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Whatcom County Council as Health Board

WHA-CON-HLT-2025-10-28 October 28, 2025 Public Health & Safety Committee Whatcom County
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The Whatcom County Council as Health Board convened for a joint meeting with the Public Health Advisory Board (PHAB) featuring major leadership announcements and comprehensive updates on opioid response efforts. Health Department Assistant Director Charlene Ramont introduced Champ Thomaskutty, the new Health Department Director, who officially started on October 27, 2025, ending months of interim leadership. The meeting highlighted significant progress in opioid response programs despite ongoing challenges, with overdose deaths declining but still running double the national average. The session featured extensive data on opioid trends showing Whatcom County overdose deaths peaked in 2024 and are now declining from 12 deaths per month at peak to approximately 7 per month currently. Approximately 80% of deaths involve fentanyl, often mixed with methamphetamine. The county is implementing multiple intervention strategies including expanded medication-assisted treatment, street medicine teams, and overdose response pilots. A major focus centered on opioid settlement funds, with Whatcom County receiving $5.8 million over 18 years (roughly $350,000-450,000 annually) from pharmaceutical litigation. The county has strategically leveraged these funds to secure additional grants, maximizing impact while maintaining required public transparency in spending decisions. The meeting concluded with presentations from four community-led health initiatives demonstrating innovative approaches to addressing rural healthcare gaps, aging in place, and community health equity. These locally-driven programs serve as models for addressing health disparities in geographically isolated or underserved areas.

All four agenda items were presented for information only with no formal votes taken: **AB 2025-734 (Health Director Update):** Presented new leadership announcement and departmental highlights including budget cuts of $1 million from general fund draw, primarily through vacant position elimination and operational reductions. **AB 2025-736 (PHAB Update):** Presented board's annual retreat findings and priority identification, including emphasis on vital conditions framework and community health improvement planning. PHAB reported 4 current board vacancies out of 21 re…

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**Opioid Response Strategy:** Dr. Lelonek presented data showing Whatcom County overdose deaths remain approximately double the national average (around 40 per 100,000 versus 21 nationally) despite recent declines. The county's response includes medication for opioid use disorder (MOUD) programs, street medicine teams, and naloxone distribution. Approximately 75% of overdose deaths occur among housed individuals, challenging assumptions about the crisis being primarily a homelessness issue. The fentanyl-methamphetamine combination presents treatment challenges as evidence-based methamphetamine interventions remain limited. **Settlement Fund Allocation:** Kari Holley detailed how Washington State's $1.1 billion settlement from pharmaceutical companies splits 50-50 between state and local governments. Whatcom County's share totals $5.8 million over 18 years, requiring public spending processes and adherence to approved intervention strategies. The county has …
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**Health Department Leadership:** Champ Thomaskutty expressed enthusiasm for joining the community and continuing collaborative work, while Charlene Ramont highlighted staff accomplishments and successful adaptation to budget constraints. **PHAB Members:** Christine Espina emphasized commitment to serving as a bridge between community and health services, with focus on vital conditions framework and community health assessment priorities. **Dr. Meg Lelonek:** Stressed the importance of viewing overdose statistics as people rather than numbers, sharing personal experience witnessing addiction impacts in her dual role as health officer and practicing physician. **Community Health Initiative Leaders:** Dr. Gabriel Durbi…
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**Dr. Meg Lelonek, on personalizing overdose data:** "When we talk about the deaths in the community, for me, this is often a really personal thing... I have witnessed firsthand deaths among people that I knew and loved, among my patient population." **Christine Espina, on PHAB's role:** "As a board, we renewed our commitment to fulfill our role and responsibility to serve as a bridge between our community, the county's public health services and the Board of Health." **Bob Anderson, on hea…
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**November 5:** Supplemental budget request coming to Council including dedicated fund establishment for opioid settlement funds to ensure compliance with public spending requirements. **Ongoing:** PHAB regular meeting next week to evaluate past year accomplishments and plan future priorities, including continued board recruitment for 4 vacant positions. **2026 Planning:** Opioid settlement spend plan priorities include coalition prevention strategies, substance use and me…

