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MEETING PACKET FEBRUARY 2010 .... ..... .. ........ ...... .... ... ... ..... . .... ....... . . . .. . .. .. .. .. .. .. FEBRUARY . ...... ... . ............ 201 , alto L I Z .......... IWO; ONO S SAW it, �,J,-; �e�vj �,tg goo"i�,mg ;. , N(�, g� 'ell qg 6AW "A All g-"ym polls!, • ----- ..... a.ix. ........ SOY 0 R, 4r ,m", W". .............................. ......................... Of w SIA, .............. ........................ ARI U MA wwzwo go, 'i k" I Wu wo NN "W' ', gag m.gy-w- - 4 "1�V; I IV,% zP �VP 6 ��i,k 'Aw Mir- e�rs u I -- A4, 0 1 a eg!,A 4v R N k, . Q� 9T. MI. N ♦ RO:N, is x. Q Q A, Q-,-, JWQ -ALA 1 Mon .1 q MIT 0 r"n 2 0 Al - worm th I no CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH . 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KINMERLEY DRISCOLL FAX(978) 745-0343 MAYOR nciu ENBAUM@SA1,F,M.Com DAVID GREf_;NBAUM AC,rlN(;HE AI,TTI A< I N'r NOTICE OF MEETING You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting on Tuesday, February 9, 2010 at 7:00 PM at City Hall Annex, 120 Washington St. Room 311, MEETING AGENDA 1. Call to order 2. Approval of Minutes from Jan. 12, 2010 3. Chairperson Announcements 4. Public Health Announcements/Reports/Updates • 5. Signing of the final draft of the transfer station conditions 6. Board of Health Hearing for: Requester: Patrick Hagan, Manager of the Ward two Social Club 1-3 East Collins Street Board of Health complaint: Offensive odor being emitted into the atmosphere 7. Body art subcommittee update 8. Board of Health positions 9. Adjournment Next regularly scheduled meeting is March 9, 2010 at 7pm at City Hall Annex, 120 Washington Street, Room 314 avid Greenb Acting Health Agent cc. Mayor Kimberley Driscoll Board of Health City Councilors • CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR i TEL. (978)741-1800 K1N3F,RLEY DRISCOLL FAx(978)745-0343 MAYOR DGRGENBAUM(ISAL.EM.COM DAVID GREiMAUM AcrING HEALffl Acr?,NT February 1, 2010 Re:Ward Two Social Club.1-3 East Collins Street—Ventilation System Ward Two Social Club Patrick Hagan 1-3 East Collins Street Salem, MA 01970 Dear Patrick Hagan: The Salem Board of Health requests your presence at the next Board of Health meeting for a Hearing for the ventilation system at the Ward Two Social Club. The meeting will be held Tuesday, February 9, 2010 at City Hall Annex, 120 Washington Street 3`d floor conference room. If you have any questions, contact me at 978-741-1800. Sincerely, Fo the Board of Health David G eta ting Health Agent DG/HL cc: Dr. Barbara Poremba, Chairperson of the Board of Health and Members • CITY OF SALEM BOARD OF HEALTH MEETING MINUTES i1 ��jltr • DRAFT MEMBERS PRESENT: Dr. Barbara Poremba, Chairperson, Martin Fair, Noreen Casey, Marc Salinas, Kemith LeBlanc, Gayle Sullivan, &Dr. Larisa Lucas OTHERS PRESENT: David Greenbaum, Acting Health Agent, Thomas Furey, Council Liaison &Tracy Giarla, Public Health Nurse TOPIC DISCUSSION/ACTION 1. Call to Order Meeting called to order by Dr. Poremba, Chairperson, at 7:00pm. 2. Minutes of Last Meeting Unanimously approved (Dec.8 & 15, 2009) 3. Chairperson Announcements None 4. Monthly Reports-Updates A. Administrative Presented by H. Lyons, Clerk of the Board. See attached. Report H IN 1 Report attached. • B. Acting Health Agent Regarding website, board requested that statement be added that Report none of the vaccine administered by the Salem BOH was on the recall list. See attached. C. Public Health Nurse H1N1 Clinic will be held Jan 14, 2010—2nd doses will be available Report for eligible children No updates for the Board D. City Council Liaison Updates 5. Old Business Corrections on#33 —Delete"and turn left': A. Review and signing of Dr. Poremba stated that there appeared to be an omission in the the final draft of the final draft for a drop off for redeemable cans and bottles for which transfer station conditions all money collected would go directly to the Salem Public Schools. This was noted in the record at the public hearing._Motion by M. Fair: to add #43 "North Side Carting will provide a drop off container for redeemable bottles and cans North Side carting will redeem them and funds will be donated to the Salem Public Schools on a monthly basis" 2nd, K. LeBlanc; Unanimously approved; • Motion caries Motion by M. Fair: to accept the 43 conditions of approval for the minor site assignment for the transfer station 2nd Dr. Lucas; 4 in favor, 2 opposed, chair reserves right to not cast a vote. Motion caries. 