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MEETING PACKET FEBRUARY 2011 e" y lr r R d CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4TH FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOL.L FAX(978) 745-0343 MAYOR DGREENBAUM&ALEM.COM DAVID GREENBAum,RS ACTING HEALTH AGENT NOTICE OF MEETING You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting on Tuesday, February 8,2011 at 7:00 PM at City Hall Annex, 120 Washington St.Boom 311, MEETING AGENDA •m i 1. Call to order w 2. Approval of Minutes from January 11,2011 -M 3. Chairperson Announcements cn 4. Public Health Announcements/Reports/Updates a. Health Agent b. Public Health Nurse c. Administrative d. Councilor Liaison 5. Helen Sides,Architect—Would like to address the Board regarding amending the Board of Health Exterior Paint Removal Regulation#23 to allow the use of approved HEPA filter vacuums for power sanding while engaging in exterior paint removal.. 6. Miscellaneous 7. Executive Session—Personnel Matter 8. Adjournment Next regularly scheduled meeting is March 8, 2011 at 7pm at City Hall Annex, 120 Washington Street Room 31 poed OiA w of1 3'wow a2 Cl }fq rift ail Salem, Mass. ap Pin In David ee baum so of Acting Health Agent Cc: Mayor Kimberley Driscoll, Board of Health, City Councilors CITY OF SALEM BOARD OF HEALTH MEETING MINUTES 0 January 11, 2011 MEMBERS PRESENT: Members present: Dr. Barbara Poremba, Chair, Martin Fair, Gayle Sullivan, Dr. Larissa Lucas, Kemith LeBlanc, and Marc Salinas OTHERS PRESENT: David Greenbaum, Acting Health Agent, & Councillor Liaison Thomas Furey TOPIC DISCUSSION/ACTION 1. Call to Order Meeting called to order by Dr. Poremba, Chair, at 7:05pm. 2. Minutes of Last Meeting Dr. Lucas moved to accept the minutes. 2nd (December 14, 2010) 5 in favor; 0 opposed, 1 abstention. Minutes approved. 3. Chairperson Announcements Dr. Poremba informed the Board of a request by The National Association of Local Boards of Health(NALBOH)to participate in national profile survey of local boards of health. This provided thoughtful discussion in identifying roles, responsibilities and needs of local boards of health to strengthen and improve public health. It was decided that the Board needed to conduct an updated community • health assessment. Dr. Poremba will provide demographic data indicators. D. Greenbaum will provide morbidity and mortality data and particular health indicators for the community available from MassCHIPS. This information may be used to determine a focus for a collaborative effort of interested communities or other health promotion/prevention initiatives. 4. Monthly Reports-Updates A. Administrative Presented and approved. Copy available in office. Report Gayle Sullivan and Kemith LeBlanc requested that more detailed information be available in next month's report regarding balances of money in administrative report. B. Public Health Report presented and approved. Copy available in office. Nurse Report Flu Clinics: A collaborative flu clinic was held Dec 16 at the NS Mall; only 120 doses were administered. Other clinic numbers have also been low. The Board questioned why the numbers have been low this year. D. Greenbaum explained that the vaccine has been available since Aug/Sept in pharmacies and MD offices; our clinics started in October as that is when our allotments are received. Other possible intervening factors were explored including vaccination concerns and misbeliefs which impact immunization compliance. The Board requested that information on free vaccines available at the Lydia Pinkham Clinic on Derby Street be posted on the city website. C. Acting Health Report presented and approved. Copy available in office. Agent Report Collaborative efforts: D. Greenbaum reported that North Shore communities from our Emergency Preparedness Coalition are interested in collaboration on specific topics. They are not interested at this time in regionalization. The communities that have been contacted regarding a • collaborative effort are Lynn, Swampscott, Marblehead, Peabody, Beverly, Danvers and Nahant. All will be included in discussions going forward. A letter is due into MA DPH by February 15`}'. Marblehead BOH is willing to host a meeting to speak about this. D. Greenbaum will contact Marblehead to set a meeting and will update board members with further information. Smoking in Public Housing: D Greenbaum reported that he will be attending a meeting about smoking in public housing on January 26th at loam hosted by the North Shore Community College in the Cummings Center in Beverly, MA D. City Council Councilor Furey informed the Board that he will remain as liaison for the Liaison next year. He also encouraged the Board to peruse the grant opportunity Updates for regional or collaborative public health services. 5. Executive Session Personnel matter. • MEETING ADJOURNED: 9:20 PM Respectfully submitted, Heather Lyons-Paul Clerk of the Board Next regularly scheduled meeting is.February 8, 2011 at 7pm At City Hall Annex, 120 Washington Street, Room 311 Salem. c i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRI l NBAUM@SAI..F.M.CO.M DAVID GREENBAum,RS ACTING FIEM.'rui AGENT Acting Health Agent Report January 2011 Meetings/Trainings 1. Attended the monthly meetings of the NS/CA Emergency Preparedness Coalition for November. Key items discussed include: • Updates on upcoming deliverables and how to meet the deliverables • Local State Advisory Committee updates • Joyce Redford did a presentation to the coalition for possible expansion of the Tobacco Control Program to include communities that are not currently covered by a tobacco control program. 2. Attended a negotiating meeting for HHW with Clean Harbors to discuss a new contract for HHW. After meeting with Clean Harbors it was decided to meet with two other vendors. 