MEETING PACKET DECEMBER 2011 ! - - 2011
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CITY OF SALEM MASSACHUSETTS
BOARD OF HE.-\LTI-I
120 WASHINGTO N STREET,4...FL()OR
KIMBERLEY DRISCOLL, TEL. (978) 741-1800
MAYOR FAX (978) 745-0343
Iramdin@salei-n.com
L:1RItl'RANIDIN,RS/Itl:a IS,(:IIO,(-:I'-I,,S
f I f"M Al I A(c I-;N*r NOTICE OF MEETING
You are hereby notified that the Salem,Board of Health will hold its regularly scheduled meeting
Tuesday, December 13, 2011 at 7.00 PM
City Hall Annex, 120 Washington St Room 311
MEETING AGENDA
1. Call to order
2. Approval of Minutes from October 11, 2011 &Note November 15, 2011
3. Chairperson Announcements r
4. Public Health Announcements/Reports/Updates y
a. Health Agent
b. Public Health Nurse
• c. Elizabeth Gagakis - Sanitarian
d. Administrative
e. Council Liaison =
5. Tobacco Control Update-Joyce Redford
6. Michael LaChapelle—Requesting a variance to have more than one apprentice per Body Art
establishment
7. North Shore regional Collaboration Grant
8. NNHANES Study
9. Miscellaneous
10. Adjournment „ �€ �.�t ,itF
T h is M rk11 C :}'`. �. ri. r
Larry Ramdin 3A & 220 A M.Gi L
Health Agent
cc: Mayor Kimberley Driscoll, Board of Health, City Councilors
• Next regularly scheduled meeting is January 10, 2012 at 7pm at City Hall Annex,
120 Washington Street Room 311
Know your rights under the open meeting law MGL Chapter 39 Section 23B and City
Ordinance section 2-2028 through 2-2033
Salem Board of Health
Meeting November 8, 2011
• No quorum
Members present: Dr. Barbara Poremba, Chairperson; Gayle Sullivan; Dr. Larissa Lucas
Others present: Larry Ramdin, Health Agent; Tom Furey,Council Liaison
Absent: Martin Fair, Marc Salinas and Robert Dionne
The meeting commenced at 7:10 PM. As a quorum was not met, the agenda was suspended and
no votes were taken. The board had discussion on the following:
• Board requests that a reminder be sent out to all the members on the day of the meeting.
Members should include Chair in the reply to confirm that a quorum will be met.
• Board requests that PHN to attend meetings as her input is highly valued. In general, the
board would like all reports be more detailed and include any follow-up of cases, etc.
• Flu clinic November 19, 2011 —Notice needs to be sent to the newspaper informing the
public of the location and time. There are 500 doses of injectable vaccine available; no
nasal mist. The Board requests that PHN consider ordering flu mist next year.
• Dr. Poremba updated the board on the project done by SSU nursing students, "This is
Public Health". The purpose of this national initiative is to educate the community on
how public health impacts their daily lives by posting removable stickers to
• objects/resources. A poster of their efforts is on display at the Health Department.
• The health agent informed the Board that the senior staff meeting with the mayor is
tomorrow. He will update the board.
• Hunted Happenings was discussed. There were no significant health issues reported.
Some observations made and discussed were that there was no central first aid/rest station
as planned. The health agent stated that because of the possible snow storm, he canceled
the MRC tent for their safety. It was also pointed out that there had been no posting of a
first aid station on the Haunted Happenings map. The board suggested that it may be a
good plan to have a first aid station(possible location in the lobby of 120 Washington St)
and to include the location on the map. The board encouraged the health agent to attend
any debriefing sessions on the event. The board also inquired if it was adequately
budgeted for the increase in number of inspections needed to maintain public health and
safely during Haunted Happenings. Inspections have been challenging and the health
agent will review this.
• Councilor Tom Furey informed the Board that he is requesting to be on the Public Health,
Safety and Environmental subcommittee. The board has been supportive of the councilor
for his public health focus in general and his tobacco initiatives in particular. He also
informed the board that the City Council will have a request to decrease the number of
board members from 7 to 5. Most boards of health are limited to 3-5 members. The board
• has been supportive of this.
• The health agent informed the board of a possible request for a variance to open a
• Hookah Bar in Salem. He is not supportive of this due to health related concerns.
• The health agent informed the board of a possible request for a variance to allow more
than one tattoo apprenticeship in a body art establishment. He suggested to the board that
variances should not be great based on economics but only be granted based on a public
health need.
