Joint Washington Ozaukee Board of Health — Agenda Packet

HEADER AGENDA JOINT WASHINGTON OZAUKEE BOARD OF HEALTH MEETING Friday, January 9, 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. Consent Agenda a. Approval of Board of Health Minutes – November 14, 2025 b. Communicable Disease Report c. WIC Program Report 3. Discussion or Possible Action a. Presentation – 2026-2030 Community Health Improvement Plan (PH Strategy Team) b. Public Health Director Updates c. Approval of 2026 Lodging Licensing Fees 4. Next Meeting Date a. March 13, 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 December 2025. 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. 1JOINT WASHINGTON OZAUKEE 2BOARD OF HEALTH 3 Washington Ozaukee Public Health Department November 14, 2025 4 Port Washington, WI 8:30 a.m. 5 6 Present: Jodi Schulteis, Marietta Bailey, Meheza Pannla (8:37 AM), Doreen Buntrock, Daniel 7 Jablonski, Connie Kincaide, Anne Trautner, Donald Clark 8 9 Also Present: Kim Buechler (Washington Ozaukee Public Health Director/Health Officer) 10 Jason Dzwinel (Ozaukee County Administrator) 11 12 Excused: Steven Zils 13 14 Chairperson Schulteis called the meeting to order at 8:32 am. Notice of Posting was given. 15 16MEETING MINUTES 17 No corrections were made to the minutes. The minutes are approved. 18 19COMMUNICABLE DISEASE REPORT 20 Ms. Buechler noted trends over the past year and recent years, with nothing out of the ordinary. 21 Pertussis and seasonal viruses were discussed; additionally, there have been no measles cases in 22 the area. 23 24WIC PROGRAM REPORT 25 Ms. Buechler reported on WIC discussions with the state regarding funding. The program is 26 experiencing an all-time high in benefit redemption, attributed to staff diligence in keeping 27 participants engaged. Participant and total family numbers remain very high. Regardless of 28 federal funding, the state continues to support WIC. Differences between WIC and SNAP 29 funding were highlighted, noting that WIC remains fully funded. The annual Kapco Kids2Kids 30 toy drive event is coming up in December. 31 32 8:37 AM Board Member Pannla in attendance. 33 342026 MEETING DATES 35 Review of 2026 Joint Board of Health meeting dates. 2026 meetings, except for a virtual-only 36 meeting in January, will be held in person at the Washington Ozaukee Public Health Department 37 offices with a virtual option for those who cannot attend in person. 38 39PUBLIC HEALTH DIRECTOR UPDATES 40 Ms. Buechler reported on participation in the State Farm community car seat event, which 41 provided car seats to individuals who normally would not have financially qualified. Six new 42 seats were distributed, and nine seat checks were completed. Comparison of 2024 and 2025 43 statistics shows participation in the car seat program has increased over the past several years. 44 Drug Take Back Day was highlighted, including the number of pounds of controlled and 45 uncontrolled substances collected; the next event is scheduled for April. Public health staff also Board of Health November 14, 2025 Page 2 of 2 1 participated in the Disaster Recovery Center. The “Hidden in Plain Sight” trailer was requested 2 by Grafton High School during parent-teacher conferences. 3 An overview of the Community Health Improvement Plan was provided. Staff are finalizing the 4 report and transitioning from a five-year cycle to a three-year cycle to align with hospital 5 systems. Mental and substance health will remain a priority; focus has shifted to include 6 nutrition, health, and wellness. 7 8APPROVAL OF 2026 FOOD & RECREATIONAL LICENSING FEES 9 Moved by Board Member Buntrock, seconded by Board Member Trautner, to approve the fee 10 increase, effective in 2026. Motion carried. 11 12 Ms. Buechler explained that expenses are fee-funded, and fees have not changed in three years. 13 The state will be increasing fees charged to the county, and the department aims to stay ahead of 14 these increases. The fee changes are budgetarily necessary and expected to carry the program 15 through the next several years. 16 17 Questions regarding the impact on the tax levy. 18 19NEXT TENTATIVE MEETING DATE 20 The next Joint Board of Health meeting is scheduled for January 9, 2026 at 8:30 am, virtually. 21 22ADJOURNMENT 23 Chairperson Schulteis adjourned the meeting at 9:10 am. Washington County 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 TotalTotalTotalTotalTotalTotalTotalTotalTotal Category I Acute Flaccid Myelitis 0 0 0 0 0 0 0 1 Acute Respiratory Illness (Outbreak) 0 0 0 0 1 6 8 6 9 Foodborne or Waterborne (Outbreak) 0 0 0 0 1 6 1 5 19 8 11 0 0 Haemophilis influenza 2 1 3 4 1 4 0 1 3 2 1 0 0 2 1 Hepatitis A 1 1 1 0 0 0 0 2 1 0 1 0 1 1 N. Meningitis (Meningococcal) 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 Orthopoxvirus, MPOX 1 1 Pertussis 14 6 6 1 2 1 1 2 8 11 5 57 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 Tuberculosis 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 1 0 0 2 0 0 Total Category I 64 61 2 8 6 15 19 58 53 46 20 8 27 Category II AFB Smear 1 1 0 0 2 2 1 2 4 3 Anaplasmosis 1 4 4 1 10 2 2 3 3 0 1 2 Arboviral Infection 0 4 0 1 0 0 1 2 12 5 0 1 0 Asbestosis 1 2 3 3 1 1 11 5 Babesiosis 1 1 2 3 0 1 0 1 0 4 0 2 0 0 Blastomycosis 1 1 5 3 7 1 0 4 5 3 0 3 2 1 Borreliosis (Non-Lyme) 0 0 1 Brucellosis 0 0 0 0 0 0 0 0 0 0 0 0 0 Campylobacter 1 1 3 3 1 2 2 1 4 18 32 28 16 12 3 25 29 20 32 23 25 37 Candida Auris 0 0 1 Carbapenem-Resistant Enterobacteriaceae (CRE) 1 1 0 0 0 1 0 1 0 Carbapenemase Producing Organism (CPO) 1 1 2 1 1 1 Carbon Monoxide Poisoning 1 2 1 3 2 2 11 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 Chemical Pneumonitis 3 1 1 1 1 2 9 4 0 1 0 0 4 0 0 0 0 0 0 Coccidioidomycosis 0 1 1 0 2 Coronavirus, Novel 2019 (COVID-19) 66 61 36 8 8 4 10 21 20 13 10 257 1241 1353 Coronavirus, Novel 2019 (COVID-19)-Associated Hospitalization 1 1 2 4 1241 1353 Cryptococcis Infection 0 0 0 1 Cryptosporidosis 1 1 3 2 1 3 5 1 1 18 14 7 3 5 1 7 Cyclosporiasis 1 1 3 2 0 0 0 1 0 0 0 0 0 0 E. Coli (EPEC, ETEC,STEC) 2 4 3 2 1 3 1 7 3 5 1 32 44 38 21 12 1 10 8 3 5 7 7 8 Ehrlichiosis 0 1 0 1 0 0 2 1 0 2 0 1 0 Elizabethkingemia 0 0 0 0 0 0 0 0 0 6 0 0 0 Giardiasis 1 2 3 15 6 11 8 1 9 12 6 6 2 6 7 Year: 2025 Reportable Disease Cases (Confirmed, Probable and Suspect) Hemolytic Uremic Syndrome 0 0 0 0 0 0 0 0 0 0 1 0 0 Hepatitis B 1 2 1 1 1 6 5 3 7 1 2 9 13 10 5 16 2 3 Hepatitis C 2 1 3 9 20 19 30 10 29 53 72 37 41 29 24 Hepatitis D 0 0 0 1 Hepatitis E 1 1 0 0 1 0 0 Hepatitis, viral unspecified 0 0 0 1 Histoplasmosis 1 1 1 5 4 1 0 1 12 1 3 1 0 1 Influenza 97 71 28 4 3 2 1 206 115 51 90 10 41 79 189 104 53 94 97 49 Influenza-Associated Hospitalization 51 21 2 6 80 115 51 90 10 41 79 189 104 53 94 97 49 Kawasaki Disease 0 2 1 1 3 0 1 2 1 0 1 0 0 Latent Tuberculosis