The Spokane Regional Health District plans to make minor cuts in staffing that will have a major impact on several public health programs. The district plans to downsize by the equivalent of 2.6 full-time positions between now and July 1, saving itself $62,800 out of a $22 million operating budget, Health Officer Dr. Kim Thorburn said. Because the staff already was spread thin, the reductions will mean elimination of several programs, including a drowning-prevention coalition, an effort to improve the sanitary conditions of restaurants, and a program that helps women and children in needy families. Programs that help foster children and improve the nutrition of the elderly will be reduced, she said.