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**Leadership Transition:** Whatcom County Health Department now has permanent leadership for the first time in months with Champ Thomaskutty's arrival, ending Charlene Ramont's interim director role. **Opioid Response Evolution:** Data shows peak overdose period has passed, with monthly deaths declining from 12 to approximately 7, though levels remain concerning and significantly above national averages. **Settlement Fund Strategy:** County has established pattern of leveraging settlement funds to secure additional grants rather th…
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--- ## 🏛️ **Module 1: Meeting Overview & Metadata** **Meeting Details** - **Date:** Tuesday, October 28, 2025 - **Time:** 10:05 AM - 12:04 PM - **Duration:** 1h 59m - **Type:** Joint Health Board/Public Health Advisory Board Meeting - **Format:** Hybrid (In-person at County Courthouse + Virtual) - **Chair:** Jon Scanlon, Health Board Chair **Board Composition** - **Health Board (County Council):** All 7 members present - Barry Buchanan, Tyler Byrd, Todd Donovan, Ben Elenbaas, Kaylee Galloway, Jon Scanlon, Mark Stremler - **Public Health Advisory Board (PHAB):** 13 members present (5 absent) **Agenda Items** 1. Update from the Health Director 2. Update from the Public Health Advisory Board Chair and Vice Chair 3. Update from the Health Officers on the Opioid Response Plan 4. Presentation on locally-led health initiatives **Key Announcements** - New Health Department Director Champ Thomaskutty started October 27, 2025 - Council testing new live captioning feature for accessibility - Four community presentations scheduled for locally-led health initiatives **Meeting Significance** This joint meeting represents the collaborative governance structure of Whatcom County's public health system, bringing together elected officials and community advisory board members to review department operations, policy initiatives, and innovative local health programs. --- ## 🏥 **Module 2: Health Department Leadership & Operations** **New Leadership Introduction** Charlene Ramont, Assistant Director, announced that **Champ Thomaskutty** began his role as Health Department Director on October 27, 2025. Thomaskutty, an epidemiologist with 10 years of administrative experience, expressed enthusiasm about joining the Whatcom County community and continuing the department's public health mission. **Key Staffing Updates** - **Greg Ituria** started as new Financial Services Manager one month prior - Brings extensive experience as budget director and finance manager from multiple California counties - Department successfully weathered interim leadership period under Ramont's guidance **Budget Adjustments** The department addressed mid-biennium budget requirements by: - Reducing general fund draw by $1 million as requested - Eliminating vacant positions - Reducing non-personnel operating expenditures - Maximizing restricted dollars before using unrestricted funds **Program Highlights** - **Refugee Health Navigation:** Supported 147 clients January-August 2025 with hea…
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### Meeting Overview The Whatcom County Council met as the Health Board on October 28, 2025, in a joint session with the Public Health Advisory Board. The 2-hour meeting featured updates from health department leadership, discussion of opioid response efforts, and presentations from four locally-led health initiatives addressing healthcare access in rural and underserved communities. ### Key Terms and Concepts **Public Health Advisory Board (PHAB):** A 21-member volunteer board that serves as a bridge between the community, county health services, and the Board of Health. Currently has 4 vacancies and operates under the vital conditions for health framework. **Medication for Opioid Use Disorder (MOUD):** Treatment using medications like buprenorphine to reduce overdose risk by half and help people recover from opioid addiction. Being expanded in EMS, emergency departments, and hospital settings. **Naloxone (Narcan):** An opioid overdose reversal medication now included in basic CPR training. The county distributed 2,490 doses through community boxes and 2,990 through their Safety and Support Program in 2025. **Street Medicine Team:** Public health team consisting of nurse Ashton Mott and behavioral health specialist Amanda Leninga who provide outreach services at encampments, permanent supportive housing, and respite beds to connect people with treatment. **Opioid Settlement Funds:** Money recovered from litigation against pharmaceutical companies. Whatcom County will receive $5.8 million over 18 years (about $350,000-$450,000 annually) for prevention and treatment programs. **Public Hospital Districts:** Locally-controlled health entities formed by community vote with elected commissioners. There are 57 in Washington State, including Point Roberts and Skagit County's United General District #304. **Vital Conditions for Health:** Framework focusing on civic muscle, belonging, transportation, basic needs, environment, economic opportunity, humane housing, meaningful work, lifelong learning, and thriving natural world. **Health Equity Zones:** Community-driven initiatives to address health disparities. East Whatcom County is one of three pilot zones in Washington State, with a community advisory board and youth participation starting at age 14. ### Key People at This Meeting | Name | Role / Affiliation | |---|---| | Jon Scanlon | Council Member / Health Board Chair | | Champ Thomaskutty | New Health Department Director (started October 27) | | Charlene Ramont | Assistant Health Director / Former Interim Director | | Christine Espina | Public Health Advisory Board Chair | | Dr. Meg Lelonek | Co-Health Officer | | Kari Holley | Opioid Prevention Specialist | | Dr. Gabriel Durbin | Whatcom Mobile Medicine | | Bob Anderson | Lummi Island Health and Wellness |…
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