3. Attending a negotiating meeting for HHW with Clean Ventures and PSC Environmental Services to discuss proposals their proposal for HHW services • for Essex County. 4. Attended a debriefing of the mall flu clinic to discuss how the clinic went and lessons learned from the clinic. 5. Attended a Hoarding Task Force meeting at North Shore Elder Services. 6. Attended a meeting with Peabody, Marblehead and Lynn to discuss the regional health district grant incentive program. Communities are in agreement to move ahead with applying for a planning grant for the purpose exploring the planning phase of what it would take to form a regional health district. Other communities such as Beverly, Swampscott, Danvers and Nahant will also be included in any conversation regarding regional health districts. Significant Communication or Complaints from Residents 1. I received a letter from Attorney Michael McMardle regarding Richard Harrell and 117 Lafayette Street. (Attached as Appendix A). Attorney McCardle has requested that the Salem Board of Health conduct an inspection of 117 Lafayette Street for compliance with the State Sanitary Code for Housing as part of a lawsuit Mr. Harrell has against the owner. Mr. Harrell no longer resides at this address and has no standing to request an inspection. A letter in response was sent to Attorney McCardle. (Attached as Appendix B) 2. Helen Sides a local architect has requested to appear before the Board to discuss amending Board of Health Regulation #23: Rules and Regulations for Exterior Paint Removal and Abrasive Blasting. This regulation prohibits the use of power sanders for exterior paint removal and Ms. Sides would like the • regulation to be amended to allow for the use of power sanders with approved HEPA filter vacuums in line with the EPA Renovation, Repair and Painting P r Rule. (A copy of Regulation #23 is attached as Appendix C) My recommendation regarding this possible amendment to Regulation#23 is that • on the surface I see no issue with allowing this amendment. However, currently any person applying for a permit to do exterior paint removal can apply for a variance to use power sanders while removing paint. Should an amendment to this regulation be approved I believe that other controls should also be put in place such wet sanding and shrouding an area that power sanders will be used. Inquiries or Reports from the Media NONE Other Public Health Information Update on the Grant/Collaboration Opportunity I have again spoken to the communities of Peabody, Marblehead, Beverly, Swampscott and Danvers. I am still trying to contact Lynn, and Nahant to confirm their interest. Peabody, Marblehead and Danvers have expressed interest in applying for the planning grant. Beverly and Swampscott are also interested but have not presented the proposal to their boards yet. Beverly meets on February 17, and Swampscott meets on February 8. 1 hope to have more information after these meeting. Peabody, Marblehead and Danvers are willing to go through the planning process to explore the feasibility of collaborating and/or sharing services, however, there is no commitment to go forward and apply for an implementation grant after the planning process. Additionally, it is • important to note that the overall feeling of the communities involved is that there is no real interest in combining or merging health departments. This process is only to determine if it is feasible to share services for the benefit of all the communities involved. It was also suggested that it would be best if MAPC act as the lead agency for this process. • • APPENDIX A • r Law Offices of • Michael M. McArdle 204 Lafayette Street Salem, Massachusetts 01970 Telephone (978) 744 5150 Facsimile(978) 744 5144 Email: Mike@mikemcardlelaw.com January 12, 2011 VIA EMAIL AND U.S. MAIL City of Salem Board of Health c/o David Greenbaum, RS Acting Health Agent 120 Washington Street Salem, MA 01970 RE: Richard Harrell, Former Tenant Caritas Communities, Inc., Owner 117 Lafayette Street, Apt. 321, Salem, Massachusetts • Dear Ms. Greenbaum, As you know from recent discussion with my client, Richard Harrell, we have a pending Northeast Housing Court claim under the Consumer Protection Statute tracking a number of breach of warranty claims in connection with Mr. Harrell's former tenancy at the above captioned property. I am also sure that you have discussed Mr. Harrell's request for a building code inspection by Mr. St. Pierre,which is being denied at this time. I am still awaiting Mr. St. Pierre's formal response explaining his declination, so that Judge Kerman can determine if it is legal. I am therefore, on the same basis, requesting a formal sanitary code inspection of the premises by your office. If necessary, the same could be coordinated with the State's Housing Agent, Community Teamwork, Inc. and the property owner, Caritas Communities, Inc. who are the named Defendants in Mr. Harrell's lawsuit. The Salem Disability Commission with point man, Jack Harris, is attempting to determine whether the disabled tenants that currently occupy the bulk of the sixty-three (63) single residence apartments are being provided housing that meets the quality standards promised for this subsidized housing project by the developer and current owner effective since 1998. t Please advise what your position is in regard to performing this updated inspection and • under what terms and conditions your office will become involved. Mr. St. Pierre advised me that it was also the Board of Health's jurisdiction to determine compliance with the minimum living space for these units. Can you confirm whether that is accurate and