only accounting firm in Ohio that does auditing
Medicaid cost reports, and specializes in the
audits of local governments, which is why we're
asking to continue the contract for three more
years.
Mr. Mark
Menkhaus Jr.
Vote: Contract 55x0556,
3rd Amendment
Motion: Dr. Edward
Herzig
2nd: Ms. Raynal Moore
Action: 5-0 passed
Finance Update Discussion Items: Memo and materials were included
in the agenda.
Mr. Menkhaus gave an update on CHD Financials for
February 2025 and Year over Year.
Highlights
• Mr. Menkhaus reminded the board that the
Medicaid Maximization payment was received
in February, a bit ahead of schedule, which was
reflected in the numbers.
• Revenue total was $43,923,708.66, increased
6.36%.
o Private Pay Insurance decreased by 2.78%.
o Medicare decreased by 0.80%.
o Medicaid increased by 22.72%.
o Medicaid managed care increased by
37.24%.
o Self-Pay patients increased by 3.15%.
Mr. Mark
Menkhaus Jr.

-- 7 of 83 --

o Board of Ed Svcs (School Nurse’s Salary)
decreased by 35.32%.
o Grants/Federal increased by 38.43%.
• Expenses were $42,337,951,20, an increase of
3.73%.
o Property expenses decreased 14.87%.
o Personnel expenses increased by 5.04%.
o Contractual costs decreased by 0.37%.
o Material costs increased by 33.34%.
o Fixed costs decreased by 33.26%.
o Fringes increased by 5.07%.
The total available is $3,775,757.46, increased by
120.50%.
Personnel Actions Motion to Approve the personnel actions dated
March 25, 2025.
Dr. Maryse Amin Motion: Dr. Edward
Herzig
2nd: Mr. Jagdish Bhati
Action: 5-0 passed
New Business
Additional New
Business and
Public Comments
Public Comments
• There were no public comments.
Ms. Ashlee
Young
n/a
6:54 p.m. adjourned.
Next meeting: Tuesday, April 22, 2025, at 6pm, via Zoom.
Meeting can be viewed at: https://archive.org/details/boh-3-25-25
Minutes Approved by:
_________________________ ____________________________
Sa-Leemah Cunningham Ashlee Young
Cincinnati Board of Health Clerk Chairperson, Board of Health

-- 8 of 83 --

Board Members
Roll Call on
2.25.25
2.25.25
BOH
Meeting
Minutes
3.6.25 BOH
Meeting
Minutes
Clark Schaefer
Jacket-Contract
55x0556, 3rd
Amendment
Personnel
Actions
Dated
3.25.25
Mr. Jagdish Bhati x M 2nd
Dr. Mary Carol Burkhardt
Dr. Jennifer Forrester x Present
Dr. Edward Herzig x 2nd M M M Yay
Dr. Christopher Lewis x 2nd Nay
Ms. Raynal Moore x 2nd Absent
Mr. Ken Patel Didn't vote but present
Ms. Kiana Trabue M Move
Ms. Ashlee Young - Chair x 2nd Second
Motion Result: Quorum Passed Passed Passed Passed
STAFF
Dr. Maryse Amin-in place of Dr. Mussman, Commissioner x
Sa-Leemah Cunningham (clerk) x
Antonio Young x
Ian Doig x
Mark Menkhaus Jr. x
Dr. Ashanti Salter x
Kim Wright x
Dr. Nick Taylor x
Angela Uran x
Angela Mullins x
Dr. Camille Jones x
Tim Collier x
March 25, 2025 Meeting Attendance/vote sheet

-- 9 of 83 --

DATE: April 18, 2025
TO: Board of Health Members
FROM: Dr. Grant Mussman, Health Commissioner
SUBJECT: Health Commissioner Executive Summary
Ohio Association of Community Health Centers (OACHC)Spring Conference 2025
• Members of CCPC leadership attended the Ohio Association of Community Health
Centers (OACHC) Annual Conference from April 15-16, 2025. This conference provides
a platform for them to learn new approaches and share best practices with colleagues, all
aimed at enhancing the efficiency and effectiveness of our community health center
operations. By attending, they'll gain valuable insights and resources, ultimately allowing
them to better serve our community.
Ohio Public Health Spring Conference 2025
• I will be attending the Public Health Combined Conference in Ohio from April 28th to
30th, 2025. This year's theme, "Celebrating Public Health: People and Purpose," aims to
promote awareness and enhancement of individuals impacting public health challenges,
recognize achievements and institutions affecting health outcomes, and identify strategies
for population-wide protection and future public health innovation.
FY 2026 - 2027 Biennial Budge Update
• Although the budget did not include any staffing reductions, a reduction in contract staff
was necessary due to federal funding cuts.
City Council Resolution - Black Maternal Health Week
• Last week, the City Council adopted a resolution acknowledging Black Maternal Health
Week, commending Cradle Cincinnati for their efforts in addressing this significant
county-wide concern. CHD was represented by Drs. Michelle Daniels and Maryse Amin.
National Nurses Day May 6th
• National Nurses Day, observed annually on May 6th, acknowledges the hard work,
dedication, and vital role of our nurses at the Cincinnati Health Department. Recognizing
their invaluable and continuous contributions to the health and well-being of individuals
and families throughout Cincinnati, this day offers an opportunity to express our sincere
gratitude for their expertise and dedication, while also reinforcing the Health
Department's long-term commitment to reducing significant life expectancy disparities
within our community.
HEAL kickoff event June 5th
• Mark your calendars for June 5th! The Health Collaborative is hosting the kickoff event
for HEAL, an exciting new city-wide collaborative dedicated to cardiovascular health.
More details to follow.

-- 10 of 83 --

1
DATE: April 15, 2025
TO: Cincinnati Health Department Board of Health
FROM: Kim Wright, Supervising Epidemiologist Communicable Disease Prevention and
Control - CHES
SUBJECT: April 2025 Board of Health Communicable Disease Report
What’s Bugging Us?
Measles
According to the Centers for Disease Control (CDC) as of April 10, 2025, a total of 712
confirmed measles cases were reported by 25 jurisdictions. There have been 7 outbreaks (93%
of cases are connected to an outbreak) and 3 deaths reported in 2025. Ohio is reporting
outbreaks in Ashtabula (11 cases) and Knox (14 cases, with 7 of those residents of Ohio), and
1 case in Allen and Holmes Counties, for an official count of 20 cases in Ohio residents as of
April 9, 2025 on the Ohio Department of Health Summary of Infectious Diseases Dashboard
having onset dates from 2/24/2025-4/1/2025. Ages range from 3-53 with a median age of 20.
There has been 1 hospitalization reported in Ohio.
CHD has received 3 EpiCenter notices of measles case reports since the last Board of
Health meeting in March. In each of these suspected cases commercial testing ruled out
measles. CHD also has worked closely with Hamilton County Public Health when any Class
A reportable disease is reported through EpiCenter. A provider awareness email was sent to
Cincinnati healthcare providers with reporting, testing, and prophylaxis protocols.
Meningococcal Disease
CHD responded to 1 suspected case of Neisseria meningiditis and an unconnected
confirmed laboratory case of N. meningitidis in March. ODH is reporting a total of 5
confirmed cases in Ohio in 2025 as of 4/9/2025. 80% were 18 years of age or older having onset
dates January-March 2025. Cincinnati has a 5-year average rate of .33 cases per 100,000
residents, less than the state 5-year average of .44.
Neisseria meningitidis is a Class A reportable vaccine preventable gram-negative
diplococcus bacterium with at least 13 serogroups known to cause invasive disease;
serogroups A, B, C, W, X, and Y cause most meningococcal disease worldwide, according to
the ODH Infectious Disease Control Manual: Onset is abrupt in meningococcemia with fever,
chills, malaise, myalgia, limb pain, prostration, and a rash which can be macular,
maculopapular, petechial, or purpuric. The progression of disease is usually rapid. In
fulminant cases, purpura, limb ischemia, coagulopathy, pulmonary edema, shock, coma, and
death can ensue within several hours despite appropriate therapy.
The primary goal of CHD response is to rapidly ensure proper isolation of the case,
including droplet precautions in healthcare settings, and that close contacts of the case receive
appropriate antibiotic prophylaxis to prevent additional potentially life-threatening illnesses.
Because time is of the essence, prophylaxis is often advised prior to the final laboratory

-- 11 of 83 --

2
confirmation or lab rule out, which may take as long as a week to result. According to the IDCM,
close contacts include: household members, childcare center contacts, anyone else directly
exposed to an infected person's oral secretions (e.g., via kissing, mouth-to-mouth resuscitation,
endotracheal intubation, or endotracheal tube management) in the seven days before symptom
onset. Healthcare personnel should receive chemoprophylaxis if they are managing an airway or
exposed to respiratory secretions of a patient with meningococcal disease. In the event of close
contacts without a medical home or means to pay for prophylaxis, CHD has developed standing
orders that facilitate the prescribing and/or dispensing of treatment.
Prevention of meningococcal disease is through vaccination. Current CDC and ACIP
recommendations can be found here: ACIP Recommendations: Meningococcal Vaccine | ACIP
Recommendations | CDC.
Seasonal Respiratory Viruses
Acute Respiratory Illness is reported as low in Ohio as of the April 9, 2025 CDC
update, down from very high levels levels reported last month. Nationally wastewater viral
activity levels of influenza A are noted to be low and declining as well.
Influenza: CHD continues to track influenza-associated hospitalizations as an
indicator of flu severity in the community. CHD reported 74 in the month of March. Last year
there were 31 reported in March. ODH reports all influenza-like illness activity indicators
are decreasing as of the update on 3/28/2025.
COVID-19: Following the ODH announcement ending COVID-19 grant support the
last week of March, the CHD COVID-19 Command Center operations ceased at 5:00pm on
Friday, April 4, 2025 and the final CHD COVID-19 dashboard was reported (and is in this
month’s packet. CHD will continue to report monthly COVID-19 cases and outbreaks in the
monthly infectious disease report while COVID-19 cases continue to be reportable. ODH
proposed to make individual cases not reportable last year, which is still in the process of
being approved. ODH proposed to make COVID-19 and RSV hospitalizations reportable, like
Influenza-associated hospitalizations are currently. In the month of March CHD reported
354 COVID-19 cases, which was higher than March of 2024 when 297 cases were reported.
Outbreak Response
CHD’s Communicable Disease Control and Prevention Unit investigated 2 new
outbreaks in March:
• 1 COVID-19 in a healthcare facility
• 1 Candida auris in a healthcare facility
CDC - Influenza A trend in wastewater

-- 12 of 83 --

Communicable Disease Prevention and Control
What’s Bugging Us
Board of Health Presentation
4/22/2025

-- 13 of 83 --

Meningitis
Causes
Bacterial infections
Viral infections
Fungal infections
Parasites
Injuries
Cancer
Certain drugs

-- 14 of 83 --

Meningococcal Disease
Meningococcal disease is meningitis
or meningococcemia (a blood
infection) that is caused by Neisseria
meningitidis, a Gram-negative
diplococcus bacterium with at least 13
serogroups known to cause invasive
disease; serogroups A, B, C, W, X, and
Y cause most meningococcal disease
worldwide.

