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MEETING MINUTES 1958 TO 1969 BOARD OF HEALTH MEETING MINUTES 2/ 1,958 TO 4/ 1969' !I RECORD OF MINUTES OF BOARD OF HEALTH MEETINGS February 13, 1958 - Meeting convened at 3:30 P. M. with all members •present. First on the Agenda was a discussion relative to the Refuse Survey compiled by Doctor Toomey, after which the following changes were made in the recommendations. 1. Acquiring Thompson's Meadow for a new dump site. 2. Incineration for the City of Salem, if the administration feels that it is economically feasible. 3. Whether Incineration, Sanitary Fill Type or Open Dump method is adopted as a final means of disposal, negotiations should be entered into with the object .of acquiring Thompson'•s Meadow, Site # 3. Motion was then made and seconded that we send a ,copy of this survey to the Mayor and City Council and the City Clerk. The next item up for discussion was Bills Receivable. Dr. Kaplan read a letter received from the City Collector relative to outstanding bills for patients at our hospital. Recommendation: Send a letter to Mr. Clapper, signed by the Chairman, requesting information as to why these people were in arrears. Issuing of permits by the Public Property_ office was next on the Agenda. Recommended: To write a letter to Mr., O'Rourke sending him a copy of the ruling requesting a reply containing his opinions and recommendations. At the -close of the meeting, a motion was made and seconded that Dr. Kaplan be reelected Chairman of the Board for the year 1958. • Meeting adjourned at 6:00 P. M. linor C. Horan, Clerk . March 13, 1958 Meeting convened at 3:30 P. .M. with all members present. Minutes of previous meeting were read and approved.-as read. Interview with Mr. Couillard was held relative to transfer of ownership of two rest homes from Mrs. Couillard to Mr. Couillard. Approved by Board subject to a satisfactory inspection by this department. Inspector's reports were read and discussed. The installation of additional plumbing for hot wate 11-!fortthecliospital was discussed. Motion made and seconded that we purchase a Burkey hot water heater from the North Shore Gas Company and give the contract for plumbing to Mr. Leonard Kiely at the estimated price. Motion4by Mr. :Kinsella, seconded by Mr. Lord. Next on the Agenda was the report of Dr. Toomey relative to obtaining registered nurses for the hospital. Two have agreed to go to work, one on the 11:00.P. M. to 7:00 A. M. and one on the 4:00 P. M. to 12:00 P. M. shift. Motion made and seconded: That we engage these nurses at the starting salary of $72.25, the 4th step of Barrington Report. Decision of the Board: Have Dr. Kaplan and Dr. Toomey meet with these nurses and inform them of the responsibilities of their positions. Motion was then made by Mr. Lord and seconded by Mr. Kinsella that we engage the services of Mr.. Charles Reardon as Cook and that he be given-the fifth step of the Barrington Schedule $71.50 per week. Dr. Kaplan then inquired about a report from City Collector regarding monehly report from his office on the delinquent accounts. Suggested that we remind Mr. Clapper df this is not received. - Also recommended to write a letter to these people calling this fact to their attention, etc. Next on the Agenda was a discussion on Thompson's Meadow, recommended dump site. Motion made and seconded: That we write a letter to the City Engineer requesting a location of Thompson's Meadow. Meeting adjourned at 6:05 P. M. cz Elinor Horan, Clerk April 9, 1958 Meeting convened at 3:30 P. M. with all members present. Mr. Gordon, now owner of New hall Nursing Home was interviewed by the Board. Minutes of previous meeting were read and approved as read. Dr. Toomey reported on meeting with City Engineer Mitchell relative to survey of Thompson's Meadow. Will complete survey at a later date. Housing code was next on the Agenda. After a lengthy discussion, Health Agent was instructed to contact, State Department of Health and either have a representive meet with the Board or forward advile to the Board on adoptition of Housing Code;. Next was the subject of new part-time clerk. Dr. Toomey reported on his talk with Civil Service relative to reinstatement of Dorothy Queenan Fouhey as part time clerk in the department. Dr. Toomey was then requested to write Civil Service a letter for her reinstatement. Two additional Public Health Nurses for the department was discussed. Motion made and unanimously voted to send a requisition to Civil Service a letter for two full time nurses. There followed a talk relative to a report by Dr. Toomey ,-and Deputy Wilson of the Fire Dept. on improvements in fire prevention at hospital. Recommended to send copies of this report to Mayor Collins, Mr. O'Rourke, Mr. Barry, Mr. Nickerson and members of the Board along with a letter of explanation.. Dump situation was talked over,. Dr. Toomey informed the Board that there were insufficient. funds in budget to cover two days a week bulldozing at dump. Recommended that request-:.addifidpalciEun4s later rtDr,.FKaplan;:statdd .-that the Mayor wanted this to go out on contract. Motion made and seconded: The Board authorizes Mr. William Haight to bulldoze the dump two days a week, eight hours a day, with an interval of three days between days worked starting week -of April 14, 1958 for the present. Motion made and seconded: Dr. Toomey make out specifications and contact City Solicitor concerning the contract for the care and maintaina_nce of the dump, and specify the work be done by a 13 ton bulldozer and that the work be carried out two full days a week, eight hours a day, with ,an ,interval of three days between days worked. This contract to run for two years. Meeting adjourned at 5:30 P. M. / inor Horan, Clerk April 25, .1958 A special meeting of the Board of Health was held for the express purpose, of inter- viewing and electing .to permanent full time positions two Public Health Nurses. The Board interviewed hiss Mary Furfaro, R. . N., ,;;Mrs� Jacqueline Haley, R. N. and Mrs.,.Dorothy Bradley, R. N. Motion by Mr. Lord and seconded by Mr. Kinsella: That Mrs. Dorothy Bradley be appointed full time Public Health Nurse,at ,the Salem Health Department to fill vacancy occuring as a result of the retirement of Mrs. Lillian McGrath who formerly held the position. Motion passed unanimously. , - Motion by Mr. Kinsella and seconded by Mr. Lord: That Mrs. Jacqueline Haley- be appointed full time Public Health Nurse for this department. Motion adopted unanimously. Meeting adjourned at 1:15 P. M. J. oomey, erk pro tem .May 8, 1958 Meeting convened at 3:30 P. M. with all members present. Minutes of the April 19 meeting were approved after the following correction was made: In paragraph referring to bulldozer at the dump change twenty ton to read 13 (thirteen) ton. Minutes of the special meeting. held Apri& .25 approved as read. r Dr. Toomey reported that he sent a report on the North River to the City Council. At suggestion of Dr. Kaplan, the Board directed that Charles D. Koshgarian, Milk and Sanitary Inspector, be aligned to inspect and supervise the North River problem for an indefinite period until further notice from the Board and ,that it be his primary job. Dr. Toomey will write to State Health Dept. to supplement the 1934 report with a later one. The Board agreed to continue the present method we are using in distributirig' Polio Vaccine. A discussion on licensing of Salem Hospital concluded with the agreement that a formal inspection of thehospital will be made and then the Board will vote on the approval of the license. A report on the inspection will be made at -the next meeting. Next item discussed was the payment of two bills for premature baby care: 1. Female Infant Cyr, bill of $421. 2. Female Infant"8" McGrane $140. and Male Infant "B" $241. McGrane total of $381., Mr. Kinsella referred to law explaining the payment of such bills by the Health Department. The Board voted to pay both bills for hospitalization, of the premature infants. The doctor's bill on the Cyr infant is to be sent back to the Mother. Communication from Mrs. McShay requesting bill for her land on Marlborough Road was read by Dr. Toomey. The Board agreed to have Dr.. Toomey send a letter advising Mrs. McShay to take her problem to the City Engineer. The Board is taking her case under advisement and Dr. Toomey was directed to help her in any way possible. . Next on the agenda were inspectors reports. These were accepted. Under unfinished business came up for discussion the contract for bulldozing at dump. Dr. Toomey reported that he forwarded a letter and all necessary.material to City Solicitor. Alfred Dobrosielski, but as,yet has received no reply. No action was taken on this at this meeting. Dr. Toomey was instructed to follow up on this matter by again contacting Mr. Dobrosielski. Next under unfinished business was the topic of the Fire Dept. survey at Health Hospital. The Board voted to have a meeting with,all concerned with this survey at the Council Chamber, Tuesday, May 27 at 11:00 A. M. Under new business came the subject of Minimum Standards,of Fitness for Human Habitation. Motion was made and seconded that the Board adopt the new standards subject to legal requirements as required by law. No action was taken on the Thompson's Meadow item. A discussion on payment of bills for newly-installed laundry equipment at the hospital followed. Payment of most -of these bills were held up, due. to Mr. Clancy's not sending . -in his bill to complete the total. Motion was then made by Mr. Lord and seconded by Mr. Kinsella; Write a letter to Mr. Clancy--By order of the Board of Health we want that bill in here within the next 30 days. The bill is to be,:itemized to get our bookkeeping in order. A motion was made and seconded that a special meeting be called next Thursday, May 15, at 11:00 A. ,M. at the Health Center relative to improvement in medical care of patients at the HealtheHospital. Miss Ward, Mrq. Dyer and Mrs. Shivery are to be notified to attend so they can offer suggestions. The Board will cooperate with Dr. Lager in the solution of his problem if he is willing to pay expenses for the work involved. Next followed a discussion on the reinstatement of Mrs. Dorothy Queenan Fouhey as part- time clerk at the Health Hospital. Dr. Toomey made the following statement: "Mrs. Dorothy Fouhey, in my judgment, is the best possible person who can be obtained to fill the position." There was some misunderstanding in the meaning of the word reinstatement. Some members interpreted it to mean reinstat ement to former position in the department. Another member thought it meant to reinstate to the Civil Servic.e List. Dr. Toomey was instructed to contact Civil Service and ask in writing for reinstatement to the Civil Service List. Meeting adjourned:at 6:00 P. M. �v Jose ine Foye, lerk o T May 15, .1958 _ Special meeting preceded the regular meeting for *the purpose of introducing' new standards at hospital. (Refer to hospital file for further information.) All members were •present. Doctor Kaplan recommended assigning Dorothy Bradley R. N. as part of her duties in the department to help carry out the program at the hospital. To work at hospital one day a week and see that instructions are carried out. Discussion was then held on changing classification of Mrs. Mary Connors, Laundress at the hospital. Decision. To contact Mayor Collins and City Council and request this reclassification due to increased duties and supervision at hospital. Elinor C.-Horan, Clerk June 12, 1958 Meeting convened at 3:30 P. M. with all members present, with the exception of Mr. Kinsella. Special meeting with hospital registered nurses preceded regular meeting. . Problems were discussed and recommendations made. (Metter . in file) As regular meeting refumed Doctor Toomey informed members that Matie _Faircloth, R. N. would relieve Miss Ward on her days off. Recommended __to have her starting salare coincide with other R. N's. Motion made and seconded to dispense with minutes of last meeting. Next on the Agenda was the Bulldozer contract. Dr. Toomey will have copieb made and will put legal notice in paper. Date will be set for opening of bids and proposals will be mailed out . Contract is for one years. In reference to safety improvements at-hospital. Motion by the Mr. Lord _ . to ask Mayor for $24,000. to cover cost of suggestions in survey by ' Doctor John J. Toomey and Deputy Chief F. Wilson. Motion seconded by Dr. Kaplan. Report on inspection of Salem Hospital was read and discussed. Dr. Kaplan requested the Health Agent to send 'a copy of the recommendations to the Director of ,the Hospital. Part time clerk was next item. Motion made and seconded to have the Agent make formal arrangements for employing new part time clerk. Dr. Kaplan stated the clerk should work at hospital and report to Board on progress made. Motion made and seconded: To direct the Health Agent to submit a request to the Mayor to adjust Mrs. Bradley's salary from Step 2 to Step 4. Minimum Standards for Human Habitation. Dr.. Toomey will make necessary arrangements to follow through whatever channels are required. Motion was made and seconded to pay Mr. Clancy's bill. Complaint from neighbors of Wetan Leather was discussed. Dr. Toomey stated that the Building Inspector was working on the abatement of this nuisance. If nuisance is not abated for any reason, and the people concerned still feel aggrieved he would recommend the Board hold a Public Hearing at which time •all persons could be heard and could have their legal advisors with them. Meeting adjourned at 6:30 P. M. Elinor C. Hor n, Clerk June 30, 1958 Meeting came to order at 12;,00 Noon with all members present. Sealed bids for Bulldozing Operations at the Marlborough Road Dump were opened and are listed below: 1. William F. Haight, 213 Highland Ave., Salem, with a bid for $8320. per yr. 2. C. H. Elliott, 3 Wilton Street, Peabody, with a bid of*$150 'for two-8 Hr. days 3. Thomas Mackey & Sons, 58 Broadway, Salem for $90. per 8 hour day. ' After bids were read, it was moved and seconded that no further bids be accepted as.of 12:25 P. M. There followed a discussion as to accepting a bid other -than the lowest one. Dr. Kaplan will check with the Mayor and City Solicitor on this. Dr. Toomey stated that when the contract was drawn, it should be dated to December 31 with an option to renew same for the following fiscal year. A short discussion was held on the storing of salvage materials. Next on the Agenda.was the dredging of the North River. Dr. Toomey informed the Board that there was a private contractor who stated that he had permission to dump material off Highland Ave. The Health Agent stated that, he had forbidden this practice so this material from the North River is now being dumped in. Middleton. All members were in agreement that it should have been cleared with our department before arrangements of this sort were made. Decision: Dr. Kaplan recommended that the department go along with this and watch for further developments. Next there was a discussion on the closing of beaches. Doctor Toomey explained to the Board that the dredging of the North River will churn up sludge material and it is probable that when the tide gates are open, some of this will go into the river. Therefore it was mowed and seconded that we temporarily suspend the use of Franklin Street Beach and North Shore Babies Hospital bathing area while dredging operations of ,the North River are in progress. The Health Agent was directed to place signs at these places. Mr. L drd suggested informing the public via the Salem News. Meeting adjourned at 1:15 P. . /. Elinor C. Horan, Clerk July 10, 1958 .Meeting convened at 3:30 P. M. Dr. Kaplan and Mr. Lord were present. Also present were John Serafini and Samuel Zoll, City Engineer Edgar Nickerson Contractor for the North River project and the State Workers. Mr. Nickerson questioned as to whether the sludge would act like quicksand, thereby endangering children in the area. Dr. Toomey thought there was sufficient drainage and gravel to take care of it. Discussion was then held relative to other sites for this dumping. Dr. Toomey will keep a close check on these spots. The contractor stated that it was draining well. ' Next on the Agenda was an interview with Mrs. Dorothy Fouhey, new clerk. Dr. Kaplan explained that there was a problem at the hospital and wanted her to work there for a while. Dr. Toomey suggested she work at 5 Broad Street for a few weeks and then go to the hospital. It was also agreed that she would work four days a week, five hours per day. Regular meeting resumed. Minutes of previous meetings were read and approved as read. The temporary ban on the beach areas was talked over. Decision: To keep signs .postdd at the Ropes Point and Franklin Street Beach for awhile longer. Bulldozing contract was then awarded to Mr. Robert Haight. Mr. Dobrosielski will be notified so he can draw up the contract. Recommendation: Write contract through December 31 with an pption to renew for the following fiscal year. Public Hearing on Minimum Standards for Human Habitation is scheduled for Thursday, July 17- at 11:00 A. M. Motion to adjourn at 5:15 P. M. Elinor C. Horan, Clerk July 17, 1958 Special meeting vYas called to order at 11:30 A. M: Mr. Kinsella and Mr. Lord were present. Meeting was held for the purpose of holding a Public Hearing relative to the new Housing Code "Minimum Standards for Human Habitation." Mr: Rylance A. Lord acted as Chairman in Doctor Kaplan's absence. Dr. Toomey reported that the department had made legal notice of a.Public Hearing as required by Section 128 of the Statute, Chapter 111 and had published the code in the newspapers as required by law. Chairman Lord opened the meeting and as no one appeared for or against, he declared the meeting closed. Following the Public Hearing there was a short discussion on the Bulldozing contract. Dr. Toomey informed members that he had talked with the City Solicitor and he will set up the contract for Mr. Haight. It was agreed that the contract would 'run from July 1, 1958 through June 30, 1959. Transportation of sludge from the North River was discussed again. Dr. Toomey stated that he was keeping a close watch on this operation. There ensued .a discussion relative to some of the sludge spilling on the main streets. Mr,. Lord recommended that the Health Agent get in touch-with the contractor and have . this alleviated. Meeting adjourned at 11:55 A. M. Elinor C. Horan, Clerk August 28, 1958 Special meeting of the Board with Mr. Worthen Taylor, Acting Chief Sanitary Engineer for the State.Inspector Charles Koshgarian of this department and Mr. Polshuk and Mr. Garber representing the Witch City Tanning Co., plus Health Agentf and membe . Dr. Toomey 'explained how this company was dumping certain waste into the North River° and this department had been ordered by the City Council to check all waste deposits into the river. He recommended that the company hire engineers to start to draw plans and specifications to improve this situation. Mr. Polshuk of the Witch City Tanning Co. admitted they were discharging into the river. He said they had tried to improve ,conditions in their own drainage system biit,thad not succeeded. Final decision was that Mr. Taylor would schedule_a meeting for Tuesday, September 9 at 19:O0 A. X. and he requested Mr. Polshuk to have records available as to amount of water used, floor measurments, meter readings, etc. Mr. Garber stated that the sewer on Mason Street which is inadequate, overflows and obnoxious matters"drain into the rever. Mr. Lord of our Board attended a meeting at City Hall a,d told the group that Mr. Nickerson cited that in order to have adqquate sewer lines on Mason Street, it would cost the city around $35,000. Dr. Kaplan stated that he would talk to Mayor Collins about this.. Dr. Toomey stated that he felt that the Mason Street sewer should not become a red herring so to speak, that the meeting was for the specific purpose of_•abating pollution of the North River. Elinor C. Horan, Clerk September 9, 1958 Special meeting of the Board of Health attended a meeting held at the Witc1f City Tanning Company. Mr. Power from the State Dept. Office was present, also-Mr. Richard- son of the South Essex Sewerage Company, W. Nickerson, Officials of the Witch City Tanning Company, Dr, Kaplan, Mr. 1,ord and Mr. Koshgarian of our department. Results of' the meeting were: Mr. Jones of the W.C.T.Co. stated that they would formulate plans for alleviating this nuisance and he would submit same to the State Department who will then discuss same with our department. Mr. Jones also proposed installing a settling basin and two pumps situated in different parts of the plant to pump this material into the sewer. 7 Regular meeting then resumed. Minutes of previous meeting were read and corrections noted. There followed a discussion on Laundress wages at our hospital. Decision: Letter will be written to the Mayor, signed by Dr. Kaplan requesting Step 4 of Group 4 for this particular job. The subject of paying registration fee for our inspectors, in order that they. may be classed as Registered Sanatarians, was voted down by members of the Board, as they felt that this should be paid by the individual. The next item on the Agenda was the Bulldozing Contract, which.was ready for signatures. Mrs. Zesson's sick leave was discussed and the Board thought it was an administrative problem, and left it to Dr. Toomey for final decision. Dr. R. Desjardins joined the meeting and the subject of a Tuberculosis Screening Program was talked over. Dr. Toomey recommended that this be started on all entering school, and to those in the 3rd, 7th and llth grades along with the physical examination. Begin at the Parochial schools this year. Dr. Desjardins thought it would be better to just do this in the 3rd and 7th grad at first. Dr. Kaplan thought we should contact Mr. Carbone and request his permission to start it in the public schools as well. Pre ference of the Mantoux or Patch Test was thoroughly discussed. It was felt that the Mantoux Test was more accurate but felt we would get a better turnout with the patch test. Dr. Kaplan also suggested having Dr. Wiedman meet with the Board to get. his ideas on samd. linor C. Horan, Clerk October 23, 1958 Meeting convened at 3:30 P. M. with all members present. Minutes of previous meeting were read. Motion made and seconded that they be approved as read. Letter from Mrs. Jacqueline Haley requesting a Maternity Leave of Absence was read. Motion made and seconded that Mrs. Haley's request be granted. Letter from Attorney Lester Morley relative to abating part of a bill due for care of James Kenney a former patient at the Health Department Hospital was read to board. Recommendation: Check with Mayor Collins and get his viewpoint on this matter. Correspondence from Mayor relating to $24,000 for improvements to hospital was discussed. Doctor Toomey suggested that we transfer this money to Mr. John O'Rourke's Department. After a lengthy discussion it was decided to comply with the Mayor's request and 'send the list to him. Inspector's reports were read and discussed. Recommendation: (By Dr. Kaplan) That we write Witch City Tanning Co. and check progress being made on correcting their problem. Dr. Toomey reported that our inspectors had discovered more pollution going into the North River on the Grove Street section under the bridge. They are conducting an experimeny with dye to determine the source of this. pollution. Discussion was held relative to pollution at Pickman Park. Receommended that we write Mr. Nickerson, City Engineer informing him the results of our tests. Also keep signs up forbidding bathing there. Dr. Toomey then informed the Board that Mr. George Butler who had previously resigned his position was back on the job. The Tuberculosis Screening Program was next on the Agenda. Health Agent reported that M5. Carbone of the School Department was not interested in the screening test this year, due to a full schedule but would discuss it at a later date. Motion by Mr. Lord: That we carry out the Patch Test in the Parochial Schools with the cooperation of the schools involved. Motion seconded by Mr. Kinsella.. Abatement of bills unpaid over five year periods was discussed and agreement was made to abate these bills. Next on the agenda a motion was made and seconded as fol&ows: "Approval of the sum of $60 for enrollment of our inspectors as Registered Sanitarians" if it is legally possihlie to do this. Dr.. Toomey will check with the City Solicitor on this. Meeting adjourned at 5:30 P. M. Elinor C. Horan, Clerk November 13, 1958 Meeting convened at 3:30 P. M. with all members present. Minutes of previous meeting were read and approved as read. Discussion was held relative to the abatement of bill for the care of James Kenney while a patient at the hospital. Motion aby Mr. Lord: Under the circumstances I move that we abate 50% from James Kenney's bill. Mr. Kinsella seconded the motion Voted unanimously. Health Agent will notify Mr. Morley's Office of the Board's decision. Next on the Agenda was the report on progress being made on tests relative. to pollution of North River in the Grove Street section. Dr. Toomey explained . what our inspectors were doing and, as yet, they have.not had very good results. Councillor Samuel Zoll requested a meeting with the Board of Health, Dr. Toomey and the Peabody Board of Health Agent, Mr. Jones, and the City Council at City Hall . Council Chambers on the first Thursday in December at 7:30 P. M. to dX consider further steps to be taken on the North River situation. Study of the 1959•budget was next on the list. It was decided to ask for three nurses for our hospital plus the superintendent makeing a total of four to cover all shifts. Mr. Lord suggested, as our first project for 1959, to try to improve the kitchen at the Health Department Hospital. Dr. Toomey then reported to the Board that Mr. James Foley, Superintendent of the Park Department had agreed to have some of his men uproot tress and bushes, etc.. on surroundings at the hospital. Meeting then adjourned at 4:40 P. M. linor C. Horan, Clerk. December 8, 1958. Special meeting of the Board of Health was held to review the budget figures for . 1959. Also after a short talk a decision was reached to inform the Mayor that there was $3000. in the Garbage and Refuse Account available fo t nsfer. C-911inor C. Horan, Clerk. December 11, 1966 Meeting convened at 3:45 P. M. with all members present. Minutes of previous meeting were read and approved as read. Census at hospital was peported, no admissions since last meeting. Recommendation: At future meetings the waiting list for hospital shall be added to the agenda. Communications were read and studied. Report of inspec tion of Ivy Manor Nursing Home was discussed after which it was decided to hold up on this license until a more complete report was available. Dr. Kaplan suggested having a brief summary with recommendations at the end of the report. Health Agent will talk to Mrs. Morgan, Public Health Nurse on this. Motion by Mr. Lord: I recommend after the nurse inspects the home, Dr. Toomey should pay a visit to the establishment as a recheck and report his findings to the Board of Health at a future meeting.. Motion seconded by Mr. Kinsella,, So voted. Dr. Kaplan then requested a report of the end of the year figures for 1958 expenditures, and balances when available. Personnel at the hospital was then debated. Dr. Toomey informed the Board that due to the low starting salary for attendants it was difficult to obtain personnel for our hospital. He requested the Board to, establish some sort of policy, whereas attendants with proven experience could start at the higher rate or step of the Barrington Report. Motion by Mr. Lord and seconded by Mr. Kinsella: If personnel applying for a position as Attendant Nurse at the Health Department Hospital have had 9 .. proven experience in this .field and if, .in the opinion of the Health Agent, they are properly qualified, they should start at whatever step of the Barrington Survey Report that they are entitled to by their qualifications. This will also apply to workers already there. So voted. Consideration of the Sprinkler System for the hospital was next item up for dis- cussion. Health Agent reported that bids had been sent out from Mr. O'Rourke's office. Mr. O'Rourke had brought plans over for Dr.- Toomey' to look over. Nothing to report on the road as yet. Inspector's reports. Dr. .Toomey informed members that our men were doing Swab Tests in restaurants. Dr. Kaplan recommended keeping a statistical report on the swab testing. Male nurse for the 3 to 11 shift at the hospital. Dr. Caplan will talk to Mayor Collins and if permission is given, the budget will be adjusted accordingly. Mr. Lord brought up conditions at the laundry at the hospital. Mrs. Connors had requested help on Monday and Tuesday in order to complete the essessive amount of laundry accumulated over the weekend. Health Agent will check on ;this and if there is an actual need the Board will consider it. Discussion of the plans for the annual -dinner was next on the Agenda. Health Agent will contact Mayor Collins, Dr. Rubenstein, Miss Ware, F ircloth, Shivery and.Dyer, and invite them to be present at the dinner, which will fle'held on January 14, at 1:00 P. M. Permission was given to Dr. Toomey to write a letter to the City Ayditor directing the Health Agent to sign payrolls and bill vouchers, for the year 1959. Meeting adjourned'at 5:40 P. M. Elinor C. Hor", Clerk January 7, 1959. Special meeting of the Board of Health convened at 12:30 Noon, with all members present. Personnel at the Health Department Hospital was under discussion. Members were given copies of personnel listings on each shift for the previous two weeks. Several' of our regular employees were out on sick leave. Recommendation: Try to obtain immediate, replacemenfts. Dr. Toomey told the group that he had interviewed some students from the Gordon College in Beverly; one for the 7 to,3 shift each weekend and another for the 3 to 11 shift Monday through Friday, starting January 22. Also, a Mr. Langevin, Male Nurse, would work the 7 to 3 shift beginning January 19. In relation to sanitary measures at the hospital Dr. Kaplan recommended that a notice be posted that all personnel treating patients with infection should wear ,gloves. It was also suggested that if we are short of personnel on one shift and if present employees are willing to work extra it was agreed that they would be.paid for the extra time put ing Dr. Kaplan recommended putting Mrs. Cloutier on the 3 to 11 shift and Mrs. Woodbury on the 7 to 3 shift. He also stated that he had talked with Mrs. Murphy.and though she had resigned, she agreed to return to work on the 3 to 11 shift. The employment status of Mrs. Dorothy Fouhey was brought up, but no decision was reached, will .be talked over at a future meeting. Motion made and seconded to adjourn at 2:05 P. M. linor C. Horan,-Clerk- January 21, 1959 Annual meeting of the Board of Health was held on January 21, 1959 at the Health Department Hospital. All members of the Board attended, also Mayor Collins; Dr. Daniel Rubenstein, Deputy Commissioner of Public Health; Health Agent John, J. Toomey; Katharine Ward, R. N., Supt, of Hospital; Mrs. Ivy Shivery, R. N.; Nancy Dyer, R. N. and Marie Fa ircloth, R. N.(nurses on the staff of the hospital; ) and Elinor Horan, Clerk of the Board. There was an overall discussion on the possibilities of, an addition to the hospital. 1 Dr. Rubenstein explained that in order to obtain Federal aid toward the construction of this addition, the hospital would have to conform with the Federal standards, which would require eight foot corridors, fire proof floors, etc. He recommended building it ourselves, a two story affair, eith ten-beds on each floor, and build it according to State standards and our local building code. By so doing it would cut down on additional personnel, round the clock nurses, etc. If Federal- aid was received, it would amount- to 40% but it would get very involved. Dinner was served. Meeting adjourned at 2;3,0 P. M. •� d�j. -"Elinor C. Horan, Clerk February 5, 1959 Meeting convened at 3:40 P. M. with all members present. Minutes of previous meetings were read. Motion made and carried that they be approved as read. Census at hospital and new admissions were reported. At present there is one vacancy for a• female patient at the hospital. Waiting list is as follows: Male: John J. McCarthy, Austin Tully, Mr. L'Italian, Mr. McDonald, Mr. Arville Coon. Female Waiting Lise: Mrs. Higgins. Dr. Toomey was instructed to recheck on this list and revise it according to information received from interested individuals. Dr. Kaplan then brought up the- subject of building an addition to the hospital and informed the group that the Mayor did not have funds available at the present time. New schools or whatever decision is made by the school committee will come ahead of the add ti6m. Mr. Kinsella felt that if the need still exists in the future and if the money were then available, the Board should endeavor to obtain this addition provided that it would be possible to staff same. Communications: An order to the Health Agent from the City Council was read to the Board. -It requested a location for a Public Rest Room. Dr. Toomey stated that he had made a rough draft of his recommendations and had sent it to Councillor Buczko. Dr. Toomey had recommended Town Hall as the ideal place for this as it had facilities installed back in the W. P. A. -days and these were still in fairly good condition. It is a City owned building, some improvements would be necessary and an attendant should be on hand at all times. Mr. Kinsella thought the Board .should be notified of anything like this and the Board egfeedsto make this a policy in the future. Correspondence from the Bftatb Department_1of`;Hes. th relating to the Witch City Tanning Company's plans for disposal of waste material from their factory was read. Dr. Toomey explained that he had met with the City Engineer; Representative from W.C.T. to check if the company's plans were put into operation, the city would not come back on them in the event of the surcharge of the sewer. Mr. Kinsella stated that the present government could not speak for future administrations. Letter from the City Solicitor relative to delinquent accounts of hospital patients was discussed. City Solicitor will write letters to try to collect some of this money. Inspector's reports wer placed on file for future meetings. Action of the Board in regard to Bulldozing operations at Marlborough Road Dump was considered. Mr. Lord moved that the Agent take the necessary steps in drawing up a contract for 1959 for this purpose. Motion seconded and carried. Next on the list was the salary status of Mrs. Josephine Foye, Senior-Clerk-Typist for the department. After a short talk the Board agreed to go along with .the Agent's suggestion and that a letter be written to the Mayor requesting Mrs. Foye's rate be retroactive to January 1, 1959. License for Barry Nursing Home was signed by members of the Board. Dr. Kaplan stated that the Health Agent should instruct the nurses to be more specific when improvements were needed at these establishments. This recommenda- tion also applies to the Sanitary inspectors reports. After a lengthy talk on new titles for attendants at the hospital :it was not acted on ' at the present meeting. Dr. Toomey then informed the Board that Mrs. Jacqueline Haley Public Health Nurse had returned to her duties on February 9, 1960. Meeting adjourned at 5:40 P. M. -Minor C. Horan, Clerk. February 18, 1959 Special meeting of the Board of Health was held at 12 Noon. Dr. Kaplan dna Mr. Lord were present. The purpose of the meeting was the opening of bids for the contract of bulldozing of the City Dump on Marlborough Road. The following bids were received. William Haight, 213 Highland Ave., Salem, $80.00 a day. Thomas Mackey & Sons, 58 Broadway, Salem. 75.00 a day. Stephen Vitale Construction Co., Inc., Beverly $72.00 a day. M. H. Noonan, Inc., P. 0. Box 484, Peabody, Mass. 71.20 a day. All bids were accompanied by a certified check for $75.00. No decision was reached at this time. Dr. Toomey informed the Board that Mr. Denis, prospective employee for the hospital, was in for an interview. He will start work on Monday, February 23, 1959 as a Skilled Laborer at the hospital replacing John E. Casey. Meeting adjourned at 12:30 P. M. Elinor C. Horan, lerk. March 18, 1959. Meeting convened at 3:30 P. M. Motion made and carried to dispense with the reading of the minutes of previous meeting. . The first order of business was the election of Chairman of the Board. Motion by Mr. Lord and seconded by Hr. Kinsella all That Dr. Kaplan be elected Chairman of the Board for the year 1959. The waiting list for the hospital: Mr. Clancy, Proctor Street 2/l/59; Mrs. Imbeault 2/20/59; Mrs. Beauchamp, 3/16/59. Communications: An order from the City Council relative to pollution of water in the bathing area at Pickman Park was read by Dr. Toomey. A reply has been sent to the council advising them additional tests would be done as soon as the weather permits. Inspectors reports were read. A great deal of their time has been taken up with putting dye in drains, severs, etc. and taking samples in the Pickman Park area. The samples were found to be negative. They are now starting in a new direction and these new samples show excreta coli: . Further checks will be taken. Next on the. Agenda was the hearing with Mr. Ted Simons relative to correspondence concerning a nuisance emanating from his establishment. Mr. Simons reported what had been accomplished to try to alleviate this nuisance. He thought he had cooperated with the dept. and was Father disturbed at receiving a letter giving him a four day notice to clear up this nuisance. Dr. Toomey explained how this office had received repeated complaints of smoke and rubber particles emanating from Ted's Master Service Station and blowing into a Mrs. Herrick's home. Complaints in, behalf of Mrs. Herrick were also called in repeatedly by Councillor Wilfred Poitras. After a lengthy discussion, it was decided to have the Agent and the inspector reinspect the premises and if the condition was as Mr. Simons claims it bo be, then a letter should be written to Mrs. Herrick and a copy sent to Mr. Poitras as follows: In our opinion, any nuisance that existed has been corrected and if at another time a nuisance recurred the Board will take the necessary steps and proper action. Next was the awarding of the Bulldozing contract. Motion made and seconded that the Bulldozing contract go to M. H. Noonan, Inc. ,, the lowest bidder at $142.40 per week:, and that Mr. Nonnan be so notified. Also it was suggested that a letter should be written to Mayor Collins informing him of the Board's action. Have the City Solicitor follow through. 12 , Unfinished business: Letter from attendants at our hospital was reread to the Board. Motion was then made and carried: Move we submit a favorable recommendation to the, Mayor regarding the reclassification of these attendants. The Health Agent was not in agreement with this vote. Dr. Kaplan, reported that he had talked to Mayor Collins relative to retroac- tive pay for Mrs. Josephine Foye. Mayor turned this request down as he did not wish to start a. precedent. Budget meeting with the City Council will be held on March 20 at 7:00 P. M. linor G. Horan, Clerk April 14, 1959 Meeting convened at 3:30 P. M. Dr. Kaplan and Mr. Lord were present. Minutes of previous meeting were read and approved. Letter from Mrs. Catherine Green, Welfare Agent was read. This letter related to a change in payments to physicians for patients at our hospital who are on the. P. W. D. Rolls. Dr. Toomey informed the members that he was awaiting a call from Mr. Fabisak of the Division of Hospital Einaneesgto discuss this policy with him; Dr. Kaplan suggested contacting Mr. Tompkins of the Welfare Division and get his versdon of this.- Dr. Arthur Lager, Veterinarian, who had requested to meet with the Board joined the group. He stated he was representing the North Shore 'Veterinarian Associates. He explained the functions of his group and his purpose for attending this meeting was to obtain, approval from the Board of Health for a voluntary mass rabies innoculation -program. He stated that rabies was not a problem in this state at the present time, but could become one at any time. The veterinarians will donate their services and equipment and will charge a fee of $1.50 for the service. He requested that the city provide a place for the clinic, preferably a fire station, and if possible, some clerical help. Dr. Toomey, informed him that this department had no jurisdiction over the fire stations and that no clerical help could be provided. After Dr. Lager's departure a motion was passed as follows: The Board of Health will go on record as approving the proposed veterinarian innoculation voluntary program to be conducted by the North Shore Veterinarian Associates for the benefit of preventing a possible outbreak of rabies. A letter will be sent to Dr. Lager telling him of the Board's decision. Next on the Agenda was the, subject of 1958 unpaid bills. Motion made and carried To request an appropriation from last years balances to pay these bills. On the Piecott premature baby bill, it was decided that according to the information on hand relative to the family circumstances, these people would be able to take care of this bill themselves. On the Freedman premature baby it was recommended that the Health Agent contact the head Social Worker at Beth Israel Hospital and endeavor to acquire more information on this case. Orders from the City Council were read. In reference to the North River situation Dr. Toomey informed the members that our inspectors had found that some factories in the Peabody area were dumping into the river. It was also reported that the Witch City Tanning Company had made no progress with plans that were drawn up some time ago. The Bulldozing contract with reference to the recent budget cut was discussed. Decision: When the money is nearly depleted, this department will send in a request for another appropriation. The Health Agent then requested permission of the Board to take the necessary steps in order to promote Mrs. Dorothy Fouhey to Senior Clerk-Typist as she is now doing senior clerk work. Motion by Mr. Lord : I move that the Health Agent proceed with 13 with the necessary steps to promote Dorothy, Fouhey to Senior Clerk, Typist. Motion passed. Meeting adjourned. at 5:50 P. M. Ci Elinor C. Horan, Clerk May 12, 1959 Meeting convened at 3:30 P. M. with all mbmers present. Minutes of previous meeting were read. and approved. Letter from Witch City Tanning Company was read by. Dr. Toomey,• after which the Health Agent was instructed to recheck with .the State Department of Health to see if a copy of the plans for such installation should be filed in their office for their approval. If this is not necessary, Witch City Tanning Co. should be so notified in order to start on the project.. Doctor Kaplan will contact Mr. Jones of Witch City Tanning Company. . A lenghthy conversation followed relative to conditions at Ted's Master Serv. Station on Canal Street. It was. decided .that there would be no further correspondence on this issue. If. Mrs. Herrick or Mr. Poitras wish, they may request a hearing before the Board relativ.e to same. New procedures of payments to physicians for care of patients at our hospital was talked over. Motion made and carried That we request the Mayor and City Council for $2000. for medical care of patients at the hospital, this amount to be added to budget Item 2, Hospital Expenses for 1959. Next on the agenda was the Polio Vaccine Clinic. Dr. Kaplan, Dr. Moulton and Dr. Toomey will meet to discuss details of a program for innoculations of this vaccine. The Freedman premature baby bill was next on the Agenda. Dr. Toomey cited the law that those bound to pay must pay if they are able.. After further talks it, was decided that this department was not responsible for this bill. Correspondence was read to the Board and approved, as follows: To Mr. Thomas Brennan and Miss Emilia Dekowski requesting payment of delinquent accounts of hospital patients. Dr. Kaplan inquired about the vacation list at the hospital. Also suggested that we contact Mrs. Brady and Mrs. James in order to get a definite date on their return to work. Dr. Kaplan stated that Mr. Pimental could not replace Mr. Butler at vacation time, so a replacement will have to be located. Elinor C. Horan, Clerk May 22, 1959 A special meeting of the Board of Health was held at 12:00 Noon. The purpose of the meeting was to discuss a clinic for Polio innoculations. After a short talk it was recommended to run a clinic at the following dates June 1 and 2 and 4 from 9 to 11. Meeting adjourned at 1:30 P. M. Elinor C. Horan,-'Clerk 14 June 9, 1959 Meeting convened at 3:45 P. M. with Mr. Lord and Dr. Kaplan present. Minutes of previous meeting were read and approved as read. First item on the Agenda was the payment of physicians for medical services at the hospital. Motion made and carried: That we continue on with the same policy as previously carried out by the Public Welfare Dept. relative to payment for medical services at the Health Department Hospital. Inspectors reports: Dr. Toomey told the Board members that our inspectors were still checking with Mr. Nickerson of the State Department of Public Health, Engineering Division in order to locate the source of pollution at Pickman Park. It now seems to come from a broken sewer pipe entering the drain. Dr. Toomey will notify the City Engineer and Mr. Hever, as soon as there is positive evidence of same. The Mantoux Testing Program at St. Chretienne was reported on by the Health Agent, as six positives out of 135 examinations. these positives will be followed up by Xrays.• Recommendation: That this department follow through with Mantoux Tests to replace the pathh test. Dr.. Toomey suggested that we have the State do a sweep program, all members agreed. ' Dr. Kaplan recommended having this program as early in the school year as possible. Health Agent reported that he had talked with Mrs. Nathan at the Beth Israel Hospital concerning the payment of the- Freedman baby bill. It was ruled to wait for a final decision until Mr. Kinsella was present. Delinquent Bills Receivable. Record full information on all these people (Brennan and Dekowska)and report to Board. Report on Witch City Tanning. Health Agent Toomey reported that he had talked to Mr. Powers of the State Engineering Division and he had promised to get in touch with Witch City Tanning Company officials. Polio Clinic: Motion by Mr. Lord that the next polio clinic be held on Monday,. July 6, 1959 and Tuesday July 7 and Thursday July 9, Seconded by Dr. Kaplan,carried. Suggested that we advertise clinic on Thursday and Friday and Monday July 2,3 & 6. Ad should be on front page of news. It was also unanimously voted to request another appropriation of $600. for future clinics. 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S.i { f. t.- t-a .�,A.. y 1: 'tt5� ! � `p5t `,ie tr`:. . .�A+.an .a+t,• . ,a-.,� .yli• ::..,.1 7•'i. is -i* ;4. i ^ y.. ac s+ -4:v.-.. *041, +� h1vo put in -a lot Ot wwk OVA wut a lot ** A V OAW' ' A&"-,# You ett 4ust all qv*r the 0WOW Otow t toot tft'vibla abMt 4OUS * WAS, UM Mo* but you get Mail* and the 4u#t wto in vmx hmtg ,* o4 I CmIt boas O otho; Oa tbo mow tbar 4"' Id 00411 the tuts on tu gifts 004 tbo Ouedcolor 1, I "' Ot WOU Wt ObC 004 SbO bAd tAkft 9M to 7 bit 00 bOU90* W I YO* tOW tt thwo was but .4ast two aAd 4 bv=l ttave for ;yvo "t kOW thl' blo bonus. b0oloom s DSA you bacc tUoplate was tow4 ft buslam l I 41A We vbm I Wight tU bmoo. avea tha Wut" tlw acp6t Soto oxwob tb* vsof tg *t awrI44 V46', that ym Ltd told lbst VmUh cat t ftUQ Vhft Obw mo � OUTUUtSept or time!: loft a0mm 00b, tho 910rampo ow bu* to efto 4UA "0 tuo-CM41tum. Wetm fd Opt 0, W* suma amft this 1 *top bA# Watast We. 1 bw* ICOVV*ctcd Us, tY 100104 Mx4uA to 4o.* to ake tblAas tiv4blo, +cam" » lus to Antorfacs"SWith Ow b4altb Ow wl" ", AL40 rk 3 Solos tolose my toot It this condition to oot icorr CO* At OWSO Pit Oftir SAPIOU a" Wit " TOOMY $9 be W 41wh say. go 7 o t vesU ted the cwplalot L td mde ~ v t cage, Ith artm t Oft request,t o Ito a ie te* but tbW my wt 44re t the Omar iA %thith It 0004 be abated, If An i"dividwit ad d us from e eVertenco ve u4bt bavo mod, $t old be allttgbt for us to state about YOU t4 ss but eat Ott etc* t t you of dba� Itd mutt t tbas aod soy to of e' their tweaft of abottamt is of aw teteet to UO", 0e It to abated. W. $fie Ud a Sollows Obc tom dwom 404 1091ked tbo Was .over sod he vocommod OelrtaAA.improvMento that COU d =40 to Imptove tbo slt tt a ;fir., Sims& M ae directed$ e. astriek a He old Set in uwtA v*th bellow agOA a better job, 's 0 00 cr Ot the turd, t #tvMly toot that ths probl t: OaO be r IVed$ tt this amdUtoo We not been .t rreoted. X d***:t oce any rcawn wtky it AVU, be d e cbMt it. 'I bAV# eeec tU ft#t on the viedbWAMO. Ws. swricki d 444 o 's th 40 ktumledseeftotoly should do 4owthfAs to Uvrove 01e twitl r• ce no cl *lose u ' buat So Wl bave too,. 4 otdor to correat ft. c W that tutim, wo Vill be rofolvec this to a fa tt this vU l be an v+ toy# y* Be will pot on 4* a4dit , 'he vill h4vo the buffing row Its this sew cdd t ee U 4e In the procaee of belag built. U vUl takes eft a watt before be v l stem ldi%, 40 will build A separate buffer too away frm * • r 0 boulm. to Wider to Oftstmat build go* tt t a little t * but ft to to the protess,r this to tbo ecty way t o o4a bo t turrettly,; we. rrtr : In about a mmtbv be will start buildloss Oat about tbo maotfte* t vfll du over a$o , wAll be pay for all this roc? f was told that W« bus was buffing- Wee to r etch cud be tl 4own his Spotm paste sa to buff# $ *11 the ties to Wm. Way d *t be trooster the buslaoss of buffs tire* to the $*$tau Plate? taunt wit Owtbac amt f b o' be 4OU14 be ca rf d to 01000 those vind c, w xv 00 boo ` 0 r , f tw k1 - OUA _, W ` 10 OIL*. W VIII WA yoo ltow,* . to out Oat b bao owppO tbo tbavuwt wilt .shoo j ti„ vUl ow bft #a ow :Oft V* : o - vm bias _r 41 to t * OvA at . * Spot * s Q'Otua# .d =s , Maw 4wt w b4ft 04twUmbad ft "Y to 01twfto tuo . .� 00040to to UVWO of . * 1. 1 * O % SA o too bm Ourto"sOAS ' VO oill O Oftoom 404 . two IftsbOA on f41*000 Ot TWAlbootft u rotates to O"A"040 4t T0410 wour ftrOU0 stbtum Ot t# Ow AM It 0$0 dowildod dat ftV4 tm� no fort " J At 1 :30 Mr. Kelley was invited to attend the meeting to discuss conditions at the municipal dump on Marlborough Road. Dr. Kaplan inquired, of Mr. Kelley, what were his functions at the dump. Mr. Kelley replied that he was operator of a bulldozer. Dr. Kaplan informed him that there were many complaints about the dump and it was the Board's duty to find out facts and correct them. Most of these complaints had been in reference to Mr. Kelley and the handling of his position. Dr. Kaplan inquired as to a business going on at the dump and Mr. Kelley doing business with junkmen. Mr. Kelley stated "I don't sell junk or buy junk. Old retired fellows pick the dump and they sell it. Any Salem resident is allowed to pick the dump. Mr. Max Talkowsky is the only junkman doing business there. " Queried as to out of town trucks dumping there, Mr. Kelley stated that he never let out of town trucks in, unless they had a permit from this office. Dr. Kaplan asked him if he had any suggestions to offer for improvement of conditions at our dump. After a short disucssion the following recommendations were made: 1. Put up a fence, possibly poles and cable with a sign relative to dumping regulations. 2. Bulldozer should be up there every day. At this point Dr. Kaplan asked Mr. Kelley why the bulldozer was out of order so often, when it was at the dump. Mr. Kelley stated that there was no protection P in the winter, bulldozer stays out in all kinds of weather. Repairs wereinadequate, when breakdown occurs, repairs should be done by Boston and not locally. 3. Build a shed of some sort to house the bulldozer: tll�E "' Dr. Kaplan suggested that if the City did not purchase a bulldozer, it was possible that Mr. Kelley would have to be transferred to another department. Mr. Kelley said the dump would be in better condition if no scavengers were allowed. Decision made to contact the councillors, to rescind the present ordinance relative to picking at the dump. Mr. Kelley was then given authority to eject any pickers at the dump who were giving him troubld. 4. Have a gate across front of dump. 5. Have adequate personnel. Meeting adjourned at 1 :55 P.M. August 28, 1959 Special meeting of the Board of Health convened at 3:30 P. M. with all members present. Nuisance at Wetan Leather: Petition received in this office signed by neighbors in the area of smoke and soot emanating from Wetan Leather Co. Health Agent reported that our inspectors had checked this complaint and had taken samples of dust from homes of residents in the district, and forwarded same to the State Department,of Health for analysis. The state inspectors were here to investigate the complaints. Dr. Toomey talked to the men who were tending the boiler adn advised them regarding the type of coal to use in order to help alleviate the nuisance. Company cooperated by purchasing this coal at $4.00 more per ton. Sample of the coal was forwarded to the State Department of Health. Dr. Toomey told the group that when,he inspected the premises there was no evidence of a nuisance but understood there had been at the time the petition was signed. Mr. Kinsella inquired as to whether these complaints had come in previously 1rhen a different company was operating there. After a lengthy discussion a motion was made and seconded that a representative of the company be invited to a meeting with the Board of Health to discuss the situation. This meeting to be held on September 10 at 11:00 A. M. In the meantime a letter will be sent to the originator of the petition and inform him that this department is investigating said nuisance and when a decision has been reached ,he will be notified. Copy of letter to be sent to Councillor Marquis. Next matter up for discussion was progress being made on complaint at Ted's Master Service Station. Health Agent read a letter from the S. D., of Health stating that Representative Harrington and Mrs. Herrick had paid a visit to the State House relative to this nuisance. Recommendation: Have inspector check Ted's to see if nuisance has been abated and reply to S. D. of Health. Next was the Marlborough Road Associates petition relative to dump on Marlborough Y Road. After a short discussion a motion was made and seconded that we write a letter to the Association and inform them that we have investigated the conditions at 4"` '' the dump and it was managed well and it is the unanimous opinion of the Board of Health:—. that there is no health nuisance at the present time. We will take every means possiblpe,i to eliminate any nuisance that may arise in the future. Dr. Kaplan will sign letter, sent copy to Mayor Collins. Order of. the council for the Board of Health to look into the advisability of ordering a bulldozer for the City Dump, look into the purchase price and request an appropriation from the Mayor for the purchase of said equipment and that such request 's be made no later than September 10, 1959. Board suggested that the Agent get this information and submit it a to the council by the 10th of the month. Dr. Toomey asked the Board if Mrs. Cloutier and Mrs. Ouellette could be moved to the fourth step. It was unanimously voted to write a letter to the Mayor requesting . same. A discussion followed'as to stocking pharmaceuticals at the hospital so the department could cut down on prescription costs. Recommendation: That the nurse in charge list out the prescriptions for each patient and forward same to the physician in charge of patient. In this way we could rotate purchasing to local druggists. Notice will be sent to the hospital. e Elinor C. oran, Clerk. September 10, 1959. Meeting convened at 5 :00 P. M. Dr. Kaplan and Mr. Lord were present. Mr. Kinsella was unable to attend. Conditions at hospital. Dr. Toomey s6ated that he had gone down to the hospital a year ago relative to the storing of household supplies and food. His statement follows: There is a pantry ready room that has always been used. My intention was that we could start a process of keeping better control of the hospital if we had a weeks menu 16 - - taken out of the large storeroom and put into the ready room to which room the cook -would have a key so he could• get in and out whenever necessary. I had the- same thing in mind in regard to underpads, cotton rolls, etc. These were supposed to be brought up on each word and a sufficient supply put there every day by the superintendent to save unnecessary steps. We have talked about the same thing with medications. This would be under the superintendents jurisdiction. I had never• interided that everybody or anybody, but one person, should have a key to the wholesale room, the other room I did not have any objection to others having keys. Dr. Kaplan stated that this was allright but thought that a key should be left in a certain place where the person in charge would have access to it when the super- intendent was not available. Dr. Toomey did not wholly agree but he said he had no objections to the Board issuing orders. After further talks the following motion was made and carried: 1. No toilets are to be locked except the one on the fourth dloor. 2. All supplies, both household and groceries shall be kept on the working floors, none of these to be on the 4th floor. 3. Storerooms shall be kept locked and the key left in a designated place so the nurse in charge may have access to it when necessary. 4. That the Health Agent be instructed to carry out these orders immediately. Next on the Agenda was a discussion for improvements at Marlborough Road dump. The following recommendations were made: 1. Special hours for dumping---7:00 A. M. to 4:00 P. M. six days a week. 2. Dump shall be covered by a watchman seven days a week, Monday - through Saturday from 7:00 A. M. to 9:00 P. M. - and on Sunday 10:00 A. M. to 6 :00 P. M. 3. There shall be no unauthorized dumping, this means: Dumping outside of the specified hours: Dumping + without a permit from the Board of Health or other identification, that the person dumping is a Salem resident. Dumping privileges will be for Salem r. residents only, special permits may be granted for specific jobs carried on by non-resident trucking concerns. 4. The Health Agent is instructed to affix a sufficient number of signs at the dump •setting forth these dumping hours and restrictions. 5. There will be no scavenging or picking of the dump. 6. The Agent of the Board of Health and Mr. O'Rourke will confer on the construction of a fence at the entrance of the dump; This to be of the chain link type with a double gate. 7. When this fence is constructed, the gate shall be kept locked at all times except during dumping hours. 8. The Health Agent is directed to contact Mr. O'Rourke and make recommendations to him relative to the construction of an incinerator for the disposal of dead animals. 8. The General Foreman, in charge of the Sanitation Division, • - shall consider supervision of the dump as part of his duties and shall report his findings periodically to the Agent of the Board of Health. 10. The Health Agent and the City Engineer will get together to look into the feasibility of draining the wet area under the high tension wires. Speci41,�Hearing -- Wetan Leather Company and residents of the Rop�s _ et ares. • 6 :00r: `M zf, Dr. Kaplan opened the meeting .stating that a petition was received at, t , .office signed by residents in the neighborhood of the Wetan Leather Company.' (. "Kaplan stated that it was up to the Health Department to- determine if a nuisance existed and if so try to hitevittcottected. f Mr. George Marquis: There is a n;uisance going on, this complaint is not a new one, it has been going on for some time, in fact, at my own request two inspectors went down six times this past summer. Certain particles werees lighting on the porches, ets. same came out of the stack at Wetan Tanning Co. , on Catal Street. On tb.p;,of of this nuisance, in regards to odor, this also came out of the Wetan Co. These people have been suffering and I believe their complaint is legitimate and one that deserves attention. This past week a property owner stated something had happened to her property. This has never happened before, some type of bug, that came from Wetan's found their way to garbage cans and worked their way into cellars. Some five or six years ago, this company came to the council for a permit; due to the fact that the area was- zoned for industria, it was impossible for the council to deny them this right. Prior to the W. T. the Lafayette Laundry had the same boiler, same stack, but they operated ,a clean place, never had a complaint. Now this meeting was called for six P. M. ,, many people came out early from work, �- d many had to hire baby sitters. A large number of people are interested. I am sure none of these people are out with a grievance that has no valuation.and they ,. , , ould. not hurt anyone if they had not been hurt. If this operation continues, eir assessment should be perpetrated accordingly. In my estimation, the complaint � > s justifiable, the Board of Health should take it upon themselves to do something out this condition and alleviate it. Next were comments made by those present : 4_11 Mrs. Collins, 4 Porter Street. . .I would like to mention that the cars in the street ' are badly covered with soot. People across the street's new car is covered, some of the neighbors are going to report it to the insurance company. The dust gets into closets, and on windowsills. There are bugs, • something between a moth and fly, that are getting into the houses. Mr. Laverty, 10 Porter Street. inquired if a report had been received back from the State relative to particles that were picked here and there. Dr. K. told him that this qas the question period, the replies would come later. Mrs. Connolly, 11 RopGB Street, chief abutter. I took my car down to the man who owns the property, I wouldn't want to hurt his business, but would like to eliminate the buffing dust, that covered my car. He did, I hadn't had any, but lately it has started up again. Windows are opened, radio is going, my son is very sick and I have telephoned down and asked them to please close the windows, but they refused to. I had to wait until 3:00 A. M. when they went home, in order to get some sleep. Dr. K. stated that the place was zoned for industry and they are allowed to conduct business there, evep thoughtthireemlay be some noise Mr. Beaupre, 22 Ropes Street. I came home a few times for dinner after cutting lawns. _ Dinner was on the table and 12 :05, it had soot all over the potatoes and meat. I ,:• '� oM ad to throw it away and had to get another plateful. This has been going on for lk yrs: � w A: ' r Ropes Street : One of the tenants moved out in ten weeks just on account of this ndisance. Mr. McKenna, 16 Ropes Street. I came in a little late and so far all I*hear is w soot. There is a little more than soot. There is a coal gas smell, which is far worse than soot. It is sickening. I haven't had to call a doctor yet, but will have to if this continues. We have to close all the windows and doors in front of the house, and if it is .a hot day, we are just out of luck. It completely seals off the front of my house. Mrs. Paul LeBlanc, 4 A Ropes Street. I have a new born baby, but I cannot put her out because 'of the soot. Besides my baby has a tendency to allergies, and . that soot is not helping at all. Mr. Chalifour, 10 Porter Street. For thirteen years I have had no trouble with insects, bugs, ets. but last Fall I.was invaded with oriental cockroaches. I had an exterminator in, I have a receipt of his bill. He went through the building, but now I understand they have invaded the nieghbors. They look like Japanese beetles. Mrs. Connolly: My back door is facing their factory and at night, these bugs , are having a battle royal there. 16 Ropes Street. , Bugs, cockroaches, etc. started this winter, they all parade across the way coming from Wetan's. Mr. Thebault: I would like to know if owners use coal or do they burn leather scraps in their factory. If Mr. Marquis wants to give a campaign speech, we are not interested Mr. Simons of Wetan. We respect the rights of these neighbors to come in, they may all be correct, I represent these people who have a substantial investment in this business and I want to protect them. They know what they burn. If they do not wish to answer the questions, is that a critical question? Mrs. Chalifour: There has been someone in that building at night, one wall is just covered with beetles or whatever they may be. We all came over to hear if you are going to have this nuisance corrected; we are not going to stand by and see a health menace be allowed in this city. Dr. Kaplan: There certain rules we are allowed to do and some things we are not allowed to do. The best way to solve it is to hear the present, then hear from the other side, then we will act. Mr. Chalifour : In other cities when there is a smoke nuisance, the state comes in. Mr. Boupre: If these people can't answer any questions they should not be here. Dr. Kaplan. They are here at our request. You people came here on second choice. Mr. Simons: First thing I•knew about this was that the Board of Health requested the Wetan Company to come before the Board on Thursday, then it was postponed until tonight. We understood that the Board and it's agent wanted to talk, but evidently this isn't what you originally called the meeting for. Resident at 12 Porter Street.- This condition is terrible, I never ,had bugs in my cellar until now. Mrs. St. Pierre, 14 Porter Street. These bugs.are in my closets. Mr. Chalifour, 10 Porter Street. I am the owner of a six family house. Soot clings to the house, the tenants complain and I try to pacify them somewhat, but now I am starting to lose my tenants. They complain to me so I am speaking for six families. One has been there for 26 years, and likes it very much, My wife hangs out clothes and they get all dirty on the line. This has been going on for a few years, but now it seems to be getting worse. Mr. Hennessey : I am told that there is no night fireman there. The high pressure boiler will probably blow the building up. I would like to inquire if there has been a licensed fireman there at night, if some untrained person is there, this might be the main cause of all this trouble. Since they have been there, the boiler blew off once. Mrs. LeBrun:. Yes and the noise was so terrifying when this happened, the steam went up, etc. The thing went off, like he said, for ten minutes, it was terrible. Mrs. Chalifour: Last Fall I called up Wetan and they told me the soot must be coming from Ted's or the Mattress Company. Mrs. Mooney, 276 Washington Street. My child has Cerebral Palsy. I don't like her to get too close to that soot. I have called Dr. Toomey many times. Rene Deschamps, 40 Cedar Street. Could they answer me this question. Why does the boiler send off soot? Mr. George Marquis then took the floor. From what I can see this is a one sided hearing. We are bringing in the complaints, we have the idea they refuse to answer questions. From what I hear in regard to that boiler not having an engineer at night, in as far as the location is concerned, it was done prior to this trouble. I think it is foolish for us to stay here if they refuse to answer questions. These complaints are not just from last week, these have been going on for three or four years. Mr. Simons has represented this business prior to tonight. Mr. Simons: I represent these people in .their interests. These people have rights. They asked for a hearing. I have no personal knowledge of the facts. Dr. Kaplan: I think Mr. Marquis is unreasonable. It is up to us to get the facts. We will mull these facts over, then listed to our Agent and then talk to these people. This hearing was called, we felt that there was an alleged nuisance, so we called in the Wetan Company. We are going to ask them some questions, they will have their turn. When we get through with the pros we will hear the cons. Mr. Thebeault, 3 Ropes Street. Four tenants are complaining about their lawn in rear of building. We have company and that darn chimney goes up and the visitors get soot all over them. A month ago I had my house painted,- before we had a chance. to get the effect of the new paint it was covered with soot. Mr. Boupre, 22 Ropes Street. This summer while I was on my two weeks vacation, I had on a nice clean white shirt and when I went out I got soot all over me, I had to go back to change my clothes. People in this area will alh move out if this doesn't stop. 4Mr. George Marquis: Mr. Chairman, I don't know what Mr. Simons meant by that campaign phase. As far as I am concerned, I know you are sincere, as far as the sincerity of the Wetan Company, I don't know. I have come here to help these people. . If we find that we do not have satisfaction to the satisfaction of these people I would advise residents of that area to go further and I will be glad to assist them to go a little further. Ii Dr. Kaplan: J George, (G don't think your insinuation is fair. You should have a little more t confidence in your Board and shaould have a little patience. Mr. Simons: I can't conceive my people not being cooperative, if so we are all wasting our time. Dr. Kaplan then called on Dr. Toomey to discuss what information he had on this. Dr. Toomey: About a month ago complaints started to come in relative to Wetan L. Co. Mr. Marquis instituted the complaints and I talked to some neighbors in the area and they were concerned with the fact that there was a smoke nuisance Q which they felt was coming from the -Wetan Company. I sent inspectors there, the method of firiri boiler was discussed and we left with the feeling that something was going to be do .' We received more complaints a week later, At this time our inspector collectedt� � samples from p o windowsills in the area. We called the Division of Atmospheric ` . r Pollution for technical assistance and they looked the plant over. The boiler - ; seemed to be constructed in good fashion. They took samples of coal being used andf came up with a 20 to 22% volatility. This is considered to be very excellent burnift' $;rv.;; coal, non-nuisance type. I went over a senond time with two -inspectors, one was a Mr. Rhineheart whose business it has been for years to inspect smoke nuisances. We went all over the fireroom, over the boiler mechanically and otherwise and could ,find nothing wrong other than the fact the inspector recommended some methods of firing slightly different fm m what we had recommended. They fired the boiler while we were there. Now relative to the buffing box, we got after them about the and they corrected this condition. They have a whole new installation to control the buffing dust. Someone alluded to the fact that they may be burning leather. I have been over several times and at no time have I ever seen leather or leather scraps anywhere around this boiler. To recapitulate, as of today, we. have asked them and instructed them how to fire the boiler so that it would not create a nuisance. This requires a lieele know how and a little trial and error. If the boiler is too mmall for what they are operating. Then it is not a problem of this department. That boiler has to be inspected by the State Departmentof Public Safety. The Board of Health is' limited, we can ofily tryotoz!cdrrect a .nuisance, we cannot dictate how to do this. Mr. Lord closed the meeting with the following: I made a little trip there with one of our inspectors, he took samples because I was interested in conditions in that area. You people have brought in some very valuable information and we want to thank you for coming here. I don't want you to feel that we are not doing what we should be doing for you people. We do not want you to think we are not doing our job. There have been many cases recently and we have ironed them out to the satisfaction of everybody. The State Department was down here this morning. I am sure that the officials of the Wetan Leather Co will cooperate, we will hear their side of the story, now that we have heard your side. I will see to it personnaly that it is ironed out. Dr. K. closed with the remark that we would have the Wetan people here to answer these question and Mr. Marquis and a representative of the people could be here also. SECOND HEARING ON WETAN LEATHER CO. , INC. AND RESIDENTS OF ROPES STREET AREA. A r A special meeting of the Board of Health was held on October 6, 1959 at 5 Broad Street. present were: Dr. Kaplan, Chairman, •Mr. Lord Board Member, Dr. Toomey, Health Agent, qugt llor Marquis accompanied by Mr. Thibeault and Mr. McCarron representing nd4 ghbors of <�j Ropes Street Area. Also Attorney Harry Simons, Mr. Moschetto and his partner + i iLe Wetan Leather Co. , Inc. Dr. Kaplan requested the clerk to read the letter from the State Department of Health, Division of Sanitary Engineering relative to the firing of the boiler at this establishment. Clerk also read out highlights from previous hearing. After this Dr. Kaplan stated that he had visited the plant and inquired if anyone present had done likewise. None of those concerned, other,than Dr. Toomey, had been inside to view the, plant. '. Dr. Kaplan stated that the department had sent in samples of dust to the State Department but, as yet, had not received any report .on these samples. Councillor Marquis stated .that the sajuples originally taken would come back negative, but if new samples were sent in. these might not be negative.`' He asked the Health Agent if the department had received a complaint• this past week.. Agent stated Mrs. Mooney of 276 Lafayette Street had called the office. a " Mks' Marquis stated that her home is 600 yards or more from Wetan, and she still had as of last week. This could go in indefinitely and we want it' corrected: Mr. McCarron was next to speak: "Just go by that letter from the State, are you firing the boiler the way it should be fired? If it was fired this way, it would eliminate the throwing of too much coal, causing smoke to pour out of the ; '. chimney. Apparently whoever is firing the boiler, is not doing it properly. Mr. Moschettl: I have a 3rd .class state engineers license. I am in charge of the (a.4*10-rt boiler, I have a helper who aids with the operation of same. Dr. Kaplan wanted to know if the boiler was working day and night. Mr. Moschetto : We have to blow those safety valves, they have to be done once a da� h ue "n t the valves off of the seat, blow out line once or twice a day, the more"- yorx ,dpNhe better it will -be. We have stopped doing that in the evening, we dd kit i -ig working hours every day. There are two inspectors that come in to heck, one? is an insurance inspector and the other a state inspector. The insurance r inspector comes in ore a month and the state inspector once every six months. j The boiler is checked constantly as far as firing is concerned. It is being i fired properly, you will get' some smoke when the coal reaches the fire, you have to have some smoke,you cannot eliminate it 100%. Any smoke stack in the country will have smoke to release the gases. Mr. Moschetto was questioned thus: As to whether they would get smoke if they burned oil. He answered in the positive and reported that they were in the process of doing something about that, they have specifications from vsome people to convert to oil, from some firms in Boston. r 2• Dr. Kaplan asked him when he put the machines on and how many hours a day did -they operate? �$' shifts Mr. Moschetto : Two or three shifts, it varies,' during the past summer there were two 7 to 11. One department ran three shifts, .one particular day we ran 24 hours. Dr. Kaplan inquired of Dr. Toomey if the district was zoned for business could the plant operate any hours of the day or night. Dr. T. Yes, they can work any time of the day or night. " George Marquis: Unless it is a public nuisance. Dr. T. "There is no statute that I know of that limits people working any stated hours. Dr. Kaplan referred to the problem of insects. Mr. Moschetto: My partner here, is the first one that walked into the plant, it was infested with insects, when it was operated by the Lafayette Laundry, back in 1956. We got rid of them and we never had one in the plant since. We hired an exterminator and we never had any since. Getting back to the boiler : Mr. Moschetto: Dr. Toomey happened to be at our place with the State Inspector, and they had a talk with me and asked in what manner we fired the -boiler--we went through tests, they timed the smoke coming out of the stack, it takes the smoke 1/2 a minute. There are two fire doors, a fire box, you fire 1/2 of the boiler, let it lay for five minutes before you fire the other side, you don't get all the gases going out of the chimney at the same time. Dr. Kaplan: What do you mean by firing?M:Putting coal in fire, it is a matter of minutes, five or six shovels are put in at a time. Dr. K. How often do you do this. Mr. M. It depends on the amount of steam you use, probably 20 minutes, if you are pushing the fire, sometimes only once an hour. The boiler is oversized for our plant. If you put too much coal, you g will get much smoke, it is just a question of carelessness. I do most of it, 90% of it then I have a helper. , At night, I'm there most of the time and my partner also, possibly 14 or 15 hours a day. We just started in business, we are working night and day, at night the boiler is banked. Sometimes we have been there from 11 to 7, when we have special orders to get out. With the exception of two or three weeks we never had any trouble. We have been there since 1956, we never had any trouble until now. Mr. McCarron was again questioned aG to his opinion of the firing of the boiler. He is in the U.S.Navy, Rating, Deisel Engineman. He said that there was too much coal coming out of the chimney, .smoke gill rise, .smoke-will come out of the chimney and come down again. Sometimes it smokes for twenty minutes. It is less now than before, probably cut in half. Mr. Moschetto knows how to run it, but he is very busy, he should have a man in the boiler room, but the organization is not big enough. The only thing is, of course, to correct it they would have to hire a man or put in an automatic stoker or convert to oil. Whatever he does it will be expensive. There has been, probably, an overanxiety, and an extra shovel or two would be thrown on, causing the excess smoke. Of course if you overload the boiler just one time, you get the complaints all over again. Mr. Thibeault inquired as to how it was possible for black flakes happened to come out of the chimney. Thought maybe they were burning something other than coal. r. Moschetto said occasionally wood is burned whenever a new fire has to be started. ut as to the scrap leather that they accumulate in the plant, this is sold for fertilizer, nd they would not burn anything that they could sell. We, made a survey in this respect. We have been blamed for much down here, the only legitimate complaint was from Mrs. Connolly. The wheels were running and making quite a noise, her'complaint was justi- 3 fied 100%. In a matter of weeks, we converted our machine from a gear to a V belt wheel. This eliminated the noise except for a slight one from the motor. Getting back to these flakes, I have seen incinerators in that area outside, burning paper. The only time a condition like flakes would arise would be when we blow the tubes. 92% of the coal is now burning, with the other type of coal_, it would be possible to gat • a condition, such as this. Councillor Marquis: Do you intend to put in an oil burner this, next year or three years from now? When can the people over there expect a changeover to oil at your plant. Mr. Simons: How can he tall you a thing like that. Dr. Kaplan: "You- are in the process of investigating the possibility of converting to oil. Could you give us a little bit of an estimate how much conversion would cost? About $11,000. Are you considering this seriously or just investigating or research. We have been considering this for -quite some time fdr the simple reason, actually, if we could put this in, it would save us .money, in this respect, by not having a man there, it would be completely automatic, it would save me time .and whoever else ,handles the shovel. What is holding us back is the actual original investment of $11,000. If we had the money we would have had it long before this. Councillor Marquis: Mr. Durkin at the time the permit was given had the neighbors .• in his office. He was very specific that they be no complaints, I told the nieghbors then, if they are not satisfied these people would not get the permit. Starting last year we have had complaints, previously to this we had many complaints. . the late Wilfred Poitras was involved in a petition_ which is still in his desk, if he hasn't turned it over to this department. Dr. Kaplan We had no petition up till. this time. George Marquis: The Health Department and the Health Board have always been very cooperative whenever I called. The inspectors made prompt and numbrous inspections at my request. But I don'O Mr. Simons would like to live there, I know I wouldn't. Dr. Kaplan agreed. Bugs started coming into the neighborhood in 1956 and it has been getting worse. The Wetan had an exterminator and since that time the bugs came into the cellars of the neighborhood homes. Mr. Moschetto: We had a few troubles of leather scraps piling in the yard outside of the building. That will not be done again. We process' chrome splits, they already are cured by the time it reaches us. We are in the split business not in the hide. Mr. Lord: Is it possible, by the time you get the leather, the bugs might be transported from the other factory to yours? Yes, it is possible but we have never run into any experience like that. Dr. Kaplan to Dr. Toomey Is there anyone in the State Department of Health that would deal with that sort of problem, If so we would like to have them come in survey. Dr. Toomey: No, not in the Health Dept. maybe in the Dept. of Agriculture. 4 r. Toomey will check on this. r Simons: How do you know these bugs are the same ones that they exterminated in 1956. ..ow come they weren't in the neighborhood before this time. Where were they for three years. Dr. Kaplan could not answer this question. Dr. Toomey asked Mr. Moschetto if he actually had any bugs' in his factory at the present time. Mr. Moschetto said "Yes, we have a few". Recommendations: Have an exterminator come in every once in awhile for a routine check and if bugs are present have them taken care of. Mr. Thibeault: One of my tenants complained about these bugs, they only come in at night. I told her to get one and show it to me. She came down the next night and had a board with five on it. I took one of them to the Essex Aggie School and they had a picture of an oriental bug in the cockroach family that resembled this bug. We obtained some bombs and gave them to the tenants. We just started to get more bugs last week. We did not have these bugs when the. Lafayette Laundry was here. , , Conclusion of hearing: Dr:. Kaplan: These people have a problem, they -worry about it, they are involved and the neighbors are secondly involved. They want to correct it, but you cannot do it quickly, you can however make progress. I have a feeling that they will convert. Councillor Marquis: My primary purpose is for the general public, until they are satisfied, I won't be satisfied. These are the gentlemen who have to do it. I have a feeling that they will do it. Mr. Lord: I don't think that anybody here this morning is directly interested in creating hardship for these fellows and on the other hand I hope that without being direct in my statements that they do something in the meantime to help people in this neighborhood, who have become upset over this situation. You know that continuous complaining can be annoying. There must be an answer along the .line to alleviate this situation. Mr. Simons: In the first place I took the only attitude, the first time we came, because there was no other way without having altercations with all those people. We were here to hear their complaints. I think that G and Ange can explain that Wetan Tanning are trying sincerely to go along to the best of their ability. They will do whatever they can. The fact that they are having bids submitted on conversion to oil proves this. You gentlemen know that the leather business can boom overnight or drop over night. On the other hand, I'm confident that these people want to stay in business and I think they can be depended on to do whatever they can to help out in any way they can. They are not looking for trouble. Mr. Moschetto: Well, since we have been there, the only complaint that we actually did receive was from Mrs. Connolly. I .thought that the woman was old and regardless of what we did she .would not be satisfied. But that woman was absolutely justified. We visited cr home and the noise was terrific so we converted over our machinery into a V belt d you can't hear anything now except the sound of the motor which is absolutely nothing. r yard was a little dirty so we covered .it so that there would not be any complaints. he amount of money that- we .have spent is considerable. This thing was growing into a giant, we probably would have the ambulance here that night if we started to argue. We will d o everything in our power to eliminate this thing. . �il3lresdhe rtehe othcptopero to and not argue. The Health Board have been gracious with us, we g completion very soon. Anyone who ,, 5 Anyone who lives on the fringes of an industrial zone has to expect these problems from time to time. As. long as the situation does not get out of hand, there is an answer to everything. In Dr. Kaplan: In my opinion it is a slow process, you get complaints, inspectors go over and you have to trace the source, talk about it, then the. Board discusses it, etc. the time element involved is great. Mr. Simons: In representing these fellows, regardless of what is said there is always the possibility that if the-Board does 'not take action the people would take action. These fellows will get an exterminator. Meeting closed at 12 :35 Noon. ,. { •Ir x fit • - +��,h.%�'May.« October 29, 1959 Meeting came to .order at 3:30 P. M. with all members present. Minutes of previous meeting were read and discussed. Marlborough Road Dump. Dr. Toomey reported that the signs were up at the dump and .arrangements for the erection of a chain link fence were in the process. Scavenging was still going on, however. Motion was then made by Mr. Lord, this to be effective if approved by City Solicitor. I move that the new rules and regulations for improvements at the municipal dump be published in the Salem News for the purpose of informing the citizens of Salem of the change in schedules and all permits previously issued for scavenging or picking at the dump be cancelled. Mr. Kinsella seconded the motion but recommended that in the event some people did not. see the paper inform all those individuals having these permits that they are cancelled. Next was a discussion on the incinerator for dead animals and a shelter for the caretaker. Dr. Toomey recommended a Silent Glow Destructor for this purpose. Electricity would have to be available to connect this, and it would be run by oil. Proble cost for both $5000. Dr. Kaplan will talk to Mayor Collins .on this. Chairman Kaplan reported on a meeting held at Marlborough Road with other Department Heads and representatives of the New England Power Company. As a result of this meeting it -was decided to purchase fly ash from New England Power at a cost of 40(,% a yard to fill in the opening on the right side of the dump and have a•trench.dug to allow the stagnant water to go through. Dr. Toomey will discuss this with Mr. Mitchell, City Engineer. Mr. Kinsella was of the opinion that we should not expend too much money at the dump in the event that the incinerator would be purchased in the near future. Dr. Kaplan said the Mayor would not approve the purchase of an incinerator at this time. Question arose as to whether the dump was a Public Health nuisance. Dr. Toomey read the law which stated if a dump causes discomfort to citizens as a result of smoke, etc. it is considered a Public Health nuisance. ' Dr. Kaplan suggested having another meeting with Mr. Taylor of the State Department after the fence is erected. Dr. Toomey told the members he heard of a new law forbidding burnigg at dumps. Will verify this with the City Solicitor. p"'I Next was a lengthy discussion of. ruling given Miss Ward on locking the toilet near the '' office. Mr. Lord recommended that any physician wishing to use this should be allowe that privilege. Storing of instruments at Hospital. Dr. Toomey will check on this and report at next meeting. Bills Receivable: Mrs. Brennan, patient at the hospital is now in arrears to the amoun of $4000. Dr. Toomey informed the members that we had send letters on this and had not received any reply. Dr. Kaplan said. he had discussed this bill with Judge Harrington and will probably have a reply at next meeting. Dr. Kaplan also requested that our inspectors check on a smoke nuisance at Beverly Mattress Company on. Canal Street. Also have them recheck on the North River as he had received reports that Peabody was dumping again. Monies in Budget: Health Agent told the Board that this department was badly •in. need of another truck and he had conferred with the Central Motors and as we had saved some money in. the Garbage and Refuse account it was so voted to transfer same to Central Motors toward the purcahse of another truck. Meeting adjourned at 6 :15 P. M. Elinor Z. Horan, Clerk November 13, 1959 Meeting came to order at 3:30 P. M. with all members peesent. A Mr. Brennick new owndr of the Nursing Home at 7 Carpenter Street was interviewed by the Board of Health. He told this body that he was improving the place .and enlarging it by adding eight more beds and intending expending $50,000 for other improvements. License was approved by the Board. The regular meeting then opened with the reading of the minutes, of previous meeting. These were approved as read. Inspector's reports. First report was on conditions at the DoNut Hole on Highland Avenue. Decision on this was to reinspect the establishment and if it did not meet with the department standards another letter should be written stating that if -conditions were not immediately improved the establishment would be closed pending improved sanitary measures. North River. Inspection confirmed reports that dumping was taking place as the Peabody end of the North River, but our inspectors could not pinpoint the offender. Bills Receivable. In re bill of Emilia Dekowski, patient at hospital, amount due on account $639.42. After Dr. Kaplan had described to the Board that this family were patients of his and -their circumstances were in the very needy bracket, it was his recommendation that we should write off the balance that was overdue. Motion by Mr. Lord: I move that the balance of $639.42, amount due for hospitalization of Emilia Decowska be abated and letter -be forwarded to the Auditor and Collector confirming same. Bill of Mrs. Catherine Brennan: Dr. Kaplan reported that he had discussed this with Judge Harrington who had written to the responsible parties and had received no reply. Recommendation: Send a letter by Registered Mail to Mrs. Drake and ask what she intended doing about this bill. If no reply is received, contact City Solicitor for other avenues of collecting this bill. Marlborough Road dump improvement program. Suggestion, that the Health Agent ' write to Mr. O'Rourke to check on erection of fence. Also that the Health Agent make arrangements to publish the rules and regulations that apply to the public , , ';_ in reference to dumping at the municipal dump, and insert therein, that all previous permits issued for scavenging at the dump be declared invalid as of September 24, 1959. It was also suggested that we contact Mr. Taylor of the State and try to arrange a meeting with him and the Mayor to he held on Thursday at 10:00 or 11:00 A. M. Motion by Mr. Kinsella and seconded by Mr. Lord: . That a letter be written to `=. Mr. Talkowsky informing him that all business carried on at the municipal dump shall be done on the outside of same, and a letter to be forwarded to Mr. Burke that scavanging is now prohibited at the municipal dump. Status of Mrs. Woodbury, Attendant at hospital. Will be 70. in November 1959 (28) Dr. Kaplan suggested that the Board establish a policy that when anyone in the department reaches the age of 70 and are not in the retirement system, they should be automatically retired. This will not apply to Mrs. Woodbury. Mr. Kinsella then inquired if she was capable of doing her work. Dr. Kaplan said that she was. Mr. Kinsella then stated that if she was capable, he certainly would not vote to let her go. Dr. Kaplan stated that Mrs. Woodbury was bad for the morale of the hospital, and if she continued working, it would be against his recommendations. Mr. Lord stated that he would not agree to any motion of this kind unless it had the unanimous vote of the Board. He recommended holding it over until the next meeting. Request for appropriation of $45-00 to meet end of the year expenditures at the hospital was in agreement with all members. Mayor would like a list of expenditures for this year as they seemed in excess of previous years, per Dr. Kaplan. Report on Mr. Butler, orderly at our hospital. While taking a physical examination at Salem Hospi tal it was discdvered that he had an infection in his nose and Dr. Kaplan thought he should not report for work until this had cleared. Cuanberry situation: Members decided against making any statement at this time. Injections of VolivValant(F1u)Dr. Kaplan stated that he had contacted the State Department of Health, Division of Communicable Diseases and was informed that an epidemic was not anticipated this year, and so it was agreed that no jq�g lqn,% would be given this year. Meeting adjourned at' 7 :05 P. M. Elinor C. Horan, Clerk November 19, 1959 Special meeting. Present: Mayor Collins, Mr. Worthen Taylor, Director of the State Department of Engineering, Health Agent and Board Members. Meeting convened at 10:00 A.M. at Health Center. Mr. Taylor told the group that the State had to come in -on this situation at Marlborough Road Dumping area, because of complaints of the neighbors that burning caused them discomfort and anyone who owns property is entitled to enjoy their property at all times, and any nuisance that lessons that right must be alleviated. Mayor Collins stated that all these people had purchased this land after the dump was there, and because of it being there the purchase price of- the land was comparatively low, probably around $50 or so. These individuals build there property there and until recently when this association was formed, we did not have too many complaints. Mr. Taylor said that this made no difference, the dump was still a nuisance and should be alleviated. His department will make an inspection of the dump next week and this will be the first step towards prosecution. The city should have protected itself against this happening, should not have allowed people to build in this area. Mayor stated that he was for this, but the council would not go along. He was questioned- if he recommended Thompson's Meadow as a new site for sanitary land fill. He stated that the State would not interfere unless there were complaints ... from the neighbors. He recommended a sanitary land fill as the best possible disposal�`:z--'; method,. as to the cost, it would depend on many things. It is an engineering problem.t �-0', t'' t either for the City Engineer. or an oustide consultant. You would have to consider -N� how much area you,have; if you would have to haul fill; how much you could take 4{ d from the area for cover; . test holes would have to be made, etc. -";;� :� H e reported that he had seen some scavengers at the dump even thoggh the Board •�' ""�:� had forbidden this. Mayor stated that two of these scavengers were brothers of councillors. Mr. Taylor inquired as to other improvements. Mr. Lord informed him that we had hired a bulldozer to khep the dump leveled off, this to be there two days a week. The rules and regulations have been published in the News, and previous permits for scavangers had been declared null and void as of September 24, 1959. Mayor told him that he had just appropriated $800 to be used for a survey for an incinerator site. This was approved by the council. Mr. Taylor advised that if: incineration is considered, new rules and regulations as far as packaging material, etc. would have to be made. Another area would also-be needed for non burnable items. Dr. Kaplan asked if there were any more' complaints about the dump on Marlborough Road. Mr. Taylor said that if he did have any more complaints, and if we gave him the assurance that we were carrying out our part he would be on our side, but if we do not take proper action, he would have to report it to the Board of Commissioners of Public Health and the Public Health Council. Meeting after Mr. Taylor's departure. Recommendation: Send a letter to the City solicitor ascertain the proper title to property at Thompson's Meadow, after getting permission from Mayor to do so, have test holes made at Thompson's Meadow by Engineering Division. Request an examination by the State Department of Health. The Board has gone on record that we are in the process of investigating a change in type of dumping from burning type to sanitary fill type. Motion: It is the concensus of the Board that the Agent take whatever measures are necessary to make the change from a burning dump to a.-sanitary land fill type of dump and that he should proceed to comply with the legal and technical requirements necessary to make the change from a burning dump to a sanitary land fill type of dump and that he should proceed to .comply with the legal and technical requirements necessary to establish the area known as Thompson's Meadow as a dumping site. Motinn seconded by 20 Mr. Kinsella, voted unanimously. Meeting adjourned at 12 :25 P. M. Elinor C. Horan, Clerk December 8, 1959 Regular meeting convened at 3:30 P. M. Present: Dr. Kaplan and Mr. Lord. Minutes of previous meeting: correction: insert "for her age" in sentence about capability of Mrs. Woodbury. Discussion on North River. Agent informed the Board that there was a distinct possibility that some Peabody firms were doing some dumping but we were not able to establish who, it was; in any case the dumping was not Heavy. Dr. Kaplan inquired about debris at North Street. Agent informed him that the Commissioner of. the Dept. Public Works had a routine cleanout of the place. Moved and seconded that Agent write Dept. Public Works directing that action be taken to clean up North River at the Tide Gate. Brennan's balance at Hospital. Agent read letter from Mrs. Drake in which she infers that Salem Welfare did not give our department a clear story about the disposition of the $18,000. , Moved and seconded: That the Agent check all details with the Welfare Dept. and report. Marlborough Road Dump. Discussion relative to scavenging at dump. Moved and seconded: That the Agent request M. Talkowsky and Burke to appear for a hearing >tr before the Board. Amended: That a specific instance of infringement of the rules �f be named and found. Hospital. Dr. Kaplan brought.up the employment of Mrs. Carter and the fact that she was living in. Agent stated that he had given orders that she be removed >. from the payroll and to his knowledge she was not working. Moved and seconded: That the Agent notify the Superintendent of the Hospital that Mrs. Carter's services must be terminated immediately. At the suggestion of Dr. Toomey that the following policy be established, it was,. moved and seconded: As a matter of policy, no employee of the Health Dept. Hospital shall be granted "living in" privileges without specific permission of the Agent of the board. , Discussion-Mrs. Woodbury: Mr. Lord said he had information that to sever Mrs. Woodbury's employment at this time would cause her. considerable hardship. Dr. Kaplan said he was not aware of this and would go along with retaining her because of this. Moved, seconded and voted: That nothing be done to terminate Mrs. Woodbury's services as this is a hardship case. Policy matter in the future. Moved, seconded and voted: That employees of the department must terminate employment upon reaching age 70. Bulldozing at Dump. The Agent informed the Board that the bulldozing contract was going to terminate 12-31-59. After some discussion, it was the feeling of the members and Agent that in view of the contemplated changes in refuse disposal in the near future, that no contract be entered into and the Agent be directed to keep the present contractor on a ,day to day basis. Request for Maternity Leave. Moved, seconded and voted: That maternity leave for Jacqueline Haley, R. N. , be granted and that the Agent take the action necessary with Civil Service. George Butler. After some discussion, the Board directed the Agent to pay sick leave and costs of medication for George Butler while not employed due to streptococcal infection. Meeting adjourned at 6:27 P.M. ; John J. Toomey, Clerk pro tem. 21 74 January 4, 1960 Special meeting of the Board of Health was held at 12:00 Noon with all members present. Also present was Mr. George O'Connell, Plumbing and Sanitary Inspector for the Department, and a Mr. Roulier and Mr. Fraser of Laurent Road to discuss alleged public health nuisance caused by overflowing of cesspool and septic tank on their property. Motion made and carried to dispense with minutes of previous meeting. Dr. Toomey gave a brief resume of events leading up to the situation on Laurent Road. These people live in a low area where there is no sewer connection. Mr. Roulier has a cesspool and Mr. Fraser a septic tank. Both of these enter into a common cesspool which drained underground and into a swamp across the street. Two months ago two homes were erected across the street and as a result of this building the overflow pipe from the cesspool was plugged and the cesspool is now draining out over the bank and on to Laurent Road causing a health menace. Two years ago the City Engineer, two councillors and representatives from this department went there to try to devise some means to relieve these people and somehow connect their homes with the sewer, but were unsuccessful due to the tremendous cost of installation. At this time Mr. Roulier had a pipe replaced' by a Mr. Mello from Peabody, .but had never obtained a permit from this office for this work. On November 24, 1959 a letter was written to both of these gentlement advising them to alleviate this condition. Another letter was written on December 14 ordering these people to present to this depart- ment within two days specifications and name of contractor who will work on this project. There were no official replies to these letters. Mr. Roulier stated that he had an expert from Beverly Farms by the name of Thompson who had looked over his home and noted the ledge in the cellar and advised him that the only solution was to have the city put in sewers. After a lengthy discussion on this it was decided that Dr. Toomey, Mr. O'Connell, Mr. Mitchell, City Engineer, and if possible some registered Sanitary Engineer, should meet with Mr. Thompson and view the place and try to come to some agreement as to the solution. Mr. Roulier and Fraser left the meeting and Dr. Toomey informed the Board that if a ruling which had been approved by Board members at a meeting some time ago had been made an ordin- ance all these problems could be avoided. He stated that a letter had been written to Mr. O'Rourke but no reply was received. Motion was then made and carried to retype this proposed ordinance and forward same to City Solicitor for his legal approval after which more action will be taken. Meeting adjourned at 2:15 P. M. Elinor C. Horan, Clerk January 14, 1960 The regular meeting of the Board of Health came to order at 3:30 P. M. with all members present. Minutes of previous meetings were read and motion was made and seconded that they be approved with the following corrections: Insert "At the present time" in motion relative to Mrs. Woodbury; also, list out Strep and Staph infections on payment of bills for George Butler. So moved that the corrections be accepted. First item on the agenda was a request from Dr. Kaplan to have the Health Agent get figures on the renovation of the kitchen at the hospital. Delinquent bill of Mrs. Catherine Brennan was then again discussed. Dr. Toomey read a letter from the Welfare Department and requested the Board keep this information confiden- tial. After which motion was made and carried: That Dr. Toomey write to the City Solicitor and relate in detail ail the information pertaining to this account, and request the City Solicitor to notify the Board of Health of whatever action and progress he makes on same. Recommended to send a copy of this motion to Mayor Collins. The Health Agent then told the Board that he had a letter from the Division of Hospital Finances and as of January 1, 1960 the per diem rate for the care of hospital patients would be $7.77 per day. p s Dr. Toomey felt this increase would cause hardship for some of the private patients at the hospital and asked the Board if there could be two sets of rates, one for private patients and one for 0. A. A. patients. Dr. Kaplan remembered discussing this situation a few years back and a motion was made and carried to have the Clerk recheck on the minutes of 1955 or thereabouts and report to the Board what action was taken at that time, and take this up at the next meeting. Correspondence from the State Department of Health was read by the Health Agent rela;- tive• to a sanitary land fill dump at Thompson's Meadow. The State recommended that this section not be zoned for single residence houses. After a short discussion it was decided that the Board would not take any action until the Mayor had received 'a report from the incinerator study. Mention was made by Mr. Lord and seconded by Mr. Kinsella that this letter be tabled for the present except as a communication from the S. D. P. H. Next was a letter from the same source relative to the Pickman Park area, stating that the area was not polluted and would be all right for summer bathing. Recommended: To notify the inspectors to take weekly samples indefinitely. Laurent Road nuisance was next on the agenda. Dr. Toomey reported that we had not heard anything from the gentlemen involved; but he had contacted the City Engineer who had some men go over there to inspect the premise's; they reported back that it would be an impossi- bility to connect with the city sewer. There were two alternatives for-the--abatement of this nuisance: 1. Three thousand feet of sewer line might be laid down through the St. Ann's Park to connect with the Jefferson Avenue sewer. This would cost about $50,000.00 and there is still the possibility of there being a nuisance. 2. Because -they are in a hollow, it might be possible at some future time to have a pump station which would be located at the vicinity where St. Anne's Park joins Willson Road, across the street from Laurent Road; the cost would be about $35,000.00. Dr. Toomey recommended that the best way would be for these two fellows to get a jointly owned septic tank which would have to be made of cement, a fifteen hundred gallon tank, seven hundred and fifty for each house. The liquid would go into a pump and then be - pumped by a sump pump fifty feet across the back yard into another family's back yard and eventually into the sewer. Mr. Kinsella said that this condition must be taken care of, and that it is up to these people to do it. He suggested that we write a letter , informing these people that to connect with the sewer is impossible; it is up to them to stop pouring this material into the street, and they must eliminate this nuisance, no matter how, otherwise we will take proper action. The proposed Private Sewer System Ordinance was next discussed.'. Dr. Kaplan stated he had talked with the Mayor about it. Final decision: To send a letter to the Council, then call individual councillors and acquaint them with this ordinance and request their support to put it through as quickly as possible. Inspectors' Reports. The Donut Hole was again brought up for discussion. Dr. Toomey reported that this establishment had not cooperated with this department for some time and after continual inspections and recommendations by our inspectors, they have done nothing--their rating is still 37%. Dr. Kaplan requested the Board to hold off for another little while until he had talked with the owner. He will inform him that his establishment will be closed unless he starts immediate action on same. Physicians`" gills for patients at the Health Department Hospital were talked over. Recommended that all these bills incorrectly priced be returned to the physician for correction. City wide Mantoux Test program in parochial and public schools was brought up. Dr. Kaplan thought this was a good program and all members agreed. General Foreman J: Power Connell. Dr. Kaplan told the Board that when the councillors and the public were after the department to keep the dump in better condition, he had requested Mr. Connell to check upon this daily, which he has done. Mr. Connell requested- four hours overtime for this work. Motion by Mr. Lord, seconded by Mr. Kinsella; and so voted': That the board was in agreement with an order from the Mayor's office to pay Mr. Connell four hours overtime per week for this extra work until further notice. This to be tetroactive to make up for time lost. Meeting adjourned at 6:00 P. M. (01 Elinor C. Horan, Clerk February 13, 196,0 Special meeting of the Board of Health convened at 12 Noon, with all members present. Also present were Mr. and Mrs. Roulier and Mr. and Mr. Fraser of Laurent Road, •who had requested this hearing. Mr. Lord suggested that the Board consider installing a complete bathroom unit, shower, etc., at the end of the hall near the old operating room at the Health Department Hos+ pital. , Dr. Toomey thought this would cost about $1200. It was decided that Dr. Toomey would obtain an estimate of the bost of this plumbing and inform Dr, •Kaplan, who will go to Mayor Collins and request same. Dr. Kaplan informed the members that the persons present from Laurent Road had requested this meeting to report on a letter from this department relating to a sanitary situation existing on their property. The Health Agent then stated that several letters had been written relative to this and the final letter gave them four days to find some solution to their problem and report same to the Health Department. Mr. Roulier came in on the fourth day and asked for a hearing before the Board. Dr. Kaplan told the Board that he had discussed this situation with Mr. Roulier, who stated -that he was going to the State Department of Public Health for information on same. Mr. Lord then asked if these people had come up with any solution. Mr: Fraser stated that they had talked with Mayor Collins and he is going to help them out. They have a rough figure from Mr. Thompson of Beverly Farms saying that it would cost about five or eight thousand dollars to comply with the suggestion of this department. They also stated that they did not have any money to ex- pend on such a project. They suggested that the City install a sewer there. Mr. Fraser again repeated that it was now in the hands of the Mayor, that he was going to talk to the City Engineer, but they have not heard anything as yet. The Mayor also asked them to get signatures of neighbors for easement on their property which they had done, pre- senting copy of same to the Board. Mrs. Rouler made the statement that there were twenty-seven other houses in the area draining on to the street and she did not understand why they were the only ones called in on this. Dr. Toomey stated that he had talked over his proposed plan for the solution of the problem with the City Engineer and his figure offhand was around $1500. He then asked these people if they had come into the meeting prepared to say that they are in a position to expend any money at all within the realm of $1500. They claimed • they wanted the city to do it. Mr. Kinsella then stated that he could appreciate the hardship of expending this money but on the other hand if there was an epidemic of disease resulting from this situation it would affect their families as well as the others of the neighborhood. If this happened it would reflect on this department. He also stated that if the Mayor could legally •pay this $1500 for these people he had no objection but he didn't think it was legally possible to do so. Dr. Kaplan then recommended that. these people take the plan suggested by the Health Agent and discuss it with some other contractor to determine the probably cost. Mr. Fraser then told of a nuisance that she had for many years from her neighbor's cess- pool. Dr. Toomey will check this further and if such is the case a letter will be written to these neighbors, Campbell and Plante, to correct this situation. Dr. Kaplan did not understand why this was not mentioned when the men were in at the last hearing. After the people left at 1:30 P. M. , Dr. Toomey stated that they had not acted in good faith, had not come up with any solution. He also said that this department had been receiving numerous complaints from the new residents across the street"and something had to be done about this very soon. Dr. Kaplan will arrange a meeting with the Mayor, City Engineer, Board members and Mr. O'Connell to discuss this further. Meeting adjourned at 2 P. M. V Elinor C. Hor , Clerk 4 February 17, 1960 Annual meeting of the Board of Health was held at the Health Department Hospital at 1 :00 P. M. Present at the meeting were: Mayor Collins, Dr. Walter Phippen, Dr. Kaplan, Chairman, and Messrs. RylandeTLord and James Kinsella, members of the Board; Dr. Dunham of the District Health Office, Health Agent John J. Toomey, Mr. Frank Byrne of the Salem News., James Dolan, President of the City Council; Thomas Griffin, Executive Secretary to Mayor Collins; Katherine J. Ward, R. N. , Superintendent of the Hospital, Ivy Shivery, R. .N., Nancy A. Dyer, R. N., and Marie Faircloth, R. N. , of the hospital staff; and Elinor C. Horan, Clerk. After a steak dinner, Dr. Kaplan introduced the invited guests and Health Department employees who were present. Mayor Collins brought the greetings of the city to the gathering with a short talk. Dr. Kaplan then turned the meeting over to Dr. Toomey, requesting that he give a break- down on the history of the hospital, which he did. Dr. Phippen, the next speaker, thanked those present for inviting him to the dinner and gave a short talk on his memories of the hospital and his pleasant association for many years with the board of health. After Dr. Phippen's talk Mr. Kinsella moved that we give a vote of thanks to him for his interesting history of our hospital and our city. Mr. Lord then concluded the meeting by thanking the Mayor and City Council and the Health Department personnel as a whole for their wholehearted cooperation over the years. Meeting adjourned at 2:45 P. M. February 23, 1960 Short meeting of the Board of Health was held at 10:45 A. M. Dr. Kaplan and Mr. Lord were present. The following proposed ordinance was approved to be submitted to the council'-' 1. When a sewer connection .is not available, no building permit shall be issued without prior approval of the lot by the Board of Health or its Agent. 2. This approval shall be in writing. Hospital notices: Dr. Kaplan recommended that the following notices be posted on the bulletin board at the hospital: 1. That the practice of punching or signing by any one employee for another is expressly forbidden. Any instances wherein this directive is not complied with will call for immediate dismissal. 2. When an individual is out due to illness they must present a sick leave slip from their physician in order to be kept on the payroll. He also recommended that a letter be written to the Superintendent requesting that these rules be enforced. Meeting adjourned at 12:00 Noon. Elinor C. Horan, Clerk . March 1, 1960 Special meeting of the Board of Health convened at 12:00 Noon, with all members present. Dr. Kaplan requested that Dr. Toomey read Section 150 of Chapter 111 of the General Laws and also recommendations in Section IX page 9-1 of the Hayden Associates Report. After these sections had been read, Mr. Lord made a motion which was seconded by Mr. Kinsella and unanimously voted, as follows: "In accordance with .the provisions of Section 150A of Chapter 111 of the General Laws, the Board of Health does hereby" assign the area now known as the Municipal Dump on Marlborough Road and listed is area 7 in the survey report of the J. L. Hayden Associates, Inc., as the site of the proposed Garbage and Refuse Disposal Incinerator for the City of Salem." 25 Mr. Kinsella stated that he felt that Hayden Associated were well qualified to pick the site and he was willing to go along and take their Number One choice. Mr. Lord expressed a like viewpoint. Dr. Kaplan also felt that it was •a good place for the installation of an incinerator since considerable money had been expended to make it a good area for dumping purposes and a place is still needed for non-combustible material. Next a motion was made by Mr: Kinsella, seconded by -Mr. Lord, and it was unanimously voted: That the Agent be directed to notify the Mayor and City Council of the action of the Board. Dr. Kaplan recorded that Councillor Cawley was ppposed .to the Marlborough Road site. He had talked with Dr. Kaplan and expressed a desire to be heard at the meeting, but was unable to make it at the time which had been selected by the Board. Dr. Toomey brought up the question of Laurent Road. It was suggested by Dr. Kaplan, without any motion, that Dr. Toomey write to all persons concerned requesting information as t8nwfiat action they had taken toward alleviating the situation i that a ea. o n/J. o ey, erk pr March 24, 1960 Meeting came to order at 3:45 P. M. with all members present. A hearing for residents of the Laurent Road area was -held previous to regular meeting. Hearing, was in reference to alleged seepage of sewage from property owned by Fraser and Roullier on Laurent Road. Mr. Raynes was spokesman for the group. He stated that since erection of these new houses, pipes had been broken,through which this sewage had been flowing, now causing same to flow into the street and into cellars of nearby houses, causing a health menace. With warmer weather coming up he requested the Board to see if this situation could be alleviated as soon as possible. Health Agent explained how the ,people involved had promised our department to`jomething about this, but nothing had been done as yet. Dr. Kaplan stated that the Mayor felt it was the problem of these people and he could not legally aid them to abale it. Letter frojAr. Samuel Hyland who. is now prepresenting these people was read to the group. `(,-'Plresently on vacations Dr. Toomey felt that Messrs Fraser and Roullier had flouted the authority of the Board of. Health and thought that they should sit up and take notice. He also stated that his Boarda had authority to take action to force these people to copperate. Mr. Kinsella'�would like a report from the City Solicitor before taking action. Request from Councillor Serafine in reference to this condition was noted. Motion was then made "To lay this problem on the table until Mr. Hyland returns from his vacation. Dr. Kaplan did not go along with this motion. Health Agent was then directed to contact Mr. Hyland when he returns and request him to meet with the Board as soon as possible. Agent was aldo directed to call Mr. Serafini, City Councillor and inform him of the decision of the Board. Regular meeting was then resumed with the reading of minutes of previous meeting, which were approved as read. After various matters were brought before the Board Dr. Toomey was directed to write to the City Solicitor requesting a reply on previous communications. If no reply is received, repeat the letter until a reply is received. Correspondence relative to Emergency Power for the Hospital was tabled until the next meeting. John Toomey was then appointed Slaughtering Inspector. Motion by Mr. Kinsella, Seconded by Mr. Lord, Passed unanimously. -Assistant Laundress. James Kinsella moved that the Board establish a position of Assistant Laundress at our hospital, seconded by R. Lord. So voted. Recommendation: That Mrs. Sims, the present incumbent .be paid at the rate of Group 2, Step 3. Resignation of Mrs. Jacqueline Haley, Public Health Nurse, was accepted by the Board with regret, and the Health Agent was instructed to follow throught the regular channels with Civil Service to obtain a replacement. Dr. Toomey recommended that we make a pro- ® " 26 visional appointment of Mrs. Marie Faircloth, R. N. presently working at the Health Department Hospital. Dr. Kaplan thought that she was too valuable at our hospital to lose her and suggested that the members bring in various names of applicants and come to a decision then. Polio Clinics. Motion was made and carried to conduct Polio Clinics in the same vein as last years, charging .$1.00 fee for the service. LeBrecque Premature Baby. Motion to pay this bill of $573.00 for care of baby at Salem Hospital. Unanimously voted. Chairman: Mr. Lord moved that Dr. I. Kaplan be elected Chairman for the year 1960. Seconded by Mr. Kinsella. Motion to adjourn at 6:05 P. M. Elinor C. Horan, Clerk April 14, 1960 Meeting came to order- at 3:45 P. M. with all members present. Minutes of previous meeting were read and approved. Inspection report of the Pleasant Rest Home and related correspondence was read to the Board. - Dr. .Kaplan will recheck on this home. Emergency Power for hospital was discussed. Motion made and seconded that the Health Agent get all the figures together for this item and also for the renovation of the kitchen at hospital, then Dr. Kaplan will. ta,lk to the Mayor on both of these improvements. Laundress. Dr. Toomey informed the members that he had held up the letter relating to the laundress salary in order to confer again with the Board and request that, the assistant laundress be included with the other utility personnel and a letter be written to the Mayor- asking that all utility employees be jumped from Groupl to Group 2. Motion passed unanimously. Polio Clinic: April 26, 28 and 30th were proposed as dates to hold clinic. Dr. Kaplan recommended having a Saturday morning clinic.xx Next on the agenda was a discussion of the Laurent Road situation. Recommendation: Have a special meeting with the City Engineer, Health Agent and Board Members, City Solicitor, Plumbing and Sanitary Inspector and Mr. Samuel Hyland, Attorney, tentative date Friday, April 22, at 11:00 A. M. Replacement of Mrs.- Jacqueline Haley. Dr. Kaplan proposed the name of Mrs. Marie McHugh as his nomination for this position of Public Health Nurse, provisional pending results of a Civil Service examination.. Seconded by Mr. Kinsella. Unanimously voted. Dr. Toomey informed the Board of the ruling of the Division of Hospital Finances as to the rate at our hospital for private patients. This rate must coincide with the rate charged to the patients who are on government subdivision rolls. Mr. Kinsella requested that the Health Agent recheck on the statute that gives the Division of Hospitals the power to set these rates for municipally run hospitals. Meeting adjourned at 5:30 P. M. April 22, 1960 Special meeting was held at 11:00 A. M. Present were the- Board Members and Health Agent, also City Solicitor, City Engineer and Samuel Hyland, Attorney. Meeting was held to try to solve the nuisance on Laurent Road. It was concluded that the City Tngineer would look over a plan that would be feasible in correcting this nuisance and he will so inform this office immediately. The next step will be discussP according to the decision made by the City Engineer. Meeting adjourned at 12:50 P.M. Elinor C. Horan Clerk �uls 0 May 9, 1960 Special meeting was held for the purpose of opening bids for bulldozing at the Municipal Dump on Marlborough Road. Meeting came to order at 12:00 Noon with Dr. Kaplan dnd Mr. Lord present. Bids were opened and are listed as follows: 1. Joseph T. Mackey, $75.00 per eight hour day. 2. William F. Haught, $68.00 per eight hour day. 3. M. H. Noonan, Inc. $124.80 for a two eight hour day period. Motion by Mr. Lord and seconded by Dr. Kaplan: . "Mr. Noonan, having entered his bid under proper procedure at the rate of $124.80 for a two dayweek period, he having been the lowest bidder, I move that he be awarded the contract as of May 15, 1960 to run through March 31, 1961." Vacations of Health Department Hersonnel. Motion made and carried: "Vacations of Administrative Office and Heads of Divisions, plus all hospital personnel shall be posted with the Agent at least one month before vacations start, copy of same to be forwarded to Board Members." Recommended to notify Division heads that the Board has passed this as a rule. Laurent Road. Dr. Toomey informed the members that he had talked to Mayor Collins and it was his understanding that the City Engineer had agreed to go through the proposed plan to correct the condition on Laurent Road. Polio Clinics. Tentative dates of Saturday June 4 and June 11 were set for the second Polio Clinic. Meeting adjourned at 1:45 P. M. June 6, 1960 Special meeting of the Board of Health was held on June 6, 1960 at 12:00 Noon to discuss the assignment of another site for the erection of a refuse incinerator. Discussion was held' as to the legal aspect of rescinding the former location ahich had been assigned and reassigning another location. Mr. Kinsella recommended that the Health Agent contact the City Solicitor and obtain a ruling on this. Meeting adjourned at 1:45 P. M. i inor C. Horan, Clerk June 9, 1960 The regular meeting of the Board of Health was held at 3:30 P. M. with all members present. Minutes of previous meeting were read and motion made and carried that they be approved as read. Inspectors report of the sanitary condition at the DoNut Holtk on -Highland Avenue in Salem. Health Agent stated that this esthblishment had been inspected by our inspectors and that we had received very little cooperation from the owner. Dr. Toomey stated that he thought we should take court action. Board was in agreement with this procedure. Laurent Road: Agent reported that everything was straightened out on the Laurent Road situation, and the Superintendent of Streets was ready to go to work just as soon as he received word. Dr. Toomey will recheck with the City Engineer. Assigning of new Incinerator site: Mr. Kinsella stated that he would not vote for the rescinding of previous selected site, unless we ,gave due notice and conducted a public hearing first. Motion was then made which is to f-rowarded to the City Council for their meeting later this evening. Motion by Mr. Lord: Pursuant to the request of the Mayor and City Council, the Board of Health at its regular meeting held on June 9, 1960 unanimously and after investigation recommends and assigns as a site for the erection 2 of a refuse incinerator plant, that section located on Swampscott Road off Highland Avenue, known as Area 8, in the report of the J. L. Hayden Associates, Inc. , dated February 1960. Motion seconded by Mr. Kinsella, so voted. Meeting adjourned at 5:00PM Motion was made and unanimously carried to transfe 6.00 f A tration Sala- ries to Administration Expenses. I S.