• The board requested the status of the "Healthy Happenings"calendar on our website.
The health agent is looking into this and will update the board at the next meeting.
• The health agent and the chairperson, met with SSU representative regarding the
"Healthy Salem" initiatives. Topics included collaborative relationships with students &
faculty such as developing walking maps through the city and "branding". A follow-up
meeting will be scheduled.
• The health agent informed the board that The North Shore Regional Collaboration Grant
was signed and is due by November 18, 2011.
The meeting ended at 9:05 PM
• Next regularly scheduled meeting is December 13, 2011 at 7pm, City Hall Annex, 120
Washington St, Room 311
•
CITY OF SALEM, MASSACHUSEITS
• .: BOARD()F HF,-Aj,, I I
120 WASHINGTON S"I'RI I T,4'�'1 1,OOR
I'ta.. (978) 741-1800
l�llvn3>.lu,l_:� t�Rlscol�>, FAX- (978) 745-0343
MAYOR lramdinnasalem.com
I�_lRlil'RA�II)IN,RS�RI•:FiS,CFiO,CY-IS
Fir,,AI;f'II A(;1(N*I*
Public Health Nurse Report
November 2011 Activities
Disease Prevention
• In contact with North Shore Pulmonary Clinic regarding active TB cases and
case contacts (carryover from October).
• Investigated Shigella case and reported to the MDPH.
• PPD testing and referral to NSPC for a new resident and family from the Refugee
and Immigration program
• DOT Monday through Friday for Active TB Case.
Meetings/Clinics
City of Salem Saturday Flu Clinic, Nathaniel Bowditch School: .69 residents vaccinated.
Office visits by appointment: 4 residents vaccinated.
Salem Life Bridge Flu Clinic: 8 residents vaccinated.
Assisted local Public Health Nurses with Clinics:
Marblehead
Swampscott
Received the North Shore Elder Services (NSES) Collaboration Award with David
Greenbaum at the NSES "We Give Thanks" Dinner and Awards Ceremony at
Hawthorne.Hotel, on November 16.
North Shore Cape Ann Emergency Preparedness Meeting: Discussed Updates
and deliverables.
• Attended the North Shore Pulmonary Quarterly Meeting to discuss current active
cases on the North Shore Area.
•
Monthly Report of Communicable Disease
November 2011
Disease New Carry over Discharged Reported
Lyme disease 0 0 0 0
Salmonella 0 0 0 0
Shigella 1 0 1 1
Tuberculosis 0 2 0 0
Varicella 0 0 0 0
Shi II ge a: 26 y/o male Food handler. Source of infection is unknown. Investigation conducted
with case and restaurant owner. Case was excluded from work until two consecutive negative
stool results were sent to the Salem Board of Health. Epidemiologist and Food Protection were
notified. They advised no further action needed. Case has returned to work. No other cases
have been reported.
I -
CITY OF SALEM, MASSACHUSF.TYS
• BOARD()F HF,--I.;I'II
120 WASHINGTO N STRFr;T,4"'I R
TL'a- (978) 741-1800
hIiv1131?RI:,1.?Y I�KISCOI_I_ FA.x (978) 745-0343
MAYOR
lramdin@salem.com
LAIMY RAMIAN,RS/RH IS,(:HO,(J,-I'S
HliAl,"I'1I AGI-:N'I
Public Health Nurse Report
November 2011 Activities
Disease Prevention
• In contact with North Shore Pulmonary Clinic regarding active TB cases and
case contacts (carryover from October).
• Investigated Shigella case and reported to the MDPH.
• PPD testing and referral to NSPC for a new resident and family from the Refugee
• and Immigration program
• DOT Monday through Friday for Active TB Case.
Meetings/Clinics
City of Salem Saturday Flu Clinic, Nathaniel Bowditch School: .69 residents vaccinated.
Office visits by appointment: 4 residents vaccinated.
Salem Life Bridge Flu Clinic: 8 residents.vaccinated.
Assisted local Public Health Nurses with Clinics:
Marblehead
Swampscott
Received the.North Shore Elder Services (NSES) Collaboration Award with David
Greenbaum at the NSES "We Give Thanks" Dinner and Awards Ceremony at
Hawthorne Hotel, on November 16.
North Shore Cape Ann Emergency Preparedness Meeting: Discussed Updates
and deliverables.
