San Miguel County Department of Public Health and Environment
The Department of Public Health and Environment is the local public health agency, as outlined in Senate Bill 08-194, the Public Health Act. The Public Health Act was established in 2008 to assure that core public health services are available to every person in Colorado with a consistent standard of quality. For more info on the Act and its implementation, please click here .
Protect & preserve the health & environment by providing high quality public health care services and environmental protection services to the people of San Miguel County.
- Programs Summary
- Goals & Objectives
(970) 728-4289 Public Health
(970) 728-0447 Environment
(970) 728-9276 Public Health
(970) 728-3718 Environment
Monday - Friday, 9 am - 5pm
333 W. Colorado Ave, 3rd Floor
PO Box 949 Public Health; PO Box 4130 Environment
Telluride, CO 81435
Norwood Office & Satellite Clinic
1120 Summit St
PO Box 496
Norwood, CO 81423
June Nepsky, RN MN CFNP, Public Health Director
Debbie Adams, Administrative Secretary
Trisha VanHeltebrake, BS, EPR Coordinator
Amy Erikson, WIC Educator
Sally Swartz, Registered Dietitian - WIC
Dave Schneck, Environmental Health Director
The DPHE provides many services from monitoring air quality to womens health to preparing for pandemics. Please see the attached flowchart to learn more about how our programs are structured.
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ALL SERVICES ARE CONFIDENTIAL AND FEES ARE BASED ON A SLIDING SCALE.
- WIC (Women, Infant, Children)
- Women's Health/Family Planning
- Women's Wellness Connection
- Public Health Nursing
- Emergency Preparedness Response
- HCP - Health Care Program for Children with Special Needs
- Communicable Disease Monitoring and Prevention
- County Wellness Program
Los sevicios de planificion familiar
Mas cercanos a usted, GRATIS o A BAJO C
Alcance en la cilinica que
Aparece al final de esta hoja.
El costo del servicio se determina de acuerdo a sus ingresos
Algunas de los servicios que
- Metodos anticonceptivos (condones, inyecciones anticonceptivas y otras)
- Pruebas y consejos sobre embarazos
- Educacion y prevencion contra enfer transmission sexual y VIH
Servicios confidenciales para adolescents.
- Special Use Permit Review
- Consumer Protection
- Air Quality
- Water Quality
- Public Use/Land Management
- Onsite Waste Water Program
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Core Goals for DPHE
- To protect and promote the health and environment of San Miguel County by preventing disease and injury, promoting healthy behavior, reducing the incidents of chronic diseases and conditions and protecting and improving air, water, land, and food quality by responding to community environmental health concerns.
- To provide high quality services to the people of San Miguel County
- To identify core public health services which include assessment of health status and health risks, development of policies to protect and promote health, and assurance of the provision of the ten essential public health services which include;
- Monitoring health status to identify and solve community health problems
- Investigate and diagnose health problems and health hazards in the Community
- Inform, educate, and empower individuals about health issues.
- Mobilize public and private sector collaboration and action to identify and solve health problems. Develop policies, plans, and programs that support individual and community health efforts. Enforce Laws and rules that protect health and promote safety
- Link individuals to needed personal health services and ensure the provision of health care.
- Encourage a competent public health workforce.
- Evaluate effectiveness, accessibility, and quality of personal and population-based public heath services and contribute to research into insightful and innovative solutions to health problems.
Core Objectives for DPHE
- To identify the core public health services in Colorado in order to complete a local public health improvement plan based on a comprehensive assessment of the community’s health and environmental status at a minimum of every five years that includes the leading causes of disease, injury, disability and death of the population within the jurisdiction, health status and environmental indicators analyzed by income, age, race, ethnicity, and other socio/geo/demographic characteristics, where possible to identify priority populations as well as indicators of the determinants of health using data from a range of sources including the physical and social environment in order to identify assets and resources which support the public health system in promoting and protecting health.
- Provide Assessment and Planning using methodologies to identify, evaluate and understand community health problems, priority populations, and potential threats to the public’s health and use this knowledge to determine what strategies are needed to engage partners and improve health.
- Provide Vital Records and Statistics through an MOU with Clerk/Recorder and Vital Statistics Registrar in SMC.
- Investigate and Control Communicable Diseases through our CEDRS tracking system with detection ,education, and planning in order to prevent and control vaccine preventable diseases, zoonotic, vector, air-borne, water-borne , food-borne illnesses, and other diseases that are transmitted person to person.
- Provide Prevention and Population Health Promotion through our Public Health Contracts, Maternal Child Health Contract and Consumer Protection Program.
- Prepare for Emergency Preparedness and Response to emergencies with a public health or environmental health implication in coordination with local, state and federal agencies in order to develop our counties’ Emergency operations Plan.