Infection (LTBI)/Lab Result 6 4 7 3 4 1 3 3 6 2 39 32 61 35 40 9 26 27 13 6 3 0 0 Legionellosis 1 1 1 1 4 1 9 10 8 9 5 9 27 28 7 0 6 1 1 Listeriosis 1 1 1 0 0 1 0 0 1 0 0 1 0 1 Lyme Disease, EM Rash 1 6 9 14 10 3 9 52 11 2 8 Lyme Disease/Laboratory Report 6 5 3 3 7 25 33 24 8 6 8 128 146 144 155 216 15 115 85 70 26 30 5 11 Malaria 0 1 0 0 0 0 0 0 0 1 0 0 0 Metal Poisoning (non-Lead) 0 0 0 0 0 0 1 2 2 0 0 Methicillin or Ozicillin Resistant S. Aureus (MRSA/ORSA) 2 2 0 1 Meningitis, bacterial other 1 1 2 1 4 1 1 0 3 3 0 0 2 1 1 Mumps 0 0 1 1 0 0 0 2 1 0 0 1 0 Multisystem Inflammatory Syndrome (MIS-C) 0 0 0 0 3 Mycobacteria, atypical 0 0 0 0 34 8 36 30 30 29 21 19 20 Mycobacterial Disease, non-tuberculosis 5 2 5 1 3 4 6 1 3 30 47 22 23 Norovirus 0 0 0 0 0 0 0 6 Other emerging disease 0 0 0 0 0 0 0 0 0 0 0 0 0 Parapertussis 0 0 1 0 1 0 2 1 0 0 0 0 0 Pelvic Inflammatory Disease (Non GC, Non CT) 0 1 Plesiomonas 0 0 0 0 0 1 Q Fever 1 1 1 0 0 0 0 0 0 0 0 0 0 0 Respiratory Syncytial Virus (RSV) 36 19 8 3 1 1 68 61 21 Respiratory Syncytial Virus (RSV)-Associated Hospitalization15 10 7 3 35 61 21 Rheumatic Fever 0 0 1 0 0 0 0 0 0 0 0 0 0 Rocky Mountain Spotted Fever 0 0 0 0 0 0 1 0 Salmonellosis 1 1 2 4 1 1 3 2 5 2 22 16 28 20 19 1 13 15 20 14 27 19 15 Shigellosis 2 2 1 3 3 0 1 1 3 4 7 1 4 0 Silicosis 1 1 0 0 1 Spotted Fever Group Rickettsiosis, Undetermined 0 0 0 1 1 0 0 0 0 0 0 0 0 STI: Chlamydia trachomatis 18 18 15 19 16 16 14 12 15 20 19 182 204 205 202 244 47 259 289 300 257 228 244 248 STI: Gonorrhea 1 1 1 2 3 1 4 4 1 3 3 24 30 19 51 45 7 30 30 44 27 37 25 37 STI: Pelvic Inflammatory Disease 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 1 1 2 8 7 8 3 1 4 6 8 5 1 4 5 Streptococcus group B 3 1 1 1 1 1 3 11 10 12 9 15 0 15 11 23 10 5 7 12 Streptococcus pneumoniae 1 2 2 1 2 8 12 24 7 2 3 13 12 16 14 10 8 8 Streptococcal Infection, Other 0 0 0 1 2 0 1 7 3 Toxic Shock Syndrome 0 0 0 1 0 0 2 Toxoplasmosis 1 1 5 4 2 2 0 0 0 3 0 0 0 0 Transmissible Spongiform Encephaopathy (TSE) 1 1 2 4 8 3 1 Typhoid Fever 0 0 0 0 0 0 0 0 Vancomycin-Resistant Enterococci (VRE) 1 1 1 5 7 Varicella 1 1 1 3 5 1 1 3 4 12 9 10 7 3 5 1 Vibriosis, Non Cholera 0 0 1 1 0 0 1 0 0 0 0 0 0 Yersiniosis 1 1 1 1 1 1 6 0 1 4 0 0 0 0 1 3 0 5 1 Total Category II 1313 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 Total Category III 0 0 0 0 0 0 0 0 0 0 0 0 0 Total Reportable 137721933543 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 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 Health Event Jan Feb MarAprMayJun Jul AugSep Oct NovDec Total Total Total Total TotalTotalTotal Total TotalTotalTotal Category I Acute Respiratory Illness (Outbreak) 0 0 0 0 0 1 4 5 8 0 0 Foodborne or Waterborne (Outbreak) 0 0 0 0 4 4 4 2 20 10 2 Haemophilis influenza 1 1 1 3 0 0 1 0 1 4 2 0 Hepatitis A 0 2 0 0 0 1 0 0 2 0 0 N. Meningitis (Meningococcal) 0 0 0 0 0 0 1 0 1 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 Orthopoxvirus, Monkeypox 0 0 0 2 Pertussis 8 1 1 10 67 2 0 1 2 15 90 29 17 1 Rubella 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis 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 1 Total Category I 13 74 5 4 7 10 21 101 67 37 7 Category II AFB Smear 1 1 2 0 2 1 0 1 1 Anaplasmosis 2 1 1 4 4 3 0 2 0 0 0 0 0 0 Arboviral Infection 2 2 1 1 0 1 0 3 2 10 9 1 Asbestosis 1 1 1 3 2 Babesiosis 1 1 1 0 1 0 0 0 0 2 5 0 Blastomycosis 1 1 1 3 3 2 1 2 0 3 1 2 3 1 Borreliosis (Non-Lyme) 1 1 1 1 Brucellosis 0 0 0 1 0 0 0 0 0 0 0 Campylobacter 2 2 1 3 2 3 1 1 2 1 18 20 22 15 15 2 14 23 33 22 20 Carbapenem-Resistant Enterobacteriaceae (CRE) 1 1 0 2 0 0 0 1 3 Carbapenemase Producing Organism (CPO) 1 2 1 1 2 7 3 Carbon Monoxide Poisoning 1 1 1 1 1 1 6 2 2 1 30 1 11 1 Chemical Pneumonitis 2 1 3 1 0 0 0 0 1 Coccidiodomycosis (Valley Fever) 0 3 1 2 0 0 1 1 0 0 0 Coronavirus, Novel 2019 (COVID-19) 47 36 28 12 2 2 9 12 25 6 12 191 871 713 Coronavirus, Novel 2019 (COVID-19)-Associated Hospitalization 1 1 1 3 1241 1353 Cryptosporidiosis 1 2 1 2 1 1 3 11 8 2 6 1 0 5 4 10 9 5 Cyclosporiasis 1 1 2 1 1 0 0 5 0 0 0 0 E. Coli (EPEC, ETEC,STEC) 4 1 1 3 4 3 2 5 1 6 30 32 34 17 7 1 7 2 4 8 3 Ebola 0 0 0 0 0 0 0 0 0 0 0 Ehrlichiosis 0 0 1 1 1 0 2 0 0 0 0 Elizabethkingemia 0 0 0 0 0 0 1 0 0 2 0 Giardiasis 1 2 1 2 1 3 1 11 6 10 6 7 1 6 20 4 2 2 Hemolytic Uremic Syndrome 0 0 0 0 0 0 0 0 1 0 0 Hepatitis B 1 1 1 1 2 6 3 5 6 1 1 4 9 9 5 10 Reportable Disease Cases (Confirmed, Probable and Suspect) Year: 2025 Hepatitis C 1 1 1 1 1 1 6 6 11 7 12 4 16 24 17 22 24 Hepatitis E 0 0 0 0 0 0 0 1 Hepatitis, unspecified 0 0 0 1 Histoplasmosis 0 1 0 1 1 0 1 2 0 1 1 Influenza 110 103 37 9 2 1 1 2 265 163 40 37 6 35 36 94 61 62 49 Influenza-Associated Hospitalization 43 9 1 53 163 40 37 6 35 36 94 61 62 49 Kawasaki Disease 0 1 1 2 0 0 0 1 1 0 0 Latent Tuberculosis Infection (LTBI)/ Lab Result 3 3 2 4 3 1 1 2 1 20 29 35 13 34 1 24 17 11 8 4 Legionellosis 1 1 2 2 2 3 2 1 4 2 0 2 Leptospirosis 0 0 1 Listeriosis 1 1 1 0 0 0 0 1 6 0 2 0 Lyme Disease/Lyme Laboratory Report 1 4 3 6 14 23 21 13 7 2 94 56 68 60 131 6 54 42 32 14 5 Lyme Disease, EM rash 5 5 12 8 2 32 6 2 2 Malaria 0 1 0 0 0 0 0 0 0 0 0 Methicillin or Ozicillin Resistant S. Aureus (MRSA/ORSA) 0 1 Meningitis, aseptic (viral) 0 0 0 0 0 0 1 0 0 0 0 Meningitis, bacterial other 1 1 0 3 2 2 0 4 1 4 0 0 Metal Poisoning (non-Lead) 0 0 0 3 1 0 0 11 4 0 0 Mumps 0 0 0 0 0 0 3 2 2 4 0 Multisystem Inflammatory Syndrome (MIS-C) 0 0 0 1 2 Mycobacterial, non-tuberculosus 1 6 3 3 5 1 1 3 2 4 29 29 30 6 Mycobacteria, atypical 0 0 0 0 28 1 21 16 18 6 13 Norovirus 0 1 0 1 2 Other emerging disease 0 0 0 0 0 0 0 0 0 1 0 Parapertussis 0 0 0 0 1 0 0 0 1 0 0 Q Fever 0 0 0 0 0 0 0 0 0 0 0 Respiratory Syncytial Virus (RSV) 25 16 6 2 1 50 51 23 Respiratory Syncytial Virus (RSV)-Associated Hospitalization14 8 1 23 61 21 Rheumatic Fever 0 0 0 0 0 0 0 0 1 0 0 Salmonellosis 1 1 2 1 2 1 3 1 12 15 18 13 18 1 11 12 16 16 12 Shigellosis 1 1 3 1 18 0 0 2 1 22 2 0 Spotted Fever Group Rickettsiosis, Undetermined 0 0 0 0 1 0 0 0 0 0 0 STI: Chlamydia trachomatis 10 2 11 5 6 9 6 14 11 12 8 94 93 126 123 153 29 126 119 115 122 145 STI: Gonorrhea 3 1 1 1 5 2 4 2 2 21 27 29 20 24 6 20 18 14 18 9 STI: Pelvic Inflammatory Disease 0 0 0 2 0 0 0 0 0 0 0 STD: Syphilis 1 1 2 3 3 3 4 0 0 1 0 0 0 Streptococcus group A 1 2 2 5 5 4 2 0 1 2 4 4 3 3 Streptococcus group B 1 3 1 4 1 1 1 12 8 4 3 5 1 5 7 5 9 2 Streptococcus, other 0 0 0 0 1 0 2 1 Streptococcus pneumoniae 2 2 1 2 7 7 2 9 2 0 4 8 4 7 1 Toxic Shock Syndrome 0 0 1 Transmissible Spongiform Encephaopathy (TSE) 0 1 1 0 0 0 1 1 Typhoid Fever 0 1 0 1 0 0 1 0 0 0 1 Typhus Fever 0 0 0 0 0 0 1 Toxoplasmosis 0 3 1 3 2 0 3 0 1 0 0 Vancomycin-Resistant Enterococci (VRE) 1 1 1 3 1 5 7 Varicella 1 1 1 3 6 3 4 2 2 1 6 5 1 3 Vibriosis, Non-Cholera 0 0 2 0 1 0 0 0 0 0 0 Yersiniosis 2 1 1 4 2 4 2 0 0 0 0 0 