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AGENDAS 1970 TO 1977
BOARD OF HEALTH AGENDAS 1/ 1970 TO 12/ 1977 M • (fitV of "Salem, 'Mttssarhuse##s , PAztr� of Eealt4 '0� NNTT Praztb �. �c`I�,1l2tY[ .:Aci.�., �LIIMiTY1TFttt "0NF S `�trPP# ' Pi(liam X. � xl�tTnPtT, iJr. Jahn 3_ too - ��IISPIJI� _ Z[chtxrll Sent � January 14 1970 y I. Kaplan, M. D. 194 Lafayette Street Salem, Massachusetts x Jj Dear Doctor: ' The regular meeting of the Board of Health will be held on Tuesday, January 20, 1969 at the'Public Health Center, 5 Broad Street, at 500"'P. M. AGENDA Ala 1. Minutes of previous meeting. ;: r i 2. Census at the.Health Department Hospital. 4s 3. Communications: ' a. Detrick Company Letter in which they offer to. sell' us `^ e^ stainless steel cans for our infringement- baffle for ' $366 per element, FOB shipping point--freight allowed to Salem. b. Letter from Civil Service on`Timothy.Flynn's`transfer in which h, they tell us that they will not allow such transfers,. the: law ` has been changed. Our reply was that we would ,no.t ask for a 's promotional at this time but will wait for the�`,establishment of an eligible list. As far as Mr. Flynn is concerned we will keep -him on his present status, but he will fill in for John Koshgarian without formal change in'•'his 'sCatus. ' ` c. Letter from the department to the Wasserinan;,Laboratory in which we request an examination of the heads of, two ,hamsters which had bitten a student at State College. Thee"reply from' the lab. was negative, but we are continuing the investigatonfor Dr. Rizzone. F" d. Letter to the Superintendent of Schools listing the results of the inspection of the Food Service areas in the public schools. A reply from the School Department in which they assure'us that Mrs. Reardon and Mr. Grabowski have copies of our letter and they will correct the cited problems. Re the Bowditch School Pickering this has been made a part of the 1970 budget, ckeriT i g School most of the suggestions have been,taken care of. . High School. roach control is part of the 1970 budget. At,tthe Phillips School, material will be in the 1970 budget or purchased out of school lunch receipts. Re the Carlton School Mrs. 'Reardon and Mr. Grabowski will attempt to work out the 'problem. Our Inspector will keep in close touch with them in all, of these ' areas., A copy of- the citations are available„to the Board if they wish to see'. them. Page 2, Agenda 1/20/70,; Board Meeting e. Notice to all personnel in the Sanitation Section of the departme to meet with Mayor Zoll at 6:45 A. M. on Monday, January 12th. ----- zr f. Report from Frank Famico on weights, there were 26,446 ton in 196, he includes a clipping in which he notes that the E. C. has been offered an Incinerator and the fee would be about $8.75 per ton. This is exactly about what we are paying. g. Mr. Famico also' put in a recommendation that the Board meet with the Mayor re the transfer of the scale to the Incinerator, with further recommendations that we charge ,, $6.00 per ton to private contractors or collectors. His investigation shows that the scale would cost in the vicinity of twenty to twenty three thousand dollars, installed. At our present tonnage we would collect about $26,000 a year. h. Request from the City Clerk that we file our annual report, in duplicate, no later than April 15, 1970. } i'. Directive from Mayor Zoll that all departments heads submit orders,.'ordinances, or communications to the City Council, no later than 10:00" A:M. on Monday morning preceding council meeting. This directive will be w0ived in extreme emergencies. Directive #2, Mayor Zoll requests that the monthly summary reports of all depart- ment heads be submitted to the Mayor's office no later than the seventh day following the end of the month. k. Retirement Board at City Hall advises that Dan Baty has withdrawn his retirement funds: He is no longer with the department. F 1. Letter from Mrs. William Jeffries requesting, that!her Mother be admitted to -our hospital. ; •'m. Communications on Mental Health re money allocated to them for the Mental Health Clinic. We sent out a survey to the various Health Departments and the replies are as follows: Hamilton---1969 $1228i.00 In budget for 1970 $1250.00! (If voted) Manchester- " 475.00 if " " 875.00 " Topsfield " 875.00 " " " " 1000.00' " Peabody School Dpt. 9,200.00 Danvers 4950.00 " " " 5400.00 Rockport School Dpt. No figures k Middleton 780.00 800.00 " Gloucester 5348.00 5348.00 Marblehead 3000.00 requested, not paiA. 4500.00 requested. Would like financial breakdown. Wenham To be taken up at Town Meeting. ' n. Form letter was sent out to all physicians having patients at our hospital, re- questing that they bring their orders for drugs and' physidal examination records up to date. o. .Letter from Civil Service re examination scheduled for the Supervisory Public Health Nurse position which was to be July 25, 1969, they advise us that nobody took the examination. They request that we advise her if we wish to have a new poster. I will carry on with Civil Service on this. p. Communication from the Division of Medical Care in which they request for the license of the L.P.N. on the different shifts. They also state the name on the application is Health Department Hospital for Chronic Diseases , their title differs. They further request the name of the Chief of Staff, etc. �t I talked with Dr. Kaplan and Dr. . Rubenstein who advised me to see F )CJ✓ Lowd, Jr. at Salem Hospital, Assistant Director and to further advise the Division of Medical Care that the hospital is in he state of change and when it is changed we will let them know. r, µ q. We requested Civil Service for a temporary Hospital Laborer and we assigned - Kim Sam Chin to the job--he will be replaced by John Murray. r. Letter from the law office of Gordon, Sachar, Perlmutter, Tobin and. Shactman in r. which they notify us that they have entered a foreclosure suit against Charles J. McArdle to acquire the properties at 151-153 Rear of North Street Page 3, Agenda Board Meeting. SIP We have considerable trouble with these properties for 3 years to bring up to standard s. Copy of letter to Mrs. Adamo from James Dallas of the Air Pollution Division. She wrote to the Governor complaining about the stack. I talked with Mr. Dallas and he agrees with me that the complaint is not too valid, inasmuch as westerly winds' were not allowing any smoke in her direction in any case. More on this ( r under New Business. 4t. .;.Letter from the Forsyth Dental Center in which they send us the results of 'the test- ing of l00 children, in. the 9 to 11 age group. A like 'study was carried on in the Cape Cod area where the water surply is non fluoridated while Salem is fluoridated. OLD BUSINESS: t A Rodent Control Program: We called Harold Rose and he'"informs us that the Government is .dragging its feet on this at the present time and that he cannot promise us anything in the near future but has an idea that those ,cities who 'did not receive grants before will possibly be the first to get grants` when they are giving them again. B. . _Sea Gulls: I was concerned about seagulls in our dump area and tookf the following steps. I contacted the U.S. Fish and Wildlife Service to send Mr. John Lanier and he and Mr. Cameron worked on the problem and he assured ;us .that the problet wasn't that bad, that he would make this a project, come Spring for the USW to study. If this continues he will attempt to bait the dump with Avitrol, this is ,-,a legal bait which doesn't kill gulls but- will make :them ,il'l and they will avoid the place. Secondly, I have given orders to John Sarnowski to go into two shifts and to burn no more than 10 or 12 charges an hour and to see to it that the ash • emanating� nating from the Incinerator is ash, period. We have. improved our ash quality considerably since. C. John Koshgarian will be out for three or four months, as he has had a heart attack. D. Incinerator, re establishing a dump beyond the brook, we have run into trouble in '' this direction. After investigation I find that the 195 Connector Road to Marblehead, (200 feet from the back end of the Incinerator) will take up almost all of this land that we had planned to acquire. I will have more details on this by meeting time. . E. We have hired Mrs. Christine Pratt as Dietary Consultant for the Hospital at $50 per wb F. North Shore Diner had asked for a hearing but in the meantime they brought themselves up to standard. Mr. Cameron is pleased and we have asked them to withdraw r their request for the hearing. G.,. The transfer of our Mr. Mackey from our department to the Pumping Station has run into some difficulty, same trouble as we had on Timothy Flynn, so he will remain, with us for awhile. H. Meeting, with the Mayor relating to the salary of our Principal Clerk., s ?E!J BUSINESS A. I, Ealked with Mr. Dallas and he informs me that the present bafflesystem that we have is very doubtful of meeting the standards that will be set up and made a matter of law as of July 1, 1970. - Our cans are deteriorating so fasttthat I feel something has to,be done immediately. I contacted Professor Melfin First who is a teacher at Harvard and perhaps the foremost man in this business in this vicinity and . I asked Page 4, Agai da for Board Meeting his advice. He told me that we could go to Electric Procipitators for $75,000. We could go to another scrubber type of arrangement but this would require an ID Fan and this cost would be about $25,000. If we stayed with our own type and purchased new stainless steel cans, plus the installation (about $2,000), of a soda ash feeder, we would be out of the problem for about $10,000. I have asked the professor to come and look the situation over and give me an educated opinion on what we should do and I hope to have something on this by meeting time. ' I have: talked with representatives of the Detrick Company and p y I have passed along . to them the comments of Mr. Dallas and they are to see Mr. Dallas with plana and 'specifications to see if they can prove here that the baffle will meet the upcoming, standards. B. COLLECTION I am enclosing some recommendations for this section. of the!department. r .We can talk about this at the meeting. e C. HOSPITAL INSPECTION; The Inspector cited deficiencies which wimshe assumed ;wereionCurri.nL at the hospital. She seems to insist that our bedpan sterilizers are not sterilizing and wanted us to audoclave all bed pans. This is not done in any hospital that I know of, including Salem Hospital. However, I did have Colin Cameron and Walter Szcer,zbinsk° go down and do swab tests, both on the dishes and the overbed tables and also .the br.dpa: Copies of the results of the tests, signed by Colin in his report to me, are enclosed, B ased uponithe 100 colonies per ML set up by the American Public Health Association and used by' all state and local Health Departments as a test for cleanliness of eatin establishmetns it seems the hospital bedpans are as good as they ,couldtpossibly be,� and as good as the eating utensils in most restaurants. ~? ; Dr. Kaplan and myself went down with Dr. Rubenstein and went over the.;'hospi.tal and h� has agreed to act as a consultant for us and we would like the approval,of the Board to formalize this. He has also said that, for a fee, $5000 was mentioned, that he would act as a consultant for. the construction of a new utility in connection with • Salem hospital. The research would not only consist of advice on construction but ,' also on procurement of jp,ervmne-1, etc. but also the need in this community for a util- ity of this type. Dr. Rubenstein is perhaps the best man in the state of Massachusetts in this field because of his past experience and his knowledge of procurement of bovernment funds, etc. I,am writing a new and comprehensive set•,af policies and procedures for the hospital. .I .These show things set down by the U. S.. Government, Department of Health, Education and Wf,lfare. ; D. Finally,, I attended a meeting with the Mayor at City Hall and the Mayo" cited a number of things that he would like from department heads. lie stressed that service and courtesyishould be the watchword of all personnel. He.would like us to put in a realistic budget, not one that isrpadded to be coat. Ile requested monthly reports and is ;oing to have monthly meetings with department heads. lie is going to insist that all of the employees meet the chain of command, no one ,will be allowed to come to his office without first moing to his immediate super.io7 ' City Hall will he-opened one night a week but' this does not effect this department, His door will be opened for serious complaints. , or problems. lIe may call us at borne in the evening or we may` call him if necessary. He will. talk to .department:^heads on the-budget this week. E. Daniel J. Mackey has requested a .dumpi.ng permit for his area off of White Street.. I informed his that it will come up at this meeting. I _ � • Pane 5 of- Agenda Tor 1 lBoar.d Meet inC. F. Information from Leon Sternfeld, M D. , of the Division of Tuberculosis Control relative to clinic ,policies, these are listed below: tMajor emphasis is being placed on the pr.evention `of tuberculosis through the identification of patients "At Special Giisk" and then ° use of chemoprophylaxis. Accordingly, the Mantcux Tuberculin Test will. be the initial screeninp, test in use at clinics for all peraons not known to be positive reactors. tdith the exception of the Regional Tuberculosis Hospitals, South End Health Unit in Boston, and a fe4 other facilities, the clinics will no longer offer routine chest' X-ray examinations. Chest x-ray examinations in other tuberculosis clinics will he limited to: 1. Known Tuberculosis cases, both active' and inactive. 2. Contacts of active cases. 3. Patients with suspected pulmonary pathology. 4. Positive tuberculin reactors and their associates, 5. Division of Community Operations-Tuberculosis ±Control, Massachusetts Department of Public Health.. Very truly yours, JOHN J. TOOMEY, D.S.C. �. Health Agent JJT/ech ' Photostatic copies to Board Members: ,x , Attorney William L. Mahoney, Jr. Joseph Richard f Ar- VebaUarY 11$ 1910 1. Kapleav, M, D. 194 Laterotte; Streat ,ate 46# Massachusetts Door Donator t The reaular ateting of the fair td of ftalth vill be hold on Tuendaays ` February 17, 1910 .ar, $100 P. K. at the. Health Cout xi a Street. 1. Reoding of ttiaiawtea of last taeting. 2. O*U sUs at Hoalth, HAs-pil tal-44 Path ats ttear yot 101to he siv*s us the Um"s of \. o" Health Hospital Study Comd.tteo and he thank* tho rid for their Offox of ao let a cooperation with big co ttsa-, 2. Letter aG`oti,R 1th Agent to Civil Sorvice' reqwstia \\. qtAlifteatiou of t r4opla oe Clam Operator4anitation Laborer,, !rm Oanitstioa Laborer. Proper poster woo We Ond John McOra and At Bedard waves tho two scaor man qualified 4nd they 414 also. 3. conwateotiOA from Civil Sea tea ttottrl ing user that use Patricia ayam has posaad the qualitylas exatdnotion f' Senior Cl h-Typiat. 4. Commication from Civil trVt t'O acre approval of poster for SuPOOvisi0a IhMic Health Matra. Letter 1zvm Itoolth Agent to Was. G*tpbasil a4vistug her that no one had tokcrk the 6OU'atioa in Juan: 49 9t �W ve suspicted that the jresaaam may We been the meager r as lary. Su1aa'ry vooId be Lacroaged to 490295 if retch in the budgst, so requested tbat they bbid afar on this. until April Ist. Reply fast Mra. Campbell aoyiag abe wOu3.4 tska no action tit She heard frail Letter approving to tovp9raaEryr provisimwl appoint mat o Oarbarls Coughlin at 099,60 a veaakj, this to {Keane May W. 19709 per Civil servim 944son for this is the illnees of ,s. Hill our Cook. x rage 2, Agenda for February 17th W L Board of Health Meeting. 6. Letter from Civil Service in which they requested the type of equipment and the weights. This equipment to be handled by the ten intermittent Heavy Motor Equipment Operators--Sanitation .Leborers that we requested. This Is necessary because we have only two Sonitati.on Laborers at the present time who, are qualified to drive and handle the gquipment. 7. Memo to all Department Meads from Mayor toll: Commencing week ending •Jaeuax'y 312 1970, an explanation has -to be filed by the head of the depart- meat for ariy overtimes in excess,of five hours, 8. ' Memo „frow, Mr. Guerrette to'Heaflth Agent, subject: Uncompleted Mork Assign- went. Mr. Guerrette'states that on February 4th, our rubbish collectors failed to complete 'their daily work. The crew stopped at 3:30 P. M. and did not complete the following streets: ©tie side of, ,Moffatt Road. Six atop$ on Surrey Road Grant ,Road. . Munroe Road , Cleveland Road. Other factors, which should. be noted are: 1. The crew took a thirpy (30) minute coffee break in the A.M. 2. The crew took the hours between .11:00 A.M. to 1:00 P.M. for lunch, Mr. Guerrette has issued a verbal complaint to Union Steward, A. King.. 9. Memo from John Toomey to the-Collection Section suggests hours of work as: . 7;00 A. M. to. .12:00 Noon 1:00 P. M. to 400 P.M. ..Twenty minutes coffee, bleak y Sixty minutes for lunch--12:00 to 11:00 P.M. , , Nonworkers to leave their routes- without first reporting to the foreman. r Each days kirk must be completed. 101. Wmo from' Health' Agent ,to Jahn Sainovs3ki, Incinerator' Foreman, Subject: Overtime: I again,.calL your !attention to the orders of the Board of Health ie: .Overtiaie' shall .be gilve'W at such time as the safety and efficiency of the Incinerator demans. it.. ..That every effort should be made to accomplish repairs, Pr other functions during the, regular working day. In any case no overtime should be given without previous permission of the Healthy Agent". No outside contractors should be engaged without permission of the Agent of the Board of Health: 11. Letter 'from the Division of Natural, Resources relates ,to the collection of it "hard" pesticides, by dropping them at Bradley-Palmer State Park at T9psfield. Apropo of this I called the Chief of the Fire Departmtent and asked him if we could ;assure people that they could •deposit these at Fire Stations in Salem. These to be collected later and transferred to Topefield. . The Chief was very cooperative and a write-up concerning this was in the Salem News on February 10th. 12. Communication from the Commonwealth of Massachusetts, Department of Public Health which outlines the proposed new statute creating health districts throughout the State. This is so extensive that each member will receive a copy. We attended a meeting on this with the North- eastern Board's of health, at which the Commissioner of 'Public Health tried to sell this lawto the local Boards of health. My reaction Page 3, Agenda for Febrwnl 17th hoard of Health meeting, i as a result of the vote taken and than attitude of the varous gourd Members, was very much against the bill. The Sonit+ariarta aria also opposed to the bill and will notify all Hoards of health to this effect. On Thurs:d>ay, February 19th, the Health Officers %All have a meeting to seriously consider this bill. 13. Commanication from the Ate Department of Health, Laboratory Informs us that they are now licensed to manufacture Tetanus Immune Globulin (Human) Serum to combat cases of Tetanus. This may be obtained from them or from ceatzrcrical ,sources. It is for isnss taxis and 'fear move efficient then Tetanus, Antitoxin. It should be used in conjunction with Tetanus Toxcid. The; patient should. be followed serologically ,and the lab would like to be kept informed. Ono drawback to the. biological laboratory's Tetanus Immune Globulin (human) is that the dosage. to 250 uaitsn`axed this is contained in a volume of 6-5 ml, this is quite bulky. arms s 1. The scru..�ern at the ncinerator. I did go ooresr the situation with, Professor First and I provided him with a set of plants and he to at present studying the situation and will make recommendations to us as to what we should do. 2. 1 have ordered a loot"from the Kinnear Corporations far the pit at the Incinerator, cast to be $1,357:00 erected. 3. 1 have talked viith the Vallacc and l earnan cyan about a` Soda Ash Feeder. Before the meet- ing I hope to have figures. - I have a cumber of questions for him: ax. That uses•Soda Ash Feeder will be of benefit to us by retaining the: efficiency of they scrubbers *far a period of years which will balance off the cost of the purchasc of the Soda..Ash Feeder. b. Will it indeed cauue., a corrosion iu itself, which of course would be an alkaline corrosion rather thenn an, acid which we are now getting. In any case I am not going to make .any movors until I hear from the Professor. r. MApitaals I am getting a set of plans back from, the Hospital, Facilities Division which I will give to Jassmerr. B allou, as a part of the work of the Hospital Committee. I have talked with John McC,rthy, who 1sa a Social Worker. Atisetines Pratt to working as Dietary Consultant and we have paid her for one months work. We have a complete set of forms which are up to .date:,. for each patient. The doctors have been most cooperative. I have engaged Or. Harry Freedbuarg to carry out physical ortsmirtati,onsa on all employees at the Hospital and I have arranged with Mrs. Pitman to carry out the arrangements with the doctor and the persaonnel. Mrs. Faircloth has Tine: Tested everyone and the three or four who are positives reactors Will be cheat x-rayed at the North More Pulmonary Clinic. I am working on a new act of ,policias, which i will complete in about a week and present them to the Board. I am also working on a set of bi-laws for the medical staff. I suggest that Dr. K..plan and I work these over and make a report. S. Housing: Because of the illness of John Lowe and now the new illness of Charles Koshgsarian our routine housing inspection has fallen behind. Also, because of our routine housing inspection we are accumulating a tremendous amount of requests for all kinds of housing complaints. We hunt Timothy Flynn on this detail and it keeps hia hussy about all the time. He works Saturday morning also to pick up on calls that we cant make during the week, and also to keep abreast of the rat control program !which we are continuing. I was hoping during the last two weeks to put another mean on, until the Civil Service list was establichc I naked Mr. Johan Ski.aldone, who is currently out of work and seemed like a good roan, to accept this position. He was milling, but because of his being on the Mayor`ts Hospital Committee I didn't want to commit him to anything until 1 talked to the Mayor first. The _ PSe. 4, Agenda for February 17th Board of Health Meeting "Mayor had no objection and vas in favor. Mr. Scialdone`s employer however, informed him that they would like him to continue on the .drab and this is the decision he made and so notified the Mayor. The Mayor then suggested the name of a Mr. LegaUlt and I interviewed him and he appears to be blxright. thought that he should tow before the Board for approval. =Nast 1.11 Route at 33 Barr §treett . This is ready to be taken ca'to of, the last answer from the Attorney in charge of the case was that the only thi.a:ng lKaePiang is two signatures, one fro the Chief of Police and, the other from one of his brothers. Wo gave him a week move to complete this, may be finalized before, the 'meeti:ng. 2. Rbo a"€a st!jurant Oalem 14.illoatv the, last xaam 4iuing of the 'Allow$ restaurants was convi.d+araab y damaged by fire .a tow months ago. I have written him to ask that something be done about crating the ,building. Copies of this letter went to the ]dark Board. in. conversation with Mr. Foley* he assures us that he boon arranged vi:th Mr. Pszea ny► to raze the building naiad incidentally the Park Department Building which has been vacant for at number of years (this is right next to the restaurant). This will be a big. improvement, } 3. School The ever i.ncieaaing demands on School Rcalth 'are beggia down our Nursing progrxam. One of the difficulties in keep'i> up with things is ehe routine. examination of eyes and cars. This examination must be done on all. pupils each year and is very valuable part of the school health and education. With over three thousand pupils in the Parcachi.aal. Schools it tonsumos a lot of Aurses ti . i am going to carry on a dialog with the various principals of the Parochial Schools lao ti.ca:g into. the feasibility of getting knowledgeable Mothers in, than vatic us schools to assume these duties. It vi ll, require som. 'con rereation vrith the Civil. Service, who. at the present time do not have ca title'thaat fits this particular category. I feel. that if there warn one or possibly trra to each school.t these girls could work about two hours a day, and would be paid roughly 03.00 per hour and this evatuation would be cleaned cap in about twenty vooka anch year. All of this would cast us an good deal less them half what :it would cost to hire to technician or put on another nurse. Pca.haaps I will have more information by mating tiul,R Very truly yours, J{31i1•t J. T06 Sy, D.S.C.. Health Agent '001 liayctr Zell , Board Members Attorney William L= Mahoney* Jr. Joseph Ritbo d Councillor's on Public Itea'lth Ceattee; .J. Michael line ,Joseph k. Ingevi* Jr. Joan A. Levesque J �RCR :y .fit,, .� •...= • (gxtg of �$Utent, 'fflttssurhuse##s is) Fourb of pealth P. ginplan, A.�8., (94airmarn rJ �rII� �trPEt al�tt J. Zaame William `�_ �Aflttl�anEg, Jr. Agmt �asEp ' icl�ttrb March 10, 1970 I. Kaplan,. M-. D:,. 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular. meeting of the Board of Health will be held on Monday, March 162' 1970 at 5:00 P. M.-at the Public Health Center, 5 Broad Street. AGENDA 1. Reading of minutes of .previous meeting. 2., Census at Health Department Hospital. 3. 'Cotmmunications: a. Letter from the Municipal Code Corporation in which . r they thank me for the assistance given to them during a conference on Code Ordinances for the City. He says that the Board of Health has so much law and regulation he feels that it might be good for us to have his company codify them. The cost would be $10 a page or $1420. b. Division of Civih Service sends us the flyer for the examination of Sanitarian in the department. They re-- 6)� quest our approval or disapproval. f. ` c. Nomination of a Slaughtering Inspector is requested by the Department of Public -Health. d.. Notice from the Rate Setting Commission setting the new per diem rate for our hospital as $16.66, this is effectiv6.) as of January 1, 1970. They enclose informational material relative to this, and copies are available if you so desire. e. Division of Tuberculosis Control cites the new rate for ' patients at Middlesex San'9torium to be $37.97 per day, our part to be $18.98. "f.' Anther communication from the Division of Tuberculosis F°'•. Control states that chest Xrays are no longer required for registration for barbers. It has been decided that they are j r not,a high risk, and this places an unnecessary burden on +. their pocketbook and on personnel and the facility. A „ barber may get a' Chest Xray, free, at any of the Tuberculosis Clinics,. if he: Has been a Tuberculosis case. b. If he is a contact of an active case. Page 2 Agenda for Board of Health Meeting for March 16, 1970 c. If he is- suspected of any pulmonary pathology. d. A positive Tuberculin reactor. e. A participant in special programs by a local Board of Health. 7. Communication"from Civil Service relating to Francis Mackey, Sanitation Laborer in the department. Mr. Mackey decided he did not want to make the change to the Public Works and this letter gives approval for us to rescind the permanent transfer and to retain him in our department. `8. Letter from the City Clerk to the Health Agent states that the Council Committee /v on Finance will meet in the Council Chamber on Tuesday, March loth, at 7:30 P. ICI. ',Directive from Mayor Zoll in which he says that a representative of the Honeywell Company will study the feasability of an on-site electronic data processing capability for the City of Salem. 10. Routine letter from the State Department of-Public Health, Division of Communicable Dieaase:Control giving the background on the Measles eradication program. It goes from 192512 cases in 19P to 264 cases in 1969. Dr. Fuimara is very pleased that as a consequence of the marked reduction in Measles, its-dreaded complications of encephalitis, mental retardation, convulsive disorders, etc. have almost disappeared. As a personal comment I. might say to you, that our Hearing Clinic, which is run by the State is now rapidly going out of bus ess since this Measles Vaccine has been introduced. In Salem we had 229 cas s in .1965 and 3 in 1966 and no cases reported the last three years. 11. Wrote a letter to SenatorHarrington rrin ton informing him that the Board at 't g g � its regular meeting were opposed to House Bill #2453 and 2454, which would establish regional health districts. 1`2. Letter to Salem Hospital in which we inform them that the Board had unanimously .,.. passed a motion that they go on record as being opposed to the filling in, construction and use of a parking lot over a natural waterway which is a brook (�' . . and flows from Anderson's Pond to Colby Street , Copies of this letter were sent to the Board of Appeal; Planning Board; and the Department of Natural Resources/ 13. Received a reply from Mr. Harrington, Director of Salem Hospital in which h_� informs us that Mr. Sullivan had installed two 4" pipes several years ago. These pipes were installed by Mr. Noble, local contractor and were, at that time, deemed adequate. 14. The Central Building Wrecking Company of Everett, quote a figure of $1790. for demolition of a wood frame structure at 4 Daniels Street Court, E15.. Letter to-Irene' McManus, Director of the Bureau of Hospital Facill ies in which we set forth all of our staff at the hospital. > 16. Another letter to Ms. McManus reporting on some of the work done t the hospital; (copy enclosed). 17. Letter from William McKinnon states that he will be at the meeting. He reports that work is completed at the place is rented at 14 Kosciusko Street, He is ,. presently"working at 26 Daniels Street and within the next few weeks he will go 1 �to 4 Daniels Street Court. OLD BUSINESS: 1., Will call the good doctor today relative to establishing the medical staff rules. F 2. We have notified the physicians on the'staff at our hospital that we are appre- ciative of their cooperation, etc, 3. Richard Legault's papers have been cleared through Civil Service and he started work on Monday March- 2, 1970, z. 4. ... On the Special Employee status, I tried to contact the 'City Solicitor but he is .on vacation and the City Clerk is out sick, may have information by meeting time. Page 3, Board of Health Meet- ��' ing, Agenda 5. Salem Hospital replies to our letter, but Mr. Sullivan seems to be avoiding contact with Mr. Cameron. I have had no report from the Department of Natural Resources, 6. Re condition of 40 Roslyn Street--stairs have been repaired and real progress is being made. 7. Re 33 Barr Street, Mr. Cameron called the lawyer who wrote a letter saying the house. would be sold within three days. Final answer before meeting time. 8. HOSPITAL. We have added another person to our stAff at the hospital, Sophia F. Fowler of Ipswich, an Occupational Therapist Consultant. I think she is an outstanding person and feel she will be very valuable to us. We need an addition, an Activities Director. At this writing I had tried to get Bertha Schneider, but she feels that she can't do it at this time, which is a great disappointment, however, she and Mrs. Fowler are both trying to find a good person for this role. Mrs. Fowler's salary has been agreed upon at $10 an hour, she will work about 4 to 5 hours a week. The Activities Director should receive $3 an hour, details of this will be worked out. NEW BUSINESS: 1. I attended a hearing at the State House on Regional Health and it was my impression that this bill is dead. 2. Euline Hill, employee at the hospital, has notified the department that she will retire, her health has not been good. 3. A Mrs. Wrheedon of Daniels Street Court would like to appear before the Board to talk about the building at 4 Daniels Street Court, owned by Mr. McKinnon. 4. I attended a meeting at the Mayor's office and we discussed the accepting of Swampscott to dump at'our Incinerator, basically at the rate of $8 a ton. More details were in the report and we are enclosing copies. 5. I attended another meeting at the Mayors office which was the Committee on Downtd-n activities. Our concern with this committee was the pickup of Garbage and Rubbish in the commercial area down town. I did inform the committee that the Health Department had in mind, at some future date to abolish the collection in that area. The discussion got into the cost of private collection, the method of private collectors, etc. I agreed to work with a sub-sommittee within the committee, to help with this proposed transition. 6. Mrs. Frietas of the Red Cross has requested the use of the Auditorium at the Health Center for classes in first aid. I would recommend this. ' fl 7. Mr. Fallon and Mr. Salerno of the School Department were in and looked over the Auditorium with an eye to using this for classrooms. They have made no formal request. REPORTS: We are now sending monthly reports to Mayor Zoll from all sections of the department and these will be available for you at meeting time, they are not completed,at this time. Very truly yours, Ji' tMEY, D.S.C. Health Agent JJT/ECH cc: Board Members Mayor Zoll Councillors-Public Health Committee ADDENDA 1-t Letters sent to physicians on our hospital staff. Communications on "on the job training"--summer internship. Communications from D. Public Health re Mumps Immunization Program 1969 Letter from the Board of Appeal re Parking Lot at Salem Hospital. Letter from D. of Public Health re discontinuance of absenteeism report. Letter from D. of Public Health re Mass. Rabies Immunization Program for Dogs. Reply from Dr. William Johnson re appointment as Chief of Prthopedics' at our Hospital. P` i II ADDENDA TO BOARD OF HEALTH MEETING - MARCH 16, 1970: Communication from the North Shore Community Action Program, Inc. They are going to establish in Salem a "Local Share and Food Surplus Program". They are asking for a cash contribution from the City equivalent to the cost of maintaining the staff at the Salem Neighborhood Center.This involed the salaries of the Supervisor-$5,265.00 and the Neighborhood Aide -$4,388 for a total of $9,653.00. As this request is directed to the Mayor, I do not know if we would be involved with the money requested directly. The Food Surplus program concerns the distribution of Eood to the elderly and low income people, not covered by Welfare. They would like to have us provide a truck for the transportation of food from the warehouse in Peabody to Salem once a week. We could do this with no problem with our open truck. A communication from Melvin W. First, Engineer relative to the Detrick-Jens Baffles at the Incinerator. His letter stated in effect that our installation can not presently meet the new regulations of the Department of Public Health. He feels that we will be required to install a .moderately high efficiency scrubber or an electrostatic precipitator to meet their requirements. He states that he could help with equipment selection and approval of of plans by the State but would be unable to do the needed installation engineering work. He will retain the drawings sent to him until the Board decides what to do about this problem. 1 �� ���a Tito .of �$alrnt, 'fflttssarhusp##s �Sottra of PrA4 S �rottb �#ree# �19il1ittm `�L'i_ .�ttC�ane�, ;�Jr_ Jnhn �_ �nmtte� "'`„ (Jnse � tc ttr?t 'Agent April 21, 1970 I . Kaplan, M. D. 194 Lafayette Street Salem, Massachusetts Dear Doctor: The regular meeting of the Board of Health will be held on Monday., April 27, 1970 at 5:00 P. M. Meeting will be at the Health Center, 5 Broad Street. AGENDA 1. Reading of the minutes of previous meeting. 2. Census at Health Department Hospital--44 Patients Waiting list of 24 Women and 25 Men. 3. Communications: a. Letter from James Dallas, Director of the State Bureau of Air Use Management, states that on March 22nd they observed open burning of mattresses and apto seats at our Incinerator, which is a violation of the\Order issued April 27, 1965. 1. Our reply to Mr. Dallas expressing our regret and we enclose a copy of a speed letter to the Incinerator Foreman, with directions which should eliminate this problem. b. Pictures of new dumping area behind the Salem Hospital. c� Letter to Mayor Zoll relating to the proposal of taking Swampscott into our Incinerator. It lists out eleven important items which would have to be faced before this can take place. d. Letter from the Division of Medical Care thanking us for our progress report and they request a report relative to .the hospit plan to insure that the physical plant meets licensure standards. They remind us that we have until June 1, 1970 to render a decision on this. e. Letter to J. Robert Shaughnessy requesting a meeting with his fact finding committee with the object of exchanging ideas and information relative to the improvement of the hospital and its possible future. f. Letter from the Department of Natural Resources, Division of Conservation Services relating to the parcel of land that was filled and is presently being used as a parking lot by the employees of the Salem Hospital. They state that judging from the vegetation and topography of the area, this project was 00 done in violation of Chapter 131., Section 40. They also state that it is difficult to determine whether the 4" pipes installec for drainage are adequate to control the flow in this area. Page. 2, Board of Health Meeting Agenda for 4/27/70. g. Letter to the Board of Appeal stating that the Board of Health after due consideration and by action duly taken has no objection to the granting of a special permit for a variance for a new thirteen story additional hospital building at Salem Hospital, plus an addition to existing boiler house, together with miscellaneous alterations to existing buildings. h. Not ceFreceived from the Board of Appeal regarding decision on petition of Salem Hospital for special permit and variance to construct a 13 story additional hospital building with penthouse for elevator and machinery equipment, addition to existing boiler house, miscellaneous alterations to existing buildings, site work, including roadways, parking area, and installation for utilities on parcel of land located at 51-81 Highland Avenue inclusive, Salem, Massachusetts and from Powder House Lane to Greenway Road and from Highland Avenue to lands of the City of Salem. After due considera- tion, the Board unanimously voted to grant the Special Permit as applied for and variances from the terms of Salem By-Laws and orders the Building Inspector to appm7e the application for building permits to, construct the aforesaid buildings for the reasons that: 1. Need of increased facilities. 2. Improvements in service to North Shore Childrens Hospital. 3. Proposed building will derogate in no way from the use i or value of adjoining properties. 4. Granting of application will not nullify or substantially derogate from the intent and purposes of the Zoning Ordi- nance. 5. Construction of the planned new buildings and use of the land as applied for will substantially serve the public convenience and welfare and will not impair the status of the area. Special Permit and Variances applied for granted. Per. William F. Abbott Acting Secretary i. Correspondence from Division of Civil Service gives permission for the continued provisional employment of Doris Obremski as Seamstress at the Health Hospital, pending the establishment of an eligible list and certification and appointment therefrom;, j. Letter from the Division of Civil Service and our reply relating to the examination for Sanitarian in the department. Due to the post- ponement on salary increases the poster was approved in its present / wage schedule. k d Copy of a letter to the City Solicitor from the City Auditor which / gives a list of the outstanding accounts from the Health Hospital. 1J Letter from the Division of Food and Drug approving the nomination m Jof John J Toomey as Inspector of Slaughtering. Schedule from the School Department of the dates for pre-school registration in the Salem Public Schools. nJ Report from the School Department on their Rubella Vaccine Immuniza- o J tion Program. Report from the City Council on the budget reductions for the year 1970. ' Page 3, Agenda for Board of Health Meeting 4/27/70 p. Letter from the Essex County Health Association on the Industrial Chest Xray program. They send us a schedule of the companies to be included in this and they request that a Public Health Nurse be present during the hours of Xraying to assist in the taking of medical histories. q. Letter to Mr. McKinnon on 4 Daniels Street Court. He is to start rehabilitatiol' immediately without interruption until the building is completely rehabilitated. r. Schedule of working personnel and shifts at the incinerator. s. List of the Ash Conveyor breakdowns at municipal incinerator. t. Incinerator overtime from 1965 through 1969. u. Letter from Mrs. Campbell, Director of Civil Service in which she inquires about the examination poster for the Public Health Nurse, specifically the salary for the position. We have replied requesting her to hold off on this v cor a few more weeks so we can give the true salary for the position, ommunication from Mayor Zoll in which he thanks the members of the Board and tl members of the staff for their cooperation with this advisory committee during their survey. He states that he strongly supports the recommendations container in the report and encourages the Board to move with all possible haste in the implementation of these recommendations. He enclosed a report for the Boards perusal and suggests the Board delegate a member or members of the Board to meet as a liason officer to consult with the Mayor and the City Council so that we may begin, PERSONNEL REPORTS a. Collection Section: We are enclosing a report of the survey we did on collections of downtown commercial establishments in various cities and towns. The survey results are rather inconclusive because the yeas and the nays are- about even. • Everyone seems to have their own method of doing things, usually an histol ical one. The present time may not be the ideal time to make changes in our downtown collection. b. Disposal Section: Routine repairs and maintainance are going on at the incinerator in good order. The Kinnear Manufacturing Company replaced the door on the front of the pit. Mackey has installed the pipe to drain the affluent water, tr present one had plugged many times. Previously we had noted for you the report of Mr. First, Engineer whom we had consulted with regard to replacing or refurbishing our gas scrubber. The company (Detrick) who built our present equipment talked with the State Department of Health to try to convince them that our equipment will fairly pass muster on the new regulations. I told Mr. Moninger, their president to talk to the people in Boston and he is going to. g g As you are aware we have for the past three or four years been putting int our capitalization expenses from $100,000 to $125,000 for a treatment works for the affluent water. I feel that the water pollution situation and the air pollution situation are tied together. At various times we h<, endeavored to obtain opinions from engineers relative to recirculation of our effluent water after correcting its acidity and removing the fly ash particulates by settling. I asked and have been granted the help of two of the best engineers of the State Department in this line, and we will review this plant thoroughly and I will pass along to you, hopefully be- fore this meeting, the opinion of these two men. I am enclosing for your more leisure reading some of the past material and letters we have had relative to the wastewater at the incinerator. I would hope to be able to make some recommendations to you relative to a new dumping site. Our dumping area at the Incinerator is rapidly running out and our intake of _y- Page 4, Agenda for Board of Health Meeting r' 4/27/70 raw waste from the incinerator is increasing. The laws now are far more stringent about possible water pollution than they used to be, which reduces our opportunity for a dump that much more. We have looked over a site at Swampscott Road which is owned by Lynn Sand and Stone and is just within the boundaries of Salem. This site, I feel would require some costly drainage done. There is a possibility that if we joined with Swampscott in any way, this would provide a dumping area for both commun- ities for any number of years in the foreseeable future. There are two other possibilities. At the end of Bertram Field on Park land, there is an area which could be used for dumping ash. This area is about 100' x 300' x 25' which would insure dumping for a number of years and also when finished would be a valuable adjunct to the Bertram. athletic field. The third possibility and one which is perhaps the most feasable at the moment is to use our land in back of the Moose, plus the land owned by Grasso in this same area. This could be used partially for some time and then by piping the brook it could be doubled in size. This is perhaps where we will start and this may entail buying Grasso's land and would, I think,be the first thing to do. c. Environmental Housing is so broad in detail that we wouldn't try to noe it here, but I am including it with the agenda for you to look over. Rental increases have caused a tremendous amount of housing complaints. We are still having trouble with absentee landlords to get results, we are getting them but it is slow. We have returned to the Point District which is a section of our five year plan, this had been done but with the many complaint calls we have to go back and redo the area, the extra work, however, help to keep up the standards of the area. We have been anxious to get back to Bridge Street which will be the last section of our five year plan we had with HUD, we do have to make a change and they have approved and we are now commencing to do the routine inspection of the Ward Two area. d. HEALTH HOSPITAL: The Hospital is going along in good shape. Mrs. Fowler, the consul- tant for Occupational Therapy is doing a very good job. We have a girl, a Mrs. Labonte, who is doubling as a part time attendant and an activities director and doing a good job. The patients seem to be taking to the program very well and are very happy. During the month, I have reviewed with Mrs. Pitman and Mrs. Pratt on the dietary situa- tion and we have made some changes, one of the things we insist upon is that the patients evening meal, be a meal. We are getting into casseroles and other solid food type of supper. while As noted above we have received a letter from Irene McManus in which she notes that our program along certain lines, records, organization, etc. is good, she is still concerned with the physical properties of the hospital. Hopefully, after this meeting we may report something to her. We have instituted an in-service training program and we have some instructive guides for nurses; Nursing Aid--Instructor's Guide; Nursing Aid--Student Manual; Food Service Worker--Student Manual; Housekeeping Aid--Student Manual. These manuals are developed by the Hospital Research and Educational Trust of Chicago, Illinois and they do a good job, and they should raise the standards of our people, which already are very high. Additional Communication: Letter from the Robert F. Kennedy Action Corps informs us that property on Dearborn Street is to be leased by them to be used as a residential school for children, Page 5, Agenda, Board of ."� Health Meeting 4/27/ /U ages 6 to 12, in the care of the Massachusetts Division of Child Guardianship. _ They enclose plans for a day school and list out the changes to be made. We reply to their letter and list out our comments, these letters and the plans will be presented to you at .the meeting. a. E-rj zt3a-kq m aj&v 2-,ZL Ta p''r h7ecl,Ca J COY 1^ e -k Y-te VI Si 6-I, Very truly yours, 1 l��, 4 \. -TIN J. TOOriEY, D.S.C. Health Agent T/h • 6 Reluost of Plaunix ra► f*rr ups* of a room at the Health Center. _ _ r 9 ` Ctg of 'Sa1.em, cMassarhuset#s *arb n#"•PEnit4 �'� 5 �rnttd �treet c�• �ttplttr[, _•�i.�., (1�httirnt�tn W1 illiam �1. ttEjnYTE T, .�Jt'.JQhlt �. �l1A011tPk'I . ;iJnseplr �'�. �icErttr?t Agent AGENDA FOR BOARD OF HEALTH MEETING TUESDAY, MAY 26, 1970 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital 3. Communications: a. Letter to Mayor Zoll from Doctor Kaplan states that the Board was pleased with the recommendations of the Advisory Committee and his own interest in our hospital. Dr. Toomey and Dr. Kaplan will act as liason for the Board on any future action committees. b. Letter to Mrs. Irene McManus requesting an extension on the temporary license--we enclosed a copy of the Advisory Committee Report. C. Letter to Dr. Shaughnessy states that the Board is wholeheartedly in accord with the recommendations contained in the report and that they look forward to implementation of same. d. Memorandum from the Department of Natural Resources relates to the collecting of Hard Pesticides. News release to this effect will be sent to local newspapers. e. Report from the Fire Department on the inspection of the Cerebral Palsy Treatment Center, ie: Second means of egress leads through a fire door into the boiler room. A cow bell has been authorized as a fire alarm bell on a temporary basis. (copy of this report has been forwarded to Mr. Daniel O'Brien, Inspector of Buildings) . f. Letter from School Department, John J Grady, Acting Assistant Superintendent, with copies to Mayor Zoll, School Committee, Mr. Saler no, Mr. Carr and Mr. Grabowski, states that we should work on a more feasible schedule of pick-up of rubbish and garbage than what is being accomplished. They enclose a report from the School Nurses. g. Letter from Civil Service relating to Leo King's termination of appointment after requesting a Caretaker's position. Our reply to Civil Service explaining the situation. h. Letter from Arthur K. Ross, Jr. , Attorney at Law states that the Deed for the Tully Estate is complete with all signatures and the transfer of same should take place within a week. Date of letter is May 11, 1970. i. Letter to Miss Helen Pelley, Division of Civil Service requesting permission of temporary employment of Mr. Lubas as the thirty day emergency had expired. S l 1 Page 2 of Agenda Board of Health Meeting f May 26, 1970 Communications, continued: (dated May 14, 1970) j. Another letter to Irene McManus states that there is a meeting of the committee scheduled shortly and on the agenda will be the appointment of a hospital architect, appropriations of money by the City, research as to Government money which may be available for the purpose and a discussion on acquisition of land from Salem Hospital. We again request an extension of our license to December 31, 1970, an additional six months. We have not received a reply to this letter. OLD BUSINESS: 1. DUMPING AREA, BERTRAM FIELD SECTION, Health Agent made checks with Salem Hospital, Councillor Ingemi and the Mayor and no one objected to this. 2. OUTSTANDING ACCOUNTS, RE HEALTH DEPARTMENT HOSPITAL CARE. Letter will be forwarded to City Solicitor with information on each account. We await his recommendations. 3. Mr. William McKinnon is very, very slow, if any progress is being made and the temper of the neighborhood is increasing. 4. We have not arrived at a solution as to hiring a consulting engineer to completely reconstruct the Air Pollution mechanism at the Incinerator, in one way or another. We tried to get the State to agree to let us put in stainless steel cans and use our present system which would be the most efficient and the most economical procedure at the present time. At present we have a system of our own which is covered by law and is keeping the neighbors happy. This system consists of a series of spray pipes and we are going to add to these, hopefully this will cover us until we have something on the money situation. 5. Report on the Robert Kennedy Action Corps meeting that we were requested to attend. Health Agent did attend and offered no comments, but felt it should go on the record that we do not license this type of facility but they do have to meet our minimum standards of housing and feeding and they are meeting these requirements. 6. The Generator at the Hospital has arrived and I have taken the liberty to inform Mr. Robinson of Wilson and Robinson that he may go ahead and install the generator and its connections, but that we will pay the Jones Electric Company with whom we have a contract. He will work through them and this is agreeable to them. 7• In relation to the above listed communication from the School Department re their rubbish and garbage pickup, I take violent exception to this as we have worked out, with the School Department, what I thought was a mutually satisfac- tory collection system wherein the rubbish and garbage mixed is collected each school day commencing at 1:00 P. M. at the Bowditch School all through the rest of the schools. We have requested the School Department to clean up a dumping problem on their property at the new Bates School and we are receiving no cooperation in this matter. CTION REPORTS: ,I 1. Memorandum on reported food borne illness submitted to Health Agent by Mr. Cameron. 2. Report on the testing of utensils at the Health Department Hospital and Mr. Cameron's recommendations. 3. Environmental Housing at the present time is being done by two inspectors f� Page 3, Agenda, Board of Health Meeting, luesday, May 26th who are making routine inspections in Ward 2, Bridge Street area. We are still concerned with a number of places in Ward 5, where we have to send inspectors back. Generally speaking the program is moving well. HEALTH HOSPITAL: Mrs. Pitman and Mrs. Pratt, Dietary Consultant have the diets organized and she is going to keep them to as near to a 2000 calorie diet as possible. Mrs. Pratt has been helpful in directing us in the purchase of a new type of china which meets the specifications of being light in weight) and strong enough to stand the wear and tear of hospital usage. We have on order two colored Televisions for the hospital, size 23". NEW BUSINESS: 1. Rescind the ruling on policing private swimming pools. 2. We have requested one of the Tully daughters who obtained signatures of all the family, ,I refer to the "h" under Communications. 3. Discuss questionable overtime in the Collection Section. 4. Pollution Complaint Forms are being received by the department as a part, evidently. of the state wide voluntary air pollution campaign. All these refer to the New England Power plant. We usually work with the State Department of Health in this case. 5. Pollution of the South Rivera We have received complaints that the South River had a green cast in its water. As a result of our investigations we determined that some of it was cleaning fluid, and also by use of dyes it was determined that this definitely was industrial wastes from local plant and the water is cooper- ating 100% and we feel that this will be cleared in the near future. . Dr. Toome 's meeting with the Mayor: "I discussed with t e der_. fire fora long while. I told him our concern for the pol on Qf the`b`_ook at the rear of the Incinerator. I to m of our concern on Air Pol ion. I told him of both of these..- ings and said that perhaps they would be endent upon one another..€'r solution. I told him that we had put in $12 , 00 for correctiofr of the brook. I explained also that the State Department Health Arad asked us to think in terms of abandoning our present inpingement e system in use at the Incinerator and substi- tute a new type. I to-16 him hey recommend we get a consulting engineer to design this, probal5le cost 25 t 0,000 dollars. I also told the Mayor that I had a esign of my own, a mu iple spray head arrangement which may poss' y carry us over until a lit t later. e Mayor felt that if this rig will work effic ntly to carry us for a while he thought we should go on with it, until, suspect, the money committments are a little less demanding." Vern truly yours, f r6-` t n J. Toomey, `D.S.C. L Health Agent JJT/ECH ( itV of Salem, fflassarhusetts 3 9 Pottrb of Pealt4 5 Proub Strret �tiuillTttm 1041t M. Toomeg cA9mt ilnsepi� c - ic[�ttr June 19, 1970 I. Kaplan, M D. 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, June 23, 1970 at 5:00 P. M. at the Health Center. AGENDA 1. Directive from Mayor Zoll requests the number of personnel needed to fill the Youth Opportunity Program. We agreed on twelve. 2. Letter from Doctor Toomey to Mr. Sexton of the Civil Service Divi- sion states the new salary for the position of Sanitarian in the Department. We felt if this salary was on the poster it would be 3 more attractive. ;i 3.. Copy of poster from Civil Service, which had been printed before • our letter reached them on the position of Sanitarian. Last date _ for filing is July 3rd and the examination will be on July 24th. 4. Letter from the Department of Community Affairs to Mayor Zoll. The Mayor signed an agreement setting forth the terms of employment of Justus Winer as an intern with the department for a period of ten weeks during the summer. 5. Letter to the Mayor from the North Shore Community Action Programs, Inc. requests the possible establishment of quarters on the third floor at the Health Center. Letter from the Planning Board to the department with two contact prints of De-finitive plan of "Subdivision plan and profile, Witchcraft Heights, Crescent Drive" owner Salem Acres, Inc. Also 2 contact prints of Defini- tive plan of "Subdivision plan and profile, Marion Road, Salem", owner Salem Acres, Inc. Copy of a letter from the Division of Medical Care to Mayor Zoll states that his request for six months to enable his Action Committee to prepare a firm, all-encompassing plan for the construction of a new hospital for chronic care was considered and approved by the Department of Public Health at their June 9th meeting. The decision was based on the premise that a firm commitment must be made prior to December 31, 1970, relative to the course of action to construct a new hospital or discontinue the present health hospital. y Page 2, Agenda for 'A Board of Health Meeting. Letter to Health Agent from the Division of Medical Care acknowledges receipt of his letter re the extension of time on the hospital license. They state it will be taken up at the June 9th meeting of the coumcil- Letter from Mayor Zoll re the Action Committee for the Health Hospital. Dr. Shaughnessy will be the Chairman. Dr. Kaplan and Dr. Toomey, Dr. Harry Freedberg, Ann Gondella, R. N. , and Robert Brophy presently con- - stitute- the committee. The first meeting is scheduled for Thursday the 18th. Report of the Fire Department on the inspection at the Health Hospital recommends,.that 'all doors leading to the kitchen, laundry and stairwalls i be attached to an electro-magnetic door closing system. These doors shall t'.. be-permitted to remain open only if the self closing devices have a fuseable link 'attached as on some doors at present. This will only be a temporary measure as fuseable links are not acceptable for an area where '. the smoke hazard' could be fatal. No doors shall be permitted to be trigged open. It is noted that two doors from patients rooms on the 2nd and 3rd floors lead directly to an open stairwell. Letter from Dr.- Toomey to. W' lliam and Adele McKinnon re the property at 4 Daniels Street_ Cour Must be completed within thirty days from the date of the letter. Letter is dated May 28th. Another letter on the same date re,.18-20 Kosciusko Street, 26 Daniels Street and 28 Daniels Street, he is {:''.notified that he is given one month from this date in which to make arrangements for a completion of repairs to these properties. He is requested, ,< before this ,date, and within one week from the date of the letter, to forward °-to the department, in writing, an outline of his intentions. Outline to include proposed loansy,� the loanees; the contractors and any other pertinent ., J., names of persons or firms concerned with the improvements of these properties. He is further informed that if the dictates of these orders are not carried out, the Health'Department will enter into procedures to raze the properties. Reply ,r�om Mr. McKin o to thhi letter, photostatic copies 113.'--Letter from the Department of Natural Resources to Mr. James Kailas, of 61 Proctor Circle, Peabody, Massachusetts, Pree: of the� Blue Star Diner, Inc. Letter requests that he clean up the waterway surrounding the property on Highland Avenue, they give him £ourteeri.adays. 4 Letter from Dr. Toomey to Department of Natural Resources complains about this situation. They have been contacted by this department many times but we have not' had cooperation from them. OLD BUSINESS: I. Justus Winer will be doing government internship with the department for ten weeks.. He is visiting each section of the department, after which he will be requested to do a review and evaluation of each section. He will also work in conjunction with Dr. Freedman of Mental Health. Mr. Winer is a Junior 'at Colgate University, majoring in government. -2. Relating to the Fire Department Report "on the Cerebral Palsy Clinic at the Health Center, Mr. O'Brien will get together with Mr. Hollaran of the Department of Public Safety on this. `3. - The School Department was issued a permit to dump at Bertram Field under controlled conditions and specific material, solid fill. Page 3, Board of Health Meeting Agenda 4. Mrs. Teresa Carr is on Workman's Compensation due to an injury and we have filed for an emergency appointment for Mrs. Lucy Crowley to help us during Mrs. Carr's absence. 5. We have had no new correspondence with the Planning Board relating to quarters at the Health Center. There is doubt as to whether they would want the secon-t flr. 6. Dr. Nicholas J. Fuimara sends us a form to be filled out if we desire to continue our program on visits to selected families of newborns. During this program we will be reimbursed for 100 visits at $5.00 per visit. 7. Private Swimming Pools: Health Agent recommends that the Board rescind Regula- tion #13, titled 'Swimming and Wading Pools". And that the Board consign itself to the-inspection of Public and Semi.-public Pools, as set forth in the Sanitary Code of the Commonwealth, Article V1. 8. Incinerator: There are a number of problems repairwise: Our present scrubber is inadequate and will not meet the Air Pollution standards. Also we are still polluting the brook with our affluent water. Our heating boiler is in:need of replacement. The problem of Air Pollution is tied in with the problem of the brook. We should contact Mr. John (Baffa, our Engineer to have him do preliminary work towards meeting standards of both of these places. 9. The Mayor has given tacit approval to the placing of the scales at the Incinerator Apropo of this, Health Agent has contacted Steve Peck of the Howe Richardson Scale Company of New Jersey. By meeting time we may have more information. 10. John Sarnowski is still on Workman's Compensation payroll, and A. Bedard being the next man on the Civil Service list, we have contacted the division to make him Acting Incinerator Foreman. 11. Hospital: Creation of the position of Activities Director at the hospital, this will be a Civil Service position and we are presently talking to that division regarding job descriptions. Mrs. Fowler is also looking into this category for us. We will perhaps ask for a transfer of money and request a list by meeting time. 12. The order for the rug for the dining area has been processed. 13. The television sets have been delivered. 14. The Generat3r is installed as of this writing and Mr. Barry is checking the specifications. 