��- a Elinor C. Horan, Clerk June 29, 1960 Special meeting of the Board of Health to consider the monetary increases for all personnel as designed in the new ordinance passed by the Mayor and City Council. It was moved and unanimously carried that the Board go along with the salary schedule contained in the ordinance. September 16, 1960 Minutes of previous meeting read and approved as read. Copy of letter written to a the Superintendent of Schools from Dr. Winer relative to the dental needs of school children was read to the Board. Suggestion: Health Agent will call Dr. Winer and invits o e meet with �and Dr. Wilson to discuss this situation. Delinquent bills of patients at Hospital were next on agenda. Dr. Kaplan requested the clerk to make out a list of these accounts and he would discuss same with Mayor. Letter from Dr. Rubenstein relative to previous discussion of additional wing at hospital was. read and placed on file for future reference. Next was our request for transfer of $1400 for office machines. Dr. Kaplan will talk to Councillor Dolan on this. Renovation of kitchen at hospital. Dr. Toomey informed the Board that an architect had agreed to draw out plans for this for a fee of $100. All members agreed that this was an excellent idea. Chest XRay Clinic Doctor Toomety informed the Board that the Salem Association for the Prevention of Tuberculosis'office would close their office at the Health Center sometime during the next six months, ,and that the State Departmetn of Health had offered to lend lease an Xray machine to this dept. , provided we carry out the screening program and maintain the machine in proper order, etc. Dr. McHugh, superintendent of Essex Sanatorium, will read the plat6s. Three of ; our nurses are now going up to Essex Sanatorium adn are being shown fundamentals in operating the machine. Dr. Kaplan was in agreement with Dr. Toomey, thought this was a good opportunity therefore the following motions were made and unanimously passed: 1. We hereby establish a Tuberculosis clinic and program as outlined in the prospectus entitled "Proposed Plans for the Salem Health Department Clinic, in cooperation with the Massachusetts Department of Health and Essex Sanatorium. 2. A copy of this motion and a copy of the plans to be forwarded to Mayor Collins. 3. That the following letter be sent to Dr. William Weidman. "The following motion was unanimously adopted at the meeting of the Board of Health held on Friday, Sept. 16, 1960. 1. That the Board accept loan of the "Picker Minigraph XRay machine from the Division of Tuberculosis. 2. The Board agrees to provide funds for the proper 29 maintainance of- this machine while in use•by- the Health Department. 3. The Board agrees 'that if future developements in the field of Tuberculosis control obviate the necessity for this type of screening program, the machine will be returned to the Division of Tuberculosis Control. Meeting adjourned at 5 :29 P.M'. October 6, 1960 A special meeting of the Board of Health came to order at 9:30 A. M. with all members present. First item on Agenda was surplus monies at the years end, motion .was made and seconded: Be it so moved that we write the Mayor and City Council that there is available in the Health Department, Item 4, Garbage and Refuse Salaries, the sum of $3000. for transfer to the Central Motor Pool. This to be applied toward the purchase of a Garbage Collection Truck." So voted. As a matter of information Dr. Kaplan stated that the Mayor was in agreement with the Board's decision on renovation of the kitchen at the hospital. Discussion was held on .improvements at hospital, such as leakage of roof,, etc. Dr. Toomey will bring in specific recommendations and the Board will discuss same with Mr. O'Rourke. XRay Unit. Dr. Kaplan explained to the Board that since the last meeting, when the Board had voted to accept an XRay Unit on lend lease from the State Dept. of Health, some things were not entirely clear in his mind. Therefore he suggested having Dr. William Weidman, Director of the-Division ,of Tuberculosis attend a meeting with the Board to explain certain phases of an XRay program. Broad members agreed to hold up on the transportation of this machine until after a meeting with Dr. Weidman. Next on the Agenda was a discussion of .the hospital schedule. Dr. Kaplan suggested that everyone's name appear on the schedule. Mr. Kinsella did not agree with this. Dr. Kaplan stated that he was disatisfied with the superintendent at thehospital and he had his own reasons why he wanted her name to appear on the schedule. Mr. Kinsella thought we should call the superintendent into a Board meeting if she was not following orders. Mr. Lord interjected that he had talked with several local physicians and they had praised Miss Ward highly -- thought she was doing a wonderful job at managing the hospital. Dr. Kaplan then asked one of the members to make it a motion to have everyone on the schedule. Both were in disagreement, so Dr. Kaplan made the following motion: Be it so moved that the hos ital 'schedule be typewritten and that each employee at the hospital be put on the schedule as to time on and time off and this to be instituted at once. Mr. Kinsella stated that he would amend -this by striking out the superintendent's name from the schedule. Dr. Kaplan voted against. this amendment and Mr. Lord voted present. On the original motion of Dr. Kaplans' Mr. Kinsella voted against it and Mr. Lord voted present. Dr. Kaplan then requested that this be reconsidered at the next meeting. Meeting adjourned at• 11:30 A. M. 30 November 15, 1960 Meeting came to order at 3:30 P. M. with all members present. Minutes of previous meeting were read and approved. A short talk procedures for re- placements at hospital: Motion by Mr. Lord: "I move that in the event of an emergency due to the absence of the regular shift employee, the Nurse in charge of said shift would be given permission to call in for a replacement for one day or night and she must report this to the Superintendent of the hospital on the daily reportz" This motion to be posted. Communications: Letter from Mr. & Mrs. Mulligan, new owners of the Mc6hay home on Marlborough Road was read. Letter requested that the lowland on their property, adjacent to the municipal dump be filled in by this department. Dr. Kaplan suggested that we do nothing about this request until we ask the new owners to raze the barn in the rear of their property to dmprove conditions at our dump. Dr. Toomey will check on this. Letter from Dr. McHugh, Superintendent of Essex Sanatorium was read to the Board. This referred to the proposed legislation of the M. D. of ?. H. relative to the future activities of the Sanatorium. Dr. Kaplan explained that the South Essex Medical Society had recommended that half of the building be used for T.B. patients and continue on with the outpatient T. B. work and utilize the rest of the hospital for chronically ill patients. This plan was proposed by Dr. McHugh to the County Commissioners. The letter from Dr. McHugh requested the Board's opinion on this legislation. Mr. Kinsella stated that he was not ready to vote on this at this time. Mr. Lord agreed with Dr. Kaplan's statement, thought we should care for our own T. B. patients at Essex Sanatorium. Dr. Toomey thought we should retain the T. B. inpatient and outpatient and transfer part of •the hospial for Chronic disease people. He told the Bcwd that the U.S. Public Health Service and local Health Services have set a ten year plan for the eradication of Tuberculosis as a disease and they are not going to need these hospitals. Dr. Kaplan agreed with the Health Agent on this and stated that in the process of years it will be a chronic hospital anyhow. Mr. Kinsella recommended to table this until next meeting. All agreed. Fire Regulations at the hospital. Fire Regulations made up by Deputy Chief Wilson and Dr. Toomey for the personnel at our hospital were read to the .Board. Board was in agreement with same and suggested that both of these gentlemen meet with the different shifts at the hosptal and explain these regulations fully and to have various meetings occasionally to keem them fresh in their minds. Smoking rules for patients at hospital. Motion by .Mr. Lord: A notice be posted on the board regarding patients smoking--smoking to be allowed only in the sunporches. No bedridden patients being allowed to smoke by himself only when an aide can devote full time to him while he is smoking. Seconded by Mr. Kissella. So voted. Dr. Weidman's letter to discuss T.B. clinic was read and Board will meet with him•on Monday, November• 21, 1960 at 11:00 A.M. The question of placing the superintendent's name on hospital schedule was next on the agenda. Mr. Kinsella stated that he did not think it was proper to put Miss Ward's name on the scam schedule as her subordinates. Dr. Toomey made no comment. and Mr. Lord voted present. Tabled until next meeting. On delinquent accoutits at the hospital Dr. K. reported that he had given these amounts to the Mayor who will take it up with the City Solicitor. Kitchen plans and specifications made up by the Middlesed Engineering and Equipment Corporation, 788 Broadway, Revere, Massachusets, Mr. Peter Zaccone, President were given to Board Members. The cost of the renovation was in the vicinity of $16,000. All members agreed that this should be cut down somewhat. Plumbing Ordinances were brought up but tabled until next meeting. Clean up campaign. Dr. Toomey mentioned some specific spots that were being checked and stated that Mr. Marquis requested that the Council Committee of Pub lic Health and Board of Health members meet and discuss these conditions. Money transfer. Health Agent informed the Board the department would have excessive monies at the end of the year and recommended that we request a transfer of $7,000. for the installation of a gas generator for standby power at the hospital. After a short talk it was recommended to transfer the excess money toward the renovation of the kitchen and submit within the coming years budget, the money for the generator. Discussion was then held on the issuance of burial permits over week-ends and after office hours. Dr. Toomey suggested having the Registered Nurse, in charge at our hospital issue these permits. No decision was reached -- will discussed at next meeting. Meeting adjourned at 6:30 P.M. November 21, 1960 , , fit. Special meeting with Dr. William Weidman and Doctor Ganem of the State Department of Public Health, Division of Tuberculosis Control. SuhJect: XRay Screening Program in Salem. Dr. Kaplan stated that -he had read some literature on this and had talked to XRay men and wanted to check on the unit, and to see if the yeild was great enough to warrant the use of this, machine. He in4dired if it would be medically sound to send people up to Essex San and have this done on their regular XRay machine. He also stated that Massachusetts General Hospital has this machine but they are not using it. He stated that this was a controversial subject among the XRay doctors. Some local doctors are in agreement that this is a good plan and others are foisanother type. ' Dr. Weidman: In the first place we, are in a period of readjustment regarding Tubercu- losis. Now Public Health Officials, physicians, taxpayers, etc. all of these individuals must face up to our program at the present time and try to work out a system which will be beneficial to the community now and in the future. We are in a state of change. A lot of our old ideas must be altered. There is no question that here a few years ago the research council came up with a statement that because.of the excess radiation in . the atmosphere, being placed there by explosions of atomic bombs, plus the natural background of radiology in dentist offices, doctors offices, hospitals, XRay Screening, etc. Too much radiation was being given to the human people. One of the areas which received the utmost scrutiny was the T. B. Screening program. We started saying, "Is this necessary to take XRays of everybody. Our department being one of the first in this field had a consultation with a few doctors to discuss what would be the proper policy of the Mass. Dept. of Public Health. We came up with this: "It would be silly to give up all XRay on the basis of things which might happen, so that we are advised to put in a program using the XRay in those groups and classes where you would find the high percent of T. B. " We don't XRay young people any more, this disease seems to hit people in the 45 age group. There is much to do and a well formulated program is needed. With our decrease in the general incidence of T. B. we are having fewer people contract the disease. People are no longer dying of Tuberculosis, with the new drugs, etc. there are fewer people in the Sanatorium and those that are there leave the San after having stayed a shorter period of time. However, there are large segments of pe&ple to be followed, people who have had Tuberculosis, their contacts, etc. The department has been studying this program for some time and we have come up with a plan--we are hoping to create in order to meet these community problems: First establish clinics with definite purposes and policies r•D E"b A,d so that there will be a chore of experts in the community who can give this treatment and advice at a local level./ I think the time is here when Salem and a number of 'these towns will have respiratory disease clinics. This program is primarily for Tuberculosis, but you can't deal with T. B. and not get involved with the other diseases. If you .discover something you don't understand in an individual's XRay, he 'whould be referred to a place where a diagnosis could be made. ' Many times peoOke will come to there clinics where they do not have to pay, and they would have to pay big money if they went to a private physician. This is preventive medicine. More and more of the responsibility for the care of these patients is going to be on the Board of Health. Why should we run institutions with 40% or 30% people when these people could be treated centrally. I would like a clinic system integrated temporarily working out of Essex County Sanatorium, but having in Salem a place where it would be convenient for people to come for an XRay. We are establishing a clinic in Pittsfield and the State is going to help support this with money. The State may do likewise for Salem if Salem will take XRay of people in the currounding communities. You could hire a man on internal medicine who would probably come in for three hours a week or so and run this clinic. The Salem Association for the Prevention of Tuberculosis has been doing considerable work in this field, but all of this should be done by the Board of Health, it is their responsibility. Many of the discharged patients from Essex Sanatorium will need follow-up work for the rest of their lives. , certain people who by law must be XRayed every three years, S._lem would be an ideal place '�'• for these people to come for XRays. At the present time Essex San does not have a physician that could come to our clinic, but later on maybe there would be one available. If a new case is discovered, ten or fifteen contacts could come to Salem's clinic. This clinic could be limited to Salem residents and as soon as a cost basis could be established, it could be open to smaller towns who would come to this clinic and the Board's of Health in said places would be liable for payment of same. These people could come to Salem at no cost to Salem.. Dr. Kaplah: If your department feels that Salem has had such a good clinic why v dldn'ththdastgte b&lwiiltng to set up a real good clinic here, with subsidy and physicians, etc. then we would have a good .clinic. I'm a little fearful that we might not have a good clinic, let the experts handle it for us. Dr. WEidman: As long as you have Dr. McHugh, he will read the XRay films and make and make recommendations. All machines are put in proper. operation so there would no danger of exposure. If you request someone to have an XRay, you should provide the means. Meeting adjourned at 1 :30 P. M. C December 8, 1960 Meeting came to order at 3:30 P. M. with Dr. Kaplan and Mr. Lord present. Minutes of previous meeting were read and- approved. Dr. Toomey informed members that the Mayor and City Council had granted the•request for the $15,000 transfer for the renovation of the kitchen at the hospital. Health Agent was instructed to draw up bids for this project. Fire Drill at hospital. Motion made and seconded to have the fire drill at the hospital within the next month. Motion made and seconded to send a personal notification to each nurse in charge at the hospital relative to hiring extra personnel in emergency cases. Dr. McHugh's letter: Motion by Mr. Lord and seconded by Dr. Kaplan. That the Board of Health in the City of Salem go on record as approving Plan #1 namely: Inpatient and outpatient service for tuberculosis patients with the addition of a sub-unit catering to other types of chronic disease in an effort to lower costs, relative to Essex Santatorium. Superintendent's name on Hospital Schedule: Dr. Kaplan said he wished to retract his request for reconsideration of the hospital schedule issue, therefore Miss R 7.0 Wyrd's name will not appear on the hospital schedule. However, he stated that Mrs. Faircloth's name should be on the list. The following motion was made and carried. Ers. Faircloth's name shall appear bheth&;morning and evening schedule and her working days should .app.ear at least one week previously to the actual working days. Plumbing Ordinances were tabled until the next meeting. Burial Permits: Motion made and carried that we continue on with the procedure of issuing burial permits on an emergency gasis through Mr., Dubiel. Garbage Contract: Motion by Mr. Lord. I move that we adopt these revised specifications as submitted by Dr. Toomey, and have contract run for two years, and said contract to be terminated any time during. the second year by notification by the Health Board., Seconded by Dr. Kaplan, so voted. Rate at Hospital: Motion made and seconded that we accept the per diem rate as submitted by the Division of Hospitals of $9.30. Y.2� Recommended: That the Board accept Dr. Toomey's suggestion regarding the new setup at the dental clinic, "That we change the dental program to read "dental care for dentally indigent children in grades 2 to 5. .Dr. T. was reqeusted to call Dr. McHugh and make an appointment to meet with the Board either at Essex Ban or at Health Center. End of the year monies: Motion: . Permission is hereby. given to the Health Agent' to write City Auditor. and ask permission to hold over monies in Special Item Acoounts for 1961. Permission is hereby granted to Dr. Toomey to sign all pink vouchers and for the year 1961. Meeting adjourned at 5 :30 P.M. December 27, 1966 Meeting came to order at 11 :45 A. M. with Dr. Kaplan and Mr. Lord present. Bids for the sale of Garbage were read--only bid was from Mr. Gaetano Cavvichio of 482 Potter Road, Framingham, Massachusetts in the amount of $14,000. for a two year period, contract subject to termination during the second year. MOTION; made by Mr. Lord and seconded by Dr. Kaplan. To give this contract for the sale of Garbage to Mr. Cavvichio, he being the lone bidder, for the amount of $14,000 for a two year period. Contract subject to termination by ,the Board of Health during the second year. Discussion followed on the manner homemakers were placing rubbish on the curbing for collection. Recommendation That the Health Agent prepare something for the newspaper.on this subject. MOTION Was then made and carried: ' That the Health Agent look into the advisability of publishing information to householders untxxtun xrs requesting more cooperation in the carrying out of the Rules and Regulations of the department's rubbish collection. Meeting adjourned at 12 :30 Noon. 1 January 19, 1961 Meeting came to order at 3:30 P. M. with all members present. Minutes of previous meeting were read and approved. Inspector's reports. Doctor Toomey informed members of the Board that he had closdd the Donut Hole on Highland Avenue and had allowed them to reopen on further inspection. and some improvements were made. Board recommended that we keep after these people. Garbage Contract: Dr. Toomey explained to- the Board that Mr. Cavicchio objected to the two year performance bond cited in the contract, as the contract was subject to termination in the second year. Motion was then made and carried; To accept a one year performance bond from Mr. Cavicchio covering $7,000. Dr. Toomey to take proper action on this. Letter from Marlborough Road Associates was read to board, letter related to the progress on erection of incinerator. After a short discussion, it was decided that Dr. Toomey reply to letter explaining the Health Department's part in this project. Mrs-. DeLury, attendant at, hospital, requested the Board for an additional week without pay for her annual vacation. Motion by Mr. Lord. I move that the extra week without pay be granted Mrs. DeLury. Seconded by Mr. Kinsella. Voted. Renovation of kitchen at the hospital was talked over and it was decided that the Health Agent would supervise the work on this project. Annual Dinner: February 15, 1961 was recommended as the date to hold this dinner. Guests will be Mayor Collins, Dr. Robert Shaughnessy, Dr. Frederick Dunham,aCduncillor John Burke and Frank Bryne, plus the Registered Nurses at the hospital. At the close of the meeting Mr. Lord nominated Dr. Kaplan as Chairman of the Board for the year 1961. seconded by Mr. Kinsella. Meeting adjourned at 6:00 P. M. February 13, 1961 A special meeting of the Board of Health came to order at 12:00 Noon with all members present. Mrs. Marie McHugh, provisionallpeappointed public health nurse for the department was interviewed for appointment to the permanent position. After_ a short discussion Mr. Lord made the following motion; I move that we elect Mrs. Marie McHugh as the permanent full time Public Health Nurse for the department. Seconded by Mr. Kinsella, Voted unanimously. Health Agent will make arrangements . with Civil Service. A short discussion was held on the changing of the name of the hgspitall, but not decision was reached. Dr. Kaplan brought up about the waitinglist f'Qr admittance to the hospital. svti�:�- y-Ma- �ar� After a short talk, Dr. Kaplan relinquished the chair and Mr. Lord acted as -temporary chairman while Dr. Kaplan made the following motion. At each regular meeting of the Board of Health said Board shall be furnished with a list of names of patients who wish admittance to the Health Department Hospital, plus the name of their physician and the date of application. Each Board Member to have a copy'of same. Mr. Lord made the following amendment to this motion. "All applications for admittance of patients to the Health Department Hospital shall be made by the family's physician on forms provided by the Board of Health. Both the amendment and motion passed unanimously. r Dr. Toomey read the legal notice to the board for renovation of kitchen at the hospital and also the legal notice relative to the bulldozing at Marlborough Road Dump. Request for vacations for hospital personnel Denis and Faircloth was uandmously granted by the Bard. Motion by Mr. Lord: That we grant these vacations as requested. Dr. Kaplan informed the Board that he'would be on vacation from March 11 through March 25th. Meeting adjourned'at 1:20 P. M. February 14, 1961 Annual Meeting of the Board of Health was held at 'the Health Department Hospital. All members were present plus invited guests. .Doctor Shaughnessy commented on the highly creditable "job being done at the hospital fur caring for people in their declining years and in poor health. He also stated that there is a need for more places of this kind as the problem of the aged is -becemangtisore acute. Dr. Kaplan told of the many improvements at the hospital during the past few years. Dr. Toomey submitted a financial report which indicated that the. hospital is an efficient operation. Dinner was served. ` Meeting adjourned at 2 :45 P.M. 41 February 20, 1961 Special meeting of the Board of Health was he ld date. Purpose of on above p meeting was the opening of bids for renovation of kitchen at the Health Begartment Hospital. First bid was from Jacob Licht, Inc., 740 Westminster St., Prov. R. I. in the amount of $16,500 with a total of five weeks for completing work. Next was Seidman Bros., 103 Portland Street, Boston, Mass. in the amount of $13,400 with "no longer than 120 days for completion of work. Simard, Inc., of Lynn, Mass. in the amount of $14,990 with eight weeks for completiong of work.. No .decision made, Dr. Kaplan will confer with the Mayor and Dr. Toomey will check on bidder's references. Nest Dr. Toomey reminded the Board that we had not officially replied to Dr. Weidman's office on the XRay machine. Motion was then made by Dr. Kaplan *ith Mr. Lord acting as Chairman: I move that we do not accept this Photo'Rentgen Unit which was offered to us by the State Department of Public Health for the present. Seconded by Mr. Kinsella, unanimously passed. Discussion took place on a new ruling for Nursing Homes. Dr. Toomey will check this with Dr. Rubenstein's office. Dr. Kaplan then told Board members that he wished to apologize for the outburst at the last meeting. He stated that hereafter he.would discuss certain problems with the Health Agent and if they did not agree Ion same it would be discussed before the complete Board at a regular meeting. Dr. Toomey also apologized for the differences, saying that he subscribed to what Dr. Kaplan said and also thought that we should have more confidence in one another and if any differences occur, they should be discussed before the entire' Board. Meeting adjourned at 1:40PM. 36 February 27, 1961 Special meeting of the Board of Health was held at 12 :00 Noon with all members present. Purpose of meeting was the opening of bids for bulldozing'at Marlborough Road Dump. The following bids were opened and read: Innis Bros., Inc. , Peabody, Mass. $250. a week Pyburn Construction, Inc.,. Salem, Mass. $72.00 per day Stephen Vitale Construction Co., Inc. , Beverly $96. per day. James R. Brady, Beverly Frams, Mass. for a period of one year $9,250.00 M. H. Noonan, Inc. , $119.60 for two eight hour days per week. William F. Haight, Salem $60. per 8 hour day. After bids erer all opened the Health Agent was asked if the present contractor Mr. Noonan had done a satisfactory job at the dump. He replied that he had done an excellent one, much better than the previous contractor. Dr. Kaplan said that he thought we should give the contract to Mr. Haight even though he was not the lowest bidder. Dr. Kaplan and Mr. Lord voted for Mr. Haught, Mr. Kinsella for Mr. Noonan. As Mr. Haught had the majority of the vote, the contract will be awarded to him. Dr. K. then asked Health Agent if he had checked references for kitchen bidder. Dr. T. reported that he had checked several references of Seidman Bros. and received a saitsfactory report from all work done by him. Motion was then made by Mr. Lord: I vote that we award the bid to Seidman Bros. for renovation of kitchen at the hospital. Seconded by Mr. Kinsella. Unanimously passed. Dr. Toomey was requested to ask these people to get the work done as quickly as possible. Renewal of hospital license was next on the Agenda. Dr. Kaplan will meet with Toomey on Wednesday and inspect the hospital. Meeting adjourned at 12 :50 P.M. March 6, 1961 Meeting came to order at 3:30 P. M. wihh all members present. Communications were read and 'discussed. Inspectors reports were then up for discussion. Dr. 'Toomey told the Board that the department was setting up a routine investigation of substandard areas and'in particular spots we @1absify as teouble problems. Our inspectors had made repeated inspections at several apartments owned by Mr. Ira Sallaway of 64 Palmer Street. Registered mail had been sent-to Mr. Ira •Sallaway relative to these problems and he has been ordered to appear before the Board for hearing. Delinquent accounts of hospital patients was next on the Agenda. Dr. T. read a communication from the City Collector after which a motion was made and seconded to write a letter to the City Collector, copy of same to Mayor and City Solicitor requesting information as to what had been done about these accounts. Under old business IMr. Lord made the following motion: That we rescind the action of the Board in awarding contract for bulldozing at Marlborough Road Dumpt to Mr. Robert Haight. Dr. Kaplan explained to the Board that the reason he°had voted to award the contract to Mr. Haught was because he had the impression that Mr. Haigh was a Salem resident and taxpayer and that he felt his work was satisfactory in the past and as the difference between his bid and the Noonan bid was only a matter of 20C a day he thought Haight should have the contract and Mr. Lord went along with this. Dr. Kaplan also stated that he had talked to the Mayor who thought it was rather irregular not to give the contract to the lowest bidder where his work was satisfactory. He stated that Mr. Haight was not a resident of 37 Salem but had some property here. Dr. Kaplan then stated that he was willing to rescind his motion. Motion to reconsider was then before the Board. Under new business Mr. Lord moved: That the contract for bulldozing at Marlborough Road Dump be awarded to Mr. Noonan of Peabody, he being the lowest bidder, in the amount of $119.60 for two eight hour days per week. Unanimous vote. Salem Hospital approval for licensing was next on 4genda. Dr. Toomey had inspected the hospital with Mrs. McHugh, accompanied by Dr. Kapland and Mr. Lord. Inspection was satisfactory with the exception of a few problems mostly in untidiness. Dr. Toomey will write to Mr. Watts, Director of the Hospital and inform him that the inspection was satisfactory and note the areas that need cleaning. Approval was then signed by Board Members. Aporoval of the Dearborn Medical Home on Dearborn Street was also signed. Meeting adjourned at 5 :35 P.M. March 28, 1961 Special hearing on premises at 17 and 19 Brown Street, property owned by Mr. Joseph Greco. Minutes of hearing attached. Hearing closed at 1 :00 P. M. f :S b `ESP 17 �J� I. !T '�w�' - HEALTH DEPARTMUM VERSUS JOSEPH MRCH 289 1961 Her nth Boarrd. Chairman, 1. Kaplan, M. D a Mcmber DBylence A. Lords HunI th Aa=t, John J. Toomey; Fedical Lnamfnev,, J. Robert Shcughnessy; Special Investigator for Licensing Boards James Leahy. Sargent Arthur Boyagian and Officer Hurd Brennan., Police Department. Attorney, William O'Brien, Counsel for Vzo. Greco. Joceph Greco and 1xs, 14voie, teaaut at- 19 Brown Street. RwIth Agcot read letter which was served to Mx. Greco oa.March 17, 1961 by Deputy Sheriff, Rayssaond, relative to Infringements of the Sct¢`_tazy Code of the Co tzwealth, at property owed by Des. Greco at 19 and rear of 19 Brown Street. Doctor Toomey atated that Attorney O'Brien, Counsel for rx. Greco had confirmed with the requirements of the letter and had requested a hearing before the Board of Health. Attorney ®Brun: This fellow has been there for quite a while about twelve years. He has a good ,many cold age pension cases, taken care of old man who have rooms there. He has about 15 or 15 tananto altogether. These men are supposed to take . care of their own room. Be furnichas good meat there. Over the years, apparently there hasn't been may conplaintss about this fellow. Q. Dar. Toomey, did you find any rate there? A. No, but there was evidence of rats there. Q. Did you see any roaches in the place. A. No. Nr. Greco: They had taken stuff out of one of the rooms and put it in the hallway a fee .w days before the inspectors came there. Dr. Toomey: Apropo of this, in the front building there were two refrigerators in the front 'hallway, alco there were a lot of papers and rubbish under the stairs, which La a very dangerous situation. Vz. Greco: I left then its the hall to be taken out. Q.(Dr. T. ) limt long had they been in the hall? A. ft. G.) Five or six months. Attorney O'Brien: A0 It is quite a wide hall with plenty of room for exits, four or five feet for exit passaage, isn't there? A. (Mr. G. ) Yea. Dr,, Kaplan: New, it. Kbehgarian, ghat is your report? Mr. Koshgarian: Doctor Toomey sent me to investigate bath places der 17 and 19. In the first floor apartment there was a mean about 50 years of age and his vother about 70. There ware two beds there, the mattresses were black, no blankets, no 11ncano t:=3 woo a vcxy strozw, odor wham you entered thy house. Upstairs fV_ the DaL-2tyc=-, in t-> put tho light on, you had to atand In the tub. In the haallw-asy whe.-2 r2grft--ra- torn *:were, you. had to grope your tray through due to poor ligh"In&. The oa the ca=md floor was xwt taken care of adequateRy. Dirty toilet, dirty wash buril and there were cheeto of n&,Yspaper on the floor, Faucete were running. Fhatac-3. an sink x-.-an chippa-d. First floor, windAm-a were blocked with neuvpapars; all tha wiring cecmed to be antlquate& 6ttnrney O'Bricn* These people take care of their own romG, furnish their own bedding,, When the mattrecoon get old, W. Greco gets come new ones. He has been there twelve yezra, furnished living quarters to these old people. Many of these people have lived thew for tgelve years,, coma of the apartments are clean and well kept. (TO YX. K.) �' ' tro&chaa? A. fto you see any rate there or did you see any coe James Leahy*. For the records this complaint now pertains to 19 Brown Street due to a death at 17, To clear the records we have been talking about #17 and #19© o Shatighnesey: I have had several occasions to go down to this combined establishment,) because of sudden deatht). I have reported this condition to the police on several Occasions, a about it. This particular time, because of the particular nothing has been don situation I made it my duty to inform authorities of this condition' I notified the Mayor, the Board of Health. I notified the Police and Fire Department. Because I just wanted the situation cleared up. I think it In a disgraceful situation from a medical point of view for anyone to live in such quarters. This Particular thing stemmed from a call I received from the police A 14r, H&rry Woods had not been a Hiss place was filthyP papers all over the resident at 17 Brown Street very long- bad floor, cockroaches) were so big, some of the Police officers said we a gun to get them. one of them stated "Don't Put Your hat down any place thebe*tery willhave 'walk off with it" in my experience in the pact, there may be one or tom rooms that may be allright, but most of the rooms are dirty, the aoilete are dirtyp etc. As far as this complaint is concerned) there was another individual next door to yx, Woods, a Polish man, his mattraos was Conked with urine, feces and blood. The floor was filthy. What concerned the Fire Department was the fact that this old man was just sitting there in this room with garbage and old Papers strewn about smoking a ciaarettft- This is a disgrace to the city and should not be tolerated. The city a paying for come of these people, contributing toward their support. Dr. Shaughnessy then showed pictures of these room taken by Officer Bracket, Salem Police official PhOtOgraPhcr- Dr,, Shaughnessy: in the room between these fellows there was another young fellow, Who was drunk- There were about 25 empty bottles littering the room. He had coma kind I of a dirty blanket on him. This situation should not be condoned in Salem. I have appealed to the Board of Health to try to do something about it. I • r O d'xi•O {SA�W O He tpr+ aisn3 the vote an) wasn't oupposed to be in that room. I had not registered hianr he rs ra in fro-2 the fire at Liberty Street. I let him An there until he got another roam. N , ,�:Cds c=e frocraa the Izospitale and I couldn't lift hiss sfl I lot hba- ctay one wa.( k, lie just paid one wacksz rust. you rent these ro=ssm Mr. Greco? A. Vo, I t oadt rGnt then roo-s, they area not elecn emough' to rent. Q. (by Br. S.) How long has that dirt been on the floor. A. It hasnOt beer. there long, I atr it:pnd a. lot of papar In the room, I was Bow to paixit it. I$. Rw did thin fellow get in. A. I don't k ncw. Q. 8e woo not a rose of yours? A. too he wasn't. I went upstairs and I couldn't find hlafl then the Bright Wanda died they were all In there, Attorney O'Brian: Q. Did you let the first floor. A. Yes. Q. Was that clean up? A. Yes, they are all cleaned asp. Q,.(By Att. O'Brien to Dr. ShaugtaanaGry) Bid you look at the first floor roues. A. I looked at the corridors, cockroaches Isere, coming up the stairs. I had no ream to go through roma on the first floor. The Fire Department had been dawn pr4rvioualy and made hiss clean up come rubbish. Q. Did the Fire Dept. make you remove cone rubbish. A, Yea. ?r. Toomey: You raid that there are two apartments In the rear house,, Is there a kitchen and a bath in these apartments? A. No. 9i 94 If It is an apartment, you must have these facilities. Dr,, Kaplan to James. Leahy: If the rents rooms does he have to have am llcons e,, James Leahy. A. The law states it in thiSmannar. If required by the Licensing *ut1=1ties, they have to maintain a register. I told Haim this in behalf of the Licenalt S, Board, and Tehen I called for a reglatera he had one,, For the record, that license has been raljolvtei by the Licensing Board. Be holds no license for a roaming house, it was revoked in 10,95 July, as a revolt of a fire. It Is my uxnderstaniend that it was coxndeMned and not fib: xor brown habitations. I supposed that it had been condemned by the Building Inspector. If vo he is in direct violation if people live there and they are not registered, he is hwiling people there illegally. Dr. Shaaughnecayo I hwre been In the downstairs apartment before, and I have been In the other place several times. I complained to tho police and got nowhere. At that time 2tro-n. Joly who lived there did keep herE place clean. Attorney 0OBriena In other tmrds the tenant can himb keep the place clean if they care to. Apparently this second floor was not ouppJed to be inhabited. Q. You gay you did not let the second floor, where did these receipts 9 come from? A. I did not gent that roman to Yr. Woods. for $5 but I did rent it to tho other man there. I took pity on him that is all. I don't care If they tear the house down, I just thought I was doing these people an favor. Atta 09B. You lost money on the place? A. Yes, I went under. James Leahy.- Yze. Lavoie maintains a nice apartment there, but how about Gilmore in the front and Kings? It isn't fit for pigs, and you could do a little bit of housekeeping yourself a W. Greco, in your corridors and bathroomo. You have a lot of people that should be cut In the fields wherever they gas they wsould contaminate. You could do something with that yard. A. I did, I past an underground container for garbage. J. L. It wasn't there on March the 16th. A. Well it Is there now. k. JAI on z=--rous Qccau�cm pl-: w".4c k. Ij—'; �ezllej.- Imnx bcin., -�J` , 0 W CIU-CM. up f. m-w cpst of yvar buouse who was laying there for tLmae days. ''e IV'IA-6 Vnt out of the unconaeBous and he didd at Salem Roapital. 11"Lan I -,,nq;o that call wo estLmated that there were 5000 cock-roaches in Zlye door jcm. An" OOB� (To Dr, T.) Oil you auggest to any of these people that they Fat out of th-crel A. 1170. on the thirteenth of March I w=, t downa on the Marry 10=66 care teaa Officer Brennan. We observed all the conditions there, when Drr� Shaup-,hneany made the ecMisint. First thing we did waa to have Bracket take pictures. We did oboer-va all these condwone, filth, vermin, cockroachas and that statement that Dr. ShaughneM about the cockroaches was true. Mr. Morne had been there a good number of years, Greco swjs 8 monthe. The room wac filthy and in an uns&uftary condition. He was on the be.4 c=kiz g a cf-,- -ratt Officer Brem%an tank him to another room out front,, That rc om. had d-zippiria water In one of the bathrooms, then wattregees were dirty and an eme of them excrement was all ever the place. Thene pictures which you have seen, shod what a tMusand words could not t-ell, This man could have been burned alive In that room. Atterney O'Brieng You are now talking about 17 Brown Street. Yes. Sargent Boyaglan: I saw that receipt for F-arry V-A)oda that uv. Shaughnessy meavlrone& Thcre was at least one receipt,, Harry Woods rev. a: did not have a dwor on it,, q All you had to do was walk I-a his room. He slept on a studic coach. Nest door was an old Russian or Polish fellow. We had to aeOh him about hr-,vSn-I seen Harry Woods earlier In the day. The =all that cam wat of th;lt room of urine,, in fact the whole room amelled of urine. The young Xonzan veteran with a 50 or 60% disability was drunk, there were wize lbottiza all over the floor. To see a man Was fought for his cm-utry and got.shot up for his country, Lying there In that condition was very sad. The Horne room, we all looked in that one and one of our Clergy was there ar-d he hasn't got over it year. Father McCarthy nevery thought there were 1-ivInZ quarters like this, will never got over it. You talk about flQP hM.-3CQ,, a flop house would never look like this. Att. O'Brien; You are talking about #17. Yea. Officer Brennan: The only thing I can add to the case is Deputy Wilcon and I took Vx, Horne out to Mrs. King. I talked to the some and he said he would take care of him for the night. Dr. 'Kaplan,- Why does Mr. Greco rent these rows to such people. if thee* people are filthy, and don't care for cleaullness, why does he let that sort of people come Into the place,. W. Greco,* They are clean when they come in. I dddn®t know they were so filthy. Sometimes) the Welfare Department calls up, but not often, to ae-ad people Cher Vx. Horne was not supposed to be In that room. Q. Why did you let him stay" A. I didn®t know what to do with him. I tried to get rid of him and he SW begs me to give him a place. Are you proud of your place? A. As far as wMe of tho tenants are coace:MQ I would like to kick them out, That Korean veteran was not supposed to live there. I never got any =onay from him, he was drunk and wandered in and sta7ed. I report same of these things to the Police Dept. but they do moth-A Officer Brennan.- I have bee r. on that beat for fifteen years and I never received a Complal from you. A. No, I never did put in any ccaplaints, I wouldn't call the police. 5. Lavoie-. I have liveA there twelve years On the sOcOnd 2100r in :kr -, loat z71 husband. y1y daughter is living with me, cite le 37 years o16. I have a son board with me,, I take care Of Us rcm- .1V fath= is 05 yeare old, liven next door to my WrtwOrlt- I board hin.1, keep his place clean. I tare care of furnIA12V 9v1d their Unen,, _kt a is aa old lady, 84 years old, she is blind and I taLe care of her the liar her oera rc=0 ,j.ezorney O'Brien: t th=- e are four differm- t Toms t1int are clear.,, Are h e any cocky roaches or rate or mich there? AO NO. 1kc, Lavoie: I alco talte care of lira. Norton®a rom,, cite is 1xit. 0-A-A,, I keep the zcvom clean. Att. aOBrienoo Nov you say there are five rows that are clean. is thw- a a light in -tho bethrom? Yes, I can put It an without stepping in the tub. Dr. T. it Jwlt that you couldnt reach the light, the fact that you can rr--ch 'kt while standing In the bathtub is davaarous� J=as Leahy: Dr. momey means that there d=1d be a button:, there® othOrTyloax 8&rzV;11Z might be electrocuted. Attorney: 01,'Bris= It would certainly be a hardship for some of these people to get other places. A. Yeso Qo Do you wwt to stay there? A. Yes© I am ogtisfied for the rent I pay� There is good light and heat. It is warm in the winter. Attorney 09B-0 What about v_voms occupied by Flossie Dean and Butchle? Are these wall hcpt? Fka� L Yes. Att. D'B,. we have seven rooms clean and well kept. cmplained about? Mr. Greco, Did you take the things out of the hall that Dr. TGO-May Ao Yea. I put them In the dump. Qo Vrhat did you do about the raindowso A. I feted mostly all OZ them, just a couple more to be fixed, all but tm.Qa ound re-ceptacle what about the garbage in the back yard. A. I Put an uacr3w there. I Sot a man painting there noug to make it goonWhat ciao did you do. A. clean. I am painting with him. Att. O'B; In 1949 tw-a much did this house cast you. A. $16,000- Q. Did you put aide walls on thereo A. Yes Em unch did this cost you. Ao 03000. A. yes, cost about $700, Qo Did Yz. GRourke make you put a stairway on the front, Q. Well you invested about $200000. Now I would say at 19 Brown Street, all V10 rooms are clean with the oxception of Kings., nm long have Kinge beer, there. A. About 10 years. G11wre 14 yeara. Dean 10 years or more, she comes and 3060. Q. You lost money on the place last yeor. A. Yes. Rylance Lord: What else did you want to ewf Vko Greco. A. I am going ahead with the Work and do all I can, that is all I C&n do- If I don3t get clean peop'le, I will put them out and get better ones, Lavvie, A. I have just Q. Why donOt you keep your place looking Ifto Fke. I nealected my place. there stating that they Q0 Could you get a letter from thane people living would like to stay there. A. You, I could- QO Wou4d you send it to the Doctor. A. YOG. 1k. Greco: I took care of apartments for my Mother in Sam rville and Cambridge before coming to Salerno I then bought these buildings from George Ahned. In the past years (5) 1 spent over $2000 or $3000 trying to keep It up.Dr. They: Juat exactly what did you do for thin money? A. Paint inside and ou taide. ll to Well, It doesn't look as though it has been painted for twenty years. Q. You saw thace pictures of 17 Brown Street, do you agree that condi&nzo i!Iey two 2n these pLett'ren" A. Tlaey wmet be true p:!ctuvC--_,, bu;_t th-1: i)cca �Iezned out since. 1"Mat happened when y4ni sax this condition. A. I wee curprine.d. I didn't think nt 'vea tha t'that way. I don't k-maw Whiere he got all that cWffo It all 90t th8rc InrAdc Of a :CO. Attorucy 03ftlen: Rqmlation 33.1 calls for ycm to clean the premises and comply vAth the code. It jo unfortuanate to put theme people out iu the atreet. Vnic fellow has a $20,000 inver,t-rjent in this place,) It to the only thing he has In the world. W. Greco spy lac to willing to close up R7. Dr, Kaplan to 311r. Go you state if we closed #17 entirely then you =,aid cteall up 019. T.r.- Greco-. Vaa, Atto=qy 00ftleas I appreciate Uv. Shaughnessy'@ position, I laiew a wmma who lived them;, made ber ;; thereq and it was lie to her. Dr. Shaugh=- coy., That la not the problem at hand. I am sincerely intecested ft old pwple but we will nevex UVrove the lot of th99Q Wks if thQY live Lu a Place like th",, They zve the responsibility of their wn fanaillea, but the families wILI not r.913ume this responsibility. ire abould inaist an certain mini mm standards that must be foll(rded. Dr, fey Two years ago I went in one nighto I Md 26 call from the ft"Ice Depa=tnment- In Kinaws room on the first floor there was a =a who had been In bad a t-yeak, viltbout food or water, and lying In his own faces. 7141M brought him to Salem Hospital aad he died that night. Dr;, Shaughnessy: The only Vvd thing I can vW for this place is that it le 'varm th(lra- Mr. Lord: ?Jr. axeco has appeared before the Board begone, we have tried We help him lull straightening out his property. I tUnk thle place Is far beyond Mow .-Apabllftf," of ,handling. Attorney OcBrien: CTh W. Greco)) Will YW close up 017 if the Board ovdura its A. yeso Hearing claosed at I.-GO P.M. r 39 April 4, 1961 Special meeting of the Board of Health was -held at 11:15 A. M. Present were: Board Members, Health Agent, Director of Public Assistance ana City Solicitor. Dr. Kaplan opened the meeting by requesting the clerk to read testimony of hearing held March 28 - Health Department versus Mr. Joseph Greco. Mrs. Green was 'then consulted as to the Welfar"e recepients residing in 17 and 19 Brown Street. She presented a written report on these people whom she claimed were all capable of getting other places to live with one exception, the gentlemen names Horne. A recommendation was made to have a psychiatrist examine him for admittance to Danvers 'State.Hospital. City Solicitor: "Your Board doesn't have to worry about the tenants, if you have -the intentions to close the place, the duty will be on Mr. Greco. We -spell it out to him, notify him that we are going to close, because 'of the circumstances we are extending the time, thirty days or so. Send a carbon copy to the State on every step you take, if he doesn't comply with thirty or sixty days then give the case to me and I will go into Superior Court. 'According to Chapter 111, Section 5, last paragraph, we have to notify the State on these things. I wouldn't move without them. After we close them,if they rent it, take them to court. If he repairs the place at 19, get very technical about it, check of #1, each tiem. If we are not satisfied, about something, then pick him up on that." Dr: Kaplan then recommended that we close up #17 as of now as a place unfit for human habitation . MOTION By Rylance Lord: Be it moved that this Board astarresult of a hearing on March 28, 1961 and after hearing evidence on all 'sides of the case relative to the dwelling at 17 Brown Street, it is hereby declared unfit for human habitation. As provided by law, this building hhall not be again used as a site for human habitation, until written permission of the Board if given. Seconded by Mr. Kinsella, Carried Unanimously. Be it further ordered thzt Mr. Greco comply with the directive of the Board of Health within 14 days of the receipt of this notice. COPY TO MAYOR, ATTORNEY O'BRIEN AND MRES. GREEN. Dr. Kaplan suggested that this action be given some publicity in the Salem News. SECOND MOTION After having heard all the evidence in the case, the Board has determined that the prfiises at 19 Brown St. is unsanitary and in certain areas not fit for human habitation. The Board directs that, unless this condition is remedied within 30 days the Agent has been instructed to close the entire dwelling as unfit `for human habitation. Seconded by Mr. K. Unanimously voted. The Agent was instructed to send a letter to Mr. Greco, Registered Mail. R.R.R. In Hra Salloway: Dr. Toomey explained that Mr. Dobrosielski advised him to see Leo Tracey, 'Clerk of the District Court on this and then contact him. In order to start proceediings, this comes within the jurisdiction of the district court. POLIO CLINIC Discussion on polio clinic ended with the decision to hold a free clinic with no age limit. On hospital Dr. Kaplan recommended that we hire L. P. N!s in the future whenever feasible. Meeting adjourned at 1:45 P.M. ,i 4 April 27, 1961 Meeting came to order at 3:30 P. M. with all members present. First order of business, minutes of previous meeting were read, motion by Mr. Lord and seconded by Mr. Kinsella that they be adopted as read. Dr. Toomey reported on 17 and 19 Brown Street. Mr. Koshgarian was checking both places every few days. Mr. Greco had not complied with the directive of the department in that a woman, Mrs. Tobin was still living at #17. Dr. Toomey reported on the Sallaway case and informed the Board that all of the pnperties in question were in the process of sale and may pass papers as of Monday, May 1. Mr. Lord moved to hold any punitive court proceedings in obeyance pending action on sale of property. Dr. Toomey to follow this. Motion by Mr. Lord to have the new owner appear before the Board to be oriented as to his duties relative to the care and upkeep of the property. Seconded by Mr. Kinsella, passed unanimously. ' Old Business. Agent read letter sent by City Solicitor Dobrosielski in the cases of Brennan and Cummings. There was considerable discussion but no action taken at this time relative tot-this. MOTION by Mr. Lord and seconded by Mr. Kinsella: Persons now on the waiting list shall be forwarded applications for admittance to the Health Department Hospital provided that the date of request on present list be applied to the application. POLIO CLINIC Dr. Toomey reported that the department did about sixty patients in our recent clinic. Dr. Kaplan felt that we should try to get more publicity in the newspaper, also that we should try to arrange clinics later in May. KITCHEN: Dr. Toomey reported that the kitchen is completed and is in use. Dr. Kaplan suggested that a picture be taken and that the Agent invite the'Mayor, John O'Rourke, Chairman of the Council Committee on Health Marquis, the Board, Dr. Toomey, and Miss Ward. Dr. Toomey reported as of a matter of information, the incinerator bids were opened in the Mayor's office. Listed below: Roberts Construction $808,890. Conte Donahue 776,424 Stanell Construction 797,354 Burke Corp. 769,845 Volpe Construction 773,000 E.J.Porter 773,000 Martin Mannelli 769,579 Clemenzi Construction 797,697 Mr. Lord suggested that we look into the advisability of moving the flagpole from its present location to the front lawn of the hospital. Mr. Lord moved that we adjourn. John J. Toomey, D.S.C. , Clerk pro tem May 11, 1961 Meeting came to order at 3':45 P. M. with Dr. Kaplan and Mr. Kinsella present. Minutes of previous meeting were read and it was voted that they be accepted as read. Discussion was held on increasing the patient load at the Health Department Hospital by making certain alterations there. Dr. Toomey informed the Board that Miss Alice McKinnon of the Division of Hospitals was coming down in a week or so to inspect the hospital and she would check on this at the same time. Report on #17 Brown Streel� disclosed that it was vacatdd as ordered by the Board. On #19 Brown Street, Health Agent reported that on reinspection after the thirty day period showed no valid attempt had been made to improve the establishment. He also reported that he had talked with Attorney O'Brien about this and expected a return call from him. Mr. Kinsella recommended giving Mr. Greco one weeks grace period and Dr. Kaplan agreed. It was also agreed that further action will be taken if no improvement is noted when the grace period is terminated. Dr. Toomey was further instructed to call Attorney O'Brien .again to find out the story on this. Health Agent then read a communication from the Department of Public Health on an act providing that the State Department would furnish drugs for the treatment of certain rheumatic fever patients. Dr. Kaplan suggested that a letter be written to local physicians informing them of this new ruling. Also send one to Salem Hospital to be posted on the bulletin board in the library. Letter from Miss Rooney of the Public Welfare Department was read relative to a .request to admit a Mrs. Vitale to our hospital. Recommendation to reply to Miss Rooney and inform her of the long waiting list we have on file, and the Board would not want to deviate from.their regular policy of admitting patients according to the date of application. The vacation list for hospital personnel was submitted to the Board. MOTION Made and carried that this list be approved as submitted by Dr. Toomey. On the Salloway property Dr. Toomey reported that Mr. Neary had called and papers were in the process for the sale of this property and he will call when sale is completed. Discussion was held on the Cadegan Nursing Home relative to transfer of ownership. No decision made at this time. Motion was then made and carried that the meeting be adjourned at 5 :00 P. M. June 8, 1961 Meeting came to order at '3:45 P. M. with all members present. t .. Mr. John Cappucchio new owner of the -Salloway property attended the meeting. After a short discussion it was decided that the clerk send a copy of the many infringements of the rules of the department at the various apartment houses;, in order that the new owner could alleviate these nuisances. as soon as possible. Minutes of previous meeting were read and approved as read. Next on the Agenda was a discussion on 19 Brown Street. Dr. Toomey was then instructed to make another inspection of the premises and take more pictures for evidence in the event that we go to court. MOTION Made and seconded, that a letter be forwarded to Mr. Greco informing him that the Board is highly disatisfied with the progress at 19. Brown Street after a forty four day allowance period. One- more week will be allowed after which it is expected that all the requirements of the Minimum Standards of Human Habitation will be complied with. No further extensions will be granted. After said week, there 42. will be immediate closure if place is not in proper condition. Health Agent was also instructed to send a copy of letter to Attorney O'Brien and to the -State Departmentof Public Health. Day after grace period Doctor Toomey willlmake a final inspection persona•lly. and take pictures, then take action on the following day. Inform Board by Telephone of 1sults. Communications were read and discussed. Recommendation: To have an adequate number of steel signs posted on Leggs Hill Road and Wilson Road. Letter from the Town-of Nahant to Mayor Collins relatkee.to that town disposing of refuse at our incinerator on a fee basis. Letter placed on file, to be discussed when incinera- tor has-been constructed. Tuberculosis Mantoux Testing was discussed, but no action taken. License for the Cadegan Nursing Home was held up until completion of renovation at the establishment. J POLIO CLINIC Voted to hold these clinics on Monday June 26 and Friday June 30. Health Agent was instructed to contac t Mr. Rockwell of Salem News to get some publicity on this- clinic.. Meeti ng adjourned at 6 :00'P.M. June 29, 1961 HEARING--CATHERINE DUNN AND JAMES DUNN, 19 IRVING STREET, SBLEM (Before Board of Health) (Testimony on opposite page) Regular meeting,resumed after hearing. Cadegan Nursing Home was signed by Board Members. Approval for license Recommendation by Dr. Kaplan: The nurses of this department should go to investigate the nursing homes and report back to the Health Agent. They should not make recommendations to anyone at the home. Dr. Toomey will check the report, evaluate it- and report his recommendations to the Board. 8 Adams Street and 82 Adams Street. Dr. Toomey explained conditions at these residences which seemdd to be a feud be- tween brother and sister. He stated that he had talked to the City Solicitor on this and was advised to refrain from getting involved. Decition: Plumbing Inspector will make another inspection and report back to Health Agent. Meeting adjourned at 1:30 P.M. Eliaor C. Horan, Clerk June 29, 1961 TESTIMONY AT HEARING FOR CATHERINE DUNN AND JAMES DUNN (BROTHER) of 19 Irving Street, Salem, Mass. Dr. Kaplan and Mr. Lord present. Before admitting Miss Dunn to meeting, Dr. Toomey gave a resume of the complaint. Dr. Toomey: About 2 years ago this factory was run by another firm, now out of business. Miss Dunn's house is about three feet from the side of this factory. Complaint was that they were running late at night, causing a rumble, causing her to be nervous and wakeful, nothing was said about a smell. As there were no more complaints from anyone else in the vicinity, I called the City Solicitor for advice. He stated that this constituted a private matter, not concerned as public health, so we should not have anything to do with it. I sent Miss Dunn aletter informing her of this. Afterwards she called and said she was bothered by smells. Our inspector visited the establishment and reported that there was a smell of leather, but nothing else. No beaming is donw there, they are dealing with splits that are all tanned when they arrive there. Dr. Kaplan: I have patients in that area and they were not particularly annoyed by any odor from this place. Most of the odors come from Salem Oil & Grease, but they have lived there so long, they do not complain about it. Miss Dunn: Within the last five or six weeks Salem Suede Company have put in a fan that blows the odor from their factory into our house, the factory is ten feet away from our house. We can't open any windows in the house, you get the odor right through the house 24 hours a day. Sometimes it starts before 6 :00 A. M. at least it runs from 8:00 A. M. until 12 Midnight before shutting off. The noise, along with the odor is something terrible. There are six windows on our side, they are right on a boundary line, windows were never opened in the tannery before, they always opened the windows on the other side and the odor went into a yard and we never had trouble then, this is a new business, formerly H. K. Barnes. Dr. Kaplan: Why do they put the fan on? Miss Dunn: They have three drying rooms in the factory, they use the fan to dry out the place. The Grey family at #3 just before you come to the factory, do not get the odor because there is a storehous on his side which is empty. Dr. Kaplan: Would this odor flow on to Phillips Street? Miss Dunn: There are three other sides, let them open the windows on the other sides. I have to get up at 3:00 A. M. on account of the smell. 4 Nt Dr. Kaplan: We didn't get any other complaints. Miss Dunn: Two years ago we had trouble with Max Talkowsky, and seventy five of us went to 1 City Hall for a meeting with the council and got nothing. Dr. Kaplan: �� There are patients d of mine on Phillips Street and they don't seem to get the odor. •,,,.• a.'t 2. Miss Dunn: Well it is blowing right into our house. Dr. K. Who lives next to you people on the other side. Miss Dunn: We have a 100 foot lot. There is another smell something like witch hazel. It was. reported before I got home from the hospital after spending five months there. Mr. Lord: How long is it that you have been losing your sleep. Miss Dunn: It is a high powered fan, it runs on a 24 hour basis, it has been preventing me from getting sleep. Dr. Henry is my physician. Even on the oil they burn a very cheap oil there, people can't hang out their clothes. a Mr. :Zion from Peabody runs the factory. James Dunn: Well, Catherine said there was one fan, there are three fans there now, just put in two more fans within the last two, months, with 5000 revolutions a minute, sounds like an airplane. Since this fellow has been in there he added five more pinwheels, when these are running you get the whole draft from the tan cellar. There is an awful odor. Dr. Kaplan: The odor I got was leather. Miss Dunn: Well he is not drying hides, you can come in our property and look it over. There is a well on the property, spring that comes down from New Hampshire, it runs all the way down, when Barnes was there they kept a pump going. The first winter that these people were there we had two feet of water in our cellar. Barnes used to use the pump but this man does not use it. It should be connected into the drain, there is a certain drain and on the other side when Barnes was there the water went into Grey's cellar., they called up and they put in a new cement wall, thought it was their responsibility. Talkowsky is now loading in his place from Phillips Street and it is coming into 23 Irving Street, loading and unloading from Irving Street which we don't want, wRxkxdxxaxfaxmxk Dr. Kaplan: We had no formal complaints to this department. Miss Dunn: Well lthe reports came here. Dr. Toomey: Under our present system the City Council has the jurisdiction to license junk yards. There is a law called the Noisome Trades Law which if accepted locally give the Health Department jurisdiction over allocation of places to carry out noisome trades (trades that are causing a nuisance). The local City Council have never given this right to the Health Department, they keep this to themselves. If you.want to.get rid of these people you would have to go to the council. Dr. Kaplan: Did you get a reply from the Council. Miss Dunn: Mr. Freeman spoke for us, when we went to the council but we did not get a reply, they just issued a license to Mr. Talkowsky, just held it up a month. Dr. Toomey: We are an official body and we have to be bound by ixzs, laws, we can only do what the law tells us to do. I had talked with A. Dobrosielski, you can't enter into that because it comes within the nature of a private nuisance, not Public Health nuisance. ,;ny action would have to be taken between you and these people, We are not legally responsible. Miss Dunn: Odor comes under Health Nuisance. I read the ordinance after I got your letter and the ordinance says it is a health nuisance. Dr. Kaplan: We will investigate it and follow it along, we may be able to help him to do certain things. 3. James Dunn: When these fans are going at night there is nobody in the factory, pinwheels are running Sunday morning and there is nobody there. We have been there fifty years, they have been there two years. They unload the skins in the street, and the sidewalks are all broken. Catherine Dunn: If he says he is drying leather in there it is a lie. Dr. Kaplan: Just what do you want these people to do? Catherine Dunn: They could open the windows on the other side. Don't open any windows on our side, keep these shut. Dr. Kaplan: Did you speak to them about this? Catherine Dunn: I didn't suggest anything to the men, you cannot talk to them. James Dunn: Cars are parked in front of the hydrant all day, he don't care for the law. They should stop smoking there, it is going to wind up in a big fire, it can't miss. Mr. Lord: These fans on your side were they there before. Miss Dunn: A, Yes, but we never had any trouble before they always kept the window closed, but these people are just going to do anything they want. i Dr. Kaplan: We will follow this up, it is a residential section zoned for business. (DUNN'S LEFT) Dr. Toomey will go up with the inspector and Mr. Lord and look the place over and then request Mr. Zion to come to a meeting and we will discuss this with him. DR. TOOMEY: I am willing to give Miss Dunn everything that is coming, but two years ago she raised the roof off the place, called in this office every fifteen minutes. She stated in her testimony that she never had complained, she drove a guy out of business, Barnes, nearly drove him out of his mind. Her recent complaint to me was on the noise of the fan. I wrote her a letter saying I had taken the matter up with the City Solicitor and this department could not do anything for her. Then she contacted Mr. Lord and brought up the question of smells and Mr. Koshgarian will come in to tell you the leather up there is tanned leather and this does not constitute a health nuisance. . Dr. Kaplan: What about the well. Dr. Toomey: We could send him a letter requesting him to cover this well. End of testimony. J \ r PAGE 42B AUGUST 29, 1961 HEARING JOHN AVIGIAN, 9 DAY AVENUE OVERFLOWING SEPTIC TANK PRESENT: HEALT AGENT, BOARD MEMBERS, COUNCILLOR JOHN SERAFINI ACTING FOR MR. AVIGIAN, COUNCILLOR BURKE, GEORGE O'CONNELL AND CHARLES KOSH- GARIAN, INSPECTORS FOR THE DEPARTMENT, MR. & MRS. AVIGIAN & CHILD Dr. Kaplan opened the meeting by requesting the Health Agent to give a rundown of the situation. DR. TOOMEY: Mr. Avigian has had a condition for about two months time, to our knowledge. Complaints of neighbors caused an investigation to be made. Mr. O'Connell and Mr. Koshgarian of this department checked the condition and discussed same with Mr. Avigian several times. This department has written him letters asking what progress he had made toward alleviating the situation. Finally we sent him a letter in which we gave him two weeks time to alleviate this nuisance. Mr. John Serafini, his attorney, called this department and requested,.us to cdntinue the time limit for one more week as Mr. Avigian had not completed anything, so we extended it another week and that week is up today. In the meantime Mr. Avigian had asked if he could have a hearing before the Board of Health. Now I will Callon Mr. O'Connell to tell you the exact circumstances that exist at 9 Day Avenue. Mr. O'Connell: Mr. Avigian and I met at one time either in the cellar or out in the yard. I had come because of complaints from neighbors. This department had a com- plaint of an overflowing septic tank on May 11, I found the septic tank was overflowing. I tried to straighten it out with Mr. Avigian many times, but our conversation ended rather abruptly as he was going to telephone to someone. He was disturbed about the complaints. On all my other visits to the premises I talked with Mrs. Avigian. On the original investigation there was water leaking in through the cellar wall and I was checking to see if it was from the septic tank, but it didn't seem to be polluted and by the time it had run through the ground it wasn't too bad. Mr. O'Connell explained to the Board about the operation of these septic tanks. Mr. O'Connell : There was a flaw in the foundation apparently when the contractor had pulled out some wires they had never sealed in the holes with concrete which 'hould have held a little better. My first recommendation was to have this septic tank pumped out thereby y reducing the water level in the tank and give it a chance to seep into the I ground, then if you have to make repairs it is low enough. Mr. Koshgarian; My conversation was about the same as Mr. O'Connell. I figured that there was something wrong with his system, I figured he should pump it out, his complaint HEARING (2) was against the builder, he didn't do a good job. I told him that if it is a nuisance, he should alleviate it and then have ye6t4- problems with the contractor. I saw Mr. Avigian two or three times, once with Mr. Lord of the Board. There is sewerage causing the odor and drawing flies, a bad situation Dr. Kaplan to Mr. Avigian: Do you notice these ddors? Mr. Avigian: Yes, there is a minor odor which bothers us, but it could come from the swamp, sometimes you don't know which is which. Dr. Toomey then read all correspondence relating to the case.t Dr. Toomey: The trend of thought running in Mr. Avigian's mind was that the builder is the cause of this. The Board of Health cannot do anything about the previous builder. Mr. Avigian must correct the situation, then we are perfectly willing at any time, if there is a suit against the builder arty of us in the department would be willing to testify for him and the action we were complaining about. If this goes to court and it is necessary to help him to get some regress from the previous owner, :khaxpxahkRwx we will coop- erate. However, the problem is, that there is a nuisance existing and people are disiturbed by it, we are being criticized because of our lack of action in the matter and this has to be brought to a head. Dr. Kaplan: Do you admit that there is a nuisance existing? John Serafini: Yes I might interject here there is no question in either my or Mr. Avigian's mind that the septic system is not functioning. Because it is not functioning, it is creating a nuisance, no question about this in our minds. Originally this fellow bought this piece of property in good faith. Sometime after, he began having problems with this and that, major problems and he consulted me regarding what recourse he might have. I talked with the owner and he promised to do certain things which he has not done. I instituted a suit against him which is pending in court now. However, at that time the septic tank system was functioning, this was not part of the original suit. Then that started to kick up, complaints were coming in and the Health Department became interested in the problem, but I wasn't involved in that phase of it. He did have a situation. Approval for that system must have come from the authorities and he felt that the authorities would have to do something to help him out. I think the point was made to him, his gripe is against the builder, but it has to be corrected. Mr. Avigian will have to gat a contractor who would do what the Board of Health recommended. The Health Board would have to pass on this and take Mr. Avigian off the had hook, so to speak. In the last week and one half he has consulted with three cesspool people. One from Peabody has come down and quoted a figure around $400 to do the system completely over again. He has been to the bank who has the mortgage, he doesn't have the ready finances, has to take a loan, the bank has agreed to go along with the loan to correct this situation. We are at a point where some concrete action is being taken and a result will be achieved that will be satisfactory to the Board. It will probably be another two weeks before it can be corrected. There has been an area of misunderstanding, First Mr. Avigian has felt himself aggrieved by the construction of the house and not getting what he anticipated. Second, he was distUt%ed that a builder like Soucy could come in and build two houses and leave with no recourse, as far as the city authorities were concerned. We do not have, in this city the type of regulation that the builder comes in and places a performance bond. However 92% of the houses are satisfactory and 2% are the victims. He is now putting on a porch and the Health Board was on his neck and he was going to have to put money out of his own pocket. I don't think there was any intent on his part as far as the Board is concerned that he simply wasn't going to do anything. His intent HEARING 3 was to try to get the thing done if the city was responsible and if so he wanted it done that way. Now he realizes that he has to take care of the nuisance and later prove that it was not his fault. He has asked one of his neighbors adjacent to Green Street for an easement on his property in order to enter Charlet Street sewer. Got permission from one niighbor but another changed his mind after promising. Mr. Kinsella: In view of what it might cost to make this changeover coul4n't you buy an easement from these people. John Serafini: This hearing could be continued if necessary for a period of two weeks at which time I could report to the Agent. All agreed on this. Motion by Mr. Lord: Dr. Toomey : I would like to be reasonalbe and continue this on the premise that some definite action will be undergone within that time. Have the job completed or at least be in process of being completed at that time. George O'Connell : If it is pumped out it will stop the nuisance temporarily. John Serafini: It will bempumped out within the next two days. John Burke`. How about entering the sewer at Linden Street. Mr. A-figian: You would have to go up hill about 200 feet, it would be impossible to do this. John Burke: Has anybody got an opinion from the City Engineer on this? (Exit, everyone but Board) Mr. Lord: I want the Board to know that I was there with Mr. Koshgarian. I have definitely made up my mind that the man has acquired an obsession, he was aware that there was a health nuisance due to the fact that he was aggrieved twoard the builder, he felt that an injustice had been done him and he was trying to figure out what he could do. Motion Unanimously voted X We grant Mr. Avigian an extension of two weeks to complete work on septic tank at 9 Day Avenue. Mr. Kinsella : I recommend giving them three weeks if it so requires. Dr• Kaplan: I think he is to blame, no reason why he shouldn't do it. George O'Connell : This house has been built about three years. A septic tank should be pumped out every three years. J. Kinsella : That wasn't brought out at the meeting. Recommendation: That a letter be sent to Mrs. Dyer informing her that we have enjoyed the association and we accept the resignation with regret. Recommended to have Mrs. Dyer fill in in emergencies. f r, SEPTEMBER 14, 1961 HEARING MEETING came to order at 3:30 P. M. Mr. Kinsella was absent. Mr. Zion of the Salem Suede Company, 7 Irving Street attended meeting to discuss situation previously discussed with Miss Catherine Dunn of 19 Irving Street, the complainant. Mr. Zion claimed that the fan is never going at night, it is just for the comfort of people working there. Mr. Lord: Dr. Toomey and I visited this place, the question of that wheel going most of the night was definitely the proce.s-s of drying out the leather. Mr. Zion: We are dealing with a person who is going to complain anyhow, no matter what you do. That fan was running for five or six weeks in the reverse direction by mistake, it was pulling cool air in and she complained six or more times that we were smelling up her kitchen. Q. Do you work day and night? Mr. Z. We do our drying at night with a skeleton crew on. He then showed pictures taken of Miss Dunn's yard which was like a jungle, certainly a fire hazard according to Mr. Rion. Dr. K. Is there anything that you could do to improve the situation, especially as far as odors go. Mr. Z. No, there must be some odors. Dr. T. What kind of leather are you making. Mr. Z. We use side leather now, bring hides in for now, they ran hides there before I took over. Dr. T. If you have hides you are running a beaming process. - Mr. Z. Yes, we have been for thirty or forty five days. Dr. T. If you are running a beamhouse this constitutes the smell which is different from the leather smell described here. Beaming is a very disagreeable odor. If enough people in the neighborhood complained we would have to determine if this was a public health nuisance. Mr. Lord: If this gentlemen is willing to keep this under close scrutiney, keep it under control as much as he can. Mr. Z. Your men came in six times and never found a dirty place. RxxRB. If you could keep the noise down to a minimum this might resolve it Mr. Z. Miss Dunn and one other neighbor -- she is the wife of a union organizer and that complaint is because we do not run a union shop--it was a vote of the employees not to join the union as we pay better wages, etc. This woman com- plains about cars parking in her way. If you would inspect 100 establishments like ours, we would be in the top 25%. We did everything to make Miss Dunn happy to the extent of sweeping her sidewalk, she just can't be saitsfied. Results: That Miss Dunn be notifed that we had Mr. Zion into a hearing and after listening' to his story it was the opinion of the Board that no public health nuisance exists there at the present time. However, the place will be checked by this department and Mr. Zion promises to try to see that no other nuisances exist. (1 SEPTEMBER 14, 1961 HEARING; MR. SAUL TAMER FOSTER LEATHER CO. CANAL ST. Dr. Toomey: On two Saturdays and two evenings I go calls from Mr. LaPointe that someone was burning rubbish giving off a very bad odor and they were `y going to put in a petition to put a stop to it. I went over and talked to the people there. Mr. Tanzer had just had a fire box constructed, a 6 x 6 box made with cement blocks with a stack about 14 feet high. There was a very acrid chemical axodor when I made the inspection. Mr. Tanzer made a mistake in building this box as I knew it would be a source of trouble., I suggested that he use containers and then he wouldn't have to burn the debris he could have it taken up to the municipal dump. The next Saturday another request to come over as they were again burning. We had previously written Mr. Tanzer asking him not to burn. He calimed he was just burning paper. Today we received another call and Mr. Lord was here so ire both went over and the fellow was burning again and there was an acrid odor. I talked to Mr. Tanzer, and requested him to try another method, he said he would rather go to court. I thought he should talk to the Board and maybe we could come to some conclusion. This noon Mr. LaPointe came in with a petition which he has held for three or four weeks. Dr. Kaplan looked over the names on the petition. Stated that they (5 of them) were patients of his and nice people. Mr. Tanzer: In 1948 we bought the building it was ready to be torn down. I went to the City official s to see if it was industrialized. I have had a boiler burning soft coal and I burned the rubbish there. There is a shoe factory upstairs employing 150 people. I don't want to lose them, I can't antagonize these people, they will leave Salem. I don't want the paper in the yard. I anti it burned up, the leather is being trucked out. Dr. T. Why can't you take it to the dump. Mr. T. I can't afford it. I haven't got thehhelp not the time. Dr. T. It is going to cost you money to go to court. Dr. K. If there is a suggestion being made to correct this nuisance why don't you try it? Dr. T. There is now a new law that will not allow anyone to burn outdoors. Your man spends two hours burning, he wastes more time burning, he could have it brought up the dump and back. in ttaat time. Dr. K. If you won't do anything about it we will have to do something. We have to uphold the law. Mr. T. I will talk it over with my attorney, Mr. Durkin and with the Fire Department. Result: DieIision: We are to hear from Mr. Tanzer within a week , either he or his attorney to tell us what he intends to do to alleviate the complaints of a health nuisance. e September 14, 1961 Regular meeting after hearings. Minutes dispensed with according to_motion by Mr. Lord secdnded by Dr. Kaplan. Dr. Toomey reported on Mr. Avigian, 9 Day Avenue. Mr. Mello and Mr. Donahue had .started construction of .a new septic tank. Letter from John Serafini in re Surrette Battery was redd to the Board. Decision: Health Agent will write to Mr. Serafini and Surrette Battery to attend next regular meeting of the Board of Health. Next on the Agenda was a discussion of instituting a system of daily reports for all field personnel. It was also recommended to have weekly or bi-weekly staff meetings: Directive came from the Board of Health, that forms be instituted and daily reports kept by all field personnel of the department and that regular staff meetings be instituted. Discussion was held on the changing of rates for physicians attending patients at hospital. Motion: To charge $5.00 for the first visit and $3.00 for other visits made on the same day. Bills of Chute Pharmacy and Dr. Filip: Bills issued to Health Department as a result of conditions at 4 Daniels Street rejected by Board for payment. Cannot legally pay these bills as they were not incurred by this department. MOTION Meeting adjourned at 6:30 P. M. - l t-91'nor Horan, Clerk !f-+� October 19, 1961 Board of Health Meeting came to order at 3:30 P. M. with all members. present. Mr. Kinsella suggested changing the time of the meeting to 11:00 A. M. instead• of 3:30 P. M. All members agreed. Meeting will now be held on the third Friday of themonth at 11:00 A. M. & Minutes of previous meeting were then read and approved with the following correction. That Mrs. Malionek's name be inserted with the information on the Daniels Street complaint. Passed unanimously. Communications: Dr. Toomey read letter from Marlborough Road Associates in re a rat situation at the municipal dump and surrounding area. Health Agent recommended that we follow the suggestion of the representative of the United States Fish and Wildlife Service to try to eliminate the rodent situation. MOTION by Mr. Kinsella: That we write a reply to this association informing them that we are doing everything we can to minimize the threat to these people and we will continue to do so until the incinerator is erected. Seconded by Mr. Lord Passed unanimously. MOTION That a letter be mailed to everyone in the neighborhood informing thtm of our program and tell them Ghat a representative from this department will visit homes in the area and explain our Rodent Control Program to them. Voted unanimously. 44 Mr. Moore manager of the Sunnyvale Rest Home on Oliver St. came in for an interzriew._ Will call department when ready for inspection. Inspectors reports were reviewed and discussed. Discuission was held on Paul Tanzer complaint, Dr. Toomey will call and check on this. • ,. Infractions of the Plumbing Regulations by Mr. Millette were discussed and motion made and carried to write a letter registered mail informing him he does not do as ordered within one week legal action will be instituted. Next on the Agenda was the lack of a reply from Mrs. Deschamps, keeper of horses on Marlborough Rd. Motion Letter•be sent to her informing her that if she will apply for a license the Board will consider it, if not, this dept. will take legal action and give her one week to reply. New Business: After a short discussion on conditions at the hospital the following MOTION That we have a Male attendant on duty on the 7AM to 3PM shift and another on .the 3:PM to ll :PM shift with a third to fill in on their days off. Unanimously passed. Meeting adjourned at 5 :50 0- - ,Tinor Horan, Clerk November 24, 1961 Regular meeting came to order .after hearing for the Surrette Battery Company. (Minutes on following pages) Minutes of previous meeting were read and approved as read. Discussion held on inactive list for hospital admissions: No decision reached at this time. Mr. Lord brought up the problem involving a Mrs. Whelton who was on our hospital admission list sixteen months ago. Desision: Write a letter to Miss Heffernan, neice of Mrs. Whelton, and inform. her that we have no openin at the present time, but will put her aunt back on the hospital waiting list. Dr. Toomey reported that he had attended a conferjengqcee at City Hall on Nuclear Radiation. i Dr. Kaplan asked Dr. Toomey to give a keys to � i�u r� �•� sot the girls could make some *� sandwiches in case there wasn't enough left for tShe niggit "pg"rsonnel.- SURRETTE BATTERY HEARING ON AIR POLLUTION FRIDAY, NOVEMBER 170 1961 Present: Board of Health Members, Mr. Mullins, representing Surrette Mr. Serafini representing neighbors and Mr. Ruscio, one of the neighbors most effected. Mr. Ruscio explained to the Board that he had been bothered with bad odors and smoke from the Deisel fuel from Surrette every night. It was so bad that the family could never sit on the porch and had to close all the windows. Dr. Kaplan inquired if Mr. Ruscio had any suggestions as to how to correct this situation. Mr. R. recommended getting a taller stack, stating that at one time it was raised a little and it seemed to help quite a bit. He claimed that the outside of his house was blackened by the soot and smoke. At one time they had raised it to some extent and it seemdd to be quite helpful. Dr. Kaplan asked if they operated at night. Mr. Mullins said that he had operated some evenings and night. John Serafini said he had received calls and complaints occasionally over the years. Mr. Ruscio had been in to see him several times about the same situation. He is not inclined to be unreasonable, as this is not a constant thing, something that atmospheric conditions seem to control. I think it is a problem that can be worked out. Not a condition that is impossible to eliminate. Mr. Lord: How many families have been effected by this. J. S. Beginning with the corner of Winthrop St. and Margin Sts. there are two families in that house, and the Sellars next door in the Winthrop St. area. Occasionally it will go the other way and you get complaints from the lower end of Norman Street. It is kind of a general thing in ' that part of the street. If it were a continuous thing it would be a real serious matter that would have come to a head before this. With some investigation on the part of the, company, I think they should be able to reason something out. Mr. Mullins: Mr. Braun is superintendent in charge of these things. This is the first time it has come to my attention when we received the letter from this department. Three years ago we got complaints and we raised the stack and thought it was taken care of. Mr. Kinsella: Would you sayrthat the stack is six feet high over the top of the main building. Yes. Mr. K. Do you think it would be practicable to raise it to twelve feet, double the height it is now. Mr. Mullins: Yes, I think it could be done. Mr. Ruscio The last time this was done it helped quite a bit. Dr. Toomey: I think there is a possibility that I can't agree with you that this will eliminate this donndition. A lot of this is due to atmospheric pressure and conditions. No matter what kind of a stack it will not diddipate enough there may be other methods of baffling the thing. Mr. Ruscio, I disagree with you on this as there was an outfit in Boston and they were having the same trouble -and they raised the stack 3 or 4 feet and it did the trick. r. Mr. Mullins: We burn the same fuel you burni in your home oil burner. Mr. Ruscio: When you shut off that machine there is no problem. Dr. Kaplan: Why did Mu. Surrette ignore the situation. Mr. Mullins: Mr. Surrette is in another office. Mr. Braun is in charge of the factory Mr. Lord: The raising of that stack is not going to be the complete answer to the problem, you may get relief from the odor but you are still going to get a settling out of the oil on your buildings, because the oil will settle, the odor will for some time be eliminated. I think if the chairman would ask the Health Agent to make a report on what has been done since the complaint arrived in this office, he might throw some light on what could be done here. Dr.. Toomey: We have had similar problems on this and it is' a little more complicated, elevating the stack is not going to be a total answer. We have been up to Surrettes Battery many times in the last ten or twelve years and for various complaints, sometimes at 4 and 5 A. M. All of the complaints coming from there were very vague. One complaint was that the deisels were operating at night and making noise. Upon our request they put in double or triple mufflers to eliminate that complaint. Most of the complaints wer for odors. I recommend that we call the Department of Labor and Industries to come down and check the niehgborhood both inside and ouside the plant. They are experts in that line and they have all the quipment to make these tests. John Serafini: Since the purpose of the hearing were: 1. Try to pinpoint for the board the precise nature of the complaints. 2. Since the company has indicated cooperation I think we should think about a survey by the board itself or one of the agencies that can do this to examine the facts and find out what can be done to correct it. MOTION: That Dr. T. get in touch with the State Department of Public Health, Atmospheric Pollution Division and have them act according to what was suggested here. Sec. by R. L. unanimously passed. Motion by Mr. Kinsella. Keep Board informed of results of tests. l - r DECEMBER 6, 1961 HEARING: BOARD OF HEALTH, GEORGE MARQUIS, COUNCILLOR, HEALTH DEPARTMENT INSPECTORS MR. LOWE AND MR. KOSHGARIAN Mr. Marquis: We have a problem with a restaurant and as Chairman of the Health Committee of the City Council I am really distrubed with this condition and we have other situa- tions in the City of Salem in the same condition. This condition can be a health menace. I had pictures taken of a Chinese Restaurant which closed one month ago. The new owner is there. I saw some activity in there so concluded that it must be reopening so I went in, they were using steel wool, barcolene, etc on the walls and in the kitchen which was an eye opener, the refrigerator was even worse. Pictures taken of an empty refrigerator from which they had just taken some rotten meat. Stoves, fryolator, etc were filthy, and this was not an accumulation of a week or so, it was over a long period of time. The backwall was so bad and the floor and stove that they had to sandblast it. I could make a hell of a stink about this, but it would ruin the restaurant business in Salem. I could take you to other restaurants and show you the same condition. I am placinfhhtthe responsi- bility of this on the Health Board. They have inspectors and what arer„' oying for inspection. These inspectors, if they are not doing anything, what do they do during the day? If I were to take these pictures, I could bring in the State Department of Health. I know of two or three places where I wouldn't dare have a cup of coffee-- their thermostat registered 130 for water, now you cannot wash dishes without 180 degrees. Thermostatic for the automatic hot water is set for 130, this temperature should be 180 for sterilization. Dr. Kaplan: How long have you known about conditions in the city. Mr. Marquis: I know that we have some unpleasant places, I never realized that we have places like this. (To J. Lowe, Insp.) When did you last see this place? Mr. Lowe: I have no alternative but to follow the chain of command. I don't think that this was turned in. Mr. Marquis: Why wasn't this report turned in in March. This was inspected March 33, 1961 and this is December and what has been done about it. Why wasn't this report turned in in March. You have to get nourishment and food out of these fryolators. M. Lowe: This was reported to the office as far as I can remember. Mr. M. What is the general status of Salivicos, why don't you close them up? Did you make any recommendations on this Chinese place. All it says is the condition of the place. Why wasn't this place put on probation? J. Lowe: It has been like this for fourteen years. Dr. Kaplan: He is a sanitary inspector, he is supposed to make a report to Dr. Toomey and Dr. T. will talk to the Board. Mr. Marquis: Have these places been followed through. Have you noticed a change when you make reinspections. Why do they go down hill rather than up hill. Mr. Lowe: I can't answer why it goes down hill rather than up hill. Mr. Marquis : Did you ever make any recommendations to the Board? Mr. Lowe: No, not formally. This is a chain of command, it always has been and always will be. My recommendations are made to Dr. Toomey who is agent of the board. Mr. Marquis: Have you a report on Salivicos? (Mr. Lowe went out to find report but comidn't locate it) Mr. Marquis: What about Gallo's on Front Street? " to Mr. Koshgarian: How far do you inspectors go? Mr. Kosh: At times we are tied up. When you had the Pickman Park situation we could not do our other work, as we were tied up in that project. Mr. Marquis: How many restaurants do you visit a day? Mr. L. Eight or ten a day. Mr. M. Do you run into this condition and not bring it to the Board's attention. Suppose you educate these people. If I got into a condition such as this I would give them 48 hours to clean it up. If he can't do it, he shouldn't be in business. Mr. Kinsell : I don't believe in catering to these people and patting them on the back. Mr. M. When do you visit these establishments, Mr. L. 8:30 to 4:00. Mr. M. Where did you go today? Mr. L. I have been waiting for the meeting. M. Where did you go yesterday? Eight establishments over Loring Avenue way. Primrose, China Sails, Paradise, Stop and Shop, Lanes, etc. Mr. M. I think, in the next ten days, if this condition is not cleared up, it will no longer be a private hearing. Dr. Kaplan: We will probably set up a different system. The criticism belongs to the Board. The inspectors are responsible to the Health Agent and he is responsible to the Board. We appoint these inspectors, we set up the rules. Mr. M. When I see conditions of this type and we have inspectors to check these plases, I was amazed when I walked into this place, just by chance and see this con- dition. Mr. Koshgarian: It wasn't like that when I was there. Mr. M. It was black and crusty there was so much grease there, the rubber that seals the door had rotted away and this refrigerator is just two years old. Dr. Kaplan: When I first got on the Board I had the enthusiasm that you have now. We had the State Department down and they gave us an impartial survey and when we got the percentage we found that our restaurants were not up to par. Howard Jo§nson's, Hawthorne Hotel, Moustakis, Almy's, etc. They had a lower rating than some of the smaller places. I set up a program, we went in for rating and grading restaurants, putting up signs, Classification A, etc. We were told at the time that we could no do it legally. We used to have the inspectors into the meetings so they would be closer to the Board, but this did not work out, so we went back to the original method. They were asked to go to certain areas and turn in the reports to Dr. Toomer. We asked for inspectors reports at the meetings, sometimes we got them and other times we not none. We are not entirely perfect, where the fault lies, maybe the Board if a little bit wrong in not following this up. If they are lax we are lax too. We will have real strict inspections. Give us time and we will show results. Dr. Toomey: On the water temperature, 130 degrees is the temperature at which you wash dishes. 180 for 2 or three minutes is for sterilizing dishes, you could not get your hands in the 180 degree water and it would bake the food on the dishes instead of taking it off. A long time ago, we set up a ruling that all these people should have a three compartment sink and/or a dishwasher. On the triple sink you wash the dishes in one section, rinse in another and sterilization them for 1k minutes in the third section, at 190 degrees. But you get a tremendous fight with people. At one time we attempted to classify restaurants, but the chamger of commerce and every restaurant owner got together and refused to put a sign on their window and there is no law where you man make them do this. Other cities have attempted this but no one has accomplished it. The first thing I did when I came to work here was to make a survey of my own of the restaurants in Salem and I set up a system. Daily visits to restaurants, made up a schedule of visits, once a month on all food handling establishments in the city. Each month the inspector goes in and he notes the difficulties and makes a note of these for rechecking. Grades them 90 to 100% as excellent, 80 as good and 70 as failure. ' In January you notify a fellow of his dicrepancies. In Feb. you recheck for improvements. If he does something you give him another chance, if fine refuses to do anything, time and time again, then you check with the Health Agent for further action. Make a recommendation to the Agent. Something acute has to be done right away. The inspector should bring this to my attention and later to the Board's attention. Dk. Kaplan and I went to the Licensing Commission, this gro up takes the jurisdiction out of our hands, they license restaurants. Dr. K. We tried to change this but the council turned it down. Dr. Toomey : We have no power, we can just recommend. We have to take them into court on a specific instance. of violation. Dr. K. I think we should notify the food handling establishments and the liquor places that we are going to be strict and in particular where food is involved. They will have to come up to standard. Mr. Kinsella: We can't change the picture. We should make up our mind that we are going to start and inspect as many places as these men have time to do. Mr. Lowe: The food handlers should be made to know that they are responsible to the public and to the Board and that these requirements are madebby the Board of Health. Dr. K. Don't you tell them that? Dr. Toomey: At what point should the inspectors come to me? A report is not a report unless you make it a report. An inspector is supposed to inspect, supposed to recommend. I think an inppector when he comes to me he should come in with a straight story. You set up some sort of a sheet to follow. Mr. Kinsella: I expect these inspectors to go around during the day, spend the time inspecting these places. I assume they are competent to know whether these places are clean or dirty. They should tell the fellows to remedy the situation, bring it back and report to Dr. Toomey, with his recommendation, then Dr. T. will bring it along to the Board. We will act when it is necessary, but we want official notice. Dr. Toomey: The inspectors shall inspect these places in the mode and fashion that I laid down, it is incumbent upon them to do this. I do not think they should come to me every five minutes. It should be incumbent upon them to make a decision. It should be the last resort when everything fails and they can't control the situation. It is part of their job to use their judgement in following through and seeing that everything is done. They should hound these people until they get them up to standard. Dr. Toomey: To Mr. Lowe: Did you ever discuss this restaurant with me? Mr. Lowe: No. if if " Mr. Koshgarian: Did you ever discuss this report with me. Mr. Kosh No. It " I never heard of this condition until Mr. Marquis told me about it. Mr. Lowe: The condition, as you will note in the port got progressively worse and then he went out of business. Dr. Kaplan: Mr. Lowe and Mr. Kosh: Do you people have any recommendations that you could make to improve these situation. Reply from both: No. Dr. K. If you have any please put them in writing and give to Dr. Toomey. Lay out a plan for the next meeting. Motion made and carried to adjourn E. Horan, Clerk 45 December 15, 1961 Meeting came to order at 10:30 A. M. with all members present. Minutes of previous meeting were approved as read. It was voted to dispense with the reading of the hearing of Surrette Battery. Dr. Toomey reported that he had contacted the State Department of Health, Engineering Division relative to this situation and as they had not had a tremendous amount of experience on this subject, they recommended that we hire a consulting engineer to check on the condition. The Health Agent also reported that he had checked the Surrette Battery and noted that they had raised the stack about ten, more feet and that it appeared to be satis- factory. The Board recommended that a letter be written to the complainant informing him of same and checking with him to see if it was satisfactory and if i-4- was not for him to contact this department immediately. Hospital waiting list was checked and a disnnssion held on same. Decision: To inviire Mayor Collins to a meeting the first part of the year to discuss enlarging the hospital. Communications: Letter from Mr. John Lowe, Inspector for the department was read by Dr. Kaplan. Letter requested an extension of time in order to get material together for the improvement of inspections. Extension was granted. , Letter from Mrs. Deschamps and abutters to her property wwere read relative to the keeping of horses on Verdon Road. Dr. Toomey was recorddd as being opposed. It was then moved and seconded that the Health Agent write a letter to Mrs. Deschamps to cease operations of a stable immediately at the Verdon Road site and if she was aggrieved by the order she may request a hearing before the Board of Health. Mrs. Carr,'s letter of resignation was read and accepted with regret, letter placed on file. Dr. Toomey will contact Mrs. Shivery for choice on this shift. Daily reports of field personnel were discussed. Mr. George O'Connell, Plumbing and Sanitary Inspector had not complied with the directive of the Board. Public Health Nurses had made very good reports. It was decided that the inspectors would make out their daily reports in the following order: 1. What they found during the day. 2. Where they went. 3. Their impression and their recommendation about improving the condition. 4. Confer with the Health Agent when confronted with problems. Dr. Toomey explained the mechanics of the restaurant inspections. This will be explained more fully at the next meeting. Dr. Toomey will lay out a schedule for the next meeting. Flu# Vaccine Clinic: Board agreed that the patients at the hospital and hospital personnel should be vaccinated against the Flu. Our department will contact physicians in charge of the patients to check on this. Mr. Lord will order 15 vials of the vaccine. Budget was discussed. An additional part-time dentist was recommended and another Milk and Sanitary Inspector was added. Dr. Kaplan reported that Mayor Collins wanted the Board to check on incinerators at Watertown and other places similar to the size of Salem, This will be done in January. 46 Mr. Lord then made the following suggestion and board members were in agreement. 1 That the two Milk and Sanitary Inspectors make a complete round of the City Restaurants, each inspector to check different restaurants, this to be completed by the end of January and a copy of the report on each restaurant to be submitted to each board member. These to be discussed at a special meeting called at a later date, both inspectors to be at said meeting. Meeting adjourned at 1•:30 P. M. e—'2444 C� inor Horan, Clerk January 19, 1962 f Meeting convened at 10:30 A. M. with all members present. Minutes pf previous meeting were read and approved as corrected. Correction: Dr. Kaplan will talk to the Mayor in re enlargement of hospital. Dr. Kaplan informed the Board that he had talked to the Mayor who felt that he could not consider the enlargment of the hospital during 1962 as there were other important projects scheduled for this year. Hearing for Mrs. Deschamps was postponed until January 24th. The Health Agent read correspondence sent to Mr. O'Rourke in re improvements at the hospital. Dr. Kaplan recommended that hereafter when writing these letters that a copy of same be forwarded to Mayor Collins and :to a copy to Dr. Kaplan. Letter to the Board from Mr. Erle Myers asking special consideration for his father's admittance to the hospital was read to the Board. Decision: To write to Mr. Myers and explain to him the policy of the department. Inspector's reports were read and discussed. Application from owners of Bake and to open a bake shop at 197 Essex Street was considered by the Board. Dr. T. informed E6 Board that the other required agencies had approved. Mr. Kinsella -voted approval if the Health Agent checked to see that all specifications were met with. Mr. Lord voted against approving. Dr. Kaplan voted present. No action taken for the present. Board members Dr. Kaplan and Mr. Lord will inspect the place with Dr. Toomey before making final decision. Discussion was held on incinerator employees. Question of replacement of supervisor and crane operator, when permanent people are on sick leave or vacation. Will be discussed further. Meeting adjourned at 12 :40 P. M. Elinor C. Horan, Clerk %t -REAR-ING': fix., :`:)(!?C.I _f )!i'." .7r1 JANUARYa. 1962 25';' :}fi:.j U v -)V. , bf,z 61J-0R1 l v)v-) fi'f)id MRS. MESSINA DESCHAMPS Attorney John R. Serafini Meeting convened at 1 :00 P. M. All members present. Dr. Toomey gave a resume of the case to the Board members. Complaint was received in this office that horses were not supervised and were out and around the neighborhood. The department took routine action and inspected the place. No license had been issued by this department. Letter was sent to Mrs. . - Deschamps informing her that she was operating a stable for horses without the permission of the Board of Health. Mrs. Deschamps then made formal application for this permission. This department then wrote all interested parties to see if they objected to same. On the replies there were 13 people who objected and 5 who didn't object. Board handed down decision of disapproval and Mrs. Deschamps was so notified, also notified e This decision was appealed by Mrs. Deshhamps of her right to appeal. Mrs. Deschamps: There are six horses there and the owners are friends of mine and my daughter. My daughter rides these horses also, it is a social thing, not business. Mr. Serafini: Mrs. Deschamp's husband who passed away had built this barn some time ago and kept a couple of horses. There is 10 acres of land there. He died about 4 years ago. Apparently what brought this to a head was % a young fellow who kept a horse there and he was hanging around there quite a bit and in watching these horses a few got loose and wondered over the field. This young man has not been in since, he was ordered out of there. I suggested, in view of the inquiry of the Board had made, that Mrs. Deschamps inquire around the section, specak to the residents of the immediate area and see if they had an objection, what it might be and if they did would not object would they sign a form that she had made up. There were eighteen names on the petition that said they had no objection to her keeping the houses there. They had the idea that she was going to keep about twenty horses. No intention of having horses for hire, strictly a social thing. John Serafini: My suggestion would be to issue a temporary permit for two months and see what develops in the event they have no objection at the end of that time we could ask for a permanent permit. Dr. K. to Mrs. D. Do these horses roam around? No, there is a large corral and they stay there, it is fenced off. They are let out in the corral for exercise, generally one at .a time. Many of these complaints came from another stable, which is now out of business. Mr. Lord: Is there somebody in the supervisory capacity at any time at the barn. After 2 :00 P. M. they are there, to feed the horses and exercise them. Mr. S and Mrs. D. left. After a short discussion, motion was made by Mr. Lord and seconded by Mr. Kinsella: "That the Board issue a 90 day temporary permit for the stabling of six horses, after which time, they will review the application as to whether a permanent permit "'il sued." Dr. Kaplan felt very strongly against haveing a stable in a residential area. Dr. T. opposed Dr. Toomey will have the inspectors from this department check conditions at the barn every month and give a report to the Board. i dry' 1 i .. .'( t... jtJil '9 - ', L a 't S S"'y !•' .,_ ,.. _ � .."i . . ,t. '7 .,. f3+) ('fr'• ?f(`? , .r .is ..5.... �)(J'1 (`r�Ei, ,`i t.l i,. �+4°,��#�• saJ tJ...i.9 c, 1 (/:. .-`l S 9 - ..o' ..a ' S�� .. .'l: i. �2Ji•f...L �iJ(. r +! IS'• _1`)' f •�, r� :'J �;V! t. }. i) C). !.,,':r _l% ! e'1 J_ ,. S ',.• n f :�'� U.i �', )rr_ br un ro . � , J - , i , _ 'r'., ?', '�. ,. !'. ., _•I c,. .} ,.,y - 'lam i r.. '+,1:.... ,r - r' ,. (...f .. r..l 3 fir• t,:r.. 1 � c. L�• ) . !. . ., .; -; .�>• . � .r (,' . . 1, 47 January 24, 1962 All members stayed for a shorfbusiness meeting inre Bakeryland permit for a bakery at 197 Essex Street Dr. Toomey reported that a Mr. Tassell would have plans drawn up and specifications and will submit them to the Health Agent on Friday. Meeting adjourned at 2:00 P. M. Elinor Horan, Clerk fd � I I� 1 February 16, 1962 HEARING: A. FERMAN, MGR. SAMSON LEATHER COMPANY VERSUS BOARD OF HEALTH PRESENT: DR. KAPLAN, RYLANCE LORD, LEONARD CAWLEY, COUNCILLOR WARD 4, DR. TOOMEY AND Mr. A. Ferman. Dr. Kaplan opened the hearing by requesting Dr . Toomey to give a resume of the case. Dr. Toomey: We have had trouble for several years with the small factory. Mr. Ferman has now been. there for about seven years. We have had innumberable complaints on buf fing � 'k dust blowing into peoples houses, around the property, on clothes hanging on lines, etc. I talked to the Fermans and recommended changes to alleviate the process. They have made some changes but this hasn't been taken care of. The last time I inspected fn this place it was concerning the dumping in the yard, constituting a rat menace. I requested the Ferman's to bag this dust and get rid of it. This was agreed to. Buffing box must be maintained properly, at the time of inspection there was still dust emanating from it. I had this verbal agreement that they would bag it, but they are not bagging it, they are still dumping it in the yard. On another day I went over with Mr. Koshgarian and there was chrome dust all over the snow. Leonard Cawley: I visited next door, a three story house, about ten feet away from the shop: On the kitchen table, and buffet in the dining room covered with chrome dust. Mr. Ferman inquired as to who was doing the complaining. Dr. Toomey informed him that Mr. Arthur Pelletier, Mrs. Gertrude Murphy, It Butler Street, Mr. Peter Polmonoco, 115 Boston .Street, Mr. Theriault, 10 Butler Street. L. Cawley: I talked to Al on April 28, 1961 (at this point Mr. Cawley showed pictures of the condition of the establishment at that time.) I asked him to rip the fence down. He is in a residential area da and he should try to blend to the nidghborhood. You have the knowledge, Al of how to run a boffing bos, your father's place in Peabody is run in Al condition. I fear that complaints will incr4ase now with the housing project there. On the lower side of Botton Street, this substances becomes a sort of gelatine when it gets wet. The yard is built up and this runs down into Mr. Holmonoco's yard. Dr. Kaplan: What kind of leather do you make. Mr. Ferman: Make chrome splits for suedes. it is Now there is the illegal dumping in the yard and also the buffing dust n$isance to the neighbors. Mr. Ferman: I don't understand the illegal dumping of leather. ul Dr. Toomey: You use the yard to dump, we do not want any more dumping Ae yard . Everything that domes out of your factory, leather shavings and crome dust are supposed to be bagged. Anytime that you dump anything in the ground in your yard or any place else is illegal unless you have a permit to do so from the Board of Health/ Mr. Ferman: The market on dust is no more. You cannot sell it, you have to pay to have it towed away. Generally around this time of the year it is hard to get a truck in there to haul it away. Because there is no market, bags are not available. I did arrange to get some bags and haul it to the dump myself. No one will take unless you have a tremendous amount. As far as the shavings, I don't know how they can be bagged, I don't see any harm that might come from shavings. There isn't anyone I know of who bags shavings, it just can't be done. It is not a rat menace, it is not unhealthy, it doesn't smell. One of these complainants has worked in a leather factory all his life 7 2 l-nd his greatest complaint is the smell and the dust. The dust, upon occasion has es- aped from the dust collector. I probably was negligent, fell asleep and it did escape-- f someone noticed it, I immediately shut down my machine. This buffing box cost me 8 or 12 hundred dollars second hand, it is working as good as any dust collector you can buy, provided it is maintained. Dust box fills before I realize it is full, and the dust will escape from the top, that is why I get the complaints. geld Dr. T. Cold and windy weather gets hold of this stuff, the other day Mr. Koshgarian was up there and it was blowing all over creation. It is a comstant source of complaint. Dr. Kaplan: It looks so delapidated on the outside why don't you do something about it. Mr. Ferman: It would cost me $2000. I invite you to come inside it is the finest plant in the city. Mr. Lord: Are you surrounded by homes? Mr. Ferman: Yes, on each side of the building. Mr. Lord: Do you plan to do something about it. Mr. Ferman: You would be surprized how I have bent over backwards to please my neighbors. Complaints have been going on since the 1800's. I would like you to go aver the place below and above Mr. Pelletier and see if you see any chrome dust. His own house wasn't too clean inside. Dr. Kaplan: Dr. Toomey what do you think he should do. Dr. Toomey" It simply boils down to this I don't care what went on yesterday or Tuesday, this it the Health Department and we are concerned as to whether it is a valid complaint or not--a valid complaint has to be investigated. You know we have talked many many times, the .Health Department has been pretty decent in its dealings with yuu. Essentially, all you have to do is to forget the fact that you can lost or make money on residual coming out of the factory. We are basing all our peemises that it might be a nuisance to one, tc woor more neighbors. I think you should establish and keep in motion a steady routine leaning out of that buffing box, normally once a week, or better still twice a week, 0ssibly Tuesday and Friday. That you dump no leather in the back yard. You can arrange with some small trucker to take it out of there, dump or store no leather scrap in and around the building. Why don't you put shavings in a bag and bring it to the dump yourself. Mr. Ferman: I don't have the time. Dr. Toomey: You have to find the time. Mr. Ferman: I don't believe you understand one phase of this, I see no harm in this. Dr. Kaplan: We say we idon't want you to dump in the yard, whether you think it is a mess or not, we think it is and it is our job to solve problesm, not what you think: We have the authority, we have gone along too far on this. Dr. Toomey then read Regultion 8, Section 2. Specifically: Nothing in that back yard at any time. Clean out buffing box twice a week, our inspector will go up once a week to see that this is done. Mr. T,.ord recommended that a platform be brought up to the level of the door slide box on platform then onto truck. Mr. FermN: Dr. Toomey had a good suggestion on that box. I will call in my carpenter, this has got to be thought out, when we get a break in the weather I will see that a collector comes down and hauls this away, in the meantime I will bag all the dust. Meeting adjourned at 2:00 P.M. Elinor D. Horan, Clerk l 49 March 2, 1962 Meeting convened at 12:00 Noon. Election of Chairman for 1962: Regular meeting came to order at •12:00Noon, Dr. Kaplan and Mr. Lord present. First item on the agenda was a discussion of Bakeryland's application for a bakery at 197 Essex SBteet. Dr. Toomey informed the members that they had not submitted any specifications for same. Mr. Lord brought up the subject of admitting patients to our hospital who are not in dire need of care at the time of admittance, although they have been on the waiting list for some time. Decision: To improve on the physician's section of the application form, so more information on the patient may be noted. Dr. Toomey will endeavor to obtain other hospital's application forms for comparison. Communications: Letter from Mr. G. Cavvicchio, in re a bond for 1962 for garbage collection contract was referred to Health Agent to discuss with Mayor Collins. Letter from Marlborough Road Associates relative to conditions at the munici- pal dump was read. Decision: Dr. Toomey will write to Mr. Taylor at the State Dept. of Public Health and request his assistance on the rat situation at the dump. Letter from Albert J. Guerrette applying for supervisor of incinerator was read and recommendation was to place letter on file for this meeting to be taken up at a leter date. John J. Toomey, Health Agent was ,voted in as Slaughtering ILnspector for the- year 1962. Letter from City Collector relative to unpaid bills for hospital care was.discussed. Recommendation: To pass this list on to the Mayor and- inform him that the Board is disturbed by these bibs and ask his advice on same.. Inspector's Rep6rts. were discussed. Dr. Kaplan inquired about the restaurant inspections progress. Dr. Toomey said they were being processed at the present time, they were late as Mr. Lowe had been out ill. Contract for bulldozing Marlborough Road Dump was discussed. Dr. Toomey will check with Mayor and City Solicitor on this. Tine Test for Tuberculosis was brought up'for discussion. No decision reached. Case Findings: Health Agent informed..the Board that the Essex County Tuberculosis League had requested permission of the Board for their group to take XRays in industry, all expenses to be paid by them. Board members went along with this as long as they confine themselves to industry, as this department takes care of foodhandlers, etc. Pre-Employment physicals: Health Agent brought up this subject for opinion of Board Members. Discussed fully, no decision reached at this time. Dr. Toomey will check with other cities and towns for comparison. t March 2, 1962 continued. Sick Leave visits by Public Health Nurses were discussed and also tabled for the present. Glaucoma Clinic: Dr. Toomey recommended to the Board that this department conduct glaucoma clinics He explained the process of setting up same: Possibly invite the Lions Club to have a part because of their interest and the great help they could give to us in educating $he community, even helping in a monetary way to get the clinic "off the ground". Plus our own staff and volunteers to carry dut details of the program. Have clinics about .two hours, once a week. Will need an Opthomologist, two optromotrists, etc. Members were ve:py much in agreement with this and gave Dr. Toomey the go ahead to obtain more information on same. Meeting adjourned at 2 :00 P.M. March 19, 1962 Special meeting for the opening of bids for bulldozing Marlborough Road Dump. Mr. Kinsella and Mr. Lord present. Dr. Kaplan on vacation. Dr. Toomey opened bids: McCarthy Bros., of Peabody, Mass. bid #3680. (167.27 per wk.) M. H. Noonan, Inc. , bid $113.80 per week. After a short discussion bid was awarded to M.H. Noonan, Inc. , lowest bidder. A discussion RxxkaxIx%xtk on the status of certain patients note at the hospital who could be cared of in Boarding Homes was tabled for the present, to be referred to at a later date. Meeting adjourned at 12 :30 P.M. April 13, 1962 .Meeting convened at 10:30 A. M. with all members present. Minutes of previous meeting were read and accepted as read. Dr. Toomey read a communication from the City Clerk in re to incinerator personnel. Communication was unsigned by the Mayor so no action was taken. Letter from the Resident Engineer of Hayden Associates was read and tabled for present. Report of delinquent accounts at hospital. Dr. Toomey discussed same with Mayor Collins who suggested checking up on a law wherein this department could develop a new system wherein we could. collect these bills. Report of Dept. of Public Safety and Fire Dept. were discussed, in re improvements at the hospital._ Motion made by Mr. Lord: A letter be written over the Chairman's signature requesting a special meeting with the Mayor and Building Superintendent to deal with problems in the physical property at the Health Department Hospital, that the Agent be directed to contact the Mayor and Mr. O'Rourke for a time and place convenient to them for this meeting. Seconded by Mr. Kinsella, unanimously voted. Department budget was discussed, members were, informed of cuts by council and of items that were left in budget. Mr. Lord wanted it to be a matter for the record the fact that the finance committee failed to approve a small item for overtime' for personnel. Dr. Kaplan stated that if need be, the department could request a special appropriation later on in the year. Oral Sabin type polio program was brought up by Dr. Toomey after which a motion was made and seconded: We go on record as approving and sponsoring an Oral Polio-Vaccine Program. Motion by Mr. Kinsella, Seconded•by Mr. Lord. , So voted. Dr. Kaplan recommended that we .tollow the outline of the recommendations of the State Department of Public Health. Dr. Toomey will see that the newspapers give publicity to the program. On the Salk Vaccine program it was recommended that people not included in the Sabin Vaccine program get their booster shot of Salk Vaccine. Dr. Toomey brought up the question of a public hearing relative to the dump at Marl- borough Road. He explained that the Director of Engineering of the S. D. P. H. insisted upon having a hearing and according to law we must give them one, where should we have it and when. Mr. Lord and Mr. Kinsella were not in favoring of attending a public hearing on the municipal dump. Dr. Kaplan said he would be present, however he stated that he understood that the Engineering Division would go along with us on the dump nuisance until the incinerator was built. Additional part-time dentist was discussed with the decision that Dr. Toomey would consult with various dentists to find out who would be interested. in the position. Dr. -Toomey brought up the subject of State Settled patients now at Essex Sanatorium. Tabled for the present. A progress report on the proposed Glaucoma Clinic was given by Dr. Toomey, who stated that the Lyon's Club would meet with other groups to discuss this further. Decision: Dr. Kaplan and the Health Agent will meet with local Orpthomologists and get their opinion as to the need for such a clinic. License for the Codillard Boarding Home on 31 Dearborn Street was signed by Board Members. Inspector of Slaughtering license was also signed by Board Members. Meeting adjourned at 1 :45 P.M. May 18, 1962 Meeting convened at 10:30 A. M. Mayor Collins and mbmers were present. Minutes of previous meeting were read and approved. Discussion on necessary improvementst at the Health Department Hospital. ,,.Mayor;. ` :� thought we should remind Mr. O'Rourke of these items. Personnel necessary for operation of the incinerator was next on the Agenda. Dr. Toomey read his recommendations to those present and also cited the number of personnel at Belmont, Watertown and Marblehead plants. Mayor stated that he wanted some competent in charge of such a large expenditure. Decision: To meet with applicants on Friday, May 25th at 12:30 P. M. Correspondence from Mr. Taylor in reference to the Marlborough Road Dump was read .,-;— Health Agent reported that a Mr. Wong had been down and made some recommendations which will be followed. Letter to Mr. St. Pierre in re lodging house at 24 Lynde Street was read. Mr. Kinsella recommend&d that our inspectors check these lodging houses and report back to the board as totheir condition. Dental Health: Health Agent and Mr. Lord informed the Board of a meeting they had with Dr. Maitland, Assistant Director of the Division of Dental Health after which it was decided to ask Dr. Maitland to meet with the Board to discuss this further. Request for generator at hospital was brought up by Health Agent and tabled for the present. Report on the Polio Program was given by Dr. Toomey. It was recommended that this department supply vaccine to the Well Baby Clinic at the North Shore ,Babies Hospital. Health Agent brought up the subject of Mothers with babies who would reach the age of three months in a short time, should this program of immunizing with type 1 vaccine be continued. Dr. Kaplan thought .we should terminate it as of now and probably renew it at a later date. A request by Fire Dept. Chief Brennan for tetanus shots for fire personnel was taken up with the Board. Decision: That these people go to their family physician for these shots. Meeting adjourned at 12:50 P.M. May 25, 1962 Special meeting came to order at 12:15 P. M. with. all members present. Mr. Joseph E. Fraser and Mr. Henry Martineaux were interviewed for the position of supervisor at the municipal incinerator. Mr. Fraser's application and record of previous employment was read to the Board. Mr. Martineaux cited his record and will forward same in writing in the near future. Dr. Kaplan inquired about Mr. Albert Guerrette. Letter will be written to Mr. Guerrette notifying him of the meeting on Friday June 15, 1962 at 12:00 Noon for special interviews. Dental Clinic Program. A discussion was held on improvement of the dental program. Health A�'ent gave a short resume of the present program and cited the need for another part time dentist. This will be discussed further at the next meeting, when Dr. Mait-land• and Dr. Wilson will be in attendance. Elinor C. Horan, Clerk JUNE 15, 1962 HEARING FOR CHRISTY'S RESTAURANT, GEDNEY COURT, SALEM, MASS. Dr. Kaplan opened the meeting and informed Mr. Tillos of the complaints this de- partment was receiging. Charles Koshgarian, Inspector read of the list of infringement Mr. Tillos This fellow who lives in back of me has been complaining about the back yard being dirty since I took over and long before I took over. The plase is not dirty. The day the inspector came down there was one half of an eggshell, one empty quart milk bottle and one paper cup. I swept it up and it did not fill a shovel. There are three five gallon cans there and two 35 gallon barrels. I admit I flew off the handle, I shouldn't have read him off, I knew the place wasnt dirty. The guy behind me is the cause of all this trouble, the whole niebbborhood knows it. His wife comes over and throws stuff in the can. During the week it gets cleaned. I put my son out there daily, I check it daily. It is calened out at least three times a week. I hollered at him, it was my fault. Dr. Kaplan: We are going to back up our inspector, he has a job to do, if he tells you to do a thing, you have to do it. Mr. Lord: What arrangement do you make for the disposal of rubbish in back of the restaurant for the weekend. I understand that the material gets loose causi : an offensive odor and rodents have been seen in the area. Mr. Tillos: I can't get rid of the stuff early Sunday morning. Mr._ Lord: Could you dispose of this material, wholly or in part before you clos u on Sunda morning, or could you manage to put it in a lace where it can't be P Y g, Y g P P knocked over. Mr. Tillos could not answer this question. ° Dr. Toomey: How many standard size rubbish receptacles have you? Two thrity five gallon barrels. Dr. T. Have these got covers on them. Yes, steel plate covers, a quarter inch steel, but the dogs push the whole barrel over. Dr. Toomey to Qharles Koshgarian: Has he got adequate capacity in this two containers to take care of all the rubbish in the back, and are they properly sealed to protect them from rodents and dogs. These containers are illegal. If these are knoced over he should devise some method so that they won't be knocked over, do something with them to protect this area. 1. In maintaining a restaurant you must maintain it according to standards of this S department. 