0 0 Total Category II 1044 1486 1220 408 508 129 444 458 404 355 312 Category III HIV 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 Total Reportable 1057 1560 1225 412515 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 January 2026 Board of Health Meeting WIC November 2025 Reports Benefits Redeemed (ROSIE Report WICM4014-4) $141,240 * Participation (ROSIE Report WICM8001-3) 1,557 Total Families (ROSIE Report WICM8001-3) 950 *After an October 2025 +6%, November benefit redemption was -11% following temporary Government Shutdown and brief Food Share interruption in benefits WIC and BFPC Federal Fiscal Year Funding Cycle Updates: Initial Funding Allocation for 2026 has been announced. Funding and contracting is now changed to the Federal Fiscal Year (FFY) period from the previous Calendar Year (CY) period. Due to this, FFY26 funding and contracting is for 9-months (January – September 2026). Featured in the Ozaukee Press On December 16th, our office distributed holiday toys to 82 WIC families with 181 children. Our Holiday Toy Give Away day takes a great amount of planning and teamwork to make the day a success. Below is an article feature from the Ozaukee Press. 1000 1050 1100 1150 1200 1250 1300 1350 1400 1450 1500 1550 1600 Jan-23 Apr-23 Jul-23 Oct-23 Jan-24 Apr-24 Jul-24 Oct-24 Jan-25 Apr-25 Jul-25 Oct-25 Washington Ozaukee WIC Caseload Participants Month 1 Community Health Improvement Plan 2026-2028 Community Health Assessment The Community Health Improvement Plan or CHIP is an assessment of health and a plan for improvement in a three to five-year time frame. Wisconsin Statue 251.05 details that health departments must regularly collect and analyze health data and involve the public in determining and developing a community health improvement plan that details actions to improve health. Although the Washington Ozaukee Public Health Department is responsible for organizing and coordinating the CHIP , resulting actions and health improvement plans are designed and implemented in partnership with community organizations and stakeholders through community coalition work. This plan serves as a long-term roadmap to collaborate and coordinate with key community partners to address identified health priorities and target resources in a systematic way to improve community health. This planning is critical to building and strengthening partnerships with organizations for collective impact. County Demographic Profiles Ozaukee County Profile1 Ozaukee County is 233.0 square miles with a total population of 91,503 people (2020). The community is 89.9% white, and the average age is 44 years old. Of all the residents, 52.4% hold a bachelor’s degree or higher, and the average household income is around $96,961. The poverty rate is 4.5%, which is significantly lower than the state of Wisconsin, and only 2.5% of residents in the county are without health care coverage. The average family size is 3.01 people, and the top workforce industries are education, healthcare, and manufacturing. Washington County Profile2 Washington County is 430.6.0 square miles with a total population of 136,761 people (2020). The community is 91.7% white, and the average age is 44 years old. Of all the 2 residents, 35.9% hold a bachelor’s degree or higher, and the average household income is around $93,287. The poverty rate is 6.1%, which is significantly lower than the state of Wisconsin, and only 1.7% of residents in the county are without health care coverage. The average family size is 2.94 people, and the top workforce industries are education, healthcare, and manufacturing. Methodology Secondary data were gathered from a variety of sources (e.g. County Health Rankings & Roadmaps, U.S. Census Bureau) for more than 30 different health indicators. Five years of data were documented for each indicator as available at the state and county levels allowing for the identification of increasing, stable or decreasing health trends. This analysis allowed for the identification of areas for improvement or worsening health trends and highlighted any disparities present in both Washington and Ozaukee Counties. To validate that the data were relevant and accurate to the community’s reported health status, data from the 2022 Community Health Needs Assessment (CHNA) were cross- referenced during the analysis. Once key data points were identified, they were categorized into three main groups: "Demographics and Social Determinants of Health, " "Risk Behaviors, " and "Health Outcomes. " Data visualizations such as charts, graphics, and other visual aids were created to communicate the information in an understandable and accessible format for the public: poster displays, booklets, flyers and other materials utilized for the execution of community listening sessions where residents and other stakeholders reviewed and discussed the findings. Seven survey questions were developed to collect demographics and to identify what health topics the public found most important based on the data presented (APPENDIX A). Survey design included optional responses and allowed participants to select multiple health topics. Survey questions and secondary data visualizations were also translated to Spanish. Outreach Promotion of the survey began late April 2025 with flyers, emails, social media and posting on washozwi.gov. The survey was open for response from April 21st – June 30th, 2025. Health Department staff met with Aging and Disability Resource Centers (ADRC) in both counties to provide accessible survey formats. Surveys were distributed at area meal sites. Targeting families, youth and the aging population occurred in partnership with the YMCA, Moraine Park Technical College, UW Extension, Germantown Community Library, Harford Public Library, Slinger Community Library, West Bend Community Memorial Library, 3 Cedarburg Public Library, Oscar Grady Public Library, W.J. Niederkorn Library, and Frank L. Weyenberg Library. Community Health Assessment (CHA) After viewing secondary indicators profiled for (CHA) as described above, a total of 232 surveys were received in paper format or by electronic submission from individuals who live or work in the following counties (Figure 1). Females and individuals aged 65+ were strongly represented (Figure 2). Figure 1: Where respondents live and work 114 93 13 8 2 Ozaukee County Washington County Both Blank Other* I LIVE OR WORK IN ... 