6. New Business Atty. George Atkins presenting A. Paul Ferregamo —405- Project is an 11 lot sub-division, all single family homes across the 427 Highland Avenue street from Wal-Mart. Zoning Board has approved 11 lots. Scott Patrovitz, Engineer on project, discussed drainage on site & • blasting that will need to be done to clear some of the ledge from the land. They will comply with all state regulations on blasting. This project will be presented to the Planning Board on 21"of January. Motion by Dr. Lucas: to accept plans with Board of Health conditions. 2°d by K. LeBlanc; Unanimously approved. Motion caries. K. LeBlanc recueses herself from deliberations. B. Shallop Landing at Attorney Jack Keilty presents project. Collins Cove— Szetela This project is 3 parcels of land, all single family homes. They have Lane and Fort Avenue already gone before the Zoning Board and are waiting to go before the Planning Board and Wetlands Commission. No hazardous waste found on property. Snow removal and water drainage system will be privately maintained. Motion: to accept project with conditions. 2"d by N. Casey; Unanimously approved. Motion caries. Discussion about agenda and document delivery—should it be 7. Miscellaneous Items mailed or emailed—Members decided to both email and mail agenda and document packets to all members at this time. Site assignment conditions document discussion— should be done and signed ASAP—discussion about who should write up the conditions. David Greenbaum will talk to David Murphy, Atty. Whittaker and Beth Rennard about who should be signing the final document. 8. MEETING ADJOURNED: 9:00 P.M. Respectfully submitted, Heather Lyons Clerk of the Board Next regularly scheduled meeting is February 9, 2010 at 7P m • At City Hall Annex, 120 Washington Street, Room 313 Salem. Administration Monthly Report January-10 Burial Permits @$25.00 $500.00 Permits $32,215.00 Certificate of Fitness@$50.00 $500.00 Copies $0.00 Fines= $0.00 Total Monies Collected = $33,215.00 Animal Bites Reported= 0 Annual Budget Expended Available Balance Salary/Longevity $356,823.00 $166,416.07 $185,628.14 Annual Budget Non-Personnel $21,200.00 $5,175.09 L $11,246.12 0 0 0 CITY OF SALEM MASS ACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"�'FLOOR T 0,4BERLEY DRISCOLL EL. (978)741-1800FAX(978) 745-0343 MAYOR DGRFI;NBAUM@SAI CM COM DAVID GREENBAUM ACTING Hr�AI.ni AGENT Public Health Nurse Report January 2010 Activities Disease Prevention • In contact with North Shore Pulmonary Clinic regarding active cases and case contacts. • Maintained vaccine inventory and reported usage to the MDPH Immunization Program. • Investigated communicable disease cases and reported to the MDPH. • New arrival from Dominican Republic class B1 located and referred to NSPC for pulmonary evaluation. Meetings/Clinics • • DOT once a week for one active TB case. DOT M W F for one active case. • Attended the NSCAEP meeting at the Peabody DPW. • Preparation for January H1N1 Clinics. January H1 N1 Clinics for Salem Residents Salem Board of Health held the following Clinics: 1/13/10 An Employee H 1 N 1 Clinic was held at 120 Washington Street 3Id Floor Conference Room: 40 employees vaccinated. 1/14/10 Salem High School Clinic: 677 residents vaccinated. Redistributed to the Community Providers: H1N1 50 doses to NS Community Health Center. 10 doses were distributed to Anne Kelly Salem Mission. 39 pre-filled syringes, 50 doses (MDV) distributed to Pediatric Associates. • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41"FLOOR TEL. (978) 741-1800 • KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREFNBAUMQSALEM.COM DAVID GREF,NBAum ACTING HEAI_m AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES JANUARY 2009 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER O 0 0 0 GIARDIA O O 0 0 H1N1 1 0 0 0 STREP PNEUMO 2 0 2 2 SALMONELLA 0 0 0 0 • SHIGELLA 1 O 1 1 TUBERCULOSIS 1 1 2 0 VARICELLA 0 0 0 0 Tuberculosis: Two carry over cases receiving DOT. Shigella: 77 y/0 female. Non Foodhandler. Case stated she was ill for 3 months before seeing MD. Case hospitalized. Case recovered. Strep Pneumo: 13 y/o male. Recovered. Received PCV7 series. 