2. You must have efficient metal covered containers of proper size to take ax care of your wants and needs and these must be maintained so dogs can't get at them. All garbage should be kept separate. Dr. Kaplan: Mr. Koshgarian will get in touch with you and outline what he feels you nedd to take care of the situation, if you don't do this we will go on from there. Dr. Toomey. Always remember no matter how you might feel, an inspector is an official and you could be fined a fine of fifty dollars for this offense. Mr. Tillos Left. Dr. Kaplan to Qharles Koshgarian: You sit down with him and inform him what he is expected to do. C. Koshgarian: I will go if the Board orders me to, otherwise I wouldn't go. Ditr. Kinsella: ` What do you mean, you wouldn't go. C. Koshgarian: If he gets away with this everybody will get away with it. Everyone knows he ordered me out of his restaurant. r HEARING JUNE 15, 1962 MOUSTAKIS RESTAURANT, ESSEX STREET, SALEM, MASS. r,t1 arles Koshgarian reported as follows: Old kitchen range (black), the doors are tied on with rings; stove is very dirty; refrigerators dirty; ventilator fan covered with lint and grease; trash containers are without covers; there are no wash basins; workers wash hands in the e pot that they wash the dishes; food is exposed to flies, etc. there are dishes on the floor; eggs had been boiled previous day and placed in a tin can, they had tanned black, and the black was scraped off and salad was made out of the remainder; walls are dirty; in need of cleaning and reapir; floors are broken and dirty; counter out front is cracked; lemonade pump is black with grease; equipment is old and badly in need of cleaning; uniforms of personnel were soiled. Mr. Moustakis: I'm most concerned than all of you gentlemen. I am 82 years old and we have run the place for 57 years, and this is the second time we were brought before you. First time I was bro ubht in unjustly. I have just ordered a new sink and a new stove. Dr. Toomey: Did you order a three compartment sink. You must have a three compartment sink or a disbkasher for sterilization pupposes. Mr. Moustakin said he would change the order and get a three compartment sink. Result of Hearing: Mr. Koshgarian will make out a list for Mr. Moustakis of all the infringe- ments and see that these things are improved. 2 �M Mr. Kinsella: How does everyone know, did you tell everyone? Dr. Kaplan: Unless you both intend to be cooperative we will not get any place. Mr. Lord: I recommend that this man be suspended for three days or we will look ridiculous. b I have been on the board for twelve years, and I never had anyone raise their voice to an inspector. Dr. Toomey: Some punitive action ought to be taken with this man. Dr. Kaplan: If he doesn't behave we will take him in again . Mr. Lord then made a motion to close the establishemnt for three days. Motion was not seconded. Dr. Kaplan I would like to have the inspector handle whim with a strong arm and give him one week to do what he is supposed to do, and if he does not cooperate, report it to the Board and we will take immediate action. 5 - June 15, 1962 Regular meeting came to order after hearings for Christy's and Moustakis Restaurant owners. Minutes on file. Motion made and carried to dispense with the minutes ofprevious meeting. Mr. Albert Guerrette was then interviewed for the position of supervisor of the incinerator. Mr. Guerrette stated that he would be interested in the position if he was in the General Foreman category. No decision made at this time. Correspondence from Mr. Kenneth Barry of Elm Avenue was read protesting to the development. of land formerly known as the Sunbeam Golf Course. Tentative date for a future meeting was set for June 19, 1962. Dr. Maitland, Assistant Director of the Division of Dental Health talked to the Board on improving our dental program. He stressed prevention and detection of caries through the school health program. Recommended a dental hygienist to take some of the work from the dentist. He stated that if this department wished to set up a survey to check the progress since fluoridation has been in the water, the State would aid in the program as it revolves, process all records, etc. Dr. Kaplan stated that the Board would go to the Mayor and explain the program to him and request an appropriation for a dental hygienist with the minimum salary of $4000 a year. Meeting adjourned at 2 :00 P. M. 'Elinor Horan, Clerk July 31, 1962 A special meeting of the Board of Health came to order at 11:30 a.m. with all members present. The first item on the agenda was the discussion of new rules and regulations relative to the disposal of refuse and collection of same. The Health Agent recommended to the Board that Regulation #7 as it is now constituted be deleted and that the new Eegulation be termed Regulation #7 of the Board of Health Regulations. proposed After the Board went over -the newAregulations and made a few minor changes, a ascussion was held on outsiders using the dump. Dr. Toomey will check back on former regulations relating to this and if necessary will include it in these regulations. Method of preventing outsiders from this practice was discussed but no decision reached. Dr. Toomey will re-check these rules with A. Dobrosielski, City Solicitor and inform the Board of any changes. I �� Mr. Lord than made a motion "That the Health instructed to go ahead on the printing and distribution of 15,000 instruction pamphlets on the collection and disposal of refuse for the incinerator. Motion unanimously passed. Dr. Kaplan relinquished the chair to Mr. Lord and made the following motion: i Subsequent to any meeting I moves that the Health Agent be instructed to give the newspapers a story saying that the Board had a meeting on such a day and that the Board has passed these Rules and Regulations, etc. Motion seconded by Mr. Kinsella an4 unanimously approved. J Motion by Mr. Lord: That the Health Agent begin a series of articles educating the populace of the City of Salem on the phases and operation of the incinerator. Seconded and unanimously passed. Meeting adjourned at 1:53 P. M. r. Elinor C. lioran, Clerk August 24, 1962 Regular meeting convened at 11:00 a.m. All members were present. Motion made by Mr. Lord: Dispense with the reading of the minutes. Motion passed unanim- ously. Interview of Dr. James Ryan for position of Department Dentist. In answer- to questions asked by the Chairman, Dr. Ryan stated that he could come in all day Wednesday and give a full day's work; that he could do more this-way than by coming in two hours a day for 5 days; that he intended to`° `"k nurse for Wednesda}�morning only, the other half-day nurse could be supplied by our nurse at the Health Department. Discussion about salary ended with the figure of $3,100 as adequate for the year. This was about the figure Dr. Maitland of the State Department considered as"' ood set up. Motions made by Mr. Lord: (1)That we appoint Dr. James P. Ryan provisionally pending examination by Civil Service. (2) That we request additional dentist for the.Health Department and direct the Agent to contact Civil Service asking them to set in motion an examination. (3.) Pending approval of Civil Service Commission the Board elects Dr. James P. Ryan to this position and direct the Agent to send the name of Dr. Ryan as candidate to this position. Motions were passed unanimously. Interviews of applicants for positions at Incinerator: Mr. Maurice Martineau, 61 Lawrence St:. applying for position of Crane Operator. His qualifications were read and the Board agreed that he meets the requirements. He asked for a two-week notice if appointed; Mr. Richard Hamlin, 90 Flint St. , applying for position of Crane Operator. Qualifications were read. The Chairman asked if his duties were similar to those at the Incinerator when he stated he worked for Metal Hydrides. Mr. Hamlin stated that he operated plenty of cranes and due to chemical plant experience his experience would tie in with the nature of duties here; Mr. Leonard Muller, 16 Linden St. applied for position of Maintenance Mechanic. Application and qualifications read. Mr. Muller stated that he has the mechanical ability to learn to operate crane; Mr. Clarence Stanton, 90 Margin St. applying for gnyip6sltion at Incinerator. Application was read. Mr. Stanton is working for the City of Salem now on three -day a week basis. Discussion ensued pertaining to-various applications on the Skilled Laborers List. Mr. Rylance Lord suggested that after the Council givesthe new ordinance a second reading, -that the Board call a special .meeting and make all appoint- ments.. Communication received from Middlesex San waa(xead by Dr. Toomey. He explained that the cost of care of chilftvn at that San will cost us $11.00 per day. pat i 2t��5 The State will pay one-half and we will pay one-half starting the first of _ the year. Letter from the Massachusetts Veterinary Association was read asking the Board of Health for certain services at Dog Clinics held annually. Mr.Kinsellaamade ,the.-following motion: I move that the decision on the. Veterinary Association request be postponed until the next meeting. It was made unanimousz Dr. Toomey read letter from Dr. Rubenstein's Office, Division of Hospitals, listing various recommendations pertaining to our Health Hospital. These were drawn up after an inspection made by that office June 12, 1962. The Board agaeed repairs to the building by 0"'Rourke are a must; the items pertaining to the nurses were put on file for future discussion; Dr. Kaplan would call Dr. Rubenstein's Office about the number of beds and see what he can do. Dr. Kaplan stated that a copy of these recommendations should be sent to the Mayor, Mr. O'Rourke, and one to each member of the Board. Then get O'Rourke down here, alsohave:.gotalk with the Mayor, and have a good meeting, because these repairs area must. Rylance Lord made a motion that the matter of hospital be placed on file. The motion was passed unanimously. Mr. Lord reported that #19 Brown St. has changed hands and is owned by Mr. Ahmed. #17 Rear Brown St. has been torn down to the ground. Mr. Ahmed has gone all over his property on exterior and interior, he has started to do some redecorating inside, and will put a new linoleum in the hall after the electricians and plumbers are through. The man will cooperate. Mr. Kinsella reported that the Solovicos place on upper Essex Street. is most unsanitary. Dr. Kaplan said that the man is not a cooperative fellow, and any time we have a complaint in this office it is followed through. Dr. Toomey added that 24 Lynde St, is closed,up;... Mr. Lord made the motion that the new rules and regulations relating to the Incinerator be adopted as corrected. Unanimously passed. Next was discussed.the completion of ordinance for personnel at Incinerator. First passage was already given by the Council. Persons in charge were listed as follows: 1. Board of Health. 2. Dr. Toomey. 3. J. Power Connell, same position as now, General Foreman, but he will be in charge of the men and have additional duties. 4.Working Foreman-Incineration, he will be the man in charge of the plant. 5. Mechanic Crane Operator. 6S'Nkilled Laborers, including 4 Stokers. This makes a total of nine employees. at Incinerator, followed. A discussion on- the possibility of having a night watchman./.No decision was reached. The question was tabled for the present. Dr. Toomey informed the Board that the appropriation for Incinerator Salaries was passed by Council. (17,328.00) Dr. Toomey read the communication from Mr. Barry relative to the development on the'--Sunbeam Area with requests for approval of Septic Tanks. Dr. Toomey said that all inspectiodd3se being conducted according to regulations. Oral Polio Vaccine Report was given by Dr. Toomey. We did 5258 children with Type I and 5287 with Type III. We have had a percentage of between 90 and 952 including the High School. Dr. Kaplan said that the reaction by the public to our cards with rules and regulations for separation of rubbish was favorable. He said that it was a nice card. 56 A discussion was held relative to transfer of money for Hospital Expenses. No decision was reached and the matter was layed on the table until the next meeting. Councillor Tighe requested a meeting at the Board of Health Hospital on Monday, August 27. This meeting would have for its purpose the expansion of the present facilities at. the Hospital. He asked that the Board, llnd Dr.Toomey,attend.this meeting. The Council Committee on Public Health composed -.of Councillors Wilfred Pelletier, Tighe and Louis Swiniuch will also be there. A lenghty discussion followed as to the various ways in which our Hospital can be expanded. Dr..Toomey said that the contract of bulldozing at the dump expires August 31, 1962, but the terms also say that such bulldozing may be ,-,,.___---continued for six months more if necessary. Mr. Lord made the motion that D Toomey contact the contractor and arrange with him for bulldozing of the d mp within the terms of the contract and it will be within our discretion when it will be terminated. The motion passed unanimously. Next under discussion was the question of waiting list at Hospital. The Board agreed that certain lines should be drawn as to how long a name should be kept on the waiting list. The Board felt that we should set up a new list. Dr. Winer, Dentist, proposed to School Committee that the football team be fitted with guards for their teeth, such work .to be done at the Health . Center Dental Clinic. The Board dedided that our Dental Clinic be used only for Public Health activities.::: '.- . . The next regular meeting will be held September 21, 1962. Meeting adjourned 1:55 p.m. sephine Foye, Clerk, pro tem September 14, 1962 Special meeting of the Board of Health was held on Friday at 11 :30 A. M. with all members present. Also present was Councillor Cawley. Discussion was held on salares for new personnel at the incinerator. Dr. Kaplan explained in full the reason of the difference in wages on Working Formaan and Crane Operator-Mechanic. Mr. Cawley cited that several Working Foreman who had worked for the city for several years resented the fact that new personnel were being employed at the same title but receiving larger salaries. ' Dr. Kaplan stated that any of these men could have applied for this position4 we had very few applications and the importance of the position required higher wages. Mr. Cawley then said he would withdraw his bid for reconsideration of council decision on these new rates. He then requested that the municipal dump on Marlborough Road be left in good order. Health Agent explained that plans had been made to poison the dump and. to clean same with the cooperation of the Street Department plus our regular bulldozer operator at the dump. After completion of this the gate will be closed and a sign posted informing residents of the new location of the incinerator. The Chairman stated that he had checked with the Mayor and found the Mayor f� a eem nt to Naving a watchmen on for seven days a week from 4P. M. to M15-nigit. This will require one full time man and a part time man. 57 Regular meeting came to order and after a short discussion the following motions were made. Mr. Lord : That we establish the position of Working Foreman, Incineration at the wage o 06.50, Group 13, Step 7 of the Barrington Wage Schedule. Seconded by Mr. Kinsella and passed unanimously. Mr. Lord : I place in nomination Mr. Alfred Guerrette as the Working Foreman, ncinerat(fion at the salary of $106.50 per week, Group 13, Step 7 of the Barrington Wage Scale. Seconded by Mr. Kinsella, passed unanimously. Mr. Kinsella: That we establish -a position of Crane Operator-Mechanic at the incinerator to be in Group 12, Step 7 of the Barrington Wage Scale. $101.00 per week. Seconded by Mr. Lord and passed unanimously. Mr. Kinsella: I nominate Maurice J. Martineau `to the position of Crane Operator- Mechanic at the municipal incinerator. His wages to be in Group 12, Step 7, $101.00. Seconded by Mr. Lord and unanimously passed. Mr. Connell, Mr. Guerrette and Mr. Martineau then joined the members of the Board and the Chairman informed them of the Board's decision and named the ones in charge in the proper order : Mr. Connell, Mr. Guerrette and. Mr. Martineau in that order. Hours for the positions are to be 7 :00 A. M. to 4:00 P. M. Mr. Guerrette thanked the Board and said he would be available on September 24, Monday. Mr. Martineau will report on September 17. Other workers are Michaud, Ronan, Muller, Doyle, Bates, Vassil, Worsencroft. Meeting adjourned at 1 :10 P. M. September 28, 1962 Regular meeting came to order at 10:50 A. M. with all members present. Minutes of previous meeting were read and approveddas corrected. Dr. Ryan, newly appointed provisional dentist for the department attended the meeting and presented a list of equipment he will need at the dental clinic. Motion by Mr. Lord: That we request the Mayor and City Council for a transfer of $500 for additional dental equipment for our clinic in the Item 3 Clinic Expenses money to be transfered from Item 3, Clinic Salaries. Motion seconded by Mr. Kinsella. So moved. Second motion by Mr. Lord That Dr. Ryan be allowed to order this equip- ment. Seconded by Mr. K. Passed unanimously. Dr. Ryan stated that he would refer to purchase his dental supplies from J.J. Crimmings Company of Boston. This was satisfactory to the Board. Flu Vaccine Program. Discussion held after which a motion was made by Mr. Lord That this department purchase 100 vials of influenza vaccine. Seconded by Mr. Kinsella, passed unanimously. MotionRLI move that we proceed with the immunization of the personnel within the department, personnel at the Health Dept. Hospital and all patients at the hospital, this on a voluntary basis. Vaccine to be made available to doctors who have patients at the hospital. Seconded by Mr. K. and passed unanmously. One inoculation now and another in a month. Discussion on the Generator was tabled until the next meeting. The St. Pierre court case was discussed and tabled as informational material. Situation at Phillips Street factory was brought up and Board instructed clerk to have Mr. Koshgarian inspect the premises again and report back to the Board at next meeting. Communication from Civil Service in re examination for dentist was read to Board flyer approved by Board. Next on the agenda was a report from Mr. Connell on the incinerator. Mr. Connell reported that the smoke had been cut down considerably, estimated that the longest period of any smoke showing was fourteen seconds. Communication from State Dept. on improvements at the hospital caused a lengthy discussion, after whith it was decided to have the. Health Agent contact Dr. Rubenstein and Mr. O'Rourke and meet with the Board on some Tuesday or Friday in the near future. Also have the Mayor here for the meeting. Recommendation by Board: Have Health Agent, General Foreman, Mr. Guerrette, Mr. Guertin and Mr. Martineau visit the Belmont, Brookline and Watertown incinerators to compare notes and ask questions to improve conditions at our incinerator and report back to the Board. Discussion on burning leather was held and Mr. Connell told Board that we could burn a little at a time and mix same with other debris to promote fast burning. Motion to adjourn at 12 :45 P. M. 1 October 26, 1962 Board of Health meeting came to order at 10:45 A. M. with all members present. Dr. Toomey was not present due to illness. Mr. George O'Connell, Plumbing and Sanitary Inspector attended the meeting and explained to the Board the circumstances surrounding the Gallo property complaint. Decision: To have Dr. Toomey, George O'Connell and the City Solicitor and the City Engineer get together and inspect said property and advise accordingly. The Gallo family were instructed to contact their own engineer for their personal advice. . Report will be submitted at the next Board meeting. Minutes of previous meeting were read and approved as corrected. Board approved of additional monies to be used for purchasing items at the incinerator Old Business : Board discussed the incinerator employees visit to Belmont and Watertown. Dr. Toomey to have detailed report for next meeting. Waiting list for admission to the hospital was discussed, Board would like Dr. Toomey to study this list and come up with some recommendations on improving the ss present setup. Flue.Vaccine Program was discussed, no further decisions made at this time. Meeting with Dr. Rubenstein was talked over with the decision that the.Health Agent be instructed to plan a program for this meeting and send.copy to the Board. Board will meet at 10 :30 A. M. to discuss program, special meeting will be at 11 :00 A. M. Rat problem at hospital was discussed and tabled awaiting mor information. . Abatement of a.portion of bill due for board and care of Mrs. Harney was taken up, decision Dr. Kaplan will contact the City Solicitor and City Collector and report back to the other members. Approval of Oates Rest Home license was signed by the Board. Meeting adjourned at 1;:05 P. M. 59 November 8, 1962 Special meeting of the Board of Health came to order at 11 :00 A. M. with all members present. Also present were Mayor Collins, Dr. Rubenstein and Mr. John O'Rourke, Building Inspector. Dr. Kaplan opened the meeting by discussing the letter from Dr. Rubenstein's office relative to a recent inspection at the hospital. He then talked about the waiting list for hospital admissions and how to remedy the situation. Dr. Rubenstein recommended building a brand new building which could be connected with a ramp to the old building. The first floor of the old building could be used for patients. The new building would have to have a power pland and a kitchen. Cost would be one and one half million dollars fora first class construction. The .Hill Burton Fund would give $350,000 toward this construction, on half of which would be paid after half of the building was erected, the other half when it was completed. All the equipment in the present building could be trasnferred to the new structure. He also recommended building a chronic unit on Salem Hospital grounds as an affiliation, using Salem Hospital services. Dr. Kaplan said that this had been discussed at the hospital and was not approved. Mayor Collins did* not think the city could float a bond for a building on private land. Dr. Toomey suggested as Alternate to put an addition to the building connected with a tunnel--this to be of L or T type construction and built on second class material, possible wood with a brick veneer. Lynn has a second class construction with about 75 Veds at the cost of approximately $250,000 or $300,000. Mayor said the Board would have to sell the council on this. He would not be in a position at this time to go for the 1' million structure but would consider the second class structure. The next discussion was about the Essex County Hospital chronic disease unit, it was decided that if this section was to continue there would be no need for an additional unit in Salem. Dr. .Kaplan inquired of Dr. Rubenstein relative to the t delay in the issuance in our .license for the hospital. Dr. Rubenstein stated that our license is valid until is is revoked by his department. The Health Agent will get in touch with the inspector in his department and meet with her axd for explanation of the items to be corrected at the hospital. Meeting adjourned at 1 :15 P. M. November 23, 1962 Board of Health meeting came to order at 11:00 A. M. with all memebers present. Minutes of previous meeting were read and approved as Bs . corrected. Corrections: 1. ° What the future of Essex County Hospital will be. 2. After the status is determined, then our approach of our particular problem, would have to be gauged against this. 3. In the event that Essex Sanatorium is made into a chronic Hospital a study of the cost to the City of Salem and the financial formula established will have to be made by the 6 0 , department before,engaging_in any future plans for an addition to our hospital. " �r a Next on the Agenda was discussion 'of the black smoke emenating from the incinerator. Dr. Toomey informed the members that this was being checked and engineers of the Hayden Associates would be at the incinerator Mondgy, November 26. Health Agent was instructed t o invite the City Engineer to attend this meet*ng. A discussion was then held on a report made by Dr. Toomey relative to"Mr. Roger Des- jardins of the North Shore Disposal Company bringing up an excess amount of rubbish to the incinerator. He thought it was probable that some may come from outside Salem. Decision: To write to Mr. Desjardins citing our rules •and regulations and see that these are carried out. If he does not cooperate, then he should come before the Board. In the meantime one of our inspectors will follow these trucks to check on the pickups. Charge for dumping at the incinerator was tabled for the present. Communications: Dr. Toomey reported on the Gallo property complaint--on advice from the City Solicitor, he felt that the Bedard's and Fillicio's should take the Gallo's to court, and that this department would testify when necessary. Dr. Kaplan questioned as •to the health menace, would our department be responsible if these people were not taken to court. Dr. Toomey will recheck with the City Solicitor. Letter terminating contract of_-Mr. Noonan's bulldozing Marlborough Road Dump was read to Board. Dr. Kaplan inquired as to the dondition of the dump at the present time. Dr. Toomey said there was some leather in one corner of the dump which would cost the city some $1800 to remove. He was in the process of having them removed by a Mr. Ramos from Peabody, who was interested in having them. Dr. Toomey read the letter on the hospital inspection and reported that he had talked again with the inspector who had straightened out many of the items. We are now awaiting for a letter of approval for 43 patients. In agreement with the recommendations in the letter, the department will purchase some portable screens and an autoclave for the hospital. e Department will also purchase some hand bells for the patient's signalling system. It was also recommended that we employ some man for ceiling work, painting and other necessary repairs at the hospital. Waiting list for hospital admissions was discussed and tabled for further study. Dr. Toomey recommended having more of a case history on the applications. Possibly have the diagnosis, prognosis, disposition and urgency typed on the application. Mr. Harney's bill at the hospital was talked over and Dr. Kaplan said would be in to see Dr. Toomey and give him details of his finances. Mr. Lord suggested that we put in a Junior Clerk-Typist in the budget for 1963 and this was agreeable to all Board members. Dr. Toomey said Dorothy Fouhey would be on full time also. Meeting adjourned at 1 :40 P. M. DDecember 14, 19,62 Meeting came to order at 10:50 A. M. with Dr. Kaplan and Mr. Lord present. Minutes of previous meeting were read ans approved as read. Bids for contract for the sale of Garbage were read: Mr. Gaetano Cavvicchio's bid for one year was $6600. Two years no bid. Three years $11,600. Mr. DeAlmeida's bid was one year $2000, Two years $4,000, Three years $6,000. After the reading of the bids Mr. DeAlmeida withdrew his bid. Motion by Mr. Lord I move that Mr. Caw icchio be given the contract for three years in the amount of $11,600. A lengthy discussion followed after which Dr. Kaplan seconded Mr. Lord's motion. P January 18, 1963 Special meeting of the' Board of Health came to order at 11:00 A. M. Present: Mayor Collins, Board Members, Health Agent, Power Connell, Charles Koshgarian and Alfred Guerrette. Purpose of meeting: Incinerator Review Dr. Kaplan opened the meeting by requesting a report from Mr. Guerrette: Mr. Guerrette: I submit an organizational report with problems, suggestions, etc. The personnel is very good, organization works very well together,this is the type of work where this cooperation is necessary. We are producing at the plant maximum efficiency. Various things have come up at the plant. I have turned over to Doctor Toomey a report on the freeze°°=up December 31 and January 1, recording a complete list of defects and damages at the incinerator.. A few more things have popped up in the last few days. Dr. Toomey: We do not think the heaters are large enough and they are going to ofFirto make an adjustment. I will talk to the people who put them in and request replacement with adequate size heaters. This would not involve money, on our part. Mr. Guerrette: Mr. Bob Parker informed me over the telephone that he had contacted Mr. Burke, the contractor, and they have admitted--through an error-- that these heaters were too small and they will install larger ones later. He reported on the furniture, everything but the desk chair had been delivered. Dr. Kaplan next called on Mr. Power Connell for his report. _= Mr. Connell: In the last two weeks we have had every truck that came in weigh We are taking in 60 to 75 ton a day, burning 73 ton. This is the first week w have not worked overtime. The North Shore Disposal Company have brought up `, ten ton a day instead of 20 to 25 ton a day. D'Iorio, another contractor, has not come in for ten to twelve days. We have averaged 60 ton every day ';� this week. We have saved $150, this week by not working overtime. ` Thirty five ton is the city average per day, 30 ton is from private contractors. tr Dr. Kaplan: The North Shore Disposal Company was bringing in as much as the city. . We felt he was cheating. We checked on him, not in secret, he knew we were checking. Secondly we came up with the idea of weighing. Mr. Connell. We started weighing the fourth of January, notified every truck ahead of time that this would be done. I would suggest that we go along with this. We weighed one of the bucket loads at the incinerator and tt weighed 1080 pounds--we figured. on an average of 750 pounds. Mr. Koshgarian: I followed North Shore's trucks but he didn't do anything illegal all the time I was there. Everyplace he went to was Salem. I accused him of going out of town. He showed me two slips from Dagget's Dump. On December 15, I went over and checked at the dump and the attendant said,he hadn't seen him for three months. From 5000 to 5500 pounds to 3500 to 3800 pounds. We know and he knows we know. Mayor Collins: There is nothing to prevent him to go out with trucks already half loaded, that is have an over-night. load in his packer, then to go to the incinerator with a full load. There is a two month gap. Dr. Kaplan: I suggested that Dr. Toomey check with surrounding communities in the way of charging for private dumping. Also on what our ordinance says about collection of private and public establishments. Whether or not we shall h charge for private collections. t John Koshgarian: I followed North Shore's trucks but he didn't do anything illegal all the time I was there. Every place tie went to was Salem. I accused him of bringing in material from outside and he showed me two slips from Daggets Dump. On December 15, I went over and checked at the dump and the attendant said he hadn't seen him'for three months.. Mayor Collins: There is nothing to prevent him to go out with trucks already 1: half loaded, park them overnight and then bring a full load to the incinerator. Mr. Koshgarian: Trucks are parked in the Shell Station overnight, he picks up at Sylvania from 7 to 8 A. M. and from 5 to 6 P. M. He has eighty stops in Salem.--20 to 25 ton. Mayor: There is a two month gap,, he must be going over there now. Dr. Kaplan: I suggested that Dr. Toomey check with surrounding communities in the way of charging for private dumping. Also on what our ordinance says about collection of private and public establishments. Whether or not we should charge for private collections. Dr., Toomey then read replies he had received from Watertown, Brookline, Somerville and Holyoke, most of whom did charge fees. After reading the letters he recommended that if we decide to charge, we should start gathering figures and if we make a change make it on. this basis--total cost to the City of Salem, so we would not be carrying capitalization cost for Swampscott, Peabody, etc. h� K Dr. Toomey then read letters from Watertown, Brobli ine, Somerville and Holyoke on this subject. After which he recommended that we decide to charge we should start gathering figures and if we make a change make it on this basis, total cost to the City of Salem so we are not carrying capitalization cost for other cities and towns. We have provided in the Board of Health Regulations, which have the same power in law as an ordinance, that we may charge a fee for dumping by private collectors or by the originator of commercial wastes. These rates to be established from time to time by the Board of Health. No charge shall be made for the disposal of domestic wastes delivered by the originator provided the quantity is not excessive as determined by the Health Department. * Below) Mr. Connell: If we enforce the ordinance, which we don't. Dr. Toomey then stated that in the case of Al Jones of Mason Tanning's leather scraips, he was trying to make arrangements to have them either sent to Peabody to the Glue Works or have them buried at Grasso's property on Marlborough Road. Dr. Kaplan: Apparently some of the trouble that we had was the emenating of smoke, they claimed there would be no smoke, no odor, but some of the reasons have been ironed out, such as burning wet leaves--overloading--leather, etc. * Dr. Kaplan: Shallm we enforce the ordinance of the four barrel limit or shall we bend a little. Mr. Connell: If we were having trouble I would enforce it, every ward is cleaned up every night. Historically we have always done this so we should continue. Mr. Guerrette; As a point of information a man has a place of business in Lynn with a warehouse in Salem, and he has a permit from Salem. Mayor Collins: Just business generating in Salem should be given permits. This permit will be checked and revoked if misrepresented. Mr. Connell: We should try to have the fence moved from Marlborough Road to the incinerator. Dr. Toomey: It would cost as much to move it as to build a new one. Mr. Connell: $5000. ? Mayor Collins recommended leaving it for the present, in the event people X might dump there. Wait until they get accustomed to going to the incinerator. pECISIONS AND MOTIONS: Shall we enforce the ordinance of the four barrel limit or shall we bend a little. Bend a little. How many ton a day for contractors to dump at the incinerator. Limit the contractor to ten ton a day. Mayor would go along as we are, getting an idea of the cost--if you decide to allow outsiders. Locally, let conditions as they are, if they become a Vurden change them. MOTION: MR. LORD: To write a note to Mr. . Cyr of the Central Motor Department, to thank him for his splendid cooperation, during the freeze-up at the incinerator. Seconded by Mr. Kinsella—so voted. MOTION: MR. LORD: That there will be no. chahe in the present policy of exercising of the regulation of collecting four barrels per establishment. Sec. Mr.Kinsella. So voted. MOTION Mr. L. That we enlarge our Sabin Vaccine program on a sub-paying basis, procure more vaccine for any adult with the thought of asking 250 per drink to write off the expense of the vaccine. Sec. Mr. K. So voted. Dr. Toomey will check with the nurses on the number of shots to plan on purchasing. Dr. Kaplan recommended that we have plenty of publicity with particular emphasis on the young adult. 61 Hospital waiting list was talked over and the following motion was made by Mr. Lord: When a patient on the top of the list is not ready to go into the hospital when there is a vacancy, then his name goes to the bottom of the regular list and numbered accordingly. Motion seconded by Dr. Kaplan. Inspector's reports: Dr. Toomey reported that Mr. Lowe was doing an excellent job, now having a list of about fifty places ready to be condemned by this department and the Fire Department. Letters will be sent out to the owners of these places requesting them to have the premises vacated. Communications: Letter on changes at Essex Sanatorium was read to the Board and thogoughly discussed. Polio Vaccine program was next on the agenda: Health Agent said the program was being planned to give Type 1 in January, Type 2 in March and Type 3 in May. Incinerator: Dr. Toomey reported that our inspector had followed Mr. Desjardin's trucks and up to the present time all of the debris had come from Salem. This will be followed further. Motion by Dr. Kaplan: This office will get all the facts in relation to the overloading at the incinerator, the source of rubbish, etc. and have a meeting with Mayor Collins, Power Connell, Mr. Guerrette, Mr. Desjardins and Mr. Koshgar4an and try to arrive at some policy to improve conditions. Seconded by Mr. Lord. • - Dr. Kaplan brought •up the subject of unsightleness near Marlborough Road dump on the Mulligan .property. Dr. Toomey will investigate this situation. Mr. Harney's account for hospital care of Mrs. Harney was again discussed. Mr. Lord thought the entire bill should be abated. Dr. Kaplan felt that Mr. Harney would like to pay a portion of the bill. He will discuss this again with Mr. Harney and report back to the Board members. Meeting adjourned at 1 :30. P. M. January 18, 1963 a Special meeting of the Board of Health came to order at 11 :00 A. M. Those present wer _ : Mayor Collins, Board Members, Health Agent, Power Connell, Charles Koshgarian. and Alfred Guerrette. Purpose of meeting: Incinerator Review. Contents of ,th�, meeting are on the following sheets. Special motions that were made:Four barrel limit will not be enforced. Cont actors will be allowed to bring in ten ton a day to the incinerator In regard to dharging for dumping, Mayor Collins recommended that we go along •as we are for the present, then if conditions become a burden, then start charging. MOTION BY MR. LORD: Write a note to Mr. Cyr of the Central Motor Department to thank 1V him for the splendid cooperation given us by his department during the recent freeze-up at the incinerator. Seconded by Mr. Kinsella so voted. MOTION: BY MR. LORD: That there will be no change in the present policy of exercising of the regulation of collecting four barrels per establishment. Seconded by Mr. Kinsella. So voted. MOTION BY MR. LORD. That we enlarge our Sabin Vaccine program on a sub-paying basis procuring more vaccine for any adult with the thought of asking 25i� a drink to write off the expense of the clinic. Sec. Mr. Kinsella, so voted. Elinor Horan, Clerk February 11, 1963 Board of Health came to order at 11:30 A. M. with Dr. Kaplan and Rylance Lord present. Minutes of previous meeting were read and approved. The Sabin Vaccine program was discussed with the report that 2800 were given a drink of the vaccine in the January program. Dr. Kaplan recommended living good publicity on the March program stressing that Type 2 had not been given last year. Also recommended having after- noon and eving clinics for adults up to 40 yrs of age. Health Agent reported on the repairs and improvements.at the hospital. Dr. Kaplan recommended setting pp the room formerly o6edpli!4',Iby Mrs. Brennan as a treatment room. Mr. Lord suggested that we get a price on the painting and flooring of the hallways, stairways and flooring. Also a price on the painting of the outside of the building. Retirement of Dr. Wilson. Board will interview .interested applicants at their .neat meeting. Bill for hospitalization of Mrs. Harney was discussed and Mr. Lord then made a motion: To abate $3608.23 from the bill with Mr. Harney paying $1,000 toward the total amount. Passed unanimously. Tentative date for an inspection of the hospital was set for February 20 at 12 :00 Noon Health Agent request that the Board give him permission to write a letter to the Mayor and City Council asking for .$900 to clear away, skins at the Marlborough Road Dump. Unan. passed. Air Pollution Dr. Toomey recommended that the Board adopt the new regulations .for the control of atmospheric pollution. MOTION: That we adopt these .atmospheric pollution regulations as regulations of the Health Department and that the Health Agent be directed to publicize them in the local paper as required by law. Dr. Kaplan requested that Dr. Toomey .submit a monthly report on the hospital and the incinerator Meeting adjourned at 1 :45 P.M. '` Elinor C. Horan, Clerk February 27, 1963 ggec+al meeting of the Board of Health came to order at 2.00 p ' M. wifh all members present. oomey was ou on sic eave. so present were: Counci�Ior Caw e.y, Mr. Roger Bond, Mr. Mark Turchenetz and Mr. Edward Fitzmeyer, architects and engineering consultants of the - ;Holmes and Edwards Company of Boston, Mass. Also present was Mr. Earl Wentzell, Vice President .`."b f the Animal Rescue League of Boston. George 0 Connell of this department was also there. Kaplan asked George to cite the law and the procedures of this office on the installation of f �a private sewerage system. 'George quoted Section 11 of the Sanitary Code of the Commonwealth of Massachusetts. He stated that under this section, in any unsewered areas, the Board of Health must give approval to the ground for the suitability of a private sewerage.disposal system. He said that we have forty ,4':'_five days to make up our minds whether or not it is acceptable. This a letter is forwarded to thdtBuilding Inspector giving approval or disapproval. Some person whom the Board of Health `_• acc'epts as a competent person must draw plans and present them to the Board considting of the results of test borings, percolation tests, etc. to prove that the ground -is suitable for this installation. On this particular spot, the plans are in the office now. Dr. Toomey asked me to look them over and with the one exception, they were satisfactory to me. The exception was the the application said 'it was for a dry weld instead of cesspool. I cannot find any fault with the layout. Mr. Wentzell : The function of the uilding is going to be a kellel area for stray and unwanted animals in the North Shore areas. There will be 16 kennel rooms fenced in with runs of 12 feet on the outside--3 or 4 feet wide--the dog runs outside and in again. These dogs are held for ten days before disposition and at the end of this time if they are not placed, they are put to sleep in the electric chamber. Dr. Toomey's statement was read to the Board as t. o his objections, comprised of: Due to this installation being on a hill it might get overloaded and in a few year caus a nuisance to the neighbors. _ Mr. Bond: stated that these tests were taken on August 16, at first they hit ledge so they built the land up higher to get by the ledge and this met with the approval of the Statement Department of Health. 'A 6 Councillor Cawley: He objected to this installation due to the fact that many of his consti- tuents, especially Mr. Henry Kenney of Savona Rd., were objecting to this. He RXI stated that it.was not zoned for commercial enterprises. - Mr. Bond stated that they had met with the appeal board and there were residents there and they did not object at that time. Mr. Kinsella stated that it was not our problem except for the fact that it might be a health problem. Mr. Turchenetz stated that there would two waterclosets, tub and sink there, no more than an ordinary house would have. The general topography never got above 4 feet. 'This will be a very thorough job and more than adequate if anything did go wrong, it could be easily be replaced. Entrance will be coming in Highland Avenue, we will cut into the hill towards the Animal Rescue League property, water will be brought in from the street pumping system. Councillor Cawley: stated that there was an out-house on their property with the tap exposed. This would be dangerous Mr. Wentzell; stated that this will be taken care of shortly. Mr. O'Connell: This card was presented at this office about a month ago with a plan. Mr. O'Rourke and I made an unofficial visit to this property when they asked for our advice, if there was anything that we felt would be detrimental there. They had a registered professional engineer that would make out a plan according to the sanitary code. Dr. Kaplan recommended that all these cards be stamped when they come into the office. He also said that he would take the recommendation of George who has signed the approval and I will give my approval. Mr. O'Connell said yhat he had approved of the private sewerage system only, as stated on the application. _MOTION: R. Lord That,we accept the application of the Animal Rescue League for the installa- tion of a private sewerage system as approved by our Plumbing and Sanitary Inspector. Seconded by Mr. Kinsella. Clerk was instructed to follow through on regular procedures relating to this ruling. MOTION: Mr. Lord. On receipt of these Private Sewerage Applications within the period of one regular meeting of the Board to the other, theat applications be reviewed by the Board at an appropriate time. Seconded by J. K. Unanimously passed. Adn*ourned at 4:20 P. M. March 22, 1963 Meeting came to order at 11 :00 A. M. with all members present. Minutes of previous meeting were approved as read. First item on the agenda was a rundown by Dr. Toomey of our present dental program. This was followed by interviews with Dr. White and Dr. Pocharski applicants for the part time dentist opening in the department. Both gave their qualifications which are in the personnel file. After the interviews and a short discussion the following motion was unanimously adopted: That the Health Agent contact Civil Service for the purpose of obtaining a provisional appointment of Louis Pocharski, D.D.S. as a part- time dentist , provisionally for the department, pending the esgablishment of a Civil Service list. Dr. Kaplan inquired about publicity on this. It was decided to wait for perm. Health Agent reported on conditions at the former municipal dumping area, skins have app. been moved to the opening at the rear of the dump and these spots are being covered with ash from the incinerator. Area will be levelled off in the near future. Health Agent requested the Board to establish a policy in feference to building wreckers dumping and burning at the rear of the incinerator. The Board instructed Dr. Toomey to check With other cities to determine their policy on this subject and report at next meeting. 64 Dr. Toomey made the following statement with reference to the recent problem at the Marlborough Road Dump. 'ire were quoted a price of $2000 to clean up the municipal dump, this price seemed too high to me. We had two problems to clear up, the people in the rear of Mason Tanning were complaining about a load of skins piled in the yard. This na terial Baas does not disintegrate, but it is a nuisance and it is unsightly. The neighbors were complaining and Noonan was complaining that he had no place to dump it. There was a large hole in. the rear of our dump which would take all of the leather from Jone's and he, Noonan, would also clear all the leather in the front of the dump. This sounded reasonable. He would do the complete job for. $t $900.00 which is much better thatn $2,000. I talked to the Mayor and Councillor Cawley. 'I also asked Mr. Cawley to notify the Secretary -of the Marlborough Road Associates that we were going to do this, a general cleanup of the area. Some place along the line the liason broke down and immediately that the trucks appeared we received numerous telephone calls. This was a contrived complaint, they called in relays. This would not cause a nuisance it was cleaning up two areas. Dr. Kaplan: It was embarrassing for the Board, this has happened before. After a thing is done and the Board doesn't know anything about it. In talking with the Mayor I was upset because the appropriation was not approved and Noonan was working. Where was the money coming from? The Mayor feldi that the Board knew about this: The money was just for cleaning up, I did not know about additional things to be brought to the dump. If there was a deal made we whould have known about it. The . Mayor said I thought you knew about it. You should know about it, I wouldn't have gone along if you did not know. No one is to go into the dump without the permission of the Board through the Agent. Noonan called up, he has to stop bringing stuff in and this is the end. We should have a policy from now on that the dump should not be used as a dump until the Board makes a definite disision. There won.'t be any more embarrassing. INSPECTOR'S REPORTS: George O'Connell reported on Mr. Lazarakas permit on illegal plumbing. Decision: Notify him that he must correct this situation. Have a regular plumb take out an application and do the work properly. Other inspector's reports were accepted. Discussion followed on the changing of the name of our hospital tailed for the time being. Dr. Toomey suggested putting a sign down on a post on the lawn section of the hospital. This was agreeable to the Board. Health Agent reported on the repairs and improvements recently made at the hospital. The Board will make an inspection of the hospital in about two weeks to view the improvements and needed repairs. Dr. Toomey stated that he had talked to somDne on the necessary larger repairs at the hospital which would cost in the vicinity of $10,000. Decision of the Board was to enumerate these items and Dr. Kaplan will go to Mayor Collins for his advice. Incinerator : Dr. Toomey told the Board that out of town people were requesting to burn at our incinerator. Decision: That only the Salem residents and business establish- ments be allowed the use of the incinerator. The first week in April was set aside for the final test at the incinerator before the city takes over. Dr. Toomey stated that the Mackey building wreckers was storing their material for the time being and this could be a fire and a health menace. Dr-. Toomey will check this condition with the Fire Department. Hospital Prescriptions. Motion: Mr. Lord moved that any new prescriptions written by physicians be' sent to Chute Pharmacy and allow Heffernan to go on with the refills on the present prescriptions. Mr. Chute will be so informed. Dr. T. requested peermission of the Board to assign a dentist and nurse for the public school registration. This was agreeable with the Board. Raise for Mr. Kelley was then discussed and the Health Agent was instructed to inform Mr. Kelley that the Board considered it carefully and that under the Barrington setup it would be difficult to do this. MONTHLY REPORTS: Motion by Mr. Lord: That the ,sPn:t 0_1 Y: K:PP.QKA rbeing made by the professional personnel of the department be omitted. Motion seconded by Mr. Kinsella, so voted 6 MOTION by Mr. Lord: I move that all professional personnel, plus the hospital and the incinerator heads make out a monthly report to the Health Agent. MOTION: That the Health Agent make a bi-monthly summary of the monthly reports submitted to him for the Board of Health at the regular meeting or oftener if requested. So voted. Reorganizational meeting was held with the following motion being made by Mr. Lord. I move that we nominate and elect Dr. Kaplan for the chairmanship of the Board of Health for the year 1963. Seconded by Mr. Kinsella. Meeting adjourned at 2:20P. -M.. �it�-tJ i��-�N�f�,► April 12, 1963 Special meeting of the Board of Health for the inspection of the Health Department Hospital. Mr. Lord, Dr: Kaplan, and guest were present. Notes of needed improvements were made by clerk and list given to Dr. Toomey for action. April 15, 1963 Special meeting of the Board of Health at 11 :00 A. M. Present : Health Agent, Board Members, Dr. Phippen, Dr. McHugh, Mr. Buis, Director of Salem Hospital and Mrs. Bradley. Topic : Explanation of the present status of Essex Sanatorium in regard to outpatient treatment and xray. 1. What replacement shall be made in the event that Essex Sanatorium closes its out patient sectinn. 2. Patients now at Essex Sanatorium must be transferred before June 30, 1963. 3. If clinic is located at Salem Hospital, must have a chest man to discuss xrays with patients and recommend therapy. Would also need a social worker and clerk. State would send down a physician once in a while, probably weekly. 4. If clinic is at Health Center it would involve a physician who is familiar with chest work, a public health nurse and a clerk. 5. Dr. McHugh cited the difficulty of having these clinics in a general hospital due to the change in the clinic- staff from time to time. The patients seeing a differenc doctor each time. 6. State is interested in helping out in these clinics, not taking over. Part of the expense would be subsidized. 7. Essex County Tuberculosis Association would continue doing screening, T.B. testing work but not.follow up work. ;8. Mr. Buis thought it best to have clinic at Health Center where follow work is done, prefers this to breaking up treatment and case findings. 9. • Health Agent stated that Public Health is a preventative medicine, this dept. would not go into the sphere of treatment. Our sphere is finding the case and referring for treatment. 10. Area to be covered would be the North Shore area. 11. If clinic is- to be identified with Salem Hospital it would cost $6.00 for PA lateral Kray. If other films, ie: 2 PA Laterals and 2 Obliques they would cost about $15 to $40. depending on the type. 12. 66 12. Dr. McHugh would be interested on just the people on the register, who would be needing XRays, others would most likely have the Mantoux Test. The present people on register have to be done three or four times a year. 13. Question came up for hospitalization for gastric or something that requires , overnight treatment. 14. On positive reactions to Mantoux Test, where mill these go to be Xrayed. Special meeting April 18, 1963 with all members present. Also present was Mrs. Bradley, Public Health Nurse and Mrs. Kay Despotopulos, applicant for the dental hygienist position with the department. Board interviewed Mrs. Despotopulos whos stated that she was.a graduate of the Forsyth Dental School and is a certified licensed dental hygienist. Worked for a doctor in Revere for 24 years. Now working part time for Dr. Keech. Married and has two daughters, one in college. Dr. Toomey gave a rundown of the present dental program and of what his hopes were for an improvement and expansion of the present program. Considerable back log of work to be done before we can start new programs. Mr. Lord stated that he would be in accord in having Mrs. Bradley stay on the dental program. Dr. Kaplan saw this as an excellent phase of public health nursing. Dental Hygienist would be working four hours a day for the present. MOTION by Mr. Lord: Subject to approval by the Civil Service on the provisional appointment I will recommend that Mrs. Kay Despotopulos be elected as the part-time dental hygienist for this department. SEconded by Mr. Kinsella, Carried. Dr. Toomey will follow through on Civil Service Regulations. Discussion was held on Mrs. Scanlon's recommendations for changing bed patients at the hospital These changes had been made by Dr. Toomey, but the Board' felt that we do not have to go along on all of these recommendations. These patients should be moved back. Meeting adjourned at 12 :14 P.M. D N JA April 26, 1963 Meeting of Board of Health came to order at 11 :00 A. M. Mr. Kinsella absent. Minutes of previous meeting were approved as read. Sabin Vaccine, Type 3, program was discussed. Health Agent will order a sufficient number of vials of vaccine for the adult program from Pfizer Company. Letter from Dr. Winer on mouth guards for atheletes at Salem High was discussed with the desision that we write a letter to Dr. Winer informing him that this was not a public health measure. Letter from Elevator Company in reference to the elevator repairs at the hospital was read. Decision: To write to Mr. O'Rourke expressing the Board's feeling of the urgency of this condition in order to properly operate the hospital. Dr. Toomey reported on the cost of new bed pan sterilizers. Letter from the City Engineer on conditions at the incinerator were disucssed and tabled as informational material. Report from Mr. Guerette on his visit to Belmont, Watertown, ets. was read and Dr. K recommended to send a letter to Mr. G. of appreciation for his cooperati on. Letter from North Shore Building Wrecking Co. was read and held until later in .the meetin€ 6 Sewerage applications were discussed and the Health Agent told the Board that he was upset due to -the fact that some of the houses had already been built before being cleared through the Health Department. Dr. Kaplan recommended that wehave a meeting with the Building Inspector and set up a policy. Dr. Toomey recommended that Mr. Koshgarian do some inspections of this nature, private sewerage. Mr. Lord thought this would be done so that all the inspectors would be schooled in this work. Dr. Kaplan agreed-: as to another inspector going with the present plumbing inspector, but not to have them do the work instead of George. George has had more experience in this field. Letter would be written to Mr. O'Rourke and request his cooperation with the department's regulations and the sanitary code of Mass. before permits cad be issued from this office. He must have clearance through our department. This has not been down and we are greatly disturbed by it. Copy of letter to Mayor. Dr. Kaplan will sign same. Dr. Toomey reported on the repairs to the diswasher at the hospital. Dr. Kaplan requested Dr. Toomey to get the total figures together for the improvements at the hospital and they would go to the Mayor for request for money. Sent the list to Board members. policy on Building Wreckers. Dr. Toomey read the reports from different cities in reference to this problem. Nome of the cities contacted by this department took this debris at their cininerator, and others left it to the contractors to dispose of. After a lelhly disn"sion the following motion was made: By Mr. Lord. That we make it a definite policy as of now that we will not have any open burning at our dump, that any of the private wrecking of buildings will have to be disposed of by the contractor. Seconded by Dr. Kaplan. _. Exception will be the Park Department. D Toomey will confer with Mr. Foley and decide on what is best for both departments. r This matter of private wrecking company's should be publicized. Hospital list was discussed in re to the placing of Mrs. Foye's name being reinstated at top of waiting list. Future policy: If they are not ready for admittance keep the name on the list for a three month period after the first refusal. These people shall be so informed. Meeting adjourned at 1 :00 P.M. May 16, 1963 e at 10:30 A. M. Dr. Kaplan and Mr. Lord, present. Special meeting came to order P Also present was Mr. John Lowe, Inspector for the department, and Mr. Joseph Salinsky of Donut Hole, Inc. , Highland Avenue. Dr. Kaplan informed Mr. Salinsky that the department had received many complaints about the surroundings of his establishment and our inspector had requested him to clean up same but he had failed 'to do so. Dr. Kaplan informed him that if he did not clean the prem&sis by the time allotted we would beobliged to close the place. Mr. Salinsky promised to have it cleaned up today. 10TTON BY MR. LORD:_ The Board give Mr. Salinsky until next Friday to clean the •premises. Seconded by Dr. Kaplan. Dr. Kaplan also recommended that the department inspect Dixie's Restaurant and also the China Sails on storage of debris. Also 4 Lathrop Street. Elinor C. Horan, Clerk z 68 May 28, 1963 Special meeting of the Board of Health came to order at 10:30 A. M. with Dr. Kaplan and Mr. Lord present. Pubpose of the meeting was the holding of a public hearing for the adoption of revised Regulation #1,0 on Ehe Control of Atmospheric Pollution. No one appearing for or against the meeting, it was declared closed and referral is made to the full Board. Meeting adjourned at 10:45 A. M. June 4, 1963 Regular meeting of the Board of Health came to order at 10:30 A. M. with Dr. Kaplan and Mr. Lord present. Minutes of previous meeting were read and approved. Communications: Dr. Toomey reported on two meetings with the City Council relative to the storage of automobiles and trucks and also on drainage problems at Scenic Heaights. Sanitary conditions at Dixie's Restaurant, China Sails and Paradise were discussed with the decision that our inspector's have a report on these places for the next meeting. Illegal dumping at Kernwood near "Cold Springs" was discussed with the decision to contact Mr. O,'Rourke recommending that the area be policed. Placing of signs at the Health Department Hospital will be taken care of by Dr. Toomey. Both Health Hospital sign and No Parking sign. New Business: Motion by Mr. Lord and seconded by Dr. Kaplan: "That we adopt the revised regulation 1 or the Control of Atmospheric Pollution and that the Health. Agent be directed to carry out the necessary legal requirements to complete the adoption of these regu- lations." yMOTION; By Mr. Lord Sec. by Dr. Kaplan "That we accept the recommendations of the . , `�- sState Department of Health regarding supervision and licensing of Day Care Centers ' .'and instruct the Health Agent to set up the organization to carry out these recommenda- - tions by assigning one of the public health nurses to the duty. ' ....:..:..c Discussion was held on the inspection of the Moore Home on Oliver Street, after which ,, Dr. Kaplan recommended that this place be rechecked with specific reference to the type of patients being treated there in accordance with the type of license given. MOTION: By Mr. Lord, Sec. be Dr. Kaplan: I move that Dr. James P. Ryan be appointed Krs as BBIN permanent part-time dentist or t e department,!" Health Agent will see that this is given publicity. Illegal dumping on Swam tt Road was brought up with the 'recommendation that more "No Dumping" signsrs eci ying a fine for violation. h Salaries of Male Attendants at hospital : Dr. Toomey explained to the Board that there was some dissention at the Health Hospital relative to skilled laborer's pay being given to xx inexperienced men.' Decision: If, the individual has experience in this line, they may' receive skilled laborer's pay, but if they are inexperienced, they will start at the same pay as female attendants. i ss Mr. Lord suggested to the chairman that they appoint Dr . Toomey as the podiatrist for the Health Department Hospital. After a short talk, it was tabled until next meeting in order to obtain further information on conflict of interest law. Discussion on a power generator was also tabled until next meeting. Dental Program: Dr. Toomey informed the Board members that the new dental hygienist was being schooled in the department's dental health program. In the near future there will be a meeting for all parties concerned in order to expand program. Meeting adjourned at 12:45 P.M. July 2, 1963 Meeting came to order at 10:30 A. M. with Dr. Kaplan and Mr. Lord present. Moved and seconded that we dispense with the minutes of previous meeting. Communications: Letter received from the State Department of Health with reference to smoke emanating from the municipal incinerator. Dr. Toomey informed the members that the State will inspect conditions at the incinerator on Tuesday, July 9, 1963 at 8:30 A. M. Dr. Kaplan and Mr. Lord will be present and it was suggested that Mayor Collins be so informed. Elevator repairs at the hospital were discussed with the decision that Dr. Toomey will recheck budget funds to see if this could come of out of our regular budget allowance. Inspector 's reports were read and discussed. Dr. Toomey will double check on China Sails on their storage of refuse. Inspections of Cadegan and Sunnyvale Homes were talked over with Public Health Nurse Katharine Morgan, after which she was instructed to make out a summary on all of these irspections with her recommendations, stressing the care of the .patient. It was also recommended that whomever inspects these establishments that they talk to the owner and apprise him of these conditions. This should be followed by a confirming letter from the department. Decision on Cadegan Home, hold up approval until conditions have improved, inform owner of this decision. The Chairman suggested that Dr. Toomey call Dr. Rubenstein and see if he approves of this procedure. 11 Fee for physio Therapy treatment for patients at Health Department Hospital was dis- cussed with the decision that the fee for such services would be up' to $5.00 however, the physician in charge of said patient must authorize such therapy. The Dental Program was again discussed, Dr. Toomey will contact Salem News on same, specifying our new dentist recent appointment. Dr. Toomey recommended tha the Board Members a change of working hours at the incinerator. Possibly alternating shifts at the plant thereby operating longer hours with lees probability of black smoke polluting the atmosphere. Mr. Lord suggested transferring Robert Kinsella to duties at the incinerator when there was a vacancy there. Dr. Kaplan ggreed. Health Agent consulted with the Board in reference to sludge being dumped at the rear of the incinerator. Decision: Discontinue same due to possible pollution of brook. Meeting adjourned at 1 :00 P.M. July 19, 1963 z Meeting came to order at 10:30 A. M. with all members present. Physical condition of Health Department Hospital was discussed and Board Members agreed to go to Mayor Collins to request money for specific improvements, namely: Elevator repairs $1395.00 Bed Pan , Sterilizer $2600. Roof ing, $10 REF TO PAGE ,000., Linoleum, $4,000., Painting, $2,000. 69A v 70 � September 12, 1963 Meeting convened at 4:00 p.m. All members were present. Minutes of previous meeting were read and on motion of Mr. Lord were accepted. Census at Hospital: 30 female, 14 male. Our Public Health Nurses reports on the Sunnyvale and Cadegan Nursing Homes were presented to the Board. Sunnyvale has gone out of business and returned its license to the State Department of Public Health. Cadegan Nursing Home showed no improvement and no attempt had been made to abate some of the inadequacies pointed out in the nursing reports. Mr. Lord moved and Mr. Kinsella seconded a motion that Mr. Lord and Dr. Toomey visit the Cadegan Nursing Home and talk to the owner there and see how things could be adjusted. Cold Springs. A State Department letter of inspection shows Cold Springs water to be all right at the time of inspection. Dr. Kaplan cited the fact that the area itself, however, was not kept in a very clean condition and that he had received complaints about it. Dr. Toomey was directed to contact personally and by mail the Superintendent of Public Property to see if this could not be kept in a clean condition. Mr. Lord also suggested that "No Dumping" signs be placed around the general area by the Health Department. North River. Mr. Lord reported that Councillor Tighe had in mind a permanent ,solution for the conditions which existed at the North River for many years. Dr. Toomey, Mr. Koshgarian, Mr. Richard Powers from the State, Senator Kevin' Harrington, Mr. Jones, Mr. Conway and Mr. Michalchuk representing the City of Peabody, two representatives from the Division of Waterways, Representatives Berry and Buczko were present at a Council Meeting on September 5, 1963. Councillor Tighe suggested that the river be covered and that the group seek the allocation of State and Federal funds to this end. The Waterways Engineer estimated that to cover the section to Hawley Street in Peabody would run to about $2,000,000. This could perhaps be broken down into 50% for the State and 25% each for the City and County. Dr. Toomey reported that no tanneries in Salem were dumping inthe river; however;"" there was a cross connection of a sewer which was allowing sanitary waste to enter the river under the bridge at Grove Street in Salem. This was brought to the attention of the City Engineer and,.a€..the present time attempts are made to correct the situation with the assistance of the inspector of our department. Dr. Toomey also felt, that a good part of the debris, leather waste was caused by a break in the wall under the tannery owned by A-.C.Lawrence, Calfskin Division, on Webster Street in Peabody. This went on for some time before it was discovered. However, the company had corrected the situation previous to our request that it be done. Continous inspections of the river by the department go on at all times. The Peabody Board of Health was invited to the second meeting and agreed that our inspector and theirs will carry on inspections in close cooperation. Letter on Gauthier. A letter received, from the City Solicitor, Al Dobrosielski, stated that in the case of a bill of Wanda Gauthier of Health Department Hospital in the amount of $450.50 he had received and accepted_ as full payment $350.00 He is requesting the Board to abate the difference. On motion of Mr. Lord, seconded by Mr. Kinsella, and unanimously adopted the Agent was directed to write a letter abating $100.50. We had a letter of request from Mr. Desjardins and Mr. Noonan for open burning. Letter from John F. O'Leary, Attorney for Desjardins, explained that he (Desjardins) s r� . July 19, 1963 69A Minutes continued. Correspondence from Dr. Thibeault with reference to foot care of patients at the Health Department Hospital was read and placed on file. Dr. Toomey stated that if the Board established such a position, he would appreciate being considered as a candidate for the position. Mr. Lord inquired as to the salary for the position, if created. Dr. Toomey said he would be satisfied with $1,000 per year. Mr. Lord to Dr. Kaplan: "If you are interested in our Health Agent, as we should be, as a Board, we could talk to the Mayor on this." Dr. Toomey: "This position would just protect an income that I already had. I don't think my present patients should be taken away from me and given to a man residing in another city. I am the only local man who is interested in the position, the other man lives in Beverly and has an office in Ipswich, with a small office on F Lafayette Street. There are sufficient funds in the budget to take care of this year. I would like to have my Board go over to the Mayor and request that I be appointed to this position. Dr. Kaplan stated that he did not want to get involved at the present time. Take it up at the next meeting. Meeting adjourned at 1 :50 P.M. 1 � j 1 1 September 12, 1963 71 (Continued) had been requested to tear down and remove a building by the fire department and wishes to seek relief from the Board of Health on disposition of the debris. Mr. Noonan of the Noonan Building and Wrecking Co. of Peabody cited the fact that his company would have to wreck a number of buildings in Salem and as there is no provision made for the disposition of the material, he suggested that the Board may give some relief in open burning under approved conditions. Mr. Lord moved, seconded by Mr. Kinsella that the matter be tabled and a special meeting be held Thursday, September 26 1963 at 11:00 a.m. Incinerator. Dr. Toomey, Dr. Kaplan, Mr. Lord represented the department and attended the meeting at the City Council Chambers on September 11, 1963. Dr. Kaplan reported to the Board that he explained to the Council that there were a lot of "bugs" in the Incinerator it being new, that we have a good crew working there, and that we are now cognizant of smoke emissions. Both the working crew and the engineers of the State Department of Health are attempting to establish measures to control the situation. Dr. Kaplan also had suggested to the Council that after all the evidence is in there is a possibility that he would talk to the Mayor about an independent outfit being called in to check out the whole situation. Meeting adjourned at 5:20 p.m. t �1 John J. Toomey, erk pro tem Special meeting held after regular meeting September 12, 1963, at 5:25 p.m. This meeting was requested by Councillor Tighe, Chairman of the Council Committee on Repairs to Health Hospital. The Board invited this committee as well as members of the Health Committee of the Council. In attendance besides the Board of Health were Councillors Thomas Tighe and George Marquis. Dr. Kaplan opened the meeting by explaining that he would like to separate the discussion into two parts: (j) the $16,000 request by the department for repairs to the Hospital and (2) overall large repairs or additions to the Hospital. Mr. Tighe made reference to a special meeting held some time ago at the Hospital relating to general repairs and possible addition to hospital both inside and outside. He stated that he felt rather badly when he saw the $16,000 request before the Council inasmuch as he was Chairman and had not been previously consulted about the request. He felt that the Hospital was in a pathetic situation particularly on the outside and he made particular reference to the porches and the brick work. At the request of Dr. Kaplan the Agent explained item by item a breakdown of the $16,000 request. Repairs to roof, its flashing, brickwork over some of the windows, downspouts, repairs to the porches, reglazing of the windows, retiling of floors on both porches, new glass and aluminum doors, and installation of two new modern bedpan sterilizers with its ensuing plumbing work. Mr. Tighe felt that this in itself is very fine bur it did not start to meet the problem. `He said that the porches should be torn down because they were unsightly and unsafe. 42 Dr. Toomey was of the opinion that if the Council should give us the $16,000 now, a priority list would be established for the expenditure of this money. We would keep the Council informed of what had been accomplished, and how much money had been expended and that at the same time a discussion might go on as to future plans for larger renovation of the Hospital. He also pointed out that if you remove the porches from the front of the building, you must replace this space somewhere else to comply with the law and give the patients recreation areas. Then perhaps we must consider additional beds, then certain other adjuncts such as additional heating units, boiler, etc. Dr. Toomey had talked with the Civil Defense Director, Mr. Wilson, who said it is a possibility that we might tie in a Civil Defense Control Unit with the Hospital in which case some money may be coming from the Government. Mr. Tighe made reference to receiving one-third of expenditure for new addition from the U.S. Government through the Hill-Burton Funds. The Board had looked into this some years ago and this is not possible. It was further explained: by Dr. Toomey that everything handed out by the Government had to be of first-class construction, and at previous meeting figures confirmed that it would be just about as cheap for the city to build an addition on its own. The consensus of the meeting was that the Board of Health would receive the $16,000 now requested and that it would expend this, keeping the Council Committee informed of its expenditure and progress and with a view to asking for further monies as repairs develop. Meeting adjourned at 6:45 -p.m. D JeShn,I oomey, Cler pro tem September 26, 1963 Special meeting of the Board of Health came to order at 11:00 a.m. with all members present. Following communications were. read: Salem Redevelopment Authority alerting the Board that space formdebbi6sarising from Urban Renewal will be needed, that there will be a substantial amount of debris and considerable space will be required, it will snot�beC�anitary fill, and will be needed about 1965 or 1966; Attorney John F. O'Leary/,representing Mr. Roger L. Desjardins who is owner of building located off Beaver Street, forced to. tear the building down, but is not permitted to burn the debris nor dispose of it at the incinerator;Noonan Building Wrecking, Inc. , letter signed by Mr. Thomas H. Noonan, Pres. , requesting permission to burn and dump wood debris from wrecking projects in Salem at a location off Danvers Road in Salem. (Permission for.this location was given by Fire Department, but Board's approval is necessary.) A discussion ensued about this material being taken care of at the incinerator. All agreed that it could not be handled there at the present time, but we will be faced with this problem in the future. Dr. Toomey said that he talked with Chief Brennan and they are both of the opinion that land in §alem is getting 73 to the point where you can't get rid of this. He stated that the simplest thing he would recommend to do was to have them dump in the back of the Incinerator, have these things burned only oh specified days, at specified times, under the Board of Health supervision, and that a fireman be on duty when this burning is going on with equipment to control the fire. These firms should supply a bulldozer after the burning is compteted to ashes. No expense is to be borne by the City. The Fire Chief did talk to Noonan, and the Danvers Road location was agreeable to him. Dr. Kaplan stated thatthis material burned must originated in the City of Salem. Mr. Kinsella brought up the point of supervision of the days when the burning should take place, and said that the duty 'should be delegated to Dr. Toomey and it should be done on days when relative humidity is very low. Dr. Kaplan said that if it would be left to Doc's supervision, he would talk this over with the Fire Chief, and this problem could be worked out. However, he was concerned with the smoke nuisance which would be created. A discussion ensued relative to the smoke from the incinerator. It was admitted that the black smoke has been cut down. Dr. Kaplan stated that he has not seen any black smoke emanate for some time. He asked if that was corrected by Guerrette's little trick he learned in the operation of the incinerator. Doc said that it did help to cut it down. Dr. Kaplan asked if some of the heavy smoke could be alleviated by raising the chimney. He thought it may help. A report from the State relative to the Incinerator was read by Dr. Toomey. Dr. Dr. Kaplan suggested that we make a copy of this r pwi haN take it to the Mayor, have some meetings with the Mayor,and then heA ommi tee on Health and City Council. Dr. Kaplan suggested that an expert in the field of combustion ,.maid help us with the incineration problem. The following recommendation was made by the Board regarding open burning by firms in back of incinerator: All burning must be done under Board of Health supervision. Bring in only material originating in Salem. Dump only in back of incinerator Burn on specified days, when humidity is low, this to be o'k'd by Dr. Toomey. Burn only at specified time. Have fireman on duty when burning is going on. Have equipment to control the fire. The firms must supply a bulldozer after the burning is completed to ashes. None of this expense should be borne by the City. This will be a trial for a 60-day period. The Board will then review the findings and decide whether this burning will be extended or terminated. The above recommendation was unanimous as well as a vote which stated that this recommendation should 1,?e taken:-over4to the Mayor for his decision, and if approved then be sent to the Committee on Health in the Council. Dr. Kaplan suggested that we send letter from the Board to Guerrette thanking him for his interest in ironing some of the wrinkles at the Incinerator. That we have noticed that the smoke has been cut down considerably and that we appreciate his interest and his conscientiousness in helping to partly solve a very troublesome situation. Dr. Kaplan will sign the letter. After a brief discussion on down-time at incinerator Dr. Toomey thought that breandowns were partly due to the fact that' the men on the stoking floor do not keep the material moving from the edges and that puts the strain on the arms. Meeting adjourned at 12:1.0 p.m. er , teem pnro 74 October 18, 1963 Board of Health meeting came to order at 11:00 A. M. with all members present. Minutes of previous meeting were approved as read. Inspector's reports were discussed and placed on file. Communications: The following letters from the State Department of Public Health were read and the following motions were unanimously voted: in re Baker's Island, Dr. Toomey will look into the further development of the situation and report to the Board at the next meeting. In re Air Pollution regulation Dr. Toomey will consult with the City Solicitor and report to the Board at next meeting. In re the incinerator communication: Dr. Toomey reported that he had accompanied the City Solicitor and the City Engineer who had with them an engineer consultant appointed by the Mayor to check conditions at the incinerator. He also reported that he had forwarded all informational material on the breakdowns at the incinerator, suspected causes of breakdowns and the production figures since January of this year 'to the present time. The engineer viewed the plant thoroughly, taking pictures of various parts, etc. North River situation: Dr. Toomey gave a detailed report of the situation and a copy of which will be placed on file and a copy made for each Board member for their future reference. Next on the Agenda was a review of conditions at the Cadegan Nursing'Home. Dr. Kaplan suggested that the department write a strong letter on this to the owner informing him that we would contact the State Department of Health on the list of recommendations of this department which have not been complied with, -up to the present time. Mr. Lord made the following statement: I talked with the owner--he has spent a great deal of money, in the vicinity of $40,000, toward fixing this establishment, it appears to him, and rightrully so, that the authorities from the State Depart- ment of Health inspect his premises and their attitude seems to be that' he must expend a sizeable amount of money on added improvements. He feels that other places are not compelled to do these things. He is willing to do everything we want him to do, but he feels that we should be with him a little bit: He is running a good place, little things should be improved, but he will get to them shortly. I think our people should at least notify him, so that he can be there to answer any questions that may arise. We should make 'an appointment with him when we are going to inspect the place. DR. Toomey suggested that Miss. Morgan make a return visit and go over theplace and we will send him a letter stating all the particulars requesting him to send it back, checked off. MOTION: by Mr. Lord, unanimously voted. "In the future when any personnel of the department visit an establishment they should make an appointment with the owner, f notifying him that they will be there at a certain time. After inspection the inspector shall write out a bill of particulars regarding the condition of the establishment and mail same to the owner, stating in the letter that you will make a return visit within a specified time for a reinspection. Request of the City Council in re the collection of burnable and non-burnable rubbish was discussed and the following motion was made by Mr. Lord and unanimously passed. MOTION: We have separate collections inasmuch as it is practically possible. We would like to again have you urge your constituents to separate the burnable and non-burnable material as shown on our instruction chart which was delivered to every hom in Salem. This would help the efficiency of the depart- ment. Improvements at the hospital: 7 Dr. Toomey reported as follows: On the hospital improvements the staging has been set up for painting--windows are being repaired, caulked, ets. , the brick on the side of hospital is being pointed up. Gutters have been repaired with copper flashing, slates have been put on roof. Loam has been placed on both sides of the ground. Porches, hallway, two end rooms, office, two back wards and small rooms are being covered with rubber tiles, etc. ' Piece over door will be taken down and "No Parking" signs will be removed: Motion to adjourn at 12 :30 P.M. November 15, 1963 Meeting convened at 10:50 A. M. with all members present. First item on the agenda was an interview with new owners of the Dearborn Nursing Home, after which the approval foo licensing was signed by Board Members. Minutes of previous meeting were read and approved as read. Dr. Toomey reported to the Board on. the incinerator explaining that the engineer consultant , wngaged by the Mayor would present some recommendations within a week. Dr. Kaplan stated that sufficient monies be put in the 1964 budget to burn at the incinerator six days a week. NORTH•RIVER: After a discussion on conditions.a,t .the North River. it was recommended that Dr. Toomey write a letter to Mr. Hever requesting that.a routine system of - cleaning debris at the. Flint Street Culvert and. the North Street Overpass- be 'initiated. Dr. Kaplan will sign- letter, for the Board of Health. REPAIRS AND IMPROVEMENTS AT,HOSPITAL. - Health Agent. reported on the work being done`- at the hospital. He recommended to the Board that. the linoleum contractor- purchase sufficient -tiles' to to the third floor and rest of downstairs as placeLwas going out of business.. This was agreeable to Board Members. Dr. Kaplan inquired as to the amount of money that had been expended--out of..the $16,000„given, to Public Property for hospital r.epairs.and improvements. This will be reported at next meeting. Approval for licensing Cadegan Nursing Home was-tabled muntil owners reply to 'notification sent to them by the Public Health Nurse of the department. Premature birth of infant born out of wedlock at Hunt=Memorial Hospital .was disassed with the decision: Dr. Toomey will get more information .and report at next meeting. Payment of bill for Neenan Premature Twins. born at-Salem Hospital was unanimously approved for payment. MENTAL HEALTH ASSOCIATION: Dr. Kaplan informed the Board that he had talked to Mayor Collins and visited the Mental Health office with Mayor, Dr. Phippen and Dr. Meyer of State College. -He explained how Mental Health -personnel are paid partly by the State Dept. of Mental Health, partly from public contributions and toward the end of .the year the budget is nearly depleted. Recently an Enabling, Act was passed by the Legislature allowing the cities and towns of the Commonwealth to help out Vtith payment's towards this budget. this to be set up according to population . 76 Funds to come through the Health Department and disbursed by same for services rendered to the city. The Mayor agreed to allow the department to include the sum of $4000 in the budget estimates for the year 1964. MOTION made by Mr. Lord and unanimously passed: That an appropriation of $4000. be put in the Health Department budget under Special Item, Mental .Health, to be disbursed as the Board sees fit for Mental Health -purposes. SCHOOL HEALTH: Dr. Toomey informed the Board that Supt. Fitzpatrick had told him that Dr. Flynn has resigned from the position of School Physician. He requested that this department help out on this project in order to -keep the program in operation until a new physician is appointed. Decision: Have a meeting with Supt. Fitzpatrick, Mayor Collins and representatives of School Committee to discuss this program. DENTAL HEALTH: '''x•. A special dental health educational program sponsored by Crest Tooth Paste Corp. was talked over and will be further discussed with the Dental Personnel at the next regular meeting scheduled to be held on Friday, December 13 at 10:30 A.M. Meeting adjournec at 12:50 P.M. CJQJ December 27, 1963 Meeting came to order at 4:30 P. M. with Dr. Kaplan and Mr. Lord present. MOTION by Mr. Lord and unanimously carried that we dispense with the minutes of previous meeting. First item on Agenda was an interview with the Public Health Nurses. Mrs. Morgan presented the Board Members and Health Agent with charts and review of their work duties stating that the nurses would like &A reappraisal of their .duties with the aim to obtain higher wages. Secondly they requested a book of policies.and procedures for Health Department Nurses with provision for annual areviews/and/or revision. She stated that 68% of all official agencies in Massachusetts, with two or more staff nurses, have a medically approved standing orders,_ in manual form, in regard to policies and procedures for Public Health Nurses, Dr. Kaplan instructed Mrs. Morgan to try to obtain a copy of one of these manuals. After a short discussion on the wage schedule a motion was made by Mr. Lord: That the Board meet with the Mayor, at his convenience, for the purpose of discussing a reappraisal of the salaries of the Public Health Nurses of 'the Salem Health Department. Motion carried. MOTION: The Board instructed the Health Agent to pursue the request of the nurses for the procurement of a manual for duties of Public Health Nurses. This to be discussed at the next meeting. COMMUNICATIONS: A request from Swampscott Health Dept* for use of the incinerator was talked over with the suggestion that we send a letter to them informing them that the City had not, as yet, accepted the incinerator and until such time that it does, the department could not enter into any negotiations. However, when that time comes the Board will -be glad to meet with the Swampscott Board of Health and discuss the matter further. MOTION: By Mr. Lord. That we reply to the letter from the Swampscott Health Department, as suggested by Dr. Kaplan, with reference to the useA of the municipal incinerator. Motion carried. Letter placed on file for futbre reference. 77 Next on the Agenda was an Application for approval of the former Dearborn Nursing Home, which has recently been taken over by the Kessler Corporation. Decision: To write' Mr. Kessler and have him come in for an interview before the Board at the next meeting. END OF THE YEAR BUSINESS: MOTION: By Mr. Lord and unanimously passed, that the Health Agent be empowered to sign payrolls and bill vouchers for the year 1964. INSPECTOR'S REPORTS. Dr. Toomey was instructed to be stricter with the inspectors in getting a system on receiving reports from them each month to be submitted to the Board of.Health. The issuance of permits for new construction were discussed , by Board with the resultant ruling that the Health Agent instruct the Plumking Inspector not to issue any permits for new construction until it is approved by the Health Agent and the Board of Health. Z. The Board would like Mr. O'Connell to come down and talk with them on this subject at the next regular meeting. Dr. Toomey gave a report on improvements at the Health Dept. Hospital and presented. a report from the Public Property Dept. Dr. Kaplan recommended that some publicity be given the department via the hospital and suggested having Mayor Collins and H. Agent & the Board meet there and have the photographer there also. Dr. Toomey reported that the third floor of the hospital will be redone during the early part of 1964. Tiles have been purchased by this dept. and Public Property Dept* will pay for the labor involved. Mr. Lord suggested that the water spout at the hospital be rechecked. Dr. Toomey will confer with Mr. Burns on this subject. Chute premature baby bill °was again brought up for discussion and tabled until next meeting. DENTAL HEALTH education program was talked over with Dr. Toomey requesting the Board to establish a policy as to the patients to be treated at the clinic. Decision: That a letter beforwarded to •the dentist as follows: At the last meeting of the Board of Health it was decided that from now on the Dental treatment and care of children shall be within the province of the department dentists. Secondly that the candidates for care at the clinic shall be based upon the acuteness of the dental need and the financial status of the families. Thirs, the financial and social background of candidates shall be -determined through the administrative section of the department and not by the dental division. The Board would like to meet with the Dental section of the department soon to discuss the program. END OF YEAR DEPARTMENTAL TRANSFERS. MOVED and carried that the sum of $3500 be transferred from Other Cities and Towns and Hospital Expenses to Collection and Bisposal of Garbage and Refuse, Expenses. It was also recommended that the department contact the councillors in order to retain the item for Mental Health in the 1964 budget, sum of $4000. RECOMMENDATION: That the.Health Agent talk to Miss Ward with reference to retaining full tm Mrs. Woodbury as a seamstress at the hospital instead of part time caring for patients and part time seamstress. Dr. Toomey reported to the Board that he was meeting with the City Solicitor and Engineer Vestergaard, on Sunday afternoon at the incinerator for further checks on incinerator. Meeting adjourned at 7:15 P.M. January 14, 1964 Meeting' came to order at ll:00' A. M. with Dr. Kaplan< and Mr. Lord present. The new owners of the Melanee Nursing Home were interviewed by' the Board. ' They informed the Board that they now had 8 patients and expected an immediate ,increase to 1:6 then to 21, which will be their makimum. T'4 ey--expect to do extensive re- modeling for which plans have been drawn and. approved �by the Dept. of Public Safety and the Building Inspector. Dr.' Kaplan informed: them that'our nurses would go in for periodical checkups of the establishment. Regular meeting of the Board the n' started with- the reading of' the minutes of the previous meeting which were approved as read. - - Discussion followed. on field personnel progress repprts 'with the decision -that the Health Agent would confer with those involved' informing .theiri`of just what he wanted on these reports and when completed' they could be summarized and- then- submitted to the Board: ` .Manual' for duties of Public Health Nurses was. talked over and tabled for next meeting. Annual dinner meeting was discussed with the recommendation from Health Agent that we wait until the third floori,has been completed, which should be around the middle of- February. Dr. Toomey will .ca'll Harry Phillips4nd request him-to be the,epeaker for the dinner. ' Have Mayor-, Dr.' Dunham, Dr. Ph'ippen, Frank Byrnes, Chairmen of the Council Committee on Health and Nurses at hospital. Dr. Toomey reported'that the father of the-.Chut'e .baby will pay the bill at Hunt Memorial Hospital which amounts to appeoximately $1,000.' Health Agent reported on the Dental program. " Recommended that Dr. Toomey meet with both dentists in a preliminary meeting and then all meet with the Board. TINE TEST-PROGRAM. - Health Agent 'suggested that the•department _do the tine test in the public schools as'a yearly program. - He-will ch6ck*41th-,Dr. Flynn and Dr. - Fitzpatrick on this.; Also .wi'li check with'the State as to-whgcf�F,VAd do :the test. Dr. Toomey reported on the".iouse .on-Beay.er Street which was `unfit for human habita- lion by the department. Also reported on same sort of situation at 22 Nichols St. Additional report on this, at -next meeting. PRIVATE SEWERAGE APPLICATION ,_FOR_PERMIT was thoroughly discussed, specifically on Madeline.-Avenue. Dr. Toomey gave a. rundown, on.the situation there: _Country Shore Construction Company of Peabody applied here for a_permit which they received after inspection. by the Plumbing-Inspector of the department. Then letter of approval -was sent over by this dept. to the Building Inspector's ,office who.in turn gave them a,building. permit. It was mentioned to the Health.Agent by, the,City Engineer that Mr - O'Connell was supposed to check with him;•ori the.water I supply .whinever these applications were received. Six or eight houses are up on top of the hill -andthey. can't get water to them. . So .the people complain to .Mr. Mitchell, who in turn called this department. Health Agent approved permit- on the recommendation of-.the Plumbing -Insp,ector, but held up approval until Plumbing Inspector took a.good hard look at the _.places. - Dr. Kaplan reported to the Board that the Mayor was upset over these places not getting water,. also felt that these people would have trouble later on with the private' sewerage systems. Dr. Kaplan questioned -the Agent on percolation tests and was, , informed that these are always done and the engineers stamps* is put on the card. Mr. Lord thought that Dr. Toomey should countersign these cards. MOTION BY MR. LORD Amend the motion of February 27, 1963 with reference to private sewerage appliaations:�Mo-tion carried. MOTION By Mr. Lord: Applications for private sewerage systems be reviewed at �} every regular meeting of the Board of Health. Action on these cards to be held up until the Board passes on them, either favorably or unfavorably. Motion carried. a Health Agent t12:45Mr. O'Connell treported and he Board tDr. Kaplan explained we had 45 days to ato him ke swhat decision. nhadbeen stated above. 79 George also stated-that whether or not there is sufficient water was our problem or the City Engineer's problem.RrCity Engineer feels that this wasn't checked with him. Are the builders supposed to check with the City Engineer. George calimed that they ,should check into this,. Dr. Kaplan inquired how are we protecting these people. G. I don't see how we can protect them.. I. called Neil Mitchell and he informed me that they had never came near him. As far as I know, he thought that Belleview Avenue was higher than this place. At one particular time in November I called him and he said he had a call from a woman that lives in one of the lower houses in the development and she was getting very poor pressure. At the time they were filling the new tank and that may have had something to do with it. This was the first time I noticed any problem there. Dr. Toomey asked George if Neil Mitchell ever made any arrangement with him wherein he was supposed to let him know when these applications came in, as Neil had never written to the board to ask us to follow any special procedure. George said that the only thing that Neil might have said was way back, (unfinished sentenc Dr. Kaplan: Don't yptx think that, before construction is allowed to begin, our department and the Engineering Dept. should get together on this. GEorge: Now with the Planning Board, I don't know anything about that. For the past five or ten years Neil Mitchell has been opposed to any building in this area. ,If we rgfuse we must have a good reason for refusing. D . Kaplan: I think they should get a clearance from all departments involved as to . water supply, etc. George: The Fire Depoartment was up there and they checked the hydrants and they informed the builders that there were 25 pounds. from the hydrant. Dr. Kaplan: From now Otty the procedure will be George inspect the place, percolation tests Mall be taken and then the application will be referred to the Board of Health at their regular meeting. . George should go a little further and check with the water dept. on the water supply, hight and pressure, etc., if things aren't satis- factory thrash it out with the contractors. Dr. Toomey: Now we have a Planning Board and one of the laws of the board is: Before anyone can set up a development they have to send a preliminary plat to the Board of Health and one to the City Engineer. All of the necessary things and the rules of the Planning Board have to be met with before we give our approval. Dr. Toomey gave a report on a meeting at the incinerator with City Solicitor, Attorney Farley, City Engineer, Engineer Vestergaard, and some incinerator employees for final checkup. Meeting adjourned at 1:00 P. M. Special meeting with Dr. Kaplan and Mr. Lord. Dr. Toomey brought up the subject of 22 Nichols Streed and explained the circumstances, informing the Board that he had proceeded with the legal requirements for the removal of people and asked the Board what they would like to do, as long as the woman had not taken advantage of her legal rights. The Board thought we should-",.continue to carry out the legal procedures to have this woman out of there. They expressed the opinion that if we did not we would be exposed to severe creticism allowing a situation like this to exist. Dr. Toomey then outlined for the Board the proposed continuation of repairs that he intended to make on the 3rd floor at the hospital. 80 February 26, 1964 Annual meeting of the Board of Health was held at the Health Department Hospital. Board members had, as invited guests, Mayor Fran'cis X. Collins, Dr. Harry, Phillips, Director of, the Division of Chronic Diseases for the Massachusetts Department of Public Health., Dr. Frederick A. Dunham, District Health Officer, Dr. Walter Phippen, George Marquis, Councillor on Health Committee„ William Russell Burns, Acting Building. Inspector, Katharine Ward, R.N.., Supt. of Hospital, Marie Faircloth,• R.N. Thomas Griffin, Executive Secretary to Mayor and Elinor Horan, Clerk of the Board. Rene Desjardins, M. D. , Health Dept. Physician was unable to attend. Dr. Harry Phillips gave a talk on the functions of his department and the need for hospitals like Salem'•s, stating that we were one of the few cities that had such an institution for the chronically ill. He outlined the major activities of his dept. Dr. Toomey then gave a review for the year 1963, of improvements made at the hospital and submitted his annual financial report. The group- then made a tour of the hospital and were quite impressed at the many changes that have taken place. Meeting adjourned at 3:00 P. M. March. 4, 1964 Meeting came to- order at 11 :30 A. M. with all members present. Minutes of previous meeting were read and after a short" discussion the following motion was unanimously carried: IlTo amend the second last paragraph of .the Jan. 14th. minuteslr�e,Nt t;:.:.0 J as follows : nhat the inspector shall report to the Health Agent all' the particular relative to new establishments and the Health Agent will take it up with yak other departments that are involved and will so' inform the Board." Communications. Letters relative to sanitary conditions at 2 Center Stteet, 5 Koskiosko Street and 22 Nichols Street were discussed. Dr. Toomey told the Board that these places mere now in the hands of the City Solicitor aeaiting action. Discussion on 8 St. Peter Street, property owned by H. Callahan was hald!1w ita the decision that our inspector would re-inspect the premises and talk to Mr. Callahan. Dr. Kaplan suggested that the Board meet with the City Solicitor to ask his advice on matters such as these and the following motion was unanimously carried: ,f "The Board invite the City Solicitor to the next regular meeting of the Board to go over various problems and to advise us as to how we can use our powers to prevent these conditions from continuing to exist. MOTION "To write to the City Solicitor in re 22 Nichols Street and request immediate action on same.". Health Agent reported on the appointment of Dr. Lager as Inspector of Animals. Recommendation by Dr. Kaplan: ' That Dr. Lager submit an 'annual report on the number of -animals that are checked during the current year. Next on the agenda was a report of conditions at the 'incinerator. Dr. Toomey stated that there was a very serious situation at the rear of the incinerator which should be taken care of at once or in the very near future. This has been reported to the Mayor and the City Engineer. Posters for establishments selling cigarettes were shown to Board. Dr. Kaplan recommended writing a letter when we send these posters out, and ib is a legal requirement that they be placed in a conspicuous place. Change of title from Health Agent to Director of Public Health was tabled for the paresent time; to await an official communication. Regulations on Communicable Diseases was discussed and Dr. Kaplan suggested that , April 14, 1964 Previous to the opening of the meeting the Board met with Mr. Donald Farmer, :' *+ Executive Director of the North -Shore Chapter of the Massachusetts Heart Asso- ciation and Miss Marilyn Davis, Project Coordinator for the Massachusetts Heart Association, relative to a request to use a section of the Health Department Hospital for the purpose of running courses for the homemaker with a variety of handicaps. This course will help homemakers who have arthritis, heart conditions, etc. either male or female. It will be a ten session course, and they will be shown ways where they could carry on their responsibility of iaomemaking with their handicap. The classes will be for 6 to 10 people so that they can receive individual attention. Mr. Farmer told the Board that the grant would not be available unless other handicapped people, besides the stroke patient were included. The grant from the American Heart Association has been available since January, but the problem was to locate a place of operation. The Essex County Hospital, if run by the State, will be the headquarters for this project. If this request is granted, the facilities of the hospital would be greatly improved, by the installation of a stove, refrigerator and other kitchen facilities. Benefit to our present patient load would be negligible, but it could benefit people in the housing project, etc. After the discussion Dr. Toomey recommended to the Board that the storage room, plus the two small rooms at the left end of the hospital would be ideal for this project. Don Farmer recommended having a member of the Board to serve on the committee. Mx. Lord will serve. Next meeting of this Board will be on Tuesday, April 21st, at 12 to 1 :30 P.' M. at the Commodore Restaurant. Dr. Toomey and Dr. Kaplan will attend the initial meeting. t INFORMATION ON HEART ASSOCIATION MEETING WITH THE BOARD 0 HEALTH 0 AP I l4, 1964 2 y 6 �r> � :� �%J y$Ie ious to the opening of the etin§ t(e Board Viet Det with Mr. nald,F Zmer, Executive pi ect I o£ the Korth h re Chapter o t e M ssac usetts Heart Ass c�t�n . �&a . , QaVVXZU Decision of the Board: Keep the temporary ban on dumping until more inforration is obtained. Dr. Kaplan then spoke to the Health Agent with reference to a talk he had with the nurses in regard to Tine Test in the schools. Dr. Toomey thought the hurses should come to him with thie problem instead of doing it in this manner. Next on the Agenda was a hearing for Mr. Lyons on the inspection of his Day Care Center. Mrs. Morgan who inspected the home was present. .' :': • Dr. Kaplan asked Mrs. Morgan to read her report. Mrs. M. Actually I don't have anything to say other than on or about November 13 I did report to Dr. Toomey certain inconsistencies in the way this establishment ' was operated. Under his direction I obtained the facts and gave them to him. That is all I have to say, I got the facts and gave them to Dr. Toomey. Dr. Toomey : I think Mrs. Morgan should read the report. Mrs. Morgan: I prefer not too. Dr. Kaplan proceded to read Mrs. Morgan's report and then requested Mr. Lyons to state his problem, as he had requested the hearing. Mr. Lyons: The statements that are made hiin this report that was brought to our = a nursery, the statements are falst statements. He proceeded to read the state mint in the report making comments on the way. Decision of Board after hearing. That Dr. Toomey and Mrs. Bradley would reinspect the premises and determine if place is properly operated. Dr. Kaplan: I don't like the way this was handled. On g'Rxkza certain complaints you should have the facts and figures and then we can make some sort of dicision. I'm disappointed, handled very poorly, presentation lacked being specific on points. To me the situation in this department can be ironed out, without adking the State to come down. If Mrs. Morgan doesn't want to go we will find someone else. If place is inspected, the fules andregulations are known, if place is satisfactory it would be approved, this is all yo u have to do. Is it necessary for the nurses to come to the meeting. K. Dr. K. Yes, the Board of your boss, if we want you to come yous should come. From now on we will have Dr. Toomey take over your reinspectionh of the place with somebody else and bring in a report at the next meeting. Enter the other nurses Mrs. McH Mrs. B. and Mrs. Banks. Mrs.. McH We would like a written authorization by the Board for the administration of the Tine Test for the school children in grades 1 and S to cover us all as we are all participating. Every nurse working in the school should have the protection of certain orders regarding procedure relating to the school child. Written XE instructions are pertinent. Dr. Kaplan had not objection and consented to sign statement after typed up by clerk. Car allowance: We wondered if we could have a car allowance/ Dr. K. You all have cars and you all use them. Yes. R.L. It would be more profitable on the long run for the nurses and for the dept. for the city if we had submitted additional transportation for the dept. The amount of wear and tear on their cars. Mrs. Bradley has a brand new car, supposing that she leaves ohs it parked on Lafayette Street, it could be side-swiped and the car would be tidd up for a week or so. I'm all for it. ask for more cars in the dept. Dr. T. If you ask for more cars, you would also have to have another driver to take them around. R. L. If you grant allowance to the nurses I would like to include john and George also. If we have to drive our car we should be covered by business insurance, mileage, etc. We have looked into what other nurses in other communities and they average $55. per momth for each car. Dr. K. I have a feeling that somebody is going to blow his top. Do you make many home visits personnel people do not have phones. You can be taken back and forth to the scholls very easy. I suppose I could I would appreciate anything you could do to help us, R.L. 7 or 8 cents a mile Dr. K. Lillian Banks would be interested in full-time work L. How old are you" If there is an opening here I certainly think you should be given first consideration. You think there is need? I could use full time. 1 that the Board Members be sent a copy of these regulations to peruse before passing on them. License for the Home for Aged Women was signed by Board members as approved with the stipulation that the Public Health Nurse revisit the establishment to determine the type of patients being treated there, whether they are boarding home, patients or, nursing. home patients. PINE TEST: Dr. Toomey reported that this tine test should be done in all the schools. Recommendation: That a letter be sent to the, SuperintendentInt of Schools requesting permission. Also recommended that Dr. Toomey call Dr.. Flynn on same. Meeting adjourned at 1 :35 P.M. April 14, 1964 Before regfiaoremeeting Board talked with Mr. Donald Farmer, Executive Director of North C apter of Massachusetts Heart Association and Miss Marilyn Davis, Project Coordinator of the Mass. Heart Association relative to .a request to use a section of the Health Department Hospital for the purpose of running courses for- the homemaker with a variety of handicaps. Regular meeting came to order at 11:00 A. M. with all members present. Minutes of previous meeting were read. On motion of Mr. Lord and seconded by. Mr. Kinsella, it was VOTED That the minutes be accepted as read. After a short discussion -on Mr. Farmer's request, on motion by Mr. Lord and seconded by Mr.- Kinsella it was VOTED The Board approves the request of the North Shore Chapter of the Massachusetts Heart Association Ur use of space at the Health Department Hospital as sketched on the plan presented to the Board, for the purpose of running courses for the homemaker with a variety of handicaps. It was also VOTED THAT it is agreed that the personnel of the hospital would use this area as a.dining room. And that the Mayor be notified before permission is granted. Dr. Kaplan will talk to the Mayor. A short discussion was held on the possibility of being a little selective in the choosing of patients to be admitted to the hospital. This was tabled for a future meeting. Communications were read and discussed. On motion of Mr. Lord and seconded by Mr. Kinsella it was VOTED Under provision of Section 128, Chapter 94 of the General Laws of the Department of Public Health, I nominate Dr. John J. Toomey as Inspector of Slaughtering. Letter from City Clerk relative to budget cuts was read. Discussion on private sewerage systems ended with motion by Mr. Lord and seconded by Mr. Kinsella, and so VOTED THAT WE AMEND MOTION MADE AT March 4th meeting to read: "If it becomes a hardship for the Health Agent or Plumbing and Sanitary Inspector to make a decision on these installations, it would be referred to the Board." I"t was also recommended that the Board be notified of all these private sewerage installations at each regular meeting. 8 Field Personnel reports were read and accepted as read. Approval of Bertram Home for Aged Men was held up until inspection is completed by Public Health Nurse. TINE TEST PROGRAM. Dr. Kaplan reported that the program went off allright. He stated that Dr. Desjardins objected to going into the publis schools, as he didn't feel that it was his job. Dr. Toomey stated that essentially the control of contagious diseases is the business of the Health Department. After a short discussion on motion by Mr. Lord, seconded by Mr.. Kinsella, it was VOTED When the Tine Test Program is over the Board requests a final report on the program. Next on the agenda was a request by Dr. Toomey for the Board to make a ruling on the ppyment of a higher group in the Barrington Report for L. P. N's. in charge of floors. On motion of Mr. Lord, seconded by Mr. Kinsella, it was VOTED That the Board establish a pay grade for L. P. N's in charge of the floor, for those who assume special responsibility at the Health Department Hospital. Recommended Group6, with a $72.50 maximum. Also, VOTED That the Health Agent write a letter requesting a change in the Barrington Report on Mrs. Marie DeLury.--The Board requests that Dr. Toomey set up a meeting with the Dentists •of the department in the near future. Meeting aftourned at 1)00 P. M. May 8, 1964 A special meeting of the Board of Health with members of the Dental Section of the department convened at 10:30 A. M. Present: Dr. Kaplan, Mr. Lord, Dr. Toomey, Dr. Ryan, Dr. Pocharski and Kay Despotopulos, Dental Hygienist., Dr. Kaplan opened the meeting by aequesting Dr. Pocharski to give his views of the present program. Dr. Ryan was also requested to give his views. These minutes are filed under Administration Correspondence. Further discussion on this will be taken up at the regular meeting. Elinor C. Horan, Clerk May 12, 1964 Board-of Health meeting -came to order at 10:30 A.M. with Dr. Kaplandand Mr. Lord present. Minutes of previous meeting were read and motion made and seconded that they be approved' as read. Dr. Efthemis M. Cannellakis, candidate for the part-time position of School Dentist was interviewed by the Board. His resume is filed under Administration correspondence. Discussion followed in' re the hours worked by the dentists, with the decision that the Board felt they should put in the ten hours per week as certified by Civil Serv' Dr. Kaplan will talk to Mayor Collins to see how he felt about the hours worked as Dentist and consult him as to the new candidates for the position. The Health Agent was instructed to follow through on Civil Service regulations as far as Dr. Pocharski's provisional appointment was concerned. The next item up for discussion was the vacation list for hospital personnel. MAY 8, 1964 MEETING WITH BOARD AND DR. POCHARSKI AND DR. RYAN AND DENTAL HYGIENIST DR. POCHARSKI: As far as the program is concerned the overall general program, by a review of past statistics, they are impossible, an misrepresentation. On the school examinations I do from 150 to 175 children a week. This is adequate from a daily examination standpoint. The examinations go well, of course there are some unaccountable factors, teachers off from school, etd. We spent trhee weeks in the high school. Another year it would be my suggestion to disregard the high school examination. There were 450 students in the high school Freshman. through Junior classes. The percentage rate of about 29 or 89 cards were returned. I consider this parental apathy. High school per se should be considered eliminated. We spent three weeks there and the children were not cooperative in fact we had to get Mr. Arnold to assist us in the program. It is a good idea to see the school children but we should get a good percentage of return. There is repetition in the program, we are seeing the kindergarten children in the preschool registration, then we see them again in the Fall. The scheduling should be reviewed, it was .less than satisfactory as far z as planning our visits. There was somewhat less than 100% cooperation in some of the schools that were visited. Another year I have specific things to suggest. However it would possibly entail ten work hours a week but I cannot justify ten hours of time, I would rather keep two mornings a week open one to examine children and one to come to the clinic. I cannot justify more than I am giving at the present time. Some days we do 5 and some days 8 children. On an exodontia basis on a pro rate figure we do pretty we Average welfare charges, the figure is mell over $100 every morning the } I am here. We could see more children if they are scheduled. As far a Jim is .concerned he does five a morning. Dr. Kaplan: You cannot put in ten hours a week. Dr. Pocharski: I don't feel that more than two good prime sections of morning are feasable. Eight or nine children were here Wednesday morning, I could m4ke them last all day. I am offering a mornings worth of surgery. When I come in I have a full day of school examinations.;` We are 1Lb.ehirl in the program at the Saltonstall. I feel we should complete these Tuesday or Wednesday with John's approval. Dr. Kaplan: What happens in the summer time, when there is no school? Dr. Pocharski: I have spent nine full mornings here for the past week and one-half. These should be considered,as mornings due me, these should be applied towards Tuesdays in the summer months. It has bothered me womewhat that the specific number of children done is brought into play, most are indigent patients, extremely unhealthy mouths, could spend all day with one patient. Jim is doing good sound dental work, per capita rate means nothing. We are doing a lot of duplication on our records, as far as the pre-school examination is concerned, duplication is per se. The dental nurse should be at the school registration, the same as the school nurse is and process these children and get their records processed. We should have a new dental chart, this is a must, similar to the physicial chart in the school system. This should be a permanent record for the child for the time they are in the school system and should be in one health jacket. The former records are difficult to find. The record administration should be left in the hands of the dental hygienist and she should be responsible for them. CLINIC As far as the surgery clinic is concerned, the children are seen when they are scheduled. I cannot wait around for them to come. There are any number of children who need surgery, I am always happy to see them. If there is a child tho is in trouble, who needs surgery, I am always happy to see them, either her or in my office. This can be overdone, however. I am not an administrator, the program is rusty. Some of it is organized, but the cooperation in the schools should be improved. Have the children in line, have the teacher get them ready, she should know ahead of time. Program should be planned by the dental hygienist and she should be seen by John. They should review the paper work, cards have proven less then successiu. offer one card, if they see it, fine. Has the Board, in any way, discussed or do they expect a specific pro-rata amount of performance. I feel that the school examination program is proceeding as far as my examination is concerned. In my judgement, the schedule needs improvement. As far as the clinic isc.concerned, coes the Board feel unhappy about the amount of surgery that is done. What do you feel, and what basis do you have the feelings. Dr. Kaplan: I do not have figures, these should be available. I would like to have an active clinic to keep both of you busy so you will have work to do. I am hoping that you will be very busy so we will get more mileage. We are seeing on an average of 12 per week. We have no control over the people that come here. Some days are gravy, some are hard work. J. Toomey: Do you feel that examination in the schools is a good dental program? Dr. P. As far as I am concerned the examination program is the most important part of the program. My, job, surgery per se, could be done at Salem Hospital. There are times here that I extract teeth that sometimes could be saved. Start them out anOw with what is left. How can we have more children come in, there is enough potential surgery, indi- gent people who need work. on A.D.C. patients my strong feeling is that these patients, unless there is an emergency,should be seen by a private dentist. If funds are advocated by the State, they shoed go to their own dentist. We would do examination consulting on emergency basis. Dr. Kaplan: En re to clinic at Salem Hospital, are we justified in having a clinic here or should we sent .out to private dentist on fee basis. Dr. Pocharski: At Salem Hospital we hardly ever have a child, it is 98% adult. If you sent these children out to a dentist and, picked up the tab you would get murdered, bill will be submitted and you will have to ppy-.it. It would be f inanc is lg�imprac t ical. Dr. Kaplaty: to Kay Despotopulos: Are we leaving somebody undone, what about a waiting list. Kay : Yes there is a waiting list. Dr. Kaplan: to K: What is your picture of the program, what role do you play. Kay: The program should be revised, in order to improve the organization part of the clinic. Dr. Ryan to Board. I favor the Crest program, it is the best way to get the children to clean their teeth. In the program there are lectures from the classroom , teachers to the children, etc. Dr. Toomey : Kay's place is in the dental progrtsm in doing clinic work. A Dental Hygienist should coordinate the program and push the program r f� She should be in the schools selling dental heap h to the children, selling it to the teachers to sell it to the children. When the dentist leaves a class Kay should fol&ow through. Dr. P. When I examine children I must have Kay with me, it is not efficient by myself, I want someone to record, keep the records, keep the children in line, ets. Mg �eetin adjourned at 6:45 P.M. Dr. Kaplan to Dr. Pcharski. What role to you think Kay should play in this program? Dr. Pocharski: In my consideration, Kay I consider your organizational ability, you have probably not had too much training. I think she should be lecturing in the classrooms. I think she will serve the most useful purpose there. 