-- 15 of 83 --

Public Health Response
Investigation
Reporting
Isolation of Case
Prophylaxis of Contacts
Outbreak Prevention
Lab Confirmation
Subtyping
Antibiotic Resistance
Provider Awareness
Public Education

-- 16 of 83 --

Immunization
Recommendations
CDC recommends meningococcal vaccination for
All preteens and teens
Children 2 months through 10 years old at increased risk
Adults 19 years and older at increased risk

-- 17 of 83 --

Increased Risk
Infants, teens and young adults, and older adults have the highest rates
of meningococcal disease in the United States. Specifically, healthcare
providers more commonly diagnose meningococcal disease in
Children younger than 1 year old
Teens and young adults ages 16 through 23 years old
Adults 65 years and older
Certain medical conditions weaken the immune system and increase
someone's risk for meningococcal disease:
Complement component deficiencies
Functional and anatomic asplenia
HIV infection

-- 18 of 83 --

Increased Risk
People with close or lengthy contact with someone with meningococcal disease
are at increased risk of getting sick, especially
Anyone with direct contact with the patient's oral secretions,
such as a kissing partner
People in the same household
Roommates
Where people work, live, and travel can also increase their risk for
meningococcal disease.
Microbiologists who work with the bacteria that cause meningococcal
disease
College students, compared to other teens and young adults
Military recruits, likely due to age and living in a crowded setting
(i.e., military training facilities)
Travelers to the meningitis belt in sub-Saharan Africa

-- 19 of 83 --

References
https://odh.ohio.gov/know-our-programs/vaccine-preventable-
diseases/resources/Meningococcal-Disease
https://odh.ohio.gov/know-our-programs/infectious-disease-
control-manual/section3/section-3-meningococcal-disease
Ohio Department of Health
Centers for Disease Control
CDC Meningococcal Disease Information: www.cdc.gov/meningococcal
CDC Meningococcal Vaccination: www.cdc.gov/vaccines/vpd/mening
CDC Traveler’s Health: Meningococcal Disease:
wwwnc.cdc.gov/travel/yellowbook/2020/travel-related-
infectiousdiseases/meningococcal-disease
CDC ACIP Recommendations: www.cdc.gov/vaccines/hcp/acip-rec

-- 20 of 83 --

Thank you
Kim Wright
Supervising Epidemiologist
Cincinnati Health Department
Communicable Disease Prevention and Control Unit
kimberly.wright@cincinnati-oh.gov
513-357-7391

-- 21 of 83 --

Utilizing Regional Collaboration:
Newborn Systems of Change
Presented by:
Dr. Stephanie Courtney
4/22/2025

-- 22 of 83 --

Team Members:
Cincinnati Health Department
• Dr. Grant Mussman
• Andrew Lovell*
• Dr. Stephanie Courtney*
• Janie Hils*
• Alexandria Ashraf*
* Member of CSTE’s Data Science Team Training
Cincinnati Children’s Hospital (CCHMC)
• Cyndi White
• Allison Reyner
• Joe Michael
• Jenn Ross
• Alicia Bond-Lewis

-- 23 of 83 --

BACKGROUND

-- 24 of 83 --

Background:
• CHD is working to improve infant health and reduce
infant mortality by gathering data on newborn follow-up
with primary care after hospital discharge
• Key objective is to establish a care system that tracks all
births in Hamilton County and primary care visits within the
first two months of life
• This system will help identify and reduce social,
economic, and environmental hardships that can
significantly impact maternal and infant well-being

-- 25 of 83 --

Background (cont.):
• Aim to build a support network in which community health
workers or other designated staff can locate and follow
up with mothers and infants not connected to care, or those
facing identified social or medical risks
• A comprehensive dataset, including information from birth
records and early infant care visits, would help identify
infants and mothers with gaps in care
• Requires data sharing and active participation by all birth
centers and newborn primary care centers in Hamilton
County, coordinated by CHD
• This action is authorized under our public health authority

-- 26 of 83 --

Goals:
• 1. Increase the % of newborns who attend primary care
visit within 5 days of discharge from birth hospital.
• 2. Increase the % of infants in who are up to date w/ 2-
month immunizations.
• 3. Increase the % of infants who are up to date with 2-
month Well Child Checks (WCC)
• 4. Decrease the % infants with households reporting
hardships, e.g., food insecurity, transportation, maternal
depression.

-- 27 of 83 --

METHODS

-- 28 of 83 --

Methods:
• CHD to create and manage a database, an analytics and
reporting system to facilitate follow-up with mothers and
infants lacking care connections
• Successful data linkage of UC Hospital newborn discharges
with first primary care clinics to identify newborns who do
and do not show for first primary care visit within 5 days
of discharge from birth hospital
• Data segmented to understand potential differences by
primary care organization, race, ethnicity, payor and
neighborhood

-- 29 of 83 --

MATCHING PILOT

-- 30 of 83 --

Council of State and Territorial Epidemiologists’
(CSTE) Data Science Team Training:
• The Data Science Team Training program is a team-based,
on-the job training program to promote data science
upskilling at STLT (state, territory, local, tribal) public
health agencies.
• Very competitive pool! 1 of 10 projects selected nationally
to participate!
• Our objective is to collect and integrate data from various
sources to build a comprehensive maternal and newborn
dashboard
• https://www.cste.org/page/dstt-webpage

-- 31 of 83 --

Goal: Integration with our birth dashboard
https://insights.cincinnati-oh.gov/stories/s/j8vr-qiud

-- 32 of 83 --

Council of State and Territorial Epidemiologists’
(CSTE) Data Science Team Training:
• Using statistical analysis to evaluate key risk factors among
the social determinants of health, particularly food
insecurity, transportation, and maternal depression
• Key component of project is Data Modernization initiative
(DMI): learning to creating scripts and automating
workflows
• Predictive models to forecast potential health risks for
pregnant women and newborns based on identified risk
factors

-- 33 of 83 --

Next Steps:
• CCHMC sent their primary care visit data to additionally be
matched with UC birth data
• Working with legal to put in place necessary data use
agreements
• Send data requests to all regional birth hospitals and
primary care organizations
• Optimizing data flow and matching algorithms
• Utilizing dashboard to generate predictive factors and
actionable recommendations
• Develop response process for newborns
at risk for loss to follow-up

-- 34 of 83 --

QUESTIONS?

-- 35 of 83 --

1
City of Cincinnati Board of Health Finance Committee
Kiana Trabue Chair of the Board of Health Finance Committee, called the
Tuesday, April 15, 2025 Finance Committee meeting to order at 5:04p.m.
Roll Call
Members present: Jagdish Bhati, Dr. Edward Herzig, Dr. Camille Jones, John Kachuba, and Dr. Grant Mussman
Topic Discussion Action/Motion
Approval of
Minutes
The Chair asked Committee members if everyone had the opportunity to review
the minutes from March 18, 2025
Motion: That the Board of Health (BOH) Finance Committee approves the minutes
from March 18, 2025.
Motion: Bhati
Second: Herzig
Action: Pass
Review of
Contracts for
BOH
Approval:
April 15,
2025
The Chair began reviewing contracts going to BOH for approval.
Hamilton County Public Health-55x10786
Ms. Robinson explained the grant focuses on decreasing the HIV rates and
handling, counting by 90% by the year, and it should be 20-30, not 2023. These
funds will be used by the Cincinnati Health Department to conduct the quality
improvement. The funding will be used to purchase educational materials and HIV
rapid test kits.
Motion: That the BOH Finance Committee recommends approval.
Motion: Herzig
Second: Jones
Action: Pass
Review of
Contracts for
BOH
Information:
April 15,
2025
The Chair began reviewing the following contracts going to BOH for information.
Arts Equity Collective-55x10785
Ms. Robinson explained that this memorandum of understanding is between WIC
and the nonprofit Arts Equity Collective for Arts equity collectives, single Parents,
Empowerment Education Support initiative. The objectives of this MOU are to
enhance Community safety and well-being by providing WIC education for single
parents living within the City of Cincinnati.
Q: Dr. Herzig inquired about what the health department’s role is in this? Ms.
Robinson reiterated that WIC’s role is to make recipients aware of this arts equity
initiative project.
Dr. Herzig also questioned why the finance committee, instead of the Board of
Health, was reviewing the contract. Dr. Mussman explained that all contracts and
MOUs must go through the finance committee. He then asked the committee if it
would be acceptable to receive any further clarification needed via email. Ms.
Trabue responded that the email would work, but she questioned the difference in
process between the Hamilton County Contract, which was being brought for
approval, and the other informational items on the agenda. She understood that
the arts equity item had no financial aspect, but the other two informational items
did. Therefore, she wondered if this contract's review by the finance committee
was related to those financial aspects. She asked Ms. Salter for clarification. Ms.
Salter explained that a certain financial threshold determined whether an item

-- 36 of 83 --

2
went for board review versus board approval and asked Mrs. Smith to elaborate.
Ms. Trabue suggested that it would be helpful for the committee to receive
clarification on which agreements require a board vote versus being informational
items, including the exact threshold dollar amount.
Discover Traffic Gardens-55x10788
Ms. White explained that the contract with Discover Traffic Garden is for assessing
the design of a traffic garden at Roll Hill School, as part of the Department of
Health's initiative to increase physical activity in East Westwood and Roll Hill. She
detailed that Discover Traffic Garden will conduct a site visit, collaborate with the
school on engagement activities, incorporate feedback to develop a layout, finalize
it, and then provide all necessary information for the traffic garden's installation.
Lindsay Nehls-55x10789
Ms. White stated that this contract is with Lindsay Nehls, a local artist selected by
the Carthage Civic League to design traffic calming measures. The project involves
a mural installation at the corner of Fair Park and Seymour, adjacent to their
future Carthage Commons. This initiative aligns with our Creating Healthy
Communities grant's pedestrian infrastructure improvements, aiming to enhance
traffic flow and implement traffic calming within Carthage. Lindsay Nehls will
create the design and assist with installation, but the community will ultimately
paint the mural.
Financial
Update
Mrs. Smith provided an overview of the financial statement for the period ending
in March 2025
Total Revenue: As of the end of March was $49,343,516.86. Which is a 1.68%
decrease from March of 2024. Expenses as of March 2025 totaled $47,743,634.74
which is a 3.39% increase from March 2024. Total net gain after the capital revenue
transfer was $3,786,882.12. As of March, we had $119,338.18 in overtime
compared to March of 2024’s total of $126,851.22. As of March 2025, we have not
had any disaster overtime, while March 2024 had a total of $401.97 in disaster
overtime.
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
Total Expenses:
o 71—Personnel- Increased by 5.30% (5.04% increase in prior month). This
increase is due to COLAs for non-represented and AFSCME staff.
o 75-Fringes: Fringes saw a corresponding increase of 5.31% (5.07% in the
prior month). The increase is also attributed to the calendar year 2024
having 27 pay periods. This only happens every 10 years.
o 72-Contractual and 73-Material: Contractual Services saw an increase of
3.65% (0.37% decrease in the prior month), and 7300- Materials &
Supplies increased by 0.80% (33.34% increase in prior month). The
increases are due to the timing of invoices paid. In FY25 we paid Western
Nursing $170,225.50 as of March, yet in FY24 we paid Western Nursing
$438,369.52 as of March. In FY25 we paid Cardinal Health $1,519,232.61
as of March, yet in FY24 we paid Cardinal Health $1,325,194.24 as of
March. We also expensed $250,000 to Community Learning Center
Institute in FY25 that was not expensed in FY24.

-- 37 of 83 --

3
o 74-Fixed Cost: A fixed decreased by 26.52% (33.26% decrease in prior
month). The decrease is the timing of invoices paid. In FY25 we paid
Talbert Services $29,071.56 as of March, yet in FY24 we paid Talbert
Services $472,113.91 as of March. In FY25 we paid Hamilton County
$80,000.00, yet in FY24 we paid Hamilton County $210,125.00 as of
March.
o 76-Property: Property increased by 33.68% (14.87% decrease in prior
month). The increase is due to the purchase of a new HVAC unit.
Total Available: $3,786,882.12
New
Business
Ms. Trabue welcomed the newest members to the Board of Finance committee,
John Kachuba, the new chair of the CCPC, and Jagdish Bhati, representing the
Board of Health
Public
Comment
Dr. Salter stated that as of 5 p.m. today, no questions or comments from the
public were received.
Meeting Adjourned: 5:35 p.m.
Next Meeting: Tuesday, May 20, 2025, 5 p.m.
Minutes prepared by Ashanti Salter
The meeting can be viewed and is incorporated in the minutes: https://fb.watch/pD-N3kOzkN/

-- 38 of 83 --

4
Board of Health Finance Committee Roll Calls for April 15, 2025
Roll Call Minutes Hamilton County
Public health-
55x10786
Jagdish Bhati Y MY 2Y
Dr. Edward Herzig Y 2Y MY
Dr. Camille Jones y Y Y
John Kachuba Y Y Y
Mark Menkhaus Jr. - - -
Dr. Grant Mussman Y Y Y
Joyce Tate - - -
Kiana Trabue Y Y Y
Y=Yes | N=No | A=Abstain | P=Present | R=Recuse | M=Moved | 2=Second
Others present: Dr. Maryse Amin, Angela Robinson, Dr. Ashanti Salter (Clerk), Debi Smith, and Tiffany White.