• Attended the North Shore Pulmonary Quarterly Meeting to discuss current active
cases on the North Shore Area.
•
Monthly Report of Communicable Disease
November 2011
Disease New Carry over Discharged Reported
Lyme disease 0 0 0 0
Salmonella 0 0 0 0
Shigelia .1 0 1
Tuberculosis 0 z 0 0
Varicella 0 0 0 0
•
Shigella: 26 y/o male Food handler. Source of infection is unknown. Investigation conducted
with case and restaurant owner. Case was excluded from work until two consecutive negative
stool results were sent to the Salem Board of Health. Epidemiologist and Food Protection were
notified. They advised no further action needed. Case has returned to work. No other cases
have been reported.
•
k CITY OF SALEM, MASSACHUSE'ITS
• _ BOARD OF M*L-u,'ri-1
120 WASHINGTO Ni STRI_ET,4'�' 1-1-()OR
T.L. (978) 741-1800
1CNrBFlu,r-�� nlilscoz,r� FAX (978) 745-0343
M1�YOR lramdin@salem.com
LARRY RAMINN,RS/RN[S,C1-110,C;P-IDS
HI,,,\.I,77I A(,FINT
Public Health Nurse Report
November 2011 Activities
Disease Prevention
• In contact with North Shore Pulmonary Clinic regarding active TB cases and
case contacts (carryover from October).
• Investigated Shigella case and reported to the MDPH.
• PPD testing and referral to NSPC for a new resident and family from the Refugee
and Immigration program
• DOT Monday through Friday for Active TB Case.
Meetings/Clinics
City of Salem Saturday Flu Clinic, Nathaniel Bowditch School: 69 residents vaccinated.
Office visits by appointment: 4 residents vaccinated.
Salem Life Bridge Flu Clinic: 8 residents vaccinated.
Assisted local Public Health Nurses with Clinics:
Marblehead
Swampscott
Received the North Shore Elder Services (NSES) Collaboration Award with David
Greenbaum at the NSES "We Give Thanks" Dinner and Awards Ceremony at
Hawthorne Hotel, on November 16.
North Shore Cape Ann Emergency Preparedness Meeting: Discussed Updates
and deliverables.
• Attended the North Shore Pulmonary Quarterly Meeting to discuss current active
cases on the North Shore Area.
•
Monthly Report of Communicable Disease
November 2011
Disease New Carryover Discharged Reported
Lyme disease 0 0 0 0
Salmonella 0 0 0 0
Shigella 1 0 1 1
Tuberculosis 0 z 0 0
Varicella 0 0 0 0
Shigella: 26 y/o male Food handler. Source of infection is unknown. Investigation conducted
with case and restaurant owner. Case was excluded from work until two consecutive negative
stool results were sent to the Salem Board of Health. Epidemiologist and Food Protection were
notified. They advised no further action needed. Case has returned to work. No other cases
have been reported.
•
Administration Monthly Report
November-11
Burial Permits @$25.00 $1,250.00
Permits $1,395.00
Certificate of Fitness@$50.00 $3,250.00
Fines
Total Monies Collected = $5,895.00
Annual Budget Expended
Available Balance
Total Salary/Longevity $344,000.00 ® $135,391.90 $208,601.10
Annual Budget ® Expended Available Balance
Non-Personnel $19,600.00 $13,180.98 $6,419.02
•
November 8, 2011
Michael LaChapelle
Salem Ink
239 Washington St
Salem, MA 01970
Dr. Barbara Poremba and the Salem Board of Health
I am requesting a variance of the City of Salem Board of Health regulations that states that only
one apprentice will be allowed per body art establishment. I would like to request a variance
that would allow Salem Ink two apprentices. Each apprentice would be working under an
individual artist and would not be working on the same days. I feel two apprentices would
better fit the shops schedule and needs.