83 This was viewed by the Board with no comment. Communications: Health Agent discussed with the Board conditions at 5 Koskiosko Street, as to the repeated correspondence with the owner relative to the razing of the house owned by him at the above address.After discussion, approval of the Board was given to allow the owner another week to alleviate the' condition. Approval letters on installation of private sewerage systems was viewed by Board. Field personnel reports were tabled for the present. Dental program was talked over with the decision that Dr. . Toomey give the Board a detailed program of what he expected each of the personnel to do, the numbers of hours worked per day, what days they should work, and what should be done in the days worked. Present same to Board at a special meeting in about two weeks, then Board will meet agai n with the staff and explain program. DoctoEoToomey will check with the State to get their versions on same. Motion adjourned wAs avoted. Meeting adjourned at 12:15 P.M. Elinor C. Horan, Clerk May 15, 1964 Special meeting of the Board of Health came to order at 11:00 A. M. with Dr. Kaplan. and Mr. Lord present. Subject: Dental Program. Dr. Kaplan reported that he had spoken to Mayor Collins, who felt that the Dentists for the department should work the schedules that Civil Service -required. He also stated that if a Salem man was not available for the position an out-of town man would be satisfactory as long as the work was completed. Dr. Toomey addressed the Board saying: In my opinion, in reference .to the Dental Health Program, prevention should be stressed rather than treatment. We have Floridation, ' which is one method of prevention. We do school examinations of teeths which is anothe method of prevention. He went on to explain our present method of running the clinic, the card system, etc. after this discussion it was decided that the term "Indigent children may be treated at the Dental Clinic at the Health Center" be inserted on the card. He told about the process of picking children for treatment: 1. Extent and nature of dental work required. 2. Economic status of family. 3. Other resources. 4. Recommendation of Principal or School Nurse. Recommendation by Dr. Kaplan, that appointments be made with reference to "prompt dental care needed", item which is printed on'the cards. - Dr. Toomey stated that he had talked with Dr. Maitland, who stated that many communities were scheduled for 10 hours per week, but were actually working six hours. Dr. Kaplan inquired if the Dental Hygienist had applied for courses relative to the position. Mr. Lord inquired as to the length of time the Dental Hygienist now worked. Dr. Toomey informed him that she was now on two-thirds time. Mr. Lord then made a motion, "That we give her the other one-third of work so she would be on full time." A discussion followed on this motion with the decision to wait for a later date, Mr. Lord then withdrew his motion. In re to the appointment of Dr. Pocharski: Weci&faml: stTd.—Writetahtetidek rtdc thetdctoEor informing him that his r visional pointm nt had to b terminat dad the Board was deliberat ng on the permanent ap�o�ntment. I� was also recommended to send a letter to Dr. Cannelakis 84 of Haverhill advising him' that the Board was considering his name and would inform him when they reached a deciion. With reference to the incinerator a MOTION was made and seconded "That we request the Mayor and City Council for an appropriation of $132,000 for repairs at the incinerator and for construction of a Water treatment system. Meeting adjourned at 1:30 P.M. Elinor C. Horan, Clerk June 9, 1964 Regular meeting of the Board of Health came to order at 10i45 A. M. with all members present. Minutes of previous meeting were read and approved with the following change. MOTION: made and seconded that. the motion of May 15th meeting relative to a request for an appropriation of.$130,000 for repairs at incinerator be eliminated. Motion carried. Correspoddence: Bill for services of Dr. Pocharski was discussed with the decision to pay same out of expenses. Field personnel reports were read and discussed. Health Agent explained to Board members the new rules on Day Care Centers and informed them that Mrs. Morgan was now in charge of this program. Dental Program _ Dr. Toomey presented to the Board his proposed dental program which was very satisfactory to the Board. v There followed a disuussion on numbers of hours the dentists should work. Mr. Lord stated that he strongly recommended that each dentist work the 10 hours per week as this time was needed to implement the program. He stated that the Board, he felt, was interested iln giving dental care to those needing it and that should be our main concern. After a through discussion it was decided that the Dentists should work from eight to ten hours per week. Recommendation of Dr. Kaplan that Dr. Toomey contact locaf dentists to see if anyone would be interested before any decision is made for an out of town applicant. Also Dr. Toomey will check with Civil Service on procedure. Thirdly, Call Dr. Ryan)and Dr. Pocharski and inform them that the final Dental program will call for eight hours to ten hours per week, to accomplish the ends of the planned program. MOTION: made and seconded In order to implement the school dental program, which we wish to conduct, the dentist for the department must put in from 8 to 10,nhours per week. MOTION: That the Board adopt the card designed by the Health Agent for use in the dental program. A discussion followed on the subject .of changing the title of Dr.. .Toomey from Health Agent to Health Director. The Chairman requested the Health Agent to check with the City .Clerk and the City Solicitor with reference to the City Charter and to check also with the Civil Service Director. Meeting adjourned at 12:40 P.M. . Elinor C. Horan, Clerk August 18, 1964 A special meeting of the Board of Health came to order at 5 :30 P. M. Present: Dr. Kaplan, Rylance Lord, John Toomey and the following councillors: John Butler, Joh Burke James Dolac�, George Marquis,, George Pelletier and Joseph 0 Keefe. Councillor Zol joine$ the group later in the meeting. Dr. Kaplan opened the meeting by discussing the present problems at the municipal incinerator. He requested the councillors to offer suggestions or recommendations relative to .the best solution to the disposal of wastes at the incinerator in order to avoid the present nuisance existing there. He mentioned the following alternatives for their opinion: 1. Limit the amount that comes into the dump, probably take only 60% from all private collectors. 2. On the Urban Redevelopment Program, what to do with all the material from the razing of buildings. 3. What about stoping the operation of the incinerator until repairs are made and use sanitary fill in the outside dump. There followed a general discussion on these proposals, but no definite answer was arrived at. as of now. Afterh the councillors departed, the Health Agent inquired as to what procedures to follow. Mr. Lord was in favor of controlled burning but Dr. Kaplan disagreed with this. Dr. Kaplan then instructed the Health Agent to use his own discretion as to the disposal of rubbish at the plant. Elinor Horan, Clerk September 10, 1964 Regular meeting of the Board-of Health came to order at 5:30 P. M. with Dr. Kaplan and Mr. Lord present. Minutes of previous meeting were read and approved with the following addition: "On first motion of June 9th meeting, relative to incinerator repairs, add, in the place of $130,000, the amount of $138,000 for repairs." Request of Mrs. Shivery for admission of her greataunt, Mrs. Gardiasz to the Health Hospital when we have the next female vacancy was discussed and unanimously approved by the Board. Next on the Agenda was a discussion of the Dental Program. Dr. Toomey reported that Dr. Ryan would rather stay in the clinic instead of doing school examinations. the Dental Hygienist will make arrangements to have Dr. Cannelakis go into the schools for two• days a week from 8:30 A. M. to 1:30 P. M. to examine as many children as possible. After school examinations are completed Dr. C nnelakis will work at the Clinic on Monday and Thursday from 8:30 to 1:30 P.M. and Dr. Ryan on Wednesday all day. Dental Hygienist will chart the teeth and line up the work for the doctors. There was a short discussion on the type of patients being treated at the Health Hospital but no solution was forthcoming. Dr. Toomey explained the functioning of the State Clinic being held at the Health Center on Wednesday afternoons. Complaint about sewer overflow at Grove Street was discussed, with the Health Agent ex- 8 _ plaining that the South Essex Sewerage people were responsible for checking this n;uisance. Rat Control Program in rear of municipal incinerator was discussed. Request from the Public Health Nurses in re the renewal of their membership in the Massachusetts Public Health Association was taken up with the Board and the following motion was unanimously carried: "That the department renew the subscription for the Public Health Nurses to the Massachusetts Department of . Public Health Association, Inc, as of now and yearly hereafter." After a brief discussion on the Inspectors belonging to the associations a MOTION was unanimously passed. "That the Milk and Sanitary Inspectors be enrolled in both of the organizations, ie: Massachusetts Milk Inspectors A sociation and The Sanitarians. FORM LETTER FROM ESSEX COUNTY HEALTH ASSOCIATION TO SCHOOL DEPT AND HEALTH DEPT. IN RE TUBERCULIN TESTING PROGRAM IN THE SCHOOLS WAS DISCUSSED FULLY, WITH THE HEALTH AGENT STATING THAT THIS PROGRAM WAS ONE FOR THE CONTROL OF COMMUNICABLE DISEASES WHICH WAS TRADITIONALLY THE BUSINESS OF THE HEALTH DEPARTMENT. HE STATED THAT IT WAS A PUBLIC HEALTH FUNCTION AND HE FELT THAT IT 14AS IMPORTANT FOP. US TO CONTINUE ON WITH IT, IN COOPERATION WITH THE SCHOOL DEPARTMENT, IF THEY SO DESIRE. BOARD'S RECOMMENDATION: SEND LETTER TO SCHOOL DEPARTMENT CONFIRMING THE HEALTH AGENT'S VIEWPOINT. MEETING ADJOURNED AT 7:00 P.M. Elinor Horan, Clerk October 15, 1964 Meeting came to order at 5:30 P. M. with Dr. Kaplan and Mr. Lord present. Minutes of previous meeting were read and approved. Field personnel reports were placed on file. Dr. Kaplan requested the Board to consider'the admission of Mrs. Lillian Foye, patient at Salem Hospital who needed extra nursing care, to the Health Department Hospital. The Board was in agreement and the following motion was unanimously passed: That we admit Mrs. Lillian Foye under emergency conditions to the hospital. Correspondence: Dr. Toomey explained about the Dental Survey being conducted in the fifth grades of local schools. Purpose of the survey was the effect of floridation •in the water. He then reported. on the meeting with the City Solicitor, City Engineer and City Council re Prove Street Sever complaint. The City Engineer will make tests on same and in the meantime Salem Suede will try to cooperate with the situation. Next on the Agenda was. information on a, condition on Outlook Rd. in Salem. A private Sewerage permit was issued to a Michael Tauraso. and was transferred, without permision, to another. party. Isolation and Quarantine Regulations were discussed with the following motion: "That the Board of Health adopt for Salem the new regulations for the control of communicable diseases which was adopted by the State as of August 1964. A short talk was held on suggested means of curtailment of smoking among students. Health Agent explained about a program that was being implemented by the State on this subject which would be included in the overall school program. 8 A lengthy discussion on Tine Testing in schools ended with the.,mot ion: The department will conduct the T.B.Tine Testing program as we have in the past in grades 1 and 8 in all schools." Dr. Toomey informed the Board that certifi- cations of teachers on the Tine Test could be done at the same time as the school children. Dr. Toomey will call Dr. McHugh to make a final check on the public health nurses doing the tine test without direct supervision. Letter from Dr. McHugh on reimbursement for office space, telephone, etc. , while the Xray clinic is housed in the Health Center. Motion: Clinic at the cost set forth in Dr. McHugh's letter is acceptable with the understanding that adjustments will be made from time to time as stated in the letter. Unanimously passed. The purchase of a desk and chair and file for clerk was talked over and decision to purchase same was made. Incinerator. Dr. Toomey reported that we were burning outside as repairs were started at the incinerator and same were being checked with the engineers from the State Department of Public Health, Sanitary Engineering Division. There followed a discussion on incinerator personnel's poor effort at cleaning the premises, decision; Mr. Guerrette will give orders to personnel to keep place clean or men will lose their jobs. Status of Sick Leave of Dr. DesjardinsxyfBXXa:K was talked over and Dr. Toomey will check with City Auditor and Mayor to find out their opinion' on same. Also Dr. Toomey will check with Rene to find out when he will be able to resume work on school programs. Meeting adjourned at 7:30 P.M. November 17, 1964 Meeting came to order at 1:41 P.M. with Dr. Kaplana_and -Mr. Lord present. Also present was John Lowe, Inspector for the department and a Mr. Bolesleau Szchesny who is subletting apartment at 304 Essex Street. Mr. Szchesny was present for a hearing on violations of the Housing Code at that establishment.- The Chairman questioned the gentleman on conditions and after a detailed dis- cussion it was decided that the Health Agent and Inspector Lowe inspect the premises with Mr. Szchesny on Monday, Nov. 23 at 8:00 A.M. and point out what should be corrected and decide a definite period for this to be accomplished. Minutes of previous meeting were read and approved as read. Health Agent told •the• Board• that Dr. Desjardins would return for school health programs in January. Order from City Council was read by Health Agent, relative to funds for ` bulldozing and backfill at rear of incinerator, to control open fires there. No action taken at this time. Dr. Toomey reported on the Tine Testing program. Discussion was held on Mrs. Beausoleil's objection to a change in her working hours at hospital. Dr. Toomey told Board that he thought it would be ironed out in the near future. Letter from Hill and Blake, Attorneys was set aside for future action. Letter- had referenct to will of Alice T. Endicott and mentioned a legacy for the hospital. Health Agnet will confer further with the City Solicitor and Attorneys Hill and Blake to obtain more information. Petition signed by residents of Barcelona Ave. was read relative to the South Essex Sewerage people during sewage in that vicinity causing a nuisance by reson of bad odor, etc. After a short talk it was decided that the Health Agent would inform the South Essex .Sewerage people that this practice will have to be curtailed immediately. . It was also recommended that the dept. write a letter to the people in that area acknowledging that they had a justifiable complaint and advise them of action taken. Discussion held on regulation for swimming pools, no decision at this time. Health Agent reported on the installation of storm windows at hospital and the painting of the interior on 3rd floor.. . Progress on incinerator repairs, was outlined by the Health Agent, also open burning there and contamination of brook was discussed. Meeting adjourned at 7 :45 P.M. Next meeting scheduled for December 15th. December 15, 196� Meeting came to order at 5 :45 P. M. with Dr. Kaplan and Mr. Lord ;present. First on the agenda was a hearing for the South Essex Sewerage District. Mr. Brainard representing them and Mr. Neil Mitchell, City Engineer. Neighbors in the vicinity of Barcelona Avenue were also present., with their Attorney, Arthur Johnson. Dr. Kaplan opened the meeting by requesting Dr. Toomey to state the case. Dr. Toomey said he had received a petition signed by the neighboring residents of Barcelona Avenue requesting that the Board of Health make an inspection of the dumping of sewage by the South Essex Sewerage District people and to see what can be done about the odor emanating from the material being dumped and also the danger of an accident to the children in the neighborhood. He stated that after he had inspected the premises he had made a recommendation to the Board that the practice of dumping there be dispensed with, as it was a danger and a nuisance. A letter was written to the S. E. S. D. and they appealed same within seven days so a hearing was granted. Concensus of the meeting is filed in the Hearing File in the Health Departmetit Office. Decision of the Board: To keep the temporary ban on, dumping until more information is obtained. Next on the agenda was a discussion by Dr. Kaplan with Dr. Toomey with regard to our Public Health Nurses doing the Tine Test in the schools. Dr. Toomey thought that the nurses should have come to him with this problem instead of doing it in this matiner. Mr. Lyons who had requested a hearing with reference to the licensing of his Day Care Center was then presented 'to the Board and Mrs. Morgan, P. H. N. was the::nsoctor fo the 13zenstug. December 15, 1964 BOARD OF HEALTH HEARING FOR SOUTH ESSEX SEWERAGE DISTRICT PRESENT: I. KAPLAN, M. D. AND RYLANCE A. LORD, BOARD MEMBERS. MR. BRAINARD, REPRESENT THE SOUTH ESSEX SEWERAGE DISTRICT, NEIL MITCHELL, CITY ENGINEER: NEIGHBORS in the vicinity of Barcelona Avenue.`` ATTORNEY; ARTHUR JOHNSON, REPRESENTING NEIGHBORS. DR. KAPLAN opened the meeting by requesting Dr. Toomey to state the case. DR. TOOMEY: � The Board received a petition signed by the neighboring residents of Barcelona Aven requesting that the Board of Health make an inspection of the dumping of sewage by the "a S. E. S. D. people and to see what can be donw about the odor emenating from same and the danger of an aciident to the children in the neighborhood. After inspection Dr. Toomey made a recommendation to the Board, that the practice of dumping there be dispensed with, as it was a danger and something fatal might happen to someone in the area. A letter was written to the S.E.S.D. and they appealed same within seven days so a hearing was granted. ATTORNEY RICHARD JOHNSON, of 140 Washington Street, Salem then spoke in?behalf of Mr. Holland the complainant, who lived at 22 Barcelona Ave., which is at the end of the Avenue, away from Highland Ave. ATTORNEY JOHNSON: The S. E. S. D. through its contractors are dumping these waste!.materials on land which is at the end of Barcelona Ave, furthest away from Highland Ave. This material is being dmmped in open beds or trenches. These beds are located five to six yards away from Barcelona Ave. These materials are emenating offensive odors, fumes and vapors. These are carried by the wind and are polluting the atmosphere at this time. Trucks that carry the material to the dump sites drop fluids on the pavement. Fluids splash over the sides of the trucks which cause a bad odor, right in the proximity of these homes. These open beds could cause considerable danger to somebody's safety, especially children. Even if the beds were covered over, it would constitute a trap. This continued operation destroys the comfort and convenience of the people in the area. This constitutes a private and public nuisance. The Board of Health does have the right to -regulate the dumping of these materials and the trucking of the materials to the dumping areas. This is a general residential area, Mr. Holland and others are asking that the Board, if any permits have been issued for the dumping, that these permits be revoked, that the whole operation be stopped and that the beds be covered over that exist there at the present time. DR. TOOMEY: The Board has ordered them to stop the operation and they have stopped. . Mr. Holland requests that the Board continue to have this in effect and if there are any outstanding permits for the dumpirg that they be revoked. PAGE 2. ATTORNEY JOHNSON: Who are the owners of the land? Who are the contractors for the dumping? DOCTOR TOOMEY: The waste material is being taken from settling basin at the Willows, and is being dumped on land owned by Mr. James Grasso. MR. BRAINARD: The S. E. S. D. Authority cleans out settling basins for the cities of Peabody, Beverly, Salem, etc. and certain State and County institutions. This material gathers in the settling basins and is then pumped out. This is an operation which was created by the Legislature in 1935. Sewage problems in all these cities and towns, in this particular case we are the Salem Sewage District. I dislike to say this, it would be foolish of me to say that any dump would not be obnoxious or dangerous, but this is a very necessary thing, that our industrial wastes, for the greater part, Tannery wastes, it is grease and grit removal. We have been doing this for years, it has been an automatic thing. lie have talked of incineration, but it would run into several million dollars. We are disturbed over the letter from the Board of Health, thought possibly the Board could say, you have six months or a year. The question, the Board would like to ask; Is this order going to mean that we are done, or shall we have a reasonable time or possiably make some changes to make everybody a little happier. Odors and what-not, at times is something we have to contend with, to a certain extent. What can we do? We can cover, we can exercise some odor control, we can even fence in. This is private property, kids don't belong there. We have never had trouble, but, of course, we could. This could be very costly for the City of Salem. If we have to make a radical change, '. I would suggest one thing we can improve by cover. The nature of this stuff we haul, is some human elements, as far as odors go, I am like the fellow that works in the sulphide plant, says the smells are like ham and eggs to me. There seems to be a leather smell, I have never smelled anything that was objoxious. I would differ with the point that the trucks are spilling over. I have them washed before they leave the plant. To my knowledge, there has never been any sloppy load. It has to be wet so we can dump. I think that this point has been exagerated a great deal. vie only lug the trucks partially full. When we are operating in that particular sense, as well as we can, I don't believe that this is quite true. tie actually have a man operation. We clean these pits twice a year, this is both grit and grease, at the most every couple of months during the summer. There may beiN or 22 loads a day. It is a week on the big operation and every other month a total of 12 or 14 days. MR. HOLLAND: There isn't a lot of sludge now, but we had a road put in front of my house. These trucks are digging it up, I had to go over mine this year. were MR. BRAINARD: It didn't have much of a coat, we xxR going up, but the city went in later covering it with hottop. Page 3 Mr. Holland: If the trucks slowed down to five miles an hour, it would help. They have been going 40 miles an hour. Mr. Brainard: I realize that a truck of that size, doing 20 or 25, which isn't excessive speed, makes a lot of noise to be sure, they can slow through there. DR. KAPLAN: Is there a certain time when it would be less of a nuisance? MR. BRAINARD: You have to do it when you get a certain amount, every six months the solids have accumulated, then you have to remove them. We have been dumping for 18 years, since 1946. Mr. Grasso had the permit and we hired the land. The Authority trucks do all the hauling. This last time, and we have on other occasions, hired another truck. We hire the contractor. ATTORNEY JOHNSON: When it gets to the dumping site, whose responsibility is it then. Do you dig them out. MR. B. We have them dug out, Mr. Grasso just gives the land. MR. GRASSO. Tdhen the S.E.S.D. , in 1946, the other place that was used was an open field, Buckley's Farm. They dumped right on the ground, no open beds, used this for fertilizer for the farm. Since the S.E.S.D, took over they have done a better job. Do you think it is a haphazard operation. I have to didfer with ynu, as far as dumping, they have improved every gsxxx year. They are careful, it isn't like a private contractor doing it, they do a good job. We do get a revenue out of it, I don't want to go ahead and hurt anyones feelings. This has to be disposed of, not a bad nuisance as we might picture it. Question to Attorney Johnson: When are the Din odors more prevalent. When the weather is a certain way, it isn't the extra ingredient for a weenie roast in the back yard. Is this something you only get periodically". I understand that it can be obnoxious on a easterly wind then we stop operations. Mr. B. to Mr. Holland: Is this something you get every Day? Ans. When the weather is a certain way, probably northeast. Mr. H. This may be irrelavent, but this friend of -mine works for the State Department and he came to visit me and was amazed to see that this was being left in the open, so much oil that it didn't breed flies. Mr. B. We have the same problem in our pits in Salem. After the stuff has been there awhile, we get a turnover, and stuff will flow to the top, then we might get a little fly. Mr. Holland: I would like you to come up to my house, we hove a fly and it has been pretty cold, r PAGE 4 Neighbor: I'm afraid for my children, you can't keep the kids out. MR. GRASSO. I feel that everything is a hazard as far as children are concerned.. They should be supervised. Mr. Holland then spoke of hunters in the are but was told that this was not a health. problem. Mr. Gallo Neighbor to Mr. Grasso The stuff that was dumped on Buckley's Farm years ago, that caught fire during the war, can this material catch fire. Mr. Grasso and Mr. B. There is a possibility. That bad fire was a nuisance, we had a guard there 24 hours a day, it was a very slow burning thing, they let it burn out. Dr. Kaplan: When the incinerator is repaired could we handle this material there? did Dr. Toomey: I wmatd discuss this with some incinerator engineer, it would be the ideal way to get rid of it, but this is going to cost money. Certain attachments would have to be purchased, tanks, coils, etc. to set it up so we coudid put it in, it is so full of water, it would have to be pre-treated. I don't think it could be handled. I suggest that the S.E. Bord go in with the City to set up a system. In a great many places they spread this material on Mr. Grasso't land and let it dry. Even covering is not going to solve the problem. Unless they had a land fill sort of thing. I believe that Neil Mitchell was bordering on something you could do if you had the proper area, possible put in layers, but then yoou might create another problem. There isn't a foolprroof way of doing this. Any new system would have to be experiences with and under the supervision of the Board of Health. Would it cave in? Mr. B. Not readily. We took a bucketful of this material, we would torch it off, it would flame over on the top and go out, but if you kept stirring it, it would burn down to dry ash. We get less grit today than before. If you can't dump it on Mr. Grasso's property, where would you dump it. It is Salem's industrial material. We have another system in Peabody and that goes to the Peabody dump. Mr. Lord: These people are closing in on thearea where you are dumping. You have to by their homes, have you ever entertained an idea that you would have to find another place? ATTORNEY JOHNSON: Have you ever thought of dumping it by barge? Dr. Toomey: That is against the law. Have you axax any other space that could be used. Mr. Grasso: There is room for improvement on everything. I think that the gate should be closed at all times. New England Power has the right of way to go in and sometimes they leave the gate open. r Page 5 I would suggest to be a little more careful on the gate, see that it is closed, so undesirables will not enter, and it should have more fence around it. As far as the odor goes, it juse comes a few days after it is dumped, you have an odor two or three days. As far as cover is concerned, there is very little top soil in Salem, it would be almost impossible to cover. N. Mitchell. If we could operate in that area, it would be a great savings to the community to do so, reluctantly if we cause any inconvenience there. They may consult some engineer on industrial waste to try to get some ideas. To operate in that approximate area without causing any trouble. Mr. Brainard: In a multi-million project of which we do carry Legislative action, somebody has to suffer. Rx We won't be doing any dumping now for about three months. Attorney Johnson: My client is not here in an arbitrary view, if this problem can be solved, these things take time, betting reports, etc. it depends on how anxious they are. I think the three months should be reasonable time in which some informa- tion can be obtained. fi If the Board chooses to defer any action until that period of time we would request that the order for dumping be kept enforced until these peports are obtained for consideration by the Board. Mr. Brainard. Mr. Mitchell has made good suggestions, we can improve conditions we can exercise some order of control, some can be covered, perhaps on the left as you go in. We can look ahead a little to try to eliminate some of the complaints. Continue in operation until we can come up with a solution, we have to put it somewhere. Dr. Toomey: Could you have another entrance to the land other than Barcelona Ave, which is a narrow street and there are a lot of children. Years ago I was talking to Mr. Grasso's bouther about a site to dump fleshings. This site was straight in from the field, almost opposide the old Marlborough Road Dump. A little bulldozing could be done in that area and it could be developed into a pretty enticing place. This wouldn't interfere with anything at all. Dr. Toomey and Neil Mitchell and Mr. Brainard and Mr. Gnasso will go up to see this place. Meeting ended at this point 6 :30 P.M. Dr. Kaplan 'requested Mrs. .Morgan to read her report. Mrs. Morgan,"letually I don't have anything to say other than on or about November 13, I did report to Dr. Toomey certain inconsistencies in the way this establishment was operated. ' Under his direction I obtained the facts and gave them to him. That is all I have to say, I got the facts and gave them to Dr. Toomey." Dr. Toomey: "I think Mrs. Morgan should read- the report." Mrs. Morgan: "I prefer not too." Dr. Kaplan proceded to read Mrs. Morgan's report and then requested Mr. Lyons to state his problem, as he had requested the hearing. Mr.- Lyons: "The statements that are made in this report that was brought to our nursery, are false statements." He proceeded to read the staeements in the report and making comments on same. Decision of Board after hearing: That Dr. Toomey and Mrs. Bradley would reinspect the premises and determine if the place is properly operated. Dr. Kaplan said he was very disappointed the way this was handled, presentation lacked being specific onpoints. Mrs. Morgan asked if it was necessary that the nurses come to the meeting. Dr. Kaplan stated that he thought they should come if the Board requested it. Mrs. McHugh, Mrs. Bradley and Mrs. Banks then were called in to the meeting. Mrs. McHugh: We would like a written authorization by the Board for the administration of the Tine Test for the school children in Grades 1 and 8 to cover us all as we are all Participating. Every nurse working in the school should have the protection of certain orders regarding procedure relating to the school child. Written instructions are pertinent. Dr. Kaplan had no objection and consented to sign a statement which would be typed by clerk. Car allowance was requested by the nurses. Mr. Lord thought we should ask for more cars for the department. Dr. Toomey stated that if we asked for more cars wewould need additional drivers. Mr. Lord: If you grant allowances to the nurses I would like to include John and George also. Mrs. Bradley: If we drive our car we should be covered by business insurance, mileage, etc. We have looked into what other nurses in other communities and they average $55. per month for each car. Mr. Lord stated that they generally give seven or eight cents per mile in industry. Mrs. Banks requested Dr. Kaplan for full time work. Dr. Kaplan stated that if there was an opening she would be given first consideration. Meeting adjourned at 6:45 P. M. anuary 19, 1965 Meeting came to order at 5:20 P.M. Present: Dr. Kaplan, Rylance Lord and Dr. Toomey. Communication from City Council relative to buffing box at Salem Suede on Irving Street was read and the Health Agent explained that this was a recurrent problem, but would the situation investigated andnuisance abated. ,have gent informed the Board that.1there will be a public hearing at Salem State College on he question of China Sales%°situation. Hearing will be on Wednesday, Jan. 20th at 8:00 P.M. The Agent presented to the Board the rgports of Miss Ward and the duty nurses at the hospital at the time of the fire. The Board directed the Agent to send a letter of commendation to the personnel of the hospital for their effective action in this case. 90 Letter frpi► 1J rs/ Beausoleil.-notifying the Board, that she was leaving he employment at the hospital because her assignment hours were difficult for her to work: MOVED AND SECONDED: That the letter be tabled, no action taken. Communicztion received from the State Department of Public Health relating to pre- school immunization and re-vaccination: The letter informed the Board of the Public Grant and is a preliminary notice of future plans. MOTION MADE AND SECONDED: To place on file and have Agent follow up and give future information when it be- came available. Dr. Toomey reported that he was called to a conference at Mayor's Office with Mr. John Barrett of the Redevelopment Authority and another conference with Mr. Edward Gibbs and Mr. Charles Pillman of the Federal Housing Authority to discuss the implementa- tion and reinforcement of the Housing Code in the City of Salem. He informed the Mayor that a plan of operation of this program over a period of 5 years should be set up. That three inspectors who are qualified men be assigned to the duties, and that the Board of Health write a letter to the Mayor setting forth specifically what the program would consist of: also that a map of five areas of the city and their priorities of inspection and control also be presented. This letter and map is to be presented by the Mayor to the Federal authorities this week. Dr. Toomey presented the letter to the Board. Futther, at the Mayor's Office the Mayor asked the Agent for recommendation, for which the Agent informed the Mayor we should have a Junior and Senior Inspector along with the present inspectors. That Mr. Lowe, who is presently on the job, could be retained on some housing duties. Salaries discussed and the Mayor set forth same, which were included in the budget for 1965 which was presently on its way to the Mayor's Office. This report was accepted with reservations. Dr. Kaplan felt that the payment of more money to other inspectors would J., ' the morale of the inspectors on the job now, and he would like a chance to talk to the Mayor about it and stated that he would on January 20, at which time he would have a recommendation from the Mayor and relay tab' Dr. Toomey at 'which time •the figures would be changed to comply with the discussion. SOUTH ESSEX SEWERAGE REPORT Dr. Toomey reported that he had viewed the new site and it had certain features in its favor: 1. That the access, after the completion of an access road,. would be much safer. 2. Create less of a traffic hazard and affect less people. Area large and fairly well-removed. Agent told Board that he would rather check with . the State Dept. of Public Health before final disposition is made. 3. He stated . . that plans were underway to try to develop an incinerator type of disposal for this waste. These studies are underway by the Department of Public Health of the State x in conjunction with the Federal Government. Board MOVED to accept report as one of progress and will discuss same at the next meeting. Estate of Alice T. Endicott in which she bequests the income from certain portion of her estate to -the City of Salem for the purpose of .setting aside a room at the Health Department Hospital for the use of a needy patient. Dr. Kaplan stated that he had done considerable research on this, because he had been informed by the Agent, the Mayor and City Solicitor, that perhaps income estimated at $1200. a year would not sufficiently support the terms of the bequest. After talking with various people at Salem Hospital and some a;torneys, Dr. Kaplan feels that the consensus of opinion of these individuals"J that the Board should accept this bequest. This was also recommended by Dr. Kaplan. It was therefore MOVED AND SECONDED, that J, the Board recommend to the Mayor and City Council that the bequest of Alice T. Endicott be accepted and further that a dopy of the letter receommending acceptance be sent to Attorney Robert B. Hill. t , CHINA SAILS t ti Agent reported on the case of the petition relative to the China Sales Restaurant in which the Agent set forth that he had the place inspected and sent Mr. David Wong a letter setting forth the discrepancies and also presented a letter in which Mr. Wong agreed to ta6eMn ssary steps to correct the conditions 'set forth. The Agent has been notified Me' office that George O'Connell, Plumbing Inspector, was ordered by the Council to attend the meeting at State College for further clarification of this problem. The Agent informed the Board that he had talked with Mrs. Kinsella, wife of Board Member, James Kinsella and was informed that her husband has been in the hospital (Salem) for fifty-five days and may require a new place fD r hospitalization and asked that consideration for him be brought before the Board foracceptance at Chronic Hospital. The Board MOVED That Mr. Kinsella's name be placed No. 1 on the list which is in effect a replacement for Dr. Hennessey who cannot, at this time e t hospitaliza- tion at the Health Hospital. Meeting adjourned 7:05 1) . ;i U �. ohn J TOI*d,y, Cl 7f, 1 tem. February , 65 Board of Health meeting came to order at 5:20 P. M. with Dr. Kaplan and Mr. Lord present. Mr. Mahoney joined the group a little later. Minutes of previous meeting were read and it was moved and seconded that they be approved as read. A briefing of correspondence from John Baffa relating to disposal of waste water from the incinerator was given by Dr. Toomey. Recommendation of Board, for the Health Agent to again talk with the City and the State Engineers for further de- liberations on same. Bill from Dr. Pocharski regarding monies due him since 1964 was brought up and after a short discussion the following motion was made by Mr. Mahoney: The matter of communication from Dr. Pocharski relating to aitillegedpeumldue him, be referred to Dr. Toomey to see if same can be resolved. Seconded by R. Lord, Passed unanimously. Communication from.the Bureau of Hospital Finances setting the all inclusive rate of $12.05 for 1965 was accepted as informative material. Personnel reports from the Nursing Section were discussed with Dr. Toomey explaining part of the ,functions of the nursing, section to our new member. Health Agent reported on improved conditions at China Sails. .He also reported on progress relative to South Essex Sewerage dumping of grease and grit from settling basins, Dr. Toomey will do further research on this and will discuss same at next meeting. v 92 l \ 1 Health Agent reported that the: Bequest from the Alice Endicott estate to the Health Hospital was acted on favorably, by Mayor and City Council on the Board's recommendation. Correspondence from Mr. Viggo Westergaard with reference to incinerator personnel was read and "discussed. Dr. Toomey will talk to Al Guerrette on same. MOTION was then made by Mr. Mahoney and seconded by Mr. Lord: That the correspondence from Mr. Viggo Westergaard, dated February 5, 1965 be handled by Dr. Toomey, who is to write the consulting engineer and have him enlarge on the ideas expressed in said correspondence. the Report was given by Dr. Toomey on transfer, of patients at the Health Hospital to different sections of the hospital, in order to simplify patient care. Next on the agenda was informational material relative to immunization of pre-school children, where the State had sent down key personnel to explain the program and it is now in the planning stage. Next Mr. Lord nominated Dr. toomey as Inspector of Slaughtering for the year 1965, approved by Mr. Mohoney, passed unanimously. Percentage of absenteeism due to the Flu Viruses was noted, Dr. Toomey presented reports both from schools and from industry. Time clock for incinerator personnel was discussed and the Board stated that they would stand by the Health Agent k recommendation. Board of Health Regulation #13 on Child Care Centers. After explanation by Dr. Toomey the Board •agreed publishing a legal notice revoking this regulation. They also were in agreement .with replacing same with the new regulation on Swimming Pools and Wading pools, both public and private. Problem of the overloaded sewer on Mason Street was talked over and correspondence relative to same was read. Decision: Write to Mr. -Coughlin informing him of the date of our next meeting and also of the meeting with the City Council on the same subject. Dr. Toomey informed the' Board of the program in one of our parochial schools on educational material on smoking. MOTION By Mr. Lord that Dr. Toomey be authorized to sign the payroll and vouchers- for the year 1965., Motion carried. Mr. Mahoney •then suggested appointing a committee to draw up a resolution thanking Mr.Kinsella for his long years of service. All were in agreement. Mr. Mahoney will draw up the resolution. Election of Chairman was next on the Agenda and Mr. Lord moved that Dr. Kaplan continue as Chairman of the Board f6r the year 1965. Seconded by Mr. Mahoney. MOTION: Mr. Lord then moved that Elinor C. Horan be elected Clerk of the Board for the year 1965. Dr. Toomey then spoke of additional repairs to the incinerator which would be in the vicinity of $2000, involving some new construction. Meeting adjourned at 7 :20 P. M. 93 March 16, 1965 Board of Health meeting came to order at 5:10 P. M. with all members present. Minutes of previous meeting were read and motion unanimously passed that they be approved as read. Hospital census, waiting list and new admissions were noted. Dr. Toomey then reported that the modifications to the incinerator were nearly complete, •with the exception of the painting of the spray chambers. There is about $500 repiar work need on.the fire brick wall on one of the furnaces. As to the treatment plant another meeting is scheduled with John Baffa, Neil Mitchell and the State Engineers who will confer with the Health Agent for the final decision on same. Dr. Toomey reported on the alledged monies due Dr. Pocharski, no action can be taken until the 1965 budget is passed. Field personnel reports were tabled for the present. Mr. Mahoney inquired as to procedure on building wreckers material with specific reference to the future urban renewal program. Dr. Toomey suggested that Mr. John Barrett who is the director, should arrange with these people to have the material burned. Request from the South Essex Sewerage people to dump once more, as an emergency measure, at the old spot covering same, was reviewed by the Board with the resultant decision that if it was satisfactory to the neighbors in the area it would he allright with them. 3 The Mason Street sewer condition was agin discussed with Dr. Toomey informing the group that the city had hired someone to clean out this sewer and they were doing -yt a tremendous job. Dr. Toomey, with a pepresentative of the Board will meet with `a the Council after our meeting. Salem Suede situation was talked over and tabled for-,the present. Ail-1 School dept. correspondence requesting services of our physician was read with the Y decision that a letter bezwritten to the Supt. informing him that our own physician is on limited work capacity and we were sorry we were unable to help them out at this time. Personnel at the Municipal incinerator was reviewed with the decision that Mr. Guerrette and Power Connell meet with the board 'at the next meeting. Mr. Rylance A. Lord then submitted his resignation to the Board and it was accepted with regret. Dr. Kaplan spoke to Dr. lbomey about a shack on Loring Avenue; owned by a Mr. Kelly- which seems to be a harborage for rats, etc.- Request from the City Council relative to the purchase and immunization with measles vaccine was read and discussed. Dr. Kaplan explained to Mr. Mahoney that the Board tries not to interfere with the private practice of medicine only those who are needy should be accepted at the clinics. Action taken: Dr. Toomey will make inquiry as to the cost of the vaccine, and inform the council of the State plan, if a program is instituted next year we might become a part of it. As of now the State Dept. of Health is holding off for this season, but they have announced plans that the vaccine has no allergies and the material probably would not be available now, for mass programs. Meeting adjourned at 7 :10 P. M. March 23, 1965 Special meeting of the Board came to order at 10:30 A. M. with Dr. Kaplan, Attorney Mahoney, Attorney Johnson, Lieut. Felton, Fire Dept., Dr. Toomey and Mr. 2. Mackey, representing Thomas Mackey & Sons. Purpose of meeting was a special hearing for Mackey in re illegal dumping on his property at L eggs Hill Road in S lem. Minutes of the hearing are filed in Hearing File. When hearing ended the following motion was unanimously carried: By Mr. Mahoney: A hearing was held on Tuesday, March 23rd, with Dr. Kaplan, Attorney Mahoney, Dr. Toomey, Attorney Johnson, Mr. Mackey and Lieutenant Felton Hearing was in relation.to the formal notice dated March 10, in which Thomas Mackey & Sons were ordered to remove the debris and police the area at Leggs Hill Road. The debris from razed houses has been the subject of illegal, dumping and that the Board finds, that a request for a hearing was seasonably made by Richard Johnson, Esq. requesting Thomas Mackey and Sons and the Board of Health to have a hearing. The Board finds that there was illegal dumping there, that the order dated March 10, 1965 must be complied with and that a copy of the praeedings of this meeting be sent to Thomas Mackey & Sons and their attorney. .'` After the hearing the Board discussed the installation of an xray machine to be used in the Tuberculosis clinic at the Health Center. MOTION: Dr. Kaplan: I recommend that iTe accept the standard machine 14 x17 under the following conditions. 1. That they take off the Photo Roentgen sectirn . 2. That the xrays be taken by trained personnel of the State Department. 3. That Dr. Toomey be authorized to enter into negotiations with the State Department of Public Health. Secdnded by Mr. Mahoney. Meeting adjourned 11:30 A.M. April 27, 1965 Special hearing for Mr. Bryson in re his suspension from the department. Hearing started at 5:30 P. M. with all members present plus Attorney McKah, Mr. Poitras, Union Representative Mr. John Royle, Mr. Kinsella, Employee and Mr. Spinale, spectator, Minutes of hearing are on file in the Hearings Folder. Regular meeting of the Board of Health started at 6:40 P. M. with Mr. Guerrette also present. First on agenda was action on bill of Dr. Pocharski: Decision, get approval of Civil Service for emergency appointment for a three week period. Dumping area for the South Essex Sewerage people was fully discussed and Board was in agreement with suggestion of Health Agent. Mr. Mahoney requested that the Health Agent check on some building being started newr the tennis court on Swampscott Road which seemed to be interfering with our natural water rights. Thought the City Solicitor should be alerted on this. V MOTIONS TYPED UP-I* HERE, ,,-- May 11, 1965 VAN, 'w March 23, 1965 -4f HEARING FOR THOMAS MACKEY & SONS SUBJECT: ILLEGAL DUMPING, LEGGS HILL RD. PRESENT: DR. KAPLAN, ATTORNEY MAHONEY, ATTORNEY JOHNSON, DR. TOOMEY, LIEW'ENANT FELTON, FIRE DEPT. AND MR. MACKEY. Doctor Toomey first showed pictures of the debris that is being dumped on Leggs Hill Road, said debris is the remains of houses torn down by Mackey in his business. Dr. Toomey stated that Mackey had established a dump on Leggs Hill Road which causes a nuisance. Dr. Toomey: The Fire Chief and myself told Mr. Mackey not to do this about a month ago. There was a small fire 'there, and in order to prevent any future explosions, we thought that he should cease and desist and carry it up to the dump and burn it under controlled conditions, whi:¢h the Board felt would be the feasible method of disposing of this material. About a week ago the Fire Chief informed me that he was agin dumping and we were both going to send him a letter to stop this The chief was rather irate and he wanted me to take Mackey into court. The procedure is that you have to give a man a reasonable time to abate this nuisance, so I gave Mackey fourteen days and he requested a hearing. Dr. Kaplan: Dumping illegally is a fire hazard as far as the chief is concerned. Lieut. Felton: There was a large fire there, not a small one. If a fire start ` there now, the nearest hydrand is 1500 feet away, we would have to lay more tha a truck load of hose to get into that particular place, it would necessitate a pump to get the pressure up there. The men were there quite a few hours, it wa >; µ an accidental fire at 2:00 A. M., they were not doing any burning there at the time. :1 Attorney Johnson: I would like to know are these pictures of a certain area fr different angles, or are they of different areas. Mr. Mackey: They are of the same area. Attorney Johnson: Mackey has a problem like any building wrecking company, of course it is easy to say, your problems are not our problems, but they are to some extent. The Fire Dept and the Health Dept. are agencies that do try to assist in some ways a company like Mackey, to see that he does not get out of hand and reasonhbly so, not oily the disposing of the material torn down, but also there is the salvaging process. If you look closely a good part of this is salvage. If a house is part brick and part wood, the bricks are saleable and there has to be a place in order to salvage, and then you have the problem of disposing of the remains that isn't salvagable. Permits have been granted over the years by the Fire Dept. to burn the combustible remains of all the debris from wrecking jobs. This problem has been discussed with Dr. Toomey and the Fire Dept. on the feasibility of having a fireman there at the time of burning. Also discussed with Dr. Toomey about dumping in the local dump, but the trucks were turned away from the dump, not allowed to dump there. Dr. Kaplan: Why should he ask for a permit, h Mr. Mackey: Have been operating like this for thirty years. Dr. K. How much salvage is there? Mackey: That salvage is buried under the debris, there are several thousands feet of timber that is saleable and has been sold. Lieut. Felton: Couldn't you assemble the saleable material and pile it in piles. Isn't a lot of your saleable material sold right on the job? Mr. Mackey: Very little. Dr. Kaplan: Have you any explanation for dumping, going on for thirty years without a permit. Dr. Toomey: I would have given him a permit in writing if I were going to allow him to carry on a private dumping area. We offered Mackey to burn his salvage at our dump, but he had to burn it under our regulations which says they will burn when it will not cause a nuisance and at the time of the day when it is efficacious for this purpose. Further, he will ppavide a bulldozer and a fireman if it is necessary. I told Herb the conditions and he was a little reluctant. Makkey: We hired a fireman to stay there everytime you asked us. We never com- plained about hiring a bulldozer. I hired a fireman everytime but last time. Dr. Toomey: In company with the Fire Chief, we asked you to cease and desist from dumping there, it was going to cause a nuisance and we didn't want you to dump, didn't we all agree to this 5 or 6 months ago., if you hired a fireman and a bulldozer. Mr. Mackey: Wouldn't let us dump without a bulldozer and fireman, wouldn't let us dump after 11:00 A. M. Dr. Toomey: Isn't it a fact that you didn't hire a bulldozer, that we went up there and pushed the stuff over with a City of Salem bulldozer. Mr. Mackey: Our trucks were hanging around, we had to dmmpt it someplace. Dr. Toomey: I want to direct everybody's attention to the business at hand. Mr.M.Inder certain conditions we will hire a fireman, there are certain hours that you have to go, I have seen other people dumping there after certain hours. I saw someone just a few days ago burn on the job, just tore the house down, the cellar was full of debris, he dropped the match there. Dr. Toomey: Mr, Chairman, we are now settling the whole proglem, the problem today to be discussed is to decide whether he is going to have a dump on Leggs Hill Road. Dr, Kaplan: The discussion brings out certain pertinent points. Lieut. Felton: If a permit to burn was given would you burn it in its entirety or would you have to pick it over and then burn what is left? Mr. Mackey: We have the stuff and we don't want the combustible material, so I went down to see the chief, would ask for a permit, he must have had a fight with the wife that day, he was going to take us into court, he got all fired up and couldn't understand why Dr. Toomey didn't take us into court. Two weeks ago a house was torn down in Salem, the guy who tore it down dumped the stuff up at the inc. dump and the City ofSalem bulldozer pushed it over. Dr. Kaplan: Would it be feasible for him to dump at our incinerator. So that it doesn't inconvenience his time schedule or tie up his trucks and burn under controlled conditions. Dr. T. If you read the news at all last summer we were having trouble about the burning I gave orders that everything should be burned, start to burn before 11:00 A.M. we could then put a hose on this and reduce the flame before 4:00 P.M. and it wouldn't be over Highland Avenue when the wind changed. Some people do come there to dump I don't live there, we try to control this as best we can. I'm not making rules for Mackey that I'm not making for somebody else. We try to ge along with these fellows in saving them money. If Herb was a little more cooperative and plan his work so that he can get there at 11:00 A.M. We just can't hold dump and keep the neighbors happy with a fire that is going to be burning until 10 or 11 at night. As long as we are putting everything on the line the Board of Health gave orders originally that we were not going to allow these people to dump at all, they would have to take it out of the city. This still doesn't mean that the Board of Health gave him* permission to make a dump out of Leggs Hill Rd. I am sure I wouldn't give permission and the Board would not. However, the Board changed their minds afterwards. If we could put all of the Mackey stuff here and then touch it off, but we cannot as we are limited as to space, Pg. 3 We are being criticised, the Mayor and City Council are also being criticised on the smouldering lat at night from the dump. Dr. Kaplan: If we would allow burning under certain restrictions, I was personally opposed, but what are they going to do with this debris. Mackey is illegally dumping and he has no right to dump. Certainly he has no right to burn it either. I think he has a problem and he must solve it the best he can. Lieut. Felton: Since this incinerator has been working at a low ebb, you have more material on the premises then you could take care of at the incinerator. Mr. Mahoney: My one complaint is from the outsiders coming in from other cities, and towns. Dr.. Kaplan: Bill, we followed trucks, had our inspector follow these outsiders and we found that little comes in from the outside, we can't control it, there is supposed to be a watchman there. Att, Johnson: I can understand the problems of the Board. We realize from what Dr. Kaplan says that this particular dumping was in violation. Mr. Mackey feels that it was a matter of necessity at the time, but the Board has ordered him to remove this debris. If he moves it where is he going to bring it. I would like to say if this order can be rescinded or modified, in order to straighten out this particular problem, then it is going to be a matter of knowing exact procddures and complying with them. Mr. Mackey: We have specs on an incinerator, a special one designed for lumber yards, it has no moving parts to it. If we could work this out, it is 100 feet above sea I� level, never received complaints from Dr. T. or the Fire Chief, it is an ideal place to burn. Att, J, Let us say one of the better places, no place is ideal. Mr. M. We don't want to go out of business, this is going to put us out of business. There is a house now going to be torn down at 104 Boston Street, the Bldg. Insp. wants it torn down, what are we gdng to do with that material. Lieut. Felton: Not to give you a short answer, but the bldg. at 9 Hardy Street was disposed of but not in Salem. . Mr. Mackey: What about a steel barge, and taking it out to sea. Dr. To. They do that in Boston, but they burn it at sea and bring the residue back. You cannot burn 4 ft. lengh pices etc. like you burn paper or garbage.. Lieut. Felton: I think the Fire Chief will give you a permit if you remove the saleable stuff from that debris and put it in small er piles, hire an off-duty fireman to direct the burning, I think he would allow you to burn this once, this time only. Xttorney Mahoney: We are not trying to pick on you, they have a code enforcement program now, they get complaints and they have to be acted upon. Mr. Mackey: We will do anything that they tell us to do. Att. Johnson: We appreciate any effort on the part of the Board. The Fire Dept. Inspector has a solution to it, it would solve this instance if the Board would go along. Meet with Chief Brennan, get his opinion of when and how, in this particular case only. Att. Mahoney: What Dr. Toomey says goes as far as we are concerned. 11:00 A.M. Mr. Mackey and attorney left. After a short discussion the following motion was unanimously carried. A hearing was held on Tuesday, March 23rd, with Dr. Kaplan, Attorney Mahoney,Dr. Toomey Attorney Johnson, Mr. Mackey and Lieutenant Felton. Hearing was in relation to the formal notice dated March 10, .1965 in which Thomas Mackey & Sons were ordered to remove the debris and police the area at Leggs Hill Road. The debris from razes houses has been the subject of illegal dumping and that the Board finds that a request for a hearing was seasonably made by Richard Johnson, Esq. requesting Thomas Mackey and Sons and the Board of Health have a hearing. The Board finds that there was illegal dumping there, that the order dated March 10, 1965 be complied with and that a copy of the proceedings of this meeting be sent to Thomas Mackey & Sons and their attorney. (copy to the Mayors office and the Fire Chief) Board of Health came to order at 5:10 P. M. with Dr. Toomey, Health Agent, Dr. Kaplan, Attorney Mahoney and Mr. Richard present as was Albert Guerrette, _ Working Foreman at the incinerator. ,, At a short conference the Board Members decided to postpone hearing of the case, if agreeable with Mr. Bryson's Attorney, until Mr. Power Connell, would be able to appear at 'the hearing. After said discussion clerk was told to call in the awaiting group for the hearing on Mr. Bryson, in this group were the following: Attorney Joseph McKay, representing Mr. Bryson; Mr. John Royle, Union Representative of State Council 41, of the American Federation of Municipal Employees, A.F.L., C.I.O.; Mr. Bryson; Mr. Kinsella, employee at the incinerator; Mr. Spinale, spectator and Mr. Poitras, City Councillor speaking also in behalf of Mr. Bryson. Mr. Mahoney explained to Attorney McKay that Power Connell was under doctors orders not to be present at this hearing, and stated that the Board would make arrange- ments to have the hearing at a later date, and in the meantime Mr. Bryson would be carried on the rolls. Attorney McKay: Well, we could postpone the meeting to a day certain, can you definitely say doctor that this will be within a week or two weeks? As far as Mr. Bryson is concerned he has been notified that he is definitely suspended, the question before us is, one who is essential to the prosecution of this case cannot be here, we are asking that the thing go over without any jeopardy to our position and without any jeopardy to his position. Mr. Mahoney: We want a statement from you that we are not just good fellows by putting him back, we don't want to jeopardize our own position, we suspended him indefinitely due to abusive language being used. Att. McKay: He sent a letter to your Board in accordance with the instructions, requesting that he be given a hearing tonight on the charges as related to Dr. Toomey from Power Connell "indefinite suspension for using obscene and abusive language." We are prepared to go forward with this hearing. The Board is requesting that, for medical reasons affirmed by Dr. Kaplan, you wish to postpone this to a day certain. I have no objection to this decision here, unless we can agree on a day certain, in say about two weeks. I'm assuming that wham you say is true, if this man is able to go to work, Dr. Kaplan, within the next two weeks, he is not taking your advice and he is able to go to work. Dr. Kaplan: But I did not want him to get emotionally involved. As a medical man this is my advice. Attorney McKay: I would feel a little more satisfied, you are a member of the Board of Health, you are asked to pass judgement on whether the prosecuting witness can appear here. There is a conflict here. Mr. Mahoney: You are questioning a professional opinion. Certain procedures must be complied with. One of the duties of this Board is to officially take Page 2 action on the recommendations of Power Connell and Dr. Toomey. This Board is in no sense going to waive any of its rights. Mr. Connell is essential to the proof of his own case, essential to our case. I don't want to put the Board in a position of tripping itself up. Attorney McKay: The hearing was 'set for tonight, either a decision would or would not be made this evening, you are requesting a postponement. After tonight's hearing, there will be no such vote to either sustain, back up, the supervisory or administrative personnel. Mr. Mahoney: We can't have you restrict the minutes of this meeting, if we feel in our good judgement, to increase or decrease these charges. We will comply with the law. Attorney McKay: I will have to let you, this witness is unable to appear, I assume that this is the only reason, but if there is to be further action. Mr. Mahoney: Incorporate by reference, records of this meeting, the Agenda as furnished to Dr. Kaplan and members of the Board, dated April 23, consisting of three typewritten pages. In good conscience I can't have us restricted to the agenda of this board by any agreement either express or implied. It is our function to set policy. Att. McKay: I would be grossly unfair, under the operation of the Civil Service_Law, if this is for any other reason, except that Mr. Connell cannot be here. Let Mr. Bryson go back to work provided that he does not lose two more weeks pay. 6:00 P. M. This hearing has been officially opened now. Mr. Mahoney: I move that the Agenda be suspended and that the matter of this appeal be taken up. Seconded by Mr. Richard, voted unanimously. On the advice of Power Connell's attending physician he was told not to attend this meeting, because of health reasons, and further that the statement made for the record by Mr. Joseph P. McKay, Esquire, relating to his client be made a part of the record and further that the request of Mr. Mahoney relative to the Agenda here, this evening, be made a part of this record. Mr. Mahoney made a further motion, that the hearing scheduled for today be put off for two weeks to May 11, at 5:00 P. M. Attorney McKay: On behalf of Mr. Bryson, now that the hearing is opened I accept by agreement the statement of the Chairman. I accept that Mr. Connell cannot attend tonights meeting for medical purposes. Then on behalf of Mr. Bryson, I agree to postpone this hearing and a hearing on the merits to May 11, 1965 at 5:00 P. M. Without either side waiving any of the statutory rights or otherwise, we both agree that he may go back to work pending the continued hearing on the merits. Attorney Mahoney: This is on the agenda here today and this board is going to take action. We are the appointing authority, we have the right to either stand behind or forget about the action of any of the administrative personnel under us.. Page 3 Attorney McKay: If, in the interim additional charges are brought against this man, it is not going to look good for this Board. Mr. Poitras : Would it be permissible that Mr. Bryson be reinstated at the incinerator, until this hearing is disposed of? Attorney McKay: It was my assumption that he was going back to work at the incinerator. Dr. Toomey then conferred with Attorney McKay: Dr. Toomey: I have agreed to put Mr. Bryson back to work at the incinerator, to go along with him until such time as the Board has a hearing and thrashes this thing out. Mr. Mahoney: We ought to furnish copies to Mr. McKay of the proceedings of this meeting so far, and have photostatic copies of Items C and D on the Agenda for today's meeting. Mr. Mahoney: Any utterances made here, I want them on the record. Salem News was called and the information they received was totally unreliable. Att. McKay: We made no communication to the News. Hearing adjourned at 6:40 P. M. rs) Elinor Horan, Clerk Request of Mr. J. Butler, City Councillor of Ward 4, to investigate mains on Aborn, Abbott and Boston Streets was tabled for the present due to Mayor's call for delayed action on same. MOTION: That the matter be held in obeyance until investigated by Dr. Toomey and have a report at a later meeting. 'So 'voted. License for the Marblehead Y.M.C.A. Day Camp was then discussed and after explanation by the Health Agent the following MOTION was unanimously passed: "In accordance with the information obtained in the letters dated April 12, from Worthen Taylor, Director •of the Division of Sanitary Engineering, that we deny license renewal at this time and in accordance with the provisions of Chapter 140, Section 32B of the General Laws, and to give them the right to appeal. Progress on plans for disposal of wastes at incinerator was related by Dr. Toomey and tabled for discussion at a future meeting. Salem Suede sewer problem will also be taken up at a later meeting. Reference was made to the Photo Roentgren Xray Unit for the Tuberculosis clinic. ~ Dr. Toomey will recheck on same with Dr. McHugh. Communication from Pickering Co. in re a survey requested by Health Agent, of the heating system for the incinerator was talked over and Health Agent was instructed to follow up on same. Agreement was made by Board Members to visit the incinerator on Wednesday at 10:00 A. M. for inspection of plant and perusal of personnel. Item C on the agenda was then reviewed with the Chairman opening the discussion of problems at'the incinerator. Decision: Members will acquaint themselves with the Civil Service Regulations and be ready at some time in the future to vote on a general resolution relating to the labor force. Dr. Toomey then explained about a bad sanitary situation at Orleans Avenue relative to sewerage leaking onto the street. He also explained that one of our inspectors had taken samples of water there and was to obtain names and addresses of abuttors of the area, and shall report findings to the Board at a future meeting. Measles Vaccination Clinic was talked over with decision to docket same for the December meeting. Polio Vaccine Clinic was talked over and the following MOTION Was unanimously VOTED.. That Dr. Toomey be authorized to negotiate with the permission and assistance of the School Dept. , a program for booster drinks of oral polio vaccine to all children entering school. Inspections for approvals of 'two nursing and boarding home licenses were reviewed and signed by members with the following motion be unanimously VOTED: Each Nursing Home or Boarding Home for the Aged will-be inspected by one of our Registered Nurses at least each quarter and that a report be maintained at the files of the Board of Health, of the status of each quarterly visit and that the recommendations of the investigating personnel be upped each quarter. Meeting adjourned at 8:15 P.M. 9 May 11, 1965 Special meeting came to order at 5:40 P. M. with all members present, plus Health Agent, Power Connell, Attorney McKay, •Mr. Poitras and Mr. Bryson. After a short conference Mr. Mahoney made the following motion: Mr. Bryson has requested that he be allowed to apologize to Mr. Connell, which apology will be accepted by Mr.• Connell and that the Board, in order to insure harmony and to prevent a black mark to enter against Mr. Bryson's Civil Service record, that Mr. Connell has requested that the charge be withdrawn and the board has so VOTED. • May 18, 1965 Regular meeting of the Board of Health came to order at 5:00 P.M. with all members present. Minutes of previous meeting were read and accepted as recorded. Correspondence from the Essex Inquirer was read and placed on file. A one day course on Swimming Pool Codes Interpretation was discussed with the decision that Dr. Toomey and the Inspectors would attend this session. Also approved was a six week, one hour a day course on Tests and Measurements to be given at State T College, requested by Mrs. Morgan,P.H. Nurser Personnel reports were discussed with the following recommendation being made: That Doctor Kaplan write a $ letter to the Field Personnel people in the department stating that the monthly reports are due on the first day of the month. Conditions at the incinerator were reviewed with the following recommendation being made: A memo be sent from the Board to incinerator employees, stating that the pile in the pit must be diminished and that the Genera Foreman or Working Foreman will select men to work on. Saturday. Any changes in hours will be in writing, and anyone refusing to work will be called before the Board. Mr. Mahoney then suggetted that Dr. Toomey make up a chart, listing out the personnel of the department and their duties. Signing of Warrant Sheets on Bills Payable was brought up, Dr. Toomey will check with A. Do rosielski on the same. Specifications for Senior Sanitarian and Junior Sanitarian for the department were reviewed with the following change recommended; First paragraph, under Duties : Under the general supervision of the Agent of the Board of Health,"�Re shall have supervision and direct activities of the Junior Sanitarian and such other employees or inspectors as the Board, from time to time, shall determine. MOTION WAS MADE, SECONDED AND IT WAS VOTED, that the job specifications for the Junior and Senior Sanitarian, as recommended by the Agent of the Board of Health be approved by the Board withthe modifications as noted, 4_Ilclt'kdiun MOTION was made, seconded and it was voted, that the Board authorize the Agent to confer with Civil Service to set up an examination as sson as possible in accordance with these specifications. Dr. Kaplan then turned the gavel over to William Mahoney, who assumed the chair. MOTION was made by Dr. Kaplan, seconded and it was voted that the Board create the position of Senior Sanitarian and that we request a provisional appointment. MOTION by Dr. Kaplan and it was voted, that we request Civil Service to appoint William Russell Burns, Senior, of 38 Washington Square South, to this position. Dr. Kaplan then resumed the chair. Report on condition at Orleans Avenue was accepted as a progress report as was the report on Swampscott Road, with the recommendation that the letters be followed u2 in re the daming up of the brook. INCINERATOR Correspondence on outside burning was discussed and the following comment was made: We note that a communication re outside burning was received from the State Dept. of Health and it was read into the record banning all outside burning at the incinerator on Swampscott Road, After much deliberation the Board requested the Health Agent to see what could be done to alleviate this. 9 7 Mass outside burning with particular reference to Urban Renvawal program will be reviewed at a future meeting. Mr. Mahoney, then reverted back to the wage schedule of the Senior Sanitarian suggesting that the Health Agent consult with the Mayor for a special appropriation or transfer of funds to accomplish the employment of same at $124.50 minimum wage. The Photo Roentgren Unit: Dr. McHugh's letter relative to the installation of this unit at the Health Center was read to the Board, with the decision to take the machine, but not to utilize the Photo Roentgren Section. New rates for Podiatrists services to patients at Health Hospital was reviewed and will be taken up at next meeting. Tuberculosis Clinic Health Agent cited a request from the State for a part time Registered Nurse and a part time physician for this clinic, stating that the State would reimburse city for same. Mr. Mahoney felt that a written request should be forwarded to the Board spelling out just what they needed. NORTH SHORE DISPOSAL It was called to the attention that this company was depositing a great amount of refuse at the incinerator. After a careful review, the Board decided that they would be allowed to deposit ten ton per day. Report of 304 Essex Street, property being cared for by Mr. Schesny, was thoroughly studies with the decision that legal action should be instituted against Mr. Schesny, by reason of: non conformance with the recommendations of the Board of Health. Requests from the Home from the Home Management for Handicapped Homemakers for Handicapped Homemakers at the hsopital was taken up and after a short discussion the Board authorized the Agent to take steps to implement the recommendations made xxdnxxdg which included the payment of the cost of utilities, repairing of porch door, installing the rail, making of a portable ramp at the main entrance. Dr. Toomey will look into the matter of insurance coverage. Meeting adjourned at 8:00 P.M. JUNE 22, 1965 Meeting came to order at 5:00 P. M. with all members present. MOTION made, seconded and so voted "That we pass the other items on the Agenda to take E under old business with reference to the South Essex Sewerage dumping area. Attorney Johnson and Mr. Brainard of the S.E, S. Authority were called in. Letter from the South Essex Sewerage people was read by the clerk. Mr. Brainard stated that they had been dumping for over 20 years and there was no complaint, but now with this new activity, things had changed. Dr. Toomey stated that there was no odor but he feared the danger a to children in the area getting injured there. Hr. Brainard claimed that it was only a foot deep there and children wouldn't get in above their knees. He said the pond there ten feet deep. but Dr. Kaplan inserted that that the Board would only be responsible for the dumping area. it would be our responsibility for allowing these people to dump there. Mr. Brainard: We have done some things to improve conditions and we can do better. Our trucks are washed before leaving for the dump. The new location requires the building of a road which will cost $1000. Attorney Johnson statedcthat the people in the area are opposed because of odors from truck drippings, odor from the beds and the possibility of injury to the children getting involved in the pits. No one wants this in their backyard. Mr. Mahoney: I respect people, but we have an obligation. If there was a public nuisance, but this isn't. Mr. Brainard: There is a harbor survey going on now, we may get a treatment plant, in the meantime we are in the trucking business and if we do not dump there, the tanneries will have to close down. Dr. Toomey, we may receive pressure from neighbors on Marlborough Road. The opening is directly opposite the end of our fence at the former dumping area. Mr. Brainard: There is a third alternate in the rear of the Lynn Sand and Stone, but they are not interested. Of course if it is limed, covered with dirt, etc. the amount of actual nuisance will be mimimal. Mr. Mahoney: I would restrict them, let them go ahead until November, exercis- ing every restraint, try to alleviate any possible odoretc. DR. Toomey suggested a wooden fence, cost of which would be about 6 to 8 hundred dollars. We can demand a fence, we can suggest a metal fence. MOTION MADE, SECONDED AND VOTED: That, becuase of the critical nature of the present situation at the South Essex Sewerage District, that they be permitted to continue dumping at the Grasso property provided, that their trucks do not use Barcelona Avenue and that the dumping pits be fenced and suggest sanitary fill, lime or other protective measures as shall be proposed by Dr. Toomey be made a condition of the granting of this temporary permit. and that this temporary permit shall be in force and effect until the meeting of November 16, 1965 when the matter will be reviewed. One of the conditions being that appropriate signs be posted to indicate any possible danger. Discussion, after motion: Mr. Richard suggested that these people try to find another place in the meantime. As a matter of record send copy of motion to Mr. Brainard, Attorney Johnson. Also a letter should go to Marlborough Road Associates, copy to Mayor Collins, Attorney Johnson, John Butler and the South Essex Sewerage people telling them of the critical nature of the thing and about the safeguards, etc. It was then MOVED that the minutes of previous meeting be wavered, passed unan. Field Personnel Reports: Dr. Kaplan and Dr. Toomey spoke of an outbreak of Salmonella which was being followed by Mrs. Bradley, Public Health Nurse. Correspondence from Mr. Bryson was read to the board and after discussion it was suggested to write a letter to Mr. Bryson, upon proof of compliance with the sum ' set out and the bill rendered by Mr. McKay in the nature of a photostatic copy of a check or other tangible evidence of .payment of the same, we will be happy to consider reimbursement. MOTION: was then unanimously passed to depart from old business and move ahead to Item 1 under new business, transfer of George O'Connell. MOTION: Made, seconded and unanimouslypassed: I move in accordance with a request received from His Honor the Mayor that this Board approve the permanent transfer of the position of Plumbing and Sanitary Inspector from the Health Department to the Building Department. The transfer to take effect upon proper approval, after all the necessary legal requirements of Civil Service are met with. Copy of this motion to be sent to the Mayor, Building Inspector and the City Clerk. owner of property on Orleans Ave. Correspondence from Freeman Curtis was read and the Agent was instructed to write him a letter notifying him of the violation and report at next meeting. dXssdRXxQkdX$ssasHss Agent notified Board Members that we are still waiting for a reply from City Solicitor in re Plumbing Codes and revisions, Revisions on modifications to incinerator contract and the signing of warrant sheets. Gieii-Service Labor Force: Motion Made, seconded and unanimously passed that the Health Agent be delegated the authority to establish a policy on the management of the Labor Force in the Health Department. Further that the Board delegate to the Health Agent the authority to suspend, transfer any member of the Labor Force, give them a copy of Chapter 43. These to be reported to the Board at following meeting. Operation Head Start MOTION: That we authorize the department to participate to the fullest extent $kg positaion in Operation "Heat Start"/ our HOSPITAL INSPECTION: DR. Toomey read the list of suggestions of the inspector of our hospial which were talked over. Dr. Kaplan brought up the subject of additional help at the hospital on the late shift. part time TUBERCULOSIS CLINIC: MOTION: That the Board of Health provide a nurse for the Huai Tuberculosis Clinic to be employed for two days a week and a part-time pharmacist for 1/2 day a week. Unanimously passed. MOTION: The Health Agent be instructed to write to Civil Service requesting a list, and to make a request for a provisional appointment of Marie Faircloth and Lloyd Winer if they are intereeted in the position. MZOINX PAY RATE FOR PODIATRIST AT HOSPITAL 4X8ON Dr. Kaplan relinquished the chair and made the following motion: That the fees of the podiatrist at our hospital be the same as previously $3 fasX1k$X§fxxkx=tsa$Xxsd $2 fmXX$kRxxRxsndxffs:ft. Passed unanimously. Name of Joseph Richards will be submitted to replace Rylance Lord on the Board for the Handicapped Homemakers. NCINERATOR: Dr. Toomey reported that conditions at the incinerator are on the upgrade, it is lower and personnel are cooperating. STATUS OF POWER CONNELL• After a short discussion the following motion was unanimously voted: MOTION Because of the emergency caused by the death of the Superintendent of Streets and the lack of depth of leadership and supervision in the department that the request of the Mayor for the temporary transfer of J. .Power Connell from the Health Department of the Street Department and the action of the Health Agent in processing the necessary Civil Service forms be ratified and affirmed as the act of this Board. CARRIED UNANIMOUSLY. MOTION: To approve the temporary transfer of the Working Foreman to Acting General Foreman, be¢ ratified and affirmed as the act of this Board due to the emergency status of the thing. VOTED. MOTION: Wilfred E. Demeule: We authorize the Health Agent on our behalf and in our stead to execute the necessary Civil Service Forms and procedures to effect a temporary transfer of :kkax Wilfred E. Demeule from Skilled Laborer to Working Foreman, S lary to be at the maximum at salary level. Unanimously carried. NMMXBHNKBXHXKMKM Excess dumping at the incinerator of some local contractors was discussed with the following motion being unanimously voted: Any commercial or light manufacturing loads shall have a daily accumulated wieght of not over 12 ton and that accurate records be kept and that when the maximum of 12 ton is reached in any one day, that thereafter no further weighing slips shall be issued, and further, that a copy of this resolution be forwarded to the Superintendent of the City Scales and that a copy be posted or available at the City Incinerator. MENTAL HEALTH BILL. Bill rectived from the Mental Health Association for services in the amount of $3790 was discussed a and the Board decided to pay this bill. Meeting adjourned at 8:15 P.M. I July 20, 1965 Regular meeting of the Board of Health came to order at 5:30 P. M. with all members present. MOTION made, seconded and unanimously passed to dispense with the reading of the minutes of previous meeting. Communications: Request from Councillor Butler in re dumping by South Essex Sewerage people was discussed, with the decision, that we write the councillor and inform him of the Board's vote and the restrictions imposed on these people, stressing the fact that this is temporary permit. Letter from John Baffa relative to contract for modifications to incinerator was placed on file. Health Agent informed the Board that the contract is complete and the plans should be ready late in August. FIELD PERSONNEL REPORTS: Dr. Toomey briefly outlined the duties of the new inspec- tors, mentioning some of the procedures that will be followed in their programs. It was suggested that we have a meeting with members of 'the city council when we are ready to embark on the active part of the program. At this time Mr. Mahoney requested that Dr. Toomey submit a chart of the duties of the department personnel for the Board's perusal. Mr. Mahoney also requested a copy of the Plumbing Code and recommended a special meeting before these are given final approval. part OPERATION, HEAD START: The Vursing Section�,of the projectfin cooperation with the School Department was outlined by the Health Agent and Mr. Mahoney recommended that we get some publicity on this program. INCINERATOR Dr. Toomey then mentioned that the personnel problems at the incinerator seemed to be ironed out. HOSPITAL The Board then reviewed the report of the State inspectors on their recent visit to our hospital, with specific mention being made on the purchasing of bed pan sterilizers. Dr. Toomey noted they fact that the installation of these may present a problem, expects to have more information on this at next meeting. Suggestion was made to reply to the letter of the State Dept. informing them of the progress we have made in response to their inspection. The request for monies for the nurse and pharmacist to assist in the T.B. Xray program has been received from the Mayor and City Council, civil service has been sent requisitions for these people and we are awaiting confirmation. Mr. Mahoney report4d .on the meeting with the City Council with regard to the ruling made by the Board on the number of tons of rubbish deposited at the incinerator by the North Shore Disposal Co. NUd BUSINESS: Dr. Toomey presented the Board with specifications and bid forms for a fence to surround the incinerator, after which'a MOTION was made, seconded and unanimously passed "That the sum of $4,000 be transferred from Other Cities dnd Towns & Hospital Expenses to Item, Collection & Disposal of Rubbish, Sub Item Disposal: Chain Link Fence. MOTION : made, seconded and unanimously passed to transfer the sum of $300 from Other Cities & Towns & Hospital Expenses to Administration Expenses, Sub Item, Auto Allowance, P1. Insp. Mr: Richards brought up the'problem of water pollution at Baker's Island, and after a short .discussion it was tabled for the present. As there was no further busines to be discussed Mr. Richard moved that 7w at 7:00 P. M. motion seconded and unanimously passed. Elinor Oran, Clerk August 3, 1965 Special meeting of the Board was held for the purposes of opening bids for the fence at the incinerator and any or other business which may come before it.. Bids for the fence were opened: The 3 M Company bid , $4,337.00 Reliable Fence Co. 3,992.00 Armour Fence Co. 2 ;893.00 Everett Fence Co. 2:658.00 Acme Fence Co. 3,381.00 Atlantic Fence 5,366.00 At the conclusion of the bidding and after some discussion the Board .decided that none of the bids had met with the specifications set forth and therefore all bids would be refused and the Board would re advertise assoon .as feasable, MOTION, by Mr. Mahoney, seconded by Mr. Richard and unanimously carried: The Agent then informed the Board that the Division of Sanitary Engineering were getting very insistent that outside burning of any type at the dump in the rear of the incinerator be curtailed. MOTION: was then made, seconded and unanimously passed,"Because of the edict of the Division of Sanitary Engineering of the State Department of Health, the Board wishes to go on record as enforcing the "No Outside Burning" as it is outlined in the laws and regulations of the department. Dr. Toomey then informed the Board that Mackey Bros. Wrecking Co. had requested that they be allowed to wreck the building of the Federal Machine Co-. and deposit debris in an area on the flats outside Blaney Street at Salem Harobr. The Board voted not to allow this and the Agent has so notified Mr. Mackey. � Meeting concluded at 5:45 P.M. 7 , By oome lerk, pro tem. August 17, 1965 Board of Health meeting came to order at 5:05 P. M. with all members present. On motion of Mr. Mahoney and seconded by Mr. Richard the order of business was suspended to take up the opening of bids for the fence at the incinerator. The bids were,aS follows: Acme Fence Co. , P. 0. Box 184, Medford, Mass. for a sliding gate type $3342.00 Anchor Post Products, Inc. , 40 Needham Street, Newton Highlands, sliding gate type $3737.00 cantilever type $3399.00 swinging gate type $2437.00 Armor Fence Co., Foundry Street, Wakefield, .Mass., sliding gate type $3677.00 Edward J. Baker Co. , Inc. P.O. Box 628, Framingham, sliding gate type $2870.00 Northeastern Fence Co. , Inc., 72 Broadway, SL gus" sliding gate type $3600.00 Reliable Fence Co. , Washington St., Norwell,Mass., sliding gate 11 $3862.00 3M Chain Link Fence Co. ,442 Paleologos St.Peabody, sliding gate type $4237.00 After careful consideration, the Board decided that they would have a hanging sliding gate type as set forth in the specifications and the bid was awarded to Edward J: Baker, P.O.Box 628 Framingham, Mass. , in the amount of $2870.00, he being the lowest bid, meeting the exact specifications of the bid form. Mr. Mahoney, then moved that the bid of Edward J. Baker Co. , in the amount of $2870. , all in accordance with the specifications be deemed the lowest competent bidder and ' that the company be awarded the contract under the rules as set forth in -the specifi- cations. 99 The Board then returned to the regular order of business. Minutes of previous meeting- were dispensed with, the census at the hospital was read, George Stone having expired and Francis Noonan admitted, leaving the census at 44. Communications: Central Essex Council on Alcoholism, Ipswich, Mass. inquired about specific+ policies regarding alcoholism and its treatments at the Health Dept. Hospital. The Agent is to write the director and inform them that our hospital has no specific policy on Alsoholism as such, and, in the main, treats individuals with terminal disease. Dr. Toomey's letter to Dr. Desjardins was read •and made a matter of record. Letter from Salem Oil and Grease Co. to the City Engineer was read and also his reply. Agent explained the reason for these letters, the department's concern with the pollution of the North River and the fact that we were able to pin down some of this pollution to the Salem Oil and Grease Co. The Agent explained to the Board that he had received a telephone .call from the Salem Oil & Greas saying that the repairs would be about $1000. and they felt that the city might be culpable in allowing the Hever Construction Company to connect with a surface drain. It was the conclusion of the Board that the Salem Oil & Grease should conform to the strict provisions of the law which require that the abatement of the nuisance must precede any legal regress attempted by the company and the Agent was di- rected to so notify the company. Copy of the letter from the Division of Sanitary Engineering to Attorney Edward Brooke was read, in which the State Dept.• of Health requested that he take appropriate action against the city of S lem and its Health Dept. as a result of outside burning at the dump in the rear of the incinerator. The Agent was di- rected to write the department of Public Health telling them that the Board has barred all outside burning in the dump and in Salem for any reason. Letter from the State Department of Health, Division of Hospital Licensing was read, in which it states that the license to operate the hospital is renewed for two years. Dr. Toomey's letter to the Councillor J. Butler relative to dumping by the South Essex Sewerage authority in the rear of Marlborough Road was read as a matter of record. Dr. Toomey then reported that Mrs. Bradley, Public Health Nurse had about completed the nursing activities on Head Start, but had not been able to write up a report for this meeting. This report was approved and made a matter of progress. Mrs. Bradley also had made an investigation of the outbreak of Salmonella at the "Say Hi Restaurant01 and reported to the Agent that 28 people had been examined and stool cultures taken and at the present time all were found to be negative, including the person who was suspected to be the• case in the first instance. Report received and made .a matter of record. Agent reported on the activities of the Environmental Sanitation Section and upon questioning explained the effect of the new sanitary code relative to restaurants and that we now have the power to issue permits and to remove the same for cause. Mr. Koshgarian is now going to every restaurant, explaining the coee and giving them a copy. Mr. Mahoney reported on the Plumbing Code, he having been doing some work to clear it, but in the interim, quite by accident, Dr. Toomey had acquired a copy of a letter in which the State Examiners of Plumbers had put into legislation as of July 27, 1965, a state code for plumbers to be effective in all cities and towns through- out the commonwealth. This, of course, negates the work of the Codes Committee and 100 we must now, in Salem, as explained byt Mahoney to the Board, we must operate on the old code which is neither modern legally effective because of its language. The Agent then reported on the contacts with the City Solicitor relative to the modifications at the incinerator and explained that Mr. Dobrosielski had not been able to get to these yet, but has promised to. This was received as a mcitter of progress, and the Agent was directed to keep in touch with the City Solicitor. HEALTH HOSPITAL,. Agent had explained that he had been working with some plumbers relative to the problem of getting hot water in sufficient temperature and amounts to the bed pan sterilizers. He explained that the water must be 190 degrees, should have about 5 gallons in each flushing. It seems that it now looks like a line must be run from the boiler through the hold and up through the furnace to each of the bed pan sterilizers, plus the addition of a tankless heater on the boiler. Dr. Toomey reported that he had two prospects for Registered Nurse position at the hospital but he had urged both of them ,to come to work right away, but neither were very anxious to start before the first of September. Report of the T.B. Xray clinic. Mr. Winer, Pharmacist and Mrs. Faircloth, Nurse .has been cleared by Civil Service. Sanitation, Collection: The Agent explained that he had talked to Civil Service and that there was a mixup in the Civil Service procedures starting with Mr. Connell, and effecting Mr. Brennan and Mr. Demeule. Part of this hanging on the fact that Mr. Brennan was being transferred from work force to official force and required special handling, and also the fact that Mr. Demeule doesn't transfer out of the work force, and therefore had to be handled in a different manner, but now things are getting straightened out. Sanitation, Disposal: Agent reported that the incinerator was generally operating well, but that he had done some talking with Mr. Tarbox who represents the company at the Pequot complex, relative to perhaps build an incinerator to take czre of all their problems over there, but -oe- x: jo do something fibout disposal of plastic wastes products. The Agent had alsontaMeoctoaIr3. Smith of Ray Leather Waste,, who also talked to Mr. Tarbox and people at Maynard Plastic so that some commercial use might be made of waste The Agent recommended to the Board that no plastics be emanated for disposal at products. the incinerator. He explained that he feared that the plastics were causing excessive temperatures which would damage the incinerator in the first case and also giving off gases which aren't pleasant for the neighborhood. Dr. Toomey also brought up the fact that he was considerably worried about the disposal of leather sludge at the dump feeling that we are in the danger of making another North River out of the brook in the rear. As a result of this conversation Mr. Richard moved that all leather manufacturers and others concerned, be notified that so called leather sludge will not be accepted for disposal at our dump beginning thirty days after the date of the notice to them. Seconded and unanimously passed. NEW BUSINESS: Essex County T. B. Association had requested to do community Xraying in Salem effecting teachers, barbers, nursing home personnel and the naval reserve units. The Board thought that this year they would give this permission and it was so moved by Mr. Richard, seconded by Mr. Mahoney and voted unanimouly: That a communication be sent to the, Essex County Tuberculosis Association informing them- that the Board gave this permission and that a communication be sent to this effect. ohn�. To ey, Clerk M. September 21, 1965 Meeting came to order at 5 :00 P. M. with all members present. Regular order of business was dispensed with to take up the problem of disposal of leather fleshings. The following attended the meeting: Richard B. O'Keefe, Arthur Cecelski, Mary Williams Daniel Hourihan, Bertram Creese, Mr. Lopes and Joseph Cronin. Mr. Hourihan: This is a pretty simple thing. Up until now fleshings have been taken out and the Board of Health has found a- place to put these fleshings. About two years ago there was an upset but Dr. Toomey took care of it. Then we receive this letter giving us 30 days to make other arrangements. It is almost impossible to run a tannery if you do not have somewhere to dump the fleshings. We have four loads a week. We had considerable talk about it and then Dr. Toomey suggested that I get a representative group of Tanners and representative of the Manufacturers Association and representatives of the Union together with the Board to see what they can do for us. Of course you could tear up the letter. Dr. Kaplan: We have. a problem too. Ours is a greater responsibility on Public Health nuisances. The State has stepped in and is strongly against pollution, etc. it isn't that simple. Mr. Mahoney to Dr. Kaplan: You delegate some member of the Board and Dr. Toomey to meet with a committee of this group and someone from the City Council and see if- we can find some place to keep these fleshings. After thirty days try to come to some compromis- ing agreement; find another dump; appropriate more money; probably buy some land and work with them toward realizing this problem. The brook in back is getting like the North River and the State will close us down. The real problem is the chemicals in the fleshings. Richard O'Keefe: I would just as soon keep this out of politics. Election is coming up and it could be a political football. Does the Board have- an alternative site for us to dump the fleshings? Dr. Toomey: If we could get some dry field or gravel so they could drain off for 30 days Mr. Mahoney: We would pick another place and we would immediate receive numbeous complaints.. R. O'Keefe: A treatment period of thirty days. Dr. Toomey: Mr. Mahoney suggests that we do something at the present site--30 days dumping. We wrote the letter so we could sit down and make you aware that we have a problem to find a solution if possible. Mr. Mahoney: It is now in the hands of the Attorney General on open burning. We will have a future problem when the Urban Renewal Plan gets going, there is no- place in-Salem to dump this. Not too much room at the rear of the incinerator. Daniel Hourihan: Apparently there is nothing we can do tonight. We will do anything within our power, such as drying it out, etc. Saugus won't take it, Peabody won't take it Is there any possibility of using •the incinerator? Any way to work this vut. Dr. Toomey: We could get together to try to determine what to do with this material. It won't burn as it is now, it makes a mess at the plant. You people would have to make some contribution. D. Hourihan: If we had more t-ime, we could meet and try to reach a decision. R. O'Keefe: Woult it be in agreement that the Board of Health withdraw its order. Mr. Mahoney: We cannot withdraw the order, but I will make a motion: " That the order of August 24, pertaining to the dumping of fleshings be stayed until the - next meeting of the Board on Tuesday, October 26th, because of the emergency nature of the situation." Dr. Kaplan to appoint a member of the Board to sit down with Dr. Toomey and other representatives of the factories. Richard O'Keefe: As a taxpayer and a rep;re6eatative of 2000 leather workers, who would be effected by whatever decision will be made. W. Mahoney: Industrial.wastes, under our regulations, we are not even supposed to handle this. Mr. Mahoney .will set up the meeting and will notify members two days a head. Dr. Toomey: Maybe we could have some method of previous drying, then we may be able to burn them or heat them chemically if it were possible. We could get an opinion from the 102 State people before final talks. D. Hourihan: I wrote to the University of Cincinnati they are investigating .the problem. M. Williams : There is about twenty-five ton a week from these shops. Regular Meeting r reading of the Motion made, seconded and voted that the minutes of previous meeting be waived. Hospital census and new admission was -accepted as a matter of information. _ Members were given a copy of the waiting list. Communications: Letter from sister of John Daley to Dr. Kaplan was read with the following recommendation: Reply to her letter , enclose application for admission to hospital, and explain present status in comparison of same on his last stay there. His name will be put on the bottom of the list. Operations Head Start : Copies of the program was given to Board Members, and after a short discussion it was decided to write to the Superintendent of Schools and inform him that the Board was very unhappy about the publicity on- the program. We will scrutinize very carefully hereafter any program of School Dept. before we get involved. Health Agent then informed the Board that the Training Center for the Handicapped, housed at the Health Hospital, was now ready and a meeting will be held on the. 23rd at 12:15 to 1:45PM. Dr. Kaplan recommended having a photographer there. Dr. Toomeh then read the financial status on the Chest Xray Clinic in re reimbursement to the city for monies expended. Letter from Civil Service on Classification of Labor Face was recorded as informational material. Letter from Civil Service in re Poster, for Public Health Nurse and Pharmacist examination was read and the following motions were unanimously adopted: Thetthe• Civil Service-Po-ster for the examination of Public Health Nurse be approved. That the Civil Service Poster fro the examination of Pharmacist be approved. Dr. Kaplan inquired about a complaint of sanitation conditions at a barn or shed. on Loring Avenue. License for Henley Nursing Home was discussed, no approval at this time.. Communication from J. Coughlin, Mason Street was discussed, with a recommendation. to reply and tell him that the Board id concerned about his proglem, etc. Letter from Salem Oil and Grease was read and recoim%eedation was made to reply to them thanking them for their cooperation. Inspector's Reports: Health Agent reported that Mr. Koshgarian had 75% of the restaurants inspected. Housing program was going good. A. Dobrosielski, City Solicitor is in the process of printing the Agreement, Bid Forms, etc. Report from the Health Agent on aBed Pan Sterilizers was given, cost to be in the vicinity of $4200. Dr. AOGTiley suggested that Mr. Clancey be paid for the many days of work in . preparing the plans for this installation. Motion unanimously carried: That the sum of $150. be paid to Mr. Clancy for drawing up specifications and plans for the installation of bed pan sterilizers at the hospital. Mr. Mahoney then suggested that these be checked by the Plumbing Inspector for approval before paying out this amount. (mod. to motion) Dr. Toomey reported that the chain link fence at incinerator was nearly completed. He will check.on insurance.of employees with A. Dobrosielski. Mr. Westergaard reported to Dr. Toomey that plans on Modifications to Incinerator would be available about October 1st. The sum of $158,000 will be needed as we have $138,000. . It was decided to table this for another meeting. End of the year money transfers were taken up with the following motions made, seconded and unanimously carried: Transfer from Item 2, Hospital Salaraies to Ieem 1, Adminis- trationSalaries, the sum of $2382.95, . this to cover the extra weeks worked previous to the time the council allowed money for. Transfer of $4000. from Item 4, Other Cities and Towns and Hospitals to Item 4, Collection and Disposal of Refuse, Salaries. 03 NEW BUSINESS : Dr. Kaplan brought up the subject of open burning at the incinerator and questioned as to our future policy on collection of overstuffed chairs, divans, etc. After a lengthy discussion it was decided to tie this in with the leather fleshing problem. TINE TEST: Program in schools for the control of Tuberculosis was discussed with the following motion being unanimously passed: That we approve the Tine Test Program in the fist and eighth grades. FLUE VACCINE PROGRAM: Dr. Toomey explained to the members of the Board the recommendation of the State and Federal experts as to the 8_ever ty',•or�< ,the'>F;lupeantic&gated;for,�thzsvyear. It. wfl 3, >>pherefore agreeable to the Board Members to purchaee Flue Vaccine and set up programs for giving it to key personnel in the employ of the city, such as: Police Department Person- nel, Fire Department Personnel, Nursing Personnel, etc. Dr. Kaplan recommended obtaining the disposable syringes rather than the Tubex, if possible. Also suggested splitting the order if cost was the same. Recommended the second innocula- tion to be given six weeks after the first. Dr. Toomey fiord the Board how he had received a telephone call from a Mr. Hooper in re disposal of material from proposed razed bldg. near the laundry. Board's decision: To stay with our ruling on this. Meeting adjourned at 7 :00 P. M. L. - inor C. Horan, Clerk. , Clk of Board. October 26, 1965 Meeting came to order at 5 :10 P. M. with all members present. Minutes of previous meeting were read and motion was made" and seconded that they be approved as read. Citation for Mr. Kinsella and Mr. Lord was reviewed and Mr. Mahoney said that it was almost complete. Fence at incinerator was next item taken up and Dr. Toomey reported that it was complete and satisfactory. At this time Mr. Mahoney moved to hold off order of regular business in order to open bids for installation of pluming for the bed pan sterilizers at hospital. Motion seconded & so voted. , Clancy Plumbing of 64 Appleton Street submitted a bid of $2425 accompanied by a bank check in the amount of $100.00. Neville & u'Quinn of 39 Essex Street submitted a bid of $3947 accompanied by a certified check in the amount of $100.00 After bids were recorded it was noted by Mr. Mahoney that the check of Clancy Company was not a certified check. It was also mentioned that the Neville & Quinn bid was wholly out of the price range. MOTION: by Mr. Mahoney to reject the bids as they were not in order. Reject one as it did not contain the certified check as stated in the specifications and the second was wholly out of price .range. Motion seconded by Mr. Richard, so voted. It was then recommended that we readvertise for bids and send the invitation to bid to all local plumbers. After advertising bids will be opened an November 9th. ta etter from the Division of Hospital Finances in re the new rate at our hospital was accepted s a matter of record. ommunication from Civil Service in re Arthur Bedard was reviewed and the Health Agent was instructed to check with the hospital at Bedford to get a clearance on him. Dr. Toomey reported that he had gone over the classifications of the labor employees with the representatives from Civil Service. Decisions are subject to review by both the people concerned and the Board. 104 Daniel Baty'.s status was discussed as was Frank'Famico. It was agreeable on Daniel Baty to be listed as part time crane operator. On Mr. Famico the Board'went along with the .Health Agent's recommendation that we pay him through 1965 when his services with our department will be terminated, his own department to pay him for any overtime pay. On private contractors exceeding their quota tonnage at the incinerator, Dr. Toomey was instructed to see that these rules are carried out properly. If they are not followed, the violators will come before the Board of Health. MOTION: Mr. Famico of Supt of Scales and Mr. Guerrette, Working Foreman at the incinerator be notified by an appropriate letter to be sent by Dr. Toomey, that the Board is unhappy about the flagrant violation of the vote of this Board pertaining to the 12 ton per day limitation imposed on all private contractors dumping at the incinerator. Letter to be sent in duplicate with a request that each individual time stamp and initial a copy and return same to the Board for its permanent record. Seconded by Mr. Richard. Dr. Toomey then reported on the Flue Vaccine program stating that 985 employees partici- pated. MODIFICATIONS TO INCINERATOR: Dr. Toomey informed the Board that he had contacted Mr. Westergaard and Mr. Baffa. in re to speeding up plans for modifications to the incin- erator. Conditions at incinerator are getting worse and he was quite concerned about it. Mr. Mahoney questioned Doctor Toomey as to the cause of this, and wanted to know if it was due to poor maintainance. Doctor Toomey s9ated that he was not happy with the main tainance, and had request Mr. Baffa to give the modifications at our. plant priority. Decition: Call Mr. Westergaard and have him met at airport and get his opinion on this. Mr. Mahoney also inquired if the check list was being maintained at the incinerator. Dr. Toomey will also talk to the Westinghouse representative to determine the cause of the deterioration. Mr. Mahoney also recommended keeping an inventory of spare parts plus the daily and weekly check list on maintainange. He suggested that Dr. Toomey get written opinions on the cause of the bearings collapsing. FLESHINGS. Dr. Toomey suggested to the Board a site off Mooney Avenue for the dumping of fleshings. Dr. Toomey will talk to the Mayor and Mr. Connell on this. In the meantime it was recommended to extend the time for another 30 days for dumping fleshings. MOTION: BY Mr. Mahoney: In re the dumping of fleshings refer the stay until a special meeting to be called on December 7 at 5 :00 P. M. Mr. Mahoney asked Dr. Toomey to check on a burning nuisance at Universal Wrecking Co. on Bridge Street -as he had received complaints on same. Mr. Mahoney then inquired as to the part the Board of Health played in the Ward 4 develop- ment. He told the Board that on September 2 he brought a copy of a letter which was written to Mr. DeBiase in April 1964 citing flaws in the preliminary plans submitted. After a short discussion it was decided to write a letter to the planning 'Board informing them that on any future developments this Agency will have a representative of the dept. visit the development. Also send them a letter saying that we would like a copy of the plan which they approf ed and any conditions that were imposed upon it. Inform them that we feel that they overrode the bounds of conventional thinking when they approved the plan because of the conditions imposed in the letter. We would like a copy of everything that pertains to this. Motion to adjounn was made at 7 :45 P. M. Elinor Horan, Clerk - November 17, 1965 Meeting came to order at 5:10 P.M. with all members present. Motion by Mr. Mahoney that the .minutes of previous meeting be waived was seconded by Mr. Richard and so voted. Bids for plumbing on the installation of bed pan sterilizers were then opened: Paul H. Moore, Inc. with a certified check in the amount of $100. bid $3,696. Clancey Plumb -Co. with a certified check in the amount of $100 bid $2425. Neville & Quinn, $3600. accompanied by a certified check for $100. Gallagher-Neary Plumb. Inc. bid for $2158. check for $100 was not certified so therefore was not admissible. After a short discussion on the bids, the following MOTION was made by Mr. Richard: "That the lowett bid cif the qualified bidders, Clancey Plumb. Co. be accepted with the condition Chat he post a bond and submit an insurance certificate:'�7 Seconded by Mr. Mahoney and so voted. Letter from the Mental Health Association of the North Shore, Inc. asking for an opportunity to meet with members of the Board of Health to discuss their request for money through our budget to be designated for the operation of their Child Guidance Center as authorized by Chapter 124 Acts and Resolved of 1958. Amount of request will be the same as it was in 1964 and 1965, $3,790. MOTION: By Mr. Mahoney to request a representative of the Mental Health A sociation to meet with the Board at their next regular meeting and submit a copy of their budget for the coming year. " Seconded by Mr. Richard, so Voted. Next, the Health Agent informed the Board that he had the plans ans specifications for the permanent modifications to the incinerator. Board inquired as to the progress on their request at the previous meeting on the new charts for maintainance of incinerator, this was followed by a motion by Mr. Richard: "That the daily and weekly maintainance report sheets recorded at"the incinerator plant be made available to the Board once a month at the regular meeting." Seconded by Mr. Mahoney and so voted. Mr. Mahoney then inquired as to who was collecting the slips .from the trucks durping at the incinerator. Dr. Toomey will see that someone is assigned to ,this duty. The acquiring of h bulldozer for the open dump at the rear of the incinerator was re- viewed but no action taken at this time. The Health Agent reported on a meeting he had with the Tanners with regard to dumping of fleshings. Mr. Hourihan of Hawthorne Tanning Co. related how Mr. 0 Keefe and himself had pursued a course of,action with the Stauffer Chemical Company of Woburn whereby leather fleshings could be utilized commercially. Mr. Hourihan is carrying on the sending of fleshings to.the outfit and the experiment is proceeding. Mr. Mahoney mentioned checking with LePage's of Gloucester for the same purpose. Dr. Toomey then reported that he had talked. with Mayor Collins about some land belong- ing to Paul Angelico which backs up to our old dump site and he has been trying to get in touch with Mr. Nickerson of the State Department of Health for approval of this spot. He also reported that the tanneries concerned had promised to carefully separate paper, wood and other burnable material from the fleshings and that other non-burnable material such as pumice would also be separated. Dr. Toomey also stated that he would talk to someone from the State Department with a view to eliciting any information whereby future disposal could be made in connection with sewage treatment plants now under consideration by South Essex Sewerage., The Broken Wheel Ranch's revocation of license for keeping horses was tabled as informational material. Report from the Fire Department on inspection of hospital was reviewed and Dr. Toomey informed the Board that he had talked to the Building Inspector about this and it will be taken care of. Mr. Mahoney recommended sending a reply to the Fire Department. Correspondence from the School Department on Immunization and Tine Testing programs was reviewed'arid a MOTION was unanimously passed "That the Agent of the Board be directed to inform the Superintendent of Schools by letter that, traditionally and indeed legally, the Health Department is required to control contagious diseases in all its forms, which *contagious disease exists or may possibly exist and finally to take proper steps 06 to lead towards control or elimination of any situation -in this field of preventive medicine. means the operation of preventive programs and screening programs or other, to determine where, and under what circumstances. Personnel Reports were brought up and the Health Agent reported that he had just received these reports today and was unable to reveiw same. Board recommended that a nctice be sent to the Field Personnel that these reports must be turned in the first to fifth of the month. Emergency repairs at the incinerator were talked over and on the louvers it was suggested that Dr. Toomey get comparable prices on these repairs. MOTION: was then made by Mr. Mahoney: 'Because of the emergency of the rebricking need and the bearings that the sum of $8800 be transferred from the Other Cities & Towns & Hospital Expenses to Sanitation, Disposal-Incinerator. Seconded by Mr. Richard, so voted. Health Agent then announced that the second innoculation of the Flue Vaccine is now scheduled ,for December 16th. Next item on the Agenda was a discussion on the Measles Vaccine Clinic and after a careful review the following MOTION was unanimously passed: "That the Board go along with the Measles .Vaccine Program, with Dr. Desjardins and Dr. Toomey working out details. Dr. Toomey then informed the Board that the administrative office was deluged with work and had been for some time so the Board unanimously passed the following motion: "That we add a Clerk-typist to the Administrative Section of the Department, this to be requested of Mayor Collins and the City Council." Sale of garbage contract was the special item under NEW BUSINESS and the Board was in full agreement that the bid forms be made up the same as in previous years for a period of one, three or five years and the Board will choose whichever one would be best in the interest of the city. Apropo to this the Health Agent mentioned to the Board some suggestions with reference to the method of combined collection of Garbage and Rubbish, which would involve•a matter of transferring some of our collectors to the incinerator plant. He also mentioned the fact that the town of Swampscott was still interested in using the incinerator and this could be handled by working the plant on a twenty-four hour basis.. Dr. Toomey then consulted the Board on a transfer for Mr. Guerrette, Working Foreman at the incinerator as he is very unhappy with his present position. The Mayor had been consulted on this and there seemed to be complications as Mr. Guerrette was being paid as a specialized working Foreman and was making more money than the other Working Foreman in the City. No dicesion at this time. The subject of the sub-division known as Witchcraft was brought up by Mr. Mahoney and it was the concensus of the Board that a meeting be called and invite the following people to this meeting: Planning Board; Fire Chief; Building Inspector; Plumbing Inspector; City Electrician; City Engineer. Date to bee decided, time to be 4:00 P.M. ElinC. ran, lerk ADDENDA: A polling of the Board members showed all are in agreement to change the motion relative to Garbage Contract from 1-3-5 Years to 1-2=3 Years. December 7, 1965 A special meeting of the Board of Health came to order at 4:30 P.M. at the Health Center with all members present. Also present were: City Engineer, Chief, Fire Dept., Supt. of Public Property, Chairman of Planning Board and the Plumbing Inspector. Andgft413g1A&(ltdixcJ1abio& kasbhfildingladidus, tprdmpff0V ►en&@di4 J4a1J@0s}ah@tVpen municipal 01 An' informal discussion was held relative to improvements in liaison between municipal departments relating to building codes, prospective codes to be made up by the Planning Board for later discussions and recommendations, re sub-division planning. All present felt that we were behind other cities by reason of the fact that we do not charge fees, and Mr. Gray was requested to include this in his code suggestions.' Also 'in other cities, signatures are required before streets are opened up and again before closiing same. Discussion was held on permit for North Shore Land, Inc. , which was signed by Mr. Donald Ryan. Ban on burning throughout the city was discussed as also was the open dump fires at the municipal incinerator. Mr. Mahoney suggested that we take what we have discussed here tonight and have a meeting, sit down and work out an emergency problem and take it all the way down through various avenues and departments. Everybody go back, to see if there is any variance.' Then it is all put together and passed, get all the builders together and Mr. Gray will take them through the whole thing. Elinor Horan, Clerk December 21, 1965 Meeting came to order at 5:10 P.M. with all members present. First item on the Agenda was the opening of bids for the purchase of garbage starting January 6, 1966. Mr. Gaetano Cavicchio was the only bidder and his bid was in the amount of $11,600 for three years, bid was accompanied by a certified check in the amount of $100.00. After a short discussion the following MOTION was unanimously passed: "That the bid of Mr. Gaetano Cavicchio of 482 Potter Road, Framingham, Massachusetts be. accepted for the three year period for $11,600." Next was a meeting with representatives from the Mental Health Association with reference to their request for funds for the payment for services rendered by their Child Guidance Outpatient Clinic. Dr. Friedman, Mr. Gregory and Mrs. Kiely gave pertinent information to the Board in re the work donw at the clinic. Mrs. Kiely passed out some informational material with reference to the general procedures and services at the clinic. Doctor Kaplan then turned the chair over to Mr. Mahoney and made the following motion: "That we go along with the request of the Mental Health Association and set up in the budget the sum of $3790, and that this sum be allocated to the Mental Health A sociation for their outpatient clinic. Regular meeting then resumed with a MOTION unanimously passed that the minutes of the previous meeting be accepted as recorded. CORRESPONDENCE: Re leather fleshings were discussed fully with correspondence relative to same being read. Board was in agreement that Dr. Toomey pursue this subject to try to work something out. to & Lettet from Mr. Brainard in re Mason Street sewer were read relative to clogging of sewer by 600 feet of line left in sewer by workers. Dr. Toomey stated that he had talked to Mr.. Connell, Supt. of Streets and• was informed that this condition existed some time before the present clogging. Line was left in sewer by private , contractors. Mr. Mahoney recommended that we send copies of these letters to Mr.; Coughlin on Mason Street so he would know we were following the situation. 10 8 Letter to Mr...Donald Ryan in re to revocation of previous permit to inttall private sewerage system on certain numbers on Rockdale Avenue was talked over and Dr. Toomey was instructed to notify the City Solicitor and the Building Inspector on this. Correspondence from Howard Johnson, Attorney in re permission for dumping building ma erial on land at foot of Blaney Street was reviewed with the decision 'to `table this matter for further consideration pending investigation. Dr. Toomey will talk to Mr. 0 Br._:ien on This. Measles Vaccine program was reviewed and Board was in agreement with Health Agent to obtain this vaccine for indigent children who would be regularly care -�`or at local clinics. New .rate for hospitalized patients at Middlesex was explained to the Board by Dr. Toomey and was tabled as informational material. The Harbor Pollution Survey was the next item on the Agenda. Dr. Toomey will study this report and inform the Board from time to time on progress. Presidential Heights in Peabody was brought to the floor by Mr. Mahoney who stated that he had talked to Mr. Southwick in Peabody on same. Dr. Toomey mentioned that he had talked to Mr. Ken Knowlton of the Salem and Beverly Water Supply Board on this subject in re a source of danger from leakage of sewage from this project. Conditions at the incinerator were talked over with the Board suggesting that Dr. Toomey see that the .mechanic does a thorough job and have Mr. Guerrette countersign the report made out by Mr. Martin7354 certifying that he has taken care of the mechanism at incinerator eau Subject of burning' old -cars was °-discussed and Board was in agreement to allow certain burning at specified hours on this. Heat for a section of the Hospital used by the Homemakers Management Training was dis# ed and Board gave permission to the Health Agent to try to help out in this situation. Also to spkak to Mr. O'Brien about caulking leaks in door at this section. Personnel conditions at incinerator were again discussed but no decision reached. Mr. Mahoney brought up the subject of our new Inspector Mr. Houghton and Board suggested that Dr. Toomey try to arrive at some way to elevate him. Flue Vaccine Program second inoculation scheduled for December 22nd. Heating for incinerator when it is not being used was discussed. Dr. Toomey recommended hiring an engineer for this project, cost of engineer to be in the vicinity of $150. MOTION was then made by the Board and unanimously passed"that the Health Agent be authorized to sign the payroll and bill vouchers for the year 1966. Health Agent informed the Board that Mrs. Dorothy Fouhey, Senior Clerk and Typist was retiring from the Department after twenty years service. A Pharmacist for the Health Hospital was discussed and it was strongly recommended by Dr. Toomey that the present pharmacist at our clinic be allotted $1000 to Ais,Pe�ns.e c-the-ip- t Urugi& is for the hospital. Board was in agreement with this and authorized Dr. Toomey to put the $1000 in the budget. Board then went over the estimates for the year 1966 and approved same, with the excep- tion of adding $6000 for Incinerator Repairs. . Also approved was the $10,000 item for hospital emergency power. Meeting adjourned at 7 :45 P.M. � 5y January 25, 1966 Board og Health meeting came to order at 5 :15 P.M. with all members present. It was moved and seconded that we dispense with the reading of the minutes of previous meeting as they pertain to business taken up at this meeting. COMMUNICATIONS:„Letter from the North Shore Gas Co. was read and recorded as information- al material, on smoke nuisance. `2. Notice from Fire Dept. relative to some improvements at hospital was read an� Dr. Toomey was instructed to follow up on same. 3. Personnel Reports were read and Board commented on the report of Mr. Houghton as very satisfactory. They suggested that Dr. Toomey get in touch with Mayor Collins,-relative to getting a better salary for Mr. Houghton in order to retain him in the department, it was mentioned that possibly: he could be an Administrative Assistant. 