Joint Washington Ozaukee Board of Health — Agenda

HEADER AGENDA JOINT WASHINGTON OZAUKEE BOARD OF HEALTH MEETING Friday, July 10, 2026 – 8:30 AM Microsoft Teams Meeting Meeting ID: 225 900 045 807 22 Passcode: a7sZ32cs The following business will be brought before the Committee for initiation, discussion, deliberation, and possible formal action subject to the rules of the Board, which may be inspected in the office of the County Clerk. The agenda will be as follows: 1. Call to Order, Roll Call, Affidavit of Posting, A Moment of Silent Prayer, and Pledge of Allegiance 2. Discussion or Possible Action a. Election of Joint Board of Health Chair & Vice Chair b. 2025 Annual Report c. Approval of 2026 VFC Amin Fee Increase 3. Consent Agenda a. Approval of Board of Health Minutes – January 9, 2026 b. Communicable Disease Report c. WIC Program Report 4. Next Meeting Date a. September 11, 2026 5. Adjournment It is possible that individual members of other governing bodies of the County government may attend the above meeting. It is possible that such attendance may constitute a meeting of any such other governing body pursuant to State ex rel. Badke v. Greendale Village Board, 173 Wis. 2d 553, 494 N.W. 2d 408 (1993). This notice is given solely to comply with the notice requirements of the open meeting law. No action will be taken by any other governmental body except by the governing body noticed in the caption above. AFFIDAVIT OF POSTING This agenda was posted in the office of the County Clerk on the 29th day of June 2026. Notice was sent to the West Bend Daily News, Express News,WIBD/WMBZ Radio,WTKM Radio, My Community NOW, Hartford Times Press, Kewaskum Statesman, Milwaukee Journal-Sentinel. Individuals with disabilities requiring special accommodations for attendance at the meeting should contact the County Clerk at (262) 335-4301 at least 48 hours prior to the meeting. W a s h i n g t o n O z a u k e e P u b l i c H e a l t h D e p a r t m e n t A N N U A L R E P O R T 2 0 2 5 262-284-8170 washozwi.gov info@washozwi.gov Letter from the Health Officer.................................................. 3 Guiding Principles ........................................................................ 4 Organizational Chart ................................................................... 5 Joint Board of Health................................................................... 5 Health Rankings ............................................................................ 6 Employee Engagement ............................................................ 6-7 Administration .............................................................................. 8 Achievements ................................................................................ 8 Community Health ....................................................................... 9 Communications ........................................................................ 10 Emergency Preparedness ......................................................... 11 Environmental Health ............................................................... 12 Maternal Child Health ........................................................ 13-15 Strategy .................................................................................. 16-19 Women, Infants and Children ................................................. 20 Contact Us ................................................................................... 21 TABLE OF CONTENTS 2 Dear Washington & Ozaukee County Residents, As I reflect on 2025, it stands out as a challenging year marked by budgetary uncertainty, as funding cuts affected Public Health and grant reporting requirements changed almost daily. Our WIC program operated through a federal funding freeze and successfully adapted to a temporary government shutdown in October, while the rest of our team prepared for a potential Measles outbreak in our counties. These particular challenges were reminiscent of similar struggles we faced during the COVID-19 pandemic, underscoring the importance of fiscal responsibility and proactive financial planning when preparing not only for large scale public health emergencies, but also our annual operating budget. Despite these hurdles, we achieved several significant milestones. We completed the Community Health Improvement Planning process, increased our presence at community events, and made meaningful progress toward accreditation readiness. We reached record-high participation in the WIC program despite the government shutdown with two consecutive months of the highest enrollment to date. Throughout the year, we remained steadfast in our mission, working collaboratively and supporting each other to provide high quality services to our residents. This commitment was further demonstrated when we were invited to present a session on Public Health Communication Strategies that Bridge Political Divides at the Wisconsin Public Health Association Conference in May, a testament to our organizational capabilities and innovative approach to problem solving. Looking ahead to 2026, we are focused on several key objectives, including completion of our accreditation readiness assessment, beginning the PHAB Pathways process, and an early DHS 140 review. This will allow us to gain a clearer understanding of our strengths, identify areas for improvement, and chart the path for continued growth. Thank you for your ongoing support and partnership as we work together to build a healthier, more resilient community. Sincerely, LETTER FROM THE HEALTH OFFICER 3 GUIDING PRINCIPLES 4 At the heart of our work are the Foundational Public Health Services (FPHS), a framework that defines the core capabilities every health department must uphold to safeguard and improve community health. This framework informs our initiatives across all areas of public health, underscoring the vital role we play in fostering community health. As you read through this report, you'll see how these foundational principles continued to shape and guide our programs, services, and strategic priorities throughout 2025. Our Purpose: To advocate and serve by promoting the health and safety of the public. Our Mission: to provide community assessment, education, and collaborative health interventions for all who live, work, and play in our counties. Our Values: Integrity: Demonstrating transparency, honesty and respect. Resourcefulness: Providing inclusive, responsive, proactive, and equitable services that reflect the needs of the community. Collaboration: Partnering with organizations to accomplish shared goals and incentives through data and evidence-based