15. House at 33 Barr Street, Tully Estate. We chedked on this last week and the sale has not been completed. Little Real Estate claims the sale should be completed, perhaps, before meeting time. Very truly yours, ` Qti`-� J 6 , J. OOMEY, D.S.C. Health Agent JJTjech ADDENDA: June 1, letter forwarded to City Solicitor Albert R. Pitcoff requesting the proper legal procedure to take relative to the property at 20 Varney Street. (9itu of -1�jjjejjj, PoUrN of Mraftqv 5 Praab Sfrm ;11. il clail M111 Alillil-nit 3E. Dir. R 'idjmi? L Ci O:II I, - I , July 22, 1970 I. Kaplan, M. D. 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of .Health will be held on Tuesday, July 28, 1970, at 5:00 P.M. at the Health Center. Agenda 1. Reading of the minutes of the last meeting. 2. Census at the Health Department. Hospital 3. Communications: 1. Advisory Letter #23 from Department of Public Health, Division of Sanatoria and Tuberculosis Control re In-patient care of Tuberculosis at Salem Hospital. Short- 'term care is available up to sixty days with out-patient follow-up at the North Shore Pulmonary Clinic upon dis- charge. Letter will be available at the meeting for your perusal. 2. Copy of a letter to Mayo Zg-U from -Ci.Ly Enginee re ledge cut on Willson Road near the power line easement. In City Engineer's opinion the slope will stabilize itself in time and that the additional cost of constructing a retaining wall is unnecessary. 3. Letter to William F. and Adele McKinnon re 4 Daniels St. 'Ct. Progress is encouraging but the Board-of Health expects substantial completion in time for a report at the next" ' meeting of the Board of Health on July 28. 4. Letter to John R. Serafini, Esq, re. tw6-week period to finalize the sale of the building at 20 Varney Street. If after two weeks no tangible evidence shown, the building will be 'razed in accordance with the rules and regulations of the Board of Health and the provisions of the State Sanitary Code. Letter from John R. Serafini, Esq. in answer to our letter of June 24 re sale of property at 20 Varney Street. Mr. Serafini states he will do everything he can to bring this matter to a close prior to the date set forth. 6. Letter from Department of Public Health, Division of Sanatoria and Tuberculosis Control in answer to our communication of June8, re Fernando Rodreques will be classified as a Chronic Non-Resident and the City of Salem will not be responsible for his in-patient_pat Lent hospitalization. 2 f, I. Kaplan, M. D. July 22, 1970 7. Letters to Dr. Green and Carlman Fisher, D. S. C. notifying them that the fee for podiatry care for private patients at the Health Hospital would be the same schedule as that of the Welfare Department. 8. Speed letters to Albert Guerrette and Albert Bedard notifying them that their employees would be given compensatory time for Monday, July 6th at such time as the foreman determines. 9. Letter to Mayor Zoll requesting a transfer of $6,500.00 from Sanitation Collection and Disposal Salaries to Hospital Expenses. 10. Letter to Attorney McKay denying the request of Mr. Ingemi. This property was reviewed twice before and approval was denied both times. 11. Letter to Salem Acres, Inc. re contact print of Definitive Plan, titled "Subdivision Plan and Profile, Witchcraft Heights, Marion Road". Letter states City Engineer's recommendation after reviewing the plan. Approval refused until these specifications have been met with. 12.. Letter to Salem Acres re approval given on. Crescent Street Definitive Plan. 13. Weekly letter is sent to Mayor Zoll certifying that Christine Jersyk and Susan Morin, who are on the Youth Opportunity Sumner Program, worked full time. 14. Letter to Chester J. Kohn re bathing area (Osgood Park) stating the conditions found after the investigation on July 13, 1970. We inform them we will check for bacterial water quality every other week. (More 15. Copy of a letter to Mayor Zoll from North Shore Community Action Program, Inc, stating they had to forego the opportunity to locate their headquarters in Salem at the Health Center because of the third floor location and because there were sone substantial unknowns . in terms of costs of making the third floor usable.. They have made temporary headquarters in Beverly, still hoping for a Salem head- quarters, or possibly in either Federal or County facilities. 16. Letter to Nicholas J. Fiumara, M. D. , M.P.H. stating Elaine Toomey will continue to do the Home Visits of Newborns in 1970. 17. Letter to Marblehead YMCA re the pools at Cat Island are being operated without a 1970 permit. Request made� to return the applications for 1970 permits immediately. 18. Letter to Robert`H. Wescott, Salem Hospital re disposing of syringes, limbs 'or organs and infectious material. Recommendations ma e o have an incinerator installed at the hospital that will meet the requirements of "Metropolitan Boston Air Pollution Control District" and must be approved by the Department of Public Health of the Commonwealth'. 19. Letter from Civil Service giving approval of Lucy Crowley from July 7 to August 15, 1970, pending certification. 20. Letter to Civil Service re Robert Baker as Senior Hospital Kitchen Worker-Cook and Barbara Coughlin as ospital Laundry Worker, advising that their effective date of promotion is April 30, 1970. 21, Letter to Civil Service requesting the continued provisional employment of Doris Obremski as Seamstress for six months or until such time as an eligible ist is established. 22? Letter to Civil Service re employment of Patrick J. Gahaan, stating we thought he was working for-1. )School Department and 2) Public Property Department, also that because of vacations we would be happy to employ him immediately. PACE 3 AGENDA 3 - I. Kaplan, M. D. July 22, 1970 23. Letter to Patrick Ga.ha an requesting he report for employment as Sanitation-Laborer on July 13, 1970, to Albert Guerrette, Foreman. 24. Letter to Civil Service re requisition for ten permanent intermittent Heavy Motor Equipment Operators-Sanitation Laborers and requisition for the promotion of five permanent part time Sanitation Laborers to Heavy Motor Equipment Operators. We requested a list so that we could select ten new people for permanent intermittent status.. We also give permission to change requisition for five part time Heavy Motor Equipment Operators to full time Heavy Motor Equipment Operators. 25. Letter to Civil Service enclosing form 15A Provisional Promotion Form for Josephine Foye, Theresa Carr and Patricia Ryan and request approval retroactive to January 1, 1970. 26. Letter from Leonard Kiernan, relating to 20 Varney Street, states they will try to reach a decision within one week. He requests thatwe hold any action until we hear from them. 27. List of names from Civil Service relating to the temporary position of clerk-typist in the office (replacement for Theresa Carr) . 28, We sent an agreement to hnvironmental Design Engineers, Inc. agreeing to pay $600 for plans and specifications for the replacement of our heating boiler at the Incinerator. 29. Communication from-Hartford Accident and Indemity Company, bonding agents for Jones Electrical Engineers, Inc. . We have not paid the face value of the contract with Jones because its "charger" for the battery is not provided and also there is a question about the gas feed tubing which I am going to have the gas inspector check out. 30. Letter has been forwarded to the Inspector of Buildings relative to the Cerebral Palsy Asso. Clinic. Their license is renewable at end of August. • OLD BUSINESS: 1. McKinnon Properties: The repairs on these properties are going along nicely. We have had a meeting with him and the agreement is that he will repair and refurbish the outside of March Street, Kosciusko Street and Daniels Street. After this he will proceed to do the inside apartm of each of his properties. He has made remarkable progress since last meeting. March Street is done outside, 4 Daniels Street Court is done outside with the exception of the porches. He is working on the rear of Kosciusko Street and will soon move to the outside of 26 Daniels St. He is undecided whether to keep or tear down 28 Daniels Street. 2. As per your directive we published in the Salem News the legal require- ment for the rescinding of Regulation #13. 3. Incinerator: Health Agent talked with the Detrick people on replacing the present cans with stainless steel cans and the best price on these would be $410. a can. We require 28 which roughly runs to $12,000. and which there is grave doubt that it will be approved by the Depart- ment of Public Health, Air Quality Division 4. Hospital: Rug has been installed. Room has been painted. Drapes are -- being ordered by Mrs. Pitman. The Generator will be cleared by the City Electrician (more on this under communications) 5. Varney Street -- House is purported to have been sold or is in the ` roc�ssf a Mr. Warner who fixes up old buildings. 6 Actis Director. We should have an Acti.vit.i.e i.rector we recomuic •- l.hat posit�..on e establ.i.shi.d cit $3.00 per hour, tie qual:i Li.c.11.i..on ' to be as set forth in our requi.s:i.ti.on to Civil Scrvlce, title should b. ° `j"Ac tivities Aide. NEW BUSINESS: 1. Incinerator: The closing' cable motor on. .tie bridge crane burned out. PAGE 4 AGENDA . I . Kaplan, M. D. July 22, 1970 since the last meeting and we had an industrial electrician view the situation but he did not give us an answer. This is the same motor that gave us trouble about two years ago. The motor has been replaced by a spare and the Incinerator was out of commission for only about eight hours. 2. Scale: I have engaged James Ballou, architect to draw plans and specifications for the weigh house for the scale which is proposed to be established at the incinerator. I should have these by meeting time. 3. We have a new truck and commencing on Tuesday, July 28, we will start dumping. at the rear of Bertram Field. The StreetDepartment, in the meantime will do some grading of the access roads so that we will have a good entrance. The Mayor's office is sending us a young man who we will put there as a caretaker, pro tem. 4. We had a complaint of sewage at Osgood Park beach. We investigated immediately, found that the odors were coming from decaying "sea lettuce" which is an, equatic nuisance that has been in these wa6lrs of late years. We recommended daily cleaning of the beach area and _that the large floats, to prevent green algae and weeds- to accumulate on the beach. We sampled the water on two occasions and found no evidence of sewage. 5. Bakers Island: The Mayor called and stated_ that lie had requests for rubbisli collection and disposal on Bakers Island. We talked about this and the Health Agent made some recommendations to him. A report on this will be made at meeting time. Very truly yours., JO N J. OONIEY, D.S,C;% Health Agent T/H COPIES TO: Mayor Zoll Hoard Members Council Committee on Health Salem Mews s _ August 11, 1970 Scheduled meeting of-the Board of Health was not held due to lack of quorum, Mr. Richards being hospitalized and Mr. Mahoney could not bg present. Councillor J. Michael Ruane was present as was the Derby Street Area Committee; Mr. and Mrs. McKinnon and Salem Evening l News Reporter, Roland Corneau. Dr. Kaplan suggested that as long as the group _,was: present they should be given a report--, on the progress of McKinnon's properties. Health Agent reported that he and Mr. Cameron and Mr. Richards had visited the properties, did not see Mr. McKinnon on that day, but did talk to him later. The same conclusion was reached to continue closing the places and move along as quickly as possible. On #28 Daniels Street (the yellow house) this would be razed. When Mr. McKinnon was questioned as to timing on this by Dr. Kaplan he replied "it will be done long before the snow falls." Dr. Kaplan thought it should be done within two weeks. �- Mr. . McKinnon was then requested to give Dr. Toomey prices on the bidding within two or three days, this was later changed to• within a week. Health Agent said the city could tear this down but, a lien would have to be put on with a 6% interest rate. He was then questioned on-18 and 20 Kosciusco Street, Mr. Pucko requested that the windows be boarded up. Councillor Ruane requested a timetable as to exactly when the boarding up would be done, when the other house would be torn down, etc. He cited that the house would be torn ; down within two to four weeks, the boarding up would be done this week and #26 Daniels Street ) 'tiould be fixed up on the outside within two-2 to 3 weeks which would leave 18-20 Kosciusco St. to repair. The. Derby. Street Area group was then asked if they were satisfied with this timetable and the', said they were but they requested that"they be notified of the next Board of Health meeting sc they could be advised of the progress. Mrs. Weeden then inquired about the petition they had presented about conditions at the Polisl American Club and #15 Kosciusco Street. Dr. Toomey reported that he had talked with Attorney Alfred Dobbs who is handling this and at present there is litigation as to whether the local people should get paid for it as they were part of a national organization. Dr. Kaplan was of the opinion that this should be turned over to the Legal Department of the City. Health Agent said he had suggested that Mr. Dobbs have the place fixed up and utilized until the courts allow it to be torn down or sold. At Councillor'..Ruane.'_s; question Dr. Toomey said the buildis was now in land court and the court won't let you wreck a building that they have not made a decision on. Dr. Kaplan will talk to Mr. Pitcoff on this. On #15 Kosciusco Street, this is owned by a Mrs. Caputi. It is vacant, closed up, the windows are intact, if someone smashes them we call Mrs. Caputi and she has them replaced. During the last month we had been working with her. A Mr. Calvert, who repairs houses offerec to buy the place, do the necessary repairs and make a six family house orit of it. He met wi.tl the Appeal Board but was turned down as the place had been vacant over a year. Now it is bacl with Mrs. Caputi who has ,no money to fix it. Dr. Kaplan recommended to have her come and meet with the Board to see what can be done. On #20 Varney Street, the City Collector and City Treasurer has accounts due them from this property. City Solicitor recommended to have an appraisal of the property. Dr. Toomey showed the Board an "Offer To Purchase" this land and the building thereon from Mr. Robert E. Warner, witnessed by Linda Karpinski. Dr. Kaplan then requested that the Agenda for the September 22nd meeting include a' discussion on the Planning Board occupying quarters at the Health Center. Health Agent was then instructed to have Mr. Cameron check out #26 Gardner Street complaint., Ct#g ofrz1Qm, 4' Pvurb of Pralth giup1an, AL�0., (Quirman 5 �rau� �#ree# �Iilliutte fit. ��iulFunP�, fir. T041t J. ?Llnomeg �JasE IF �. ��itllur �genf - August 11, 1970 AGENDA FOR REGULAR MEETING OF THE BOARD OF HEALTH 1. Reading of minutes of previous meeting. 2. Census at Health Hospital------43 one vacancy at present. 3. Communications: a. Letter to Planning Board citing the motion of the Board at the last meeting. b. Letter to Mr. John Barrett asking for information on Multi family financing. c. Second communication to Mr. Daniel O'Brien on the Cerebral Palsy Clinic. d. Letter to Mayor Zoll on transfer of $121000 from Sanitation Salaries to Sanitation Expenses. e. Pf-eliminary report from Mr. Cameron on investigation of reported Food Poisoning/or/Infection at wedding in Salem. Food served by Grabas. f. Form letters sent out by department to residents of Baker's Island to obtain information as to the amount of garbage and r' rubbish for weekly pickup----length of stay on the island, etc. F x+ h� h.to vs C�itg off Salem, fflassarhusetts � Poarb of Pez&4 Pg �. �ttplttn, �'�. �r'l., Crlljttirnitin 5 Preab Strejet ` John J. ?�Inomeg ,'�illittm �. ;�ttijonett, Jr_ Agent JIISejJ� �1. �Rir4arb tib September 15, 1970 I. Kaplan, M. D. 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday September 22, 1970 at 5:00 P. M. at the Public Health Center, 5 Broad Street, Salem, Massachusetts. AGENDA 1. Reading of minutes of previous meting. 2. Census atgHealth Department Hospital. 3. Commun' Y tions: Planned meeting of August 11th, no quorum, (see enclosed sheet). b,. Detrick contract has been signed and we are 'awaiting delivery of the twenty-eight stainless steel Jens Cans. Agreed upon price $11,480.00. P C. Report requested by Mayor Zoll on Code Enforcement-- we gave him the facts and will present them to you. Algae-Sea Lettuce, report to Mayor states that this is becoming more and more of a problem; not only in Salem but is universal. Civil Service Correspondence: Request for Activities Aid at $3.00 per hour, this was accompanied by a letter requesting the employment of Gertrude Lawrence of Danvers, to replace Mrs. Labonte who resigned. No approval on this as yet. Request for Working Foreman-Dump Caretaker, iwe recommended that Mr. Timothy Flynn, Senior Care- taker of Dump, be promoted to this position. They write us inquiring if he would be involved in all dump operations as well as supervision of activity. The reply is yes. They request the names of the Caretakers under his supervision, they are Frank Cloutier and Karl Beal. We had a poor response to our request for Heavy Motor Equipment Operator-Sanitation Laborer, we did obtain three: Mr. Belleau, Mr. Peters and Mr. Connor. Page 2, Agenda for Board of Health Meeting, September 22, 1970 Civil Service continued: Mrs. Doris Obremski, may be carried on as Seamstress until eligible list is established. Requisition has been sent to Civil Service for ten Sanitation Laborers to replace the men who have retired. Requisition has been sent in for two hospital workers for the hospital iitchen and laundry. We ask that Mrs. Duhaime and Mrs. Snow b certified for these positions. e. Letter from John Barrett of the Salem Redevelopment Authority states he has requested twelve copies of a recent publication printed by the Dept. of Housing and Urban Development entitled "Rehabilitating-Residential Property in Renewal and Code Enforcement Areas," he will send us some copies of this. f. We requested and received transfers of monies as follows: From San}tation Salaries to Expenses $12,000. From Sanitation Salaries to Hospital Expenses $6500. g. Letter from the Division of Communicable ;`Diseases states they are pleased with the response to their recent inquiry on the Home Visit Program. They have allocated 100 visits to us for this year. h. Report from the Fire Department on the Generator at our Hospital. i. Petition submitted at August llth gathering, signed by area residents, requesting cooperation of the department to improve properties at 18-20 Kosciusco Street, 26 Daniels Street, 28-30 Daniels Street, 43 Daniels Street and 4 Daniels Street Court. Another petition signed by Mr. Tardiff, Mr. Pucko and Mrs. Weedon asking that department investigate properties; a. Polish American Socialist Club on Kosciusko Street, and the three story building at 15 Kosciusco Street. J. Copy of letter to Mayor Zoll from the Division of Medical Care (copy sent to Board Members) states that they approve the need for this facility of 40 beds at Level 1, 40 beds at Level 2, and 40 beds at Level 3 to be operated by the Board of' Health and located on the grounds of Salem Hospital. k. , Letter from the Department of Public Health to Carpenter-Costin Company relates to open burning of wood chips and logs at Essex Street, Swampscott in violation ; of Regulation 7. 1 of the Air Pollution laws. 1. Letter from Daniel O'Brien re Kosciusko Street, he is of the opinion that the building is structurally sound and can be repaired. He does point out that the foundation is in fair condition, should be pointed in several places. Dormer on the roof is in need of repair. Window frames and sash are in poor condition; clapboards are in need of repair. Part of the sill shows sign of rot in several places. m. Letter from Eastern Refractories Co. , Inc. (we had requested that they check the firebrick lining of the furnaces. In essence he says they are in a reasonably good condition, however he does point out that the roof arch over the overpass flue in both furnaces are in an advanced stage of deterid6tion, that we should closely watch them and that we should decide to replace .them at our earliest convenience. Page 3, Agenda for Board of Health Meeting September 22, 1970 Communications continued: n. Letter from .the Water Resources Commission to Representative Robert Cahill, copy to this department relates to the settling tank effluent at the New England Power Company. There had been a complaint that fly ash from the plant -had been flushing into the harbor. This department never had a complaint to this effect. As a result of the tests the Water Resources people also found the complaint negative. We are in close touch with them and have discussed the possibility of this happening upon com letion of the new unit. We will continue to check this. OLD BUSINESS: a The Firewall for the Cerebral Palsy Clinic at the Health Center basement has been installed. b. Baker's Island: We are still carrying out a survey for the rubbish collection there, we are still receiving replies, should be ready for Spring. We are also doing a water, sewage and rat survey there. - . Planning Board: Mayor Zoll was over and is interested in allowing the Planning Board to use the XRay room for filing cabinets and they OC y could hold- some meetings there, when there is a larger meeting the hallway could be used. d, Multi Family Financing: Health Agent has been in touch with' John Barrett who is seeking information from HUD on this. He informs me there is some new reorganization within the department and now there will be new activity re rehabilitation which may, when it is developed, allow 3% financing to home owners in a selected district without all of the organization of concentrated code enforcement. e. 20 Varney Street: Nothing has been done. f. McKinnon s Properties: He is making good progress, is still working on the outside of 26 Daniels Street. He has received bids on 28 Daniels St. but has expressed a desire that he be able to take this down himself so that he can use some of the boarding in his refurbishing of 18 & 20 Kosciusko Street. NEW BUSINESS: a. Hearing for Mr. Leon J. McEntee and Beverly A. McEntee regarding unsat- isfactory conditions at 145 and 147 Derby Street. b. Dental Clinic Program. c. On the burning at Carpenter-Costin Company on Swampscott Road line at their private dump, they were giving a hearing by this department and the department of public health and told to cease and desist. d. Copy of a letter to Mayor Zoll from the North Shore Community Action Programs, Inc. in which they state that they would like to have an office at 160 Essex Street in Salem, the old bike shop. This is under ' Urban Renewal and they request the Mayor to assist them moneywise, and also with Mr. Barrett in order to get as cheap a rent as possible and all of the costs, heat, light, insurance, etc. it amounts to $996.99 per month. He would like to cut some of that, by getting the rent free. The Health Department enters here in .that we had previously said we would help them transport commodities from the Peabody Center to our Page 4, Agenda for Board of Health Meeting of September 3, 1970 Salem site. This is no problem and we have informed the Mayor that we can do this. Mental Health has made a tentative request for space in the Health Center Building. They would use the auditorium. Dr. Freedman states that he needs more room space for clinics and he would hope that we might get together to offer space to the Mental Health Association, per se. I checked with the Mayor and he is in favor. The Portable Lift for the Hospital has been ordered, as per Dr. Kaplan's reque§t. g. The Emergency Generator installation is complete. We will institute payment. h. Scale at Incinerator. We have some preliminary plans for the new scale which we will show at the meeting. Estimated cost of en ee 'ng,test boring, purchase and installation of the scale is approximately 40,00 The architect will meet with the Mayor and myself on Tuesday, September and I. will have a report by meeting time. i. Heating Boiler at Incinerator: Engineer has sent some plans which are being checked out, as it seems to be too elaborate an installation. j. Dumping at Bertram Field: We have instituted dumping in the rear of Bertram Mr. Gagnon is in charge for control of dumping, he will not allow anyone to dump there other than the Health Department, things seem to be going very well. Apropo of the dump this will also figure into our plans for parking for the new hospital. By meeting time I may have more on this as I have some suggestions for the Mayor and City Engineer and hopefully we will meet on the site for a short discussion on this. Ve y truly_ ours ,.... .) r" yJ&N J. TOOMEY, . D.S. Health .A ent cc: Mayor Zoll Attorney William L. Mahoney, Jr. Mr. Joseph Richard Councillor . --J. — os i n Leves Roland A. Corneau, Salem News. QIitV of ,Salem, fflassar4usetto Poarh of Pealtli 3. Paplan, ,lAH.3B., (94airman }' 5 Prvab Strret William X. �1HuliranPg, Jr. X04U TOO=g ��IISP tt xrD �►s�: P� �- �- li November 10, 1970 1 Kaplan, M . D. 194 Lafayette Street Salem, Massachusetts The regular meeting of the Board of Health will be held on Tuesday, November 17, 1970 at 5:00 P. M. The Meeting will be at the Health Center, 5 Broad Street. AGENDA 1. Reading of minutes of previous meeting. 2: Census at the Health Department Hospital. 3. Communications: a. Letter from the Rate Setting Commission establishing $19.80 as the all inclusive per them rate for patients at the Health Department Hospital for Chronic, Diseases. b. Letter from the department to the Chairman of the Planning Board notifying him that the Board had voted favorably on his for bi-monthly accomodations at the Health Center. c. „ An order from the City Council, approved by the Mayor on November 2, 1.970, requests that the department put into effect„ no later thane January 1, 1971, the new program for payments for weighing at the present scales location on Bridge Street. d. Letter to Miss Heidi LeFleur expresses the Board's pleasure in hearing of her recent appointment as a non-voting member of the Board of Health. e. Copy of a letter from Public Property Department to the Salem Redevelopment Authority relating to demolition of buildings in the center of the. city. Temporary permission has been given to store contractor's equipment and salvaged lumber, brick, etc. at Lot 524 on Swampscott Road, in an industrial district. f. Copy of a letter from the North Shore Guidance Center to Mayor Zoll relates to proposals for Government Grant in the Health Field. They state they are currently working on the proposal for a grant in the vicinity of $40,000 a year for three years'. " tilcui �loarb of Pealti, Page 2, Board of Health rua3 street Agenda for Nov. 17th Mee g• Civil Service Correspondence: 1. Certification and Report Form and Authorization of Employment Form, for nine Sanitation Laborers in the Collection and Disposal Section of the Department have been completed and forwarded to Civil Service Division. 2. Certification and Report Form and Authorization Form for two Hospital Workers at the Health Department Hospital have been completed and forwarded to Civil Service. h. Letter to Mayor and City Council requesting a transfer of $3,000 from Item 4, Other Cities, Towns and Hospital Expenses to Item 2, Hospital Expenses. i. Letter to City Solicitor informing him that a Mr. Robert Casey of 32 Perkins Street ran into and demolished a guard rail outside the Incinerator on Swampscott Road. j. Memo to Albert Guerrette, Foreman to have all of our trucks report for Tare and Gross Weighing at the City Scales at the end of the day Tuesday, November loth. OLD BUSINESS: a. The contract for the boiler was awarded, contract signed and as of this writing the work hasn't been started, the only thing that might delay the work is the delivery of a boiler and,/or pump. b. The Specifications and Plans for the Scales at the Incinerator have been completed and notices have been published in the paper on October 31 and November 2, and the bids are to be opened at this meeting. c. Health Agent attended a meeting of the City Council relating to the change of regulations pertaining to instituting a charge for disposal of. rubbish. The City Councillors asked a lot of questions about the finan- cial aspect, whether we really would acquire as much money as we thought we would, etc. Councillor Richard O'Keefe made a suggestion that our depart- ment start charging as soon ai possible and not wait until the new scale is ready. He subsequently made this an order which is listed above. Apropo of this I have changed the rules and regulations to conform with the new changes. I have also a mockup of tickets we w:Cll us as a basis for our counting system. d. Report of the Hospital Committee's progress: The Committee has had or will have had, before the meeting, three sessions of interviews with fourteen Architectural firms. At this writing we have selected four and will interview two more on Tuesday, November loth. Miss McKinnon of the State Department of Public Health called me and inquired about our progress and I informed her of the progress we have beer- making. Veryt, u ur.fi .. JOHN J., ,TOOMEI, �, C. CC: Board Members; Mayor Zoll; Council Committee on Health; Carl Johnson, Salem News. T4+4CilG4L►' ito wJ.4`G►� N� .li1'4;� Paurb of NwIth 'o 4- 3Rap ttn, .+AE1.P., ( 4airmttYt 5 �ruttb �treet pJilliam 3U. Ifflahaneg, Jr_ Tv4n T. Toomeg IISP tt ttrb December 21, 1970 I. Kaplan, M. D. 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan The regular meeting of the Board of Health will be held on Tuesday, December 29th at the Health Center, 5 Broad Street, Salem, Massachusetts at 5:00 P. M. .AGENDA 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital. 3. Communications: a. Copy of letter from the Director of Social Service of the North Shore Guidance Center to Miss LeFleur congratulating her on her appointment to the Board of Health. They state they would like to meet her in the near future to discuss their program. b. Letter from the Department of Public Health, WAlfred t, Frechette, Commissioner in which he refers to Chapter 891 of the Acts of 1970, which amended the laws pertaining to Slaughtering and Meat and Poultry Inspection. This Chapter provides that the State Department of Public Health shall assume this role as of December 1, 1970. c. Letter to the Board of Appeal re Mr. Joseph Ragone on his petition to house construction equipment and salvaged material for resale,at Swampscott Road. In the letter we quote the motion of the Board of Health at their last regular meeting in which they state they are opposed to this. d. Report from the Fire Department of a fire drill conducted on November 19th at the Salem Health Hospital. The major problem during the drill was that most doors on the first and fourth floors were found open, other than that all went well. e. Letter from Cynthia Field, Chairman of the Professional Advisory Eoziimit:tei� A-fe Mental Health Association of the North Shore. She requests us to answer a questionnaire before December 16, 1970. f. Letter from the City Clerk states that Mrs. Marie McHugh has been granted an extension on her sick leave until December 31, 1970. For g• Letter to Mayor Zoll from the department informs him that the sum of (City Scales) $14,607.50 will be needed in addition to the $20,000 already transfertec h. Letter to Mayor Zoll requesting a special appropriation of $14,607.50 to cover the balance needed for this project, namely City Scales. i. Letter to Mr. & Mrs. McKinnon cites the Board's motion at the special meeting held on November 30th, ie: to start razing the structure at .28 Daniels Street :fifteen days from the date of the reciept of the letter and said demolition to be completed fifteen days therefrom. I i xlentuttr ofettttit Page 2, Agenda, Board 5`Nraab Street of Health Meeting, 12/29/70. j. Special Delivery Receipt shows that letter was received by Mr. McKinnon on JDecember 4th. k. Letter from the Department of Public Health, Division of Sanatoria and Tuberculosis Control relates to Possible Isoniazid (INH)---Associated Hepatitis. They state that reports have been reviewed and they see no basis on the available evidence, to interrupt our INH treatment and prophylaxis programs. 1. Form Letter to all appointing authorities from the Director of Civil Service that they must personnally sign all correspondence to their office. M. John Sarnowski is still out on Workman's Compensation so we have requested Civil Service to extend Alfred Bedard, provisionally, from Incinerator .Crane Operator to Incinerator Foreman for a period of six months. n. We have requested a further extension on Doris Obremski as Seamstress at our Hospi- tal for an additional period of six months, or until the eligible list is establishe o. Gertrude Anketell has been a permanent-intermittent worker at the hospital we are requesting for permanent-part time for this position. p. We are requesting Civil Service for an extension of the provisional promotion of Josephine A. Foye, Theresa I. Carr and Patricia C. Symbarski (Ryan) as Senior Account Clerks and Stenographers for six months or until a list is established. q. Communication to Mr. Daniel W. McHugh, Jr. and Mr. Thomas F. Donovan re conditions at 14-16 Brown Street and 4-6 Brown Street Court states that little progress is being made. r. Letter to Leon J. & Mrs. Beverly McEntee re 145-147 Derby Street in Salem states many violations of the Sanitary Code, the department gives him fifteen days to take some corrective action. s. Memo from Miss Jan Teresko, Director of Project RAP, Inc. thanks us for the donation of $40.00 which was given to Project RAP in the name of our hospital by Mr. Francis Murphy. She states that it is good to know that people in our field are actively interested in the drug problem. t. Letter from John J. Baffa he asks that he be advised on the present status of water treatment project at the incinerator, reminds us that he has expended some money on lab work results, etc. u.,f-Letter from the Division of Environmental Health to the Trustees of the Reservations re open burning at Misery Islands gives permission for this on days other than Saturday, Sunday and Holidays, smoke minimising techniques shall be employed and burning shall be conducted only when the prevailing winds are from the west or northwest. ��. Letter from the Department to Edmund N. Stone of the Rate Setting Commission we explained that we are in the process of constructing a new Extended Care Facility and would like to sit down with his department and discuss financing. w.., Department of Public Health, Division of Environmental Health tells us of a new law .governing dumps and dumping generally and they place emphasis on open dumping. Thidt's\retroactive to August 28, 1970 and amends Section 150A of Chapter 111. They1mention assignments of sites for the establishment and operation of refuse disposal and they request we evaluate the quality of bfig refuse disposal operation and to see that adequate funds are in the 1971 budget (o little '___w_—___ ___aC-. Division of Environmental Health also advises the department that Regulation 8.1.3 on the Control of Air Pollution now requires that detailed plans, specifications and standard operating procedure be submitted to the department for approval, prior to sale or distribution for sale of any small business or domestic incinerator. } . Another communication states that it has come to their attention that many "Fuel-less" incineratoB are being offered for sale to small business and homeowners, these are not approved by the department of public health, and existing incinera- tors of this type which do not use auxiliary fuel will not be approved after July, 1971• r + 5ttletn Poarb of Xealt11 Page 3, Agenda for Board of 5 goal jq;tred Health Meeting of December 29th, 1970. Z. Letter to Board Members and City. Councillors with copies of new regulations for collection and disposal of refuse states these will be presented to the Board at this meeting and Councillors are invited to attend. OLD BUSINESS: � a. Report to Mr. Thomas F. Maguire, Superintendent of Schools of the recent problem at the High School. Director b. Management Intern Examination--Civil Service^requests that we make suggestions to her relating to this program. C. Report on Housing problems from the Sanitation Section. d. Howe Richardson Scale---contract signed for the installation of the scale, we are being held up because the contract will not be valid until we get the $14,000 we need from the City Council. e. Thomas C. McMahon, Director of the Water Resources Commission called and said they must hear from us on their letter of September 17th, or they will send us a notice to take action, giving us a time limit in which to stop polluting the river. Dr. Toomey told them we were not ignoring the letter but we have been busy and so has the Mayor and we are tying this in with Air Pollution Control. We have talked informally at the request of the Mayor, with Anderson-Nichol people who would like to do this project. They estimate a cost of around $200,000 for the whole project, Air and Water. I must call attention of the Board, however, to Section B of the contract for renovation of the Incinerator by John Baffa, Engineer, which is still in effect, he is our engineer. I would recommend that the Board start pro- ceedings with the Mayor, immediately to institute this complete program. f. We have forwarded Board and the City Councillors a copy of the proposed regulations and as the Board directed the City Councillors have been invited to this meeting. Also invited to the meeting is Attorney William Donaldson who has been working with the department on this. There are legal questions relative to the power of the Board of Health to establish fees, Mr. Donaldson will explain this angle at the meeting. There is also the question of the city scales, whether its duties will be absolved into the Health Department, along with the City Weigher. This also will require a change of Ordinance so a meeting with the Council on this is important. er t u yours :JO J �Vent . � : eal T/h cc: Mayor Zoll Board Members Council Committee on Health toy WOUto 0044t to tem of d o Ith tKII be bold Sd"f ttex to Moor aW city Cumtt raomattas the sm at y : 14*1601 tim the COY $44w, T"O to t t it to bettmao tbo Oovftil 40 tot 1970 totter. j Uttar y wk t �. O,lh Leo* -for tulle �and t m". Asuctotton ,y " thoy Approcu of Oa city to the tbvtb $ oco OUMit* %boy t Ott 6w 19 1 0190,790 9. totter to Uty cagw4l v*q"Stuv 0 motto with jt for t rovitwim the mlmd mvAlotions for colwaou and ftt - t Utter tm tip boottwut of pubts"r zaalths mvi#um o .torto wA TuUmUmfo Coatrotti tea" to UbOrOU10010 QAp t , tt retmctive to .Awt to 1910. to to V "Ott* *V*Wtd Wt the POW106 at Attvttt" Ud et the Raspitat, t 'v:tt cavico et kev tbAt UO ett tbte t ter to jobn cods * tom '* am4roamatat 46 tth "tad ft" ftft 1' t,,e '�.ro l�.�rcrulu I;o.u'd .f1ccl in.,� OLD BUSINESS: a. Letter from Mr. McKinnon states his progress at 28 D zi-els SLrectu He requests an extension on this. b. Monthly report from Christine Pratt, Consultant- at Lite Hospital. C. Form for Preventative maintainance agreement on the Emergency Generator at Hospital. d. Report from the Sanitarian on the bacterial count on utensils aL Hospital. e. Report from Health Agent on meeting with the City Cot,ncil relaii_r, . to revisions in regulat:ion.s for collecting; and disposing o: rr f. Report from Health Agent on his meetin; with the Rat: Setting:; Commission. NE-N BUSINESS: a. Hearing for Mr. & Mrs. Henry Boucher relates to 11 Pacific Street. b. Application for renewal of Mrs. Harney°s Day Care School.. � c. Inspection and renewal�forms for the Home for Aged idomer, Vern- truly vours.1 JOHN J. TOO`EY, D.S.C. Health Agent H Mayor Zoll cc: Board Members--William L. Mahoney, Jr. Joseph Richard -- Heidi LeFleur Council Committee on Health Carl Johnson, Salem Evening News r err fv�' !"-� ._ �-r.J'.._..- //�l Imo'„,// ^— \. IPAGE 2 OF ADDENDA FOR BOARD MEET. NEW BUSINESS: 1.. The Board had payments moved for Podiatric Care of patients at the Hospital from $2 to $3, to $5 to $6. Dr. Fisher assumes that we have gone on the same fee schedule as is used by the Welfare Department. We had intended that this be a partial increment, the Welfare Department schedule is different in that it permits other charges for special treatment. 2. We have been requested by the Reorganizational Task Force to make out a long, involved report of personnel, this has been completed and sent to them. We have another report for the Task Force and they ask us for certain material which we have not been able to get to, as yet. 3. Health Agent has accepted an appointment to the Medical Institute, which is connected with the North Shore Commun ity College. This Institute, on a Government Grant, will study, and hopefully come up with, a plan for the more optimum delivery of health services through the coordination of the efforts of the Health Departments; Hospitals (all types) ; and Institutions of Higher Learning in the North Shore area. 4. We have engaged in some preliminary discussions with the Mayor's Committee on Drugs which is aided by Reverend John McCormack. The Health Department appears to be the organization to act as a coordinating force for the various drug efforts going on in Salem. 5. Dr. Freedman of Mental Health Association together with a group of interested people have been discussing the probability and the possibility of investigating the various methods by which better delivery of medical care can be given to segments of the community. 6. Miss Gondella and Dr. Toomey have had a number of discussions on the beefup of our efforts in Community Nursing Care with particular emphasis on two areas, namely: Pre-school and problems of the aging. It is my feeling that a nurse is the best social worker contact for our older people in the community. :This effort should be continued so that better medical, social and nutritional services can be given to individuals in this age group. • mod. Y V February 23, 1971 Meeting of the Board of Health came to order at 5:10 P. M. with all members present. Councillor's Ruane and Levesque were also present, as were interested spectators. Mrs. Countie moved that we dispense with the reading of the minutes of previous meeting anc the motion was unanimously passed. The census of 44 patients at the Health Department Hospital was recorded. 2 " Communications: a. Notice from City Clerk states that the' sum of $14,607.50 is hereby appropriated from the Revenue Account to the Subsidiary Appropr— iaT t o Expense Account "Health y Department--Special Item, Incinerator Scales" in accordance with the recommendatio of His Honor the Mayor. This was received as a matter of record with Councillor Ruane saying "with reservations" due ,to the Health facility in the building. Dr. Kaplan said the Board had anticipated the installation of a portable setup there. b. Copy of letter from Water Resources Commission to the Division Manager of Star-Tronics in Georgetwon relates to their proposed moving to a new location in Salem. Letter discusses treatment system to treat cyanides, ctrromates and acid wastewaters. They cit# the characteristics of the wastewater proposed for discharge to the municipal sewerage system. They recommend that the Manager request permission from the City of Salem to discharge these treated wastewaters into the sewerage system. This was received as a matterof information. Councillor Ruane said he had checked out at Amesbury on this and found that 16 to 30 gallons a da were g yngoing into the sewer system. Dr. Toomey stated that it was a 5 man operation, and this department would help the Water Resources people on this but that they are the final authority. C. Division of Environmental Health Frank J.-Reinhardt, Chief of MBAPCD says they observed the &mission from the Salem Incinerator stack of smoke the shade, density or appearance of which was equal to or greater than No. 1 of the Chart, which is a violation of Reg. 6.21 of the Air ?ollution regulations. They want prompt action to stop violation. Health Agent said he had talked with the engineer from New York this past week and arranged a meeting with James Dallas of the Air Management Division and Mr. Hans Bon, assistant to Mr.McMd homjan Water Pollution. . They request a letter that we are going to initiate some action. This was received as a matter of record. d. Rate Setting Commission, from the department, relates to the Public Hearing notice receives: on proposed regulations governing rates of payment to be used by all Government Units for inpatient care for publicly aided patients. We suggest that some consideration be given to establishing Extended Care Facilities on the same rating and payment basis as hospitals, particularly when these facilities are operated by a charitable organization or government sub-division. They reply that our letter will be considered in the Commission's adoption of final regulations after the public hearing scheduled for February 24, 1971. This, was received as a matter of information. e. Listing received from City Collector of all unpaid hospital accounts, copy has been forwarded to the City Solicitor so necessary procedures may be taken to protect the City's 'interest. Dr. Kaplan suggested that the City Solicitor be contacted by letter and request his recommendation so some of these uncollectible bills could be abated. f. John R. Serafini, Esquire advises the Board that he represents Mr. John M. Ingemi and would be interested in obtaining a special land fill permit for property which he owns situated off Highland Avenue. He would conduct a sanitary land field operation and would be pleased to discuss this with the Board. Board instructed Health Agent to contact Mr. Serafini and invite he or Mr. Ingemi to a hearing on this. \ Health Agent read a letter from Mental Health Association in which they request the sum of $12,790 for the year 1971. Dr. Kaplan suggesting writing them a letter and inform them that the figure is already in the budget but the Board would be glad to meet with them if they so wish, the figure in the budget for 1971 is $8500.00. OLD BUSINESS: A. Report from the Environmental Health Section of the department was read by Dr. Toomey and the following action was taken: 1. 20 Varney Street: Doctor Kaplan reported that there was a fire there on Friday. Councillor Ruane mentioned that he had received several calls on this house that parties were going on there, liquor and beer bottles were strewn around. The Chairman said this was a problem he had tried to straighten out for some time, he then relinquished the Chair and made the following motion: "That we notify all parties concerned that within two weeks the house at 20 Varney Street will be razed. " Motion was seconded by Mrs. Countie and unanimously voted. 62 a�a 2. Harding Case: Mrs. Harding has been in court eight times, to see if something could be doen about her children who have been living in filth for years. The case is now in Salem District Court and many agencies are working together to try to help the children. This was received as a matter of record. 3. 40 Roslyn Street: Mr. Strong, Owner, has been taken to court because of his refusal to repair this property. He was find $200 and he has appealed to Superior Court on this. This was received as a matter of record. 4. 54 Derby Street, Owner, Mr. Zalotos. He refused to repair the property and sold it two days before the case was brought to court. The judge continued the case until February 23, 1971. Decision of the Board on this was to give him 30 days, to repair property. 5. 14-16 Park Street was a court case, but violations have been corrected. 6. 145-147 Derby Street, Owner Mr. McEntee. He has been notified twenty-seven times in the past 18'months on rubbish and garbage problems. We receive many promises but no action. Board's decision to take him to court. 7. 28 Daniels Street, Mr. McKinnon's property, place has been demolished. 8. 15 Kosciusko Street, Owner, Mrs. Caputi, property going down rapidly. Recommenda- ' tion o�Boa� to have Mrs. Caputi come in for a hearing. 9. Polish Club, new owner a Mr. David Colby from Beverly, we have written him about ti—free weer ago but no reply. Board recommended that he appear before them for a hearing. 10. 12 Palfrey Court: Owner Anna Joyce, presently in a nursing home, family suggest razing place, property was ordered razed on February 17, 1971. This was re- ceived as a matter of record. 11. 40 Union Street, property owned by Mr. Driscoll, ordered to raze same and it was demolished by hand, because of the value of the interior. 12. 11 Pacific Street, Owner Mr. Boucher had appeared at a meeting and had promised to board the place up, but has not complied. Recommendation of the Board to take him to court, if he does not comply within- two weeks. 13. 66 Linden Street formerly owned by Dorothy Reich, now has a new owner and is being renovated. 14. _17 Daniels Street, owner Mr. Thomas Kenney, has been in poor repair for some time has indicated that he will raze structure or improve it but nothing happens. Mr. Cameron will follow up on this. 15. 753 North Street, McArdle owner, sentrletter February 2, 1971, no reply. Board recommended giving him a hearing. B. Bakers Island has been rat baited by the inspectors of this department and a sanitary survey has been made there. This was received as a matter of information. C. Health Agent reported to the Board that he had met with the Assistant City Solicitor and had gone over the regulations. The existing Ordinances will be abandoned and the new ones be instituted. He will send the form and we will send it to the City Council for consideration. This was received as a matter of information. (Coj.. 6: Dis . of Refuse) D. Doctor Toomey reported that the repairs on the boiler at the Incinerator have erg en com- pleted and he is planning to have routine repairs matte on the other boiler. Councillor Ruane inquired if a government grant could help out with all these repairs at the Incin- erator. Doctor said we had tried to get a grant on the Water Pollution problem but we were refused as there was nothing unique in our plans. This was received as a matter of information. E. Rodent Control: On inquiry from Countillor Ruane the Health Agent said that over the last few years the rodent problem in the country had increased tremendously, especially in urban areas. Our department has a surveillance and poisoning campaign going on continually. This was received as a matter of nformation. F. Doctor Kaplan reported on the progress of the ew hospital. There have been meetings with , the Board of Trustees at Salem Hospital and the City group and everything is going along 18 nicely. Meeting adjourned at 6:45 P. M. % April 27, 1971 • AGb=A T. ' Reading of minutes of previous meeting. Census at Health Hospital 44 .3. Communications: (a) Letter from Division of Civil Service dated April 22, 1971, which indicates Armand LaBonte has requested a hearinv before Civil Service on his suspension. Date of the hearing is Wednesday, May 5, 1971 at 2:00 o'clock P.M. The City Solicitor has been notified of Armand LaBonte's request for s - a hearing. (b) Letter received from Mr. O'Brien, Superintindent of Public Pmpperty, requesting;:the Board of Health confirm th, t the Recreation Department can use the auditorium to accomodate their needs. 4-a-�' ,.� {c) Letter received from Bureau of Health Facilities of the Department y . of Public Health on recertification of the Bertram Home for Aged Men at 29 Washington Street Salem. (d) Letter was sent to City Solicitor on advice and permission to abate some of the outstanding bills at the Health Department Hospital, which in the opinion of the Board of Health are uncollectible, either by reason of inability to pay or by legal statute of limitations. (e) Letter received from•State Laboratory Institute, Department` of'Public Health which indicates only limited supplies of smallpox vaccine is. now available (letter was dated April b, 1971) We have since contacted the State Laboratory by phone and was advised that after.May 12, 1971, .they will have amnly supplies of smallpox vaccine. (f) Division of Civil Service in their letter of April 23, 1971, advised us� that..arrangements are being made for an open competitive examination .for Sanitarian, at the earliest possible date. . -(g) Letter received from Edward b. .Cod CityAuditor, on April 22 1 1 y 7 9 with information on accumulative sick leave April 27, 1971 (h) Letter received. from James W. Bryson, Stewart for Health Department Heavy Equipment Operators and Sanitation Laborers. His letter indicates that rubbish trucks are in deplorable condition and are operating on a daily basis without rear steps for the laborers to stand upon. This letter was received from Hr. Bryson on March 29, 1971, all trucks have since been repaired, (i) Letter received April 14, 1971' from the Division ofCivil Service which indicates Anna M. C:ondella does not meet the entrance requirements for.Supervising Public Health Nusse. However the letter further indicates that the appointing authority (Board of Health) will certify in writing that they have tried by every available meens to get a qualified applicant - and failed, then the provisional appointmert of Anna M. 'jondella will be approved. Q) Letter received from City Collector of City of Salem, which indicates Mr. William F. McKinnon and Mrs Adele D. Mckinnon have paid the cost of demolition of the property at 43 Daniels Street in Salem - $1,950.00 OLD BUSlivESS• (1) 20 Varney Street - This condemned property is now being demolished Colby Street - Condemned property - the former owner John Karuzi.s has been going into this structure in late evening hours and sleeping inside. At our request Mr Karuzis was removed by Salem Police at approximately 2:00 AM on April 5, 1971. He was detained in Police Station till morning, no charges against him with a promise he will not return to 91 Colby. Mr Sullivan (Thomas A.) is now taking steps to have structure torn down. (3) Grove Street - Another sewage backup in this line which services both Salem Suede and Pioneet Tanning. Health Department records indicate problems have existed in sewer line since September of 1961. The last sewage problem caused great hardship to the Fountains and Taglieri family on Grove Street. A meeting has been called for April 30 at 10:,;0 AM in Mayors Office with Sanitary Engineers .from District Health Office, , City Engineer and Health Department to see what can be done to correct the long time problem on Grove Street (4) The Curley family with whom we have many problems (Father-Mother- Son & Daughter) in the past on Tremont Street, Federal Street, Essex Street, and now at 8 Essex Street. This family no matter where they go cause problems, no attempt to keep their dwelling clean .and cause great discomfort to neibhbors. The son Wm. 0. Curley ;in a fit of anger broke many :wi.ndows out of their apartment at 8 Essex Street on 2nd floor at 8:05 PM on April 26, 1971. He was arrested for destruction of property and placed on $200 bail, he has since been released. Our inspection of the property fo��nd conditidns so filthy and deplorable that it was condemned and ordered. vacated under the hhergency Cond:'-tions of Articles I and"ill of the 'Sanitary Code. (5) . Royal-'Submarine (Mr Burnham) was found guilty in District Court fgr operating: a Food Service Establishment without a 1971 Food Service Permit. We only went to.court as a ;.l.gst resort when he failed to obtain a license. (6) Complaint has been filed in District Court against Daniel W. McHugh, Jr., and Thomas <F. Donovan for failure to correct multitude of violations of Sanitary Code at 4-6 Brown StreetlCourt and 14-16 Brown Street. Trial is scheduled for April 30, 1971 at 9 AM OYI Harding case (custody of children) is still waiting completion due to. illness of children. Mrs Harding a former resident of Salem is living in Beverlyo (8) 22 Kosciusko Street (old Polish Club) is now being repaired by Mr Crosby the.new owner. He has an excellent boarding job on the structure. ' (9) 15 Kosd:iu.sko Street (Mildred Caputi property) this condemned property is in poor repair. Mrs Field. (Real Estate) which represents Mrs Caputi indicates she-.will come to this meeting in regard to this property and possibly bring an attorney who represents Mrs Caputi. (10) ..,12 Palfrey Court - Condemned structure in poor repair, due to be razed in aext 60 days. (11) Many complaints are being received in regard to Board of Health letter to industry which indicates tires, plastic, lacquer covered leather and like material will not be accepted after April 30, 1971. (12) Mayor Zoll has given the go ahead on the making up of a contract for plans and specifications on water and air control at the Salem Tncinerator. Approval of the Board of Health will be required NEW bU61N.LSS; More on this at meeting time. Very truly yours Colin E. Cameron, R.S. Acting Health Agent ,. r Ti 1. ,,Reading of minutes of.previous meeting. , G 2. Census ',a't Health Hospital «J, lilt { 3. Communications (a•Y Cony of letter sent to w-City -Solicitor was' received from r ,,Division of Civil Service. ,PThe case of Armand LaBonte is continued to Friday, .qJunbi4, .1971, at 9 AM, Room 137 at'State House., Jn f .h�,fin„ •..y. F-. (b) Letter received from iMrs.,L6 etta 'Nolan .of 99 Rainbow Terrace in Salem •in which she :proposed the. .following business at + 138'1:Washington Street + „8 T5 z r ,`. Pet shop. (selling }tropcal fish) °and pet supplies, also arts-crafts suples. ' 4y N 4N 4` Mrs' Nolan was;advis,ed no, permit is, rQquired from F?oard of Health, but to'`check on, Zon�.tig: with BuildInP Inspectror. +,. (O "Copy"of lettetsent> to' Dept: of Natural Resources from -Department of,.Public .Health; ,received on May 2.7, 1971 letter is in;:regard to d ice skating rink to be installed on -Tedesco Street in Marblehead. We have'advised the Marblehead .Bcd rd± of~Health by letter that any. sewage system''for.this rinY.< (if it is close to r `'' •' the Salem`line) is of great ,j,nterest to us. We have also asked they .giveno .apprpva3 'of a .sewage disposal. system Slj near.theCS`slem.line,, until we hav„e' '`a:chance to view the ban. '(d) Letter recezY�ed .from Recreation Aepartment of City of Salem, in whi cht`they indicate the',use to which the second floor (auditor ium) will be 'put 'also-,the amount of traffic in the building 1, 0, r (e) ;Application,}.for' a Mrs A.; Hagan,-for admission to the Health Dept. ' Hospital has.been received from Dr. Cunney. (f) Ittr: sent May.14, 1971, to,Div.,,o ' Civil S(:rvic.e, which advi.r d. them ,Mr 'L'loyd`Winer (present`.Regi.stered'Pharmacist at Health DPpt� Hospital) resigned, `and requested.Mr. Raymond Vallaincoiirt be given provisional approval pending a recuisition. (g) :Letter sent May 11, 1971, ,to",.U'.S.%Coasi Guard Li..�7hthouse Station on Bakers Island, .requesting they cease open burning of znibbish on the island. Letter also requested that s<am-)Ies of their drinking water be sent to Salem:Beverly Water Su my Po rd for periodic examination. f. Communications (continued) (h) Letter sent to Ruth M. B.uck, President of Bakers Tsland Association, which advised them of the following: Our over the winter rodent`control program was a success (over 50% of.the bait was accepted byrats), c. advised them we will .a- over the winter of 1971 bait the��island. ; We, also advised them that,rubbish can now be brought ashore by boat (in plastic bags) Mr Fred Getchell has the contract for`rubbish remoir6l.,. ,V (1) Letter sent to Jr. TQbias Friedman on proposed health screening program for pre;-s°chool, children. It was indicated;What the Board;of. Health would appreciate Dr. Friedman attending the May, 25 meeting of the Poard of Health. (j) Letter received from` Civil Ser4iee approving the provisional. appointment of Miss Gonde' a Supervising Public wealth Nurse v , (k) Copy of Anew Regulations forthe Disposal of Solid Waste by Sanitary '. ` ry Landfill received ,May ll, 1971, from the Department of Public Health. Trde' are .making a study now to determine how we can,.comply"with-the new, regulations. (1) Letter received from Charles .D. Koshgarian (Milk and Sanitary nspector)'which bringsF,ta, attention of Board of Health, that a. provisional appointee" (Ri`ch' Legault) now serving as Provisional Sanithrian 'at,.a ,higher grade who has less experience. Charles Koshgari^an'has-served-:as Milk and sanitary ?nspector since September 24,' i956 N , OLD BUSINESS (1.) 91 Colby Street Condemned property ownd by Mr Thomas A. Sullivan of 51L Felt Street in Salem. Mr Sullivan was contacted by phone May 10; 1971, as soon as a release can be obtained from the former owner on property left by former owner. (John ,Karuzis) inside the struct%ire the ;. property'�will be.-torn.". Mr Sullivan was .advi.Fed that a rodent .infestation exists i.n anc� around his structure �(anticoaeulent type bait has been placed by the Salem Health°Dept)., and he must take action - with,all `due'haste to demo]-.sh the structure. 4. f ; (2) Grove Street Sewage backup'into.two houses from SnIem Sewer Line. In the .past- month' we have met with the City Engineer and the Di.strict�Sani.tary Engineer from the Northeastern Reegional Offic of the Department of Public Health, on this problem.;"';, tide have also met on two occasions with Mayor.'Zoll, City<•Solicitor, and the City Engineer on this problem: Attorneys for both Salem Suede and Pioneer Tanning also,attended one of the meetings in Mayors,, office. ': i-Engineering plans are now being prepared b�y,'consultabt engineers (Talbot for Pioneer Tanning, H an ."Yorter. for Salem Suede) to prevent leather waste products from entering the 'rove Street sewer line.- �`A; check with the City Lngi.neer on May 19,, 1971`, i.n'dicated.that the Grove Street linee in the problem ara ds :being reamed out on a daily basis to prevent` a .repeat of the sewage backup into =E' the two .dwellings on Grove Street (3) 8 Essex Street4 Curley faYri ly'living under unsanitary conditions at 8 Essex Street, an also caus _ng damage to windows and. window frames, of the structure. Son was arrested for damage to the structure. Curley,famly has moved out, however they left a massive "5. amount of, rubbish ;,and, garbage which we orde.rr_:d the owner to remove.- , (4) 4 6..3rown Street Ct. Failure on' part of Daniel W. McHugh, Jr., and Thomas 14-16-.Brown Steet F.- Donovan to correct a multitude of violations of the State Sanitary Code. At the trial in District Court on April 30, 1971, a continuance of 30 days was granted-by the Judge to May 25, 1971, for corrective action o, r , (5) Harding case Harding case7 (custody of children) is still waiting completion due to -illness of children. Mrs Harding a former resident of. Salem is living in Beverly now. (6) 22 Kosciusko -St.' Old Polish Club, repairs are still being made. Owner s has did anexcellent job in boarding; up the windows. (7) 15 Kos6iusko St. Mildred Caputa. property which is condemned is in very poor repair.` Prospective owner (Robert Kubuszewski) is going-before ,the Board of Appeals on May 24 for a variance and if granted will_ improve the property. Mr Kubuszewski recently repaired property on Daniels Street,gpurt and did an excellent job. (8) .1.2 Palfrey 'Ct. Condemned 'structure in poor. repair. The low estimate � for demolition was �1 290.00 purchase regl..i sti on has been sent. to°Purchasing Arent. Upon completion of the demolition a lien will be placed upon the land for the full' cost of demolition. (9) IncineratorMany.eomplaints have been received in retard to Board of Health 'letter to industry which indicates tires, " plastics, lacquer covered leather and like material will not. be. accepted after Anril 30, 1971. Inspectors ' from the Metropolitan Air Pollution Control District indicaIp,we.still,are violating the Air Pollution Control Regulations in ,.the morning (usually 7:30 AM to 9 AM). . Part of�.