- Provide Environmental Health by protect and improving air, water, land and food quality by identifying and responding to community environmental health concerns.
- Establish administration and governance programs and other resources to deliver public health services throughout the agency’s jurisdiction.
- Accomplish collaboration with community and regional partners such as the Telluride Foundation, Resource Center, One Telluride and West Regional Partnership.
Short and Long-term Goals & Objectives for DPHE
- Prepare a public health improvement plan based upon the recommendations of the State-wide improvement plan
- Continue to conduct Emergency Response Preparedness meetings with our county stakeholders to keep them informed about new emergency goals, objectives and updates on H1N1.
- Collaborate with our regional partners from the Mesa County Health Department in completing requirements for Project Public Health Ready National Certification.
- Prepare, review and implement policies and procedures for mass vaccination sites for seasonal flu and H1N1 immunization clinics for this fall as well as other emergency procedures necessary for a pandemic outbreak.
- Continue to update the NIMS compliant Public Health Emergency Operations Plans for San Miguel County Department of Health and Environment.
- Continue to participate in the West Central Regional Public Health Partnership which supports local health programs, provides regional community assessment development, and may assist with the linking our health improvement plan to the state plan with funding from a grant.
- Provide all current contracted services per agreements signed between San Miguel County Commissioners and the Colorado Department of Health and Environment in order to improve public health delivery. Below is a list of contracted services:
- Emergency Preparedness & H1N1 Pandemic Flu Planning
- Women’s Wellness Connection Cancer Screening Program
- Childhood Immunizations
- Health Care for Children with Special Needs
- Comprehensive Family Planning and STD Services
- Maternal Child Health
- WIC (Women, Infant and Children) supplemental Food Program
- Women’s Health/Family Planning
- Public Health Services
- Traumatic Brain Injury
- Consumer Protection
- Other Goals and Objectives include:
- Surveillance and tracking of communicable diseases through CEDRS.
- Overseas Travel Immunizations including yellow fever since we are the designated provider by the CDPHE for this vaccination.
- Wellness Program for county employees and treatment of acute episodic illnesses.
- Provide free educational seminars in safe food handling practices and food borne illness prevention
- Participate in local West Nile Virus Prevention and education efforts and plague surveillance if there are prairie dog die offs in this area.
- Participate in emergency preparedness and pandemic influenza planning.
- Provide onsite wastewater services, oversee the design and installation of onsite wastewater systems and ensure existing systems are maintained in proper functioning condition.
- Track changes in environmental law related to water quality, air quality, wildlife, wetlands, and storm water management.
- Monitoring of air quality and collection of air quality data.
- Work in partnership with the CDPHE to administer Storm Water Discharge Permits for construction and develop cooperative efforts to help protect municipal source water areas from activities that could threaten drinking water quality.
- Work with CDPHE and Division of Wildlife to provide oversight on oil and gas development in the County with a focus on protection of wildlife, prevention of noxious weed infestations, protection of municipal source water areas, and ensuring reclamation of impacted areas is successfully completed.
- Incorporate the principles of sustainability into interaction with the local communities.
- Participate in local and regional efforts to promote economic, social and environmental sustainability.
- Maintain an active role in noxious weed control throughout the County.
- Promote recycling of electronics and continue annual hazardous waste clean up day to facilitate proper disposal of household hazardous wastes.
- Continue to be an active participant in policy on public lands including travel planning, forest plan amendments, logging, mining, grazing and recreational use.
- Promote conservation in all areas to optimize the compatibility of economic development with protection of our unique natural resources.
- Work with regional governments to facilitate implementation of measures to promote an environmentally and economically sustainable region.
- Provide education on radon reduction and continue radon monitor loaner program.
- Continue to work closely with the County Planning Department in the permitting of land use to promote environmental protection of water quality, air quality, wetlands protections, and storm water controls which prevent pollution from runoff, soil loss, and wild life habitat protection.
- Continue to actively participate in the San Miguel Basin Gunnison Sage Grouse working group.
- Participate with other local governments and environmental groups in the major revision of regulations governing oil and gas development statewide.
- Continue to work in partnership with the State Air Pollution Control Division to preserve the improvements we have attained in regional air quality and continue to operate the state air quality monitors on the Miramonte Building as well as our own real time particulate monitor at this site.
- Participate in the oversight of new uranium mining and milling developments that may appear in the region.
- Work on the institution of the new permit tracking system.
- Work as a liaison for the County on the revision of the Montrose District BLM Resource Management Plan and on the Lower Dolores Working Group.
- Understand the importance of maintaining fiscal responsibility.
- Maintain open lines of communication with the County Commissioners who serve as the Board of Health.