if so, what that minimum standard is for a single resident occupancy unit. Please advise if you or your office has ever assessed compliance in this regard for these apartments. Please call or email me at your earliest convenience. Very truly yours, /s/ MICHAEL M. WARDLE MMM/sjm cc: Client • • • APPENDIX B • • January 13, 2011 RE: Richard Harrell, Former Tenant, 117 Lafayette Street, unit 321 Michael M. McArdle Attorney at Law 204 Lafayette Street Salem, MA 01970 Dear Mr. McArdle, The Salem Board of Health is responsible for insuring compliance with 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter Il. At the request of a tenant the Salem Board of Health will conduct an inspection of a dwelling unit to determine compliance with this code. On July 30, 2007 at the request of Mr. Harrell, the Salem Board of Health conducted an inspection of 117 Lafayette Street Unit 321. In addition, an inspection was conducted at Mr. Harrell's unit by this department on October 4, 2007 and on November 5, 2007 a letter was sent to the property owner, Caritas Communities, that all violations had been corrected. Mr. Harrell should have copies of these reports. Furthermore, Mr. Harrell attended a Board of Health meeting on October 9, 2007 to discuss the issues at 117 Lafayette Street unit 321. At that time it was determined by the Board there was no longer any need for Board of Health involvement and took no • additional action on this matter. Therefore, the Salem Board of Health declines to conduct an inspection of the property located at 117 Lafayette Street for the following reasons; First, 105 CMR 410.820 states that "All interior inspections shall be done in the company of the occupant or the occupant's representative." As Mr. Harrell no longer resides at this address and has no control over a unit at this address he has no standing to accompany a Board of Health inspector on any such inspection. Second, all units and all relevant common areas at 117 Lafayette Street are inspected + prior to rental in accordance with the City of Salem ordinance requiring a Certificate of Fitness inspection be conducted and the landlord receive a Certificate of Fitness from the Salem Board of Health. Third, this office has already inspected this unit and the required corrections were made in 2007. Lastly, as stated above, Mr. Harrell appeared before the Board of Health in October 2007 regarding his concerns at 117 Lafayette Street and the Board took no further action on this matter. Regarding your inquiry concerning the minimum living space, 105 CMR 410.400(C) addresses the minimum square footage requirements for floor space for single resident occupancy. This section states, "in a rooming unit, every room occupied for sleeping • purposes by one occupant shall contain at least 80 square feet of floor space; every room occupied for sleeping purposes by more than one occupant shall contain at least 60 square feet for each occupant." To the best of my knowledge Mr. Harrell never raised the issue of minimum square footage with this department therefore it was not something we assessed during our inspections. In conclusion, without a complaint of housing code violations from a current resident or an order from the Court the Salem Board of Health has no cause to conduct an inspection of the property located at 117 Lafayette Street for compliance with 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II. Should you require any further information regarding this matter please feel free to contact me @ 978-741-1800 or via email. Sincerely, David Greenbaum Acting Health Agent cc: Dr.Barbara Poremba,Board of Health Chair Tom St.Pierre,Building Commissioner Beth Rennard,City Solicitor Jason Silva,Mayors Office Jack Harris,Commission on Disabilities • • � APPENDIX C • ., Coo a CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street ROBERT E. BLENKHORN Salem,Massachusetts 01970 HEALTH AGENT 508-741-1800. CITY OF SALEM BOARD OF HEALTH REGULATION 23 RULES AND REGULATIONS FOR EXTERIOR PAINT REMOVAL AND ABRASIVE BLASTING SECTION. 1 - GENERAL A. The Board of Health, City of Salem, Massachusetts, acting under the authority of Section 31, Chapter 111 of the Massachusetts General Laws and amendments and additions thereto, and by any other power thereto enabling, has adopted the following rules and regulations in the inter6st of and for the preservation of the •public health. The effective date shall be PUBLIC AWARENESS OF HEALTH B. The Board of Health in the City of Salem recognizes that the methods commonly employed in the removal of exterior paint and abrasive blasting often result in the creation of uncontrolled particulate matter and other by-products, which, in addition to creating a nuisance, may result in the inhalation or ingestion of dust and contamination of soil, water, and air. In addition, the inhalation • or ingestion of leaded paint dust may result in permanent damage to the central nervous system, reproductive system,;-kidneys, liver, and other vital systems in both children and adults. The Board of Health recognizes that restrictions on exterior paint removal and abrasive blasting will enable paint removers and abrasive blasting operators to better control particulate matter and other by-products and thereby minimize the nuisance and health effects associated with these activities. SECTION II - DEFINITIONS For the purpose of this regulation, the following definitions shall apply: 2.0 Abrasive Blasting - shall include dry, wet, mist abrasive blasting, which are defined as follows: Dry abrasive blasting -propulsion of a stream of abrasive material by means of air, steam, or other gas under pressure, for the 'purpose of paint removal or abrading or cleaning a surface. Mist abrasive blasting - application, for the purpose of paint removal or abrading or cleaning a surface, of a water mist together with an abrasive material which has been propelled by means of compressed air, steam, or other gas. Wet abrasive blasting - application, for the purpose of paint • removal or abrading or cleaning a surface, of a stream of water under pressure together with an abrasive material which has been propelled by means of compressed air, steam, or gas. U. SALEM HEALTH DEPARTMENT EXTERIOR PAINT REMOVAL 9 North Street AND ABRASIVE BLASTING Salem. MA 01970 page 2 Section II - 'continued 2. 