-- 39 of 83 --

Preparation Date March 27, 2025
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 Hamilton County Public Health
Contract # 55x10786
Person and Division responsible for administering contract/grant/lease:
Initiator Person & Phone # Geneva Goode, 513-357-7490
Division Head & Phone # Joyce Tate, 513-357-7361
Division Health
Type of Contract/Agreement Accounts Payable X Accounts Receivable
Service Contract (no $) Lease
Funding Source General Fund Grant Fund X Other Funding
Action Required: X Board Approval Board Information
CONTRACT DOLLAR AMOUNT
Original Amount $35,000
TERM
Original Term Start Date April 1, 2025 End Date April 30, 2026
EXECUTIVE SUMMARY
The purpose of this contract with Hamilton County Public Health is for the Cincinnati Health Department
to receive $35,000 in funds via the Ending the HIV Epidemic Grant. This grant focuses on decreasing
HIV rates in Hamilton County by 90% by the year 2023. These grant funds will be used by the Cincinnati
Health Department to conduct a Quality Improvement Project to increase our annual HIV screening by
5% during the contracted period, purchase educational materials to disseminate to patients, and purchase
Rapid HIV tests as an intervention of our QI project.

-- 40 of 83 --

DATE: April 15, 2025
TO: City of Cincinnati Board of Health Finance Committee
FROM: Mark Menkhaus, Jr., CFO
SUBJECT: Fiscal Presentation 2025
FINANCIAL STATEMENTS REVIEW FOR THE FISCAL YEAR 2025 – MARCH
2025 March Highlights:
o Revenue at the end of March was $49,343,516.86. Which is a 1.68% decrease from
March of 2024. Expenses as of March 2025 totaled $47,743,634.74 which is a 3.39%
increase from March 2024. Total net gain after the capital revenue transfer was
$3,786,882.12.
Year over Year:
o As of March, we had $119,338.18 in overtime compared to March of 2024’s total of
$126,851.22. As of March 2025, we have not had any disaster overtime, while March
2024 had a total of $401.97 in disaster overtime.
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 5.30% (5.04% increase in prior month). This increase is
due to COLAs for non-represented and AFSCME staff. 7500-Fringes saw a
corresponding increase of 5.31% (5.07% in the prior month). The increase is also
attributed to the calendar year 2024 having 27 pay periods. This only happens every
10 years.
o 7200- Contractual Services saw an increase of 3.65% (0.37% decrease in the prior
month), and 7300- Materials & Supplies increased by 0.80% (33.34% increase in prior
month). The increases are due to the timing of invoices paid. In FY25 we paid Western
Nursing $170,225.50 as of March, yet in FY24 we paid Western Nursing $438,369.52
as of March. In FY25 we paid Cardinal Health $1,519,232.61 as of March, yet in FY24
we paid Cardinal Health $1,325,194.24 as of March. We also expensed $250,000 to
Community Learning Center Institute in FY25 that was not expensed in FY24.
o 7400-Fixed Costs decreased by 26.52% (33.26% decrease in prior month). The decrease
is the timing of invoices paid. In FY25 we paid Talbert Services $29,071.56 as of
March, yet in FY24 we paid Talbert Services $472,113.91 as of March. In FY25 we
paid Hamilton County $80,000.00, yet in FY24 we paid Hamilton County $210,125.00
as of March.
o 7600-Property increased by 33.68% (14.87% decrease in prior month). The increase is
due to the purchase of new HVAC unit.

-- 41 of 83 --

Cincinnati Board of Health Financial Statement for the period of March
FY25 Actual FY24 Actual Variance
Revenue
8236-Pools/Spa $2,627.50 $11,062.23 -76.25%
8237-Household Sewage System $47,407.00 $46,361.42 2.26%
8239-Tatto/ Body, Environmental Waste License Fee $42,896.00 $64,026.00 -33.00%
8241-Food Service (Mobile-Temporary) $75,232.44 $112,948.00 -33.39%
8242-Vending Machine Licenses $413.55 $88.34 368.13%
8244-Food Establishments $1,131,064.58 $875,310.11 29.22%
8249-Food, NOC $51,054.50 $55,640.65 -8.24%
8432-Vending Machine Proceeds $0.00 $0.00 0.00%
8536-Grants\State $945,987.46 $1,347,140.86 -29.78%
8556-Grants\Federal $8,145,843.61 $10,483,720.86 -22.30%
8563-Bd of Ed Svc (School Nurses Sal.) $2,459,867.87 $2,728,989.47 -9.86%
8564-Ham Co Service $88,959.51 $207,761.10 -57.18%
8571-Specific Purpose\Private Org. $151,097.86 $849,219.89 -82.21%
8617-Non-Department Fringe Benefit Reimbursement $1,236.01 $1,351.94 -8.58%
8618-Overhead Charges Indirect Costs $61,340.00 $0.00 0.00%
8731-Birth & Death Certificates $406,895.70 $407,928.68 -0.25%
8732-Vital Stats - Other $7,280.63 $3,170.23 129.66%
8733-Self-Pay Patient $643,916.28 $661,622.92 -2.68%
8734-Medicare $3,790,937.94 $3,900,780.86 -2.82%
8736-Medicaid $8,992,009.84 $7,310,330.10 23.00%
8737-Private Pay Insurance $874,159.56 $892,530.94 -2.06%
8738-Medicaid Managed Care $6,174,111.09 $4,738,228.86 30.30%
8739-Misc. (Medical rec.\smoke free inv.) $1,342,405.53 $1,206,185.34 11.29%
8784-Private Lot Litter & Weed $0.00 $0.00 0.00%
8811-Unclaimed Remains ($1,020.00) $0.00 0.00%
8914-Bond/Note Proceeds $0.00 $1,227,000.00 -100.00%
8917-Deferred Sewer Assessment Collections $226.60 $342.49 -33.84%
8932-Prior Year Reimbursement $186,931.59 $426,768.00 -56.20%
% That is attributable from 416 $13,720,634.21 $12,628,481.82 8.65%
Total Revenue $49,343,516.86 $50,186,991.11 -1.68%
Expenses
71-Personnel $25,490,669.10 $24,207,282.29 5.30%
72-Contractual $6,680,350.84 $6,445,299.46 3.65%
73-Material $3,231,033.20 $3,205,548.32 0.80%
74-Fixed Cost $1,682,736.28 $2,289,971.66 -26.52%
75-Fringes $10,209,194.49 $9,694,038.31 5.31%
76-Property $449,650.83 $336,365.92 33.68%
Total Expenses $47,743,634.74 $46,178,505.96 3.39%
Net Gain (Losses) $1,599,882.12 $4,008,485.15 -60.09%
8936-Transfer $2,187,000.00 $1,227,000.00
Total Available $3,786,882.12 $5,235,485.15 -27.67%

-- 42 of 83 --

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 April 22, 2025 BOARD of HEALTH MEETING
NON-COMPETITIVE APPOINTMENT –pending EHS and/or background check
KEYSHA BRITTON PUBLIC HEALTH NURSE 2 NURSING
(Resignation vacancy)
Salary Bi-Weekly Range: $2,374.81 to $3,206.35 Contract
The School and Adolescent Health Program is moving forward with hiring Keysha Britton for
the Public Health Nurse 2 position. She earned her Bachelor of Nursing in 2024 and has three
years of nursing experience. Prior to becoming an RN, she worked six years as a Medical
Assistant, including three years at a City of Cincinnati Primary Care Health Center. Her RN
experience includes hospital, outpatient OB/GYN, and home visiting under the Nurse-Family
Partnership model. Ms. Britton’s education, diverse experience, and commitment to public
health make her a strong fit for the role.
ASIA HUDSON DENTAL ASSISTANT CCPC
(Retirement vacancy)
Salary Bi-Weekly Range: $2,052.24 to $2,167.95 Revenue Fund
Asia Hudson has over 6 years of dental experience as a dental assistant. She has worked in
pediatrics and general dentistry. Ms. Hudson has over 6 years of experience as a chair side
dental assistant with endo and restorative dentistry. She has a wide range of experience, and we
think she will be a great asset to the Cincinnati Health Department dental program.
DANYELLE BURTON PUBLIC HEALTH NURSE 2 NURSING
(Promotional vacancy)
Salary Bi-Weekly Range: $2,374.81 to $3,206.35 Contract
The School and Adolescent Health Division recommends hiring Danyelle Burton as a Public
Health Nurse II. She holds an Associate of Science in Nursing from Cincinnati State (2019) and
brings school nursing experience and a strong community involvement background. Her dedication
to student well-being and public service aligns with the Cincinnati Health Department’s mission
and will be a valuable asset to the School Health Program..
Date: 4/22/2025

-- 43 of 83 --

PERSONNEL ACTIONS for April 22, 2025 , BOARD of HEALTH MEETING
Page 2 of 3
NON-COMPETITIVE APPOINTMENT –pending EHS and/or background check
AMY KNOCHELMANN PUBLIC HEALTH NURSE 2 NURSING
(Promotional vacancy)
Salary Bi-Weekly Range: $2,374.81 to $3,206.35 Contract
The School and Adolescent Health Program plans to move forward with hiring Amy
Knochelmann for the Public Health Nurse II position. She holds a Bachelor of Nursing from
Ashland University (2018) and has 7 years of experience as a Registered Nurse in various
settings, including a Progressive Care Unit, as a Clinical Adjunct Faculty member at Xavier
University, and in Labor and Delivery. Her clinical background and commitment to community
health make her a strong addition to the team.
MIKAYLA MAJESKI DENTAL ASSISTANT CCPC
(Transfer vacancy)
Salary Bi-Weekly Range: $2,052.24 to $2,167.95 Revenue Fund
Mikayla Majeski has over 4 years of dental experience as a dental assistant. She has worked
primarily in oral surgery but is knowledgeable in general dentistry and is comfortable with endo
and restorative dentistry. She has a wide range of experience, and we think she will be a great
asset to the Cincinnati Health Department dental program,
SIERRA REDD DENTAL ASSISTANT CCPC
(Retirement vacancy)
Salary Bi-Weekly Range: $2,052.24 to $2,167.95 Revenue Fund
Sierra Redd has over 6 years of dental experience as a dental assistant and graduated top of her
class at Antonelli College. She has worked in pediatrics, general dentistry and oral surgery and
has a passion for public health and working with those living in poverty. She enjoys educating
others about oral health and Sierra has a wide range of experience that will be a great asset to
the Cincinnati Health Department Dental Team.