Thank You
Michael LaChapelle
•
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National Health and Nutrition
Examination Survey, 2011 -2012
Overview
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U.S.DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
"o National Center for Health Statistics
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Introduction
• The National Health and Nutrition Examination
direct and design health programs and
Survey (NHANES) is a program of studies services, and expand the health knowl-
designed to assess the health and nutritional edge for the Nation.
status of adults and children in the United
States. The survey is unique in that it com-
bines interviews and physical examinations. survey Content
NHANES is a major program of the National
Center for Health Statistics (NCHS). NCHS As in past health examination surveys, data
is part of the Centers for Disease Control and will be collected on the prevalence of chron-
Prevention (CDC) and has the responsibility for is conditions in the population. Estimates for
producing vital and health statistics for previously undiagnosed conditions, as well
the Nation. as those known to and reported by respon-
The NHANES program began in the early
dents, are produced through the survey. Such
information is a particular strength of the
1960s and has.been conducted as a series of sur- NHANES program.
veys focusing on different population groups or
health topics. In 1999, the survey became a con- Risk factors, those aspects of a person's life-
tinuous program that has a changing focus on a style, constitution, heredity, or environment
variety of health and nutrition measurements to that may increase the chances of developing
• meet emerging needs. The survey examines a a certain disease or condition, will be
nationally representative sample of about 5,000 examined. Smoking, alcohol consumption,
persons each year. These persons are located sexual practices, drug use, physical fitness
in counties across the country, 15 of which are and activity, weight, and dietary intake will
visited each year. be studied. Data on certain aspects of
reproductive health, such as use of oral
The NHANES interview includes demographic, contraceptives and breastfeeding practices,
socioeconomic, dietary, and health-related will also be collected.
questions. The examination component consists
of medical, dental, and physiological measure- The diseases, medical conditions, and health
ments, as well as laboratory tests administered indicators to be studied include:
by highly trained medical personnel.
- Anemia
Findings from this survey will-be used to de- - Body composition
termine the prevalence of major diseases and - Cardiovascular disease
risk factors for diseases. Information will be - Diabetes
used to assess nutritional status and its associ- - Environmental exposures
ation with health promotion and disease pre - Hearing loss
vention. NHANES findings are also the basis - Infectious diseases
for national standards for such measurements - Kidney disease
as height, weight, and blood pressure. Data - Nutrition
• from this survey will be used in epidemiologi- - Obesity
cal studies and health sciences research, which - Oral health
help develop sound public health policy, - Physical activity and physical functioning
Reproductive history and sexual behavior An advanced computer system using high-end
• Respiratory disease(asthma,chronic bronchitis, servers, desktop PCs, and wide-area network-
emphysema) ing collect and process all of the NHANES
• Sexually transmitted diseases data, nearly eliminating the need for paper
• Taste and smell forms and manual coding operations. This
system allows interviewers to use notebook
computers with electronic pens. The staff at
the mobile center can automatically transmit
The sample for the survey is selected to represent data into data bases through such devices as
the U.S. population of all ages. To produce reli- digital scales and stadiometers. Touch-sensi-
able statistics, NHANES over-samples persons tive computer screens let respondents enter
60 and older,African Americans,Asians, and their own responses to certain sensitive ques-
tions in complete privacy. Survey information
Hispanics. is available to NCHS staff within 24 hours of
Since the United States has experienced dramatic collection, which enhances the capability of
growth in the number of older people during this collecting quality data and increases the speed
century, the aging population has major impli- with which results are released to the public.
cations for health care needs, public policy, and
research priorities. NCHS is working with public In each location, local health and government
agencies to increase the knowledge of the officials are notified of the upcoming survey.
,health
ealth status of older Americans. NHANES has a Households in the study area receive a letter
primary role in this endeavor. from the NCHS Director to introduce the
survey. Local media may feature stories about
All participants visit the physician. Dietary in- the survey.
terviews and body measurements are included
for everyone.All but the very young have a NHANES is designed to facilitate and encour-
blood sample taken and will see the dentist. age participation. Transportation is provided to
Depending upon the age of the participant, the and from the mobile center if necessary. Par-
rest of the examination includes tests and proce- Par-
ticipants receive compensation and a report of
dures to assess the various aspects of health listed medical findings is given to each participant.
above. In general,.the older the individual, the All information collected in the survey is kept
strictly confidential. Privacy is protected by
more extensive the examination.
public laws.
Survey Operations
Health interviews are conducted in respondents'
homes. Health measurements are performed in
specially-designed and equipped mobile centers,
which travel to locations throughout the country.
The study team consists of a physician, a dentist,
medical and health technicians, as well as dietary
and health interviewers. Many of the study staff are
bilingual (English/Spanish).
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Sises of the Data mental Protection Agency allows continued
study of the many important environmental
Information from NHANES is made available influences on our health.
through an extensive series of publications and
articles in scientific and technical journals. For
data users and researchers throughout the world,
survey data are available on the internet.