4 . OLD ,BUSINESS.I. Health Agent reported on the bids for sub-contracting and bids for general contracting for. Modification, ro the Incinerator. He informed the Board that the plans and specifications for these modifications had been reviewed•by Mr. Stanley of the State Sanitary Division. He then reported on the court case in re the incinerator stating that Mr. Viggo Westergaard, Neil Mitchell, Albert Guerrette, Dr. Toomey and Attorney, Farley had spent a week in court and on Thursday, January 20, the Judge (Master) had called the attorneys to the bench and advised the city to make a settlement with the contractors. Mr. Mahoney suggested that Dr. Toomey write letters to the participants in the court case thanking them for their cooperation. 2. Next item up for discussion was the disposal of tannery wastes. Dr. Toomey explained what had been happening in the department in full detail and informed the members that he intended to meet with State engineers and others on the federal level to try to include an incinerator especially designed to dispose of the leather fleshings, grease, solids, etc. He also stated that the present dum' site should be abandoned as a dump in the not too dis- tant future and suggested that the city might acquire land owned by Paul Angelico, which is adjacent to the old dump on Marlborough Road. 3. MASON STREET SEWER correspondence was read and filed as informational material. 4. Dr. Toomey then reported on the BED PAN STERILIZERS as the hospital on which work was nearly completed. He suggested that the soap %tone sink presently. in the Utility Rooms be re- placed with a stainless steel .laundry try and the Board was in full agreement with this. 5 • CIVIL SERVICE notification on proposed poster for the positions of Senior Sanitarian and Sanitarian was thoroughly discussed wit t e resultant recommendation that Dr. Toomey contact Civil Service. and tell them that the Board is unhappy with the present list of qualifications for these positions and request that the poster be changed back to the original request if possible. '6. Regues€ from Home Management Training Qro for a visit from the Board at their quarters in the Health Department Hospital was received with enthusiasm and members will pay an unofficial Visit there. Dr. Kaplan inquired about the extension of heat to this section and Dr. Toomey stated that the plumber felt that it would be a much bigger job then anticipated, and suggested that an electrical baseboard heater be installed as the best substitution for same. Dr. Toomey will check with Delandes on this. NEW BUSINESS1Mrs. McHugh's request relative to the Tine Testing Program in the schools was received and the following MOTION was unanimously passed: The the Public Health Nurses in the department be authorized to carry on the program of Tine Testing in the schools throughout the city. 2. Organizational Meeting was opened by a MOTION by Mr. Mahoney "That Dr. Kaplan be elected the Chairman of the Board for the year 1966." Seconded by Mr. Richard. MOTION by Mr. Mahoney "That Elinor Horan be elected clerk of the Board for the year 1966." Seconded by Mr. Richard. So voted. Dr. Toomen then requested the Board to consider W. R. Burns as head of the municipal incin- erator. Board was not in agreement with this. 3. Annual DINNER was talked over and Health Agent was instructed to check on this and to endeavor to obtain Dr. Rubenstein to the guest speaker at the dinner. It was also agreeable to the Board to have Mrs. Green, Director of Public Welfare Dept. to be present at the dinner. Subject (probable) Role of our departme t in Medicare. Meeting adjourned at 7 :30 P.M. linor Horan, Clerk February 15, 1966 Meeting was called to order at 5 :10 P. M. with all members present. Motion was unanimously passed that we dispense with the reading of previous meeting due to the large agenda to be discussed. Census at hospital and waiting list was reviewed by Board. COMMUNICATIONS: Health Agent informed the Board that the new rate for 1966 for patients hospitalized with Tuberculosis had been set at $26.58, one half of which will be the amount chargeable to the Board of Health for resident cases. Board of Public Welfare will be billed directly for patients who are on MAA or who have MAA applications pending. The Board of Public will make payments directly to the regional hospital, but the rate will be the same as the private patients and not the 1/2 rate charged to the Board of Health. Salem Hospital biannual examination for approval of licensing is presently being carried out by the Boards representative. Funds from the Alice Endicott estate was discussed and the Health Agent was instructed to obtain the plaque and check on costs to have this plaque inscribed as indicated in the will. The addition -of Doctor John Flynn to the XRay Chest Clinic at the Health C nter was tabled as informational material. Communication from the Divisionof Hospital Costs and Finances stating that the. new rate- for the year of 1966 for patients at the Health Department Hospital was now $13.49, this was recorded as informational material. Dr. Toomey then reported on a preliminary conference held at City Hall, with Mr. Bean head of the Social Security Office explaining some of the phases of Medicare. It was the recommendation of the Board that Dr. Toomey get in touch with Dr. Ruben- stein to get more information on this subject, especially the part that this office would play in this program. Letter from the Department of Public Health, Div. of San. Engineering was read relative to the Salem and Beverly Water Supply Board supplying the City of Gloucester with water during the present emergency, due to extended drought conditions. As a matter of information Dr. Tommey stated that plans were being discussed for another reservoir for the community. Home Management Training's Annual Report was brought up and copies of same will be obtained and forwarded to Board members. Dr. Toomey will again check for baseboard heating facil- ities for this section of the hospital. Correspondence from the Fire Dept. in re Mr. Belleau burning was fully discussed and the following ruling was made: That no permits would be given by this department at any time without the written permission of the Fire Dept., and if permission is given make a photo- static copy of same for our. ,reeords. The Board recommended that we write Chief Brennan about this ruling. Monthly reports of the Office personnel were reviewed and Board members requested photostatic copies of these 'reports be forwarded to them, for perusal and comments. Conditions at the Incinerator were then reviewed and .it was the concense(s of the Board that something be done regarding maintainance of the incinerator before more damage -is done to the plant. MOTION by Mr. Mahoney : T hat Dr. Toomey contact Mr. Dave Stanley, State Engineer on Air Pollution to conduct a thorough study of the maintainance or .lack of maintainance at the incinerator and for- him to give a confidential memorandum to the Board. Seconded by Mr. Richard and so voted. After this is received from Mr. Stanley a special meeting will be called and Mr. Guerrette and Mr. Martineau will be requested to attend to discuss condi- tions at the incinerator as a result of this report. Installation of wooden doors at the Home Management Training Section of the Health Hospital is presently being taken care of by the Public Property Dept. TANNERY WASTES and new sites for dumping were reviewed and the Board agreed to meet with the committee appointed to work on disposal of these wastes, fleshings, etc. from the local tanneries, Health Agent to set up this meeting. Health Agent then reported that installation of the sterilizers for the Health Hospital were nearly completed. Civil Service poster for the positions of Sanitarian and Senior Sanitarian for the dept. were discussed and Dr. Toomey will again contact Civil Service for a reply to our letter on same. The next item up for discussion was the.position of Administrative Assistant for the -.Department. Board was in full agreement that this position be created for Mr. Houghton but Dr. Toomey explained procedures on this type of thing and he will discuss it further and if some agreement can be arrived at Dr. Kaplan and Mr. Mahoney will talk this over with the Mayor. BIDS for Modifications for the Incinerator were then read by Dr. Toomey as listed herewith: MORSE BOULGER $ 407,343.00 KREMER CONSTRUCTION 275,848.00 (omitted the $62,250.00 for sub-bidders) EASTERN REFRACTORIES CO. ,INC. 324,830.00 CONTI AND DONAHUE 316,975.00 Dr. Toomey told members that these bids were opened at the M9or's Office with John Baffa and Viggo W&tergaard Consultants being present. After opening of bids the Consultants and Dr. Toomey met with A. Dobrosielski for checking on the legality of the bids. Dr. Toomey then reported that he had talked with John Baffa by Phone today and that he was sending a letter recommending that the award be given to Eastern Refractories of Belmont. Mr. Mahoney said he did not want to make a decision until this letter arrived from Mr. Baffa. When letter is received copies will be brought around to Board Members and a special meeting will be called-, tentatively for Thursday, at 4:30 P.M. Position of new clerk for front office was talked over and no action taken at this time. Motion was then made by Mr. Mahoney to recess meeting until Thursday, February 17th at 2:00 P.M. at the Mayor's office. February 17th: Meeting came to order at 2:40 P. M. with all members present. After discussion on bids the following motions were made. Mr. Mahoney: I move that the recommendation of Mr. John J. Baffa, Consulting Engineer as stated in the letter to Mayor Collins dated February 7, 1966 relating to the award to sub bidders and the approved bidders be noted and the bids be awarded to the recommended parties, ie: Electrical Philip Rittenberg, Inc'. $12,470.00 Painting Joseph G. Gazzola, Inc. 2,110.00 Plumbing Joseph E. Graves 25,480.00 Roofing, Conti and Donahue, Inc. 3,900.00 Steel Work North Shore Steel Co. ,Inc. 18,290.00 $62,250.00 Motion seconded by Mr. Richard and so voted. MOTION then was made by Mr. Mahoney: In accordance with the terms of the letter to Mayor 112 Collins dated February 16, 1966 from John J. Baffa, Consulting Engineer the contract for 'Modifications to the Municipal Refuse Incinerator be awarded to Eastern Refractories, Co. ,Inc. of Belmont, Massachusetts. Seconded by Mr. Richard and so voted. Meeting adjourned at 2:45 P.M. March 7, 1966 Special meeting of the Board of Health was held at the Mayor's office with the following people present: Mayor Collins; Board Members, Kaplan, Mahoney and Richard; A. Dobrosielski, John J. Toomey, Messrs David Feinzig and Ernie Wilkins representing Eastern Refractories, Co. , Inc. and Mr. Joseph Howe, Report, for News. Dr. Kaplan opened the meeting at 11 :40 A. M. and Motion was unanimously passed.to dispense with the minutes of previous meeting. First order of business was the execution of the contract for Modifications to the Existing Municipal Refuse Incinerator. Communication from Kremer Company was received and read. MOTION was then made by Mr. Mahoney as follows: We considered a special delivery letter sent to Mayor Collins and copies to Mr. Viggo Westergaard; John Baffa; I. Kaplan, M. D. , John Toomey, Kenneth Beesting and myself by Kremer. Construction Co., Inc. dated March 4th, 1966, discussing the bids submitted by them. On the basis of telephone consultation with John Baffa, our Constuling Engineer, the Board discussed the matter, rechecked the figures and resolved that the bid as submitted by Kremer was improperly set out for one and for another. improperly submitted. It was the Board's consideration that it was not in proper form and that the .special delivery letter and its contents had no merit, and that this letter be made a part of the record. Motion seconded by Mr. Richard and unanimously passed. Letter from Kremer Construction Co. , Inc. of 1117 Jericho Turnpike, Commack, L.I. ,NY. 11725 Francis X. Collins, Esq.. Mayor. of Salem, City Hall, Salem, Mass. Dear Sir : In response to Mr. Viggo Westergaard's verbal query made on. the bid opening February 10, 1966, please be advised that the bid submitted by this company was inclusive of the $62,250.00 due subcontractors under paragraph D Item 2 of the bid. Our total price is $275,848.00 as per paragraph C of the bid. The figure of $275,848.00 is inclusive of Items 1 and 2 as set forth in the bid form. It is our intention to institute action as the lowest qualified bidder in the event the contract is not awarded to usk. Very truly yours, KREMER CONSTRUCTION CO. ,INC. Paul R. Kremer, President PRK:mk cc to: Viggo Westergaard John J. Baffa I. Kaplan, M D. , Chairman William L. Mahoney, Jr. , Esq. John J. Toomey,D.S.C. ,$ealth Agent Kenneth Beesting It was further brought out in' a statement. by Mayor Collins and verified by Dr. Toomey that Mr. Kremer's protest had been taken up with Mr. John Baffa, Consulting Engineer and that Mr. Baffa stated to both the Mayor and Dr. Toomey that he was still with his original recommendation- of Eastern Refractories. He cited two instances, first that .the bid was in error and secondly that he had some doubt that $275,000 was enough money to 113 do the work in the proper fashion. It was then MOVED by 4Ir/ 4Ia4pmey "That the Board execute a contract to the Eastern- Refrac- tories Co. , Inc. in accordance with the terms, price, conditions, plans and specifications in the total contract price of $324,830." Seconded by Mr. Richard. No discussion on bid, and it was so voted. Board Members then signed the contract and same was approved by Mayor Collins signature. Contract being executed motion was unanimously passed that the meeting be adjourned at 12:15 P.M. 7 ti March 16, 1966 Annual dinner of the Board of Health was held at the Health Department Hospital on Wednesday, March 16 at 12:30 P. M. Present were: Mayor Collins, Dr. Kaplan and Joseph Richard of the Health Board,Dr. Toomey, Daniel O'Brien, Supt. of Public Property, Katharine Ward, R. N. Supt. of Hospital, Marie Faircloth, R. N. , Ivy Shivery, R. N. George Buis, Rirector of Salem Hospital, Doctor Daniel Rubenstein, Director of the Bureau of Hospital Facilities of the State Department of Public Health, who was the guest speaker, Catherine Green, Director of the Dept. of Public Welfare, Salem, and Elinor Horan, Clerk of the Board. The expansion of Salem's Health Hospital was the topic for discussion. Dr. Rubenstein thought that it could ultimately provide 100 additional beds for the chronically ill of the city at a cost of $1,000,000. He disclosed that Salem authorities would be given the fullest support of his office in the project, federal assistance being available to Salem for the expansion program. This would amount to 40% of the construction costs and equipping the building. It was suggested that the new structure should provide for 50 beds expandable to 100. The third phase of the program would be the activation of the second 50 bed facility in the new structure, and either retaining the existing structure or tearing it down depending on the requirements for beds for the chronically ill that might exist at that particular time. Need for additional beds was pointed up when Mrs. Katharine Green, Director of the Department of Public Welfare stated that a survey made recently showed that there were no beds available in rest or convalescent homes anywhere within a radius of 20 miles of Salem. Dr. Kaplan told the group that there was a continual long waiting list for admission to the hospital, with very little turnover of patients. Mr. Buis stated that the hospitals must work closer together, adding that the situation could well evolve into a set pattern wherein a patient could visit his or her physician and be admitted to a general hospital and then be moved to a nursing or convalescent home and finally be admitted to the chronic hospital if, the patient is seriously ill. Dr. Rubenstein then complimented the Board of Health and the staff at the Health Hospital on the excellent job being done there. After the group enjoyed an excellent dinner the meeting adjourned at 2:10 P.M. Elinor Horan, Merk March 15, 1966 Board of Health meeting came to order at 5:15 P.M. with Dr. Kaplanuand Mr. Richard present. Mr. Mahoney is on vacation. MOTION made by Mr. Richard to dispense with 114 the reading of the minutes of previous meeting, seconded by Dr. Kaplan. COMMUNICATIONS: Dept. of Public Health, Div. of Food and Drug form for the nomination of an Inspector of Slaughtering was brought before the Board and Mr. Richard moved that John J. Toomey be nominated as Inspector of Slaughtering for the City of Salem, Seconded by Dr. Kaplan. Communication from Very Reverend Edward C. Campbell, O.S.B. , Prior of the Glastonbury Monastery of Hingham,�4ass. requesting that the Board go on record as approving an amend- ment to the Sanitary Code, After a short discussion the following the following MOTION was unanimously passed. That the Board go on record favoring the requirement of having life savers on duty at all times at public and semi public swimming pools. The Health Agent was then directed to forward this information to the Commissioner of Public Health. Correspondence from Mr. John Bellizia, Act. Director of the Division of Sanitary Engineer- ing of the State Dept. of Public Health to the South Essex Sewerage people and copies for- warded to the local Boards of Health of Salem, Peabody, Beverly and Danvers re sewage treatment plant needs, this correspondence was made a matter of record. Letter from Leon Sternfeld, M. D. , Project Director of local Health Services re pre- school health supervision was reviewed and Dr. Toomey recommended that this program be revised. Dr. Kaplan then brought about the subject of having a Measles Vaccine Clinic and request that Dr. Toomey write Dr. Fuimara for information on this as to the availability of the vaccine and in the event that it is in short supply for clinics, check on purchase price for same. Report from H. Houghton on Harbor Survey at U.S. Coast Guard station was discussed and placed on file. Report made by our dept. to the Planning Services group at Cambridge Mass was reviewed and placed on file. Letter from Chief Brennan of the Fire Dept. expressing his appreciation of his being invited to attend a meeting on Housing at the Health Center and requested Dr. T.00mep to be present at the next meeting of the Dodes Committee to explain our Housing program. Reports on the restaurants was talked over and it was 'noted that 77% are not complyiAg with the regulatio Doctbr Toomey stated that as it is now a law that these establishments have a permit to operate, that we should send out a letter to all those- who are not conforming that we will give them another thirty days to conform after which time they will be closed down with a chance to appeal to the Board of Health in writing within seven days from the date of the notice. Communication from Dr. Rubenstein relative to the reporting of Viral Hepatitis by hospitals was reviewed and Dr. Kaplan recommended that Dr. Toomey send a copy of the letter to the hospital accompanied by a note that the Board feels that the hospital may have been alit-tle lax in reporting the Viral Hepatitis and this letter should serve as a reminder. The quarterly inspection from from the Fire Dept. for our hospital was reviewed and the Health Agent toldthe Board that he had sent a copy to the Building Inspector. He also stated that problem such as this would be settled quicker if we did not have to contact the Public Property Dept. but-had jurisdiction over repairs, etc. at hospital-` urseives.' ' Copy of latter to Mr. Richard Power, Sanitary Engineer of the Dept. of public Health from Councillor O'Keefe was filed as informational material. Litter was in reference to stream pollution from incinerator operation. Dr. Toomey will meet with Mr. Power this week and check on this matter. OLD BUSINESS Dr. Toomey recommended to the Board a special project for improvement at the Health Hospital, ie: an electric call system and hanging bed curtains. CIVIL SERVICE POSTER for Sanitarian and Senior Sanitarian for the department were reviewed and "the Health Agent stated that while he was not quite satisfied with the entrance require- ments section he was advised.by Civil Service that they could not set any criteria for re- quiring educational background so Dr. Toomey recommended that the Board approve these posters - and'also recommended having.an examination State Wide for a better range of applicants. MOTION was than unanimously carried: That the Board approve the poster received from the Div. of Civil Service for the position of Senior Sanitarian in our department. MOTION That the Board approve the poster received from the Div. of Civil Service for the position of Sanitarian in the dept. Motion seconded and carried. MOTION That the Agent be directed t.o write to the Director of Civil Service that the Board wishes that both of these examinations be opened to all citizens of the Commonwealth. Sec. and carried. P , Position of Senior Clerk-Typist in the Department was then discussed and the following motion made: That Mrs. Theresa I. Carr be appointed as a Senior Clerk and Typist provisional')appointment, pending the approval of Civil Service, Seconded and carried. The position of Administrative Assistant to the Health Agent was tabled for the present. NEW BUSINESS: A short discussion was held.on the subject of Medicare, no action taken. Head Start Program was reviewed and .Dr. Toomey informed the Board that a preliminary meeting was held in the School Superintendent's- office on this program and he will keep the Board informed of any action taken. SPRING ROUNDUP PROGRAM was talked over and the Board agreed with the Health Agent to revise this program as recommended in Dr. Sternfeld's letter. Dr. Ryan of the Dental Section then joined the meeting and opened a discussion on pre Ventive dentistry. He stated that he would like to revive the "Crest Program." He stated that this section was 44th in the country in the caries present. He aims to -place a tooth bursh in every child's hand. After a short talk Mr. Richard MOVED that the program be instituted with the approval of the Board. , Seconded and carried. Dr. Toomey then brought up about A. Guerrette's report on Hyman Talkowsky worker at the incinerator. Both Mr. Guerrette and Dr. Toomey were concerned of the various methods used by Mr. Talkowsky in carrying out his duties, and it was Dr. Toomey's recommendation that he be transferred back to the Street Department. The Board requested Dr. Toomey to check with the Supt. of Streets for his transfer back to his department. MOTION was then made to adjourn meeting, time :60 P.M. J ) April 26, 1966 Regular meeting of the Board of Health came to order at 5:15 P.M. with all members present. Minutes of previous meeting were read and motion made and, seconded that they be approved as read. Mr. Mahoney then moved that we go off the record in order to hear a complaint of Mr. Spindle of Swampscott Road whose residence is directly across from the municipal incinera- tor. Mr. Spindle then proceeded to give facts to the board in reference to black smoke emanating from the incinerator. He also showed pictures of outside burning at the rear of our incinerator. Fires burning continually there and our open truck was one of the worst offenders -for dumping burnable material at the outside cutup. He also informed the Board that .Universal Wrecking Co. and .a Mr. Hutchinson were both doing considerable .outside burning in the vicinity. He told the board that the employees at ,the incinerator are constantly putting in double charge; in each of the burners. They are mixing loads .improperly causing very,poor..burning. During noon hour, trucks dump as-they please when regular man is at lunch. Truck Registration #B 19133 Common Plate Carrier 32694 deposited plastic and large wooden crates at noon. Mr. Mahoney requested the clerk to contact the Department of Public Utilities, Commercial Motor Vehicle Division to check on owner of this license. Board then instructed Health Agent to call a special meeting and have key members of incinera— tor personnel present, namely: Mr. Guerrette, Mr. Martineau, Mr. Timothy Flynn and Mr. Spindle will also be present. Mr. Mahoney suggested purchasing a new lock and lock place up at lunch time or whenever there isn't anyone on duty there. COMMUNICATIONS: Letter from Mr. John Baffa, dated March 21 on Modifications to incinerator was discussed and Mr. Mahoney made the following motion: "On Alternate #1, otherwise known as the Detrick Gas Scrubber, I move that we :adopt this under the conditions set forth in the letter of our engineer Mr. John Baffa, dated March 21st, 1966; to wit: A. Shop drawings showing the details of the installation.be subject to the approval` of the engineers. B`.` If within a period of six months after starting operation, the installation is not satisfactory, then the contractor will install the refractory baffle arrangement as required by the General Bid at no further cost to the city, than is provided in -the general bid. Personnel reports were then discussed. Board suggested to Health Agent to check with Mr.Burns on the number of houses in the city that he has checked out as they had received complaints that he was not -doing his job-. Board would like a progress report from him every •month. .� 1 Letter from,Mr.. Ballou was read in re to an -addition to the .Health .Hospital, -letter placed on ,file. Letter from Planning Board was read and discussed with the recommendation that when the incinerator problem is straightened the Board will sit down at a meeting with the Planning Board ,to discuss future .plans. _ Letter of April 5 to Mr. David Feinzig from J. Baffa in reference to the concrete base at the incinerator, Dr. Toomey explained about the addition of cement which was not anticipated and will probably cost bout $600. Also a letter on the reinforcing rods and steel work will cost about $275 and #345 in addition to the- original figure. MOTION: By Mr. Mahoney, secorided•by Mr. .Ricahrd" h move that we- approve the recommenda- tion of Mr. John Baffa, Consulting Engineer in regard to -the additional installation of a 4 foot of reinforced .bars •12" on center -and a mat of -5/8" diameter reinforcing rod 12" on.� en a _subjec, to acq rjngc,therappropr at on:3 9r same."ts f oc_ -. o MEASLES VACCINE CLINIC: After a short talk on this -Dr. Toomey was instructed to contact the State Dept. of Public Health to see if vacci ne is -available so the dept. could plan a clinic. NEW'BUSINESS: BUDGET: Dr.- Toomey informed the Board that the City Council had cut down the requested .appropriation for- the Dental Hygienist for the department, and he felt twat we needed the hygienist full time for increased programs. MOTION: Mr. Mahoney: I move -that .we -request -the Mayor and City'Council to-appropriate $1980 for the employment of the Dental .Hygienist full time. Motion seconded by Mr. Richard and so vated. _ Addition to the Health Hospital was the next item on Agenda and The Health Agent was -. instructed to confer with the Mayor and Dr. Rubenstein to get approval of both for funds and for information as to procedure. Administrative Assistant to the Health Agent was tabled for the present. ' Letter from the South Essex Sewerage Board re grit and grease dumpings was read and the following motion unanimously passed: I move that we write them a letter saying that the Board will have to say no to this request and they will have to find another way of disposing of same. Checks being held at the office -for deposit for plans and specifications for modifi- cations to the incinerator was reviewed and the following motion unanimously passed. "That the checks of the various contractors and sub contractors deposited with us in accordance with the specifications be turned over .to the City Treasurer because of the failure of the various contractors to comply with the specs by not returning same. Dr. Toomey brought up the subject of excavations throughout the city .which are a danger to children and others in the area. Board instructed him to draw up a regulation and if approved by the Board could be added to the regular Board .of Health regulations. A raise for the Health Agent was talked over and the Board Members agreed to go to the Mayor and try to place Dr. Toomey in the same groupa as the Fire Chief and Police Chief as was the case preceding the Barrington survey. Meeting adjour d at 8:00 P.M. May 3;- 1966 Special meeting of the Board of Health came to order at 4:30 P. M. with all members present. Also present were M. A. Guerrette, Mr. Martineau-, employees at the incinerator and Mr. Salvatore Spinale, who resides directly across from the incinerator. Dr. Kaplan opened the meeting by informing the boys that the Board had received numerous complaints about the incinerator operations. Mr. Spinale was here to state some specific complaints. Mr. Spinale: My complaint is with the Board of Health. I have been checking around and have taken a poll down there-and 100% said that I was wasting my time. Here are some pictures taken on Saturday and Sunday. A fire was lit on Sunday P. M. and it was getting progressively worse.. I took more pictures this P. M. of a pile of rubbish, tires, etc. which gave off very bad odors. I will have these pictures for You at a later date, Dr. Kaplan inquired as to where all the tires came from. Dr. Toomey stated that there is presently no market for these tires and they are deposited by various establishments, including Ted's, Salem Tire and various gasoline stations. 117 Mr. Spinale: There is always rubbish near the tires and this rubbish is dumped there by your own trucks. There has been smouldering there since 1964. Doctor Toomey thinks he can cover it with cans and put it out, but it should have a foot of gravel on it in ofder to stop. it. It should be completely put out and then start from scratch-. Also the pit isn't being run correctly. They put a charge in and the doors are closed. At noontime they open the door and there falls a tremendous amount of sparks. At noon there is always double charging, and it is a wonder that you don't have a fire in there. Mr. Guerrette:. We had just dumped the fires then we proceed to double charge once and once only. Mr.. Spinale: When the flames are hitting the crane they shouldn't take a charge. There was a ten foot piece of cardboard, they kept hitting the top of this cardboard, hi`t it with the crane and the fire was flaming. It is a dangerous procedure, he, was pushing it down and the guy closed the gates, there were bits of burning all over the crane. When the worker gets through poking he goes in and grabs another load and throws it -,.in again. There were sparks all oover the charging floor, quite a mess there. A camera could be used and you would amazed at the fire in that room. There are times when the whole room is lighted up. I don't believe the chimney will correct this. Mr. Guerrette: We hope that it will improve the draft conditions. We .will not .get the flare-back that we have had to live. with. Mr. Spinale: You had a fire there at 3:30 on Wednesday, the trucks- were going back to the garage for the night and you had them dung the debris on the regular fire. The _whole mess was burning. Friday you dumped again three truck&.oads. ' They started throwing tires on Friday P. M. and the mess accumulated since that time. There was considerable burning, the tires and upholstered furniture caught fire and this firt will last two days. It gives off a black, sulphuric acid smoke, , and this effects ine personally. I would like something done ab.out this as soon as possible. I don't want another summer like previous years. You mentioned about plastics, Truck #32694 dumped as whole load of plastics' and lumber there, that truck should bein the next batch of pictures that I took. Dr. Kaplan: Do we allow them to dump plastic in the incinerator? Does anyone watch what these trucks bring into the incinerator? Mr: Guerrette: At time there are casings on lights, defective ones, probably from Signal. The Board ordered Doctor Toomey to stop taking loads of plastic from Webster Industries. We do still get some from the householder, ets. Then there are some small pieces of plastic from North Shore. Disposal, they mix plastic with the regular to"bish. ri Doctor Kaplan: Does anyone look at the trucks? Mr. Mahoney: There -are definitely discrepancies going on there. For the last three monghs it has been let go from all sides and from all I hear and what I -see, this thing is broken down so that anybody can dump there. When the men go to lunch, these people dump whenever and wherever they want. I checked wirh Mr. Famico of the City Scales and he can't always check close on these trucks. North Shore Disposal is a violator, deposit- ing heavy iron, engines, etc. in the pit of the incinerator. He has three trucks parked by Sports Haven near Sylvania and statements have been made that they outwit the Board of Health and incinerator personnel. MNr. Guerrette: One day when Dr. Toomey was on vacation, there was 40% of wound wire dumped into the pit, which fouled up our whole furnace.toIhIV@ediately got on the phone and called Mr. Desjardins, he wasn't there and I requested him to call ine back. I talked to him later and he said he knew where this material came from and it wouldn't happen again, but it continues to happen. Doctor Toomey spoke to him about this also. Mr. Mahoney suggested that Mr. Guerrette send back loads of lumber that were not cut to proper lengths. Any truck that does not comply with .the regulations you .get a couple of witnesses and order the truck out of there and we will back you up 100%. If anyone gives you trouble get a hold of us. I don't care who you get a .call from, before we are thiough someone is going to have their job in jeopardy. If you are in doubt of any rules call the office and get it straightened out. Tell the offenders that you are under orders of the Board of Health to stop anyone who violates regulations. If you have loopholes as far as slips (weight slips) are concerned, if they are not dated the same day within one hour, have them go back to the city scales and get re-weighed. Try this for one week and we may get someplace. .iIL Timothy Flynn is supposed to cover- the dump, he 'is 'supposed'to tell these people where t10 dump, someone should take his place when he cannot be there. Dr. Kaplan: Nobody was there today and many times there is nobody there.' I sat and' watched one day and there was burning on the right hand side. Do you have any sugges- tions,' Mr. Guerrette on imporving these conditions. Mr. Guerrette: I would like a new crew up there. The present crew will not obey orders, will not keep the place clean, they break the brooms in half. Health. Agent was then instructed to write a letter to Al Buerrette, this letter to be signed by all employees, and .to be kept in the office file, for future reference.. Mr. Guerrette is to assign some responcibility to the members of the crew and see that it is carried through or we will be seeing them in court. Doctor Toomey was instructed to check with Mr. Brennan to see that our own trucks were obeying orders. Send letter to Mr. Brennan stating these orders. Have another progress meeting in one month. Mr. Martineau was then questioned in remaintainance of plant. Mr. Mahoney: We understand that the place is not being properly maintained, we wouldn't have so many breakdowns if we had better maintainance. Mr. Martineau: It is impossible to do this, I just can't do it. I brought it to the attention of Mr. Guerrette many, many times. Mr. Mahoney: We have received engineering reports that there is a lack of maintainance bearings need greasing, etc. We understand that you spend the greater part of the day smoking cigarettes and drinking coffee, waiting for something to happen. We need preven- tive maintainance. Mr. Martineau: Everything is being done that I can do, half the time I am doing laborer's workdperating a crane, I have too much to do, everything that comes up I take care of., but the employees tinker with the work that. I do. Mr.. Mahoney: What about the bearing on the ID fan. , wasn't that failure due to lack of maintainance? Mr. Guerrette. That was created by the freeze-up. The present bearing now has water seeping into it, where the oil is, we will draw off the present contents and refill it ' properly. I would like to report at this time that from November 1965 to April 1966 I have operated the plant 108 days short of personnel, short of 1, 2 and 3 men, 7.2.9 percent of the time Dr. Kaplan: There is too much business going on there, private business. These people will have to stop junking on the company time, if they want to junk, let them do it on their own time, after hours. Mr. Mahoney: There are three things wrong up there, discipline, cleanliness and maintainancE Mr. Guerrette is the boss, and if he does not get cooperation the men concerned will be transferred to another section .of the department. Mr. Guerrette:' The water level on the trough is not being checked, the men are supposed to keep this at a certain level and it is not being done Meeting adjourned at 7:00 P.M. �r Elinor Horan, Clerk May 19, 1966 Special meeting of the Board of Health came to order at 5:05 P. M. for the- purposes of taking up, a request from the South Essex Sewerage District Commission to dump greas and grit at the rear of Barcelona Avenue, on the Grasso property. Meeting is in the nature of an appeal from a letter sent them by the department, requesting them to stop dumping. This meeting •is an appeal from that ruling. Present 'were: Board Members, Dr. Toomey, Mr. Brainard of the South Essex Sewerage District, Mr. Neil Mitchell, member of the S. E. S. Board and Mr. Joseph Howe, reported for the Salem News. Dr. Toomey stated that the Board was concerned about the dumping from the public health point of view and public safety point of view. In 1963 a petition was filed .with the Board of Health by the neighbors requesting that we bar this practice further. We had a A meeting and extended the ban that we had put on, for a period of time, then we laid down some ground rules for any dumping that was to be done. Mr. Mahoney inquired what would happen if the South Essex people were filled *itil this grease and grit.' Mr. arainard: If our grease pits become inoperable, we would have to open the relief gates and discharge into the ocean. Mr. Mahoney: Has any progress been made in acoordance with the last conversation re an incinerator. Consulting Mr. Mitchell: Metcalf and Eddy Engineers have started to work to advise S. E. on expansion of-the sewer system operated by the district within Salem, Peabody, Danvers and Beverly, and to come up with recommendhtions relative to more efficient disposal of the grease and grit taken from lines at the Peabody de-greasing plant. However, Mr. Mitchell stated that it might take 3 to five years for this. Mr. Brainard stated that they had scheduled a_ meeting with Metcalf and Eddy for June 9. The are comin in with a r' t r , t,. ', y g proposal 'for an estimated cdst' and the engineering report would undoubtedly contain a solution, quite possibly erection of a special incinerator. He stated that they were exercisilg the controls that were recommended by the Board of Health. He stated as to another spot for dumping the same problem exists as did three years ago, he has investigated every place-on Swampscott and Marlborough Roads, but no other place is available. Mr. Mahoney: How much dumping can you do up there? Mr. Brainard, Probably could go along one to three years, possibly in that same area. We have been going in the back road. Mr. Mahoney: We must consider that we have a problem, this is one of the most pressing of. the great number of problems we are faced with, we must consider the number of people who *11 4enefit. If you discharged it into the ocean we would have the polluted harbor watehink as an emergency measure the Board permit them to dump in the present location under strictly controlled regulations to be imposed by the Agent to protect the harbor water from more pollution. This should be reviewed again at the September meeting. Seconded by Mr. Richard. Mr. Brainard in reply to q question of Mr. Mahoney said this would be a three day operatio three successive days. Discussion of gr. Mahoney's motion allowed that the Board was taking the lesser of two evils, but did request a letter be sent to the dPVxx:tmHx$ conf;irming the instructions consulting firm of the Board, and that' the letter include the fact that it had directed the consultants to expedite the solution_ to the grease-and grit problem first. The Board would'like to have a copy of this letter. Proposed Board of Health regulation #6 Section 6.10 of Mimimum standards of Fitness for Human Habitation was discussed and MOTION was unanimously passed That the Board adopt the following regulation to be inserted in our M. S. for F for H Habitation section: "Sites of demolished or removed buildings, or structures must be leveled to a uniform grade by a sanitary fill, which will prevent accidents, rodent har- borage, or other unsafe or unsanitary conditions." Measles clinic was discussed and the Board agreed to start this program in the parochial schools', to be further discussed at- the My 17th .meeting. Divil Service Labor Force list forwarded �to the Board from the-`Con6o' nwealth was reviewed and the Board requested a picture be taken of said list and will take action at next meeting. Meeting adjourned at 6:30 P.M. 2 May 17, 1966 . The regular meeting of the Board of Health came to order at 5:15 P. M. with Doctor Kaplan and Mr. Richard present. Mr. Mahoney called in that he was ill. MOTION: by Mr. Richard that we dispense with the reading of minutes of previous meeting. Seconded by Dr. Kaplan. COMMUNICATIONS; Lett4-r from the State Department of Public Health, Division of Tuberculosis Control ,:.­,stating that they now approve the Tine Test and that same will be available to local physicians, these to, be distributed by the_ Health Department. Dr. Kaplan recommended notifying the physicians of this new service and clerk was instructed to order same to have on hand when seeded by the doctors. Letter to Councillor O'Keefe from Richard Power, Sanitary Engineer of the S. D. P. H. with reference to treatment of liquid-wastes-from municipal incinerator was read and tabled as information material. Letters from John Baffa was also filed as information material. Letter from Civil Service Division on the Senior Clerk and Typist examination was discussed and the Board went on record as approvOing the flyer for this position. Civil Service lift in re titles of Labor Force in the department was talked over and the following MOTION made: Dr. Kaplan moved that the Board approve the list of titles as suggested by the Civil Service Commission, subject to the approval of Mr. Mahoney. Correspondence from Civil Service with regard to former employee E. Kobierski, whose services had to be terminated as recommended by Civil Service, Board was in agreement with Health Agent to send the history of his employment to try to get him reinstated. Bill from Mr. Lazarakusl Registered Therapist with regard to treatment of patients. at the health hospital was reviewed and the Board made the following motion which passed unanimously: The Board of Health hereby adopts the ruling that any _special services rendered by special personnel at the Health Department Hospital will require authorization from the physician in charge as to the Diagnosis; Type of Treat- ment; frequency of treatments and the duration of same. Health Agent will make up special forms for use by physician in charge of patient. Dr. Toomey then reported on the progress of modifications to the incinerator stating that everything is going along according to schedule. Measles Clinic: Nursing Section. reported that they had received 784 consent slips back from parents, this figure plus the additional pre-schoolers will probably come to 9 or 950. It was decided to hold the clinic on Saturday May 21 from 9:00 A. M. to 11:30 A. M. Nursing Section and Clerical Section to-take part. Dr. Desjardins to start at 9:00 A. M. and Dr. Freedberg to take over at 10 A.M. Dr. Freedberg to be paid $100. for this service. Progress on installation of city scales at the incinerator was discussed and the following motion unanimously passed That a letter be forwarded to the Mayor . stating that in the event that new scales are purchased the Board of Health would be very interested in having the old scale transferred to the incinerator. Car allowance for field personnel, Board agreed to distribute this $50 to the eligible field personnel. p ;; �. -rU "07 D 0 _OC Request for Junior Clerk was talked over and the following motion unanimously passed: The Board empowers the Agent to request the Mayor and City Council for a new Junior Clerk-iypist for the'department as this is vitally necessary to carry on the functions of the department. New rules for Mr. Guerrette Foreman at the incinerator were reviewed and the Board was in agreement with the Health Agent that these covered all the discrepancies that existed there. Dr. Toomey was instructed to go over all these rules to see if they were completely understood by Mr. Guerrette. They stated that theses�:d Iles as listed on the various pages must be assigned by Mr. Guerrette and he is to see that these are carried out. If he has any specific complaints he should list them out and present them at the next meeting of the Board. He shall submit a progress report at the next meeting. The subject of reportable disease car=ds was next on the Agenda with the recommendation by Dr. Kaplan that a letter be written to Mr. Buis at Salem Hospital requesting that these cards be completed by the physician or his representative, in order for this de- partment to carry out the necessary work in conjunction with this problem. . List out information needed in the letter. Dr. Kaplan also recommended that when these cards come in incomplete they be feturaed• to the physicin for further information. Form for the appointment of John J. Toomey as Slaughtering Inspector was signed by the Board Members. Processing of forms for Medicar was reviewed and Dr. Toomey was instructed to contact Doctor Rubenstein's office to get more information on this. Letter of resignationAas Clerk of the Board was read by Dr. Toomey and after a short from Mrs. Horan ' talk, it was tabled for the present. linor Horan, Clerk Monthly Meeting - June 21, 1966 , The regular meeting of the Board of Health came to order at 5:30 p.m. All members present. MOTION: Mr. Richard moved to dispense with reading of the minutes of last meeting. Mr. Mahoney moved dispensing with the regular order of business to allow Mr. Serafini, representing the North Shore Associated Grocers, to outline changes in the proposed plot plan of a development on their property on Lafayette.Street in Salem and Marblehead. Mr. Serafini explained that the plans had been changed so that the sewer line objected to by Dr. Toomey would not be re-routed and wholly in Marblehead. He also presented evidence that the pumping station was more than adequate to take care of sewage from the ten houses in question. The Agent is directed to inform Mr. Serafini and his associates E and the Planning Board that this plan, as presented, is approved. Mr. Hewitt - a hearing - reference to his plan for three houses on Frederick Road. After some discussion on the plan, it was decided that Dr. Toomey would go over the situation with the City Engineer and that, in any case, however, a covenant be recorded in the deed imposing a limitation on this sewer so that it may not be continued beyond the point shown on the plan. Communication from Conti and Donahue Company regarding return of their deposit on plans and specifications received from our engineer, Mr. Baffa. Mr. Mahoney moved and Mr. Richard seconded - voted unanimously that the request be denied. Regarding the brook in the rear of the incinerator - The Agent is directed to inform the City Council that the tests of the brook in the rear of the incinerator have been made and all these tests proved the water in the brook to be of good quality - not polluted. Request from the sons -of'Mr. Henry dough, patient in the City Hospital, in which they would like an abatement of $84.96 of their bill. Mr. Mahoney abstained. The Board directed the Agent to send a letter of abatement to the City Collector. Letter to the Mayor on money requested to cover raihes received' and made a matter of inf ormati on. Letter to Daniel Rubenstein, M.D., Division of Hospital Facilities, in which we requested extension of time for the Medicare Program-was approved. Letter to Social Security Administration in which the Department designates the Blue-Cross - Blue-Shield of Massachusetts as our fiscal intermediary - approved. Measles Clinic - 648 children done in the measles clinic. Board approved. The program to be continued next year. Agent informed the Board he had obtained the services of Naumkeag Salvage Company with magnetic crane and truck to clean metal from the dump. Estimates this adds two years to the dump. He also compliments Mr. Flynn for his help in.working this out. Car allowances of $50.00 were distributed to persons designated by the Board. The Board approves the Agent's request that, if possible, we institute transfer of Patricia Ryan from the Division of Civil Service to our Department as Clerk-Stenggrapher. Elinor Horan's resignation as Clerk of the Board - this matter was voted to be tabled until we study further developments. Mr. Mahoney suggests that Dr. Toomey look into the advisability of a call system for inspectors in the field. Dr. -Toomey proposes that some of the patients being admitted to the Health Department Hospital are to be selected for occupational therapy. The .Board approved this and suggested that he contact the Social Service Department at Salem Hospital to pursue this further. The Agent requested a change in tie Board's previous policy of fraying men at the incinerator at the top step of their salary scale. The Agent suggested that this policy be abandoned inasmuch as there will be considerable transferring of men in the Department and with Civil Service limitations, it causes quite a hardship on the Department to keep all accounts straight and the morale of the men in good order. The Board voted heretofore that all the laboring force will be on the regular grades of salary, whether in the incinerator, collect- ing garbaJe, etc. Upon recommendation of Dr. Toomey, Mrs. Theresa Carr, Sr. Clerk in the Department, is given top step in the salary scale for Sr. Clerk. Dr. Toomey felt that Mrs. Carr was an experienced and highly efficient person and should certainly get this increase. The Agent also recommended that Miss Florence Brennan be given top salary scale. Miss Brennan is with us on an emergency basis and has a world. of experience on her previous job. The Board also approved this increase. The Board approved the licensing of the Bertram Roane for 'the Aged Men and the Home for the Aged Women. Dr. Toomey suggests relative to addition to our hospital that serious thought be given to building a new hospital on City park land adjacent to Salem`Hospital. This was approved for further study. The meeting was adjourned at 7:50 p.m- D LEIt - PRO-TEM July 2b, 19b6 Re;aular Meeting of the Board of Health Meeting came to order 5:15 P. M. with all members present. The reading of the minutes of the previous meeting were dispensed with by unanimous vote at the request of Fr 123 Mr. Mahoney. The regular order of business was dispensed to take up a matter of new business. Mr. Mahoney then presented a motion requesting that John Doyle be assigned the duties of checking trucks and slips in front of the incinerator. Mr. Mahoney said that he had received quite a number of complaints about junking procedures. He also felt that Mr. Doyle desired the job and being senior to Mr. Worsencroft, the Board might avoid some controversy with Civil Service and the Union by giving Mr. Doyle the job for a try-out period. The Board voted unanimously for the motion. The meeting then reverted to the regular order of business. Communications. Continental Heine Chimney Company asked for and return of $50.00 deposit on plans received from John Baffa. The Board voted unanimously not to grant this request and directed the agent to inform the company of this action. The Director from the Commission of Public Health advised of the more wide•.spread use of Schwarz Measle Vaccine, it being available in unlimited lots for the control of measles. The Board voted to go along on this program. Fire Department report on the lack of fire extinguishers at the hospital. The Board directed the agent to request Mr. O'Brien to take immediate action to carry out the items in the report. The Home Management Training Center at the hospital had sent us a request that the Board pay the electric light bill. The Board felt that they should not because in our original agreement, Home Management Training Center were to do this themselves. Letter from Congressman Bates to Dr. Toomey relative to pollution of the North River. Dr. Toomey advised the Board that Pair. Dallas and Mr. Power of the Department of Health, Sanitary Engineering Division had made suggestion that the legislative power of the South Essex Sewerage District should be extended. Dr. Toomey expressed the opinion that this should be carefully evaluated before going along with any action of this sort. It could mean additional expense to the city of Salem for sewerage problems not of our making. Dr. Toomey recommended that further study be made with the object in mind of determining whether Federal money might be obtainable so that an objective engineering study might be made of this problem before any recommendations are accepted. Letter from the Director of Civil Service to Mayor Collins relative to the appointment of.a River Pollution Officer for the North River. Dr. Toomey stated that the Mayor was of the opinion that the legislation was faulty in that no appointing authority was designated. The Board .agreed to this. Civil Service also informs the agent that letters have gone out to our labor forces informing them of their status in Civil Service. This was voted to be received and made a matter of record. The City Council relative to green growth at Columbus Avenue Beach. The agent informed the Board that he was making anumber of tests of the water, the mud, and had sent samples of the growth to the Marine Biologist at the State Department of Health. The growth is what is known as sea lettuce .which grows on Northern flats and gives off a very bad odor. The agent said that there is presently no known cure for this situation other than a temporary one which means spreading lime on the flats. The agent is also talking with the town of Wenham who has had experience with this material. City Council on dumping at 331 and 333 Highland Avenue. The agent had informed the Board that he had already taken action to stop this practice. City Council on fires near the incinerator. The agent has informed the Board that he had talked with the complainant and he is in agreement that the fires were not a nuisance. 124 Old Business One death at the hospital and one admittance. Agent notified the Board that, as directed by the Board, he had written a letter of abatement for Mr. Hough, a patient in the hospital. The amount of abatement was $84.96. Conti & Donahue, Inc. were notified that the Board had voted adversely on their request for the return of $50.00 for plans. The agent told the, Board he had talked with Dr. Rubenstein about addition to the Health Department Hospital and about the plan to build the addition at the rear of Salem Hospital. Dr. Rubenstein thought this was a wonderful idea and would like to discuss it further. The Board voted to have Dr. Toomey, Mr. Mahoney, Dr. Kaplan, the Mayor, and Dr. Rubenstein have a meeting to discuss this further. Clinics-Flu Vaccine Agent informs the Board he had ordered two thousand (2,000) units of Flu Vaccine for delivery in.September. The Board voted approval of the action. Junior Clerk Agent informed the Board he had sent the transfer forms to Civil Service on Miss Patricia Ryan and that she will report for duties on August 1, 1966. The Board previously voted approval of this transfer. Incinerator .Agent reported on the progress of the modification stating that the outside brick of the stack is complete and that the inside fire brick stack would be started. Scales The agent notified the Board that the Mayor had discussed with him a plan whereby a new set of scales to be installed at the city scales on Bridge Street. The old scales, which will require about $800.00-worth of repair, will be installed at the incinerator. The agent visited the incinerator with the Mayor and Counsellor Marquis and we discussed the place the scale will be set. Mr. O'Brien and Dr. Toomey had previously gone over the area to determine the best location. The Mayor requested that the Board send a request for the appropriation of $5,000.00 to him and the City Council for this purpose. The Board unanimo>>sly moved to go along and directed the agent to send the necessary letter to the Mayor. The agent notified the Board that he had heard no more relative to the subdivision at the North Shore Grocers and Boston & Maine on Lafayette Street. He also had heard no more from Hewitt Associates on the subdivision proposed for Frederick Road. The agent informed the Board that he had notified Civil Service and put Mrs. Theresa Carr on the top pay group as approved at the last meeting. New Business Mr. Harold Worsencroft, Sanitary Laborer, at the incinerator originally a Caretaker nights, has been shifted to days, working as a regular laborer. The agent recommended that his pay rate should go to the top of his group. This would mean a raise from $97.00 to $103.00 per week. On motion of Mr. Mahoney, this was unanimously passes. Housing The agent reported that - our Dousing inspectors were really getting into the meat of the problem areas I and II which encompass generally Bridge Street, lower Essex Street, Derby Street, and what is known as the "Point District". Mr. Dennehy is assigned to area II, Mr. Lowe area, I. Dr. Toomey informed the Board relative to the odor nuisance at Salem Willows in a small bay encompassed by Columbus Avenue and Winter Island. He said that he had notified the Mayor that to correct the problem would take $3,000.00 but this would only guarantee a two to three weeks temporary solution as noted above. The Board requested the agent to continue to work toward a solution. Dr. Toomey informed the Board that we were having trouble again with the Irving and Grove Streets sewer. He did feel, however, that the problem was being caused, not by Salem Suede, but by a small sheep skin tannery on Tremont Place. Mr. Koshgarian is presently working on this matter with the hope of an early solution. Dr. Kaplan requested Dr. Toomey to look into the manner provided by Medicare for the payment to physicians for care of our patients in our Hospital, with pa:rticula.r refer- ence to those who are supported by welfare. Motion to adjourns 7:15 P. M. \ ' JO J. TONEY, D.S.C. CLERK - PRO-TEM August 16, 1966 Regular Meeting of the Board of Health. Meeting opened at 5:30 P. M. Present were Dr. Kaplan and Mr. Richards, Mr. Mahoney was absent. The reading of the minutes of the previous meeting were dispensed with by unanimous vote. Hospital census remained the same, 44 patients---lit Male and 30 Female. n COMMUadICATIOIJS . Bill from Gus N. Lazarakis, R.P.T., 21 State Street, Peabody, Massachusetts, requesting payment for physical-therapy services performed for two patients at our hospital. Board instructed the agent to reply that no bills would be paid that didn't have the recommendaticr of the patient's physician and a completed authorization blank of this department_ Letter from Congressman Bates .in which he discusses the Federal Water Pollution Control Administration activities and his interest in helping Salem acquire money from this agency for control of pollution of the North River. The Board requested the agent to stay in close contact with Congressman Bates, the State Department of Health and others concerned with this project. Poster from the Division of Civil Service. The Board voted to approve the poster with the following changes; remove disposal under duties and examples of duties as recommended by the agent. The rational for this is that disposal is by incinerator and should be under Mr. Guerette who will be classified' as a General Foreman soon. A.request from.the South Essex Sewerage District to dump grease and grit at their dumping area on the Grasso property off Marlborough Road. The Board approved this request for this time. OLD BUSINESS- Incinerator Report---The agent reported that personnel changes, recommended at the last meeting by the Board, had been carried out. Mr. Doyle is outside and doing a very good job.. This was received and made a matter of record. .2 Green Growth - Salem Willows---Agent reports that studies are still going on relative to this matter, however., no further complaints have been received.. Agent recommended we move along in this fashion for the time being in the hope that further studies will make a proper solution passible. The recommendation was approved by the Board. Hospital Addition---Agent informed the Board that in as much as the Mayor is vacationing in Europe, it is not possible to- arrange a meeting at this time, but Dr. Toomey informed the Board that he will do so just as soon as everyone is back from vacation. Dr. Kaplan informed the Board that he had talked about this to Mr. Buis and the trustees and they were very much in favor of building our new addition next to Salem Hospital, NEW BUSII+IESS North River---Agent informed the Board that he had met with Congressman Bates and James Dallas of the 'Division of Sanitation, State Department of Health Saturday morning. As a result of this meeting and upon recommendation of Mr. Dallas, Dr. Toomey and a representative of the firm of Camp Dresser and McKee viewed the river to examine the possibility of setting•in motion the mechanisms for obtaining government money for a comprehensive study by that firm, of the problems connecter with this river. The Board directed that the agent continue to stay in close touch with these activities and keep the Board up to date on the progress. Dr. Toomey informed the Board that he had written Mr. Richard Kates in Boston, requesting that he clean up the toilet at the Depot, padlock them and not reopen without the permission of the Board of Health. This has been done. Capital Improvements Program---Dr. Toomey informed the Board that we are in receipt of Capital Improvement Forms from the Mayor's office and included in these capital improve- ments will be: The New Hospital $11000,000.00 New land for dumping purposes. 25;` 000.00 Modifications of the incinerator. 325,000.00 Another purifying and circulating 100,000.00 system at the incinerator. . The Board approved this. Incinerator Modifications---Dr. Toomey informed the Board that he had talked during the ' week with Messrs. Westergaard, Baffa, and Feinzig. Mr. Feinzig felt that the construction at the joint of the two flues was not as sound as drawn on the plans because too much weight would be placed on a very small area. He further stated that it was his experience that a joint such as this was very hard to maintain in any case and felt he could not guarantee its stability as required by the contractors. The plans were examined by Mr. Westergaard, and Mr. Baffa, and both agreed that a change as requested by Mr. Feinzig would be in the best interest of the City. The estimated additional cost for the change would be 2,000.00. Dr. Toomey recorded that this be approved and that an appropriation for this amount be requested. The Board approved this subject to confirmation by Mr. Mahoney. . The contractor has requested 6 weeks extension in the contract time, because of lack of delivery of factory bricks. This is requested by Mr. Baffa and Mr. Westergaard, Dr. Toomey informed the Board that Mr. Baffa Desired a letter from the Board approving this. Dr Kaplan and Mr. Kichards thought that this should be held in abeyance, and th Dr. Toomey should discuss this particular problem with Mr. Mahoney and that they would abide by his decision in the matter. Dr. Toomey, after discussing this with Mr. Mahoney would take the necessary action irr both •the above items. Dr. Toomey briefed the Board of some problems relating to housing which have Shown 27. ' �d up as a result of our system of block/examination of housing in Area 2, which is mostly Ward 1. The Board voted to receive this and make it a matter of record and moved that the Agent continue his efforts in this activity. The electric bill for the Homemakers Training Center was taken up. Mr. Richards asked what was the chance of paying this bill which is in the amount of $70.00. Mr. Richards explained that he felt that the Board might be somewhat culpable, in that Miss Davis had assumed, that because she had not received any bills, that they were being taken care of by the Health Department.. Dr. Toomey pointed out that the training center had its own meter and that the bill was addressed to the Homemakers Training Center, and as such, he felt that it could not be paid by the department, and he also felt that the Auditor would hold it up and send it. back. The Board then requested that Dr. Toomey communicate with Miss Davis, informing her of this dilemma, tsuggesting that perhaps the Homemakers Center pay this bill and that the Board of Health would consider switching over the electricity to the Health Department in the future. The agent will look into this and make recommendations at the next meeting. Dr. Toomey proposed that the Board adopt a regulation reading as follows: "No public toilet facility shall be established or maintained within the city of Salem without the written approval of the Board of Health.11 This was unanimously adopted as Regulation ##20, Board of Health. The meeting adjourned at 6:15 P. M. OHN J. T00IEY, D. S. ,CLERK - PRO-TEM September 27, 1966 Regular Meeting of the Board of Health. Meeting opened at 5:05 p.m. with all members present. The reading of the minutes of the previous meeting were dispensed with by unanimous vote. Hospital census remained the same. Dr. Toomey informed- the members that we are holding open two beds for two of our patients who are currently in Salem Hospital. COMMUNICATIONS Bills from Doctors Cunney and Shaughnessy were discussed. Dr. Kaplan informed the Board that he and Dr. Toomey had discussed this and would propose the following policy relative to doctors' bills for patients at the hospital: "Patients on Medical Aid to the Aged, the doctors will send the bills to Medicare. On Private patients, the Health Department will pay the first $50. to the physician, and then notify him to send future' bills to Medicare." By a unanimous vote, this policy was adopted. The Hill-Rom Company, Inc. letters for cubicle track and curtains at the Hospital were discussed. Dr. Toomey informed the Board that this was the best track, the best curtain, and the best price submitted. Dr. Kaplan felt that this was a vital need at the Hospital. Mr. Richards moved and Mr. Mahoney seconded that the Agent be directed to institute the purchase of these immediately. 128 The communication from Civil Service relative to poster and notification that the examination has been ordered for a T.B. Nurse, Part-time, has been established. This is a Permanent, Part-time position. After review, poster was approved and Dr. Toomey was directed to so inform the Civil Service Commission as is required. The letter was received and made a matter of information. Motion for approval was made by Mr. Richard and seconded by Mr. Mahoney. Communication from Civil Service relative to transfer of Mr. Whalen to Street Department refused by Civil Service by the premise that some people on part-time jobs in the Street Department have seniority over Mr. Whalen. Mr. Mahoney suggested that the Agent pursue this matter further with Civil Service. Letter from Mr. Westergaard re Water Storage at Incinerator received and made a matter of information. Letter from Mr. Baffa approving estimated costs of $6,110.00 submitted by Eastern Refractories for the tank received and made a matter of information. Westergaard's letter relative to the flues and the necessary changes therein. This entails change in the roof structure of the flue from a "sprung arch" type of roof to a"hanging" or"suspended' type. Letter received and made a matter of information. Letter from the Mayor to the City Council explaining the need for additional tank and requesting the approved sum of $6VO.00. Mr. Mahoney made a motion that this request be ratified and approved. Seconded by Mr. Richard, passed unanimously. Letter to Mayor and City Council requesting $2,000.00 for changes in the refract- ory wall as described above. Motion by Mr. Richard, seconded by Mr. Mahoney that the request letter and the amount be ratified and approved. Letter from Eastern Refractories to Mr. Baffa informing him of Dr. Toomey's permission to install a new pump in new position which will allow the correlation of the plumbing with the installation of the additional water tank. Dr. Toomey explained that this was necessary to keep the work moving at the Incinerator. -Mr. Mahoney moved that the action of the Agent be approved. It was seconded by Mr. Richard and passed unanimously. OLD BUSINESS Dr. Toomey informed the Board that there was no further information on the River from Mr. Zoll or any other source, but he had talked with Mr. Zoll; that the Water Resources Commission most likely now will take over additional duties which will conclude river pollution activities and that the Federal monies will be directed into this source. The State Department of Public Health, however, is unhappy with this change and at the present time has been resisting it, so that ao change has been. made. at this time on information from Mr. Zoll. Dr. Toomey informed the Board that the sanitary situation at the Boston & Maine Depot has been cleaned up.. He further stated that the regulation has been advertised and is legally in force. Incinerator-Modifications-- Dr. Toomey informed the Board that he had notified Mr. Baffa that the Board would not, as he requested, send him a letter of permission extending the time schedule of construction at the Incinerator. The Board had felt that this would be a legal impediment to it as a future possibility. Civil Service---The Agent notified the Board that the Civil Service Commission) as the Board had directed, cut out the word "Disposal" in the poster for the position of Sanitation Foreman. He said that he had a long talk with 129 Miss Campbell and he explained to her about Mr. Guerrette, the Incinerator set-up will be taken out of the Labor Force, given a qualifying examination for the classification of Sanitation Foreman-Incinerator.. He had further explained to her that at the time of the original foreman this was .included because we had .an open dump, but now we have a Municipal Incinerator and this has made it a vastly different proposition. NEW BUSINESS Dr. Toomey informed the Board that he has been concerned about lack of dumping area-for-the-immediate and distant future. He had informally entered into negotiations with Mr. Grasso who owns part of the land adjacent to the Incinerator plot as a possible dumping place. Mr. Grasso's nephew had, at Dr. Toomey's request, sent a letter which Dr. Toomey felt didn't cover the City as much as he thought necessary. Mr. Mahoney agreed and suggested that the Agent contact Mr. Grasso and his attorney and request that a firmer legal paper be presented. Disposal of Leather Scrap---Dr. Toomey brought up the question of the disposal of leather scrap which, he feels, is and is going to continue to be more and more a serious problem re the contamination of the brook which becomes Forest River. He felt that negotiations should be reopened with tanners. The Board approved this and*Dr: Toomey will begin working on it. Flu Vaccine--Dr. Kaplan inquired about the flu vaccine and was informed by Dr. Toomey that the Clinic was a success and that all the personnel in the City, including teachers and nuns in the parochial schools were done. For those who require it a second time, a clinic will be held in a month's time. Hospital Expansion--Dr. Toomey and Dr. Kaplan hatre been talking about the addition to the Health Department Hospital. Dr. Kaplan explained that, as originally suggested at the Annual Dinner by Dr. Rubinstein, a new 100-bed hospital shell would be built adjacent to the present facility. We could at first complete 50 beds in the new building and as the demand grew we could. complete the other 50 beds and then raze the present building. Dr. Toomey and Dr. Kaplan, in further conversation about this suggestion, having cognizance of the fact that the City owned land adjacent to the Salem Hospital whereon a hospital building and a school building had been proposed, felt that it might make sense to build our new building on this park land adjacent to the new hospital buildings. Dr. Kaplan stated further that he had talked to Mr. Buis, Director of Salem Hospital, who in turn talked to some of the key directors, who were in favor of this move. Dr. Toomey said that he had talked to the Mayor .and the situation did not look as bright as it might. The Mayor had informed him that the hospital would have to go on a priority list which is presently being established by a planning group, a professional organization which advises the City on Urban Planning. Dr. Toomey said that he had', at the request of the Mayor along.with other Department Heads;Nstimates and included in this a Million-Dollar Item-- Hospital Addition. Dr. Kaplan proposed that the Board should go on record, and so inform the Mayor and any other source necessary, that there is a vital need for additional beds for this type of care and that immediate steps should be taken to implement the expansion program. Dr. Kaplan ,further suggested a mee ing to pursue this subject, and that present should be Mr. Buis, the Board,at e Mayor. Mr. Mahoney suggested that previous to this meeting Dr. Toomey give figures of possible costs of additional help required, etc. before this meeting. De Iulis Plat----Dr. Toomey .presented for approval a plat by John and Mario De Iulis in which 'they propose to build 30 houses off upper Highland Avenue on Mooney Road. Dr. Toomey stated that he had thrown down previous preliminary plans, that the present one was a correction of many things suggested. c) Mr. Mahoney 'inquired about water and sewer in the same trench--that this being ledge, an 8-foot trench had to be blown out. Plan did show where it would be 4 feet between pipes and water would be above sewer. There was a question of a draining for surface water drains on to the land by the New England Power, objected to by Dr. Toomey. With the plat Mr. De Iulis sent in a sketch and a letter from New England Power giving permission to' empty on to their land. Mr. Mahoney felt that the permission as contained in the letter did not hold legally and so offerred the following MOTION: That the Agent inform Mr. De Iulis that the plan could not be approved until an easement granted to them by the New England Power Company is registered at the Registry of Deeds, and the Board furnished with a copy. This motion was seconded by Mr. Richard and unanimously adopted. Again speaking relative to the letter, Mr. Mahoney stated that the letter was merely a license which the New England Power. Company could revoke at will. The meeting adjourned at 7:05 p.m. ( _ C` oOHN J. TOOMEY, D. S. C, Cl rk - \\Rro-tem i October 18, 1966 The re�ular .meeting of the Board of Health came to order at 5:37 P. M. with all members present. Mr. Richard moved that we waive the reading of the minutes of the previous meeting. As of today the hospital census shows one vacancy, male. The Agent informed the Board that Mrs. Horan had called the list and that both Mrs. Whearty and Mrs. Yoffa were not interested at the time of the call, but had called back later and said they were interested. Mr. Maurice O'Connell was the next mame on the list, so he will be contacted and admitted. Dr. Toomey called attention to the case of Chester Thomas.- He informed the Board that inasmuch as he had a physchiatric diagnosis that he should not be admitted to our hospital. Dr. Kaplan-agreed to this and the Board ordered the Agent to strike Mr. Thomas from the list. COMMUNICATIONS: Notice from Civil Service that the examination for Public Health Nurse will be held on November 19, 1966 was received and made a matter of record. Re Mr. Whalen's transfer to the Street Department the Agent reported on the .refusal of the Civil Service Commission to grant a transfer to the Street Dept. The Board voted to turn the matter over to the Agent so that he.might find a proper -position for this man in the department if it is at all possible. The Grasso property was discussed and Dr. Toomey will again contact Mr. Grasso and Attorney Furnari as he has not heard from him up to this time. The Board agreed to this. LEATHER WASTES:. The Agent in his letter to the Tanners asked their coopeaation and gave them thirty days in which to find some new area in which to dump, or to talk with the Agent and try to work out some method of disposal on this material. This was-made a matter of record. MODIFICATIONS-INCINERATOR: . Letter of approval from John Baffa for a payment of $46,900 less 107, $42,210 was made a matter of record. Letter of resignation from Mrs. Ivy Shivery, R. N, on the 3 to 11 shift at the hospital in which she cites that for family and health reasons she cannot continue working for the department but may in the future work on the part time basis. MOTION by Mr. Mahoney that the resignation submitted by Mrs. Shivery be held in obeyance until Dr. Toomey can talk with her and a report of this conversation is made to the Board. INCINERATOR--MODIFICATIONS Cont. Communication from t e City Council re our requested appropriation for $2,000 was granted. Communication from the City Council in which the request $6,110 was appropriated. Request of the City Council that the Board of Health attend a meeting on October 13 at City Hall to discuss the relation of tNi incinerator to the use of water at the new pump- ing station at Highland Avenue. Dr.. Toomey informed the Board that he had attended the meeting accompanied by Mr, Westergaard, the Mayor and the City Engineer. Letter from Eastern Refractories in which they request $1627.45 for extra work entailing the plastering and the extra concrete used in the base of the chimney. Accompanying this letter was another letter from John Baffa saying that this bill was fair and reasonable. Dr. Toomey brought up the point that we had appropriated very closely and that we might exceed our appropriation if we pay this bill now. After some discussion as to the legality of appropriations it was decided that Dr. Toomey would talk to Mr. Feinzig to see if we could hold this bill off until the end of the contract at which we could balance every- thing and ask for one appropriation to clear up extras. This was adopted unanimoisly. OLD BUSINES.S.:. . . . . . , , HOSPITAL_ EXPANAION Dr. Kaplan reported on a meeting on this subject which occu ed on Friday, October 14 at Salem Hospital. In attendance were Dr. Toomey, Mr. Buis and Dr. Kaplan. The meeting covered a number of subjects: . 1. The efficaciousness of making an addition to the present Health Department Hospital or building a new hospital. 2. If a new unit is decided upon should it be built next to Salem Hospital. 3. If so what will be the methods of financing. 4. What roles, respectively, will Salem Hospital and the Health Department Hospital and the Health Department play. Discussion on 1 and 2, relative to the building of a new unit next to Salem Hospital, Mr. Buis expressed the feeling that this would be advantageous, would be forward looking and would please both he and the trustees of Salem Hospital. Discussion on #3 re methods of financing, Dr. Toomey reported that he had contacted the Mayor who had informed him that all future capital investments had to be put on priority on the Capitalization Program for the City of Salem. While this seemd like a defeat, Dr. Kaplan and Mr. Buis both feel that the Mayor might change his mind during the latter part of the year and that we might have help from Salem Hospital in this venture. At this time Salem Hospital will be .carrying on a fund raising campaign and Mr. Buis felt would have a laudable effect on the community,&on the Mayor. A meeting will be held sometime before December, wherein Dr. Kaplan, Dr. Rubenstein and Dr. Toomey would have.a, conference to determine some of the methods of financing and some of the exact costs that the city would be expected to incur, or if money would be allowed for this purpose by Dr. Rubenstein's department. Discussion on #4 In discussing the respective roles of the hospital, Dr. Toomey brought out that Medicare required that all Extended Care Facilities must have certain vital services and further must have an agree- ment with a general hospital. We thoroughly discussed in length rehabilita- tion generally, the rehabilitation that would be done by Salem Hospital and that which could be done by us. Salem Hospital, of course,. starting the treatment, supervising it and continuing to supervise on an approved course of treatment while the patient was in our hospital. Lab services would be provided by Salem Hospital, such as: Blood, Xray and other types of lab procedures. Occupational Therapy also would be superviced by Salem Hospital. Finally as is required, a letter of agreement between Salem Hospital and our hospital, setting forth many other procedures. Mr. .Buis has a number of these forms and will forward one to this department. CUBICLE TRACK CURTAINS FOR HOSPITAL: Dr. Toomey had a meeting with the representa- tive of Hill Rom Company. The Agent had noticed that the prices quoted was FOB. After a discussionytTHthis gentlemen%, Dr. Toomey found out that the extra cost for a local carpenter would perhaps be in the neighborhood of $200. which money is available and the gentlemen from Hill Rom will super- 13 vise the job. The Board voted that we go ahead with the project. MODIFICATIONS-INCINERATOR: As stated in the Agenda we 'had just paid $42,210 on a bill which was approved by Tour consultant. The work is progressing very rapidly, I would expect that by January we might be in operation. Our request for a tank for extra water was viewed with some alarm by Councillor Butler, and as a result we. all attended a meeting at City Hall at which this was thoroughly discussed, the Agent reviewed for the Board. As noted we did get the money for the tank, I have notified the contractor%ho go ahead with the placement of the tank. DE IULIS PLAT: No information has been received from De'Iulis relative to the Board's request to furnish A t with a copy of an easement registered in the Registry of Deeds. from New England Power Company. Received and made a matter of information and record. NEW •BUSINESS Dr. Toomey informed the Board about a rat situation in garages owned by Mr. Perley, an attorney in North Salem. Doctor Toomey said that he had hired a local exterminator and, had sent him in there. According to law it is possible to collect from the owner in this case and that he did attempt to do this. Moved by Mr. Mahoney and seconded by Mr. Richard that this be made a report of progress. Dr. Kaplan made a recommendation that Dr. Toomey talk to Dr. Lager about the extablish- ment of a Rabies Clinic. in Salem, inasmuch as the upper achelon governmental agencies are concerned about the spread of rabies. Dr. Toomey informed the Board that the nurses of the department had requested that he put before the Board their request for equalization of their salaries, with those of the school nurses. Dr. Toomey informed the Boar&'that:,h&,wmaj in%ifavbr;afi.:ttas-andcr-- and felt that our nurses certainly had far more responsibilities than school nurses and if this could be worked, out this would:ibei.fine. Dr. Kaplan however stated that both he and Dr. Toomey had made valiant attempts previously in this area with the Mayor and had gotten nowhere. The Board finally decided that the matter of adjustment of these wages would be taken up by budget time, and that the salary increases would be included in the budget and that the Board .would meet with the Mayor in an effort to convince him that this was a proper thing to grant. This motion passed unanimously. Dr. Toomey then brought up the question of his own salary or lack of it, explaining that down through the gears that his salary had been lower than was commensurate with the work being done. The Board felt that they were well aware of this and didn't need any explanation and suggested that Dr. Toomey spend Wednesday morning composing a strong letter to be sent to each councillor and signed by the Board Members. The essence of this letter is that it is recommended that the Agent of the Board of Health be moved from Group 20 to Group 22. g adjourned at 7:17 PM. A(4AAA ((7n, AAIf John U Toomey,a0vember C. Clerk Protem 15, 1966 The regular order of business was suspended with, so that a hearing could be given to Harold Worsencroft, an employee at the incinerator. Mr. Worsencroft state that he was unhappy on his job and felt it was injuring his health and he produced a letter relative to his medical difficulties signed by Richard Field, M.D. and James P. Ryan,MD. Mr. Richards moved that the letter be received and made a matter of record. Mr. Mahoney moved that the entire subject be tabled until the next meeting in deference to Dr. Kapr, lan who was abaent. Mr. Mahoney moved again that in'deference to Dr. Kaplan who was unable to be at the meeting that the meeting be adjourned to Tuesda November 29, at 5:00 P.M. Motion passed and the meeting was adjourned at 7:05 P.M. (JOHN J.l TOOMY, Clerk - o- t December 6, 1966 133 Meeting convened at 5:05 P. M. with all members present. Census at Health Hospital 44 patients. COMMUNICATIONS: Letter from Civil Service in which they inform us that no eligible list has been established as the result of the examination for position of Sanitarian. The Board moved that the letter be made a matter of record. Letter from Mr. Ingemi with reference to a bill owed for hospitalization of Mrs. Ingemi, who has expired, he states that he is receiving $81 per month Social Security and is hard put to pay the bill: Dr. Toomey recommended that the bill be abated. Mr. Mahoney moved and it was unanimously passed that this bill be abated. Letter to Hawthorne Tanners requesting that they meet with the Agent to try to come to a conclusion about the leather scrap problem was read and made a matter of record. Letter from Health Agent to Mr. Hugo DiBiase, re Witchcraft Heights in which we set forth a list of objections of his plan submitted to us: namely: Sheet 7 of 7, profile of the sewer on Witchcraft shows the cover at one spot to be only 12 feet. Sheet 6 of 7, also on the profile shows 2 feet of cover which is pretty thin. We are also concerned with the grade of Witchcraft Road which is 10% this is quite steep. Sheet S of 7, the existing sewer looks to be 15 feet down. I would think that the engineer would demand that a chimney be installed here. We would want a detailed plan of the chimney. Sheet 4 of 7, Crescent Drive, on the profile sewer, again appears to be 2 feet down. The grade of 1.13% seems rather steep. This letter was made a matter of record. Letters relative to Modifications to the Incinerator from Mr. Viggo Westergaard in which he discusses the refractory walls on the overpass flues and the considerable damage found therein. He advances the thought that one of the reasons is the failure to keep the water trough full, thereby pushing the heat into the overpass flue. He also said that at the times the charging door' is opened should be kept down and that the temperature should be below 2000' degrees F. , and that the feeding of -the furnace be regulated both as to the number of feedings per hour and the proper mixing of the feedings as they go in. This letter was made a matter of record. Letter from Mr. Westergaard of Nov. 3, relates to his inspection of the overpass flue of the North furnace, the super duty refractory has broken away from the anchors and is bulging in. The walls show much erosion. He wants to meet with Dr. Toomey, the Engineers and the Con- tractors at the plant to determine: 1.' The cost of replacing the refractory. 2. The cost of replacing the arch, 3. The cost of replacing the floor. He further states that the charging gates are in need of repair, and if allowed to continue will warp the steel framework. He says that the progress in re modifications are; the ducts dust collector, the furnace refractory have all been removed. Letter made a matter of record. Letter dated October 18, states that Mr. Westergaard inspected the furnace with Mr. Guerrette and Mr. Feinzig and again makes reference to the walls and ceiling of the furnace. He states that the contractor on October 24, will replace the two chute walls in the south furnace, it will then go into operation. In the north furnace he will remove all ducts, cyclone collector, induced Praft fans and motor and the stack. Remove the outside steel work from the flue runways and enclosures then close the openings in the wall and the roof. Plumber will start on the piping system in the fly ash chamber. He is concerned about the sidewalls and the overpass flues, says they are about two years old and should not be in such bad condition. He refers to a meeting at City Hall relative to water supply asked for by the council and attended by Dr. Toomey and Mr. Westergaard, Neil Mitchell and the Mayor. Letter made a matter of record. Correspondence from Mr. Baffa re modifications, he recommends the relocation of the PVC pipe from the stilling well to the swamp area. He will put a concrete pad under the pipe, estimated cost $245., extra in the contract. inasmuch as it crosses under a road. Letter made a matter of record,, and moved that this changeover be approved, Letter from John Baffa approving the installment of $39,110 less 10% making the net $35,919. Letter made a matter of record., and payment of this was approved by the Board. Communication from Mental Health Association, in.which they explain that their expenses have is a) gone up, they would like ,an increase in our yearly stipend to $4250. They assure us that this money is only used for Child Guidance Clinic, Letter made a matter of record. Communication relating to Modifications at the Incinerator, it was found that the base of a 3 columns which was supposed to rest upon 2z feet of cement, this was not possible because the cement was only 6" thick. This required the digging of holes eleven feet deep to' get to ledge and the filling of the same with concrete.base, for the columns. This will require an extra in the contract, This letter was received and made a matter of record. Letters from Mr. David Feinzig requesting extra money because ledge was encountered in placing the tank and had to be shifted to a new area requiring about 25 feet more of excava- tion and pipe. This was approved by Mr. John Baffa, our Engineer. This letter was received and made a matter of record. Letter from Mr. Westergaard in which he refers to the moving of the tank, the extension of the pipe--this pipe shall be cast iron, cement lined, with mechanical joints. Footings will be carried to rock. Mr. David Feinzig will submit a price for installing windows instead of bricking up the wall where the ID Fans came out. He requested shop drawings of the spray water piping to be submitted and he called attention to the contract specifications which requires support for two 6" water lines and wants detailed shop drawings. This letter was received and made a matter of record, Letter from Mr. James Grasso in which he states that permission is given to the Board to use the adjoining land to our dump for dumping purposses. This land is on Highland Avenue. This permission is granted until further notice and that he will not remove this permission without a thirty day advance notice. . Board voted that we accept the offer of Mr. Grasso and start using this land when so'designed by the Agent. OLD BUSINESS: INCINERATOR MODIFICATIONS: Dr, Toomey discussed with the Board how refractories in the walls in the overpass flues. There had been some discussion of replacing the walls, floor and ceilings at a cost of about $16,000. Dr. Toomey felt that the walls were in condition to last some tim yet and that this was not a wise expenditure of money at this time. Mr. Mahoney had bone with him to the meeting with the contractor and the engineer, and as a result the amount of wall to be replaced was reduced down to a $3,000 figure. ON THE $1627 bill held on Eastern Refracotry, this amount is going to be included in monies requested for payment by means of transfers which will be up for approval at this meeting. Mrs. Ivy Shivery's status was discussed and Dr. Toomey said he had talked with her and her mother is ill and she would like to come back, but could not under the circumstances. Dr. Kaplan suggested that Dr. Toomey get in touch with Mrs. Shivery again and suggect to her that maybe we could take care of her Mother at the hospital as a patient, allowing Mrs. Shivery to come back to work. The Board felt this was a good suggestion and requested the Agent to follow throug CURTAINS AT HOSPITAL DR. TOOMEY reported that the curtains and track have been ordered and we are awaiting delivery. With reference to Mr. Buis, Dr. Toomey said he had called Mr. Buis and alwo wirtten a letter, but hadn't heard anything from him. Dr. Kaplan suggested he call again. Dr.' Toomey then ex- plained further that we have been carrying on an intensive study of Medicare problems and -forms, etc. Dr. Lager and Dr. Toomey had a discussion and Dr. Lager told him that they had been carrying on clinics, as we know, in Salem for a number of years and he felt that the situation in Salem was under very good control The Board agreed not to pursue this further at this time. HOSPITAL EXPANSION Dr. Toomey said he had contacted Dr. Rubenstein who was immersed in Medi- care problems at the present, but promised to come to Salem for meeting with Dr. Kaplan and Dr". Toomey sometime in January. Jea� plained that all the funds were gone for this year anyhow. HAROLD WORSENCROFT at the last alp-rf- meeting Mr. Worsencroft appeared and said he was physi- cally unable to carry on his present duties at the incinerator and would like a change of p sition for health reasons. He presented a letter from Dr. Fiels in Boston explaining these reasons, Mr. Mahoney suggested that in this case a copy kf the letter be made and sent to Dr.' Kaplan so he might check out as to the medical situation therein, Mr. Mahoney made a motion that further discussion of the case be tabled untilthe next regular meeting, MEDICARE, Dr. Toomey had ready for presentation to the Board a list of Rules and Regulations for the government of the hospital under Medicare plans. Dr. Kaplan suggested. that this whole item of Medicare be reserved for one meeting in which the Board would get together to go ,over the whole situation. This was adopted. The applications necessary to be sent in to the State Dept. Y of Health, Division of Hospital Facilities. These were signed by Dr. Kaplan and the Agent will forward these into Boston as requested by Dr. .Rubenstein. NEW BUSINESS: TANNERS: Question of Tannery waste was brought up and Dr. Toomey explained that he had a meeting with Mr. Hourhihan and Mr. O'Keefe, but not too much was accomplished, but he felt that the Peabody Health Agent and the Danvers and Beverly Agents would get together to see if we could force a solution by having the South Essex Sewerage Commission construct an incinerator for the sole purpose of. destructing these fleshing and this grease. Mr. Mahoney stated the fact that we are not required to take industrial wastes that this is a. problem for people in the industry. He felt that the people in the industry should be doing more to help themselves and us to care for this waste properly. He was concerned about the contami- nation of the brook. He felt that unless more cooperation was given by them that strong action should be taken by the Board, The Board finally voted to extend the time of allowing this waste to be dumped in our dump until the next meeting and in the meantime Dr. Toomey will have some talks with all concerned to .see .if .solution could be arrived at. MENTAL HEALTH ASSOCIATION: . In their letter requesting $4250 from the City of Salem, an in- crease over previous .years of $3900. The extra is explained by rising costs of operation, Dr. Kaplan explained how they, had put this in operation, Mr. Mahoney was concerned about the fact that =xiry many other cities and towns had not made any contribution and wondered whether the City of Salem's money was being used for treatment from other cities. Dr. Toomey said that he would like to put the money in the budget and that if an adverse report was put out we could always remove it. Mr. Mahoney moved that the Board put the $4250 in the budget but to arrange a meeting at the next regular meeting with representatives of the Mental Health Association to discuss the problem further. SANITARY CODE Question of change in the Sanitary Code Regulation 2.2 requires that no person or firm shall engage in construction, alteration, installation, or repair of any individual sewage disposal vystem, witbout first obtaining a Disposal Works Installers permit from the Board of Health, Mr. Mahoney said this was an important matter and suggested that the Agent draw up forms for this and that careful research be done of the applicants as to their qualifications for doing this ,work. THE SOUTH ESSEX SEWAGE DISTRICT in their letter want to dump more frequently and requested that the Board meet with them Thursday, December 8 at theer office at 10:30 A.M. Mr. Mahoney stated the fact that our Board. was still concerned with the danger inherent in their present method of disposal and would like a better solution, . Dr.. Kaplan requested the Agent assign a man to take some pictures of the dumpin area off Barcelona Avenue and see if the fences, and all other .safety reg;ulations were keg complied with, being The-Board then moved that the Agent attend the meeting with the South Essex Sewage District and report to the Board of Health. MODIFICATIONS INCINERATOR: Dr. Toomey brought up the question of Mr. Irving Harlow, Clerk of the Works' extension, explaining that the $6000 appropriated would be used about Dec. 15 and we will need about $1600 more to continue Mr. Harlow on the job. He said Mr- Harlow had done an outstandly good job. The Board were .in accord with this and voted unanimously to send the request for the transfer of this money for this purpose. MEETING on regional planning to be held December 8 also was received and made a matter of record. CATHERINE WARD Superintendent of the Hospital will reach retirement age in the early part of February. She has requested an extension of time. of the compulsory retirement date, Dr. Too- mey explained that he had checked the law on this and found that according to Chapter 749 of the Acts of 1963 a person may be extended for not more than one year beyond the date of retirement. Dr. Kaplan said that he feels strongly that no extension should be given. -Mr. Mahoney expressed -the feeling that Miss Ward had been in our employ for twenty years and had been a dedicated person and that she would require a little time to adjust to retirement and hoped that the Board would go along with extending this tine to make this adjustment, a little easiker,l Mr. Richard also experssed some concern with Miss Ward's administration stating that he had received a number of complaints of various sort. Dr. Kaplan agreed that he would not stand in the way of this but wanted it expressly understood that the extension would not- be for more than a year. Mr. Mahoney then moved that, at the request of Miss Ward for extension of one year as provided for in Chapter 749, Acts of 1963 be approved and a request he forwarded to the Mayor for approval of same. This motion was passed unanimously. i� END OF THE YEAR BUSINESS: There are certain items to be held over for the year 1967 pXyment and the following letters were forwarded to the City Auditor: Charging gate for incinerator which perhaps will not be delivered until January 1967 and which will cost approximately $4700, this amount we requested that it be kept in our ,accou4t for use in 1967. Approved by the Board. Because we 'have no control over the births of premature babies, many who are born in December, 'we will be'billed in January, so .we sent a communication to the Audi- tor requesting that $2000 be held in this Item. Approved by the Board. The main 'shaft of the crane, which you will remember broke -during the su1mm_er costing ua an enormous amount of money, for bulldozing, etc. I felt the shaft had. a flaw in it from its original casting. We have received a_bill for$499. from the Carmichael Company, and we are requesting that there should be some rebate' from the cost, we requested that this 'money .also -be held in our account until the early part of 1967. Approved by the Board. PAYMENTS TO PHYSICIANS: Dr. Kaplan suggested that Dr. Toomey take this subject up with Mrs. Green of the Welfare Dept. INCOMING COMMUNICATIONS: Letter from the Commonwealth of Massachusetts, Water Resources Commission in which' they tell Mayor Collins that they refused the application of the eng-ineering 'report relative to sewage in the city, they refer to the larger portions of the sewer system which are inadequate, some which are connected with storm water connections causing surcharging, and sewage and waste at certain periods of the year discharge untreated into tidal waters. RepIrt also is to include a study and proposals for sewage areas pre'sently- unsewered', Maguire Associates are the engineers. END OF YEAR TRANSFERS OF' MONIES: To care for the curtains and other expenses at the hospital we requested that the sum of $2300 be transferred from Salaries to Expenses. Administration money was running low and we 'needed some babinets foo the nursing section- we' have asked that' $250''be txansfered 'from Administration Salaries to Administration Expenses. Clinic supplies were needed so we reuested a transfer of $225 from Administration Salaries to Clinic Expenses. There have been numerous small $200 or '$300 -extras which were found to be necessary and are approved by our engineer in the Modifications contract so we requested that $4500 be transferred from Other Cities and Towns and Hospitals to Special Item, Modifications=Incinerator. Along with Modifications'we have found that it was necessary and provident to make some repairs which are somewhat costly, however we have saved enoumous amounts of money by keeping these repairs to arninimum. However,- it now becomes necessary to transfer the -sum of $4500 from Collection and Disposal of Refuse Salries to Collection and Disposal of Refuse Expenses. Specifically most of this is covered in the purchasing of new gates, some brick work both where the new job joins the old and other repair wk. As explained about Irving Harlow, we requested the transfer of $1600 to pay his salaries for about 10 weeks additional, this was to be transferred from .Other Cities and Towns and Hospitals to- Special Item, Incinerator Modifications. All these transfers were approved by the. Board. MEDICARE: I HAVE CONTJkACTED DOR'COR Rubenstein and he says that- there would be nothing available right. not- to talk about, but would gladly meet with Dr. Kaplan and Dr. Toomey in Salem in January. ,'Miss Catherine Ward, Supt. of Hospital should retire in February 1967. She has requested an extension of time beforeaher compulsory retirement. According to Chapter 749 of the Acts of 1963 she may be ret'::ed for a period of not more than one year. COLLECTION OF RUBBISH on Thursday requires that we make a change due to the extra heavy load on that day. Mondays is usually a light collection day so we have added to Monday's collection Witchcraft Heights, Valley Street, .Highland Ave from Proctor Street to Marlborough Road. It has worked out fine. Meeting adjourned at 7:06 P.M. L Jo n J. omey .S,C. erk-pro-tem January 3, 1967 37- The meeting convened at 5:05 P.M. The reading of the minutes of the previous meeting were dispensed with by motion of Mr. Richard, seconded by Mr. Mahoney. Census at the Health Hospital remained the same. COMMUNICATIONS: 1. Letter from the Commissioner of Public Health explaining that the ceiling rate of $12 per day for premature born babies will be revised as of April 1. Costs will be paid on 100% charges of the hospital as determined by the Commissioner of Finances and Hospital Costs. This was moved to be received and made a matter of record. 2. Letter from Mental Health Association in which they ask to increase our yearly grant of monies to the sum of $4250. Moved and made a matter of record. 3. Letter from Mr. Westergaard in which he says that he agreed to repair the air ducts out of our own funds. The spare set of cans for fly ash control from Dietrick Company were suppose to be delivered before the plant goes into operation. We dis- cussed the location of the transducer which registers temperature, and finally decided to locate this transducer on the stoking floor along side the present control panel. This was received and made a matter of record. 4. Copy of a letter from Project Engineer regarding the place of the water tank, 25 feet further away. He will review this for estimated costs. This was received and made a matter of record. 5.,-e,-Letter from the South Essex Sewage District in which they refer to the visit of Dr. Toomey to their meeting. They say that they are in the process of hiring the firm of Metcalf & Eddy to study the whole problem of the sewerage disposal including the grease, grit and other removable solids. They have requested study money from HUD for this. They finally requested that the Board give them permission to dump grease at their old location at more frequent intervals than once a year and promised that the amount would not be any more than usual and that they will notify Dr. Toomey each time the dumping is to take place. By motion of Mr. Mahoney, this wan received and made a matter of progress. 6.. Notice from City Hall of an invitation to Dr. Toomey to be present at a meeting to discuss the pollution of the water of Salem, Beverly, and Marblehead, particular reference to oil from tankers. This was received and made a matter of record. 7. Letter from City Clerk that the sum of $4500 was transferred to the Health Dept. Incinerator Modifications and Repairs frcmOther Cities and Towns Account as requested. This was received and made a matter of record. 8. Letter from City Clerk that the sum of $4500 is transferred to the Collection and Disposal Salaries and Wages Account to Collection and Disposal Nxpenses. This was received and made a matter of record. 9. Letter from City Clerk that the sum of $1600 is transferred from Other Cities & Towns and Hospitals Expenses to Incinerator Modifications and Repairs. This was received and made a matter of record. 10. Letter from Civil Service re the extending of the employment of Lloyd E. Winer as a part time pharmacist at the Health Dept. Hospital, they granted our request so he can now officially go to work. This was received and made a matter of record. 11. Letter from City Clerk stating that Ordinance relative to the Health Agent being moved from Group 20 to Group 21 was adopted. This was received and made a matter of record. 12. Letter from John Baffa relating to the extension of the contract work to March land May 1. On motion of Mr. 'Mahoney, this was placed on the table for further study. OLD BUSINESS: Representatives from the Mental Health Association were present at this meeting. Mr. McGregor and the Director talked with the Board at the Board's request, giving an outline as to the activities of the clinic and the amount of people in ratio that Salem had in the clinic. It was established that they based their request for money at about ten' cents per capita ofpopulation. They brought out the fact that they expend about four hours with each child; There were from sixty to seventy two children from Salem at the clinic during the year 1966. Dr. Kaplan inquired as to the possibility of the clinic being moved to the North Shore Babies Hospital. Mr. McGregor said that, at this time, there was not definite assurance that this would happen at this time. It was brought out also that the clinic is actually run by the State Department of Mental Health and that monies from the cities and towns such as ours were given to beef up the salaries of these people. That the State is not willing to pay, which makes it impossible to hire competent people without these additional monies. Mr. Mahoney then MOVED and Mr. .Richard seconded the motion to ratify the Board's action in placing the $4250 in the 1967 budget to cover the request of the'Mental Health Association. Since the mailing of the Agenda, notification was received from Civil Service 'stating that a list for Senior Sanitarian had b.een established and it contained the following names: Richard R. Albanes,e of 3 E. Broadway, Haverhill, a Disabled Veteran; Mr. John J. Devine, 647 Lynn Fells Pkwy, Melrose;- a Veteran; Mr. Colin E. Cameron, Oakdale Road Extension, North Reading, a Veteran. Dr. Toomey had called these people requesting that"they come to this meeting to be interviewed before the Boa-gd'.: Mr. Albenese',and Mr. Devine attended the meeting. Mr. Cameron was unable to.-attend being p4yesently in the hospital. Mr. Albanese gave a resume of his previous experience and his present position with the Billerica Board of Health, where he is Agent,,,/ He had previously worked for the Richmond, Vir- ginia Board of Health and ha&'seen service in the Army Sanitary Corp. He requested an extension of time before making a_decision as _to whether he would accept or not depending on a forthcoming interview with the finance committee in Billercca. Mr. Devine said that he had attended Massachusetts State for two years and took many special courses. At present he is S-4nitarian with the Melrose Health Department and he too was concerned wbout the, amount of pay. He asked for a week to think it over. Both of these requests were granted. The Agent was asked to have all three men report to a continuation of this meeting to be held on January loth. TANNERY WASTES: The Agent informed the Board that he had arranged a meeting in which representatives from teh leather industry and the Salem, Peabody, Beverly and Danvers Health Agents and the South Essex Sewerage System representatives and also representa- tives of the State Dept. of Public Health, would be invi.t.e.d.,_in order to further thrash out a possible solution to the Tannery Wastes problem. MOTION was made that this report be approved as one of progress. PERSONNEL RAISES: As directed by the Board I had checked at the various other Health Departments and find that Miss Doyle of the School Department in Salem had a current salary of $7800, but is ready for a B. S. degree. The Nurses in Medford receive $6700. Under our new schedule as of January 1, 1967 our nurses will get $6400. Mr. Mahoney brought out .th.e. .fact that the minimum pay for. nurses by the Nurses -Association Manual is $67bo. He MOVED that the nurses be granted $6700 and that this be put in the budget. Dr. Toomey brought up the fact that he thought that our Clerks and in particular ,the Principal Clerk were not receiving adequate renumeration for the amount of work done. Because the department has not only grown in size but grown in the complications of its 139 work. Mr. Mahoney MOVED and it was passed unanimously that all the clerks be raised one grade. Dr. Toomey`'br'ought up the fact that he would like to increase the salary of the Clerk of the Board di Health. Two figures were mentioned $500 and $750. After much discussion it was decided to give the clerk a raise to $500 and also that the Agent be directed to put in the budget an increase of $100 for the Board bringing the Board to $500. -The Board felt that this would be equitable and didn't.feel the clerk should be receiving more than the members of -the Board. MISS WARD'S RETIREMENT. Dr. Toomey informed the Board that he had sent the necessary letters to ,the -Retirement Board and to the Mayor, at the present time they were being processed. SOUTH ESSEX SEWAGE "DISTRICT: Dr. Toomey reported his visit to the committee meeting of the South Essex Sewage Board and said that Mr. Brainard talked to the Board and expressed the fact again that if South Essex was limited to twice a year dumping, that they would be washing an accumulation of grease out in the harbor. This had in one instance occurred. He felt that more frequent dumping intervals would be better as it would not increase the amount of accumulation of grease, but would keep it from going into the harbor. As above he will send a letter to this effect. I expressed to the Board the thoughts of the Health Board, where:.they had a petition before them which was expected to be enforced by the neighbors near the dumping area, requesting that we forbid it. The -Health Board also felt that they would like to have some hard and fast answers as to the possibility of the treatment plant at Salem Willows and the Disposal plant to go with it and the money obtainable for the same. I requested them to incorporate this in a letter and send it to the Board of Health. They assured me that they would do this.. This information was received and made a matter of progress. - HOSPITAL CARE OF PREMATURE BABIES: Dr. Toomey explained to the Board that he had been at a Health Officer's meeting in which the increase in rates was discussed and that it was the opinion of the Commissioner that this would increase the cost to the Board of not 50% but 66 2/3%. This however won't- take place until April tnand further, that there is some information forthcoming that -this. type of -care may be taken from the Health Dept. and placed in the hands of the Welfare Dept. This-was also received and made a matter of record. SANITARY CODE CHANGEof Regulation 2.2 which requires that any firm, person,.,-cor orporation engaged in the installation, construction, alteration�or repair of.any individual sewage disposal system shall first obtain a Disposal Work's Installers Permit from the Board of Health. Mr. Mahoney felt that the Agent should draw up a comprehensive application for this permit, to make sure .that those receiving .them were competent. . Dr. -Toomey said that further there was a possibility that we might hold little tests, the primary purpose of which would be to make sure that. the applicants are cognizant -of the Sanitary Code, Regulation 2.2. Thi.s. was received as a matter of information and progress. Mr. Mahoney then MOVED that this meeting be recessed until 5:00 P. M. January 10, 1967. Motion carried unanimously. January 10, 1967 Meeting reconvened at 5:15 P. M. with all members present. OLID BUSINESS: . INCINERATOR MODIFICATIONS: Re .various letters from Mr. Baffa, Dr. Toomey expressed the thought that the job cannot be completed before March 1 and also the fencing and paving, it would make no sense to do this before Spring. However, he wondered if written approval should be given or expressed by the Board, Mr. Mahoney felt that no written approval should be given by the Board and the information be placed on the table until further notice. Dr. Toomey also informed the Board that he had met with the engineer and contractor and expressed grave disatisfaction with the speed at which the work toas progressing and the coordination of the whole operation, particular emphasis on the fact that the plumbers and electricians were not performing in good fashion. 140 1 He had asked both engineers Westergaard and Baffa to send sharp letters of disapproval to the contractor, Eastern Refractories expressing my sentiments and theirs along this line. This was received and made a matter of record. NEW BUSINESS:' North Shore Disposal. Dr. Toomey had a complaint re the N. S. Disposal dumping on their garage lot on Commercial Street next to the North River. Investiga- tion found this to be trueand notified by letter the N.S. Disposal Co. to move same within one week. This was received as a matter of information. DUMPING OF OIL: I attended a meeting at City Hall re the dumping of oil. The concensus of the meeting was that the City Colicitors of the various cities and towns should get together-and draw up rules and regulations. I talked_to the State Department of Health and they are drawing up regulations for this exact purpose. I will convey this informa- tion to the City Solicitor. This was received as a matter of information. CHANGE OF NAME OF. HEALTH HOSPITAL: Dr. Toomey said he hated the sound of the name Health Department Hospital and felt that it should have some better name. Everybody agreed but motion was made to place this subject on the table for further reference. LICENSES FOR REST HOMES: Approvals were given for: Oates Rest Home, Raymond Rest Home, Newhall Nurs''ing Home Salem Manor, Henley and Melanee Nursing Homes. SR, SANITARIAN: The Board again interviewed candidates for the position of Sr. Sanitar- ian. Mr. Albanese appeared and said that due to changes in his shlary at his present position, he would reluctantly decline. to accept this position. The Board requested that he send us a letter to this effect. He promised to do so. Mr. John Devine came, he did not talk to the Board but simplk informed the Agent that he would not be interested, he had another meeting with another Board of Health and had to leave right away. He was requested to submit the proper form to Civil Service to this effect and he said he would. The Agent so notified the Board. Mr. Colin Cameron called Dr. Toomey and notified him that he was still in the Naval IF Hospital in Chelsea and could not attend the meeting. He was definitely intersed in the job. Dr. Toomey said he had called a number of people who knew him and worked with him and all were of the opinion that he would make an excellent man for the job. , Mr. Mahoney asked if the Agent would recommend Mr. Cameron and Dr. Toomey said Yes. Dr. Toomey further stated that there wasn't much choice that he was the only one left on the list and that he must of course be given the position. Dr. Kaplan was reluctant to hire someone he hadn't seen and talked with. A MOTION was then made by Mr. Mahoney to the effect that upon recommendation of Dr. Toomey, Mr. Colin Cameron be elected to 'the position of Sr. Sanitarian in the Department and that the necessary papers be processed through Civil Service. Aside from this, talk on the motion: Mr. Mahoney felt that if it were possible that Dr. Toomey could get John Horan to bring the man down to talk to Dr. Kaplan if he could get out of the hospital and if he couldn't get out, maybe Dr. Kaplan and Dr. Toomey could go to the Hospital and interview him. Meeting adjourned at 6:00 P. M. Clerk/, pro tem February 23, 1967 Meeting came to order at 5: 15 P. M. with all members present. Minutes of previous meeting were dispensed with by motion of Mr. Mahoney, seconded by Mr. Richard. Census at Health Hospital was cited as 44 patients, 30 female and 14 male. COMMUNICATIONS: Loyal, Order of Moose, Salem Lodge, Highland Avenue request to dump in the rear of 71 their property. Request was approved with the provision that the Agent confer with the Moose to establish proper safeguards to provide against the abuse of dumping privilege. Letter from the Department of Public Health, Division of Food and Drug re renewal of John J. Toomey as Slaughtering Inspector for the City of Salem. MOTION by Mr'. Mahoney seconded by Mr. Richard that this be approved for the ensuing year. 1 Letter from City Council re Boy Scout Government Day. Dr. Toomey explained to the Board that he had a young man, James Collins, with him during the day and had gone over all of the duties of the department with him. Also invited him and the other scouts to come to the department in the future if they were interested . This was received and made a matter of information. Home Management Training for Handicapped',Homemakers, letter from Marilyn L. Davis, Project Coordinator in which she informs us that the project will be changed from the sponsorship of the Heart Association to the School System, Vocational Section. This was received and made a matter of information. The Planning Services Group on Capital Improvements Projects correspondence includes the following:lo.Water Recirculation and Pollution Control-Incinerator Department Priority--Urgent Schedule; 1967 assumed. Modification of Incinerator. Total Project Cost $100,000. Assumed Financing: Cash outlay of $100,000 in, 1967. 2. Disposal Area-Acquisition--Department Priori ty, essential; Schedule--1968 assumed; Total Project Cost, $50,000; Assumed Financing, Cash outlay of $50,000 in 1968. 3. New Hospital: Department Priority- essential; Schedule, 1967, Site selection and preliminary planning; 1970, Detailed Planning; 1971, Begin con- struction; Coordination; Approval required by State Department of Health and Federal De- partment of Health, Education and Welfare prior to any financial assistance. Coordination with private hospitals in City desirable. Total Project Cost, $1,000,000. Assumed Financing; Federal grant of $500,000 under Hill-Burton Act. A 20 year bond issue inside the debt limit of $485,000 at 3.60% is asumed. A down payment of $15,000 (3%) is assumed., Principal pay- ments will be $24,250 per year. Greatest cost to the city, $42,450 in 1972. This was received and made a matter of record. On MOTION of Mr. Mahoney, seconded by Mr. Richard. Dr. Toomey explained that the $100,000 outlay for recirculation was part 2 of the Modifica- tions contract with our engineer and must be expended. He also explained that the disposal areas are being looked .into and called attention to the Board's previous knowledge of the Grasso Property, part of which is going. to be transferred to the city in exchange for another section owned by the city which will be given to Grasso. This property is across the brook from our present disposal area. THE NEW HOSPITAL. Dr. Kaplan is very concerned about this, very hopeful that this hospital would be built, and in some detail he gave pertinent reasons for it being built. He felt that it should be next to Salem Hospital so that we might take advantage of their services such as Xray,- Lab. , etc. He relinquished the chair and MOVED .that Dr. Toomey set up a meeting with Dr. Rubenstein to take place. at the same .time as- the annual. meeting to get the preliminary talk started to get the project. moving.. CIVIL SERVICE CORRESPONDENCE: Mr. Denehy is approved as Sanitarian for 18 months, received and made-a matter of information. Letter stating that- Mr. R. Albanese and Mr. J. - Devine had not declined the position formally as requested. Dr.. Toomey called them both and they have done this. This was received and made a matter of record. _ Letter on Lloyd Winer requesting the extent and type of his additional duties at the hospital reply has:been forwarded to Civil Service';. explaining_ same. This was made- a matter of record. Letter inquiring if Board- would like would like another examination for Sanitarian on a Sta_t-e Wide basis. Received as a- matter of record and MOTION was made by Mr. Mahoney and sett-aded.-by Mr. Richard .that this examination be held state, wide. . 11 Letter re the appeals of our employees in the Labor Force-, before they establish the final classification made a matter-of record. , Letter from Mr. John Devine in which ,he states that he declines the position of Senior Sanitarian. This was received as a matter of information. INCINERATOR COMMUNICATIONS: Letter from Mr. Viggo Westergaard re his January .1.6th. inspec- tion.: . Present at the inspection were: Irving-. Harlow,, Dr. Toomey, Al. Guerrette, John Baffa, David Feinzig and Ernie Wilkins. . Mr. ,Westergaard asks the contractor. to agree to twelvemonth extension of the guarantee period on that part of the fly ash chamb.er roof that got wet, 21 square feet approximately. —This has been agreed to .al.though we do not expect any trouble. The instruments are not corrected as yet, to the .condition that .they should be. The South Furnace and the Overpass Flue inspected--decided not to replace any part of the Flue Refractories or Steel Supports. He fee.ls.we .can,get.a lot more. time out of it.