FOR IMMEDIATE RELEASE

Idaho’s first human West Nile virus (WNV) infection this year was identified in a Washington County resident over the age of 50 on Thursday, Aug. 3. This person has been hospitalized with the infection but is recovering and being discharged home. So far this year, WNV activity in mosquitoes has been detected in nine Idaho counties, seven of them in south and southwestern counties. WNV has also been detected in mosquitoes in neighboring Malheur County, Ore.

WNV is spread by the bite of an infected mosquito and can lead to severe disease in some people.

“We strongly encourage Idahoans to fight the bite of mosquitoes to protect themselves and their families,” said Dr. Leslie Tengelsen, state public health veterinarian. “Confirmation of a human infection is a good reminder for all of us to take protective measures against mosquito bites. This includes wearing insect repellent and protective clothing in addition to reducing standing water around our gardens and homes where mosquitoes can lay their eggs.”

Symptoms of WNV infection often include fever, headache, body aches, nausea, and sometimes swollen lymph glands or a skin rash. Infection can result in severe illness, especially in people 50 years or older, leading to hospitalization and even death. Talk to your healthcare provider about testing for WNV to confirm your illness.

Last year, three human WNV infections were reported statewide. WNV activity in mosquitoes, horses, or people was reported in seven counties. WNV infections that might be reported each year are difficult to predict as some cases might not seek testing, but in the last five years, 11 cases have been reported each year, on average.

To protect against WNV infection, people should avoid mosquitoes, particularly between dusk and dawn when mosquitoes are most active. In addition, everyone should:

• Cover up exposed skin when outdoors and apply DEET or other EPA-approved insect repellent to exposed skin and clothing. Carefully follow instructions on the product label, especially for children.
• Insect-proof your home by repairing or replacing damaged screens.
• Reduce standing water on property. Check and drain toys, trays or pots outdoors that can hold water.
• Change bird baths, static decorative ponds, and animal water tanks weekly to reduce suitable mosquito habitats.

WNV does not usually affect domestic animals, like dogs and cats, but can cause severe illness in horses and some species of birds. Although there is no vaccine for people, there are several vaccines for horses, which should be vaccinated annually.

For more information, please visit https://westnile.idaho.gov.

The Idaho Department of Health and Welfare is dedicated to strengthening the health, safety, and independence of Idahoans. Learn more at healthandwelfare.idaho.gov.

Southwest District Health is one of seven public health districts throughout Idaho established to protect and promote the health and wellness of those who live, work, and play in our region. We proudly serve Adams, Canyon, Gem, Owyhee, Payette and Washington Counties. We work in partnership with our community to identify health needs, design solutions, and implement services that encourage behaviors contributing to healthier, longer lives. Learn more at www.swdh.org.

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Media Contacts:
Greg Stahl, Idaho Department of Health and Welfare
Greg.Stahl@dhw.idaho.gov
208-334-0766

Monique Evancic,  Southwest District Health
Monique.Evancic@phd3.idaho.gov
208-800-1262

FOR IMMEDIATE RELEASE

Beware of harmful algal blooms when recreating in bodies of water

The Southwest and Central Health Districts want to inform the public of the risk of illness in the region when recreating in bodies of water that have Harmful Algal Blooms (HABs) during the summer months.

During the HAB season, naturally occurring cyanobacteria will become more active with warmer temperatures. When there are more nutrients in the water for the bacteria to feed on, the bacteria can create large algae blooms, some of which produce toxic chemical compounds, or cyano-toxins, which can be fatal to animals and humans.  Blooms can vary in appearance, and may look like mats, foam, spilled paint, or surface scum, and have a foul odor.

While the Idaho Department of Environmental Quality (DEQ) tests some bodies of water in Southwest and Central Idaho regularly, many bodies of water throughout the state are not monitored for HABs, so recreators should watch for the signs of HABs to avoid exposure.

When toxin levels are greater than the health standard, the Idaho Department of Health and Welfare will issue advisories for those specific bodies of water and post updated information on their interactive online map. Both health districts urge residents and recreators to find information on the body of water they plan to interact with to make an informed decision before they recreate.