1 Abrasive Haterial - substance which is used to abrade or clean a surface. 2.2 Air Contaminant - any substance in the ambient air space including, but not limited to, dust, fume, mist, odor, smoke, vapor, heat, any combination thereof, or any reaction product 'thereof. 2.3 Air Contamination Source - any source at, from, or by reason of which any air contaminant is emitted directly into the ambient air space. 2.4 Ambient air space - all of the air space outside of the shrouded or .contained work air spreading in all directions indefinitely. 2.5 Atmospheric Pollution - the presence in the ambient air space of one or more air contaminants or combination thereof in such concentration and of such duration as: a) to be noticeable by sight or smell, or b) to be injurious or tend to be injurious to human or animal life, vegetation, or to property, or ' c) to unreasonably interfere with the comfortable enjoyment of - life and property or the conduct of business. 2.6 Blood Lead Level Elevation - blood lead level in an operator of 60 ug lead per 100 g whole blood or greater. • 2.7 By-products - used abrasive material, paint chips, wood chips, dust, water or any other material resulting from the paint removal or abrasive blasting operation. 2.8 Contractor - a person who contracts to perform exterior paint removal or abrasive blasting work at a certain price or rate. 2.9 Dangerous Level of Lead - level which materially endangers the health of children or adults, by producing a substantial and serious danger of lead poisoning. . When present in paint, a dangerous level shall be deemed pursuant to M.G.L. Chapter 111, ss. 194 and 196, to be the following: a) more than 0.5 percent lead by dry weight as measured by an atomic absorption Spec trophotometry test of sample or by testing with 6 to 8 percent sodium sulfide. b) more than 1.2 milligrams of lead per square centimeter of surface as measured on-site by a mobile X-ray fluorescence analyzer or comparable equipment. 2. 10 Department - the City of Salem Health Department. 2. 11 Dust - finely divided solid matter. 2. 12 Electric Sanding - will be considered the use of power tools to remove paint. • 2. 13 Emission - discharge or release to the ambient air space of any air contaminant. 2. 14 Fume - any aerosol resulting from chemical reaction, distillation, or sublimation. SALEM HEALTH DEPARTMENT EXTERIOR PAINT REMOVAL 9 North Street AND ABRASIVE BLASTING Salem, MA Ot 970 Page 3 Section II - continued 2. 15 HEPA Filter Vacuum Cleaner - vacuum cleaner equipped with a high efficiency particulate air (HEPA) filter capable of filtering out particles of 0.3 microns or greater diameter from a body of air at 99.97% efficiency or greater. 2. 16 Low-level Heating Element - Controlled heating element which produces a temperature not exceeding 1000 degrees Fahrenheit. Does not include torch or flame burning. 2. 17 Mist - any liquid aerosol formed by the condensation of vapor or by the atomization of liquids. 2. 18 Odor - that property of gaseous, liquid, or solid materials that elicits ; a physiologic response by the human sense of smell. 2. 19 Operator - a person who performs exterior paint removal--or abrasive blasting. 2.20 Paint Removal - any surface treatment with the potential for removing or dislodging any surface coating, in its entirety or in part. Methods of paint removal may include but are not limited to: wet, dry, or mist abrasive blasting; sanding; scraping; power washing; and others. 2.21 Particulate matter - any material that exists in a finely divided form as a liquid or solid in the ambient air. • 2.22 Person - an individual, partnership, association, firm, syndicate, company, trust, corporation, city department, bureau, agency,or any other entity recognized by law as the subject of rights and duties.. 2.23 Smoke - visible aerosol, which may contain fly-ash, resulting from combustion of materials. 2.24 Vapor - the gaseous state of certain substances that can exist in equilibrium with their solid or liquid states under standard conditions. . SECTION III - PERMITS 3.0 A permit,specific in location and time, must be obtained from the Department by the owner of the property on which exterior paint removal or abrasive blasting is to occur. 3. 1 Application for a permit shall be made on form(s) provided by the Department. 3.2 The fee shall be determined by the Department based on the estimated number of days to complete the project, at a rate of $10 per day, with a maximum fee of $50. For owner-occupants performing work on their own residences, the fee shall be waived. 3.3 Permits shall be posted at the work site for the duration of the paint • removal or abrasive blasting process. r II SALEM HEALTH DEPARTMENT EXTERIOR PAINT REMOVAL 9 North Street AND ABRASIVE BLASTING ' Salem, MA,.01970 Page 4 Section III - continued 3.4 Permits must be obtained a minimum of two weeks prior to the commencement of of paint removal or abrasibe blasting in order to allow, fbr notification of abuttors, when required. 