practices. Servant Leadership: Leading with empathy and compassion for our community. Donald Clark, County Board Supervisor Connie Kincaide, County Board Supervisor Dr. Doug McManus, Citizen Member Dr. Daniel Jablonski, Citizen Member Dr. Steven Zils, Medical Advisor ORGANIZATIONAL CHART JOINT BOARD OF HEALTH Jodi Schulteis, Chair/County Board Supervisor Pam Konrath, County Board Supervisor Linda Gurath, County Board Supervisor Anne Trautner, County Board Supervisor Marietta Bailey, County Board Supervisor Doreen Buntrock, Citizen Member Meheza Pannla, Citizen Member Washington County Ozaukee County 5 HEALTH RANKINGS County Health Rankings collects data for every county in the United States annually and provides a state ranking. Health outcomes tell us how long people live on average within a community, and how much physical and mental health people experience in a community while they are alive. In 2025, both counties continued to score significantly higher than the national and state averages. EMPLOYEE ENGAGEMENT Employee engagement plays a vital role in creating a positive work environment, strengthening relationships amongst employees and increasing staff involvement within the department. 6 The Health Department’s 2022-2025 Strategic Plan identified employee engagement as a key priority, particularly in fostering active community involvement and cultivating enduring partnerships with other organizations to strengthen or role and trust within our community. Throughout 2025, staff eagerly embraced innovative and collaborative opportunities for community engagement, which not only expanded our visibility in the community but also provided staff with valuable chances to cross-train, deepen existing relationships with colleagues, and often step beyond their usual roles and comfort zones. Each year, Health Department staff also engage in a county-wide employee survey that provides them with an opportunity to voice their perspectives on the workplace environment. Public health staff engagement increased from 73% to 80% in 2025, a positive reflection of the department’s ongoing focus on employee engagement throughout the year and the efforts to enhance workplace culture. 7 West Bend Farmers Market Washington CountyFair National Night Out Ozaukee CountyFair Health Fair WIC Toy Drive ADMINISTRATION ACHIEVEMENTS Developed the 2026-2028 Community Health Improvement Plan Hosted a successful car seat event in partnership with Safe Kids Worldwide and State Farm Began our journey towards accreditation readiness Developed a bi-county Fatality Review Team, to begin meeting in 2026 Participated in the Washington County FEMA Disaster Recovery Center Presented on successes at multiple professional conferences 2025 was a year of significant growth for our billing team, as they successfully implemented new billing processes through the complex Tuberculosis Ordering & Billing Interface (TOBI) and developed procedures for billing of new programs and services. Additionally, our Business Manager was invited to join the planning committee for the 2025 Wisconsin Human Services Financial Managers Association Conference. Alongside our Billing Specialist, she also participated in a Public Health billing panel session at this conference, taking advantage of valuable networking opportunities with other professionals in the medical billing field. 8 Phone callsOffice visits WIC 34.9%Other Dept. 27.2% Environmental 24.1% Immunizations 7.2% Other 4.1% Car Seat 2.5% WIC 29% Environmental 25.6% Comm. Disease 24.3% Other Dept. 9.3% Other 6.5% Immunizations 3% Car Seat 2.4% We received over 3,500 calls and 950 office visits, a 58% increase over 2024 visits. COMMUNITY HEALTH Surveillance, investigation, and follow-up of reportable diseases are statutory responsibilities of local health departments. Follow-up is conducted by our nursing team to ensure appropriate measures are taken to prevent potential disease transmission. A noticeable increase in vector borne illnesses over previous years could be attributed to an increase in the tick population, improved reporting protocols and increased public awareness, leading to early detection and treatment. Communicable Disease Our community health team encompasses a variety of programs & services dedicated to communicable disease control, chronic disease & injury prevention, maternal & child health, access to clinical care, and community partnership development. The health department aims to reduce or eliminate vaccine preventable diseases. Staff work closely with school districts to ensure school age children are in compliance with the Wisconsin State Immunization Law, increasing vaccine access for all and protecting children across our counties from vaccine preventable illnesses. 155 vaccines were administered in 2025 Immunizations This program provides preventative screening services for breast and cervical cancer to low income, uninsured or underinsured women residing in Wisconsin. This program welcomed 7 new enrollments in 2025. Wisconsin Well Woman Program 9 In October, we partnered with Casa Guadalupe and Lakeshore Community Health Care for a breast cancer screening event. Top 3 reportable communicable disease categories in Washington & Ozaukee Counties Respiratory Sexually Transmitted Infections (STIs) Vector-borne * * illnesses transmitted by insects or animals COMMUNICATIONS Our Quality Improvement and Communications team focused on amplifying our social media messaging and enhancing service accessibility through our website, while also expanding public outreach by organizing departmental participation at more community events. The department took ownership of our Change the Ending and Get Tested for Lead campaigns, merging them into our department’s website and ensuring continued access to vital mental health, substance use, and child health resources. Communications staff led an in-depth redesign of our website to improve user experience and streamline service navigation. Our social media presence was further strengthened by strategically promoting new and pre-existing services such as CPR/AED training, car seat education, and Narcan training, which are now consistently highlighted and widely shared by community partners. Looking ahead to 2026, QI & Communications staff are focused on supporting key initiatives including implementation of our 2026-2028 strategic plan, advancing accreditation readiness through the PHAB Pathways program, and the move of our website to a new platform. 