Research organizations, universities, health Mobile Examination Center (MEC) Diagram
care providers, and educators benefit from Blood Draw
survey information. Primary data users are Laboratory Staff Area
federal agencies that collaborated in the de-
sign and development of the survey. The Hearing i 3 Body
Dentist
National Institutes of Health, the Food and Test A Composition
Drug Administration, and CDC are among the
agencies that rely upon NHANES to provide
Interview
terview
data essential for the implementation and &Ire
ssureLetaryinterviews 1• Rooms Doctor
evaluation of program activities. The U.S. Study
Department of Agriculture and NCHS coop- m
erate in planning and reporting dietary and Body Breathing �• a Urine Reception
mL
Measurement Test Collection p
Outrition information from the survey.
NHANES' partnership with the U.S. Environ-
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NHANES' record of important accomplishments tion programs toward those at risk and to
• is made possible by the thousands of Americans measure success in curtailing risk factors
who have participated. associated with heart disease, the Nation's
number one cause of death.
• Past surveys have provided data to create the
growth charts used nationally by pediatricians • Measures of lung function will further
to evaluate children's growth. The charts have our understanding of respiratory disease
been adapted and adopted worldwide as a ref- and better describe the burden of asthma
erence standard—and have recently been in the United States.
updated using the latest NHANES figures.
Because NHANES is now an ongoing pro-
Blood lead data were instrumental in devel- gram, the information collected contributes
oping policy to eliminate lead from gasoline to annual estimates in topic areas included in
and in food and soft drink cans. Recent survey the survey. For small population groups and
data indicate the policy has been even more less prevalent conditions and diseases, data
effective than originally envisioned, with must be accumulated over several years to
a decline in elevated blood lead levels of more provide adequate estimates.The new contin-
than 70% since the 1970s. uous design also allows increased flexibility
in survey content.
• Overweight prevalence figures have led to the
proliferation of programs emphasizing diet Results of NHANES benefit people in the
• and exercise, stimulated additional research, United States in important ways. Facts about
and provided a means to track trends in obesity. the distribution of health problems and risk
factors in the population give researchers
• Data have continued to indicate that undiag- important clues to the causes of disease. Infor-
nosed diabetes is a significant problem in the mation collected from the current survey is
United States. Efforts by government and compared with information collected in
private agencies to increase public awareness, previous surveys. This allows health planners
especially among minority populations, have to detect the extent various health problems
been intensified. and risk factors have changed in the U.S.
population over time. By identifying the health
These are just a few examples of what survey care needs of the population, government
findings have meant. The current program agencies and private sector organizations can
promises continuing contributions and some new establish policies and plan research, education,
initiatives. and health promotion programs that help
improve present health status and will prevent
• Information collected in this survey will help future health problems.
the Food and Drug Administration decide if
there is a need to change vitamin and mineral
fortification regulations for the Nation's food
supply.
• National programs to reduce hypertension
and cholesterol levels continue to depend on
NHANES data to steer education and preven-
•
For more information about the National Center for Health Statistics contact:
National Center for Health Statistics
Information Dissemination Staff
3311 Toledo Road, Room 5320
Hyattsville, MD 20782
Telephone: 1-800-232-4636
E-mail:cdcinfo@cdc.gov
Internet:http://www.cdc.gov/nchs
• For more information about the National Health and Nutrition Examination Survey
you may visit the NHANES web site at: http://www.cdc.gov/nhanes
•
CS214920
•
•
Health Agent Report November 2011
Announcements
• Jennifer Keough, Code Enforcement Inspector has tendered her resignation
effective December 9, 2011. Jennifer has accepted a position with the Melrose
Health Department as a Senior Inspector.
• The regionalization grant has been submitted to the Massachusetts Department of
Public Health we are awaiting a decision.
• We are currently reviewing the FDA Voluntary Standards program and
contemplate enrolling in January 2012. The program establishes standards for
Food Safety Inspections, training and industry collaboration.
• Tracy Giarla and David Greenbaum received an award from the Northshore Elder
Services" We give Thanks Collaboration Award". The award was presented to
the Board recognizing the work Tracy and David's work on the Hoarding
Taskforce. Additionally, a congratulatory note was sent by the Mayor
recognizing the efforts of the Board and its staff.
• • We received a note from a resident about the work done by David Greenbaum and
Elizabeth Salandrea in alleviating an illegal dumping problem in a vacant lot •
behind Market Basket on Highland Avenue.
