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'~*R COUNTY OF'BUTTE. STATE OF.CALIFOF2MIA
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LIFE THREATENING ILLNESS PbLICY
WHEREAS, Butte County recognizes that employees with
life-threatening illnesses, or those perceived to have a life
threatening illness, including but not limited to cancer, heart
disease or AIDS, may wish to continue to work, as their condition
permits, and supports their right to work so long as they meed
acceptable performance standards and so long as medical evidence
indicates their condition poses no threat to themselves or others,
and further indicates that the employee is physically and mentally
able to perform the essential functions of the fob; and
WHEREAS, Butte County also recognizes that it serves
clients who may have a life-threatening illness, and supports the
afflicted client's right to County service; and
WHEREAS, Butte County has an obligation to provide a safe
environment for all employees and clients and expects all of its
employees to be sensitive to these issues; and
WHEREAS, Butte County recognizes that an afflicted
employee may be limited as to the work they can contribute within
a department, and that confidentiality of the affliction is a
concern.
NOW, THEREFORE BE IT RESOLVED that the Board of
Supervisors hereby adopts this resolution which includes the
following life threatening illness policies:
1. Employee with life threatening illness golicy
(Exhibit I)
2. Client with life threatening illness policy
(Exhibit II)
3. Employee Educational Program Concerning Life
Threatening Illness (Exhibit III)
PASSED AND ADOPTED by the Board of Supervisors, County
of Butte, State of California, this 19th day of June ~,ggO
by the following vote:
AYES: Supervisors McInturf, Dolan, Fulton & Chairman McLaughlin
NOES : None
ABSENT: Supervisor Uercruse
NOT VOTING: None
~C `
ED McLAUGHLIN, hairman of the
Butte County Board of Supervisors
ATTEST:
WILLIAM H. RANDOLPH, Chief Administrative
Officer and Clerk f the Board
BY:
Exhibit I
Butte County Policy
Regarding
Employees with Life-Threatening Illnesses
Stat_e__ment of Philosophy
Butte County recognizes that employees with Life-threatening
illnesses, ar those who are perceived to have a life-threatening
illness, including but not limited to cancer, heart disease or
AIDS*, may wish to continue to engage in as many of their normal
activities, including work, as their condition permits. As long
as these employees are able to meet acceptable performance
standards and medical evidence indicates their conditions pose no
threat to themselves or others and that the employee is physically
and mentally able to perform the essential functions of the fob,
Butte County will support the affected employee's right to work.
At the same time, Sutte County also recognizes that it has an
obligation to provide a safe environment. Every precaution should
be taken to ensure that an employee's condition does not present
a health, security, and/or safety threat to County employees,
clients** or others.
Butte County expects all of its employees to be sensitive to
these issues, and to make every effort to treat employees
consistent with this philosophy and the following guidelines:
* AIDS - Acquired Immunodeficiency Syndrome (includes
any person who has AIDS Related Complex (ARC) ar is
seropositive with Human Immunodeficiency Virus HIV)
as defined by the Centers for Disease Control).
** Client - a member of the public who is requesting
ar receiving services from Butte County and as
appropriate, may include, an individual of the
detention or correctional facility,
General Guidelines
Consistent with the above, Butte County adopts the following
guidelines:
Confidentiality
1. An employee's health condition is personal and private, and
reasonable precautions should be taken to protect information
regarding an employee's health condition. Communications
regarding the affected employee's health condition, to the
extent known, shall be restricted to those with a demonstrated
job-related need-to-know.
2. Butte County understands that employees and supervisors may
have questions and concerns when dealing with an individual
who has a life-threatening illness; therefore. resources are
available through the County Public Health Department and
Employee Assistance Program.
Equal Treatment
3. Employees or job applicants who have a life-threatening
illness may be covered by laws and regulations that protect
them against discrimination on the basis of disability.
Questions by management relating to an employee's or job
applicant's status as a disabled person should be directed to
the Personnel Department for consideration.