3.5 The property owner is responsible for notifying in writing all abuttors one week prior to conducting abrasive blasting. An advisory notification form will be provided by the Department to the owner along with his permit for distribution of abuttors. SECTION IV - ABRASIVE BEISTING AND ELECTRIC SANDING 4.0 iAbrasive blasting and electric sanding on exterior surfaces of any structure within the City of Salem is prohibited 4. 1 Variances from provision 4.0 of this regulation may be granted at the discretion of the Board of Health on a case-by-case basis as follows: a) The use of wet or mist •abrasive blasting may be permitted on certain masonry and metal surfaces in instances in which alternative methods of paint removal are not feasible. b) Variances granted from provision 4•.0 of this regulation do not release the operator from the other requirements of this regulation. • SECTION V - LEAD TESTING 5.0 Lead testing will not be required on surfaces on which only manual methods of paint removal are to be employed. 5.1 Lead testing will be required on surfaces for which a variance permitting wet or mist abrasive blasting is sought. Such test must be conducted on-site by a Massachusetts licensed lead paint inspector and the results must be submitted to the Department prior to the issuance of a permit. Cost of the testing is to be borne by the property owner. SECTION VI - CONDITIONS AND TERMS 6.0 If no lead testing of surfaces to be worked upon is performed, all work must be conducted in accordance with the requirements of 454 CMR 22. 11, "Safety Procedures for Renovation and/or Rehabilitation", and in accordance with all applicable sections of 454 CMR 11.00, "Structural Painting Safety Code." 6. 1 If the .testing required in 5. 1 or otherwise reveals the presence of a dangerous level of lead, a permit will be granted only if the application is accompanied by a copy of a signed contract with a Massachusetts licensed deleading contractor who must conduct all work in accordance with Deleading Regulations: 454 CMR 22.00, Lead Paint Regulations: 105 CMR 460.000, and this regulation. • 6. 2 Dry abrasive blasting may not be performed on exterior surfaces of any structures within the City of Salem. .ram v � SA`LEM HEALTH DEPARTMENT EXTERIOR PAINT REMOVAL 9 North Street AND ABRASIVE BLASTING Salem, MA 01970 Page 5 Section VI - continued • 6.3 Mist abrasive blasting a) Mist abrasive blasting may not .commence unless and until a variance for that site has been. granted in writing by the Board_ of :Health. b) Mist abrasive blasting Activities shall be so enclosed or curtained off to prevent the escape onto public property, rights-of-way, or the property of others, any air contaminant, particulate matter, water, or other by-products of the operation. c) The exterior of all windows within the shrouded area must be sealed with 6 mil plastic and taped. d) All ground area within the work area shall be covered with 6 mil plastic to prevent any escape of particulate matter. e) Abrasive blasting may not commence, and must cease once started, if in the judgement of an authorized agent of the Department, conditions of wind velocity or wind gusting exist such that total con- tainment of particulate matter within the shrouded work area would be impossible. f) All enclosures are to be inspected prior to the .start of each work day by the operator. Enclosures which show excessive wear at any time, i.e. large holes or tears, are to be adequately repaired or discarded. All enclosures which are joined together shall be adequately fastened to prevent any escape-of particulate matter. g) The following precautions shall be taken at all times during .the blasting operation: 1. Protection of gardens, vegetation, or specially • planted areas on-site and adjacent properties. 2. Protection of permanent play equipment, sandboxes,pools, and any other item that may not be readily removed from possible exposure to particulate matter on-site or adjacent properties. 3. Adequate protection of all areas where the blasting operation is in close proximity to playgrounds, parks, or any other area where use by the general public may pose a potential health problem. Such protection shall include at a minimum the use of 6 mil plastic ground cloths to fully cover all susceptible areas. h) The operator shall be responsible for securing the work- site, and cease operation immediately if it is found that any member of the general public is exposed to the abrasive material, air contaminants, or any by-products of the operation. i) Operators shall confine work time to normal daylight working hours, to permit .proper and adequate clean-up. . Any exception to this provision must receive special approval from the Department. 6.4 Wet abrasive blasting a) Plan for containment and disposal of abrasive material, water and particulate matter must be submitted to the Department when applying for a permit. b) Ground cloths (6 mil plastic) will be required to cover all unpaved areas within the work area. 6.5 The reuse of abrasive material is prohibited, unless such material has been • cleaned and recycled. y 4 .SALEM HEALTH DEPARTMENT EXTERIOR PAINT REMOVAL 9 North Street AND ABRASIVE BLASTING y Salem. MA 01970 Page 6 Section VI - continued 6.6 Abrasive material shall not contain any siliceous sand. 6.7 Operators engaged in the performance of any aspect of the blasting operation shall be protected against the inhalation of particulate matter through the use of all protective devices including, but not limited to, powered-air purif ying. repirators (PAPR) with high efficiency filters approved by OSHA or the American National Standards Institute (ANSI) , goggles, and protective clothing. 