-'the problem- is from the furniture which we put intq, the #2 expansion chamber each morndn- - we have no other wey`at present to dispose of it.. On May 18, 1971, we met with-Mr. William Cass and Mr Walter Smith of. the Metropo$itan .Air Pollution Control District and our smoke prob]fims.were discussed. They indicate the City ..":4 of Salem will be brought in for a "show cause" hearing, a on our smoke problems, NEW BUS INf:.SS Mpre' on this at meeting time Very truly yo $ ' Colin .F. Cameron, R.S. Acting Health Agent i June 22, 1971 AGENDA 1. Reading of minutes of previous meeting 2. Census of Health Hospital Ltlj 3. Communications: ,k (a) Copy of letter sent to City Solicitor by Divisicn of Civil service was received on June 7, 1971, indicates the hearing on Armand LaBonte will be Friday, July 23, 1971 at 9:00 in Room 137 in State House. (b) Letter received from Metropolitan Air Pollution Control District, Department of Public Health, which indicated that on May 12, 1971, between b:00 AM and 9:00 AM greater than No. 1 on the Ringleman Scale was coming from our incinerator. The City of Salem was invited to a conference on Monday June 7, 1971 at 10:30 AM at the Office of the Metropolitan Air Pollution Control District. (e) The Drug Action Committee of Salem delivered a copy of thair ten ge report "A Proposal to the Young Men's Christian Association" . One ormore members of the Drug Action Committee of Salem, will attend the Board of Health Meeting on June 22, 1971, to give additional information. (d) Letter received from Animal Rescue League of Boston on the many complaints we have given to them on odors and smoke in the destruction ' of animals. A review is being made of the operationrjl procedure. (e) Letter received from Howe Richardson Scale Company (Executive Office in Clifton New Jersey), on the delay in completion of the new scale at Salem incinerator. Failure of a sub-contractor to perform scheduled work is given as reason for the delay. (f) Notice received that Department of Public Health will hold a public hearing June 24, 1971 at 10 AM, Room 320, 600 Washington Street, Boston, on "Licensure Rules and Regulations for Hospitals in Massachusetts" Old Business (1) 91 Colby Street Mr. Thomas A. Sullivan owner of this condemned structure advised this department that the structure will be demolished by July 1, 1571 (2) Grove Street Engineering plans have been comple-ed by cons tants hired by Salem Suede and Pioneer Tanning, to prevent future sewage backup problems. June 223 1971 Old Business (continued) (3) 4-6 Brown Street Ct. Failure on part of Daniel W. McHugh, Jr., to 14-16 Brown Street correct a multitude of violations of the State Sanitary Code. At the trial in District Court on April 30, 1971, a continuance of 30 days was granted by the Judge. On May 25, 1971, a continuance was granted to June 15, 1971. On June 15, 1971, a continuance was granted to July 91 1971 (the Judge indicated he will view the property himself during this period). (4) 6 Essex Street The second floor apartment form(:rly occupied by Curley family, has been cleaned and placed in good repair. Condemned signs removed. (5) 12 Palfrey Court This structure was razed by the Board of Heslth. A lien will be placed upon the land for the full cost of demolition. The lien will have an interest of 6 percent per annum. Cost was $1,290.e0 (6) 15 Kosciusko Mildred Caputi property which is condemned and is in very poor repair. Prospective owner will go before the Board of Appeals on Monday, June 21 for a variance (to make it either a It or b family house. (7) Harding case Custody of children. All testimo is completed, while case is still open and is continued, no further action is required by the Board of Health. (6) Ivy Manor Rest Horne Has been inspected and found to be satisfactory for certification (renewal) New Business: More on this at meeting time. Verye ttrruly�ouu Colin H. Cameron, R.S. Acting Health Agent July 27, 1971 AGENDA 1. Reading of minutes of previous meeting. 2. Census of Health Hospital 44 3. Communications: (a) Letter received from the D.P. H. Div. of Environmental Health notifying the Board of Health that a hearing will be held Wednesday, August 18, 1971 at 10:00 A.M. for reconsideration of the order that the Board of Health stop violation of Regulation 6.2. 1. of the Air Pollution Regulations (b) Letter from the D. P. H. , South Essex Sewer District re. the contract for the Peabody-Salem interceptor system to eliminate the existing sewage-� '� overflow to the North River. (c) A communication from the Coverall Service Co. , Inc.. stating they will supply three sets of chino shirts and pants for each man at the Incinerator and service these sets for the cost of $2. 10 per week per man., This is something the union requested and we have notified them to begin the service. (d) A card from John J. toomey thanking the Board for the beautiful flowers. (e) Communication from D. P.H. , Division of Conservation Services, approving the plumbing arrangement for the proposed Think Rink Inc. on Tedesco St. (f) Copy of a letter sent to Mayor Zoll requesting the transfer of $6500.00 from Item 4, Sanitation- Collection, Salaries to Item 5, Sanitation- Disposal, Expenses. (g) Certification from the Division of Civil Service for the employment of one permanent Clerk and Typist. As there may be some changes in the department, it was decided to hold off on this appointment for the time being. Old Business (1) The hearing on the LaBonte case has been called off, as you all know, however no future date for a hearing has been set up, at present. City Solicitor Pitcoff conferred with the union attorney, and they have a proposal of 15 days. Atty. Pitcoff has,kreed to a tentative 15 days subject to review and approval of the Board. PKernwood (2) We are placing signs at "Cold Springs" so called at "Water in this area not approved for drinking purposes, per order of the Board of Health." We are also placing a sign at the Congress Street Bridge "No Swimming - Polluted Area per order of the Board of: Health". This was,,done with the approval of the Harbor Master. 0- ,,-� `' 2, Agenda, Board of Health Meeting of July 27, 1971 (3) Henry Boucher - Housing Code Violation at 11 Pacific Street. Request for a hearing. (4) Mildred Caputi - Hearing on 15 Kosciusko Street (condemned structure) . (5) City Scales - The installation of the City Scales is progressing favorably and should be completed within the next week or two. (6) Incinerator Repairs---Water and Air Pollution Meeting with the Mayor, City Solicitor and John Baffa. Endeavored to clarify Mr. Baffa's status in relation to the City. The concensus of the meeting was that Mr. Baffa's attorney and Mr. Pitcoff would get together and arrange things, the problem is that Mr. Baffa was the engineer for the City in charge of the renovation of the Incinerator in 1964. There. wo parts to this contract, one was the rehabilitation of the Incinerator and part B was the redesigning of a system to prevent pollution of the Urook which becomes Forest River. This brook is being polluted by the scrubber water from the Incinerator. No money was ever appropriated by Mayor Collins for part B and the project was never done. As this will come into the new contract for control of Air Pollution, this has to be resolved and this is what Mr. Pitcoff is about to do. (7) Air Pollution Hearing -- The August 18th hearing is for a reconsideration of an order. This order was on a claimed violation of Air Pollution at our Incinerator and I requested a hearing so that I might explain to them that we are doing everything / possible and that our engineer would soon engage in a study Jof the situation. (from the above you understand that we haven't decided on the engineer) . (8) Hospital---------The Hospital Committee plus the Mayor, City Solicitor, President of the City Council, Health Committee of the Council, Representatives from Salem Hospital and State Department of Public Health, Board of Health, Head of the North Shore Health Planning Council plus other interested people will meet at!,:30aP. M. in the Auditorium at the Health Center to p AhI final presentation to the City Council. I talked to D or Shaughnessy and will consult with the Architects and arrange everything for this meeting. g NEW BUSINESS: (1) Request for hearing by Michael McDuff, on a disapproved sewage disposal on Cedarcrest Avenue. :Y AGENDA - For the Board of Health meeting to be held Tuesday, August 24, 1971 at 5:00 P.M. COMMUNICATIONS: I. A letter from the Division of Sanatoria & Tuberculosis in which they inform us that the hospital rate for TB patients, retroactive to Jan. 1, 1971, is $50.00 per diem, and our share is $25.00. If the patient goes to Salem Hospital, where most of ours will go, the cost ,is 89% of the charges. We pay 89% less z insurance receipts. 2. The resignation of Miss Anne M. Gondella as Supervising Public Health Nurse, effective as of September 17, 1971. 3. A letter from the Department of Public Health, Division of Communicable . Diseases relative to their program of home visits to selected families of newborn children. I notified will will continue with the program with our present quota of 100 families. 4. Three letter relative to the proposed high school: A. A letter from the City Engineer stating it will be necessary to construct approximately 400 lineal feet of new sewer to tie in the proposed High School with the existing sewer at the corner of Wilson Road and Cottage Street. The water can be connected to a 16" main on Highland Ave. • B. A letter to Mr. Salerno from the Health Agent approving the recommendations of the City Enginner re. the connection of water and sewer lines for the proposed High School. C. A letter from the Department of Public Health approving the site of the new High School. 5. A letter from the Division of Civil Service re. the Pharmacist for the Health Hospital. They state that inasmuch as the Pharmacist is registered Civil Service assumes that he is qualified and asks us if we might rely on an unassembled examination. I sent a letter agreeing to this type of examination. 6. Copy of a poster (Civil Service) for the position of Sanitarian in *.he Health Department, which is approved and sent back. 7.A. Communication from Civil Service relative to Armand LaBonte in which they state that the Commissioners voted to accept the withdrawal filed by Mr. LaBonte onhis appeal. B. A letter from City Solicitor Albert Pitcoff in which he states that Atty. Augustus J. Camelio notified him that Mr. LaBonte has withdrawn his appeal. C. Copy of letter sent to Civil Service by Mr. Camelio withdrawing the appeal made by Armand LaBonte. AGENDA - August 24, 1971 COMMUNICATIONS (Continued) 8. A letter to Civil Service with a requisition requesting Charles D. Koshgarian be given a temporary promotion to Sanitarian, pending the results of the examination. To fill his job we also sent a requisition to Civil Service for the provisional appointment of Richard Legault to Mr. Koshgarian's position (Milk & Sanitary Inspector) . This is a very cumbersome procedure, but it is requested by the Union in favor of Mr. Koshgarian who is the person on the job and must have it if he requests it. OLD BUSINESS 1. Mr. Baffa's status has not been defined. I have talked with the Mayor and the City Solicitor, but as of this writing, they have not been able to clear the contractual difficulties with Mr. Baffa. 2.A We were requested to appear at a hearing on air pollution, but at this writing I am calling the Air Pollution people and telling them that there is nothing new I can add to previous expressed statements of progress. B.I received by telephone a call from Hans Bonne of the Water Resources S Department of the Division of Natural Resources, that we have failed also on our time to have appointed an engineer and had a study made on the water problem at the Incinerator. He will send us an ORDER to comply, and which we can appeal. Relative to the procurement of an Engineer, I did meet with the Mayor and I gave him .five engineering companies which are outstanding in the field. They are Metcalf & Eddy; Camp Dresser & McKee; Anderson Nichols; John Baffa; and Robert Charles Associates. 3. Congress Street Bridge is polluted - the count is 9,000, acceptable limit is 1,000. 4. On the coveralls, I notified the company, as directed, that we could not go through with it until further notice. S. 11 Pacific Street (See Environmental Report). 6. Dr. Kaplan, the Mayor, Dr. Shaughnessy, the Architect Mr. Fitzgerald and I, meet with Dr. Joseph Riordan and Dr. John Tumitly of the Medical Care Section to discuss the financing of the hospital, that is their and the governments possible provision of some funds. At this meeting also was a representative of the Federal Dovernment - H. E.W. We came away from the meeting with the feeling that Dr. Riordan, Mr. Knapp, and the others would be very favorable to us in their reconunendations to the Advisory Coimnittee and the Public Health Conuuittee. r AGENDA - August 24, 1971 OLD BUSINESS 6;Continued) 7. The scales at the Incinerator is completed and installed and before the meeting I will have it checked with the architect and make sure everything is completed according to the specifications. REPORTS Hospital -- Census 30 females, 14 males, no discharges or admission for the month of July. Everything routine. The law requires that we have a dietitian, social worker, utilization committee, occupational therapist and physical therapist. In the light of future development, would it be possible to now start to make an arrange- ment with Salem Hospital to have these services supplied from the hospital. I would like to start off with the dietary and occupational therapy. INCINERATOR a. We have rebricked one furnace and other major repairs. It is now necessary that we do the same thing for the #2 furnace. I am getting informal bids from a number of bricking companies to do the work. . Incidently, in these cases, we buy our own bricks, which saves us about 15 per cent on the job. I have one informal bid for $3300. b. SCALES The scales have been finished and everything is complete. Within the next week or two I am hoping to transfer the city scales from Bridge Street to the new location. One of our first activities will be to find out where our material is coming from. This, with an eye to changes in our route system, and two, to weigh the material coming out of the incinerator to check our efficiency. The Council has done nothing about the ordinance which we sent over, so we will not get into the charging phase of the operation as yet. The Mayor and myself will hopefully, before the meeting, go to Highland Avenue so that he can view some property next to the Moose which we miglit purchase for an extension of our dump. The are is very deep, would last quite a while and when finished could be sold for considerably more than we paid for it. AGENDA - August 24, 1971 ENVIRONMENTAL HEALTH 1. Condemned structure at 91 Colby Street, owner by Thomas A. Sullivan of 54 Felt Street will be demolished prior to Board of Health meeting on August 24, 1971. Mackey Construction has obtained a permit for the demolition of the structure. 2. Condemned structure at 30 Silver Street, progress is being made here. Portion of roof has been removed, and new staging is now up. Delay here has been because of 3 changes of ownership in a short period of time. The present owner who is making adequate progress is John Xarres of 36 Lynn Street in Peabody, Mass. 3. We have notified the Building Inspector in regard to a trailer being used for a permanent refrigerated warehouse at Jimmies Fruit and Produce at 53 Canal Street in Salem, Use of the trailer is a zoning violation. Notification has also been given to Jimmies Fruit and Produce by the Board of Health that his 1972 Retail Food Establishment Permit will not be issued until the trailer is removed. The trailer is now a cause of both excessive noise in the night hours, as well as odors from the diesel generator. 4. Condemned structure at 70 Ward Street (rear) . Property is in process of being sold to Torinos Restaurant. The firm of Ronan and Harrington called August 16, 1971, indicating sale should be completed within 30 days. . 5. Mr. Boucher has 60 days left to complete corrective action at 11 Pacific Street - no further vancalism noted in past 30 days. 6. We have received a letter of David Frye, Realtor, that deeds are to be passed on or before September 21, 1971, on the property at 19 Linden Street. Owners of 21 Linden have indicated they will also take action in coming month. 7. Condemned structure at 8 Franklin Street (scene of recent fire) owned by Mr. Fred T. Kozlowski of 11 Winter Island Road, is in poor repair. The owner who owns the next door boat yard indicates that after Labor Day (end of his busy season) that he will either tear down or repair the structure. 8. Cold Springs at Kernwood. This spring is being used by not only residents of Salem, but Peabody, Beverly, Wenham, and also tourists to this area. Suggest that a sign be places such as used in rest areas along Massachusetts Highways which have nearby springs - "Water has not been tested - As continual purity cannot be assured". This would not prevent people from taking the water but at least advise them that purity cannot be assured. 9. All approved bathing areas are now being tested for water quality, and found to be in an acceptable range. AGENDA - August 24, 1971 ENVIRONMENTAL HEALTH (Continued) 10. Congress Street (area in and around the marina) - Children continue to swim here, and the following conditions are noted: (1) Turbidity is such that any rescue of anyone below the surface of water would be all but impossible. (2) Children do run back and forth across the bridge. (3) While at this time water could not be called unsafe as far as bacterial quality - it does not approach the quality of water of the many approved bathing areas in Salem. (4) Swimmers and power boats are in the same area which is considered an extremely dangerous practice. 11. Court actions now in progress are listed below: James Lee owner of 26 Boston Street Housing Code violation On June 28, 1971, case was continued to 13 September 1971 Daniel McHugh, Jr. Housing code violation Case has been continued six times since April 30, 1971, next date is August 19, 1971. Wm. B. Strong Housing code violation Found guilty on January 29, 1971, fined $200, appealed to Superior Court - trial date has not been set. John Anezis Failure to remove rubbish from vacant lots Case has been continued four times since May 24, 1971, next date is August 23, 1971. Leonard Cormier Housing code violation Corrective action has been made - case dismissed. Ernest Panneton Housing code violation Clerk of court hearing set for 20 August 1971 (however corrective action on violation has started) . PUBLIC HEALTH NURSES MONTHLY REPORT - JULY 1. Drop-In Center - we continue to give supportive Nursing Care to the elderly. 2. Bulletin Board - educational approach to a complete diet with the basic four food groups. AGENDA - August 24, 1971 PUBLIC HEALTH NURSES MONTHLY REPORT - my (Continued) 3. Tuberculosis - regulations regarding I.N.H. have been changed by the State. Only those now considered to be High Risk groups are placed on chemoprophylaxis. Streptomycin I.M. being administered to two patients twice weekly. Routine X-Rays and skin tests being scheduled. One readmission to San. One new case of T.B. cervical adenitis. 4. Chronic Hospital Committee - meeting of city officials of Salem, medical men and trustees of Salem Hospital, members of Saler Health Department, Director of North Shore Planning - took place to view the mock-up room and discuss finances of the new facility. 5. Drug Program - interview proceedings to find a suitable director for the program are being held on a regular basis - to date one has nc been chosen. 6. Home Visits - included infant supervision and initial proceedings to supply financial aid to a family with a muscular dystrophic . child. 7. School Health Records - working with transfers, new admissions and updating of permanent records. 8. Communicable Diseases - Hepatitis 1 viral - family members received gamma globulin, patient under doctors care Animal Bites - 25 Mumps - 3 children Contacts unknown, immunization 1 adult records incomplete - to be completed this fall. ADENDA August 24, 1971 COMMUNICATIONS Letter from Representative Henry J. O'Donnell III stating he will work on the Hospital Committee"s behalf contacting every possible source of assistance before undertaking the funding of the Health Hospital project. Letter from Gerald S. Fine, President, Danvers-Salem Mental Health and Retardation Board who states an interest in the possibilty of securing space in the Salem Public Health Center building. Letter from Manuel Pimentel, A.F.L. C.I.O. Council Representative, requesting a favorable reaction to the request for uniforms for the Incinerator employees. Letter from Manuel Pimentel, stating Mr. Labonte has agreed to accept a three week suspension in lieu of the imposition of the original six weeks, and hopes the Board would act favorably on this matter. Poster from the Division of Civil Service, for the position of Hospital Activities Aid, Salem Health Department, and giving the date of the examination as September 25, 1971. aura of Health S �rrott?t Street 1_ �Raplan, tom. .39., (ffhuirmun At_ ilarria Tr��ntie,�_I. Huhn J. 'ICluomeg, �.�_fu. Joseph 3K. �EtirhttrD �aalthgent September 28, 1971 I. Kaplan, M. D. , Chairman 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: . The regular meeting of the Board of Health will be held on Tuesday, October 5, 1971 at the Health Center at 5:OO P. M. AGENDA 1. Reading of minutes of previous meeting. 2. Census at the Health Department Hospital. 3. Communications: a. Department of Public Health advises the department of Chapter 285 of the Acts of 1971 which extends religious exemption of required immunization for school entrance. A copy of this letter is enclosed. b. An invitation to Doctor Toomey from the Assistant Instructor of Salem Hospital School of Nursing, to speak at Highland Hall on September 15th. c. Copy of letter to Mayor Zoll from the Department of Natural Resources relates to Salem-Marblehead---Reclassifcation of Shellfish in Area N-18A. d. Copy of letter to Mayor Zoll from the Division of Environmental . Health also relates to the above. e. Notification to Doctor Ryan relates to Holiday pay. f. Request from City Council that we consider parking the Health Department trucks so citizens may deposit household rubbish on off hours. Memo sent to foreman to implement this order. g. Memo to Foreman from Health Agent requests that all trucks carrying solid wastes to the Incinerator or Sanitary landfill weigh in for gross weight and tare weight. h. Memo to A. Bedard, Acting Incinerator Foreman requests all employees park their vehicles on city land to the rear of Moose Lodge. I 4 •'1' Page 2, Agenda, Board of Health Meeting October 5, 1971 i. Letter to Mr. John Baffa, hires his firm as Engineers for the proposed project at the Incinerator, for the revision of the existing facilities for the Control of Air and Water Pollution. j. Letter from John Baffa to the Water Resources Commission; Division of Environmental Health; Bureau of Air Use Management; (all copies to this department) informs them he has been engaged by resolution of the City of Salem Board of Health to study the existing Incinerator based upon present day regulations regarding g air and water resources and to prepare plans for any remedial measures.:should any be required. k. Letter to Mr. DiBiase relates to open burning in the areas where he has construction operations. 1. Letter to Union Representative relates to Board's decision on uniforms for incinerator personnel. m. Letter to Mrs. Tefferteller informs her of the Board's decision that she be granted space at the Health Center on a trial basis. n. Civil Service poster for Sanat-axian position in our department has been posted. Examination scheduled for October 16th, applications must be in by Monday, September 27th. o. Civil Service advises us that a promotional examination has been ordered for the position of Incinerator Foreman. (Letter to J. Sarnowski re his plans p. An unassembled examination for the position of Pharmacist in the department has been ordered by Civil Service, no date as yet. OLD BUSINESS: a. Report from Health Agent on Cold Springs, cleaning the area and covering same. b. Report from Health Agent on wage scale for position of Supervisor of Public Health Nurses. c. Doctor Toomey's report on whether Mr. Cameron and the Supervising Public Health Nurse; should be members of the local union. NEW BUSINESS: a. Fall Bazaar at the Health Department Hospital nets $204.00. Very truly yours, By: JOHN J. TOOMEY, D.S.C. Health Agent Elinor C. Horan Clerk of the Board ( ffg of *lem, � tts�ttcl��tsP #s Pattra of Mralth s�"f Q 5 rau?► trert c�• tt�Ilacn, 1�'.I)., (14airman ej`IIhn J_ �aIIlli¢�, �.` _(�. Mrtl?I �II1tY[ iP, .C. E8u Ent �JaseFh �. �irErttrb October 18, 1971 MEMO TO: BOARD MEMBERS FROM: JOHN J. TOOMEY THE OCTOBER 25TH AND NOVEMBER 23RD MEETINGS WILL BE COMBINED. DATE FOR THIS MEETING WILL BE NOVEMBER 16TH. OCTOBER AND NOVEMBER MEETINGS COMBINED r DR. TOOMEY`S COPY N (f itu of '�$tt1em, c �I882tC USe##s Poard of• Eralth �p f �. �rTplr(n, A , Chairman { 5 ��rottl �trert �.7U_- Tohn J. `Toomey, P,%AI. �-'Mttrcttt (gountic,�9. . �Joseplr �_ �ichttrd �N[ealift clgr:tf November 9, 1971 I. Kaplan, M. D. 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular—meeting of the Board of Health will be held on Tuesday, November A, 1971 at 5:00 P. M. at the Health Center, 5 Broad Street, Salem, Massachusetts. AGENDA 1. Reading of _-minutds of previous meeting. • 2. Census at Health Department Hospital. 3. Communications: a. Copy of M.A. Letter 53 sent to Salem Welfare Service Office by Steven A. Minter, Commissioner of the Depart- ment of Public Welfare relates to Medical Care Plan, Fee Schedules--Presidential Freeze. b. Notification fron the Metropolitan Boston Air Pollution District calls to our attention violation of Regulation 6.2.1---smoke from our Incinerator at 5 Broad Street. They request that this be stopped. C. Civil Service acknowledges our rek-,-,.est of September 29th for 2 H.M.E.O.-Sanitation Laborers, they ask for truck tonnage by eapacity of the motor equipment that will be operated by the proposed appointees. d. Civil Service asks if Dr. Toomey is still absent because of illness and if so was he paid during his absence. They request a letter be forwarded to this office on this . e. Letter of explanation has been sent to Civil Service on status of Dr. Toomey. f. Health Agent writes to Mr. Robert Raiche, Director of the Salem Y.M.C.A. suggesting that the Coordinator, or any other member of the Drug Committee, come to the November 16th Board of Health'meeting. g. Report from David F. MacMillan, Salem Drug Program Director for the month of September. He states a more detailed report will be sent for the month of October. Page 2, Agenda for Board of Health Meeting, November 16, 1971. r� (Tuesday) • Communications continued: 9' i h. Philip Dunkelbarger, Director, Recycle, a Division of North Shore ? Community Action Program sends us a copy of a reply they had received from the Environmental Protection Agency regarding the proposal to reclaim significant percentages of municipal solid waste. He states that heavy emphasis in their system is placed on development of products by regional manufacturing outlets with regional markets, etc. i. Notification from City Clerk informs us that a recent request for transfer of funds for Incinerator Modification and Repair, Expenses in the amount of $6,000 has been granted. j . We have requested another transfer of monies to Administration Expenses to carry us through the end of the year. k. Kevin Harrington, President of the Massachusetts Senate informs us that Bill #5693 has already come to the Senate and they have amended the bill and sent it back to the House. He presumes the Senate amendments took care of the problems, because the House concurred with their view. This Bill #5693 would completely emasculate the housing program of all cities and towns in Massachusetts and thereby 'jeopardize, if not completely wipe out, all Urban Renewal Funds. 1. Augustine Toomey, City Clerk informs the department that on Thursday, October 14, 1971 it was voted to accept Chapter 848 of the Acts of 1971 authorizing the City of Salem to use certain park land for school. or city hospital purposes. This action was approved by Mayor Zoll on October 19, 1971. OLD BUSINESS: a. City Scales is complete and the contractor is paid, they have asked for an additional $158.00 which we have refused, inasmuch as our contract called for the payment of $31,165 when the job was completed and we have complied with all the specifications of the contract forpayment. b. We acquired some loam from various parks and used this to fill in around the road and scale house. We purchased some grass seed and it is growing and looks very well. The road turns out to be not quite wide enough: to accomodate long trailer trucks, we are going to widen it ten or fifteen feet. We shall use Lynn Pak which is crushed stone and an excellent and cheap roadway. Next Spring we can cover this with hottop. C. Incinerator: The Exhaust Fans are under rer-air and we are having a little bit of a time getting the contractor to get them up t'_;.ere. When we complete this job, arches (roof) of the chamber and the flue, both of our furnaces will have all relatively new brick. The steel supporting framework for the grates and the stoker will be repaired and the Incinerator will be in good mechanical shape. Earlier in the year we completed the installation of a new heating system. We have barred all cars from parking in front of the Incinerator or on Swampscott Road, adjacent to the Incinerator, our people will park on our own land adjacent to the rear of the Moose. This gives us a much better traffic situation and again tends to make the Incinerator cleaner looking. Page 3, Agenda for Board " of Health Meeting---November 16, 1971. NEW BUSINESS: a. Inspection Report from Public Health Nurse on Salem Manor Nursing Home, 95-97 Federal. Street. b. Opening of bids for Repair of Ignition Chamber Arch and Flue Arch on #2 Furnace at the Municipal Incinerator. c. Glaucoma Clinic: David Full of the Lion's Club and Doctor Stan Burba met with Dr. Toomey to discuss the possibility of establishing a Glaucoma Clinic as part of a program for the aged. The Lion'3are interested and as a result of our preliminary conversation I advised them to talk to David Johnson. Doctor Burba reports to me that he did and also talked to one of Dr. Johnson' s associates , Doctor Parker who has supported one of these clinics elsewhere and both of them are very enthusiastic about establishing one here. We would like your approval to pursue this further. d. Lead Screening Program: There has been great emphasis in Public Health about lead screening of pre-school children in older sections of the community. We have had some preliminary meetings relative to this, talking with a gentlemen from Boston Health Department, a Mr. Draffen. He was very informative about the background of lead poisoning and the mechanics of getting it done. There is a mobile unit which they have and which is available to us to do the testing, and we may have this without cost if we provide a chauffeur. We have talked to Dr. McKeage about the program and he says that he has not had any cases of Lead Poisoning in Salem but feels that there is a possibility that the program might be a good thing, in the older parts of the city. We also had conversation with Mr. Stumph of the Children's Hospital, they have only had one case of Lead Poisoning since 1962. I think we should think deeply about this before going into it. e. Drug Treatment Program: Health Agent met with Mr. MacMillan and Peter Gibson of the Mayor's Office, and the Mayor has been informed of Dr. Toomey's instructions to them. A monthly report of Mr. MacMillan' s activities along with the expenses, and the $10,000 allocation will be doled out in this fashion. Mr. MacMillan was invited to come before the Board at this meeting and give an outline of the program. e. Incinerator--Collection: We have sent out a letter to all restaurant owners that as of January 15, 1972 we will no longer collect Garbage as Garbage. They must provide a mechanical grinder for garbage in their place of business or wrap it and it will be picked up in the same fashion as the rest of the city (we now have one truck doing this) With the shift of Parochial Schools over into Public Schools we expect that this truck will be very busy collecting garbage and rubbish from the schools. f. Community Action Program people have consulted with us to set up a regional recycling program, this was not funded, however, up to the present time. We have talked to the North Shore Paper Company and they s Page 4, Board of Health Meeting Tuesday, November 16, 1971. are prepared to take newspapers, corrugated boxes, and other clean paper at their establishment and will pay the City $5.00 a ton for it. This seems to be a step in the right direction, and we will get to work to see if we can involve a collection system to take advantage of this, as the city will get paid and also it will relieve the Incinerator of perhaps up to thirty ton a day. Very truly yours, JOHN J. TOOMEY, D.S.C. / Hearth Agent E CH s (CHU of 'Salem, rTa95Ur U6Pt#s ` lira of Mralth ttplxtc, � .R, C4nirmun 5 �Irnttl —Street I.�Ittrria @launtie, _ d. �alfn J_ C�Iaameg, P_�.(�. Anse fT irltttr� �eellh�lgcnt p � December 8, 1971 I. Kaplan, M. D. 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, December 14, 1971 at 5:00 P.M. at the Health Center, 5 Broad Street. AGENDA 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital. 3. Communications: a. Request from the Trustee of the Bradlee Trust re property at 10 Cabot Street, basement apartment, they would like to be heard at this meeting. b. Mr. Charles McArdle, Trustee of McArdle Realty Trust request a hearing at this meeting relative to the property at 153 North St. c. Letter to Robert D. Bowes, Esq, advises them that a hearing on the properties of Henry and Shirley Boucher on Broadway and also on 11 Pacific Street will be held on December 14th. d. Letter from Hugh H. Connolly, Acting Deputy Assistant Adminis- trator for Solid Waste Management Programs, states they are conducting a manpower study throughout the nation. They will be in touch with this office to arrange a mutually satisfactory schedule for obtaining information on several aspects of r manpower management. e. Department of Public Health, Division of Environmental Health to John Milo Associates of Marblehead (copy to this office) relates to the revised steam generating facility at State College. the department approves their plans and specifications. f. Danvers State Hospital, Hathorne, Massachusetts states that according to Chapter 123 of the General Laws, they must appoint qualified physicians who would refer patients for ten days admission and treatment at the State Hospital. Signature of physician on the ten day paper assures admission. As a qualified physician they would be on the Hospital Staff (courtesy staff) . g. Mr. McKinnon writes and cites progress and expenditures on his • properties. h. Grivance Form from Paul F. Peters states that he wishes to bump a laborer with less time than himself when the dept.is not using him as a Heavy Motor Equipment Operator. He would like to return to the Incinerator. All Page 2, Agenda for Board of Health Meeting of December 14, 1971 Communications continued: i. Quarterly report from the Fire Department on the Health Department Hospital, they state that everything was satisfactory at the time of inspection. j. Division of Medical Care informs us of a new law Chapter 1080 dealing with hospital construction. It has an emergency provision which stops all building until May 31, 1972. The Act applies to Hospitals, Clinics, Heath Care Facilities of all types. The provision does not apply to any changes of construction costing less than $100,000 (enclosed is a copy of the Act) : At the request of Dr. Shaughnessy I have sent in forms required under that law, to continue our hospital project. It is essentially a brief review of the application we already have submitted. There will be a meeting of the Hospital Committee on Friday at 7:00 P.M. at the Health Center. k. Letter to the Mayor requests a $4000 transfer of funds. We haven't started refurbishing #2 furnace as we are waiting for some special brick. 1. Communication from Civil Service certifies three Sanitation Laborers for permanent-intermittent work. OLD BUSINESS: A. Glaucoma Clinic: We had a meeting at the Health Hospital with Dr. Pollard, Dr. Burba, Davie Full and Dr. Toomey. The preliminary decision was that it would be a one shot clinic. It would involve the Red Cross, their nurses will man the clinics, our nurses too, if they are needed and if they have the time. Dr. Pollard, Dr. Johnson and Dr. Kfoury will do the examining. As of now the tentative location of the clinic will be the basement of the Tabernacle Church. We will also involve members of the Lion's Club and the "Fifty Niners" Club. They will handle such things as clinical duties, traffic direction, transportation, etc. NEW BUSINESS: A. The project CARE -- Community Action for Rehabilitation of the Elderly. This is a project under a government grant to the State College of Salem. The project is under the direction of Dr. John R. Donellan of the college. Its basic objectives are to study the problems and the means whereby the elderly and the disenfranchised of all ages can be helped towards^better, more helpful way of life. The preliminary accent on Nutrition, the delivery of Medical Care, Health Counseling and the banishment of loneliness. The Community Council is the co-sponsor of the project, plus a steering committee consisting of the following: Dr. Donelan; Dr. Toomey; Mrs. Hinchey; Ruth Kenney; Mary Collins; Steve Zisson and James Leahy and two graduate students of the college. There has been one meeting which consisted mostly of a soul searching session, there may be more on this by meeting time. B. DRUG COMMITTEE: Dr. Toomey met with David McMillan, he states that he is still in the groping around stage and emphasis at present is to cope with emergency cases and he feels it is important to organize through high school and other young people, Rap groups, etc. to engage in rehabilitation. He is doing a good job. Page 3, Agenda for Board of Health Meeting of December 14, 1971 NEW BUSINESS CONT'D. C. Budget Review. D. Solid Waste Ordinance: Nothing has been done about this ordinance which we recommended. I may have a report from some councillors at meeting time. Very 't my-yburs,J JO�J. T 0 ( SC. 6alth Age .i' H. CC: Board Members Councillors Ruane, Levesque and Salvo Encl. for Board Members January 19, 1972 I. Kaplan, M. D. Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, January 25, 1972 at 5:00 P. M. at the Public Health Center, 5 Broad Street, Salem, Massachusetts. • AGENDA 1. Reading of minutes of previous meeting. 2. Census at the Health Department Hospital. 3. Communications: a. setter from William McKinnon requesting a hearing as a result of our previous letter reconditions at 18-20 Kosciusco Street. b. Hearing for Mr. McArdle, on 153 North Street. c. Hearing for Mr. Boucher, on Broadway property. d. North Shore Guidance Center informs us that they have a new Charter and will henceforth be known as Health and Education Services, Inc.` They request the use of our meeting room for their monthly meetings, which will be held from 4 PM to GPM. They will take care of the Janitorial. Services, etc. e. Derek Robinson, M. D., Director, Division of Community Operations advises us that J.J. Toomey has been reappointed to the Chronic Non-Resident Appeal Board for a three year term ending December 31, 1974. f. Congressman Harrington writes to Dr. Kaplan that there will be a meeting on January 28 on the cost .of health care. ., Meeting will be held in the day lounge of the Student Union building at Salem State College from 2 to 4 PM. g. City Clerk informs us that Mr. Joseph Richard has been reappoints to the Board for three years, until the first Monday in �. February 1975. 6�'6alent Poarb of Xralf4 5 goad s#rea# Tive2••-Boa d of Health h. Notice from the State Department of Public Health of a Public Hearing--Variance Request for one year to permit the use of residual fuel oil with a sulfur content in excess of that permitted by the Regulations at the power generating stationg, hearing will be in the Somerset High School on Tuesdays January 25, 1972 at 7:30 P.M. and continued in the City Council Chamber,, City 'Halt, Salem, Massachusetts on Wednesday, January 26, 1972 at 7:30 R1, i. Communication from the City Collector lists all the unpaid bills for care at the Health Department Hospital, for action by the Board. Notice from the hate Setting Commission of a public hearing on January 28 at 9:00 AM at the Gardner Auditorium, State house, Boston on the approval or disapproval of a proposed "First Amendment to Massachusetts Blue Cross, Inc, Hospital Reimbursement -Agreement (HA-24-C)". The proposal provides for the administration of claims for which there is to be a coordination of benefits with other insurance plans. The proposed Amendment allows for Blue Crass reivbursement to the hospital when it may be the so-called "secondary plan" for coverage provided to a member who has other insurance. • REPORTS a. Nursing Section, b. Environmental Sanitation Section. c, Solid taste Disposal: During the month we have instituted the re-bricking of #2 Furnace, the arch of the Flue,.. the arch of the Furnace the bullnose and throat. Hopefully by meeting time we will also have the exhaust fans over the pit:, operating. we are moving thew from the inside of the wall to the outside of J the wall J d. New Hospital.: We are in the process of redoing our application and furnishing the hill Burton people with new slightly different facts and figures. During the next few weeks we hope to have completed the followini* 1. ' Schedule of work,. 1. Legislation expand ng'the Board of Health to seven. members. 2. Deed of land from. the North Shore Children's Hospital.' including air rights. 3. Reed of land -- Salem hospital. 4. Purchase and Sale Agreement for the parcel of land they are conveying. 5. Sale and Service Agreement. 6. Bond Order. 7. Architect's Plan S All correspondence relative to Hill Burton grant, Page 3, Board of Health Agenda. �1 �✓ 9. Letter from Agent regarding current status of. Hill Burton Funds. 10.' Existing waiting list for admissi& to'North Shore Children's. Local Legislative acceptance of transfer of land. 12: .'Councillor 'F.uane'has suggested that'a bond order, go in- on the February 10th,meeting of the Council: He also suggests that there be an' informal meeting for 'discussioh of the project', at a time previous to the regular meeting. e. David MacMillain Drug -Cow ttee Report. OLD BUSINESS: 1. Glaucoma Clinic:- This will be held at St. Peter's Church Hall on Setturday, February 26th, Drs'. Pollard, Johnson-and Coxe will do the examining and the Clinic will confine itself to Glaucoma Testing. Doctor Kfoury` is ill and cannot participate, 2. The Community Action and Rehabilitation of the Elderly Program is moving along but have nothg to report at this time. 3. Solid Waste Ordinance: At 'the end of the year all `unfinished business is wiped out 'and we will have to re-submit our proposal. It is possib'1e that We night change the formatm-have the Council transfer the City Scales to the Health Department, with its personnel. That the Ordinance be reconverted to a Board of Health Regulation and that the City Council limit itself to • establishing an Ordinance Limiting the monetory reimbursement section. NEW BUSINESS: 1. Doctor Toomey met with the Mayor and the Health and Education Services, Inc. people (formerly the North Shore Child Guidance) , we, had put in the budget $8,000 for the year 1972, the same .as last year. They would like $16,000, this amount based upon .40c per capita formula: At the present time the Mayor is holding this under advisement, I am#sure he would be interested in your comment. Very truly yours, JOHN J. TOOMEY, D.S.C. health Agent ECH 4 Ti#n of tt1em, C ttss�zcl�usP##s - N ' Poard of lienith �J. ttplttn, +rli.31, (f4airman 5 gaud �trert �AEi.'Marria (Eanntie,XL N. k4rt C�luameg, �@-�.(If. � �Jaseplr �K. �irhttrd March 22, 1972 I. Kaplan, M. D. Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts a Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, / March 28, 1972 at 5:00 P. M. at the Health Center, 5 Broad Street-, Agenda 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital. 3. Communications: �I a. Division of Medical Care advises us of the procedures in the placement of children under age 16 in nursing homes. A medical care review committee will con- sider each request and evaluate each case individually. If they approve they will give written permission for admission. b. Copy of letter from M. D. P. H. , Division of Environmental Health to N. E. Power Service Co. , of Westborough relates to the approval of 'a Salem Cross Connection. They approve r with the understanding that the water lines affected may be shut down during normal business hours and, after reasonable notice to permit necessary tests and maintenance of the double check installation or, provide a by-pass equipped with a double check valve arrangement. c. We request Mayor Zoll to appropriate to Item 1, Administration Expenses the sum of $2500. This money to be used to replace five I. B. M. T pew iter s which were stolen recently. Motion e—to ratify the action of the Health Agent? d. Tracey Flagg writes Health Agent requesting him to send a check for dues for membership in Health and Education Services. ,*alcm Poarb of�Iealtl! Page 2, Board of Health 5 �413roal J�treef Agenda e. Department of Public Health informs the department that the absenteeism reports for influenza surveillance may be discontinued. f. Dr. Fuimara sends a report on Measles cases from 1965 to 1971 which showed a 98.1 per cent reduction. He also lists the approximate cost of medical care for Measles in Massachusetts which showed a reduction from $343, 000 to $4900 and without the Measles immunization program would have been in access of two million dollars. f. Essex Survey Service Inc. --we notify them that we have been advised by Attorney John Serafini that their firm will prepare the engineering design for the proposed sanitary landfill on the land of John Ingemi off Highland Avenue. We enclose the regulations of the Dept. of Public Health for the disposal of solid wastes by sanitary landfill. We advise them that the plan and engineering recommendations must have the approval of the Dept. of Public Health prior to a permit being issued by the Salem Board of Health. g. Letter from the Chairman of Council on Aging requests the Board of Health provide flu shots for the 59ers of Salem in the Fall. h. Councillor O'Keefe's letter to Dr. Kaplan and Dr. Kaplan's reply. i. Dr. Shaughnessy's letter to Dr. Myer Herman. � REPORTS: a. The Patient's Press (copy enclosed). b. Community Action for Rehabilitation of the Elderly,."Project Care; c. Dr. Toomey met with Miss Curtis, Mrs. Villa, Miss Duffel and Mrs. Tefferteller, more on this by meeting time. d. Evironmental Sanitation Report. OLD BUSINESS: a. Health and Education Services, Inc. have been paid at the rate of $666 per month for two months as recommended by the Board. We are scheduled to have an executive session type special meeting with this group to thrash out some problems that they feel is too sensitive to be made public at this time, and which may be pertinent to their arguments to the Board. b. Drug Advisory Committee: We have talked with David MacMillan and there has been a schism with the Y. M. C.A. and he is now operating out of Salem Hospital's Drug Clinic. Dr. Toomey will meet with Mr. McMillan, Father McCormack and Marcia Countie along with Peter Gibson to evolve a better working situation for David Ma Pl. I r s f 1 �ilrui ?C'�oxcl of -ezclth - _ Page 3, Board of Health Agenda 5 t0roatl '5kreet c. Long Term Care Facility: The program is slow, for the bonding money the Mayor had to ask the City Council for permission to institute special legislation to bond outside the debt limit. This was carried at the last meeting of the City Council, in all probability the reason it was carried was due to the efforts of Councillor Ruane. As of this writing we still have not completed land takings for the road. This will take, according to Mr. Marquis, about two weeks. He does feel that both Goldberg.Trust and New England Power will donate their portions to the road, saving us a considerable amount of money. Dr. Shaughnessy's letter was written because he has been in receipt of information which he feels compels him to write this and have the Committee again meet with Dr. Herman to back up the stand taken by the North Shore Health Planning Council, who at their last meeting, reiterated their previous stand that the construction of our Hospital would be a boon to the community and should be recommended as such to the Division of Resource Development. Included in this correspondence was a letter from Dcctor Kaplan to Councillor O'Keefe in which he answer.- categorically Councillor O'Keefe's questions relative to the Administra- tion and general policies of the operation of the Hospital. Attorney Donaldson is completing agreements with Salem Hospital for services legislation and changing the numerical composition of the Board of Health from three to severs squaring away the Board of Appeals and putting together and getting the deeds to the land. He is also completing the agreements on the road. d. Solid Waste Disposal : (Incinerator) In our long range policy for upgrad- ing the mechanics of the Incinerator we have completed repair of three exhaust fans as of this week. These have been out of order for a long while and we are happy that this job is completed. The rehabilitation of the Incinerator is still being studied by John Baffa. Dr. Toomey met with Mr. Baffa and the Air & Water Pollution people in Boston and Mr. Baffa aired the basis of his plans to them. They did not object. The final report of his proposals to meet the new and increased standards will be in our hands by meeting time. e. Collection: The new routes are still under study in order to make sure that when we do make a change it will be a one change situation. The collections during the week ending March 17th fell behind and we had a rather touch and go situation, inasmuch as the Union had voted not to accept overtime. We weathered the problem and as of now we are on schedule. L xleut �uMYI of $cMlth Page 4, Board of Health Agenda J � YttMl S�YEQt NEW BUSINESS: Community Affairs: Doctor Curran of the Mental Health Clinic at Salem Hospital informs the Health Agent that he can and would like to give about one hour a week to a class of Public Health Nurses and School Nurses, in Mental Health generally and Family Counselling and Child Behavior. Dr. Toomey recommends that the Board approve this activity. Meals on Wheels---Project Care ---Doct::)r Donellan asked if we would praTide his group with twelve meals daily, from our hospital kitchen. We cleared this with the people at the Hospital and we have provided these meals. The first day or two gave us some problems due to improper packaging. We are getting numerous complements now, on the quality and quantity of the meals from the recipients. We have had Michael Bachry and Walter Szcerbinczki research every possible avenue relative to so called "Convenience Foods" which are similar to the T. V. dineriers in other words working towards the time when Convenience Foods can be purchased for us at our hospital, these foods come prepar in either single or 12, 24 and 48 meal packages and are for various diets. They can simply be put into a convector oven or boiling water and within twenty minues or half an hour are ready for serving. This eliminates all the prepara- tion and food waste and allows great speed in handling. Dr. Donellan has been invited to attend the meeting to explain further his program which does not stop at Meals on Wheels but involves all different segments of the community including the students at Salem State College in an effort to provide social and health services to the disenfranchised and older people. Very truly yours, John J. Toomey, D. S. C. Health Agent Enclosures (2:) T/h • �aleiu �!,,Ioarb of�Galfli 4 ?Broal frrvt ADDENDA TO COMMUNICATIONS: J. CIVIL SERVICE letter relates to changing ten men in our department from Permanent Intermittent Sanitation Laborer to Permanent Full Time Sanitation Laborers. K. lijer�ter and poster sets up an examination for the position of Foreman at the Incinerator to replace John Sarnowski. i N Pa.,ira of M MH4 r, 5 �raab_$trert �IItjn �. Toomev, P.J. _ Im-AMrrin Qlauntie,X.Y. �JIIseph �K. �itITMrD �ealif��Agert February 11, 1972 I'. Kaplan, M. D. Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts Dear"-Doctor Kaplan: The reqular meeting of the Board of Health will be held on Tuesday, February 22, 1972 at the Public Health Center, 5 Broad Street, Salem, Massachusetts at 5:00 P. M. AGENDA • 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital 3. Hearing: a. Mr. James H. Lee, Trustee, J. & J. Realty Trust re 24 High Street complaints of rubbish littering property and failure of owner to keep property in acceptable condition, after a long series of complaints. Same owner---re 70 Palmer Street, rubbish littered on property plus rubbish not put out for weekly pickup, and rear door on first floor is missing. b. Mrs. Hackett and Brewster re 19-21 Linden Street 4. Communications: -a. Division of Communicable Diseases shows results of the 1971 Mumps Immunization Program. They state the Vaccine has proven to be safe and effective with practically no reactions following its use. They list out the results x of the program during the last three years. They recommend . `- immunization this year of any pre-school child from age 1 and any susceptible student missed in previous programs. b. Department of Public Welfare Regional Office in Lawrence requests information on a patient at the Health Department Hospital, Mrs. Stella Sobocinski. They wish us to verify the amount of money being paid t o our department between February 1969 and June 1971. We have forwarded this information. . Agenda, Board of Health 2 Meeting, 2/22/72 C. From the Department to Mayor Zoll requests an appropriation to Item 3, Hospital Salaries and Wages Account the sum of $1,496.04 to meet the contractural agreement, namely, Accumulative Sick Leave for Retirees, (for Margaret Fraser) . We should have a motion to verify the action of the Health Agent. d. Division of Environmental Health Public Hearing on the Variance requested by New England Power (previous hearing cancelled) . This hearing will be in City Hall on Wednesday, April 5th at 7:30 $M e. To Mrs. Countie re inspection of property at 32 Phillips Street. f. ' Division of Environmental Health re policy for drinking water storagr facilities. This letter will be available at the meeting. g. From City Clerk notifies the Department of the appointment of Claudette Grenier of 37 Hancock Street as a non--noting member of the Board of Health for a term of one year beginning February lst. h. To Mr. Kerner, Assistant Director of the Health and Education Services informs him of the Board's action on the payment of 6 6 per month and we request a bill for this amount for January and February. He is invited to this Board Meeting. i. Reply from Mr. Kerner states he will be glad to appear before the Board. He encloses a letter from the Mental Health Asso. of the North Shore confirming their relinquishing the sponsorship of the N.S.Guidance Center. The Incorporation Charter of Health and Education Services, Inc. A letter of approval of H. &. E. as the sponsor by the Commissioner of Mental Health and a copy of Ch. 124 of P. L. 1958 providing the authorization of the cities & towns to appropriate money to Child Guidance Clinics. • j . Letter from John J. Baffa requests the power rate schedule of the local power company in order to calculate power costs for possible alternatives. k. From Albert R. Pitcoff regarding the possibility of collection of accounts of Edith Jones, James Kinsella and William Reidy, he states he cannot find any evidence that they have any resources and he concurs that they should be written off. 1. North Shore Health Planning Council, Inc. expresses their appre- ciation for our interest, cooperation and attendance at the fact finding meeting at City Hall on February 11, 1972. They request we share the Committee's appreciation with Dr. Kaplan, Dr. Shaugh- nessy and other members of the Department. REPORTS: a. Minutes of Drug Advisory Committee Meeting held January 24, 1972 from David MacMillan, photostatic copy enclosed. b. From Health Agent on the meeting held January 28th at the State College re Major National Health Insurance Proposals. OLD BUSINESS: a. 11 Pacific Street work is in progress at the present time. 95 Broadway---prospective buyer backed out of the deal so' Mr. Boucher was given an extension of time to solve his problem, The Board may ' change this if they so desire. b. McArdle property at 153 North Street--he has a building permit so he can start doing the work requested and he promises much action in the near future. He is preparing plans to go to the Appeal Board. c. 8 Franklin Street---This will be converted to a one floor storeroom Agenda, Board of Health -- 3 -- Meeting, 2/22/72 d. Glaucoma Clinic: Progress is being made on this clinic, the Art Class at Salem High will do posters for us and these will be placed in Supermarkets, Drug Stores, Old Age Housing Projects and will be printed on Church Bulletins. Katharine Morgan is in charge of this and Dorothy Bradley will take care of the clinic activities on the 26th and the workup arrangements previous to this date. e. Collection of Solid Waste: For a number of years we have been unhappy with our system, this is due to building in certain sections of the city that was previously pastureland. We are studying this and will have a proposed layout by meeting time. V f. Long Term Care Facility plans are moving along well. Dr. Shaughnessy, Dr - Kap- lan and Dr. Toomey with Councillor Mike Ruane appeared as a committee to meet with the sub-committee. on review of the North Shore Comprehensive Health, Planning Council. We met so that we might give testimony as to the efficacy, efficiency and the necessity for our new hospital conception. After the meet- ing a letter was written to the Committee, countersigned by the Mayor, stating that a review of our application or a denial of our application would kill the project completely, as we could not ask the City Council for $5,800,000 without this grant, and expect to get any money. The Architect's plan was reviewed again and is developing rather well. We have sent the letter requesting this money of the Mayor and City Council and will have a preliminary meeting to make the Council aware of some facts. This meeting is scheduled for Thursday, February 17 at 7:30 P.M. - The Mayor is going to send the Bond Order on the 23rd of February. • For two weeks the Department has been making a reapplication for the Hill Burton Grant. Part of this will be made out by the Architect, it may be ready by meeting time. Its completion,.; is being held up because we have not completed formal arrangements with Salem Hospital and we have not completed the purchase and sale agreement for the various parcels of land to be acquired. All of this must be incorporated and delineated in our grant writeup, g. Health and Education Services, Inc. ,as:mentioned above,we have all the material on the status of the Association. We have talked to David Truslow, who is president of the Mental Health Association, he informs us that the separation of the two organizations is amicable, in fact, the policy of the National Mental Health Association fosters guidance clinics until "they are able to fly for themselves." h. Community Action Program: We had a meeting with the Mayor and Dr. Donellan and two others from the college. We sat down and discussed this program in all its aspects (meals for the elderly) . We also talked about other social programs which are intended to become part of this project. This group will be at our regular meeting. i. Ordinance, Solid Waste Disposal this was tabled at previous meeting for reconsideration at this meeting. CJVe tuyyorJ �oh J. ToVth D.S.C. Agent Ech (fit" of �Wrm, C4Vtt99ttrhu9Ptts Poira Df Wealth """` 5 �!�rottil �trert c�- �ttpllcn, �_39_, Chttirmttn _Ottrrin (11ountie, :dose IT �!( trhttrd Health jActent April18, 1972 I. Kaplan, M. D. 194 Lafayette Street Salem, MA 01970 Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, April 25th, at the Health Center, 5 Broad Street, Salem, Massachusetts at 5:00 p. m. AGENDA 1. Reading of minutes of previous meeting. 2. Census at the Health Department Hospital. 3. Communications: a. Health and Education Services, Inc. clarifies for the Board the reasons for the transfer of sponsorship of the North Shore Child Guidance Center from the Mental Health Association of the North Shore. They enclose a financial statement. b. After an inspection by our department we write the Manager of the Hotel Hawthorne requesting better housekeeping in certain areas. c. Attorney Mclnerny replies to our letter which referred to the status of Colin Cameron in the Union. It is his opinion that Mr. Cameron is within the bargaining unit represented by the Union, due to the absence of an agreement with the Union to exclude him from coverage. If the Board wishes, Attorney McInerny will bring this up at the next Union meeting. d. Civil Service advises us that an open competitive examination has been ordered for the position of Incinerator Foreman with the Department. 4. Old Business a. Report from David Macmillan. Copy of letter from David to Mr. Robert Raiche, Executive Director of the Salem YMCA. He thanks Mr. Raiche and his staff for their help in "fostering the child" and explains the development of the Drug Program at Salem Hospital. b. Report to the Board on the present status of the City Drug Program. intent marl of�iealtll 5 �.!�rnal �treet w I. Kaplan, M.D. Page Two April18, 1972 5, New Business a. Change in Regulation 7--Collection and Disposal of Rubbish. This change to be effective May 1, 1972. b. City Council notifies the department of the reductions in the 1972 budget. Very truly yours, FOR THE BOARD OF HEALTH �N J. T6 MEY, D. S. C' Health Agent H CC: Board Members Council Committee on Health 4 ADDENDA: Communications--Section B. 1. Letter from John Baffa --- re updating the City Incinerator---he encloses five copies of his report. 2. Michael J. Geaney, Jr. , Assistant Director of Salem Hospital suggests that their Chief Pharmacist may be called upon for advice and consultation with regard to Pharmacy Services in the event there would be shared services pertaining to the drug areas. 3. Civil Service Correspondence• a. On the Permanent-Intermittent employees, they suggest that we make them permanent full time. b. James Brogan Jr. is the only person who passed the examination for Sanitarian in the Department. C. The position of Activities Aid at our hospital--Paula Caudran and Barbara Camird do not want the position. We are going to write Civil Service to this effect and request the continued appointment of Carol Warton who is presently performing these duties at our hospital. 4. Health and Education Services, Inc. send us a bill for $666 for the month of April, 1972. 5. New Hospital: a. First passage by the Council on the Bond Order. b. We have taken land from the New England Power for the road. We have mc.t with officials of the company on this. 6. Increased membership of the Board of Health. REPORTS: 1. Environmental Sanitation Section monthly report. 2. Meeting with Mrs. Tefferteller, et al, purpose of meeting was essentially to look into the adviseability of establishing a consor-t um of people who would weld together a unit for the delivery of better health communication for children. �.� Ti#n of Salem, r tt��Mc �e#ts 9 '. PoKrat of Health � s 4 5 �Irozzh street 3J- 'tuplutt, A.31, T4airmun ron J-;Zvvmeu, �. 4_(iI_ -Ifflttrria (Mountie,�R_IX ral:h JA Inc �)osePlr �9_ �Rirhnrl May 16, 1972 I. Kaplan, M. D. , Chairman 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held -on Tuesday, May 23, 1972 at the Health Center, 5 Broad Street at 5.00 P. M. AGENDA 1. Reading of the minutes of previous meeting. 