73 y/0 male. Recovered. H1 N1: 26 y/0 female. • • Acting Health Agent Report January 2010 January 5, 2010 • Conducted a plan review for the change of ownership and the new food service establishment Anna's Pizzeria January 7, 2010 • Attended the Senior Staff Meeting in the Mayors office. January 14, 2010 • Prepared for and conducted an H1 N1 flu clinic at Salem High School for all Salem residents ages 6 months and older. Clinic was open to all residents as directed by the MDPH. 677 people vaccinated January 15, 2010 • Conducted the opening inspection for the new food service establishment Fran & Diane's January 21, 2010 • Attended a show cause hearing at the Northeast Housing Court for violation of the Massachusetts Lead Paint Law. The complaint was issued and will be heard before the judge on February 10, 2010. • January 22, 2010 • Participated in an online demonstration of DocStar by PIF Technologies for computerized document storage. January 26, 2010 • Conducted a plan review for the new food service establishment Adriatic Restaurant and Bar • Filed two criminal complaints in Salem District Court, one for non- payment of two fines for violations of Board of Health Regulation #22 Prohibiting Smoking in Public Places and the other against the owner of 36 Loring Avenue for failing to maintain the property free from rubbish and garbage. January 27, 2010 • Attended the monthly meeting of the North Shore/Cape Ann Emergency Preparedness Coalition. January 28, 2010 • Attended the mayors monthly department heads meeting. • February 2, 2010 Dear Mr. Greenbaum, I am writing in response to your regulations regarding Facial Tattooing. Although I understand your concern, I feel that you should be aware that permanent makeup, when performed by an experienced artist,has no greater risk than tattooing the body, or piercing the face. I am a professional in a corporate environment. I understand the constraints set by the Salem Board of Health. I am only asking that you look into this matter and I am sure you will see that permanent makeup is certainly not a health risk when done by an experienced artist. Thank you for your time, Patricia Ann Pothier Page 1 of 1 David Greenbaum • From: Brandy Rowe [brandy.rowe@yahoo.com] Sent: Monday, February 01, 2010 10:29 PM To: David Greenbaum Subject: In support of permanent makeup in Salem. Dear David, I am writing to show my support for Nikki Leitao and her trade as a permanent makeup artist. Unfortunately, I was not blessed with ample eyebrow hair and would spend 10 minutes every morning drawing my much needed eyebrows on. I work in a professional software company, so I only wore enough makeup to look normal. A year and half ago, I went to Nikki for an eyebrow fill. 1 was quite pleased at how much care she took in using sterile tools and keeping her work area sanitary. She did a fantastic job, and not only did she help boost my self esteem, I wear much less makeup now than I have in the past. The healing process was much shorter than a tattoo, and I would recommend it to anyone. The procedure is done by hand and not by a tattoo gun and it is much more delicate. I walked out of the parlor went right to work afterwards! Nikki gave me enough antibacterial ointment to last me through the healing process and she offered me a follow-up appointment to check on my progress(which I didn't even need, so I didn't bother to do the follow-up). Please consider overturning the bill banning permanent makeup in Salem. Nikki is a very professional individual who takes much care in her trade. She would be an asset to the Salem area. And since she already has quite a few clients in Boston, I'm sure they would follow her wherever she goes. She would bring in quite a few more people into Salem. • Thank you very much for your time. Best, Brandy Rowe 2/4/2010 i Pagel of 3 David Greenbaum • From: Ms Valentino [giani_valentino@comcast.net] Sent: Tuesday, February 02, 2010 10:00 AM To: David Greenbaum Cc: Nikki Leitao Correction The BDDYPIERCINGS in your town, that the town allows is more of a serious invasive procedure than any tattoo. The upper lip PIERCINGS going in over the lip (like a Cindy Crawford like mole), Genital piecing, and/or nipple piecing that you allow in your Salem shops are invasive procedures that have a high likelihood of infection. The chance of infection without medical monitoring is well over 50%. For piercing to be allowed but tattoo make up not to be allowed is just absurd. Furthermore, she uses the tap method. She does not use electrically charged machines for her makeup procedure, giving her full control over the blade and application. Whereas the tattoos that other people get on their body are used with a electrical machine where the blade is changed with every client..Nikki changes the blade and the entire tool for each person. David J. Greenbaum, Acting Health Agent • 120 Washington Street, 4th Floor Salem, MA 01970 1 am writing regarding