When recreating near or in a body of water impacted with cyano-toxins, take the following precautions:

• Avoid swimming, wading, or other activities in the water. Take extra precautions to ensure children, pets, and livestock are not exposed to the water. Do not drink or cook with water containing a bloom. Boiling and filtering the water does not remove the toxins and can increase the risk of adverse health effects.
• Wash hands thoroughly in clean water after handling fish caught in water experiencing a bloom. Cyanotoxins can accumulate in fish and the risk to people is being researched. Clean and wash fish thoroughly in uncontaminated water and dispose of internal organs before consumption. If you choose to eat fish from this area, filet the fish and remove all fat, skin, and organs before cooking.
• Clean skin or pet fur with clean water as soon as possible after any water contact.

Symptoms of cyanotoxin exposure include rashes, hives, diarrhea, vomiting, coughing, and/or wheezing. More severe symptoms affecting the liver and nervous system may result from ingesting water. If symptoms persist, consult your healthcare provider.

Pets, livestock, and wildlife can get sick, or even die, within minutes to days after cyanotoxin exposure. Dogs are often the first affected because they are more likely to swim in or drink contaminated water or lick contaminated water or bloom material off their fur. If your pets or livestock have been in the water, immediately wash them with clean water to keep them from licking cyanobacteria off their bodies. Seek veterinary care immediately if your pets or livestock seem sick after going in or drinking the water.

For current information about harmful algal blooms, and advisories, visit DHW’s site and interactive map

or DEQ’s website.

FOR IMMEDIATE RELEASE

Caldwell, ID – Safe, affordable housing, access to affordable healthcare and mental health and substance use disorder treatment are the most pressing health needs in a 10-county region home to more than half of Idaho’s residents, a new joint assessment finds. The Community Health Needs Assessment (CHNA) is a multi-agency initiative convened by the Western Idaho Community Health Collaborative (WICHC) with key participation and funding from regional partner organizations like Central District Health, Southwest District Health, Saint Alphonsus Health System, St. Luke’s Health System, United Way of the Treasure Valley, Intermountain Health, and Weiser Memorial Hospital. The ten counties assessed were Ada, Elmore, Boise, Valley, Adams, Canyon, Gem, Owyhee, Payette, and Washington.

In the past, each organization conducted its own assessment every three years per a federal requirement. For the first time in Idaho’s history, the data has been gathered as a joint community effort putting the organizations on the same assessment cycle. This unprecedented partnership is significant because they are collaborating to research and tackle pervasive issues in the community and avoid duplicating efforts, potentially leading to more successful outcomes and a greater impact. This collaborative approach included substantial community input and utilized a social determinants of health (SDoH) framework to determine priority areas. The priorities that emerged from this year’s report are:

• safe, affordable housing and homelessness
• behavioral health, including mental health and well-being, and substance misuse
• access to affordable health care, including oral and vision health

The Community Health Needs Assessment (CHNA) is available in PDF form HERE. This year, there will also be a companion site, the Idaho Oregon Community Health Atlas. It is a new, public-facing data portal that is currently live and all features will be available by the end of July. The Health Atlas allows residents, community organizations, policymakers, researchers and public health stakeholders to access and use data, to understand health disparities and drive change within their communities, as well as for grant writing and planning purposes.

The new online resource, powered by Metopio, publishes data about hundreds of indicators in the community, and makes that data available in visualizations like maps, charts, graphs and tables. The tool makes it easy to assess drivers of health for the community and prioritize data-informed actions that address social determinants of health. The online hub also provides a one-stop shop to view the learnings and insights from key counties’ community health needs assessments.

Alexis Pickering, Health Strategist with both the Central and Southwest health districts says, “History shows us that we can’t accomplish the most urgent challenges of our community by going it alone. This is a major, critical endeavor that shows how serious these collaborative partners are about addressing community needs in unprecedented ways, and having shared metrics on community priorities so we can build and sustain a healthy region.”

“Saint Alphonsus is proud to collaborate with our partner health systems to identify the strengths, opportunities, and the greatest needs in the Treasure Valley as told to us by the residents themselves. This report will give us the collective data to understand how we can lean in to support our communities in not just surviving, but thriving,” said Rebecca Lemmons, Community Health and Well-Being Director at Saint Alphonsus Health System.

Lisa Nichols, Associate Vice President of Community Health at Intermountain Health says, “Intermountain Health is excited to collaborate with community partners to understand the needs of our community and develop programs to address those needs. The mission of Intermountain Health is helping people live the healthiest lives possible. Participating in this Community Health Needs Assessment help us best understand the needs of our community and act to fulfill our mission.”