2. Census at Health Department Hospital. 3. Communications: a. Our letter to Mayor Zoll cites the motion passed by the Board at the special meeting on Tuesday, May 9, 1972. The letter requests the Mayor and City Council appro- priate and add to the present appropriation the sum of $8000. to Item 3, Clinic, Mental Health. b. Sister Superior at St. James School writes to Mayor Zoll and Doctor Toomey complimenting Mrs. Faircloth and Mrs. Despotopulos on the excellent health care given to St. James pupils. c. Poster from the Division of Civil Service for the position of Incinerator Foreman will need the Board's approval before returni% to Civil Service. d. Civil Service requests us to advise them if any determination has been made with reference to the case of John Sarnowski, Incinerator Foreman. According to their records his case was being heard by the Retirement_B_oard. 4. Reports: %I a. Environmental Sanitation Section (Mr. Cameron's report). b. Progress on the Lon Term Care Facility. VerCy' txly yours, ,,,,. 6JOhig1j. Ttiy_,--... ealth Agent _ cc: Board Members Council Committee on Health May 18, 1972 ADDENDA FOR HEALTH BOARD MEETING Communications: e. Civil Service requests that we appoint Mr. Brogan 'who is the only name on the list, to the position of Sanitarian. This we have done. They also say we have to revert Mr. Koshgarian to Milk and Sanitary Inspector as of the date of Mr. Brogan's Y:i appointment, which is June Sth. At present Mr. Koshgarian is without any income as he has used all of his sick leave and vacation time. f. Letter from the State Reclamation Board calls our attention to a law that was passed in 1971 authorizing ten citizens the right to institute suit against any person who, through violation of the law, is causing damage to the natural resources and envi- ronment of the Commonwealth. They also call our attention to the law which states that all mosquito control work done by a district, city or town shall be done in such a manner as may be approved by the State Reclamation Board. Our present program was donwyby the Park Depart- ment. Some thought should be given to our city joining the Essex County Mosquito Control Commission, which would cost about $8700 per year. I will discuss this with the Mayor before meeting time. This would rinsure us of good control and would alleviate the possibility of critici[sm by the Reclama- tion Board. Mr. Foley of the Park Department also feels that this would be a step in the right direction. OLD BUSINESS: a. Apropo to "C" under Communications, our original request to Civil Service stated that we wanted an open competitive examina- tion for the position of Foreman at the Incinerator, also the poster should be reviewed at the meeting as I have some reservations of some of the specifications. Mr. Sarnowski has not resigned or retired, therefore I would ask that this examination be for a temporary position and this is not so stated on the flyer. Page 2 of Addenda Health Board Meeting. b, Supervising Public Health Nurse----Marcia Countie and the Health Agent talked with a girl from Danvers who expressed interest in this position but she will not be available until the last of July. On the previous Civil Service examination for the position, there was one girl who passed but evidently she was not interested as she never followed up on the Civil Service requirements. We have also had discussions about the rate of pay for the job and the Health Agent talked with Mr. McInerny and with Thomas Walsh, our Personnel Director and we haven't determined exactly how much the job should bring. We have been advised that we should get opinions from other Health Departments and Hospitalswhose duties approximate this position. . They do believe, however, that the position should not be under c. Apropo of Colin Cameron's status I still haven't been able to meet with the Union but will push Mr. McInerny on this. d. Long Term Care Facility: We have completed our application form for the Hill Burton Section and it is now in the hands of Mr. Timilty, and as of this writing I have not heard from him and we haven't been offi- cially notified. However, we were recommended by the Division of Medical Care to the Public Health Council who gave us a favorable go ahead for the project. There is a little communications gap relative to not getting the bond underway, the bonding company has to know that we have been given approval by Hill Burton and the Division of Medical Care. I hope to get these individuals together, I have contacted everyone. Part of the recommendations requests that we establish a working committee from the three hospitals and from the community. The committee will get with this in the immediate future and I have some recommendations. e. We have written to the Board of Appeals relative to McKinnon's property at 18-20 Kosciusco Street to determine their decision. f. On the property at 19-21 Linden Street, that has been boarded up on the first floor. We have information from the bank that they did approve the loan to Mr. Dragon. This is being handled by Attorney Philip Strome, who is the bankV's attorney, (Salem Coopercttihtbve Bank). g. The property at 15-17 Kosciusco Street has been razzed, also 70 Ward Street and 95 Broadway, On 38 Hillside Avenue, we have received a letter from their attorney that this will be razed, h. Mr. McArdle is continuinig to work to improve 153 North Street and is making progress. s• QTitu of item, 4` 156achusetts y� V TA ��h s,Mrl of �ir Frith ' 1.�k:ttplttu, {. ., (1Lflttirtnttt� rQ 43rottd �illixm`�. C�ttllmteg, �1Jr. �atln �. �aotne� Joseph �. �itCl:trl c�a'at 1' June 20, 1972 I. Kaplan, M. D. 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, June 27, 1972 at 5:00 P. M. at the Health Center, 5 Broad Street. AGENDA 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital. 3. Communications: a. Letter to Mayor and City Council requests that the wages of the Supervising Public Health Nurse be increased to Group X111, we further request that this be accomplished as an amendment to the present salary schedule ordinance. I b. Memo from Ruth Tefferteller to Health Agent proposes the establishment of a human services corporate _ an she encloses a sample letter for his perusal. ` 4- c. Order from Mayor and City Council states that this de- partment and the City Engineer investigate the overflowing sewer covers on the lower end of Grove treet and they would like a report of the findings. ��% c. Order from City Council and approved by Mayor Zoll contained a resolution concerning construction of areas t of the city at which there is danger of flooding. They list out certain regulations of the BOCA Basic Bu ding Code„ d. Decision of the Board of Appeal re application of William McKinnon to remodeA structure at 18-20 Kosciusko Street. His appeal was denied. Vt �Iuarb of�grxlt(, Page 2 Agenda for Bo, 5 ��irc,�� trcet of Health Meeting June 27th. • e. Civil Service advises i.+.s that the open competitive examination for the position of Incinerator Foreman has been amended to be open to citizens of the Commonwealth with domicile in Salem waived. REPORTS a. City Drug Program's present status. K4 b, School Food Service areas for the 1971-1972 year, rpf'N� c, Minutes of the Health and Education Services board meeting held of May 2, 1972. d. Mr. Cameron reports .a fire in the dumb-waiter at the Health Hospital which was caused by a transformer near the hospital bein struck by lightning,, on June 7th. e. The Health Department Hospital's "Patient's Press." f. Mr. Cameron's report on the Environmental Sanitation Section. Very truly yours, FOR THE BOARD OF HEALTH JOHN J. TOOMEY, D. S. C. By. v Health Agent u� Elinor C. Horan cc: Board Members Clerk of the Board Council Committee on Health I' +M varb of lGalth S �l3rour ,,ireet fR zoomev, AE_ 3Jose h Ichtttt� �estth�gcnt p �- July 19, 1972 I. Kaplan, M. D. , Chairman 194 Lafayette Street Salem, Massachusetts Dear Doctor: The regular meeting of the Board of Health will be held on Tuesday, July" 25th, at 5 Broad Street, at 5:00 P. M. AGENDA 1. Reading of minutes of last meeting. 2. - Census at Health Department Hospital. 3. Communications: a. To the Commonwealth, Water Resources Commission. We request for a review and a hearing be given the City of Salem with regard to the municipal incinerator waste water treatment. b. To Marblehead Y.M.C.A. requests that they take they take corrective action relating to good housekeeping, repairs, rodent control, etc. c. To Police Marshall Reagan relates to bulky rubbish material being left on the streets by out of towners. We request that his cruisers check on these infractions particularly on weekends and nights. d. To Health Agent regarding Lots 503 and 674 on Highland Avenue, they enclose plans. Mr. Louis Zanthaky grants the City of Salem, permission to maintain dumping ground on this land and to enter upon this land with vehicles and equipment to dump and fill on said land until land is filled. e. An Act ('`CLapter 654) increases the membership of the Board of Health of Salem to seven members. This to take effect upon its passage----signed by the Acting Speaker of the Hou.e; President of the Senate and Governor Sargent. f. From the T;,wn of Danve-,-s, a reminder of the upcoming meeting on Solid Wt.tste Management on Wednesday, July 19 at 2:00 PM. zleuc cNaarb of health Page 2, Agenda:?--for Board of 5 ?E�roaa #,eet Health Meeting—July25th. • OLD BUSINESS: a. Mr. Brogan, our prospective Sanitarian, is still willing to work for our Department, if we are allowed to start him on the top step. �We—may—have somkthing on this by meet�irrg_t-e_ b. Position of Supervising Public Health Nurse---we have not received a reply to our letter and we are writing another letter to the Personnel Board and are enclosing our letter to the Mayor. REPORTS Environmental Health Section. Very ly yours, JOHN' J. TOO VentE .S.C. /.Health H cc: Board Members City Council Committee on Public Health ( i#� of �$ttlem, rTttssarhuse#ts Pa:trb Of 34eutth cf 5 �raab �trert .. 11. $npizin, A.39., (Quirmun ,M- marrin fdauntie,�R. _ �a1tn J_ oomeq, p js6i- I. �Jase h irliarb Health JAgent September 19, 1972 I. Kaplan, M. D. 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting oflthe Board of Health will be held on Tuesday, September 26 1972 at 5:00 P. M. at the P , e Health Center, 5 Broad Street Salem, Massachusetts. AGENDA 1. Reading of minutes of previous meeting. 2. Census at Health Department. 3. Communications: • a. Letter to City Solicitor', signed by Dr. Kaplan states the concern of the Board of Health with regard to the abandoned building located at 22 Kosciusko Street. We ask his advice on having the building rehabilitated or razed. b. Change of status of Supervising Public Health Nurse from Group X tc Group X111 receive final passage on August 24, by unanimous vote and was approved by the Mayor August 28. c. The Executive Office of Human Services, Office for Children, authorizes the Department to continue our program of licensing day care centers. They request a three month notice if we decide to return the licensing authority to the State. They enclose a copy of the letter for our signature to be returned to them. d. We write to D.. Haley, Esquire that the Board of Health has ordered, that the persons occupying the house at 4-6 Brown St. Ct. be removed and that the building be razed within thirty days after receipt of this notice. Attorney Haley writes the Department requesting a hearing on 4-6 Brown Street Court. We grant the hearing and request they come prepared to furnish names of contractors, plans and firm dates when structure will be placed in good repair. e. Roy Anderson, President of Baker's Island Association thanks, the Department for the excellent service given to the residents of Baker's Island. • f. We write to Charles McArdle with regard to his property at 153 North Street, we invite him to this meeting and request a firm date when corrective mption will-ibe� completed. We also add a paragraph re Brown Street property which was damaged by fire some time ago. Page 3 - Agenda &afem�3ottra of Xrttlt4 Board of Health Meeting 5 gotta�4ree# i NEW BUSINESS: a. Department chauffeur transported a dead cat to Wasserman Laboratory for testing for Rabies. Woman had been bitten on the face by cat which a eeri 'struck y a car. b. Health Agent would like to discuss collection of commercial pickup throughout the city. c. Copy of notice to Collection Section Personnel--we request them to cooperate wi Department by removing material our for collection. If extra hours are necessary to complete daily pickup, we request them to work these hours. d. Mrs. Joanne Josephs, R.N. joined our Department on August 24, 1972. e. Motion of Board necessary to ratify the action of the Health Agent on transfering monies from Special Items to Hospital Expenses for employment of part time Occupational Therapist, Dietician and Social Worker at the Health Hospital. Total amount, $3,593.42. f. Motion to ratify the action of Health Agent in transfering the sum of $5200. from Administration Salaries to Administration Expenses to carry out functions of Department through the end of year. g. Christina Godsha.lk would like. to talk, to the. Board about the "4C Program". h Approval of license for Newhall Nursing Home, Carpenter Street. REPORTS: a. Senior Sanitarian's monthly report. b. Supervising Public Health. Nurse`s monthly report. c. Health Agent's report on progress of Project Care (Meals on Wheels) . Very truly yours, John J. Toomey, D.S.C. Health Agent Elinor C. Horan Clerk of the Board cc: Board Members Council Committee on Health, H • Page 2 'Ii�alent Noarb of Xcalfll Board of Health 5 ±_goadstree# Agenda for 9/26 Meeting Communications, continued: g. We notify Sheriff Roger E. Wells at Salem Jail that as of September 20, the collection of rubbish will be curtailed. h. We notify the Post Office on Margin Street that the Department is curtailing the collection of rubbish as of September 20, 1972- i. Mrs. William O'Keefe requests the Department grant her son a permit to keep pigeons. j . Mrs. Elizabeth Taylor of Marblehead applies for a part-time dietitian job. k. The American Federation of State, County and Municipal Employees informs the Health Agent , that Katharine Morgan and Dorothy Bradley, Public Health Nurses for the Department will represent Local 1818 at Council 41, 10th Annual Convention, North Falmouth, Massachusetts on September 15, 1972. 1. City Clerk notifies Board of the new Board Members. M. Copy of letter from Bureau of Air Quality Control to South Essex Sewerage discusses their request to install two sludge incinerators at Fort Avenue. Final paragraph designates that final construction drawings be submitted for approval and that the site be assigned by the local Board of Health. n. South Essex Consortium, Emergency Employment Act sends notice to local Department Heads regarding the placing of the E.E.Z. employees, they request that these people be excused from their duties for short periods of time to attend job interviews. OLD BUSINESS; a. Present status: of the. Board of Health, Regulation on picking up mattress.ea„ etc. (-Ueing left on streets) • Qjittj of kzjjejjj, 41 'trb Of RV'tjtjI 'ilC1.o.,inr- I LI I I I i C, 'i 11'Aqrnt August 15, 1972 1. Chairl"ali, Board of Health 194 Lafayette Street SaICIII, �Iassachll,;Otrs Dear Doctor: The regular meeting of the Board of Health will be held on Tuesday, August 22, 1972 at 5:00 P. M. at 5 Broad Street, Salem, Massachusetts. AGENDA 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital. 3. Communications: a. Reply from the Personnel Board with regard to salary of Supervising Public health Nurse. Letter to Mayor requesting him to implement the necessary ordinance changes as quickly as possible. b. Letter to Dr. Davis, Chairman of Personnel Board requesting a date for the Board to meet with the Personnel Board to upgrade Principal Clerk. c. Civil Service Commission authorizes the continued employment of Mary L. McCarthy to be employed as Cook at the Hospital through December 31, 1972. d; Civil Service authorizes the continued employment of Anna Snow as Cook on an intermittent basis through October 31, 1972. e. Letter to Councillor James Hosman from our Department urges reconsideration of the Order of the City Council to remove fill material placed on Salem Oil and Grease property. We cite the specific reasons for this request. , rileiu �!;Oarl of c:Ie.tlti, Page 2, Agenda for Board of �Broal Health Meeting 8/22/ COMMUNICATIONS, Cont'd • f. Letter from Abraham S. llacket, Attorucy re 19-2:1. L,indon Street states that the prospective purchaser of this property is :i_n tlic process of setting up a real estate trust to acquire and improve the property. j He stares he does not have a firm date for the conveyance probably be mid September. but it will We reply on August 10 that we are greatly concerned that no firm date has been established for the sale and we invite someone from the estate to be at the meeting. g. Letter from David and Dudley Brewster is similar to the Hacker letter, we also invite them to attend this meeting. h. Mr. Daniel McHugh, Jr. requests a hearing for h:i.s property at 4-6 Brown Street Court. We reply and invite him to this meeting. i. Farley, Serafini and Farley write us re 22 Kosciusco Street, for owner David Crosby. They state there is a dispute as to the actual ownership of the property and they are attempting to settle this matter. J • Department of Public Health, State Laboratory Institute sends another notice of the curtailment of certain services. OLD BUSINESS: a. Hearing on 13 Nichols Street, Morton Family. • Very truly yours, JOHN J. TOOMEY, D.S.C. Health Agent H • _gam' Titu of §�ttlrm. Masimr4u,irtts r bourb of i&enl14 J. Wavlan, 4-fl. 4:5., hlllttirman �` �'�- 5 t�roab street Jolla J. lsoomey, D.l"§.Ci1. M. Marria Tountir, R. X. Jo,orpli E. Eirliarb J. Robert M. U. M lbrrb T. Moulton, K N. Robert V.lruh4orn Effie ffladaonttlb October 18, 1972 . I. Kaplan, M. D. , Chairman 194 Lafayette Street Salem, Massachusetts Dear Doctor: The regular meeting of the Board of Health will be held on Tuesday, October 24th, at 5:00 P. M. at the Health Center, 5 Broad Street, Salem, Massachusetts. AGENDA 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital. • 3. Communications: a. To Mayor Zoll (copy to this department) from Swampscott Board of Health, they express their appreciation for the excellent services rendered by Mr..YCameron and Mr. Sczerbinski, under the direction of Dr. Toomey"during the absence of their Health Agent. b. From Springfield Department of Health with regard to Councillor Ruane's inquiry on dairy products dated November. Springfield has done quite a bit of research on this (letter will be available at meeting time). 4. Old Business a. The Linden Street pr6perty has been sold to a Trust, we have written a letter to the Secretary of State on this and are awaiting a reply. b. House at 13 Putnam Street is being razed. c. The Roy family (Lead Poisoning Case) has been relocated twice. Apropo of this we are going to have a meeting with Dr. Schaub of the North Shore Babies Hospital, to pursue further the problem of Lead Poisoning. d. Repeated inspections have been made to 4-6 Brown Street Court and there appears to be nobody living there. e. On 147 Derby Street the Fire Marshall 's "office has cleared this but further action has been held up, by reason of- conflict of opinion between Traveller's Insurance and the General Adjustment Bureau. �*Ulettt �Ioxrb of Prult1l Page 2, -Board of Health 5 rao� freet - Agenda - 5. New Business a. Long Term Care Facility The Architect and Dr. Toomey met with Mr—Iacovelli and.:- Mr. Knapp on our Hill Burton application and some recommenda- tions were made: 1. That we add to our Environmental Impact Section--this means that we get letters from our abutters and "near` abutters giving approbation to the project. Environmental, .in this case, concerns visual air, water, safety, •etc. : We have this ready and will present- it at the meeting. 2. : The city,,will: sell`the. bonds for $5•,000,000. on October 17 and 'Vial be available for use by the: Department on November 5 or 7.. 'At that time, we would take care of the' Architect's fees and other bills 'properly coming,within the scope of this construction.`' We are setting up a budget system to . care for this particular item in our department, 3. We'aretrying to 'get ,the Conservation Commission Chairman, Mr. Lebrecque';to give'us clearances for .the architect's needs, -to,build .the.,;road, etc the land:in .the rear of the hospital' coming under°.;the.-Hatch Act.= b. Solid Waste' Disposal On August 27, :1972 the State .Department. of Public Health, Division of Water and Air. Pollution, Control. had discussed with ._the ,city our • problems :relative .�to> our ..Incinerator polluting a brook to`:.the rear of the Incinerator. `and�,also ,the air .in the vicinity. Pursuant to an order,,issued, After this- discussion, .our department hired John Baffa, enginnering .firm of New York to study the problem and. forward. to us a report. His report received'=:in March 1972 set up: a'.rep air program =, for the control,..of;Air,and,Water:Pollution,`the cost':which�LLamounted ' to $1,000000. } Because of further concerns with the 'Incinerator we talked again with the'Air -arid,,Water-,Pollut16n. Control people,and asked,;if theyw.would'. extend.us >some;. time: to,make a` study of the situation. .: The;Mayor, City Solicitoi and;'Dr Tootiey, were 'ca11 d. toga hearing.. in the_:State. office' building and we 'agreed :to,,'a timetable ;to complete our studies, by September 10; 1972 In August we 're an amended.order, : his specified +that we shall notify the;Division; of:.our.plan of`solid. waste disposal-,and;`the' elimi nation of water .pollution�at the `incinerator'by September, 10 ;`'1972'. On November 1, the adopted plan will be ,approved"b-y- all the appropriate officials 'and:the:Division notified On January i,'`1972 the adopted plan will be•.put into eppration and° pollution'at' the Incinerator will be 'eliminated. In the meantime'we' had,been` studying various types=-of `solutions and costs .of these solutions which are enumerated.in;the reportk :` A.copy, of this has been sent-=.to° the Division and we have. ,yeques.ted.,them to review it and to give;us further time to complete, the details.., of making a decision. d 4� k s ilcan ?!toxrl of Ilivallb Page 3, Board of Health 5 Proal street Agenda On Friday, October 13 we received a call from Mr. Hans Bonne of the Division requesting our final judgment and I asked his forbearance until such time as we could iron out some of the details in finalizing our decision and getting the approval of the Board of Health. We were granted one month. After this study it would appear that the best way out of this dilemma is to contract with a private firm for the collectionand disposal of solid waste in Salem. Concern for the men has been discussed with Mr. Thomas Walsh and the Mayor and we feel that provisions can be made to take care of this part of the problem. c. The Salem News photographer will be at this meeting to take a picture of the group so we hope you will all be there. Very y your JOHN�J. TOOMEY, D.S.C. Health Agent • T/h cc: Mayor.Zoll . Board Members Council Committee on Health �� C�tt� of �ttlrnt, �tt�,sttr�ixsri�s i8vard of i#PaU4 =s�� J. �Ctt,plttn, i�t. +�., �llttirmttn M. Mttrria Cfoun#ir, X. X. iealth ge,c 3a• pV41. Crllttrb l I i.Roher# 1$4ang4nnoy, M. U. MildrPb T. Moulton, W. X. Robra BlPnk4arn �ffiP +.A�ttr+�onttl� I. Kaplan, M. D. , Chairman 194 Lafayette Street Salem, Massachusetts Dear Doctor: The regular meeting of the Board of Health will be held on Tuesday, January 23rd at 5:00 P. M. at the Health Center, 5 Broad Street. AGENDA 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital. 3. Communications: a. Mr. John Ward, Coordinator of Career Education at Salem High School requests that I serve on his committee, this to be taken up under • New Business. b. Doctor Harold Stanley, son of Helen Stanley, former patient at the Health Hospital has donated $50 in her memory. Dr. Baughman has also donated $25 for the Social Service Section, this also is in memory of Helen Stanley. c. Letter from Virginia Bradley, Drug Program Coordinator requests that any overage in funds be used to further this program, this also will be discussed under New Business. 4. Old Business: a. 145-147 Derby Street and 23 Daniels Street--our men went to court-- the injunction was refused, but the court requested that the two attorneys get together and work out the situation. Because of the lack of cooperation on the part of the owners we have reconstituted, through the Building Inspector, an Emergency Survey Committee, along with the Fire Chief and a disinterested party, under the direction of Attorney Donaldson, Assistant City Solicitor. We should have a deter- mination made before Tuesday's meeting. b. Solid Waste: We have discussed with the Mayor and Civil Service, the transfer of our men. We are still talkipgf�pptions relative to the disposal, _ddring this week we will have a presentation by a Company to the Mayor which may be vital to our next recommendation. c. Recycling: I have a request from Waste Recycling Corp. in Cambridge, they would like to put at our station at the dump, containers for the different colored glass bottles. These would come at no cost to us and we would not collect any money in payment for the glass. They would pick up and take the glass to their factory. I would recommend we go along with this. t� "P) ,$alem Poarb of gealtl 5 Nraab Jstreet Page 2, Board of Health Agenda Environmental Health: Report to be presented at meeting. Social Health a. The Elderly Project We are progressing fairly rapidly in our layout for a comprehensive program for the elderly. This activity envisions programs based upon the following: Nutrition; Transportation; Visitation to shut-ins; Home Care; Recreation; Health, Welfare and Social Services. b. To pull together the various and sundry organizations concerned with the providing of services to the elderly, the Department is taking the lead in promoting the formation of a non-profit corporation whose title and purpose is to provide comprehensive health services for the adult and elderly of the populace. This should be ready for presentation at Tuesday's meeting. The Board of Health will have a vital role to play in all of these activities. 5. New Business: a. With reference to "a" under Communications: John Ward, Coordinator for the Careers Program at Salem High School requests I serve as a member. b. That the Board of Health accept a program wherein members of the student body of Salem High School would do intern work in the various sections of Public Health activity in our Department. c. The North Shore Community College is offering Associate Degrees in Environmental Health. I have accepted the Chairmanship of the Board for this activity. The College also would like to have our Department provide internship to students in this classification. Besides Environmental Health this also encompasses Nursing, Social Work, etc. Mrs. Josephs, our Supervising Public Health Nurse has been talking with the Director of Nursing Education at State College, Grace Nangle, in preparation to offering internships for Public Health Nursing in our Department. This is in the talking stage at the present time. d. Drug Program: Included is a report from Virginia Bradley. Her chief concern is that Salem Hospital is going to drop their Drug Program. This also means the loss of group therapy which was carried on under the direction of Myrna Potash, Senior Psychiatric instructor at Salem Hospital School of Nursing, This program runs, twice a week from 6 to 7:30 P.M. Mrs. Bradley recommends hopefully, that we could pick up financial support of this part of the program. Financially this is possible as Mrs. Bradley is on Emergency Employment and we supplement her salary with $169.90 per month. We have $8500 in this item and two sessions a week at $36 per session ($72 per week) would amount to $3744 a year. As we will have a balance of $6461.20 we could easily do this. The only hitch is sponsorship, the program must be sponsored by Salem Hospital or some other organization. e. Discussion on Hospital Waiting list. ®rytru y r(4DA... J. T00 D.S.C. cc: Board Members Health Agent Enclosures (1) T/H 3 ADDENDA 1.A4.Solid Waste: \ I am making up a contract and specifications for the private collection and disposal of solid waste in. the city. I would recommend that the contract be made out for two years with option by the Health Department for renewal each year thereafter. Some policy decisions have to be arrived at with regard to collection and disposal of bulky material, stoves, refregerators, etc., we should specify that these items be collected on the day of collection, on the first week of each month. On Commercial rubbish, we should cease this pickup. Our present regulations limit commercial pickup to four bundles or barrels, not over 85 pounds in weight. I feel it will make a great difference to the bidder and to the city in cost, if commercial firms are required to handle their own material. B. The City Council has informed us that they would like to meet .with the Board of Health and the State Representatives in the Council Chambers: on Wednesday, December 6, 1972 at 7:30 P. M. Purpose .of the meeting is to review the action of the Board of Health relative to its recommendation on Solid Waste Collection and Disposal adopted at the special meeting held on November 1, 1972. . 2. HOSPITAL Our Utilization Committee at the Hospital had their first meeting last week. The meeting was enthusiastic, informative and is aimed at a team approach to the care of patients at our hospital. r CitU of SFalrm, Maiiiiarlimirtui Z Tt i8oarlb of L�ralth J.5 Waplan, �. , Thairman�3roarl 3trPPf '`�� ! . fflarria Lountir, 7. Ltl�lt J. �IIAIItPI�, f3.�.(r. _Jr ix.alsh r4ycnt �IIl3P}Tll �. �Rirl?arD 4�illrPrl (tS. �oltlton, +�. �. i�ohPrt tilPnithorn November 21, 1972ffirttr3nnalrl I. Kaplan, M. D. , Chairman 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, November 28, 1972 at 5:00 P. M. at the Public Health Center, 5 Broad Street, Salem, Massachusetts. .AGENDA i 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital 3. Communications: • 1. From our Department to Mayor Zoll, Hans Bonne and Walter Smith (State Dept.) advises them of the Board's action at the special meeting held Nov. lst. 2. Civil Service advises that an open competitive examination has been ordered on an unassembled basis for the position of Pharmacist for our hospital. Mr. Vaillancourt is presently working in this category, Y,provisionally, until list is established. 3. Department of Public Health cites the new rate for the care of tuberculosis patients at regional tuberculosis hospitals. Cities and towns will be responsible for reimbursement of one half for residents under age 65 yrs. They also give. us the in-patient care rates for general hospitals under contract with`them for patients diagnosed or suspected tuberculosis. Salem Hospital 'rate is 83% of charges, effective October 1, 1972. 4. North Shore Guidance Center and Health and Education Services, Inc. send us their report for the year July 1, 1971 through June 30, 1972. 5. Communication from Mr. Harrington advises the Department that Salem Hospital has the capability to provide laundry services for our 160 bed unit. 6. Copy of letter from Campbell, Aldrich and Nulty to Mr. Iacovelli describes revised drawings in accordance with comments made. These changes are listed out. 7. Mrs. Lillian Harvey writes about propertyon Linden Street d, errands removal of same. She threatens to sue Dr. Toomey plus the City of Salem. OLD BUSINESS: 1. Report on the Alice Endicott Estate: $62,122.59 plus income of $24,599.55= $86,722.14 2. Discuss the December 20th Board of Health Meeting at Health Hospital. NEW BUSINESS: 1. Health and Education Services, Inc. requests $18,386 for 1973 based upon ' �nleur �(uarl of��raltG -� ?0-roal street Page 2 of Agenda • the 1970 population census of 39,971, at 46G per capita. Health Agent recommends no increase. REPORTS: Supervising Public Health Nurse, on the Nursing Section activities. Environmental Sanitation Report. ery -tr y yo rs, 1 `.JOH J.�OOMEY, C. J Health Agent. H cc: Board Members Non-voting Board Member Council Committee on Health • i i t r J). waplati, Tliairniall fill if{. iflarria 1hitieph IN. February 21, 1973 J. R1,11hert it till it I - I _j C1 . ffl,1111tilli, T1,x. I. Kaplan, M.D. , Chairman iRahrrt -ijIlviddlorlt 194 Lafayette Street ffir fflarT1ottjtb Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, February 27, 1973, at 5:00 P.M. at the Health Center, 5 Broad Street. AGENDA 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital 3. Communications: a. To New York Times requesting they put an ad in their paper for an Administrator for our Long Term'Care Facility. b. South Essex Sewerage District states that in accordance with the provisions of Chapter 111, Section 150A, the local Board• of Health must assign a site for the proposed incinerator that is appurtenant to their waste water treatment facilities. They are filing for the necessary assignment by the Board of Health. C. Department of Public Health, Northeast Regional Office relates to the Regulations for Disposal of Solid Wastes by Sanitary Landfill in which they give us about ten days from receipt of letter to hire an engineer and have him get in touch with the district office. This, of course, is impossible. However, our situation may be relieved because, for the past year we have been consulting with that office re the use of land next to our present dump area, by John Ingemi under plans and specifications drawn up by the Essex Survey and Engineering Corp of Salem. This request has never been cleared ty the District Health Office. Our latest information is that the regional engineer wants to check the springwater table. --'0_0 4. Old Business: a. Wire Processing Plant: The furnace design was approved by the Department of Public Health. Our department will visit a similar plant in East Providence, Rhode Island. b. Drug Program: Health Agent had a meeting with Father MacCormack, Gary Moore and Peter Gibson and discussed the whole program organi- zation. The concensus of those at the meeting was, that the greater good of the committee might be allocating some of the money and all of the duties to the Youth Commission which could address itself in a more comprehensive fashion to all of the problems relating to drugs. As to financing money to RAP as they have requested is, as of this writing, held in obeyance until further information is developed by the Committee. More on this by meeting time. lailcu[ if:oa rb of�irxlth' Page 2, Board of Health Agenda NEW BUSINESS: A. Organizational Meeting. _ Yo A B. Signing of licanse for Home for Aged Women. �—Oz-R1' n! � �h� Al�/Ll C. I feel the Board of Health should know there are many changes going on• in the reorganization plan of the Governor, which, in the opinion of knowledgeable people in the field of health, will terminate Boards of Health as an entity in the next few years. By meeting time, I am hopeful to have for you a copy of the proposed change in the Enabling Settion of the State Sanitary Code which prevents any changes by a local Health Department in the Sanitary Code provisions . Pre— viously a Board of Health could not minimize the standards of the code but could enact more severe standards which would possibly apply in local cities or towns. This insertion would have the effect of completely eliminating the power of the Board of Health to control any sanitary situations in their community. ENVIRONMENTAL HEALTH A. 14-16 Brown Street: We have communicated with the Fire Chief and the Building Inspector. The Fire Chief and Lieutenent Goggin made independent evaluation of the property and both say, in the essence, that the property is a potential fire hazard. We have not heard from the Building Insp B. 4-6 Brown Street Court: The same reply from the Fire Chief as above and our department finds the place is opened to vandals, vagrants, etc. and there has been no attempt to repair same even though there have been repeated requests by our Department. • C. 145-147 Derby Street and 23 Daniels Street: by meeting time these properties will be demolished completely. e-C"A ./10 9 D. 98 Washington SQuare. Owner has taken out'a $35,000 building permit for repairs, workmen are there and trash has been removed. NOTICE OF PUBLIC HEARING: Nprt_h Shore Health Planning Council, Inc. notifies us of a Public Hearing ► relating to Super Voltage Radiation Therapy (copy of notice is enclosed.) i Very truly yours, I HN T MEY, D.S� k Health Agent T/h CC: Board Members 4 F - i • M Ott of JOhIrm, Maiwar4usats r� i9uttrb of 1&ralt4 I Wavlan, 4-9. 4:3., Thairman A. Marria Tountir, 1. N. John 0DomeH, B.O. I. � s,th c�sc,e �luse}�l� �. �Rirl�ttr� J. !Robert v$4au0nessg, MOM) T. Moulton, R. X. Robert Blenkllorn t Effie Marponalb March 20, 1973 I. Kaplan, M. D., Chairman 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, March 27, 1973 at 5:00 P. M. at the Health Center, 5 Broad Street. AGENDA • 1. Reading of minutes of previous meeting. 2. Census at Health Hospital. 3. Communications: Copy of letter from the State Division of Environmental Health to Metcalf and Eddy, they approve plans and specifications as submitted, subject to provisos that the site be assigned by Salem Board of Health and that the Standard Operating Procedure be submitted for review when finalized. b. Reply from Representatives Cahill and O'Donnell re House Bill #1804. c. Letter to the Department from the family of one of our patients at the Health Hospital thanking ofor the excellent care. :d. Letter to Chairman from David and Alice Johnson refers to conditions at the Polish Club on Kosciusko Street. e. Letter sent to Building Inspector on February 28 in which we request he view the property known as the Polish Club and evaluate the structural condition of this property. We request an early reply. f. Communication from our Department to Councillor Nowak requests that he endeavor to contact Attorney Farly, who represents a client who has made a payment for this property. Also we ask he contact two Polish groups connected with this pro- perty. g. Division of Civil Service notifies us that an open competitive i examination has been ordered for the position of Supervising• Public Health Nurse in ourDepartment, open to residents 5f the Commonwealth. Page 2, Board of Health Agenda for March 27th meeting. OLD BUSINESS: 1. Health Agent's report on his visit to the Wire Processing Plant. 2. Drug Program-----Youth Commission-----Virginia Bradley's status. We talked to Peter Gibson on V. Bradley. She will transfer to the Youth Commission when that becomes effective, which will be in about a month. This Commission was given approval for creation by the Mayor and City Council. NEW BUSINESS: 1: Explosion at the Municipal Incinerator. We feel this was due to chemicals placed there by a local firm. There were personal injuries to some of our men and considerable physical damage to the plant, specifically to the internal fire brick which had to be repaired. Windows and aluminumframes were blown out, which alone runs into $1700. All evidence has been given to the City Solicitor for his review and recommendation. ENVIRONMENTAL HEALTH: Polish Club, 22 Kosciusko Street • 1. This office contacted Attorney A. Dobbs and Farley and Building Inspector Mr. O'Brien. Mr. Dobbs, verbally said the Polish Societies involved have got together, and this will be free any time now. 2. 2-4 Brown Street, owned by McArdle and Copelas. This is a duplex house with two owners. It is burned. We have notified the owners that the property is condemned, and have tiven them thirty days to take action. We have been working with McArdle on this, he has taken out a building permit but hasn't done anything and the building is continuing to deteriorate. Mr. Copelas attempted to start repairs but was held up because of lack of cooperation. We think condemnation proceedings may stimulate some action down there. 3. On the McHugh property we have notified him and the other owners of record, of the hearing at this meeting so they can show cause why why their property should not be razed by the Health Department. 4. 98 Washington Square, Melba Apartments. Repairs on this building are coming along fine. HEALTH HOSPITAL: 1. We have been having staff meetings and we are reviewing all procedures for modernization. This includes a team approach to patient care. LONG TERM CARE FACILITY: 1. Our Architect, Campbell, Aldrich and Nulty are preparing specifications and plans for bidders which will go out about meeting time. Sealed bids for the sub-trades will be received by the Awarding Authority, at the offices of the Health Department not later than 12:00 Noon on April 18th, OL 1973, at which time and place all bids will be publicly opened and read. Page 3, Agenda for Board of Health Meeting of March 27, 1973. Sealed bids for tke. Ceneral Contract will. be roceived by the Awarding Authority up to 2:00 P. M. on Wednesday, May 2, 1973 at Offices of the Health Department.; ELDERLY AFFAIRS: We are now to the point that we may have a full and completed brochure on our proposals. Mrs. Josephs and myself, and perhaps other people, will meet with Jack Left, Director of Elderly Affairs looking toward State Subsidy for this project. Very trul( s, X; /tic �I v i JOHN J. TOOMEY, D.S.C. Health Agent H. • � y I Mitil of _§�ttlrm, Mas,sttr4agats .,., � �uttr� of l�ettltll Jnlin 3. XnnmPg, U.�.Cti. �. �ttrritt (tlnuntiP, �. x"�d. �iealsh�e,gent �itsp,�i� �. zRirltttr� 3). Robert 0§4auq4nessty, M. D. Mildreb T. Moulton, E. N. Robert Vlrnk4orn $ffir +�1Mrt�nttttltl Mai, 15, 1973 I. Kaplan, M. D. , 'Chairman . 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, May 22, 1973 at 5:00 P. M. at the Health Center, 5 Broad Street, Salem, Massachusetts. AGENDA 1. Reading of minutes of previous meeting. • 2. Census at Health Department Hospital 3. Communications: a. To American Federation of State, County and Municipal Employees and their reply. This refers to clarification of Article Xll and Article Vll as well as the non compensatory time clause of the Agreement between the City of Salem and the AFSCME AFL-CIO, Council 41, Local 1818: "Anyone working on a holiday will receive twenty hours pay (time and a half for the day, plus eight hours pay for the holiday) . Those not working on the holiday will receive the extra eight hours pay." 4. Old Business: 1. Hearing on 14-16 Brown Street. and 4-6 Brown Street Court. The Board granted Mr. McHugh an extension until this meeting, pending decision of the Planning Board and the Board of Appeals regarding construction of ten two-story town houses or the rehabilitation of the present structures. 2. Discussion on Cold Springs, Kernwood. In 1972 Health Agent talked with the Mayor and with Mr. O'Brien on covering this over. Mayor Zoll did not want to do anything at this time as he was discussing other items with the Club. 5. New,Business 1. Awarding of General Contract for the Long Term Care Facility. Very truly yours, JOHN J. TOOME , D.S.C. Health Agen . H. CC: Board Membe-r5 04ty of -§�ttlrm, Massar4mirtts r� WIIttrd of igralth w ,�.4� � �rIIttd �trPPt M. +Marrin Tountir, 9. N. Juhn �1. �comeg, �;ealxh gent �IISP}th �. 2�iihttrl J. �IIhPrt �httughnPs,��, �. �. MildrPb T. Moulton,_R. X. Nohrrt Menhhorn Effie Marl3nnalb April 18, 1973 I. Kaplan, M. D. , Chairman 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held at the Health Center, 5 Broad Street, Salem, Massachusetts at 5:00 P. M. on Tuesday, April 24, 1973. `AGENDA • 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital. 3. Communications: a. To Mayor Levesque requesting the transfer of funds from the Clinic Expenses, Drug Treatment Program to Youth Commission. b. From Health Agent to Paul Peters, employee refers to refusal to work at a particular floor at the Incinerator, he requests to be paid for the time taken off. 4. Old Business: a. Hearing on Wire Processing Plant installation at Universal Steel and Trading Company on Bridge: Street. b. Hearing on property at 22 Kosciusco Street (Polish Club) . 5. New Business: a. Discussion on "Comprehensive Services for Elderly and Adult Handicapped of the City of Salem." 6. Reports: a. Environmental Health Section b. Nursing Section. Ve tr urs, JOHN J. TOOMEY, D.S.C. Health Agent Ey Ott of wain, �sttrf�usr s r 13varb of 1 tr 1 � �� 5 �rottd �t �rl�°� J• �Ctt.plttn, i�I. �., C�Illttirmttn -o11n 3. Toomry, BACii. 0. Marria Tountir, R. N. iealih cA9ent XosrV4 1. Nir4arb X. Hobert tl;�ilttuonrosy, M. u. Milbrrh T. Moulton, Xoaert VIrnkllorn June '19, j973 Effie :f arponalb I, Kap.2an, M.P. 194 Labayette StAeet Salem, Ma&sachusetts Dean Doctox Kaptan: The hegulat meeting of the Board ob Hea.P.th wilt be head on Tueaday, June 26, 1973 at 5:00 P. M. at the Hea.?,th Center, 5 Broad Street, Satem, Masaaehu.setts. AGENDA 1. Reading ob minutes of pnevioua meeting. 2. Cens.ub at Heat th Department Hoop c tat • 3. Correspondence a. Mari 9 Sons Hoop i,ng Co.,Inc. nequezt we not.ib y them when bids Witt be.taken bon the eanpeti.ng o6 eetrtain areas o� the, Long,Tehm' Cane' Fat i e icy. b. NoAth. Shone. Guidance;UMVE 3; Fleaah and EducWon SeAutces, inc. xequezM ZERZWonaf- bun& (copy of tetten ptus the No vemb en .1972 Zetten enctoz ed) . 4. OZd Susineu: a. PU oet RAP. gnT eement signed by Mayon, Ass sistant City Sot i c ton, HeaP,th Agent and C2enk o6 the Bo an d o6 Diu tons o6 Pnoj ect RAP. b. Revercend Kenneth Jackson, Pne ident, Board o j Dixec torus o6 Project RAP cone that Mangcucet K. Haydon, Cter.k was authorized by the Executive Comm i,tt- ee to z i gn ague- ment t i:.teed "Guulet inm 6o,% FinanciaZ A,s s,ustanee and Patticipation in Pno ject RAP by the City o6 Satem." e. 22 K6,6Eicusko .Sttieet (Poti,6h Sociae Attianee Ctub) . Owner. wa6 tivg en 60 days (an untie the June 26th meeting of the Board o6 Hearth) to take action, a towing him to go to the Board o6 Appears to obtain pe&m.i t to make th.,s a .6ingte bam,i t y dweR.Ung. The Board o6 Appea .6 heaxing is acheduted jor. June 20, 1973 and theU deeizion on the variance w.i U be given 6ometime ther.eajten, we have asked bon an eaAty decision. Page 2, Board a6 Hea.?th Agenda 4on June 26, 1973 Meeting d. Three "un6a6e water" .6igns have been ptaced at Cotd Sptcinga, at Kennwood, two on Bence and one .in ground. e. 4 icawn t.eet and. 14' 1G Bncwn'Stkeet CodAt Pnapetcty o4 DavuW M�gTc w hen con emned and ondeAed hazed by the Board o6 Hea.Pth. Given an extension o6 time to pneaenx ptans bon /— 2 to Board o6 Appeatz and Ptanning Board--atso to /submit ptana to Buitding Inapectan. Pni.on to meeting we hope to have a decision 6nom the Board aj Appea z and Planning Board---a zo a pnogneaz report jnam Mn. Ha.2ey and Mn. Vatus. 5. New BuaiAe s.5: a. Inapection nepmt 6heet 6nom Kathani.ne Mangan, Public Heatth Nunae on Ivy Mann Rent Home, 204 La6ayette Stceet, Gs ignatunea ob l3oZFU MemBeAAnee6ed on this) . Ven y tcuty yo utus, • JOHN J. TCCMEV, D.S.C. Heatth. Agent C � Bt2inon C. Horan Cte%k o6 the Board Bnct. 1 CC: Membeu of the Board i8ottrb of i4ealt4 Wavlttn, M. 4:5., (14airman Alt �r�=p" 5 f�rntt� �trPPt 31. 0oome1j, BAC1I. A. Marrin TountiP, Ift. W. Nealth E`%Sent igir4arb i J. iRohert �httu�nP,�nz�, �. �. Millreb (n. Moulton, 2R. W. iRuhrrt Ernhllorn Effie f larBonttlb July 13, 1973 I. Kaplan, M. D., Chairman 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, July 24, 1973 at 5:00 P. M. at the Health Center, 5 Broad Street; Salem, Massachusetts. .AGENDA 1. Reading of minutes of previous meeting.. • 2. Census at the Health Department Hospital. 3. Communications: 4. Old Business: Matter of -additional monies for the Child .Guidance ,Health -Services, Inc. Housing: Progress report from Mr, Daniel McHugh, re his Brown Street and Brown Street Court property. Progress report from Mr, Crosby on his property at 22 Kosciusco St. Incinerator Report: The dry motor on the crane at the Incinerator burned out and . the crew removed it and sent it out to be repaired. They installed the .spare motor which, in turn, burned out in three days. This of course put the Incinerator out of commission. I requested assistance from the Mayor of Peabody for permission to use their dumping area, this he very graciously gave me and we used it for two days. I sent letters, for our Mayor, to the Peabody Mayor and City Council thanking them for allowing us to use their dump for this emergency. It was also necessary to hire two packer trucks from United Disposal in Peabody so our trash would be collected on Friday. I -z r liSttfrm �Ioarb of�Gxftf� Page 2 of Agenda for Board of 5 rraztb j5frret Health Meeting.for .July 24th. ' We are back in operation and working our way out of the backlog at the Incinerator. We are having considerable trouble with breakdowns of our trucks and have had three Labor Relations incidents which slows down the collection of rubbish. At the present time we are travelling on a fairly decent schedule, but as you are well aware, these are problems we are considering an an overall report which will be finalized in the .near future. Cold Springs Any further action you would like taken on this situation. New Business: • Nursing Section: Lazy Eve Clinic is in the works, Mrs. Josephs is handling this program. We are also discussing a Glaucoma-Clinic and are working with the Asso— ciation for the Hurd of Hearing on a Hearing Program to be held in Town House Square, similar to the one we had in 1968. Flue Vaccine Clinic, we have ordered the Vaccine and plans are being worked out for this program. Mental Health: Mrs. Tefferteller has been invited to this meeting to give the Board a broad view of Mental Health situation in Salem and in the area. Retirement of Personnel: Mrs. Verna Stromberg and Mr. Wilfred Demeule have filed for retirement from the Department. a �eztenr73nxrD ofexltll Page 3, Agenda for Board of 5 1 rutrc�,,street Health Meeting of July 24th. Regionialization: At the time of writing we are scheduling two meetings on Regionialization, one on the 17th and another on the 24th, I will have an indepth report for you at meeting time. Incinerator Closing: We are scheduled to appear attthe hearing on our appeal on the Incinerator closing on the 25th. Ve truly our 0 J. OOMEY, D .C. Health Agent T/h CC: BOARD MEMBERS • a (nttu of Sttlem, �tt�,sttrl�use#�s .: i9ottrb of ijrtt1#4 rott� #rrr# 3. Waplttn, M. R. (94airmttn . � Julia J. 0oomrU, Rik(I. ttrritt Cnoun#iP, 1. W.tl,al:h E'igent J1I,6P�11� 1R. Xirllttrb J. Wohrr# ftauOnrssg, M. D. Mildrrb T. Moulton, I. W. Xohrr# Vlrnk4orn Effir Mar+Donttlb September 5, 1973 I. Kap Zan, M. D. 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, September 11, 1973 at 5:00 P. M. at the Health Center, 5 Broad Street. 11� AGENDA l 0 1. Reading of minutes of previous meeting. r 2. Census at Health Department Hospital. • 3. Communications: a. To Dr. Kaplan from Ann Dominick, R.N. refers to an educational program for personnel at Health Hospital (copy encl.) b. City Clerk notifies Department of the approval of Mayor and . City Council of the $�0,000 to be added to our Hospital Budget. C. Attorney Richard Farley refers to action filed by Mr. Crosby against the Board of Appeals on 22 Kosciusco Street. They are proceeding with Court Action to enjoin the Board of Health against razing this building, more on this under "Reports. " d. Dr. Curran refers to accomplishments of the North Shore Child Guidance Clinic. fie. Project Rap in Beverly sends us a statistical breakdown for the Q months of June and July on Salem contacts (copy enclosed.) . f. Division of Medical Care sends application for use of Controlled substances in Health Facilities, cost of $10.00 for Hospital and $10,00 for Pharmacy. g. Danvers-Salem Mental Health and Retardation Area Board thanks the Department for the excellent cooperation received while they were at the Health Center. Notification from William Bicknell, M. D., Commissioner of Public Health concerns payment for hospital care of certain infants prematurely born to Unwed Mothers. Needy families, not eligible for Medicaid may still apply to the Board of Health for help. In such cases the State reimburses the city for one half the cost. ,1�4tivnt �3anrtb of�lealtlt Page 2, Agenda 4oA Boated 5 rBraab 24rret o4 Health Meeting on SeptembeA 11, 1973 Communications: (Continued) i. Request 4tom the City EngineeA to trans 4eA James yetvWon, Chau&ur ,in ouA Depatrtment, to the Water Department. I approve the tta.ns 4eA abteA vacations ate oven. j. Request 4tom Mentat. Heatth Msociation Got quatrteu at OW Heatth Center. k. Salem Hosp.ctat noti6ie6 us o4 meeting on Coordinated Home Heatth Cate on September 12, 1973, at 10:00 a.m., at Salem Hotsp-rtat. 4. REPORTS. a. NuAzing Section (sent to Boated MembeAa Jot petuvsa2 be4ote meeting) . b. Envcunmentat Sanitation Section Report. Attorney W 2P,iam Donatdson and I went to eoutrt in Boston, utative to 22 Kosciusko Street. The Judge extended the time so that Attorney FaAtey'.s appeal to the CouAt 4Aom the Board o4 AppeaZ6 nuti.ng could be adjudicated. Cute attotney agreed, with the .6peei4.ieationz that a4teA that adjudication the parties wilt proceed with speed to 4u24itt the wishes o� the Boated as to the duspozition o4 the property. e. Long Term Cate Facility (a) Thin month'.6 6.i.2Z6 to be Aeviewed and approved. (b) Enctosed is a communication 4Aom Attotney Donaldson,. We ate st-r U tAy cng to Est imu2ate the New England Power Co. to enteA .into an agreement to erect the .light potes and A L6e w &els oven outs entrance toad. • 5. OLD BUSINESS. a. Pubt ie Hearing te.lattve to estabW hment o 6 a site for the Incinerator connected with the South Ets s ex Sewerage D.ustrtiet plant on Fart Avenue. b. Soti.d Waste Repotrt. Everything is going wets. The Cities and Towns ate about to get togetheA and kite Maguiurte Engineering 4iAm to do a Notrth Shore .6 utcvey o 6 s of id waste and a tepty s houtd be 6ottheom.ing .in three months. The budget has been estabtished 6oA this and othet necusaAy money bated upon $30 peA thousand of poputat i.on -- Salem would amount to $1200, which I have in ouA account. V truly , eoz: JOHN J. TOOMEY, D.S.C. Heatth Agent H Copiers to: Board Members b .J i November 16, 1973 R John J. Toomey, M.D. , Director , Board of Health 5 Broad Street Salem, Massachusetts 01970 fM Dear Dr. Toomey; The Board of Health & Education Services, Inc. in its meeting of November 6, 1973 approved a budget in the amount of $75,400 to enable the North Shore Guidance Center to provide services for the children in the seven communities in the Danvers-Salem Area in the Fiscal Year period of July 1, 1974 through June 30, 1975. A copy of the budget is enclosed. It will provide those public officials concerned with the appropriation of tax funds with specific information on the disbursement of monies received by Health & Education Services, Inc. We are also including our .Annual Report of services in the Danvers--Salem Area with an additional page listing services to Salem, and a brochure describing the clinical program of the of the North Shore Guidance Center. The increases in our budget relfect the inflationary pressures on salaries of the secretarial staff and indispensable needs such as utilities, stationery and similar items. We have been ex- tremely careful and cautious in all professional budgetary items keeping in mind that our commitment is to provide the best pro- fessional services to all the children. The Board, therefore, requests all communities to appropriate $.51 per capita. This amount is only S.05 per capita over last year's request and we sincerely feel it is within the limits of the present economic situation. The appropriation request for the City of Salem for the Fiscal year 1975, on the population f. basis of 39,971, amounts to $20,300. Health & Education Services, Inc. and. Nbrth Shore. Guidance Center have greatly increased their professional manpower by providing increased placements for training graduate and undergraduate students and utilizing volunteers, many of whom are trained pro- fessionals. Through newspapers and our newsletter, Lifeline, we keep the public informed about our services and programs. 4 yet . .i _s _ t $jE,'y�,ri':` x+4 r')Y-i�•a1� C' `i. ,r r Z.. :r.i"�) �`Y,...p '.'s• r" 7�i.yi <ti. ,i � c,a. t r t� t i`— P rQ The Board is confident that the public mental health services pro- vided by the North Shore Guidance. Center are continuing to grow in the right direction. We wish to express our gratitude for the support both financial and otherwise, Health & Education Services, Inc. has receiied from the communities and the Danvers-Salem Area Dowd. We . shal.l persist in our efforts for additional personnel within the Department of Mental. Health budget. The Board of Health & Education Services, Inc. , all citizen repre- sentatives of the communities we serve, will be glad to provide any further information you may wish._ , We will, alsop gladly respcnd to any suggestions vihich: reflect .a need -in your ,community. Yours sincerely, t I,% Welch Esq. Tobias T. Friedman; M.D. Bober Psychiatrist-Director, President F' TTFRVf'?1/as Enc. 4 Budget Annual Report Services Provided to your Community Brochure. P.S. Please call for additional P't"on.al co ies .of enclosures if needed. , f R t November 19, 1973 � i Dr. Lawrence F. McConnell Superintendent of Schools 1 Broad Street Salem, Massachusetts 01970 Dear Dr. McConnell: The enclosed material is being forwarded to you mainly for your information at this time. The Board of Directors of Health & Education Services, Inc. , in one of its meetings discussed the advisability of requesting apart of the appropriation for the City of Salem from the Board of Health. at in previous years, and another part .from the School Committee. P11he Board realized that this may involve some negotiations as the appropriate arms of the City Government will have to decide vAlich method they may prefer. Thanes for, paying attention to this matter. Yours sincerely, M. Kerner, A.C.S.W. , Assistant Director . PT,/as r Enc. 5 clu of 'g�ttlrm, `4151MO-U-sruti x p� Raub of 1 Paltll I Wa,plMn, ±H. B., 01jairmatt M. �iartia L111111fiP, �. x�. ��Ul�tl �. lrDi7lttPlJ, �.�'9.(r. �PB�ih�y.,� �Lt�P}�li �'►_ zitrljttrl J. Atibrrfl�alt�}f�tu>:it�g, l. J. ffiillrrtb (f. ffivaltnn, K N. i.RnhPrt �31Pltl:ltnrn November 2, 1973 ffiP far+lanalb i I. Kaplan, M.D. 194 Lafayette Street Salem, MA 01970 Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, November 6, at 5:00 p.m. at the Health Center, 5 Broad Street. AGENDA 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital. 3. Communications: • a. Mr. Kerr was not$fied about the collection of rubbish and is cooperating. b. Redevelopment Authority met with reference to the establishment and construction of the new type of stalls for a new market section. This will be located in an area going towards New Derby Street, not in the old market area. c. Department of Public Health, Division of Tuberculosis, Tom Kearns, Director, sends us a change in the payment for the T.B. Clinic at Salem Hospital. We are at the present time providing one nurse, Mrs. Faircloth, two days per week for this clinic for which we are reimbursed two day's pay. The payment formula now will be changed. ,, The Rate Setting Commission has made uniform. rates on 'a sort of "fee for a . . service basi% per patient visit". Carbon copies are enclosed. My concern was that the fee does not cover the expenditures for providing them a nurse. I called Tom Kearns and he explained to me that on the basis of past visits the fee would more than cover the cost of the salary reimbursement. I had a concern about Mrs. Faircloth doing some unnecessary bookkeeping but I was assured this would be handled by the clinic secretary, Mrs. Bohanon. ttte��r +++aoarl of�-fraftft Agenda, Board of Health Meeting 5 ?3rrrttl , trek>t of November 6, 1973. I also brought up the subject on whether it might be efficacious to go completely with Salem Hospital and have one of their Staff Nurses assigned to the clinic. Mr. Kearns felt in this case that the Staff nurses have not worked out in other places and he would much prefer to have the Public Health Nurse in this position. d. Civil Service. Letter in which we change our original request for three HMEO-SL Temporary for three months, and included in the request three Permanent Intermittent, making a total of six Permanent Intermittent HMEO-SL. In our letter we further request one additional man. Civil Service notifies us that inadvertently they left the name of ThomasBdaulieu off their list, and directed us to put it in the correct order. I have conferred with the Mayor and we have now appointed Francis M. Reddy Arthur C. Sargent Peter Voyantzis Philip P. Pickett Joel Castonguay Thomas J. Beaulieu .Raymond Marchand. OLD BUSINESS: 1. We have received the transfer of $3,579 for North Shore Child Guidance • and have requested they bi11 for same. This was approved by the Mayor and the City Council. 2. The sum of $2,500 for Scale Repairs has been approved. 3. Motion to ratify the action of the Health Agent on request for $936.02 to Clinic Salary. At the time the Council was reviewing the budget, through an error they reduced the salary of the Dental Hygienist. 4. Transfer of $5,000 from Hospital Salaries to Hospital Expenses due to the tremendous increase in food and in particular meat. REPORTS a. Scale has been repaired and your engineer, J.J.Toomey, has designed a method of keeping it free of water which . in the late storm worked perfectly. There will be no engineering fees here. The Scale company has recommended that we have this scale examined and repaired at least once a year. The charge for this will be $390, and I recommend it. 2. �alenc ciloa r) of�ivaltll Agenda, Board of Health Meeting of November 6, 1973 5 �IIraati frvvt b. The Assignment of Site of South Essex Sewerage Incinerator. Mrs. Moulton, Mrs. MacDonald, Dr. Toomey, and Colin Cameron visited the plant at East Hartford. I am enclosing a complete report. I have been in touch by telephone with Sally Harvey, Engineer in charge of the Environmental Protection Agency in Boston. I explained to her the Board's reservations about information received by us, and also information previously received by our City Solicitor from her. This, of course, is that Dr. Shaughnessy is insistent that an Environmental Impact Study should be forth- coming as a part of these deliberations. Miss Harvey stated to me that a direct written request must be made to the Director, Mr. McGlennon, which I have done this day. I don't think our reply will be back for Tuesday's meeting. LONG TERM CARE FACILITY 1. Bills approved for processing. 2. Report from Dr. Shaughnessy on the Ad Hoc Committee meeting. Very truly yours, )JHNN 00 S.C. • vHealt Agent CC: to Board Members H. 3. s��� 5 �rIItt� �lrrrl J- �Cttl1lttn, ±�i. +�J., Cfl�ttirmttri n 1. onnlnrJ, BJ. A. - Ftrtiil �1111111iY, ?. �ii�alfh r4y�:it �IIlir�ill �. 1.111Cl1£lT� J. i9oherl *Ilaagllttrtitill, Mitlrrtb T. fflottlton. it. X. Eabrrl NImIdjorit �ffir �ttr+�IIlittlD October 2, 1973 I. Kaplan, M. D. 194 Lafayette Street Salem, Massachusetts Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, October 5, 1973 at 5:00 P. M. at the Health Center, 5 Broad Street. AGENDA 1. Reading of minutes of previous meeting. 