10 Top 5 visited webpages Home WIC Environmental Health 6,300 active users Maternal Child Health Contact Us Followers: 616 Followers: 710 @WashOzPHwashozphWashington Ozaukee PublicHealth Department Post shares: 532 Post saves: 8 Post retweets: 12 Impressions*: 224,106 Impressions: 2,391 Impressions: 4,172 * The number of times content we published was displayed on a person's screen. Scan or click here to viewour 2025 press releases new userssince 2024 Followers: 5,974 EMERGENCY PREPAREDNESS Our emergency preparedness focus is on preparing for and responding to events that pose a substantial health risk to our residents. The program supports and enhances the capacity of the health care system to prepare for public health threats and emergencies through planning, exercising, responding, and training. M a i n t a i n i n g c u r r e n t c o n t a c t l i s t s i s c r i t i c a l f o r o u r a b i l i t y t o d i s t r i b u t e h e a l t h a l e r t s t o t h e p u b l i c i n a n e m e r g e n c y . S c a n t h e Q R c o d e o r c l i c k h e r e t o j o i n o u r n e t w o r k a n d s t a y i n f o r m e d ! 11 Every year, the health department hosts two staff retreats focused on team bonding to improve communication and foster collaboration, all of which contribute to a stronger, more cohesive work culture. At each retreat this year, we focused on emergency preparedness by playing tabletop board games created by the CDC for point of dispensing and Measles outbreak planning. Fit testing ensures tight-fitting respirators, such as N- 95s, create a proper seal against the user’s face to protect against airborne hazards. We perform this test using a bitter/sweet solution and perform a series of steps to ensure staff have a tight-fitting respirator. May staff retreat Fit testing Some areas of Washington County were hit hard in the August flooding, so a Disaster Recovery Center (DRC) was set up by FEMA and county staff to give in-person assistance with the FEMA application process and to provide other available resources. Our staff volunteered to manage the information table and assist affected residents. Disaster Recovery Center ENVIRONMENTAL HEALTH Our environmental health team focuses on the protection of human health through assessment, surveillance, control and prevention of a multitude of environmental factors which may affect the health and well-being of our community. The health department distributes short-term and long-term radon kits to Washington and Ozaukee County residents. To celebrate National Radon Action Month in January, we provided free radon kits to individuals who donated a non-perishable food item. 2025 Statistics 189 short-term radon kits 11 long-term radon kits F r o m M e m o r i a l D a y t o L a b o r d a y , w e p a r t n e r w i t h t h e D e p a r t m e n t o f N a t u r a l R e s o u r c e s ( D N R ) t o i m p l e m e n t t h e W i s c o n s i n B e a c h M o n i t o r i n g P r o g r a m . D a t a c o l l e c t e d h e l p s d e t e r m i n e w h e n t o n o t i f y t h e p u b l i c s o t h e y c a n m a k e i n f o r m e d c h o i c e s a b o u t s w i m m i n g a t t h e b e a c h a n d w h e n t o c l o s e a b e a c h d u e t o u n s a f e c o n d i t i o n s . A s a m p l e t h a t t e s t s f o r E . c o l i i s t a k e n a n d t h e f o l l o w i n g r o u t i n e s a n i t a r y s u r v e y p a r a m e t e r s a r e a s s e s s e d b y o u r e n v i r o n m e n t a l h e a l t h s t a f f : w a t e r c l a r i t y , w a v e h e i g h t , w e a t h e r c o n d i t i o n s , w a t e r t e m p e r a t u r e , g u l l a n d o t h e r a n i m a l c o u n t s a n d a l g a e o n t h e b e a c h a n d i n t h e w a t e r . T h i s y e a r , P u b l i c H e a l t h s t a f f p o s t e d 9 b e a c h a d v i s o r i e s . Also tested but not shown on map: Concordia University Beach 12 DNR Well Water ProgramFood & Recreational Safety Program Our registered sanitarians provide inspections, consultation and licensing services for restaurants and retail food, public swimming pools and water attractions, hotels, motels, tourist rooming houses and bed and breakfasts, tattoo and body piercing, and campgrounds. We inspect and test transient wells in Washington, Ozaukee, and Milwaukee Counties through a grant from the Wisconsin DNR. This includes an annual test for bacteria and nitrate for any well that offers public access to water for at least 25 individuals per day, for at least 60 days of the year. 419 establishments completed water testing 89 well system survey inspections were conducted 1,439 routine licensing inspections 149 pre-inspections 157 follow-up inspections “This is the way they all should be.” -WI DATCP review team, in reference to our EH staff performance during annual FRS program review, compared to other local health departments MATERNAL CHILD HEALTH O u r m a t e r n a l c h i l d h e a l t h ( M C H ) t e a m w o r k s w i t h f a m i l i e s o f f e r i n g s c r e e n i n g a n d r e f e r r a l f o r s o c i a l d e t e r m i n a n t o f h e a l t h n e e d s a n d p r o v i d e s p r e n a t a l , p o s t n a t a l , a n d c h i l d s p e c i f i c e d u c a t i o n t o a r e a f a m i l i e s . I n 2 0 2 5 , o u r M C H t e a m c o n d u c t e d d e v e l o p m e n t a l m i l e s t o n e s c r e e n i n g s f o r o v e r 2 3 5 c h i l d r e n c o n n e c t i n g f a m i l i e s t o a d d i t i o n a l r e s o u r c e s w h e n f u r t h e r e v a l u a t i o n i s n e e d e d . 2025 data In 2025, we began offering CPR training to businesses, community members, and county employees! With two BLS CPR instructors/instructor trainers on staff who are certified through the American Heart Association, we offer general education classes that provide education on CPR, First Aid, Stop the Bleed, and Narcan. In addition to this class, our trainers also teach certification and recertification classes. We provided a combination of education, certification, and recertification to over 50 individuals through this new program. 13 I n 2 0 2 5 , t h e M C H t e a m h a d 1 , 3 4 0 e n c o u n t e r s w i t h 4 4 3 W I C c l i e n t s . 1 , 0 4 3 u n i q u e n e e d s w e r e i d e n t i f i e d a n d m o s t c l i e n t s i d e n t i f i e d 3 n e e d s o r l e s s . “All my questions were answered and I received a lot of good information. Having the play area was so nice so I could focus on the information that was given and not worry about my child.” - MCH client, 2025 WIC office - Ozaukee CPR TRAINING Top 3 community resources most requested by our clients Finanical Food Child Development/Parenting 14 CAR SEAT TEAM Car Seat Safety Team Our car seat team attended the annual International Kidz in Motion Child Passenger Safety Conference in August in Madison, WI. This conference allowed us to: talk directly with car seat manufacturers get hands-on experience installing and testing features of new car seats learn about the latest product updates attend workshops to earn required credits towards recertification This year we welcomed two new car seat technicians to the car seat team due to increased demand for car seat inspections and distributions. We also spent more time at outreach events this year educating families about the benefits of getting their car seats checked, as the National Highway Traffic Safety Association (NHTSA) reports 46% of all car seats are installed incorrectly. 