6.8 Other Exterior Surface Treatments Other meth methods of paint removal, including but not J imited to dry scraping, dry scraping with the aid of chemical solvents (excluding methylene chloride solutions) , dry scraping with the aid of, low-level heating elements, wire brushing, power washing, and hand sanding, are permitted with the following restrictions: a) All ground area and vegetation within t-Wwork area shall be covered with 6 mil plastic to fully contain particulate matter. b) Any other precaution deemed necessary by the Department to prevent the contamination of the interior of the structure itself and to prevent the escape. onto public property, rights-of-way, or the property of others, any air contaminant, particulate matter, or by-products of the operation, shall be employed. • SECTION VII - CLEAN-UP PROCEDURES 7.0 For abrasive blasting operations, a HEPA vacuum shall be used to remove all particulate matter from all surfaces, including the ground, shrubs, windows, doorways, ledges, and inside of shrouding within the shrouded work area and ten feet beyond work area when shrouding is removed. Shrouding may be left in place for the duration of the operation as long as vacuuming of the area inside the shrouding takes place at the end of each working day. Additional clean-up may be done but no other method can replace the above procedures. 7. 1 For all paint removal and abrasive blasting operations, :the work site is to be completely cleaned at the end of each work day. 7. 2 It shall be the responsibility of the operator to prevent ground contamination as a direct result of any abrasive material, chemical, or solvent used during the paint removal or abrasive blasting operation ors failure to recover all material and by-products. Operator shall assume all clean-up_.costs and liability resulting from failure to comply with this and other applicable regulations or failure to adequately contain and dispose of by-products of the operation. 7. 3 The cleaning shall include additional adjacent areas as deemed necessary by the Department. • 7.4 Disposal of all particulate matter shall be in accordance with all applicable Department of Environmental Protection (DEP) regulations and at a site approved by DEP. Lead-contaminated waste materials removed from homes by homeowners is exempt from the Massachusetts Hazardous Waste Regulations and must be disposed of in accordance with 310 CMR 19.00: Regulations for the Disposal of Solid Wastes by Sanitary Landfills, A SALEM HEALTH DEPARTMENT 9 North Street EXTERIOR PAINT REMOVAL Salem, MA 01970 AND ABRASIVE BLASTING .�•R"' Page 7 Section VII- continued 7.4 continued at an approved DEP sanitary landfill. Such wate material, however, removed from any structure by a contractor, in any quantity, must undergo the toxicity characteristic leaching procedure test (TCLP) at a certified laboratory. Wastes containing 5 parts of lead per million parts of leachate is subject to 310 CMR 30.000; Hazardous Waste Regulations, and must be disposed of in accordance with .all applicable regulations. 7.5 Wastewater generated from mist or wet abrasive blasting, operations must also undergo TCLP testing to determine if it is hazardous; hazardous wastes must be disposed of in accordance with 310 CMR 30.000. Non- hazardous wastewater is subject to the requirements of ,314 CMR 1.00 through 15.00 and may require a permit to discharge to a sewerage treatment plant, in accordance with 314 CMR 7.00. SECTION VIII - EVIDENCE OF VIOLATION 8.0 Authorized agents of the Department shall conduct on-site inspections to ensure compliance with all applicable regualtions. 8. 1 Any of the following conditions shall be prima facie evidence of violations and will result in the immediate cessation of the paint removal • operation. Work can resume when the inspector is satisfied that the violation(s) has/have been corrected: a) Operating without an exterior paint removal or abrasive blasting permit. b) Failure to enclose or curtain off that area of the building undergoing abrasive blasting. c) Visible emission of particulate matter or air contaminants outside of the area enclosed in accordance with provisions 6.4(b) and 6.5(a) . d) Failure to ensure adequate precautions against ground surface contamination- as required by provisions 6.4 (d) and 6.5 (b) . e) Failure to clean property in accordance with Section VII. f) Evidence of blood lead level elevation in-operator. 8.2 If the work is stopped twice on the same day due to violations, the permit will automatically be revoked. SECTION IX - VARIANCE 9.0 The Board of Health or its authorized Agent may vary the application of any provision of these regulations with respect to any particular case, when, in its opinion, the enforcement thereof would do manifest injustice; provided that the decision of the Board of Health is not in conflict with the spirit of these standards. 9. 1 Requdst for a variance from any part of this regulation must be submitted • in writing to the Board of Health at the time of application for a permit. Such request must be accompanied by the reasons why the variance should be considered and the manner in which the spirit of these regualtions is to be upheld, resulting in a comparable degree of public protection. SALEM HEALTH DEPARTMENT 9 North Street EXTERIOR PAINT REMOVAL Salem, MA 01970 AND ABRASIVE BLASTING Page 8 Section IX - continued 9.2 Any variance granted by the Board of Health must be in writing with a copy available to the public at all reasonable hours in the office of the Board of Health. 9.3 An applicant for a variance shall remain subject to prosecution and in. violation under the terms of this regulation unless or until a variance is granted. 