The County of Santa Clara


Approve retroactive Agreement with California Department of Public Health relating to funding for tuberculosis prevention and control services in an amount not to exceed $1,089,800 for period July 1, 2019 through June 30, 2020, that has been reviewed and approved by County Counsel as to form and legality.


Department:Public Health DepartmentSponsors:



Approval of the recommended action will have no net impact to the County General Fund.  A budget modification will not be required.  The funds are already included in the Public Health Departments current approved budget for FY20. 


The California Department of Public Health (CDPH) has provided local assistance funding to support tuberculosis (TB) prevention and control activities to Santa Clara County for more than 16 years.  Funds are awarded through an annual Award Letter that, in prior years, has been signed by the Health Officer and Director of Public Health using Master Contracts List Delegation of Authority.


Each fiscal year the California Department of Public Health TB Control Branch (CDPH-TBCB) awards the Santa Clara County TB Prevention and Control Program monies to help support tuberculosis prevention and control activities.  On June 26, 2019, CDPH-TBCB notified the Public Health Department of its Fiscal Year 2020 award, which consists of a base award of $1,028,526 and an allotment of up to $61,274 for food, shelter, incentives and enablers (FSIE).  The timing of the notification precluded the Department from bringing the agreement to the Board prior to July 1, 2019, which is the beginning date of the Fiscal Year 2020 funding period, and as such the Department is requesting that the agreement be retroactive to July 1, 2019.

The TB Prevention and Control Program plans to use the increased funds for housing, services to provide directly observed therapy (e.g. mileage, funding for contract with SureAdhere to provide video-recorded directly observed therapy), and miscellaneous services and supplies to carry out TB Prevention and Control activities. 

This funding opportunity aligns with the County of Santa Clara Health System’s Strategic Road Map objectives aimed at reducing the burden of illness, improving the healthy lifespan of county residents, and decreasing delays and cost of care, and the Public Health Department’s strategic priority to strengthen prevention and response to current and emerging infectious diseases. 


The recommended action will have no/neutral impact on children and youth.


Approval of the recommended action will have a positive impact on seniors as seniors are disproportionately affected by TB.  In Santa Clara County in 2017, approximately 40 percent of patients with TB were age 65 years or older.


The recommended action will have no/neutral sustainability implications.


Santa Clara County has the third highest Tuberculosis (TB) case rate in California and more cases than most states in the U.S. Santa Clara County’s TB Prevention and Control Program is tasked by California’s Health and Safety Code to oversee all TB in the county.  The TB Prevention and Control Program receives and investigates all reports of persons with TB, including suspected and confirmed cases; ensures appropriate isolation of patients with infectious TB to prevent the spread of TB; reviews and approves hospital and correctional facility discharges/transfers of patients with TB to ensure effective treatment, that their appropriate follow-up is provided, and to protect public safety; performs contact investigations and arranges follow-up for contacts with latent TB infection or active TB; case manages all TB patients in collaboration with their community medical provider until TB treatment is completed, for example, educating patients about TB, prevention of transmission, and treatment side effects, monitoring and promoting drug adherence (including providing incentives as needed to help improve adherence, such as assistance with transportation, food, and housing), and monitoring for medication side effects; monitors patients to ensure they receive effective treatment; provides Directly Observed Therapy for most patients with TB; issues orders of isolation, evaluation, treatment, or detention as needed; serves as a community resource regarding TB best practices; provides clinical consultation and provider education; engages in targeted TB prevention and control interventions based on surveillance and epidemiologic analysis; and investigates TB clusters and outbreaks.


Failure to approve the recommended action would result in the Public Health Department not accepting grant funding and negative impact the Department’s ability to carry out TB Prevention and Control activities.


The Clerk of the Board is requested to obtain the President’s and Clerk’s original signature, in blue ink, on two (2) Award Letters and two (2) each of the Darfur Contracting Act, Certification Regarding Lobbying (federal terms and conditions), and the CCC 04/2017 Contractor Certification Clauses. Please place one packet in Will Call and notify Michele Seaton, Public Health Department Administration. 


Meeting History

Aug 13, 2019 9:30 AM Video Board of Supervisors Regular Meeting
MOVER:Cindy Chavez, Vice President
SECONDER:Susan Ellenberg, Supervisor
AYES:Mike Wasserman, Cindy Chavez, Dave Cortese, Susan Ellenberg, S. Joseph Simitian