- He says that- the Bullno.se Steel Supports also have life in them. He recommended that they should purchase refractories to replace the arch in the Overpass Flue. He described . the termperatures are within the800 Degree F that he recommends. This was received as a 12 matter of record. Copy of letter from Mr.' Baffa to Mr. Feinzig in which he notes that some spray nozzles are missing. This has been corrected. He also notes in another letter re the Weir Box Plates, only one was available, two is required. Mr. Feinzig will get us the other one. This was received as a mater of record. Letter from Mr. Baffa by the Project Engineer, Mr. Wechter with drawing of the arch chamber guarantee extension. This was recroved as a matter of record. Report from Mr. Westergaard of January 11, 1967, he comments on the electric wire insu- lation of pipes; spray water piping for flushing the fly ash chamber not complete. Drying out should be postponed for a week because of these reasons. He again comments on the fact that the fly ash chamber roof got wet. He asked that drains be cut from the Detrick Gen Cans to allow the water to flow away. We located the water recorder instrument board. Decided on methods of secondary air dampers, operating and fastening methods. Agreed that the fuunace refractory walls near the stoking doors be flared as in the original plan. (Flushing pipes in the fire chamber lowered, not fastened as shown in the contract drawing with the nozzles aimed so that they will spray along the floor. ) Flusraiag=pipes in the Flyash chamber shall be lowered close to the floor and fastened, as shown on the .contract drawings. The nozzles shall face so that they will preperly flush the floor surfaces. This was received as a matter of record. Letter on the January 2nd inspection referred to the lack of progress, particular in , plumbing and electrical work. Contractor said that a large transducer supplied by-Bailey Meter Co. would be shipped back. Contractor was informed that submission of shop drawings would be required by our engineer. Contractor believes that the Detrick Co. wants to wait until the present fly ash screen cans have been tested before supplying the spare set as required in the contract. The engineer comments, how does this protect the city in the event of failure of the cans. Presentation in writing of a solution of this situation to the city is overdue. He is unhappy with the method of protecting the refractory from the weather. Dampers should be installed before the north furnace is placed in operation. The new screen in the residue conveyor trough has not been installed. Difficulties encountered in making the residue flow uninteruptedly to the residue conveyor was discussed with Dr. Toomey. We decided to reline it with steel plate, which was done. This was received as a mater of record. OLD BUSINESS: Mr. Colin Cameron has come to work, is taking hold and is doing a very fine job. On the letter from Civil Service relative to holding an examination for Sanitarian State Wide, approval for this was voted, MOTION by Mr. Mahoney seconded by Mr. Richard. The curtains at the Hospital were installed, this was received as a matter of information. Tannery Wastes: Dr. Toomey said that he had no further information other than the fact that he had met with the Tanners, also present were two scientists from the University of Cincinnati, who are also attached to the National Leather Research Laboratory in Cincinnati. We are getting to the point where it may be possible for the tanneries to grind this materia into small particles and these men feel that possibly we could burn it under these condi- tions. Also, perhaps we must have it squeezed to remove a greater part of the loosely fixed water, they claim there shouldn't be over 9% of moisture in this leather. If this were so, it would be good for the incinerator rather than bad.Mike Flynn, Jr. and Dr. Toomey will try to work out something along these lines, he has a grinding machine at his factory. I will keep in close touch with him, hope to hear something very soon. Mr. Richard moved that this be received as a Progress Report. South Essex Sewerage: Dr. Toomey informed the Board that he had no requests from these people up to the day of the meeting, for any dumping , this was received and made a matter of information. Sanitary Code Changes: Section 7, re private "sewerage installations, requires a minimum of four feet of gravel, sand or other like material be under a leeching bed or field, Mr. Mahoney because of situations in which he runs into, he would like this provision to receive wide publicity, because he has heard :kbx-k Salem cited as one of the places in which this provision would be very pertinent. Harold Worsencroft: MOTION by Mr. Mahoney and carried unanimously to defer any action in this case until further notice. INCINERATOR._'MODIFICATIONS,:, :nr. Toomey "reported that the incinerator is in the 90% stage of completion. One furnace is warmed in and is now running on a 24 hour a day basis, and as 143 of January 6, we went back to our regular shift 5:00 A. M. to 9:00 P. M. This .is made possible by the extraordinary good performance of the furnace. We are actually now able to do almost as much as one furnace as it was possible to do with four before the modifications. Our past experience leads me to be hesitant, I am happy to inform the Board that I think that the modifications to the incinerator are going to make it .a very successful bit of construction and certainly in the long run, going to be worth the money the city invested. NEW BUSINESS: Addition to our Chest Clinic. Dr. Toomey informed the Board that he met with Dr. McHugh, Mrs. Hazelle Ferguson, R. N. and Mr. Kearns of the Department of Public Health with reference to the establishment of an evening clinic in Salem. The need for a clinic is cricical, because of the amount of people arriving on Wednesday.and because of the fact that certain people cannot reach a clinic in the day time and, these are people who need to be checked. It was decided that we should have a two hour clinic, once a month, for a trial period. This would be on a Monday evening from 6:00 P. M. to 8:00 P. M. and, would be limited to the following people: Those with active T berculosis requiring annual chest plates. Contacts of active cases and cases referred by a physician. There would be no additional money required from the Salem Health Dept. The Xray technician will be part time and will be paid out of the State Department funds. The Custodian will be paid out of our funds and refunded to us. This will be about $5.00 a month. MOTION was made by Mr. Mahoney and unani- mously carried that this be received as a matter of information. INCINERATOR Dr. Toomey informed the Board that he would like to send letters of .appreciation from the Board to the neighbors and abutters of the Incinerator thanking them for their forbearance and patience over the last four years when we .were having difficulty. He thought he would do this within the next few .weeks when he was sure .the Incinerator was complete and in good working order. MOTION by Mr. Mahoney that this be approved. SANITATION: Dr. Toomey informed the Board that he has had conferences with Mr. Cameron and was laying out plans for the refurbishment of the Sanitary Section of the department. Mr. Dennehy, from now on will be examining restaurants and doing laboratory work in connection with milk. Mr. Lowe and Mr. Koshgarian are on Housing. Mr. Cameron is with them. The Housing Program is getting underway, we are coming up through-Ward 1, Derby Street, Essex St. etc. Mr. Richards MOVED that this be approved. RATES FOR CONTRACTORS: Dr. Toomey brought up the question of rates for contractors who are classed as Private Sewerage Installers, under the new section of the Sanitary Code. MOTION; by Mr. Richard and seconded by Dr. Kaplan, that an installers examination be devised and held for each of these persons who is to operate in Salem. Also that an application, which gave a broad view of the individuals background in this work be devised and used, and that there be no reciprocity with other cities and towns on these permits and that finally Dr. Toomey draw up a regulation requiring a $10 fee for an installers permit. Secondly, that Dr. Toomey is directed to draw up regulation ,establishing a $10 fee for each private sewerage system application filed with the department. Mr. Mahoney feels that due to possible conflict of interest he should absent himself from the meeting while this was under consideration. On a direct motion on reciprocation between cities MOTION -not to grant this was made by ** Mr. Richard and secoAd by Dr. Kaplan, IVY MANOR NURSING HOME:. Mr. Richard brought before the Board the fact that Ivy Manor was closing as a nursing home and he felt much concerned about the quickness of its going and the resultant hardships to the patients therein. Dr. Kaplan and .Dr. Toomey both .agreed with 1h1m as to this, but informed him that the Board of Health has no jurisdiction in these matters. The licensing of homes being the province of the State .Department of Health. Registered Nurses at Hospital: Dr. Toomey informed .the Board that we still had not obtained an Registered Nurse for the 3:00 .P. M. to 11:00 P. M. shift and he is experiencing considera- ble difficulty in even getting anybody interested. He also finds that in his talk with nurses that the pay at Salem Hospital for this type of nursing has gone up and now exceeds that of our hospital by a considerable margin. He feels that something should be done about competing with other hospitals pay rates. Also the question of the request of the Public Health Nurses as brought up and this for additional compensation. The Board decided that Mr. Mahoney and Dr. Toomey would meet with the nurses and discuss the public health nurees problem and do some research on the hospital nurses problem and have information for other members of the Board within a week. On motion of Mr. Richard and seconded by Dr. Kaplan it was voted to establish a $5.00 fee 'for anyone operating a Food Service Establishment in the .city. On the letter from ..CIVIL SERVICE relative to changes in classification by members of the Labor force,, the Board directed .Dr. Toomey t.o _contact. .Miss Gallagher and inform her that they do not .wish any .changes other than those previously recommed,ed. The request of, the Public, Health Nurses for a.written authori;zation .from.th.e Board- of Health to give the Tine .Test in the .Public and Parochial Schools. was approved. , Dr. Toomey was directed to write. the authorization; for- the nurses. The Board then organized for the year; 1967. _:Dr. .Kaplan was. elected .Chairman and Mrs._ Elinor Horan was appointed Clerk of the Board. _.. MOTION,:, by Mr.. .Maho.ney and unanimously carried ,"To ,approve..the request of the City Solicitor for the transfer of lands partly owned by the City of.. .Salem to Mr. .James- Grasso. This .,as depicted on p.lans .on file with the department,. entitled ".Sub-division Plan of, Land '12/10/66,, Joseph Selwyn, Engineer and ..plans_ reg.istered and filed -in the land regis- tration office ., Essex .South Registry .District, May 5, 1928, Certification # .7179. March 21, .1967 Meeting came to order at 5: 05 P. M. with all members present. Motion unanimously passed that w:etd-&spense with the reading of' the minutes of -previous meeting. COMMUNICATIONS: John Baffa to Eastern Refractories--he reviews Eastern's proposal of $149.69 for 68 cubic yards of gravel to cover the tank--consideration, claim not fully justified. Motion .made and seconded that this information is received and made a matter of record. Additional fill for relocated tank, proposed cost $205.70-- it was decided not to do this. John Baffa to Eastern--refers to 'cost estimate ,for reenforcing stainless steel trash screen and extending hoist rail beams, total cost of $124.63. Estimate."reviewed and decided work not neceesary at this time. Refers ,to letter of October 25th relativ to stainless steel bar screen, its installation subject to provision of, suitable credit for e1i3iihnation of cutting into existing` concrete walls. (this paragraph re-. lates to faulty pouring of- the Weir Box walls). This was approved, by Board of Health. John Baffa to' Eastern=-structural steel supports for combustion chambers, an extra in the contract--John claims a wide disparity between man hours and equipment requested by the -contractor Conti and Donahue and our Mr. Harlow--refuses approval at this time. This was received and made a matter of record. : John Baffa to J. J. Toomey-reviewd request for additional monies for lead asbestos heating cable for the water spray lines to the spray chamber. Eastern requests $370.51, Baffa feels $341.23 is fair 'and equitable.. This was, received and made a matter of record. John Baffa to Eastern--re insulating and electrically heating the spray headers, cost $1207.71, considers unecessary at this time. This was received by the Board and approved. Beaumont Birch to Purchasing Agent--re charging gate assembly--explains they are doing everything to cooperate, sent his truck 320 miles to PIttsburgh through the snow storm,' man drove all night in order to deliver the cover--cover is now being machined on an overtime basis and should ship same on Monday, March 13 by Hemingway Express. This was received and made a_ matter of record. City Solicitor, Alfred Dobrosielski replies for legal opinion re 0.13 and 0.14 on Modifications to the Incinerator contract--these sections are valid and enforceable. This was received and made a matter of record. Division of Tuberculosis Control to Dr. Toomey states they will pay Miss Faye Cushman for services as Xray technician at the rate of $10 per clinic. Received and made a matter of record. Notice from City Council requesting us to meet with them on Wednesdgy, March 15 at 7PM. Received and made a matter of record. Division of Sanatoria confirms a new agreement with us on reimbursements for clinic, Received and made a matter of record. Division of Hospital Administration and Finance states the per diem rate for 1967 for patients at the Health Department Hospital would be $13.86. 14 OLD BUSINESS Division of Food and Drug approves John J. Toomey as Inspector of Slaughtering, Board signed the necessary papers to make Dr. Toomey Slaughtering Inspector for the ensuing year. Loyal Order of the Moose: Dr. Toomey explained the rules and regulations that he had laid down to the Order of Moose if dumping was going to be carried out on their property. Mr. Mahoney stated that some man from the Moose was a little confused by Dr. Toomey's letter. Dr. Toomey said that he wanted these people to agree to just accept dumping material from the incinerator and under special permission possibly some other .solid fill. It was decided that Dr. Toomey would talk further with the Moose representative and it was moved that this be made a matter of record. Unanimously . approved. Tannery Wastes Dr. Toomey said that progress had -been very slow. He had talked with Mike Flynn, Jr. who had promised to do something. Mr. Flynn mentioned that there was a report from the National Leather Research Laboratory in Cincinnati which was ex- pected shortly. Dr. Toomey stated that we had reached a critical stage in the dumping area and he was considerably worried as he has been for the past four years, about polluting of the brook. Mr. Mahoney moved the report be made a matter, of progress, and further that Dr. Toomey formularize the report of the committee o`n Tannery Wastes Disposal. and report the findings to the Board by April 1st. New regulations were advertised recently: REG. 1q, SEC. i2k . "Disposal Works Installer's Permit" No person or firm shall engage in the construction, alteration, installation or repair of any individual sewerage disposal system without first obtaining a_ Disposal Works Installer's Permit from the Board of Health. The fee..'for this permit shall be $10.00. REG. 19, SEC. 3 "Application for Sewerage Disposal Construction Permit" No private sewerage system may be installed without a proper application for same having been filed with and approved by the Board of'-,Health. The fee for this permit shall be $10.00. REG. 3, SEC. 9 . "Food Service Establishment Permits" No person, firm or corporation shall operate a Food Service Establishment within the City of Salem without first having obtained a permit for same from the Board of Health. Permits shall be issued for a period of one year. . The fee for such permit shall be $5.00. INCINERATOR: Dr. Toomey reported that Furnace #1 was still operating. in fine fashion as it had been since we started. Furnace #2 is completed as to the brick work and most of the other things required under the. Modifications contract. We have found it necessary however, before putting this furnace into operation to put in a new charging gate. This Also we are replacing some of the frame supports of .the structure, this should be completed this week. On an emergency basis we have had Mr. Clancey, the plumber come up and install larger and different types of blowers on our stoking and ash floor. Further, we have decided, upon his recommendation and after consultation with the Chief of the Fire Dept. to cut off the sprinkler lines covering the area of the hoppers on the charging floor. We find that they are naecessary and they are almost impossible to keep from freezing when temperatures are low. The spfthkler covering the pit will be changed so as to have a dry pipe on the charging floor, this will in no way interfere with the efficiency of the sprinklers in case of fire. The charging floor will be without heat accept in the case of the crane cab which is heated electrically. This was received as information and made a matter of record. Dr. Toomey then did add that. as. of the day of the meeting he was happy to report that the long awaited charging gate had arrived and was in the process .of being installed. I I . , .... FEE FOR SWIMMING POOLS: Dr. .Toomey requested that a $5.00 fee be established for a permit to-'operate a swimming pool, both private, public and semi private. Dr. Kaplan was concerned about small swimming pools but wasassured by Mr. Mahoney and Dr. Toomey that the regulations as set forth in the Sanitary Code eliminated these and only applied to large constructed pools. Dr. Kaplan wanted to know how we would check on these pools. Dr. Toomey informs them that any construction has to go through the Building Inspector who refuses to give permits to build with first clearing through the Health Department. He further stated that during the summer months the purity of the water; the filtering systems and the safety features all will be checked by our inspectors. Mr. Mahoney moved that regulations be adopted establishing a $5.00 fee for Swimming Pools. This was unanimously passed. Dr. Toomey's report of his visit to Civil Service re titles for the labor force, , he informed Miss Gallagher that the Board wish to retain Sanitation-Laborer with the of er.tit es. Motipn by Mr. NahoneyJ, secondeSl by Mr. Richard approving of this action. otion y Mr. Ma oney to change ohn Doyle s title from Sanitation Laborer to Caretaker RATES OF PAY FOR REGISTERED NURSES: Registered Nurses at the Health Department Hospital, as stated by Dr. Toomey, were to obtain, and he was considerably worried of the lack of registered nurse coverage at our hospital, and that we were imposing on Miss Ward and Mrs. Faircloth to carry extra duties because of this. He also Ri cited the fact that our nurses, who at one time were paid more than floor duty nurses, were now behind, ie: Our hospital nurses are paid $108.00 per week, whereas, Salem Hospital pays from $110 to $115 and on the 3 to 11 shift they are paid $16 extra; on the 11 to 7 shift they are paid $12 extra. These plus the 10 holidays and two weeks vacation, plus Blue Cross and Blue Shield. coverage. Peabody Hospital: $115 is the starting pay, no increments. The 3 to 11 shift receives $16 extra and the 11 to 7 shift receives $12 extra. One half of their Blue Cross is paid and they have 15 days Sick Leave accumulative to 45 days. Lynn Hospital: $115 plus $3 a year for five years. Two weeks vacation, plus 10 holddays plus Sick Leave. The 3 to 11 shift is paid $16 extra dndtthe 11 to 7 shift is paid $12 extra. Fifteen days Sick Leave, accumulative to 45 days. BEverly Hospital: $110 per week, The 3 to 11 shift is paid $16 extra and the 11 to 7 shift $12.00 extra. Dr. Toomey suggested that our girls should move from their present group 10 to- group 11, they would be getting $114 a week which was comparable to the pay in other places. Dr. Kaplan felt that maybe we are talking about floor -duty nurses and not supervisory nurses and that $114 was not enough money. Dr. Toomey suggested that the Board could possible consider going to $123.50 which is group 12, shich is the pay now. being re- ceived by the Public Health Nurses in the department. Mr.. Mahoney, while in favor of the $123.50 wanted to be sure that in attempting to get the $123.50, the girls would not get anything. Finally Mr. Richard moved and Mr. Mahoney .seconded the motion: "That Registered Nurses at our Hospital be moved from Group 10 to Group 12 of the Barrington Scale, and that Dr. Toomey will wirte the necessary letters to obtain the funds and to have the ordinance changed." Dr., Toomey brought up the request of the Public Health Nurses fuf an increase and recommended that they go from Group 12 to Group 13. Mr. Mahoney mved that the Board adopt this recommendation and that the Public Health Nurse in the depart- ment move from Group 12 to Group 13, and that Dr. Toomey write the necessary communications to the City Council and the Mayor find ordinance approval of the change and for appropriation of monies to accomplish same. Mr. Mahoney cited that if our nurses were moved up one group to the $6700 rate this would be the bear minimum standard of fees established by the Massachusetts Nursing Association for the Public Health Nurse category. ANNUAL DINNER: Dr. Kaplan felt that they should have the annual dinner at the hospital as quickly as possible., He stated he was going on vacation to Ireland for 'two weeks and would be back the 24th of April. Dr. Toomey said he had talked with Dr. Rubenstein and that he would be available to come to the dinner the loth of May which is a Wednes- ilay. Dr. Kaplan thought this was find as did the other members. The next question 'was who would be invited to the dinner and the following tentative list was established: DR. Rubenstein: Mr. George Buis, Mayor Collins, Cathering Green, Dr. Kaplan, Mr. Mahoney and Mr. Richard and Dr. Toomey. Elinor Horan, Miss Ward, Mrs. Faircloth and Mrs. Heagney. Councillor Suinniuch or a representative of the council on health, Dr. John Cunney or Mr. Fred Meier and News Reporter Alvarez. Dr. Kaplan then brought up the question of the building of the new hospital and was very anxious that this project get off the ground. Dr. Toomey said that he had talked to Dr. Rubenstein and he had agreed to come don the loth of May, the day of the annual dinner and meet with the Board before the dinner started and talk about ways and means .of getting this project off the ground. Dr. Kaplan agreed to this arrangement. Meeting adjourned at 1:05 P. M. Elinor C. Horan, Clerk 147 May 2, 1967 The regular meeting came to order at 5:00 P. M. with all members present. Reading of minutes of previous meeting were dispensed with by motion of Mr. Mahoney seconded by Mr. Richard. Census at the Health department hospital as 44, with 14 male and 30 female patients was noted. COMMUNICATIONS: INCINERATOR 1. Letter from Project Engineer to Eastern Refractories, Attention of David Feinzig in which HE notes that the flushing pipe line on the south side of the spray chamber is pulled out from the floor as a result of a broken hanger. He refers to Sheet #4 of the contract drawing, which states that the anchor bolts and strap are to be of stainless steel. This was received as a matter of record. 2. Report of John Baffa to John Toomey on the March 31 visit to incinerator. He says the south furnace is ready to be dried out; will repair the slots for the water effluent scrubber weir, the department will provide carbon steel dam with flushing gate. Received and made a matter of record. 2A. Granular fill to be used to build up roadway west of weir box. 2B. Pipe leaks and insulation to be repaired on west side of spray chamber. 2C. Siding to be placed on ease side of 16 inch 1-beam as called for. 2D. Reglet and flashing to be placed between existing building and penthouse roofing. 2E. Flashing to be placed between combustion chambers and inclined roof over dampers. 2F. Top of circular girt channels to be continuous welded at a south combustion chamber. 2G. Roadway outside work, fencing, paving and outdoor lighting to be started as soon as frost leaves the ground. 2H. No-drip pipe coating to be applied thicker to prevent sweating and cover rust. 21. Door to penthouse above combustion chamber not preperly hung. 2J. Railing around opening between combustion chambers in penthouse above combustion chambers to be placed as a maintenance item. 2K. Effluent pipes of old spray chambers to be cut-off and openings sealed. 2L. Ships ladders and ships ladder foundations to be completed. 2M. All miscellaneous incompleted work such as painting, electrical work, smoke density recorder, miscellaneous metal work, is to be completed. All this was received and made a matter of record. 3. Letter from John Baffa approving progress payment of $8,031.78, deducting our 10% leaves a total bill of $7,228.60. Board approved payment of same. 4. Letter from the Project Engineer to John- Toomey, re the' proposal submitted by Eastern Refractories Co. , Inc. in the total amount of $349.69 covering additional excavation and backfill incidental to the relocation of the water storage tank from the originally indicated site in order to l-im t, the volume of costly rock excavation has been reviewed. The cost is considered to be fair and reasonable and it is recommended that this extra be approved. Board approved of the recommendation of the engineer and- of the action taken. 5. Letter from- Project Engineer to D. Feinzig., reference- is- made to furnish a new stainless steel weir plate and guides in the" weir box at a cost of $8'10. .: The engineer requests that he repair the slots in the weir box and that nothing be done at the present about the stainless steel wire pipe. COMMENT: : .jp above I referred to _letter in which we agreed to furnish the weir plate made of carbon steel out of maintainance, this will save us about $600. - Received by the Board as a_-matter of record and Board approved of action taken. 6. Letter from D. Feinzig to Conti & Donahue, Inc. , .and to- John -Baffa in which he says he that he has been advised by Dr. Toomey that the yard will be completed as originally outlined in the contract specifications. These specifications stop the paving in the rear edge of the building which result in no paving from the building under the loading area of the truck. We had discussed a cement _pad to a continuations of_ th:e, asbhalt road, but after consultation with John Baffa we decided to do nothing in this area at the present time, inasmuch as the possibility of it being torn up, if pipes are added to be put through this area in connection with our effluent water control project. In this letter he states that niether Eastern Refractories or Conti Donahue will assume any responsibility for breakage or settling of the paving edge adjacent to the truck loading area. We are not that much coneerned about this problem. 148- \ Dr. Toomey further explained in. detail about the edge of the road and the oncoming project of recirculation of water. The Board approved the action of the Agent and the engineer. 7.Letter from Project Engineer to D. Feinzig of Eastern calling his attention to spec- ifications in Section 27.07 of the drawings requiring the electrical subcontractor to maintain a record of changes as they were made, and upon completion of the job, delivery of a complete set of "As Built" Electrical Plans is to be made to the Engineer. This was received and made a matter of record. 8. Other Communications 1. Letter (copy of) from. the Director of Sanitary Engineering to the Director of _Publ crWor�,s;eDiviribn of Waterways relative to City of Salem planning to build piers and gangways, place fixed floats and to dredge and place slope protection in and over the tidewaters of Salem Harbor at the east side of Derby Wharf. The de- partment says they have no objection to the construction of these floats, provided that the proposals are to contain no structures from which sewage or other polluting matter will be discharged into the adjacent waters. This was received by the Board and made a matter of record. 2. Letter from Mayor Collins in which he informs the department that he has complaints about the sanitary sewer opposite 450 Loring Avenue. He refers to grease balls, lobster shells, celerystocks and vegetable matters in considerable quantities being present in the sewer. He requests that we take the necessary measures through our inspectional staff to insure this material not to go into this sewer. Re this situation we have a letter from Dr. Toomey and Councillor E. Perron, in which we notify him that we have had our men check David Wo 's, Monarch Packing, Stop and Shop and Paradise Restaurant to determine if their g ase control apparatus was working and if Mr. Wong, in particular, was living up to an agreement with us that he would not use the mechanical hogs. Both of these letters are the result of a complaint of Mr. RaFnond Jeffrey of 450 Loring Avenue, which occurred about a week before the date of the Mayor's letter, and at about the time the big Spring snow and water run off collected in the sewer. Mr. Jeffrey has a toilet in his basement and when the sewer is running full this cannot be used. I had Mr.' Connell open the sewer to find out where his pipe entered also had Mr. Mitchell, draw a plan of his sewer line (I have this at the office) . On checking with David Wong,' we found out that he was putting some stuff in, but he had been using his machines in a very minor capacity. We requested that he put nothing in at all and offered him daily service on garbage removal, all of which ire agreed to. Subsequently he called and informed me that he has a private contractor to take his rubbish and garbage out seven days a week. This should eliminate any possible change of overloading the sewer. The sewer in front of Mr. Jeffrey's area is flat and most of the time has very little water running through allowing any solid materials to pile up in the area. We hope this has corrected the sitaation, we are not positive that it wi will but will continue to be watchful of it. Dr. Toomey informed the Board our inspector are following this condition checking David Waongs and others in the area. The Board approved th action taken by the Agent and requested that this supervision be kept up. 3. Letter from the Director of Civil Service in which he advises us that he has this day ordered an open competitive examination be held for the position of Sanitarian in this department to he open to residents of the State. Received as a matter of infor- mation. 4. Letter from Mrs. Mabel-P. Ryan relative to a balance of $484.12 for the care of her husband Mr. Frank Ryan at the Health Hospital. She states that she has no income other than Social Security benefit and advises us she is unable to pay anything on her account. She expresses her sincere appreciation of the wonderful care her husband received at the hospital. The Board felt that this amount was so small that they felt a person would have to be in dire financial straits not to be able to pay. They de- cided to table the request until the next meeting in the meantime Dr. Toomey and Mr. Mahoney will .look into the resources and bring in a report. 5. Letter from the Department of Health, Dr. Fiumara of the Division of Communicable Diseases in which he says he wants to thank those Boards of Health who have completed all their immunization programs. He now suggests that physicians in private practice and public health medicine now concentrate on the immunization of all°_]`susceptible pre-school children. He states that Massachusetts had only 134 cases of Measles reported for the first quarter of 1967 compared to 431 in 1966 for the same period. This was received as a matter of record. Dr. Kaplan mentioned the fact that the de- crease in measles could be contributed to immunization programs, Dr. Toomey guessed that it might have had some bearing on it. Dr. Kaplan suggested that it might be a light year anyway. OLD`BUSINESS 1. TANNERY WASTES Dr. Toomey contacted the tanners and set up a date for a meeting to complete this report as ordered by the Board. The Tanners were first willimg to appear but then k we received calls that they could not make the meeting. Finally Mr. Mahoney insisted that the meeting be carried out as scheduled. He myself and Mr. J. Keenan of Flyhn Company were the only ones present. Since this meeting I talked to Mike Flynn who had been in Europe and he said he was forwarding a report of h 11eather scientist from Cincinnati and tia c3as in the meantime he would forward some material $a processed as the Connecticut people have recommended so that we might see how it had worked out. Mr. Mahoney and Dr. Kaplan both expressed deep concern of the ever increasing pile of this material. Mr. Mahoney noted that some of the people in the area are concerned about odors plus our overall concern about the pollution of the creek. Mr. Mahoney moved that Doctor Toomey contact the members of the committee and arrange a meeting as. quickly as possible and make a finalization of this problem once and for all. 2. CHANGE OF TITLE, CIVIL SERVICE re John Doyle from Sanitation Laborer to Caretaker. Dr. Toomey reported that Miss Gallagher inofrmd him Ghat changing of title would be a pro- motion and would have to be posted. She requested that we do nothing about it for a month, until she has completed the classifications for Salem.. The Board decided to wait until Miss Gallagher had notified us that the classifications had been completed. 3. . NURSES RAISES, this came up before the council and received first passage accorging to The Board's recommendations. Second passage is due and the Mayor informs me that we should send a letter to him to requett monies for these increases immediately after second passage. Dr. Toomey stated that since the Agenda had been typed he- had.- talked with the Mayor and Mr. Bunke and had sent in a letter of the Board's action to activate the provision of the 'ordinance. Mr. Mahoney then moved that the Board again validate the action taken at the special meeting for this purpose, which was held on May 1st. 4. ANNUAL DINNER May 24th as suggested by Dr. Rubenstein was sati factory with the other Board members and Dr. 'Toomey is to get hold of those people on the list who can make it on that date. Dr. Kaplan suggests-`that Dr. Phippen be invited to the dinner meeting. He felt that perhaps he would not be able to come but thought it would be a nice gesture on the part of the Board as he" had been a nice friend to the Board over the years.. Dr. Toomey will wtite an invieation letter to Dr. Phippen. 5. 'HOSPITAL Again we should take this up when we talk with Dr. Rubenstein .previous to the annual dinner meeting. Dr. Toomey will remind him of this before the meeting. 6. SENIOR CLERK We received a communication from Civil Service with the list of those that had passed the test. ' Miss Theresa ,Carr' was the top mark on the list so after consulta- tion with Mr. Mahoney and Mr. Richard we completed the papers for her permanent appointment and forwardeld same to Civil Service." They have been returned approved .by .Civil Service. Dr. Toomey requested the Board to approve for the record the appointment of Mrs. Theresa Carr to the position of Senior Clerk in the department. Mr.' Mahoney made the following motion: "That the Board hereby does ,ratify' the action of its Agent in consumating. the appointment of Mrs. Theresa Carr as Senior Clerk in the department, she having received the highest mark in the competitive examination. NEW BUSINESS DIBIASE REALXTY TRUST 1.Certification of the preliminary plans of this company to build a number of apartments- off of Highland Avenuen in Salem.' Dr. Toomey recommended approval of the plan. Motion by Mr. Mahoney:. Plans of DiBiase Realty Trust for the building of 8 apartment-garden type buildings between Highland Avenue and Hillside Avenue in Salem as located on a preliminary sub-division plan on file with the office is approved and Doctor Toomey is directed to so3Aotify the Planning Board as is required by law. Seconded by Mr. Richard and unanimously passed. 2. GARBAGE AND RUBBISH COMBINED COLLECTION Dr. Toomey informed the Board that he would like to throw open for discussion a combined rubbish and garbage collection. He said a number of things had motivated him to bring up the subject; 1. the figures show that the volume of rubbish is increasing tremendously and at the same time the volume of garbage is decreasing. 2. That it is increasingly difficult to get men who will work. on the job of collecting garbage 3. . That our engineer recommended that garbage be burned in our incinerator, because the garbage tends to stabilize the temperatures in the incinerator. 4. The fact that the town of Swampscott Board of Health has made some preliminary overtures as to the possibility of having our incinerator. as ..a disposal place for their rubbish and possibly garbage disposal. Dr.. Toomey felt that they were not in any immediate rush to make this change but that we should consider the fact seriously. Dr. Kaplan expressed the feeling that he was against this before but that, if further study proved this to be advantageous he would favor it. He was concerned, howeOver whether this would be a source offlies and other vermin nuisances if handled in this fashion. Dr. Toomey said that he had con- sulted with the Agent in Marblehead where this action has been in vogue for 5 or 6 years and that no untoward episodes of this type had been experienced with. The Board finally decided .to have Dr. Toomey continue to study the matter and bring in some further information at the next meeting and also rekport the results of his talk with the officials at Swampscott. 3. CHANGE OF ADMISSION POLICY AT HOSPITAL: Dr. Toomey said he had included this for disucssion because of the increased load• of work due to the Medig8rfiotilling and also the fact that the patients that are being treated at our hospital come within the scope of the Medicare law as it relates either to- hospitals or to extended care units. Dr. Toomey further suggests that we establish .a rule that we would admit only- those people who .are on Medical Aid and come under .the provisions of- Title 19. Dr: Kaplan expressed the thought that this might penalize some people who Anxid did not come under the title 19 and who are good peop e and who are trying to pay their bills and he felt that as of now we should go along the way we are. going until we see what developes in the future. These developements being the possibility of changing the location and type of care that our hospital may experience if we are successful in creati g a new unit as we planned near to Salem Hospital. Dr. Kaplan further stated that Dr. Toomey should contact Dr. _Rubenstein so that he might come earlier to the meeting and we would have a change to sit down and, talk to him about details that he might advise .us about in this regard.. 4. HUTCHINSON AUTOMOBILE JUNK YARD and riding. stable. off Marlborough Road, Dr. Toomey said that at the request. of Mr. .Mahoney who had been appealed to by Mr. and Mrs. Roderick of Robinson Road. Dr. Toomey stated that he had sent Mr. Cameron on one instance, Mr. Koshgarian in another instance and Mr. Denehy.in another instance at various times examined the area• up there., and all of the reports. seemito state that the house is clean and in good shape as was the premises. However where originally Mr. Hutchin- son was supposed to have 5 b. to 8 houses he now had 24. Mr. Mahoney said indeed he must have 24 according to these. people who talked with him and that the horses were not preperly corralled that they. were in excess number and that they were hired out and as a result of this the people were using the horses and were using obscene language and throwing beer cans on the abutting property and on- the lawn causing much discomfort the the residents there. Motion was then unanimously passed. to bring the matter to a head and finalize its solution, that Dr. Toomey be ordered to send a. letter to Mr. Hutchingon notifying him that he must cease to operate this riding stable within thirty days foom the receipt of this letter. Also notify Mr. Hutchinson that he may appeal this ruling by writing to the Board of Health and requesting a hearing. 5. BLANKETS FOR PATIENTS AT HOSPITAL Dr. Toomey informed the Board that the -Senior Citizens group had offered to knit afghans and throw covers for our patients. He said that he had gone along with the project and that the blankets cost. us about $2.00 each. He thought that these women had done a very charitible thing and everybody at the hospital was happy over it. Dr. Kap, an said that he had seen the blankets and they were very color- ful and very nice. Dr. Toomey was directed to .talk with the reporteA after the meeting and to have him wirte up a piece for the paper so that proper .public. appareclation should be given to these- ladies .for their work. 6. LETTER FROM CIVIL SERVICE RE GENERAL FOREMAN (SANITATION) This letter was read and tabled for the next meeting. Meeting adjourned at 6:30 P. M. Eli4nar_ Horan, Clerk May 12, 1967 Special meeting of the Board of Health held at 3:30 P. M. Mr. Richard and Mr. Mahoney were present. Dr. Kaplan was absent. Meeting was for the purpose of discussing the disposal of tannery wastes. Attorney William Mahoney presided in the absence of Dr. Kaplan. Representing the Tanners were: Arthur -Cecelski; Rene Desjardins; Richard O'Keefe; Walter Creese; Daniel Hourihan; -Mike Flynn and Morris Isaacs. Doctor Toomey read the report of the Tanners .Research Council which pointed up the fact that the problem mainly resolved around the moisture content of the fleshings. REPORT FROM TANNERS'COUNCIL RESEARCH LABORATORY, Laboratory Report No. 3856, University of Cincinnati, Cincinnati, Ohio 45221. "Reducing Water Content of Chrome- Tanned Fleshings." Received February 1, 1967, samples of wet and 'dry leather scrap from John Flynn and Sons, Salem, Mass. It was requested that experiments be run to determine a practical method of removing moisture from the wet stock so it would burn in incinera- tors. Moisture determinations were run,land the results showed 73% moisture in the wet stock and 5% in the dry- scrap. Tests were set up so that the moisture would be squeezed out by running samples between two pressure rollers and by pressing between two hydraulic plates. In the first test we tried squeezing_ known amounts of wet stock through the rollers of a splitting machine. The leather was weighed, placed between two paper towels and run between the rollers. The resultin,g,moisture loss from the samples was 49%. The sample and towel were then placed above a gas burner to determine its ability to burn. The results of the burning test were not satisfactory. The second test was the same as the first except .that dry scrap was mixed with the wet scrap before squeezing. The moisture loss here was only 13.5%. The results of the burning test were again unsatisfactory. The paper towel was then placed over the gas flame and after waiting several minutes it charred. We next tried squeezing the moisture out in a Carver Press. For this experiment, cardboard was used as the absorbing agent. The wet scrap lost 32%'moisture while the cardboard gained 63% in weight. The scrap and cardboard burned satisfactorily. In the next experiment we tried running wet scrap placed between cardboard through the splitter. After running the sample through three times, the sample lost 60% of its moisture, while the cardboard gained 91% in weight. This sample was then subjected to burning with satisfactory results. In the fifth test we placed wet leather between Kraft wrapping paper and ran it between the rollers of the splitter as before. It was thought that this paper would absorb less water and thus form a dryer mixture after squeezing. The moisture loss of the leather was 57%, and the wrapping paper did not absorb as much moisture. The paper and leather of this experiment also burned satisfactorily. In the final test we tried mixing wet and dry scrap. The ratio of wet to dry was about 4: 1 by weight. The mixture was then placed between wrapping paper and run through the rollers three times. The moisture lost by the leather sample in this case was 22%,,, and the burbing was satisfactory, In conclusion, the use of paper towels results in a wetter, poorer burning mixture than does the Kraft wrapping paper or cardboard. Since the wet leather scraps contain 73% moisture, it is necessary to remove from 40% to 60% of this water before burning. The removal of this water could be accomplished by passing the scrap through rollers, squeezing between plates of a hydraulic press, or mixing wet with dry leather scrap. The paper and cardboard serve two purposes. First they prevent the loose leather from clinging to the rollers, thus slowing the process, and second they aid in the burning operation by burning themselves. The mixture of wet and dry leather scrap should be in a ratio of at least 4 parts wet scrap to 1 part dry scrap by weight. A better burning mixture can be obtained by using more dry scrap. 2 Dr. Toomey felt that the report was not a good one, nor were the experiments carried out so that a practical solution could be established from them. He reported that he had taken a small sample put through in the fashion prescribed and it did not work. The sample came from Flynn Leather Co. Dr. Toomey also expressed some fears that even if we did burn this material successfully we might have excessive chrome going into the brook. Water tests are being done by the State Laboratory but-:the results have not been received by the department. Mr. Mahoney reported that he had talked with the group called Chemical Applications,Inc. and thattheyhad taken some samples of the fleshings and were going to attempt to break down the chemicals with the idea in mind the removal of the chrome. Dr. Toomey reminded the group that we were fast running out of dumping area and that in the long range view the City of Salem could not continue to accept this material in its present form as we would eventually run out of space. Mr. Hourihan made the suggestion that he would put this material in a wheelI.mix dry material with it and see if it can be burned efficiently. Mr. Flynn will also carry out an experiment similar to this in his factory. The experiment may start with the 4 dry to 1 wet and go on from there. All the Tanners felt that they are reluctant to be left without a place to dump and would .like the Board to exhaust all possible methods before they have to turn to some other means of disposal. Meeting adjourned at 4:40 P. M. or Horan, Clerk May 25, 1967 Board of Health meeting held at 12: 00 Noon at the Health Department Hospital with all members present. Minutes of previous meeting were dispensed with by motion of Mr. Mahoney, seconded by Mr. Richard. First consideration was the ratification of the action taken by the Health Agent in the case of a house at 33 Putnam Street. This house has been in litigation with us over a period of two years. Dr. Toomey had consulted with the City�Solici- tor- af.d ha.d sent out the _proper notifications to Mr. and Mrs. John A. Amezis the owners and Mr. Sam Messinger, Mortgagee. They were notified that if something wasn't done by them within a period of two weeks that the Board of Health would raze the property and place a lien thereon to cover the cost. Motion by Mr. Mahoney: That the Board ratify the action of the Agent in the above case, seconded by Mr. Richard and passed unanimoud.y. Permanent appointment of Marie C. Faircloth as part-time Public Health Nurse. The Board on motion of Mr. Mahoney moved to ratify the action of Dr. Toomey in filing the necessary papers with Civil Service, his action coming as a result of verbal orders of the Board of Health. Motion seconded by Mr. Richard and passed unanimously. To establish time for a hearing for Mr. Hutchinson, the Board decided that in the case of Mr. Hutchinson the hearing will be held at 5:00 P. M. on Thursday, June 1st. Communication from Civil Service re the appointment of Sanitation Foreman. After much discussion the Board felt that they were unable to conclude an appointment as of the present moment and would request that Dr. Toomey talk with the people at Civil Service to discuss more fully options that the Board might take in this matter. A Progress Payment for Modifications at the Incinerator from Eastern Refractories in the amount of $3573, Mr. Mahoney suggested that the Board direct that this payment not be made until the work is completed. This was agreed unanimously by the Board. Mr. Richard brought up the question of Overtime work at the Incinerator and especially overtime work as of Saturday May 13. Mr. Richard said that Mr. Guerretpeihadl.,n called him and said that he had worked that Saturday and felt that he should be paid for this overtime. Dr. Toomey said that he had not paid him because he was under direct orders from the Board not to have Mr. Guerrette work on Saturday, and that he had on Friday informed Mr. Guerrette that he could not give him permission to wrok. The Board discussed at length the overtime business. Dr. Toomey said that now that Modifications are complete the need for overtime is very .small and certainly not routine. The repair work of certain character should be done on overtime but this again is not routine. As a reulst of the discussion on overtime the Board decided that it shall be the policy that no overtime be given or assumed without the direct approval of the Agent. The Board also felt that inasmuch as Mr. Guerrette was not authorized to work on the date in question the Board felt that pay was not authorized for that day. Dr. Toomey shall so notify Mr. Guerrette of the action of the Board in both of these cases. June 1, 1967 HEARING started at 5:20 P. M. with all Board Members present. Purpose of the hearing was to air complaints received re the keeping of horses by Mr. Frederick Hutchinson, 15 Robinson Road, present at the hearing were: Mr. & Mrs. Clinton A. Broderick, 14 Robinson Road, Salem. Mr. Herbert B. Steele ,' 7 Robinson Road, Salem. Attorney John T. Laskaris, 70 Washington Street, Salem. Mr. & Mrs. Frederick W. Hutchinson, 15 Robinson Road, Salem. Mr. Ralph Salvo, Police Officer, 16 Geneva Street, Salem. Mr. William Riley, 6.1 Adams Street, Danvers, Mass. Mr. & Mrs. Ernest J. Mazola', 48 E. Park Ave. , Lynn. Mr. James Faria, West Peabody. Dr. Kaplan called the hearing to.order and requested Dr. Toomey to give the background to this request for a hearing. Dr. Toomey: As a result of complaints of Mr. and Mrs. Broderick to Mr. Mahoney. These complaints encompass what is listed in the attached,petition signed by neighbors, which states in fact that the riding stable of Mr. Hutchinson becomes a nuisance by reason of the fact that the amount of horses that he has, exceed in great part the amount originally stipulated that he should have. On request the Health Department gave Mr. Hutchinson a license to keep horses at his place on Robinson Road in the amount of 8 horses. At that particular time as is the custom of the department we had a petition which all the neighbors must sign. Now you have another petition from the neighbors due to the excessnumber of horses and due to the fact that they have a nuisance there by reason of horses on the lawns i and on the road, beer cans, etc. thrown about, loud talk in other words cluttering a formerly serene neighborhood. Dr. Kaplan: How many horses do you have? (To Mr. Hutchinson) Mr. Hutchinson: Thirty one all told. Dr. Kaplan: Did you apply for permission to have more horses? Mr. Hutchinson: No. Dr. Kaplan: What are the hours riding goes on there. Mr. Hutchinson: Usually through by 6:20 P. M. don't start before 11:00 A. M. -- 11 to 6. On Sundays and Holidays, afternoons from 3:00 P. M to 5:30 P. M. or 6:00 P.M. Dr. Kaplan: What are the ages of the people riding the horses, are they adults or teenagers. Mr. Hutchinson: Both teenagers and adults, about half and half. Mr. Broderick: Our objection is we don't have any privacy in our yard with the horses going by, nor in our home either, the horses go by our yard, within two feet of it. Mrs. Broderick then .showed pictures of horses going by their yard and Mr. Steers yard and Mrs. Johnston's yard. Mrs., Broderick: . There are only a few horses in the pictures but when 25 or 30 go by it isn't funny. Mr4. Broderick: When he (Mr. Hutchinson) first came to our house he asked if he could keep a couple of horses and now he has a mess of them. On April 19 there was a woman riding alone on a horse and she was screeching and hollering--she put on a show and we pre- tended not to hear. Then she stopped in front of Mr. Steele's house and did the same thing. On May 16, the horses spent the night on their property (Murray's property) and Mrs. Murray found a load of horse manure on the hottop in front of her garage. On May 18 at 5:00 P. M. Johnston's dog through them out, then a cowboy came down and chased them all over the place to take them home. In 1966 Mr. Hutchinson sent boys to our place to look for horses at 9:30 .P. M. They went to Mrs. Johnston's house and borrowed a flashlight and never returned it. We have called police at various hours. They came down one morning at 6:45 A. M. and saw nine of them on the lawn. The police wouldn't go up the road as it would ruin the cruiser. The next morning the officer came and Mr. Hutchinson told that the horses didn't belong there. There are people coming up our driveway, lots of ki n bicycles come on our driveway, we had to put up a stockaje fence. Dr. Kaplan: Was Mr. Salvo the officer? Mrs. Broderick: No. Mr. Salvo: I have been up there several times but not in this instance. Mrs. Broderick: Several times we have called ipolice at different hours to ask them if they would keep the horses up where they belong. Then I called Mr. Leahy. He said: "You do not have to fence your place to keep animals out, they should fence to keep them in." There are bulls, horses and goats, there. I wrote to the Board two years ago, we didn't hear anything more from that. Another thing, we have a wall over 300 feet of stone wall-- dry wall--they have pulled that down, the gang that come down from there. It has cost us quite a bit for this malicious mischief. - -She then showed a bill.. from. James Nobile, General Contractors for $500 for repairs of wall. Last Sunday, we had an expensive sign with Broderick on it and it was stolen last Sunday Mr.B night Boys throw rocks from the wall and out to the middle of the road. They take rocks off of the wall and sit on them. Mrs. Broderick: The foregoing is a sample of the anguish and harrassment we have not been able to sit in our yard or have a cookout. .-Last summer we did not even. take our summer furniture out. I don't believe this is conducive to peace and contentment which we are entitled to on our own premises. Mr. Steele : What is the status of this license as of now? Is it revoked or what? Dr. Toomey: It isn't revoked until after this hearing. Mr. Steele: How can they operate with dozens of horses when the permit was for eight. I was given to understand by the inspector that the license was revoked. I am in oppositi to the statement that the horses do not operate after 6:00 P. M. My boy and I have had to dodge these horses at 10:00 P. M. I would call the police and then they N would stop for a few days and then start in again. Are you sure this had no rela- tion to what happened lately. One night at 8:00 P. M. Mr. Johnston was going down the driveway and a pony ran out in the shadows, didn't strike him but could have. Mrs. Broderick: They went up the other night at 7:20 P. M. Our other neighbors could not come to this meeting as they had to work. Attorney Laskaris: I represent Mr. Hutchinson in this particular matter. I'm quite concerned about the newspaper report after the hearing and not after the presence of Mr. Hutchin- son. I am concerned for the City of Salem and the Board of Health. . I would like to get no at the bottom of this type of thing and if it is true I want to be on the side of calling and correcting it. Besides we have thins that we are complaining about, the manner Mr. & Mrs. Broderick talked about, I am well aware of what hearsay is. I want the Board to hear this newspaper clipping, which states that the neighbors charged that more than one dead horse had been buried on the premises in graves scooped out by a bulldozer. This is against sanitary laws. I would like to know if and who the member or members of the Board were who indicated that dead horses were buried there and the evidence of it. I feel that this type of thing is hearsay and founded on quicksand as most of the complaints that we have heard. I don't question the fact that it is near their property and that they are disturbed. The police know Mrs. Broderick for 20 years. Mr. Steele has been called by the Brodericks on several .occasions, not.only on Hutchinson but also the area in back that runs a stable. From Mrs. Broderick we would arrive some fact that some horses may have been on her place, the officers were there and they were told that they were not Hutchinson's horses. If any of these things have been happening I question them. The only thing I have to say for Mr. Hutchinson is the question of the number that disturbs me, I don't know whether they were somewhat allowed, to have them. The property of the Brodericks has been fenceel in and the horses would have to be steeplejacks to get in there. Mr. Steel will show you that there are other horses in that area unlicensed. I would like to stick as closely to the knowledgeable facts as to what they know and what they have seen and Uhether they were directed to the Hutchinsons. Some investigation must have been done. Mr. Leahy woo has been plagued by calls for the last fifteen years by Mr. & Mrs. Broderick. I have a report here from a Registered Public Accountant showing the amount of money they have 155 spent for these horses to fedd and house them, also they have calls as a result of complaints from the Brodericks from the Animal Rescue League time and again, I am sure your Board has never had any complaint from the Animal Rescue League. The police have been down and I am sure your Board never had any complaints from the police. I represented Mr. Hutchinson when we asked to maintain a second hand car license down there, they would not have given a license unless all lthe neighbors agreed to it. These individuals we are dealing with, this is a chronic situation of ones personality might be one of the main reasons why we are here, I want the Board to evaluate and consider. We have 'expended $10,805.20 maintaining these horses last year. We have spent $15,225 to purchase them, our receipts were $16,500. , giving a net profit of $5400, not as against any capitalization cost. Hay and Grain amounted to $6,281.82. They are the best kept and maintained riding and stable horses in Essex County. There hasn't been any complaints on the horses. It is the concern of the individual about the animals, if they are concerned for them to be properly fed then they are concerned for their proper burial. Now quoting from the newspaper. DR. Toomey: I don't think we are concerned with that, we are not concerned that these accusations may be parallel with other accusations. Att. Lazarakis: John, there seems to be some. accusations here, even from newspapers. Dr. Toomey: We- had our inspectors go,up there to try to' find out about these complaints. Most of the time you go up there we don't see the horses. It doesn't appear that there are that number of horses there. We don't see them coming down the road. The horses are wll fed. and taken care of. They are Western type horses, out doors all day. My inspectors have been up there a number of times and brought back reports that as far as the care and keep of these horses they don"F see anything wrong, w) We have no way of determining whether a horse is on Mrs. Broderick's lawn or not. Nhey haven't seen at the times they have been there, and they have been there frequegntly, any evidence of this. Mrs. Broderick: They don't work at night. Dr. Kaplan: We have inspectors go up and they feel that when we were there they were not in great number. Dr. Toomey: To Mr. Hutchinson. How many horses do you have there? Mr. Hutchinson: Twenty Four that we rent and there are seven that never go down the road. Total of 31. Dr. Toomey: This we agree to that you have a number of horses over. As far as we can determine they weren't wondering around. We had another stable up there that the horses were wondering around all the time. This had nothing to do with this case. Mr. Steele: Just to. clarify a situation I myself and my son have seen categorically, Mr. Hutchinson come down several times, pick up horses and a bull, I. saw it with my own eyes. Att. Lazarlakis: Categorically how long ago was this Mr. Steele, ponies and horses deal. He accuses that he saw the son go in and get the. bull. I don't think Mr. Hutchinson would deny. Pop. Steele:-I can't say as to- the time I can say that within a year or so Cant answer on the bull-.-two. years, or. so. Mr. Salvo: We went up several times on complaints, sometimes got complaints every day, sometimes two a day, the road is rocky and hard to go in with a car, there were runaway horses which .I did pick up. They were from the.Broken Wheel Ranch, lazy ,A.- Most of the time he claimed the horses His license was taken away. We never found anything wrong at the Hutchinson. I never heard any noise, never saw horses go down the trail. I will say Mr. & Mrs.. Broderick and Mr. Hutchinson helped us out in that area, they both helped us out in different things. He has quite- a few horses, I don't know how many. Dr. Kaplan: Do you think the area is large enough. Mr. Salvo: They..have all. .the_ fields there. There is quite a bit of water that could undermine the wall. To the Brodericks: If you saw some boys ruining the wall you would have called the police right away. Have you seen me up there? Dr. Kaplan to Mrs. Hutchinson: What is your story? Mrs. Hutchinson: I have nine children do you honestly think I would stand anyone coming in using abusive language, drink beer, .I have a. girl 14 years old. I have thrown a lot of people who were undesirable out. That newspaper. piece hurt me more than anything. These .people come up in my yard and do .thing.s, they say, we. haven't found out. Mr. Mazola: If you go up Swampscott Road there are loads of beer cans, there are lots of kids there, one night we left the riding school there was a car there, next morning it was still there, there is activity, parking, etc. all night long for *ears. I have a boy 14 years .old who rides there, it is a good crowd, no one is wise, as far as any drinking beer, that is the last thing they would do. The place is spotless. Dr. Kaplan: How duch do you have to pay; for riding the horses. Mr. Mazola: $2.50 an hour. This is the primary sustenance, two of them and 9 children. We have never heard any abusive language. I have gone there all hours of the day when I wasn't expected. Mr. Riley: I think probably I have been up there more than anybody. I shoe the horses. I would be the one if anyone saw it or heard it, I have never seen any of these tangs going on. My primary reason for coming here was to find out if those things really came out in the Salem News, slanderous. I shoe the horses seven days a week Horses can't go out without shoes. Dr. Kaplan to Mr. Hutchinson: Did you have horses who have died? Mr. Hutchinson: No. If I do have horses that die what am I supposed to do with them? They buried twenty or thirty of them there a few years ago. Mrs. Mazola: When I have been there recently there were one or two ladies come up the road that don't even belong to this stable. One came up there yesterday, just sat there looking around. She had a sick horse that couldn't be helped. Dr. Kaplan to Mr. Hutchinson: Where do you take the sick horses? Mr. Hutchinson: To Taunton. On May 3 the hearing was supposedly held. The: Reporter called my house and asked me what I planned to do. This was news to me, but he told me it was so. Myself and my wife and another fellow went to the News Office, knocked on the door, there was a fellow there who wrote this article, I saw it right on top of his desk. I asked him if he was really going to prinf' this thing. He said that it was news, and asked me what I was going to do about it. I had been found guilty. In the process he called Mr. Mahoney, and asked him if this was true and I asked him if I could speak to Mr. Mahoney and Mr. Mahoney said he would wait until the hearing. Your inspectors have been up to my place, they have blue cards that they record on, whether they are negative or positive. I am sure if these things were positive the Board would have done something. The last one was a complaint that I had three dead horses, 12 ducks in my cellar. The inspector didn't see the 12 ducks tied in the cellar. They did no see any dead horses not any garbage or rubbish strewn about. There are many times that these complaints have been made and these people have had to comtup here. My horses are supposed to be on their lawn, which they are not , they would ruin the lawp and their marks would be there if they were on it. They took pictures that go up and down the road which is a public road, why didn't they take pictures of the horses on their lawn? We have `1oxr goats for pets, a donkey one year old and 10 acres of land, which is more than enough to take care of what I have. The place is clean and neat. They must ge up at 4:00 A. M. to see what I have up there. These complaints are erron- eous. If they were true I am sure Dr. Toomey would have taken action on these things. Dr. T. Regulation of the Board of Health states that you can keep fowl or other animals within the confines of the City with the permission of the Board of Health. We take action when there is a. complaint relative to these animals, if it is liable to cause a health nuisance or health problem of any type, we don't go around removing every animal. We do invoke this when a nuisance arises because of this. Dr. Kaplan: The Board has to be a little bit judicious. Who is telling the truth? It seems to me that Mr. Hutchingon had license for 8 horses and he has 31. He is guilty of breaking certain rules set up by the Health Department. This can't go on unless he has a license. There is a difference of statements. Has the fact been established that there are more horses in that area than Hutchinson's. Mr. James Fario, Nest Peabody: About a year ago at 6:00 P. M. Mr. Steele came out of his house and called Mr. Hutchinson all these dirty names and stated that if it is -the last thing he did he would see that he would be put out of there. Dr. Yaplan: Was Mr. Hutchinson there? Mr. Fario: Yes, he said that right in front of-my girl. Dr. Kaplan: Have you ridden after 6:00 P. M.? Were you told by Mr. Hutchinson that you conld not ride after 6:00 P. M. Mr. Fario: I would also" like to say that I raise horses myself and take pride of them and the horses are in good condition. That so called bull has given 40 pints of milk since he has been there. I brought the baby down while taking it back to the farm, it wasn't down there more than two weeks. Mrs. Roderick: We are not concerned in the least with waht goes on at Hugchinson's, we have nver been there, we have never complained about what goes on down there. we 15 have •complained on the nuisance that they commit on the road. Mr. Mahoney: To be fair to everyone we should go up there and look the place over. Members left to view the premises of Mr. Hutchinson, at 6:35 P. M. . June 8, 1967 Board of Health meeting convened at 9:10 P. M. with all members present. First order of business was the resumption of the hearing for the keeping of horses by Mr. Frederick Hutchinson of 15 Robinson Road. After some discussion it was felt that the whole matter be tabled .until the June 20 meeting. This was taken as a result of evidence that there are many smallstables in the area and the Board. would like to have the inspectors search them out and bring in a report so that the Board could get a general view of the whole area. Application of Mr. William Coogan of Swampscott, to keep a stable in Salem: Agent explained to the Board that this man had been unknown to us, had not had a permit for a stable, he came in and requested one. He had five or six horses who are privately ridden and boarded with him. He does not run a riding stable. Dr. Kaplan was very upset at the news that this man was here operating, and he suggested that we terminate his activity immediately. Dr. Toomey said that he had sent the inspector up there and that the horses were well cared for, well kept.and the place was in good order. Mr. Mahoney felt that rather than stop the. man's business immediately that we issue him a temporary permit until such time that we clear him along with the Hutchinson case. Mr. Mahoney also felt _,that the department should write to the neighbors up there and get releases from them for this individual to operate. We should have a report of this for the June 20th meeting. MOTION, by Mr. Richard, and seconded by Mr. Mahoney: That Mr. William Coogan be issued a temporary license for keeping .these horses until complete investigation is made. Dr. Kaplan opposed. FLESHINGS. Dr. Toomey informed the Board that we had taken samples from Flynn and Hawthorne Tanners to the incinerator and neither samples would burn at all. There was a lengthy discussion by the Board in which all the history of the dumping of fleshings was reviewed. Members expressed their grave concern, particularly relative to the pollution of the brook which becomes Forest River and it was brought out that the grave concern also of the Conversion Committee with regard to this brook, was that it travels through a residen- tial section Also the establishment of a swimming pool area at Forest River and Pickman Park which could have possible contamination from this material. Members felt that inas- much as this material will not deteriorate it will absorb the dumping area with a speed that the city cannot affort and it is feared that within a few years the city will be faced with a serious situation with regard-to the disposal of their normal household wastes. In view of all the research that has been done to try to reduce it to the state where it is not going to be a source of pollution and also reduce its bulk, the Board reluctantly feels that they must ask the manufacturers concerned to devise other ways and means to dispose of this particular type of waste rather than at the city dump. Following MOTION was made .by Mr. Mahoney "That the disposal of leather fleshings at the City of Salem dump be forbidden as of Monday, June 12th. The Agent is directed to notify the manufac- turers of this decision.` Motion seconded by Mr. Richard, passed unanimously. Letter received from Mr. Kenneth A. Maclver of 17 Gre.enway Road was read by the Agent. Mr. Maclver is concerned about the fill in back of the Salem Hospital. Mr. Cameron of the department has viewed the situation and found it not to be "a justified public health nuisance." Mr. MacIver, however, had talked with Mr. Mahoney and did feel that it was at least a legal complaint here, inasmuch as his property might possibly be injured by a change in the topography of the land. Dr. Kaplan suggested that Dr. Toomey meet with Mr. Buis and view the scene and see what could be done to improve the situation. Mr. Mahoney also brought out that poor communications and relations between the Salem Hospital and its neighbors exitted. Dr. Kaplan was very much concerned about this and asked Dr. Too- mey to convey this to Mr. Buis. Meeting adjourned at 9:55 P. M. June 20, -1967 Meeting came to order at 5:00 P. M. with all members present. By motion of Mr. Mahoney and seconded by Mr. Richard the reading of minutes of previous meeting were dispensed with. Communications: Incinerator: John Baffa to Eastern Refractories in which he takes contractor to task for not submitting more photographs of the progress of the work. Letter from Beaumont-Birch to John Toomey in which they bid on a high alloy chain which is the conveyor, for the sum of $4804.20, $15.70 per foot for 376 feet. Also quoted on the sprockets--2 at $6.00 each. Also on:� 4 sets of return idlers at $300 per set. Letter from The Fairgrieve Co. ,Inc. of Lowell, Mass. bidding on the chain, 306 feet at $7.00 a foot. Two split hubs and sprockets at $512 each. They also bid on an 8 tooth solid hub at $320 each. The split hub, of course would be much easier to handle and is what is up there now. He also sent ,a letter in which he quotes the brackets to be used on the conveyor chain, they would be approxi- mately $5 each. (This was included in the Beaumont Birch bid on the chain.) Letter from Detrick & Co. to John Baffa asking for $50. fro return of the plans. Reply from John Baffa to him, saying "No." Copy of wiring report from City Electrician to Philip Rittenberg,Inc. stating: "Incomplete wiring; Where wiring method changed existing circuits left in a hazardous condition. This wiring must be removed or replaced. Temporary circuit to flying lights on chimney to be made permanent. Installer to make an appointment with wire inspector for final inspection." Letter from Eastern to John Baffa in which he says we cut the road and he won't be responsible. We did and we take responsibility. Letter from John Baffa to Eastern in which he requests a re-submission of the drawing ML, enlarged de- tailed of the guard rails to be installed, around,the stack. Letter from John Baffa to Health Agent. "The proposal submitted by Eastern Refractories for installation of adequate support of structural steel in com- bustion changers 1 and 2 enclosed. This is an extra and should be added to the account. He recommends he submit the cost upon completion of the work. Eastern has estimated a total cost of $,2078.78. Mr. Baffa has reviewed this and has considered it fair and reasonable. Letter from Eastern to John„Baffa citing the above and asking for his approval. There were extensions of concreto,footings ,to bed rock. Letter from Conti and Donahue to Eastern in which he is submitting costs to Eastern for putting in the concrete footings. His total cost is $1718. All the communications re the incinerator were received and made a matter of. informa- tion except the item on the expenditure -of moniestthis ,was received and made a matter of record. OTHER COMMUNICATIONS: 1. Copy of letter from Superintendent of Schools to Mr. Conway, Principal of Voca- tional School approving the .appointment of a new clerk for the Home Management Train- ing office. 2. Letter from Noonan Co. , making an informal bid of $990,400 to tear down the property at 33 Putnam Street. 3. Copy of a letter on the use of Larvacide in the control of mosquitoes by the Essex .- County Mosquito Control Commission. They set forth the materials used and what should be done. 4. Letter from J. Toomey to the Superintendent of Schools and the School Committee in which he states the provisions and the methods to be- used in the Crest Program so called. Letter was accompanied by samples of material which will be used. 5. Reply on this, the Superintendent states that the dental program in the second and third grades was approved by theSchool Committee. These communications were received and made a matter of record. CIVIL SERVICE CUMMUNICATIONS. . 1. Letter informing Board that an examination has been ordered for Sanitarian and will be opened to residents of the State. 2. Letter giving permission for the extended employment of Wilfred E. Demeule as Working Foreman in the department from June 23 to Sept. 30, 1967. 3. Letter to the Director of Civil Service advising that in the case of Mrs. Fairclotb 15 the salary of Public Health Nurse has increased since the requisition was made out. 4. Letter from Civil Service stating that M. Faircloth, R.N. was the only person to become eligible as a result-of an open competitive examination. Her provisional appointment was therefore terminated, and as directed by the Board her permanent appointment was carried out. All Civil Service correspondence was received by the Board and made a matter of record having previously approved of these. Letter from City. Clerk informing us of the changes in the pay rates of Registered Nurses at the Hospital and the Public in the department. . Letter from City Clerk with resolution by John Butler, Councillor in which he requests that the abandoned building at 33 Putnam Street and the one at 2 Center Street be torn down or repaired and cites that the Health Department had been attempting to do this and requests the City Solicitor give the Health Department legal aid in this matter. Also that the Mayor use his good office to help out. These were received by the Board and made a matter of record. Letter from Health Agent to Mackey Company in. which he is informed. of the dumping situation on the property at Leggs Hill Road and directing him to correct this situation. Letter has been sent to Mr. Kenneth Maclver re fill near Salem Hospital. The Health -Agent viewed the scene with Mr. Buis, Director. fo. the Hospitl. Dr. Kaplan and Dr. Toomey had a talk with Mr. Buis and he assured them that- he would contact Mr. MacIver to try to improve. relations with the neighbors. Mr. Mahoney stated that he was still concerned about the brook that runs through Mr. Maclver's land and through the hospital land. Dr. Toomey said that he viewed the scene. with Mr. Buis, had talked to him about the brook and ex- pressed concern along these lines, in that the brook might get dammed up. Health Agent told the Board that the Director assured him that they were not going any nearer the brook than they are now, which is approximately 20 feet from the base of the pile to the brook. Letter was frowarded to the Tanners as per the order of the Board in which Dr. Toomey informed all of the Tanners of the grave situation existing due to the dumping of fleshings. In the letter he quoted the following motion: "That the disposal of leather fleshings at the City of Salem dump be forbidden as of Monday, June. 12th. The Agent is directed to notify the manufacturers of this decision." Dr. Toomey then reported that he had a call from Mr. Flynn who said that they were contemplating using container service system and would bring the material to a private dump out of town. Accepted by the Board as a matter of record. Letter from John Baffa to Eastern Refractories in which he points out that he will not au- thorize final payment on• the incinerator because of a number of uncompleted items. The letter was discussed by the Board and they voted approval of this action. Letter from Regis College to Mayor Collins: During the summer, the Mayor has assigned to us Miss Vicki Connolly, a student at Regis College. Miss Connolly is not on our payroll but is assigned to us by the Mayor's office in conjunction with our housing activities which are about- to commence in the point district. We thought it would be a valuable thing to have. Miss Connolly working.. with ,the poverty program personnel (female). to accompany our inspector.s. as. th.ey go through the area, house to house. I have drawn up a questionnaire .. and,feel that we_will .obtain some very valuable information as a result.of this survey. We feel we can base future health programs depending upon what the survey shows is needed. We may have a copy of the questionnaire by meeting time. OLD BUSINESS: Continuation of the Hutchinson case: Mr. and Mrs. Hutchinson were at the meeting. At the previous meeting the Board decided that Dr. Kaplan and Mr. Richard, who had not viewed the scene, would do so before. this meeting. Because of the press of business, particularly on the part of Dr. Ka.plan, .they had been unable to get there. Dr. Kaplan asked Mr. Huchin- son if he would forbear a little bit and he promised that he would, in the company of Mr. Richard, view the general area before the next meeting. Mr.. Hutchinson expressed concern about his business, but again was assured by the Chairman, speaking. for the Board, that until a final decision is made that his business ,should go on as usual. Mr. Hutchin- son expressed the thought that his business had been injured by the.write-up in the Salem News, but the Chairman expressed the opinion that this was.not something before the Board and was something- with which. they had. no concern. 160 Coogan's application for a stable: Inspectors visited the Coogan premises and talked with the Brodericks who are about the only abutters other than Hutchinson and neither of these people have any objection to his having the stable. Dr.',T.00mey,ixTormed=Lhe=Boar-d.,,-that he had a good stable, good horses, that the farm was clean and in good order and that he had been informed of this by the inspector. .Ma.-.Hutchi.ns6n. was eskedr.:if'tlie had any ob- jection to Mr. Coogan having a stable and he said "no he did not." Mr. Mahoney said that he felt before we finally gave a licease: to Mr. Coogan that we should have in writing from the parties concerned their approbation of the stable. Part time help: 'We have requisitioned for part-time help for the labor force and in our requisition we have asked that some of our people who are working part-time now be made permanent-intermittent. This situation is still in the state of confusion but we are attempting to get some good men straightened out on their Civil Service status and to get some replacements for vacations. This was .received by the Board as a matter of information and Dr. Toomey was directed to continie his efforts to straighten out the labor force. NORTH RIVER Dr. Toomey explained that hehad ordered the calcium hydroxide for spraying and if the present plans go through he will have Mackey handle it. The material will be delivered on Monday, June 26th, arrangements are being made with the helicopter, and I hope to have this all correlated and start spraying Tuesday or Wednesday and get in two or three days the following week. (see below for more information on North River) NEW BUSINESS: Mr. Salvatore Spinale of 1 DiPietro Avenue in close proximity to the Incinerator was at the meeting and he expressed concern to the Board that the outside burning at the open dump was not being done in a careful manner and as a result in the summer time the smoke almost comes into his house. He claimed that the fires were not burning in an orderly fashion and that there were not put out at night but allowed to smoulder, and further there was burning of junk to reclaim copper, after hours, and by our employees. He expressed the opinion that after talking to Dr. Toomey he didn't object to burning the bulky material which might damage the incinerator, but claimed this could'be done with out creating a nuisance and Dr. Toomey agreed. Dr. Kaplan felt that he wanted to reiterate his stand that there should be no outside burning. The Health Agent felt that this was impossible to comply with due to the fact that there was just no way to dispose of this effluent and still give service to the people of Salem. This service has been given to them down through the years and they come to expect it. The thought was expressed that we shouldn't take some of the things that we are taking, but Dr. Toomey said it was sometimes easier to take the items then try to sort out same. He felt that the people should continue to get the service but that the fires in the dump should be carefully supervised as to the amount and the time and the proper direction of the wind and that fire should not be allowed to smoulder and should be wet down to prevent this and to prevent the possible spread of fire. . Mr. Spinale agrieed to this. Dr. Toomey stated that he would send another memo up to the Foreman at the incinerator to this effect. The discussion extended into the fact of separation of these different materials being picked up by our open truck. Dr. Toomey explained the fact of the matter is that the truck equipment was,Padequate and badly designed and that we were getting a new one and when we do this would be overcome. i. r... --6;'0urn 1, a L M. NORTH RIVER ACTIVITIES: As a result of complaints of citizens in the Dearborn. Street.-_-Itros_p-gal section_.regi—te--,- with Councilor George McCabe, he called a meeting and requested the assiste.nce of the Health Department. We explained to him our feelings. about the North River and why it annually causes discomfort to the people concerned. At the meeting at City Hall members of the South Essex Sewerage Board were there and Mr. Brainard testified that since last Monday the gate at Howley Street has been open 'for about six hours which would entail the dumping of five million gallons of sewage into the river. I was requested by the council and by some of the women who were present as to wherein there could be a temporary relief, I answered the question by saying no, meaning that no long-range comfort could be extended to them unless the basic situation was overcome. I did agree later with the Mayor to,look into the feasibility of treating the flats in the same fashion as the flats in Winthrop were treated. I did consult with the Sanitation Division of the State Department of Public Health and they agreed that it might offer some temporary relief. I had Neil Mitchell, Sanitary Engineer, draw me a sketch of the the area concerned. It turns out that while we guessed at 100 acreas it is actually 74 acres. Meeting adjourned at 7:00 P.M. Elinor Horan, Clerk June 30, 1967 HEARING FOR MR. WILLIAM F. McKINNON OF 13 GLENDALE DRIVE, DANVERS RE: PROPERTY AT 97 BOSTON STREET,SALEM All Board members were present, Dr. Toomey, Mr. Colin Cameron, Sanitarian for the department and Mr. McKinnon. Mr. Cameron: We had a complaint through the Visiting Nurses Association, the nurse thought there were substandard conditions there. I went down with another nurse from our department. We found a multitude of violations; walls, ceilings, floors, windows, toilets not operating, etc. There was .a leak in the roof with a large bulge of water going into the electrical fixtures. This was broughtg to the attention of the City Electrician. Two hot water stacks had been installed with the approval of the Gas Inspector. This was a two family house and it was occupied. Dr. Toomey: Mr. McKinnon, legally the Board will allow only the discussion of 97 Boston Street at this time, any other you have gripes about you have now gone by the time on those. Mr. McKinnon: I would like to discuss my relationship with the Board of Health which has not been acceptable. On Sept. 21, 1964 I received a letter from this department about 5 Kosciosko Street, the letter read: Advise you that survey group surveyed, according to Chapter 143 of the General Laws and condemned the building. We plan to advertise this wrecking on September 23 in accordance with my letter, of August 17, 1964. If you wish to take action re this ..please contact this office. Dr. Toomey informed Mr. McKinnon that the letter he was referring to was from the Public Property Department and not this depart- ment. Mr. McKinnon then stated: I disagree with the means which was used to get some action. On the 15th and 16th you put pictures An the paper and this was embarrasing. Mr. Mahoney: You are talking about another department altogether. Mr. McKinnon: Of all of the property involved at that time, mine was the only one being demolished. I stopped working when the ;Health Department closed the dumping area and I had no place to put the materials. I then went ahead, believing:; this letter, had the property taken down by a wrecker. Now there was property on Pickman Street in Salem, I would assume that they got a letter from the Public Property Department. I ended up with this letter. There-was property on Putnam Street at the same time, in the same type, that property did not come down until June 1967. There is a place on Pickman Street in Salem in a state of disrepair and boarded condition, has been like this for over twenty years, it is still there. Windows busted out, etc. There is another on Pickman Road, in the same condition and that has been there for over twenty years, overgrown, etc. and there was a fire there within the last two weeks. -Nothing seems to be dcoe= with this property. With my March Street property, there is one major complaint that I am not in the sewer. I'm taking .steps to have this taken care of now, presently -in -court on this issue. There are nine items listed one includes tall grass which is a rat harborage. I am down there knocking d9wn my grass. I sent a letter -on June 19 saying that I would mow all mine down and if tall grass is a rat harborage, there is other grass in the area should be cut down the same ',level. Why do the inspectors pass by other places to get to my -place. There is another house on March Street completely overgrown, broken windows, etc. these are the same complaints that I am in court for. I am going to ask for help there, gone beyond money now. In fulfilling the law I think you have been writing, but the only thing, is everybody getting the same type of treatment. Mr. McKinnon: As far as Boston Street situation is concerned, now Dr. Kaplan, you -have been .in .and out .of .homes for years, wealthy and poor people, -have you evert• found it necessary to report the property after you left. Dr. Kaplan: For thirty six years I have been practicing, some of the houses I have been afraid to take off myrcoat, they were a disgrace. They got complaints, but they couldn't . do anything because the laws were not that strict. In this department if you know the 16 right roads, you can stall for a long time and this has' happened to us. Salem has a lot of slum areas. Before I came on the Board we didn'.t have the teeth to get things done, but now we have teeth and we are doing a good job. I don't think you would like to go into a house like that on Peabody Street, Ward Street, Ash and Rust Street. Telephone Company has taken over Rust and Ash, you only have a few areas that are still slummy and I don't think we should have it.,._ If you were on the other side of the fence would you want to go in these houses. Mr. McKinnon: The complaint on Boston Street originated from the Board 'of Health Nurse, Visiting Nurse, she was there sort of on a social call, not to administer to any children. She was a friend of the family in this situation. As such, I sort of wonder about her personally getting involved, she did and this is fine. I have asked many times here before when anyone goes to inspect my property to call me. I have gone with Jack Lbwe and others I just want to be there.lThere are some questions that could be answered with the owner on the premises. Mr. Cameron: If the tenant lets us in we make the inspection. Dr. Toomey: To clarify this, the Supreme_aCourt ruling, the owner of a piece of property, we cannot enter the house if the tenant in the house doesn't want us in but on receipt of a complaint from a tenant, not from the tenant in this particular case' a go to a house, knock on the door, say we are from the Board of Health do you mind if we come in. We are invited in. Mr. McKinnon: I am interested in the fact that kkalz they sent two inspectors, male and female to inspect the property. They are small complaints, Mr. Cameron is one of the best inspectors, gets along well on the job. . Dr. Kaplan: Do you seriously believe that the department is angry *fth you. Mr. McKinnon: I have been getting the type of problems that others don't get. This Visiting Nurse knows, she has been going to this family's home for some time. She is familiar with the property that they were in before. I have read the code and I could have found a dozen problems in the place where these people were before. They were in four rooms, eight people, the Visiting Nurse did not find this to be a problem? Would not find a larger home? The people who were living there February 1, the pipes froze. I wnt in and took a piece out of the ceiling to keep water supplied to the first floor tenant. These people came to me, called and asked if they couldn' see the property, I wasn't interested in renting it. Two small apartments and again I do not have time to do any of the work until school closes. There are several other things that I didn't get to do. They are in rooms with problems, there are two bathrooms, I will fix one oOy , Now if school gets out I will get the paper and paint, etc, to have the work done. I don't have the time to do it, the tenant will do the repairs. I gave him two ways of handling it, lower rent, etc. he will do one room at a time. As far as the toilet is concerned only one I am interested in. Ovefflow, just needed a 65 cent piece to fix it, one of the children put his hand in and bent it. I went there Sunday to collect the rent, I can't fix it now because I can't get a piece of pipe, I told them. Then I offered to get it from the other toilet, but the tenant told me his wife was sleeping there and I couldn't go in., then I just didn't get there. Temporarily I put a piece of wood there so the water wasn't continually running. On the roof dormer, hurricane tore paper off and left it leaking. There was a leak there two years previously, and I repaired it and it was working well until the last storm. The painting and papering will be handled by the tenant as part of our rental agreement, with me supplying the ,materials and him supplying the labor. Dr. Kaplan: You feel that your property is in good condition and our manner isn't justified? Mr. McKinnon: I am saying that a telpphone call could be made. When I went with the inspector I could have repaired the toilet. I can't, spend half a day on the roof. Central Street, inside the house there is loose-plaster, any old property that you go into has five or six children will have loose plaster. I could have told the inspector that I had been in there the previous Sunday, and his wife was sleeping in the other side, Today I put windows in March Street. I don't think the Board of Health can take the right of a tenant and landlord agreement. They are nice people, I d&n't ask for them. I can't understand why I got this first letter on June 23, 1967 on Boston Street property. I asked that the Visiting Nurse be here today, but she isn't. I agree that the toilet needed repair. I agree there is a leak in the roof, I will fix it. Everything is going to be done, but the tenant, as part of the agreement, shall do labor. I am not going to get on that roof. How fast he wants to work I. don't know. Mr. Cameron: We gave him thirty days to repair the ceilings, walls. People cowl dn't flush the toilet for three days. There is a serious eletrical hazard, water in the fixture. Mr. McKinnon: There wasn't water in the fixture, no there wasn't. I drained water out, I took the fixture down, took the globe down and it didn't rain since. Mr. Cameron: It is an extreme..7. fire hazard, person could be electrlcuted. The Electrical Dept. thinks that it is a hazard. Dr. Kaplan: You tfught to fix the place so that it wouldn't be a hazard. , If you don't do it yo� are in-.trouble 63 Mr. McKinnon: It seems we have very unequalled treatment. I have shown some s.p e c i-f.i.c. .s-amp 1 e s. Dr. Kaplan: You should help us rather than telling us we are unfair. We don't want to be unfair with you or anyone else. Doctor. Toomey has a job to do, we are in the advisory capacity and we don't want to hurt anybody. If you were in his or my position and a complaint comes in here and it proved to be valid, would you sit here and do nothing about it . . . . . . Mr. McKinnon: Not at all. (He went on to describe teacher problems.). Mr. Cameron: The broken plaster is not a big concern, but the electrical hazard is a major complaint. We gave him thirty days to square these items away, could extend it for thirty days. M�. McKinnon: I never came in here before. My wife sa, d Sunday, "I can .tell you one thing you -will receive a letter from another department and I did from the Fire Department, and I wondered if it emanated from this office. There was fire on the property on Pickman Road was there notification to the owner on that property? Mr. Mahoney: We are not -running the fire department. Fire Department requested t"at we notify you of the dumping on your property on Daniels Street. We sent you a notice after -verifying same. We had to send you a notice. Mf. McKinnon: Fellow next to me is remodeling his property. Here is a property in a rundown vacant condition for 20 years., there was a fire there two weeks ago I happened to be there at the time. Mr. Mahoney: One of our men says there is an electrical violation there at 97 Boston Street a copy of his report goes to the 'Fire •Department, goverfned by City Ordinance. They have accepted Urban Renewal, we have,to comply with federal laws, these houses have .to be inspected. You apparently have 'quite a number- of properties in the city. Mf. McKinnon: Twelve pieces of property. Mr. Mahoney: If people are dumping on your property, you are responsible. Dr. Kaplan: Dr. Toomey leans backwards, we are.not picking on you. . ..Mr. McKinnon: How is it that they drive' past other houses to get to my property. Pipe factory on the left, nobody complained about that. Dr. Toomey: How are, you going to defend the fact that in May 1966 we wrote you requesting that seven violations of...the Sardtary Code be corrected and informing you of your right to a hearing before the Board. @n June 2, 1966 another letter re sewage flooding into the cellar. On June 14 Telephone call to you. On• June 20, Sewage leak corrected and portion of .rubbish removed other violationsstill exist. July 1, 1966 Recheck made--very little progress noted. July 13, 1966 Another letter sent requesting action. July 18, Another talk with you about uncorrected violations. July 19, 1966 Carpenter working on outside rear of house. -July 20, You were given a- list of violations, to be corrected by August lst, 1966. Julyl:23, 1966 letter sent to iyou .on violations,.-letter returned unclaimed. , July 26, 1966 You claim all work in progress stopped by Bldg. Inspector July 28, 1966, No change in situation, violations still exist. Sept. 7, 1966 Reinspection made, nothing done. Told to connect house to public sewer. Sept. 29, Portion of cellar cleaned, Promised sewer work to be done by October 4, 1966. October 4, 1966, Portion of rubbish in yard removed, and a drain layer hired to connect the plumbing fo the sewer line. This will be done within a week. You later stated that the Drain Layer man was ill and someone else will connect. January 27, 1967 No progress. April 28, 1967, No progress, condition getting worse, open ditch in front of house in a serious safety .hazard (partially covered with an old door) Open ditch has water in it, enough to drown. adult injured by fall into ditch. or small child. May 4, 1967 complaints from neighborhood received from various people. May 5, 1967 Letter sent condemning house and all occupants ordered to be vacated. Notified your right to appeal. May 5, 1967 Telephone call made to High School for Mr. McKinnon, no return call. May 8, 1967 Telephone call made to High School requesting him to call Health Dept. no call. May 9, 1967 Mr. McKinnon called stating he will make repairs to side of house and cover ditch in front immediately. May 26, 1967: Nothing done 16 Dr. T�oomey�:- We have been pretty patient. Now about the house that was half torn down on. Ko,s�ciosco Street. We sent you a letter on that house, We had conversations about that house, it had gone along the better part of a year. Mr. McKinnon: I had no place to put the material. . Dr. Toomey: That is your. problem. We want along with you for more than a year to -ko tear down two sides of the house, it was almost all gone anyway.-"' and you gay we were impatient. , Mr. McKinnon: I didn't say that. Dr. Kaplan: I think you have gone too far, Doc, I would have gone after it sooner. Dr. Toomey: I think I have been living up to your discrOiption, making a mockery of the Health Department. We have been pretty patient with you, if you were as cooperative with us as we have been with you, you would have a lot less trouble. I could set up a few more of them for you if you want, 4 or 5 right here. If you were a man of good will, you would have fixed everything at Boston Street without any problem. Any agreement 'you make with your tenant means nothing to the Health Department. In the final analysis you have- to fix the problems if you own the house. We're not concerned with the tenant and we can't do business with the tenant. You own the house, what goes on between you or he has nothing to do with the Health Department. We can't legally write him a letter. He may be a lousy tenant but he is your tenant, and this is what has to be. We are limited by what the law says. The reason our nurse was there was because of the children in school and nothing to do with the house per se only relatively. The nurse was doing her job, what she was supposed to do, she picked these children up in school. This is good business and the business of the Health Department, good nursing procedure. Mr. McKinnon: I have to go down six feet to get into the sewer. You had pressure from the councillor, didn't you. Mr. Mahoney: Would you admit to me that every one of these is a valid complaint? Mr. McKinnon: Positively not. Mr. Mahoney: Posibility of a fire hazard, electricution, these are on file in the electricians office. If you have a fire, you will have a hard time getting insurance, this is ,a matter of public record, ' ou haven't done these things you may have a law suit on your hands, with that hole at the March Street place. Mr. McKinnon: The hold is filled. , windows are in, grass is cut. For the two hundredth time, don't go on my property without calling me first. Mr. Mahoney: Take the inspector over all of your property. We telephoned you and call was not returned, we don't have to telephone you. Take a day off, get it squared away. We're here to enforce the law and we are going to enforce it, get a hold of Mr. Cameron and get these violations fixed up. Mr. McKinnon I didn't return the telephone call as I did not recognize the number, when I did call 'the office was closed. Mr. McKinnon left. After a short discussion the following motion was made by the Board and unanimously passed. The Board of Health hereby votes to uphold the terms of the letter sent to Mr. McKinnon by Dr: Toomey on June 23, 1967 re 97 Boston Street property. Meeting adjourned at 6:55 P.M. July 18, 1967 Board of Health came to order at 5:00 P. M. with Dr. Kaplan and Mr. Richard present. Mr. Mahoney was on vacation. Reading of minutes of previous meeting were dispensed with by motion of Mr. Richard and unanimously approved. Census at hospital was received as a matter of information. COMMUNICATIONS.1.Letter from Mr. Hutchinson was read and wasc:r.ecelved as a matter of record, will be discussed under Old Business. 2. Letter from the Department of Health, Division of Nursing Homes informing the Board that the Couillard Rest Home at 31 Dearborn Street had been closed. Receive as a matter of information. 3. Letter from the Engineering Division of the Dept. of Public Health informing us of the availability of a polarization plant which now makes it unecessary to burn automobile bodies. Received as a matter of information will be discussed under Old Business. 165 4. Letter from Eastern Refractories to John Baffa in answer to previous letter from Baffa citing unfinished details at the incinerator. b. Feinzig states that some of the things pointed out are done, .some will be done in the next few days, etc. Perhaps the most important item in the letter is the reference to the Detrick Cans, the fact that they are splitting. All defective cans have been replaced and letter says that all defective welds will be redone. Letter then requests Mr. Baffa to certify the job as being completed. This was received as a matter of record. 5. Memo sent to Mr. Guerrette from John Toomey as follows: June 23, 1967---Subject: Outside burning in open dump area. The question of outside burning has again arisen at the last meeting of the Board of Health. Mr. Salvatore Spinale was present and cited two main problems: 1: He-claims that early in the morning large specks of paper and burnt par- ticulate matter has issued from the chimney. I wish you would investigate the reason for this and give me a report. 2. The outsized material that is burned on the dump is done in a careless and inefficient fashion. From now on this .operation must be done in conformance to our previously stated operational plan. So there will be no misunder- standing I'll repeat: Material shall be gathered into a burnable pile each day. At all times in the open dumping area, there shall be two piles separated, one for the current day's burning and the other for material to be burned the following day. Material should be burned in as small amounts as possible and should not be allowed to accumulate. Burning should be engaged in only under ideal climatic conditions. Burning should be done between the hours of 9:30 A. M. and 2:30 P.M. This should be more than ample time for the amount of burning necessary. ' No fired should be left smouldering. Hose should be connected and all smouldering embers doused. No person, including our own personnel, is authorized to light fires for the purposes of recovering copper, either during or after working hours. The Caretaker, under the direction of the Foreman, shall be the only authorized person to do the necessary burning.Rec'd, matte of recorrd. 6.Emer. App3: Letter from Miss Pelley at Civil Service `approving thirty days emergency appointment of A. Bedard, Paul Faircloth, Robert Morin„ David Levy and John Bradley. She also informs us that we should take people from the regular list now that it is available. Received as a matter of information. 7. Letter tb.Universal Steel and Trading Corporation informing them that burning is going on,at their property on Swampscott Road and this is the last time we are going to have conversation with them about this subject. 8. Another letter to Universal Steel and Trading Corporation in which we inform him that it has come to our attention that he is burning razed buildings in from out of town. We informed him that this will require a permit and that no permit is going to be issued and that he can cease and desist from this practice right now. This was received by the Board as a matter of information. 9. Letter was sent to Atlantic Tree Service, Lynn informing them that we had noted them dumping on the property owned by Universal Steel and Trading Corp. for which Univer- sal did not have a permit for conducting a dump and that there would be no dumping here in the future regardless of any agreement that had been made with Universal by them. This was received as a matter of information. OLD BUSINESS: Stables Permit: Mr. & Mr. Hutchinson were present at the meeting and said they felt that thefact of Mr. Coogan having a stable in the same vicinity as his definitely had a bearing on his case and he was not expressing an opinion, nor giving any approval of stable for Mr. Coogan while his own case was under litigation by the Board of Health. Dr. Toomey said that he felted to see where one case affected another and that each should be taken up and viewed on their merits. Mr. Hutchinson ) informed the Board that as of now Mr. Broderick had sold his place on Robinson Rd. and the parcel of land and buildings had been purchased by a contractor named Mongello. Dr. Kaplan felt this might throw a new light on the whole project and a new attitude from the abutter, and further, due to the pressure of business he i166 and Mr. Richard had not been able to look at the place as they promised to do. He re-. quested that Mr. Hutchinson withdraw a request for a decision as of the moment and that the Board of Health would evaluate the whole business and we would have a meeting in two weeks at which time we. would make a decision finally. Mr. Hutchinson then made some acrimoni- ous remarks directed at the newspaper reporter and the Chairman felt this was not a part of the business of the Board of Health. AUTOMOBILE BODIES Order from the City Council and the Mayor, specifically from Joseph O'Keefe, Ward 2 Councillor in which he recommends that the Board of Health in cooperation withtth:e Police Department make a city wide survey of abandoned and unregistered -automobiles with the idea of removing them. Dr. Toomey informed the Board thathhe intends to get together with the City Marshall and see if we can't arrange a system of a continual policing re these abandoned automobiles. He also told the Board that the department has been for quite some time trying to control this practice, but maybe some better plans could be put into operation. He mentioned that the polarization plant in Everett now makes it unecessary to burn automobiles, as had to be done -before the polarization process was in effect. INCINERATOR MODIFICATIONS: **Continued on page 167 Dr. Toomey informed the Board that as of today he had met with the engineer at the incinerator and that everything had been checked out completely by: Mr. Baffa_and he had stated verbally that the amount of undone work was so infinitesimal he was going to recommend that the job be paid:6or as completed. He will notify the Board officially by mail of his decision in a few days. Dr. Toomey also informed the Board that he-had talked with the Detrick Representative who said that all the cans which were not fit and which had split along the welds would be 'replaced and any others that split subsequently will be taken care of by the company. CIVIL SERVICE: -Dr. Toomey informed the Board that we had taken care of all the details of Civil Service to make 15 permanent-intermittent appointments, namely: Henry J. LaPointe; David E. Luxton; Herbert J. Horan; Kenneth P. Levesque; Armand LaBonte; John MCGrane; Francis Nicgorski, Lucien Madore; Andre Plante; Frank Famulari; Arthur Crean; Paul Faircloth; Gilbert Cobb; Charles Gallant; Alfred Gentile. He stated that we were able to keep some good emplo*ees that we have at, .pr,e,sent. We have to pick the names listed, the first ten names being veterans. MOTION, By Mr. Richard: That the Board approve these people and approve the action of the Agent in setting up the man power pool. Dr. Toomey informed the Board that Dr. Cannelakis had terminated his employment with the department. Mr. Richard moved and it was unanimously passed: "That the resignation . of Dr. Cannelakis be accepted with regret as he had been a very davoted employee". The question of a new dentist was brought up and Dr. Kaplan said that Dr. Marcus had accepted a position in Boston and he felt wouldn't be interested. Dr. Toomey said that at one time a request from Dr. Chaput had been made, the Board requested that Dr, Toomey contact Dr. Chaput and see if he would be interested in the position. HOUSING: Health Agent stated that the housing inspection is going at a very fast and efficient pace and during the last month the men have made 191 inspections in the area which is known as the Point District of Ward 5. He also stated that we were carrying a man outside of the inspection area for other complaints so that these do not get out of control. As a result of the outside area inspection we had condemned one house and removed the occupants. We have two houses .under orders to be razed. We have one house which has been razed. We have corrected many other housing complaints in the outside inspection area. Dr. Toomey felt that he was rather proud of the people carrying out this inspection, thought they were doing a good job. Dr. Kaplan then cited a few requests, one being the Kelley estate on Loring Avenue. He is concerned with an old barn which is in the yard. Dr. Toomey expressed some amazement that he had come in at the last meeting and stated that Dr. Kaplan had aske for an investigation of this barn and the next day Dr. Toomey had gone by and the whole yard was bulldozed flat, which was perhaps the fastest service anybody ever received. However, it now develops- that the sheds are still there, but it will be taken care of. Dr. Kaplan also requested a recheck made on dumping on Leggs Hill Road this also will be checked. 67 ^* More on Incinerator Modifications: Apropo to the completion of the job, Dr. Toomey said that this was the end of this phase, that the recirculation of water effluent which was being dumped into the brook was being studied and that we had previously estimated "00,900 for this correction job. The engineering studies have not been completed as yet so that no hard answer can be made as to the method of preventing this pollution. NEW BUSINESS An addition to the regulations_of the Board's Minimum Standards of Fitness for Human Habi- tation was recommended: Section 5.8 Owner shall provide a minimum of three separate wall-type convenience outlets or two separate wall-type convenience outlets plus one permanently fixed electric light fixture in each room. north shore babies and children's hospital renewal license, Agent reported that the hospi- tal had been checked out by Mr. Cameron and Mrs. Bradley who gave a satisfactory report on the institution. Dr. Toomey recommends .to the Board approval of their application for renewal of their license. Board voted to approve same. Dr. Kaplan mentioned a complaint he had from a wotman over at Willow Avenue on odors. The Agent had sent our inspectors over there on two occations and it was determined that the odors were caused by what is known as sea lettuce. This is a weed that grows on flats and is nourished by nutrients in the water, we have this problem in other parts of the city in like areas. Dr. Toomey stated that he had talked with the biologist at the State Department of Health and was informed by him that the U.S. P. H. Service and the State Sanitary people among others were working on this problem which is becoming a major one in northern latitudes. At this time, however, no efficient means of eliminating this pestly growth is devised. He mentioned putting lime on these flats and/or bulldozing them, both of which were costly and most likely only temporarily effective. Meeting adjourned at 7: 15 P. M. Elinor C. Horan, Clerk August 1, 1967 Board of Health meeting convened at 5:00 P. M. with all members present. This is a special meeting for the purposes of taking up the Hutchinson case and the appointment of a Sanitation Foreman (General) from the Civil Service list. 1. Hutchinson case: Dr. Kaplan informed the Board that he and Mr. Richard had made a tour of the area and had determined that Mr. & Mrs. Broderick's property was very well kept, was separated by trees from the road used by the Hutchinson groups. One house, however, was immediately on the road at the time they visited, there was noone at home, but from their observations they assumed that groups of horses and people could cause a problem to the individuals living there. He had further determined in his conversation with Mrs. Broderick that they had sold the property to a contractor who will build a garage on the property and store material there. Dr. Kaplan said that further Mrs. Bro- derick claimed that the horses were very noisy, they go into their property etc. she was in a very upset and emotional state while they were talking to her. Mr. Richard said that the horses were unecessarily noisy and this certainly could 1e;un:st1tu:tedtiad nuisance. Dr. Kaplan was concerned about the number of horses. He asked Dr. Toomey how many horses did he remember. Dr. Toomey specifically said that in his conversation with Mr. Hutchinson at the time of the original license Mr. Hutchinson said he had 4 to 8 horses to be kept there. . Dr. Kaplan thought that the situation pointed down to premises: 1. Should we allow continuation of the business with restrictions? 2. Should we restrict the number of horses to be stabled there. Mr. Richard interjected that we should check if everything was according to law, such as buildings, plumbing, etc. according to the codes. Mr. Mahoney cited the fact that a good many of the buildings on the Hutchinson property had never been built with proper and legal permission. Dr. Toomey pointed out that these building and plumbing codes r of the question before the Board of Health. The question again came were not a part q q $ up and Dr. Kaplan felt that while Dr. Toomey seemed to be positive about the number of horses, his memory could be in error and that he would like positive number if possible and asked if the Agent would get out the file and the original permit.to see if it had stated on it the number of horses .permitted under the permit. Dr. Toomey said he would do this. There was a motion made by Mr. Richard as follows.: That the matter be extended to the next regular meeting. In the meantime we ascertain as many other facts as possible. The MOTION passed, Mr. Richard and Dr. Kaplan in the affirmative, Mr. Mahoney abstained. APPOINTMENT OF SANITATION FOREMAN (GENERAL) Dr. Toomey informed the Board that this appointment was overdue to be made and according to Civil Service regulations, action had to be taken. On the list submitted by the Civil Service, were two names: Albert J. Guerrette, 238 Loring Avenue, who had a mark of 81.18 and John T. Sarnowski, 72 Rainbow Terrace with a mark of 78.96. The Board entered into executive session to discuss person- alities and abilities of the individuals involved. The meeting resumed and Mr. Richard placed the name of Mr. Guerrette in nomination. Mr. Mahoney placed the name of Mr. Sarnowsk: in nomination. Mr. Mahoney moved the quiestion. On subsequent voting. Mr. .Richard and Dr. Kaplan voted for Mr. Guerrette while Mr. Mahoney abstained. Dr. Kaplan, declared that Mr. Guerrette is elected to the position and directed 'Dr. Toomey to carry out the necessary formalities with the Civil Service Deivision. Appointment of Mr. Guerrette brought up a qutstion of the vacancy created as Working Foreman at the Incinerator. Dr. Toomey explained to the Board that a provisional appointment would have to be made by the Board and approved by Civil Service to cover this position. Mr. Mahoney moved that Timothy Flynn be appointed to the provisional position. This was seconded by Dr. Kaplan. Dr. Kaplan then nominated Mr. Sarnowski. There was no second to this nomination. Informal vote taken Mr. Richard and Mr. Mahoney voted for Mr. Flynn. Dr. Kaplan abstained. FLUE VACCINE PROGRAM: : Health Agent informed the Board that salesmen were now approaching us to purchase vaccine before Fall so that we would not beyin a position of not being able to get it at the time we may need it. He informed the Board, however, that he had no official notice or unofficial notice of any outbreak of Flue this year. Dr. Kaplan felt that before we did anything Dr. Toomey should get in touch with the State Department of Public Health and get an opinion from them, get any knowledge they had of any outbreak of Flue this past winter. Mr. Richard made a MOTION that the matter be laid on the table for the next regular meeting at which time Dr. Toomey is to report on Dr. Kaplan's request. Meeting adjourned at 6:45 P. M. i Elinor C. Horan, Clerk August 15, 1967 Board of Health meeting convened at 5:00 P.M. with all members present. Reading of minutes of previous meeting were dispensed with, Census at hospital (44) was received. Discussion on the 17 people who have been called and refuse admittance; the Board approved the Agent's suggestion that those refused be called last, and the list be seperated, as is being presently done.. COMMUNICATIONS. 1. Letter from Eastern Refractories to John J. Baffa, consulting engineer, in which Mr. Feinzig notifies Mr. Baffa that the contract with the City of Salem requires that the City accept or reject the Detrick-Jens system within six months after going into operation.. No letter from Baffa on this as of now. Dr Toomey is sure he will recommend the system and Dr. Toomey feels the same. Letter was received and made part of the record. 2. Letter from M. H. Detrick Co. to Mr. Feinzig .relative to faulty welds in a number of our cans in our Detrick-Jens system. They inform Feinzig that they are engaging the trucker to take 35 spare cans for. re-welding and will stand back if any of those- break. Letter`received and made a matter of record. 1 6 3. Letter from Detrick Co. to Eastern Refractories, supplemental letter of July 18 on the poorly welded tanks, in which he flatly states that the company will assume the responsibility for making good any inadequacies of this installation due to material defects. Toomey requested this letter to have on file. Letter received and made a matter of record, and the action of the Agent in requiring a letter was approved. 4: Bill for $40,714.06 was received from Eastern Refractories which would complete payments on the'Modifications. This bill was not approved by Baffa at the time of its presentation for a number of reasons which are set forth in the next letter. The bill was made a matter of record. 5. Letter from Baffa to Toomey relative to inspection of work under the Modifications contract in which he mentions that he would desire statement from Detrick as to maintenance of Jens Washer cans. July 18, 1967 is certified as the date of completion as per Article 18 of the contract. He says the contractor's invoice attached for $40,714.06 is approved in the amount of $27,320. 86. The amount of $12,993. 20 represents 4% of the contract price retained for maintenance. He said the additional $400. is estimated pending our request for credits aa.follows: Credit for not painting pipe installation; Credit for not painting pipe installation; Credit for not cutting concrete for ash pit screen; Installing windows instead of bulkhead openings as a result of removal of existing equipment-price; Credit for installing pressure gauges. By copy of letter he is asking Feinzig to resubmit a correct final bill. This was received and was made a matter of information. 6. Letter to Baffa from Feinzig about Eastern Refractories. Answers Baffa's letter. (a) He would allow $75. for not painting pipe insulation. (b) He refers to a letter of April 3, 1967 wherein we allowed cost of reinforcing the stainless steel trash screen to offset credit requested for not cutting the concrete and its acceptance by Baffa. (c) Window openings--it was of his opinion that it was agreed that if we could furnish windows no increase in price rather than the brick, that this would be preferable as the windows allow light and air to the charging floor: (d) He said on the pressure valves, I believe this refers to the changes made to the City water system required by the Commonwealth of Mass. , claims there is no credit due in our additional charges made for these changes. He makes reference to enclosed letter from Detrick Co. guaranteeing the Detrick-Jens Spray cans. Letter was received and made a matter of information. 7. Waste Water Disposal--Mr. Baffa sent complete outline of :-his studies of the waste water at the Incinerator. * He estimates the cost of proposed facilities' at $100,000 and- believes the project would be eligible for a contribution- of" funds from Federal Water- Pollution Control Agency. ` A demonstration grant should be applied for to operate the plant for one year. This would be eligible' under the Solid Waste Act. Mr. Mahoney suggested to Dr. Toomey that he contact Mr. Al Zabriskie, Department of Water Resources and elicit further information. 8. Division of Communicable Disease Control form letter to all Boards..of Health that they have a $350,000. grant to raise level of immunities in the cities and towns. It would require a visit of a nurse within 30 days after birth and a recheck in two years to see if all immunization was given. The Agent recommended to the Board that we not enter into this program. Dr. Toomey feels that after talking to Dr. Reardon at the Division of Communicable Disease Control that we probAbly would not get the money in the first place and we are doing a better job now then is being done in most places where such a program is necessary. The Board MOVED to accept the recommendation of Dr. Toomey. 9. Mr. Coogan's Horses: Mr. Richard MOVED and Mr. Mahoney seconded the MOTION that Mr. Coogan be given a permanent license for 6 horses, which was unanimously passed by the Board. 10. Civil .Service Communication--Approving appointment of Al Guerrette as Sanitation Foreman .General. Requisition to the Civil Service Commission from the Agent (1) re- questing a Permanent Full-Time -Incinerator Foreman, General and (2) Incinerator Foreman Full-Time Temporary until establishment of list. Dr'. Toomey informed the Board that he had sent in the requisitions including, of course, the job description from which the examinations for the positions will be eventually given by the Civil Service people. For the record the job description is as follows: Under the Super- vision of the Agent of the Board of Health to be responsible for the overall operation and maintenance of the refuse disposal incinerator plant and the dumping area and to assign and supervise personnel engaged in the activities required for such operation and maintenance; to keep records; to prepare reports; EXAMPLES OF DUTIES:. Supervising the activities of employees engaged in the operation and maintenance of the incinerator plant, so as to insure the effective operation of the system; in- specting the physical condition of the incinerator and its equipment, analyzing records for ascertaining operating conditions and. efficiency of operations. Initiating recommendations for necessary repairs or changes to effect greater efficiency in operations; making inspections of activities throughout the plant in order to ascertain that satisfactory sanitary and health conditions are main- tained in light of the disposal of garbage in the plant; supervisinggthe restoration of operations after emergency breakdowns and after repairs .to furnaces, crane, and water pumps, electric motors, refractory brick, etc. ; keeping records and preparing reports pertaining to the operation and maintenance of the plant. Mr. Mahoney moved and Mr. Richard seconded, carried unanimously MOTION that the Board approve the requisitions and ratify the action of the Agent with the Civil Service Commission. 11. Letter to the Director of Civil Service from the Agent in which he states that some of the Board Members are on vacation and request extension of time for the appointment of Sanitation Foreman was received and made a matter of information. 12. On letter from Lion Auto Parts of Peabody in which they offer to tow away any junk cars, Dr. Toomey was to talk to Marshal Tully and also inform Lion Auto Parts that Marshal Tully will be doing most of the policing in these cases. 13. Subdivision, Salem Acres, Inc. --This actually should come under preliminary sub- division plan received and made matter of record at the last meeting at which time Dr. Toomey was directed to contact Neal Mitchell as to what thoughts he had relative to certain possible problems that might result in the future relative to this land. 14. As a result of request by Dr. Toomey, Mr. Neal Mitchell, City Engineer, sends his comments in a letter relative to Salem Acres Inc. , Preliminary Plan: "Six- teen lots are in an area too high to receive sufficient water supply from the present city water system. A layout making use of dead-end streets is not desirable. The dead-end portion of Gallows Hill Road is beyond the 500 feet limit specified in the Rules and Regulations. Water -and Sewer mains should be at least seven feet apart at all points along the mains. Size of water main and cover over it should show on }clans. Dead-end water mains should extend a length or,1two of pipe beyond any proposed service connections. Gallows Hill Road drain is too shallow at the lower end. Some catchbasins are located in the crosswalks. Sewer mains should be at least seven feet deep at all points where service connections are to be made. Finish grades of roads should be so marked on the plans. In view of the many areas of possible future trouble pointed out by the engineer, Mr. Mahoney moved, Mr. Richard seconded the MOTION whic} was carried unanimously that: The plan be reviewed and that the Agent so notify Salem Acres Inc. 15. Letter from Baffa to Richard Powers, Div. of Sanitary Engineering, in which he is enclosing a copy of report which he sent to us on the disposal of water at Incinerator, was received and made a matter of information. 