2. Census at Health Department Hospital 3. Communications: �. Civil Service informs us that an open competitive examination has been ordered for the position of Milk and Sanitary Inspector for the Department. City Clerk sends us copy of Mayor and City Council approval with reference to Administrator of L.T.C.F. annual salary of $20,000. c. RAP: We notify them of our procedure in submitting bills for the services rendered, they will bill us in the amount of $599.95 per month starting,:jn September 1973. The Department requests the transfer of $3,579 from Item B, Sanitation Salaries to Item 3, Clinic Expenses, sub-item Notification to�the ySuperintendent of Schools of our policy relative to Skin Testing for Tuberculosis. i. We notify Mental Health Association that our Department is expanding that we need the space, so regretfully must refuse their request. �/. Reply from-the Virus Laboratory on specimens submitted, ie: Sparrow and Pheasant, found to be negative , for eastern or estern equine encephalitis virus. North Shore Community College wants to meet with you on the he training of internship for students at the college who are in the Rehabilitation Program. We must do this in a formal h fashion, signing a contract with the College. (copy enclosed) . I recommend this highly, start it here with a future at the new facility. j A.. } ~ - 'iltirl of�ieatIll Agenda,Board of Health Meeting of October 9, 1973 i. Civil Service sends form to be signed for the full time - permanent employment of Marie Fai-rcloth-, R.N. OLD BUSINESS: yl. On the request of Ann Dominick, R.N. , I have severe reservations and suggest that Dr. Kaplan sit down with the Superintendent of the Hospital and myself and discuss the problem in depth. �2. On South Essex Sewerage District, we could not ,get together on the visit to Connecticut. I contacted the environmental Pollution Agency and received a reply today, re the Impact Study. (copy enclosed) . 3. Lazy Eye Clinic scheduled for November 14, 1973 from 9:30 A. M. to 11:30 A. M. at the Health Center. 4. Salem Hearing Test Mobile Project Results (copy enclosed) . 5. Quarterly report on Youth Commission Program (copy enclosed) . REPORTS SOLID WASTE DISPOSAL a. South Essex Solid Waste Council: our contribution to the community, based upon $30 per thousand of population comes to $1200. b. C. E. Maguire engineering firm has been hired and is working on the three month evaluation of the Cities and Towns involved. C. Collection---we have been falling behind on Monday's collection due to the growth of Witchcraft Heights, we have revised the schedule which will change some of these collections to Tuesday. (copy of new schedule enclosed) . d. Incinerator--We have been faced with the problem of a large expenditure, because of spalling of the brick in the arches and throat of our furnaces. I have one estimate of $4500 to correct this, there will be more by meeting time. This is an emergency state of affairs. e. Scale-There is about $2500 worth of work to be done at 'the scale, we will have to LONG TERM CARE FACILITY 1. Bills to be approved for processing. ( transfer money for this,and 2. Mr. Frederick Boss's report. ( job will go out on� bid. 3. Action of the Ad Hoc Committee 4. I had a conversation with Roland Nicholas of the New England Power. He is concerned about the Backhoe working under the wires. I contacted Hawthorne Construction Co. and was advised that he would send a No Fault letter to New England Power and a copy to me. I also called R. Nicholas and gave him theQ�\� address of-Hawthorne Construction so that he could write them a letter. aN tru urs r ,ta.i. TONEY, .S.C. Health Agent CC.--to Board Members H 1 L HEALTH & EDUCATION SERVICES, INC., BUDGET FOR THE PERIOD OF JULY 1 1974 THROUGH JUNE 30 1975* LINE GROUP LINE DESCRIPTION ITEMS REMARKS ary Wages Exhibit A SW-1 Professionals Exhibit 8 1.1 Executive Director 6,300 1.2 Admin. Assistant 5,2b0 1.3 Professional Salaries 13,176 S24 676 SW-2 Clerical 2.1 Office Manager (full time) @ 140.00 weekly S 7,280 2.2 Secretary-Archivist (full time) @ 110.00 weekly 5,720,.?i,,, 2.3 Secretary-Typist (full time) @ 110.00 weekly 5,720`1 2.4 Bookkeeper, Part-time 20 hrs. @ 3.75 hr.) $75 x 52 3,900 2.5 Audit by C.P.A. 500 i $23,120 SW-3 Janitor, Part-time (20 hrs. @ 3.30 hr.) $66 x 52 S 30432 SW-4 F.I.C.A. (@ 5.85) 2,800 SW-5 Group Ins. (B.C. & B.S.) 1,200 SW-6 Unempl. Ins. (Reserve fund) 10000 S 8,432 HOUSING EXHIBIT C H-9 Electricity S 800 H-10 Gas 200 H-11 Oil (with Furnace Maint.) 4,000 H-12 Build.Maint.& Utility Repairs 31000 H-13 Household Cleaning Supplies 400 H-14 Furnishings 600 S 9,000 OFFICE OE-17 Telephone Basic Service $�,?,400 EXPENSES OE-18 Telephone-Usage 1,440 EXHIBIT D OE-19 Stationery & Office Supplies 2,400 0E-20 Postage 1,000 OE-21 Office Equipment 1,200 0E-22 Office Equipment-Maintenance 500 OE-23 Testing & Play Therapy Equip. 500 y • ,y` 91440 j 2. 4 A LINE ITEMS BALANCE BROUGHT FORWARD $74,668 STAFF 5D-25 lContknued Staff Education $ 1,200 DEVELOP- SD-26 ' Professional Literature 300 T SD"-27 Travel Expenses 250 IBIT E SD-28 Students' Projects 200 SD-29 Research & Development 1,200 SD-30 Work-Study Program 1,50.0 $ 4,650 INSURANCE I-33 Comprehensive Loss Coverage $ 300 EXHIBIT F I-34 Workmen's Compensation 125 $ 425 PUBLIC P-38 Public Relations $ 1,200 INFO & P-39 Notices & Printing 600 EDUCATION P-40 Newsletter (4 to 6 issues) 360 EXHIBIT G P-41 Hospitality 1,000 3,160 FINANCING B-1 Banking Charges & Fees 500 Budget Totals $83,403 Group Recapitulation SW Salary & Wages $56,2281 • H Housing 9,000 OE Office Expenses 9,440 SD Staff Development 4,650 I Insurance 425 P Public Info. & Education 3,160 B Financing • 500 Sub Total $83,403 Anticipated Fees** 8,000 Tax Allocations 75,403 Total 12 Month Budget $83,403 Calculation of the per capita community allocation request: Area population = 148,000 75.400: 148.000=510 per capita * Approved by the Board Meeting on November 6, 1973 ** Increased by $3,000 • 30 EXHIBIT A STATE YEARLY POS J TITLE ENCUMBENT SALARY 0005 Director of M.H. Center Tobias T. Friedman, M.D. 25,641.20 0008 Chief Psychologist Joanne Friedman, Ph.D. Yz ..7,255.04 C Staff Psychologist Harriet Lincoln, M.S. 13,795.60 �j Staff Psychologist Roger DeLapp, Ph.D, 10,894.00 Staff Psychologist Irle Goldman, Ph.D. Yz 6,143.80 0061 Clinical S.W. Super Miroslav Kerner, M.S.W. 13,595.00 0035 Prin, Clinical S.W. Viive Godtfredsen, M.S.W. Yz 6,143.80 0035 Prin. Clinical S.W. Elizabeth Paly Yz 6,143a8O * As of October 10, 1973 Total $89,612.24 ** ** This is the Department of Mental Health's share of the costs of services rpovided by the North Shore Guidance Center. 7 BACK-UP DATA TO HEALTH & EDUCATION SERVICES' BUDGET FOR JULY 1, 1974 THROUGH JUNE 30, 1975 EXHIBIT B SW-1.1 Yz time (20 hrs./w) consisting of $1,500 for evening services and $4,800 for duties of the Exec. Dir. 1.2 'h time (20 hrs./w) 1.3 Professionals' Salaries - compensation for evening over- time (including 2 additional staff members requested in State FY 1975 budget) SW-4 Present rate is 5.85% • SW-5 Agency pays B.C. & B.S. insurance for its employees who have an option to include their family at their expense. SW-6 Health & Education Services has to reimburse Mass. Div. of Empl. Services for whatever claims are paid to dis- charged employees. A contingency fund is, therefore, necessary. (Exhibit B) EXHIBIT C H-11 33% increase due to higher oil prices H-12 Includes outside grounds maintenance. Further remodeling will be needed for additional personnel and programs. How- ever, total amount by $1,5OO ,less than previous year. H-14 Lighting fixtures in the conference room and individual offices have to be replaced as present ones are quite inadequate. Filing cabinets and some other office furnishings are foreseen. (Exhibit C) EXHIBIT D OE-17 Basic services are fees for the telephone equipment. At present, they amount to $170.00 per month or $2040 per year. Some increase in rates is expected. We may also need some changes and will have to pay for their execution. • w 4e 0E-18 Charges for first half of 1973 amounted to $554 or $92 monthly. There is a common experience that . telephone use in social and psychiatric agencies is more extensive as patients often use telephone as means of therapeutic contact. With-the introduction . of projects' personnel and a much larger students' training program, increase in usage has to result. 0E-19 Increase of $800 because of additional personnel and anticipated price rises. Last year's provision proved to be rather low. 0E-20 Increase of $200 for anticipated higher postal rates. 0E-21 Decrease of $1480 because such equipment as a mimeo- graph, a copier and three dictating machines were provided last year. 0E-22 Maintenance contracts: Copier & Mimeograph $195.00 Dictating Machine 108.00 10% increase in prices anticipated and total amount upped by $50.00. 0E-23 See enclosed justification by psychology staff, (Exhibit D) EXHIBIT E SD-25 (a) Attendance of post-graduate courses to improve practice, knowledge, and develop new treatment methods and skills. 3 Staff Members @ $200 ea. $60t; (b) Bringing lecturers to the clinic during the year. Minimal honorarium is $100 for a lecture. These lectures are open to other mental health agents in the Danvers-Salem Area. $400 (c) Audiovisual material to which broader, interested public will be invited, teachers, nurses, police, etc. $200 SD-29 A program for fellowships for post-graduates, fellows or doctoral candidates from such institutions as Harvard, Brandeis, Boston University, Tufts University. These fellows would evaluate on-going clinical program, develop teaching courses for mental health professionals on the North Shore and work closely with the Area Board in assisting the Board and its Area Associate Director to develop a comprehensive area mental health program to be submitted for a Federal Grant. 0 5. SD-30 Compensation for Work-Study college students program. (Health & Education Services, Inc. pays 20% and the Commonwealth of Mass. pays 80'� i.e. students earning $100/wk. - H. & E. S. contributes $20/wk. ) This • should provide for placements for graduate students who provide a substantial contribution to agency manpower. (Exhibit E) EXHIBIT F I-33 Last year contract 8233. Increase of $67 provides for price increase and higher coverage. I-36 Workmen's Compensation (Same)..... .. .......$125.00 (Exhibit F) EXHIBIT G P-38 Funds available to Public Relations Committee for the development of an ongoing and most desirable program. P-39 Publicity materials: (a) Notices of lectures, seminars, workshops, etc. (200 copies each mailing) (0 Inserts to the agency's folder at 500 per printing. (3 prints) (c) Workshop materials P-40 Newsletter: 4-6 Issues - cost per issue: Paper $ 18.00 • Stencils 1.00 Mimeo usage 25.00 $60.00 ($.06 per copy) (Exhibit G) EXHIBIT_ H 8-1 As H. & E. S. has no working capital and the communities forward tax allocations for past periods there is a necessity to take short term loans. Past year experience, including advance funding of Project 766, amounted to $492 for eight months. TOYS AND TESTING MATERIALS . (LINE ITEM) E-23 The following is a rationale for raising the amount of money ppropriated for toys and testing from $150 a year to $500 a year. A ist of the items we would like to buy, their cost and function follows: Bendable Dolls -- $100 Dollhouses & Dollhouse Furniture -- $100 It is felt that the above items are common and essential to every play therapy office. They serve a multitude of diagnostic and therapeutic functions. Currently, no psychologist+ s office has these materials and children are constantly requesting them. They are �,::r. enormously useful in helping children to work through family dynamic in a play situation. Test Materials -- $200 This was seen to be the minimum amount acceptable simply for replacing the large number of test blanks which are used in a year and for replacing wear and tear on current test materials. In addition, we would like to have a little money to update our current testing materials so as to keep pace with newer diagnostic trends. Therapy Materials -- $100 This money would be used to replenish those materials which are con- stantly used up on the process of play therapy with children. Such materials include: glue, paper, paints, clay, etc. •The total amount requested is, therefore, $500, which is seen as a very conservative estimate of what is necessary to conduct basic therapeutic and diagnostic work. • .a SP,ELIAL EDITION ANNUAL REPORT • A MESSAGE FROM TOBIAS T. FRIEDMAN, M.D. PSYCHIATRIST-DIRECTOR The first priority of Health & Education Services, Inc. and the North Shoe Guidance Center is helping children and families cope with the even increasing problem in the United States--emotional illness. The growth and strengthening of the Center in the past year has moved us closer to that goal. 1,Tithout the administrative and financial support by the Board of Directors of Health & Education Services, Inc. our progress would have been far less. The Board, working very closely with our very effective Executive Director, Miroslav Kerner, can be justly proud of their accomplishments in the short time since they assumed the sponsorship of the Center. I am gratified and impressed with the growing diversity of programs planned and run by our able clinical staff. These include work with parents of retarded children, seminars for teachers, therapeutic tutoring, behavior therapy, summer day camp for mildly disturbed children, group therapy and extensive school consultation. We remain dedicated to the training of mental health and related pro- fessionals. We are participating in training programs at the graduate, collegiate, and associate degree levels for students at several colleges • and .are currently formalizing our relationship with area colleges, es- pecially Salem State College and North Shore Community College. At the Center, students perform various services depending on their level of training and experience. They may do intake interviewing, counseling and:.individual tutoring as well as make home visits to families that are .hard to reach. By offering direct assistance with reality problems, serling as role models, and providing corrective experiences, they can help many individuals who could not be reached by more traditional methods. Our clinical staff carefully supervises students in these programs. In the coming year we look forward to acquiring audio-visual equipment to help in training and services. We want to work more closely with pediatricians, informing them more precisely of our management of patients and families. A 1�Tednesday evening informal drop-in service is being initiated for parents and others who hesitate to seek help for children through the usual channels. The staff is eager to further professional development by inviting distinguished speakers and sharing them with the community. On the Legislative side, we look forward to the formulation of a State law that will permit clinics to get direct Federal or State reimburse- ments for the work they do with low income families. At the present time under Title IVA of Social Security monies for our services go directly to the State treasury. For the past two years we have re- quested the Department of Mental Health to assign an additional psy- 4 i�c' uiaccb :a N04, only must tte:'Se ue st S L +h.- -:U_--,h -the d ;artment of Mental Health but they nfust also b... b-;, ..he Legislate: a in -'rhe M--ntal H--alth budget. c-Losing, would like to commend cur cler;..cation alleviating the e-otional pi,00lewb :Y c;.aildren any. a-z; the came m, i p ting preventat' ve mertal health measures. I wo-c--ld also -j. I;C) our d-4 -ligen-IC adr;in_-1L_--"-r_tie staff who often do m,, an ',et only to make :;he Center sanction efficiently bu-C, 6!_, :mac) _g year we will expand and stre-r), .-.hen the committees of Healj-'t,, T."-e Board welcc es like-minded,Educa in Services, Inc. ike-minded, p,citizens -who will serve wa.th -L"hem L ir-v-Lte the ^•ommunit-; es 'I - acid th, represen-:L�-atives as well as school 1,ersonnel t--- jioLi 1_12u in our mutual serv.-'-ces to children. In thi, ca:i look I-) each year being bett6r thoon the last. ANNOUNCEMENT Th,e Curter has d.-.---'.i;iated a dr. c-p-in serer 11-ce. On Wednesday eve,_-,,ings f-1-cri "i-,-,C - 7.50 p.m. Dr. To.".Iias Friedx.!,1 a the clinical i-I staff wlbe i _-L-table for liziformal discussion_-? abcu-'-' children and t'Cieir 7 -1 -eco-'--.�.ary and no fees will.. be charge di , • L)u'- al)y is two-fo to inform parents id othe:'s int.ereste'_L in c,ai I -en how the - can bet"!.,er understand child en and he2.-;.,, ._nd se:, .d, to en:-r:,,,_-rage migi-.t hesita e to make a 1crma.'.L. 0-1, n4- NORTH SHORE GUIDANCE CENTER REPORT OF CLINICAL ACTIVITIMS • DURING FISCAL YEAR JULY 1, 1972 - JUNE 302 1973 1. STATISTICAL DATA: From July 1, 1972 through. June 30, 1973 a total of 3,915 professional hours were accrued for individual direct client services. As of June 30, 1973, there were 617 open cases in our files. During this fiscal year 383 new families requested our services. We closed 156 cases. The statistical breakdown of new applications is as follows : 1) Ages - 72 children were between ages of 2-5 186 children were between ages of 6-12 125 cases were between ages 13-18 2) Referral Sources 159 cases were referred through school systems 50 cases were referred through public and private • social service agencies 68 cases were referred through physicians and medical agents, such as hospitals, clinics, etc. 56 cases were self referrals 4 cases were referred through courts or juvenile officers 3 cases were referred through the clergy 43 cases were referred through other sources Direct client services encompass all the related mental health disciplines and included psychiatric evaluation, psychological assessment, social work techniques, educational planning treatment, family management and appropriate community agency consultations. • I -4- • II. SPECIFIC PROGRAMS: 1. School Consultation Program • Under the leadership and guidance of Dr. T. Friedman, Director, staff members were assigned as consultants to each school system in our area: Dr. T. T. Friedman - Peabody (plus Salem Elementary after Mr. Hammer resigned M. Kerner - Salem High School Dr. J. Friedman - .Peabody Parochial Schools H. Lincoln - Danvers, Masconomet Jr. & Sr. High School, & elementary schools in Topsfield, Boxford and Middleton. Dr. I. Goldman - Marblehead A total of 2461 hours or 39% of clinic time was spent in consultation services. Consultants visit assigned school systems regularly and provide liaison between children referred to the clinic and the school system which the student attends. Prompt consultation has often resolved' a problem at the school in one session. The School Consultation Program continues to broaden its scope and de- velop a stronger relationship with teachers and school administrators, and parents. Mrs. Lincoln conducted teacher training seminars in Boxford, • Topsfield and Middleton to help teachers become more aware of and sensi- tive to the child with special needs. She has also been holding group sessions for school phobics at the Clinic as well as meeting with a group of mothers of these children. Dr. Joanne Friedman introduced a pilot personal growth project, -- the "Here I Am Dimensions in Personality" series, at St. John' s Parochial School in Peabody. All three sixth grade classes, their teachers, the Principal and Dr. Friedman were involved in the implementation of the program. The program will continue in the coming year with additional grades being involved. Dr. Goldman conducted a workshop on "Training Kindergarten Teachers to Help Pupils Deal with Early Emotional Difficulties" . He has also put together, in cooperation with the Marblehood Schools, a video-tape package to train teachers in non-directive play group methods. Mr. Kerner discussed with the faculty of Salem High School mental health problems most frequently seen in their high school students. All of the staff gave generously of their time to speak to groups, both parent and school personnel, not only to increase their ability to prevent or cope with problems of children but also to acquaint them with the services the Clinic provides. -5- In January, 1973, a sub-committee of the Professional Advisory Committee was formed to bring together school personnel and other professionals concerned with the increasing importance of kindergarten programs which would become compulsory in September, 1973.' They shared their ideas and • expertise with each other, and brought in specialists like Dr. Joan Bernheimer from the South Shore Mental Health Center who presented a resume of her research on the evaluation of children entering schools. Two all-day meetings for kindergarten teachers in the Salem-Danvers Area are being planned for the 1973-74 school year by the sub-committee. ' 2. Community Pre-School- Nurseries for Exceptional Children The Clinical Community Nursery Schools (one in Peabody and one in Salem) for exceptional preschoolers from 3-7 years of age continued their ex- cellent work. Eighteen children were enrolled in the five morning per week program and four children in the two afternoon per week program. In addition, six children were seen for home tutoring by our Peabody teacher. This past year Mrs. Paly organized and led. a group of mothers of nursery school children. The group met on a bi-weekly basis at the Center. There were eighteen meetings of the Mothers' Group during the year with the attendance varying from 6-14 mothers. The group was enthusiastic and unanimous in their request for continuance of these meetings next year. They sahre their problems, learn new approaches to their children' s needs and reach out to other parents whose children may need help through their newly formed Resource Group. The Resource Group' s purpose is to make parents of new born retarded children aware of services that are available and to give them the support needed at this critical time. To do this, the Resource Group worked closely with Hathorne Regional Center. Area hospitals and pediatricians were con- tacted and their help enlisted in notifying the Resource Group of parents . of a new born retarded child. 3. Therapeutic Tutoring Program This program, successful in the previous year has been continued. Over twenty children were tutored by students from Salem State College, North Shore Community College and Merrimac College. The program benefits both the tutors and the children assigned to them. ?Iie have added several highly qualified woman to our volunteer corps. Among this group is a psychiatric social worker, a teacher certified in special' education, and another volunteer certified in counseling and some phases of testing. This year we will concentrate on increasing our volunteers, both students and community residents. All volunteers are interviewed, carefully A screened, and keep in close touch with the professional in charge of a case. The need for volunteers is great and new sources for responsible individuals are always being sought. 4. Professional Field Training Program The Clinic was again chosen for placement of graduate and under-graduate students. One graduate student came from Boston College School of Social Mork. Four students from the Department of Social Uelfare at Salem State College were placed in the Clinic. Regis College in Newton placed one student in a similar program for the academic year. Two graduate students from Salem State 'did their practicum in guidance counseling at the Center. One undergraduate from the Department of Human Services of the North Shore . Community College was assigned to us in the spring and will continue through the summer and the 1973-74 academic year giving 75 hours per semester. -6- 5. Day Camp for Mildly Disturbed Children For the second year the Clinic organized a program for emotionally dis- turbed children from Salem, concentrating on those involved in school activities under Public Law 750. This is a cooperative effort with the Salem School System and the Salem YMCA. The former provides funds for a detached counselor who works in the camp and the latter enrolls the children in their Day Camp. The Clinic engages and supervises the counselor and, where needed, provides camping fees from funds supplied by its sponsor, Health & Education Services, Inc. Thirty-nine children were entolled last summer and 81 weeks of camping were provided. 6. Weekly Group Therapy Sessions for Boys Group therapy has been added to our therapeutic .programs for boys. The group therapy is conducted by Dr. Friedman, and graduate students serve as group observers. At present there are four groups, meeting for 12 hours each per week. Children can be quite supportive of each other, especially with problems of peer acceptance. 7. Project 766 This Project, funded by the Office for Children, brought together the Clinic and the Salem-Danvers Area school systems in a collaborative effort to provide for the evaluation and education of children with special needs. By summer' s end close to 100, children will have been evaluated and teaching prescriptions submitted. Most of the children tested, who appeard to have behavior problems, were found to have learning disabilities. In compliance with Federal regulations a pre- requisite for acceptance in the program was that the child and family were receiving public assistance. Ideally, the program should be available to all children. The funding for Project 766 has been cut drastically but Project 766 will continue with a minimum staff. 8. Families in Crisis The Families in Crisis project was funded for May & June. It was designed to offer intensive help in situations precipitated by mental illness of a parent or other important member of the family. Ir a very short time nine families in our area were served. Special needs -:iiat surfaced under pressure were alleviated by the project team by offering not only their professional support but by coordinating services of community agencies to relieve the stress under which the family was living. Supervision of children was arranged; homemaker services were set up; camping programs for the children were planned---anything that would keep the family intact and in a better frame of mind, Unfortunately, additional funding under the Depart of Health, Education & Welfare was not available as of June 30th and the project has been suspended. We have recently been advised that there are new instructions from the Department and funding may be forthcoming. -7- 9. Pro_grams For Children ---- Just for Fun A volunteer and a Salem State student worked with the staff and con- ducted a Story Hour for children up to Grade 4 every Thursday afternoon from mid-winter throughout early spring in our auditorium. The program was open to all children. Attendance was light and was primarily from the immediate area surrounding the Clinic. The Clinic organized and sponsored a movie-making course in conjunction with the Bowditch School, the closest school to us. A Salem State College student with experience in filming volunteered his time. 11e made the arrangements with the school and sixteen seventh and eighth grade students participated in writing, costuming, acting and filming in their own original movie. The film will be shown in the fall when school resumes. III. HEALTH & EDUCATION SERVICES, INC. 1. The Board of Directors added the following members to the Board: Richard Bailly, Boxford (1st Vice President) William J. Lundregan,III, Salem (Treasurer) Adrienne Bouchard, Marblehead (Chairman - House Committee) John Boris, Salem (Chairman - Ways & Means Committee) The Board accepted with regret resignations from Sebastian LaBella and Dr. Richard A. LeBel. Health & Education Services, Inc. will continue to strengthen the Board by adding community people from the seven communities we serve who are committed to providing mental health services to the children of the area. 2. Professional Advisor Committee - Rev. ,Daniel .A., Hart, Chairman In addition to he organization o the sub-coumi.,t ee- on kindergartens (covered under Section II 1.. School Consultations) , the Committee initiated a film and discussion program for professionals, and re- searched and presented to the Board a revised fee schedule to keep us on a par with other agencies. 3. House Committee - Adrienne Bouchard, Chairman With the help of volunteers and others, donations of furniture, rugs, drapes and paint, many of the rooms and hallways of the Center have been redecorated. This has been a long and q'duous job which has been accom plished with a minimal amount of money and a great deal of effort on the part of the chairperson. 4. Finance Committee - William J. Lundregan, III, Chairman The Committee, under the directon of the previous Chairman, put in many long hours preparing a budget which was acceptable to the Board and which was used as a basis for making our request for funds to the cities and towns we serve. -8- 5. Public Relations - Peter Meo, Chairman 1,1any of the arrangements and publicity for the Annual Meeting on Niay 16, 1973, were made by the Committee. Dan McDougall of McDougall Associates, a Salem based advertising agency, is now a member of the Committee and will help in future planning. The Lifeline, the newsletter for the Clinic, is distributed five times a year and is now edited by Eleanor Norman. To keep the community informed of our services and our progress we send out 940 newsletters to individuals, social agencies, civic groups, town and city officials, and schools. The collating and mailing is being done as a volunteer service by the residents of the Fairweather Apartments in Salem, a housing complex for the elderly. 6. Membership Committee - Tracy I. Flagg, Chairman The Committee met monthly throughout the year. Membership cards for both "Friends" of North Shore Guidance Center and members of Health & Education Services, Inc. , were designed and printed. As a pilot program, a letter was sent to fifty individuals suggested by the Board and others, inviting them to join. Follow-up calls were made by the Committee. The response was fair. Membership now stands at 61 which includes all categories plus the "Friends" of North Shore Guidance Center. New approaches will be made in our second year to increase membership in all categories. 7. Nuys & Means Committee - John A. Boris, Chairman Mr. Boris accepted the Chairmanship late in the fiscal year and Mr. De- Franzo, the former Chairman, will continue as Vice-Chairman. In addition to donating printing services for our Annual Meeting, Mr. Boris is working on a raffle. The funds received will be used for the furnishing of the Auditorium. w.f NORTH SHONE GUIDANCE C&NTER a SERVICES TO SALEM RESIDENTS JULY 1, 1972 - JUNE 309 1973 There were 269 families in our active case load on June 30, 1973. These cases were in various stages of processing involving , intake, psychological testing, diagnosis or treatment. Although our focus is mainly orientated to child management, parents are always .involved in one way or another. In 1972/73 173 families sought clinical services. Except where only one or two interviews are involved, once a case is to be served, a minimum of 6 hours is spent in intake, evaluation and diagnosis, staff conferences to determine course of action, re- { cording, etc. If psychological testing is required,- it takes 7 to 8 hours to complete the tests for each child. 60% of all referrals require psychological testing. it is estimated that twice as many hours are needed for treatment, including psycho- logical testing as for the diagnostic evaluation. 11e provided, therefore, total amount of 26()�_3 hours in direct services to your children and -their families. In our community consultation program, children whom the clinic personnel may never see are discussed and the best method of managing the child in order to help him is determined. One of the purposes of these consultations is to help the teacher or other helping person handle the child. 804 hours were spent in consultation with personnel inLD2 Consultation is a broad program in which most of he clinical staff are. involved Z,_,ith the school systems and other local agencies. Our staff is also concerned with the implementation of Public Law 750 and will, even more so, participate in the development of practices under the new Public Law 766. The Guidance Center supervises 2 nursery schools for retarded children, 1 of which is located in Salem and the other in Peabody. JQ SAZ, M children were enrolled in this program. The policy of the clinic regarding case continuance and management is quite flexible. Families and children may have reached a point where they no longer need an intensified treatment program but feel the need for supportive relationship for a protracted period while newly modified behavior stabilizes. A continued tie to the Center offers the child, the family, the school and the general community a professional team for back-up services .as the need arises. Therefore, there were 252 cases closed during 1972/73. � .� r: � �Ips. •t.�^"£ihlt` -�a.{,''aC!f".fs,5�t'+e>4.'nri"�..-r «.��.fir N` r x .+ i. ""•:•,F,. -�..'s,,.�,�trf - - -' _ _ . r'S7t.'�,�` 7 � 1'}. t � ,I,4�F �''ir,F �,� � �+.�` 4�4,g yii �'�+ }' '.�^'• "',"s'*--�.-w+.a-. p4 R c a to t 1'tIi v {Rk t`eCH15% „e W', �-T;,''fit , k i} E th,: .- .! • �`,� ...Srt Clitu tit, r t� fs Litt rb of°i Pttltl� g Kaplan;M. B., (14atrmttn ,.' .e f Aigt P�}�!Mtrtitt �iurtulttnrt tP,'�. �• ZI i'' .i s •. i = eaT r y ` Zx t�' t 4 2r f g , , JU1tPr# �1�Et1I11P661�, }�• ►'..,.'. + ,; t. ,._ , �� ,f i ' . Milbrph T. Moulton, L X. #: ��• ,.y, u93*r a4 tSf jy 1tis> r, i#Y t' ' , ,�,` ,x..r>•4 * f'. ' ,', uhPr1' IPnkllnrn. December 5; 1973 `'$y i` `,�:. r a 3 ♦ 4+ ik'S Y1 e x',ter ty":.'1"i; `S..aFY�r xry!i l `` ' 'y ,_�Effir MarBouttlb I. Kaplan,-� e D ; Chairman , `�ar' � 94,L �� „3 +., �1 afayette Street '' }} z :+�k try ` `}- ; 4 I r ,+. �• y. 0 Salem,:4MassachusettS , r rv;tF .+3•i.r k'+j4' ,rL+'. �, , c c. is J X'� \ e „4 N i =.+ f t £.•^ Dear YDoctor;KapZan� +, ,, ;." e. r r tom.t "•+a• s 7� ,��F M� fit.'7�+t ` .'`�'[ ,. t.'f ; _,-. � t J Y r ��\ a' 1 j '.r s. ,. , ,-. '�'Z'he=r`e uZar•m ri,m ^ eetingr of the'kBoard 1of'HeaZth°'wiZl'be'"held on Tuesday December t."'S ,00r P°;Mfat the;'CITY, HALLCOUNCIL CHAMFERS.,41. , ,,t, �.r FAA x t 'AGENDA ex. 4� 4t 'J+�t s z m �* d� � n Reading`'o f�miriutes o f previous meeting :L Census ,,at,Health rbepartment•;HospitaZ , i3 .�r {Comm�unfcatzor s. ' *{ s "�,{,t�a1' >at is_.( ,, e, . a .}`•f,Advisory"Letter'#63 from-'the- Department of Public Health,;'T.B.ControZ, #• t,r ;;' ecorranends,a nko `poZicy`with 'r"eg d to`the distribution o,'t'Ri fampin and -the -avai Zabi Zity •o f the drug to. c tinic l ~.+ . ;.,.,,FAR nor;private patients, subject to- certain conditions:" �b x taCopy'o ft.letter from the Division o f Environmental, Health d'eals , q from New England Power x�tivith'`Regulation' S.'1.'2 Requested variance `Company too permit the`,use` of residuaZ,fueZ o•i•Z °with;a .suZfur "content ups 0 2 6% at the generating stations in Salem andt Somerset. q.' %ws, rti North ,Shore 'Guidance 'Center sends 'a copy o f the 1974=1975' 'budget . �.; r + � , , 4'pZus'a copy b f:their,'Annua Z Re_port., (copy enctosedl. d w From?'BicentenniaZ 'Commission' Marcia R., ,Smith, ;Community `ReZations ."'4writes� Dr: ToomezU of the`'meeting of the. Commission on December 7,1973. e ?Mr,r}`'Cyr,.,Superintendent; <CentraZ Motor Equipment citing that the r r 'Ener Conservation Pro am'o •'Ma or;Leves ue requires a,25% cut-back Y gy 9r .f y q q f, . . r �,r ,� in`fuel %eonsurnption. "Effective in nediatety City vehicZes will not *be,usedfor 'any. personal business. Z r � ' ,, - FInpeon-junction with"this, notice went out••from Health,Agent with 11'.kt x x ° new rulirc s' or ersonneZ'•in the Sanitation Section. " 9 f p -. {fNotice^from Mayor, Levesque for aZZ, those invoZved:in thecomputation t Yr Hof .the Budgettto attend a meeting'at, City HaZZ on Thursday, November 25 ( rva7 RT� o- ' - rsn �y' s Tt.k4> x{ s X>t u. t + OZdy Business r ' , :'J �w• rt �`a: Rehab2Zitation:Assistant Programh North Shoref Community College. rt a (copies set't�- 3oard members a_Zong,with contractual agreement f , ;� �r{, September) z "b Report on meeting with officials from Environmental Protection Agency (meeting' December 6 1973' at 12:30 Noon "at.Health Center). i e ContinuationTof recessed ;hearing,.for Incinerator, site for South Essex tr3 ="�.� `,';1`.'r= =vt.'k`•'�. '�'4 .r :?. Sewerage�IistriCt. • ...4.:'3.w, ....•.�.t�. ."_ a�.\.'.tt_t :•,,,I t.+ _.. .. .v. -.-,rt...e i.'--4.�,»r-F...:.w,: .. _�`f`.._ _ ttlenz poarb of�ieal#1 . .7 t uJe �aZ 5 �nda NEW BUSINESS: . a. Change of Regulations governing P4assage, Sa�,na and b. Attorney MichaeZ E. O'Brien has sent t%°_ !13r. on { concerning a rubbish problem on BeZZeview Avenues. This case is presenl-Zy couz, . C. Lead Poisoning Program. LONG TERM CARE FACILITY . a. Mr. Boss's Report. b. Report on Ad Hoc Committee Meeting. p c. Change Orders d. Current Bills Very truty yours, 07 N J. �4OOMLY, '.C. HeaZth Agent CC: BOARD MEMBERS T/H f 0 �� Chi#g of Sttlem, �tt�sttr�use##� •• '� Wourb of f1ralt4 5 Breab _i§trrrt J. Wavlau, M. 0., (14airman 1 ol�n 13. 000me-q. . +.ht. A. Marria Tountir, X. W. iealsh E 9ent 31vorp41. iRir4arb J. Rohrrt i$4augllnessy. M. �. Mildrrb T. Moulton, 9. X. Enka Nlrnk4orn January 4, 1974 Effir Marponalb I. Kaplan, M.D. 194 Lafayette Street Salem, MA 01970 Dear Doctor Kaplan.- The regular meeting of the Board of Health will be held on Tuesday, January 8, 1974 at 5:00 p.m. at the Health Center, 5 Broad Street, Salem, Massachusetts. AGENDA 1. Reading of minutes of previous meeting. 2. Census at Health Department 3. Communications: a. Letter from City Solicitor informing the Board that they have no jurisdiction in "sludge incinerators under Section 150A, G.L. Chapter 111". b. Civil Service confirming Milton B. Salaway as Senior Hospital Kitchen Worker(cook) to be employed from November 19, 1973 through May 18, 1974 c. Letter from Rate Setting Commission informing us it is $25.75 per day. d. Station Road letter #1 relative Pickman Park Subdivision, Station Road from Gerald McCarthy of the Planning Board in which he said he received a letter from Ralph Tedford, City Engineer, dated DeeL ter , 17, 1973 in which he stated that utilities are "adequate and acceptable" with reservations. The reservations apply to two lots outside of the development area. The Planning Board does not feel that the developer should be penalized for conditions outside his area, and unless by January 3, 1974, of the Planning Board there is further objection from the City Engineer or the Board of Health, they are notifying both parties that they intend to approve the subdivision plan.. e. Letter from Department of Public Health, Division of Environmental Health relative to New England Power, Salem Station--the use of coal. It explains that they have Saleixcoarb ofrttl#1# Page Two-Agenda 5 rutxZ+�5#ree# for 1/8/74 meeting Communications, continued previously been given a 2.6 maximum content for fuel oil. The company has now asked for a future variance to burn coal. They are implying that they will give permission in view of the energy shortage if they are assured by the company that proven commercial air cleaning or gas cleaning devices are installed. f. We have a petition from neighbors that abut the proposed incinerator at Salem Willows. Letter from Division of Environmental Health, Air Use Management, in which they inform us to close our Incinerator after January 31 after which welwill be in violation of their order of June 13, 1973. We have been working very hard to make compliance in different directions and I will by meeting time have a reply to this letter. h. Middlessex County Hospital letter in which they refer to the new reimbursement system which has been developed for out patient care and they state that in view of the chemotherapy and prophylaxis in the treatment of TB they are effecting a treatment policy similar to the monetary policy and have sent a recommendation which I am enclosing. i. Recommendation that screening X=ray and other skin sensitivity tests no longer be employed and the State will not subsidize any of these programs. OLD BUSINESS: a. A reconsideration of the request $20,300 for the fiscal year 1975 for the North Shore Guidance Center. b. Request for $1800 from the Salem Youth Commission for six months from January until June 30 of this year. c. Mr. Powell of RAP also submitted a request for money. I have in budget for these 6 months the sum of $4250. I would give $1800 as requested to Youth Commission and the rest to RAP. Apropos of this the law requires that the Youth Commission get'ii' their money or part or their money to operate. I have asked them to give a figure and submit it at this meeting. At this writing I have not received any request from them. d. The request of the North Shore Community College for permission to have 2 or 3 OPT Aid Students spend some time at our Hospital as indoctrination. I talked to Mrs. Fowler about this and asked about details, but she informed me that this is more more or less in compliance with State procedures and I would like them to come and get a feeling for what they are studying. The students also go to nursing homes and other hospitals in the area. e. Environmental Review--Action on Housing 1. 19-21 Linden Street -- No recent progress. Structure is boarded up. In telephone conversation with Mr. Horne of Salem Cooperative Bank he indicated he is also not happy with lack of progress. States that foreclosure is now very probable. See our letter of December 27, 1973. I ttleiixottrb ofettltll Page 3 - Agenda 5ruttcl ,,street for 1/8/74 meeting. Environmental Review, Continued: 2. 11 Freeman Road - Flooding at rear of property -private sewage disposal systems in 2 to 3 houses are endangered--residents indicate there would be no problem if Mr. Puleo did not fill in a large area behind his property which blocked natural drainage - filling in was done about 7 or 8 years ago. Letter sent to City Solicitor to see if this is a private problem in which abutters should seek legal action. It is my opinion that this condition was brought about by many different natural and legal laws. These houses in question built in to a natural gully which formerly drained a vast area now occupied by Witchcraft Heights development. Downstream from these houses is also a privately constructed pipe of 150 feet long and about 8 1/2 inches in diameter which in flood times is not sufficient to carry off the water. Further complications occur when this pipe passes a point of Highland Avenue, travels to road which comes on the other side which is now built up and the site of the new Salem High School plus further building of houses below this in area which was an old swamp off Wilson Road. 3. 22 Kosciusko Street former Polish Club -- The following legal actions are still pending: In Essex Superior Court an appeal has been filed by David W. Crosby on denial of Board of Appeals that would permit him to construct single family house. This case is set for trial on March 1974. In second case, the Board of Health has been been enjoined from razing the -structure pending the outcome of the trial in March,1974. 4. Brown Street and - Court action in present session of Essex Brown Street Court County Superior Court - Roman Catholic Arch- (McHugh's property bishop of Boston vs Planning Board of Mr. Vallis and City of Salem. Mr. Haley plan to build town houses) 5. 2-4 School Street This structure is in very poor repair - Daniel McHugh, Helenic Credit Union has mortgage. Repeated Trustee attempts to have this structure placed in good repair have met with no success. See legal notice - Dec. 24-26-27 which was placed in Salem News. *zIlent P3ottrb of Pealtll Page Four - Agenda rJ �YUFI�1 #rPe# for 1/8/74 meeting NEW BUSINESS: a.. Progress Report on the New Hospital b. Approval of Bills PUBLIC HEARINGS a. Continuation of Puhlic Hearing relative to incinerator at South Essex Sewerage District. Dr. Toomey attended the hearing. b. Hearing for Bowman's Bakery. Very trul yours, John J. Toomey, D.S.C. By: � J Health Agent For: Elinor C. Horan cc: Board Members Clerk of the Board Council Committee on Health F 1� �. �Y,�y 1"�'i,.' ° �N x j:.? I � _ 1, " -:.. •'• ,tit' �r ON Lif 3ttlrm, tt�sttrl�u�r�� . z - s"` i 5 f�rntt� frerf J. ttplttii, . D., 14ttirinttn is .u' '� 1 �'e. �► irllttr� 'sl �1. uhYrf 1lttiagllne��g, 4M. 43. MUM ` uherfirnitllurn MaAch 11'* 1974 �> Effie ttri�nnttl�l T 'KaptaA M.D. 194 ;Lajaye .te S iiee>t SatCem, MA r,01970 , ,'; s Deq t, Do ctor Kapian� I;I ..r IN pd ik.i •. . i.,�'. The`he gu2 meetcn '`ab the Socvcd o6 Hea2th w,iU be held on Tue,&day, March 12 , 1974 at. 5.:00 p.m.:, a he=HeccP,th Center, 5 Bnoao Street, Sa�.em, M ass ae huts e .t's. � AGENDA rx • 1 Reading o�47m16tez o i pneviows me. ,ang � 2. " Cena uis at f 1eaUh Depct, t ent 3.. . Communc`,cdti,ons } eV eA dent on EebnuaA5 21, 1974i to John A. S. McGtennon, .Reg�ana2`Adr.�inc6 icator o ; E.P.A., ' which express.5ed outc concern tha(, no answer w:(s received to our November 19 2 73 1 .fetter requ( szT g an cm cep A in man o iTe� N :r i th'Essex Sewerage.TAe tment P4,ant° on Font Avenue in. SaE ,m. 2,14 t b'kr '3Letter 'nee�:Eved Matceh '8, 1974, 4)Lom `Santo J. Gozzo, Chi.ej i ,z f E g,cn ee_{,i.ng and Design S�e t i,on' o 4 E:P.S. , with "Ai t Review qx bn the''South E,5sex Sewa;e:Studge Tna%nerator" u Copy a j,.,;Ho use BZU Na.'. 131 An Act to Creme Area Pub.2iac }, d `Lester sent to Mayor requesting '"That the sum ob $14,000 be x atkdns 4med 4nom.:Sanitation Satan i e�5 to Sanitation Expenses". Neee�s�sany beeau�e'a4 emergency breakdowns requVL ngg repa.vus. g '�Copy :o�`t etten received from New':England PoweA wbu.eh ways sent t s �yta;.Pyb�vrn av�t, uc, an ; ampan nequebtcng Py Cawsthucti an r n a:mpany cease; ump cng a y- ass h at a t o ca t i,o n on Hig htand Avenuea " Salem, and take the`',sty ash to .approved z to in v r{ Saugus . Mms achus". ; I a r ",•mac �' �,/fy� ` 1 r F - t �� �a kv ,I �f cy ,�,�. � mnY ♦ of A I, Al ' #�Y .. ' ,. 'fir �• .f �; a{. {- !�t ,.;5''r - .y . ' tt(ei>t anrb of Pexltll S Prom ,,street t Match 11, 1974 ° Page Two Agenda (Con. ) 4. Heatings to be held i 6 at th meeting on the below .lusted condemned propetc ens which have been oxdexed na.zed: a, , 4-6 BAown Stkeet. Court and 14-16 Bxown Street owneA Daniet W. McHugh, x. . b• 2-4 SeAoot Street (Eoxest Real Estate Txwst, Daniet W. McHugFi, it., Trustee)---Daniet W. McHugh, JA. :indicated in hiz xequ"t 4otc a .heat ing that he is the awneA ab Aeeoxd but not the true owneA. Heat ing atz o xeque�sted on 2-4 Scho6t Street by Attorney Dovis S. PeAtman on behaZ4 o6 C. U. Realty Trust. OLD BUSINESS: a. Inci.netiaton 4ta4 us. The cnecneturtor .vac axdeAed =Lo cease opehati.on by MetropoZ tan Bostov Ai .. PoUution ContAot Distxict by January 31, 1974, unters a'de6in ite eomm�tment is made by the City o6 Satem to dispose o6 a oU2 waste. Ne such commitment W been made, and we may now x. expect` at any t�ne that the Depatrtment o6 Pubtie Heatth and poss-ibZy the Env' itconmentat Protection Agency w�c,P.�. seek apptcopxiate Zego-e ti tcemediu.. b.. Board`oJ,He Uh member Joseph Riehaxd and Cotin CameAon, Sen.iax Sanitatu.an met with the Mayotc in regard to the January 31, 1974, r. deadtine date. AJteA'a tengthy d zcuss.ion with. the Mayan, it ways decided to contact vaxious ,p)r ware contra.ctotus .in ordeA that their zuggeat.o" and Aeeommendati.ows 'may be'.subm-itted as a sot uti.on to awe ',sotid waste pAobtem. -The Mayor was advised that the Boated of r Hea.eth -tst tt has the same opinion air exp&msed in the November 7, 1973- ZetteA to-Mayax Zot2 - cease opera ion o6 incinerator and put cot2ection and dispoza°2 out 6oA contract. e. The zecAetatZat work previou6Zy done UoA Mr. DunktebargeA of the South .Etstsex Soti.d Waste Coun.cit, has been greatly Aedueed as Aequezted by the Board o i '-1 eaeth. FV ° , .,. .F 1 UX6 W� ' OHN J._ TOOMEy= D.S:C. Fan: Etinor C. HoAan Hea th Agent CZuk o J the Board CC: Boated Membetus 'Council Committee on Heath , r (ni" Lj ofulrm, tt�sttru�et$ > �� 3 �nttrd of i�rttlti� ; 4 5 lirntt) trert iJu111t J. c7t camp , 43A �(r. i I. :ittrritt (�nunfir, . a1. �iiral%4 cayrnt Jnnr}�lr �Rirllttr) J. �nhrrt �ll:tit3linenf��, ±�1. 3_ flCiil)rr) T. �iiuicltnn, I. X. April 3, 1974 Nahrri TUrnhhnrn Effir MarBonttl) Israel Kaplan, M.D. Of^.ZW tlt- 194 Lafayette Street Salem, Massachusetts 01970 Dear Doctor Kaplan: The regular meeting of the Board of Health will be held on Tuesday, April 9, 1974 at 5:00 PM at the Health Center, 5 Broad Street, Salem, Massachusetts. AGENDA 1. Reading of Minutes of previous meeting. 2. Census at Health Department. 3. Communications: a. Letter sent March 13, 1974 to Albert R. Pitcoff, attaching letter from Santo Gozzo of E.P.A. , stating the Agency does not intend to prepare the Environmental Impact Statement. b. Letter sent 3/20/74 to Mr. McGlennon stating that the Board will write to Washington D.C. Headquarters if the Agency does not reply to our communications. C. Letter sent 3/25/74 to Dr. Charles McArdle requesting f irm. date 40' for repairs at 153 North Street (rear), Salem, Massachusetts. d. Letter sent 3/21/74 to Daniel W. McHugh, Jr. , notifying him that l`i the Brown Street properties are not properly secured and request- ing him to=appear at the 4/9/74 Board of Health Meeting. e. Letter sent 3/19/74 to Ms. Claire M. Fay requesting that she appear before the Board to explain deficiencies in her nursing home known as Salem Manor Nursing Home. �x f. Letter sent 3/19/74 to Irene McManus stating the Board is withholding bl approval of the Salem Manor Nursing Home because of deficiencies. -1- awlr , ttleiu Poarb of Pealtll - Page 2 Agenda dated 4/3/74 53rux} ,,tree# Board of Health Meeting 4/9/74 g. Letter dated 3/14/74 to Mayor Levesque from Dept. of Public Health setting forth options that they feel we should take and finding of facts from testimony given by J.J. Toomey and also stating that a tentative decision is -rendered to reaffirm the order of June 13, 1973, unless the City does something about this matter. h. Letter sent 3/22/74 to Vaughan M. Steeve, Dept. Public Works by Mayor Levesque in reply to Mr. Steeves letter (referred to above) and stating that Salem is making every effort to furnish him with a schedule of compliance. i. Communication from City Council regarding transfer of $14,000.00 to Subsidiary Appropriations - Expense Account, "Health-Sanitation Bills". j . Communication from Thomas G. Sullivan, City Collector regarding unpaid Hospital Accounts. k. Letter received 3/13/74 from Cecile A. Brady, terminating her employment at the Health Hospital by retirement effective March 31, 1974. 4. OLD BUSINESS: Incinerator a. Further discussion of problem of sludge incinerator at Salem E/ Willows with particular reference to correspondence to James McGlennon. b. Salem Manor Nursing Home for discussion (report included). N C. Long Term Care Facility Report Approval of bills 5. NEW BUSINESS: a. Promotion of Patricia Symbarski to Principal Clerk in the Department, to fill a vacancy caused by the retirement of Mrs. Elinor Horan. —2— afeiunttrD ofexltlj " Page 3 Agenda dated 4/3/74 5 �413roaty jqtreet Board of Health Meeting 4/9/74 • 5. NEW BUSINESS (continued- b. Received flyer from Civil Service on Milk and Sanitary Inspector which we approved and being no change on the original which was previously approved by the Board. C. Have requested provisional appointment of two Sanitarians Thomas Campbell and Joseph Lubas, to be effective until a list is established. 6. LEGAL HEARINGS a. Charles McArdle - owner of 153 North Street (rear), Salem, Massachusetts, relative to lack of progress in making repairs on this property. b. Daniel McHugh, Jr.- continuation of Hearing of March 12, 1974, at which time the Board requested further information from Mr. • on his condemned property at 2-4 School St. Court. c. Daniel McHugh, Jr.- 14-16 Brown Street- The Board requested Mr. McHugh and Atty. Douglas Haley to appear at the April 9, meeting for failure to board up and properly secure the property as directed .by the Board. V r truly yours HN J. 0 Y, D.S.C. Health Agent JJT/gm encls. cc: Board Members Council Committee on Health ., Vourb of i&PaR l J. Xaplan, fli. 43., C51 hairman �iisal:h�gens �A,SP}tlt �. �trhar� J. f�Abrrt i?aughne a�, 4R. 4]1. May 1, 1974 Milbub T. Moulton, ±q. X. Evhrrt ?a'Irnhhorn Effiriar+�ot�alil Israel Kaplan, M.D. 194 Lafayette Street , Salem, Massachusetts 01970 Dear Dr. Kaplan: The regular meeting of the Board of Health will be held on Tuesday, May 7, 1974, at 5:00 PM at the Health Center, 5 Broad Street, Salem, Massachusetts. AGENDA 1. Reading: of Minutes of previous meeting. 2. Census at Health Department ? 3. Communications: a. Letter from Rate Setting Commission dated 4/18/74 We received corrected notice. 'The sum of $4,695.00 is to be subtracted from our original total. This was the cost for the nurse at the North Shore Pulmonary Clinic. This correction makes our per diem cost $23.27. b. Hospital Statement of Reimbursable Costs dated 3/31/74 Covers period from Jan. 1, 1973 to December 31, 1973. Our preliminary figure which is subject to auditing by them is $24.94.- c. Ltr from Housing Authority dated 4/24/74 thanking us for a job well done in the removing and care of Mr. Louis Bishop .from an apartment at Lee Fort Terrace, and especially commending the work of Mr. Thomas Campbell. d. Ltr from Hellenic Credit Union dated 4/17/74 Re 2-4 School St. stating they are in process of foreclosing this property from Daniel McHugh present owner. Upon receipt of the property by foreclosure, they will make all necessary repairs and improvements required by the Health Department and will take immediate steps to eliminate any health hazards now existing there. e. Ltrs to City Solicitor: 1. Board's negative action to request of having an $8000 settlement '- in the case of Condorey Trust. -1- Agenda for 5/7/74 �ttle,tt �nar� of?$exit!! Board of. Health Meeting 53ruxl ,street Page 2 I , i 2. Letter requesting him to forward to this Department the names of those having equity in 2-4 School St. after proper title search. f. Ltr to Mayor Levesque from Dept. Public Health 4/19/74 4. Old Business: Solid Waste - New set of Rules and Regulations, some options and changes for the collection and disposal of solid waste in the City of Salem. I have spoken with the Mayor and City Solicitor. No decision has been made yet. By the time of our meeting, I hope to have for you a much more final decision. Lead Poisoning Enclosed are Nurse' s Reports. Salem Manor Nursing Home Enclosed is an. Inspection Report. Rear 153 North Street - 4 Brown Street Mr. Charles McArdle has been notified to appear before the Board of Health at the next meeting to give action on his properties. 2-4 School Street � . Have not received a reply to the owners names from the City Solicitor. We are reluctant to take action because of a very involuted ownership factor. As required by law, we must notify all parties having an equity in the property before we can raze. As soon as we get the 'green light' we can go. NOTE: areas Food Service preparation/at Salem Manor, Henley and Melanee Nursing Homes were examined by our sanitarian and have been found to be greatly improved. 'Very my yours, �P ( JOHI J. TOO D.S.C. Health Agent cc: Board Members Council Committee on Health JJT/g encl. ► - J' . �. Cnit of alm Massar4uirits p� Nourb of i#raltld 5 Vroab -*trret M. Marria TountiP, R. N. g;.8irh c'•se:,t �UliP�il� �. 1�itltilrl� J. iRohert �dl�ugEjuPsn�, �. +�. June 4, 1974 MilL)rPb T. Moulton, ±q. X. iRohert iflPnk4oru �ffiP �{Mr�nunld Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: The regular meeting of the Board of Health will be held on Tuesday, June 11, 1974 at 5:00 PM at the Health Center, 5 Broad Street, Salem, Massachusetts. AGENDA 1. Reading of Minutes of previous meeting. 2. Census at Health Department. 3. Communications: 1. Ltr. to Daniel McHugh Re: 14-16 Brown St. & 4-6 Brown St. Court notifying Mr. McHugh that the 90-day extension period granted him has expired and asking him to appear before the Board on June 11, to give action-.,,at this time. Ltr. to Daniel McHugh dated 6/3/74 Mr. McHugh failed to answer our letter .of 5/15/74. This letter is to again notify him to appear at the June 11 meeting. 2. Ltr to A. Pitcoff from Lawrence Buckley dated 5/17/74 This letter states that Condorey Trust paid the lien on the property at 23 Daniels St. under protest. Attached is copy of ltr from Atty. Bowes advising Mr. Buckley of this. 3. Ltr to Mayor Levesque dated 5/13/74 Re: Solid Waste This letter states the Motion of the Board relative to solid waste and which, in effect, asks what action the Mayor plans, if any, for or by the Board in this matter. 4,. Ltr. from Dept. Public Health Re: Tuberculosis Hospital Rates We are concerned with the 2 items I have underlined. At Middlesex County Hospital, our share will be $47.60 and at Salem Hospital, our share will be $70.29 per day. This is half of the regular rate. i ttlein xr� of pe.1n, Agenda for 6/11/74 Meeting 5rut�l ,tree# Board of Health, Page 2 5. Ltr to New England Power from Dept. Public Health dated 5/22/74 denying their variance to continue the burning of coal. 6. Ltr. from Salem Lions Club thanking the Health Department for their support and assistance at the Glaucoma Clinic. 7. Ltr. from Dept. Health Re: Enteric Culture Reports, dated 5/14/74 stating they no longer send routine negative reports for enteric pathogens. They send copy of negative findings only when the specimen is submitted to verify the patient is no longer a carrier of pathogens. 8. Article Re: Admar Frankfurter Carts This request perhaps should be taken up under new business. A man from Swampscott would like to use these carts to sell hot dogs and other types of food around Salem. Mr. Cameron and I do not feel they should be allowed as they cannot meet all specifications as set forth in Article 10 of the Sanitary Code. 9. Ltr to M. Chouinard Re: 22 Kosciusko St. dated 5/19/74 We have received no reply as yet. 10. Ltr. 'to A. Pitcoff Re: 2-4 School St. dated 5/13/74 which states that on April 10 and 25 the Board made a request to Mr. Pitcoff to provide the names of the legal owners. We have received no reply as yet. 11. Ltr. to Mrs. Joanne Josephs dated 5/20/74 thanking her for work with Mrs. Hartigan who was a graduate nursing student in Community Mental .Health. 12. Ltr. to Dr. Kaplan from Deft. of Public Health explaining the roles of the local Health Department and those of the State Health Department and matters pertaining to the licensing and re-licensing of nursing homes. 13. Ltr to Irene McManus from Dr. Toomey dated 5/29/74 After conversation with Dr. Kaplan, we made a report and enclosed a copy of the nursing report. 4. OLD BUSINESS: As you know, we have been carrying on a program in conjunction with the School Department and some volunteers Mrs. Josephs was able to assemble. Two weeks ago, we found we just could not continue the Meals nn Wheels Program. -2- 5r eut 3Part) of�iralflj Agenda for 6/11/74 Meeting y 5 +413i:oxl ,,street Board of Health Page 3 OLD BUSINESS (continued) We notified the recipients. Many of these people 'called their councillors. I had a meeting with Mayor Levesque and Councillors Ruane and Swiniuch. I explained our position and agreed that we would try, one way or another, to continue this program. We can have a meeting with the council and try to put the program on a sound and healthy basis. . The Mayor stated he will speak with the council about a meeting. At this writing, no meeting has been set up as yet. When it does, I will inform you of the same. I have forwarded to the City Council and to the Board Members copies of our list outlined by Mrs. Josephs showing the scope of our hopeful activities. This program will not be implemented in its entirety, by any means, but it will be well to discuss. Very truly yours, a8C JOHN J. TOOMEY, D.S.C. Health Agent cc: Board Members Council Committee on Health JJT/g encls. Olitg Of 5atrut, masoar4uBdul Wourb of i&raU 1 J. Wapla M. +B' ., T14airman M. iflIlrria LountiP 1. N. 31Alln 51. 0AAmpy. , �iiealsh�yent -. - �JASP,�111 �. "t�irhttr� X. Rnbrrf t 4aug4nrssg. M. U. l�iil�rP� (iI. {Al11tAn, E. X. July 2, 1974 - �RAhPri �1Pn1�liArn �'cffiP ff{ttr�nllall� Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: i The regular meeting of the Board of Health will be held on Tuesday, July 9, 1974 at 5:00 PM at the Health Center, 5 Broad Street, Salem; Massachusetts. AGENDA 1. Reading of Minutes of Previous Meeting. 2. Census at Health Department. 3. Communications: 1. Daniel McHugh - 14-16 Brown St. & 4-6 Brown Street Court Notified him that he has been given all the legal leeway that the Board of Health could extend and that a Motion had been passed to raze this property. The Agent is directed to carry out this action. Dr, Toomey has requested $15,000 transfer within the department which has been approved. We have put the bid ad in the paper on June 22 and June 24, 1974. Bidders are given until July 3, 1974 to produce sealed bids which will be opened at the Board of Health offices at 12:00 noon. Mr. McHugh has been notified that he has the option to tear down the buildings himself or he may take legal action in the Court of Equity to stop our procedures as eventuated at this writing. 2. Admar Frankfurter Carts Dr. Toomey reports that he has not had any further visitations from . Mr. Waldfogel. -1- ttlent A+oarb of Pealth June 25, 1974 5 riroith, treet Board of Health Agenda Meeting of July 9, 1974 . Page 2 3. Re 22 Kosciusko Street - correspondence to City Solicitor 4. Re 2-4 School Street - correspondence to City Solicitor Dr. Toomey has written a letter to Mayor Levesque as per direction of the Board, citing the lack of cooperation from the Legal Department with regard to the above properties. He called Mr. Pitcoff on the phone. Mr. Pitcoff asked Dr. Toomey to give him all pertinent correspondence in this matter. Mr. Pitcoff stated that he has in the past given all correspondence to Mr. Chouinard. Mr. Pitcoff will request of Mr. Chouinard, in writing, that he forward the necessary information to the Board. i OLD BUSINESS: . 1. Division of Elder Affairs A meeting was held. Mr. Cameron and Mrs. Josephs will give a report. 2. Heritage Days Mrs. Josephs will report' on progress. 3. Lead Poisoning Mrs. Josephs will report REPORT OF AD HOC COMMITTEE A. Bills E. Visitation at the facility Very truly yours, F R E BOARD O/F OHN J. EY, D.S.C. Health Agent JJT/g cc: Board Members Health Council encls. \ 'f Tttu of 15 MS r i Enarb of 9.j altly \tom 'yr J. *Caplan, �f�. 43- Chairman A. Marrin fTountie, R. N. �sraslsh E1ye�t �nsF}i11 �, i.�tfllard J. Enbrrt "'?halt l�ttl'Sfi�, M. I July 30, 1974 01bub TT. -Coultan, TA. X. 9�nhrrt �i1Fnl;lTnrn Effir iflar'Dnnalb Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: The regular meeting of the Board of Health will be held on Tuesday, August 6, 1974 at 5:00 PM at the Health Center, 5 Broad St., Salem, Massachusetts. AGENDA 1. Reading of Minutes of previous meeting. 2. Census of Health Department Hospital. 3. Correspondence: • 1. Ltr Chas. McArdle Re 4 Brown St. , Salem, Mass. requesting that he appear before the Board at the August 6, 1974 meeting to explain the reasons for the long delay in correcting violations at this building owned by him. 2. Ltrs. to Messrs DeVoe & Hunt - Salem Conservation Commission inviting them to attend the August 6, 1974 meeting. 3. Ltr to Neptune Wrecking Co. Re: 2-4 School St. -informing them that they were the lowest bidders of $2774.00 and authorizing them to raze this property. 4. Ltr to Neptune Wrecking Co. Re: 4-6 Brown St. Court, 14-16 Brown St. informing them that they were lowest bidders in the amount of $4752.00 and authorizing them to raze these properties. 5. Ltr to Mr. Donald Cook Pres Municipal Local #1818 from Director of. Personnel, Thomas J. Walsh regarding their grievance of Mr. Colin Cameron receiving department head compensation in Dr. Toomey's absence. Mr. Walsh stated that in this situation it was all--right to pay Mr. Cameron but this was not to set a precedent . 6. Ltr from Thomas J. McMahon, Director Massa Water Resources expressing his regret that neither Dr. Toomey nor any member of the Board of Health appeared at the meeting of July 16, 1974 at the old Town Hall. He also mentioned that Salem is moving ahead with the appropriation of $250,000 for.�repair and rennovation to repair deficiencies in the sewerage system. -1- *ACIIi `130hrl of g4ealtli Agenda for August 6, 1974 Meeting rJ �� YUa� �tYQQt of the Board of Health Page 2 6. (continued) Ltr. from Dr. Toomey to Thomas McMahon in reply to his correspondence OLD BUSINESS: ENVIRONMENTAL REPORT S 1. 4 Brown St. - Mr. McArdle We have ordered Mr. McArdle to appear before the Board. Mr. McArdle has completely stopped all work on this project. We are bringing him into court to order compliance with the Board's requests. 2. 4-6 Brown St. Ct. - 14-16 Brown St. - Daniel McHugh Both properties are being razed by Neptune Wrecking Company. They should be completed by meeting time. 3. 22 Kosciusko St. We have been in contact with Mr. Chouinard of City Solicitor's office both by phone and letter. We have not had any results • . to date. Two court actions are in voke, against the city - Crosby Vs. Board of Appeals Crosby Vs. Board of Health The two actions remain unsettled at this time. 4. 