Other Activities
• We have received complaints of Rodents in the Barnes Road area, the storms
drains in the entire area will be treated for rodents
• Larry Ramdin met with representatives of Salem State University to discuss the
development of walking maps for the Salem community and utilization of
students from the expect program to develop a marketing plan for public health
• Environmental Health Staff attended the Certified Housing Inspector training in
Westborough, MA.
Inspections
• 65 Certificate of Fitness Inspections conducted
• 8 Food inspections were conducted
• 17 Housing Inspections
* 5 trash Complaints
•
•
•
•
Health Agent Report November 2011
Announcements
• Jennifer Keough, Code Enforcement Inspector has tendered her resignation
effective December 9, 2011. Jennifer has accepted a position with the Melrose
Health Department as a Senior Inspector.
• The regionalization grant has been submitted to the Massachusetts Department of
Public Health we are awaiting a decision.
• We are currently reviewing the FDA Voluntary Standards program and
contemplate enrolling in January 2012. The program establishes standards for
Food Safety Inspections, training and industry collaboration.
• Tracy Giarla and David Greenbaum received an award from the Northshore Elder
Services " We give Thanks Collaboration Award". The award was presented to
the Board recognizing the work Tracy and David's work on the Hoarding
Taskforce. Additionally, a congratulatory note was sent by the Mayor
recognizing the efforts of the Board and its staff.
• We received a note from a resident about the work done by David Greenbaum and
Elizabeth Salandrea in alleviating an illegal dumping problem in a vacant lot •
behind Market Basket on Highland Avenue.
Other Activities
• We have received complaints of Rodents in the Barnes Road area, the storms
drains in the entire area will be treated for rodents
• Larry Ramdin met with representatives of Salem State University to discuss the
development of walking maps for the Salem community and utilization of
students from the expect program to develop a marketing plan for public health
• Environmental Health Staff attended the Certified Housing Inspector training in
Westborough, MA.
Inspections
• 65 Certificate of Fitness Inspections conducted
_ • 8 Food inspections were conducted
• 17 Housing Inspections
• 5 trash Complaints
•
I
CITY OF SALEM, MASSACHUSETTS
BOARD OF HFAL'fii
120 W,ISIIINGTON SmrL.F_,T,4"'FL(X)R
KIMBERI,EY DRISCOLL TEL. (978) 741-1800
FAX(978) 745-0343
MAYORIramdin@salem.com
LARRY RANNIDIN,RS/REI IS,CF10,CP-FS
III:;r\I:nIA( FNT
NOTICE OF MEETING.
You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting
Tuesday, February 14, 2012 at 7.00 PM
City Hall Annex, 120 Washington St. Room 311
MEETING AGENDA
1. Call to order
2. Approval of Minutes from January 10, 2012, Executive session minutes from March 31,
2011
3. Chairperson Announcements
4. Public Health Announcements/Reports/Updates
• a. Health Agent
b. Public Health Nurse
c. Administrative
d. Councilor Liaison
5. Discussion of reduction in number of Board Members and Department Head Title
6. Joyce Redford,North Shore Tobacco Control Director-Presentation on tobacco sales products&a
draft of the new tobacco sales regulation will be presented to the board for review
7. Miscellaneous
8. Adjournment
Larry amdin
Health Agent
cc: Mayor Kimberley Driscoll, Board of Health, City Councilors
Next regularly scheduled meeting is March 13,2011 at 7pm at City Hall Annex, 120
Washington Street Room 311
• Know your rights under the open meeting law MGL Chapter 39 Section 23B and City
Ordinance section 2-2028 through 2-2033
CITY OF SALEM
BOARD OF HEALTH
MEETING MINUTES
January 10, 2012
• DRAFT
MEMBERS PRESENT: Dr. Larissa Lucas, Martin Fair, Robert Dionne &Gayle Sullivan
OTHERS PRESENT: Larry Ramdin.Health Agent, Council Liaison Thomas Furey
MEMBERS EXCUSED: Dr. Barbara Poremba, Chairperson
TOPIC DISCUSSION/ACTION
1. Call to Order Meeting called to order by Martin Fair at 7:13pm.
2. Minutes of Last Meeting R. Dionne Motioned to accept the minutes 2nd G. Sullivan
(Dec 12, 2011) Unanimously approved
3.Chairperson Announcements . None were made.