4 Figure 2: Age and gender breakdown of respondents A key word qualitative analysis was completed for response to the question, “What did you find most surprising?” resulting in 150 captured sentiments. Sentiments were further grouped by health topic for analysis, resulting in the following percentages of response categories. Percent Topic 23% Cancer Rates 17% Infant Mortality Rate 11% Affordable Childcare & Housing 9% Falls & Other Unintentional Injuries 7% Opioid- Related Fatality Rates 33% Other: STI rates, heart disease, lack of leisure. Notable quotes include, “[Over time], the rates for women increase (opioid fatality rates), but decrease for men” , “high elderly population is correlated with higher fall counts, and “the sharp rise in housing and every day need costs are staggering” . Dementia statistics were identified by respondents as missing from this data and should be explored in future CHA work. Responses to, “What health topics need improvement in the community? (select top 3)” resulted in the identification of mental health, nutrition, physical activity, and obesity and substance use as top health topics needing improvement in the community (Figure 3). 1 25 24 19 21 73 1 4 5 4 2 32 <18 18 - 34 35 - 44 45 - 54 55 - 64 65+ AGE AND GENDER BREAKDOWN Male Female 5 Figure 3: Top Community Health Needs Community Listening Sessions Three community listening sessions were held on July 29th, 31st, and August 4th, 2025. A fourth session was cancelled due to expected low attendance and participants were rescheduled to an alternate date. Sessions were scheduled for two hours in length with an evening session in Ozaukee County and an afternoon session offered in both Washington County and Ozaukee County. A total of 48 participants attended sessions and reported hearing about the sessions from staff, email, coalitions, social media, and work. Participants represented at listening sessions include non-profits, hospitals, residents, law enforcement, universities, and county service partners. Attendees at each session were broken into small groups and asked 14 questions. Questions were categorized into the following areas: identification of community health priorities, exploring barriers, discussing interventions and solutions, action and engagement. The following analysis details the categorization of responses from thematic analysis 4 and key word assessment from each of the discussion questions. 162 129 113 89 41 31 23 Mental Health Nutrition, Physical Activity & Obesity Substance Use Chronic Disease (heart disease, stroke, cancer, diabetes) Communicable Disease Unintentional Injury Other* COMMUNITY HEALTH TOPICS 6 Group discussions were taped and transcribed, and facilitators took notes. Facilitated discussion with 14 questions resulted in (646) sentiments shared. Transcribed notes were combined with facilitator notes and broken into statements for review, grouping, and analysis. (1) “When thinking about health in our community, what’s the first thing that comes to mind?” 40 total sentiments were captured across small group discussion with mental health (15) access to care (13), and substance use (5) being top categories referenced along with a series of one-off responses (7). Access to care was mentioned by participants as a barrier in a variety of areas: education, mental health, services for individuals that are non-English speaking including availability of interpreters, medication, healthcare, increased wait times, and modes of communication when engaging in care: “A phone call for the younger generation is a barrier.” Mental health and substance use were referenced frequently with one participant linking misrepresentation as a factor in access to care: “There is a misrepresentation of what mental health/substance misuse looks like. Representations that further stigmatize, leading to people not accessing care.” One-off sentiments indicate that community members think health in our community encompasses physical and mental health and that they have a shared understanding of these topics. (2) “What are the biggest strengths of our community regarding health and wellbeing?” 37 total sentiments were captured with resources (e.g. parks, green space, public and private non-profits, hospitals) as the top strength mentioned (17), followed by community collaboration and quality people (13), safety (3), and one-off responses (4). Participants named key non-profit partners, schools, and hospitals as areas of strength but noted there is still work to do. “Surprisingly, area schools are very open to mental health services. However, there remains barriers to providing them in schools.” “We are small enough and open enough as a community to identify issues and help each other. ONC (Ozaukee Nonprofit Center) is a big hub for that & hospitals are engaged.” One-off sentiments referenced most of our populations as well-off with low uninsurance rates across both counties but point to underlying problems in our communities such as substance abuse and poverty. “Even though this is an affluent community, that can be a blessing and a curse with a common perception being we don’t have that problem here. ” 7 (3) “Where do you get most of your health-related information?”46 total sentiments were captured with the following sources referenced from most to least frequent: physicians (10), news reports (7), social media (7), hospital websites (6), government agencies (6), coworkers (5), and published academic papers (5). Participants shared the following: “I lose trust in quality of social media, but I know I can trust my doctors and providers. ” “So much distrust with the Centers for Disease Control & the National Institutes of Health lots of upheaval. Head of programs not based on facts. If it does not fit, make it fit. ” “As a therapist, my clients are getting information from social media.” (4) “What health issues do you see or experience most often in our community?” 79 sentiments were shared: mental health, isolation and loneliness (26), affordable food, housing, and medical care (9), access to dental care (9), chronic disease (9), health education (6), substance abuse (5), and one-off responses (15). This question elicited a variety of responses across different health topics. For mental health, the following sentiments discussed the intersection of technology and mental health: [There is a] “struggle to differentiate mental health disorders vs. environmental impact of increasing technology reliance.” [ I ] “would love to see the public health department launch a program regarding screen time and impact on children into adulthood and the link to depression, brain development and impacting the overall structure of the brain. Educating parents on appropriate use of screens, how to remove the screen, processing disorders regarding overuse of screens/video games.” One-off sentiments pointed to a self- perceived belief that people are unable to receive the help they need in the community. Political vitriol and red tape continue to hamper community organizing. (5) “What issues do you think have the greatest effect on the quality of life in our county?” 