2-4 School Street We have contracts and are proceeding to raze this property as directed by the Board as soon as Neptune Wrecking Company, who as the letter states is the lowest bidder) completes the Brown St. project. This property must be hand-razed and this will be a slow procedure. NEW BUSINESS: 1. Pickman Park Swimming Area All swimming areas are examined bacteriologically on a weekly basis during late June, July and August. Most of the areas are good with the exception of Pickman Park. We are greatly concerned with this area. The counts are barely within the legal limits. There is an overgrowth of rank weeds (a nuisance-type week), aquatic weeds and algae. The turbidity is in excess of what is desired. Oil has b een discovered but the source has not yet been determined. ,)$ttlent Poarb of Praltll 5 ��rotcl �5#reet . Agenda for August 6, 1974 Meeting of the Board of Health Page 3 NEW BUSINESS (continued) In order to confirm our findings and give an objective viewpoint, Allied Biological Services have been hired to conduct a survey of the area and make a report to us as soon as is feasible. There will be a charge of $150.00 for these services. REPORTS: 1. Solid Waste Collection and Disposal in the City. 2. Southern Essex Solid Waste Council - report by Mr. Phil Dunkelbarger and Dr. Toomey. 3. Nursing reports - Mrs. Josephs and Dr. Toomey will comment- at the next Meeting. t Further information -- we are purchasing a booth for Heritage Days. Posters are being made and pamplets are being printed. Dr. Toomey hopes to have them available at the next meeting. Very truly yours, YOR THE BOARD OF,HE4LTH ram. OH N J. T MEY, D.S.C, Heal Agent . encls. JJT/g cc: Board of Health Members Mayor Levesque Council on Health Tito of t dtrin, ffiwinr4n,irtto r k .r: Vnarh of i&rallll Jolla �1. �oomrg, B.F.(r. {arritt �iealth t gent Jn,aF}�ll i�'iirllarh J. Koherl -_$llaug4nr,sng, M. U. October 1, 1974 4Qillrril T. mutton, E. N. Eahrrt Vlrn1djorn Effir +sari onalh Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 Dear Doctor Kaplan: A regular meeting of the Board of Health will be on Tuesday, October 8, 1974 k at 5:00 PM at the Health Center 5 Broad Street, Salem, Massachusetts. AGENDA f 1. Reading of Minutes of Previous Meeting 2 Census at Health Department Hospital t • 3. Correspondence: A. Ltr. 9/6/74 from John C. Collins, Director Div. Environmental Health f closing all clam flats from Cape Cod to New Hampshire: B. Ltr. 9/16/74 to Atty. William J. Lee,.Re: 92 Columbus Ave., Salem stating that this property has been ordered to be razed and advising him of his legal rights in this matter. C. Ltr. 9/19/74 from Atty. Lee requesting a hearing on. 92 Columbus Ave. , Salem. D. Ltr. 9/27/74 from Dr. Toomey to Atty. Lee In reply to his request for a hearing. Dr. Toomey wrote him that a hearing will be held on October 8, 1974 at 5:00 PM at 5 Broad Street Salem, Mass. E. Ltr. 9/24/74' f rom City Council f containing;an ordinance adopted by the City Council relative to the ! Health Department Hospital. F. Ltr. from Thos. C. McMahon (9/25/74) Director State Water. Resources Comm. notifying the Board of Health that an adjudicatory hearing will be held on four permanent determinations on Friday October 18, 1974 at the offices of Water Pollution Control 19th floor Room 1901, 100 Cambridge Street, Boston, Mass. i (I have sent copies of this letter to the Board) i -1- h ti ,�4ttlem �t3nttrb of Prxlill S ' Iruttb .Strert 10/1/74 Pa ge 2 Agenda/Oct. 8, 1974 Meeting OLD BUSINESS: HEARING: 92 Columbus Avenue HEATING PROBLEMS The heating season is about to start. This department has been deluged with complaints from citizens seeking help in having their gas and electricity services restored. These are usually shut off by reason of non-payment of bills. If serious illness is claimed, the facilities companies require a letter from a physician to that effect. I think we should notify the Mayor and City Councillors that the laws have been changed and that this department is without jurisdiction in this matter. HEARING: Sewer Connection Permits A preliminary hearing was held in Boston on 9/16/74. Mr. Tinti and I attended this hearing. I had provided him with all the past history, copies of notices, notes, correspondence etc. At this hearing Mr. O'Brien sounded all the parties out with the hope that the problems could be resolved without going to a formal • adjudicatory hearing. As you now know, the adjudicatory hearing will be held. FLU IMMUNIZATION. These clinics were well attended and the vaccine was administered to approximately i 1000 persons. DIVISION OF ELDER AFFAIRS i Because of the time spent seeking money to fund the position of Coordinator of Elder Affairs, the City Counc k felt that perhaps either Mayor Levesque or I had created this position for a friend. As the result, the Mayor and I have set up a selection committee consisting of Mrs. Joanne Josephs, Mr:s... Marcia Countie, Dr. Toomey, Councillors Ruane and Plante. Councillor Ruane suggested that we ask Councillor Atkins to join this committee. Dr. Kaplan said he would like more involvement by the Board- of Health and asked that he and Mr. Joe Richards become members of this committee also. "nlent Panrl of�iraltlj 5 '�;�ronl ,,�lrecf • 10/1/74 Page 3 Board of Health Agenda Oct. 8, 1974 Meeting DIVISION OF ELDER AFFAIRS (continued) This committee would review each of the resumes received and eliminate the appl-icants--we -felt should-not be -interviewed. Then, the following week we would review the applicants whose resumes we have retained. The Mayor wants a choice in the selection of the last 3 to 5 names. I feel that this person should be a part of the health Department. If so, the laws of Civil Service must be in voke and all parties should be made aware of this. Therefore, this position would be a provisional appointment pending the results of an examination and the establishing of a list. SALEM YOUTH COMMISSION Mr. Dave Britton, Director of this Commissi on wants to address the Board of Health. I informed him that he may have some time at the October 8, 1974 meeting. This agency is, of course, one of the agencies we support with funds. I am enclosing a copy of Project Rap Summer Report 1974. . LONG TERM CARE FACILITY Report Approval of Bills Very truly yours, i FOR THE BOARD OF HEALTH l JOHN J. TOOMEY, D.S.C. HEALTH AGENT JJT/g cc: Mayor Levesque , Board of Health Members Council of Realth encls. L - / 3 Raub of brralih _ D., (chairman x �rpal� ;.:irrrt Jnl�n J. �uulnrJ, J.�.Cr. , M. L 1Tltttfir. �. �. �.a1sh r��„t �i3ak`�I(I �. +5trhard J. +�ullrri �llatt�iltne:;�;tl. !•:�. �. Septem r 3, 1974 a?iiillrr� C. -;.IvulTutt, se. N. ita'ohrri ��Crttl,Inlrlt T'ffir {f{arTIO11aib Israel •Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: A regular meeting of the Board of Health will be held on Tuesday, September 10, 1974 a# 5:00 PM at the Health Center, 5 Broad Street, Salem, Massachusetts. AGENDA 1. Reading of Minutes of Previous Meeting. 2. Census- at Health Department Hospital 3. Correspondence: ' CORRESPONDENCE: A. Ltr 8/29/74 to Thos J. McMahon Appealing decision on sewer permits This letter mailed 'certified mail,' gave notice of the Board's decision to appeal Commission's decision on sewer extension permit determination on new construction and on permit numbers 7, 8 and 9. B. Ltr to Mayor Levesque 8/2 from. Thos. McMahon Water Resources Commission explaining permit .determinat ion and listing of same. i C. Ltr dated 8/26/74 to Thos. McMahon from League of Women Voters This letter was formal notice of the appeal of the sewer permit determination by the League and requesting an adjudicatory hearing. D.' Ltr 7/29/74 from John J. Baffa, Engrg. Consultant Letter enclosed' bill of $3,595.02 for engineering services for incinerator rehabilitation. E. Ltr 8/26 from A. Cuneo. Salem Chamber of Commerce expressing thanks to Dr. Toomey and the Board for their cooperation and assistance during Heritage Week. F. Ltr 8/23/74 To Atty, Ledoux re: Prel. Plans of Loring Hills Dr. Toomey took this action in order to protect the interests of the Board and did not approve the Plans at this time. -1- FIICfCC"Ji:i tt P.) of�''{PH lt It rJ ;rU2I� 6treet Page 2 Agenda Board of Health meeting 9/10/74 G. Ltr./Notice 8/15/74 to Mayor Levesque from Office of Children stating the laws have now changed and the Commonwealth will assume all responsibility for Day Care Centers -and are rescinding the authority of the Board of Health. H. Ltr 8/23/74 to Mayor Levesque asking him to attend September 10, 1974 neeting. NEW BUSINESS: 92 Columbus Ave. Estate of Florence Cummings (Dwelling in poor repair) Pictures will be available at meeting. _Torchlighters - Mental Health Assoc. Mrs. Roberta Leaveaux will make a presentation before the Board for this non-profit organization of citizens in the North Shore. This organization is seeking funds to continue their rehabilitation work. 42 Mason Street Sewerage Problems Amendment of Premarital Medical Certificates Advisory Letter #76. OLD BUSINESS: Discussion on Solid Waste submitted by the Health.Agent Very truly yours, FOR THE BOARD OF HEALTH t]TC' JOHN J. T OOMEY, D.S.C. Health Agent JJT/g encls. cc: Board Members, Mayor Jean A. Levesque Council on Health Vhurl of it?rztltll 5 V. Sfrrrf fR. farritt Lnttltfir, ti. TA?. �.a� h cgy,.,t }tl �. ��lirllilrl October 8, 1974 J, 2Rnturf �Iluttgl7ttro�;J, �1. �. Millrrb T. ffloulfott, N. X. �nhrrf �31rtt1;Ilorn :'Effir ±mar3011u1D ADDENDA CORRESPONDENCE: 1. Ltr. from Gerald T. McCarthy Chairman of Planning Board to John Powers, Building Inspector, dated 10/4/74, regarding South Essex Sewerage Disposal Plant - Fort Avenue, Salem, Mass. 2. Ltr. from Derek Robinson M.D. , Deputy Commissioner, Department of Public Health to Boards of Health/Superintendents of Schools regarding High-Risk Tuberculosis Communities' . • 3. There will be a joint meeting with the Conservation Commission and the City Solicitor, Mr. Tinti, in preparation for the October 18, 1974 formal hearing by the Natural Resources Commission. This meeting will be held on October 15, 1974 at the Health Department, 5 Broad Street, Salem, Mass. at 7:30 PM. FOR THE BOARD OF HEALTH JOHN J. TOOMEY, D.S.C. Health Agent x « � J. Naplan, 4111. 1:1, 011airman Jo11n J. �IIIIIIIPIJ, �.�'.�. �x ratsh ragrnt 31 migll E. Kirllarl J. 2Rlthrr# IlaltglluE';:�1, 4-9. ffl llreb T. -Maul#on, +S. X. November 6, 1974 l�IIher# i7i11'ItI:llIIrn Effie MarDonalb Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 Dear Doctor Kaplan: A regular meeting of the Board of Health will beheld on Tuesday, November 12, 1974 at 5:00 PM at the Health Center, 5 Broad Street, Salem, Massachusetts. AGENDA 1. Reading of Minutes of Previous Meeting. • 2. Census at Health Department Hospital 4. Presentation of Long-Term Care Facility bills for payment CORRESPONDENCE: 1. Ltr. 10/31/74 to Dr. Zavarine, Dept. Public Health requesting an extension of our hospital License Waiver for our hospital at the Salem Willows. I explained that we are in a period of transition from the old to the new facility and hope to have the new hospital opened about June 1, 1975. 2. Ltr. communication 10/30/74 from City Clerk directing our attention that legal advertising should be published in I both newspapers. 3. Ltr. from Salem-Beverly Water Supply Board which is a 'position paper' of that Board on the problem of the proposal to dump sewerage into the Ipswich River. 4. Ltr. 10/15/74 from Salem Hospital School of Nursing stating how much they enjoyed a lecture given by Mrs. Joanne .Josephs. i 5. Ltr. 10/11/74 from Civil Service stating that it is no longer necessary to report any step rate increases and also no longer necessary to submit copies of the payroll to Civil Service. i � -1- 1 ti i M it _e I aient !tlarb of�4ealfll AGENDA for 11/12/74 Meeting j 5 U- rual _:�b#reef To: Israel Kaplan, M.D. Page 2 i I 1 6. Ltr. 10/22/74 from Thomas Kearns, Dept. Public Health I advising us that our rates for our input to the T.B. clinic at Salem i Hospital will be increased by about 10% as of October 1, 1974. 7. Ltr. 10/21/74 from Rate Setting Commission stating that they have established a $31.18 per diem rate at our hospital. 8. Statement of Claim to Daniel McHugh & Hellenic Credit Union I from the Board of Health in the amount of $2,774.00 for razing dwellings at ! 2 and 4 School Street and one for $4,752.00 for demolition for 4 and 6 Brown Street Court and 14 and 16 Brown Street, both under Sanitary Code Regulation #37 Article II. � OLD BUSINESS: # 1 NURSING SERVICE REPORT I 1. Nursing home observation reports 2. Communicable Disease Program Report 3. School Health Program 4. Elderly Services 5. Family Services SOLID WASTE REPORT 1. Interim Action Plan 2. Long-term Regional Plans SEWER CONNECTIONS An adjudicatory hearing was held as you are all aware. Dr. Kaplan, Mr. Tedford Atty. Tinti, Mr. Blenkhorn and I accompanied by other boards, attended this meeting. We had been informed that an agreement had been made by the City and the developers. At the hearing, Atty. Gale Mahoney, representing Kaurman & Broad notified the hearing officer and all present that Kaufman& Broad agreed to nothing. The hearing went on with some testimony from Mr. Tedford as to the state of the sewers presently and also was then adjourned for 3 weeks so that the parties may hopefully get together on some agreements. On Monday, November 4, 1974, 1 attended a conference at Mr. Tinti's office on this subject. Present were Atty. Tinti, Atty. Serafini, Atty. Mahoney, Greg Senko and Mary Lou Tuttle. No agreements were completed at that time, but guidelines were laid down for further development of agreements. Atty. Tinti wanted to be sure r that if any agreements are made, all interested parties will be present. +. According to Atty. Mahoney, Kaufman & Broad does not own any acreage at this time but will buy 50 acres. Also there seemed to be some confusion in the minds of , various persons about an occupancy permit as against a building permit. i s i Jkllenc Phlarb of giealtl; AGENDA for 11/12 Meeting S ±!3ruab j-'91reet To: Israel Kaplan, M.D. j Page 3 SEWER CONNECTIONS (continued) i There will be a total of 650 condominiums. They would start to build 150 right away into 1975, 200 in 1975, 200 in 1976 and the rest in 1977. The question is whether a building permit is issued for one, issued on all 650 as against a permit for 150, necessitating coming back for the remainder. Kaufman & Broad would not be amenable to the second agreement. Kaufman & Broad was not going to donate any land. Atty. Serafini felt that Highland Realty would do this and Atty. Tinti made observations that the land should be a contiguous piece of land. On sewers agreement, Kaufman & Broad is not disposed to spend money for offsite repairs. K&B are making no commitment at this time. Mr. Tinti informed everybody that the City boards would hold controls over tie-ins and Mr. Mahoney was not too happy about this. Everyone agreed that the various Boards would be used within the limits of their legal parameters, and Mr. Mahoney agreed. The consensus of opinion was that in the future all Boards should meet to discuss these projects so that proper city planning can be carried out. • LONG TERM CARE FACILITY REPORT Any Additional Old Business: New Business: Very truly yours, FOR THE BOAR OF HEALTH A8C JOHN J. TOOMEY, D.S.C. HEALTH AGENT JJT/g encls. ' � ;y�� �uar� of i�ealth A' 3. Xaplan, M. +43. Chairman 5 lBruab Street Xuhn J. 0uumeg, B.S.T. A. Iflarria Tountir, R_ W. Pe.lth jk-gent �I1SP}i11 �itharl� 3. Robert i5haughnessg, 4-9. U. . 01bub T. December 5, 1974 Robert LVlrnkhurn Effie IffiarBanalb Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: A regular meeting of the Board of Health will be held on Tuesday, December 10, 1974 at the Health Center, 5 Broad Street, Salem, Mass. AGENDA • 1. Reading of Minutes of Previous Meeting. 2. Census at Health Department Hospital 3. Presentation of Long Term Care Facility bills for payment. COMMUNICATIONS: 1. Ltr. 11/26/74 from Irene McManus, Dept Public Health regarding Henley, Melanee and Salem Manor Nursing Homes, stating my letter had been referred to Robert K. Byron, Deputy General Sounsel of Dept. of Public Health. 2. Ltr. 11/18/74 to Mrs. Claire M. Fay telling her I have been ordered by the Board of Health to cause inspections to be made of the Henley, Melanee and Salem Manor Nursing Homes in Salem, and ask that she take steps to correct deficiencies cited. 3. Ltr. 11/18/74 to Dr. Zavarine, Dept Public Health regarding the above-mentioned nursing homes and in which I explained the position of the Board of Health. I had also included copies of our inspections. 4. Ltr. 11/26/74 from Lawrence M. Siskind, Att , representing Mrs. Fay in which he refers to the Henely, Melanee and Salem Manor Nursing homes and questions why the discrepancies between our reports and the physical state of affairs now existing at these establishments. He also requests that a copy of the City of Salem Housing Code and/or Health Code be sent to him, which, the Board alleges has been violated. He also wants to know if the City has adopted Article 2 of the State Sanitary Code. -1- ,Salem ioarb of gicaltll x Proub ,,Street To: Israel Kaplan, M.D. 12/5/74 AGENDA For 12/10/74 BOARD OF HEALTH MEETING Page 2 4. Ltr. 11/26/74 from Lawrence M. Siskind, Atty (continued) I have referred Atty. Siskind's letter to the City Solicitor, William J. Tinti, along with other correspondence. 5. Ltr. 11/14/74 from Peter C. Bogle, Mass. PIRG Staff Atty. Mrs. McManus and myself, on very short notice, attended a public hearing at the Bentley School, relative to the application of New England Power Company to burn coal. 6. Ltr. 11/15/74 from John C. Collins, Director Environmental Health letter was addressed to Salem & Beverly Water Supply Board in which he states that an engineer from Tewskbury Regional Office will be in constant contact with them to see that watershed rules and regulations are complied with. 7. Ltr. 11/14/74• from Carol Warton, Activities ,Director- Health Hospital resigning her position at the Hospital. Ltr. 11/15/74 to Carol Warton from Dr. Toomey accepting her resignation with regret. • 8. Ltr. 11/15/74 from Hill & Barlow, Attys for Kaufman & Broad to City Solicitor Tinti, relative to their position in the so-called sewer project. 9. Ltr. 11/26/74 to Mayor Levesque and City Council requesting an appropriation of $19,000 for special item Solid Waste, for engineering purposes for the transfer station project. ? 10. Official communication and order from U.S.A. Environmental Protection Agency addressed to Mayor Levesque and Council and Board of Health - the order essentially states that we have been inviolation of the State and Federal Laws and we are given 30 days to comply with the Clean Air Act as amended, that we should notify them within 10 days that we want a hearing and that we give them a brief report on our efforts to meet regulations 250 and 253. I have discussed this order with Mr. Tinti then replied to John McGlennon that we are well aware of our problems, have been working hard to correct them and asking for a hearing so that we could explain to him all of the work we have been trying to do so we could make compliance and in my letter requested that the hearing be held in Salem, rather than in their offices in Boston so that the records and input by various and sundry people would be near at hand. Jalem �?Ioarb of Xealtll 5 'Proab,Street To: Israel Kaplan, M.D. 12/5/74 AGENDA for 12/10/74 BOARD OF HEALTH MEETING Page 3 CIVIL SERVICE: 1. We have completed the request for the position of Supervisor of Elder Affairs within the department, and I have enclosed a letter to Civil Service requesting the provisional appointment of Robert E. "Allison if 147 Washington St. , Marblehead, Mass. 2. I have also appointed John Gallo as temporary crane operator and/or sanitation laborer at the incinerator. 3. I have also put to work, through the CETA Program project, two young people who are to be Community Aides, Carmey Reyes and Matthew Phelan. SEWER PERMITS: I went under subpoena to the State Office Building for the hearing on the sewer permits. Bob Blenkhorn and I testified. The Hearing Officer took this under advisement and at the present writing, I have not hear from him. • OLD BUSINESS: Nursing Homes 92 COLUMBUS AVENUE Demolition has been completed and Lien against the property was placed in the amount of $994.00. SOLID WASTE A long and short-term plan for solid waste is still in place. I have talked with the Mayor relative to getting started on the -transfer station. I wrote a letter to the Mayor/City Council requesting an appropriation for engineering fees for this purpose. The Mayor had selected C.E. Maguire as the engineering firm and this was the fee. I have talked with Marblehead and Swampscott officials and the Mayor wherein Salem will build the transfer station and operate it .and Marblehead and Swampscott will be allowed use of it and the cost will be apportioned on a per-ton basis. This should be best for all parties. Transfer stations for these 3 communities will be very effective while in the course of a couple of years the plant in Peabody will become a reality. As of Friday, the 14 cities and towns composing the Southern Essex Solid Waste Authority will sigh a Memo of Understanding (a non-binding review of the particulars of the agreement) which should in the space of Salem `Ioarb of Pealttl 5 3rottb treet To: Israel Kaplan, M.D. 12/5/74 AGENDA for 12/10/74 BOARD OF HEALTH MEETING Page 4 SOLID WASTE: (continued) about 6 months on or about Jame 1, 1975 will lead, if all parties agree, to a firm contract. A legislative act is being put in order and is about ready for review and passage, creating a legal stance for SESW Authority. We also have the RFP (Request for Proposal) so that if anything fails with our present documented contractor Cargill-Aenco, we will be ready to open bids to any other company or"companies. Very truly yours, FOR THE BOARD OF HEALTH asc JOHN J. TOOMEY, D.S.C. HEALTH AGENT JJT/g encls. cc: Board Members l �.� C�i�� of Stt1Pm, �tt�,�ttxf�ixs�i#tt 18uttrh of f raU l I U., ( 4airmttn ��- 5 �rox� street 104n 1. 01 M. Marria (Mountie, JR. X. a�fh c�se,c Inor,pil 1. igir4arb December 10, 1974 J. Eahrrtlittuttess�, M. M lbreb C . Moulton, K X. Eahert Virnk4arn Effir Mar+Donalb ADDENDA TO AGENDA FOR DECEMBER 10, 1974 MEETING 1. Copy of the Lien we placed to defray the costs of tearing down 4 & 6 Brown Street Court and 14 & 14 Brown Street. Copy of Lien to cover the expenses of the demolition of 2 & 4 School Street. 2. Communication from City Council relative to the additional monies and duties for the Health Agent. 3. Letter from Commissioner Bicknell in which he notifies us that the State Department of Public Health is doing a survey in conjunction with the Univ. of Mass. with regard to the elderly and chronically ill. John J. Toomey, D.S.C. Health Agent JJT/g encls. igoarb of if4ralt4 �• , ��_ �` J. �Ca}Malt, ��. 7., C.11airlltall `�•� `_``��� � �roa� �trrrt i 't � � i,�i. �artia CnnitlttiF, i.R. �. Jolltt J. �notttr�, �.�.(r. JA1iF}tli �. �irllur� �iealih c4gr�t J. �nhrrf �Italtgl2ttr,��;1, �1. t�. i f�n6Frt �ilrttl;llnrn January 14, 1975 TEMP ± ar3 vita lb i ADDENDA #2 ' BOARD OF HEALTH MEETING JANUARY 14, 1975 Introduction of Robert Allison, Coordinator, Division _. _ of Elder Affairs to the Board of Health Members. Mr. Allison will not give a report at this time. Copy of 1/10/75 ltr. to Claire Fay from Rick Petree, -- ----- -- - Director for Sanctions Medical Assistance, Dept. of _ Public Welfare _ .� in which he informs Mrs. Fay of the unfavorable findings - - at the Melanee, Henley and Salem Manor Nursing Home by ---_" Mr. Thomas Sullivan, HEW Regional Office, Miss Hazel Croy - --- - of Dept. of Welfare and inspectors of Dept. of Public Health. He also informs Mrs. Fay. that no Medicaid patients will be admitted to any of the above 3 facilities until further notice. r FOR THE BOARD OF HEALTH JOHN J. TOOMEY, D.S.C. Health Agent (94 of Sttl.em, famiarlimirtto 9 Wourb of i&ralt4 R. (94airman M. IfflMrrin Toun#ir, 9. N. Jo4n X. 0oomPy. j3.*A1. �1nsP tt � { �irallh E'igent - �lt �• �jr ttr� January 7, 1975 Milbrrb T. Moulton, R. X. Eohrr# i01Pnkllnrn Effir .4fflur%nalb Israel Kaplan, M.D. Chairman Board of Health 194 Lafayette.Street Salem, Massachusetts 01970 - Dear Dr. Kaplan: A-re ulazLmeetin- -T - = - - - _ - g_ g- =the aaxd=- �e aAdE e helcLon�T_uesda3��Januar�1 19.75�atE.the=Hearth=Cent-er;�=-S--Br=- Sweet=;_-Sal-�em;�iass -ate 5:00 PM ._ -AGENDA 1:--Reading-of-Minute s-of=-Previous-Meeting - --- 2:---: Census at- Healfh`Department Hospital` 3. Presentation of Long Term Care Facility Bills for payment ______COMMUNICATIONS: i -- -. - ];=•=--Lt-�=12;�'1$�-7�-=t=� `-.�T-in-�i=f�m=Dt-:T-����—_-- .�m__ -- _ makingfhim aware=that=thu -Boar-�d=Qf-Healtlr_-was--not--.invited f_as=.a--Board, _to meet-t=iri:g"and-cf - - --'to' -. tlnthe=Bomar= ''that h `shoiziri'tSa �. - t�n�g _ a .change in the ordinannes so .fh tii =$oars=Member would_=pl-a3'�-_b- gger - in the•-matter o-f -sewer 2. Ltr.- 12-/18/74 to Mr. Tinti from--Dr. Toomey requesting an opinion from City Solicitor Tinti whether(1) proper notice of a meeting is fulfilled if posted with the City Clerk the "day before" or "24 hours" before a meeting or (2) can notices be by telephone or .is mailed notice mandatory., 3. Ltr. 12/12/74 to Mayor Levesque from the Health Agent informing him--of a-Motion unanimously passed that the Mayor submit Option #4 of the Solid Waste Proposal to the City Council as being the recommendation of the Board of Health and also to inform him that the Board approved the appropriation of $19,000. for engineering purposes. 4. Ltr. 12/12/74 to Mayor Levesque from the Health Agent informing him that on September 10, 1974, he, the Mayor, attended a meeting and agreed with the adoption of Option #4 of the Solid Waste proposal. This letter also cited to him the Motion of the Board that Option #4 be implemented by the.Mayor as soon as possible. -1- %nlcm �4Ponrb of PeAtll r 5 �3ronl ,�freet i To. Dr. Kaplan Agenda for 1/14/75 Meeting Page 2 COMMUNICATIONS (continued) 5. Ltr. . 12/12/74 to Mayor Levesque from Dr. Toomey notifying the Mayor that the Board had approved the appropriation of $19,000 for engineering purposes. but did not approve the $6,000 for an alternate plan. 6. Memo 12/27/74 from Dept. of Public Health to all Boards of Health informing us they will not do certain cultural examinations and among other things, they are stopping the distribution of smallpox vaccine. 7. _Memo 12/23/74 from Derek Robinson, M.D. Deputy Commissioner Dept. Public Health addressed to all Health Boards and Nursing Agencies that patients are being ref erred-_to_the:..North-.Shor-e_Pulmonar.y---Cl-.inic-and.not ifying-them--.they_-a_should._:_ - 4 . do--their=own::_tnberoulAn-testing and-:states th s s expensiv forth stat - :. andAthe�ity o fx 8 __ Ltr -1211/7 :tfie _fro� NlassHeaigare-� -iee-tivE=Sev 'ce-S3rste-mv— -.- inzwh�ch� 3T=-�asth�t _:�_• g. — - — - _ - -- - - _ 9�-.�` I:t�r�=12�30�7�f_rom�Iichae�Z-�-0-'mien-;=Ch��man=In�estiga_tnr�Go���t�eE=_--of-the -City Council,_.in which- he requests all--information the department might have-_relative=to-Pequot-Highlands., Salem-Heights_and.--the_proposed-Marion- Manor- i • - apartment complex. 1� Ltr. -172T'T5-to-Dx-.-Kaplan-from-Dr. Toomey {_ suggest4ngta -33Kap3aashaa ;'sentetafnedete =the - �__ g - Cit-y-�C-"oun"cil--and-=suggestiftg-thhat=-a meet-itrg-ttz�dfscuss-msome�of--�-the-p_ro�sl-e - - �— that-$-2-5-,009--iha&-.been.:apTropriat-Rd--to=the=depar-tmen�=solld ante-col=lent-i and disposal new-account. 12. Ltr. 1/2/75 to Dr. Kaplan from Beckwith Elevator Company, Inc. stating the St. Paul Fire and Marine -Insurance Company wants certain data before issuing a bond to the above-named company. - - -13. - Ltr. 12/17/74 from Carpenter-Costin Company • in which they state they have been requested by the Salem Conservation Commission to find if a permit to dump wood and wood chips on our land adjacent to the B & M railroad track and the rear of Swampscott. cemetery is required. We have requested they send in a Plot Plan and topography map. We have also requested information on diseased elms and their burial. We have not had any reply as yet. 14. Ltr. 1/6/75 from Dept. of HEW, Thomas F. Sullivan, Director, Office of Long Term Care and Standards Enforcement, addressed to Mrs. Joanne Josephs In which he sets forth the action being taken by his office relative to the Melanee, Henley and Salem Manor Nursing Homes. s i I u i $alcm Poarb of Pcnith 4 5 �63roaa �treet To: Dr. Kaplan Agenda for 1/14/75 Meeting Page 3 s OLD BUSINESS: COMMUNITY HEALTH-ELDER AFFAIRS We report that Bob Allison is "on board" and that he, Mrs. Josephs and Mr. Colin Cameron are clearing the lines of-communications and setting up the organizational structure for integration of activities. We also have on board 3 new people from G CETA - 2 social service aides, 1 office assistant. Federal monies have become available and we have applications for 5 jobs; 1 social .worker_, _1 _junior- engineer,._senior. clerk--typist--for_the_Chronic-.Hospital,- 1 junior clerk typist for-our staff and 1 home maintenance worker for the Dept. of Elder Affairs. : ENV-IRONMENTA SECT zry - PEQ-T3—T I _ -We:=have-_ha&;6i umgKa!IL= fis alio�itr.egulatfon-=oftL-h=eat�=and libx watkr,.z___ . -- � _ _ gat _$ e s aton anan engri_eeringEst- Mr,;�Came�or�has�been� �res '� - __ is_beingnadetcorect_zthe_.dfficul ..,�We.-a-re.:.stayingon._-top--of*this mat-terms= TREE DUMPING-- CARPENTER-COSTW .__S OLIDEWA:STE= Lhav�e- the:=contr--act- d-rawct---�.and_-read--audrha-v-L--been;w:having discusi!4,ons� - . Mom.-=T3ri�i=-art-d—tk�e-Mai=a�=Ma--��=Le-veerwants-m�t�=cle�s�tiiith�the.�., ,�_. - gym_ Conse rvat.ion�Comm�.ss i�b.ef or�ge�tgbacic,=ta-him:—This::;ma3r�:be�dox�ea;�3� :-�.: : me "C� g`u -tee=-Ine meantime ism:. ro ressia wftiansfi and-wor P g. NURS'ING�UOMES�Y" -- Dr. Kaplan. will=_present a--report on Salem Manor-Nursing Home SALARY- INCREASE FOR HEALTH AGENT Organization of the Board of Health, the choosing of a Chairman and Clerk of the Board. REPORT OF AD HOC COMMITTEE: Very truly yours, R TH OF HEALTH JOHN J. TOO , D.S.C. HEALTH AGENT • JJT/g enc is. cc: Board Members �,^��� Cnif� A� SFILPIlt, �tt,�sttrl�ix,�rtt,� Vourb of i&PaU4 M. Marria CT aun#ir, E. N. JnIiII �1. �oomrlu, +B.ss.CTi. �iieelsh�hgent eDIISF}Il� �. LIiL1�FIr�1 i J. Kober# Iiau�Iinrsnl�, :iildreb T. f{oul#on, A. N. January 8, 1975 i�oher# i�lrnl:born g Effir IflttrBanalb t } ADDENDA i CORRESR_ONDENGE_:--•-- = 1/6/7-S=Ltr from_City Clerk:-enclosing-_1.2/_26/74 . City Council Order allowing the Board of Health and City Engineer to withhold any further sewer permits and the Building --Inspector- t-e---wi-thho-l-d-an-y�bu4ldim-gamer-mi-ts=zon-Hightancf-- Avenue-until-new-sewer__lines_are constructed.. _ t FO 0 EALT=_ JOHN , P& ealth Agent I i JJT/g R 1 �,�•�� �it� of Stt1PIlt, �����r1�u,�r�s '~ Boarb of!.graltfl • '�' '�` J �Ca}tlan. �. �., C�liairutan ���' •5 �roa� �trrrt �. ' Jnlltt �J. �i]O2nr1J, 3�.�.hl. ifl. farrin Tountir, R. �.a��h r�se:,c �1o,ar}�ll �R. 1�irllar� February 5, 1975 flfiillrrrl T. faoulton, R. X. i�nhrrt i�lrnl;llurn Effir +f{ar3onalb Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 i Dear Dr. Kaplan: A regular meeting of the Board of Health will be held on Tuesday, February 11, 1975, at the Health Center, 5 Broad St. , Salem, Mass. at 5:00 PM. i AGENDA 1. Reading of=the Minutes of-.the Previous- Meeting 2. Census at the Health Department Hospital 3. Presentation of Long Term Care Facility Bills for payment. • COMMUNICATIONS: 1. 1/30/75 ltr. to Mayor Levesque from Dr. Toomey reques_turg-, th _$6-;-'000-be•=appTo print-ed,-to�ivrsion o€-E1-rleriy Affarrs-sa-larYes- requesting $7,000 be transferred -'from Sanitation (C-ollection)•-Salaries to Sanitation (Collection) expenses.- . b.1/30/75 ltr to Mayor Levesque °from-Dr. Toomey i requesting $4,000 be transferred from Hospital and L.T.C.F. salaries to Division of Elderly affairs expenses. c.1/30/75 ltr to Mayor Levesque from Dr. Toomey requesting $15,000 be transferred from Sanitation (Disposal) Salaries to i Sanitation (Disposal) expenses. 2. ' 1/23/75 Order from City Council from Councillor Plante urging the Mayor, City Solicitor and Health Department to contact Marblehead officials and urge their cooperation in -a transfer station. /Swampscott/ 3. 12/19/75 Ltr. to Dr. Toomey from Dept. of Public Health notifying us that the Health Department Hospital License has been renewed. 4. 1/7./75 Ltr. to Dr. Toomey from Thomas McMahon, Mass. Water Resources Commission giving final reports as the result of the sewer hearings. Members already have cope 5. 1/10/75 Ltr. to R. Murray, Bicentennial Coordinator pointing out the need for consideration of food service establishments, public rest room facilities, etc. as the result of the thousands of visitors . 1/30/75 reply from Mr. Murray to Dr. Toomey -1-. ,$alcui 11103W of Pralth S ��rn:tl �trcrt i February 5, 1975 Agenda for 2/11/75 Meeting of the • To: Dr. Israel Kaplan Board of Health COMMUNICATIONS (continued) 6. 1/17/75 Ltr. to City Council President and members requesting a change in Council Order of 12/26/74 - Motion made by the Board of ¢ Health and passed unanimously- relative to sewer permits, in which the Board requested .a change in the wording to read encompassing the whole city instead } of the Highland Avenue area only. 7. 1/24/75 Notice from Dept. of Public Health stating that there-is a new building code and that the local health code should not be in;•.conflict regarding Regulation 12 and Article 2. I 8. 1/24/75 Notice from J. Collins, Division of Environmental Health stating there is reimburseable money available to cities and towns who incur expenses by reason of a forced displacement of persons, moving expenses, etc. affecting housing regulations. 9. . 1/30/75 ltr. to Dr. Toomey from Helen Coughlin, Acting City Clerk_ requesting Health-Agent..-or_Board_Member-_to_attend._-a_meeting_of the Committee of-the Whole at- Council -Chambers on=February-6- 1975-at-- 7:00-PM:- 10. 1/30/75 Ltr. to Mayor Levesque I • stating the Board of Health members had passed a Motion to increase Dr. Toomey's j salary $1500.00. 1 ll = 1/31./75 --B1Lilletin:from.-Rate_Settiiig-Commissionp regarding_schedule.-toy-support-chan-ge.-�:in -stat.us..of:=hospital-ba-sed_-physi-cians:= t 12: 1/31/75 Ltr.- from Rate Setting Commission change,-in regulations for administrative adjustment due to revised report of gynecological patient days which does not seem to .affect us. 13. Booklet - LEA Engineer I 14. 1 I /31/75 ltr. from James Fitzgerald to Dr. Toomey regarding telephones for the hospital. 15. Ltr. from Dept. of Public Health re: Measles/Mumps/Rubella combined vaccine. REPORTS: Division of Elder Affairs (attached) PROJECT RAP (copies attached) Community Health Environmental Health Nursing Homes - including new request for licensure and Mrs. Josephs' report on hearing. SOLID WASTE: - We have received the initial feasibility report and construction drawings and we have talked with Marblehead and Swampscott officials regarding an association with us. I -2- nal �}rrct • February 5, 1975 Agenda for 2/11/75 Meeting of the To: Dr. Israel Kaplan Board of Health . Relative to 12/18/74 ltr to the' City Solicitor asking that he add to the City Ordinance(s) that the Board of Health is to play a bigger part in the matter of issuing sewer entrance permits prior to the state issuance of such permits, and relative to 12/18/74 ltr to the City Solicitor asking him about the legality of proper notice on meetings of the Board of Health Dr. Toomey, as directed by the Board-of Health at the January 14, 1975 meeting, has tried on many occasions to contact the City Solicitor who has been ill. Toomey hopes to have- conclusive information for the Board by meeting time. . Very y trul yours,-- FOR THE-BOARD'OF HEALTH:- . J J. TOOMEY, .S.C. HEALTH AGENT I - I . I c OT 1 Vvar1 of , ra t!j • :�':�- i i�,- . 3., Oiairinall ...•� f- ,� � � is .a raad Sfrrrt f�I. ��trria L�tllittir,Jolizl J. 011111I11r1J, 30.�.o. �_ W. zx.xiit ^,y :,t ��Jnz;r}tI� �Z. ��trl�ul•� A itt)ub T. A. X. March 6, 1975 Rifindi[torn �ffir �ar3ollal�l ! Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 t Dear Dr. Kaplan: A regular meeting- of the Board of Health will be--held—on Tuesday, March-11—;7-- - 1975 at the Health Center, 5 Broad Street, Salem, Massachusetts at 5:00 PM. _ - { AGENDA • 1. Reading of the Minutes of the previous meeting. 2. Census at the Health Department Hospital + 3. Presentation of the Long Term Care Facility Bills for payment COMMUNICATIONS: 1. 3/4/75 Ltr and Order from City Council approving the $4000 transfer from the Hospital payroll to the Division + of Elder Affairs 2. 3/4/75 Ltr and Order from City' Council approving the transfer of $6000 from the hospital to the Division of Elder Affairs payroll. 3. 2/18/75 Ltr to William J. Tinti, City Solicitor requesting information relative to 22 Kosciusko Street, Salem. 4. 2/21/75 Ltr from Dept. of Public Health Re: Lead Poisoning Program informing us they will do blood sampling and they will provide us with pipettes which are more effective at the present time. 5. ' 2/25/75 ltr from Atty. General Francis Belotti Re: Lead Poisoning Program stating his assurance that he will take "every appropria to action" that we ask of him in the pursuance of the Lead Program Testing and Control. ni u;trl of CIV,I Ill +'11a;11) 1rrrt I • March 6, 1975 Agenda for 3/11/75 Meeting of Board of Health To: Dr. Israel Kaplan Page 2 COMMUNICATIONS continued 6. 2/24/75 Notice from Edw. W. Powers, Director of Civil Service stating .that Civil Service Exam for Milk and Sanitary Inspector will be held on May 31, 1975 and that last day for filing applications will be May 9, 1975. 7. s 2/26/75:Ltr: to-Salem-Marion= Nursing-Home'fram_ Health=Agent. ' relat ive to:their'application,-1 in'which=`it'.was noted- that, their'application was--marked_"riot.approved", --accompaniedr_byLa--report�ofr an�-Inspection- held-on February 24 •'•_l975 8.`� 2/26/75 Notice 'fr6m Edw: W. Pou7ers,-Director-of Civil`Service ' relative to promotional examinations in which the applicants will be placed in different categories such as highly qualified, well qualified, qualified • or unqualified, as well as giving an explanation for this change. 9. Correspondence Re: Loring Hills Developers Trust \ A. . 2/27/75 Ltr from Mr. Swenson, Assist Civil Engineer E advising us of the outcome of their study. R B. 2/27/75 Ltr from Health Agent to Loring Hills Developers Trust cc Planning Bd. ? advising them .that the Board of Health could not approve their plans until more information was obtained. C. 3/6/75 Ltr from Health Agent to Planning Board advising that we forwarded copies of 2/27/75 Study and information submitted by Mr. Swenson and notifying them that our letter will serve as a basis of any objection to their subdivision by our Board and will constitute our report to the Planning Board. i 10. 3/6/75 Ltr. from Edw. W. Powers, Director of Civil Service in which he attaches certification of 2 names for our requisition for 1 hospital worker, permanent intermittent. '& Arw lloar) of ]calll g March 6, 1975 Agenda for 3/11/75 Board of Health Meeting To: Dr. Israel Kaplan Page 3 COMMUNICATIONS continued 11. Corres. re: East India Square Mall - Toilet Facilities A. 2/18/75 ltr from Elliot J. Schrank, Project Mgr. Salem Corporation notifying us he was filing an appeal to. the Planning Board regarding a request to install gang-toilet facilities at the Mall. B. 2/26/75 Ltr from Health Agent Toomey to Mr. Schrank advising him we were contacting the Board of State Examiners of Plumbing of his letter and also that this matter would be discussed at the March 11, - 1975'Boar:d:of Healt`li Meeting = zWe�als6Rasked__Mri _Schrank for-add_i-tional=- in fo rmat ion.—,�::. C.": 2/27/75: from-Health-.A,ent-Toomey-to-St'ate=Examiners-of_.Plumbing-_ asking-_for<=iri:formation=and=--recommendations=.�R - - D. 3/4/75 Ltr from Geo. O'Connell, Salem Plumbing Inspector advising that State Plumbing Code 10.19 be upheld by the Board. • E. 3/6/75 Ltr from Schrank giving us the additional information we requested of him. OLD BUSINESS: Request for $15,000 to be transferred from Sanitation Salaries to Sanitation Expenses was held up in Council. I read in the paper that they did not have enough information. I have contacted Marblehead and Swampscott by mail, telephone and personally to try to move together-on a joint endeavor on the transfer station. My impression of Marblehead is that they intend to go on themselves and have subsequently put i out bids. REPORT OF AD HOC COMMITTEE {r E SOLID WASTE: At this writing I have completed the writing of a contract for transfer and disposal which the City Solicitor is reviewing. I will, perhaps, be able to present the same by meeting time. I have made a change in the rules and regulations of collection and disposal of solid waste in Salem. These changes become necessary because of the abandonment of the incinerator and other changes. I would recommend their adoption. alriu +Un;�rl of jiralth 5 i'lroal �trr•t l March 6, 1975 Agenda for 3/11/75 Meeting of Board of Health To: Dr. Israel Kaplan Page 4 SOLID WASTE continued C.E. Maguire has reported that they are about 35-40 per cent in completion of plans for the transfer station. SESWC has before the legislature a bill for adoption which would legalize the basis for the cities and towns joining together to make contracts for solid waste disposal. t I am going to have the executive director of SESWC put together a package for the Board to give us up to date information on all of the progress of SESWC, which also includes the proposed contract with Aenco-Cargill._: _ Very__aruly_'yours,__- FOR-7 THE':BOARD OF•_HEALTH-1' �c • J J. TOOMEY, .S.C. HEALTH AGENT JJT/g encls. cc: Board of Health Members t 3 i8oarb of igral#fl J. Napkin, 41H. B., T4airman �fw r 5 ighoad S#rrr# M. ftirria Toun#ir, E. N. Jolla �1. OootneHi f�.�.(r. � �1n,ae}�ll �. �Rirl2ar� J. �ohrr# �11aug1Tnrong, 5�i. �. 01brrrYT. ffloul#on, A. N. April 2, 1975 Esher# 331miltllorn TZffir 4ari4ortalb Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: A regular meeting of the Board of Health will be held on Tuesday, April 8, 1975 at the Health Center, 5 Broad Street, Salem, Massachusetts at 5:00 PM. AGENDA • 1. Reading of the Minutes of the previous meeting. 2. Census at the Health Department Hospital 3. Presentation of the Long Term Care Facility Bills for payment COMMUNICATIONS: ? 1. 9/13/75 Ltr from Dr. Kaplan to North Shore Pulmonary Clinic Re: Barbara Coughlin 2. 3/13/75 Approval of Order of City Council Re: Transfer of $15,000 3. 3/17/75 Approval of Order ofCity Council Re: Transfer of $5,140.00 4. 3/14/75 Ltr to Paul D'Armour, Planning Board Re: Booklet 5. 3/14/75 Ltr to Mr. Gerald McCarthy, Chairman of Planning Board Re: Loring Hills 6. 3/14/75 Ltr to Mr. Elliot Schrank, Project Manager, Salem Corporation 7. 3/14/75 Ltr to Mr. Robert Murray, Coordinator of Bicentennial Commission 8. 3/20/75 Ltr from Robert Murray: to.Dr. Toomey 9. 3/21/75 Advisory Letter #83 frp, the Department of Public Health _1_ ' �alrm �loarl of jiralth 5 ?�+roal �trcrt Israel Kaplan, M.D. Agetida for 194 Lafayette Street 4/8/75 Meeting Salem, Massachusetts 01970 Page 2 CORRESPONDENCE: (continued) 10. 3/24/75 Letter from Department of Public Health Re: Rabies Immunization 11. 3/26/75 Report on Newhall Nursing Home 12. Copy of portion of 9/10/74 Board of Health Meeting Re, Elder Affairs OLD BUSINESS: 1. Bicentennial Report 2. Toilets at East India Complex Development • 3. Adoption of Revision of Regulation #7 of Board of Health Regulation to Solid Waste Collection and Disposal. 4. Progress Report on Solid Waste. (Copy has been sent to you) We have advertised in the Salem News for transfer and collection. • 5. Elder Affairs 6. Ad Hoc Committee Report. I Very truly yours, FO THE B OF HEALTH y JOHN J. TOOMEY, D:S.C. HEALTH AGENT JJT/g encls. .�_ • (2i1� of 7al��ltt, ��i����tirlll.t��r#t,� than) of Liralil J. 1ajtlail, {. 1., Lltairlttatl � ilrnal � irrri i1n1211 J. LnnittrJ, �.Ea.(r. . iiiarria (rntutiir, Li. Z. Jay„t Jn3rpll E. iRirllarl J. �.RnUrri �lTall�lillr�;�;�. frl. +3. f�iillrrl (n. _41-loulintl, +,R. X. May 7, 1975 tllrlthhnrn rEffir IEarDnttalb Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 Dear Kaplan: A regular meeting of the Board of Health will be held on Tuesday, May 13, 1975 at the Health. Center, 5 Broad Street,- Salem, Mass., at 5:00 PM. AGENDA 1. Reading of the Minutes of the previous meeting. • 2. Presentation of the Long Term Care Facility Bills for payment. 3. Census at the Health Hospital Mr. Francis Clark has taken leave. The census is now 40 - 12 male patients and 28 female patients. We will keep at this amount until the opening of the new facilities. COMMUNICATIONS: Order 4/10/75 from City .-Council . in which the Council goes on record as supporting the efforts of the Conservation Commission, Board of Health and League of Women Voters in thei0/efforts, if they choose to appeal the granting of sewer extension and connection permits. Amendment by Councillor George McCabe and further the Council requests each of the above entities to advise the Council of each of their appeals so that the Council may vote to endorse, if agreeable, each future appelate action". -1- _ _'A ii'a it tit E 11:11•1 of �irahb, 5 L�rual �frrrt To: Israel Kaplan, M.D. Agenda 5/13/75 Meeting 2. 4/22/75 Ltr from City Collector Sullivan Re: Demo Acct. Florence Cummings 92 Columbus Avenue - stating account had been paid in full, with interest, and asking we take necessary .s.teps to discharge lien. 3. 4/25/75 ltr from Edw. Powers, Director Civil Service Re: Patricia Symbarski notifying she passed qualifying examination for promotion to Principal Clerk Health Department. held.January l8, 1975. 4. 4/29/75 Ltr from R. DeGrass for Bicentennial Commission listing number of Salem churches that will participate in the 'Visitor and Hospitality Program' this summer. 5. 4/2/75 Ltr to City Council stating Board had received communications to purchase land on Almeda Street for a parking lot. Dr. Toomey advised against this because over the years there had been a flooding of homes on Castle Road and Greenway Road because of filling of land beyond Anderson's Pond. 6. 4/15/75 bill from Southern Essex Solid Waste Council Addressed to City of Salem for Fiscal Year 76 - For Assessment for Administration and Professional Services in the amount of $11,355.68. 7. 4/30/75 Ltr from Wm. B. Welch Law Office • enclosing copy of Complaint filed in Civil Action for Judicial Review in Essex Superior Court and Motion for Rehearing filed with Comm. of Mass. Div. of Water Pollution Control for the League of Women Voters. i 8. 4/5/75 Ltr from Peter Merry of City Solicitor's Office relative to inquiries of the Board about legality of notices of meetings. 9. 4/16/75 Ltr to Wm. Tinti, City Solicitor advising him of Motions passed by the Board relative to withholding of sewer . connections and requesting a .copy of Mr. McMahon's findings. OLD BUSINESS Hearings are going on ,re:the 3 .nursing homes (Melanee, Henley and Salem Manor.), and Mrs. Morgan and Mrs. Josephs are attending the hearings. SOLID WASTE (See report of 5/5/75 Special Meeting attached) . Also, plans are going forward to establish a transfer station. We are. putting together a request for Bid for collection of domestic rubbish. We shall. mail copies of same to all members. LONG TERM CARE FACILITY REPORT —given by Dr. Shaughnessey NEW BUSINESS Admissions to Long Term Care Facility Establish new policy for admissions. FOR HE F HEALTH 48L J J. TOOMEY, .S.C. HEALTH AGENT JJT/g enc is. V •��;_ Cni�tt of `, alritt, ��1�5c�r��lt�irtt,l� ^��,��,� � Tnurl of i�irul111 • -,���''�'� �' J. �a}tlan. �. J., Lllairmun Vrnal �Irrrt ' `- ffl. fi�arriu Lmttitir, �. �. Jnllit J. c:nniitr�, 3.'�.(�. �.sish c4yr+t �A.rir}�Il LK. LRirllar� 11. Rnl�rrt Iiaugllur aJ, _4R. D. ffiillrrb T Mottltnn, K X. June 3, 1975 i�nllrrt �ilrcil:llnrn Effir filar:Dpnalb Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: A regular meeting-of the Board_of _Health-will be held on:Tuesday, June 10, 1975-at -the Health'Center,. 5 '.Broad Street ' Salem,--Mass. , at 'S:00 PM: AGENDA • 1. Reading of the Minutes of the previous meeting. 2. Presentation of the Long Term Care Facility Bills for payment. 3. Census at the Health Hospital. COMMUNICATIONS: 1. 5/19/75 ltr from R W Petree, Jr. , Director Sanctions, Dept-. Public Welfare expressing the appreciation- of his department.-for the help -given-to.-them in the case of. Mrs. Claire M. Fay. " He cites, also, the especially fine work done by Mrs. Kay Morgan and Mr. Joanne Josephs. 2. 5/19/75 ltr from Robert Murray, Coordinator Bicentennial Commission informing us that Mr. Powers the Building,-Inspector has. been cooperating with the-Commission in repairing, refurbishing .and reopening of the public rest rooms at Old Town Hall. I am giving this project my reluctant approval, as I am not, at any time, in favor of public rest rooms, but the fact that -he has made assurance that the facilities will be covered by personnel,. both male and female, at all times, is the key factor. 3. 5/21/75 1tr from Helen M. Coughlin, Acting City Clerk stating that an Order was adopted by the City Council that every department, Board, Committee and Agency in the City of Salem report if they are to be represented by independent counsel and also give the rate of compensation to be given. -1- nlcIit t a:n1 of Jirttl}II ,i �!jrn;il �irrr} Israel Kaplan, M.D. Agenda for 6/10/75 Meeting 194 Lafayette St. of Board of Health Salem, Mass. 01970 Page 2 REPORTS: DIVISION OF ELDER AFFAIRS: Bob Allison has been doing a tremendous job, and as you will note, he is beginning to obtain results. HEALTH FAIR This is a cooperative effort of our department and all of the other departments and agencies listed on the last page. Mrs. Josephs is one of the key movers. I am sure it is going-to be--a--prideful-endeavor and it . gets-better=each year. NaT.BUSINESS: Opening and -awarding-of-bids for_the .construction of-the Transfer Station. Opening and awarding of bids for the collection of rubbish; • LONG TERM CARE FACILITY REPORT Very truly yours, FOR THE BOARD OF HEALTH _. JOHN J. TOOMEY, D.S.C. HEALTH AGENT JJT/g encls. �,�.�,��� (nits of Sttlrm, �tt�sttri�u�rtt� � Vourb of i&rultll I Waplun. M. , 0. (Illuirmun M. Murriu Cfountir, I. N. John 1. 0oomrg, BABA. �iira!!h�grnt �1nSr,�ll �. 'tRirllur� X. iRobrrt f$lluughnrsag, M. B. July 3, 1975 Milbrrb T. Moulton, E. N. iRuhrrt 1.3lrnkllorn ffiruronalb Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: A regular meeting of the Board of Health will be held on Tuesday, July 8, 1975 at the Health Center, 5 -Broad-Street; Salem; Mass. , at 5:00-PM: AGENDA 1. Reading of the Minutes of the previous meeting. 2. Census at the Health Department Hospital 3. Presentation of the Long Term Care Facility Bills for payment • COMMUNICATIONS: 1. 6/2/75 ltr from Robert Murray, Chairman Cultural Arts Commission Relative to a clean up program at the Boston & Maine station. We did pursue this and wrote a letter to B & M asking to establish a clean up program. The B & M people are difficult to deal with. However, we might be able to make some progress as the B & M is now part of the MBTA. 2. 6/4/75 Ltr from Dept Public Health re: Indochina Refusees & Tuberculosis stating that tuberculosis is not high among refugees. They-have been screened. Health Departments do not have to engage in any particular precautions. It is recommended, however, that if there should be any doubt, the refugees should be re-screened. 3. 6/11/75 ltr from Epstein, Salloway & Kaplan, Attys at Law enclosing latest draft of final decree relative to sewer connections. 4. 6/11/75 ltr to Mayor Jean A. Levesque and Council asking for an appropriation of $191,376.00 to. cover the amount necessary on our budget to sign and legalize the contract for collection of solid waste in the City of Salem. This went through at thelast City Council meeting. +tt(rnt �13vnrl of Prnlil! 5 !3rnal Dr. Israel Kaplan Agenda for 7/8/75 194 Lafayette St. Board of Health Meeting. Salem, Mass. 01970 COMMUNICATIONS (continued) 5. 6/12/75 .Order of. City Council. stating that City Council meetings of July 10 and August 14 will be suspended. 6. 6/12/75. Order of City Council appropriating the transfer of .$5000 from -Subsidiary Appropriations - Salaries and Wages Account, "Health Sanitation (Collect-ion) - Payroll" -to the Subsidiary - Appropriations Expense Account "Health .Sanitation (Collection). - Bills". 7. 6/12/75 Order from City Council stating that the sum of $191,376.00 is appropriated from "Surplus Revenue" Account to Subsidiary Appropriations - Expenses Account "Health - Solid Waste and-Disposal" 8. 6/16/75 ltr from C.R. Grinnell, District Engr. South Essex Sewerage Board relative to public hearing on building and connection of the Marblehead sewer connections. . 9. 6/23/75 Order from Office of City Clerk informing all departments that under City Charter, all orders and ordinances adopted by the- City Council are in full force and effect even though returned unsigned by the Mayor. 10. . 6/26/75-1tr from C.E. Maguire-to -J. Thompson; Attorney -for E.P.A. Dr. Toomey requested-this--letter .be- sent to__E.-P:.A. notifying them---of-the schedule - of work we are doing in compliance with their order. Through no fault of ours, we are running behind schedule. We .should have more information by meeting time. -11. 6/26/75 ltr to Mayor Levesque informing him that DeIulis Bros. of Lynn was lowest qualified bidder on the construction of the Transfer Station and asking him to appropriate money in the amount of their bid of $262,626.00. I met with.the Mayor yesterday and he informed me this money will .not be appropriated out, of-City. funds. . It will be handled through the Federal monies. The Planning Dept. advises this money will be available on August 18, 1975, at which time, the Mayor will sign the-contract.. He did nothing .relative to the contingency appropriation. 12. 6/26/75 ltr to Mayor Levesque requesting the incorporation of a previous letter into the fiscal year of the Board of Health request of him.of $435,000 pro rated by months commencing approximately November 1 to $289,000.00. -2- *alrnt �-Ioarl of gieafill Dr. Israel Kaplan -3- Agenda for 7/8/75 194 Lafayette St. Board of Health Meeting Salem, Mass. 01970 COMMUNICATIONS (continued) 13. 6/26/75 ltr from Donald Hint, Conservation Commission stating that City Solicitor Tinti asked -him to write a letter- to accompany bill of_ Atty. Thomas B. Arnold which was-being submitted to_the Finance Committee on this date. Atty. Arnold represented the Conservation. Commission and Board of Health. The bill is held up in the Finance Committee. (See copy. of ltr to R. Swiniuch and a bill from Epstein, Salloway and Kaplan for $2,533.43 In my opinion, it will have to be brought up all over again for the next fiscal year. . 14. 6/27/75. Mailgram from General Foods Corp. Re: Decaffeinated Coffees relative--to a report. that trichloroethylene was -employed -in decaffeinated -coffee. The .company-said .that .a human must drink._50 mllion cups a .day for life to approximate the dosage, More..on this-subject-will follow.-- 15. 6/30/7.5 ltr from M.- Scovell; Asst: Comtnissioner of Dept. Public Welfare to Mrs. Fay saying Mrs. Fay had. withdrawn her appeal and that it was agreed that she could keep and get paid for patients for 60 days. She said she wanted a 'wrap-around' mortgage which would allow her to be the real owner of the homes. The Commissioner did not agree with this type mortgage and said- she- must go ahead with- the legal sale of the .. homes or they will be closed. 16. 7/3/75 ltr to- James J. Fitzgerald, Architect asking-him to-attend--the 7/8/75 Board of Health Meeting and to .bring with him a list of the equipment of the Health Department, for the new facilities. S Mr.. Cameron is also being asked to. attend .this meeting. OLD BUSINESS On Monday June 30, 1975,. .the Mayor, Chairman of Finance and people from SCA complet<ed- the. s signing of documents to cover the. contract for the collection of solid waste in Salem. SCA has. .been collecting since Tuesday and is doing an excellent job. At present there is a bit-of-confusion their trucks- Are moving with-mote speed- and precision---than ours and people are getting .caught without their barrels out. I see no major problems. The first step has been accomplished. All of our men have been transferred to -other departments with the exception of 4 or 5 key personnel at the incinerator which will be operating until the transfer station is complete. We recommend signing the contract and .I am doing much research and preliminary work that needs to be done so that it can get off without any undue delay. Engineers project 3 months completion. Once that has been accomplished, we will have a complete transition by November 1 and our department will be re-organized. REPORT OF AD HOC COMMITTEE FOR HE F HEALTH: WQ! J J. OOMEY, S.C. HEALTH AGENT JJT/g . encls. / TUL of Sttlrirc, tt� ttrl�u r#t g d iarb of i&rMlilj • ^, �' J. ACMv lan, HE. !U.., Cn1!airmau o-w4���rp? 5 �iru�� �irrri 130111131. cof AAmrg, B-fil A. �ralth�gc:+t �ASF}�lj �. 'LRir1jMT1� J. Eahrri iljaugljnrs,ng, M. U. August 5, 1975 iRAhrri VIrult4arn �ffir �{Mr+�AnMI� Israel Kaplan, M.D. 194 Lafayette Street Salem, Massachusetts 0.1970 Dear Dr. Kaplan: A regular meeting of the Board of Health will be held on Tuesday, August 12, 1975 at the Health Center, 5 Broad Street, Salem, Mass. at 5:00 PM. AGENDA 1. Reading of the Minutes of the previous meeting. 2. Census at the Health Department Hospital • 3. Presentation, of the Long Term Care Facility Bills for payment. COMMMICATIONS: 1. 4/24/75 CITY COUNCIL ORDER That .the sum of $4000..was reduced to $2,533.43 and this sum was appropriated to pay legal fees of Thomas Arnold, Attorney for the Conservation Commission and Board of Health. 2. 7/3/75 Ltr from C.E. Maguire, Inc. stating that both sub-bids received for compactors for the Transfer Station met,with specifications as prepared by C.E. Maguire, Inc. 3. 7/11/75 Ltr to DeIulis Bros. Construction Co. , Inc. informing them that the Board of Health had unanimously adopted a Motion that the compactor sub-bid be given to the lowest qualified bidder and that the Health Agent had been directed to inform DeIulis Bros. of this decision. Their agreement to this was required and was asked for. 4. 7/14/75 Ltr from DeIulis Brothers Construction Co. , Inc. saying that they had no objection to the Board of Health's decision to accept the lowest qualified bidder for the compactors. 5. 7/16/75 Ltr to DeIulis Brothers from Mayor Jean A. Levesque which is a letter of Intent and asking that they commence work on Friday July 18, 1975. nCc,ti marl of Prattill 5 �3ruxl :�trect • Israel Kaplan, M.D. Agenda for 194 Lafayette Street August 12, 1975 Salem, Mass. 01970 Board of Health Meeting -2- COMMDNICATIONS (continued). 6. 7/23/75 -first Inspection Report -from C E Maguire, Inc of work being performed at Transfer Station 7. 7/28/75 Ltr to Gerry Levy, EPA Enforcement Division Re: Incinerator appraising them of current efforts by the City of Salem to meet EPA requirements. 7a Ltr 6/25/75 to John Thompson, Atty EPA Enforcement Division from C E Maguire notifying them of steps taken by the City of Salem to comply with their regulations. 7b Ltr 7/31/75 to John A. McGlennon, Regional Administrator- EPA setting forth all of the steps taken by Salem to comply with their order for closing. 8. ' -7/22/75 Ltr to Mayor Levesque attaching a list of the current employees at the Health Department • 9. 7/22/75 Ltr to Mayor Levesque stating the Board of Health members felt that the Health Agent, Divisions of Administration, Community Nursing and Environmental Sanitation/Solid Waste be quartered at the new facilities on Highland Avenue. They felt that the Division of Elder Affairs would be best situated at the new City Hall Annex. 7/7/75 ltr from David Lash, City Planner's Office stating that the application for community development money for the Transfer Station was accepted by HUD on June 12, 1975. A Notice of No Significant Impact was filed and published on June 26, 1975. 11. 8/1/75 Ltr to LoyalTOrder of Moose_ asking their cooperation to prev ent the dumping of burnable materials behind their property which we are currently using. 12. 7/21/75 Ltr from Rate Setting Commission Asking for a weighted .average semiprivate room and board charge for the new hospital. 7/30/75 Ltr to Rate Setting Commission explaining City's position at this time. OLD BUSINESS: • SOLID WASTE We are making good progress at the incinerator. Contractor has constructed a bridge, built a baffle wall and incinerator is functioning. They have opened a wall on the Swampscott Road side of the building, - and they are also doing other topographical work. elan marl of�iea ll J ��Ylt tll �fYCCt 0 Israel Kaplan, M.D. Agenda for 194 Lafayette Street August 12, 1975 Salem, Mass. 01970 Board of Health Meeting -3- OLD BUSINESS (continued) The action of the Board of Health in changing the subbidder on the compactors has been challenged by the Route 128 Company who was to furnish 'easy pak: . On July 29, 1975, we went to a hearing at the Division of Labor and Industries in Boston. Attending were Stanley Bornstein and John Pillsbury of C.E. Maguire, Inc., Peter Merry and Dr. Toomey representing the Health Department and City of Salem, Mr. DeIulis and representatives of Heil Corporation and Route 128 Company. We were promised a decision on this, but at this writing, no decision has been received. REPORT BY DR. J. ROBERT SHAUGHNESSEY Very truly yours, FOR THE BOARD OF HEALTH JOHN J. TOOMEY, D.P.M. HEALTH AGENT JJT/g encls. DR. ISRAEL KAPLAN.-BLIC;;HEALTH CENTER BOARD;_:OF .HEALTH `bfft-�efferson_Aven i, f '"`V : ,. SAlefi ':Zvfassach isefts O-1470 ISRAEL KAPLAN. M. D. """' 5� JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD HEALTH'AGENT J. ROBERT SHAUGHNESSY. M. D. September 4, 1975 _ (617) 745-9000 ROBERT BLENKHORN - - M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON. R. N. EFFIE MACDONALD - - Israel Kaplan, M.D. Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: There will be a regular meeting of the Board of Health on Tuesday, September 9, 1975 • at 5:00 PM at the new Dr. Israel Kaplan Public Health Center, Off Jefferson Avenue, Salem, Mass. AGENDA 1. Reading of the Minutes of the previous Meeting. 2. Census at the Health Dept. Hospital COMMUNICATIONS: 1. Ltr to Salem& Beverly Water Supply Board 8/6/75 asking the Board to restrain the use of water by appropriate means. 2. Ltr to Peter R. Merry, Asst. City Solicitor 8/11/75 asking him to write up an ordinance to author a charge based upon costs of operation at the Transfer Station. 3. Ltrs to Ingemi family re: Beef &-Oyster Restaurant 8/13/75- -asking that they attend a -meeting-of-the Board on Friday August 15, 1975 relative to conditions at the restaurant. 4. Ltr from T.A. Pawlyk, Chairman, Retirement Board 8/15/75 Re: Cornelius J. Dixon stating that Mr. Dixon of the Health Dept. has filed papers.fcr .retirement to take effect on August 29, 1975. • -1- . Dr. Israel Kaplan -2- Agenda • 194 Lafayette St. Meeting 9/9/75 Salem, Mass. Board of Health COMMUNICATIONS continued: 5. Ltr Joseph P. Collins; Atty. Re: Claim of Carolyn L. & Carol L. Chambers relative to sickness caused by food at Beef & Oyster Restaurant. Ltr to Mr. Collins advising him that case is still under investigation and information will not be given out until investigation is complete. 6. Ltr from V.F. Likins Aetna Casualty & Surety Insurance Co. 8 22 -- y y / relative to investigation of alleged food poisonings at Beef & Oyster Restaurant Ltr from Dr. Toomey advising no info will be given out before investigation is complete. 7. Ltr to City Clerk from Hyman Marcus, Atty.8/21/75 relative to injuries sustained by Marguerite M. Foley after falling on sidewalk on which rubbish and garbage had been dropped by city employees. 8. Seniority List 8/25/75 Collection/Incinerator Personnel 9. Ltr 8/27/75 from Dr. Kaplan Re: Use of new Health Center Stationery • 10. Notice of Public Hearing of Conservation Commission relative to Hearing 9/3/75 at Old Town Hall relative to effects of wetlands due to sewerage improvements, Phase I, proposed by the City of Salem. 