9.4 The Board of Health or its authorized Agent shall evaluate all applications for variance from the requirements of this regualtion and may -grant said variances subject to such terms, conditions, and requirements as it may deem reasonable to achieve maximum compliance with the provisions of these regulations. SECTION X - SEPARABILITY �- 10.0 Each part of these regulations is construed as separate to the end that if any section, item, sentence, clause, or phrase is held invalid for any reason, the remainder of these regulations shall continue in full force and effect. SECTION XI - PENALTY • 11.0 Operators operating in violation of this regulation shall be punished, for the first offense, by a fine of not less than fifty dollars, nor more than one hundred dollars, and for any subsequent offense, by a fine of not less than two hundred dollars, nor more than five hundred dollars. Each day or part thereof of violations, whether such violation be continuous or intermittent, shall be construed as a separate and succeeding offense. (M.G.L. Chapter 111, Section 31 C) Compiled and submitted by Robert E. Blenkhorn, C.H.O. , Health Agent March 12, 1991 Approved July 9, 1991 By Board of Health George H. Levesque, Chairman Robert E. Fouhey Peter H. Saindon Martin Fair Gene Collins Irving Ingraham, M.D. Brian Condron Barbara A. Sirois, Clerk of the Board Published in the Salem Evening News on August 23, 1991 CITY OF SALEM, NLkSSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR D(3RI ENBAUM Ct,SA1.,1 M.COM DAvli)GRIi.FNBAum,RS ACTING H1.A.Ai l I A(,ENT Public Health Nurse Report January 2011 Activities Disease Prevention • In contact with North Shore Pulmonary Clinic regarding active cases and case contacts. • Investigated communicable disease cases and reported to the MDPH. • Meetings/Clinics • Attended a debriefing at Peabody City Hall in regards to the December Influenza Clinic at the North Shore Mall. • Met with the new hoarding case manager from North Shore Elder Services to discuss past and present cases in Salem. • Attended the North Shore Hoarding Task Force Meeting at North Shore Elder Services. • Attended the NSCAEP meeting at Peabody DPW. • Attended the North Shore Pulmonary Clinic Meeting at NSMC to discuss recent active cases of TB on the North Shore. • 4 • Monthly Report of Communicable Diseases Disease New Carry over Discharged Reported Campylobacter 0 0 0 0 Giardia 0 0 0 0 Salmonella 0 0 0 0 Lyme 0 0 0 0 Salmonella 0 0 0 0 Pertussis 0 0 0 0 Tuberculosis 0 1 0 1 Varicella 0 0 0 0 Tuberculosis: 75 y/o male. Administration Monthly Report January-11 Burial Permits @$25.00 $1,675.00 Permits $31,350.71 Certificate of Fitness@$50.00 $3,000.00 Copies $0.00 Fines Total Monies Collected = $36,025.71 Animal Bites Reported= 0 Finance Department Transferred$to Salary Annual Budget Expended Account 11/8/10 Available Balance Salary/Longevity $337,609.00 0 $153,867.19 Q $4,571.66 $188,313.47 Money Available For Spending $7,926.15 Money Available in Purchase a Orders $6,011.13 Annual Budget Expended Available Balance Non-Personnel $21,200.00 $7,262.72 $13,937.28 v� NQ"r 2 f �C)1'llNg CITY OF SALEM, MASSACHUSETTS Kimberley Driscoll Mayor February 7, 2011 Dr. Barbara Poremba, Chair Salem Board of Health 120 Washington Street Salem, MA 01970 Re: DPH Regionalization Grant Opportunity Dear Dr. Poremba: I have recently been apprised of some new opportunities to pursue a regional health operation that includes funding from the Department of Public Health (DPH)to assist communities who are interested in exploring regionalization opportunities. Communities applying would be eligible for funds to provide technical assistance to aid any regionalization efforts. If approved, these same communities would be able to obtain a secondary round of funds to assist with implementation of a regional health service delivery plan. Communities who do not participate in the technical assistance funding, however,would not be eligible for implementation grant dollars. With this in mind, I think it is worthwhile to pursue regional funding. It is my understanding that a • number of Health Agents in the North Shore have had informal discussions regarding exploring a regional grant and a few Boards of Health have endorsed the concept. I have reached out to the City of Peabody and the Town of Swampscott to inquire about their interest. I have received favorable feedback from Peabody(Mayor Bonfanti), including the fact that their Board of Health has voted to endorse the concept. Officials from Swampscott indicated they may be interested, but needed some additional time to respond. I have spoken with Acting Health Agent Dave Greenbaum about this opportunity and he indicated that there may be interest from several communities in participating. I view this as good news and would like to jump start the next step, given the February 28"' grant filing deadline. Representatives from the Metropolitan Area Planning Council (MAPC) have indicated they would be willing to work with cities/towns on coordinating an application to DPH, but time if of the essence (see copy of attached correspondence). Given the aforementioned information,I am hoping the Board would consider voting to endorse working together with communities on the North Shore,in particular the City of Peabody,to submit a regional grant application in support of exploring regionalization opportunities. This will enable us to better understand how such a partnership would work and provide resources to assist with any regionalization proposal, should we desire to implement such a model. Please feel free to contact me with any questions or concerns regarding this matter. Very truly yours, Kimberley Driscoll • cc: Dave Greenbaum, Acting Health Agent Salem City Hall—93 Washington Street—Salem, MA 01970-3592 Ph. 978-745-9595 Fax 978-744-9327 Signs & Symptoms of Roof Collapse & What You Can Do to Prevent It • This winter, and especially this past week, has