56 total sentiments were shared in small group discussion with lack of affordable housing topping discussion (12) followed by increased cost of food and living (8), substance use and stigma (8), lack of transportation (6), health education (5), chronic disease (4), and one-off responses (13). Sentiments shared show the connections between social and environmental conditions and health: “Number one reason human services sees people is because of a mental health crisis due to housing issues.” Cost of living and access to services were also themes associated with participant responses. One-off 8 sentiments reflect a concern for social media dependency and exposure to incorrect information about health on social media platforms. (6) “Who are the specific groups in our county that are most affected by poor health? Why?” 38 sentiments were shared with individuals below poverty line or who are low income receiving the most mentions (9), elderly (8), youth (5), uninsured (4), Latino communities (4) and one-off responses (8). “People with low SES have trouble taking off of work for fear that that might lose their job. ” “Healthy meals are hard to afford so they get high sugar, processed foods. They [youth] are hungry in the summer because they aren’t getting school meals. ” One- off sentiments include: people with active addiction, those who identify as LGBTQ, individuals who are new to the community, formerly incarcerated individuals needing housing, and individuals that are disabled. (7) “Are there services or resources that are missing or hard to access?” 47 sentiments were analyzed from group discussions with reliable and affordable transportation (12) topping the list, followed by mental health providers and treatment centers (8), substance use treatment centers and harm reduction (8), community navigators (5), primary care providers (3), and one-off statements (11). Comments about community navigation illustrate the value in understanding where to go for services and how navigation can benefit specific populations, potentially averting “crisis”: [A] Community Navigator is very needed, especially with elderly population. Froedtert used to fund community health workers but eliminated those positions. ” “Getting into nursing home is so difficult because of the expense and the confusion. Educational programs could help to prepare individuals and their families. Further issues lead to crisis if not addressed properly. ” “Private sector has a huge no show rate because they are scheduling them out so far due to wait times, however people are calling when they have a crisis and then weeks later when their appointment comes, they no show. ” One-off statements point to a wide variety of different resources that could be developed further, such as affordable day care, dentists that take Medicaid, ability to take paid time off from work, services for individuals who are deaf or hard of hearing, and existence of 3 rd spaces (community gathering locations that are not associated with home or work). (8) “What health topics do you think need to be talked about more? Why?” 61 sentiments were shared, including mental health (20), health education (10), empathy, compassion, and embracing diversity (8), substance use (4), nutrition (4), infectious diseases (3) chronic conditions (2), and uncategorized statements (10). 9 Health education was referenced as a cross-cutting topic: “Massive education system issues about what mental treatment is and what it is not, should be taught from kindergarten and on.” “Safe sex- gets washed away.” We are avoiding tricky topics.” [There is a need to] “bridge the gap to getting to the schools/youth to teach prevention and help parents educate their kids.” (9) “Have you seen any successful health programs in other places that could work here?” 31 sentiments captured with increased interagency partnerships (8), social interventions (8), mental health referral system (4), public health clinics (3), education and outreach (3), and uncategorized statements shared (5). For this question, themes point to the importance of shared interventions and programming with interagency partnerships driving success when addressing key populations or health issues. One-off statements mention meals on wheels, in- home unintentional fall education and prevention, medical transportation services, and more generalized community engagement such as listening sessions. (10) “What role should schools, local orgs, or faith communities play in improving health outcomes?” 39 statements shared, school based public health education (11), engage community members (11), promote healthy nutrition and activities (6), increase coalition involvement (5) and statements that were not categorized (6). Discussion for this question highlights the importance that schools, local organizations, and faith communities play in improving health. The following quote highlights behavioral, mental health and general wellbeing: “These crucial groups can identify members of the community who would benefit from health services (schoolteachers spend a great deal of time with children and may notice behavior that a parent may not, someone noticing an elderly neighbor not attending church could raise concern).” Schools can help paint the picture of youth health in our community by “participating in the Youth Risk Behavior Survey.” (11) “What small change would make the biggest impact on health in our community?” 28 statements captured with increase education and awareness (12), increase collaboration and program follow though (6), increase public transportation (3), increase providers (2), and one-off sentiments (5). Investment in primary prevention by increasing education and awareness was specifically mentioned for youth: “Youth public health education [is needed] at schools to get ahead [of] how to troubleshoot issues later in life. Schools need to be at the table to implement this but it’s hard to get in the door.” “There should be more education on social emotional learning” and “reality vs perception or stigma.” 10 (12) “What resources (money, people, spaces, tools) do we have that we could use better?” 30 statement shared with the main theme related to interagency partnerships (10), public and non-profit buildings (8), resource lists (5), community champions (3), and one-off statements (4). Partnership was again referenced by participants with mention to community organizations as a resource that we can build up and use more impactfully to assist the community with addressing health priorities. “Washington County has agencies and non-profits that care about the community; however, they may feel like they are not supported”. “[We can place more] trust in people in their field.” (13) “How can local leaders, including you, help move these priorities forward?” 