-- 44 of 83 --

PERSONNEL ACTIONS for April 22, 2025 , BOARD of HEALTH MEETING
Page 3 of 3
PROMOTIONS
TRISHA BLAKE SR. ENVIRONMENTAL HEALTH SPECIALIST CHES
(Retirement vacancy)
Salary Bi-Weekly Range: $2,891.72 to $2,992.91 General Fund
Trisha Blake has been with CHD since January 15, 2006, starting in the Environmental Lead
Program and now working in Food Safety and Inspections. She is being promoted from Senior
Environmental Health Specialist to Supervising EHS. Trisha is tech-savvy, organized, and
focused on customer service. She’s received positive feedback for her hard work and is a great
addition as a second supervisor in the busy Food Safety and Inspections Program.
NICHOLAS TAYLOR DENTAL DIRECTOR CCPC
(Other)
Salary Bi-Weekly Range: $7,411.87 to $8,885.91 Grant Fund
Dr. Nicholas M. Taylor is recommended to become the permanent Dental Director for City of
Cincinnati Primary Care starting April 20, 2025. He joined CHD in 2021 after nine years with
Healthsource of Ohio, serving both urban and rural communities. Dr. Taylor has strong
experience in meeting the dental needs of underserved populations.
Since 2023, he has supported former Director Dr. Anna Novais with quality improvement
efforts and the rollout of a new dental EMR system. He currently practices at Bobbie Sterne
Health Center and will oversee clinical and administrative operations at eleven dental sites,
including school-based centers. Dr. Taylor is passionate about public health and committed to
improving access to dental care for children and adults.

-- 45 of 83 --

Health Commissioner’s Report |1
March 2025
.
Date: April 22, 2025
To: Board of Health
From: Grand Mussman, MD, Health Commissioner
Subject: Health Commissioner’s Report, Reflects March 2025
WIC Updates March 2025
1. The WIC caseload in March was 15,191, a slight increase from last month.
a. Women:3,406
b. Infants:3,823
c. Children:7,962
2. March breastfeeding initiation rate for WIC infants was 64.3%. Breastfeeding at 6 months was
38.3%. Breast feeding rates have been steady. WIC continues to offer on-line and in-person
breastfeeding classes along with walk-in hours for breastfeeding assistance.
a. WIC provided Urgent Maternal Warning sign education to 473 women in March.
b. In our 2nd quarter (January, February, March) WIC distributed 34 manual breast pumps and 8
single-use electric pumps and loaned 67 electric pumps.

-- 46 of 83 --

Community Health and Environmental Services (CHES) Updates for CHD BOH
Meeting 4.23.2025
Community Health and Environmental Services (CHES) updates:
• Cincinnati Health Department partnered with the City Manager’s Office to launch a medical debt relief project in
response to Mayor Pureval’s Financial Freedom Blueprint. With the launch, thus far $47,032,048.79 in debt has
been relieved for 47,639 individuals.
• 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)

-- 47 of 83 --

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

-- 48 of 83 --

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 state database (by residence city/county) as of
10.28.24):
City of Cincinnati = 4,122
Hamilton County births outside of the City limits = 5,912
Hamilton County inclusive of the City = 10,034
The provisional infant mortality rate for 2023 based on our current numbers:
City of Cincinnati IMR = 7.04 per 1,000 live births
Hamilton County outside the City limits = 4.91 per 1,000 live births
Hamilton County IMR = 5.78 per 1,000 live births (inclusive of the city numbers)
Provisional deaths for 2024:
City 2024 = 33
County (minus the city) 2024 = 35
Total Hamilton County 2024 = 68
The provisional number of births for 2024 (births extracted from state database (by residence city/county) as of
3.14.25):
City of Cincinnati = 4,099
Hamilton County births outside of the City limits = 5,894
Hamilton County inclusive of the City = 9,993
The provisional infant mortality rate for 2024 based on our current numbers:
City of Cincinnati IMR = 8.05 per 1,000 live births
Hamilton County outside the City limits = 5.94 per 1,000 live births
Hamilton County IMR = 6.80 per 1,000 live births (inclusive of the city numbers)
Provisional deaths for 2025:
City 2025 = 5
County (minus the city) 2025 = 9
Total Hamilton County 2025 = 14
The provisional number of births for 2025 (births extracted from state database (by residence city/county) as of
3.14.25):
City of Cincinnati = 757
Hamilton County births outside of the City limits = 1,052
Hamilton County inclusive of the City = 1,809
The provisional infant mortality rate for 2025 based on our current numbers:
City of Cincinnati IMR = 6.61 per 1,000 live births
Hamilton County outside the City limits = 8.56 per 1,000 live births
Hamilton County IMR = 7.74 per 1,000 live births (inclusive of the city numbers)

-- 49 of 83 --

CCPC UPDATE

-- 50 of 83 --

Figure 1. Number of Completed Patient Visits to All CCPC Community Health Center Sites
Table 1. Number of Completed Patient Visits by Location for March 2025 and FYTD

-- 51 of 83 --

Table 2. Number of Pharmacy Fills for March 2025 and FYTD
Figure 2. Number of Completed CCPC Dental Visits for March 2025 by Location

-- 52 of 83 --

Reproductive Health and Wellness Program (RHWP) Data Report
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: 6496
patients
FY23/24 Visits Combined (men/women): 6717

-- 53 of 83 --

patients
FY23/24 Control (Expected) Visits: 7000 patients
FY23/24 Visits as % of Control Total: 96.0%
FY24/25 Visits with Men: 473 patients
FY24/25 Visits with Women: 6875
patients
FY24/25 Visits Combined (men/women): 7348
patients
FY24/25 Control (Expected) Visits: 6413 patients
FY24/25 Visits as % of Control Total: 115.0%
Page 7 of 17

-- 54 of 83 --

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

-- 55 of 83 --

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, March 2025
Female % in col. Male % in col. Total % in col.
Race
AI/AN 8 1.20% 0.00% 8 1.12%
Asian 15 2.25% 0.00% 15 2.09%
Black 317 47.46% 31 64.58% 348 48.60%
PI/HN 20 2.99% 0.00% 20 2.79%
Unknown 96 14.37% 5 10.42% 101 14.11%
White 212 31.74% 12 25.00% 224 31.28%
Ethnicity
Hispanic 265 39.67% 4 8.33% 269 37.57%
Non-Hispanic 403 60.33% 44 91.67% 447 62.43%
Income
<=100% FPL *will report
next month
when HHS
table is
updated
101-249% FPL
>=250% FPL
Insurance
Private 90 13.47% 6 12.50% 96 13.41%
Public 225 33.68% 13 27.08% 238 33.24%
Uninsured 353 52.84% 29 60.42% 382 53.35%
Age (years)
<15 0 0.00% 0.00% 0 0.00%
15-49 597 89.37% 42 87.50% 639 89.25%
>50 71 10.63% 6 12.50% 77 10.75%
Limited English
No 364 54.49% 44 91.67% 408 56.98%
Yes 304 45.51% 4 8.33% 308 43.02%

-- 56 of 83 --

Table 2. Unduplicated RHWP Patients by CCPC Health Center, March 2025
Female % in col. Male % in col. Total % in col.
Health Center
Ambrose Clement 85 12.72% 28 58.33% 113 15.78%
Braxton Cann 20 2.99% 0.00% 20 2.79%
Bobbie Sterne 139 20.81% 14 29.17% 153 21.37%
Millvale 65 9.73% 1 2.08% 66 9.22%
Northside 132 19.76% 5 10.42% 137 19.13%
Price Hill 227 33.98% 0.00% 227 31.70%
* 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 E-PHAB portal opened on April 1, 2025, in preparation of CHD’s annual June submission. 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.
CHD CHA Update:

-- 57 of 83 --

Cincinnati Health Department has completed the CHD Community Health Assessment (CHA). The CHA was posted on
the CHD website and can be accessed at CHD Reports & Publications - Health
Cincy CHIP Update:
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
The CHIP Behavioral Health Action Team:
The Behavioral Health team is seven weeks into their classroom instruction of the Sources of Strength curriculum
and the feedback to date has been great. The team is excited and looking forward to brainstorming ideas on how
to implement and expand this pilot into a permanent program throughout the Cincinnati school district.
Regional CHNA and CHIP Update:
The Regional CHNA lead by The Health Collaborative (THC) was released in February 2025. The Greater Cincinnati Tri-
State regional priorities identified are:
• Mental health treatment and prevention
• Homelessness prevention and housing stability
• Heart disease and stroke prevention and treatment
Quality Improvement/ Quality Assurance
Public Health QI is working with CCHMC to build the systems dashboard for public health programs. Through our
continued partnership with Children’s Hospital, several CHD staff members are expected to complete their ImpactU
Improvement Science course in April 2025. 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
September 786 1176 1 0 5 5 17 15 2 3
October 822 1214 6 1 0 4 5 6 1 0
November 909 1329 3 0 0 2 5 3 2 0

-- 58 of 83 --

December 687 1120 1 6 0 5 1 2 1 0
January 651 1013 3 0 0 2 1 1 1 0
February 767 1196 3 2 0 1 4 4 0 0
March 759 1439 8 7 3 3 5 6 2 1
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
October -Immunization Coverage Disparities report submitted
December- Immunization Coverage Disparity Education Plan submitted
February- 2025-2026 Get Vaccinated grant application submitted
MARCH- 197 schools received IN PERSON immunization training; 6 in school immunization validation
audits completed

-- 59 of 83 --

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
4/2/2025 MSD Administration Building
Strategic Planning
February newsletter sent to 120+
members 2/11/2025.
Next meeting is May 7, 2025, 10:15 AM – 12:15
PM at the Walnut Hills Library
Meeting frequency: 1st Wednesday of each month.
Creating Healthy Communities Grant
Implementation of strategies to improve healthy eating and active living in multiple Cincinnati
neighborhoods.
Strategies include: 1 pedestrian infrastructure strategy in Carthage, 1 food pantry strategy in Hartwell, 1
recreation/playground in Roll Hill/E. Westwood, and 2 Policy, System, and Environmental assessments in
the Beekman Corridor.
# of Meetings Location & Presentations Next Steps
4
See Food Equity
and Active Living
Sections for more
details.
Carthage – Contract negotiations
with artist to install a mural at a
busy intersection and working
with DOTE to design a heritage
walk & add zebra striping to
improve active living through
pedestrian infrastructure.
Hartwell – Received grant to
extend Cincy Freeze & Feed,
Applying to another grant to
extend the Cincy Freeze & Feed
Community Freezer Program to
Hartwell CRC in addition to
pantry shelving.
Roll Hill – developing contracts
with Discover Traffic Gardens to
design and install a new traffic
garden at Roll Hill School.
Carthage - Finalize plans for heritage walk with
DOTE.
Finalize contract with selected mural artist.
Install zebra striping at selected intersection.
Plan summer event to promote new installations –
tentative date of August 9th.
Hartwell – Order and install pantry shelving.
Roll Hill – Finalize contract, conduct site visit.
Begin contract negoiations for installers.
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 3
Next Steps

-- 60 of 83 --

86 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 DCY contracts
have been approved. Awaiting paperwork to
be received to sign.
Meeting frequency: ODH TA Meetings are
Quarterly.
Last meeting
3/4/25
Meetings are Quarterly
Next Meeting 6/3/2025
DCY
# distributed
since last report
Project Partners and Status Next Steps
500 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. Facility
has moved to Walnut Hills.
Meeting frequency: Last Meeting: 1/11/25
Next Meeting: 1/2026
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 Project Partners and Status Next Steps

-- 61 of 83 --

since last report
1-Last Meeting:
10/24/24
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
Next Meeting: 6/26/25
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
3 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 6/12/2025
Program supported projects/ meetings:
3/19/2025: NACCHO Maternal Child Work Group
3/20/25: Cradle Learning Collaborative Meeting
3/21/25: Mental Health First Aid Training
3/22/25: Cribs for Kids Partner Training with All-In Cincinnati
3/23/25: CHD Quality Steering Committee Meeting
3/27/25: CAT (Cincinnati Hamilton County Action Team) Meeting
3/31/25: Cribs for Kids Partner Training with Bethany House
4/1/25: Excellence in Child Health Day Summit
Food Equity (Healthy Eating)- Jasmine Robinson
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 increase
nutritional/cooking knowledge in hundreds of Winton Hills community members.