16. Eastern Refractories bill for $40,639.06 is received and made a matter or record. 17. Also by MOTION of Mr. Mahoney, unanimously passed that it be received. and made matter of record at this time, was a letter from Baffa to Toomey--making note of the invoice of $40,639.06 approved in the amount of $27,645. 86. Amount of $12,993. 20 is retained. 18. Letter from the City Solicitor, Al Dobrosielski in reply to a request from Dr. l Toomey relative to the legality of the department holding 4% of the contract amount of the MOdifications to the Incinerator--The City Solicitor notes that Chapter 149 as amended does not make provision for withholding the 4%. . However, he goes on to say that in our contract with Eastern Refractories the 4% retention was specified and signed by both parties and that both parties are thereby held by the terms of the contract. OLD BUSINESS 1. Dr. Toomey said that further information on the Detrick cans was supplies by Mr. Flynn who had informed him that the general superintendent of the company had visited the plant with Detrick's local representative and had ordered his local man to see to it that all the cans were re-welded and irrespective of cost and expense of welding, has been engaged to do this. 2. Dr. Toomey's remarks relative to the waste water project were received and made a matter of -information. 3. Flu Program-- Dr. Kaplan had some reservations about the program and Dr. Toomey said he talked with various people, Dr. Reardon, and had some material fromt-Ithe U.-S. Public Health Service. While a lot of it was conflicting, everyone seemed to agree that this year Bivalent A and B Vaccine should be given. This is in particular reference to older people, people with heart trouble, etc. Mr. Mahoney felt that irrespective of the medical efficacy, the program would be worth the price if we reduce absenteeism in our department, City Hospital, etc. , and our own Dr. Kaplan felt this made good sense. 'As a result MOTION was made that Dr. Toomey purchase 500 cc. of the Type A and B Flu Vaccine. 4. Dr. Kaplan brought up the fact that under Medicare patients would be billed according to Medicare standards and to the third party. Mrs. Green will take care of the difference between Medicare payments and cost of those patients who are Welfare patients or on M. A. A. We would assume that we would still continue to pay the excess on our private polple who are still paying a per diem rate. 5. Dr. Kaplan had complained about Kelly's Barn originally. He is willing to go along with the recommendation to extend the man three weeks from now to get the barn razed. 6. Appointment of a Working Foreman-Sanitation: Dr. Toomey recommended to the Board that the appointment of Mr. Wilfred Demeule, who had done a very outstanding job in the absence of the General Foreman in the Collection Section, be recommended to Civil Service. Mr. Mahoney MOVED and Mr. Richard seconded that: Dr. Toomey contact Civil Service and make the necessary arrangements. His position would be Working Foreman, by promotion. 7. Mr. Flynn has taken over the Incinerator as of Tuesday,August 8, 1967 and is doing an outstandingly good job. This was received and made a matter of information. 8. Hutchinson Case--The Hutchinson Case was reopened. Dr. Toomey presented a photo- static copy of the stub of the License showing that permission was given for 8 horses at the time,. March, 1964. Dr. Kaplan was concerned about the fact that there was no City of Salem, Health Department, identification on the stub. Dr. Toomey presented the license, a Hobbs and Warren Form, used by our department showing that the City of Salem appears on the license, but the department retains the stub which does not have this. Mr. Mahoney pointed out to the Board the section "Keeping Stables, Chapter 111, Section 155". Mr. Mahoney felt that he would offer a motion that Mr. Hutchinson is licensed for 8 horses and is outside the law having more. He might be ordered by the Board to get down to 8 horses, the Board giving him 120 days to accomplish this. This would help to alleviate financial distress on the part of Mr. Hutchinson. Upon questioning by the Chairman, Mr. Mahoney said that any number of horses in excess was ipso facto a nuisance. In the event that Mr. Hutchinson was fiven full approval by the Board, the people on the other side of this case could appeal to the County Commissioners and to the courts. Mr. Richard suggested the possibility of giving approval to 16 horses. Mr. Mahoney again cited the fact that this would entail a new application. Mr. Hutchinson appeared at the meeting and told the Board that he was in need of the amount of horses he now had and that he had 9 children and one additional due. He needed the horses to live, and if the Board ruled against him he would then have to go down and live off the Welfare De- partment. He finally mentions that he would not go down past the house in question any more, having a new entrance since Swampscott Road has been hot topped. Dr. Kaplan though that inasmuch as he had over 8 horses, he ought to consult with his attorney and come in and advise the Board as to what he would like to do. Mr. Mahoney again suggested the Board make a finding of the application of Chapter 111, Section 155 and ask Mr. Hutchinson to appear at the next meeting with his attorney to discuss with, the Board all possible means whereby an orderly reduction may be made. He added that he thought that Mr. Steele and Mr. Broderick should be present at the Board's 17-2 request. At this point Dr. Kaplan asked if the Board would take a few more days to mull over the question and have a half-hour meeting on Tuesday, August 22, at 5:00 p.m. to finalize the question. . Meeting adjourned at 7:36 P.M. .,r Elinor C. Horan, Clerk _ September 12, 1967 Special meeting of the Board to conduct a hearing on the Hutchinson Horse Stable. Meeting convened at 5:90 P. M. with-all members present, also .present were: Mr. & Mrs-._ Hutchinson and their attorney John T. Laskaris._ - Dr. Kaplan openad the meeting. stating that the question hinges on the number of horses stated on .the original permit, this was for 8 horse.s-. Investigation discloses that Mr. Hutchinson has 31 to 33 horses, and the question now before the Board is what happens to the 23 horses. Must Mr. Hutchinson get rid of these and theno. apply for another permit for 31 or 33 horses? - - Attorney Laskaris: "Mr. Hutchinson will file for a new permit. I would like to call the attention of the Board to the. fact that, this is the man's means of live- lihood for the Hutchinson family. We have a question before us of placing the horses which should be reduced now that -the riding season is over, with the winter months coming on. He feels that whatever nuisances existed and has now been abated and that as a matter of fact the horses now go out through another road which doesn't go by the plaintiff's property. As a matter of fact Coogan, who the Board had given a license must now go through Hutchinson's land to ride. The final agreement: One month from the next meeting Mr. Hutchinson will either reduce to 8 horses or apply in proper form for approximately 30 horses. Meeting adjourned at 5:40 P., M. Elinor E. Horan, Clerk September 26, 1967 Meeting came to order at 5:00 P. M. with all members present. Mr. Mahoney had to leave early. Mr. Alvare, News Reporter was .also present. Minutes of August 15 and September 12 meeting were approved as mailed. Census at Hospital was recorded as fullzk_►quota. Communications: Letter from the Department of: Public Health stating that they expect an Asian Influenza Epidemic and they think this will be the A or B •type and they urge us to immunize persons as we have in the past: Nursing Home Personnel; Older Age Groups; Those with any of the Heart'or Circulatory Diseases; Asthma; Nephritis; Diabetes; Addison's Disease,' etc. This was received as a matter of record. Dr. Toomey has contacted Wyeth and they will call us when the vaccine is avaibble. Letter from the League of Women Voters thanking Dr. Toomey for -his interest and his informative remarks at their outing. Received as a matter, of information. Letter to William Mahoney from Fannie Singer about the property at 2 Center Street. She says she received a letter on May 25 from Dr. Toomey giving them two weeks to do something about the property. She says she has a buyer for the property and Mr. Sam Zoll represents both she and the buyer and they expect to pass papers by June 1, There are some legal aspects of the case to be cleared up before disposition can be made. Dr. Toomey stated that he called Sam Zoll a number of times and at this 173 date no completion has been made of the sale of this property. Councillor Butler keeps after us to remedy the situation. This was received as a matter of record. Letter from Swampscott Health Department to notify us that the DeMatteo dump in Saugus may be closed down in October. He states that the population in Swampscott is 14,000, produces 20 cuibi:e, yards of refuse five days a week. Mr. Kent Murphy, Health Officer called about this and I said that we could handle his problem but that I would want the loads to be weighed, inasmuch -weighing is critical in an Incinerator because of the cost of operation. � He said that there would be more meetings re the DeMatteo dump and that he would get in touch with me later. Received as a matter of record. Letter from Mr. William McKinnon requesting a hearing in the following property: 26 -- 28 -- 43 Daniels Street and 20 Kosciusko Street. The requirements are that we must give him a hearing so we have taken the liberty of notifying him that we will give him a hearing in this matter. Received as a matter of information. Civil Service Correspondence Letter was sent to Mrs. Esther Gallagher, Chief of the Classification Section in which Dr. Toomey requests classification of the status of the position created by the Board of Health at the Incinerator. The Auditing Department had challenged the Board's action in making this position a General Foreman rather than a Working Foreman. They also challenged the payment of Mr. Flynn at the General Foreman's pay. At this writing we haven't a rep11Y to this but we expect one before the meeting. This was made a matter of record. In reply to a letter from Miss Campbell, Acting Director of Civil Service in which she states that Cornelius Dixon and John Sarnowski have appealed their classifica- tion as Heavy Duty Motor Equipment Operator--Sanitation Laborer with particular reference to the Sanitation Laborer part of the classification. Dr. Toomey explained to Miss Campbell that chauffeurs of the Health Department have traditionally been expected to drive and when necessary to assist the laborers in their duties, which consists of loading the packer trucks and in the open truck, loading the bulky*material on the truck. - He also called her -attention to the fact -that if any- of our men who were chauffeurs, if for any reason, had their license suspended or revoked, that they could be retained in the department without any loss of pay, inasmuch as the Sanitation Laborer's receive the same remuneration as the Chauffeurs. This was received as a matter of record. DUMPING Letters were forwarded to the Burke Corporation, Universal Steel and Trading Company and Mr. Peter Caputo, 9 Hemingway Road, Swampscott, directing them to remove any material that had been dumped on their property on Swampscott .Road and hereafter to refrain from any further dumping under the penalty of legal action. This was received as a matter of record. OLD BUSINESS Under the directive of the Board we have notified Civil Service on the proper forms that we wish Mr. Wilfred Demeule appointed to the position of Working Foreman in the Sanitation Section, Collection. Certain technicalities have to be complied with, one being the posting of the promotion for five working days. The only ones being eligible to apply are the ,three oldest men in point of service. Salem Acres, Inc. Letter to Attorney George Vallis from Dr. Toomey via William Mahoney setting forth:,the defects with the plan as cited by the City Engineer, copies of this letter sent to the Planning Board and the City Engineer. This correspondence followed a letter written on August 2 by Dr. Toomey in order to comply with the legal technicali- ties, of the 45 day limit, holding up approval. Received as a matter of record. Communicable Disease Cards: We would like to inform Dr. Kaplan that we are very -: , 7 unhappy about the lackadaisical way in which Salem Hospital, particularly and the doctors generally, report the dog bites. It wastes an enormous amount of time of the people in 4 the department because we feel that we cannot conscientiously allow these things to go un-investigated. We realize that no Rabies is extant in Massachusetts at the present time in dogs or domesticated animals, but it certainly is in wild animals and the danger of this type of infection is always there. Dr. Kaplan recommended sending a letter to Mr. Buis, Director of the Hospital and request more cooperation in this matter. Suggested having the nurses follow it up. Salem Acres, Inc. We now have a definitive set of plans from Mr. Hugo DiBiase at the office. Health Survey: I am enclosing a report on the Health Survey done by our three girls this summer, a very good job. Mr. William McKinnon: We wrote to Mr. McKinnon granting his request of his previous hearing that he have a review of his property with an inspector. We wrote him requesting him to call Mr. Cameron to set a date and either he would accompany Mr. McKinnon or he would assign one of our other inspectors to accompany him on a review of his properties. Mr. McKinnon, after being notified by Certified Mail, for .which we have the receipt at the office, failed to show for the hearing. Decision of Board: Inasmuch as Mr. McKinnon failed to appear that he is directed to carry out the orders given to him by the Agent of the Board. Mr. Colin Cameron, Sanitarian for the Department joined the meeting and informed the Board that these properties were in a tragic condition. Kelly's Barn: Dr. Kaplan inquired about the progress being made on Mr. Kelly's barn off Loring -Avenue. Mr. Cameron stated that a new owner had been notified of the condition of the barn and he had requested a three week extension, and this is about due� to expire. PHYSICAL EXAMINATIONS OF HOSPITAL PERSONNEL: Dr. Toomey informed the Board that our hospital had recently been inspected by the Hospital Division and one _of, the conditions the inspector pointed out was that we don't have physical check-ups on our hospital personnel. We have established a personnel record which is a part of the requirements, but while we are doing chest xrays, we have nver done physicals . Dr. Toomey asked if it would be possible for our physician to do these physica.ls, .pre-employment and thereafter on a yearly basis. Dr. Kaplan did not agree with this, thought they should go to their own physician. INCINERATOR FOREMAN: Letter was received from the Mayor in which he instructs the City Auditor to go along with the Civil Service classification of Working Foreman at the Incinerator to Incinerator Fo-Aan at the Group 15 rate of pay. That the present incumbent Timothy E. Flynn would be placed at, $136. the second step. Also received a reply to our letter to Civil Service Miss Gallagher stating that the position at the Incinerator is now classifed as Incinerator Foreman, no longer Working Foreman. Letter was forwarded to the Mayor and the Planning Service Group on the Housing inspections during the year, namely: 2090 Inspections, 214 Violations (notices sent), 161 Satisfied. Number of inspectors on this project, three. Amount expended during year 1966 $19,615.34 and the amount budgeted for 1967 $27,151.50, Number brought into compliance during last twelve months---56, and the number razed or eliminated 16, total 72. Number remaining to bring into compliance, 152. No court cases necessary during the year. OLD BUSINESS: In the Board's name I asked for transfers of $4500 from Item 3, Hospital Salaries to Item 5, Sanitation, Collection and Disposal Expenses. Also from Item 4, Collection and Disposal Salaries to Item 5, Sanitation, Collection and Disposal Expenses, $4500. I would like approval of both of these, I have been notified by the Mayor and Council on September 14 that both of these were passed. MOTION: by Mr. Richard that the Board approve of both of these transfers, seconded by Dr. Kaplan, so voted. At the Hospital we must obtain three people, and I have contacted Civil Service and requested a list for each position, this list will be available for your perusal. The people on the list will be interviewed on Wednesday, the day after the meeting, but I would like to disuss ilthis with the Board. I would like to employ Mr. Patrick Gillan as the Hospital Laundry Worker and Mrs. Barbara Coughlin as the Hospital Worker. These are the new Civil Service titles. Also I would like to select Abigail Nichol as the part-time Hospital Worker. The Board approved of these appointments, and this was made a matter of record. Dr. Toomey stated that he had received an official list of classifications and titles for jobs in the Labor Service in our department. Copy has been sent to the Board Members. This list just .includes the people who were on the rolls at the time of acceptance of the action which was September 1964. 'Dr::' T.00rney:cbr=oughm'up the fact that Dr. Chaput had been contacted for the position of part- time dentist for the 'depaxtment and he was not interested in the position. Dr. Toomey y mentioned a shift in activities should be considered due' to the new Medicaid Program. He thought we should go more into the educational field. This was tabled until the next meeting. Meeting adjourned at 6:15 P. M. October 17, 1967 Regular meeting of the Board of Health came to order- at 5:00 P. M. with all members present. Reading of minutes of previous meeting were approved as mailed. Census at the Hospital was noted to be 44 Patients--14 Male and 30 Female. Communications 1. Department wrote to Civil Service requesting a list to fill positions at the Health Hospital. Under their terminalogy, Hospital'Laundry Worker is now tbelec: title for Laundress; Hospital Worker is the title for Utility Worker. This was received and made a matter of information. 2. Reply from Civil Service was accompanied by a Certification and Report Form with names of eligibles. A separate letter informed us that Mrs. Gertrude Anketell's name did not appear on the list inasmuch as her application was cancelled because she is not a citizen of the United States of America. This list was for ;the p6si- tion of Hospital Laundry Worker, Permanent, Full Time. This, was received as a matter of record. 3. Reply f�:om Civil Service, accompanied by a Certification and Report Form with names of eligibles for position of Hospital Worker, Permanent, Full Time. This was received as a matter of record. 4. Reply from Civil Service, accompanied by a Certification and Report Form with names of eligibles for position of Hospital Worker, Permanent, Part Time. This received as a matter of record. 5. Notice to Mr. Frank Famico, copy to this department, notifying him to report for. examination on Saturday, November 4, at 9:30 A. M. at Boston Business School in Roxbury. This was received as a matter of record. 6. Letter from Civil Service re Wilfred Demeule requesting further clarification of his duties in the position of Working Foreman in the department. I answered their letter explaining his duties in this position as taking charge of ten garbage collectors plus doing other laboring duties. I believe this will clarify the sit- uation. This was received as. a matter of record and approval given to Dr. Toomey's reply to Civil Service. 176 7. Letter was sent to Mr. Hugo DiBiase, C/o Salem Acres informing him that , for certain reasons which we listed that the Board had not approved their definitive plans presented to the Board on both Salem Acres and the High Rise Apartment section off Highland Avenue. Copies of these letters were sent to the Planning Board. This was received as a matter of record. 8. Council order from Councillor O'Keefe: "That the Board of Health survey the property at the Rear of 54-56 Bridge Street and take what immediate steps are necessary to remove parts of abandoned automobiles and other trash from said property. This was received as a matter of record. 9. Letter from the Animal Rescue League of Boston r_eplying_to Dr. Toomey's letter of October 3, in which he indicated that .: efforts had not been successful in alleviating the complaints of neighbors in the vicinity of their establishment on Highland Avenue. In their reply they request that they be allowed to send their dead animals to our incinerator and state that they have 550 pounds of dead animals a day, six days a week. They would like the hours and days that they can make delivery and also any expenses involved. This was received as a matter of record. OLD BUSINESS 1. Flue Vaccine Program is stalled until October 24, because material will not be freed until that time. Dr. Kaplan suggested that we plan the program around the first of November. 2. Question of Physical Examinations of Hospital Employees, tabled at last meeting. Dr. Kaplan suggested that Dr. Toomey talk with Dr. Desjardins to see if he wanted to do this. 3. Hospital Workers: We selected Patrick Gillan for the Hospital Laundry Worker and Barbara Coughlin for the Hospital Worker, Full Time and Abigail Nichol as the Hospital Worker, Part Time. These were the names of those who expres s� a desire for the job and who were on the list forwarded to this office from Civil Service; Patrick Gillan was first; Barbara Coughlin was second and Abigail Nichol was third. Patrick Gillan, however, 'after receiving the job found it was too rough, too heavy for him and the fact that he has emphysema he could not handle it, the detergent bothering him, and he quit after one day. This position is now vacant. We had a further complication relative to this situation because Mrs. Gertrude Anketell had been working •in the laundry and assumed that she would be considered. When the list came down, as stated above, a letter came along stating that she was not on the eligible list by reason of her not being a citizen. I called Civil Service and they said she couldn't be considered as eligible, on the list we were presently reviewing, regardless of whether her citizenship papers were cleared at the time. She subsequently appealed to Civil Service and has been put on the list as Number 102 and will be #5 on the list. However, we have not received any communica- tion to this effect and perhaps we won't until we make a request for a job and then her name will appear on the list. There are two ways of filling this position, the first is to post a promotional notice for 5 working days, after which time the senior person, who desires the job may be appointed. This in our case would be Robert Baker, presently a Utility Worker in the kitchen and he desires the job and he has done a very good job for us. as Kitchen Worker. There is another alternative, the Board has a choise "of requesting a new list altogether for this position in which case we would have to choose our person from the eligible list sent us from Civil Service. I would assume that if this list came down Barbara Coughlin would be the .first and Gertrude Anketell would-.be second and Abigail Nichol would remain on her job. If we take the first alternative; Mrs. Anketell would in all probability be eligible for Robert Baker's. job. The. Board decided that they felt they should go along with the policy of promotin€ the senior people who had done a good job and therefore on MOTION By Mr. Mahoney and passed unanimously: "The Agent be directed to post the listing for promo- tion to this job and to appoint Robert Baker if he @yid@nced a desire to take it.'l Dr. Toomey then said Mrs. Anketell is now in fifth place on the list anc could be appointed Permanent Intermittent Hospital Worker. Mr. Mahoney MOVED and it was unani- mously carried"That we proceed in this fashion." 4. On Councillor 0°Keefe's order re abandoned automobiles this was referred to Marshall Tully. Mr. Mahoney remarked that lately, new ,laws had been enacted which give the Police Department specific power in handling this particular problem. 5. Relative to the Animal Rescue League's request for delivering their dogs to the incinerator to be disposed of there, there was much discussion on this problem and Mr. Mahoney felt that inasmuch as a good many of these dogs, perhaps the greater part came from out of town, that :the ;Board ought to be hesitant about accepting this duty. Dr. Kaplan agreed and brought out the point that the handling of dead dogs .every morning by our crew may engender some resentment and may cause a breakdown of morale. He thought morale at the Incinerator was now at a very good stage and he would be reluctant to do anything to cause a change. As a result of the discussion a motion was made by Mr. Mahoney "That the request of the Animal Rescue League for delivery of dogs to our Incinerator be denied." This cation was seconded by Mr. Richard, Dr. Kaplan did not vote. Mr. Mahoney in talking on the motion made this statement: I "That the motion was made because he felt that it would cause increased work at the Incinerator plus the fact that dogs were being brought in from all over the North .Shore." MOTION by Mr. Mahoney: "That the Board notify the local Veterinarians that effective November 20, we are no longer accepting carcases of dead animals." This was seconded by Mr. Richard and passed. Dr. Kaplan did not vote. NEW BUSINESS . DUMPING AREA: Mr. Mahoney informed the Board that they had this day visited the dump at the Incinerator and the adjoining land owned by Mr. James Grasso to investigate boundary lines of our respective properties. Mr. Grasso, at present, we feel owns the ground wherein the drain passes under Highland Avenue and becomes a brook at the rear of the Incinerator. There has been some discussions of the City ceding to Mr. Grasso a lot of land fronting on Highland Avenue between Grasso's two lots, which he would like to swap for land opposite our dump which would be better for us actually in that his hold is deeper and would give us more cubic feet of dumping area. Two things came out of the conference, first Neil Mitchell, City Engineer would make a new meticulous study of the bounds of the respective properties and the location of the brook. 'The Board's concern, other than the dumping area, is that the brook not be dammed up by filling. 2. Mr. Mahoney informed the Board that he, Dr. Toomey, City Solicitor Alfred Dobrosielski, and Attorney Sweeney, representing Eastern Refractories Company, had a conference re- lative to the final payment to Eastern. Mr. Mahoney instituted this conference in the interests of the Board to protect the Board legally. There had been a penalty clause in the contract with Eastern. Mr. Mahoney feels inasmuch .as the contract--was completed many days after the last day stated, that a sizable amount of money could be owed to the city under the penalty clause. He feared that if the Board signed the voucher for payment they might be opened to legal action by the Commonwealth or others and be in a position of acting in collusion with a contractor. Mr. Mahoney suggested to Eastern's Attorney that they get together, institute a suit for payment and that he and the City Solicitor go before a judge so that a judge will direct that the Board pay this bill. Mr Mahoney explained very carefully that this was done to protect the Board in a legal manner and in no way to criticize the work done by Eastern. He felt that they had done a good job. This information was received and made a matter of record. 3. Mr. Hutchinson came into the Board.meeting and wanted an extension of a couple of weeks on the problem of the Horse ranch. . He stated that he had one abutter more to contact but this party was on vacation and he would be back in a week, at which time he would contact the Board. The Board granted him an extension. 4. INCINERATOR Mr. Salvatore Spinale came before the Board unannounced and again com- plained about the burning in back of the incinerator. Dr. Toomey explained that he would take this up with Mr. Timothy Flynn and Mr. A. Guerrette and see if we can't give some relief to the gentlemen in question. Dr. Toomey cited the fact that there was definitely poor cooperation on• the part of the citizens who had all kinds of bulky rubbish out for collection not properly cut and tied according to our regulations. It was decided to to again inform Mr. Flynn and Mr. Guerrette of the letter sent previously on this sub- ject and to send them new copies of the letter and to see that they be lived up to. SALEM ACRES: Review of plans of Heritage: Heights and Witchcraft Heights 3, the Engineer Carter and Tower got in touch with Mr. Mahoney and appeared at the meeting. He explained that the plans that we had had been revised and were not the plans that were actually going to be in effect. Dr. Toomey said we will passing on plans before us. Mr. Carter said that he would come in the office and bring in a new set of plans and would discuss points in question with Dr. Toomey and the City Engineer, after which further determination would be made as to approval. Meetin adjourned at 7:30 P. M. November- 21; 1967 Regular meeting of the Board of Health came to order at 5:10 P. M. with all members present. Rinut.&g of provfouso£ieet•ingowere-eapproved as mailed. Hospital census of 14 Male and 30 Female was received as a matter of information. Waiting list at the Iosptal�;cas;,dscussed after which the following motion was unanimously carried: 1. "Moved that any person,or the family of any person,who is contacted while that person is in a Nursing Home or Hospital and they refuse admittance when we have a vacancy at our hospital, they auComatica-lly go to the bottom of the list." ' Communications: 1. Letter from the Bureau of Hospital Facilities requesting that the ,-Health Agent appear at their office to discuss the renewal of our license -at the Health Department Hospital, was received as a matter of information. 2. Letter from the Division of Civil Service requesting that we file Form 8 in which we state our proposal for filling the position of Incinerator Foreman. 3• Letter to Planning Roard from Neal B. Mitchell, copy to Health Dept. re Subdivision Plan of Witchcraft Heights, ill, dated June 19, 1967, Revised Nov. 6 1967. Plan is a revision of plan reviewed at meeting on Nov. 2, the plan should show and does, that: A. all land owned by him with"sufficient detail to -'indicate that no more storm- water or sewage will be discharged into the sewers of the original or this portion of the subdivision; B. the water supply from Rockdale Ave. with no connection to the-water lines in the original subdivision; C. details indicating that the sewer is low enough to drain from below the base- ment floor of the houses; D. that the- proposed discharge of storm-water from this area is to a natural water- course; E. that the proposed additional sewage from this area will not overload the outlet sewer through Gallows Hill Park. This was received as a matter of record. 4. Letter from Lynn Hospital in which the assistant director requests the use of our Incinerator to burn material from the hospital in the amount of three tons a day and asks us if we will accept the material and what the charges would be. The Board after a short discussion decided that we should send a letter stating that we could not comply at this time, as at the -present time this does not conform with our regu- lations. If the bylaws are changed and we find some way to do this we will be glad to talk to them. 5• Letter from Mr. Edward_J. Dullea, Jr. , for Gardner Buxton Realty Corn. requesting a hearing relative to our demand that he raze the house at 20 Tremont Street, and reply from us saying that he may have a hearing at the November 21s't meeting at 5:00 P. M. . Mr. Dullea did not appear at the meeting. This was received as a matter of- record. 6• News item on Weymouth dump -fees was received as a matter of information. 7. Memo to Incinerator personnel re junking was discussed and Dr: Toomey reported that there had been no trouble since. 1 `9 8. Letter from the Division of Civil Service in which authorization is given for the promotion of -Wilfred Demeule from Heavy Motor Equipment _perator-Sanitation Laborer to Working Foreman-Sanitation Laborer at 29 0. We wrote Miss Cremens that the promotion would take place on November 3. This was received as a matter of record, with the Board approving the action of the Health Agent. - 9. Letter from the .Division of -Civil Service -in which authorization is given fmrnahe promotion of 1R6b&rtc!Baker1,0_Hospital Worker to Hospital Laundry Worker, they wanted to know his salary and' the effective date of the promotion. We replied that the salary was $86.00 per week and the effective date would be October 24, 1967. This was approved by the Board and made a matter of record. 10. Letter from the Health Agent to the Mayor in which he requests the transfer of $1,000 from Item _1, Administration Salaries to Item 1, Administration Expenses. This transfer is in the interest of carrying out many minor expenses for the remainder of the year. Board approved of this action and made the following motion: By Mr. Mahoney: That we request the Mayor and City Council that $1,000 be transferred from Item 1, Adm. Salaries to Item 1, Adm. Expenses. Seconded by Mr. Richard and unanimously carried. 11. Letters to Doctor Lager and to the New England Veterinarian Clinic informing them of the Board's decision not to take any more dogs at the incinerator was received as a matter of record. More on this under Old Business. 12. Letter was sent to Animal Rescue League of Boston in which we say that regretfully the Board has ordered that we inform them that we cannot take on this project of burning dogs at our incinerator because of the fact that a good many of the dogs were from out of town and also that our type of incinerator just does not lend itself efficiently to the burning of dogs, in fact it might be harmful to our operation. This was received and made a matter of record. 13. Letter from _Animal Rescue League in which they request a meeting with us to see what could be done about their problem. As a result of this, a meeting was sent for Monday, November 2, more about this under Old Business . OLD BUSINESS: 1. We li'ave sent in the necessary papers to Civil Service but at this time. have not heard from them re Patrick Gillan as Hospital Worker; Abigail Nichol as Hospital Worker and Gertrude Anketell as part time Hospital Worker. Their work is covered by a. thirty day emergency appointment. This was received as a matter of information. 2. FLU VACCINE PROGRAM. Dr. Toomey informed the Board that he had contacted Mr. Holland of Wyeth, Halperin of Boston plus the _Health. Department of Danvers, -Beverly Peabody and 'Gloucester for available vaccine, as our shipment had not come through as expected. We did obtain a sufficient amount from Gloucester and the program is presently being carried out. This was received as a matter of information. 3 ANIMAL RESCUE LEAGUE: Mr. Buttrick, Mr. Wentzel and Mr. Jennings met with-Mr. 'Hahoney and Doctor Toomey on November 2 as requested by them and visited the plant on Highland Avenue. Mr ' Jennings is a mechanical engineer ,and had proposed the- installation of an after burner plus an expansion chamber in their incinerator at Highland Avenue. Dr. Toomey suggested that they refrain from loading the incinerator, that they look into the advisability whereby it could be fed while in operation. If plans were- carefully drawn and the tolerances scaled- the plan of an extra chamber and after burner would alleviate the problem existing there. At- the end- of the meeting it was decided that Mr. Jennings would draw these plans and let us have a look at them, se we can examine the plans before they finalize. The Board was in agreement with this. 4. EASTERN REFRACTORIES re Incinerator payments. Dr. Toomey has been served with a paper "Notice of Claim", Conti and Donahue, Inc. versus Eastern Refractories, Co. , Inc. in the amount of 11,853.70. This was received as a matter of record. 5. HEARING for Mr. Dullea, representing &rdner Buxton Realty Corp. was set for today, but Mr Dullea did 'not appear. MOTION: He not having appeared tonight, the Board authorized immediate demolition of the premises as a Health nuisance. Motion by Mr. Mahoney and seconded by Mr. Richard, motion carried. 6. HERITAGE HEIGHTS, Witchcraft Heights 111: Dr. Toomey and Mr Mahoney attended a Dret'1'ogmof thatedanning •Board relative to Heritage Heights plans and Witchcraft 111. Mr. Mahoney emphatically informed the Planning Board and the Contractor's engineer and his attorney, that theeBoardedfr_gealth was going to demand. stricter adherence to the law relative to these matters . . We regiiired and agreed. that certain changes would be made on the plans and that the City Engineer and Dr. Toomey would. look them over. 180 Subsequently, as noted above, we have a letter from the engineer and a set of plans has been presented in the office showing the changes made as agreed to. NEW BUSINESS. 1. HOSPITAL BILLS: Mr. Leonard Hough has been protesting a bill in the amount of $273.82 since April., when his father died at the hospital. He said that he had paid a bill in full and now has received another one which requires that he pay additional monies. Dr. Toomey recommended that the bill be abated in full as Mr. Hough had paid over $6500 for his father's care. Motion: By Joseph Richard and seconded by Dr. Kaplan that the bill of Mr. Hough be abated in the amount of $273.82. Mr. Mahoney did not take part, either in the discussion or the action, with reference to this action. Additional Correspondence: 1A. Letter from the Division of Hospital Facilities, A. Daniel Rubenstein, M. D. , Director stating that they plan to recommend the license renewal for the Health Department Hospital for Chronic Diseases under waiver, in view of the fact that we plan to consider the advisability of a plan for a new Extended Care Facility or Long Term Care Hospital. The Board recommended sending a copy of this letter to the Mayor and requested Dr. Toomey to write a letter of explanation with it. 2A. Another communication from the Divisi6nof Hospital Facilities, stating that they had with Dr. Toomey, at which time they made recommendations that Progress No s must be maintained on all patients and physicians orders for treatment and medication signed by the attending physician. They request that Dr. Toomey bring these recommendations to the attention of the physicians on the staff. Dr. Kaplan suggested that we send a copy of this letter to the Hospital and have the Nurse in charge see that these orders are carried out. 3A. Letter from the Mental Health Association of the North Shore, stating that they had previously been receiving the sum of $4,250 from Salem, they are not asking for an increase but the Board of Directors hopes that more money might be voluntarily allocated by our Board. After a short talk the following motion was made by Mr. Mahoney: I move that $4,250 be included in our budget in accordance with the provisions of Chapter Motion seconded by Mr. Richard and unanimously carried. OLD BUSINESS. 1, Re 2 Center Street demolition: MOTION by Mr. Mahoney: That the demolition of the house located at 2 Center Street be put out on bids. Seconded by Mr Richard and passed unanimously. MOVED: By Mr. Mahoney: That the sum of $4000 be transfered from NEW BUSINESS: 1. Dr. Toomey informed the Board that the Mayor had requested some surplus monies that had not been used during 1967. MOTION: By Mr. Mahoney: At the request of the Mayor that the sum of $10,000 be made available for transfer from Item 3, Hospital Salaries. Passed -Unanimously. MOTION; At the request of the Mayor that the Board approve the transfer of from Special Item, North River Project, available for transfer. Unanimously carried. 2: Incinerator Foreman Examination. After much discussion it was voted to hold an open competitive examination for the. Sa.lem residents Unanimously passed. 3 ML. Mahoney, after a request by the Health Agent, moved that"Dr. ToomU be empowered to sign payrolls and bill vouchers for the year 1968." 4.. SUPERINTENDENT AT HOSPITAL. Miss Ward 's time will be up on February 5 and Dr. Toomey stated that he had talked with Mrs. Faircloth and she was not interested in the position. Dr. Kaplan requested that he again.talk with Mrs. Faircloth as he felt that she should be the successor to Miss Ward. It was the opinion of the Board that Mrs. Pitnam would be the second choice for the position in the event that Mrs. Faircloth was not interested. 5• DENTAL CLINIC: With the Medicare Program progressing: as it is, the Board was of the opinion that our dental clinic would not be too busy and that we should enter into, the field of Dental Health Education.. This will be discussed at another meeting. REVIEW OF 1968 BUDGET: Dr. Toomey explained zo the Board that he felt there was a need for a Chief Nurse in the department as we were entering into Governmental Programs .and with the Housing Program there was a definite need for this position. Board agreed and allowed the item to be included in the budget requests for 1968. c Meeting adjourned at 8: 10 P. M. December 19, 1967 The regular meeting of the Board of Health �csme to order .at 5:00 P. M. with Dr. Kaplan and Mr. Richard present. The reading of minutes of previous meeting was dispensed with. COMMUNICATIONS: l,Letter from Civil Service for the appointment of two Hospital Workers_ Permanent Full Time and one Hospital Worker, .Permanent Intermittent was received and made a matter of record. 2. Letter from Civil Service requesting that we appoint one additional Sanitation Laborer, Permanent Intermittent, to complete the fifteen that had been requested by us was received and made a matter of record. 3. Letter sent to -Civil Service from Dr. Toomey in reply to their request re the Incinerator Foreman, this was received and made a matter of record. 4. Letter from the Department of Corporations and Taxations calling our attention to the Soldier's and Sailor's Civil Relief Act re collecting an additional license fee on Mobile Homes owned solely by non-resident military personnel is forbidden, this was received as a matter of information. 5. Letter from the representative Francis J. Bevilacqua of Haverhill in which he solitits our support for the condemning of Salem Jail and the Lawrence Jail, this was received and made a matter of record. 6. Letter from John Baffa re Eastern Refractories contract. He says that the subject construc- tion has been completed and certified under the date of July 20, 1967 together with the approval of the final voucher under date of August 8, 1967. This was received as a matter of record. 7. Letter from the Departmentof Public Health, Institute of Laboratories, Morton A. Madoff, M.D. Director, in which he deals with the problem of providing 20,000 unit vials of Tetanus Antitoxin. He says that the demand is extremely low and he states that the lab is now producing akhiiman tetanus immune globulin and he would, in most circumstances recommend that this be used in the management of an actual or strongly suspect case of tetanus. He says that the Health Agent's suggestion to him about regional distribution points, will be talked over in the department as to the efficacy of this. This was received as a matter of record. 8. Letter from the Department of Public Health to all Boards of Health re the change in the Immunization law. It states that essentially all children entering school must have hhen immunized against Smallpox, Diphtheria, Pertussis, Tetanus, Measles, Polio and other communicable diseases as may be specified from time to time by the department. It also states that a child may be admitted to school upon certification by a physician that he has personally examined the child and that he feels it might endanger the life of the. child by immunization. Also exempt are children whose religious beliefs object to vaccinations or immunizations,. This was received as a matter of record. . 9. Letter from the.- Superintendent of Schools in which he. sug.gests that there be a meeting of Mr. Garr, Mr. Conway, Mr. Robinson, Dr. Toomey and Chief Tully on the subject of drug us@� This was received as a 'matte.r of record. 10. Letter from the Home Management Training through the .Director of the Vocational High School requesting that Dr. Toomey be present at the office of the Superintendent of Schools at a meeting requested by Walter J. Markham, Director 5f the Massachusetts Bureau of Vocational Education. This was received- as a matter of .record. . QLD BUSINESS: 1. On the Hospital Workers all-forms were forwarded to Civil Service appointing, as directed by the Board, Patrick Gillan and Abigail Nichol to the permanent full time no�ti ns-,and Gerturde Anketell to the permanent intermittent positiab, this action was approved. by the Board. . . :. . 2. On the Sanitation Laborer position -we had originally request-ed fifteen Sanitation Laborers, but due to lack of list we only had completed fourteen. Civil Service has sent us another list -and -has requested that we make `one more appointment. This we have ,done, William Cremin, third -on the list. of people •signifying that (they: would accept the position;,-was appointed. The--Board approved of this, action ,by the Health Agent. = 3. A report; on the_Flu Vaccine Program was given by the Health Agent, 530 people have been immunized, this action was approved ,by -the Board. 4. Heritage Heights, DiBiase & Co. ---we received a new set of plans-as agreed to by the engineer and the attorney at the time Mr. Mahoney and-'Dr. Toomey met with them at the Planning Board meeting:, �is �was received as a matter �of -information by the Board. 8 3. On the position of Incinerator Foreman, Form 8 has been forwarded to Mrs. Rielly of the Division of Civil Service re the examination for this position. We requested an open competitive examination, this action was approved by the Board. 6. The meeting on the drug abuse in the schools has not been called as of now, the date will be set. 7. Re letter of Dr. Maloof, this came about as a result of a man at Salem Hospital with suspected Tetanus. Tetanus Antitoxin was not available in large enough amounts or type to effectively handle the disease. Dr. Maloof will check on the Health Agent's suggestion that possibly one hundred thousand units be kept locally for district use. - The Board was in agreement, feeling that the incidence of this is so rare that it makes proper control difficult. They felt that Dr. Toomey should carry along with the Doctor until this is resolved. 8. Relative to the notice on Mobile Homes Dr. Toomey stated that we did not have any of these in Salem so we have no license fee, etc. not having gotten involved in this business. Board received. this explanation and felt that there was no action needed to be taken on this and it was so voted. 9. Re the communication from Representative from Haverhill, Dr. Toomey noted that he is the chairman of the Committee on Counties and stated that he might have a valid complaint about the Salem Jail, not knowing about Lawrence. He did bring to the Board's attention that this is in the realm of the District Health Office duties and not the local Health Department, but we are supposed to be cognizant of conditions within our community. Dr. Kaplan remarked that on his visit there he observed that the eating utensils and the jail generally was very clean. Dr. Toomey stated that maybe this was a request growing out of the words of the representative, to establish a new jail and that the letter to us was simply to enlist our aid in securing a new jail. The Board members felt that this wasa question which did not come under our jurisdiction and we would be acting in the nature of private citizens in giving approval or disapproval of Salem Jail, so it was voted that no action would be taken. 10. Re the extension' of the Smallpox Immunization Law, from all our studies in Salem we seem to be pretty well in compliance, however, actually I think the law might require that we-have more solid evidence of compliance. This will mean contacting mothers, doctors, etc. to see that proper records are kept for presentation for the time that the child enters school. We are at present working up a form and a letter to send to all new mothers so that they will not have difficulty when the time comes for a youn gster to enter school. This is an attempt of the State Public Health to beef up the pre-school immunization program. Dr. Toomey stated he had been in communication with other agents and perhaps before the next meeting he may have a. report taainake on the results of these discussions on the implementation of this law. The Board approved the action of the Health Agent. 11. Letter from John Baffa re the incinerator--Our City Solicitor requested that we get information from Mr Baffa so that he would have an authoritative statement as to the actual end of the work. Dr. Toomey stated that he had provided him with this and also with the scheduled payments and daily reports and other pertinent information that he needed so that we may solve this case in the interests of the city and the department. The Board felt that as long as the City Solicitor wanted this, we should provide it and they approved the action of the Agent in doing so. 12. Demolition of Bldgs at 20 Tremont Street and 2 Center Street, Dr. Toomey talked with the City Solicitor, Fire Chief and the Building Inspector. Obtained affidavits from Fire Chief and are in process of obtaining them from the Bldg. Inspector. On the Fire Chief, these buildings are not safe, are fire hazards and in the case of the building inspector, an estimate of the actual value, of the material in the buildings as of now has to be given. The Board of Health has declared these a nuisance, the City Solicitor is looking up the mortgagees on 20 Tremont Street, who must be notified. We will proceed to raze these structures. We have requested the transfer of $4000 and we have talked with the Mayor about this and he approves. Dr. Toomey has also talked ti# the Councillors in the wards concerned and they will notify other members of the council as to why the appropriation is requested. We purposely kept the wording vague in our letter because we must put these two buildings out on bid. Dr. Toomey expects to have this out of the way sometime around New Years. CORRESPONDENCE SINGE MEETING: 1. Letter from-Civil Service advising that in accordance with the request of the Board an open competitive examination has been ordered for the position of. INCINERATOR FOREMAN. , 183 2. . Notice from City Clerk stating that the City Council had approved transfer of $1500 from Clinic Salaries to Administration Expenses, this was received and made a matter of 'record. 3. Notice from City Clerk stating that the City Council had approved transfer of $2500 from Other Cities and Towns and Hospital Expenses to Administration Expenses, this was received by the Board as a matter of record. NEW BUSINESS: - 1. Home Management Training Program -- Dr. Toomey reported on a meeting that he was invited to via the letter from John Conway, Director of the Vocational School in Salem. Mr. Walter Markham, Director of the Massachusetts Bureau of Education'.! (Vocational) to discuss the Home Management Training Program which is carried out at the Health Department Hospital. ' Mr. Markham expressed some concern that this was first an educational program, and he was wondering if the amount of money being spent was obtaining the full quota of results. The meeting did bring out that a lot of improvements could And should be attained, that the present committee was too big and too cumbersome. Mr. Markham was convinced by the remarks at the meeting, however that he should extend for another year the support of- this program. . He recommended that a small committee be formed consisting of John Conway, Dr. Hewson and Dr. Toomey to rediscuss the whole problem. Dr. Toomey has volunteered to serve on the committee. At this particular time the committee has not had an opportunity to get together. The meeting will be called by John Conway. In discussion, the Board members felt that this was a good and worthy program and that we should help as much as we could in continuing this service to the community and to the people concerned. 2. Mr. Richard brought up the question of Mr. John Doyle an employee at the Incinerator He said that he had been hearing numerous reports of difficulties that Mr. Doyle was getting into in the course of his employment. In answer to this Dr. Toomey stated that he was aware of some concern about Mr.. Doyle and had discussed this with Mr. Mahoney and suggested that we wait until another meeting when Mr. Mahoney would be present and discuss this particular business with him. As a result of this it was voted to table this until the next meeting. 3. Dr.' Toomey brought up the question of the Foremanuand the Working Foreman of the Collection Division. He stated that he had oFt—en considered having Mr Guerrette divide "is time between overseeing the collection of. rubbish and housing inspections. He felt Mr--. Guerrette would make an excellent inspector. He further stated that he was concerned about Mr. Guerrette and Mr. Demeule being together all the time that it might be a cause of criticism. Mr Richard, in commenting upon this felt that the shifting Mr. Guerrette might involve the Board. with Civil Service or others either now or in the future cautioned against such a. move. Dr. Kaplan advanced the idea of retaining Mr. Guerrette in his present status and putting Mr. Demeule on the sanitary inspector work. Dr. Toomey felt that this would be allright and Mr. Richard approved and the Board,;-as a result OF THIS discussion directed Dr. Toomey to set up the program in this fashion. 4. Replacement of Miss Ward was discussed, Dr. Toomey said he was not having great success in replacing her, he had talked again with Mrs. Faircloth and she reiter- ated she was not interested in the position, in fact she is not interested in retaining her position as part time or relief nurse in this position. In filling these positiona it was suggested that Dr. Toomey put an ad in the paper and pursue all avenues possible for the procurement of a nurse to fill the position aad ^'^^ &!4c-r-and also considered was_ the two Registered Nurses at present in our employee.. It was approved that Miss Pitman be seriously considered for the position. Action on this however was held up pending further developments. 5. Dr. Kaplan informed the Board that he had talked to Dr. Liming and Mr. Buis at Salem Hospital about our building the hospital there and he requested the Agent to get in touch with these gentlemen and discuss their plans and our possible plans with them, in view of the future development, if any. linor C. Horan, Clerk 184 January 23, 1968 Board of Health meeting came to order at 5:10 P. M. with all members present., By motion of Mr. Richard and seconded by Mr. Mahoney the minutes.of previous meeting were dispensed with. . Mr. Mahoney.then moved .that we go out of order on our._,regular business' to, take' hearing of Mrs. Dorothy Kanzella re housing violations at 53 Essex Street, . second, floor. Mr.s.. Kanz.e.11a had made written application for this hearing in behalf of her Mother Mrs. Sarah Novick and others. Mrs. Kanzella: My Mother is Mrs. Sarah Novick. She is a sick woman. . She Has an income of $41. per month. She is between 81 and 83 years of age. She never had a bathtub .or a shower, . and I feel this is ridiculous to make her change at this age. Downstairs there is a shower, it is just her own apartment that doesn't have it. She has a three room apartment in an old junk of a house. We fixed it up to give her a little home as ,she didn't want. to go with her children. - This is a hardship case. She has been in Salem for years. She had .another house that she practically gave away. Dr. Toomey: The report indicates that the owner --is-not _providing bathtub or shower in bathroom and one room is without wall type electrical outlets. Mrs . Kanzella: There is no need for her to have anything else, that is all that is necessary for her. There are no lamps, just the .switch for cyilftg Mr.' Mahone We will take this under consideration. ig Discussion on hearing by Board after Mrs. Kanzella's departure, resulted in a motion being made by Mr. Mahoney, seconded by Mr. Richard and unanimously carried, thus: "Dr. Toomey look into this problem and see what we can do within reason, re conditions at 53 Essex Street, second floor. " Tabled for next meeting. COMMUNICATIONS: 1. Letter from Mr. Jason. M_. Cortell, Consulting Biologist Report on pro- posed survey of the North River in which he recommends scientific study be made which would include the nature and possible sources of odor proble _ sewage pollution,chemical pollution, and industrial waste nutrient sources, oils, biocides and surface drainage--ecological status of North River, tidal flats, water movements, relation of sedimentation patterns to odor emissions, check of water control of Proctor, Goldthwait, Strongwater, and Tapley brooks. Feasibility of studies of the available modes of correction. Lastly, the establishment of 'a contract for this study based on a fee of $250. a day, the total to be $6000. This was received and made a matter of record. 2. Letter from Department of Pub1i Health re. the licensure of Day Care Centers which might wish to admit children'with'.mental retardhtion'or associated physical handicaps apart-from facilities under the aegis of the Department of Mental Health. WRITTEN APPROVAL must be obtained from the Massachusetts Department of Public Health -for the admission of these children to a Day Care Center. Delegated Boards of Health (such as ours) are advised to contact the regional Health Office if one of these requests is presented. Dr. Dunham explains that it .is not the intention of .his department to discourage admission of these children, but rather to insure that the particular center will meet the. special needs of these children. This was received and made a matter of record. 3. Copy of letter from ritil Bernice re Frank Famico__setting Saturday, January 20, 1968 as a date for hisqualifying examination for_position_of Permanent Intermittent Incinerator Weigh Clerk. Letter from Civil Service inquiring the reason Mr. Famico did not appear for the qualifying examination on December 2, 1967. Letter from the Agent to Civil Service explaining reason for Mr. Famico's absence--as a matter of fact he was ill and in the hospital at. the; time. This. was. rec.e.ived and made a matter of record. 4. Letter from Henry Menard, 29 Valley Street in which he takes the Agent to task for not rectifying a situation which exists on Valley Street at his home. Two houses up the street owned by Mr. Leighton and Mrs . Morgan are pumping sump water into the street which collects in front of his house and during this particular season is a cause of tremendous block of ice out there. Dr. Toomey told the Board that he requested an opinion from . the City Solicitor on this problem but up to the present time had not received a reply. This was received as a matter of record. 5. The Department of Health, Division of Food and Drugs sent a directive to local Boards in which it lays down new rules and regulations which are particularly directed at delicatessens, butcher shops, the corner grocery, etc. Specifically (1) Plans for construction of all new markets must be approved by the Director ofFood and Drugs. (2) All retail food establishments must be registered with the local Boards of Health. (3) To be valid, a copy of the registration application must be filed .with the Division of Food and Drugs. (4) Refrigeration must be installed per specification of the manu- facturer. (5) The certificate form must be posted in the establishment. It contains a series of spaces which require that the inspector's name and date of inspection be inserted, and these serve as a continuing record of inspection. (6) The certificate should not be issued unless the establishment complies with the rules and regulations. (7) Certificate must be posted and available to inspectors of the Board of Health and the Division of Food and Drugs. He requests that we send a list of all food retail establishments to his office as soon as possible. This was received and made a matter of record. 6. Copy of letter from Dr. Fitzpatrick, Superintendent of Schools to Joh�•-Conwav• Director of Vocational High School, in which he answers a letter requesting a 1 eave of absence by Miss Ma.ril-ygDavis of the Home Mana'Rement Training Center. Also, that Mrs. Soll, the clerk at the center will continue to man the office function for this program. The Superintendent said if it is all right with Dr Toomey he will go along with granting the leave of absence. This was received as a matter of information. OLD BUSINESS. 1. Immunization Law. Mr. Flagg of Danvers and Dr. Toomey with the help of the nurses have worked out a 5" x 8" card which will contain all .the information necessary for the complete record of the immunization of children as required by law. Dr. Toomey had the law clarified as to what immunization means by Dr. Fuimara. It means a child must have all the original courses and boosters. We will receive and have been re- ceiving copies of birth certificates from the City Clerk's Office for a number of years in anticipation of a program such as this. We will use these as notification of Mothers that the law is in effect and must be complied with. We will also send a letter, sample•of the ,card-and the recommended dosage in these letters. A similar letter will go to all the physicians of the community. This action was received and made a matter of record. 2. Re 20-Tremont Street and 2 Center Street.. ;..The..progress is:slow. EDr. Toomey called the successful bidder, North Shore Salvage Co. , who said that he was insured with Travellers Insurance: They are slow in getting to these buildings and they insist on inspecting each job before clearing the insurance. I.explained to him the coverage that we wanted as to the public liability, Workman's Compensation, .plus -an insurance certificate and he-assures •me that he .is c.overed_for_ $15:0,000. to $300.000. -. At the present time, however, he hasn't started. the job. Apropo.of the same suggettion, I would like the approval of these bids by the Board of -Health, list of same: -Thomas Mackey.& Sons, Inc. ---2 Center Street--$1,775.00 North Shore Bldg. Wrkg. ------2 Center Street.--$ 999.00 Noonan Bldg. Wrckg.Inc. ------2 Center Street--$1,225.00 Thomas Mackey & Sons,Inc. ---20 Tremont Street--$2,485.00 - North Shore Bldg. Wrkg. -----20 Tremont Street--$ 949.00 . Mystic Building Wrecking Co. Ina. ----20 Tremont Street-=$1,480.00 The Board was displeased that these papers were not in and requested Dr. . Toomey to keep after them to :get these underway in a few days. Dr. Toomey stated that Mr. Ed Byrnes, who is now running the insurance business, called and promised he would have .. these necessary papers in his hands during the next few days. This was received and made a matter of record. 3• Re position of Sue rintendent at Hospital Dr. Toomey stated that he had talked to Mrs. Heagney and was not interested in the position. Also talked to Mrs. Pitman and she said . she would like the position. Dr. Toomey then suggested Miss Ward to remain as relief nurse as we had not received any replies from our ad in the paper, with the exception of one" who just wanted to work part time. Motion was then made by Mr. Mahoney and seconded by Mr. Richard and unanimously passed that the Board follow the recommendation of Dr. Toomey and hire Mrs. Gwinevere Pitnam as Superintendent of the Health Department Hospital. This po- sition to start on the day following Miss Ward's retirement, which is to take effect on February 29, 1968. The salary for Miss Pitman will be the maximum for this position or $144.75. Dr. Kaplan then suggested to Dr. Toomey to check with Miss Pitman to see if she knows of a Registered Nurse who could act as relief nurse, for weekends, holidays, e.tc... 4. Housing: Dr. Toomey asked the Board to7reconsider their previous action relative to having Mr. Guerrette do some housing inspections. At the last meeting on this question the Board felt that if any help of this kind should be provided it should be done by Mr. Demeule. Dr. Toomey feels at this time, that unless there was some very serious reason, Mr. Guerrette would be the better man for this type of work, again reiterating he thought Mr. Guerrette would do an excellent job. Mr. Mahoney said he had no objection but called attention to the fact that Mr Guerrette was at the present time in a probationary status on his present job and felt that he shou.ldnnot be given any other duties until such time- as he had completed his six _ months probationary period, which will end February 22, at which time we can give consideration to the problem at hand. 5._ New Hospital Dr. Kaplan and Dr. Toomey had a meeting with Mr. George Buis, Director of Salem Hospital and the architect laying plans for additions to Salem Hospital. The meeting was very successful. It developed that the City was looking fora small`" piece of land from the hospital for the proposed Horton Street School. The architect ) had showed plans in which our. building is already drawn into. The architect envis however, a building four or five stories high or more. This would get us perhaps into the neighborhood of $1. million. The ground on which it would ,be built .would actually be hospital property. Mr. Buis, .however, notes that a legal arrangement of sale for $1.00 could be entered into. Tkis wasrtabi-ed as continuing business. NEW BUSINESS: - 1. Dr. Toomey"received a communication from the- City Coundil to. appear Thursday, February 25th for consultation on on collection of- rubbish. This will pertain to the purchase of new equipment and the status of our present equipment. 2. Dog Control: The dogs in the city are becoming so numerous that they are a danger to the community. They are known to be travelling in packs. This office is receiv- ing a_ considerable number of complaints about dogs tipping over rubbish containers, not only in the street, but in people's yards', plus the fact that a lot of people are being bitten by dogs. All of this makes me feel that a tight ordinance rela- tive to the control. of dogs should be enacted such as the one presented, and that in addition to the law," that -lines of enforcement should be spelled out. This was .t.able,4 until the next meeting. _ 3. Combined collection of Garbage and Rubbish: A short discussion started relating to collection methods.. Dr. Toomey said that more and more cities are going into this method, particularly cities that have. incinerators, of having a single collection type. Peabody for instance is contemplating to do this next year. At this point in the discussion Dr. Kaplan suggested that the problem being a lengthy one, that he would like to entertain a motion_ that this be tabled and reviewed again at the next. regular meeting. 4. Sick Leave Slips: Dr. Toomey stated that he was quite upset about the indis- criminate use of sick slips. Mr. Mahoney cited the fact that it was sort of a legal question as to if we had to honor sick slips if a doctor gives it.Action 5. Hepatitis Cases: Dr. Toomey reported to the Board that he had talked to the two girls and talked to the Police Department. He obtained a lot of first names but no last names. Also talked to the Mother of one of the girls who know some of the girls and requested that she contact them and have her daughter talk to them, explain to them that we are not interested, as a health department, in the dope problem, but we are interested in the health problem. The syringe that was used should be destroyed immediately and everyone at that particular party should report to his physician for an examination. Late Communications: 1. Department of Public Health, Division of Sanitary ngineering in which they threaten to take us to court because of violations of pollution of atmosphere by reason of burning in back of incinerator of bulky ma ia1 . Received as a matter of record. Mr. Mahoney reoommehded: that DDr-'.slOwm®3r wm Ii vg�ha i&? t r,inspecto:�.2to 1.check:�cnsth nd_ that _we;wi 11 ,exert every effort to control the situation. OLD BUSINESS-2 Letter has been forwarded to the Planning Boar approving plans for_Witchcraft Heighfg 3.., these plans having been approved previously by the department. Metting adjourned at 7:10 P. M. r February 20, 1968 Board of Health meeting came to order at_5:10 P. M. with all members present. Reading of minutes of previous meeting were dispensed with as copies had been sent to Board Members. Census of the Health Hospital of 14 Male and 30 Female was received as a matter of record. COMMUNICATIONS: a. Letter from the State Department, Division of Food and Drug requesting the nomina- tion of a Slaughtering Inspector, received and made a matter of record. b. Latter to Eastern Refractories Company calling their attention to faulty installa- tion around pipes outside and the malfunctioning. of the Weir Box. The Agent re- quested that they review this in the light of repairing. C. Request from the City Council to attend a meeting re residential inspections, re- ceived and made a matter of infor-tiation. d. Request from the City Council,, Committee on Licenses and Permits to meet with them to discuss violations of the Third Class Motor Vehicle License of Joseph W. Morphew of 443 Highland Avenue, received and made a matter of information. e. Request from City Council that we come and discuss new equipment for the trash collection, this was received and made a matter of information. f. Letter from the Department of Public Health, Institute of Laboratories notifying all stations that they are discontinuing the distribution of Pertussis Vaccine, but will continue to use the Triple Antigen. Received as a matter of information. g. Letter from Civil Service requesting approval of the Poster for Incinerator Foreman, this was received and made a matter of record. h. Letter to the Department of Public Health, Division of Sanitary Engineering inform- ing them that we have taken note of the facts of outside burning and we will cause an investigation to be made of same. We also stated that any assistance they may be able to give us would be greatly appreciated, this was received and made a matter of information. i. Difinitive Plan on Paul Avenue, •Witchcraft Heights "addition" subdivision received at the office-of the Health Department January 18, 1968. Letter from the City Engi- neer saying that they had reviewed these plans and report .as follows: 1. Sanitary sewers are too shallow, standard depth is generally seven feet; depth shown does not permit certain house connection to be protected from road construction hazards, heavy street traffic or freezing--es- pecially at the gutter line. It appears that there will be much less than three feet of cover at these points. A cross-section of the road at the widest section of the cul-de-sac marked Paul Ave. would clearly 188 indicate this assumption. 2. A cross-section of Paul.Ave. at its widest_ section should.be-shown.. 3. Across.-section of ,the 40-foot road should also be shown,_ indicating the location of the utilities, particularly the cover over the water pipes. 4. Two more water gates are needed at Paul Ave. and Parlee St. 5. The sewer in Parlee Street should be extended to service lot #152 properly. 6. Sewer house connections should be square, or radial, to the street line - to facilitate locating them in case .of severe-blockage. 7. Catchbasins should be. connected to manholes, not- to each other. 8. A portion of Parlee St.' drain is too shallow (4' deep min:•)." 9. The sharp radii in the layout of Parlee St. is not necessary (230' min) stone bounds should be marked "to be set."- 10. Dead-end water mains are always objectionable, and if difficulties develop they will have to be looped at. considerable expense. These plans should be returned for corrections and additions, and returned to the t1tiF ofA=icet-$or final approval. Letter was sent to Attorney George P. Vallis, re this Paul Avenue "addition',' from Dr. Toomey stating that a representative of this department and the City Engineer had ch&&kedc_same and called attention to the pertinent comments as listed in the City Engineer's letter which were the same views of this department. Letter stated that in view of these criticisms, final approval cannot be given until these changes have been made and a new plan, with these changes, submitted to the department. OLD BUSINESS A. Re the correspondence to Eastern Refractories, Dr. Toomey explained that the Head Foreman from Eastern has been down to the incinerator and looked over these and other discrepancies at the Incinerator. B. Re the Definitive Plan on Paul Avenue "addition" to Witchcraft Heights, Mr. Mahoney MOVED"that the plan of Paul Avenue be denied and a corrected plan be submitted" Motion seconded by Mr. Richard. C. Re Civil Service correspondence on the Incinerator Foreman MOTION was made by Mr. Mahoney and seconded by Mr. Richard that the poster be approved. I-, - E. Re 'hearing of Mrs. Dorothy Kanzella for her Mother Mrs. Sarah Novick, who rksides at 53 Essex Street, Mr. Cameron has checked. and he feels and I agree, that these are the - minimum standards of the code and we were within reason on this. We recently received a letter from HUD which specifically impresses upon local people such as ourselves to see to it that these things are supplied, therefore it is the recommendation of the Health Agent that t;e,not grant her a variance. MOTION by Mr. Mahoney: Due to a diligent examination of the State and Federal Codes and Regulations and these seem to show that we are without power to vary these regulations, therefore the request of Mrs. Dorothy Kanzella for her mother Mrs. Sarah Novick of 53 Essex Street is .denied. The Agent is, requested to give her what is considered reasonable time to make these corrections. " Motion seconded by Mr. Richard, Dr. Kaplan.not voting. F. Re Mr. Menard's letter on the overflow from sump pumps onto his property, no reply from the City Solicitor as yet. It was recommended that the Health Agent write Mr. Mahoney a letter stating that no public health problem exists there and suggest that he contact his attorney on this. G. Listing of markets has been forwarded to the Division of Food and Drug as requested by them. Dr. Toomey explained to the Board that at the Health Officer's meeting last week a lot of criticism arose as to the specifications contained in these new regula- tions. Mr. Michaels was at the meeting and it was decided that they were not going to be enforced until a review had been made by the Health Officers and Mr. Michael and these discrepancies ironed out. H. Re 20 Tremont Street the insurance coverage is satisfactory and the property has bee razed. On 2 Center Street, property will be razed during the week, insurance coverage on this is also O.K. This was received as a matter of record. I. R. N. at Health Hospital--Dr. Toomey talked again to Mrs. Pitman and she has a few possible nurses lined.up. Some of them are older girls who haven't been in practice but certainly could handle the job in good fashion. The problem is that we don't have them as yet and when we do get them they would like to work part time on the 3 to 11 shift. Dr. Kaplan then relinquished - the-chair to Mr. Mahoney-and then- offered the following MOTION: That Miss Ward's position at the hospital be permanently terminated as of February 29, 1968 and that she vacate her quarters as soon as possible thereafter, motion was seconded by Mr. .Richard for the purposes of discussion. Dr. Kaplan speaking on the motion said that he thought that the morale would be improved and that it would be better for the succeeding person if things were handled this way. Mr. Mahoney called for a vote. _ Dr. Kaplan and Mr. Richard voted for the motion. Mr. Mahoney requested that he be recorded as not voting on the motion, he then turned the gavel back to the chairman. J. On Mr. Gurrette, as his probation period of six months is up Mr. Mahoney offered the foll-owing Motion: That the Board approve the permanent pRointment of Mr. Guerrette as Foreman-Sanitation, Collection, motion was seconded by Mr. Richard. K. Re new equipment for the collection section of the department Dr. Toomey informed the Board that Mr. Cyr said that he is going to, and has advertised for One Packer Type truck. Dpctor checked with him as to the exact type because he was concerned about getting an efficient piece of equipment. This was received as a matter of information. L. On the Dom Control Law this was placed on the table for future discussion. M.. Combination Collection of rubbish and garbage was also tabled for future discussion. NEW BUSINESS * A. Organization of the Board for 1968, MOTION by Mr. Mahoney and seconded by Mr: Richard "That Dr. Kaplan is unanimously chosen as Chairman of the Board for the ensuing year." B. Dr. Toomey then informed the Board that Mr. Robert Denehy terminated his employment with the department as of February'16, 1968. Apropo of this hebhas talked with Mrs. Reilly of the Civil Service and she suggested we send a letter in to speed up the reporting to us of the successful candidates. Under ordinary circumstances we would not receive this list until March 16, 1968. The Board received this as a matter of information and suggested that the Health Agent write a letter to Mr. Denehy stating-our appreciation of his high standards of service while with the department. C. Preliminary plan from John and Maria Delulis of 56 Collins Street in Lynn re land off of Mooney Road--plan is accompanied by a legal document from the New England Power granting them rights to a drain onto their property which adjoins the plan. Again, Dr. Toomey talked this over With the City Engineer and sent the applicant a letter stating the following: 1. The minimum sewer depth should be seven feet. 2. The roadway width should be 28 feet, plus two 6' sidewalks. 3. Our records show Mooney Rd. being square to Highland Avenue. 4. The sewers do not extend far enough to properly service all lots. 5. Street lines should be parallel throughout. 6. A minimum center-line radius of 230' where possible. T. The jog in Mooney Rd. at 8+5.0 to 9+50 is not necessary. .8. Street should be laid out by regulations, not original plan. 9. Show where and how utilities connect to existing systems. 10. Drainage cannot be checked without further information. 11. Size of utilities should be shown. 12. Recommendation for a sewer and water main in one trench should be as follows: we would like a minimum of 3 feet apart, the sewer line should lie on an unexcavated shelf above and away from the sewer. Trench should not' be as deep under water main as under sewer drain located only 2' horizontally from sewer main does not appear to be practical, because centering of manholes over either would interfere with the other. This was received and made a matter of record. D. Re A. Guerrette: Dr. Toomey requested that the Board give approval to the loan sine within the department of Mr. Alfred Guerrette, the loan would be from the Division of Sanita- tion to the Division of Environmental Sanitation, specifically Housing Inspection Pro- gram. The Agent feels that Mr. Guerrette would do an outstandingly good job in this position for various reasons. We are running behind our quota of inspections over our three year period and would like to have extra help so that at the end of this year our report to the Federal Government would show that we are on schedule. Dr. Toomey also feels that Mr. Demeule has proven an excellent handler of men and has done a good job in the collection section and can handle this position. Mr. Mahoney MOVED: "THAT this temporary loan of Mr. Alfred Guerrette be instituted and that he'will serve under Mr. Colin Cameron until such time as the back log of inspections is reduced." Seconded by Mr. Richard and so voted. 90 . E. Re Housing Inspections: Dr. Toomey said that Mr. Cameron had reported to him that we _are .having -considerable. d.if-ficulty-with the provision that specifies a ceiling fixture and one of er wall .typ, electrical conypnipnae . Most new homes and indeed most old ones, either don't have a ceiling fixture and if they do; have cut them off Mr. Cameron suggests and I approve a .change ,in Section 5.8 of the Housing Code o.f-ahe Board .of Health .as-follows "Owner shall provide a minimum of 2 separate wall type electrical convenience outlets in each room." Mr. Mahoney moved and Mr. Richard seconded the motion, "That this-ordinance-be adopted and the Agent is directed to carry out the legal requi§i.tsssfor same." This passed unanimously. F. Report on meeting with the- City Council: From Dr. Toomey: 1. Residential Inspections: ­ I carefully explained to the councillors, particularly the new councillors that we are required by Stkte Law to carry out these inspections and to see to it that the minimum standards set forth in the Sanitary Code were met. - I explained further that HUD representing the Federal Government demands as a required part of the program to carry out these . inspections is a must before any Urban Renewal money can be given to the city. 2. On the complaints re Mr. Joseph Morphew of 443 Highland Avenue relative to the violation of Third Class Motor Vehicle License, nothing much on this related to the Health Department as this license is given out by the Licensing' Board. 3. Mr. Ralph Cyr and .myself- appeared before the Council re equipment for collection. Mr. Cyr explained the equipment for collection status, type, etc. We in- formed them of the type we hope to have and possible changes in the methods of collection (single), plus an explanation of the routes and days these collections took place. Meeting came to. a close at 6:58 P.-M. Elinor C. Horan, Clerk March 19, 1968 Meeting came to order at 5:15 P. M. with all members present. Minutes of previous meeting were dispensed with by motion of Mr. Mahoney and seconded by Mr.. Richard. COMMUNICATIONS: a. Letter from the State Department of Health approving the nomination of John J. Toomey as Slaughtering Inspector, received as a matter of record. b. Letter from Council re budgetary discussions at 7:15 P. M. on Wednesday, March 13th. , received as a matter of information. C. Correspondence from the department to William F. and Adele _D. McKinnon notifying them of the condemnation of 43 Daniels Street; 4 Daniels St. Ct. ; 18 Kosciusko St; 20 Kosciusko Street, 26 Daniels Street and 28 Daniels Street. This was received and made a matter of record. d. Letter from the Department of Public Health. (carbon copies to Dept. of Public Works and Mr. Henry Menard) re: Community Sanitation--Drainage rp ob,lem at 29 Valley Street, was received and made a matter of record. . . e. Order from Councillor Bruce. McLaughlin that we investigate the adviseability of purchasing bags for use. in our sanitation section, collection of rubbish. This was received as a matter of record. f. Letter from the department 'to the Trim Town Sales Department requesting informa- tion on the methods and experience and feasibility of the use of paper bags for the above mentioned purpose, ' collection of rubbish, received as a matter of recorc g. ' Letter from the State Department of' Health,' Division of Sanitary Engineering, approving the plans of the proposed revision of. the incinerator at the Animal Rescue League. Received as a matter of record. h. Letter from Doctor Toomey* to Daniel O'Brien, Inspector of Buildings to allow them to go ahead under the conditions set forth in the State letter. This was received as a matter of record. i. Memo from the Department to City Solicitor relative to Sick Leave of office personnel, received as a matter of information. j . Memo from the Department to City Solicitor relative to the Housing Pro- gram on the legality of requiring inspectors to accept other hours than the 8:30 A. M. to 4:00 P. M. , ie: 12 Noon to 6:00 P.M. , received as a matter of record. k. Letter from the department to Mrs. Dorothy Kanzella re 53 Essex Street was received as a matter of record. 1. Civil Service Poster re examination for Incinerator Foreman was received as a matter of record. M. Copy of letter to Detrick Company from John_Baffa re Incinerator Repairs was received as a matter of record. n. Copy of letter from Mrs. J. Adamo of 318 Highland Avenue to the President of the Moose Lodge re open dumping at 319 Highland Avenue was received as a matter of information. OLD BUSINESS: a. _MOTION by,Mr. Mahoney and unanimously carried "That we appoint Dr. Toomey as the Slaughtering Inspector'•' b. Houses at 20 Tremont Street and 2 Center Street being razed was received as a matter of record. +� c. Meeting with City Council on the .departmental budget for 1968 was dis- cussed and received as a matter of information.. d. Registered Nurses at the Hospital: Mrs. Pitman has a nurse who will work weekends on the 3 to 11 shift and the 7 to 3 shift. Dr. Toomey has interviewed a girl and she is willing to work on the 3 to 11 Lshift and we have another lined up- for the relief duty, rec'd as information. e. Ralph Cyr o.f Central Motors has advertised for the trucks and the bids are in. Dr. Toomey made recommendations that the trucks ah.ould be the, Gar Wood or Heil, that they should have automatic transmissions and that they should be fed in the rear with a left hand one yard receptacle. f. On the condemnation of the McKinnon houses, Dr. Toomey explained t6-t. the Board that we are following the regular prescribed procedure for houses that are public health -nuisances by reason of the fact- that the owner will not institute repairs 'as requested by the department. We have, as provided in the law notified the owner of record and the mortgagee of record. It should be noted in the reocrd that Mr. .Mahoney said he would absent himself so as not to be a party to any discussion on the McKinnon property, which was some of the properties under discussion. g. Combination Collection was recommended by the Health Agent for more effi- cient service. Mr. Mahoney recommended that the scales go to the incin- eeator, tie this in with the combination collection, obsolete the trucks as they fail to function properly. Dr. Toomey will do further research on this plus research on the purchase of bags for this collection and report further to the Board. This was received as a matter of record. h. Duo , Control Law was talked over with Dr. Toomey stating that the dog pop- ulation was increasing and felt that the Board should recommend to the City Council that they enact a meaningful dog leash law. Recommendation, that Dr. Toomey contact the council committee on health and mention this to them along with the collection bags and the city scales. i. The revised preliminary plan on DeIulis, across from Vincent Chip, was satisfactory stated Dr. Toomey, received as a matter of record. j . On the incinerator the Health Agent reported that the Detrick Jens Cans were giving us trouble, they are pitting and rotting out in sections but there is an unconditional guarantee that -they will make them work. This was received and made a matter of record. NEW BUSINESS a. HUD. During the month Dr. Toomey talked with and had a meeting with a delegation of Federal officials re the establishing in the city of a demolition project. This project essentially has the HUD paying between 92 2/3 and 3/4 of the cost of demolition to the city. The city, incidentally can still place a lien on the property and recover, in fact they must do this. We must show.in.our application to them the need for the demolition other than the decrepitude of the building. It need not be in a specific examination area, but the greater part should. It should show that this specific demolition would enhance the neighborhood in some fashion either esthetically to prevent further deterioration of the neighborhood or counterwise the removal of the buildings in a generally run down neighborhood, or in fact the inherent danger of the buildings -to a neighborhood. Dr. Toomey took these people on a tour of the city and they feel that our project is a worthy one .and there is money available and Mr. Burke will send 'us from New York a set of agreements, regulations, etc. that must be written up. The City Council, incidentally must approve this plan and agree on all of the projects and houses in a given project that are to be razed. Dr. Toomey recommended that the go rd o alon p th th's e B, TINE TESTING. The Board was in agreement and �r. 00meyii �L process rtgi� �ftbrms. Health Agent reported that the School Department wanted to do this work in the public schools themselves, but that he felt that it was part of our duties as a public health program, the conprol of tuberculosis. The Board agreed with Dr. Toomey and recommended sending a letter to the Superintendent of Schools and inform him of the Board's .decision. C. Registered Nurses at the Health Department Hos ; a have been difficult to obtain and it was the feeling of Dr. Toomey that if the salary of these people was increased the depart- ment would be in a better position to increase our staff of nurses. He recommended bring- ing these nurses up to the same standard as the .Public Health Nurses, from $123.50 per week to $129.50 per week. MOTION was then made_ by. Mr. Mahoney, seconded by Mr. Ric'nard and carried unanimously that the salary of the Registered Nurses at the Health Department Hospital be .increased from Group 12 to Group 13 in .the Barrington Wage Scale. Dr. Kaplan brought -up the fact that Mr. R. Labrie, Skilled Laborer at the Health Department Hospital would like to be classified as a Ma.intainance Man. After a short discussion no decision was made on this as Dr. Toomey and Mr. Mahoney were in agreement that he should not do any electrical work, .etc. as this should be left to eeeetriclai.s... . . D. NEW CARS FOR DEPT. Dr. Toomey informed the Board that due' to the pressing demands of the urban renewal program the department was in need of additional cars. He also - stated that the cars we now have are in very poor condition. It was then VOTED by the Board that the Health Agent request the Mayor and City Council to purchase new (2) cars for the department. E. HEARING for John Doyle an employee of the department was not held due to the fact that Mr. Doyle or a representative did not appear at the meeting. DIABETIC PROGRAM was discussed and tabled until the next meeting. Meeting adjourned at 7:15 P. M. G� April 16, 1968 Meeting came to order at 5:10 P. M. with Dr. Kaplan and Mr. Mahoney present. Reading of minutes of previous meeting were dispensed with by motion of Mr. Mahoney and passed. Census at Health Department Hospital was recorded as 14 Male and 30 Female. Communications: .Letter from the State Department of Public Health relative to XRay Radiation from colored Television sets was received and made a matter. of information. 2. Letter from the Boston Guild for the Hard of Hearing, Inc. , in which they would like to test hearing .in Salem by use of a Testmobile. They would require some voluntary people on our part as clerks, nurses, etc. At the conclusion of the program, a report of hearing failures will be given to our department. The Board was in agreement with this and motion was unanimously passed that the project is approved and Dr. Toomey wi..11. work. ou.t. de.tails... . 3. Copy of letter from the Superintendent of Schools to Miss Grace Nangle, R. N. of the Bureau of Vocational Education, in which he states that Dr. Toomey has recommended C 193 a Miss Carol Pramas as a replacement for Miss Marilyn Davies at the Home Management Training for Handicapped Homemakers" office at the Health Hospital. It also statesthat Miss Katharine Lawler has recommended a Miss Barbara Katzen and Miss Katzen has been approved as ofsubstitute for Miss Davies. The Superintendent notes that the original budget was $3900 for the program secretary and as of March 31, 1968 the total of $4753.13 had been expended. Because there are no available funds the office will close April 30, 1968. This was received as a mattew'of record. 4. Communication from the City Council relative to our budget stated that the only cut that was made was $500 from the Administration Expense `Acpeuntt. The total amount of our budgetfor the year 1968 will be $674,517.67. This was received as a matter of record. 5. Communication from Civil Service on Walter F. Szcerbinski approving him as a Sanitarian for the department at the rate of $136. per week, this was received and made a matter of record. 6. Letter has been forwarded by the department to the American Iron and Steel Institute suggest- ing that they do some engineering on the idea of -permanently attached covers to G.I. Cans. We suggested that an old fashioned spring be passed through the handle and held on the side handles, this was- received as a matter of information. OLD BUSINESS: 1. In reply. to -Councillor McLaughlin's order that we look into the adviseability of instituting bags provided by the city in lieu of the present GI cans for our collection section, we have this information: _We have determined from the Trim Town Co. , which is a competitor of all other paper companies that the bags cost 10t each. We figure the bags alone would cost $202,800, per kear. Also at the rate of $108 per week for five men to deliver the bags would cost $28,080 which would have to be added to the $202,800. Dr. Toomey talked with a representative of the Trim Town people who came to the office and he arrived at about the same figures that we had, but did not seem to feel that it was excessive. He prevailed upon me to accept some of the bag holders and some of the bags and we should use these as a test program. For further consideration, if we go into a sinble collection of grabage wrapped in paper, this certainly is not going to keep out dogs and rats. On the GI Cans, we figure that each one lasts about three years or more and cost $3, which gives you a cost per familk of $9 over a three year period. We have .written tos a_number of. plastic •bag outfits. whi ch.might: serve the- same purpose and these bags could be turned out for,•about 2 to 3 cents: apiece. .. . ,On the piusrside, .bags are faster to- collect; require less men and there is a possi- - bility: ofrusing .an_open truck, although this is somewhat questionable- as to final loading weights. In Dr. Toomey's opinion this is not a feasable method, however it will be given further study-. This was:^receivediby the Board and made a matter of information. r . 2. . -HOUSING: We ,have..been notified by .Mr. McKinnon that'he is__going, to repair 43 Daniels Street, ; 4 Daniels St. Co. ;) 26 and 28 Daniels: Street andcl8 and. 20 KoskioskoiStreet. We have given him anot er extension of time. T e� Agent was directed to pursuecis matter further. 3. DIABETIC PROGRAM: Dr. Toomey informed the Board that he had not heard from Mr. Malcolm Green of the Ames Company since the last meeting so the Board tabled this until the next meeting. NEW BUSINESS: 1. Procurement of cars (two) for the department: Dr. Toomey and Mr. Mahoney talked with the Mayor on this`and the Mayor asked the question of whether or not this would be concerned with Urban Redevelopment and Dr. Toomey explained that it would have a lot to do with Urban Redevelopment as our people are out in the fields making inspections and there are many call backs, etc. and it didn't seem fair to have these people use their own car. Mayor agreed and asked us to do some missionary work with the people who pro- vide the cars, the Central Motors. Board was in agreement with this. 2. Raise in pay for the Registered Nurses at Health Hospital. Mr. Mahoney and Dr. Toomey also discussed this with the Mayor. explaining that there would be no necessity for re- questing additional monies to cover this raise, that we could find it either in the budget figures for the hospital or could get it by transfer. They explained that if we are going to comply with the law of good practice in keeping registered nurses in charge of our wards that it was vitally necessary that they receive competitive pay with other nurses, from $123.50to .$129.50 , an increase of $6.00 The Mayor was amenable to this. Mr.- Mahoney then MOVED "That Dr. Toomey write a letter to the Council requesting a change in ordinance to cover Registered Nurses at the Health Hospital and that they be moved from Group 12 to Group 13". This motion was unanimously passed. :After the motion the Board members -commented that this was vitally importang, and every- one concerned should contact members of the council to enlist their aid in passing this ordinance change. 3. POLLUTION OF BROOK: Mr. Mahoney brought up the question of pollution of the brook in the rear of the Incinerator which eventually becomes Forest River. Dr. Toomey explained that there had been an agreement and, in fact, a contract with Mr. John Baffa and the State Department of Health in which we were going to treat the effluent waters from the Incinerator before it gets into the stream. The Mayor has not gone along with this up to . now, evidently from feeling the pinch of money. The Board members felt that the condi- tion was positivelk dangerous to public health and should be corrected. Mr. Mahoney MOVED "That the Mayor-.be requested to implement the contract with Mr. Baffa by an appro- priation of approximately $100,000 for correction of the Incinerator effluent." This motion was unanimously passed. 4. Dr. Toomey informed the Boardthat he had conversed with Doctor Rubenstein relative to the Health Hospital and .that he was very happy about our new setup of nurses and the general ipgrading_ of the hospital. He advised us not to attempt to go into Extended Care Facility status, at least not at this time. He further stated that sometime in the future, the law may require that the physical standards be raised, but said that we would cross that bridge when we came to if. Dr. Kaplan, in commenting, felt that Dr. Toomey should ge in touch with Doctor Rubenstein and try to pin him down on just exactly when and how much financial aid he could, give us in buildi_ng.:.:.!,.;gew hospital according to our original plan, to be built in close proximity to Salem Hospital. Dr.- Kaplan was fir in his belief that this was important, triaE the type of care we are giving was vitally necessary to the community and that we were performing a valuable service in this area. He was not in favor of our changing our status to an Extended Care Facility and this was the general agreement of the meeting. 5. Dr. Toomey -informed the Board that Dr. Fuimara's. office had- requested the department to take part in a project to increase the immunization of new born and_ 2re school children. The overall object�ive. is to have all pre school children come to school age with all of the immunization complete according to the -standards set by the State Department of Public Health and the Ame�can Soci2ty.of Pediatricians. This project entails a visit to the home of all infants born in the community and checking and advising the mother on proper immunization. The Board will bill for these visits at the rate of $5. per tiisit which will be paid by the State Department of Public Health. There is no payment for subsequent visits. Dr. Kaplan thought that the project was a very worthy one and in line with the work of the department and as a result the Board unanimously approved the project. Meeting adjourned at 6:45 P.M. G1 G May 21, 1968 Meeting came to order at 5:10 P. M. with all members present. Present order of busi i, ness was waived to conduct a hearing for Mr. Vincent D'Orazio, Jr, of 95 Gertrude Street, Lynn, Mass. re dumping, of construction and building wastes. Councillor Ingemi attended the meeting in behalf of Mr. D'Orazio. Councillor Ingemi: Mr. D'Orazio is here to request a permit to dump on land adjacent to the city dump on Swampscott Road. Some of this is Burke's land and there is a parcel beyond that belonging to a man who formerly had horses there. The place has been vacant since that time. There is a considerable amount of dumping going on there now, illegal dumping. This gentlemen explains that he wants to put building material there and he will make 95 industrial land up there. I represent him because he came first to City Hall as he wanted to know what to do, as he had an interest in the land. He has worked land development in the past. The area, itself, has always been of no use, it has been used as a gunnery, and a ranch for horses, it is completely useless as of now. We'd have an industrial site on Highland Avenue, industry is an asset to our tax burden, and the area would never be of any value for homes. The land goes back 400 feet off Highland Avenue, I don't think there would be any problem. It would take care of junk cars, get them off the highway, places such as Ferris's, etc. these places have blighted the various areas of the city. I have this area in mind to get rid of these cars, get them off the main road so that the city doesn't look like a pigpen. The land is of no value due to, too many holes and too many swamp areas. I would like to see the area developed provided he goes along with what we agree on. I can see no objection to it. He has explained it to me and now I will let him tell you. Mr. Vincent D'Orazio: I need a permit from the Board of Health fo dump. I did not think I would need a permit because I dump strictly demolition material, 50% wood and 50% plaster, this is considered solid fill. I have been developing sites for three to five years with great success. Develop sites that have been owned by other people, with my equipment for my own use. The owners of land have become famous, they say I have raised the value of their land; brought up grades from swamps to accessible heig'h€t so that now, instead of the worthless marshland it is now worth $2 a foot. In Malden there was a swamp twenty feet below the highway before I got there, I would like to take this piece of land in Salem, develope it, hope to sell for a high price as an industrial site. I would charge $1.00 per square foot. I have the trucks, one loader and at least one bulldozer. When there, the loader keeps unloading and the bulldozer crushes this material, reduces it to splinters. It is a better fill job with greater revenue. We mulch it up there and cover it with dirt. Dr. Toomey: Where does the dirt come from? Mr.DOrazio: We have a godd percentage coming in on each load, there is a certain amount of dirt on the bottom of the truck, fillings through the wood. The amount varies, depending on the grade. The important thing is we do this in sections, there is no problem with residents, no fire hazards, not one piece of garbage or rubbish unloaded. Machine shovel deposits layer of dirt on top of everything. Dr. Toomey: - How do you cover it. Mr. D'Orazio: This is automatic, take an area 150 feet square, built up the elevation to 3 feet, mulch everything that comes in. After we top the whole bit, it becomes a solid mass of dirt, acts as a fire stop when we start the next section. There is always fire gqu.i.pment on the job water on• the site, we can handle emergencies if. the fire department is unable to handle it, it can only burn that particular area that we are working :on.. Dr. Toomey: When you put this down and run it down how high is it .before you put the cover of-dirt on top. Mr. D'Orazio: Three feet, maybe less. Wood we get is 2' x 12' this is fine. If we get 3 x 12 this has Ito be cup on the job in four foot lengths before bringing down. Councillor Ingemi: , I am very much aware this man is on the job at all times, he is ten minutes from the area, no question aboutbulldozer being the best fire fighting equipment, is-there? First you isolate the fire, separate it from the rest of the area, let that section burn. Did you ever have a fire break out, Mr. D'Orazio? Mr. ,D'Orazio: it Yes, we had one,broke out around noontime at Lynn apparently it was going before lunch, there was a sizeable amount of smoke. We immediately opened up the area with the bulldozer, noti- fied the Fire Department and by 2:30 the Fire Dept. left, only one-piece of- apparatus was used r.. Kaplan: Where do you get the material? Mr. D'Orazio: From this locality, buildings are coming down in all areas, material may come from Lynn, Bev- erly, etc. Mr Mahoney: We have a very strick rule on this, you will be shut off if you haul from another city. 19 � Councillor Ingemi: Again let me explain to you people, I am interested in the development. I don't care where it comes from if it is properly handled we would be O.K. Dr. Kaplan: A dump-is a nuisance, we have had a lot of trouble with dumping, if a new technique is developed, fine, I haven't seen anything that isn't a nuisance. Councillor Ingemi: Call it a dump or land fill, I spoke and asked him to put it in writing and he will. If a nuisance is created the operation will be stopped. immediately. Mr. D'Orazio: I want to go in and it will be strictly on merit, I want an opportunity to produce what I claim. At any time, if you are not satisfied, merely tell me to "get out". Mr. Mahoney: You are the second fellow in three weeks. The first fellow ;:7as represented by John O'Connel and I showed him the letters from the State Department and he gave up the project. The plot of the land was shown to the Board. Dr. Kaplan: Do you think industrial developers would like to come into an area where there is an incinerator. Mr. D'Orazio: Yes, twenty or thirty thousand dollar homes would no�,but industry will, mostly all commercial buildings are air conditioned now. Mr. Mahoney: I am a great believer in industrial development myself, but our regulations forbid the dumping of this type of material. We have had three court appearances. Mackey caught fire we had stopped it at Derby Street and on Leggs Hill Road. Councillor Ingemi: You are talking about a residential area. In discussing the fire, was there machinery on the job, and was there anyone in attendance Dr. Toomey: It happened at noon time. Then there was Grasso's place, He was doing a good job, he took building material and had a contract to remove fly ash, leather scraps, etc. and he was soaking it down to keep the fly ash from flying aroun hree or four years after it was buried, it went on fire, and it took six million s�� water to put it out. Mr. D'Orazio: This is impossible. Dr. Kaplan: Did you have a permit for the Malden job? Mr. D'Orazio: No, I couldn't get a permit, but the Mayor looked the other way and he allowed mt to finish. You can check my work at the Lynnway Marine, that is one of the jobs I did, it is just past the Beacon Cheverolet. There were six ax2�es of mud flats under 20 feet of water--this in- volved the City of Lynn, the Division of Waterways and the State Department of Public Works. Mr. Mahoney: This is exactly what Mackey did and we stopped him. He got a permit from everyone but us. Building demolition material was to be dumped and we said no. Three years ago we advised that there would be no dumping of this material in Salem. You would be dumping lime up there. ' We have a great many leather manufacturers here and we took leather scraps for years then the State stopped us. Now you want to dump lime encrusted material into a swimming pool. Mr. D'Orazio: I am going to assume, that if the operation was handled properly would your attitude change? Would it be possible to satisfyv you. Mr. Mahoney: If we satisfied you, we would have to satisfy everybody that we shut off previously. Mackey's :family have been doing business in the areztfor 110 years and we had to shut him off, and he did a perfect job too. If he wants fill, we will give him fill from the incinerator, we have gone as far as we can go. Mr. Ingimi: The only thing I can say the Mayor will answer that question. Dr. Toomey: We have almost filled in our area, we have another depression on the .other side of the 197 incinerator, even larger than the one behind the incinerator, you walk 150 yards and you will go into another hollow. The waterway belongs to James Grasso, if we are going to fill we would have to put in a culvert of a four foot conduit pipe. Mr. Mahoney: No, - it is these people's right to have a natural flow of the water. The City Solicitor has a case on his hands now, contractor down there filling up the road is daming up down there. Toomey: There is the answer to the whole thing. You can't go across that brook, you might utilize either side of the brook. Mr. D'Orazio: The area you have now for dumping is good for twenty years. Mine is a better system than incinerat;i_on, mulching and compaction, sealing it. Dr. Kaplan: Can you put in fleshing? Mr. D'Orazio: Yes, we bury them, there are no nuisance for anybody.. All I want is an opportunity to show you, it can be inspected each 10 minutes every day , and anything that doesn't suit you, just tell me. We will supply bulldozer for free, we will clean up that mess you .have there. It would take you two weeks, we will do it for free. Councillor Ingemi: Here is a point he brought out today, if any one thought for one minute that the house was being ruined, he has gone to these homes and painted the house for ,the peopl0r•TPere is a percentage of people who are going to be against everything--so to create peace and pacify them, we send painters in whenever there is a legitimate grievance. Mr. Richard: If the men we refused permits to/would follow in this man's system, would it work. Mr. Mahoney: Then, you would open the floor gates. Councillor Ingemi: This area is an isolated area in comparison to Derby Street, there are thirty or forty homes in that area If it was my ward I wouldn't see him there. In fairness to this gentlemen this area cannot be compared. Mr. D'Orazio: You are not fair minded about, this. I don't say you are not .justified. You want to change the ordinance? Mr. Mahoney: The ordinance is there on the books, it is a regulation of the Board. If we let one man in we will have all of them coming in on top of us. We went down to watch Mackey's operation, the Fire Chief, Dr. Toomey and the Inspector of Buildings, he was doing the same thing that you were going to do. Three years ago we had to tell the Urban Renewal people that they would have to plan to take. the, r material outside as they could not dump it here. We will give you all the stuff from the incinerator. Mr D'Orazio: No, your material has a stench to it, I know my material. Your material is inferior fill and mine is quality fill. I m not even going to be given the opportunity to do a good job. Dr Toomey: Would you give the Board time to go over the case and think about it. Mr. D!Orazio: We know the answer now, you have a lot of questions in your mind. You have a prejudiced board here. Councillor Ingemi: Since I handled most of the complaints, I don't think we have a valid reason other than the fact that Mackey has been thrown out, this man is a sincere honest man, it will make money eventually if he handles the job right. There i,s only one house around hereand that is far away. Mr. D'Orazio: Dr. Kaplan has an open mind, and Mr. Richard has an opened mind, Mr. Mahoney has not an open mind. Mr. Mahoney: There is a letter in our file from the Attorney General, if we do any more burning here we are 198 1 in trouble, we have been through this before. What percentage'of' plaster to an average house. Mr. D'Orazio: One ton of plaster, one to 100 mixture of lime and sand, nothing would go into the stream . Councillor Ingemi: I want business in this area, I would appreciate-any consideration you give this man I like his system. Gentlemen -then left. ' MOTION: After due deliberation the application for a dumping permit of building disposal materials on land known as Burke's property and on land adjacent situated on Swampscott Road be denied. A lengthy discussion was allowed concerning the many violations potential or otherwise en- compassing the granting of any permit to the applicant. HEARING FOR THE SOUTH ESSEX SEWERAGE DISTRICT: Mr. Brainard represented the commission. Dr. Toomey read a letter from Mr. Brainard to the Board: Your cease and desist order dated April 25th with regard to our operations on the Grasso property was an unexpected decision, as we have certainly attempted to comply with your regulations previously established. They state: that they have not used the area for dumping since December 1967. They have investigated other means of disposal of this sludge to no avail. Eventual solution would seem to be treatment and incineration. The Commission is taking all reasonable steps to expedite the treatment plant. ." They do not anticipate any major use of the area for several months. Request the Board to allow this short term dumping. Mr. Brainard will be -avail-able to discuss this matter with the Board. * Board's decision to table this until the next meeting and Dr. Toomey and Mr. Brainard will seek another site for thea' sort of dumping, some place that isn't so residential. Dr. Toomey: Councillor John Butler called and said he was going to put an order into the Council to forbid the South Eseex Sewerage to use the dumping area on Barcelona Avenue. I called Mr. Butler and evidently they had just got through dumping there. Mr. Brainard: I th-ink the cause -for these complaints was because we 'were dumping at that particular time. Ordinarily the place doesn't smell, we have been up there several times, it is sprayed with lime and covered with a little dirt. Dr. Kaplan: The people around there feel that there is quite a lot of danger there for children. This comes from a couple of police officers, according to them it is terrible. Mr: Brainard: I don't think it is any more terrible than it was. I have 'always been concerned about this. There is a fence around and there are signs there, but they are up today and gone tomorrow. Some areas are not fenced but we are not dumping there now. At the area "just above the point, I actually walked out on this. We haven't used this for two or three years, there is- no danger there. Dr. Kaplan: This comes from reliable people, that one of their kids could get hurt there. Mr. Brainard: The are�,that we have been dumping in the last few years has a six food fence enclosure. I don't think you could sink in that area, this is ridiculous. Of course'I don't know the nature of the people's complaints. Dr. Toomey: Most of the complaints emanated from nuisances rather than 'from danger. " I don't think the nuisance is that bad, but the danger worries me. I live in fear that some little one could get in there and get entangled in the mess. The place is more populated now than previously. ' Mr. Mahoney:. - How many truck loads are dumped there? Mr. Brainard: During the summer we can skim the grease off and load it into trucks. We used to do this periodically during the dummer. We- stopped it, as it 'was a hardship. The operation is now twice a year, December and April and now we won't go again until the Fall. It in- volves three days at the most. There are about six or seven loads with three trucks, about twenty loads in all. The loads vary; the tank truck is two feet deep. Three trucks made seven trips, there were approximately 50 partial loads. They are trying to get 1 9 9 an idea of how much comes in daily, we just don't have the figures. Mr. Mahoney: Will &e�eplgr Danvers help you? Mr. Brainard: You couldn't expect Beverly or Danvers to help Salem. We don't have this material from Bev- erly or Daivrp.we just have floatings and detergents, caked stuff. The heavy tannery stuff is the troublesome thing and this is from Salem and Peabody. They are throwing everything at us. Dr. Toomey: If you try to get hold of Joe King at Universal and try to get a piece of his land on Swamp- scott Road, formerly a Polish Picnic Grounds. Plenty of area there. You could probably build a dyke there. We- told you this three years ago,' I talked to you about the condition on Barcelona Road in 1966. I don't think we are going to have the treatment plant in the forseeable future. I'arealize that we can't prevent the impossible and the ultimate but the likes of this fight next door to where people are living, we are going to be accused of not doing our job. Mr. Brainard: I don't see why you worry about a few people, I could smell a little oil there, this is a good spot, we could dump there until we get another solution, I even put oil on the road. We have done everything we could to keep from getting complaints. I will admit there is a potential danger but people could keep their kids home. Dr. Toomey: I agree that there is a potential danger, these people come to the Board of Health, we know that there is a danger there and if something should happen we wouldn't look very pretty. Mr. Mahoney: • These people move up there and they start to squawk. There was a place near the Lynn Sand and Stone, there has been a change of ownership there.. We realize the position you are in, in the nature of giving public service, but if we said we would give you a temporary permit we would be getting a number of calls at 11:00 P M. DECISION: See above. Regular meeting resumed with a motion to waive the reading of -the minutes of previous meeting. Census at Health Hospital was cited, two vacancies had been filled. Communications: 1. _ Memo to .Co.uncil1 or .Richard. J,; Guy from our Environmental Sanitation Section replying to -requests he had made re nuisance complaints. Received as a matter of information. 2. Letter to Councillor McLaughlin re his request on using chemically treated bags for rubbish collection, received as a matter of information. 3, Reply to our communication to .Basford, Inc: of New York stating that they appreciate our suggestion on the G I Cans and stating that they had sent copies of our letter, plus sketches to several manufacturers of these containers.1 Received as a matter of information. 4. Sample of poster sent to North Salem resident's re North River announcing an open .meeting on North River, was received as a, matter of information. 5• Correspondence to Mayor Collins requesting change in ordinance in order to increase salary of Registered Nurses' at hospital, this was received as a matter of 'record. 6• Communication .from. the .Boston: Guild for, Hard of Hearing giving September- as the month for the tests and schedule of same. Tests ;to be given two days ,a week from 10:00 K. M. to 12:30 P. M and 1:30 P. M to 4:00 P. M. Trained technician is available on Tuesdays; Wednesdays and Thursdays,, we maytchoose two of these days. Miss Fitzpatrick will come to :orient our -Public Health Nurses and Clerks sometime in June. She would like to view the proposed location for the unit to check on the accessibility of electric current. She enclosed publicity release. Z• • Letter to Salem Oil and Grease Co. ,rev waste materials, emanating from the surface water outlet beneath the bridge at Grove Street coming from their establishment. - 8- i, Order .from City Council that Mayor Collins, the City Engineer and Health Agent arrange a meeting with Mr. Click, Vice President -of Dubois Chemical Company in reference to posaible elimination of odors emitting from-the North Rivera Result of meeting to be given to Council the sedond meeting in May. 9• Letter to Drs. Richard McKeage and Dr. Herbert Hakele of 116 Highland Avenue inform- ing them that the attention of the Board had been called to the filling in of a waterway alongside their property. We apprised them of the law and -requested a reply from them. 10. REPLY:, , They are proceeding- -to fill aportion of their lot which abuts the brook. G The fill is of blasted ledge which is both staple and porous. They also stated that they have an official •permit from the State Department of Public Works to fill remainder of the lot and in so doing., provide and maintain this natural waterway. 11. Copy of letter from Dr. Fitzpatrick, Superintendent of Schools to the principal of the High School in regard to our department's letter on unsatisfactory conditions at the cafeteria 12. Copy of letter from Superintendent to Mr. John Conway, Director of Salem Vocational High School re Home Management Training Program. Miss Katharine Lawler will be available as la3 temporary replacement. — Letter to South Essex Sewerage District relating to dumping ,on Barcelona Avenue on the Grasso property. Letter orders them to cease and; desis.t. Reply listed above. 14. Letter from Mayor's office relating to all persons' using their car on official city busi- ness to. submit their. detailed auto mileage to Purchasing Department with the monthly bills at the rate of .08 per mile. 15. EXECUTION: Dated 24th of April, 1968 WHEREAS Eastern Refractories Col, Inc. recovered judgement against Cit�of Salem for the sum of $30,810 13 plus $23.10 costs of suit making a total of $30,833.23. (Inci erator Modifications. This is a �final payment on the Modifications with the exception of the 4% retention.) 16. Civil Service requisition blank for position of Supervising Public Health Nurse was mailed in May 13, 1968. 17• Correspondence received from Maurice G. Theberge, D. n S applying for position of Dentist ih the department. 18• Flyer was received from the Division of Hospital Facilities, you perhaps saw this in the paper, relative to monies from Federal Government for new construction. . I have been calling Dr. Rubenstein, but he has not been in, I will talk to him as soon as possible. OLD BUSINESS: 1. Discussion was held on excavation on property owned by Saul Goldberg, Dr. Toomey read a communication from Miss Freeman, neighbor re this situation. Dr. Toomey cited our regulation to the Board. Received as a ; tter of information. • 2• On nurses raise Dr. Toomey reported that it had received first passage and was con- fident that it would receive second passage. 3• Re Salem Oil and Grease Board recommended sending a letter to these people thanking them for their usual cooperation. 4• Re North Rciver meeting, Dr. Toomey reported that he had met with the Mayor and the repre- sentatives of the Dubois Chemical Company and went over the overpass; -and as a result someone will come down and make recommendations. 5. Re High School Cafeteria, there were cockroaches and vermin there, very poor housekeeping not due to the girls but the general cleaning. Health Agent made recommendations as to the stor- age of the material. 6• Re-Home Management Training Miss Katharine Lawler will go down as a replacement for Miss Davies and place will be back in business. 7. Re Correspondence tocMr. Edelman of Alexandria, Virginia requesting information on a Federal Grant to allay some of the cost of a purification works design. Grants may take two forms: i: A building grant for control of pollution of water; 2: a research grant to determine the efficienty of the plant in its relation to rivers and brooks. Object -of Health Agent writing him was to get grants for the operation and part. of the construction of the _?" 100,000 water control plant in the rear of the Incinerator. No reply as yet on. this. 8• Re allowance for mileage, Dr. Toomey talked to the Auditor and stated that we gave a certain amount of-money per year for those using their car, and thought it wouldn't be worth the while and the effort so we wouldnt be concerned aboutlt.This was made a matter of record. 9• Board was in agreement with p*ster for position of Supervisory Public Health Nurse. 10. Health Agent informed the Board that Maurice G Theberge, D.D.S had made application for opening for dentist in the -department. He cited the program now with the Medicaid benefits and the resultant lack of work at our clinic. We are needed to set up"a Dental Health Educa- tion on follow up, etc. Dr. Kaplan did not want to appoint anyone if there wasn't sufficient work to be done. Dr. Toomey stated that he would make the work so MOTION was unanimously carried to.make this a provisional appointment. 11. Health Agent informed the Board that Mr. Famico had successfully passed the examination - .for part time weigh clerk.