15 T h e c a r s e a t te a m d is trib u te d th e fo llo w in g c a r s e a t ty p e s a c ro s s W a s h in g to n a n d O z a u k e e C o u n tie s : In fa n t S e a ts : 3 4 C o n v e rtib le S e a ts : 3 9 B o o s te r S e a ts : 1 5 G e n e ra l In s ta ll C h e c k s : 7 5 T o ta l: 1 6 3 a p p o in tm e n ts T h e c a r s e a t t e a m a l s o a t t e n d e d N a t i o n a l N i g h t O u t a n d i n t e r a c t e d w i t h o v e r 4 0 0 p e o p l e ! Our car seat team hosted a community car seat event in partnership with Safe Kids Worldwide and State Farm in September. This FREE event allowed participants to: work with a certified car seat technician learn how to properly install their car seat check to see if their car seat is installed properly receive a car seat- while supplies last, regardless of income status National Night Out 2025 DataCar Seat Event 55 more than 2024! Safety training dolls STRATEGY O u r h e a l t h s t r a t e g y t e a m l e a d s h e a l t h e d u c a t i o n e f f o r t s o u t i n t h e c o m m u n i t y a n d f a c i l i t a t e s c o m m u n i t y c o a l i t i o n s t o a d d r e s s k e y h e a l t h p r i o r i t i e s a t t h e i n d i v i d u a l , f a m i l y , & c o m m u n i t y l e v e l s t o i m p r o v e t h e h e a l t h a n d w e l l - b e i n g o f o u r r e s i d e n t s . 16 The Substance Use Coalition hosted International Overdose Awareness Day (IOAD) in both Washington and Ozaukee Counties. The day was to honor and remember our loved ones that have lost their lives due to an overdose, and to find community among others who may struggle with substance use or are in active recovery. Approximately 70 people attended this event. Our Hidden in Plain Sight trailer was displayed at the Washington & Ozaukee County Fairs, National Night Out, and Grafton High School for parent-teacher conferences this year. The trailer is used to inform and foster discussions around youth substance use and is open to individuals age 21+. Health department staff shared substance use resources and distributed medication lock boxes at these events. The Youth Risk Behavior Survey (YRBS) is a set of reliable surveys conducted every two years for grades 9-12 that identify risk behaviors that may contribute to poor health. Data collection helps determine areas of focus for health improvement and provides a platform for the development of subsequent programming aimed at improving health outcomes. Port Washington - Saukville School District completed the YRBS in 2025. This survey will give the school district a more accurate picture of student health vs. relying on state reports from students in other counties and our goal is to have more schools in our counties participate in future years. IOAD Event H i d d e n i n P l a i n S i g h t t r a i l e r Ozaukee County Fair Outreach: 515 people Washington County Fair Outreach: 419 people The following harm reduction supplies were distributed this year by our team: Naloxone: 514 doses Fentanyl test strips: 14 Condoms: 59 Deterra bags: 14 Harm reduction strategies are essential to community health, offering practical, evidence-based tools that protect individual and community health while promoting dignity, safety, and access to care. Methods such as naloxone, condoms, fentanyl test strips, and Deterra medication disposal bags save lives and prevent illness by reducing the risks associated with drug use and sexual activity. 361.2 pounds of non-controlled and controlled substances were collected in 2025. Medication Disposal The Washington Ozaukee Sexual Wellness Coalition hosted two Relationships, Responsibility, and Sexual Health presentations in partnership with Froedtert & the Medical College of Wisconsin and Cedarburg Parents for Responsible Human Growth and Development. Middle school students were invited to a free presentation focused on reproductive health, STIs, and healthy relationships. STRATEGY 17 T h e h e a l t h d e p a r t m e n t , O z a u k e e C o u n t y S h e r i f f ’ s O f f i c e , S i r o n a R e c o v e r y , C o n c o r d i a U n i v e r s i t y W i s c o n s i n S c h o o l o f P h a r m a c y a n d W a s h i n g t o n C o u n t y S h e r i f f ’ s O f f i c e , i n c o o p e r a t i o n w i t h t h e W i s c o n s i n D e p a r t m e n t o f J u s t i c e ( D O J ) a n d t h e D r u g E n f o r c e m e n t A d m i n i s t r a t i o n ( D E A ) , p a r t i c i p a t e i n N a t i o n a l P r e s c r i p t i o n D r u g T a k e B a c k D a y i n t h e S p r i n g a n d F a l l . T h i s e v e n t p r o v i d e s a s a f e , c o n v e n i e n t , a n d r e s p o n s i b l e m e a n s o f m e d i c a t i o n d i s p o s a l . This year, participants had the opportunity to take an optional survey that would be used to make decisions about future events and identify any areas to improve prescription medication storage and disposal in our community. Since the majority of participants reported they don’t know where they can dispose medications throughout the year, we are now promoting year-round medication disposal locations on our social media on a quarterly basis. of participants reported feeling confident in making healthy decisions about relationships and personal boundaries after attending this class. In addition to this presentation, the coalition introduced a STI social media campaign focused on highlighting the importance of getting tested before engaging in sexual activity. These social media posts on Facebook were viewed* a total of 2,184 times during the campaign. June SeptemberMayApril *The number of times content appeared on someone's screen STRATEGY 18 National Public Health Week - April 7th-13th During National Public Health Week, our strategy team was invited on The Fireman Kenny Show Podcast to talk about what public health is, why public health is important, and the 3 P’s of public health: prevention, protection, and promotion of health. Our team shared some basic practices to prevent illness and disease and discussed targeting risk factors in programming and education. This type of promotion is important for garnering attention for the