Meeting of November 14, 2023

good evening I'd like to call this uh second meeting of November of the Davis County the second meeting of the Davis County November 2nd meeting of the Davis County Fiscal Court to order struggled with that a little bit uh commissioner marksberry would you lead us in the prayer and the pledge please yes thank you would you pray with me please our gracious and loving Heavenly Father we come before you with gratitude as our hearts turn to this season of Thanksgiving we thank you for our veterans who were honored last week and we thank you for their service and sacrifice to our County and to their fellow man please bless them and comfort them in the months to come thank you for our County our people and especially those who strive each day to keep us safe we pray for a Cooperative Spirit here in our town between our County and City leadership may we work together going forward to benefit our citizens regardless of personal thoughts and attitudes help us to all put aside anything that is not in your will for our community as we are all flawed human beings in need of your salvation and

your grace bless us now as we make decisions for our County and guide us with your wisdom in Jesus name amen now the pledge I pledge allegiance to the flag of the United States of America and to the Republic for which it stands one nation under God indivisible with liberty and justice for all thank you commissioner marks Barry you're welcome Brook one consideration for presentation a Proclaim diabetes Awareness Month Mr marksberry Davis County Kentucky Proclamation Office of the County judge executive whereas 37.3 million American adults are estimated to have diabetes diagnosed and undiagnosed including nearly 486,000 no cure and can be associated

with complications that threaten both length and quality of life and whereas an additional 101,000 people in Kentucky have diabetes but don't know about it greatly increasing their health risk there are 1,1 168,000 people in Kentucky 33.8% of the adult population who have pre-diabetes with blood glucose levels that are higher than than normal but not yet high enough to be diagnosed as diabetes every year an estimated 26,000 623 people in kenty are diagnosed with diabetes whereas diabetes is the seventh leading cause of death by disease in Kentucky and in the nation Kentucky has the 13th highest diabetes mortality rate in the nation and diabetes can be associated with complications that threaten both length and quality of life life such as blindness heart disease kidney failure stroke and leg or foot amputations and whereas diabetes costs Kentucky over 5 billion in Total Medical expenditures lost work and lost wages

each year and whereas an increase in community awareness of risk factors and symptoms related to pre-diabetes and diabetes as well as evidence-based interventions that can improve outcomes and quality of of life among those with and at risk for diabetes can increase the likelihood that they will seek out education support and treatment early in the course of the disease and whereas structured lifestyle change programs such as the national diabetes prevention program have been proven to prevent or delay type 2 diabetes in the adult I'm sorry in adults with pre-diabetes and accredited recognized diabetes self-management education and support programs that support appropriate self-care and behavior change strategies critical to managing diabetes have been shown to improve diabetes outcomes now therefore Charlie castan judge executive of Davis County Kentucky do hereby Proclaim November as diabetes Awareness Month in Davis County Kentucky and urge all citizens to help fight this disease and its life-threatening complications by increasing awareness of the risk factors for diabetes making healthy lifestyle

choices and by providing care and treatment for those living with diabetes presented in Davis County Kentucky this 14th day of November 2023 Charlie castlin Davis County judge executive thank you and who do we have here to accept this tonight I've got my notes say Merit Merit baites Thomas but I don't see her so anyone else here for this no then we will get this to them uh I may take it at our next meeting meeting uh health health department meeting uh commissioner Caston okay do we need to wait for Brook to read off first oh I'm sorry B proclaimed November 12th through 18th of 2023 as nurse practitioner week for the proclamation Davis County Kentucky the office of County judge executive whereas nurse practitioners play a critical role as trusted providers of health care for patients in Kentucky and whereas nurse practitioners work to expand Health Care access and underserve communities promote Health Equity and Care whereas patients depend on more than 10,000 licensed nurse practitioners in the Commonwealth of Kentucky to diagnose manage and treat their chronic and acute healthc care

conditions and whereas nurse practitioners provide highquality primary acute and Specialty he Health Care Services while emphasizing health promotion disease prevention health education and counseling guiding patients to make smarter health and lifestyle choices every day and whereas the confidence that patients have and nurse practitioners delivered Health Care is evidenced by the more than 1 billion visits made annually to nurse practitioners across our nation whereas more than five de Decades of research demonstrates the high quality of care provided by nurse practitioners and whereas better util utilization of nurse practitioners through modernized state laws and improved policies create Better Health through a more accessible efficient cost effective and higher quality Health Care system and whereas more than half the nation has adopted full practice Authority legislation offering patients full and direct access to the outstanding care provided by nurse practitioners and whereas nurse practitioners serve as the primary care provider of choice for many kentuckians and play a pivotal role in the Health and Welfare of our communities and now therefore I Charlie castlin Davis County judge executive to Proclaim hereby Proclaim November 12th through the 18th 2023 as nurse practitioner week and ask my fellow citizens to join me in

thanking nurse practition for the healthare they provided our community presented in Davis County Kentucky this 14th Day November 2023 judge Charlie cman thank you commissioner Caston and I think we have Anessa here okay to receive this so if we could go up front and present it and then if you would uh make a few comments afterwards than you is Ani hullman and I'm a proud Davis

County psychiatric nurse practitioner specializing in the care of Children and adolescents who have mental health conditions I am one of only 242 in Davis County that that fill gaps in our Medical Care system for our community members members in rural areas as members of our community that otherwise may not have Primary Care um providers to take care of them or even psychiatric care providers to to deal with mental illnesses so this Proclamation means the world to us you know it's acknowledgement that the care that we provide is beneficial in fact it's crucial to the the overall well-being of our community members so we thank you very much for this Proclamation today well thank you thank you and and all your peers for all you did in our community absolutely thank you so much C treasurer's report for October 2023 Mr Johnson yes judge as of October 31st 2023 total cash balance is 67 m3226 48 for all funds general fund balance is 28,1 2016,