40 statements with shared information and education (11), being present at community events (8) engaging in committees with organizations (8), advocate for increased resource allocation (5), and uncategorized one-off statements (8). The importance of sharing information to address priorities was the overarching theme in response to this question with an emphasis on how [We need to] “be present at public events, go into other spaces. We need face to face not just social media where we are fighting an algorithm for awareness. ” [We need to] help the general public [create agency] and help them understand what they can do to help [their situation] because this is all overwhelming.” (14) “Five years from now, what do you hope to see in our community?” 74 statements shared for increased resource access and support systems (24), increased community resiliency and inclusion (17), lower cost of living and improve the social determinants of health (12), transportation improvements (6), and uncategorized statements (15). Increased access and integration of system supports was the theme in response to this question. “Navigation of mental health & substance use issues for those who don’t have family willing and able to help them through after they are no longer in crisis or the middle of an issue that involves law enforcement, so they don’t repeat or get worse. Integration between non-profits for shared intake forms to decrease amount of barriers for people to get the help they need (this work has started with the partnership between Community Navigator at United Way and 211).” One-off sentiments point to a variety of different topics: less dependency on phones and social media, integrating health education in schools for both parents and youth audiences, a need to reduce suicide and overdoses, and address general mental health issues. 11 At the end of a listening session, participants were asked to consider if they had $100 to spend, how they would allocate it across a list of health priorities. Dollars could be split and allocated to any health issues of an attendee’s choosing or the entire $100 could be allocated to one health issue. Mental health received the largest dollar allocation from those completing the activity, at $987. Those allocating the “Other” category identified community education, hygiene, insurance enrollment, provider shortage, awareness of services, housing, 3rd spaces, policy review, and healthcare. Figure 4: $100 Spend Breakdown Discussion CHA and listening session data support the selection of mental health, substance use, nutrition, physical activity and obesity, as key community health issues. It is recognized that social determinants of health including education, income, and access to resources impact health disparity in our communities. The recognition of the relationship between health disparity and social determinants of health will help community partners design and develop programming for populations of interest, individuals who are low income, youth, and older adults. Mental health Substance use Nutrition Chronic disease Transportation Other Infectious disease Injury $100 SPEND BREAKDOWN 12 Feedback suggests that the definition of mental health is broad and moves beyond diagnoses to include mental wellbeing, connectedness, and behavioral health. Education and awareness were referenced repeatedly in listening session feedback as an area for improvement and will require a multi-faceted approach to improving health, including developing audience-specific messaging, using a tailored mode of communication, and having an engaged coalition agree to what defines success for these efforts. Strong community partners and a desire for interagency collaboration are recognized as vital to the improvement of health and are key to sharing and pooling resources, maximizing both impact and reach. Organizations should make efforts to align data collection and data sharing when relevant. Community navigation was referenced as an important service model and should be further supported, designed, and developed to maximize client reported outcomes that improve health and well-being. Areas of focus identified in this plan align with Wisconsin State Health Improvement Priorities: mental and emotional health and well-being, social connectedness and belonging, systemic safety (e.g. substance use and harm reduction offered as part of a continuum of care), and the development of social and community conditions to support health (e.g. tailored interventions for populations). Wisconsin State Health Improvement Plan Framework Figure 5: Wisconsin State Health Improvement Plan Framework 2023-2027 13 Next Steps The Health Department will convene a steering committee to develop and provide input into the 2026-2028 coalition structure, membership, meeting design and deliverables. Coalition members will review data collected from the CHA and community listening sessions, review data collected on identified health priorities, fill in gaps, and complete a series of activities focused on assessing the drivers of health in the community for various populations. Coalition members will assist with the design of events and programming focused on improving health based on feasibility and impact, considering low or no-cost options and overlap with current programming and identified priorities. Having coalition members identify objectives serves the following purposes: generating community buy-in, shared ownership of stated objectives, and shared use of financial resources. Reflections and lessons learned during this process were collected for future planning cycles (APPENDIX B). 14 References 1Ozaukee County, Wisconsin—Census Bureau Profile. (n.d.). Retrieved January 7, 2025, from https://data.census.gov/profile/Ozaukee_County,_Wisconsin?g=050XX00US55089#emplo yment 2Washington County, Wisconsin—Census Bureau Profile. (n.d.). Retrieved January 8, 2025, from https://data.census.gov/profile/Washington_County,_Wisconsin?g=050XX00US55131 Secondary Data Sources 3Community Needs Assessment. (n.d.). SparkMap. Retrieved November 13, 2024, from https://sparkmap.org/report/ • Housing costs (Demographics & Social Determinants of Health); STI - Gonorrhea incidence (Health Risk Behaviors); and Mortality - Coronary heart disease (Health Outcomes). • By County: Washington and Ozaukee • Years 2018 – 2022. County Health Rankings & Roadmaps. (n.d.). Retrieved November 13, 2024, from https://www.countyhealthrankings.org/health-data/wisconsin/ • Access to exercise (Demographics & Social Determinants of Health); Alcohol impaired driving deaths (Health Risk Behaviors); Childcare cost burden (Demographics & Social Determinants of Health); Mental health providers to patient ratio (Health Outcomes). • By County: Washington