-- 62 of 83 --

# of Meetings Since
Last BOH Report
Project Partners and Status Next Steps
1 Produce Perks, Winton Hills
Community Church and
Council, and Mustard Seed
Farm
---------------------
Status: Active (expected
kickoff date: 5/15/25)
Plan for 2025 distribution and events by meeting
with community members and leaders to
determine space for distribution and how to best
align with community needs.
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
8 CRC, La Soupe, CareSource,
Food for the Soul, and Hamilton
County ReSource
---------------------
Status: Active
Soft launch and grand opening events completed
for each site. Phase II application completed and
submitted for program expansion.
Meetings frequency: standing weekly meetings
for contract negations, promotion discussions, and
general 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 BOH Report
Project Partners and Status Next Steps
2 CCHMC, Freestore Foodbank,
Hamilton County ReSource, La
Soupe, and more.
---------------------
Status: Active
Network planning for food distribution in the City of
Cincinnati including non-instructional school day
initiatives; communications team discussions’
current project funding covers works in Avondale,
East and Lower Price Hill (expansion into Roll Hill
coming soon)
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.

-- 63 of 83 --

# of Meetings Since
Last BOH Report
Project Partners and Status Next Steps
3 Newsletter sent to community
members and partners by the
2nd Tuesday of each month.
Posted on FEC site routinely
---------------------
Status: Active (last sent on
4/4/25 to 200+ individuals)
Continue to update newsletter content and layout
to meet the reader’s needs
Meeting frequency: included in monthly program
meeting with HCP program manager and health
counselor supervisor as well as needed meetings
scheduled with SAFE’s SSF Communications
team for discussion/ review
Department Engagement Champions
Engagement Champions play a crucial role in shaping the city’s culture. Engagement Champions will be at
the forefront of driving meaningful change within the city’s engagement practices.
# of Meetings Since
Last BOH Report
Project Partners and Status Next Steps
0 Meet with other department
champions, stay informed on
city-wide engagement updates,
and share resources with
colleagues
---------------------
Status: Active (March
meeting canceled)
Meeting frequency: standing monthly meetings
Program supported projects/ meetings:
3/20/25: OBN Advisory Group on Certified Community Health Workers Meeting
3/21/25: Healthy Families America Health First Aid Training
3/24/25: CHC Weekly Hartwell Pantry/ Freezer Discussion
3/24/25: Freezer Soft Launch Event (Avondale)
3/25/25: Wellness Walk collaboration discussion
3/26/25: Freezer Soft Launch Event (Millvale)
3/28/25: Winton Hills CRC Site Visit
3/28/25: Hartwell CRC Site Visit
3/28/25: Hirsch Freezer Check
3/31/25: CHC Weekly Hartwell Pantry/ Freezer Discussion
4/1/25: Excellence in Child Health Day conference
4/3/25: CHC Discussion with WIN
4/4/25: CRC: MV Freezer Check
4/4/25: CRC: Hartwell Measurements
4/4/25: CRC: Hirsch Freezer Check
4/7/25: CHC Weekly Hartwell Pantry/ Freezer Discussion
4/8/25: Guest Lecture for Community Nutrition course at UC
4/11/25: CRC: Millvale Freezer Check
4/11/25: CRC: Hirsch Freezer Check
4/12/25: Social Services Day
4/16/25: AR 25: Non- Discrimination and Sexual Harassment training
4/16/25: Healthy Communities QI Overview

-- 64 of 83 --

4/17/25: Cradle CHW group discussion
4/17/25: Winton Hills Intentional Food Access Meeting
4/18/25: CRC: Millvale Freezer Check
4/18/25: CRC: Hirsch Freezer Check
Tobacco Free Living (TFL) – Courthney Calvin
Project/ Meeting Title: Youth Vape Presentation
Educate Cincinnati youth on the dangers of e-cig use.
Date and # of Students Project Partners and
Status
Next Steps
Total Amount of Students
Educated:
3/19-62 Students
3/20- 48
3/21-80
4/04-72
4/11-10
4/15-69
4/17-92
4/18- 50
Students TOTAL
483
Total Amount of Attendees
at Community Events
2
Partners:
CPS Virtual Academy
Withrow High School
Withrow High School
Queen City Swish 2025
Tender Mercies
St. Teresa of Avila School
St. Ignatius School
School Health Nurses
Plan:
To present preventative tobacco education for
youth. Present the opportunity to take over the
vape disposal program.
Program supported projects/ meetings:
03/18/25: Cancer Center Community Advisory Board Meeting
03/19/25: Vape Education at Virtual Academy (CPS)
03/20/25: Vape Education at Withrow High School
03/21/25: Vape Education at Withrow High School
03/25/25: Health Equity Workgroup Meeting
3/25/25: PAVE Webinar What Every Parent Should Know About Vaping
04/01/25: NKY Youth Summit Planning Committee Meeting
04/02/25: LWPC Meeting
04/03/25: CHD Smoking Cessation Meeting
04/04/25: Vape Education at Queen City Swish 2025
04/04/25: Eviction Committee Meeting w/ Council Woman Meeka Owens
04/04/25: Cincy Chip Housing Meeting
04/08/25: Tobacco Free Ohio Alliance Quarterly Meeting
04/10/25: Community Partner Meeting with Cincinnati Public School (Virtual Academy)
04/11/25: Vape Education at Tender Mercies
04/15/25: Vape Education at St. Teresa of Avila School
04/15/25: Cancer Center Community Advisory Board Meeting

-- 65 of 83 --

04/16/25: Emerging Tobacco and Nicotine Products and Supporting Youth Cessation
04/17/25: Vape Education at St. Ignatius School
04/18/25: Vape Education w/ School Health Nurses
Tobacco 21/Tobacco Retail License (TRL) - Pending
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
250 - Retailers Licensed
299 - Identified retailers
38 – 2025 TRL Inspections
Completed
250 Underage Buy Attempts
Completed, 84%
Compliance
Plan:
• Continue Inspections/Compliance Checks until
further notice.
• Begin Issuing Citations for Non-licensed
Retailers after Education
• Hire additional underage buyer(s)
Worksite Wellness & Active Living – Scott Dean
ODH Creating Healthy Communities Grant (Carthage)
Supportive pedestrian infrastructure for Carthage. The goals being to increase the proportion of adults
and adolescents that walk or bike to get to places and to reduce the proportion of adults, adolescents and
children with obesity.
# of Meeting since
last report
Project Partners and Status Next Steps
6 Partners: Identified 36 partner
agencies
---------------------
Status: Active
Working with community on
neighborhood improvements.
Procuring wayfinding signage
and traffic calming measures
in the near future, so working
with community to make
selections.
Selected an Artist and working
on contract.
• Continue pushing usage of the CAGIS
Pedestrian Hazard map we created for
the community to track issues
• Push out completion of Neighborhood
Physical Activity survey
• Selected Artist will conduct some
community engagement around Mural
design
• Working on finalizing contract with LD
Nehls
• Zebra Striping intersection to be
completed soon
• Working with community on finalizing
location and orientation of signage for
Carthage Heritage Walk
Meeting frequency: Monthly with additional
meetings as needed
Y.E.S on Bike & Pedestrian Safety and ODH Creating Healthy Communities grant
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. The goals of
the CHC grant are to increase the proportion of adults and adolescents that walk or bike to get to places
and to reduce the proportion of adults, adolescents and children with obesity. We also are trying to

-- 66 of 83 --

increase the proportion of community members that engage in aerobic and muscle strengthening activity.
# of Meeting since
last report
Project Partners and Status Next Steps
5 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 Roll Hill to
establish new Traffic Garden
Working on finalizing
procurement contracts so
Traffic Garden design can
proceed
• Continuing work with principal to
secure bicycles from Ethel Taylor
• Continue work on developing a
comprehensive curriculum.
• Conducting comprehensive community
engagement with students and parents.
• Working to finalize contract with
Discover Traffic Gardens
• Roll Hill Site visit with Discover Traffic
Gardens
Meeting frequency: Monthly
Program supported projects/ meetings:
3/20/25 – TriState Trails/Beekman Corridor Site Activation Visit
3/27/25 – Winton Hills Plan
3/28/25 – Pedestrian Safety Discussion with Epis
3/31/25 – CHC Group Weekly Meeting
3/31/25 – Millcreek Greenway Trail Meeting
4/1/25 – Active Transportation Presentation Meeting
4/3/25 – CHC Discussion with WIN
4/4/25 – Eviction Prevention Meeting
4/4/25 – CHIP Housing Meeting
4/4/25 – AT Conference Planning Meeting with Lorain County
4/7/25 – CHC Group Weekly Meeting
4/9/25 – CHC All-Project Meeting
4/10/25 – Strategic Partnerships for Greener Schools Meeting
4/10/25 – Winton Hills Plan
4/11/25 – CHD & Homebase Monthly Meeting
4/15/25 – Roll Hill Traffic Garden Advisory Committee Meeting
4/15/25 – Carthage Heritage Trail Walk
Behavioral Health & Recovery Support – Eric Washington
Project/ Meeting Title: Buckeye Health Plan and Men’s Health
# of Meetings Since
Last BOH Meeting
Project Partners and Status Next Steps

-- 67 of 83 --

1
Meetings
Partners:
Buckeye Health Plan –
“What’s Your Numbers.”
Status: Ongoing
Plan:
• Start Planning Jan ‘25
• Planning to add churches, Salons, Etc.
Meeting frequency: Monthly
Project/ Meeting Title: Brother You’re on My Mind
# of Events Since
Last BOH Meeting
Project Partners and Status Next Steps
1 Meeting Partners:
Omega Psi Phi – Barbershop
Talk Series
(Mental, Physical and Spiritual
Health
Status: (Ongoing Monthly)
Plan:
• Adding CRP and Men’s Health -
Chronic Disease in ’25
• Conversation dealing w/ Mental Health
and Youth Mentorship
Meeting frequency: Monthly x1
Project/ Meeting Title: Men’s Health Partnership/Resource (Maple Towers)
# of Events Since
Last BOH Meeting
Project Partners and Status Next Steps
1 Meeting Partners: Maple Towers
Awareness, Education and
Prevention
Status: Ongoing
Plan:
• Programming on Chair Yoga.
Meditation, Exercise –
• T.Davis will provide a follow up
regarding other organizations will teach
-Pending
• Add a Nutrition/Healthy
• Music Component
• Starting 2025 TBA
Meeting frequency: Monthly x1
Project/ Meeting Title: Recovery \Ohio Drug Trends Monthly Meeting
# of Meetings Since
Last Meeting
Project Partners and Status Next Steps
Partners: State of Ohio
Partners (200+) Department
of Mental Health and
Addictive Services:
The Stepping Up Initiative is a
national initiative targeted at
reducing the number of
people with mental illnesses
in jails.
Status: Ongoing - State
Reporting
Plan:
Monthly Drug Update - The ONIC consists of
criminal intelligence analysts and computer
forensic specialists providing investigative,
analytical, and data management support to local
law enforcement agencies and drug task forces
throughout Ohio
Meeting frequency: Monthly x1
Program supported projects/ meetings:
3/17/25 – SDOH Meeting
3/17/25 – CHD CHC Group Weekly & Recovery Weekly Update
3/17/25 - Community Freezer Cincy
3/18/25 - Withrow High School Vape Education