Nikki Leitao who is currently a permanent make up artist at Stingray Bodyart in Cambridge/Allston, Mass. I believe the Board of Health in Salem has a no facial tattoo rule in their regulations. She has waited for two years now and unfortunately, no progress has been made in terms of her ability to be able to be licensed in Salem to do tattoo makeup in Salem. Nikki has done my Tattoo makeup at Stingray and it has been a very positive experience. The cleanliness and safety were not a concern for me. Blood born pathogens are always a concern in these environments. Nikki clearly was aware of safety precautions and current standards of care and what she as a tattoo artist needed to do to protect herself and the client. I worked in a Va hospital for ten years and am quite aware of concerns relating to needles, needle sticks, and concerns with blood such as hepatitis c and HIV and other safety concerns. I had no concerns at Stingray in terms of how she did her work. She changed needles, used gloves etc. You must remember that there is a stigma associated with tattoos but permanent make up is not just a tattoo. The following are different reasons why people get tattoo makeup. Realize reasons are alopecia, trichotillomania, breast cancer, and trauma. • 1.Permanent makeup is done on the aerola as aerola repair for a post cancer treatment to fix the removal or part or all of the aerola after the entire breast of part of the breast was removed. hftp://www.permanentmakeupofatianta.com/aerola.htm 2/4/2010 Pagp2 of 2. permanent makeup on the face can cover scars from trauma helping a woman improve her self-esteem . • 3. permanent make up is a treatment to help a woman with alopecia. this is a way for a woman to get eyebrows on the face, again to increase her self esteem. http://www.permanentmkup.com/alopecia hair loss.php 4. tattoo make up camouflages hair loss 5. This is a treatment for Trichotillomania to help the person's appearance. http://www.permanentmkup.com/alopecia hair loss.php 6. Some people are allergic to makeup and cannot wear most make ups. Or they have constant eye infections and no makeup is able to remain on the eye or eyelid for any period of time... David, I hope you will grant Ms Leitao priveledges to do this in Salem. A person is at no greater risk for disease having tattoo make up then if they had a tattoo on their arm. Piercing the body is actually more risky then any tattoo. The tattoo's your town allows is more of a serious invasive procedure. The upper lip tattoos going in over the lip like a Cindy Crawford like mole or Genital piecing & nipple piecing you allow in Salem. The chance of infection without medical monitoring is well over 50%. For piercing to be allowed but tattoo make up not to be allowed is just absurd. Please look at my picture. I have no keloids or problems from her work. It is perfect. I have • eyeliner both upper and lower, mole, eyebrows, full lips. My reasons for getting tattoo makeup I am not going to share. Nor will most people. You must realize that most people have reasons that they get it. giani sarah valentino, MSW • 2/4/2010 AA Page 3 of 3 iI S p ' E f I� • • 2/4/2010 • i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4m FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCREF_NBAUM@SAI,F_M.COM DAvID GREENBAUM ACTING HEALTH AGENT October 23,2009 THIS IS AN ORDER Ward lI Social Club of Salem I East Collins Street Salem,MA 01970 RE: I East Collins Street To Whom it May Concern: This office has determined that there exists a Public Health nuisance relative to Chapter 111,Section 123 of the Massachusetts,General Laws,and the Massachusetts Department of Environmental Protcction Regulation 310 CMR 7.00: Offensive odor being emitted to the atmosphere Nuisance conditions from the fan:in the kitchen which vents to the exterior of the building unreasonably interfere with the enjoyment of residential properly.An odor of grease being emitted from this fan has been observed on several occasions including March 17,March 26 and March 312009,and most recently October 15,2009. You are hereby ordered to abate this nuisance within 14 days of receipt of this Order. You must take appropriate measures tol ensure that this nuisance does not continue to occur in the future. Failure on your part to comply.within the.specified time will result in a complaint being sought against you in Court. Should you be aggrieved by this order,you have the right to request a hearing before the Board of Health. A request for a hearing must be received in writing