4. Monthly Reports-Updates
A. Administrative Report Presented and approved. Copy available in office
• B. Public Health Nurse Presented and approved. Copy available in office
Report
C. Health Agent Report Healthy Happenings Calendar is up and running. The DEP is
amending their regulations to allow for establishment of organic
waste recycling (mainly kitchen waste).
Presented and approved. Copy available in office
D. City Council Liaison Councillor Furey informed the Board that Councillor.Paul Prevey
Updates has been voted in as the chair of the Public Health Sub-Committee.
L Ramdin offered to write a letter of congratulations on.behalf of
the Board.
5. New Business
A. Joyce Redford, North Shore Joyce Redford, Director of Tobacco Control and Donald J. Wilson,
Tobacco Control Director of Mass Municipal Association, presented a sample regulation to
the Board: Restricting The Sale of Tobacco Products and Nicotine
Delivery Products. This regulation could replace or update our
current Board of Health regulation#24, which will be further
discussed at next month's meeting.
J. Redford handed out paper work to the Board including, a list.of
• cities that have banned tobacco sales in pharmacies, a sample of
local policies regarding electronic cigarettes and nicotine delivery
products, and a work sheet on main components of tobacco sale
regulations and options available.
Copies available in office upon request.
The sample regulations included a new tolling fees process, which
the Board is most interested in since our current regulation has no
tolling period. A ban on sales in Educational Institutions, Health
Care Institutions, pharmacies and self service displays/machines.
A ban on sales of flavored tobacco and regulation of sales on
flavored cigars.
J. Redford offered to come back next month for a presentation ote
tobacco products with which the Board may not be familiar. The
Board agreed and asked if J. Redford or DJ Wilson could write a
draft regulation for Salem. J Redford & DJ Wilson will have a draft
ready before the meeting so the Board members can review it prior
to February's meeting.
B. North Shore Cape Ann Emergency L Ramdin informed the Board that the city solicitors from the cities
Preparedness region Mutual aid and towns within the coalition have met and reviewed the Mutual
Memoranda of Understanding Aid Memoranda of Understanding and are in agreement with the
way in was written.
G Sullivan motioned that the Salem Board of Health accept the
North Shore-Cape Ann Emergency Preparedness Coalition:
region 31), mutual aid agreement as agreed to by the Salem City
Solicitor and authorizes the Board of Health Chair to sign the
agreement on behalf of the Salem Board of Health.
Further the Salem Board of Health designates the Salem Health
Agent and Public Health Nurse as Authorized Representatives
per section 3 of the Agreement.
2"d R. Dionne unanimously approved
•
C. North Shore Regional The Public Health District Incentive grant has been approved and
Collaboration Grant the group is waiting on financial documents from the MA DPH.
When the disbursement is received it will be placed in a separate
account. Salem is the host agent for the grant and L. Ramdin will be
looking to hire a Program Coordinator. This grant money will be
used for shared services through the N.S.R.C.
Some of the uses of shared service would be a study on asthma
reduction and tobacco control, such as promotion of smoke free
housing and production and distribution of informational packets on
Integrated Pest Management and proper disposal of trash for tenants
and landlords.
6. MEETING ADJOURNED: 8:56pm
Respectfully submitted,
Heather Lyons-Paul
Clerk of the Board
•
Next regularly scheduled meeting is February 14, 2012 at 7pm
At City Hall Annex, 120 Washington Street,Room 311 Salem.
• CITY OF SALEM
BOARD OF HEALTH
MEETING MINUTES of March 31, 2011
120 Washington St 3rd Floor Conference Room
Members present: Dr. Barbara Poremba, Dr. Larissa Lucas, Gayle Sullivan, Kemith LeBlanc and
Martin Fair
Excused: Mark Salinas
Others present: Larry Ramdin
The meeting was called to order by Dr. Barbara Poremba.
The members unanimously voted to go into executive session for a preliminary interview with
Larry Ramdin for the Health Agent's position and to adjourn after the executive session.
The members asked questions of Mr. Ramdin including, his qualifications, education,0
q g� q � ,
experience, vision of the future of public health, and special projects he had worked on.
After the interview Mr. Ramdin was excused. The Board discussed his candidacy and voted to
invite him to the next regularly scheduled Board of Health Meeting for a second interview.