and Ozaukee • Childcare cost burden, 2022 – 2023. Dose of Reality: Opioid Deaths by County Dashboard | Wisconsin Department of Health Services. (2019, November 5). https://www.dhs.wisconsin.gov/opioids/deaths-county.htm • Health Risk Behaviors • All opioid deaths and deaths by sex. • By County: Washington and Ozaukee 15 S0101: Age and Sex—Census Bureau Table. (n.d.). Retrieved November 13, 2024, from https://data.census.gov/table/ACSST1Y2023.S0101?g=050XX00US55131 • Demographics & Social Determinants of Health • Washington County • Year 2023. S0101: Age and Sex—Census Bureau Table. (n.d.). Retrieved November 13, 2024, from https://data.census.gov/table/ACSST1Y2023.S0101?g=050XX00US55089 • Demographics & Social Determinants of Health • Ozaukee County • Year 2023. Table of Washington Ozaukee Cancer Indicators. (n.d.). Metopio. Retrieved November 13, 2024, from https://metop.io/insights/metop.io/insights/1r2cvndi • Invasive breast and prostate cancer (Health Outcomes). U.S. Census Bureau QuickFacts: Ozaukee County, Wisconsin; Washington County, Wisconsin. (n.d.-a). Retrieved November 13, 2024, from https://www.census.gov/quickfacts/fact/table/ozaukeecountywisconsin,washingtoncount ywisconsin/PST045223 • Demographics & Social Determinants of Health • Median income for Ozaukee County. U.S. Census Bureau QuickFacts: Washington County, Wisconsin. (n.d.-b). Retrieved November 13, 2024, from https://www.census.gov/quickfacts/fact/table/washingtoncountywisconsin/PST045223 • Demographics & Social Determinants of Health • Median income for Washington County. VisionLink. (n.d.). 211 Wisconsin. Retrieved November 13, 2024, from https://211wisconsin.communityos.org/login • Demographics & Social Determinants of Health • Data populated by Washington and Ozaukee County and top 5 services. • January – December 2023. Wisconsin | UnitedForALICE. (n.d.). Retrieved November 13, 2024, from https://unitedforalice.org/county-reports/wisconsin 16 • Demographics & Social Determinants of Health • Point-in-time data for Ozaukee and Washington County. Total population multiplied by the percent of ALICE households. • Year 2022. Wisconsin Electronic Disease Surveillance System. (2018). Number of Cases Chlamydia [STI Report State Age Grouping]. • Health Risk Behaviors Wisconsin Electronic Disease Surveillance System. (2024). Number and Percent of Reportable Illness. [BOH Report]. • Health Risk Behaviors Wisconsin REALTORS® Association: Wisconsin Housing Statistics. (n.d.). Retrieved November 13, 2024, from http://www.wra.org/housingstatistics/ • Demographics & Social Determinants of Health • Southeast Region, Washington and Ozaukee County, Median Price Year-to-Date. WISH Query: Infant Mortality Module | Wisconsin Department of Health Services. (2014, October 9). https://www.dhs.wisconsin.gov/wish/infant-mortality/form.htm • Health Outcomes • Infant mortality rate (<365 days), by region, and all causes. WISH Query: Injury-Related Hospitalizations (2016+) | Wisconsin Department of Health Services. (2018, September 25). https://www.dhs.wisconsin.gov/wish/injury- hosp/query.htm • Health Outcomes • “Non-fatal only” number of hospitalizations for injuries. Data extrapolated as all age groups by year. • “Other injuries” category: suffocation, firearms, drowning, assault, self-harm injuries, traumatic brain injury, and unintentional fire injury. WISH: Violent Death Module | Wisconsin Department of Health Services. (2014, October 9). https://www.dhs.wisconsin.gov/wish/violent-death/index.htm • Health Outcomes • The decedents county of injury, not their residence. 17 4Braun, V ., & Clarke, V . (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa 18 Appendix A Secondary Data & Survey by County 19 Washington County 20 21 22 23 Ozaukee County 24 25 26 27 Community Health Improvement Plan Survey Review the most recent data for the county that you live or work in and fill out the survey. What did you find most surprising? What health concern is missing from this data? What health topics need improvement in the community? (select top 3) ☐Chronic Disease (heart disease, stroke, cancer, diabetes) ☐Communicable Disease ☐Mental Health ☐Nutrition, Physical Activity & Obesity ☐Substance Use ☐Unintentional Injury ☐Other* , Please specify: What else would you like to share with us? What is your age? ☐Under 18 ☐18-34 ☐35-44 ☐45-54 ☐55-64 ☐65+ What is your gender? ☐Male ☐Female ☐Prefer not to answer I live or work in: ☐Ozaukee County ☐Washington County ☐Both ☐Other* Please specify: I live or work in the following municipality (town/village/city): Thank you for helping us identify health issues in the community! 28 Appendix B Lessons Learned 29 Lessons Learned CHIP was historically proctored by public health every five years. This year, the process coincided with the Community Health Needs Assessment (CHNA), a process that involves public health but is led by area hospital systems. A concern for survey fatigue and pooling of resources was brought forward for discussion. In the future, the CHIP will be proctored every 3 years and build on the CHNA. For the CHNA, paid social media advertising demonstrated success: a technique that boosted community response numbers and was not utilized for the CHA. Social media advertising should continue to be used for future community health assessments. Development of materials for the CHIP was cumbersome. Moving forward, the public health strategy team will continuously update a series of health indicators and trends to assist with secondary data. When breaking out age groups, strategists will consider how other data sources categorize information. As a multi-county health department, data collection requires organization and labeling for efficient dissemination materials. Materials should be clearly labeled, maximizing response time from the public. Personal outreach compared to established community groups netted a larger engagement response for the CHA (e.g. podcast, established library groups) vs. tabling events and static community displays. It would be helpful to discern how feedback was captured in the future (e.g. self-submission, paper entry, interview etc.). Transcription of small group discussion was impacted by audio quality. Collection and transcription processes could be improved in future cycles by booking individual rooms for breakout sessions. Listening session questions should be reformatted, reflecting an iterative process: example, ask 14 questions- first seven questions help identify health issues and service gaps, next seven questions ask detailed questions about the identified issues. DIRECTOR UPDATES ENVIRONMENTAL HEALTH Community HealthImprovement PlanVirtual Listening Session Join us as we discuss the health priorities that were identified for the Community Health Improvement