in the office of the Board of Health within 7 days of receipt of this order. At said hearing,you will be given an opportunity to be heard and to present witness and documentary evidence as to why this order should_be modified or withdrawn. You may be represented by an attorney. Please also be informed that you . have the right to inspect and obtain copies of all relevant inspection or investigation reports,Orders,and other documentary information in the possession of this Board,and that any adverse party has the right to be present during the hearing. If you have any questions,kindly contact this office at(978)741-1800. For a Board o th: Reply to: David Gre nba in Elizabeth Salandrea Acting Health Agent Sanitarian cc:ward councilor Certified Mail:7099 3400 0006 0189 2912 • WARD II SOCIAL CLUB INC. 1-� East Collins St Salem MA 01970 978-744-9514 fax 978-745-5736 ward2socialclub@msn.com October 30,2009 Salem Board Of Health 120 Washington St.Street Salem MA.01970 Dear:Acting Health Agent(David Greenbaum) I am writing to you in response of your letter I received dated October 23,2009,And received by certified mail on October 29,2009 regarding the Offensive order being emitted to the atmosphere.Under the Massachusetts General Law Chapter 111,Section 123 And Massachusetts Department of Environmental Protection Regulation 310 CMR 7.00:I am requesting a hearing before the Board Of Health to this order. I am requesting a copy of all relevant inspection and investigation reports,Orders,and other documentary Information in the possession of the Board of Health in this matter before the hearing. • Sincerely, Patrick S.Hagen Manager Ward H Social Club Salem,Inc. Cc:Ward 2 Councilor Michael Sosnowski Ward Two Social Club (Board of Directors) Salem Board Of Health Elizabeth Salandrea (Sanitarian) RECEIVED Off 3 0 2009 OF HEALTH !, VED 3,0 2009 • :ALTH Page 1 of 1 David Greenbaum From: Paige Dalton [paigedalton24@yahoo.com] Sent: Monday, February 08, 2010 3:19 PM To: David Greenbaum Subject: Permanent Make-up Hello! My name is Paige and I'm a professional and published make-up artist in the Boston region. I've known Nikki for over 10 years and watched her perform safe and sterile applications at Stringray in Allston, MA. Having that type of application is a personal choice that improves self confidence. There is no doubt in my mind that she uses the correct procedures and follows the regulations appropriately. Please consider that getting this type of procedure is very similar to getting a tattoo or piercing. Warm Regards, Paige Dalton 2/8/2010 Mary Bowers Cochran • 152 Tahattawan Road Littleton,MA 01460 February 3,2010 ;'p David J. Greenbaum, Acting Health Agent �Fe 120 Washington Street, 4th Floor Salem, MA 01970 0a y4.�� Cny Dear Salem Health Department: I am writing to specifically support Nikki Leitao and her performance of permanent make-up"tattooing". She has"given"me permanent eyebrows and upper and lower lid lin= As you k- ,-t csee are not,done with-eorrenfional- -guts, but m+e-done- -a hand tapping pen. The results have been beyond my hopes. It's wonderful to just jump out of bed and already have my make-up on!!! I have been a_primary care-physician assistant.(MA license PA212)for 22 years_During, that time I have been extensively trained in surgical and sterile techniques and assisted in • major surgeries at New England Medical Center and The Faulkner Hospital. I continue to perform sterile minor operative procedures at my Concord Massachusetts office. I have spent at least ten or more hours with Nikki. Her sterile technique is beyond reproach. She is conscientious and diligent to a fault and won't do anything she doesn't feel comfortable doing or that she feels isn't in the customer's best interest. SHE is the e of business you WANT to draw to Salem and a customers I have n type y the cu o s e been referring to her.If-you ahvdq affow ra ra1- oing and--piercing,I-see-this-as-may-levels above those and should be allowed in your town. I live in Littleton and wish she wanted to come here!! Please feel free to contact me at any time.,(including.during.your meeting... yes,I feel THAT strongly!!)at 978-501-3282. Thank you for your time and consideration. Sincerely, Mary Bowers Cochran, MHP, PA-C • mbc Page 1 of 1 David Greenbaum • From: DENNIS DEVINE [dennisjames7l8@verizon.net] Sent: Friday, February 05, 2010 1:06 PM To: David Greenbaum Subject: request for licensing of Nikki Leitao in Salem David Greenbaum, Acting Health Agent 120 Washinton Street, 4th floor Salem, MA 01970 Dear