“The new collaborative approach for this needs assessment is transformational for our communities. It allowed us to not only pool resources for more robust and efficient data collection but will also guide collaborative action amongst partners working in alignment to address common priority needs.  This collective attention will create a significant impact in our communities,” said Angie Gribble, St. Luke’s senior director of community health and engagement.”

Addressing complex community needs is possible when we take a collective approach. The organizations are now continuing to work together to use the data to create an implementation strategy and plan by the end of the year to determine how to best address the priority areas identified by the joint assessment. This plan will be Idaho’s first shared implementation plan that will coordinate and direct activities from all the partner agencies. To get involved, contact WICHC via WICHC.org

ABOUT SOUTHWEST DISTRICT HEALTH

Southwest District Health is one of seven public health districts throughout Idaho established to protect and promote the health and wellness of those who live, work, and play in our region. We proudly serve Adams, Canyon, Gem, Owyhee, Payette and Washington Counties. We work in partnership with our community to identify health needs, design solutions, and implement services that encourage behaviors contributing to healthier, longer lives. Learn more at swdh.org.

ABOUT CENTRAL DISTRICT HEALTH

CDH, Public Health District IV, is one of seven public health districts within the state of Idaho, serving the counties of Ada, Boise, Elmore, and Valley. With a vision of Healthy People in Healthy Communities, CDH’s emphasis is on decreasing risk factors for chronic disease, improving quality of life and increasing the years of healthy life among residents.

ABOUT ST. LUKE’S HEALTH SYSTEM

As the only Idaho-based, not-for-profit health system, St. Luke’s is a vital part of a healthy community, led by local physicians and boards to further our organization’s mission “To improve the health of people in the communities we serve.” Working together, we share resources, skills and knowledge to provide the best possible care at every St. Luke’s facility.

ABOUT SAINT ALPHONSUS HEALTH SYSTEM

Saint Alphonsus health system is a Catholic, faith-based ministry and not-for-profit health system serving the state of Idaho, eastern Oregon and northern Nevada communities. The health system boasts 4 hospitals, 560 licensed beds and 7 joint venture relationships. The health system employs 6,100 colleagues and 537 medical staff. The Saint Alphonsus Health Alliance is comprised of 3,100 employed and independent providers.  1,200 physicians are members of the Saint Alphonsus medical staff. Saint Alphonsus is a proud member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation.  Trinity Health serves people and communities in 26 states from coast to coast with 88 hospitals, 135 continuing care facilities, 17 clinically integrated networks, 136 urgent care locations, and 24 PACE center locations.  Across the footprint of 26 states, Trinity Health employs 123K colleagues and 8.3K employed physicians and clinicians. Nearly 26.6K affiliated physicians are members of the medical staff. To find out more go to:  www.saintalphonsus.org

 ABOUT INTERMOUNTAIN HEALTH

Intermountain Health operates multiple medical facilities in Idaho, including Saltzer Health. Intermountain is a nonprofit system of 33 hospitals, 385 clinics, medical groups with about 3,900 employed physicians and advanced care providers, a health plans division called Select Health and other health services in seven states. Helping people live the healthiest lives possible, Intermountain is committed to improving community health and is widely recognized as a leader in transforming healthcare by using evidence-based best practices to consistently deliver high-quality outcomes at sustainable costs.

 ABOUT UNITED WAY OF THE TREASURE VALLEY

About United Way of Treasure Valley – Since 1928, United Way of Treasure Valley has been improving lives by mobilizing the caring power of our community to advance the education, health, and financial stability of every person in the Treasure Valley. www.unitedwaytv.org

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Media Contacts

FOR IMMEDIATE RELEASE

 Caldwell, Idaho – Southwest District Health officials note the number of reported cases of syphilis remains high in its six-county region in the wake of Central District Health (CDH) declaring an outbreak of syphilis in Public Health District 4 today.

Southwest District Health declared an outbreak of syphilis in 2021 after case numbers showed a 5-fold increase between 2018 and 2021. In 2018, SWDH identified 14 syphilis infections. In 2021, SWDH saw the number of reported cases grow to 70, the highest in SWDH reported history. In 2022, SWDH continued to have higher than historical number of infections with a total of 64 syphilis cases reported.