4. Transfers of employees with life-threatening illnesses shall
be made in accordance with the Butte County Personnel Rules,
and/or labor and union agreements.
~. Any transfers of co-workers of an employee with a life-
threatening illness shall be made in accordance with County
Personnel Rules and/or labor and union agreements. Where it
has been determined that continued presence of an employee
with a life-threatening illness poses no health, security or
safety risk to co-workers, clients or others, transfers will
not be granted on the basis of a perceived health, security,
or safety risk.
Benefits
6. Employees with life--threatening illnesses, provided that they
are otherwise eligible, are entitled to all County provided
benefits including coverage under the County's sick leave
plan. In addition, confidential consultation regarding
employee benefits may be obtained through the County's
Personnel Department.
T. The County, through its Public Health Department and Employee
Assistance Program, will provide access to agencies which
offer supportive services to employees and their household
members who may be affected by a life-threatening illness.
Management
8. Tf the job performance of an employee with a life-threatening
illness is a concern, management should contact Personnel for
assistance; decisions will be made in accordance with Butte
County Personnel Rules and/or labor and union agreements.
9. The Personnel Department should be contacted to determine if
a statement should be obtained from the employee's attending
physician that continued presence at work will pose no threat
to the employee, ca-workers or clients.
10. Reasonable accommodations will be made to modify the affected
employee's duties or work conditions consistent with the
business needs of the particular County department.
Determination shall be made an a case-by-case basis, in
conference with Risk Management, Persannel, and the County
Counsel.
11. If it is necessary to temporarily increase a department
complement in order to hire a replacement ar partial
replacement for an employee who is on paid sick leave or
reduced hours due to a life-threatening illness, the
department head shall contact the Chief Administrative
Officer. The CAO may approve or disapprove such a temporary
complement increase.
For assistance in adding a temporary employee, the department
should contact the Personnel Department. Such a temporary
increase in complement will continue at the discretion of the
departmentts appointing authority or Chief Administrative
Officer.
12. Each department may develop specific guidelines to address
needs specific to its department not already addressed by the
policy. Such guidelines shall be consistent with this policy
and shall be developed in consultation with Risk Management
and the Persannel Department.
Of Nate
This policy statement and guidelines are based on the most
current and generally accepted medical information and are subject
to an-going revision.
~Xn;n;t zz
Butte County Policy
Regarding
Clients with Life-Threatening Illnesses
State of Philoso h
Butte County recognizes that it provides services to clients*
who may have a life-threatening illness, or those who are perceived
to have a Iife threatening illness including but not limited to
Dancer, heart disease or AIDS**. The County supports the affected
client's right to County services. If necessary, in consideration
of the type of services sought, reasonable safeguards may need to
be used in order to protect either the County employee, the client
or others.
At the same time, Butte County also recognizes that it has an
obligation to provide a safe environment for a11. Every precaution
should be taken to ensure that a client's condition does not
present a health, security, or safety threat to County employees,
clients or others.
Butte County expects all of its employees to be sensitive to
these issues, and to make every effort to treat employees
consistent with this philosophy and the following guidelines:
* AIDS - Acquired Immunodeficiency Syndrome (includes
any person who has AIDS Related Complex (ARC} or is
seropositive with Human Immunodeficiency Virus (HTV}
as defined by the Centers for Disease Control}.
** Client - a member of the public who is requesting
or reDeiving services from Butte County and as
appropriate, may include, an individual of the
detention or correctional faDility.
General Guidelines
Consistent with the above, Butte County adopts the fallowing
guidelines:
Confidentiality
1. An client's health condition is
reasonable precautions should be
regarding an employee's health
regarding the affected client'
extent known, shall be restricted
job-related need-ta-know.
E ua1 Treatment
personal and private, and
taken to protect information
condition. Communications
s health condition, to the
to those with a demonstrated
2. Clients who have a life-threatening illness may be covered by
laws and regulations that protect them against discrimination
an the basis of disability. Questions by management relating
to a clients status as a disabled person should be directed
to Personnel and the County Counsel for consideration.