-- 68 of 83 --

3/18/25 - Active Transportation Basic and Funding
3/19/25 – 124th Annual Health Fair
3/19/25 – AR Training
3/26/25 – CHD Quality Steering Committee
3/28/25 – Social Determinants of Health – Strategic Brainstorming Session
3/28/25 – Senior Chateau – Men’s Group Meeting
3/31/25 Barbershop Meeting
3/31/25 – CHD CHC Group Weekly Meeting
3/31/25- Community Freezer Cincy
3/31/25 - One Stop 2025 Kick Off Virtual Meeting
4/1/25 – EHE CAB Meeting
4/2/25 – LWPC Meeting
4/3/25 – Prevention First - SDOH Meeting
4/3/35 - Fatherhood Involvement
4/4/25 – Forrest Pak – Citi CAMP e. Bowen
4/4/25 - Black Mne Wellness Day Meeting
4/4/25 - HIV Treatment Strategies and Prevention CROI 2025
4/7/25 - CHD CHC Group Weekly & Recovery Weekly Update
4/7/25 – Field/Event Meeting J. Berry
4/7/25 – Community Freezers Cincy
4/8/25 – AmeriHealth Health Fair
4/8/25 - Fatherhood Collaborative of Hamilton County Meeting
4/9/25 - Millvale Kick Off Event
4/10/25 – Hamilton County Addition Response Coalition
4/10/25 - Hirsch Kick Off Event
4/11/25 – Monthly Update Meeting 1:1 T. White
4/11/25 - Fatherhood Training Meeting
4/14/25 – CHD CHC Weekley Meeting
4/14/25 - Social Determinants of Health – Strategic
4/14/25 – Community Freezers Cincy
4/16/25 – Avondale Education Project J. Harris
4/15/25 Recovery Ohi Drug Trends Monthly Meeting
4/15//25 Roll Hill Graden Advisory Committee
Recovery Support – Justin Berry
Community Outreach
# of … Project Partners and Status Next Steps

-- 69 of 83 --

4 Meeting and
Community
Members
reached)
46
Partners:
GCB, City Gospel, Heroin Coalition
Team, CCRC, Step Stone and
DeCoach, First Step Home, Treatment
Team, CRC Rec Center, Our daily
Bread), God Sam’s, UC Hospital, 20/20,
Status: (Ongoing)
Nacarn- 6 kits passed out in community
Plan:
Meeting frequency:
(Monthly and Bi-Monthly)
The month of December was a lot of trying to
prepare clients for the cold weather that was
coming. There were a lot of hand warmers
that were being given away. Also trying to get
people into shelters so they will not have to be
on the streets during the cold.

-- 70 of 83 --

MONTH: (2025) JAN FEB MAR APR MAY JUN JUL AUG SEP
OCT NOV DEC
Open cases: 84 78 76
3.5-9 μg/dL case mgt &
follow-up: * 7/17 12/10 18/12
10+ μg/dL case mgt &
follow-up: 5/10 3/10 1/10
Risk assessments: 5 2 5
Orders issued: 3 1 1
Clearances EBL: 2 1 2
Clearances HUD: 9 13 10
Owner meetings EBL: 1 0 1
Owner meetings HUD: 1 1 2
Compliance checks EBL: 38 32 30
Compliance checks HUD: 3 3 5
Contractor mtgs EBL: 0 0 0
Contractor Meetings HUD: 0 2 3
Filed for prosecution: 0 0 0
LIRAs: 1 0 1
Grant apps uploaded (ODH
/ODD/HUD) 0 0/1 0/3
Case Update w/ Lead Clinic: 9 8 7
Affidavit of Fact 0 0 0

-- 71 of 83 --

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.

-- 72 of 83 --

March 2025 BOH Report
Emergency Preparedness/Safety
Meetings, Grants, and Employee Safety
Attended Northern Kentucky Cities Readiness Meeting March 5.
Attended SWOPHR Emergency Response Coordinator Workgroup Meeting March 7.
Presented and facilitated at the quarterly Community Organizations Active in Disasters (COAD) meeting March
20.
Attended the behavioral health disaster preparedness meeting March 18.
Attended the BioWatch Kentucky Planning Team meeting for BioWatch deployment at Thunder over Louisville
and Kentucky Derby March 26.
Training, Exercises, and Improvement Plans
Conducted a Medical Countermeasure Point of Dispensing Drill at CHD Administrative Offices March 7.
Conducted the Cincinnati CHEMPACK Tabletop Exercise at Mercy Anderson Hospital March 11.
Response/Preparedness Activities
No Activities to report.
Cincinnati Vital Records and Statistics Program
Monthly Dashboard for March 2025

-- 73 of 83 --

Vital Records received payment for 38 affidavits, where staff assisted customers with birth certificate
corrections using the affidavit process.
Vital Records staff assisted 20 families with a paternity affidavit process to add the father to a birth certificate.
Vital Records received payments for 188 permits (burial, cremation, transport, or entombment).
Birth and Death Certificates requested from the kiosk, web system, and mail are shown in the chart that
follows.
March 2025 Kiosk Web Vitalchek.com Mail
Birth Certificate 1763 1687 443 13
Death Certificate 121 1385 78 2
Total Payments $42,171 $75,076 $11,852 $340

-- 74 of 83 --

Power BI Desktop
TOTAL CASES
96150
Active Cases
200
Total Hospitalized
3672
TOTAL DEATHS
827
Recovered Cases
95111
74826
Confirmed
21324
Probable
119
Probable
708
Confirmed
Females
54695
Males
40582
Age Range
0 - 107
Median Age
34 Onset of Symptoms
1/5/2020 - 4/2/2025
Total New Cases
51 31
New Confirmed
20
New Probable
New Cases by Sex
31 (61%)
20 (39%) 	Sex
Female
Male
New Cases by Race
55% (54.9%)
29% (29.41%)
14% (13.73%)
Race
Black
White
Unknown
Other
Sex 	1-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99
Female 	1 	2 	7 	6 	4 	7 	4
Male 	1 	2 	1 	1 	2 	3 	5 	3 	1 	1
Total 	1 	3 	3 	8 	8 	7 	12 	7 	1 	1
New Cases by Age & Sex
0
5
Age Group
1-9 	10-19 	20-29 	30-39 	40-49 	50-59 	60-69 	70-79 	80-89 	90-99
Sex Female Male
Epidemiological Curve - Weekly Reported Cases
0
100
200
300
Number of Cases Reported Weekly
Jul 2023 	Oct 2023 	Jan 2024 	Apr 2024 	Jul 2024 	Oct 2024 	Jan 2025
Confirmed Probable
Epidemiological Curve (Weekly Case Rate per 100,000)
0
50
100
Date
Rate Per 100,000
Jul 2023 	Oct 2023 	Jan 2024 	Apr 2024 	Jul 2024 	Oct 2024 	Jan 2025
Confirmed Rate Probable Rate
96150
Total Cases
Total Cases by Sex
54695 (57%)
40582 (42%)
873 (1%)
Sex
Female
Male
Unknown
Total Cases by Race
(40.1%)
39% (38.62%)
(11.38%)
8% (7.75%) 40%
11%
Race
White
Black
Unknown
Other
Asian
RefusedToAns…
AmericanIndia…
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 	679 2775 5281 13209 10459 6931 5907 5084 2591 1262 488 	28
Male 	831 2831 4319 8913 7289 4634 4510 3955 2189 849 251 	7
Unknown 	43 79 	82 177 132 	93 103 	91 	43 	22 	7
Total 	1553 5685 9682 22299 17880 11658 10520 9130 4823 2133 746 	35
3672
Total Hospitalized
Total Hospitalized Cases by Age & Sex
0
500
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 	39 177 190 160 316 417 316 241 109 	3
Male 	19 17 	23 	65 135 167 243 396 323 193 	74 	2
Unknown 	1 	1 	1 	1 	1 	1 	2
Total 	41 35 	63 243 325 328 560 814 641 434 183 	5
Total Hospitalized Cases by Sex
(55%)
(45%)
8 (0%)
2007
1657
Sex
Female
Male
Unknown
Total Hospitalized Cases by Race
2102 (57%)
(36%)
166 (5%)(0%)
1313
9 	Race
Black
White
Other
Unknown
Asian
HawaiinNative…
AmericanIndia…
RefusedToAns…
827
Total Deaths
Total Deaths by Sex
(50%)
(49%)
2 (0%)
416
409
Sex
Male
Female
Unknown
Total Deaths by Race
(50%)
(47%)
14 (2%)
413
386
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 	50 	67 	92 	83 	75 	8
Male 	1 	2 	7 	28 	48 	86 100 	97 	46 	1
Unknown 	1 	1
Total 	2 	5 	4 	15 	46 	98 153 193 181 121 	9
95111
Total Recovered
Total Recovered Cases by Sex
54153 (57%)
(42%)
870 (1%)
40088
Sex
Female
Male
Unknown
Total Recovered Cases by Race
38065 (40%)
36648 (39%)
(11%)
7429 (8%)
10913
Race
White
Black
Unknown
Other
Asian
RefusedToAns…
AmericanIndia…
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 	676 2771 5272 13185 10430 6896 5842 4998 2480 1171 411 	20
Male 	828 2829 4313 8906 7274 4598 4456 3850 2073 748 203 	6
Unknown 	43 79 	82 177 132 	93 103 	91 	41 	21 	7
Total 	1547 5679 9667 22268 17836 11587 10401 8939 4594 1940 621 	26
Hospitalizations by Week
0
50
100
Date
2021 	2022 	2023 	2024 	2025
Number of Cases (By Week)
0
50
100
Feb 2025 	Mar 2025
87
51
137	136
74
103 87
113 87
62
103 	108
Interviewed Cases Symptomatic vs. Asymptomatic
28672 (91%)
2806 (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 	2025
Average Age by Month
0
20
40
Date Month
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
2024 October
2024 November	
2024 December
2025 January	
2025 February
2025 March
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 42.9 40.6
45.8 44.3 40.9
46.7
40.9 41.7
46.5
7 Day Cumulative New
Cases (Per 100,000)
16.8
CDC Transmission Rate Per 100,000
0
100
Feb 2025 	Mar 2025 	Apr 2025
29 17
45	45
24 	34 	29	37 	29 	20
34 	36
CITY OF CINCINNATI COVID-19 REPORT
Updated 4/4/2025
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 04/04/2025
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

-- 75 of 83 --

Power BI Desktop
Total Cases and %Interviews Completed by Month
0
1000
20%
40%
60%
Date Month
Total Cases
%Interviews Completed
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
2024 October
2024 November	
2024 December
2025 January	
2025 February
2025 March
Total Cases %Interviews Completed
Symptom Onset to Test Average by Month
2
4
Year
2021 	2022 	2023 	2024 	2025
4.24
2.07
4.31
1.75
2.59
3.02
2.08	2.16
3.00
2.61
1.93	1.92
2.47 	2.44
Test to Result Average by Month
0
2
4
Year
2021 	2022 	2023 	2024 	2025
4.96
0.03
1.44
2.41
0.64
1.22
0.40 0.58 	0.57	0.52	0.50
0.11
0.41
0.73
Year %Interviews
Completed
Total Cases
2020 	57.1% 	17113
2021 	30.8% 	32806
2022 	27.7% 	31806
2023 	39.7% 	7620
2024 	31.3% 	5557
2025 	29 3% 	1248	Total 	35.2% 	96150
Year Symptom Onset to
Test Average
2020 	2.43
2021 	2.41
2022 	2.30
2023 	2.12
2024 	2.25
2025 	2.13
Total 	2.34
Year 	Test to Result
Average
2020 	1.69
2021 	0.85
2022 	0.63
2023 	0.23
2024 	0.07
2025 	0.04
Total 	0.83
CDC Transmission Rate Per 100,000
0
20
40
60
80
100
120
140
Date
Nov 2024 	Dec 2024 	Jan 2025 	Feb 2025 	Mar 2025
16 	17
45
9
24
45	43
34 	34
17
32
14
29
13
27 	29
37
29
20
15 	12 	15
33 	34 	36
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
39.26Total Pop. Mortality Rate
37.27
White Mortality Rate
46.33
Black Mortality Rate
38.95
Male Mortality Rate
39.55
Female Mortality Rate
Result to LHD Average by Month
1
2
3
4
Year
2021 	2022 	2023 	2024 	2025
0.98 	1.10
3.95
0.93 1.05
1.43
2.11
1.00
1.99
0.94 1.14 0.98
1.72 1.58
Year Average of Result to
LHD
2020 	1.55
2021 	2.07
2022 	2.24
2023 	1.59
2024 	1.41
Total 	1.95
LHD to Monitoring Average by Month
0
5
10
Year
2021 	2022 	2023 	2024 	2025
2.33
1.12
11.44
1.60 	1.38
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 	1.57
2025 	1 42
Total 	2.85
Symptoms to Monitoring Average by Month
5
10
15
Year
2021 	2022 	2023 	2024 	2025
11.89
4.26
15.49
6.13 	5.85
12.56
6.72
10.18
9.13
6.10
8.46
5.12
6.88
6.33
Year 	Average of
Symptoms to
Monitoring
2020 	9.67
2021 	7.32
2022 	5.72
2023 	4.90
2024 	4.98
2025 	4 80
Total 	6.86
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
5E+012
1E+013
2E+013
2E+013
Week
Cincinnati and Sewershed Cases
Load_N2_Avg
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	
9/13/2024	
9/20/2024	
9/27/2024	
10/4/2024	
10/11/2024	
10/18/2024	
10/25/2024	
11/1/2024	
11/8/2024	
11/15/2024	
11/22/2024	
11/29/2024	
12/6/2024	
12/13/2024	
12/20/2024	
12/27/2024
1/3/2025	
1/10/2025	
1/17/2025	
1/24/2025	
1/31/2025	
2/7/2025	
2/14/2025	
2/21/2025	
2/28/2025	
3/7/2025	
3/14/2025	
3/21/2025	
3/28/2025
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
***Sewershed Cases Data has not been updated since 01/10/2025
**Updated Weekly
Source: Ohio Disease Reporting System (ODRS), https://coronavirus.ohio.gov/dashboards/other-resources/wastewater