“Syphilis is a sexually transmitted infection (STI) that can have serious health consequences if left undetected and untreated.” said Ricky Bowman, SWDH Public Health Preparedness and Epidemiological Response (PHEPER) Manager. “This continued increase in reported case numbers shows the need for increased awareness of the potential for syphilis transmission among all ages and populations,”

Symptoms of syphilis can include sores, rash, fever, and swollen lymph nodes. Some people with syphilis experience no symptoms. If left untreated, syphilis can cause vision or hearing loss as well as other neurological complications.

In addition, pregnant individuals should consider the risk of congenital syphilis, which occurs when a pregnant person with syphilis passes the infection to the unborn baby. Congenital syphilis can result in stillbirth, early infant death or long-term health problems for the child. All pregnant individuals should be screened for syphilis at their first prenatal appointment and potentially again before delivery to ensure there is no risk of congenital syphilis.

Safer sexual practices, along with regular testing for STIs (that include syphilis and HIV) and rapid treatment for infection, are an important part of maintaining overall health and well-being. More information about risk reduction strategies is available from your medical providers or at www.cdc.gov/std/prevention. Along with limiting the number of sexual partners and routine STI screening, condoms are a recommended method for reducing the risk of syphilis transmission. Free condoms are available for Idaho residents at www.onecondoms.com/pages/idaho. If you want to be tested for syphilis or HIV, please ask your provider. Syphilis and HIV tests are typically done through a blood draw.  For more information about syphilis and local trends visit  https://swdh.id.gov/healthy-living/epidemiology/#1509121423688-011048e4-e1f1.

About Southwest District Health

SWDH, Public Health District 3, is one of seven public health districts within the state of Idaho and serves the counties of Adams, Canyon, Gem, Payette, Owyhee, and Washington. With a vision of A healthier Southwest Idaho, SWDH’s emphasis is to promote the health and wellness of those who live, work, and play in Southwest Idaho.

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Media Contact

Katrina Williams, Management Assistant
Office: 208-455-5317
Katrina.Williams@phd3.idaho.gov | https://swdh.id.gov/news/

FOR IMMEDIATE RELEASE

CALDWELL, IDAHO – Southwest District Health officials announced the first reported flu-related death of the 2022-2023 flu season in the 6-county region it serves. The flu-related death was a male, over 65, from Canyon County.

“Influenza activity is on the rise in Southwest Idaho, but there is still time to protect yourself by getting the flu vaccine,” said Ricky Bowman, Program Manager for Southwest District Health. “Many people with influenza recover after a few days of discomfort, but some people may develop serious complications. Idaho has averaged 45 reported flu deaths each year over the past 5 seasons, with the majority being over the age of 65. This unfortunate incident serves as a gentle reminder to get vaccinated as soon as possible,” he said.

The flu is a respiratory illness caused by the influenza virus and is easily passed from person to person. It is primarily transmitted by the sneeze or cough of an infected person or by contact with contaminated surfaces. Typical flu symptoms include fever, head and body aches, fatigue, cough, and sometimes a sore throat and runny nose. If you are only mildly ill, you should not go to the emergency room. If you have flu symptoms and are considered high risk for complications and have questions about your illness, call your health care provider. If you experience emergency warning signs of flu, some of which are listed below, you should go to the emergency room.

In children

• Fast breathing or trouble breathing
• Bluish lips or face
• Chest pain
• Severe muscle pain (child refuses to walk)
• Dehydration (no urine for 8 hours, dry mouth, no tears when crying)
• Fever above 104°F
• In children less than 12 weeks, any fever
• Fever or cough that improve but then return or worsen

In adults

• Difficulty breathing or shortness of breath
• Persistent pain or pressure in the chest or abdomen
• Persistent dizziness, confusion, inability to rouse
• Not urinating Severe muscle pain or weakness
• Fever or cough that improve but then return or worsen

This list is not all inclusive. Review CDC’s list at https://www.cdc.gov/flu/treatment/takingcare.htm and consult your medical provider for any other symptom that is severe or concerning. There are treatments for influenza, please call your provider to determine if treatment would be right for you.