•
•
Health Agent Report January 2012
Announcements
Tracy Giarla Public Health Nurse has tendered her resignation
effective February 9, 2012. Ms. Giarla has accepted a position as the
Public Health Nurse in Marblehead
• Larry Ramdin David Greenbaum and Elizabeth Gagakis attended a
Massachusetts Environmental Health Seminar on Onsite Wastewater
Disposal for Local Health officials. The seminar discusses issues on
onsite waste water disposal and alternative methods for disposal.
• Larry Ramdin and Tracy Giarla attended MA Responds
Administrator, the training allows them to send messages for
assistance over the MA responds system in the vent of a Public
Health emergency
• Larry Ramdin David Greenbaum and Elizabeth Gagakis attended a
seminar on Bedbugs that dealt with detection and treatment of
bedbugs.
• The Healthy Salem Collaboration with Salem State University has
begun the active phase. There are 2 projects ongoing a Branding
project and a project that will market Local Public Health to the
community and is designed to convey information to Salem residents
on what their Board of Health does.
• The Health Agent attended meetings on a proposed rooming house
ordinance; the ordinance will address the health safety and other
concerns about rooming houses in the City of Salem.
Other Activities
Inspections
• 56 Certificate of Fitness Inspections
• 32 Food inspections
• 21 Housing Inspections
• 1 Nuisance/Trash Complaints
. 1 meeting attended
• 4 seminars
•
y CITY OF SALEM, MASSACHUSETTS
130AxD OF HE;AI;I'I-I
120 W.ISHINGTON STREET,4".FLOOR
T`EL. (978) 741-1800
ItiII��FR]:,rY DRISGOI,L
FAX (978) 745-0343
MAYOR Iramdin@salem.com
LARRY RAMI)IN,RS/RI?I IS,(;(IO,CT-FS
Hi,"m:n I AC I sNT
Public Health Nurse Report
January 2012 Activities
Disease Prevention
• In contact with North Shore Pulmonary Clinic regarding active TB cases and
case contacts.
• Investigated communicable disease cases and reported to the MDPH.
• DOT Monday through Friday for Active TB Case.
Meetings/Clinics
• Attended NSCAEP Coalition Meeting in Peabody to discuss upcoming drills.
Received Maven Training for TB Certification.
Attended the Mass Responds Computer Training Program for calling up volunteers in an
emergency.
MONTHLY REPORT OF COMMUNICABLE DISEASE
DECEMBER 201 1
DISEASE NEW CARRY OVER DISCHARGED
REPORTED
LYME DISEASE O O O O
HEPATITIS C 2 O 2 2
CAMPY 1 O 1 1
TUBERCULOSIS O 2 O 1
• VARICELLA 0 0 0 0
CAMPYLOBACTER: 12 MO. MALE. TRAVELED TO DOMINICAN REPUBLIC DURING •
INCUBATION PERIOD. DAY CARE NOTIFIED. DAY CARE INSPECTION CONDUCTED WITH
DAVID GREENBAUM. PUBLIC HEALTH FACT SHEETS PROVIDED TO DIRECTOR. CHILD
MAY RETURN AFTER DIARRHEA HAS RESOLVED.
TB: ELDERLY MALE. ARRIVED IN US IN SEPTEMBER 201 1 . ABNORMAL CXR.
4 HOUSEHOLD CONTACTS. THREE SKIN TESTED NEGATIVE, ONE WAS PAST POSITIVE,
BUT HAS DECLINED LATENT TB TREATMENT.
TB: TODDLER FEMALE. SHE IS CONTINUING HER TREATMENT AT CHILDREN'S
HOSPITAL BOSTON, INFECTION CONTROL UNIT. SHE WILL FINISH HER TB TREATMENT
IN AUGUST OF 2012
.
TB: 31 Y/O FEMALE. MOVED TO THE MIDWEST. DIVISION OF TB CONTROL SENT
INTERSTATE NOTIFICATION LETTER. SHE IS ALSO RECEIVING DOT IN THIS STATE. SHE
WILL COMPLETE THERAPY IN APRIL 2012.
HEPATITIS C: TWO CHRONIC CASES, NO FOLLOW UP NEEDED. s;
•
•
Administration Monthly Report
January-12
Burial Permits @$25.00 $1,125.00
Permits $7,095.00
Certificate of Fitness@$50.00 $2,450.00
Fines
Total Monies Collected = $10,670.00
Annual Budget Expended
Available Balance
Total Salary/Longevity $344,000.00 $188,622.51 $155,377.49
Annual Budget Expended Available Balance
Non-Personnel $19,600.00 Q $15,874.85 $3,725.15