work we do including sharing information on how community members can collaborate for improved community health. T h e F i r e m a n K e n n y S h o w P o d c a s t S c a n o r c l i c k h e r e t o l i s t e n t o t h e p o d c a s t Scan or click hereto view a pressrelease Washington and Ozaukee Counties Implement Fatality Review Teams Suicide is a serious public health issue with far-reaching consequences for individuals, families, and communities. According to the National Action Alliance for Suicide Prevention, 91% of U.S adults believe that suicide can be prevented at least some of the time, and 95% say they would act if someone close to them were considering suicide. From 2021 to 2024,there were 96 suicidesand 129 fatal overdosesacross Washington andOzaukee Counties. To address suicide and overdose trends, the Health Department in partnership with each county’s Human Services Department, Medical Examiner’s Office, and Sheriff’s Office, is launching a bi- county Fatality Review Team (FRT) to review selected fatal cases of overdose and suicide among individuals aged 19 and over in Washington and Ozaukee Counties, to begin in January 2026. The goals of the FRT are to: 1.Recognize and address gaps or barriers in services 2.Identify underlying causes and trends in suicide and substance use 3.Develop prevention strategies targeting mental health and substance use 4.Recommend policy or program changes at local and state levels 19 Scan or click here to view the 2026-2028 CHIP Report Thank you to everyone who participated in our CHIP planning events! Your feedback plays a vital role in helping us better understand community health needs and priorities. CHIP surveys: 232 Attendees at in-person conversations: 46 CHIP CommunityConversations Our strategists are responsible for our Community Health Improvement Plan (CHIP), which is a long-term plan that outlines our community’s top health priorities as determined by data from local health assessments, every 3-5 years. Throughout the summer, we displayed data at local libraries, public events, and shared broadly on social media and in print to catch the attention of a wide variety of individuals. We also hosted three in-person sessions. In partnership with United Way and Kids2Kids of Ozaukee County, WIC hosted a holiday event to distribute toys to children and provide nutritional education. WOMEN, INFANTS AND CHILDREN The Women, Infants and Children (WIC) nutrition program provides food and nutrition information to pregnant, postpartum, breastfeeding women, infants and children under the age of 5. Our WIC & MCH teams partnered to create in-person group education classes to families through monthly infant feeding classes in conjunction with other health department offerings such as CPR/AED trainings, developmental milestones, car seat and safe sleep education, and more. Our WIC department experienced funding uncertainties beginning early in the year and navigated a temporary government shutdown in October. There were also funding changes to the Farmers’ Market Nutrition Program this year. As a result, we received 75% of typically allocated checks and the dollar amount given to participants was reduced to $25/booklet, but the redemption rate of vouchers increased over previous years. This year we hosted our 5th annual Community Connections event, inviting WIC families and community families with young children in need to attend a drive-thru resource fair in each county. Due to the Farmers’ Market Nutrition Program grant funding changes, checks were not distributed as they have been in previous years, however 184 children in the WIC program were able to be connected to other resources in our counties through this event. 20 O u r t e a m r e a c h e d r e c o r d - h i g h c a s e l o a d s i n J u l y w i t h 1 , 5 4 9 e n r o l l e d p a r t i c i p a n t s a n d a g a i n i n D e c e m b e r w i t h 1 , 5 8 4 e n r o l l e d p a r t i c i p a n t s ! 8 2 f a m i l i e s / 1 8 1 c h i l d r e n b e n e f i t t e d f r o m t h i s e v e n t CommunityConnections Event Scan or click here to viewthe news article Phone: (262) 284-8170 Email: info@washozwi.gov Office Hours: 8:00am - 4:30pm | Monday-Friday washozwi.gov Washington County 333 East Washington St. Suite 1100 West Bend, WI 53095 Ozaukee County 121 West Main St. Room 246 Port Washington, WI 53074 CONTACT US 21 1. Food & Recreational Safety Program Annual License Fee Preinspection Reinspection 2nd Reinspection Late Fee Retail serving meals - COMPLEX $830.00 $770.00 $578.00 $770.00 $166.00 Retail serving meals - MODERATE $508.00 $470.00 $353.00 $470.00 $101.60 Retail serving meals - SIMPLE $354.00 $320.00 $240.00 $320.00 $70.80 Retail serving meals - Prepacked/Tavern $160.00 $130.00 $98.00 $130.00 $32.00 Additional area $112.00 NA NA NA NA Retail serving meals - Transient- Annual $190.00 NA NA NA NA Retail serving meals - Transient - 1 Week Only $105.00 NA NA NA NA Add'l retail srving meals-Transient-same property $105.00 NA NA NA NA Set up fee -Transient and Mobile $70.00 NA NA NA NA Consultation fee $245.00 NA NA NA NA Retail Food - Not Serving Meals - Complex $1,370.00 $445.00 $450.00 $450.00 $274.00 Retail food not serving meals - Moderate $570.00 $185.00 $190.00 $190.00 $114.00 Retail food not serving meals - Simple TCS $438.00 $142.50 $190.00 $190.00 $87.60 Retail food not serving meal - Simple Non-TCS $170.00 $55.00 $90.00 $90.00 $34.00 Retail food not serving meals - Prepacked $119.00 $42.50 $90.00 $90.00 $23.80 Retail food not serving meals - Transient $119.00 NA NA NA NA *Micro Market - Single $40.00 NA $40.00 $60.00 $8.00 *Micro Maket - Multiple $60.00 NA $60.00 $60.00 $12.00 Simple Pool $315.00 $200.00 $100.00 $150.00 $63.00 Simple Pool w/features $525.00 $332.00 $100.00 $150.00 $105.00 Moderate Pool $470.00 $300.00 $100.00 $150.00 $94.00 Moderate Pool w/ features $680.00 $432.00 $100.00 $150.00 $136.00 Complex pool $590.00 $375.00 $100.00 $150.00 $118.00 Complex pool w/features $800.00 $507.00 $100.00 $150.00 $160.00 Tattoo $189.00 $255.00 $135.00 $180.00 $37.80 Body Piercing $189.00 $255.00 $135.00 $180.00 $37.80 Combined $308.00 $400.00 $221.00 $295.00 $61.60 Temporary $140.00 NA NA NA NA Campground 1-25 sites $270.00 $380.00 $180.00 $240.00 $54.00 Campground 26-50 sites $385.00 $565.00 $263.00 $350.00 $77.00 Campground 51-100 sites $470.00 $700.00 $319.00 $425.00 $94.00 Campground 101-199 sites $545.00 $830.00 $375.00 $500.00 $109.00 Campground 200+ sites $630.00 $965.00 $435.00 $580.00 $126.00 Spec event 1-25 sites $245.00 NA NA NA Spec event 26-50 sites $350.00 NA NA NA Spec event 51-100 sites $427.00 NA NA NA Spec event 101-199 sites $497.00 NA NA NA Spec event 200+ sites $574.00 NA NA NA Simple $686.00 $980.00 $200.00 $300.00 $137.20 Simple w/ Hospitality $756.00 $1,080.00 $200.00 $300.00 $151.20 WASHINGTON OZAUKEE PUBLIC HEALTH DEPARTMENT 2026 FEE SCHEDULE REC ED CAMPS *new fee structure 2024 CAMPS BODY ART POOLS RETAIL FOOD NOT Serving Meals & Mobile & Service Base RETAIL SERVING MEALS & Mobile & Service Base Moderate $742.00 $1,060.00 $200.00 $300.00 $148.40 Moderate w/ Hospitality $889.00 $1,270.00 $200.00 $300.00 $177.80 Complex $798.00 $1,140.00 $200.00 $300.00 $159.60 Complex w/ Hospitality $1,001.00 $1,430.00 $200.00 $300.00 $200.20 1 TRH $341.00 $592.00 $150.00 $200.00 $68.20 2-4 TRH $518.00 $900.00 $150.00 $200.00 $103.60 5 to 9 TRH $632.00 $1,100.00 $150.00 $200.00 $126.40 10-19 TRH $690.00 $1,200.00 $150.00 $200.00 $138.00 20-39 TRH $805.00 $1,400.00 $150.00 $200.00 $161.00 40-99 TRH $920.00 $1,600.00 $150.00 $200.00 $184.00 100 to 299 TRH $1,035.00 $1,800.00 $150.00 $200.00 $207.00 300-599 TRH $1,150.00 $2,000.00 $150.00 $200.00 $230.00 600+ $1,265.00 $2,200.00 $150.00 $200.00 $253.00 5-30 rooms $403.00 $700.00 $150.00 $200.00 $80.60 31-99 rooms $518.00 $900.00 $150.00 $200.00 $103.60 100-249 rooms $632.00 $1,100.00 $150.00 $200.00 $126.40 250-499 rooms $748.00 $1,300.00 $150.00 $200.00 $149.60 500-749 rooms $863.00 $1,500.00 $150.00 $200.00 $172.60 750-1000 rooms $978.00 $1,700.00 $150.00 $200.00 $195.60 1000+ rooms $1,093.00 $1,900.00 $150.00 $200.00 $218.60 1 SL $341.00 $592.00 $150.00 $200.00 $68.20 2-4 SL $518.00 $900.00 $150.00 $200.00 $103.60 5-9 SL $632.00 $1,100.00 $150.00 $200.00 $126.40 10-19 SL $690.00 $1,200.00 $150.00 $200.00 $138.00 20-39 SL $805.00 $1,400.00 $150.00 $200.00 $161.00 40-99 SL $920.00 $1,600.00 $150.00 $200.00 $184.00 2. Miscellaneous Health Services Radon Test Kit (Short Term) $7.00 Radon Test Kit (Long Term) $20.00 Transient Well Water Testing $40.00 Private Well Water Testing (Licensed FRS Facilities Only) $20.00 Basic Life Support Certification - General Public $40.00 Basic Life Support Certification - County Employees $20.00 Seasonal Flu Vaccine $51.00 Seasonal Flu Vaccine - High Dose $99.00 Vaccines for Children (VFC Program) Admin Fee $15.00 NSF (Insufficient Funds Fee) $30.00 LODGING - HOTEL & MOTEL LODGING - SPECIALTY Prices & availability of specific vaccines are subject to change. Private pay vaccine and administration fees are set at an annual interval with inputs from Medicaid/Medicare Rates and reasonable out of pocket costs. Fees set for uninsured and underinsured are the same dollar amounts billed to insurance. Additional credit card processing fees may apply. LODGING - TOURIST ROOMING HOUSE PROPOSED VFC ADMIN FEE EFFECTIVE 8/1/26: $20 1JOINT WASHINGTON OZAUKEE 2BOARD OF HEALTH 3 Teams Meeting January 9, 2026 4 Virtual 8:30 a.m. 5 6 Present: Jodi Schulteis, Marietta Bailey, Meheza Pannla, Doreen Buntrock, Daniel Jablonski, 7 Anne Trautner, Donald Clark, Steven Zils 8 9 Also Present: Kim Buechler (Washington Ozaukee Public Health Director/Health Officer), Ross 10 Hafeman (Washington Ozaukee Public Health Strategist), Alex Weiland (Washington Ozaukee 11 Public Health Strategist), Hollie Milam (Washington Ozaukee Public Health Deputy Director), 12 Chris Berg (Washington Ozaukee Public Health Environmental Health Supervisor), 13 Jason Dzwinel (Ozaukee County Administrator) 14 15 Excused: Connie Kincaide 16 17 Chairperson Schulteis called the meeting to order at 8:34 am. Notice of Posting was given. 18 19MEETING MINUTES 20 No corrections were made to the minutes. The minutes are approved. 21 22COMMUNICABLE DISEASE REPORT 23 Ms. Buechler reported that the year-end report will be presented at the March meeting. Current 24 disease trends follow typical seasonal patterns seen in the fall and winter, with noted increases in 25 influenza and pertussis cases. One influenza-related death was reported in the counties. 26 27WIC PROGRAM REPORT 28 The WIC program followed similar participation trends during the summer and fall months. A 29 decline in benefit redemption occurred during the fall, attributed to the government shutdown. 30 While operations remain unchanged, the shift in the fiscal year has added complexity to financial 31 reporting. Ms. Buechler highlighted a positive Ozaukee Press story featuring the toy drive, 32 noting it was both enjoyable and beneficial for the community. Year-end statistics will be 33 presented at the March meeting. 34 35PRESENTATION – 2026-2030 COMMUNITY HEALTH IMPROVEMENT PLAN 36 Ms. Weiland provided an overview of the Community Health Improvement Plan (CHIP) 37 development process, including community partner involvement, listening sessions, and survey 38 responses. The decision to transition from a five-year plan to a three-year plan was made to 39 better align with healthcare systems. 40 41 Mr. Hafeman discussed how data was collected and analyzed and summarized key findings. The 42 data identified substance use, mental health, and nutrition as priority health issues within the 43 community, which will guide the formation of coalitions to address these needs. The findings 44 were verified through the Community Health Needs Assessment (CHNA) and showed consistent 45 results. Also reviewed were the methods used for conducting listening sessions and for gathering 46 and compiling detailed information. Board of Health November 14, 2025 Page 2 of 2 1 Questions on survey accessibility and the structure of survey and listening session questions. 2 3PUBLIC HEALTH DIRECTOR UPDATES 4 January is Radon Action Month, with efforts focused on community education and the 5 distribution of radon test kits in conjunction with a food donation initiative. Listening sessions 6 were held in January to address the new Community Health Improvement Plan. The December 7 toy drive event was successful and is likely to return in 2026. The annual report is currently 8 being compiled using 2025 data and will be presented at the March meeting. The department 9 website has been rebuilt to improve navigation and is scheduled to launch in January. The 10 department has begun the accreditation readiness process, which includes revising policies and 11 procedures to meet national standards, and the state has offered funding support for this effort. 12 Progress updates will be shared with the Board throughout the process. 13 14APPROVAL OF 2026 LODGING LICENSING FEES 15 The proposed fee structure is based on state inspection fees, as the department acts as an agent of 16 the state to conduct these inspections. The proposal includes a 15% increase over current state 17 fees. 18 19 Mr. Berg provided background on the food and recreation inspection program, explained how 20 the state periodically revises the inspection code, and emphasized the importance of adjusting 21 fees to keep pace with program costs. 