Report 2018-116 Recommendation 6 Responses

Report 2018-116: San Diego's Hepatitis A Outbreak: By Acting More Quickly, the County and City of San Diego Might Have Reduced the Spread of the Disease (Release Date: December 2018)

Recommendation #6 To: San Diego, City of

To ensure that the city is sufficiently aware of future disease outbreaks and other public health concerns that affect its residents and that it can take appropriate action to protect the public health of its residents, the city should enter into an agreement—such as a memorandum of understanding—with the county or should negotiate revisions in its contract with the county by March 31, 2019, to clarify each entity's roles and responsibilities over public health matters, and to include city leadership in coordinating response efforts when public health matters, such as disease outbreaks, affect the city's residents.

6-Month Agency Response

On March 27, 2019 the City and County entered into a Memorandum of Understanding (MOU) that clarifies roles and responsibilities of public health matters. This was submitted to the State Auditor on April 15, 2019. Thank you,

California State Auditor's Assessment of 6-Month Status: Fully Implemented

60-Day Agency Response

The City and County staff met on February 5, 2019. Based upon the meeting, a draft memorandum of agreement will be prepared by the County and provided to the City by February 15, 2019. There is a follow-up meeting scheduled for February 28, 2019 to review the draft. It is the intent of both agencies to execute the memorandum of agreement by March 31, 2019.

California State Auditor's Assessment of 60-Day Status: Pending

All Recommendations in 2018-116

Agency responses received are posted verbatim.