-- 76 of 83 --

Monthly Infectious Disease
Surveillance Summary1,2,
March 2025
Reportable Condition by Category3 2025
March
2025 Year
to Date
(YTD)
2024
March 2024 YTD 2024 Rate
Cincinnati 5 Year
Average Rate
(2020-2024)
Ohio 5 Year
Average Rate
(2019-2023)
Food- or Waterborne 8 26 11 52 46.92 239.48 284.02
Amebiasis - 1.93 0.56
Brucellosis - - 0.12
Botulism - 0.32 0.01
Campylobacteriosis 1 7 2 7 8.36 54.32 91.71
Cryptosporidiosis 1 1 6.11 20.89 20.73
Cyclosporiasis 0.32 1.29 3.68
E. coli, Shiga Toxin-Producing O157:H7 2.57 19.29 21.71
Giardiasis 2 4.50 24.43 16.49
Hepatitis A (also vaccine-preventable) - 1.61 16.82
Hepatitis E 0.32 0.64 0.06
Legionellosis - Legionnaires' Disease 1 4 1 2 2.89 19.93 28.18
Listeriosis - 2.25 1.42
Salmonellosis 2 4 6 8 10.93 52.72 59.04
Salmonella Typhi (travel associated) 0.32 0.64 0.36
Shigellosis 3 6 3 6.75 29.25 13.48
Vibriosis (not cholera) 1 2 1 2 0.64 1.93 2.55
Yersiniosis 2 1 4 3.21 8.04 7.10
Vectorborne 1 2 1 6 5.46 16.38 34.07
Chikungunya Virus Disease* 0.32 0.32 0.15
Dengue 1 0.64 0.96 0.31
Lyme disease 1.61 6.43 28.52
Malaria* 1 2 1 5 2.57 7.07 2.74
Spotted Fever Rickettsiosis - 0.96 1.43
Ehrlichiosis-Ehrlichia chaffeensis - 0.32 0.63
Anaplasmosis-Anaplasma phagocytophilum 0.32 0.32 0.29
Vaccine-Preventable 83 392 36 271 121.18 474.12 323.84
Hemophilus influenzae, invasive disease 2 1 2 2.25 14.46 11.19
Influenza-associated hospitalization 74 354 31 247 89.68 360.66 279.59
Mumps 1 0.32 1.29 1.20
Pertussis 1 15 12.54 16.07 20.79
Meningococcal disease – Neisseria meningitidis 1 1 - 0.32 0.44

-- 77 of 83 --

S. pneumoniae, invasive (abx susceptible/unknown) 6 15 2 14 9.00 56.25 -
S. pneumoniae, invasive (abx resistant) 1 4 1 3 3.21 14.14 -
Varicella (chickenpox) 1 1 4 4.18 10.93 10.63
Viral Hepatitis 37 132 22 94 147.86 1266.8 601.08
Hepatitis B, acute (also vaccine-preventable) 1 1 1 2.57 8.36 5.58
Hepatitis B, chronic, newly identified (also vaccine-preventable) 8 25 4 17 28.61 189.33 81.84
Hepatitis B, perinatal - 0.32 0.03
Hepatitis C, acute 1 0.32 13.18 8.93
Hepatitis C, chronic, newly identified 28 104 17 75 115.40 1050.15 504.70 (combined
chronic and
perinatal rate)
Hepatitis C, perinatal 1 1 1 0.96 5.46
Healthcare Associated Infections (HAIs)4 6 25 11 42 45.32 288.34 33.35
Carbapenemase-Producing Organisms (CPO) 3 3 9 11.25 55.29 26.32
Candida Auris 6 22 8 33 34.07 233.05 7.03
Other Conditions 361 1269 306 1829 1839.93 37132.45 31129.23
COVID-19 354 1253 297 1802 1811.33 36976.57 31053.01 (3-year
rate, 2020-2023)
Coccidioidomycosis 1 1 0.96 4.82 1.02
Creutzfeldt-Jakob Disease 0.32 0.64 0.96
Hemolytic uremic syndrome (HUS) 0.23
Meningitis, aseptic/viral 2 5 2 4 6.11 22.82 17.15
Meningitis, bacterial (not N. meningitidis) 1 1 1 2 4.18 14.14 5.76
MPOX 2 0.96 10.29 3.57
Multisystem Inflammatory Syndrome in Children (MIS-C)
associated with COVID-19 - 6.11 3.65
Staphylococcal aureus - intermediate resistance to vancomycin
(VISA) - 0.96 0.20
Streptococcal, Group A, invasive 4 9 5 14 11.25 71.04 34.40
Streptococcal, Group B, newborn 1 1 0.96 5.14 2.73
Toxic Shock Syndrome (TSS) - 0.96 0.06
Tuberculosis2 3 3.86 18.64 6.49
Typhus Fever - 0.32 -
Sexually Transmitted Infection2 441 1327 475 1457 1859.87 14579.68 4121.60
Chlamydia infection 283 830 296 873 1109.62 8511.81 2465.52
Gonococcal infection 125 394 134 425 570.88 4704.96 1083.04
Human Immunodeficiency Virus (HIV) 15 39 10 38 46.93 334.62 344.30
Syphilis - congenital 1 1 1.61 7.71 2.27
Syphilis - early 2 13 8 29 28.93 262.62 -
Syphilis - primary 1 4 5 14 11.89 122.79

-- 78 of 83 --

Syphilis - secondary
2 8 6 20 19.61 194.79
67.56 (primary and
secondary
combined rate)
Syphilis – stage unknown 7 13 6 18 23.79 142.08 158.91 (total
syphilis rate)	Syphilis – unknown duration or late 6 25 10 39 46.61 298.30
TOTAL CONFIRMED AND PROBABLE CASES 937 3173 862 3728 4066.58 53996.66 36527.13
Outbreaks (Investigation Started) 2025
March 2025 YTD 2024
March 2024 YTD 2024 Rate
Cincinnati 5 Year
Average Rate
(2020-2024)
Dermatologic 1 2 2.25 7.39
Gastrointestinal 3 2 1.29 6.43
Respiratory 1 17 6 30 23.79 315.98
Other 1 1 2 2 2.25 2.57
Unknown - 0.32
TOTAL OUTBREAKS (INVESTIGATION STARTED) 2 22 8 36 29.57 332.69
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).
*Cases acquired through international travel
2) Sexually transmitted infections, human immunodeficiency virus (HIV), and Tuberculosis cases are investigated and reported by the Hamilton County Public Health Department.
3) 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
4) Healthcare Associated Infections (HAIs) are infections that patients get while or soon after receiving health care. More information about HAIs can be found at https://www.cdc.gov/healthcare-associated-
infections/about/index.html
• All Cincinnati data is provided through the Ohio Disease Reporting System – All data is provisional and subject to change.
• Case rates use the U.S Census Bureau’s 5-year average population estimates for Ohio and Cincinnati and are per 100,000 residents.
• Ohio case counts were obtained from DataOhio’s Summary of Infectious Diseases in Ohio dashboard: https://data.ohio.gov/wps/myportal/gov/data/view/summary-of-infectious-diseases-in-ohio?visualize=true and Ohio
Department of Health’s Data & Statistics page: https://odh.ohio.gov/explore-data-and-stats
• Any dash (-) indicates there was no available data at the time this report was published due to lack of cases from 2019-2024.

-- 79 of 83 --

*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 team processed over 2500 RFE/FSO Food licenses. Food Safety presented to both 311 Academy & Findlay Market/Findlay Kitchen (3/19/25). There were 3 Temporary Food events licensed (Red Leprechaun , Reds Opening Day @
GABP, & Give Back Cinti).
2694
2510 2655
2471
2666 2652
3007
2429
720
1337
968
328 310
514
759 617
323
71
1172 1250
1050 1026
1285
1092
1280	
1121
366
0
500
1000
1500
2000
2500
3000
3500
2017 2018 2019 2020 2021 2022 2023 2024 2025
Food Service Operations (FSO) by Year Inspections
Reinspections
CCP Inspections
37 	15
Reinspections
Total
	Last Month	
MAR Average
61 	59
Inspections
MAR Average	
Total
	Last Month
31 	27
CCP Inspections
MAR Average 	Total
	Last Month
 695
604 609 575 585 562
658
535
187
456
229
84 100
164 154
102 69
16	
56 55 55 44 60 57 37 50 30	
4 2 4 6
64
7 9 7 1	
0
100
200
300
400
500
600
700
800
2017 2018 2019 2020 2021 2022 2023 2024 2025
RFE Program by Year RFE Inspections
RFE Reinspections
RFE Process Review
Variance Verification
20 	28
RFE Inspections
MAR Average 	Total
	Last Month
13 	6
RFE Reinspections
MAR Average 	Total
	Last Month
1 	2
RFE Process Reviews
MAR Average 	Total
	Last Month
0 	0
Variance Verifications
MAR Average 	Total
	Last Month
310 338
381
253 226
288
491
320
60
100
45	
78 73
34 35 33 23 5
0
100
200
300
400
500
600
2017 2018 2019 2020 2021 2022 2023 2024 2025
FSO & RFE Complaints by Year
Complaints - Inspection
Complaints - Reinspection
28 	11
Complaints - Inspection
MAR Average 	Total
	Last Month
5 	0
Complaints - Reinspection
MAR Average 	Total
	Last Month
402
261 271
38
154
291 287
321
4	10 5	
26 14 10 5 12 27
2
46
15	
38 43 52 61 54
82
7
50 63 63
133
67
43
142
112
70
35
65
90
121
31
58 46 48 28
0
50
100
150
200
250
300
350
400
450
2017 2018 2019 2020 2021 2022 2023 2024 2025
Temp Mobile Vending Licenses by Year Temporaries License
Temporary Day Inspections
Mobile Licenses, New
Mobile Inspections
Vending Inspections
8 	3
Temporaries Licenses
MAR Average 	Total
Last Month
0 	2
Temporary Day Inspections
MAR Average 	Total
	Last Month
5 	5
Mobile Licenses, New
MAR Average 	Total
	Last Month
26 	31
Mobile Inspections
MAR Average 	Total
	Last Month
6 	0
Vending Inspections
MAR Average 	Total
	Last Month
226
191
245 240 250
214	
230 225
27 19
149
125 138 128
176
133
163 149
19 7
55 56
110 100 114
96
118
68
9 9
0
50
100
150
200
250
300
2017 2018 2019 2020 2021 2022 2023 2024 2025 2055
Plan Review Applications by Year FSO/RFE Plans Received
FSO/Plans Approved
FSO/RFE Plans Rejected
22 	19
FSO/RFE Plans Received
MAR Average 	Total
	Last Month
13 	17
FSO/RFE Plans Approved
MAR Average 	Total
	Last Month
8 	7
FSO/RFE Plans Rejected
MAR Average 	Total
	Last Month
 14
8
9
8 8
6 6
5
0
14
7
9 9 9
7
4
7
0	
0
2
4
6
8
10
12
14
16
2017 2018 2019 2020 2021 2022 2023 2024 2025
Food Safety Traning Classes by Year
ServSafe Training Classes
PIC Training Classes
0 	0
ServSafe Training Classes
MAR Average 	Total
	Last Month
0 	0
PIC Training Classes
MAR Average 	Total
	Last Month