Plan! J a n u a r y 1 3 t h 5 p m - 6 p m J a n u a r y 1 5 t h 1 2 p m - 1 p m S e s s i o n s O R Registrants will receive a Teams meeting link with instructions for joining. WIC WIC Toy Drive Event -December 16th In partnership with United Way and Kids2Kidsof Ozaukee County, every year WIC hosts aholiday event to distribute toys to children andprovide nutritional education. “ T h i s y e a r w e w e r e a b l e t o h e l p b r i n g t h e m a g i c o f C h r i s t m a s t o 8 2 f a m i l i e s w i t h 1 8 1 c h i l d r e n a t o u r s i t e . T h i s i s o n e o f o u r d e p a r t m e n t ’ s f a v o r i t e d a y s o f t h e y e a r . ” - K i m B u e c h l e r STAY CONNECTED washozwi.gov Annual ReportThe health department isworking on gathering datato complete the 2025annual report. Website RedesignOur new website will feature a new design that is focusedon prioritizing service accessibility through a clearer,more user-friendly format. Stay tuned for the release inearly 2025! Accreditation ReadinessOur department will start the process ofAccreditation Readiness through PHABPathways starting in February. Thisprocess will take 12 months to completeand our department is looking forward toidentifying our strengths, gaps, andincreasing public trust by ensuring weare following high standards in ourservices. ATCP 72.08 Fees - April 2026 to March 2028 License Category License Fee Pre- Inspection Fee Re-inspection fee Tourist Rooming House 1 TRH $ 296.00 $ 592.00 $ 150.00 2-4 TRH $ 450.00 $ 900.00 $ 150.00 5 to 9 TRH $ 550.00 $ 1,100.00 $ 150.00 10-19 TRH $ 600.00 $ 1,200.00 $ 150.00 20-39 TRH $ 700.00 $ 1,400.00 $ 150.00 40-99 TRH $ 800.00 $ 1,600.00 $ 150.00 100 to 299 TRH $ 900.00 $ 1,800.00 $ 150.00 300-599 TRH $ 1,000.00 $ 2,000.00 $ 150.00 600+ $ 1,100.00 $ 2,200.00 $ 150.00 Hotel and Motel License Fee Pre- Inspection Fee Re-inspection fee 5-30 rooms $ 350.00 $ 700.00 $ 150.00 31-99 rooms $ 450.00 $ 900.00 $ 150.00 100-249 rooms $ 550.00 $ 1,100.00 $ 150.00 250-499 rooms $ 650.00 $ 1,300.00 $ 150.00 500-749 rooms $ 750.00 $ 1,500.00 $ 150.00 750-1000 rooms $ 850.00 $ 1,700.00 $ 150.00 1000+ rooms $ 950.00 $ 1,900.00 $ 150.00 Specialty Lodging 1 SL $ 296.00 $ 592.00 $ 150.00 2-4 SL $ 450.00 $ 900.00 $ 150.00 5-9 SL $ 550.00 $ 1,100.00 $ 150.00 10-19 SL $ 600.00 $ 1,200.00 $ 150.00 20-39 SL $ 700.00 $ 1,400.00 $ 150.00 40-99 SL $ 800.00 $ 1,600.00 $ 150.00 2nd Re-Inspection Fee $ 200.00 $ 200.00 $ 200.00 $ 200.00 Do not anticipate many of these licenses $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 2nd Re-Inspection Fee $ 200.00 $ 200.00 $ 200.00 $ 200.00 Do not currently have any hotels larger than this $ 200.00 $ 200.00 $ 200.00 $ 200.00 This whole category of lodging is at odds with several local zoning ordinances. Likely will not issue many of these. $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 This whole category of lodging is at odds with several local zoning ordinances. Likely will not issue many of these. ATCP 72.08 Fees - April 2026 to March 2028 License Category License Fee Pre- Inspection Fee Re-inspection fee Tourist Rooming House 1 TRH $ 444.00 $ 592.00 $ 150.00 2-4 TRH $ 675.00 $ 900.00 $ 150.00 5 to 9 TRH $ 825.00 $ 1,100.00 $ 150.00 10-19 TRH $ 900.00 $ 1,200.00 $ 150.00 20-39 TRH $ 1,050.00 $ 1,400.00 $ 150.00 40-99 TRH $ 1,200.00 $ 1,600.00 $ 150.00 100 to 299 TRH $ 1,350.00 $ 1,800.00 $ 150.00 300-599 TRH $ 1,500.00 $ 2,000.00 $ 150.00 600+ $ 1,650.00 $ 2,200.00 $ 150.00 Hotel and Motel License Fee Pre- Inspection Fee Re-inspection fee 5-30 rooms $ 525.00 $ 700.00 $ 150.00 31-99 rooms $ 675.00 $ 900.00 $ 150.00 100-249 rooms $ 825.00 $ 1,100.00 $ 150.00 250-499 rooms $ 975.00 $ 1,300.00 $ 150.00 500-749 rooms $ 1,125.00 $ 1,500.00 $ 150.00 750-1000 rooms $ 1,275.00 $ 1,700.00 $ 150.00 1000+ rooms $ 1,425.00 $ 1,900.00 $ 150.00 Specialty Lodging 1 SL $ 444.00 $ 592.00 $ 150.00 2-4 SL $ 675.00 $ 900.00 $ 150.00 5-9 SL $ 825.00 $ 1,100.00 $ 150.00 10-19 SL $ 900.00 $ 1,200.00 $ 150.00 20-39 SL $ 1,050.00 $ 1,400.00 $ 150.00 40-99 SL $ 1,200.00 $ 1,600.00 $ 150.00 Proposed Fee with 15% Increase to cover DATCP Re-imbursement 2nd Re-Inspection Fee $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 1.5 $ 200.00 $ 200.00 $ 200.00 2nd Re-Inspection Fee $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 Proposed Fee with 15% Increase to cover DATCP Re-imbursement License Category License Fee Pre- Inspection Fee Re-inspection fee Tourist Rooming House 1 TRH $ 311.00 $ 621.50 $ 150.00 2-4 TRH $ 472.50 $ 945.00 $ 150.00 5 to 9 TRH $ 577.50 $ 1,155.00 $ 150.00 10-19 TRH $ 630.00 $ 1,260.00 $ 150.00 20-39 TRH $ 735.00 $ 1,470.00 $ 150.00 40-99 TRH $ 840.00 $ 1,680.00 $ 150.00 100 to 299 TRH $ 945.00 $ 1,890.00 $ 150.00 300-599 TRH $ 1,050.00 $ 2,100.00 $ 150.00 600+ $ 1,155.00 $ 2,310.00 $ 150.00 Hotel and Motel License Fee Pre- Inspection Fee Re-inspection fee 5-30 rooms $ 367.50 $ 735.00 $ 150.00 31-99 rooms $ 472.50 $ 945.00 $ 150.00 100-249 rooms $ 557.50 $ 1,155.00 $ 150.00 250-499 rooms $ 682.50 $ 1,365.00 $ 150.00 500-749 rooms $ 787.50 $ 1,575.00 $ 150.00 750-1000 rooms $ 892.50 $ 1,785.00 $ 150.00 1000+ rooms $ 997.50 $ 1,995.00 $ 150.00 Specialty Lodging 1 SL $ 311.00 $ 621.50 $ 150.00 2-4 SL $ 472.50 $ 945.00 $ 150.00 5-9 SL $ 577.50 $ 1,155.00 $ 150.00 10-19 SL $ 630.00 $ 1,260.00 $ 150.00 20-39 SL $ 735.00 $ 1,470.00 $ 150.00 40-99 SL $ 840.00 $ 1,680.00 $ 150.00 2nd Re-Inspection Fee $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 2nd Re-Inspection Fee $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 License Category License Fee Pre- Inspection Fee Re-inspection fee Tourist Rooming House 1 TRH $ 466.50 $ 621.50 $ 150.00 2-4 TRH $ 708.75 $ 945.00 $ 150.00 5 to 9 TRH $ 866.25 $ 1,155.00 $ 150.00 10-19 TRH $ 945.00 $ 1,260.00 $ 150.00 20-39 TRH $ 1,102.50 $ 1,470.00 $ 150.00 40-99 TRH $ 1,260.00 $ 1,680.00 $ 150.00 100 to 299 TRH $ 1,417.50 $ 1,890.00 $ 150.00 300-599 TRH $ 1,575.00 $ 2,100.00 $ 150.00 600+ $ 1,732.50 $ 2,310.00 $ 150.00 Hotel and Motel License Fee Pre- Inspection Fee Re-inspection fee 5-30 rooms $ 551.25 $ 735.00 $ 150.00 31-99 rooms $ 708.75 $ 945.00 $ 150.00 100-249 rooms $ 836.25 $ 1,155.00 $ 150.00 250-499 rooms $ 1,023.75 $ 1,365.00 $ 150.00 500-749 rooms $ 1,181.25 $ 1,575.00 $ 150.00 750-1000 rooms $ 1,338.75 $ 1,785.00 $ 150.00 1000+ rooms $ 1,496.25 $ 1,995.00 $ 150.00 Specialty Lodging 1 SL $ 466.50 $ 621.50 $ 150.00 2-4 SL $ 708.75 $ 945.00 $ 150.00 5-9 SL $ 866.25 $ 1,155.00 $ 150.00 10-19 SL $ 945.00 $ 1,260.00 $ 150.00 20-39 SL $ 1,102.50 $ 1,470.00 $ 150.00 40-99 SL $ 1,260.00 $ 1,680.00 $ 150.00 2nd Re-Inspection Fee $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 1.5 $ 200.00 $ 200.00 $ 200.00 $ 200.00 2nd Re-Inspection Fee $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00 $ 200.00