22 23 Board Member Clark out of attendance 9:01AM. 24 25 Questions on potential tax levy impact, fee increase amount, and whether additional fee changes 26 are anticipated in the future. 27 28 The proposed 2026 lodging licensing fees were agreed to by Board consensus, effective April 29 2026. 30 31NEXT TENTATIVE MEETING DATE 32 The next Joint Board of Health meeting is scheduled for March 13, 2026 at 8:30 am, Washington 33 Ozaukee Public Health Department in Ozaukee County. 34 35ADJOURNMENT 36 Chairperson Schulteis adjourned the meeting at 9:14 am. Washington County 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 Health Event Jan Feb MarAprMayJun Jul AugSep Oct NovDec Total Total Total Total Total TotalTotalTotalTotalTotalTotalTotalTotalTotal Category I Acute Flaccid Myelitis 0 0 0 0 0 0 0 0 1 Acute Respiratory Illness (Outbreak) 0 0 0 0 0 1 6 8 6 9 Foodborne or Waterborne (Outbreak) 0 0 0 0 0 1 6 1 5 19 8 11 0 0 Haemophilis influenza 1 1 3 4 1 4 0 1 3 2 1 0 0 2 1 Hepatitis A 0 1 1 0 0 0 0 2 1 0 1 0 1 1 N. Meningitis (Meningococcal) 0 0 0 0 0 0 0 0 0 1 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 Orthopoxvirus, MPOX 0 1 Pertussis 3 2 2 1 8 60 52 0 2 0 1 12 42 19 31 4 5 25 Rubella 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis 0 0 0 0 1 0 1 0 0 13 6 3 0 0 Tuberculosis Class A or B 1 1 2 4 1 1 3 0 1 1 (VISA)/(VRSA) Vancomycin Staph Aureus 0 0 0 0 0 0 0 0 1 0 0 2 0 0 Total Category I 10 67 61 2 8 6 15 19 58 53 46 20 8 27 Category II AFB Smear 1 1 2 0 0 2 2 1 2 4 3 Anaplasmosis 0 10 2 2 3 3 0 1 2 Arboviral Infection 1 1 0 4 0 1 0 0 1 2 12 5 0 1 0 Asbestosis 1 1 1 3 12 5 Babesiosis 0 2 2 3 0 1 0 1 0 4 0 2 0 0 Blastomycosis 1 2 1 4 2 5 3 7 1 0 4 5 3 0 3 2 1 Borreliosis (Non-Lyme) 0 0 0 1 Brucellosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Campylobacter 2 1 2 5 10 19 32 28 16 12 3 25 29 20 32 23 25 37 Candida Auris 0 0 0 1 Carbapenem-Resistant Enterobacteriaceae (CRE) 0 1 0 0 0 1 0 1 0 Carbapenemase Producing Organism (CPO) 1 1 2 2 1 1 1 Carbon Monoxide Poisoning 1 1 2 14 4 6 12 6 3 7 2 Cat-Scratch Disease(CSD)-Bartonella henselae 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chemical Pneumonitis 0 9 4 0 1 0 0 4 0 0 0 0 0 0 Coccidioidomycosis 0 1 1 1 0 2 Coronavirus, Novel 2019 (COVID-19) 21 20 4 2 1 48 272 1241 1353 Coronavirus, Novel 2019 (COVID-19)-Associated Hospitalization11 18 6 2 1 38 4 1241 1353 Cryptococcis Infection 0 0 0 0 1 Cryptosporidosis 3 2 5 20 14 7 3 5 1 7 Cyclosporiasis 0 1 3 2 0 0 0 1 0 0 0 0 0 0 E. Coli (EPEC, ETEC,STEC) 2 1 3 6 34 44 38 21 12 1 10 8 3 5 7 7 8 Ehrlichiosis 0 0 1 0 1 0 0 2 1 0 2 0 1 0 Elizabethkingemia 0 0 0 0 0 0 0 0 0 0 6 0 0 0 Giardiasis 2 2 1 5 3 15 6 11 8 1 9 12 6 6 2 6 7 Hemolytic Uremic Syndrome 0 0 0 0 0 0 0 0 0 0 0 1 0 0 Hepatitis B 0 8 5 3 7 1 2 9 13 10 5 16 2 3 Year: 2026 Reportable Disease Cases (Confirmed, Probable and Suspect) Hepatitis C 1 1 1 3 6 9 20 19 30 10 29 53 72 37 41 29 24 Hepatitis D 0 0 0 0 1 Hepatitis E 0 1 0 0 1 0 0 Hepatitis, viral unspecified 0 0 0 0 1 Histoplasmosis 1 1 1 1 5 4 1 0 1 12 1 3 1 0 1 Influenza 30 23 15 1 69 260 115 51 90 10 41 79 189 104 53 94 97 49 Influenza-Associated Hospitalization 41 11 8 8 68 117 115 51 90 10 41 79 189 104 53 94 97 49 Kawasaki Disease 1 1 0 2 1 1 3 0 1 2 1 0 1 0 0 Latent Tuberculosis Infection (LTBI)/Lab Result 2 10 3 2 2 19 42 32 61 35 40 9 26 27 13 6 3 0 0 Legionellosis 1 1 9 10 8 9 5 9 27 28 7 0 6 1 1 Listeriosis 0 1 1 0 0 1 0 0 1 0 0 1 0 1 Lyme Disease, EM Rash 3 8 11 53 11 2 8 Lyme Disease/Laboratory Report 1 3 4 8 9 25 133 146 144 155 216 15 115 85 70 26 30 5 11 Malaria 0 0 1 0 0 0 0 0 0 0 1 0 0 0 Metal Poisoning (non-Lead) 0 0 0 0 0 0 0 1 2 2 0 0 Methicillin or Ozicillin Resistant S. Aureus (MRSA/ORSA) 0 2 0 1 Meningitis, bacterial other 0 2 1 4 1 1 0 3 3 0 0 2 1 1 Mumps 0 0 0 1 1 0 0 0 2 1 0 0 1 0 Multisystem Inflammatory Syndrome (MIS-C) 0 0 0 0 0 3 Mycobacteria, atypical 0 0 0 0 0 34 8 36 30 30 29 21 19 20 Mycobacterial Disease, non-tuberculosis 2 6 3 4 6 21 34 47 22 23 Norovirus 0 0 0 0 0 0 0 0 6 Other emerging disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Parapertussis 0 0 0 1 0 1 0 2 1 0 0 0 0 0 Pelvic Inflammatory Disease (Non GC, Non CT) 0 0 1 Plesiomonas 0 0 0 0 0 0 1 Q Fever 0 1 1 0 0 0 0 0 0 0 0 0 0 0 Respiratory Syncytial Virus (RSV) 8 12 10 3 33 69 61 21 Respiratory Syncytial Virus (RSV)-Associated Hospitalization8 16 22 10 4 60 35 61 21 Rheumatic Fever 0 0 0 1 0 0 0 0 0 0 0 0 0 0 Rocky Mountain Spotted Fever 0 0 0 0 0 0 0 1 0 Salmonellosis 1 3 4 22 16 28 20 19 1 13 15 20 14 27 19 15 Shigellosis 0 2 1 3 3 0 1 1 3 4 7 1 4 0 Silicosis 0 1 0 0 1 Spotted Fever Group Rickettsiosis, Undetermined 0 0 0 0 1 1 0 0 0 0 0 0 0 0 STI: Chlamydia trachomatis 10 17 28 11 13 79 200 204 205 202 244 47 259 289 300 257 228 244 248 STI: Gonorrhea 5 3 5 3 4 20 25 30 19 51 45 7 30 30 44 27 37 25 37 STI: Pelvic Inflammatory Disease 0 0 0 0 0 0 0 0 1 0 0 0 1 0 STD: Syphilis 1 1 2 11 5 4 7 0 0 2 1 3 2 3 2 Streptococcus group A 2 2 3 8 7 8 3 1 4 6 8 5 1 4 5 Streptococcus group B 2 1 3 14 10 12 9 15 0 15 11 23 10 5 7 12 Streptococcus pneumoniae 2 2 1 5 10 12 24 7 2 3 13 12 16 14 10 8 8 Streptococcal Infection, Other 0 0 0 0 1 2 0 1 7 3 Toxic Shock Syndrome 0 0 0 0 1 0 0 2 Toxoplasmosis 0 3 5 4 2 2 0 0 0 3 0 0 0 0 Transmissible Spongiform Encephaopathy (TSE) 0 4 8 3 1 Typhoid Fever 0 0 0 0 0 0 0 0 0 Vancomycin-Resistant Enterococci (VRE) 0 1 1 5 7 Varicella 2 1 3 3 5 1 1 3 4 12 9 10 7 3 5 1 Vibriosis, Non Cholera 0 0 0 1 1 0 0 1 0 0 0 0 0 0 Yersiniosis 1 2 3 7 0 1 4 0 0 0 0 1 3 0 5 1 Total Category II 557 1479 2132 3541 753 741 168 756 910 785 559 571 522 493 Category III HIV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total Category III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total Reportable 567 154621933543 762 747 183 775 968 838 605 591 530 520 These data are provisional, subject to correction, and may not correspond with WI DPH reporting criteria. AIDS/HIV cases are reported to Waukesha County and published annually by Wisconsin DHS Ozaukee County 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 Health Event Jan FebMarAprMayJun Jul AugSep Oct NovDec Total Total Total Total Total TotalTotalTotal Total TotalTotalTotal Category I Acute Respiratory Illness (Outbreak) 0 0 0 0 0 0 1 4 5 8 0 0 Foodborne or Waterborne (Outbreak) 0 0 0 0 0 4 4 4 2 20 10 2 Haemophilis influenza 0 2 1 3 0 0 1 0 1 4 2 0 Hepatitis A 0 0 2 0 0 0 1 0 0 2 0 0 N. Meningitis (Meningococcal) 0 0 0 0 0 0 0 1 0 1 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 Orthopoxvirus, Monkeypox 0 0 0 0 2 Pertussis 0 11 67 2 0 1 2 15 90 29 17 1 Rubella 