To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: RATIFY execution of Grant Amendment #28-706-30 with Public Health Foundation Enterprises, Inc. (dba Heluna Health)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
RATIFY the Health Services Director, or designee’s, October 22, 2025 execution of Grant Amendment #28-706-30 with Public Health Foundation Enterprises, Inc. (dba Heluna Health), a nonprofit corporation, amending Grant Agreement #28-706-29, to increase the amount payable to the County by $75,964.63, from $147,034.44 to a new amount not to exceed $222,999.07 for participation in the California Emerging Infections Program (EIP) for the period from September 1, 2024 through August 31, 2025.
FISCAL IMPACT:
Approval of this Grant Amendment will result in receipt of an additional amount not to exceed $75,964.63 in funding by the Food and Drug Administration Grant for the Emerging Infections Program through the Public Health Foundation Enterprises, Inc. (No County match required)
BACKGROUND:
The National Antimicrobial Resistance Monitoring System (NARMS) for Enteric Bacteria was established in 1996 to monitor bacterial resistance, specifically, the resistance among Salmonella and other enteric bacteria. The 17 participating state health departments forward every tenth human Salmonella isolate to Center for Disease Control (CDC) for antimicrobial susceptibility testing.
The CDC is requesting that additional EIP sites participate in the study of foodborne bacteria. Such bacteria is not uncommon and often is associated with the use of antimicrobial agents in food animals, especially in retail food. This study will assist in generating a database that may be utilized to augment the development of intervention programs to stem the high prevalence of antimicrobial resistance in the meal and poultry food supply. The goal of the study is to determine the prevalence of antimicrobial resistance among Salmonella, Campylobacter, E.coli and enterococci isolated from a sample of chicken, ground turkey, ground beef and pork chops purchased from selected grocery stores in the catchment area of the California EIP FoodNet site. This will include samples collected from Contra Costa, Alameda and San Francisco County retail grocery stores.
On December 3, 2024, the Board of Supervisors approved Agreement #28-706-29 with Public Health Foundation Enterprises, Inc. (dba Heluna Health) to pay County an amount not to exceed $141,065 for participation in the California EIP Program for the period September 1, 2024 through August 31, 2025. This agreement includes mutual indemnification and limitation of liability provisions.
Ratifying the execution of Grant Amendment #28-706-30 will allow County to receive additional funding to support the EIP Retail Foods Project, through August 31, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this Grant Amendment is not ratified the County will lose funding in an amount up to $75,965 for the EIP Retail Foods Project.