• 12. Mr. McKinnon: Mr. Mahoney was not present at the- time of discussion on-Mr. McKinnon's properties. After a short discussion the following MOTION was made: To accept the recommenda- tions of the Health Agent that these places are a public nuisance and must be razed after 5/31/68 201 13. Health Agent discussed new cars and new trucks for the department with the Mayor and Mr. Cyr with the result that $150,000 bond order would be requested for five `trucks (this will include the cars for the department, at least two.) 14. POLLUTION of brook at rear of the incinerator. Dr. Toomey called the Mayor and ex- plained that the Board was highly concerned with the continual pollution and that we had an agreement with.the engineer, Part B of the contract,: that we would eventually have plans drawn for a unit to correct the effluent; also we had made an agreement at the time of the incinerator opening that the State Department of Health would set up a means of preventing pollution of this brook. Mayor was informed that the latest estimate from our engineer was $100,000 and he said he would be amenable to this, but we would not send it over for that particular meeting. Letter will be sent this- week- and perhaps will be taken up at next meeting. Informational material will be forwarded to each councillor on this. 15. REVISED DEFINITIVE PLAN of Paul Avenue, Middle Street and Parlee Street, Witchcraft Heights, Ill eliminates the problems we had pointed out in the previous submission. Dr. Toomey would like to write to them and approve the new plans and notify the Planning Board. Board was in agreement with this. NEW BUSINESS: :1. The department has been working with Don Pottle, Sanitarian for the Department of Natural Resouir., , along tkerNt4!t.h River, and the only thing found out of order was the surface water drain under tE T7i gT e at Grove Street. This situation had been corrected by the Salem Oil and Grease Company about three or four years ato, but lately the pipe broke and needs replacing. We requested Salem Oil and Grease to replace pipe and they have done so. This should clear up the situation. I am keeping Mr. Pottle and the department furnished with all the material we have relative to past activities with regard to the North River. We did find a private sewage system that was installed properly. Z. State Department of Health Education has requested the department to allow a research team from their department to examine the teeth of 100 children who have spent their life in Salem while Fluoridation was in operation and fifty children who- were not. These children should be in the fourth or fifth grade. i would recommend that we. go al ong, with this project. They will furnish research Dentists and a Technician team. Board was- in agreement with this. We have made arrangements to build a new fence ten, feet high with gates to close off that portion of the dump adjacent to the Incinerator. The fence will go from the old fence on Swampscott Road, around the parking° area to the corner of 'the.building. It will be ten feet high. 3. Health Agent reported that. the Detrick System Jens Cans at the incinerator were very poor, they had been welded and then had to be rewelded. We have used—two sets_ of them this year. There are thirty three cans and they cost $275 each, it would cost about $16,000,. per year for these cans. Recommendation to write to Eastern Refractories. Dr•'.�Toomey informed the Board that the letter had been written and he read same to the Board I'-have been directed by the Board of Health to write you relative to the Detrick Jens System, specifically the Cans at the Incinerator. At the present time these cans are leaking. ' The Board 'feels that the Detrick Company is on record as promising to make a determined -effort to guarantee that -,, , this system will work and that they would exert every effort to see that it would. However, ; the incinerator is now in a precarious situation by reason of these leaking cans and the fact that deterioration of these cans is so rapid, plus the fact that the last report from Detrick' evidences a desire on their part to be rid 'of the situation. The Board feels that the Incin-� erator is still in guarantee which includes this 's,ystem and must insist that the provisions of the guarantee be honored. MOTION to adjourn meeting at 8000 P. M. Elinor Horan, Clerk June 18, 1968 Meeting came to order at 5:00 P. M. with Dr. Kaplan and Mr. Richard present. Minutes of previous,�w ere dispensed of by motion of Mr: Richard. 1, It was then moved by Mr. Richard that the hearing for Mr. Frank Wetmore be taken out of the regular order of business so that it could be dispensed with at the start of the meeting. HEARING: Mr. Serafin! had sent correspondence to the Health Department in the interests of Frank H. Wetmore, client. He had requested this hearing on a housing: situation. .Mr. Serafini supplied information from James Boulger, Architect. and William McCarriston, Plumber, supporting their premise that the toilets as they now are at,�,24 Derby Street are 2 functional, meet health standards and in fact, if a sink had to be installed it would be a considerable hardship on__the owner financially. Dr. Toomey called the attention of the Chairman of the Board that their judgement in this case may establish a policy and this should be kept-,in•mind. Mr. Serafini said he hoped that it- tas• a..unique case and- that ,it should-. be considered individually. Dr. Kaplan, in summation felt that cases should be treated individually. It was felt that the Plumbin4 Inspector-.should be consulted .to- determine if there, was any feasable means of installing a sink there. COMMUNICATIONS: . . _ a. Application for "Grant Assistance in Rodent Control Program, describing our program and including a survey map with priority areas was sent to-Alfred Frechette, Commissioner of Public Health. Also description:of,our supporting program such as: restaurant inspection,etc a budget also was included. This was received by the Board and made a matter of information. b. Letter from the Department of Public -Health confirming the November 4th date as the' time - when actual work on the Dental Survey will start. This was received as a matter of informa- tion. c. Report to the Superintendent .of Schools on a suspected outbreak of Food Poisoning at the " Carlton and Endicott School. In summary the department felt on.statistical evidence that no food borne outbreak was proven. This was received as a matter of information.. d. Letter to the Superintendent of Parks requesting that he desist from running a sewer on park land at Mack Park and that, he connect the drain to an available sewer. Board approved of the action of the Health Agent. e. Letter from John Collins,_Director of the Department of Public Health, Division of. Sanitary Engineering calling our attention to violations of the Air Pollution law and a reply from the Hea t Agent in which he -acidly described the reasons for his letter and .our answer to the problem of outside burning, which was forced upon us by a -breakdown of the crane. Board approved action of Health Agent. f. Correspondence to Dr. William McHugh in which we send him a fact sheet of figures rela . ' to our lube c and its reimbursement. We seek some increases in total whic amount toy 5,718.80 per year to $7,013.60. Also discussed was a letter from- Thomas Kearns, Epidemiologist of the Department of Public Health , Division of Sanatoria and Tuberculosis Control with an enclosure of a letter from Dr. McHugh to Dr. Shannon at Salem Hospital re an Xray Chest Clinic. at Salem Hospital. Dr. Kaplan will talk this over with Dr. Shannon. Received as a matter of record. g. See Hearing above re Frank Wetmore. h. Correspondence from the Health Agent to Mr. Vincent D'Orazio who at the last meeting was given a hearing relative .to dumping on land known as ,Burke's land and adjacent land. In our letter we informed him .that- the dumping of this Ify"pe of waste was forbidden. The im- porting of solid wastes from other communities was forbidden and the coneern of the Board re the potential contamination of. the .brook and attending- low. lying areas, was stated. This was received as a matter of record. . i. Notice from Dr. Toomey to all personnel in the Sanitation Section .reading as follows; That the working hours.will be from, 7:00 A.M. to 12:00 ,Noon and 1:00 P.. M. to, 4:00 PM plus a fifteen minute, lunch period, in the morning not to commence until 8:45 A.M. This was unanimously approved by the Board. j. Letter to the Salem Oil and Grease .Company thanking them, for their assistence, in cleaning up the situation which was. polluting the North River. This was made a matter of record. k. Correspondence from the Health Agent to Dr. Rubenstein in which we remind him that we are interested in his flyer newspaper release relative to monies for hospitals and citing Salem as one of the long term care facility. Reply from Dr. Rubenstein thanking us for the note in re a possible project under the Hill Harris Program in the long term cbtegory and stating that we shall await further plans as they are available. Matter of record. 1. Letter to Mr. William McKinnon in which we inform him that since January 1966 much cor pondence .has transpired between us; that •on March•20; 1968 he had indicated he would liKe an extension until the first week in May so that he could institute a program of action to fix the buildings •on Kosciusko- and—Daniels St._ and_.Ct. On the basis of this letter the Board had granted an extension until June 10, 1968. We informed him that no visible steps have been taken to do anything to donform with the desires of the Board and asking him to advise us immediately of his plan of action. Copyss of the -letter was forwarded to the St. Joseph's Credit Union and Mc. McKinnon's copy was sent Certified Mail. The feelings of the Board were that Mr. McKinnon could have another couple of weeks, but , 203 they definitely wanted some effort on 'his part to fix these buildings, specifically the Board did not want a piece meal repair job. The Health Agent said that he would see to it that Mr. McKinnon came in with plans and specifications and the repairs that would be re- quired by the Building Inspector with whom this department would also check. m. Communication from City Council informing us of the change in• ordinance as requested by us.: Registered Nurses were moved from Group 12 to Group 13.• This was received as a matter of record. OLD BUSINESS: A. As. a result of the Board's request Mr. Brainard of the South Essex Sewerage District and Dr. Toomey visited our dumping area. Dr. Toomey suggested a spot to Mr. Brainard in a swail which is located across the brook from our present dumping area.' This could be dammed off with material from the Incinerator and bulldozed and when any dumping is done, could be immediately covered, mixed and filled with our material. Dr. Toomey also conveyed the idea to Mr. Brainard that the cost of building an access road should be borne by South Essex Sewerage in whole or in part. Discussions were not bomplete as to financial formulae but he is amenable to a contribution at least. Negative note, however is the fact that Tony Piero who lives across the street had heard of this plan and has already entered an objection and wants to put in a petition to stop it. This was received as a matter of information and Dr. Toomey was instructed to keep the Board informed of the progress on this project. e_ B. NORTH RIVER: Mr. Cameron and Mr. Demeule take bacteriological samples and doing dye . studies of the sewer complex on Barr, Buffum, Mason and other streets connected with three surface water drains which enter the North River just above North`Street. Mr. Pottle of the. S. D. .of P. H. •Division of Water Pollution Control had taken bacterio- logical samples at the ends of these pipes and found their to be consistent with raw sewage. The department is doing this work to be cooperative. There is a question as to whether the job is feasable due to the fact that these pipe openings are under water at half tide or over and certainly any water pgssing through them would be highly contaminated in the process. This was received as a matter of information. ' C. Relative to a lot owned by SALEM GLASS on Canal Street, the department has received additional complaints from the counciland from neighbors and while the owner Mr. Gold- berg is not available we have requested Mr. Joe Prager who is in charge of operations, to bulldoze the lot and fill in the hole and he has assured the Health Agent that he will to this. Dr. Toomey informed him that we could not wait another indefinite time for Mr. Goldberg to return. Dr. Kaplan stated that Mr. Goldbergis presently in the hospital and he suggested that Dr. Toomey again get in touch with that Mr. Prage: and see if he can get the hole filled in. D. Reply from Mr. Edelman who referred Dr. Toomy to the Federal WATER POLLUTION CONTROL Administration at the Kennedy Building. Dr. Toomey talked with a Mr. Peterson in that office who again referred him to Mr. Earle Anderson on the solid waste program. Mr. Anderson is presently on annual leave but his secretary has referred Dr. Toomey to a Mr. Alden who returns on'Friday June 14 at which time communications will be started, between Mr. John Baffa. and the State Department of Public. Health, Division of Sanitary Engineering who must handle this intermediary coming from the Federal to the State. ** E. Mr. Delulis requests the approval of a definitive plan for the plat on Mooney Road in Salem. "They have met all the specifications and I would approve the plan", stated Dr. Toomey. * D. Re: Water Pollution Control,. Dr. Toomey explained that he had talked with various people and has an appointment on Tuesday June 25 to go over this and maybe start some action on .this project.-: ^* E. The -Board said that they would approve the plan of Delulis on Mooney Road, •but would like Mr. Mahoney to see it as he was particularly interested in this. NEW ,BUS . A. Dr. Toomey reported that our new inspector was working out well, remarkably well. He has been doing what is considered an outstandingly good job in the first phase of his .work_which is to bring the restaurants up to standard. B. Authorization-of .notification-of emploj;ment form-has been received from Civil Seryic_e_ for the Supervising Nurse in Public Health .Section_of the department, but this had been sent in error. This was received as a matter of information. 204 Doctor Toomey told the .Board that he was very much concerned about the Burke property next to the municipal dump as there is considerable dumping going on there. He informed the Board that he had notified two people to clean up the place as they had dumped there. We had a weak case or we would have taken them to court. The Board. decided that we send a .letter to Mr. Burke telling him to clean up the property and to properly pro-• .a3 tect it from this dumping., Dr. Kaplan requested Dr. Toomey to talk with Mr. Eastman of Harmony Grove Cemetery and explain to him-about the legality of connecting ,toilet -,fracilities with the• sewer.. He said- the Plumbing Inspector •had refused to issue a• per-.mit•:for i.nstallation .o-f toilet facilities unless they were connected .with: the s,ewer,:; the s:ewer.=being available. Dr. Toome told the. Board_, that Mr. W Connell was :right: and ,that we.also are bound- by .the same law that we. could, not_ approve the:building of_- a private _sewerage ;system_.,if..:the sewer is available. Elinor C. Horan, Clerk July 11, 1968 Special meeting of the Board of Health came to order at 10:35 •A. M. with all members present. Also present was 'Dr. William McHugh, Director of the Division of Tuberculosis Control and Mr. Thomas Kearns, Assistant to'15r. McHugh. br. 'Shannon of Salem `Hospital was to be at the meeting but was detained and Dr. Kaplan spoke for him. ` Subject of the meeting: Transfer of the Chest Clinic at the Health Center to Salem Hospital. Dr. McHugh spoke of the shortage of personnel to cover clinics, that there were not a sufficient number of pUysicians to cover clinics and recommended a broader program to cover all respiratory diseases such as: Emphysema,.,, Chronic Bronchitis, Bronchiec- tasis, etc. He stated this development was not a criticism of the clinic--at Salem, in fact he had great praise for the'clinic operation, and felt that if the clinic did go to Salem Hospital he hoped -it would be a joint program between Salem Hospital, the State and the local Boards of Health. He told the Board that there were several clinics already at General Hospitals, such as Chelsea, Winthrop, Revere and Somerville, also in Gloucester and one at the Cable Memorial Hospital at Newburyport. At the present time they were endeavoring to get one started at Lawrence General. The latest clinic is at the Sturdy Memorial in Attleboro. He said if the clinic did go 'to Salem'Hos`pital, ii would have to`-be"handled�on a priority basis, no one could walk in off the street and get' tlie- xray. " When 'questioned about the present staff at, our clinic, 'Dr. McHugh said the State would go' along 'as before with the exception of the Pharmacist and the CUstodian as neither''of these people would be needed at hospital clinic. Attorney Mahoney inquired of Dr. Kaplan if they had enough physical facilities on the first floor to care for this clinic. Also it was brought out by Dr. Toomey that -this was a North Shore Clinic handling services for fourteen cities and towns. It was Dr. McHugh's impressio: that Salem _Hospital did understand this and Mr. Kearns told the group that he had sent a list to the Hospital of the cities and towns covered by this program. At Attorney Mahoney's question as to the charge, Dr. Kaplan was of the opinion that it 'would be in the vicinity -of $1 or $2, but Dr. McHugh stated that. there would be no charge to the patient as it would be included in the contract between Salem Hospital and the State. Dr. McHugh stated that he hoped in.the future to have beds at the hospital for six week patients as within a few years there will be no more sanatoriums. , Dr. McHugh explained to'the 'Board how this situation'came 'about, he had to go to Salem Hospital 'to check on- somerfilms of his patients'-and 'wh'ile there he was surprised at th. positive reaction Fie received when discussing the chest clinic, compared-to previous nega- tive reactions, that he immediately requested a meeting with the Board of Health. 21 0 6) It was. his understanding that Salem Hospital would use their present equipment for the time being until the State could get new equipment for the clinic. He said the reason for this was that this information came to him after his budget was madeup and that Salem Hospital was aware of this, but he was hoping that he might obtain money from :Federal or State budgets, but he would like to meet with everyone concerned including Dr. Shannon,. to get everybody's viewpoint on this. He would like a reaction from our Board as a guide as to what procedure he could follow, manifesting our pleasure or whatever the case might be, if Salem Hospital accepts, he hoped he would get enthusiasm from here so he could accept:, He said he. would like a clinic where someone could come and within an hour have the histories, xrays and some observations performed. Necessary tests could _be done at the hospital instead of sending to Waltham, stomach washings, necessary cultures, etc. at no`:cost to the patient. Dr. Kaplan felt that Salem Hospital was one of the larger hospitals and they intended to establish a respiratory clinic there, but as long as the State would help out in this pro- gram both sides would benefit. He was of the opinion that Salem Hospital was the place for the clinic, that they would do a good job. He mentioned that Dr. Bird was an expert and had very good relations with the hospital as he is called in for consultation and is very knowledgeable. He said he would check with Salem Hospital to see if they were aware that fourteen cities and towns were involved in this clinic. He also stated that this would have to go through the staff, but they generally went along with the recommenda- tions of those concerned. . Dr. Shannon is a physician of internal medicine being an expert on chest work. They have wanted a chest clinic in .previous years but the machine in use at that time wasn't up to what they had in mind, and now with the new 70 millimeter machine they can an increasing number of pictures. He also felt that this department should be as helpful as they could on a non-medical basis. He was emphatic in his belief that if the new equipment wasn't available Salem Hospital would not be interested, the equipment is .the roadblock. As to the physical facilities they handle many clinics at the hospital and this space could be utilized for this clinic. The only thing lacking is the xray equipment. Dr. Liming is willing to accept this, but he did not approve of the previous machine. He stated that he felt the present clinic at the Health Center is being carried on well, but is on a piecemeal basis, whereas Salem Hospital has everything there to use. There is a room which was donated by Mr. Bixby that has a lead wall and would be ideal for the xray room. The program would be by the physicians and the follow-up by the local Boards of Health. - Attorney Mahoney: Mr. Mahoney was concerned as to the fact of Salem Hospital being aware of the magnitude of this clinic, were. they able to handle it, did they have the personnel to handle it. . He drew attention to the dedication and devotion that had been given the clinic here and that it was one of the best clinics in the State.- He thought it shouldn't be taken from here. He also stated that he thought this meeting was a little premature, that clear:t ance should have been received from the staff at Salem Hospital, have the thing set up and then discuss it. Mr.- Mahoney was interested in the present staff here and was assured that they would still be in the program and the state would reimburse us. As mentioned -by Dr. McHugh the only change would be the Pharmacist and the Custodian. Mr. Mahoney suggested that Dr. Kaplan consult with Salem Hospital, study their particular aspects of our proposal, and then when things are resolved, meef again with our Board, he also felt that our staff at the clinic should go to Salem Hospital to see if the recommended rooms are satisfactory for their particular need's. Meeting adjourned at 11:45 A.M. July 3,0,- 1968 Meeting came to order at 5:00 P. M. with all members present. Reading of minutes of previous meeting wa's dispensed with. Census 'at the Health Department Hospital was cited and made 'a matter of information. ' COMMUNICATIONS: 1. Letter from the Division of Civil Seri ce relative to the position of Supervising- Public Health Nur R in which they request an explanation as to why we hadn't requested 206 a promotional examination inasmuch as we have three nurses on duty over the year. This was received as a matter of record. - 2. Letter from Mr. Kent Murphy of the Swampscott Board of Health in which he requests that the Gardiner's Association of Swampscott be allowed to dump tree cuttings, grass clippings, leaves, etc. in a hollow on land owned by Cook, an area in Salem but adjacent to the Swampscott line and the Lynn Sand and Stone. This was received as a matter of record. -- _ 11 3. Letter from our department to John and Mario DeIluis re Sable Heights Subdivision stating they have complied with previous objections of the City Engineer and this department and we inform them that we will give approval to their plan. This was received as a matter of recor=d. 4. Correspondence from the North Shore Community Action Program, Mr. John Q. Berry in which he confirms the appointment of John J. Toomey to the Board of Directors of the Office of Economic Opportunity, with the permission of Mayor Collins, this was received as a mtter of record. 5. Order from the City Council in which Councillor Joseph O;Keefe requests a meeting of-. the Health Board, the Agent and the Council Committee on Public Health to discuss the collection of large size rubbish, this was received as a matter of information. 6. Copy of a letter .to James. Shannon, M. D. of Salem Hospital from William McHugh, M. D. Director of the Division of Tuberculosis Control in which he sets-forth an explanation of the Clinic, its scope and services, this was. received as a matter of record.. . . - 7. Copy of a letter from the Superintendent of Schools to Walter Markham, Director of- the Bureau of Vocational Education in which he thanks him for funding the program of Rehabilita- tion at our clinic at .the hospital, this was received as a matter of record. 8. Letter from Eastern Refractories and attached bill in the amount of $12,953.20 which is the . balance due on our contract and which is the 4% retained for guarantee purposes, this was received as a matter of record. 9. Letter from Superintendent of Public Property in which Mr. O'Brien states that he will no longer defray the expenses of heating, lighting and janitorial supplies at 5 Broad Street: He will be responsible for maintainance and related repairs only, this was received as a matter of record. 10. Letter from Eastern Refractories with attached letter from John Baffa in which they pro- posed to line the Weir Box with fibre glass as proposed by Eastern and approved by John Baffa, this was received as a matter of record. ll. . Detrick letter to John Baffa (copy) with reference to their Detrick Jens Tanks at the Incin- erator saying that the PH of the water into the tanks should be 10 to 11 and suggests that sodium sylicate should be fed into the water at the rate of one quart for each 10,000 gallons, this was received. as a- matter of .record. 12. Copy of letter from M. H. Detrick Co. to Eastern Refractories in which they tell Dave Feinzig that they have discussed the problem of a es- an in which-Fe has agreed, in spite of the fact that he thinks it is due to our water acidity, he has agreed to send two rows of carbon steel and one row of type 304 stainless steel, free of charge to us. I had agreed to install them if they provided. them... . Th.is. was received a,s. a matter. of. record. . 13. Letter from the Department of Public Health, Division of T. B. Control in which they approve our request for an increase in reimbursement formula, retroactive to July 1, 1967, ,this was received as a matter--of. record., 14-. Reply from the Board of Park Commissioners in which they say they will have Superintendent Foley -kn have the sink disconnected and relonated same to an available sewer as we had requested, this was received as a matter of informat-ion.. . _ , .. . . . . 15. Letter from this department of the Burke Corporation on Colonial Road in which Dr. Toomey asked them to clean up the dumping on their land and to protect their land from illegal dumpers, this was rec-eived as a matter of record. _ 16. Letter to Mr. Bruce Coffin relative to unsanitary conditions at the Hawthorne Hotel kitchen food handling areas, attached enclosure is a list of the discrepancies, this was received as a matter of record.. 17. Letter to the Fire Chief as a result -of an ins-pection of .-the Health Hospital in which he requests a -modernization of our internal fire alarm system, with specific reference to the placing of a location panel in the hall inside -the front door. Dr. Toomey wrote to Mr. O'Brien, Inspector of Buildings and passed along this information to. This was received as a matter of record. 1o7 OLD BUSINESS 1. Approval is given to John and .Mario DeIulis for Sable Heights Subdivision. 2. Transfer of Tuberculosis Clinic to Salem Hospital, as noted in Dr. McHugh's letter to Dr. Shannon whiLch was presented to the Board, Dr. Kaplan felt that it may be some time, if ever, before this transfer is accepted -and that the Board should adopt the attitude of carrying on our present activities'. , Board Members requested Dr. Toome to foward to them .a list of the revised figures on reimbursement for this clinic. 3. Home Management Training Program. Dr. Toomey informed the Board that this activity has been funded -by the Bureau of Vocational Education and that it is now under the Direction of Mrs. Katzen who will substitute for Marilyn Davies. Mrs. Faye Soil is the clerk; 4. Re the final payment on INCINERATOR bill in the amount of $12,953.20, Dr. Toomey informed the Board that Mr. John Baffa, our engineer is on vacation and that the terms of the contract state that a final clearance letter must come from John Baffa before we pay this final bill. Board voted approval of -this action and the motion made by Mr.- Mahoney was .adopted. 5. Re the Detrick Jens Tanks, Dr. Toomey told the Board that he had talked with the Mayor and he didn't want to carry on any litigation if there was any way out of it. As a result of this Dr. Toomey had driven as hard a bargain as possible with the president of Detrick a Mr. Edward Moniger, the result being -that he will provide us with a new set of cans, one row of which shall be- stainless steel. Mr. Mahoney voted to approve this -action- and motion was adopted by the Board. 6. Re. Frank Wetmore of 224 Derby Street. Dr. Toomey as directed by the Board, after a hearing on this case, detailed Mr. Colin Cameron our Chief Inspector and George O'Connell, Plumbinc Inspector to check the bathroom in question. They find that to install the required sink would be a large piece of construction because of: a. Ceramic tile would have to be removed from a great portion of the wall. b. inlaid floor tiling would have to be removed. c. Copper shower pan would have to be removed. In the opinion of the Plumbing Inspector the plumbing would be very expensive, plus replacing all the tile. In view of the fact that in all probability we would not run into this situation again it would appear that a variance would be in order. This was recommended by the Agent to the Board. Before any discussion of. the question Mr. Mahoney requested that the record reflect that he has absented himself from the meeting. The other two members, after hearing the above recommendation voted to adopt this recommendation and send a letter to Mr. Wetmore notifying him of the Board's decision. . 7. Rat Control Program. We have filed all the necessary papers for the grant assistance in this program and we were one of the earliest to put in our request. None have been approved as yet, but we think we will be. Reimbursement .on this program will only be 50% of the cost of completion of the program. Dr. Toomey feels that this is 50% we found as we were doing the program anyway on our own. NEW BUSINESS: 1. Communication from Civil Service re Supervising Public Health Nurse for the department, it was the opinion of the Board that the reason that they had requested an open exam- ination was because they felt the position needed a person with a college background and degree. The Agent was directed to inform Mrs. Campbell of this decision. 2. Re request from Swampscott Health Agent, Mr. Kent Murphy- permission is given by the Board to use the lot of land owned by Mr. Ted Cook, adjacent to the Swampscott line with the express purpose of depositing tree cuttings,grass clippings, leaves, stumps, etc, and no other debris. The Board also feels that the permit should be issued to Mr. Cook inasmuch as he is the owner of the property. 3. Re. order. from the City Council, specifically Mr. Joseph O'Keefe, re collection of large type of rubbish, Mr. Mahoney moved that the council committee on Public Health be invited to our next meeting in September to discuss this problem. 4. Request of the Superintendent of Public Property that we assume responsibility for heating, lighting and janitorial supplies at 5 Broad Street. Dr. Kaplan said that we always felt that we should care for the building. Dr. Toomey flet that he had no objections and agreed with Dr. Kaplan, and further stated that this thought should 208 1 be extended also to the Hospital where there are things we would like to do that aren't being done and many things -we are charged with doing by the State Department of Public Health by the Division of Hospitals and these have to be requested from another department which is not an efficient arrangement. Mr. Mahoney.MOVED that the question be referred fi the City Solicitor and the Agent is directed to write him requesting a ruling on this. Motion was unanimously voted. 5. North Shore- Community A inn Program. Dr. Toomey explained to the Board that this program- was a four community federal6sponsored by the Office of Economic Opportunity. He. felt as Agent he- should accept avodirectorship to this Board. Basically the activities will be in all health and welfare fields which will be carried out in depressed labor de- partments in the respective community. Activities will commence in the Fall. A number of basic programs will be put in operation, more about this later, this was received and approved by .the Board. - 6. Request from the South Essex Sewerage to make another dump at the old dumping grounds on the Grasso property. Dr. Toomey explained to the Board that we have not been able to open up the other piece of land to be used for dumping this material as the contractors are too busy. He asked if it was possible that we allow these -people to dump once more at the old site. The Board would like the Agent to exhaust all possib'i;lities of dumping somewhere else but in the event nothing can be found a reluctant permission- is given to make one more dump. Meeting adjourned at 6:52 P.M. September 17, 1968 Meeting came to order dt 5:00 p.m. with all members present. Reading *of minutes of - previous meeting was dispensed with. Census at the Health Department 'Hospital was cited and 'made a matter of information. COMMUNICATIONS: a. Letter from the Board to City Solicitor requesting a ruling as to whether we can at this time take over the duties and the funding of maintenance of the building at 5 Broad Street. Dr. Toomey said there was no reply. The Board records this as a matter of progress. b. Letter from Baffa in which he ties in the building of a Water Treatment Plant with the study of the Dietrick Jens Scrubber System at the Incinerator. He proposes the budget as follows: Design and Construction--$109,000; Operating Superintendent-- $6,000;' Eng. Supervision and Writing of Final Report--$32,OOO;Chemicals and Supplies $10,000; Laboratory--$70,000;--Total $227,000. $73,000. of this to be paid by the City and the rest by Federal Government. Dr. Toomey informed the Board that hbcis is meeting with the State and Federal Engineers the next day to give them an on the job look at the }problem hoping further to move along the acquisition of the money. This was received as matter of information and Dr. Toomey is to pursue the problem further. C. Letter to Neal Mitchell in which we inform him of a break in a sewer at 12 Dearborn Street where we found Coli Bacteria in the drinking water. As a matter of information , -the leak was found, and the situation corrected. d. Letter to the Mayor and City Council re property on Swampscott Road owned by Colonial Realty Co. , Lots #522 and #523. Dr: Toomey 'is to follow this and keep the Board informed. Received as a matter of progress. • e. Letter from Dr. Fitzpatrick, Supt. of Schools, relative to funding money -for the Homemaking Clinic at Health Hospital. Received and' made a matter of progress. f. Letter from Dr. Fitzpatrick asking for explan$tion-of• the Immunization law for . school children in which DrT explained that the law is -specific in requiring children not be admitted to school unless they are immunized against diphtheria, pertussis, polio and other communicable diseases as may be specified, plus vaccin- ation against smallpox. Two exceptions included in the law are: Religious 209 affiliation and medical disability. Written evidence from the religious society or physician must be produced in these cases. ]Dr. Toomey.did emphasize to him that the department of Public Health on Sept. , 1967, sent out a directive to all Boards of Health that for perhaps for a few years it would be impossible to comply with this law, and children should not be kept from entering school because of lack of immunization. But, a determined effort should be made to bring everyone in school up to a full immumization program. Received and made a matter of record. g. Dr. Toomey sent letter to Attorney Serafini that his client, Mr. Wetmore, waste: granted a variance at 224 Derby Street. Letter received and made matter of record. h. Letter to Mr. Murphy, Director of Health. in Swampscott, granting permission to utilize land owned by Mr. Ted Cook of Lynn Sand & Stone Coo off Swampscott Road under the following specifications: 1. Tree cuttings, grass clippings, leaves, or other residue of the garden trade shall be deposited in the area and nothing else. 2.Area must be fenced, locked, and controlled as to use by individual. 3.A rat baiting program shall be carried out on a continuing basis. Letter was made a matter of record. i. Letter from Mrs. Campbell, Division of Civil Service, stating that there are three Public Health Nurses in department, and would like the examination to be a closed one or a promotional exam open only to employees-. Letter to Mrs. Campbell explaining to Civil* Service that we had in mind a person with a Baccalaureate Degree to handle the job that we intended to do in public health nursing. Letter from Mrs. Campbell (8/13/68) saying she appreciates the Board's reasons, but still feels that she wants to hold a promotional exam, so she proposes holding both--a promotional examination and an open competitive one. L Letter from Dr. Toomey to DirectorOFC,IVervice telling him.that diminishing money in the budget and a state of flux in the field of Public Health Nursing would mitigate against going forward with this project at present time, and that the Board respectfully requests that our requisition be cancelled for the time being. The Board of Health in discussing these communications, Dr. Kaplan felt that the Board should have a right to select its own personnel, and that also was the opinion of the other Members. Dr. Toomey was directed to visit Mrs. Campbell on this matter and see if we can straighten out the situation. The Board felt that in lieu of an agreement, we ought to take legal action to determine the Board's rights in this matter. j. Communication from City Council--Councillor Richard Guy--an order that the Board of Health study the feasibility of hiring a private contractor to collect garbage and trash, and that the findings be forwarded to City Council. Dr. Toomey told the Board that to date we haven't replied. The Board felt that we ought to reply with this information. k. Letter from the Department of Public Health re the Asian Influenza. The letter states that the new type has started in Hong Kong and has that name. It is technically "A" "A2" or a mutation thereof. It is light as far as symptomology is concerned, Dr. Toomey felt that there may later be developed a specific vaccine for this, but in the meantime it might be well to take the polyvalent vaccine of last year, Dr. Kaplan suggested that the agent put this information out to the newspaper and that we go on and carry out a program with the polyvalent vaccine. Approved by the Board. 1. Letter from the Department of Public Health announcing that on January of 1968 an attenuated mumps vaccine was licensed. This vaccine will be given to local departments by the State in limited amounts through depots established, ours being Tewksbury Hospital. The State Dept. suggests that the program be carried on in Junior High School ,(7,8,9th grades) and the vaccine be given to those children who have no history of mumps and have never had mumps vaccine. Dr. Kaplan suggests that the letter be made a matter of record and that the Agent be directed to establish the program. The Board approved, M. Letter from the Department of Public Health in which they inform us that they voted to approve a grant of 760.7o the City of Salem for a Rat Control Program, Dr. Toomey informed the Board that a program was well under way, but the $760. will pay for expenses of baiting material, etc. n. Letter from Dr. Toomey in answer to order from Councillor O'Reefe about Solid Waste Disposal in which the Board invites him, the Council on Public Health, and others who are interested to our regular meeting September 17, 1968 at 5:00 p,m. Councillor Ingemi came but no other Councillor appeared.Dr. Kaplan expressed his disappointment and 210 said that this was nothing new and Councillors do this. o. Letter notifying Dr. Kaulbach of the T.B. Clinic that a replacement has belan found to commence work September 4, 1968. He is Dr. Benson Charif who serves in a similar capacity at the Boston City Clinic. Received and made a matter of record. OLD BUSINESS a. Mr. Mahoney notes that the Superintendent of Public Property SHALL have charge of all Public Buildings, and that we are not empowered at this time to pay any bills for the Public Property. The feeling of the Board -is that after January .l, 1969 we would be glad to take over this building and the hospital in entirety. We would have to discuss the status of the custodian in relation to Civil Service inasmuch as he is on the Public Property payroll. During the discussion the fact was brought out that it would not be good administration to have a custodian do maintenance in the building who is not under the jurisdiction of the Board of Health, who would be be responsible for the work. Dr. Toomey wanted to make it clear, however, that our custodian is a very good man and does a good job in the building. b. Fire Control Panel at the Hospital--Dr. Toomey said that the Fire Department wants it on a wall inside the front door, which will locate the fire for the firemen, if any. This is the responsibility of Mr. O'Brien. However, I haven't heard from Mr. O'Brien and I feel the panel must be installed as adverse reports go into Dr. Rubenstein's office each month. The Agent feels that we should do the job ourselves. The Board unanimously approved this recmanendation. Dr. Toomey is ordered to take steps to accomplish the same. NEW BUSINESS a. Pollution of Norris Brook and Ipswich River in Peabody-- this pertains to construction of a gas station on Lowell Street, Peabody, an unsewered section, and in the opinion of the Health Department unfit for a private sewerage system by reason of water-soaked- land. The possibility here is contamination of Norris Brook and Ipswich River nat only with the effluent from septic system, but oil and other such waste products from the station. Dr. Toomey informs the Board that this problem is really controlle by Ken Knowlton of the Salem-Beverly Water Board whd has legal authority here. Dr. Toomey will contact Knowlton regarding the problem. b. Dr. Desjardins--Dr. Toomey informed the Board that the State Department of Public Health requires that all personnel in our hospital must have pre-dmployment physicals and periodic physicals, and that a record of their health and personal accomplishments be kept at the hospital for perusal by hospital inspectors. Dr. Toomey suggests that Dr. Desjardins could do these without too much trouble during his visits to the hospital each month until the crew has been completed, Dr. Kaplan felt that Dr. Desjardins might be somewhat unhappy if he is assigned these duties. Mr. Mahoney felt that the doctor should not be unhappy and that he is being well-paid and should assume these duties. Finally it was decided that Dr. Toomey write Dr. Desjardins and request .t.hat. .h.e_ s.t,art to do these physicals. c. Final payment has not been made to Easters Refractories -- held up by Mr. Mahoney, Mr. Mahoney explained to the Board that his reasons for holding it up is that he has not been able to give any evidence of clearance by the court that„t.he legal action was satisfactorily concluded. Mr. Mahoney made the following motion: That Dr, Toomey attempt to find out from the City Solicitor if the suit is concluded and execution returned to the court with proper notations made thereon. Meeting adjourned at 6:35 p.m. 11 October 11, 1968 A. special meeting of the Board of Health was held on the above date at 5:OO P.M. with Dr. Kaplan and Mr. Richard present. Mr. Mahoney called and said he wished to be recorded as absent because he felt that his presence could be construed as conflict of interest. Because of the emergency-nature of the session, the usual notices to the City Cle— , and others could not be complied with. The purpose of the meeting was to determine whether or not the Board would accede to the request of Attorney Foisy of the Saint Joseph's Credtt Union; Mr. McKinnon, owner of Record; Mr. Koleman, purported to be a purchaser, willing and able, of•43 Daniels Street. The Board after very serious thought to the arguments proposed by the owner and mortgagee, etc, came to the conclusion that the best interests of the City and the Neighbors and the Housing Program would not be served by rescinding their previous order to raze the building. It was the opinion of the Board that all parties had-adequate time and information and legal regress to have done something before the order to raze was given. It was REGULARLY MOVED, seconded and unanimously passed that the previous order of the Board to raze the structure at 43 Daniels Street be not rescinded and the contract with Allied Wrecking be honored. =I- el- J 13 i J. To6they, Clerk pro t October 15, 1968 The regular meeting of the Board of Health came to order at 5:15 P. M. with all members present. Also present were Councillors Bruce McLaughlin and, Joseph Ingemi. While meeting was in progress Mr. McKinnon joined the group. Reading of the minutes of previous meeting were dispensed. with and approved as mailed to Board Members. Census at Health Department Hospital was recorded as •44 patients. Waiting list for hospital admission was- viewed by the Board. COMMUNICATIONS: Letter, from. the United- Community Services of Metropolitan Boston requesting that we fill out attached questionnaire giving -them a rundown of our programs, parti- cularly our nursing programs was- received as a matter of information. 2. Letter from the School Department Superindendent.,re. the Handicapped Homemaker's Clinic which says he appreciates the fact that $5000 is on the way: to: help support the clinic, this was a copy of: a''..letter sent to Walter Markham, Director of the Bureau. of Vocational Education. In a second -letter he craves the assistance of Mr. Markham to rush the .$5000- along. Received as. a matter_ of. information. 3. Report from the Fire Department in which they request revamping of the Fire Alarm System at our Hospital. , This is a change from last. mont szsrequest for a panel: "Revamping of the internal system for fire alarm, zoning of each floor, installation of an indicating panel at front entrance." They state that the existing system chimes 42 taps, but gives no location of. the fire emergency.: This was received as a matter of record. 4. Letter from the Water Resources Commission in reply to: Dr. Toomey's letter and some material forwarded to them plus two reports- on the effluent water from the Incinerator. He says that the water, perhaps, after treatment should be allowed Y to go into the brook which becomes Forest River. He says that the Charles Maguire Associates (whose engineers, Dr. Toomey had talked with) investigated the .possibility of putting it in the sewer. It appears unfeasable as of now to construct a sewer to the nearest existing. sewer. He said we should follow the original report of John Baffa and feels that it might require additional treatment methods after we have 212 been in operation for awhile and if sewer becomes available that we could discharge into a sewer. This was received and made a matter of record. 5. Letter from Mr. George Craig, City Auditor in which he says to please have the Board designate one of the members to sign all payrolls and send a notice to his office. This will be taken up under new business. . 6. Letter to the Board and to Dr. Kaplan expressing the thanks of the members of the family of Mr. James Burns for -the excellent care and treatment he received during his stay at our hospital. Received as a matter of information. 7. Second notice from citizene of Greenway Road in which he takes Dr. Toomey to task for not stopping the burning by some neighbors. The department has contacted the neighbors. 8. Letter from the department to the City Council answering their request for investigation of our hiring a. private contractor for collecting rubbish. Received as a matter of informa- tion. 9. Letter was sent to Dr. Rene Des-jardins in which Dr. Toomey mentioned. the problem of the requirements of the Division of Hospital Licensing in that the hospital personnel record must be completed with a physical examination periodically. Dr. Toomey suggested that he could do these physicals a few a month when he visited patients at the hospital. No reply as yet. Received as a matter of information. At this point Dr. Kaplan recommended that we interrupt the regular order of business to discuss the topic of Single Collection of rubbish and garbage. These minutes will be recorded under New Business. 10. Letter to Daniel' 0'Brien, Public Property Department pointing out to him that we have no budget for maintainance of the Health Center and that the ordinance directs that the Superintendent of Public Property is in charge of all public buildings. I would add, that if some legal arrangements can be made and this department can get a budget in the coming year, we would have no great objections to taking care and maintaining the Hospital and the Health Center. Received as a matter of record. 11. Letter from the department to the Retirement Board re Arthur J. Levesque notifying them that Mr. Levesque had been on Workman's Compensation since 1957. Received as a matter of information. 12. Letter received from Mr. McKinnon in which he rants on about his personal problems re his property inasmuch as the court found in our favor. He has a fearful Irish temper which might get in the. way if he comes to the office, but he is praying for Dr. Toomey, Colin and the Big Three, whomever they might be,. in that order. He requested a couple of replies which were given him in our reply, that we would remove the lock to allow him to get some personal property at 43 Daniels Street; we will check on the dumping nuisance on October 11, prior to the court opening and will report to the court. Received as a matter of record. 13. Letter from the Department of Public Health re a revision in the law on the payment for hospital care of premature born infants, Chapter 111, Section 67C has been amended to read: "Notwithstanding any other provision of this section, the department and boards of health may -refer persons eligible under Medicaid for payment of hospital care for premature infants to the appropriate agency for such assistance, and may accept such payments for the care and hospitalization of such infants." This change to be effective October 8, 1968 and will apply to infants born on and after that date. The responsibility of the Board of Health will not change. The hospital should continue to refer requests for financial assistance to the Board of Health within 30 days, except in the case of UNWED MOTHERS which goes to the Massachusetts Department of Public Health. The Board of Health shall determine eligibility of all cases referred and advise families eligible under Medicaid of the availability of payment for their premature infant, the Medicaid law that they make application within 90 days to the Department of Public Welfare. This was received as a matter of record. 14. Letter from the Planning Services Group in which they again request that we fill out our Government Questionnaire to HUD, which goes through them and is supervised by them, for the past year. They inform us that we would make a cutoff in October so that we can get the report in. This was received as a matter of record. 213 15. Letter from the Association. of Urban--Sister's in"which- they request a complete listing ,of any educational, health or'welfare� service available to our community in order to avoid duplication of services. Received as a matter of information. 16•. - Letter from the Division of 'Civil Service,• MargaretRielly, Administrative Assistant -in:. which .she says ."Enclosed is a list1for the Foreman of the Incinerator" and she requests that we make an appointment. She also_notified ,us• .that -the temporary transfer of. Timothy Flynn must .be terminated within thirty day's from the date of the -letter which is. dated September: 1.9th. The reply is returnable October 19th. This was received as a matter of record. IT. Letter to Mayor and• City Council requesting a transfer of- $5000 "from Item 1, Administration Salaries.•to Item 5B, Sanitation, Disposal Expenses. This has become necessary because of the breakdowns in the crane ovet� the year. This was received as a matter of record and will be dis-aussed under New Business. ,18. ,• Letter from the Department of� the Interior; Federal Water Pollution Control Administration, Northeast Region to the Mayor and to the Board of Health inviting us to meet in Boston to give evidence on river and estuarine waters. This is part of a national study and they invited written opinions from all of us. This was received as :.a matter of record; OLD BUSINESS: 1, HOSPITAL Fire Alarm System: Dr. Toomey talked with the City Electrician on the request of the Fire Department to revamp the Fire Alarm System and he estimates the job will go nearly $2000 and.he is going to get a man who will make plans and specifications for us. The Board. approved the action .of the Health Agent. 2. Incinerator Waste Water Treatment: Dr. Toomey had a meeting with Mr. Bonne of the Water Resources Commission, and Mr. Anderson and Mr. Atwell of the U.S.P.H, Service, Water Pollution Division. Dr. Toomey took them to- the Incinerator, showed them the Cans, the brook to Loring Avenue, .showed• them the swimming area, etc. For the first time the brook had .a clear gravel bottom. Evidently, they went back and+,1 Mr. Bonne gave a report, the essence of which is included in the letter which is to the fact that if we have treatment facilities it will include the quality effluent going into the brook and, €heytgpprove the preliminary report by Mr. Baffa. Dr. Toomey said the Mayor had received a letter on this but he had not viewed the letter. Mr. Mahoney recommended that we get a copy of this letter to the Mayor. 3. The request for a government grant for water treatment, -Mr. Anderson said they had a lot of similar requests, he felt that studies should be done. He would not make a decision himself but would send our drafts to Cincinnati. This was received as a matter of record. 4. Colonial Realty: (Burke's land) Dr. Toomey reported to the Board that he had talked - with Mayor`Col`lins on taking the•larid by eminent- domain; and he .did' not want to make a- decision yet: ' He stated that a road is being laid there and is- going to go through this land and he did not 'want to make any-committment•at the present time. 5. Chief Nurse:' Dr. Toomey reported that he had gone to Boston and ,talked,-to a 'Mr. William McGrell re this position and the'gent•lemen:stated that if the Board would write a letter stating that the- present'staff did not have the background needed for this position,--then the road would be cleared for a state wide examina- tion. The Board was positive in their action ordering the Health Agent to write this letter to the CIVIL Service Department. . 6. Flu Vaccine Program: Health Agent informed the Board that- we have ordered the vaccine through Daly Drug, which is the only place that it is available. He stated that we are paying up to four- times the price of previou's years. We have not re- ceived it as yet but have been promised a delivery. Dr. Toomey has talked with Frank Byrne of the-News, and-will again talk to-hit when the vaccine arrives. This was approved by the Board. 214 7... .MUMPS VACCINE PROGRAM: 'Dr. Toomey reported that• he had talked with''the• nurses —and-they will intetgrat,e, this program into the existing program. = ' ' 8. Payment to Eastern Refractories: The final payment voicher has been processed by the Auditor-'s Office. We di& get a •copy of the-. letter .from the City' Solicitor ap.prov.ing• of .this and Dr. Toomey gave. the letter ,to Mr. Mahoney. Board approved. Report of. Dr.. Toomey on: 9,. MCKINNON Property Re 43 Daniels Street-, a On Tuesday,1 October- 4; Mr. McKinnon, through his lawyer William Donal. on, obtained an injunction to stop our razing of this property. On the 4th we went to court before Judge Leem;: presen"ted the case and our evidence, which he looked over. On the following Thursday, October 6, the Judge handed down a, decision in our favor- sayin& that the Board of' Health should proceed. We have, as-: of now,: contracted with Mr.-, Getchell of the Allied Wrecking Company to raze the building for $1900. We have; told,him to go ahead. The injunction against him was also removed by the Court. Some difficulty has arisen by reason of the fact that members of the Board and myself, have been approached by various and sundry ;people to stop •the.razing- of the •building� so' that it-may be' sold. ' My personal attitude is that it is late in the day, that. none of these people took advantage of their legal rights under the law and the fact that they ignored the Board of Health . ,until we s.tarted.these procedures. It is myFfeeling that if-'the Board- of Health does hold off the razing of this property we will irrepokrably damage ourselves and our image and our program before the citizens of the city, particularly in that neighborhood. Mr. McKinnon talked to the Boari stating that he was very disapointed that he had not been notified of the razing of the house, didn't think it was necessary to raze it as his `opinion it was structurally sound. ' Dr. Toomey told 'h m the Board felt that he h4 plenty of �opportunity to 'fix the place and had"nof cooperated with the department. Mr: McKinnon questioned as to what would be done with -the other houses and was told if he fixed them up according to standards for-human habitation the department would go along with him. He claimed that the banks would not .go into_that•section of the city and he -had -no funds to repair same, could not do anything with them until someone came along with some funds.' Dr. Kaplan suggested that he get. a buyer for the properties, but was told'by Mr. McKinnon that/now 'that the other property had 'been razed the other properties .did not interest buyers. Mr. McKinnon left and the Board asked Dr. Toomey the condition of the other properties. He stated that they were a disgrace and'.a mess and all should. come; down. Board said to notify him if we do this and it was recommended to put same on next agenda. 10. Re maintainance of building at 5 Broad Street being transferred to our department, likewi-se care •and .maintainance of our hospital, Health Agent will consult with Mayor on this as -he- felt -a •change of ordinance was needed- to allow this. NEW BUSINESS: 1. ,INCINERATOR FOREMAN: . . Dr. Toomey read the results .of. the,examination for this position: John Sarnowski 84.56 and Alfred Bedard 73.92. -After much. discussion the Board voted to give the position to Mr. Sarnowski and to ,have Mr.. Bedard next in line. The motion was unanimously passed. Board recommended that Mr, Sarnowski be .called in to a meeting and the -Board would .tel.l.him just what -they wanted him to do. They also suggested that letters be sent to,.Mr. Flynn and Mr. Bedard citing them for a job well done Mr. Flynn will go back to the Dump Caretaker's job. 2. The Tuberculosis Screening Program which will..b•e done by.Tine Testing and Xray will be parried -out Monday through Friday, November 4 through November 8th at St. Joseph's Church on Lafayette Stre,e.t, Mornings from 9 ,to 12, ,..afternoons from 2 to 4 and evenings from 5:30 to 8. There,will be a T.B. Xray van for Positive Reactors, supplied by the Essex County Health Association. We think this program will give us an insight into the other problems: and thinking of,:the people in the area. Board approved. 3. Changeover in COLLECTION SYSTEM: Curbside collection for both rubbish and garbage was advocated by the Health Agent, as 2.1 our present contract expires January 6, 1969. He mentioned that we have no garbage trucks worth mentioning and it would cost us in the vicinity of .$60,000 to purchase more. He also stated that we are having difficulty employing men to do this job. For the householder, one wraps the drained garbage in a newspaper, a cellephane bag, milk carton, etc. and dispose of same in the rubbish barrel., This accomplishes a number of things, a householder does not have to go downstairs and out in the resources of the yard to place the garbage' in a receptacle. Also it will eliminate the cleaning out of garbage containers. It will avoid worm and fly ridden messes in the summer and frozen and snow cowered containers in the winter. He recommend that we change this and change our regulations to accomplish this. Councillor Bruce McLaughlin asked Dr. Toomey if we were consulted when purchasing trucks for collection. He replied that .the department did recommend a certain type of truck for best results. Both Councillor McLaughlin and Councillor Ingemi were concerned about what would happen when a breakdown at the incinerator occurred, such as mechanical failure, etc. which might put the incinerator out of commission for a week or so. Dr. Toomey stated that it was his intention to move across the brook and have two big lots to save for just this situation, and we could bury the material, seal it off, we will have the gravel right there. Councillor McLaughlin inquired if it would accomodate large appliances, etc. and r, was informed that this type of thing would be dumped at the Naumkeag Salvage Company on Broadway, plus the fact that two men in the junk business were at the dump to take some of this bulk. Health Agent cited thOrMarblehead and Lowell'.are doing this with great success, Danvers is contemplating it. . The councillors discussed the fact of�7our present employees as to what would happen if the present workers were not needed, Dr. Toomey explained that many of our men .were near retirement age and the others would probably be transferred to other .departments, it would be sort of a "no hire, no fire " policy. He also mentioned the fact that our men did receive a $10 higher pay then other laborers in the city, but felt this would be taken care of. Type of bags to be used were discussed and the method that some householders put their rubbish out for collection, there was certainly .room for improvement in this category. Board said some of our inspectors would be on the job and would follow up these cases. C. McLaughlin thought the city should supply the bags to the people but Dr. Toomey said that Salem people were noted for cooperating with our department and did not think this should be done. There will be publicity on this, pictures in the paper, etc. and he felt that it would be a saving on the tax rate eventually. Information will be sent to the council about this program. 4. INCINERATOR PERSONNEL: , Mr. Flynn had reported to the Health Agent .that he could not possi- bly have the incinerator kept clean unless two men were removed, namely Baty .and Doyle. Health Agent recommended that Mr. Baty go on garbage collection and Mr. Martineau be put on the crane, and Mr. Doyle could go on garbage detail. This will .be discussed at a later meeting. 5. WATER POLLUTION meeting was set up and designed to give the Federal officials and in parti- cular, the Congress, the views of local .people on .problems .relating to rivers, coastal waters and the estuaries of rivers. Mayor and Dr. Toomey attended the meeting. Many who attended had read papers at the meeting and had alluded to the. North River. These people are in touch with the State Department .of Health who .have .made a survey of Salem Harbor. Congressman Bates did send a prepared statement to the meeting expressing concern about the North River and pollution of Salem Harbor.. Congressman Bates statement was in the news plus that of Professor Moore. This was received a s a matter of information. 6' Motion to request a transfer of $.5000 from Adm. Salaries to Sanitation Disposal Expaenseds. Meeting adjourned at 7:50 P.M. . $nani ous y p sse ADDENDA: Mr. Mahoney moved that the Health Agent request the Flayor and City Council to make the following transfers: From Item 2, CliniccSalaries to Item 4, Sanitation Salaries. $3600. From Item 3, Hospital Salaries to Item 4, Sanatation laries. Motion seconded by Mr. Richarc and unanimously passed. S$�3600. November 19, 1968 Meeting came to order at 5;05 P.M.'with all members present. Regular order-of business was set aside to meet with Mr. John Ingemi, Mr. Fred Getcholt and Mr. Wil-liam Getchell. Mr. -Ingemi is owner of :property at 381 Highland Avenue 'in Salem. . The-Getchells are owne, of the Allied Wrecking Company. Mr.• Ingemi 'told the'Board that his land on' Highland Avenue was way out' of' the way. Mr. Getchell 'of the-Allied Wrecking Company stated that they were inte-rested' in setting up a sanitary land fill type operation: -That they would like to deposit brick, wood, plaster and other demolition materials from the dwellings in the area. He felt that it would be beneficial to "utilize- this- land of Mr. 'Ingemi, which is a large hole in the ground and felt it would be a great asset to the wrecking companies in the vicinity. He also stated that the city would benefit pricewise because `when they pull down buildings for the city- they have to 'add an-exgra cost for hauling ,the material, sometimes 'having 'to go' to New Hampshire'.' Mr. Ingemi locra'ted the land as across from''Puleo.'s 'and one quarter 'of a mile into the woods, `the nearest house being twelve` hundred"feet away: 'The' land is a deep gully ab6ut`80 *or' 100' feet deep, and there is about 20 acres there'. Mr. Getchell requested a temporary permit, stating they would have to purchase a $20,000 bulldozer and would have "this 'operating 'at all times, covering the material. They would have a fire breaker around the whole 'area' so 'there would be no- .danger of fire. Mr. Mahoney informed the group that we had a very strict regulation against this and that the Board had' shut off other building wreckers on this. Dr. Toomey{ wanted to know how this was going to be controlled! he said he knew of hidzeeds of' sanitary' fill's and' they were never successful. * He said that beams and' logs are burnable and are very hard to control, and once we gave out a permit we would- be put into a position to police the area to make sure no out of town people dumped there. Attorney John Serafdni spoke in behalf of the project, requesting the Board to review the law and see what they could do for these people: Mr. 'Ingemi'"pointed out"that 'the Urban Renewal material could" come up there, which would save the city money, and he claimed he could maintain it without any inconvenience to "the- city. MF. Serafini suggested giving a temporary permit for a trial period. Mr. Mahoney said the Board would have to give a flat"no`as` far as the law'is concerned. If we issued one permit'.we would open the -flood 'gates for -other's to get a permit. It was also mentioned 'that a 'problem 'might develop, a potential drainage situation. Dr. Kaplan was of the opinion that this might be helpful on the Urban Renewal Program. Mr. Mahone said we could not' give a °permit to break the law, adding that everybody has land they want filled. The Board had at least four' meetings this year on this same request. JAF. Getchell thought it waaA!t right to'-bring materials from Salem into other communities for disposal. Dr. Toomey asked what' Beverly and Peabody'did in this situation. Mr. Getchell said that when they take 'buildings down iri' Beverly, he gets together with the Health Department and the Fire Department and burns the material. Mr. Mahoney thought maybe this is why we are criticized for polluting the air, by the State Department of Health. Mr. Serafink said he would not have approached the Board had he not thought that this was a unique case, as in this area the department would not be susceptible to complaints, whereas if it was in another area` we would have trouble." He .inquired if the Getchell'§ would be willing to construct this access' road at their own expense The final decision was that Dr. Toomey and Mr. Cameron would view the land and report back to the' Board: Mr. ingeirii offered to take 'them'on''a'toixr of same.' Next order of business was meeting with new Foreman at the Incinerator, Mr. John Sarnowski. Health Agent read speed letter that he had sent' to Mr. Sarnowski and Mr. S's replies. Dr. Kaplan said that the Board was not pleased with the performance at 'the incinerator in the past. There was a lengthy discussion 'on the taking of sofas, etc. at the incinerator, the condition of the tool room, "removal of television set from' the tool room. Mr. Mahoney was quite vehement in stating that the Board' was 'not going to take any more of this and that if the men in question did not perform their duties as instructed, they could take a permanent vacation. . He also informed Mr. Sarnowski that the depart- ment is going on a dual collection first of the year and if the men were lax in their duties they would be transferred to the collection department. The Board means business. Mr. Mahoney also told the foreman that all purchasing would be done by the office and not by individuals at the incinerator. ; Dr. Toomey recommended that when the man on the crane was caught up, that he should look over 217 the crane, spot what is wrong and call the Mechanic upstairs to repair it. The men are to sweep at intervals and keep the place presentable. Regular meeting commenced at 6:25 P.M. Reading-of minutes of previous meeting were approved as mailed. Census at hospital was made a matter of information. Dr. Kaplan suggested that Dr. Toomey purchase some new curtains and probably anew floor covering for the dining room-o Dr.. Toomey will .check with Mrs. Pitman on this. Communications: 1. Directive from the .State Department of Public Health relative to premature born infants. Local Boards of Health will refer applicants to the Public Welfare Department for determining eligibility for Medicaid. This department is only responsible for rare ones who are in difficulty but are not covered by Medicaid., This was received as a matter of record. 2. City Solicitor Dobbs has forwarded to us a copy of a lien certificate for 43 Daniels Street described in- full. Health .Agent has receipted another copy for City Solicitor files. This was received as a matter of record. 3. Copy of a letter to James Shannon, .M.D. at Salem Hospital from Mr. Thomas Kearns. of the State Department of Health, Division of Tuberculosis Control in which he asks Dr. Shannon to set up a meeting to discuss transfer of our T.B. Clinic to Salem Hospital. The Board, its Agent and Dr. Paige are invited- to attend meeting, tentative date is Thursday, November 21, 1968 at 11: 00 A.M. Rec'd as matter of 4. record. Letter from the Division .of Tuberculosis in which they tell us that all microscopic smear reports and other lab procedures connected with T. B. will o be done for ur area at the Middlesex Sanatorium at Waltham. Satellite communi- ties will bring containers here. This was received as a matter of record. 5. Copy of a letter from the Auditor t.o. .the City .Solicitor in which he says he is enclosing a schedule of Accounts Receivable for our hospital. He said these accounts should be either written off as uncollectible or action should be taken to enforce payment. This was received as a mktter of record. 6. On the 90*'_ subject we received a letter from the City Solicitor in which he requests the name of the person who signed the financial responsibility form. This was received as a matter of record. 7. Letter from the Reverend Gerald-W_. Porter, Curate at the-Grace Church in Salem inviting the Health Agent to attend a meeting, subject being "The establishment of a •Drug Reference Center". ' at the church. This was received as a matter of information. 8. Letter from the Health Agent to Donnell and Mudge on Canal Street in which we order -him to take all possible precautions to prevent all -oil and grease products from his tannery's processing from going into the sewer, flooding the sewer and blocking the street. This was received as a matter of record. 9. Letter from Eastern Refractories-to Mayor� Collins. and-a copy to us in which they compliment"us on the.•consideration and. help we.-gave. them while they were doing the- job at the Incinerator: Received as a•matter of information. 10. Communication from the Planning Board relative 't6 �IRL and wrecked cars hanging around, . They are-gathering -information so •as to establish an ordinance for same. We have gone through this and the••Police Department �accepted-the role of. removing them and they have the legal prerequisites. Received as-a matter of record. 11. Hospital staff members were given a memo--from the--Superintendent with Dr. Toomey's approval to-achieve harmony and efficiency in-the hospital. Board agreed that it was a good thing•and received .-same-as a-matter of record. - 12. Letter from the North Shore Community Action Program requesting that Dr. Toomey attend their-:organizational meeting at Danvers-T.own Hall:.--,,This organization is in danger of-not-being funded •and have -requ:ested the�Mayors of the four cities involved to appoint somebody to help weather the storm. Received as a matter of record. . 13. Letter from Morton-B. Braun of. the,Planning Services Group-.to the department re- lating-to our request for'Capital Improvements over the-next few years. Report was the same with the exception of :an-,additional 5% for -inflation: $105,OOO for Water�Recirculation Plant at- the -Incinerator, $52,500 for Disposal Area Acqui- sition; $1,000,000 for a new hospital. Received as a matter of record. J V 14. Letter from Mr.. Braun to the department requesting that..a.s _0_f_..0c.tob_er_.31s_t,_ we give a complete report for Federal Consumption of this year's activities in our- Housing Program. Received as a' matter of record. OLD BUSINESS: 1. Discussion on Bills Receivable at the Hospital: Dr•. Toomey cited some cases of bills owed, where family had paid a large portion of the bill and there was a balance due and on some would continue to go on. Board stated that Dr. Toomey should have the City Solicitor check on the estates of the people who have expired and still owe bills and if there is no estate, the Board would abate same, but something must come in writing from the City T Solicitor for the Board to go on. 2. The Board agreed that the establishment of a Drug,Clinic at Grace Church was an excellent idea and wanted Dr. Toomey to follow up on this. Matter of progres 3. On Donnell & Mudge problem Dr. Toomey reported that he thought a larger settljing basin was needed, will have more at next meeting. 4. On the memo of statement of policy at Health Hospital, the Board requested the Health Agent to write a letter to those responsible saying the Board appreciates their effort in their behalf. 5. Housing Program Report, as time was running short, the Health Agent said he would send the Board Members a copy of this report. 6. Meeting on the transfer of the `tuberculosis Clinic to Salem Hospital will be held at Salem Hospital on Thursday° at 11:00 A.M. , Board Members are invited to attend. Dr. Kaplan and Dr. Toomey will attend. Dr. Toomey stated that if this transfer is made, the equipment will stay in the department. This was agreeable with the Board Members. - 7. On the Homemakers Services at the Hospital, Health Agent has been informed by the Superintendent of Schools that this office has been opened again. They are trying to operate without a clerk and requested Dr. Toomey's approval having a telephone connected with an answering service. In view of the lack of money, Dr. Toomey went along with this. He told the Board that the School Department was interested to having this program under the Vocational Rehabilitytion section of their department. As -it is easier for the School Department to get funds for this, it was agreeable to the Board that this be done. 8. Health Agent reported on progress.,of the Fire Alarm System at the hosptal. Mr. Barry, City Electrician has reported that the,contract price for the complete installation would be in the vicinity of $3400, as of now. If we wait for the budget to be passed next April we should add 6% to this figure. By the time this information got to the office a transfer of money had been requested and it is recommended that we wait until January and ask for a ' special appropriation to cover this. The Board was in agreement with this. 9. Si nin of Payrolls. One Board Member must be assigned the duties of signing all payrolls. A letter should be forwarded to the City Afiditor apprising him of the action of the Board and stating the neme of the designated Board Member. The Chairman of the Board was elected to sign the payrolls and in his absence Joseph Richard would sign same. Health Agent will write a letter to the city Auditor on this. 10. Physicals at the Hospital for Personnel: Dr. Toomey told the Board that he had not, as yet, received a reply. from Dr. Desjardins. Board requested the Health Agent to write another letter to Dr. Desjardins and have the physicals completed soon. 11. Dum in on Swampscott Road: Burke's property is cleaned, per Dr. Toomey, but there is other land there may be owned by Cataldo, but the assessor's office hasn't information on this. Mr. Mahoney told Dr. Toomey that he should try to get the footage from Swampscott Road, Lot #, etc. 12. Tuberculosis XRay Mobile Program: This program is going along fine but no final report as of now. Response seems to be good and again it is opening the way for basic investigation into the wants and needs of the neighborhood, which are the more depressed neighborhoods with the new ethnic groups. Fr 219 13. Maintainance of Health. Center and Hospital: . Dr. Toomey did not get to see Mayor Collins on this, as he did not think..this was. the proper time, but will later on. 14. Flu Vaccine is due this week. The Mumps Program is being integrated into other Immunization Programs. Will have a report later on. this. 15. Supervising Public Health Nurse: Dr. Toomey read correspondence to the Board on this position and the Board approved. 16. Report of James Collins on conditions at the municipal incinerator was read and Dr. Toomey mentioned that many of these conditions are being corrected. He said he had endeavored to correct these items many times, but had not received any cooperation from the personnel at the Incinerator. 17. Lloyd Winer's increase in wages for the work performed at the Tuberculosis Clinic reimbursed to our department by the State retroactive to July 1967. Motion by Mr. Richard and seconded by Dr. Kaplan that we pay Mr. Winer this money. Mr. Mahoney abstained-from voting. NEW BUSINESS: 1. Report of James Collins on Inspection 4.£, our Tncineratore a. Exhaust fans not working. We have ''equested this innumerable times. These fans can be put into operation by the simple expedient, by two V drive belts. This was asked for4e previous to this inspection. b. Vacuum not working. We have harped on this since 1962 with each and every superintendent. We have made a new attempt to get this in operation. We have replaced hoses that have disappeared and nozzle which have also disappeared. Floors must be gleaned and swept before this can be effective in any case. c. Grease guns covered with dirt. Again we have repeatedly cited the lack of care of tools including grease guns which are left around after work is done. We have in fact refused to purchase any more wrenches because of the lackadaisical fashion in which they are used, thrown around and eventually lost or stolen. d. Electric motors, relays and solenoids and electronic switches need regu- lar maintainance by competent electrician. I don't know that there is anything reported to me about the motors and I repeat that all these motors are sealed motors and do not require any maintainance. I have at Mr. Collin's suggestion set up for next year, a regular inspection procedure with Carmichael who are the electricians for the crane. e. Wheels of charging gate over furnaces are not turning. There are two wheels which do not bear on the track and therefore do not turn. f. Shafts for movable brakes cracked. We have replaced one shaft since the plant opened. There is no immediate danger, further, I would suspect that if these shafts were properly tightened 'at the bushing they would not split. I am ordering eight new shafts and we are going to use .an alloy rather than cold rolled steel. g. Ash Pit Conveyor Idler, one shaft not turning, idler pulleys frozen. This difficulty is known to us and we have before this report arranged with the mechanic Spence for the installation of a new shaft. We are also incidentally, bringing in :a whole new conveyor chain. h. Mechanical tool room a mess. I couldn't agree more. i. Sfifety switch on crane disconnected. This surprises me that anyone would get up and operate a crane knowing that a safety switch was not operable. A copy of this report has been sent to the Foreman at the plant with instructions to see that all these things are put in order. We had plans which will be com- pleted shortly for an H beam to protect the motors for the exhaust fans. We plan to do this major work at the end of the year. We have at present about $5000 which we will now spend for some of these projects. It must be kept in mind, however, that most things at the Incinerator are costly and one must have foresight in the adjudication of money to projects, unless one might find themselves without money when a serious breakdown occurs. 220 2, Me'htal Health Request -for additional-monies for the clinic was read by Dr. Toomey. - The Board was reluctant to add to the previous amount given by the City, $4200, -- and all agreed to continue on •wi_ th this -am ount. Copy of the Mental Health communication will -be -forwarded -to the Board Members. Meeting adjourned at 7:55 P.M. Elinor C. Horan, Clerk December 10, 1968 Special meeting of the Board of Health came to order at 12:55 Noon with Dr. Kaplan and Mr. Richard present. Minutes of previous meeting were approved as mailed. Budget requests •for •the year 1969 were -viewed by the Board. In the hospital section of the budget the Health Agent informed -the Board that he had changed the weekly rate of -the Pharmacist :for the hospital from $20 per week to $50 per week. The Board was in agreement with this. On the Clinic item Health Agent said -he-had dropped one of the part-time dentists -as--this position was not needed due -to• the-.new Medicaid law. • Mental Health Association had requested a $8500 to $9000 figure for 1969 budget but where -the Board had previously• approved of the $4250 amount as in previous years, it was decided to .leave the same- amount, in budget: They then requested Dr. Toomey to write these people and invite them to a meeting of the Board to give a report and a •reason for this requested increase: New-position of Working Foreman at the'Incinerator, board agreed to leave in budget. Health Agent read ,a letter from Dr. Desjardins, re physical examination of per- sonnel at the -hospi-tal•i in which he agreed that' these physicals should be done but he thought the personnel should go -to their own physician. After a short dis- cussion it-was-decided to have either Dr: Freedburg or Dr. O'Neil do these. Meeting adjourned at •1:30 P.M. January 21, 1969 Meeting came to order at 5: 10 P. M. •with all members present. Also present were Councillor Bruce McLaughlin and James Shea, Reporter for Salem -News. Regular order -of-business was held off to discuss budgetary request from the Mental Health Association. Representing the•Mental Health Association were: Dr. Tobias Friedman, Psychiatric Director; Ralph H. Golding, Executive Director and Cynthia Field; President of -the -Mental Health Association of the North Shore. Miss Field brought out the fact that the Association was not able to provide the ,services they should. The need is increas-ing -more than double. There is a new progran for the clinic that of consultation services to -the School Department. Based on the amount of people seen and the amount of the requested appropriation it amounts to about $2.50• per•.-treatment. Cost of psychiatric service that they are receiving would be $25 or $30. Mr. Mahoney inquired of Dr. Kaplan if it was- within the realm of possibility that Salem Hospital will start a Mental Health Clinic`in February. Dr. Kaplan said this was planned -but it -would be for adults where this clinic is for children. Dr. Storey and Dr. Curran would be in charge of the Adult Clinic. Also men - tioried was the Day Care Center presently being carried out at the J. B. Thomas Hospital in Peabody. In addition the Association would like to out into effect •I 6las,sa-% for emotionally disturbed children, new quarters will be needed and they are presently considering the Emerton -House near the `Ro.pes Mansion. ® 921 Dr. Kaplan then informed the group that our budget requests have already been submitted to the Mayor and the amount for this item was the same as last year and the Mayor has left it in the budget. If an increase may be decided it will have to be put in as a supplementary budget. This was then tabled for a future meeting. Minutes of previous meeting: Reading of minutes were dispensed With by motion of William Mahoney seconded by Joseph Richard. The annual organizational meeting was held with Mr. Mahoney nominating Dr. Kaplan as Chairman of the Board, this was seconded by Joseph Richard. Elinor Horan was also chosen as Clerk of the Board for the ensuing year. Census at the Health Hospital was listed as 44 patients with a waiting list almost as long.. COMMUNICATIONS: 1. Letter from Myron Allukian, D.D.S. of the State Dept. of Health, Dental Health Section in which he gives us a report of the 100 children tested for floride and he expresses his appreciation for our help. Received as a matter of record. 2. Letter from the Chairman of the United Community Services of Metropolitan Boston expressing their thanks for our help- in their resources study of local health. Received as a matter of record. 3. Letter from the Superintendent of Schools in which he notifies us that the school lunch program director and the supervisor of maintainance will be alerted to work closely with the Health Department in alleviating a situation at the Bowditch School. Received as a matter of record. ' 4. Letter from Mr. Joseph Salerno, Assistant Superintendent in which he sets forth in detail the duties and procedures to be taken at the Bowditch School to correct the situation in the cafeteria. Received as a matter of record. 5. Letter from Dr. Toomey to Mrs. Pitman expressing the Board's pleasure on the schedule of personnel activities drawn up by she and Miss Bancroft. This was received as a matter of record. 6. Speed memo to John Sarnowski re Overtime, calling his attention to the fact that there shall be no overtime without prior approval of the Agent of the Board,, this was received as a matter of record. ' 7. Letter from the department to Sylvania Electric, Phillip's School Principal and St. James School Principal for absentee reports, which we in turn send to the State Department of Public Health as a barometer of reporting Flu Epidemic. This was received as a matter of record. 8. Copy of City of Salem Ordinance which sets forth the new pay scale for employees was received as a-matter of record. 9. Letter of thanks for our cooperation from the Essex County Health Association for the recent Tuberculosis Chest Xray Program in Salem, plus a report of the Tine Tests and Xrays: Received as a matter of record. 10. Letter from Bruce Coffin of the Hawthorne Motor Hotel setting up an appointment with two of the directors at the earliest possible moment, this has'nt been accomplished as yet. Received as a matter of record. 11. Letter from the Agent to the Chief of Police in Swampscott requesting his assistance in preventing illegal dumping along Swampscott Road in Salem. This was received as a'matter of record. 12. Letter to Alfred A. Dobbs, City Solicitor requesting information relative -to persons with outstanding bills at the Health Department Hospital, asking if these-bills are collectible or non-collectible by reason of the fact that they are'beyond the-statute of' limitations-or- the filing for consideration in an estate. Received as a matter of record. 13. Correspondence from Civil Service in which they inform us that an examination has been ordered for Supervisory Public Health Nurse and is opened to citizens of the Commonwealth. Received as a matter of record. 14. Copies of a letter from Leon Sternfeld, M. D . of the State Department of Public Health to Mr. Thomas Harrington, Director of Salem Hospital re .progress report on the proposed shift of the clinic to Salem Hospital. He sets forth that the effective date will be Febru4ry ,l,, ,1969,, .that the Radiology Department will handle Xray examination; the laboratory for blood, clinical and pulmonary studies; the pharmacy for dispensing state supplied tuberculos- tatic drugs and when needed, for short term use (average 5 days) of hospital beds. The suggested clinic day, Friday from 9:OO,.A.M, to 11: 00 A.M. Dr. Emil Paige will staff the clinic backed by Dr. Kaplan. Screening will be limited to the use of the Mantoux Test, The evening clinic will be held on the second Monday of the month from 6:00 to 8:00 P.M. The Department of Public Health will pay the Clinician and the Radiologist a consultation fee for clinic services. The Division will pay the hospital under a negotiated agreement for patient services including Xray, Pharmacy, Laboratory and Hospitalization. The Senior Clerk-Stenographer, Mrs. Vincenaa Bohannon will be provided by the Division on a full time basis with office space provided by the hospital. The Clinic Nurse will be provided by the Salem Health Department for part-time services. Space, equipment and supplies for the nurse will be provided by the hospital. Drugs (T. B. ) Disposable Syringes kwith needles), and Sputum Collection Tubes will be provided by the Division for storage at the hospital. This was approved as a matter of record. 15. Report from the Board of Health to the Division of Civil Service on Salary Increases. This is required by regulations. Received as a matter of record. 16. Memo from Civil Service re employment of Mentally Retarded people. Mrs. Campbell encloses a form which will allow the employment of these people under certain conditions. They must be referred, however, to the office of the Massachusetts Rehabilitation Commission for evaluation. Received as a matter of record. 17. H.E.W. Social Security Administration notification. of reimbursement being made to non-participating hospitals such as ours for emergency care. If we desire to do this we should reply by February 1st. Matter of record. 18. Letter to Councillor Ingemi, a report on investigation of water flowing o Clark Street, in which we tell him that upon investigation we find the water coming from a spring and' not from the source in question. This was received as a matter of information. 19. Letter to Stop and Shop in which we express concern of the unfit storage of rubbish and garbage. A subsequent meeting was held and the situation was cleared. Received as a matter of record. 20. Letter from the Board of Health to the Licensing Board re the Beef and Oyster establishment 'tell'ing them that substantial progress has been made in the overall housekeeping and we feel that we will issue a full permit for 1969. We will make frequent inspections and will keep them posted. Received as a matter of record, 21. Letter from the Health Agent to Fire Chief .Tames Brennan-in which I recommend that the following steps be taken in case of fire at the Incinerator Pit: a. Upon responding to the alarm the Captain should make a judgement as to the extent of the fire and proceed to ' cool it down with a minimum of water. b. , The Captain should call John Sarnowski, Foreman at the Incin- erator who will bring in a crane operator and a helper to remove all burning material from the pit. I suggested that it might be advisable to keep one of the firemen on watch until the incinerator crew arrives or longer if they so desire A copy of this was forwarded to the Incinerator Foreman. Received as a matter of record. 22. Letter to Alwin Alkonis in Marblehead in which we notify him that his Mother is living at 125 Derby Street under conditions below the standards of Human Habitation and we order him to take immediate steps to fin another dwelling for her. Received as a Jter of record. 23. Letter to all Boards of Health from the Director of Communicable Diseases setting forth the new recommendations for immunization. Received as a matter of record. . 24. Letter to William and Adele McKinnon in which we "order him to board up 4 Daniels Street Court and give him sixty days to repair it. Received as a matter of record. 25. Letter from Civil Service in which they notify us that there is a change in the act providing for the Entrance of Management Interns into the Official Service of the Commonwealth and Political Subdivisions thereof. This provides that anyone in the United States, who at the time of examination has completed or expects to -complete in nine months, a four year course leading to a bachelor's degree, in an accredited college or university, or have any combination of education and experience in administration, professional or investi- tive work-acceptable to the Director to become employees of the Commonwealth or its political subdivisions. Received as a matter or information. 26. Letter from H_.E.W. , John T. Middleton, Commissioner in which he advises that there will be a-hearing, to which I am invited, on January 17th at Faneuil Hall, Boston, Massachusetts to discuss the proposal of establishing allAir Quality Control Region consisting of 20 cities and 78 towns in the Metropolitan Boston area. They have sent me a report and I am studying it. The region goes from Rockport on the North, to Duxbury on the South and Marlboro on the West, the same area as served by the M.B.T.A. This was received as a matter of record 27. Letter from Civil Service, Miss Pelle , payroll section in which she sets forth the fact that Mr: Joseph Konieczny's name has not been on our recent payrolls. This will be discussed under New Business. 28. Letter to Mr. Knoieczny asking him to notify the department if he doesn't intend to work for the department. We also answered Miss Pelley's letter in- forming her that he is a reluctant worker, we state that we have written' him re this situation and when he replies we will sferward the informa- tion to her. Received as a matter of information. 29. Letter to Civil Service from the department in which we enclose a request for two permanent. intermittent hospital' workers. In the letter we advise - Miss Campbell that we have two people whom we can hire in an emergency fashion, who are presently on the list of the school lunch program. We would like to hire these people on an intermittent basis but. would not want to jeopardize their standing on the lunch program.Matter of inf, 30. Letter from Shetland Properties on Congress Street in which they advise us that they have located the waste line that was dumping into the South River and that the situation has been corrected. Matter of record. 31. Letter from John Baffa notifying us that as of January 1, 1969 Mr. Nicholas .Bartilucci, junior partner has resigned. The responsibilities of the firm will now be assumed by John Baffa._ OLD BUSINESS: 1. Xray Clinic: Dr. Toomey informed the group that the date of the transfer of the Tuberculosis Clinic has been moved from February -1 to_�4 h 1. This was received as a matter of record. . 2. Health Center Maintainance: After a short discussion. it, was decided to forward any bills for maintainance of the Health Center to Mr. O'Brien's office for payment of same. This .was received as a matter of record. 3. Dumping on Swampscott Road: Dr. Toomey told Board Members that the road was being patrolled about once an hour and that special signs are presently being made up with special reflective sheeting which should aid greatly in this situation. This was received as .a matter of information. 4. Fill for property of Mr. John Ingemiat 381 Highland Avenue. Dr. Toomey told the Board that he did not see any reason for creating a dump at this spot. Mr. Mahoney stated that there would have to be a man on full time there to check the dumping. Board was in agreement with this, and the followin MOTION: I move that in light- of the fact that the request for dumping would violate regulations in the -law--as it :-is presently constituted, that we turn down this ,request. : Seconded by Mr.' Richard and unanimously voted. 4 224 f 5. Rate at Health Hospital: Dr. Toomey read to the Board the flyer from -the- Rate Setting Commission setting the rate of our hospital as $15.51, for the year 1:. 9. - This was received as a matter of record. 6. Fire Alarm Panel. for. Health Hospital, Dr. Toomey told the group that the Mayor had left this in the budget. It was the recommendation of the Board t-hat'-the-information on same-should be frowarded to the Purchasing. Agent who will put out b. ias.. for same. 7. Budget has been returned from the Mayor, with the following cuts being made: Expenses: Administration $3500.00 Hospital 5240.00 Sanitation C & D 750,00 Total $9,490.00 Salaries: Supplementary Budget $9,864.50 Working Foreman (Inc) 7,678.62 Total $17,543.12 The amount of the supplementary budget was due to the management of the new raise which was effective January 1, 1969, but will be processed in the January 18th payroll sheets. NEW BUSINESS: 1. Unsanitary conditions at the cafeteria at the Bowditch School. Upon investiga- tion the inspector found an old uncovered drain; an amount of flies; faulty liason between the custodians and kitchen help, per se. After the talk with the Superintendent these conditions are being corrected. Subsequent inspection shows great improvement. 2. Essex County Health_ Association: We are partners with these people in the operation of a Tuberculosis test and chest xray program in Salem: This was not entiVitly to check on Tuberculosis, but to set up a basic organization for reaching persons in the neighborhood and to look further into their personal, social problems with the ultimate objective of participating with other organizations in helping to uplift the individuals in underpriviliged neighborhoods. Incidentally, 276 Tine Tests were administered; 568 Chest xrays were taken; 160 adults were positive to the Tine and almost all returned for retesting; 73 were recommended to have retakes and were divided between clinics on December 4, 11 and 18th. The response on both the Mantoux and Chest Xrays was unusually high. On Monday and Wednesday afternoon an additional 497 Xray of School Personnel were done. 3. Food Establishments We have three sticky problems in Salem: Beef and Oyster; China Sails and the Hawthorne Hotel. We have informed each one of these that their permit would not be renewed as of the first of the year unless great strides were taken to raise the standard of operation. After the usual haggling they got down to business and they are now in good shape. 4. Dumping, Swampscott Road: We have found quite a number of people who dumped there and we madethem come back and clean up. Almost all of the individuals from either Swampscott, Lynn and Beverly were the culprits. We have written to the Chief of Police of Salem and the other cities and also the Registry of Mot"-Vehicles to be on the lookout for dumping there. . I — — 5. Civil Service Examination for Supervisory Public Health Nurse. Health Agent has made a number of contacts in the hope of getting some outstanding individual. to. take. the examination for this job. 6. Tuberculosis Clinic shift to Salem Hospital as set forth above, a meeting was held with .Doctor Kaplan in attendance, where most of the basic agreements were arrived at. They haven't, at the present time, been finalized and I might tell you now that the tentative date of February 1, has been moved to March .l, because of the inability of the patties to 225 FINAL1-ZE--THEIR-A sRREEi%ENT. - 7. Health Department HnGpital Emergency service: As -stated above these emergency services may be paid for in a hospital not participating, such as ours, Enasmuch as our hospital is devoted to chronic care of the sick not general care, plus the fact that Salem Hospital is well able to take care of .all emergencies. I do not recommend that we apply. 8. McKinnon's Property: Apropo of the letter McKinnon, at the present time is negotiating for the sale of these properties and hopefully he might complete .it. This was received by the Board as a matter of record. 9. Regional Air Pollution District: Hea1th..Aggnt; mill. havh more information on this at a future meeting. 10. Civil Service information on Kobierski and Konieczny and Kolhonen: Two of these indivi- ua s never show up for worT ana they keep the payroll division upset by reason of the fact that they haven't had a terminal notice on them. Mr. Demeule visited these people .and they signed a resignation form which will allow us to send in the termination notice to Miss Pelley of the. Civil Service Division. Relative to Mr. Kolhonen, he has advised the Working Foreman that he doesn't wish to work any.•more and is presently on a two weeks vacation. When he returns we will re- quest a formal resignation and then terminate his services. 11. Hospital Service help: The Laundry and Kitchen help at the Hospital are on Civil Service and when we have illness in this section we must engage in the. formality of getting approval of Civil Service to have someone on call in emergencies, and at times we get people who are not capable of handling these' jobs. I, talked with Miss Cremins of Civil Service Labor Division who asked that I write the letter listed above explaining our dilemna and that she might be able to allow these people to stay on two lists, to be on call to work for us and to be on call for the school lunch program. This was received as a matter of information. 12. Shetland Property: It was a waste pipe entering into the South River just below the bridge and after a lot of detective work Walter Szczerbinski was able to find the source of pollution was coming from the Duchess Shoe Company. It has been corrected. This was received by the Board as a matter of record. 13. Communicable Diseases: A new revised schedule of immunization for children and adults have been re- ceived by the department with recommendations for their use. This has been sets,, up in conjunction with the Massachusetts Medical Association and the Pediatric Association. had a meeting in our auditorium on January 15 and Dr. Joseph Reardon discussed this program with the Public Health Nurses, the V.N.A. Nurses and Health Officers. 13. Report on Mr. Harry Chamberlain: On December 20, Salem Police asked for assistance in removing Mr. Chamberlain from the residence at 28 West Avenue, as he had refused to be moved. Mrs. McHugh and Walter Szczerbinski and Mr. Cameron went to the above mentioned address at 3:45 P.M. Mr. Chamberlain's legs and both feet gave the appearance of moist and senile gangrene with signs of massive infection superimposed upon those of gangrene. The police were there with the ambulance and they were ordered to remove him immediately, against his will, to Salem Hospital. Friends of Mr. Chamberlain who were present indicated they would close up the house. 14. Health Center Maintainance. Dr. Toomey called the Mayor on this and at first he thought it had nothing to do with us and he said he would talk to Mr. O'Brien. This was put in our budget, however in the sum of $6500. The Mayor has left this in the budget. Mr. Mahoney quoted the law as saying "The Inspector shall be responsible for public buildings". Decision of the Board was that all bills will be referred to the Builging Department. 15. Rubbish Collections: Dr. Toomey reported how the collections had been behind due to the fact that they were exceptionally heavy, plus sleet storm and help situation. Two private trucks were hired, and Health Agent called the Mayor to ask for assistance. This he did and trucks from the Park Department and Street Department helped out and by January 9 we were all even. Letters will be written to these departments with copies to Mayor Collins. ` Mr. Alfred Guerrette and Mr. John Sarnowski, Foremen in the department entered the meeting to give reports of activities in their section. Mr. Mahoney questioned both bf these individuals relative to conditions in their section. He stressed the fact 226 that the Board had made a ruling that no overtime would be given without prior 4pproval� of the Health Agent who in turn would notify the Board members within 48 hours. Mr. Sarnowski stated that they worked an 11 hour--day starting at 5:30 A. M. to 4:00 P.M. - with eleven .employees on duty on different shifts: He also reminded Mr. Sarnowski that the Preventative Maintainance was 'very important and that -the Mechanic-Repairman.should check these daily and Mr. Sarnowski should follow-along to see that it is properly done. This would enable us, in case of a breakdown, to trace the source. Mr. Guerrette reported that the 'collections were .up to where they should be and no overtime was expected to be necessary this week. . Change in Collection System: Dr. Toomey cited the many advantages to the combined collection system, stating that it has been done successfully in several large communities and also in many small communities. He informed the group-that the new system would be beneficial to the city both financially and esthetically. He said he has given it a lot of study, and the planning is still "going-on. Councillor McLaughlin stated that the councillors _would probably be in favor'if they were sure of certain precautions were taken to provide for disposal of collections in the event of a breakdown of a week or so at the Incinerator plant. They also-wanted to be sure thet the department had the right equipment to tackle this changeover. When this knowledge is available and is presented to the council Me felt sure they would agree-on this proposal. Councillor McLaughlin also recommended that a:.new truck of the proper design should be purchased annually to replace the old equipment. All.Board members agreed on these recommendations -and the. meeting closed on the suggestion of Mr. Mahoney that in reply to inquiries on collections to telllthe taxpayers,.that,.the new system. is not mandatory but is permissive. Meeting adjourned ,at 7:00 P.M. N The regular scheduled meeting for February 15 was postponed twice and the final date meeting was held was: µ March 4, 1969 Meeting came. to order at 5:00 P. M. with Dr.' Kaplan and Mr. Richard present. Also present was Mr. William McKinnon who had requested a hearing as a result of a letter on February 19th regarding his properties. Dr. Kaplan suggested that we suspend with the regular order of business to grant a-hearing to Mr. McKinnon. HEARING Mr. McKinnon: "I intend to start work at 14 Kosciusko Street. When I am going to start I am not positive on the dates. The chimney came down on the north side and I can't get a man to go on the roof, it is slow moving. I 'm going- to put a new roof on the property, I don't think' it is leaking now though. I •will cement the cellar, new .baths will be installed, complete works making them livable. I will eliminate all the items on the list and some things that are not even listed will be improved.' Dr. Kaplan: "How long will it take to finish this project?" Mr. McKinnon: "I can't say, probably three to four months to finish three apartment " Dr. Kaplan: As long as there is activity going' on, but if there is no activity you will be in trouble. Mr. McKinnon: I will go from there to 26 Daniels Street. with Dr. Toomey: "I would say so, you have been going around to this since 1965, let's see - what happens by the time of the next meeting. If nothing is done we will take action: Our intention was to try to get an approximate date_ of commencing some activity." 227 Dr. Kaplan: Right now he is handicapped I am sure, with the storm and all, he can catch up when the weather clears. Dr. Toomey: "We would like you to come in or write us in time for the April meeting what your schedule is." Mr. McKinnon said he would. DECISION: Table this until the next meeting which is scheduled for the third Tuesday in April. . Mr. McKinnon left and Mr. Mahoney joined the meeting. Regular meeting came to order with a motion by Mr. Mahoney and seconded by Mr. Richard to dispense with the minutes of the previous meeting. Health Agent then reported that the Health Hospital was operating at full capacity, forty four patients. Communications: a. Copy of letter sent to Frederick Dunham, M. D. Regional Health Office from Thomas Kearns of the Division of Sanatoria and Tuberculosis Control, noti- fying him. that more- comprehensive services will be available as of March 1, 1969 at Salem Hospital�at the North Shore Pulmonary Clinic which was formerly known as the Salem Chest Clinic formerly located at the Health Center on Broad Street. This was received as a matter of information. b. Copy of letter to-Alice Broadhurst, M. D. , Superintendent of Middlesex County Hospital from Thomas Kearns in which she is notified that the Salem Board of Health and the Salem Hospital have cooperated in the proposed transfer of the Chest Clinic to Salem Hospital effective March 1, 1969. Purpose of the move is to provide more comprehensive services in a hospital setting. He informs her that Xray films will be developed, interpreted and stored at the hospital. He requests her cooperation providing the North -Shore Pulmonary Clinic with patient Xrays and Records as requested. This was _cece:_ved as✓w,,mttter of information. c. Letter .from�Salem Public Schools to Dr. Toomey re Home Management Training program. The Superintendent of Schools says that the amount of money remain- ing in the account is $3945.51 which will take Mrs. Katzen until May, at which. time some disposition has to be made of the clinic._ This was received as a matter of information. d. Letter from the City Solicitor to the department re the te,�,at_ eof Mrs. Ellen Whalley, in which he states he has collected the sum of $9 '142 from the estate. This was the amount left in the estate. He says if you dish you might abate $15,478.50 remaining, uncollectible. This was received as a matter of record. e. Letter from Civil Service to the Department regarding two hospital workers, -permanent, intermittent appointments, in which they send us the names of Louise Kaminski of 7 Union Street and Emma Deisley of 17 Messervy Street, and. Georgena Kesler ,of 29 Hawthorne Blvd. Board- had given approval by #.telephone to these appointments, ie: L. Kaminski and E. Deisley. This was received as a matter of record. f. Letter to Dr. Toomey from the Tanning Council- of American in which they.. inclose a copy of a letter from them to the South. Essex Sewerage District at a suggestion from Dr. Toomey and Michael Flynn,• Jr. They say in their letter that• they feel they are an important segment of the economy. They have a problemiin the disposal of chrome sheepskin fleshings. A committee of their members and Congressman Bates have had a meeting and they make the following recommendations: A new Incinerator to be .erected for the• South Essex Sewerage Commission. This• incinerator should be designed to burn fleshings The research director. of, the. University of Cincinnati has ad- 228 I vised that an Incinerator should be able to handle these without difficulty. The existing incinerator does not have the design or capacity to handle these. It imposes a difficult burden on the Tanners. They estimate that they have about thirty tons from Salem and fifty tons from Peabody to be disposed of daily and they would like to have the views of the South Essex Sewerage Engineer on the disposal of the ashes after chrome fleshings are burned. g. Another letter from Tanner's with another letter enclosed, copy of the letter from South Essex Sewerage District Commission, in response 'to their letter of January 6th. They offer technical information to the District from their laboratory, even to the extent of having technical personnel visit with the S. E. S. people. The letter from the South Essex Sewerage states that their Incinerator will be designed to handle grease, grit and other materials from the treatment proeess, and they presume that they would be able to dispose of cleanings from the private settling tanks and grease remov- ing chambers. However, the request for chrome sheepskins fleshings disposal, cause them deep concern, they ask three questions: 1. In the estimated quantity of 80 tons daily is this fleshings in the wet state? 2. Are there dry products, such as trimmings, that need to be disposed of? Quantity? 3. Our preliminary investigation into chrome waste products leads us to be= lieve there is quite a problem of disposing of the ash. In this regard it would be helpful if you could tell us approximately what percentage of chrome would be in the ash from your product. Matter of record. h. Letter from Health Agent to Maur Collins in which we enclose forms used for preventative maintainance at the Incinerator. Received as a matter. of record. i. Letter from the department to Mr. Movesian re 42 English Street. Previous tenant has moved to Beacon Street but left after her a tremendous amount of debris. He has been ordered to clean this up and it has been done. Received as a matter-of- record. j. Letter from Mr. Kearns- to Mr.. Thomas Harrington at Salem Hospital, copy to this department stating the North Shore Pulmonary Clinic Schedule. Received as a matter of record. k. Lette-r from the Mental Health Association in which they ask Health Agent to come to a meeting at the Cambridge Street office to discuss the setting up of plans for the com- batting of drugs. Meeting is February 13th. Received as a matter of. information. 1. Communication from City Clerk to the Board of Health stating that Mr. Joseph Richard is appointed a member of the Board for the ensuing three years. m. Copy of letter from Mr. Craig, City Auditor to Mr. Alfred Dobbs, City Solicitor in which he says he hasn't heard anything from the letter he had sent relating to outstanding bills now on the books of the city, some for nearly eleven years. More on this under Old Business. Received as a matter of record. n. Correspondence from Massachusetts Electric Company inviting Dr. Toomey in company with other city officials to review the plans for additions to. the plant. Received as a matter of record. o.- Memo from City Clerk in which he requests the Annual Report be filed with him not later than April 15th. Received as a mtter of record.. p. Letter from William Mahoney in which he encloses a copy of a letter from our City Solicitor with recommendations for a change in our application from for hospital admissions to read: "in event of default in payment, for such hospital accomodation, to the City of Salem, .the undersigned hereby agrees to make full restitution." More on this under Old Business. q. An advisory from the Division of Sanatoria and Tuberculosis Control to Boards of Health re- lating to payment of laboratory tests for persons attending Tuberculosis Clinics. The Division will reimburse local Health Departments for the following diagnostic lab wor Other tests not mentioned in the letter, may be done but must have prior approval of the Director. This was received as a matter of record. OLD BUSINESS: a. Mental Health Association: The budget figures from other cities and towns served by the association were discussed. The Board was of the opinion that in view of the Town Meet- ings we should table thistuntil. the April meeting. b. MKinnon Property: Dr. Toomey reported that two prospective buyers had been the office request- ing information about purchasing this property. Mr. McKinnon now states that he has given 2 2 9 up ideas of selling and is now going to fix it. . Dr. Toomey had informed him that if steady progress is not made the department will take action. Mr. McKinnon requested a hearing which was granted (see first section of minutes) . C. Health Center Maintainance: Apropo of maintainance of this building, the Mayor states that this department cannot expend money for this purpose. .and the bills should. be forwarded to the Public Property Department. In the meantime the custodian of the building is not being provided with any cleaning supplies and the building is getting rundown. This was received as a matter of record and tabled until the next meeting. d. Dumping on Swampscott Road: Twopigns have been installed at very strategic places on this road. They are large and are of reflective material so that they can be seen at _night, .they are 3 x 4 feet. This was received as a matter of record. e. Arnold Kolhonen, an employee of this edepartment has transferred to the County to a Custo- 7dia±!._ 7 position at the Essex Agricultural School. We have not sent in the Termina- tion notice on him until the transfer of his retirement funds have been turned over to the County. This was received as a matter of record with a recommendation from Mr. Mahoney that we have something in writing from Mr. Kolhonen on his resignation. f. Hospital Workers: On Mrs. Louise Kaminski and Mrs. Emma Deisley, the following motion was made by Mr. Mahoney and seconded by Mr.. Richard and unanimously carried; "That we ratify the previous action taken by the Health Agent of the Board of Health in accordance with telephone calls made to the various members in which they agree to employ Mrs. Kaminski and Mrs. Deisley. g. Tuberculosis Clinic: . Dr. Kaplan reported that the North Shore Pulmonary Clinic had started today at Salem Hospital and a program was being set up for everybody working in that unit and in the Isolation unit and Laboratory will be Tine Tested and. have an Xray taken. This will ocuur. eyery six months. h. Home Management. Training Program: This program should not be continued as there is not enough activity for it and Miss Katzen has -requested to be detached from the program. i. Bills Receivable: Relative to the communication on the estate of Mrs. Ellen Whalley from our City Solicitor the following motion was made by Mr. Mahoney and seconded by Mr.. Richard and unanimously carried: .. "That the sum of $15,478.00 against the estate of Ellen Whalley for Board and Care at the Salem Health Department Hospital be abated in accordance with the tt:e.nor of the letter from the City Solicitor dated January 29, 1969 and that the Agent of the Board of Health be directed to notify the proper municipal ::.authorities of the action of the Board." j. Disposal of Fleshings: Dr. Toomey notified the Board. that the local Tanners were now depositing t air fleshings at the Saugus Dump. This was received as a matter of record. k. Housing: Dr. Toomey reported on the .property at 42 English Street stating that a woman with thirteen children had destroyed the place all over again and had now moved to Beacon Street. This was received as a matter of record. 1. Bills Receivable: After a discussion on the letter written to the City Solicitor by our City Auditor it was recommended that we send the following reply to the Auditor: Motion by Mr. Mahoney "The bills referred to in your letter of January 14, to the City Solici- .tor, with _a ,copy to this department, these bills have been referred in tort to the City .So.licitor_ for: a. Collection b.. Settlement, or after examination of the proper indices "at the Registry of Deeds and the Probate Court, if the bills. are uncollectible we will be notified in writing and they shall be marked on the records of this Board and the proper municipal authorities NEW notified." BUSINESS This motion was discussed and unanimously voted. ---rk. FORM: ... Change. fof form f.or admission to hospital was discussed and Dr. Toomey stated. that we did have a similar paragraph on the form some time ago but members of •families were reluctant' to sign same. No decision on this 230 bi Nursing Homes Inspections: Mrs. Morgan, Public Health Nurse's reports on the inspection of the Henley Nursing Home, Newhall Nursing Home and the Melanee Nursing Home were dis- cussed and it was the decision of the Board that there should be more factual information on the report. Mr. ,Mahoney did not feel that he should approve of this report as he thought there should be more detailed informa- tion listed. 'He- also suggested toy `the Health Agent that the kitchen utensils be checked 'at our laboratory: He thought we should make up a set of standards and the -homes- should not go below these sets of standards. He also recommended that inspections should be ,more frequent. He thought the Board would be remiss in their duties if -these .homes' were not checked more carefully. Decision To hold up these approvals, have the places re-examined and then if satisfactory approve same. c. Collectionof Rubbish: Dr. Too'mey's statement: "Xs'� a result of the storm we were two days behind. ` We have no idea of when we are going to get new equi'pmen t and am concerned about our`,present equipment, parti- cularly after the storms'."Received as' a matter of-record-: ' d. Hospital: "During the storm telephone service at the hospital went out of order for almost twenty four 'hours. There was a lag, also in plowing the driveway. After trying to get the driveway plowed I finally had"to go down at night to get them there. It was finally'`plowed.'' •I also made several call's to the Telephone Company and ai after a fashion I angrily demanded that the service. be restored and �the men did come down and repaired same" e. John R. Lowe: Status of Mr. Lowe was given"by Dr. ,Toomey who stated that he had talked with George McCabe about Mr.' Lowe°s retirement as hi.s illness is effecting both his speech and his gait. His physician is Dr. Tibbetts. Mr. McCabe stated to Dr. Toomey that Mr. Lowe had requested that he look up his position for retirement, and in fact he had to talk Mr. Lowe out of immediate retirement. Dr. Tibbets called and discussed the possibility of some light work for Mr, Lowe. He was of the opinion that Mr: Lowe would aggravate his situation if he would retire and sit home, that better he should -be kept active both mentally and physically. Dr. Tibbets requested Dr. Toomey to convey his thoughts to the Board of Health. Dr. Toomey informed Dr. Tibbets that he thought the Board would go along with his thoughts and requested him to keep in touch f. Nomination of Inspector of Slpughtering John J Toomey was nominated by the Board of Healtl for this position. g. North Shore Planning Council: A late communication from this group was discussed and Dr. Toomey informed the group that they were a member of this group. This was received as a matter of record. h. Director from the County Commissioners office was discussed this wars in regard to rules governing the functions of the medical examiner. Copies, of this will be made and forwarded to the' Board Members. Received as a matter of record, i. Report on the Measles program was received as a matter of record.' j. Conditions at the municipal incinerator was talked over and it was decided that Mr. Sarnowski come down to the next meeting. Mr. Mahoney requested that photostatic copies of the Bailey Meter charts be sent to him. k. Viggo Westergaard: Relative to the $1500 'encumbered for Mr. Westergaard, Dr. Toomey said he had talked with the City Solicitor on this- and had not received a reply up to now. Decision to follow this up with the City Solicitor. 1. Mr. Timothy Flynn's status: The Board was of the opinion that something should be done for Mr. -Flynn. Dr. Toomey stated that the Working Foreman was taken out of tl; budget and it could not be put back again. The only thing that could be done now would be to put in a special appropriation and therefore the following motion was unanimously carried: "We request the Mayor and City Council to appropriate the sum of $5,382.00 for the .position of Working Foreman-at the Incinerator Dump Caretaker 6 LiY YJ d, Motion was then made to adjourn at 7:35 P.M. April 4, 1969 A special meeting of the Board of Health came to order at 11:06 A. M. with all melubers present. .Also present was Mr. John Sarnowski, Incinerator Foreman. Dr. Toomey: We have a problem in that John Sarnowski feels that they are not getting enough production. As a means of getting the production out I. suggested that we make a further spread of our. day. One crew goes in at 5:00 A. M. and works until 1:00 P. M. Another crew goes in at 7:00 A.M. and works to -`4:00 P. M. Dr. Kaplan: I don't understand why they aren't putting out enough, is there more rubbish being collected? , lightest Mr. Mahoney: According to Mr. Famico at the weigh-in,office, this is the txtzst year we have had, Dr. Toomey: I suggested that if we are not able to keep up with the ten hours burning . during the day we would put in another hour; instead of 7 A.M. to 4:00 P.M. make it 8:00 A. M. to 5:00 P. M. This would give us an hour on the tail end of the day, giving us five hours a week extra burning. We are in a state of flux right now, more men will be available later on. -John passed this information onto the crew and the crew says they are not going to do' it. They want the 7:00 A. M. to 4:00 P. M. shift. " Dr. Kaplan: Is that in the bylaws? Dr. Toomey: The only bylaw is that the working day shall be eight hours. If I tell John and John tells them. I don't think they have a right to say they are not going to do it. . Dr. Kaplan: Who comb in early and who comes in late, are these hours permanent? Dr. Toomey: Those who wanted to come in early we allowed them to, we gave them a choice, within the bounds of reason. Dr. Kaplan: Is this coming as an organized "no." John Sarnowski: They all said they were against it, seven hours a day with only one man on the floor, the whole group agreed they would not want to work with one man to the floor for that long a period. On. overtime they will do it. There are not enough men, only 10 plus myself and with vacations coming and when a man is out on sick leave, I should have a replacement. One man has a heart. condition, another is too small to stoke the fire, another is afraid to stoke the fire, can't leave him alone (Cremins and Doyle). Dr. Toomey to John Sarnowski: Describe the duties of the man on the first floor. John Sarnowski: They release the charges to the hopper when the men on the furnace want them, they run about 15 charges an hour, then they sweep up. On the charging floor, he puts in thirty charges, all he has to do is pull. a lever to release the gate,. he goes back and forth between the two furnaces. On the Stoking Floor, the man calls the charges as he needs them, one man can take care of burning them. If the stokers break down, the sheer pin snaps and they have to release. these pins. Dr. Toomey How much -actual dumping? - John Sarnowski: Ten. minutes to 15 minutes Dr. Kaplan: How would you remedy this John. John Sarnowski: I think an hour or two overtime, on a' Thursday and Friday would do it, we would stay heavy without the overtime. Mr. Mahoney: The first three months of this year we' have put in more overtime than we have in five years and the pit is still filled, hasn't been empty for three months. John Sarnowski: When they are working overtime they can do`it but not on'regular duties. 'Mr. Mahoney: What about coffee breakk, there seems' to be coffee breaks every hour on the hour. Canteen truck comes up there. John Sarnowski: I never saw the truck. Dr. Toomey: Do they all have to stop for coffee at "once? John Sarnowski:. It seems -to be easier. Somebody puts the coffee on, they are gone before 9:00 A. M. Mr. Mahoney:. There are thirteen men working there. John Sarnowski:. There is the payroll, 'only eleven men including myself.