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis 1 1 0 3 0 0 2 1 1 0 0 0 0 Tuberculosis Class A or B 1 1 2 1 0 2 0 0 3 0 0 0 0 Tuberculosis- BCG 0 0 0 0 1 Total Category I 2 15 74 5 4 7 10 21 101 67 37 7 Category II AFB Smear 1 1 2 2 0 2 1 0 1 1 Anaplasmosis 1 1 4 4 3 0 2 0 0 0 0 0 0 Arboviral Infection 0 2 1 1 0 1 0 3 2 10 9 1 Asbestosis 1 1 3 2 Babesiosis 0 1 1 0 1 0 0 0 0 2 5 0 Blastomycosis 1 1 3 3 2 1 2 0 3 1 2 3 1 Borreliosis (Non-Lyme) 1 1 1 1 1 Brucellosis 0 0 0 0 1 0 0 0 0 0 0 0 Campylobacter 2 2 1 5 10 21 20 22 15 15 2 14 23 33 22 20 Carbapenem-Resistant Enterobacteriaceae (CRE) 0 1 0 2 0 0 0 1 3 Carbapenemase Producing Organism (CPO) 1 1 2 8 3 Carbon Monoxide Poisoning 1 1 6 2 2 1 30 1 11 1 Chemical Pneumonitis 0 3 1 0 0 0 0 1 Coccidiodomycosis (Valley Fever) 0 0 3 1 2 0 0 1 1 0 0 0 Coronavirus, Novel 2019 (COVID-19) 37 21 2 2 1 63 228 871 713 Coronavirus, Novel 2019 (COVID-19)-Associated Hospitalization12 10 2 3 27 3 1241 1353 Cryptosporidiosis 1 1 11 8 2 6 1 0 5 4 10 9 5 Cyclosporiasis 0 1 2 1 1 0 0 5 0 0 0 0 E. Coli (EPEC, ETEC,STEC) 4 3 3 3 2 15 33 32 34 17 7 1 7 2 4 8 3 Ebola 0 0 0 0 0 0 0 0 0 0 0 0 Ehrlichiosis 0 0 0 1 1 1 0 2 0 0 0 0 Elizabethkingemia 0 0 0 0 0 0 0 1 0 0 2 0 Giardiasis 2 1 1 4 11 6 10 6 7 1 6 20 4 2 2 Hemolytic Uremic Syndrome 0 0 0 0 0 0 0 0 0 1 0 0 Hepatitis B 1 1 6 3 5 6 1 1 4 9 9 5 10 Hepatitis C 1 1 6 6 11 7 12 4 16 24 17 22 24 Reportable Disease Cases (Confirmed, Probable and Suspect) Year: 2026 Hepatitis E 0 0 0 0 0 0 0 0 1 Hepatitis, unspecified 0 0 0 0 1 Histoplasmosis 0 0 1 0 1 1 0 1 2 0 1 1 Influenza 40 53 25 10 2 130 349 163 40 37 6 35 36 94 61 62 49 Influenza-Associated Hospitalization 15 10 2 2 29 78 163 40 37 6 35 36 94 61 62 49 Kawasaki Disease 0 0 1 1 2 0 0 0 1 1 0 0 Latent Tuberculosis Infection (LTBI)/ Lab Result 3 3 1 1 6 14 21 29 35 13 34 1 24 17 11 8 4 Legionellosis 1 1 3 2 2 3 2 1 4 2 0 2 Leptospirosis 0 0 0 1 Listeriosis 0 1 1 0 0 0 0 1 6 0 2 0 Lyme Disease/Lyme Laboratory Report 6 3 2 2 5 18 98 56 68 60 131 6 54 42 32 14 5 Lyme Disease, EM rash 5 5 33 6 2 2 Malaria 0 0 1 0 0 0 0 0 0 0 0 0 Methicillin or Ozicillin Resistant S. Aureus (MRSA/ORSA) 0 0 1 Meningitis, aseptic (viral) 0 0 0 0 0 0 0 1 0 0 0 0 Meningitis, bacterial other 1 1 1 0 3 2 2 0 4 1 4 0 0 Metal Poisoning (non-Lead) 0 0 0 0 3 1 0 0 11 4 0 0 Mumps 0 0 0 0 0 0 0 3 2 2 4 0 Multisystem Inflammatory Syndrome (MIS-C) 0 0 0 0 1 2 Mycobacterial, non-tuberculosus 2 4 3 2 11 31 29 30 6 Mycobacteria, atypical 0 0 0 0 0 28 1 21 16 18 6 13 Norovirus 0 0 1 0 1 2 Other emerging disease 0 0 0 0 0 0 0 0 0 0 1 0 Parapertussis 0 0 0 0 0 1 0 0 0 1 0 0 Q Fever 0 0 0 0 0 0 0 0 0 0 0 0 Respiratory Syncytial Virus (RSV) 3 8 8 6 1 26 52 51 23 Respiratory Syncytial Virus (RSV)-Associated Hospitalization5 15 14 3 2 39 24 61 21 Rheumatic Fever 0 0 0 0 0 0 0 0 0 1 0 0 Salmonellosis 2 1 2 1 6 14 15 18 13 18 1 11 12 16 16 12 Shigellosis 0 1 3 1 18 0 0 2 1 22 2 0 Spotted Fever Group Rickettsiosis, Undetermined 0 0 0 0 0 1 0 0 0 0 0 0 STI: Chlamydia trachomatis 8 12 11 6 18 55 103 93 126 123 153 29 126 119 115 122 145 STI: Gonorrhea 1 1 3 2 1 8 23 27 29 20 24 6 20 18 14 18 9 STI: Pelvic Inflammatory Disease 0 0 0 0 2 0 0 0 0 0 0 0 STD: Syphilis 0 2 3 3 3 4 0 0 1 0 0 0 Streptococcus group A 3 1 1 1 6 5 5 4 2 0 1 2 4 4 3 3 Streptococcus group B 1 1 2 13 8 4 3 5 1 5 7 5 9 2 Streptococcus, other 0 0 0 0 0 1 0 2 1 Streptococcus pneumoniae 1 1 1 3 7 7 2 9 2 0 4 8 4 7 1 Toxic Shock Syndrome 0 0 0 1 Transmissible Spongiform Encephaopathy (TSE) 1 1 0 1 1 0 0 0 1 1 Typhoid Fever 0 0 1 0 1 0 0 1 0 0 0 1 Typhus Fever 0 0 0 0 0 0 0 1 Toxoplasmosis 1 1 0 3 1 3 2 0 3 0 1 0 0 Vancomycin-Resistant Enterococci (VRE) 1 1 3 1 5 7 Varicella 1 1 3 6 3 4 2 2 1 6 5 1 3 Vibriosis, Non-Cholera 1 1 0 0 2 0 1 0 0 0 0 0 0 Yersiniosis 0 4 2 4 2 0 0 0 0 0 0 0 Total Category II 490 1223 1486 1220 408 508 129 444 458 404 355 312 Category III HIV 0 0 0 0 0 0 0 0 0 0 0 0 Total Category III 0 0 0 0 0 0 0 0 0 0 0 0 Total Reportable 492 1238 1560 1225 412 515 139 465 559 471 392 319 These data are provisional, subject to correction, and may not correspond with WI DPH reporting criteria. AIDS/HIV cases are reported to Waukesha County and published annually by Wisconsin DHS WIC Updates July 2026 Board of Health Meeting WIC May 2026 Reports Benefits Redeemed (ROSIE Report WICM4014-4) $148,353.36 Participation (ROSIE Report WICM8001-3) 1,582 Total Families (ROSIE Report WICM8001-3) 950 Update from National WIC Association: ARPA waivers that allow for remote WIC services are extended through fiscal Year 2027 so FNS can complete evaluation for remote services. House Passes Agriculture Funding Bill with Cuts to WIC “Earlier this month, the House proposed fiscal year 2027 (FY27) agriculture appropriations bill on a largely party-line vote. The measure would provide $8 billion in funding for WIC in FY27, a cut of $200 million from current funding, and cut WIC's fruit and vegetable benefit by 10 percent. With food costs continuing to rise, this proposed funding level risks turning eligible families away from WIC for the first time in 30 years. Additionally, the measure fails to extend current flexible service options, which are only available due to a short-term waiver and will require Congressional authority to be made permanent. The Senate is expected to begin consideration of its own agriculture funding bill soon.” 1000 1050 1100 1150 1200 1250 1300 1350 1400 1450 1500 1550 1600 1650 May-23 Aug-23 Nov-23 Feb-24 May-24 Aug-24 Nov-24 Feb-25 May-25 Aug-25 Nov-25 Feb-26 May-26 Washington Ozaukee WIC Caseload Participants Month Farmer’s Market Nutrition Program Distribution Event 2026 This year we welcomed families back to the WIC office to pick up Farmers’ Market Vouchers instead of our Community Connections Drive through. Here are the event details: Event Participant Satisfaction Results: 94% of families agree or strongly agree the registration process was easy 96% of families agree or strongly agree that they plan to use all the FMNP vouchers received this year 95% know they can only use FMNP vouchers for Wisconsin Grown Produce 98% know they cannot get change back from a farmer if they don’t use the full amount 99% know they can buy more than the voucher amount, they can use multiple voucher or their own money 100% know where to shop with the FMNP vouchers Port Washington : Distribution: 58 booklets, $1,450 value Registration: 32/47 registered + 5 walk-in = 36 families attended ^50% increase from 2025 West Bend: Distribution:110 booklets, $2,750 value Registration: 70/119 registered + 5 walk-in = 75 families attended ^23% increase from 2025 Total: 111 families participated 405 nutrition education contacts applied ^31% increase from 2025