Centers for Disease Control and Prevention (CDC) recommends a flu vaccination for everyone six months of age and older. An annual flu vaccination is the first and most important step in protecting against flu and its potentially serious complications—especially for those who are at greater risk for serious illness. People at high risk of severe outcomes include people with chronic underlying medical conditions such as asthma, diabetes, heart disease, or neurological conditions; pregnant women; those younger than five years or older than 65 years of age; or anyone with a weakened immune system. A full list of high-risk factors is available at https://www.cdc.gov/flu/highrisk/. Healthy people should also be vaccinated to protect these vulnerable populations.

Bowman says it takes about two weeks after vaccination for the body’s immune system to fully respond. For more information on the flu vaccine and to determine if it is right for you or your child, follow up with your provider or pediatrician.

In addition to getting vaccinated, Bowman suggests taking everyday preventive actions to protect you and your family during flu season.

These include:

• Stay home from work or school when you are sick. Keep your distance from others to protect them from also getting sick. In turn, avoid people who appear sick.
• Wash your hands often. If soap and water are not available, use an alcohol-based hand rub.
• Avoid touching your eyes, nose, and mouth until you have washed your hands.
• Cover your nose and mouth when sneezing or coughing. Do not share eating utensils, drinking glasses, towels, or other personal items.
• Refrain from visiting a nursing home if you have flu-like symptoms.
• Get plenty of rest, exercise, manage your stress, drink plenty of fluids, and eat nutritious foods.

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Media Contacts

Ashley Anderson    Ashley.Anderson@phd3.idaho.gov

Katrina Williams     Katrina.Williams@phd3.idaho.gov

FOR IMMEDIATE RELEASE

Southwest District Health notes increase in RSV cases;  
encourages RSV and flu illness prevention and common sense 

Southwest District Health (SWDH) officials have noted an increase in the number of RSV cases in our area and encourage individuals to be aware of the signs and symptoms of RSV and other respiratory illnesses and to take preventive measures to keep themselves and their families healthy during the upcoming holiday season. Some hospitals and healthcare organizations around the nation report maxed out hospital capacity and overrun emergency departments due to RSV. Now is the time to take precautions and know how you can prevent becoming ill and how to protect others in your family if you do become ill.

“Case trends for RSV activity in our area will change quickly as cases usually peak between December and February,” said Josh Campbell, SWDH Family and Clinic Services Division Administrator. “We want everyone to use common sense to know when to go and when to stay home this season, especially as we enter the holidays.”

Some of the ways you can help prevent becoming ill with RSV and flu include:

• Cover coughs and sneezes
• Wash hands frequently and correctly (with soap and water for 20 seconds)
• Avoid sharing cups and eating utensils with others
• Avoid touching your face with unwashed hands
• Avoid close contact with sick people
• Stay home when sick
• Consider wearing a mask if you need to be in public
• Clean and disinfect surfaces such as doorknobs and countertops frequently
• Get the flu vaccine – Everyone 6 months and older are eligible for the flu vaccine
• Practice healthy habits such as eating whole nutritious foods, exercising, and socializing

RSV is a common virus that usually causes mild, cold-like symptoms in adults. Most children can be treated at home and will recover in a week or two but some individuals may be at higher risk for severe illness that could require hospitalization. Infants less than six months old, those born prematurely, children six months to 2 years of age with chronic lung or heart disease, or immunocompromising conditions, and older individuals especially over the age of 65, may be at risk of severe illness from RSV. Those with higher risk of severe illness should avoid contact with sick people or settings, such as childcare centers, where RSV may easily spread. Individuals having difficulty breathing, trouble eating or drinking due to rapid breathing, or those with worsening symptoms, should contact their healthcare provider.

RSV can be spread when an infected person coughs or sneezes sending virus containing droplets into the air, where they can infect a person who inhales the droplets. Direct contact with the virus can occur, for example, by kissing the face of a child with RSV. Indirect contact can occur if the virus lands on a surface, such as a doorknob or table, that is then touched by other people who touch their eyes, mouth, or nose before washing their hands. Most commonly, people with RSV are contagious for three to eight days and may be contagious 1 or 2 days before they show signs of illness. Being infected with RSV once does not make you immune and reinfection does occur.