11. Ltr from Thomas E. Kehoe, Chairman, Salem Heritage Days 8/20/75 extending his thanks to the Health Department employees for their cooperation and able assistance during Heritage Week 1975. 12. Council order 7/24/75 that amount of $11,355. 68 be appropriated from Revenue- Fiscal 1976 Account to Subsidiary_ Appropriation Expense Account "Health -Department--- Division of Solid Waste".. 13. City Council Order 8/28/75 -- - -that-$-29,,42 7..00 be transferred from Subsidiary Appropriations - Salaries and Wages Account "Division of Solid Waste" to the Subsidiary Appropriation Exp_ens_e_-Accoumt- --"Iivision of Solid Waste". 14. Ltr from SCA Disposal Services - Mr. Milano, President noting ramp leading to dumping pit and expressing his concern about the safety of the same. Ltr to Mr. Milano 8/20/75 advising him that ramp is adequate and safe for all vehicles up to 60,000 pounds. • Dr. Israel Kaplan -3- Agenda 194 Lafayette St. Meeting 9/9/75 Salem, Mass. Board of Health COMMUNICATIONS continued: 15. Ltr & Deed Copy from Weston, Patrick, Willard & Redding, Attorneys stating that Barbara Keeley has transferred 10.4 acres of land to the City of Salem for conservation purposes. 16.. Ltr to DeIulis Brothers -Construction Co. , Inc. advising them that C.E. Maguire, Inc, had reviewed the sub bids for Div. 10 Compactor Equipment and advising the Bid go to Casey & Dupuis Equipment Corp. , who was the lowest bidder. Ltr from C.E. Maguire relative to above. 17. Ltr to Mr. Desmond, Director Boston Air Pollution Control District 8/6/75 relative to his 7/29/75 letter setting forth an infraction of Regulation 7 on Air Pollution, and advising him the Health Dept. is cognizant of the problem and is taking steps to alleviate it. The situation arose as a result of illegal dumping of burnable material into our ash fill. 18. . Ltr to Rep. Philip C. O'Donnell, Office of Speaker of House 8/5/75 • advising him that a daily inspection is being made of dumping area on the west side of Salem incinerator and at the present time, no burning is observable. 19. Ltr from John McGlennon, Regional Administrator - E.P.A. noting the efforts of the City as set forth in Dr. Toomey's 7/31/75 letter. REPORTS: 1. Division of Elder Affairs Moderator's Summary Report - Elderly Conference 2. Remis Industries - Complaints of Leather in freight cars, B&M at Canal St. 3. Solid Waste 4. Beef & Oyster Restaurant r Special Report by Mrs. Dorothy Bradley, R.N. , Public Health Nurse. 5. Report from Dr. Shaughnessey. • Dr. Israel Kaplan -4- Agenda 194 Lafayette St. Meeting 9/9/75 Salem, Mass. 01970 Board of Health THE FOLLOWING BILLS WERE APPROVED BY THE BOARD OF HEALTH FOR PAYMENT BUT WERE NOT A PART OF THE LAST REGULAR MEETING HELD ,BY THE BOARD ON AUGUST 11, 1975. 1. Roland L. Appleton, Inc. (rentals - dedication) 363.90 2. American Hospital Assoc. (subscr. Hospital Week) 5.00 3. American Hospital .Supply - 13.00 4. . ARA services, Inc. (Salary, resident engineer) 1,161.62 5. Brown & Connolly, Inc. (nursing books) 194.57 6. Business Aid Shop 68.50 7. Campbell, Aldrich & Nulty (Project Rep.) 1,604.56 8. Dancing Red Whale (flowers) 45.00 9. Derby Square Bookstore (Robert's Rules) 25.00 10. Deschamps Printing Co., Inc. (Programs, etc.) . 536.25 11. James J. Fitzgerald (reimbursement for time) 1,425.00 12. James J. Fitzgerald (design fee) 6,000.00 . 13. Gainsboro Studio 238.50 14. General Medical (exam. tables) 2,244.60 15. Hospital Publications, Inc. (trustees' handbook) 36.00 16. Jarmak Company (shipment of samples) 356.82 17. George T. Johnson Company 455.00 18. Lowell Medical Company 328.50 19. Joanne McManus (secretarial services - July) 83.33 20. Silkscreen, Inc. - signs for dedication 78.35 21. Waters & Brown, Inc. 51.43 22. Will-Ross, Inc. 1,336.70` 23. Zina Goodell Corp. (supplies) 54.30 24. Hospital Financial Management Assoc. (books) 33.03 1. The Atwell Company (dictation equipment) 1 212.00 2. Borg-Warner Health Products, Inc. 39,156.87 3. Brunelle Office Equipment Co. , Inc. 490.00 4. General Office Equipment Co. 384.00 -5:The-Jarmak-Company (wardrobes;-etc.) --65-026-80- 6. Louverdrape 2,738.00 . 7. M. Brown; Inc. (tables & chairs) 37,047.44 8. Offices Unlimited, Inc. (office equipment) 24,794.66 9. Sherman-Mills, Inc. (cubicle, shower curtains spreads) 25,396.00 10. Simpiex Time Recorder Co. (time clocks) 259.50 11. Singer Company (sewing machine) 86.99 12. James J. Welch & Co. 132,375.00 13., Will Ross, Inc. 590.00 $329,557.26 e Dr. Israel Kaplan -5- Agenda 194 Lafayette St. Meeting 9/9/75 Salem, Mass. 01970 Board of Health OLD BUSINESS• NEW BUSINESS: Very truly yours, FOR THE BOARD F HEALTH JOHN J. TOOMEY, D.P.M. Health Agent JJT/g enclosures cc: Board of Health Members DR. ISRAEL KAPLAN,_PUBLIC-HEALTH CENTER BOARL iOF 14EAL TH � Off Jeffeisori Avenue�;:' Salem;; assachusefcs-,01970 `i 14" f ISRAEL KAPLAN. M. D. - JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD HEALTH'AGENT J. ROBERT SHAUGHNESSY. M. D. September 9,: 1975 (617) 745-9000 ROBERT BLENKHORN M. MARCIA COUNTIE. R. N. - - MILDRED C. MOULTON. R. N. EFFIE MACDONALD ADDENDA TO AGENDA OF SEPTEMBER 9, 1975 MEETING NEW BUSINESS CORRESPONDENCE: 1. Ltr from Robert Klein, M.D. to Judge Zoll relative to Show-cause Hearing regarding Lead Poisoning. 2. Ltr to Harvey I. Remmer,M.D. , Dept. Public Health relative to Health Dept. Hospital OLD BUSINESS: 1. DIVISIbN. OF ELDER AFFAIRS Progress Report for August 1975 2. SOLID WASTE Changes in Regulation No. 7 y FOR THE BOARD OF HEALTH • A JOHN J. T00 , D.P.M. HEALTH AGENT }h '{off jefferso "A''enue ''` Sale'M"'; +ri ssachusettti 01970 ISRAEL KAPLAN. M. D. s" ` • JOHN J. TOUME"f, D. P. M. JOSE.PH R. RICHARD October 6, 1975 HEALTH'AGENT J. ROBERT SHAUGHNESSY. M. D. (617) 745-9000 ROBERT BLENKHORN - M. MARCIA COUNTIE. R. N. i MILDRED C. MOULTON. R. N. EFFIC MACDONALD a i Dr. Israel Kaplan Chairman of Board of Health 194 Lafayette Street Salem, Massachusetts 01970 re There will be a regular meeting of the Salem Board of Health on Tuesday, October 14, r g g 1975 at the new Dr. Israel Kaplan Public Health Center, located at the Dr. J. Robert Shaughnessey Rehabilitation Hospital, at 5:00 PM. AGENDA • 1. Reading of the minutes of the previous meeting. 2. Census at the Health Hospital as of 9/28/75. COMMUNICATIONS: 1. Ltr. to .Ingemi Family Re: Highland Ave. Dumping issuing a Cease & Desist Order to dumping of waste material (prolerized material) rubbish and waste material. 1 2. Ltr to Atty. Bachorowski Re: 25 North Street asking that action be taken to repair these premises and asking him to attend the next meeting of the Board of Health (10/14/75) . 3. Ltr. Salem Housing Authority Re: Charter House Apartment #707 - Mikulski ordering that said apartment is to be condemned and vacated and that Wanda Plikulski 1 is not to enter the premises. F 4. Ltr to Helen Swiniarski 39 Turner St. Re: Sale of Food and Drink ordering termination of the sale of food and drink mid asking that the signs offering said food and drink be removed at once. 5. Ltr from Attys Quinn, Savoy & Merry Re: 14 Kosciusko St. advising that tenants Donald and Monica Bullerwell complain about the high lead content in the paint of their apartment owned by William McKinnon. .1_ Dr. Is ra.el Kaplan Agenda 194 Lafayette St. October 14, 1975 Salem, Mass. 01970 -2- Board'of Health Meeting 6. Ltr Re: Appointment of Space Committee at Dr. Shaughnessey Hospital Members - Richard Arnold, Frederick R. Bosss Evangeline Dumont, R.N. , Joanne . Josephs, R.N. , and Dr. John J. Toomey, Health Agent. 7. Memo Dept. Public Health Re: Influenza describing the A, B and C strains, advising to whom immunization should be given and informing of the procedures to be taken in case of an outbreak. 8. Ltr Health, Education & Welfare to Mayor Leves ue advising that the U.S. Public Health Service is about to begin Health Examination Survey of persons aged 25 through 74 in the Salem area. 9. Ltr from American Public Health Association asking that the Health Department become an Agency Member of this Health Association and enclosing a Brochure explaining membership. 10. Bass River Day Activity Program, Inc. Budget for Fiscal Year 1975-1976 submitted by Edward Potvin, Director, as requested by the Board members at the last meeting. 11. Ltr Dept. of Public Health School Bus Operators relative to Chapter 71, Section 55B of the Mass General Laws requiring that all • persons employed in providing services to children and young persons in school and institutions have periodic examinations for the presence of tuberculosis. 12. Council Order Adopted 9/11/75 Re: Dumpster submitted by Health Dept. that .the Council investigate the feasibility of parking a dumpster at some .central suitable location to enable citizens to place refuse in advance of their collection day. 13. Council Order - Amendment - Adopted 8/28 asking that the sum of $325,125.00 be appropriated from Surplus Revenue Account to Subsidiary Appropriations - "Solid Waste, Transfer Haul and Disposal" account instead of the original request of $361,250. ' 14. Ltr City Engineer C.E. Maguire Presentation extending an invitation to attend T.V. films of the Highland Avenue Interceptor Sewer } at 3:00 PM, October 10, 1975. 15. Ltr from Mr. Pattison attaching Metcalf & Eddy Bill { dated 7/31/75 and advising Salem share is $868.64. 16. Ltr from Mr. Pattison attaching bill dated 8/22/75 (Metcalf & Eddy) and advising Salem share is $346.57 17. Ltr from Mr. Pattison relative to Metcalf & Eddy bill dated 9/23/75 r advising that Salem share is $663.30. Bill was not attached and a request was made for the same. z Dr. Israel Kaplan. Agenda 194 Lafayette St. October 14, 1975 Salem, Mass. 01970 -3- Board of Health Meeting 18. Ltr. from Town of Nahant relative to the possible utilization of the Salem Transfer Station j 19. Ltr C.E. Maguire Re: Transfer Station Certificate---of Payment No. 1 ltr submitted 3 copies of DeIulis Bros, requisition for payment. If agreed to it was requested that contractor's copy with payment be forwarded to DeIulis Bros. and 1 copy given to the Architect. OLD BUSINESS: Change Orders Extension of fence in the incinerator job. i Repair of broken windows at incinerator. Construction of outside door at our end of hospital wing. Location and composition of library. Construction contract signed. Personnel -- Al Guerrette, Leo Hurley, etc. II LORING HEIGHTS DEVELOPMENT (see written material as attached) NEW BUSINESS: License of Newhall Nursing Home. License of Ivy Manor Rest Home. Possible discussion with the Board of Health representatives from the 3: town of Nahant regarding use of Salem Transfer Station. HEARING: Clarence Stanton et als relative to objections of Peddlers' Licenses. Very truly yours, g S FOR THE BOARD OF HEALTH i Y � JOHN TO MEY D. .M. HEALTH AGENT JJT/g encls DR. IS AEL K A j ,y Ay CENTER BOAAD OBI HEAI..TH �t (7ff�Jeffersozi...Avenuc Salet��;Masschusetrs 01970 ISRAEL KAPLAN. M. D. ,""°„...N JOHN J. TOOMEY, D. P. M. JOSEPH-R. RICHARD October 14, 1975 HEALTH AGENT J. ROBERT SHAUGHNESSY. M. D. - - ' (617) 745-9000 ROSriRT BLENKHORN M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON. R. N. EPFIE MACDONALD ADDENDA TO AGENDA OF OCTOBER 14, 1975 BOARD OF HEALTH MEETING 1. INCINERATOR/TRANSFER STATION Ltr from Michael R. Deland, Chief Enforcement Branch of U.S. Environmental Protection Agency stating that the incinerator was not shut down as of October 1, 1975 and expressing his concern that the Transfer Station has not been completed. He has requested the Mass. Dept. of Public Health to document violations daily as of October 1, 1975. He also stated that there are sufficient grounds for referral of this case to the U.S. Attorney for appropriate legal action. Transfer Station Ltr to Ronald Garmey, Chairman Board of Selectmen,. Town of Nahant inviting him to attend this meeting to discuss possible use of the Salem Transfer Station by the Town of Nahant. 2, CONTROLLED GRO14TH ORDINANCE Letters to Mr. Tinti, City Solicitor, City Engineer A.V. Fletcher, City Planner Greg Senko and Stanley Bornstein, Vice President of C.E. Maguire, Inc. asking them to attend this meeting to discuss this Ordinance and also Loring Hills Development. 3. LORING HILLS SUB-DIVISION Letter from Chas F. Quigley, Chairman Loring Towers Associates stating they will be available to give the Board any assistance they might require to formulate a decision in this matter. 4. BEEF & OYSTER HOUSE RESTAURANT Letters to the Ingemi family requesting that they attend this meeting to discuss progress being made at the restaurant. . Ltr from Atty Collins requesting results of the Board's investigation relative to the above-named restaurant, in behalf of his clients Carolyn and Carol Chambers. 5. ELDER AFFAIRS Progress report for the month of September 1975, submitted by Bob Allison. FORE BO. C' H ALTH Esc JOH J. OMEY, P.M. HEALTH AGENT JJT/g encls. • DR. ISRAEL KAPL E NT, PUBLIC HEALTH CENTER BARD 04 RLEAtT..H I ^ y 'Off'Jeffersozi Ayentie r' Sale,ffi"Massachuse�ts'F01.970 ISRAEL KAPLAN, M. D. JOHN J. TOOMEY, D. P. M. JO5EPH R. RICHARD November 7, 1975 - - HEALTH'AGENT J. ROBERT SHAUGHNESSY. M. D. . (617) 745-9000 ROHERT 9LENKHORN M. MARCIA COUNTIE. R. N. MILDRED C. MOULTON. R. N. EFFIE MACDONALD - - Dr. Israel Kaplan Chairman, Salem Board of Health 194 Lafayette Street Salem, Massachusetts 01970 . Dear Dr. Kaplan: There will be a regular meeting of the Board of Health on Tuesday, November 18, 1975 at the Dr. Kaplan Public Health Center, Jefferson Ave. , at 5:00 PM. AGENDA 1. Reading of the Minutes of the Previous. Meetin g. COMMUNICATIONS: 1. Ltr to City Council Re: Controlled Growth Ordinance informing them that at the last meeting, the Board of Health members voted and accepted . the Controlled Growth Ordinance. 2. Ltr to City Solicitor Tinti Re: Beef & Oyster in ;which Dr. Toomey enclosed reports of an investigation of food poisoning at the Beef & Oyster and requesting information as to whether the Board of Health should comply with requests for information from various attorneys. Ltr. from Peter Merry Re: Beef & Oyster in reply to Dr. Toomey's letter in which he informs Dr. Toomey that personnel and medical files also any other materials or data relating to a specifically-named individual the disclosure of which may constitute an invasion of personal privacy and should not be constituted as in the realm of public records. Mr. Merry advises us not to release any records. 3. Ltr from City Engineer A.V. Fletcher Re: Subdivision Entitled Pickman Park in which he delineates many of the discrepancies in the land of Salem Acres Inc.entitled Pickman Park. Ltr to Planning Board Re: Pickman Park . in which Dr. Toomey said that Sub-division Plan Entitled Pickman Park by Salem Acres Inc. has many discrepancies in technical detail as noted in the engineer's review and that the plan does not, at this time, meet with the approval of the Board of Health. -1- Dr. Israel Kaplan Page 2 194 Lafayette St. Agenda Salem, Mass. 01970 Board of Health 11/18/75 Meeting 4. Ltr to Planning Board Re: Loring Hills notifying them that the Board of Health did a complete review of the modified plan and received input from Mr. Brian French and Tony Fletcher, City Engineer, The letter also stated that a motion had been adopted by the Board which says in effect that after review of the evidence presented, approval is not given to the re-worked Loring Hills Development Plan. 5. Ltr. Martha Lombard, Salem Hospital School of Nursing thanking Mrs. Josephs for participation in their Community Health Program. 6. Ltr from Dept. of Public Health Re: Change in Rates for TB Inpatient Hosp. Care We are concerned with Middlesex County and Salem Hospital only. The rate' at Middlesex County is $112.51 - our share is $56.25. Rate at Salem Hospital is $164.45 - our share is $82.22. 7. Ltr from Redevelopment Authority Re: Beef & Oyster in which they put on official record their many verbal requests to this department that some way be found by us to alleviate "the source of blight" being established by the Ingemi family as the result of washing garbage cans and dumping the liquid out the back door. 8. Ltr to Police Marshal Joseph F. Reagan informing PP him of the appearance of Clarence Stanton before the Board of Health relative to the influx of out-of-town unlicensed peddlers and asking him for assistance and promising him action. 9. Memo from R. Arnold Re: Partitions at Health Center stating he has examined the partitions in the Nurses' quarters and makes the following recommendations that (1) partitions are not as installers put them and (2) that the blue cloth units should be at 90 degrees from the main back wall. This is what he feels caused the unit to fall and hurt Kay Despotopulos. 10. Ltr. to Dr. Shaughnessey from J. Fitzgerald, Architect relative to the Health Department additions in which he cites the cost of a number of incompleted items in. the Health Dept. Section of the building. (1) The lab work would cost $4335.00. The work in Nurses Room would cost $1100.00 and tables and chairs in Dr. Toomey's office would cost$1,622.07. 11. Ltr to Jim Fitzgerald from Fred Boss Re: Health Dept. additions that the $5.8 million dollar bond is running down to $1,400. 12. Ltr to Bulky Truck Operators that as of November 1, 1975, all metal collected by personnel of this Dept. will be weighed and delivered to the yard of Max Talkowsky, Irving St. , Salem, Mass. A contract with the -City has been drawn up. I { Dr. Israel Kaplan Page $ 194 Lafayette St. Agenda Salem, Mass. 01970 Board of Health 11/18/75 Meeting 13. Ltr from J. Pillsbury, C.E. Maguire, Inc. Re: Transfer Station in which he reviews certain changes at the station. One change is the embankment at the property of the Moose and the ground covering of the same. This covering is required by law. The question is where do we acquire the money to do it and should we do it? I am having conversations with the Mayor about this and will discuss further with the Board at the meeting. Steel stairway - was a suggestion of mine. The stairway has taken off a portion and will serve as a way from the front of the transfer station down to the trailer area and will save running up and down. The people are destroying the new lawn. This item only cost about $280 to put in. Gate - it would cost about $5820.00. We would certainly save more than this amount during the first year of operation. We have requested that the money come through the Community Development Funds and at this writing, I am awaiting word from the Planning Dept. as to the decision of the people in Philadelphia. Also tied in this discussion was the repair of windows and dramework of windows broken as the result of an explosion a year ago. 14. SCA - Ltr from Wm. Cheney stating that SCA is picking up material that they-really should not be doing but are doing so only to accommodate us. I have laid down the law to the operators of the open truck and have not heard any more complaints. 15. SCA - Ltr from Wm. Cheney citing some poor and negligent operations at our station and stating some additions that must be done (they have been done) . He notes that the fellows are riding up over the curbing at the discharge point and feels this is dangerous. I have put a stop to this. I had not been aware that it wasbeing done. I have gone along with SCA with alterations re configuration of the .compa.ctor so there would be less spillage in back of the trailers. This will be enhanced when the men gain a little more expertise in the operation of the compactor. The cost of these changes in configuration will be absorbed by Tri-pak Company who has guaranteed 29" trust into the trailer, near the front end loader. . The Mayor's office has helped me to borrow a front end loader which we are using. I doubt we will need to continue using this piece of equipment, but before making a firm recommendatio we will observe the operation further. The last paragraph of his letter refers to the reluctance of our people to perform some of the work. He advises greater motivation. I will discuss this with the Board at the meeting and will discuss with the Mayor on the loth of November 1975. • I f i i ' Dr. Israel Kaplan Page 4 194 Lafayette St. Agenda Salem, Mass. 01970 Board of Health Meeting 11/18/75 Meeting 16. SCA (continued) Ltr. from Wm. Cheney He recommends that we acquire a front end loader with a back hoe attachment. I have acquired one from the Street Department. I am concerned, however, with our men and rather than delineate my problems here, I will discuss at the meeting, at which time I will offer you a full discussion of our problems. We are having problems but we will overcome .them. 'OLD : BUSINESS: I have asked Leo Hurley to attend this meeting for whatever discussion you would like to have with him. DISCUSSION - advising the Council we do not approve a dumpster location. NEW BUSINESS: Attached are copies of unfinished work over and above the things mentioned in Mr. Fitzgerald's letter to Dr. Shaughnessey. I Very truly yours, FOR THE BOARD OF HEALTH t� '4 JOHN J. TOOMEY, D.P.M. HEALTH AGENT JJT/g enclosures. cc: Members of Board of Health tl DR. ISRAEL KAP ' LI EALTH CENTER � E ISRAEL KAPLAN. M. D. JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD November 17, 1975 HEALTH'AGENT J. ROBERT SHAUGHNESSY. M. D. (617) 745-9000 ROBERT BLENKHORN M. MARCIA COUNTIE. R. N. MILDRED C. MOULTON. R. N. EFFIE MACDONALD ADDENDA TO AGENDA OF NOVEMBER 18, 1975 BOARD'OF 'HEALTH MEETING 1. Copy of AGREEMENT between City of Salem and BASS RIVER DAY ACTIVITY PROGRAM, INC. • 2. ELDER AFFAIRS - Progress Report for October 1975. 3. COMMUNITY HEALTH SERVICES - Fall Schedule 4: DISCUSSION - FISCAL YEAR 77 BUDGET. 5. Schedule of Board Meetings for 1976. FOR T E B0 HEALTH � �c JOHN J. TOOMEY, D.P.M. HEALTH AGENT JJT/g enclosures v 9 0y BOARD,--OF-HEALTH, Off:,Jefrerson.Avenue Salem; ivlassachpsetts.01970 .ISRAEL KAPLAN. M. D. JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD HEALTH"AGENT J. ROBERT SHAUGHNESSY. M. D. December 1, 1975 (617) 745-9000 r ROBERT BLENKHORN M. MARCIA COUNTIE. R. N. MILDRED C. MOULTOJd. R. N. EFFIE MAcDONALD - - - Dr. Israel Kaplan Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: There will be a regular meeting of the Board of Health on Tuesday, December 9, . 1975, at the Dr. Kaplan Public Health Center; Jefferson Ave. , at 5:00 PM. AGENDA 1. Reading of the Minutes of the Previous Meeting. COMMUNICATIONS: 1. Council Order dated November 13, 1975 appropriating the sum of $6,000 from the Surplus Revenue Account to the Board of Health Expense Account - Tri-City Waste Study in accordance with the recommendation of His Honor, the Mayor. 2. Ltr from J. Pillsbury, Project Engineer, C.E. Maguire, Inc. attaching 3 copies of DeIulis Bros. Construction Co. Requisition for Payment No. 2 for construction costs incurred between Sept. 25 and Nov. 10, 1975 at the Transfer Station. (The requisition is in the sum of $72,735.80) C.E. Maguire has reviewed and approved the same and is asking for our approval of the same. 3. PERSONNEL Communication from Dr. Toomey to Civil Service for establishment of a position for a 'special heavy motor. equipment operato� •within the department. Dr. Toomey has chosen Joseph Gallo for this position. He would like confirmation from the Board. Dr. Israel Kaplan Agenda Chairman, Board of Health Board of Health 194 Lafayette Street Meeting 12/9/75 Salem, Massachusetts 01970 Page 2 COMMUNICATIONS (continued) 4. L_tr, from Dr. Toomey to Parker Brothers asking their cooperation in disposing of cardboard from their plant OLD BUSINESS: Job descriptions of all personnel in the Labor Section of Health Department SOLID WASTE • Levels of completion of the Transfer Station Erection of a fence Personnel Changes FOR THE BOARD OF HEALTH JOHN J. TOOMEY, D.P.M. HEALTH AGENT JJT/g enclosures cc: All Board of Health Members DR. ISRAEL �EAI,TH CENTER B' 'ARIA P' CEAI:} l t Off Jeffer'sbvet>'uek:' Salem•Ivfassachusetts',�01,970 ISRAEL KAPLAN. M. D. Y- 9Y� JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD - HEALTH'AGENT J. ROBERT SHAUGHNESSY. M. D. January 6, 1976 - - (617) 748-9000 ROBERT BLENKNORN M. MARCIA COUNTIE. R. N. MILDRED C. MOULTON. R. N. EFFIE MACDONALD Copies to all Board Members Dr. Israel Kaplan Chairman, Board of Health 194 Lafayette St. Salem, Mass. 01970 Dear Dr. Kaplan: . There will be a regular meeting of the Board of Health on Tuesday, January 13, 1976 at the Dr. Kaplan Public Health Center, Jefferson Ave. , at 5:00 PM. e • AGENDA Reading of the Minutes of the Previous Meeting. COI,*fl NII CATIONS: Council Order dated 12/,11/75 'that the sum of Five Thousand Five Hundred Eighty-Six Dollars and Three Cents($5,586.03) be and the same is hereby transferred from the "Solid Waste - Collection - Salaries" Account to the "Street-Salaries" Account in accordance with the recommendation of His Honor the Mayor',. OLD BISINESS Status of the completion of the furniture and equipment of the Health Department. Reportersonnel by/ Dr. Kaplan and J e�ph. Richard, NEW BUSINESS: Discussion of method of control of solid waste disposed of at the in- cinerator and consideration of a fee system for dumping by certain firms and individuals. Organization of-Board for the year 1976 - Choosing a Chairman and Clerk. FOR �, BO RD,10F HEALTH e*, ESL JOHN J. TOON 1, P.M. HEALTH AGENT DR, ISR.AEL KA.PLAANT PJ IC SALT H CENTER Bf)AR -OF HE.A.LTH f - Off.,-Jefferson-AvenuP Salem;°Massachusetts 01970 A - .,q4 ISRAEL KAPLAN. M. D. - - - """'"� >' JOt-iN J. TOOPvtEY, D. P. M. JOSEPH R. RICHARD - " - HEALTH'AGENT J. ROBERT SHAUGHNESSY. M. D. February 3, 1976 (617) 745.9000 " ROBERT BLENKHORN M. MARCIA COUNTIE. R. N. MILORED C. MOULTON, R. IJ, EFFIE MAcDONALD Dr. Israel Kaplan, M.D. Chairman, Board of Health 194 Lafayette St. Salem, Massachusetts 01970 Dear Dr. Kaplan: • There will be a regular meeting of the Salem Board of Health on Tuesday, February 10, 1976 at 5:00 PM at the Dr. Kaplan-'-Public Health Center, Off Jefferson Ave. , Salem, Mass. AGENDA 1. City Council Order 12/11/75 appropriat ing the sum of $688.00 from 'Surplus Revenue' account to 'Health -Community Salaries' . 2. Ltr from Eastern Contract Disposal (SCA) relative to problems encountered at Transfer Station 3. Memo from City Auditor, Charles T. Passales payment of Health Dept. bills by the Board of Health - 4. Polish Club, 22 Kosciusko St. Salem, Mass. Suit in Equity 5. Michaud Bus Company- Schedule to Dr. Shaughnessy Hospital 6. Civil Service Commission List - Milk & Sanitary Inspector OLD BUSINESS Report of Sub-committee on Solid Waste. -1- Dr. Israel Kaplan, M.D. Agenda for 194 Lafayette St. February 10, 1976 Meeting Salem, Mass. 01970 Page 2 -2- OLD BUSINESS 1(concinued) Salary Re: Robert Allison, Coordinator Elder Affairs NEW BUSINESS License Renewal - Bertram Home for Aged Men • Position ,Description - Health Agent FOR THE BOARD OF HEALTH J OHN J. TOOMEY, D.P.M. HEALTH AGENT JJT/g enclosures DR. ISIRAEL KAPLAN PUBLIC"','HEALTH CENTER BOARD OF JHEAtTH k Uff.,:Jefferson:,�venuC ,;° Sal ssachus"fts 01970 ISRAEL KAPLAN, M. D. }, �" JOHN J. TOOMEY, D. P. M. " JOSEPH R. RICHARD - - HEALTH'AGENT J. ROBERT SHAUGHNESSY. M. D. - - (677) 745-9000 ROBERT BLENXHORN March 2, 1976 - M. MARCIA COUNTIE. R. N. - - MILDRED C. MOULTON. R. N. EFFIE MAcDONALD Dr. Israel Kaplan Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: There will be a regular meeting of the. Board of Health on Tuesday, March 9, 1976 at 5:00 PM at the Dr. Kaplan Public Health Center; Off Jefferson Avenue in Salem, Massachusetts. AGENDA Reading of the Minutes of the Previous Meeting. COMMUNICATIONS: 1. Ltr from Mass Dept. Public Health dtd 2/9/76 recommended immunization procedures. 2. Ltr from Conservation Commission to Mayor Levesque delineating some of the pluses of their clean-up campaign. 3. Ltr from CETA 2/10/76 notifying us�that Leo Hurley will be terminated as a CETA employee as of April 2, 1976. 4. Ltr to Mayor Levesque and George Atkins, III, President of City Council notifying him of the recommendations of the Board of Health relative to Solid Waste changes. 5. Ltr & Resume from Thomas Coffill Ltr requesting Stanley Bornstein to attend next meeting. -1- Dr. Israel Kaplan Agenda Chairman, Salem Board of Health Board of Health 194 Lafayette St, Meeting 3/9/76 Salem, Mass. 01970 • C011WNICATIONS (continued) 6. Ltr from Project RAP requesting their monthly payment of $1144.41. 7. Ltr from Bass River Day Activity Program, Inc. requesting payment for February in the amount of $250.00 per contract. 8. Ltr from John J. Toomey, Health Agent to SCA Disposal Services relative to complaints regarding sloppy handling of rubbish and containers. 9. Ltr from J.D. Pillsbury, C.E. Maguire, Inc. to Dr. Toomey regarding cleaning of the existing electrical service panel requested by the City Electrician, John Condon. Ltr from Delulis Bros explaining work program and price breakdown Ltr from Dr. Toomey to C.E. Maguire, Inc. giving permission -to go ahead with this work. 10. Ltr from John D. Pillsbury of C.E. Maguire to Dr. Toomey regarding several changes, as well as a request for payment #3 from Delulis . Brothers Construction Company. Please note that in letter dated 2/6/76 from Delulis that the total cost of work to be done would be $2,101.00. Per agreement between Dr. Toomey and ' Delulis Brothers; the amount was corrected to read $2,010.00. 11. Ltr to Messrs Audesse, Collins and Bramble Re: Hawthorne Motor Hotel reviewing of specifications to be added by them before they open the hotel. . 12. Ltr to Councillor Peter P. Boulay Re: Cleanup Process on Broadway 13. Ltr to Dr. Toomey from A.F. Beauregard, Supt. of Streets and Sewers complaints against SCA personnel. OLD BUSINESS 22 Kosciusko St. - Polish Club Court against the Board of Health. - Mr. Colin Cameron appeared for the Board. Mr. Crosby owner of the Polish Club is seeking an Interlocutory Decree on a preliminary Injunction. Mr. Cameron testified in behalf of the Board and Peter Merry was present as the attorney for the Board. Judge Lappin denied the motion of the plaintiff Crosby. -2- i Dr. Israel Kaplan Agenda *Chairman, Salem Board of Health Board of Health 194 Lafayette Street. Meeting 3/9/76 Salem, Mass. 01970 OLD BUSINESS (continued) 22 Kosciusko St - Polish Club Letter was sent to the Health Agent Dr. Toomey to appear in court again. On February 28, 1976, Dr. Toomey was subpoenaed into court again. This was the Probate Court and Mr. Crosby was seeking to have the ruling of Judge Lappin, in the previous action, set aside and the Judge refused to do this. Mr. Crosby claimed we did not give him proper notification. The Judge did not agree. The Judge, did however, agree to give Mr. Crosby 14 days' extension. Dr. Toomey thinks more litigation is in the offing. INGEMI DUMP Dr. Toomey has forwarded all of the pertinent information and material . to Mr: Tinti as requested by the Board. Mr. Tinti is reviewing this material at the present time. ROBERT E. ALLISON, - SALARY REQUEST Discussion of Salary Request by Mr. Allison who is the Coordinator of Elder Affairs. REPORTS Revised Report of Bertram Home for Aged. Men John J. Toomey, D.P.M. Health Agent *T/g encls: cc: all Bd. members -3- hj Y BOARD''OF:- EALTH Off;Jefferson yenue Salem'.Ivtassachusetts 01970 r ISRAEL KAPLAN. M. D. _ JOHN J. TOOMEY, D. P. M. JOSEPH.R. RICHARD - HEALTH AGENT J. ROaERT SHAUGHNESSY. M. D. - March 3, 1976 - - - (617) 745-8000 ' .- ROSERT BLENKHORN M. MARClA COUNTI€. R. N. . MILDRED C. MOULTON. R. N. EFFIZ MAcDONALD ADDENDA TO AGENDA OF MARCH 9, 1976 BOARD OF HEALTH MEETING 1. PROGRESS REPORT OF MILK & SANITARY INSPECTOR PROGRESS REPORT ON THE APPEAL 2. PROGRESS REPORT OF SUB-COMMITTEE OF THE BOARD OF HEALTH WHO VISITED THE TRANSFER STATION AND ALSO WHO WAS PRESENT. 3. PROGRESS REPORT ON DENTAL PROGRAM PROGRESS REPORT ON DENTAL HYGIENIST 4. REPORT ON TIME CHANGE OF MEETINGS FROM 5:00 to 6:00 PM. FOR THE BOARD OF HEALTH J011UN J. T,----- ' 3.P.M. HEALTH AGENT 4 JJT/g � . g RA I, AI�1 A-IF T V B EAALT H CENTER R- I S BOARD.OF H-EALTH- ? 2,� Off.:Jefferson Avenue�j y Salem,Massachusetts 019.70 ISRAEL KAPLAN, M. D. - JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD HEALTH AGENT J.ROBERT SHAUGHNESSY, M. D. April 1, 1976 (617) 745-9000 ROBERTBLENKHORN If M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON, R. N. EFFIE MACDONALD f Dr, Israel Kaplan 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: • There will be a regular meeting of .the Board of Health on Tuesday, April 13, 1976 at 6:00 PM at the Dr. Kaplan Public Health Center, Off Jefferson Avenue, Salem, Mass. AGENDA COMMUNICATIONS:' 1. Ltr Helen Coughlin to Dr. Toomey - Re Finance Committee Meeting 3/23/76 requesting his attendance to discuss status of former Health Dept. employees. 2. Ltr Chief J.F. Brennan, Salem Fire Department. Re: 22 Kosciusko St .informing Dr. .Toomey of an inspection that had been made at that property and stating that in his opinion this property does not constitute a fire hazard. 3. Ltr Atty. Richard Farley representing W.David Crosby, Owner 22 Kosciusko St. stating that Mr. Crosby cannot convert his building into a single family residence at this time, but that he is willing and able to convert it to whatever use is legally allowed and asking that demolition be delayed at this time. 4. Ltr to Atty. Farley from Dr. Toomey informing him that this matter will be taken up at the next Board meeting on April 13, 19 76. 5. Ltr from Fred Boss to Dr. Toomey Re: ITT Contract attaching bills for work done over and above contract. -I- • Dr. Israel Kaplan Agenda 194 Lafayette St. April 13, 1976 Salem, Mass. 01970 Board of Health -2- 6. Ltr from Atty. Coughlin Re: Beef & Oyster House restaurant Atty. Coughlin is representing Wendy Coughlin, Judith Malin and Bruce- Dimm in their suit against the restaurant. He asks that the Board of Health forward the results of their investigation, the conclusions and a copy of their records to his office. - 7. Ltr to Atty. Coughlin from. Dr. Toomey i advising him that this matter will be taken up .at the next Board meeting on April 13, 1976. k 8. Ltr to Arthur Ingemi - Inspection at Beef & Oyster House restaurant k informing him of the findings at this inspection. , 9. Ltr to Wilfred Shrigley,. III - In a Pigts Eye restaurant asking that he take corrective measures at the restaurant. 10. Ltr to M. Ottwy, Civil Service enclosing Certification and Report Form 16 and reitering his request of March 10, 1976 that a new list be forwarded by Civil Service and request that Peter Grady isprovisional appointment be extended until an appointment can be made from the new list. OLD BUSINESS Ingemi Dump In conjunction with,the Conservation Commission, we have hired the firm of.Skinner and Sherman to .do chemical, .biological and other testing for evaluation of the dump and its.material. Appointment of Milk & Sanitary Inspector dependent upon return of papers from Civil Service. NEW BUSINESS Push Cart Vendors -2- Dr. Israel Kaplan Agenda 194 Lafayette St. April 13, 1976 Salem, Mass. 01970 Board of Health -3- REPORT ON DENTAL:PROGRAM SOLID WASTE TRANSFER STATION I. The contractor (SCA) has again complained to the Mayor about the lack on tonnage in the trailer boxes and has documented a number of occasions where the loads hav- been as low as 8 - 10 - 12 or 13 tons. They normally , should be 20 tons. We are working on this with our engineer. 2. The Planning Department is already, and we have spoken with Delulis Bros. firm to fix--the windows, etc. on.the front of the building and to construct the fence. We have some more discussions to engage in relative to the of the bank and sowing it with seed and possibly throwing seed and loam on -top of the domed pile at the .Weigh Scale so.that we could have an all grass plot. 3. Brief Report by Dr. Toomey as a follow up on the last inspection with Mrs. Moulton, Joseph Richard and Bob Blenkhorn. 4. Question of implementation of 4-day collection, - recommendations to Mayor and Council - any reports? REPORT ON CLEAN UP AT BROADWAY FOR THE BOARD OF HEALTH ?J1 Q8e JOHN J. TOOMEY, D.P.M. Health Agent JJT/g encls. 4K H, � r DR. ISRAEL KAP'1 A4L 1 PV�.'B'L�"11C,'HEALTH CENTER BOARD OF HEALTH. '�'� Off,Jeffersom.,Avenue °� ; Salezn;Massachusetts 019,70 ISRAEL KAPLAN, M. D. ' ,;. JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD HEALTH AGENT J. ROBERT SHAUGHNESSY, M, D. May 5, 1976 (617) 745-9000 ROBERT BLENKHORN ..M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON, R. N. - - EFFIE MACDONALD Dr. Israel Kaplan 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: -` • There will be a regular meeting of the Board of Health on Tuesday, May 11, 1976 at 6:00 PM at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem. AGENDA COICATIONS: 1. Ltr to Councillor Jean Marie Rochna providing information relative to pushcarts. 2. Bass River Activity Program, Inc. a. Ltr and request for renewal of the $3000 funding. b. Report of Mrs. Joanne Josephs after tour of facility. 3. Ltr from Dr. Klein, Commonwealth of Mass. Dept. of Public Health in which he notes that we are doing an outstanding job in our Lead Poisoning Prevention Program, citing especially Mrs. Bradley who leads the Program. 4. Ltr to Atty. Coughlin Re: Beef & Oyster House Restaurant referring him to City Solicitor Tinti regarding any information or records he requests. 5. Ltr to Arthur Ingemi, Manager Beef & Oyster House Restaurant asking that he appear at the Board of Health meeting of May 11, 1976 and give a review of his operation at the restaurant. 6. Ltr from Thos McMahon, Director of Commonwealth of Mass. Water 'Resources Commission in which he states the allowed flow or gallons per day of sewage in certain -1- n To Dr. Israel Kaplan Page 2 194 Lafayette St. Agenda Salem, Mass. 01970 May 11, 1976 Board of Health 21eeting i 6. Ltr from Thomas McMahon (continued) sewerage lines in the city. 7. Ltr to Skinner & Sherman, Inc. Re: Ingemi Dump off Highland Ave. granting permission to do research and analysis at this location. 8. Memo #76-12 from Commonwealth of Mass. Re: Veterans' Preference Veterans' Preference is in effect - out. Any appointments made after March 29, 1976 from the eligible list which reflects veterans' preference will not be approved. Any appointments by the appointing authority prior to March 29, 1976 will be approved. 9. Ltr from Civil Service Re: Judith A. Teague allowing provisional appointment of Mrs. Teague as Vision and Hearing Tester. for Salem Health Department from May 11, 1976, pending the establishment of an eligible list. 10. Ltr from Frank Delulis responding to my request to. evaluate damage done to our control booah at the Transfer Station by an SCA truck. He said in his letter repairing visible damage is $480.00. I have talked with him regarding a more complete report but he assures me that this amount will cover all of the damage done. I was concerned about pipes. • 11. Ltr from Planning Board to Atty. George Vallis Re: Pickman Park Subdivision . stating there is a lot of corrective action to.b e taken before May 27, 1976 which was the 6 months' extension period. He said he has not received any response to several communications and therefore cannot risk approval of the Subdivision by default. While we have a copy of this letter, we do not have copies of .any communications. 12. Ltr to Dr. Ryan Re: Dental Clinic asking that he attend the May 11, 1976 meeting to discuss the Program with the Board members. OLD BUSINESS: Milk & Sanitary Inspector We have been in communication with Mrs. Ottway of Civil Service, and she informs us that because of the ruling regarding Veterans' Preference, all lists will be held in abeyance until they can be redone. She told us we could continue to employ Peter Grady provisionally until a list is established and an appointment made. Dental Report Mrs. Josephs is still following up and doing an indepth study of the Dental Section of this department. This survey,--among other things is to try to determine how many children fall into that category of people not covered by medicaid or other govern- mental agencies who are dentally indigent and must be taken care of by our depart- ment. We have averaged about 550 patient visits at the dental clinic the last 2 years which averages more or less to about 10 patients for Dr. Ryan's visiting day. -2- To Dr. Israel Kaplan Page 3 194 Lafayette St. Agenda Salem, Mass. 01970 May 11, 1976 Board of Health Meeting OLD BUSINESS (continued) 22 Kosciusko St. Salem (Polish Club.) After the hearing given to Mr. David Crosby, owner of 22 Kosciusko St.at the last meeting of the Board of Health, I was notified the following week to appear in Superior Court in Salem. Mr. Crosby has a new attorney who questions the reasons and methods of the Board of Health in condemning this property. My observation was that the Judge was very much reluctant in entertaining any new . discussions. He did, however, agree that within ten days he would name a'Master' to hear both sides and make a decision within two months. Meantime, Mr. Crosby is about to cover the outside with new siding, put shutters on the windows and has applied for a permit to do electrical work inside the building. He understands that if the case goes against him, this. is lost work. While writing this, members of the Board are being summoned to appear Friday, May 7, 1976 in the Superior Court at Salem to defend their position regarding : this property. _ SOLID WASTE I have discussed with the Planning Departmentwho are going to put up the fence in the back of the Moose section. We are also going to have the contractor plant grass on that area immediately behind the weigh scale and between the fence and . the road in front of the weigh scale. I have also suggested to the Planning Dept. and Mr. DeIulis the possibility of putting a drain along the bottom of the large depression on the end of the dump adjacent to the property of Burke Construction. This could be utilized for solid fill eventually making an excellent area to be build upon.. I have received the'go ahead' from the Mayor to present to the Council a recommendation and an ordinance to establish a fee for dumping at the Transfer Station. As agreed upon and determined, our figures are $18.79 per ton. Apropos of this, there will be a meeting of the City Council on Thursday, May 13, 1976 at 8:00 PM in which this will be discussed. I have gone over all of these projects on site with Joseph Richard and David Lash of the Planning Department so that the Board gets a firm picture of some of the difficulties. I have asked City Engineer Tony Fletcher, Paul Willis of the Conservation Commission and David Lash of the Planning Dept. and the President of the Moose Lodge to appear at this meeting for discussion of the final work to be done in this area. -3- To Dr. Israel Kaplan Page 4 19.4 Lafayette St. Agenda Salem, Mass. 01970 May 11, 1976 Board of Health Meeting NEW BUSINESS The Lab at the Health Department has been completed and is in operation. We are very pleased with this Lab and would'invite all members to come into the department to see it. k s i r FOR THE BOARD OF HEALTH E38C` - JOHN J. TOOMEY, D.P.M. HEALTH AGENT JJT/g i enclosures cc: Councillors Rochna, Nowak, Bouley, Swiniuch, Saraceno and Martineau DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER B®ARD OF' HEALTH Off Jefferson Avenue Salern, Massachusetts 01.970 ISRAEL KAPLAN, M. D. JOHN J, TOOMEY, D. P. M. JOSE'PH R. RICHARD HEALTH AGENT J. ROBERT SHAUGHNESSY, M. D, May 28, 1976 (617) 745-9000 ROBERT BLENKHORN. - M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON, R. N. EFFIE MAC DONALD a Dr. Israel Kaplan Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: • There will be a regular meeting of .the Board of Health on Tuesday, June 8, 1976 at 5:00 PM at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem, 'Kass. AGENDA - COMMUNICATIONS: 1. . Order of City Council - Transferring Monies 1. $3000 from Div. of Environmental Health Expense account to Div. of Solid Waste Disposal Expense account. 2. $2500 from Div. of Community Health Salaries account to Division of Solid Waste Salaries account. 3. $1176.90 from Div. of Environmental Health Expense account to Div. of Environmental Health Salaries account. 2. Ltr from Wm. J. Tinti, City Solicitor - Re: John Baffa Contract advising if Phase I was completed and if additional preliminary work was actually performed by Mr. Baffa, the City must make the payment of $3,595.02. -1- To: Dr. Israel Kaplan Agenda for Board Meeting Chairman, Board of Health June 8, 1976 194 Lafayette Street Page 2 Salem, Mass. 01970 I • COMMUNICATIONS (continued) 3. Ltr from Wm. D. Cox Div. of Personnel Administration- Civil Service Re: Peter B. Grady advising that authority is given for the provisional employment of Peter B. Grady, Milk and Sanitary Inspector, from February 9, 1976 to June 1, 1976. 4. Ltr from Dept Public Health Re: Diptheria & Tetanus Toxoids, Absorbed advising that this vaccine is being ordered at a rate greater than expected considering the relative rarity of circumstances in which it is the immunizing agent of choice. They advise also that two other products are preferable for routine immunizations - 1. Diptheria & Tetanus Toxoids Absorbed (for adult use) for children age 6 and under and 2. Tetanus & Diptheria Toxoids Absorbed (for adult use) for persons aged 7 and over. 5. _Ltr from Dept. Public Health Re: Certain Premature Infants stating that the Department has funds available for reimbursement to cities and towns for expenses incurred in connection with hospital care of certain premature infants born to wed mothers, from 7/l/75. to 6/30/76. 6. Ltr from Dept. of Environmental Quality Engineering, relative to approval of Acquisition of Lands in Topsfield and Danvers for • reservoirs. 7. Copy of Stipulation filed in Essex County-Superior Court Re: W.David Crosby Vs John J. Toomey, et al Re: 22 Kosciusko St. , Salem, Mass. g p aintiff (Mr Crosby) has begun work on the above building as described in Cer b -'stating that-. ltificate of A ro riatenessr,issued_by Salem Historical , . Commission and Building Permit issued on May 3, 197b. _ 8. Ordinance To Amend Ordinance on Transient Vendors Hawkers and Peddlers_ Amending.Section 30-27 (Renewal. of Licenses) by adding any license issued shall be valid for a period of one year from the date of issuance 'for the term of said year. Amending Section 30-28 (Limitation of. Number of Licenses) by adding there shall be no more than one license for each 2000 inhabitants of the City of Salem. 9. Report on Catch-basin - Beef & Oyster House Restaurant Mr. Beauregard Sup't of Streets and Sewers states that the catch basin was cleaned out and that a great amount of grease and food scraps were found. 10. Correspondence Re: Violations of Fire Control at the Transfer Station 11. Notice by Conservation Commission of Wetlands Hearin - June 2, 1976 8:00 PM - 1 Salem Green, 3rd Floor Re: Filling area in Beverly Harbor off Bridge St. lot ' ftespdu;/fIlliAg Pt vo*$* .pr"roo To: Dr. Israel Kaplan .Agenda for Board Meeting Chairman, Board of Health June 8, 1976 194 Lafayette Street Page 3 Salem, .Mass. 01970 • REPORTS 1. ADMINISTRATION a. We have notified Dr. Lager of salary cut in Budget. b. Booklet sent you (Organizational Outline) will be revised as time goes on and needed changes dictate. c. Clerk of Board and Vision & Hearing Tester Board should consider these items. Dr. Toomey has spoken with the Mayor. Perhaps a letter from the Board might help. 2. COILMUNITY HEALTH (See Reports attached) a. LEAD PAINT PROGRAM Suggested Educational Program J©anne Crawley to handle publicity and suggest that include newspapers and panel discussions with Dr. Kline, Dr. Needleman, Judge Zoll, a representative banker and a realtor. .Program Presently 2 Clinics per month. Bloods on children age 1 thru 6. Bloods go to State Lab. Results by 3 days. High leads immediately usually by phone then in writing. Positive .child re-tested. Home visits .made for educational purposes to mothers'by:nurses _,... _-. Environmental,Health .Section';input Examane .house for lead;'. send necessary legal notices to the landlord or. owner to.:de=lead premises. Child's pediatrician- follows up and forwards info.to us. Most _ and ediatricans are `loin the testin as art :af physicians- P g . routine physicals. Future Systems: Grants Changes to program b. DENTAL PROGRAM (See Reports attached) Preliminary Recommendations. Clinic New chair and equipment complete Refurbishing of old equipment Clinic at Dr. Ryan's Offices Clinic at our offices Note; I have spoken with Dr. Ryan and Les Harris of Cummings Dental Company. Charge for moving other dental chair from Broad St, to Shaughnessy Hospital would be $20.00 per hour per man. It will take 2 possibly 3 men. . ($20.00 per hour for 2 men x 8 hours = $320.00) ($20.00 per hour for 3 men x 8 hours = $480.00) It was estimated it will take 8 hours to complete the work, To. -Dr. Israel Kaplan Agenda for Board Meeting • Chairman, Board of Health June 8, 1976 194 Lafayette Street Page 4 Salem, Mass. 01970 2. COMMUNITY HEALTH B. DENTAL PROGRAM (continued) This price does not include the plumber who -must stand by. -Mr. Harris will get back to me on a quote and a time in obtaining a footrest which is made by Ritter Equipment Co. and which converts quickly and easily to a combination to include podiatry. Podiatry cabinet could be repaired and retained. For additional info (see attached) Program - Broadly Statistics---School and Welfare Dept. Projected Recommendations --- subject to change Dental Education Screening 3. ENVIRONMENTAL HEALTH a: -Transfer Station- - City Engineer and.:P lanning Department Re• ; Embankment - Have instructed Moose to erect a fence or some other protection to prevent...,dumping.H Have conferred with Fire & Electrical. Depts. .. -At this writingfence is going - , g g up. Cover is- oing on. Area on- 9 -- old fill is being covered in front and back of Weigh Scale. (See correspondence from Fire Dept.relative to Fire Control Equip.) b. 4-Day Collection of Rubbish Still in-escrow. Suggested to Mayor Levesque starter date of July. 1, 1976. Lead time is necessary to publish new regulations and list of streets. c. Ingemi Dumb d. 22 Kosciusko Street Salem, Mass. Owner has almost completed shingling the property. It looks good. e. PUSHCARTS Resolution Copy of Ordinance A ,w • To: Dr. Israel Kaplan Agenda for Board Meeting • Chairman, Board of Health June 8, 1976 194 Lafayette Street Pag Salem, Mass. 01970 3. ENVIRONMENTAL HEALTH (See Reports attached) f. Follow-up at Beef & Oyster House Restaurant FOR THE BOARD OF HEALTH J?NJ. TOOMEY, .P.M. HEALTH AGENT JJT/g encls. cc: Councillors Bouley, Martineau, Nowak, Rochna, Saraceno and Swiniuch BOARD OF HEALTI .:"- Off,Jefferson Avenue. Salem, Massachusetts.01970 ISRAEL KAPLAN, M. D. JOHN J. TOOM'EY, D. P. M. JOSEPH R. RICHARD HEALTH AGENT J. ROBERT SHAUGHNESSY, M. D. (617) 745-9000 ROBERT-BLENKHORN July 7, 1976 M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON, R. N. EFFIE MAC DONALD Dr. Israel Kaplan Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts 01970 • Dear Dr. Kaplan: There will be a regular meeting of the Board of Health on Tuesday, July 13, 1976 at 5:00 PM at the. Dr. Israel Kaplan Public. Health Center, Off Jefferson Avenue in Salem, Massachusetts. AGENDA COMMUNICATIONS: 1. Ltr from J. Fitzgerald to Fred Boss 6/25/76 which delineates the refurbishing of the Health Agent's office a conference table $353.00 and a bookshelf $281.00. . 2. Ltr to Martin W. Fair from Dr. Toomey 6/18/76 notifying him that the Board of Health has chosen him as Milk & . Sanitary Inspector for the Salem Health Department. 3. Ltr to Candidates — Milk & Sanitary Inspector from Dr. Toomey expressing the Board members' thanks and appreciation for their interest in the position. Ltr from Richard L. Licari (candidate) thanking the Board-members for their efforts in his behalf. Dr. Is r•ael Kaplan Agenda Chairman, Board of Health Board Meeting/13/76 134 LaLziyette St. Page 2 Salem, N-F.sachusetts 01970 CC'.*U`IICATIONS (continued) 4. Civil Service Notification approving the choice of the Board of Health in the appointment of Martin W. 'Fair as Milk & Sanitary Inspector for the Health Department. 5. Ltr from Health Agent Toomey to City Council delineating suggestions of the Motion passed by the Board of Health at their last meeting (June 8, 1976) 6. Salem Willows Merchants Assoc. Inc.ltr from Licensing Board stating that licensing of pushcart vendors is not within authority of Licensing Board. 7. Ordinance - City Council coppy of Ordinance as amended which deals with transient vendors, hawkers and peddlers Ordinance establishing of an ordinance which states that the Health Department may charge the sum of $18.75 per ton delivery of solid waste to.the Solid Waste Transfer Station. 8. Legislative Committee Report - Mass Health Council, Inc. I thought you might find this informative 9. Ltr Irene McManus Comm. of Mass Dept. Public Health notifying that the Henley Nursing Home, Salem Manor Nursing Home and Melanee Nursing Homes were closed on June 7, 1976. 10. Ltr to Mayor Levesque Re: Vision & Hearing Tester Funding ltr from Dr. Kaplan stating that the Vision & Hearing Tester is vital and that monies be returned to the Health Department Budget for this position. 11. Ltr to Mrs. Frisch Re: Conditions at 52 to 60 Dow Street, Salem requesting that she attend the July 13, 1976 meeting relative to these dwellings. Dr. uIsrael Kaplan Agenda Chairman, Board of Health Board Meeting 7/13/76 194 Lafayette St. Page 3 Salem, Massachusetts 01970 • COcDTWICATIONS (continued) 12. Grievance Filed by Timothy Flynn Working Foreman Dump Caretaker at tj�e Transfer Station. Ltr from T. Walsh, Dir. of Personnel to D. Cook,.Pres. Local #1818 in reply to the above grievance. COMMUNITY HEALTH: LEAD PAINT POISONING PROGRAM Enclosed is program outline,of Seminar which will be held at Sales High School Auditorium on September 15, 1976 at 7:00 PM. Some very interesting names here. I think Mrs. Crawley is doing an outstand- ingly good job in putting this together. SWINE FLU VACCINE The situation is in a state of flux at this writing. More at the next meeting. We will, however, keep you informed between meetings. ENVTRONMENTAL, HEALTH REPORT FRISCH MULTIPLE DWELLINGS 52 to 60 DOW ST. , SALEM Have invited Mrs. Frisch to attend this meeting relative to continued problems at these dwellings. PUSHCARTS Mr. Perlman's cart has been inspected. A permit has been issued to him. RODENT CONTROL A lot of activity. SOLID WASTE REPORT FOREMAN'S POSITION The foreman has retired. We should have discussion on the type of individual and method of selecting a successor. No outstanding problems. I suggested that we; split the crews so that we have coverage from 7:00 AM until 5:00 PM. Also, we would like to assign one individual to work one week that starts Tuesday and runs thru Saturday. f Dr. Israel Kaplan Agenda Chairman, Board of Health Board Meeting'1/13/75 194 Lafayette St. page 4 Salem, Massachusetts 01970 SOLID WASTE REPORT: (continued) We have a grievance before us which deals essentially with the fact that ou-r people feel that someone should be called in for 4 hours on Sunday morning at the Transfer Station to open and close the doors for the Park Department rubbish trucks. The Park Department has trucks that circulate at the Willows and Forest River Park on weekends and pick up all the rubbish. This has been accomplished on Sunday morning early and they previously had a key . which allowed them to open the doors of the pit and dump in. The Mayor feels that this practice should be continued as he is against giving any more overtime. I feel we should discuss this, of course, in a formal hearing - Tom Walsh and l and delegates from the. Union. Before vacation made some preliminary excursions to starting a recycling program in Salem. This would have the positive results of reducing our tonnage at the Transfer Station and possibly giving us some more revenue from the recycling people. - FOR THE BOARD OF HEALTH HN J. TOOME D.T.M. HEALTH AGENT JJT/g encls. • DR. ISRA.EL KA P AAN PUBLIC;HEA LTH CENTER ,,,,,,,.BOARD OF HEALTH , 5 Off_Jefferson Avenue `Salem';Massachusetts 01970 t ISRAEL KAPLAN, M..D. ` ' „ JOHN J.TOOMEY,.D. P. M. JOSEPH R. RICHARD HEALTH AGENT J. ROBERT SHAUGHNESSY, M. D. (617)7"45-9000 August]$, 1976 ROflERTBLENKHORN ' ._ M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON, R. N. '- EFFIE MAC DONALD Dr. Israel Kaplan Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: There will -be a regular meeting ,of the Board of .Health on Tuesday, August 24,. 1976, at 5:00. PM.at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem, Massachusetts. AGENDA 1. Ltr from Civil Service Re: Veterans' Preference notifying that .Veterans' Preference on Mass. Civil Service Examinations has been -reinstated and that the .new Statute will apply only to open examinations and not promotional examinations. The award .of points provided in the law will be given .to only those individuals who ft sat achieve a passing score on the Civil Service exam. All eligible lists/a e presently in existence and lists established on and after June 24, 1976 are .subject to Veterans' Preference. In case of ties, veterans will be considered a tie-breaker. 2. Ltr from Civil Service Re: Senior Account Clerk & Stenographer The examination ordered for the position presently entitled "Senior Account Clerk & Stenographer" has been classified by Civil Service as "Senior Clerk & Stenographer" (performing Account Clerk duties as well) . Ltr to J. Hartnett, Jr. Director of Classification Bureau asking that the Senior Account Clerk and Stenographer designation be retained for this department and that the accounting phase be emphasized as it is most important in this office. Ltr reply from Mr. Hartnett. . 3. Ltr from Civil Service Re: A moratorium was declared on 12/15/75 by the Commissioner of Probation on replies to all court record inquiries except as .to Courts, Police Departments, Bail and Commissioners and individuals. -1- Dr. Israel Kaplan Agenda 8/24/76 Board Chairman, Board of Health Meeting • Page 2 4. Ltr from.R. 'Arnold, Director General Services, 'Shatighnessy Hospital asking that the City of Salen open- truck made two refuse .collection pick ups each day at the hospital. 5. Ltr from.Departtient of`Public Health Re: Choke Saving Devices stating that many restaurants throughout the Commonwealth erroneously believing. they are complying with the Choke Saver Law Chapter 787 of the Acts of 1975, have purchased. or are about to .purchase what they think are department-approved choke savin devices. The De artment. of.P g p ubh c Health has .not approved any such'' devices. After evaluation, information will be issued by the Department to all Boards of Health. 6. Ltr 'to Donald Cook, Pres. Local #1818 Re: Transfer Station stating that on July 19, 1976, there will be a change in the .work week coverage at- the Transfer Station, One man will work a .week from Tuesday thru Saturday. 7. Ltr from.Thomas Walsh, Director-of �Personnel Re Job .Evaluation asking all .department .heads ..to meet with Mrs. .Meta Greenberg of Civil Service on July 28, 1976 at 1 Salem Green for the purpose of job evaluation within • the city. . 8. Ltr to Dr. Kaplan Re: Vision & Hearing -Tester Position relative .to a meeting.on Friday, July 30, 1976 at Mayor .Levesque's office to discuss the return of money to the Health .Department .Budget for the purpose of employment of the Vision & .Hearing Tester. 9. Ltr to Mayor Levesque :Re: Transfer Station Position :Description attaching a rough .draft .of a position .description of.Working Foreman - 11achinery .Repairman at the Transfer Station. 10. Ltr to John B. Powers, Building Inspector Re: 1 .Beverly Mattress advising him .of the concern .of the members of the Board of Health regarding this property on Canal Street in Salem. 11. Ltr to DeIulis 'Brothers � Re: Transfer Station giving authority to proceed with repairs to damage to the Control Room at the Transfer Station. 12.. LtrfromE.G. 'Leon & Co., Inc.; Electrical Contractors ' Re: Transfer Station advising an estimated $6,500. to remove bucket crane located at the incinerator as .well as crane rail and runway .beams. JAI✓,�$� , _ �� /p Dr. Israel Kaplan Agenda 8/24/76 • Chairman, Board of Health Board.of Meeting Page 3 13. Ltr from American Thoracic Society explaining that long-term surveillance of patients with tuberculosis who have completed adequate drug treatment is no longer applicable. 14. Ltr from Sister Sancha rin, Principal of St. Joseph School stating .that the school is in need of a full time school nurse and asking that perhaps Mrs. Dorothy Bradley could work on a full time basis. She also states that the school personnel are very pleased with Mrs. Bradley and that she has done an excellent job. 15. Ltr from C.E. Maguire, Re: Transfer Station relative to the design and preparation of specifications for the proposed new sprinkler system .for the Transfer Station. 16. Ltr to Fire .Chief Brennan Re: Fence at Transfer Station Dr. Toomey stated that the 6 foot cut in the fence to provide access directly from the street to the hydrant was completely unnecessary. The. cut was ordered by a representative of the Fire Department. The Department has a key to the Incinerator and Transfer Station, and it was the intent of the Health Department to provide them with .companion key to the gate upon completion of the fence. 17. Ltr from Dept.. Public Health Re: National Influenza Immunization Program Bivalent: A/Swine & A/Victoria - will be given to high risk individuals 65 years of age and older and those individuals with chronic diseases 18 to 64. Monovalent: A/Swine - will be given to anyone who desires it. At the present time, no plans are in order for those • - under 18 years of age. 18. Ltr from J. Walsh, Jr. , Director of Public Health to North Shore Health Officers informing them that a meeting will be held at Aldermanic Chambers in Beverly City Hall Re: Swine Influenza Immunization Program. The meeting will be held September 1, 1976. Mr. Richard Alb anese,Mass. Dept. of Public Health Epidemiologist will meet with local North Shore Health Officers to formulate plans for the North Shore Region, relative to immunization of its inhabitants. COMMUNITY HEALTH REPORTS 1. Flu Immunization Program aj(See attached.) Mrs. Joanne Crawley has compiled statistics providing information of the population census for Salem, including number of high risk persons, city employees, school employees, etc. and estimated • amounts of the bivalent and monovalent vaccines required for the city. b)(See attached copy of a letter to be sent to all local physicians, nursing homes, clinics, etc. informing them the Salem Health Department will have the vaccine available; enclosing order forms for the same, and enclosing guidelines from the State Dept. of Public Health concerning recommendations for usage. i Agenda 8/24/76 Dr. Israel Kaplan Board Meeting . �. • Chairman, Board of Health Page 4 COMMUNITY HEALTH REPORTS (continued) 2. Health Department Clinic Reports (see attached) . Re: Hard of Hearing, Vision & Hearing, Lead Poisoning Screening, Lazy Eye Screening, Well Elderly, PPD Clinics, etc. 3. Marion Manor I have talked with Dennis Smith and he does not think this will requiie a Certificate of Need, because it is not going to be that extensive; more in the nature of home care, minimal care physiotherapy and in no way will conflict with the Shaughnessy Rehabilitation Hospital. Mrs. Moulton, Mrs. Fielding and myself(Dr. Toomey) have accepted an invitation to go to Fall River to visit Highland Heights apartment house which is somewhat similar to the Marion Manor.. It has been in operation for about 5 years. Because there had been a hospital next door which was run by the City of Fall River, the nurses and occupational and physiotherapy departments were moved into the Highland Heights apartment house. As it turned out, . their involvement in rehabilitation has become a very minimal operation. Most of the work .is done by the Visiting Nurse Association who has one woman nurse on .duty all the time and one Public Health nurse who is on duty at all times, night -and day, for emergency purposes and to follow medical histories of the patients so that their visits to the physicians of all types are kept current. They do have rapport with the old age group in Fall River and utilize all of the existing public and private agencies, Health and Welfare agencies in the city. ENVIRONMENTAL ,HEALTH REPORT (See attached.) SOLID WASTE REPORT In conversation with the Mayor about a foreman at the Transfer Station, he had asked me to hold off in appointing an overall General Foreman and asked that we give him a job description of a mechanical foreman, which, I have drawn up and posted. Dr. Israel Kaplan Agenda 8/24/76 •. Chairman, Board of Health Board Meeting Page '5 SOLID WASTE REPORT (continued) The fence has been completed, .but at the time of completion, the Fire Department representative ordered a 7' x 4' hold cut in the fence. I have written to the Chief of the Fire Dept. It will cost us $125.00 to repair the fence. I am also installing 4 "I" beams at the corners of each gate to protect them from bumps by the trucks. The contractor who built the fence has stated that the lower gate needs repairing and is estimating this to cost $1000.00. I have decided not to do anything about this at present until I unscramble the money in this account. RECYCLING PROGRAM The committee on recicling has had 2 meetings. Councillor Ronald Plante made a proposal to the City Council for $1000.00 to hire a person and provide expenses for advertising for a recycling program. The program should start and entail no expense for the city; the entire expense for collection and disposal by the contractor which is Recor on Jefferson Avenue. The City Council has referred this matter to the Committee of the Whole CHARGES FOR DUMPING AT THE TRANSFER STATION Target date for establishing charges at the Transfer Station will be September 15, 1976. FOR THE BOARD OF HEALTH E18`` JOHN J. .TOOMEY, D.P.M. HEALTH AGENT JJT/g encls. cc: Councillors Bouley, Martineau, Nowak Rochna, Saraceno and Swiniuch --r- i N . I RJR. ISRA.EL K�' PLAN PUBLIC HEALTH CENTER ENTER 130AIN,I) 0'F HEAL fi Off,Jefferson Avenue Salem; Massachusetts 01970 ±' JOHN J. TOOMEY, D. P.M. ISRAEL KAPLAN, M. D. HEALTH AGENT JOSEPH R. RICHARD - (617) 745-9000 .1. ROBERT SHAUGHNESSY. M. D. September 8, 1976 ROBERT BLENKHORN M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON. R. N. EFFIE MAC DONALD Dr. Israel Kaplan Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: There will be a regular meeting of the Board of Health on Tuesday, September 14, 1976 at the Dr. Kaplan Public Health Center, Off Jefferson • Avenue, at 5:00 P.M.. AGENDA COMMUNICATIONS: 1. Ltr from Div of Environmental Quality Engineering in which David Standley makes us aware that the local health departments will be required to inspect. and approve all private sewerage systems under 15,000 gallons per day, also trailer parks, overnight camps and motels. 