-- 80 of 83 --

*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 Homes staff presented at the BOH meeting and at the QI steering meeting for this month. Staff manned an informational table at the Neighborhood Summit. Quarterly inspection of JobCorp took place this month as well.
14 9 18 11 4 3 7 0 0
25 19 18 15 22 19 16 20	
3
43 33 35 32 39 44 41 51
3
152 140	
158
60
163
135
171
262
21
146 140
84
15 0
128
171
246
21
0 0 0 0 0 0 0 0 0	
0
50
100
150
200
250
300
2017 2018 2019 2020 2021 2022 2023 2024 2025
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
1 	0
RFE/FSO-Class 1
MAR Average 	Total
	Last Month
2 	2
RFE/FSO-Class 2
MAR Average 	Total
	Last Month
2 	1
RFE/FSO-Class 3
MAR Average 	Total
	Last Month
3 	0
RFE/FSO-Class 4
MAR Average 	Total
	Last Month
1 	0
RFE/FSO-CCP
MAR Average 	Total
	Last Month
0 	0
RFE/FSO-Mobile
MAR Average 	Total
	Last Month
0
4 4
2
1 1 1
2
4
0
4 4
2
0
1 1
2
0	0 0 0 0 0 0 0 0 0	
0
1
2
3
4
5
2017 2018 2019 2020 2021 2022 2023 2024 2025
School Food Plan Review Applications by Year
FSO/RFE Plans Received
FSO/RFE Plans Approved
FSO/RFE Plans Rejected
0 	0
FSO/RFE Plans Received
MAR Average 	Total
	Last Month
0 	0
FSO/RFE Plans Approved
MAR Average 	Total
	Last Month
0 	0
FSO/RFE Plans Rejected
MAR Average 	Total
	Last Month
3129 3084
2750
2367
2885
3933 3751
3392
660
2903 2974
2434 2287
2680 2737 2945 2987
614
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2017 2018 2019 2020 2021 2022 2023 2024 2025
General Nuisance by Year Total Complaints
Received
Total Complaints
Finished
207 	180
Complaints Received
MAR Average 	Total
	Last Month
186 	88
Complaints Finished
MAR Average 	Total
	Last Month
0
200
400
600
800
1000
1200 General Nuisance Complaints 2018
2019
2020
2021
2022
2023
2024
2025
25
31
22
17
14
11
25
17
7
31 30
37
14 15
11
23
17
5
0
5
10
15
20
25
30
35
40
2017 2018 2019 2020 2021 2022 2023 2024 2025
Smoking Complaints by Year
Complaints Received
Complaints Finished
1 	3
Complaints Received
MAR Average 	Total
	Last Month
2 	2
Complaints Finished
MAR Average 	Total
	Last Month

-- 81 of 83 --

ENVIRONMENTAL WASTE PROGRAM
The waste unit licensed two new Body Art Establishments this month. Staff presented at the 311 Academy.
1 	3
Complaints Received
MAR Average 	Total
	Last Month
2 	2
Complaints Finished
MAR Average 	Total
	Last Month
1072
871
971 942 902 918 960
1124
186
1076
979 969 909 916 887
974 1004
145
757
578
687 652 658
787 793
893
145
320 262 274 260 270	
200 223 218
24
0
200
400
600
800
1000
1200
2017 2018 2019 2020 2021 2022 2023 2024 2025
Junk Vehicles by Year Junk Vehicle Complaints,
New
Junk Vehicle Re-
Investigations
Junk Vehicle Complaints
Closed
Junk Motor Complaints
Refer to Tow
94 	84
Junk Vehicle Complaints, New
MAR Average 	Total
	Last Month
83 	79
Junk Vehicle Re-investigations
MAR Average 	Total
	Last Month
64 	76
Junk Vehicle Complaints Closed
MAR Average 	Total
	Last Month
17 	13
Junk Motor Complaints Refer to Tow
MAR Average 	Total
	Last Month
71
28 24 29 27 32 30 27
4
223
105 95
128	
140
123
177
82
16
63
25 30 36 34 36 41
21
2
0
50
100
150
200
250
2017 2018 2019 2020 2021 2022 2023 2024 2025
Open Dumping by Year Open Dumping Complaints, New
Open Dumping Re-Investigations
Open Dumping Complaints Closed
3 	3
Open-Dumping Complaints
MAR Average 	Total
	Last Month
10 	7
Open-Dumping Re-Investigations
MAR Average 	Total
	Last Month
2 	0
Open-Dumping Complaints Closed
MAR Average 	Total
	Last Month
30 29 34
15 21 24 24	
17
4
133
102
123
0
75
93 92
112
2	
7 3 0 0 1 0 0 0 0	1 0 0 0 0 0 0 0 0	
0
20
40
60
80
100
120
140
2017 2018 2019 2020 2021 2022 2023 2024 2025
Infectious Disease by Year Treatment Facility Inspections
IW Large Quantity Generator
Inspect
IW LQG Re-Inspections
5 	4
Treatment Facility Inspections
MAR Average 	Total
	Last Month
7 	0
IW Large Quantity Generator Inspections
MAR Average 	Total
	Last Month
0 	0
IW LQG Re-Inspections
MAR Average 	Total
	Last Month
0 	0
IW Complaints
MAR Average 	Total
	Last Month
4 4 4 4
5
4
5 5
1
6
4
5
4 4 4
5
7
1
5
4
5
4
6
7
6
5
0	
0
1
2
3
4
5
6
7
8
9
10
2017 2018 2019 2020 2021 2022 2023 2024 2025
Landfill Inspections by Year Closed Landfill
Inspections
Transfer Station
Inspection
Compost Facility
Inspections
1 	1
Closed Landfill Inspections
MAR Average 	Total
	Last Month
1 	1
Transfer Station Inspection
MAR Average 	Total
	Last Month
1 	0
Compost Facility Inspections
MAR Average 	Total
	Last Month
73
54 61 61
74
60
158
52
6
91
53 46 42
59
48
116
40
0	
0
20
40
60
80
100
120
140
160
180
2017 2018 2019 2020 2021 2022 2023 2024 2025
Tire Storage Facility Inspections by Year Tire Storage Facility
Inspections
Tire Storage Facility Re-
Inspections
6 	6
Tire Storage Facility Inspections
MAR Average 	Total
	Last Month
4 	0
Tire Storage Facility Re-Inspections
MAR 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
699
7
495 465
40
472
1
61
0 19 17 4 12 0	
0
100
200
300
400
500
600
700
800
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
2025

-- 82 of 83 --

The fourth WPCLF project, a 100% grant-funded replacement sewage treatment system, was completed. Staff assisted the licensing administrator in mailing out approximately 240 swimming pool license applications.
TECHNICAL ENVIRONMENTAL SERVICES (TES)
6 	6
Tire Storage Facility Inspections
MAR Average 	Total
	Last Month
4 	0
Tire Storage Facility Re-Inspections
MAR Average 	Total
	Last Month
583
528 515
433
537
677
793
700
127
465
544
707 726
856 829
530
590
150
0
100
200
300
400
500
600
700
800
900
2017 2018 2019 2020 2021 2022 2023 2024 2025
Rabies Investigations by Year Investigation
Re-investigation
52 	49
Investigations
MAR Average 	Total
	Last Month
56 	52
Re-Investigations
MAR Average 	Total
	Last Month
601 599
775	
834 840
902
1075
989
171
456 417 438
308
395 356 304 264
12
1015 1033 1013
652
1011
884
733
863
24	13 33 75 111 91 117 86 80 34	58 98 91 57 100 51 37 48 0	
0
200
400
600
800
1000
1200
2017 2018 2019 2020 2021 2022 2023 2024 2025
Swimming Pools by Year Inspections
Complaint Investigation
Sampling
Re-inspection
Complaint Re-
investigation
29 	12
Inspections
MAR Average 	Total
	Last Month
11 	3
Complaint Investigations
MAR Average 	Total
	Last Month
2 	4
Sampling
MAR Average 	Total
	Last Month
6 	2
Re-Inspections
MAR Average 	Total
	Last Month
5 	0
Complaint Re-Investigations
MAR Average 	Total
	Last Month
613
537 503
623
570
699
782 798
257
130 112 102 122 151 132
236
92 69	66
129 120 132 168	
124 130 152
51	
8
81 93 66 82 101 78 80
26	
63
373 407
291 312
424 431 392
149
0
100
200
300
400
500
600
700
800
900
2017 2018 2019 2020 2021 2022 2023 2024 2025
Sewage (HSTS) by Year Inspections
Investigation
Completed
Re-inspection
Sampling/Recorder
67 	120
Inspections
MAR Average 	Total
	Last Month
25 	4
Investigations
MAR Average 	Total
	Last Month
28 	26
Completed
MAR Average 	Total
	Last Month
9 	11
Re-Inspection
MAR Average 	Total
	Last Month
44 	61
Sampling/Recorder
MAR Average 	Total
	Last Month
740
1189
1448
985
1748
987
824	
728
65	58
811 853
715
849
461
598
489
54	19
282	
387 433
736
361
485
305
10	0
495 550
307 277
476	
371
709
96
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2017 2018 2019 2020 2021 2022 2023 2024 2025
Sewer Baiting by Year Rodent Baiting
Complaint Investigation
Complaint Re-
investigation	
Recorder
57 	29
Rodent Baiting
MAR Average 	Total
	Last Month
35 	51
Complaint Investigations
MAR Average 	Total
	Last Month
20 	9
Complaint Re-Investigations
MAR Average 	Total
	Last Month
37 	95
Recorder
MAR Average 	Total
	Last Month
25
28
22
20
15 15 15
22
4
10
25
29
32
28
2 3
8
0	
0
5
10
15
20
25
30
35
2017 2018 2019 2020 2021 2022 2023 2024 2025
Vectorborne Disease by Year Complaint Investigation
Complaint Re-
investigation
2 	1
Complaint Investigations
MAR Average 	Total
	Last Month
1 	0
Complaint Re-Investigations
MAR Average 	Total
	Last Month
61 61 56 32 23 24 25 43	
3
534 565
399
469
408 433
578 565
0	
31	
73 64
15 21 18 17 22 1
67 80 76 55 40 21 24 44	
2	
0
100
200
300
400
500
600
700
2017 2018 2019 2020 2021 2022 2023 2024 2025
Mosquito by Year Complaint Investigation
Monitoring/Sampling
Sampling/Recorder
Complaint Re-investigation
0 	2
Complaint Investigations
MAR Average 	Total
	Last Month
0 	0
Monitoring/Sampling
MAR Average 	Total
	Last Month
0 	1
Sampling/Recorder
MAR Average 	Total
	Last Month
2 	2
Complaint Re-Investigations
MAR Average 	Total
	Last Month

-- 83 of 83 --