Though there is no vaccine for RSV, flu vaccinations are available at SWDH. Call (208) 455-5300 to schedule your appointment. Join SWDH in becoming Healthier Together. Check out the programs SWDH offers to help your family be their healthiest including Women, Infants, and Children (WIC) at https://swdh.id.gov/healthy-living/about-contact-info/. Also, you can stay up to date with healthy living updates from SWDH when you subscribe to our every other month “Healthier Together” newsletter. Click HERE to Subscribe!

For more information, visit the below links:

• https://www.cdc.gov/rsv/about/prevention.html
•  https://healthandwelfare.idaho.gov/health-wellness/diseases-conditions/respiratory-syncytial-virus
• To view Idaho RSV data:https://www.gethealthy.dhw.idaho.gov/resp-synct.
• To learn more about RSV, please visit: https://www.cdc.gov/rsv/index.html

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Media Contacts

Southwest District Health:

Ashley Anderson    Ashley.Anderson@phd3.idaho.gov

Katrina Williams     Katrina.Williams@phd3.idaho.gov

FOR IMMEDIATE RELEASE

Human West Nile Virus Case Identified in Canyon County
Health Officials Encourage Taking Precautions

CALDWELL, IDAHO – West Nile virus has been confirmed in a Canyon County resident. This is the first 2022 human case of West Nile virus (WNV) infection in the counties served by Southwest District Health.

West Nile virus (WNV) is a potentially serious illness that is usually spread to animals and humans through the bite of an infected mosquito. It does not spread from person-to-person. Most people infected with the virus do not show symptoms, although more severe symptoms may occur, especially in individuals older than 60. People with symptoms may experience fever, headaches, body aches, fatigue, nausea, vomiting, and sometimes swollen lymph glands or a skin rash typically occurring 2 to 14 days after the bite of an infected mosquito.

“About one in 150 people infected with WNV develop severe illness such as encephalitis (inflammation of the brain), or meningitis (inflammation of the linings of the brain and spinal cord),” said Ricky Bowman, Program Manager for Southwest District Health. “These more severe infections are marked by a rapid onset of a high fever, headache, neck stiffness, body aches, disorientation, and tremors, and may require hospitalization” he said.

Measures to lessen the chance of bites from infected mosquitos are underway in Canyon County. “Surveillance and control measures throughout the county have already been increased in response to several previous West Nile virus positive mosquito samples,“ said Jim Lunders, Director of Canyon County Mosquito Abatement District.

The more time you spend outdoors, the higher your chances are that you could be bitten by an infected mosquito. To reduce your risk of contracting WNV you should:

• Avoid outdoor activities between dawn and dusk when mosquitoes are most active and feeding
• Wear long sleeves, pants, and loose-fitting clothing if you must be outside between dawn and dusk
• Use insect repellent containing DEET, Oil of Lemon Eucalyptus, IR3535 or Picaridin (follow manufacturers’ instructions) when outside. In addition, certain products containing permethrin are recommended for use on clothing, shoes, bed nets, and camping gear.
• Remove mosquito breeding sites by draining standing water from flowerpots, buckets, barrels, pool covers, and wading pools. Water held for seven days can produce mosquitoes.
• Avoid over irrigating your lawns, gardens, and pastures
• Change the water in pet dishes and replace the water in bird baths and watering troughs at least twice weekly.
• Drill holes in tire swings or old tires so water drains out.
• Vaccinate your horses against West Nile virus.
• Notify the District at 208-461-8633 if you have a site that is too large to be eliminated so it can be properly treated.

West Nile virus does not usually affect domestic animals, such as dogs and cats, but it can cause severe illness in horses and certain bird species. There is no human vaccine available but there are vaccines available for horses. People are advised to vaccinate their horses to protect them against WNV.

For more information on WNV please visit:

• Southwest District Health Epidemiology at https://swdh.id.gov/healthy-living/epidemiology/
• Idaho West Nile virus information and surveillance data at: https://healthandwelfare.idaho.gov/health-wellness/diseases-conditions/west-nile-virus
• Canyon County Mosquito Abatement District at https://www.2cmad.org/
• Centers for Disease Control and Prevention at cdc.gov/westnile

For more information on insect repellents, please visit: https://www.epa.gov/insect-repellents

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Media Contacts

Southwest District Health:

Ashley Anderson    Ashley.Anderson@phd3.idaho.gov

Katrina Williams     Katrina.Williams@phd3.idaho.gov

Canyon County Mosquito Abatement District:

Jim Lunders           jlunders@2cmad.org