David, I am penning this letter on behalf of Nikki Leitao, cosmetic facial tatto artist. I have had the experience of having Nikiki work on my face with permanent tatto application procedures. Her work was corrective for me, as I have had almost a complete loss of eyebrow hair(and scalp hair) due to chemotherapy. Even though some of my scalp hair grew back, most of my eyebrows never did and I have make efforts to disguise how aweful this looks with the appolication of cosmetics every day for the past 5 years. I am a male, and to do this every day just to look"normal" has become difficult for me, even though I have learned to make it look fairly natural for the most part. Nontheless, it is quite time consuming for me to do this, and again,as a male, it is rather embarrassing for me when it wipes off at times during the day, but, I want-and need-to look"normal". I searched for a solution to look normal and came across the website that Nikki works at in Allston, MA. I called for an appointment, had the corrective procedure done by her, and now, I have realistic brows and I don't have to deal with the difficulty or the embarrassment any more. I have walked into various tatto establishments in the past to have family memorial tatoos applied to my arms, and have realized that some of them are quite pristine and completely clean with regard to their • approach to hygenic procedure, and to be honest, a very small few of them left a lot to be desired. As I am a muscular therapist and an Anatomy & Physiology instructor who has been in the field for over 17 years, I am quite"hygenic aware", and expect nothing but the very best from another professional. The experience I had with Nikiki was one that spoke of her inner qualities as a person; it also spoke of her excellence as an extremely detailed artist who possesses an elevated capacity to focus as she works. She is completely hygenic, and offered the utmost in cleanliness and concern for my health and well being. She did everything in a very specific way and took great caution with every step of the procedure, ensuring all information about follow-up procedure and a 4 week check up to ensure all details of healing and health were addressed. Her work area was flawlessly clean as was her appearance and it caused me to realize that hygeine is very important if not critical to her and to the process of the application of permanant facial tatoo cosmetics. In my opinion, she is to be regarded as a leader in this important service. Because of Nikki, I no longer have to worry about my entire personal presentation in public. I also have no reservation with recommending her to other associates who are in need of facial cosmetics due to their various reasons for this greatly needed service. I am sincerely requesting of you to grant Nikki licensing for facial cosmetic tattooing procedures in the town of Salem. I will again state to you that her level of expertise and her level of hygeine is nothing more than A-1, excellent. Please do not hesitate to contact me by email (den nisjames7180-Werizon.net) or by phone (978) 578- 3610. In Health, Dennis J. DeVine • 2/8/2010 David j Greenbaum February 3, 2010 Acting Agent ent g 120 Washington Street 4t' Floor Salem, MA 01970 Dear Mr. Greenbaum, I am writing on behalf of Nikki Leitao, a cosmetic tattoo artist who resides in Salem. Due to a regulation concerning facial tatooing, Nikki is unable to practice her profession in Salem,and currently is licensed and works in Boston. Nikki hopes to open a business in Salem,where she resides with her husband and son. Cosmetic tattooing has become very popular for women. Its purpose is to accentuate eyebrows and eyelashes,giving the client the effect of permanent makeup. In my case, I lost my eyebrows due to chemotherapy and Nikki has given me new eyebrows with a very natural look. As a registered nurse with thirty five years experience, I can testify to Nikki's adherence to the highest standards of cleanliness and professionalism in her technique. She was trained in the office of one of the most prestigious plastic surgeons on the North Shore. Nikki has been waiting for two years for this regulation to be addressed. I understand that the Salem Board of Health is meeting on February 9,and I hope that you will take action to allow Nikki to be licensed and for her services to be available to women in the North Shore area. Sincerely, Jean Bonnei RECEAM- D 67 West St. �'� 92010 Beverly Farms, MA 01915 G7Y OF Sq{,EM (978) 927-8679 BOARD OF HEALTH • jean_bon@comcastnet