Management
3. Butte County understands that employees and supervisors may
have questions and concerns when dealing with an individual
who has a life-threatening illness; therefore, resources are
available through the County Public Health Department and
Employee Assistance Program.
4. Employees with a jab that brings them into contact with
clients who may have a life-threatening .illness and request
a transfer shall be transferred only in accordance with Butte
County Personnel Rules and/or labor and union agreements.
Transfers will not be granted on the basis of a perceived
health or safety risk.
5. Each department may develop specific guidelines to address
needs specific to its department not already addressed by the
policy. Such guidelines shall be consistent with this policy
and shall be developed in consultation with Risk Management
Personnel and the County Counsel.
Of Note
This policy statement and guidelines are based on the mast
current and generally accepted medical information and are subject
to an-going revision.
exhibit III
Butte County Policy
Regarding
Educational Program far Gaunty Employees
Statement of Philosophy
Butte County recognizes the discovery of any new disease is
a natural cause for public concern. The identification of Acquired
Immune Deficiency Syndrome (AIDS) in 1881 was no exception.
AIDS is unique in that fear of infection is growing among
thane considered at low risk, despite scientific assurance that it
is not an easy disease to catch.
Consistent with this concern for employees or clients with
life-threatening illnesses, Butte County offers the following range
Of re50l1rGe5:
- Management, employee and public education and information
available from the Butte County Health Department's AIDS
Education Project.
- Benefit consultation to assist employees in effectively
managing health, leave and other benefits are available
from the County Employee Assistance Program.
Butte County Board of Supervisors appointed an AIDS Task Force
in 1988 to report on the impact of AIDS in the county.
Recommendation #58 encourages all employers to implement HIV
prevention, education and training for employees, and adopt
policies and procedures to effectively deal with issues related to
HIV disease.
Butte County wi11 make an effort to avoid panic at the
worksite by educating all county employees about AIDS.
General Guidelines
Consistent with the above, Butte County adopts the following
guidelines:
New Employee Brochure
1. A pamphlet will be prepared by the AIDS Education Project and
included in all new employee packets by Personnel.
2. Questions shall be forwarded to the AIDS Education Project at
2885.
Educational_Employee_Programs
3, Educational programs about HTV Disease wi11 be provided to
Butte County employees during August, September and October
1990. The programs should be mandatory and the priority of
training determined according to the employer's likelihood of
exposure to AIDS in the workplace, or need for knowledge of
the disease in order to perform the jab.
Group 1 Employees in this group need knowledge of the
disease to perform their jobs. The educational plan
would include an overview as we11 as identification
of local resources (approximately 1 hour},
Group 2 Employees in this group may be unknowingly working
with people with HTV Disease. The education plan
will include the use of universal grecautions
(approximately 2 hours),
Group 3 These people are less likely to be physically
exposed during the course of their work; however,
basic knowledge of the disease is necessary to
perform their jobs {approximately 1-1/2 hours}.
Group 4 In this group there is little risk far exposure
during work, nor is detailed knowledge essential to
perform their job. However basic knowledge is
needed in the event an employee in one of these
departments should acquire AIDS. The educational
plan would include a 1 hour program.
Grou in s for Educational Pro rams
4. Programs will be scheduled for each group consecutively.
Group I
Board of Supervisors
Management Council
County Administrator
County Counsel
Risk Management
Personnel
Superior & Municipal Court
Gra.__..~I?
Public Health
Mental Health
Sheriff-Coroner
Probation
Juvenile Hall
Social Welfare
Public Guardian
Group III
Veterans Service
Public Works
District Attorney
Building & Grounds
Group IV
Agricultural
(Weights & Measures}
Air Pollution
Assessor
Auditor-Controller
Central Services
Civil Disaster
County Clerk-Recorder
Libraries
Elections & Registrations
Farm do Home Advisors
Planning
Purchasing
Treasurer-Tax Collector
Of Note
This policy statement and guidelines are based on the most
current and generally accepted medical information and are subject
to on~-going revision.