2. Ltr from Helen M Coughlin, Acting City Clerk Re: . Recycling informing that a meeting would be held on September 1, 1976 for the purpose of discussion of a recycling program. 3. Ltr to Sister Sanchagrin, Principal Saint Joseph School in answer to her request that Mrs. Bradley be assigned on a full-time basis. I told her that this would be impossible, but .between Mrs. Bradley and Mrs. Morgan, we will more than adequately cover the problems at St. Joseph. -1- •Dr. Israel Kaplan Agenda forBoard of Health Chairman, Board of Health Meeting 9/14/76 194 Lafayette Street f� 01970 _2- COMMWICArIONS (continued) 4. Ltr to Mayor Levesque Re: Dr Lager's Salary in which I set forth some things I thought would make sense in bringing e really Dr. Lager's salary from $500.00 to $1177.25. The amount we ar asking for is the difference between the $500.00 and the $1177.25 which is $677.25. I have corrected this amount with the Mayor. 5. Ltr to May or Levesque Re: Vision & Hearin Tester Position setting forth the desires of the Board relative to the refunding of the position of Vision & Hearing Tester. I tried to explain that this girl in question and the position in question would be required to carry out a broad spa ctrum of duties and I list sor , e of these and request the sm of $5461. which would carry her through the remainder of Fiscal '77. 6. Ltr to Frank Delulis from Dave Lash of Planning Department Mr. Dave Lash who is in charge of the incinerator/Transfer Station project, delineates the costs for the various projects within the project. You will note that the bottom line reads $288,019.44. 7. Schedule and Information Re: Venereal Disease Clinics The nearest Clinic to us is at Beverly Hospital. There is an accompanying letter that patients will be asked to pay $10.00 for initial visit and $5.00 on a--follow up. This is due to reduction of reimbursement to Beverly Hospital for the cost of this operation. $. Ltr to Mayor Levesque- Rec Sprinkler System at Transfer Station stating that C.E. Maguire, Inc. had sent me an estimate of $2000.00 to $2500.00 for sprinkler system. I asked that an appropriation be made in the amount of $2500.00 to cover the cost of this project. COI RNi ITY HF,ALTH REPORT (See attached) E,NVIRONMEN'TAL HEALTH. REPORT (See attached) Dr.. Israel Kaplan Agenda for Chairman, Board of Health Board of Health 194 Lafayette Street Meeting 9/14/76 Salem, Massachusetts 01970 _3- SOLID WASTE REPORT We are having a meeting of the Fire Chief, fence Contractor and Greg Senko of the Planning Department to iron out our 7' x 4' hole in the fence. Everything else is running normally. _ Recycling We have had meetings on recycling and have brought up the matter to the City Council. A Motion was made to refer to the Committee The Committee met on Wednesday 9/l/76, and after some explanation and discussion with the City Council, Dr. Toomey, Councillor Ron Plante, Atty. Phil Litman and John Clements of Recor, the Committee moved the adoption of 2 items: 1. Urge the Council as a whole to give their approval and back the recycling program, and 2. To honor a $1000.00 appropriation request from the Health Department for the purpose of advertising and, if necessary, to hire a person to get the program moving. I along with Ron Plante am searching for a person who might be willing to take this on for the next 5 or 6 weeks. We plan to pay $100.00 per week. Please Note: The last item of the Minutes of the August 24, 1976 meeting relates to a check for the amount of $1034.47 (for the Dr. Kaplan Health Center). which was sent to the Board of Health. I think we should check our thinking because the ch eck was intended to be for the Dr. Israel Kaplan Public Health Center foundation (if that is the term) and cannot come before the Board of Health. I previously had sent this to Dr. Kaplan for proper distribution. I think this should be corrected in the records. Draft to David Standley, Dept. Environmental Quality Engineering Dr. Toomey would like the Board to discuss this letter relative to a Review of Title 5 of the Environmental Codes, regarding the qualifications of Registered Sanitarians to design private sewerage systems. FO THE OF HEALTH ^N J'AG �P.M. HEAL JJT/g enclosures cc: Council on Health { DR. ISRAEL KAPLAN P1,UBLIC,HEALTH CENTER `1 13OARO OF 11EAUm ., Off,Jefferson Avenue Salem `.Massachusetts 019.70 ISRAEL KAPLAN, M. D_ - JOIHN J. TOOMEY, D. P. M. JOSEPH R, RICHARD October 5, 1976 HEALTH AGENT J. ROBERT SHAUGHNESSY, M. D. (617) 745-9000 ROBERT BLENKHORN M. MARCIA COUNTIE, R. N. - MILDRED C. MOULTON, R. N. EFFIE MAC DONALD Dr. Israel Kaplan Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: There will be a regular meeting of the Board of Health on Tuesday, October 12, 1976 at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem at 5:00 PM. AGENDA 1. COUNCIL ORDER endorsing recycling of glass, metal cans and newspaper in Salem plus authorizing the expenditure of up to $1,000 for the purpose of hiring a coordinator to establish this program. (See Solid Waste Report.) 2. Ltr to New England Power Co. Re: Soot fallout in Salem ltr from John A. Desmond, Director Metropolitan Boston Air Pollution Control District directing thento attend a conference relative to the fallout of soot from their stack on September 19, 1976. The meeting to be held on September 23, 1976 at 10:30 AM at 600 Washington St. , Boston, Mass. (See Environmental Health Report.) 3. Ltr to Dr. Nicholas Fiumara, Dept. of Public Health Re: V.D. Clinics in which Dr. Toomey expresses the concern of the Board of Health members relative to the $5.00 to $10.00 charge to be initiated at the venereal disease clinic at Beverly Hospital. The Board members feel that this might constitute absenteeism of the patients. Ltr from Dr. Fiumara in response to Dr. Toomey's letter. Dr. Kaplan f Agenda for 194 Lafayette St. Oct. 12, 1976 Salem, Mass. 01970 Board of. Health Meeting Page 2 • CONTN NICATIONS (continued) 4. Ltr from Wallace H. Kountze, Personnel Administrator Civil Service notifying of a revision of the law and the establishing of a personnel re-employ- ment list for those persons laid off for one reason or another through no fault of their own. I wish this was in operation when we were trying to reduce our forces and .were not permitted to transfer people from one department to another. 5. Copy of Ltr to Salem Hospital from George Coogan, Director Dept. of Environmental Quality Engineering citing the hospital for numerous infringements of good practice relative to water lines. This practice is known as cross section and is very dangerous . 6. Ltr to Charles Eiras of SCA confirming telephone call and informing him of the start of the Recycling Program.. He had already agreed to cooperate. 7. Ltr from Mary R. Kuell Re: Miriam Cole Mrs. Kuell received a bill for care for Miriam Cole while she was a patient at . the Health Hospital at Salem Willows for $11,000. Mrs. Kuell would like the Board to make an adjustment on this bill and offers to pay $5,000. • 8. Ltr from Miss Fabienne St . Pierre Re: Cuneo cats requesting a hearing before the Board at their regular meeting of October 12, 1976. relative to a nui ance created by the number of cats owned by a neighbor. (See fetter to Mr. Cuneo) attached also. 9• Ltr from Clifton Grinnell of South Essex Sewerage District advising of a hearing to be held on October 27, 1976 and a hearing on October 28, 1976 relative to 'The South Essex Sewerage District, Danvers-Beverly Relief Interceptors' . 10. Ltr from James J. Hartnett, Jr. Civil Service advising that requisition of 8/26/76 for 1 permanent Working Foreman Machinery Repairman-Transfer Station is being processed as Working Foreman Mechanical Equipment Repairman (Municlass 4801C) . 11. Ltr from David Standley, Dept. of Environmental Quality Engineering advising that due to time constraints in adopting amendments to Title 5 of the State Environmental Code, the program changes outlined in the Department's recent letter will not become effective on October 1, 1976. Dr. Kaplan Agenda for • 194 Lafayette St. Oct. 12, 1976 Salem, Mass. 01970 Board of Health Meeting Page 3 REPORTS PROJECT RAP - Beverly setting forth some. of their statistics on their activities as they relate to Salem. (copies are not legible-machine could not reproduce ) ENVIRONMENTAL HEALTH On 9/19/76 a valve manfunctioned causing a blowoff of heavy soot in the #3"" stack which covered an area from the plant westward in an arc about 200 1�44 wide to the Danvers River; most of the concentration of oily soot being dumped on the lower Derby Street, English, Essex and Bridge streets. Accompanied by John Smedile, the Health Agent went to the power plant to determine the cause and effect. The company informed us they were taking full responsibility for any damages caused in the area to houses, cars and gardens. They were holding free car washes and giving car wash tickets to private car washers to wash any cars coming in with the soot. Housing complaints were referred to General Adjustment Corporation an insurance investigating firm who reviewed the situatio-,. with the owners and would attempt to reach conclusions as to price complaints for • damages. Sparkling Clean of Malden a professional cleaning house firm was employed by the power company. This was being done on the day after the spill. The gardens were investigated by Food Inspectors Walter Sczcerbinski and Joseph Lubas of our department and they found that many of the gardens were 3 x 10 feet and 10 x 10 feet areas in back yards, mostly growing tomatoes, squash cabbage etc. After a thorough investigation was made, we made a public statement that the vege- tables properly washed down would not cause any health problems . We had at this time been i4lose touch with the Div. of Metropolitan Air Pollution Control and they invited us to appear at a hearing (See letter above) that they had with the power plant people. Colin Cameron, William Tinti and myself attended. The meeting was productive in that the company was doing everything to compensate people for any damage and was doing research to prevent it from happening again and did, indeed, state that the valve that had failed had been in operation 18 years without a failure. There will be further conversation betweei the state groups and them to further monitor the cleaning and warning systems at the plant. Mr. Tinti felt that the Environmental Protection Agency should be involved and should hold a public hearing at City Hall in Salem where the public will be made aware of what took place and what steps the company and representative agencies are engaged to prevent such an occurance in the future. • � Y Dr. Kaplan Agenda for • 194 Lafayette St. Oct, 12, 1976 Salem, Mass. 01970 Board of Health Meeting Page 4 REPORTS (continued) COMMUNITY HEALTH REPORT The Lead Paint Poisoning program was held at Salem High School on September 15, 1976. It was an excellent program with Dr. Timothy Johnson and many other fine speakers. Mrs. Crawley is to be highly commended for her successful coordination of the entire program. Mayor Levesque and many other city officials were also in attendance. - Hong Kong B Vaccine During the month we held clinics on the Hong Kong B flu,. concentrating on the nursing homes, elderly housing projects and other such centers for the elderly ie Loring Towers. Approximately 1700 flu shots were given. Swine Flu Vaccine Program Papers are completed for this program, at! the present writing. By meeting time we may have. more information but nothing has changed up to this point. Salem will get 15,000 doses and we should start to operate around the 15 of October. Mrs. Crawley is keeping in touch with everything and making adjustments to our program as they become necessary. The State department of Health had been told they would receive 1.8 million doses. They were scheduled to receive 2.3 million doses. I cannot project what this will do unless they might. establish priorities within the limits- we have already. (I am enclosing the entire prospectus of information we have up .to date.) Solid Waste Report On Wednesday, September 22, 1976, we .put into operation the per ton charge of $18. 79 for excessive and commercial rubbish dumping at the incinerator. . It seemed to have a dramatic effect on the disposal of waste in Salem. We automatically put out 6 trailer truck loads per day. They have been reduced to 3. At this rate there is a $750.00 savings per day. This may, however, change. In the first week of operation, we took in $1,150.46. Recycling Program On October 4, 1976, we instituted a Recycling Program. It got. off to a rocky start but we hope that we will get some good solid sections of the community. We could realize another savings by removing any where from 20 to 30% of the way stream going to the incinerator. We will start the leaves collection around the 12 or 18 of October. We will pick up on the day after the regular rubbish day. The Street Department will do the collecting. Last year the program was very successful with a sub- stantial pile of mulch now at the Marlboro Road area. • a r • Pr. Kaplan Agenda for 194 Lafayette St. Oct. 12, 1976 Salem, Mass. 01970 Board of Health Meeting Page 5 NEW BUSINESS Hearing Fabienne St. Pierre relative to the Cuneo's 13 cats 6R THE BOA OF EALTH JOHN J. TOOMEY, D.P14. HEALTH AGENT JJT/g cc: Board Members Councillors Bouley, Martineau, Nowak, Ro.chna, Saraceno and Swiniuch i BOARD OF HEALTH:,; Off.Jef€erson,Avenue `1Salem Massachusetts 01970 ISRAEL KAPLAN, M. D. ,-' JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD HEALTH AGENT J. ROBERT SHAUGHNESSY. M. D. (617) 745-9000 ROBERTBLENKHORN November 2,. 1976 M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON, R. N. EFFIE MAC DONALD - Dr. Israel Kaplan Chairman, Board of Health 194 Lafayette Street Salem, MA 01970 Dear Dr:; Kaplan: There will be a regular meeting of the Board of Health on Tuesday, November 9, 1976 at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem at 5:00 PM. i 'AGENDA 1. Letter to the Board of Examiners in Plumbing requesting for Salem Corporation a variance in the State Plumbing Code. This was previously agreed upon and given by the Board of Health. 2. Letter from the Secretary of the Board of Examiners in Plumbing to Dr. Toomey acknowledging the petition for variance pertaining to the shopping facility;-in East India Square and advising us that on Wednesday, November 3, 1976, at 11:30 AM. the request will be reviewed by the Board. 3. Letter from the Division of Personnel to Dr. Toomey relative to the promotion of Maurice Martineau to Working Foreman Mechanical Equipment Repairman. 4. Letter to the Board of Health from Joanne Crawley in which she offers her resignation of her position as Supervising Public Health Nurse effective November 19, 1976 and in which she expresses her personal professional pleasure in having the opportunity to work with the nurses, the Board and Dr. Toomey. 5. Miriam Cole - report from Dr. Toomey - background of the bills and payments of Miss Cole. 6. Solid Waste report from Dr. Toomey giving a very happy account of saving $16,102.39 a month which extrapolates to $193,228.68 a year. k � Druz. Kaplan, Chairman Agenda for 11/9/76 194 Lafayette St. Board of Health Meeting Salem, Mass. 01970 Page 2 7. Letter to Dr. Toomey from Mr. Bob Allison in which he .requests that the Board transfer from Division of Elder Affairs to the Council on Aging funds and cites a number of reasons why this would prove efficacious to the elderly in the city, etc. 8. Letter from Dr. Toomey to Peter Merry, Assistant City Solicitor, requesting clarification of two questions: (1) was the meeting, a public hearing October 22, 1976 re: Mrs. Cuneo's cats a valid hearing by reason of the fact that Mr. Cuneo did not appear--and I provided him with the answers (2) also an opinion what constitutes a private nuisance vis-a-vis a public health nuisance. 9. Note from Miss Fabienne St. Pierre dated 10/27/76 requesting a hearing at the Board Meeting (11/9/76) relative to her complaints against Arthur and June Cuneo regarding their cats. 10. Dr. Kaplan has asked, that because time is pressing, the meeting be kept to within an hour, if possible. 11. Ltr to Arthur Cuneo - notifying him of Fabienne St. Pierre's request for a hearing. REPORT SOLID WASTE The Committee on Solid Waste would like to give a brief resume of all accomplishments , hopes and desires. PROJECT RAP (Attached report had been scheduled for Agenda of October 11, 1976 meeting) FOR THE BOARD OF HEALTH J MEY, D.P.M. HE LTH AGENT cc: Board Members, Councillors Bouley, Martineau, Nowak, Rochna Saraceno and Swiniuch JJT /g enc is. DR. ISRAEL KAPLAI®1 PUBLIC HEALTH CENTER K; -BOARD OF HEALTH_,.,_;' 1 Off,Jefferson Avenue, 'Salem,,','Massachusetts 01970 p 7 y ISRAEL KAPLAN, M. D. u , JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD December 7, 1976 HEALTH AGENT J. ROBERT SHAUGHNESSY, M. D. (617) 745-9000 ROBERT BLENKHORN M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON, R. N. EFFIE MAC DONALD Dr. Israel Kaplan 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: There will be a regular meeting of the Board of Health on Tuesday, December 14, • 1976 at 5:00 PM at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem. AGENDA COMMUNICATIONS 1. Ltr from Miss Fabienne St. Pierre requesting a hearing for December 14, 1976. 2. Ltrs to Mr. & Mrs. Arthur Cuneo and Miss St. Pierre notifying that hearing will be held on December 14, 1976. 3. Ltr to Peter Merry, Assistant City Solicitor at direction of the Board requesting that he review the last meeting and provide an opinion to the Board and also asking that_ he be present at the next meeting. 4. Ltr to Dr. Toomey from Peter Merry responding to Dr. Toomey's letter 5. Ltr to Bob Allison Re: Elder Affairs expressing the wishes of the Board that he, by letter and personal appearance, inform the Board of his reasons for taking the Division of Elder Affairs out of the Health Department and placing it with the Council on Aging. Y CITY OF SALEM HEALTH DEPARTMENT Agenda for 12/14/76 e^ I^ R. ISRAEL KAPLAN PUQLic HEALTH CENTER - Board of Health Meeting OFF .JEFFERSON,AVENUE Page e 2 SALEM. MA 01970 �etoins ua' • COMMUNICATIONS (continued) 6. Ltr from Carlton W. Talbot, Chairman, Council on Aging setting forth reasons for the assimilation of the Division of Elder Affairs into the Council on Aging. 7. Ltr to Bruce Mallett, Mgr. North East District Environ:Quality Engineering asking that they involve themselves in the problem of prolarized material being placed in a wetlands area otherwise known as Ingemi Dump. We have furnished him with all past information and correspondence. At this writing, we have not received an answer. 8. Ltr from State Examiners of Plumbers Re: East India Square Shopping Area stating that the Board of Health.'s request for a variance in the plumbing code relative to the proposed shopping area is approved. 9. Samples of a letter sent out by Dr. Kaplan to all physicians who assisted in the Flu Program. 10. Ltr from State Dept. Public Health Tuberculosis Control relative to per diem costs at Salem Hospital. 11. Ltr to Mrs. Joanne M. Crawley accepting her resignation. 12. Ltr to David McKinney, Dept. Environ. Quality Engineering setting forth Salem Hospital's program to comply with their directives regarding"cross sections". 13. Ltr from Universal Steel& Trading Corp. , Copy to Dr: Toomey sent to Purchasing Agent requesting a formal reply from the City of Salem as to their being high bidder for Accumulations of Miscellaneous Recyclable Metals, and asking for commencement and duration dates of the contract so that they can make necessary arrangements for receiving material at their yard. REPORTS PROJECT RAP - Statistical information. HEARING St. Pierres Vs. Cuneos BUDGET We had to have budget in by December 1, 1976. We have put in about the same amount but not more than last year. We will come close to complying with the Mayor's request. CITY OF SALEM HEALTH DEPARTMENT` Agenda for 12/14/76 e" v ti)R. ISRAEL KAPLAN Puauc HEALTH CENTER Board of Health Meeting Z a �, .• OFF JEFFERSON,AVENUE y_? ; _� / SALEM. MA 01970 Page _3 • NEW BUSINESS Increases in Permit fees. OLD BUSINESS Miriam Cole's Bill. FOR THE BO F HEAL • JOHN J. TOOMEY, D.P.M. HEALTH AGENT JJT/g cc:, All Board Menb ers Councillors Bouley, Martineau, Nowak, Rochna, Saraceno and Swiniuch k. f i A7,w. . • 5 } ]®R. ISRAEL K �AJA.N -UBLIC ,H a LTA'$ CENTER AAO- ��`.f �Off:Jefferson,Avenue l Salem Massachusetts OL9Z0 JOHN J. TOOMEY, D. P. M.ISRAEL KAPLAN, M. D. y = A` Ilk JOSEPH R. RICHARD HEALTH AGENT J. ROBERT SHAUGHNESSY, M. D. (617) 745-9000 January 4, 1977 ROBERTBLENKHORN M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON. R. N. EFFIE MAC DONALD. j There will be a regular meeting of the Salem Board of Health on Tuesday, January 11, 1977, at 6:00 PM at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem, Mass. AGENDA COMMUNICATIONS: 1. Ltr from Bruce Ma illet, Mgr. Dept. Environmental Quality .Engineering regarding our request for information regarding prosecution of Ingemi and the role the State might play. 2. Ltr from Office of Children, William Warren, Director asking that the Board of Health resume again our control of licensed day care centers and setting forth the rules and regulations thereof. 3. Ltr to Fabienne St. Pierre stating that her request for a hearing has been denied by the Board of Health.. 4. Ltr to Mayor Levesque making him aware of the intent of the Board members to make their salaries available for other use. The Mayor was taken quite by surprise. He called me and said he was not going to accept this at face value, but would, think about it seriously. 5. Ltr to Mayor Levesque notifying him of the Board members Vote to make available for transfer monies and personnel in the Division of Elder Affairs. 6. Ltr to Mayor Levesque asking for the transfer of $5400 from Solid Waste Division expenses Line Item "Disposal Contract"to Line Item"Repairs and Maintenance". The Mayor called and said he would hold this letter in abeyance until after the first of the year. Possibly I may have more information for you by meeting time. . -1- 1 CITY OF SALEM HEALTH DEPARTMENT Agenda for DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER A J O Board of Health Meeting OFF EFFERSON VENUE January 11, 197 SALEM. MA 01970 Page 2 COMMUNICATIONS (continued) 7• Ltr to City Auditor Passales notifying him that the Board of Health had passed unanimously a Motion that the sum of $72,000 be added to the budget of the Board of Health to cover expenses incurred by the J.R. Shaughnessy Hospital by reason of the Board of Health occupying space, telephone, heat, light, etc. 8. CHANGE IN REGULATIONS RE: FOOD SERVICE PERMITS We had taken a telephone vote to pass the new .Regulations increasing the price of Food Service Permit fees. Enclosed are copies of the new Regulations. 9. Ltr to Mrs. Mary R. Kuell: stating the Board of Health voted to accept $5000 as full and final payment of the bill of Miriam Cole and that the sum of $6,318.34 be abated. 4. REPORTS: Project Rap Statistical Report for November 1976 Solid Waste: ELECTION: At this meeting, the Board of Health has a requirement to reorganize for the year and choose a Chairman and Clerk of the Board. FOR THE BOARD OF HEALTH 68C JOHN J. TOOMEY, D.P.M. A HEALTH AGENT F JJT/g x ., DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER. f BOARD OF HEALTH; �i�' t`Off:Jefferson.Avenue �`;a "Salem,'-Massachusetts 019:70 ISRAEL KAPLAN. M. D. - a-" JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD HEALTH AGENT J. ROBERT SHAUGHNESSY. M. D. (617) 745-9000 ROBERT BLENKHORN February 2, 1977 M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON, R. N. EFFIE MAC DONALD Dr: Israel Kaplan, Chairman Board of Health 194 Lafayette Street Salem, Massachusetts 01970 • Dear Dr. Kaplan: . There will be a regular meeting of the Board of Health on Tuesday, February S, 1977 at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem at 5:00 PM. AGENDA COMMUNICATIONS:, 1. Ltr to A. Chalifour Re: 42 English St. condemning the structure and ordering that it be razed within 30 days after receipt of this'Order. The reasons for so doing are also listed. 2. Ltr to Wm: Warren, Director-, Office of Children informing him of the Board's decision not to accept responsibility for the licensure of the Day Care Centers but that the Health Department will continue to police the centers. 3. Ltr to Mayor Levesque requesting transfers within the salary accounts and the expense accounts of the Health Department. 4. Ltr to Bob Allison Re:. Transfer to Council on Aging • notifying him that.the Mayor would like to effect this transfer at the commencement of the fiscal year on July 1, 1977. -1- �yHa ATY OF SALEM HEALTH DEPARTMENT j 7 DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER OFF JEFFERSON AVENUE SALEM. MA 01970 Dr. Israel Kaplan, Chairman Agenda for Board of Health Board of Health 194 Lafayette Street Meeting 2/8/77 Salem, Mass. 01970 -2- COMMUNICATIONS(continued) 5. Ltr from Bob Boss to Dr. Kaplan suggesting that to overcome the cold in the sections of the Health Dept. the Board of Health expend $2000 for electric wall heaters. We do not have this $2000 in the Budget for this purpose. My feeling is that more research should be done to try to effect a correction in the . heating system. COMMUNITY HEALTH PROJECT RAP Enclosed are December 1976 statistical report and a 6 month Activity Report from 7/1/76 to 12/31/76. PUBLIC HEALTH NURSES The nurses are now on the winter program. They are working in the schools. They will do hearing and vision testing. Physicals are all completed and follow ups completed. We are preparing for the immunizations both school and pre-school. DENTAL CLINIC Discussion of conflictions on use of dental area with hairdresser. • 1TY OF SALEM HEALTH DEPARTMENT `UR. ISRAEL KAPLAN PUBLIC HEALTH CENTER OFF JEFFERSON AVENUE SALEM, MA 01970 - Dr. Israel Kaplan, Chairman Agenda for Board of Health Board of Health 194 Lafayette St. Meeting 2/8/77 Salem, Mass . 01970 -3- SOLID WASTE DISPOSAL FIGURES FOR THE MONTH OF JANUARY 1977 Total Tons (from 1/3/77 to 1/28/77) 1119 Total tons 1119 divided by 20 days equals 56 tons per day 56 tons per day x 14.45 x 20 days = 16,184.00 former average 115 tons per day x 14.45 x 20 days = 33,235.00 . Cost savings for the month by tonnage reduction (33,335.00 minus 16,184.00) 17,051.00 Plus monies received from sale of tickets -.1,749.45 18,800.45 RECYCLING PROGRAM The contractor who had the recycling felt he was losing approximately $1000 per month and. getting only 4-5 tons per day. He decided he could no longer continue. We are, however, continuing with another contractor who had previously requested he be given this work. We are continuing under a slightly different method. Cans and bottles are no longer being recycled. Newspaper will be picked up on the regular collection during the last full week of each month. FOR E BO HEALTH: JOH J. OOMEY, P.M. HEALTH AGENT • cc: Board of Health Members Councillors Bouley, Martineau, Nowak, Rochna, Saraceno and Swiniuch DR. ISRAEL K . ' AN;g LI � e ALTH CENTER 0A1 T QV �AU t; rt, 'Vscv£FQ ISRAEL KAPLAN,-M. D. JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD HEALTH AGENT J. ROBERT SHAUGHNESSY. M. D. March 1, 1977 (617) 745-9000 ROBERT BLENKHORN M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON, R. N. EFFIE MAC DONALD Dr. Israel Kaplan, Chairman Board of Health 194 Lafayette Street Salem, Mass. 01970 Dear Dr. Kaplan: •There will be a regular meeting of the Board of Health on Tuesday, March 8, 1977 at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem, at 5:00 PM. AGENDA COMMUNICATIONS: 1. Ltr to Arthur Chalifour & Alvin C. Mitchell Re: 42 English St. notifying them that per their request, a hearing will be granted to them at the March 8, 1977 Board of Health Meeting relative to the above property. 2. Ltr from George J. Coogan, Dept. Environ. Quality Engineering setting forth further comments on cross connections at Salem Hospital 3. Ltr from City Clerk Re: Reappointment of Mary M. Countie advising that Mary M. Countie has been unanimously reappointed as a member of the Board of Health for the term expiring the first Monday in February 1980. .4". Memorandum Re: Death Certificates Relative to a request of Mrs. Hussey of the Admitting Office at Salem Hospital, we furnished her with a set of basic rules and names of people for their Regulations book. 5. Ltr to Jonathan E. Fielding M.D. Re: Anti-choke Device requesting his advise on whether the device is approved for use in removing food which may be lodged in the throat. This device is required for restaurants serving over 25 people. Ltr from Dr. Fielding, Commissioner of Public Health in answer to our letter (see above) in which he informs us that after a review of all available dataitesting results and other relevant information the task force has decided not to recommend the approval of any mechanical choke saving devices at -1- I a, CITY OF SALEM HEALTH DEPARTMENT DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER OFF JEFFERSON AVENUE SALEM, MA 01970 uarae ' . Israel Kaplan Agenda 194 Lafayette St. Board of Health Meeting Salem, Mass. 01970 March 8, 1977 Page 2 COMMUNICATIONS (continued) 5. Ltr from Dr. Fielding, Commissioner of Public Health (continued) this time. A restaurant with a seating capacity of 25 or more is under no legal obligation to have a mechanical choke saving device on its premises. 6. Ltr from Boston Guild for Hard of Hearing Each year we jointly hold a hearing clinic usually outside City Hall or Daniel Low's. The Guild supplies the van with personnel and instruments to giving the hearing tests. It is a walk-in type of clinic. There is a donation of $1.00. Also this department or the Lions Club pays $200.00 to support the cost of spack of the van. The Guild offers us the dates of June 22 through June 24, 1977. We have done this for many years in con- junction with the Guild, and I recommend that we continue. 7. Ltr from Nicholas J. Fiumara, M.D. Dept. Public Health He advised us that the Swine Flu Program, so called, having been suspended because of Guillaine Ba rre Sundrone scare has now been lifted by the Federal disease control people. He recommends that A/New Jersey and A/Victoria Bivalent vaccines be used only in the high risk people. A new consent form has been devised and was sent along as an enclosure. Dr. Toomey has written letters to all the physicians of the Community who asked for the vaccine in the original program and reiterated that the program has been re-established for high risk individuals and that the method of requesting the vaccine will be the same as established in the original Flu Program. 8. L_e_tr from Gerald S. Parker, Radiation Control Program-Dept. Public Health in. reply to our request for information as to whether. -the IBM supermarket is in compliance with Class 1 Laser Standards of the Dept. Health, Education and Welfare. Mr. Parker replies that the checkout system is in compliance with the Class 1 Laser Standards of the Dept. of H.E.W. 9. Ltr from Fabienne St. Pierre Re: Cats owned by Mr. & Mrs. Cuneo in which she states that the cat situation is perpetually existing and she wants to bring some facts before the Board relative to this matter. REPORTS 1. Copy of Report from Project Rap. • I v CITY OF SALEM HEALTH DEPARTMENT 9;s $ DR►ISRAEL KAPLAN PUBLIC HEALTH CENTER OFF JEFFERSON AVENUE SALEM, MA 01970 E� Dr. Israel Kaplan Agenda 194 Lafayette St. Board of Health Meeting Salem, Mass. 01970 March 8, 1977 Page 3 REPORTS (continued) 2. SOLID WASTE A. We Made up the attached Resume of'Four Months Disposal(haulagey for Councillor Joseph G. Saraceno. I thought we should also give copies to the Board members. B. Rules & Regulations for Collection & Disposal (Regulation #7) Revision The above was brought to the Board at their meeting of 5/7/74. It was discussed but no action, for some reason, was taken. It is rather important that the Minutes of the Meeting be adjusted to show that these Rules and Regulations were adopted. They were published and mailed to 15,000 homes in the City on December 17, 1976, which makes them legally operable. MEASLES PROGRAM - Program is being done in conjunction with School Department. The nurses of both Departments are reviewing health records to determine the children eligible. We hope to have clinics on or about Tuesday or Wednesday, March 8 and 9, 1977. OLD BUSINESS: 42 English Street We are to hold a hearing on March 8, 1976. It may be possible that this property will be transferred from Mr. Chalifour to Mr. Bramble who will renovate the structure. 3-5 Spring Street Fire damaged structures. Action held up because of insurance adjuster. 70 Ward Street In process of being sold to Clark Bros. Transaction may be consumated before this meeting. HEATING at the Health Department Have spoken with Bob Boss and Rick Arnold relative to this and we have evolved a basic program for correction. FOR HE BOARD-OF OF HEALTH i '. a0z' J N J. TOOMEX, D.P.M. HEALTH AGENT JJT1 g enclosures cc: Councillors Bouley, Nowak, Rochna, Saraceno and Cawley T., T' 7. DR. ISRAEL KA PI'A,N P '. 6, HEALTH CENTER �I(p- BOARD. 'F' HEALTiU � •' `�Off,,Jefferson Avenue�'�: r.3alem, Massachusetts Off 0 s :�-rs11 ISRAEL KAPLAN. M. D. ;; g —' JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD HEALTH AGENT J. ROBERT SHAUGHNESSY. M, D. March 3, 1977 (617) 745-9000 ROBERT BLENKHORN M.MARCIA COUNTIE, R. N. MILDRED C. MOULTON. R. N. EFFIE MAC DONALO ADDENDA TO AGENDA OF MARCH 8, 1977 BOARD OF HEALTH MEETING • 1. DEMOLITION AT WINTER ISLAND Correspondence and plan. 2. ESSEX COUNTY HOUSING ORGANIZATION Our experience at Housing Court would be very valuable to the department and the people we serve in attempting to have cases adjudicated expeditiously. FOR THE BOARD OF HEALTH JOHN J. TOOMEY ' D.P.M. HEALTH AGENT JJT/g enclosures DR. ISRAEL KAPI;AN PUBLIC H[EALTII CENTER BOARD OF HEALTSH ,4 Jefferson Avenue "jl Salem,;Massachusetts 01970 ISRAEL KAPLAN, M. D. `x a„� � JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD HEALTH AGENT J. ROBERT SHAUGHNESSY, M. D. April 5g 1977 (617) 745-9000 ROBERTBLENKHORN M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON, R. N. EFFIE MAC DONALD Dr. Israel Kaplan 194 Lafayette Street Salem, Massachusetts 01970 s Dear Dr. Kaplan: There will be a regular meeting of the Board of Health on Tuesday, April 12, 1977 • at 5:00 PM at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem. AGENDA COMMLi�1ICATIONS 1. Ltr from Dept. of Public Health Relative to Immunization Recommendations 2. Ltr from Geo. A. Demeritt, Administrator, N.S. Childrens' Hospital in which he asks for $3000.00 allocation from this department to them to conduct a Well-baby Clinic. Ltr from Dr. Toomey asking him for certain backup questions. I have not received a reply as yet. 3. Ltr to Glenn J. Spatola, Project Coordinator, Boston Guild Hard of Hearing approving the dates of`June 22 thru June 24, 1977 for the Clinics to be held in Salem. 4. Ltr to Arthur Chalifour Re: 42 Fngli�h Street advising him of the action of the Board at their March 8, 1977 meeting to extend a tire of 90 days for corrective action at this property. 5. Ltr to Board members Re: Ingemi Dump Notice of Intent of Mr. Ingemi and Conservation Commission Hearings -1- CITY OF SALEM 'HEALTH DEPARTMENT Agenda for .DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER ' OFF JEFFERSON AVENUE Board Meeting�`' SALEM, MA o197o April 12, 1977- 4 ,..s To Dr. Israel Kaplan 194 Lafayette Street Salem, Massachusetts 01970 6. Ltr from Council Re: Dumping Charge at Transfer Station requesting the Board members and myself to appear to discuss the charges for dumping. 7. Ltr to Sen. President Kevin B. Harrington, Rep. Bruce J. McLaughlin and Rep. Mike Ruane Re: House Bill 1059 informing him that the Board of Health is in favor of a- Housing Co- t.� Iva �. Ltr to Paul H. Guzzi, Secretary of Commonwealth Re: Death & Burial Certificates asking for clarification of rules. and regulations relative to the above. �. Ltr from PROJECT RAP . enclosing Statistical Report for February. 1977. OLD BUSINESS St.- Pierre and Cuneo cat matter • I have personally asked Mr. Cuneo to appear at the meeting. His attorney has attempted to contact me and I have attempted to contact him in return but without success at this writing. DENTAL CLINIC - Mrs. Despotopulos has. provided the following figures from 4/1/76 to 4/l/77. Permanent Patients Amalgam Composite Comb. Decidious Prophylaxis Discharged 70 89 23 41 12 40 60 42 English Street Work is underway. Mr. Chalifour has 2 trucks and 3 men working. 70 Ward Street Demolished - - a giant step forward! 9 Boston Street Legal notices have been sent out. The property has been ordered condemned. We await developments. 3-5 Spring Street There is a prospective owner who wants to renovate if he receives the approval of the Board of Appeals. -2- 4 CITY OF SALEM HEALTFJ DEPARTMENT R. ISRAEL KAPLAN PUBLIC HEALTH CENTER 3 g OFF JEFFERSON AVENUE SALEM, MA 01%70_ - Dr. Israel Kaplan Agenda for 194 Lafayette Street Board Meeting Salem, Massachusetts 01970 April 12, 1977 -3 OLD BUSINESS (continued) Ms. Hussey's request Salem Hospital Admissions Dept. Ms. Hussey requested further clarification of proper issuance of death and burial certificates. By meeting time, I hope to have an answer from the office of Paul Guzzi, relative to this, so that I can give you and her a comprehensive outline of the procedures. Measles Program We have had a total of 3 cases in Salem - 1 person by blood, 1 with' classic symptoms and 1 with vague symptoms. All three were diagnosed by. physicians. We checked 800 records and did 131 susceptibles. We provided physicians with 150 IM and 80 measles (attenuated) . The disposition was not confined to school children or Salem residents and do not- relate to the 800. We supplied 880 IM to the School Dept. and 600 Measles (attenuated) . Solid Waste We had a meeting with the City Council members to bring up a lot of complaints by persons regarding both collection and disposal and specifically the dumping charges. I felt there was nothing really solidly pertinent which would require changes in our recommendations or regulations. They have asked for further hearings. They asked for a set of our Rules & Regulations which I am getting printed and will deliver to them. We are continuing to try to keep from changing our rules and regulations at least at this time. Very truly yours, FOR THE BOARD OF HEALTH JOHN J. TOOMEY, D.P.M. HEALTH AGENT JJT/g cc: Board Members ,AIL✓ DR. ISRAEL KAPPL`AN. P.b BLIC�,"HEALTH CENTER BOARD,OF HEALTt]�-I_f1 `Off:Jefferson �venue�^i Salem;;:Massachuset"ts 019.70 it i>d 3r��>•.�''��'' ISRAEL KAPLAN. M. D. JOHN J. TOOMEY, D. P. M.. JOSEPH R. RICHARD HEALTH AGENT J. ROBERT SHIM-tIGHNESSY, M. D. May 3, 1977 (617( 745-9000 ROBERT BLEN/KHORN M. MARCIA COUNTIE..R. N. . MILDRED C. MOULTON, R. N. EFFIE MAC DONALD Dr. Israel Kaplan, Chairman Board of Health 194 Lafayette Street Salem, Massachusetts .01970 Dear Dr. Kaplan: There will be a regular meeting of the Board .of Health on .Tuesday, May 10, 1977 at the Dr. Kaplan Public .Health-Center. Off Jefferson -Avenue in Salem, .at 5:00 PM. AGENDA 1. Ltr from Councillor Leonard-A: Cawley; 'Jr: Ret. ' Dumpiii.g Charges writing on .behalf of Mr. Lou Arvanites of Highland Sales, Highland Avenue, registering a protest against the dumping charges at the Transfer.Station. Ltr to Councillor 'C.-h41ey'from'Dr.• Toomey explaining the-Board's position on this matter. 2. Ltr to Charles Eiras; 'President of 'SCA United 'DiSpoSal inviting him to attend the May 10, 1977 meeting. 3. Ltr from Mrs: Barbara 'Sullivan Re: Dumping Charges=Transfer Station proposing alternate solutions to the dumping charges. Ltr from Dr: Toomey to 'Mrs. Sullivan in 'reply 4. Ltr from Mrs Elizabeth Hastings; Clinical Services Mgr; 'Salein Hospital asking for clarification tirhether interns or resident physicians may sign death certificates when working with the attending physician on a case. • Ltr from Dr. 'Toomey to Mrs. Hastings enclosing copies of all laws pertaining to death certificates and burial permits. -1- ,CO. '. CITY OF SALEM HEALTH DEPARTMENT i CDR_ ISRAEL "APLAIV RU13LIC HEALTH CENTER OFF JEFF.ERSON AVENUE . SALEM, MA 01970 Agenda for Meeting Of 'May 10, 1977 Dr. Israel Kaplan, Chairman Board of Health 194 Lafayette St. Salem, Mass. 01970 -2- 5. Ltr to Mrs. Ida St. Pierre Re: Cuneo Cats notifying her that the Board of Health will take no further action in this matter. 6. Ltr from Dr. Fiumara Dept. Public Health Re: Influenza Program expressing his gratitude for our cooperation in the 1976-1977 immunization program. 7. Ltr from Fred Boss, Executive Director Dr. Shaughnessy Rehabilitation Hospital enclosing.report of the Building and Space Committee of the hospital recommend- ing that the storage room presently used by the Kaplan Health Center be made availab le to the hospital for expansion and development of its rehabilitation program. 8. Project Rap • Statistical Report for March 1977. 9. Budget Sheets Budget for Fiscal '78. 10. ORDINANCE Transferring Solid Waste to Public Works 11. Ltr from Martin Fair, Milk & Sanitary Inspector Health Department ENVIRONMENTAL HEALTH 3-5 Spring Street Owner is in Florida, but we are trying to locate him. 9 Boston Street Waiting clearance from Insurance Company. - 42 English Street Progress seems to have come to a halt. 145-147 Derby Street This is a 5 year old case. The Board of Health razed this structure 5 years ago. .NC(R D CITY OF SALEM HEALTH DEPARTMENT DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER 5 9xJ,A, • OFjF JEFFEy;SON AVENUE SALEM. MA 01970 Re`cn.Eas� Agenda for Meeting • of May 10, 1977 Dr. Israel Kaplan, Chairman Board of Health Salem, Mass. 01970 . -3- ENVIRONMENTAL HEALTH (continued) Horses We have been getting a lot of inquiries. Our past policy has been to have anyone who was interested in having stable submit plans and specifications for the control of odors, flies, keeping and disposal of the manure, along with a list of abuttors and other concerned individuals whom they have canvassed and signed off as having no objection to the establishment of the stable. I will meet with John Desmond, and officials of New England Power Comapny on • Nay 10, 11 and 12, 1977 Re: Presedential recommendation on the use of coal 'At local plant. Proposed change in Ordinance. OR THE BOARD HEALTH _ JOHN J{ TOOMEY, D.P.M. HEALTH AGENT JJT/g enclosures cc: Board Members (7) Councillors; Bouley, Cawley, Nowak, Rochna and Saraceno • ..... �+�,:.*,""CR'n: :.+r�-.s�..=:�� �•�""'t+sM^t�* :A°�'-m?.�.aa„naan•+�gn,;.�' . °:�':* :�ewc,..._,.. 5)1 1 jl aP AN P7LI EALTH CENTER DR. ISRAEL I�A OARb�O= SALT' n ", Juffersr� ve11u Saleem; a gachusq s ul ISRAEL KAPLAN, M. D. JOHN J. TOOMEY, D. P. M. JOSEPH R. RICHARD June 8, 1977 HEALTH AGENT J. ROBERT SHAUGHNESSY, M, D. (617) 745-9000 ROBERT BLENKHORN M. MARCIA COUNTIE, R. N., MILDRED C. MOULTON, R. N. EFFIE MAC DONALD Dr. Israel Kaplan, Chairman Board of Health 194 Lafayette St. Salem, Massachusetts 01970 Dear Dr. Kaplan: There will be a regular meeting of the Board of Health on Tuesday, June 14, 1977 at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem • at 5:00 PM. AGENDA COMMUNICATIONS: 1. Ltr from Atty Joseph P. McKay Re: 42 English St. regarding condemned property owned by Clart Realty (Arthur Chalifour) Atty McKay represents Mr. Bramble who wishes to purchase property and put it in good repair. Mr. Bramble finished renovation of property next to #42 English and did an excellent job. 2. Bid from Calvin Titus Rubbish Removal from Baker's Island for 1977 season. This is the only bid received at the bid deadline. His bid for $65.00 per week to haul rubbish from Baker's Island by boat and deliver by truck to transfer station is reasonable. 3. Ltr from Retirement Board Re: John J. Toomey Health Agent who was retired as of May 3.1, 1977 under compulsory retirement age of seventy. 4. Ltr from Dr. Kaplan to Colin Cameron, R.S. appointing him'Acting Health Agent' effective June 7, 1977. 5. Ltr from Dept. Environmental Control Engineering relative to'Federally Mandated Safe Drinking Water Act' . We have contacted Mr. Knowlton of Salem-Beverly Water Supply Board and he states no action is required by the Board of Health at this time. 1:- ' CITY OF SALEM HEALTH DEPARTMENT S J2q. ISRAEL KAPLAN PUBLIC HEALTH CENTER OFF JEFFERSON AVENUE SALEM, MA 01970 R Dr. Israel Kaplan Agenda 194 Lafayette St. Board of Health Salem, Mass. 01970 Meeting 6/14/77 Page 2 COMMUNICATIONS (continued) ' 6. Ltr from PROJECT RAP to City Council members requesting the cut from $18,000 to $15,000 for FY 1978 be restored. 7. Ltr from County Commissioners Re: St. Pierre Vs. Cuneo notifying us of a hearing to be held on Tuesday, May 24, 1977 at 3:30 PM regarding the above. 8. Ltr from City Engineering Re: Water Pollution Control Commission approval for the Loring Associates Sewerage Extension. 9. City Council Order Re: FY 1978 Budget Cuts No funds for Board of Health Secretary - no funds for meeting expenses such as Northeast Boards of Health - no funds for parking or tolls. 10. Ltr sent to Superintendent of Schools, Dr. Schaefer requesting Bently School for Dept. Environmental Quality Control (Air Pollution) for hearing on change from oil to coal at Salem Harbor Station at any of following dates June 13 - 14 - 15 1977. 11. Superior Court Case #20523 Conway Vs. Board of Health Case scheduled for Tuesday, April 26, 1977 at 2:00 PM. This is on the structure ordered condemned and razed at 23 Daniels St. - 145-147 Derby Street (same structure) , in December 1972. Board of Health has placed a lien on the property for cost of demolition $10,900.00. Case has been delayed, however, due to the death of Attorney Estrich who represented Conway. 12. Ltr to Hyman Marcus, Esquire Re: Napoleon Michaud property 6 White St. 13. Ltr from City Engineer on proposed "Solid Waste Ordinance" placing Solid Waste under City Engineer - the proposed change appears to be in order. 14. Ltr to Michael J. Ganey, Jr., General Director Salem Hospital regarding excavated area directly in front of entrance to Shaughnessy Hospital. Telephone call received 6/8/77 indicated they will send a letter or reply and will take action to make a free flow of water through the excavated area. FOR THE BOARD OF HEALTH: &�� ef / • COLIN E. CAMERON, R.S. Acting Health Agent I CEC/g enclosures cc: All Board Members (7) Council on Health 1 _ DR. ISRAEL KAPILAN PIJBLIC .HEALTH CENTER - BOARD OF HEALTIH. . '�• ��Off_Jefferson:Avenue:":,�" Salem. Ivlassa6husetts.0IQ7.0 �' s• h'''�, ; COLIN E. CAMERON, R.S. ISRAEL KAPLAN, M, D. ... 4 JOSEPH R. RICHARD HEALTH AGENT J.ROBERT SHAUGHNESSY. M. D, (617)745-9000 July 6, 1977 ROSERT BLENKHORN M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON, R. N. ' EFFIE MACDONALD - Dr. Israel Kaplan Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: There will be a regular meeting of the Salem Board of Health on Tuesday, July 12, 1977 at the Dr. Kaplan Public Health Center, Off Jefferson Avenue. in Salem at 5:0.0 p.m. AGENDA O N Da l. . Excelsior Insurance Co. of'New York Requesting hearing on Order to raze 9 Boston Street, Salem, Mass. 2. Beef & Oyster Restaurant Continued unsatisfactory disposal of rubbish, 3 Board of Trustees of Shaughnessy Hospital . Requesting use of Clinic Room and office formerly occupied by Joanne Crawley, Supervisor Public Health Nurses and the use of the desk adjoining that office. 4. Boston Guild for the Hard of Hearin Congratulating the Health Department on the Hearing Testing Clinic. Follow up will be made by the Salem Public Health Nurses. CITY O,F SAU EM HEALTH DEPARTMENT . DR.ISR'.'RZL KAPL'AN PUD1,1C HEALTH CE.NI"ER OFF IEFFERSON AVENI,E - .,Lt,. ._ `_�•" ? SALEM. MTi 01970 " Dr. Israel Kaplan Agenda 7/12/77 Meeting 194 Lafayette St.. Page 2 Salem, Massachusetts 01970 5. Ltr to Michael J. Ganey, Jr., General Director Salem Hospital Nuisance. conditions in the excavated area in front of Shaughnessy Hospital. 6. Ltr Wallace H. Kountze,. Personnel Administration Civil, Service Requesting a decision on dentist and physician cuts in pay. Is it a violation of Civil Service Regulations. 7. Ltr to James T. Ryan, D.M.D. Advising him of a cut in salary. 8. Ltr to Rene Desjardins, M.D. Advising him of a cut in salary. 9. Ltr to Anthony B. Fletcher, R.P.E. On Board of Health 'no objection' "vote of proposed Solid Waste Ordinance change. 10. Ltr Walter Power, III, Chairman Planning Board Board of Health objection to Loring Hills and Marian Manor is withdrawn and Board's approval of Modified Definitive Sub-division Plan of April 26, 1977. 11. Ltr Arthur Chalifour Ordering property at ,42 English Street to be razed within fifteen (15) days. 12. Ltr to Anthony B. Fletcher, R.P.E. (City Engineer) To support Phase II request for funds on new sewage installation. -2- • r CITY 917 SALEM HEALTH DEPARTMENT DR:ISR„NEL KAPLAN PU13 is HEALTH CENTER } f /d r OFF JEFFERSON AVE�!l.lE SALEM, 14A 01970 ' Z�� a Dr. Israel Kaplan Agenda 7/12/77 Meeting 194 Lafayette St. Page 3 Salem, Massachusetts 01970 13. Ltr Peter Merry, Assistant City Solicitor Requesting that he support our request for funds for the Clerk. We cite Chapter 39, Section 23-B (Governmental Bodies shall maintain accurate records of its meetings) . 14. Ltr Jean Marie Rochna, Chairperson Finance Committee Emergency conditions exist due to lack of Tuberculosis hospitalization funds in 1978 Budget. 15. Home for Aged Women Application for Renewal of License and results of Inspection by Public Health Nurse, Kay Morgan, R.N. 16. Div. Community Health Report 17. Ltr to John J.. Toomey, D.P.M. Expressing the gratitude of the Board for his many years of service to the City as Health Agent, and offering their best crashes to him in his retirement. FOR THE BOARD OF HEALTH: � � COLIN E. CAMERON, R.S. HEALTH AGENT CEC/g cc: All Board Members (7) Council on Health 611V Al DR. ISRAEL KAPLAN PILJBLICr�HEALTH CENTER f E,BOARD OF MEALTH,411 Of f,:Jefferson'Avenue.� Saleem Massachusetts 0 970 COLIN E. CArfEP,ON, R.S. ISRAEL KAPLAN, M. D. JOSEPH R. RICHARD HEALTH AGENT J. ROBERT SHAUGHNESSV, M. D. August 2, 1977 (617) 745.9000 ROBERT BLENKHORN M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON. R. N. EFFIE MAC DONALD Dr. Israel Kaplan Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: There will be a regular meeting .of the Board of Health on Tuesday, August 9, 1977 at 5:00 p.m.. at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem. AGENDA 1. PROJECT RAP They would like to come in before the Board members to discuss the $3000.00 cut in appropriations. 2. A.T. DISMANTLING & SALVAGE CO. Low Bidders for demolition at 42 English Street at a price of $3,889.00. 3. DR. .RENE A. DESJARDINS - LETTER OF RESIGNATION Retirement to be official as of July 31, 1977. 4. CONTAMINATED WELLS AT BAKER'S ISLAND 5. DR. SHAUGHNESSY'S REQUEST FOR ADDITIONAL INFO ON CLINICS , Health Agent's reply and Report. xoDH CITY OF SALEM HEALTH DEPARTMENT DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER 3 OFF JEFFERSON AVENUE r SALEM, MA 01970 r Dr. Israel Kaplan Agenda for 194 Lafayette St. 8/9/77 Board Meeting Salem, Mass. 01970 Page 2 AGENDA (continued) 6. CITY COUNCIL ORDER RE: NORTH RIVER ODOR Requesting investigation by the Health Department. 7. 99 CONGRESS STREET IN SALEM Condemned structure • 8. REQUEST TO MAYOR- REINSTATEMENT OF FUNDS FOR CLERK OF BOARD 2FO . THE OA OF HEALTH ?P0 COLIN E. CAMERON, R.S. HEALTH AGENT cc: All Board members (7) , r"N" DR. ISRAEL I�A'PL'AI01 PyIJBLICI I�E�LTI� CENTER BOARD`OFHEALTH—il 4 � lOf Jefferson Av,,enue Salem°'Massachusetts OI9.70 ,• - . _ COLIN Z. 'CAMERON, R. S.. ISRAELKAPLAN. M. D. - JOSEPH R, RICHARD September 6, 1977 •-- FIEAl.;rH AGENT• �� J. ROBERT SHAUGHNESSY. M. D. (617}745-9000 ROBERTBLENKHORN M. MARCIA COUNTIE, R. N. MILDRED C. MOULTON, R. N. EFFIE MAC DONALD Dr. Israel Kaplan, Chairman Board of Health 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: There will be a regular meeting of the Board of Health on Tuesday, September 13, 1977 at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem at 5:00 p.m. AGENDA Request for Hearing - 56 Ward Street Salem Anna Maria Melendez 1st floor tenant Elba Figueroa 2nd floor tenant Winnie Rodriguez 4th floor tenant COMMUNICATIONS: 1. Ltr to Mrs. Alicia Turgeon Re: 56 Ward St . Requesting that she attend the Board Meeting of 9/13/77. 2. Flyer being mailed out by Essex County Housing Organization_ 3. Request for Variance - C.B. Ganey Lot #411 Scenic Avenue Salem Title Five of State Environmental Code for private sewage disposal system. See attached correspondence. y, CITY OF SALEM HEALTH DEPARTMENT y 0 DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER + �? •�;;i_.d OFF JEFFERSON AVENUE - 'Q SALEM, MA 01970 Dr. Israel Kaplan, Chairman Agenda Board of Health Board of Health Meeting 194 Lafayette St. Of 9/13/77 Salem, Mass. 01970 -2- COMMUNICATIONS (continued) 4. Tentative Schedule of School -Dental Health Program 5. New Immunization Law - Article placed in Salem News requiring that all children be immunized against diptheria, pertussis, .tenanus, measles and polio. 6. Recheck on Baker's Island Wells Ltr to Mr. Masse, President Baker's Island Association. 7. Ltr from T.A. Pawlyk, Retirement Board Re: Dr. Desjardins notifying Mr. Cameron that Retirement Board has granted request of Dr. Rene A. Desjardins to withdraw his application for retirement and allowing him to retain his membership in the Retirement System. 8. Illegal Massage Parlor in Salem Copies of ads placed in Boston newspapers. 9. Ltr from Joseph R. Richard, Board member resigiing as member of Shaughnessy Building Space Committee. •�.a CITY OF SALEM HEALTH DEPARTMENT s •r, v DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER 4, gyp OFF JEFFERSON AVENUE SALEM. MA 01970 c6" Dr. Israel Kaplan, Chairman Agenda Board of Health Board of Health Meeting 194 Lafayette St. of 9/13/77 Salem, Mass. 01970 =3- COMMUNICATIONS (continued) 10. Report on North River and North River Canal Report presented to members of the City Council. 11. Ltr to Mayor Levesque Re: Project Rap asking that the $3000.00 cut from their Budget be restored. I . 12. Ltr to Mayor Levesque Re: Dentist & Physician requesting that $8000.00 be restored for their positions . 13. REVISED SANITARY CODE"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". This is a drastic change from the old Code and many Boards of Health are opposing it. FN �O OF HEALTH Colin E. Cameron, R.S. Health Agent CEC/g encls. cc: All Board members 1 s a� /J i\w ♦�**.. ]DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER. BOARD OF HEAILTH'"' �-�� -OffJefferson"Avenue�`�'1 71 : .. Salem;_Ivlassachusetts'01970 _ WALTER F. SZCZERBINSKI,R.S. ISRAEL KAPLAN,M.D. JOSEPH R.RICHARD Acting HEALTH AGENT J.ROBERT SHAUGHNESSY,M.D. November $, 1977 (617)745-9000 ROBERT BLENKHORN M.MARCIA COUNTIE,R.N. MILDRED C.MOULTON,R.N. EFFIE MAC DONALD Dr. Israel Kaplan (chairman, Board of Health 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: Enclosed is the ADDENDA to the AGENDA for the November 15, 1977 Board of Health meeting to be held at 5:30 p..m. at the Dr. Kaplan Public Health Center, Off Jefferson Avenue in Salem, first floor Board Room. ADDENDA Communications: 1. Ltr from Dr. Kaplan to Walter Szczerbinski notifying him he has been appointed Acting Health Agent for the City of Salem. 2. Ltr to Mayor Levesque from Walter Szczerbinski, requesting `longevity pay' for Colin E. Cameron. 3. Ltr to Mayor Levesque requesting monies .for sick leave' for Colin E. Cameron and Marie Faircloth, R.N. , who is retiring on November 30, 1977. 4. Inquire and resume from Anthony J. Scoglio of Beverly relative to the vacancy created as Health Agent by the passing away of Colin E. Cameron, R.S. 5. Ltr to Dr. Kaplan reminding him that we sent a letter to him regarding the Clerk of the Board. -1- � ea` CITY OF SALEM HEALTH DEPARTMENT , DR„ISRAEL KAPLAN PUBLIC HEALTH CENTER 11 t OFF JEFFERSON AVENUE t ? � _ SALEM, MA.01970 To: Dr. Israel Kaplan Addenda to Agenda Chairman, Board of Health for Meeting of 194 Lafayette Street 11115/77 Salem, Mass. 01970 -2- Communications (continued) 6. Schedule for the use of Clinic Room for October 1977. 7. Quarterly Report from Project RAP. 8. Ltr to Ken Tarbell Div. Environ. Quality Engineering requesting variance on Lot 411 Scenic Avenue in Salem. (C.B. Ganey property) . 9. Ltr from Thomas F. McLoughlin (Dept. Environmental Quality Engineering) --denying variance on lot 411 Scenic Avenue 10. Ltr Dept. Public. Health Re: New Article II of Sanitary Code scheduling a meeting for November 16, 1977 for purpose of discussion and review by local Boards of Health. All administrative and Environmental Health personnel of the Health Department will attend this meeting.. ll.a)Ltr from Dept. Environmental Quality Engineering relative to poor quality of water for July, August and September 1977. b)Ltr to Dr. Alan E. Schaefer, Superintendent of Schools relative to a complaint received from Horace Mann School regarding the water. c)T.tr from City Engineer Anthony V... Fletcher with reference to the Horace Mann School and also asking that he be invited to attend the next Board meeting. " CITY OF SALEM HEALTH DEPARTMENT f, -DR.-ISRAEL KAPLAN PUBLIC HEALTH CENTER . OFF .JEFFE RSON AVENUE SALEM. MA 01970 To: Dr. Israel Kaplan Addenda to Agenda Chairman, Board of Health for Meeting of 194 Lafayette Street 11/15/77 Salem, Mass. 01970 -3- Communications (continued) 12. Ltr report from Martin Fair of Health Department with yl reference to his accident. 13. Procedures for Parental CO NSENT FORMS • FOR THE BOARD OF HEALTH WALTER F. SZCZERBINSKI,R.S. Acting Health Agent WFS/g copies to all Board Members 4 ... C3z�t1 "ti 'llv ��i�, DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER �BOARDO,�y H�..}}ALTHv, z OffJeffeson Avenue l;f; Salem;,-.Massachusetts-01970 ISRAEL KAPLAN,M.D. : JOHN J. TOOMEY,D.P.M. JOSEPH R.RICHARD HEALTH AGENT J.ROBERT SHAUGHNESSY,M.D. November 30, 1977 (6,>),a5-9000 ROBERT BLENKHORN M.MARCIA COUNTIE,R.N. MILDRED C.MOULTON,R.N. ti EFFIE MAC DONALD Dr. Israel Kaplan Chairman, Board of Health 194 Lafayette Street Salem, Massachusetts 01970 Dear Dr. Kaplan: jThere will be a regular meeting of the Salem Board of Health on Tuesday, December 6, 1977 at the Dr. Kaplan Public Health Center, Off Jefferson Avenue f in Salem, at 5:30 p.m., first floor Board room. • AGENDA COMI )NICATIONS 1. Ltr to Ant one V. Fletcher, City Engineer inviting him to attend the December 6, 1977 meeting. 2. Ltr to Atty. William J. Tinti, City Solicitor Re: Clerk of .the Board asking what further recourse the Board has in this matter. 3. Ltr to Atty. William J. Tinti, City Solicitor enclosing a copy of Martin W. Fair's accident report. 4. Ltr of Resignation from Mrs. Marie C. Faircloth, R.N. Mrs. Faircloth, a'Public Health Nurse is retiring November 30, 1977. 5. Ltr to Thomas J. Walsh, Director 'of Personnel in reply to his request for a list- of vacancies existing at the Health Department. 6. Ltr from Dept. Public Health Re: Premature Infants stating that the Department of Public Health now has funds available for the reimbursement to cities and towns for expenses incurred in connection with hospital care of certain infants prematurely born to wed mothers from 7/1/77 thru 6130/78. -1- CITY OF SALEM HEALTH DEPARTMENT '7R. ISRAEL KAPLAN PUBLIC HEALTH CENTER OFF JEFFERSON AVENUE , - - p i� f1i3q SALEM, MA 01970 To: Israel Kaplan, M.D. Agenda for Chairman of the Board of Health Meeting of 12/6/77 194 Lafayette St. Salem, Mass. 01970 Page 2 COMMUNICATIONS; (continued) 7. Ltr from .Department of Public Health stating the Rate Setting Commission has filed new rates for in patient hospitalization; said rates apply to care of patients with diagnosed or suspected tuberculosis in general hospitals __under contract with the Department. Cities and towns will be responsible for the reimbursement to the Department of one-half of the new rates, less any Medicare, Medicaid or other third party payor receipts collected by the hospital for residents under 65 years. Rates are effective October 1, 1977. Salem Hospital per diem paid by Commonwealth $188.22 city/town share of per diem 94.11 8. Ltr from Department of Public Health advising that a new tuberculosis control service "Resident Care Program" has been established at Middlesex County Hospital • for patients with a history of, or a potential for, treatment failure due to drug resistance or psychological, sociological or homestyle difference. 9. Project Rap` Request .for Appropriation for Fiscal 1979 They are requesting an appropriation of $20,000.00. 10. Ltr from Project Rap to Mayor Levesque The organization is celebrating its 8th anniversary and they would like to designate December 20th Project RAP Reachout Day and are asking for permission to set up a booth in City Hall. 11. Request for Special Permit from the Planning Board relative to installation of storm drains by Mass. D.P.W. Vinnon Square area; end of Linden Ave., Chandler Road. -2- CITY OF SALEM .HEALTH DEPARTMENT CR+ISRAEL KAPLAN PUBLIC HEALTH CENTER _ OFF J=FFERSON AVENUE \� SALEM, MA 01970 - \�Fy To: Israel Kaplan, M.D. Agenda for Meeting Chairman of the Board of Health of 12/6/77 194 Lafayette St. Salem, Mass. 01970 Page 3 COMMUNICATIONS: (continued) 12. Ltr to Leach & Heckel Leather Corp. Ordering them to cease the removal of animal leather waste in settling tanks at their building and burying the waste in a lot abutting their building. 13. Resume of THary Ann Clynes, R.. (Mrs. William Clynes) FOR DISCUSSION: 1. Ganey - Variance • 2. Eastern Spas - Light-N-Lovely 3. Personnel and vacancies existing at the Health Department. Copies of report previously mailed to members. 4. Health Department BUDGET. (copies previously mailed to all Board members) FOR THE BOARD OF HEALTH: WALTER F. SZCZERBINSKI, R.S. Acting Health Agent s WFS/g *ncls. cc: All Board members Mrs. Jean Marie Rochna