presented an unusual mix of conditions that pose a serious threat to roof collapse. This has the potential for serious personal injury as well as loss of property. Here are some tips compiled from www.wptz.com that can help you to diagnose a pre-roof collapse and provide you with actions that you can take to prevent it. Warning Signs of a Potential Roof Collapse Prior to a roof collapse, buildings generally exhibit signs that the roof is in distress and action should be taken to mitigate a roof collapse. The following are some of the symptoms that have been reported prior to roof failure: 1. sagging roof steel - visually deformed 2. Severe roof leaks 3. cracked or split wood members 4. bends or ripples in metal supports 5. Cracks in walls or masonry 6. Cracks in welds of steel construction 7. Sheared off screws from steel frames 8. sprinkler heads pushed down below ceiling tiles 9. water pounded where it never has ponded before 10. doors that pop open 11. doors or windows that are difficult to open . 12. bowed utility pipes or conduit attached at ceiling 13. creaking, cracking or popping sounds This signs should not be taken lightly; immediately evacuate the building and then phone 911. Actions You Can Take To Help Prevent Roof Collapse or Snow Damage: The majority of roof collapses can be prevented if appropriate action is taken prior to winter weather. It is recommended that a winter storm contingency plan be developed. The following items should be addressed before and during a snow or rain event: 1. Know your roof and building framing layout. It is helpful if it is easily viewed from the roof structure 2. Keep roof drains clear of ice and accumulated debris. Inspect roof immediately after major winter storms where precipitation more than 8 inches of snow fall and/or 2 inches of rain fall has occurred in a 24 hour period. 3. Keep gutters and downspouts clear so they will flow freely. How to Safely Remove Snow and Ice from Roofs Performing roof work is a dangerous job that can result in severe injuries and even death. The best recommendation is to hire a qualified roofer who is-experienced in performing roof work safely. However, if you choose to do this work yourself, here are some guidelines: 1. Remove snow and ice from drainage devices first. 2. Remove snow in strip patterns, starting at the drainage device and proceeding up slope. • 3. Remove snow in strips equal to 1/3 the column spacing width starting at mid-span between columns. 4. Remove unbalanced and drifted snow loads first. 5. Do not stockpile snow on the roof. • 6. Do not use sharp objects or snow blowers on roofs as they will subject the roof to additional damage. 7. Do not use blow torches to melt ice and snow on roofs, gutters and downspouts as they may result in a house fire. 8. Keep the bottom of downspouts clear of snow and ice so the water has a place to drain. 9. Truncate downspouts 2 feet above grade to ensure they flow freely and do not freeze at the bottom. 10. Ensure that snow is not plowed or shoveled against downspouts, which will prevent proper drainage. 11. Do not block exits or fire escapes 12. Many structural engineers recommend removal of snow accumulations from the roof when approximately 50% of design strength is reached. One last tip: Don't forget to shovel out all vents to prevent carbon monoxide poisoning! Stay safe and warm. By Andrea Pezzulo, Salem State University, Public Health Nursing Student • Salem r-Salem State University is • STATE I UNIVERSITY• • TOBACCO FREE CATTRUS Salem State University is becoming a Tobacco-Free Campus Prepare mentally;you will need will power to break September 2011. Based on a recent student the habit for good. � survey,the majority of SSU students support this change and look forward to a cleaner, Be prepared and be realistic.When you healthier environment on campus. For first quit you may feel restless, irritable, some students who currently use frustrated,and even sleepless.These tobacco products,this might just will pass as the addictive effects be the incentive they need to of the nicotine in tobacco leave quit once and for all. your system. O Make a list of why you If you have tried it before,you TBACCO want to be tobacco free. know quitting tobacco is not You can use this to help easy. In fact, most tobacco you through the tough users try on average to quit first few days. 0times before they are .1e' ssful. It can be done,and Set a date.This helps with we can help. Counseling and your mental preparation. Health Services has trained staff0000000 • Tell your friends,family, who can be of assistance in helping000 coworkers and everyone else who you quit. Research shows that getting help can be supportive.This helps make your increases the chances you will be successful quitting efforts more real. in your quitting efforts. So whether you need a prescription for a cessation medication or just to talk,come • Avoid temptation. Especially in the first few in so we can help.We can provide you with the tools you tough days,you will likely want to avoid situations or . need to become a non-smoker or non-tobacco user for good. People who were part of your tobacco rituals. • Hang in there. It takes about two weeks to get nicotine Tips and Tricks to Stop Tobacco out of your system.The cravings will subside and • Get help.You are more likely to be successful if you use soon it will be much easier to say NO forever. some type of help. AL • • • t . - e .- • • . . . • • Market Demand and Tenant Support trong demand for rental units in buildings with no-smoking rules found in 2009 survey ■ 401/6-43% of residents are willing to pay more to live in a smoke-free building. ■ 779/6-84% of prospective tenants are immediately less interested in an apartment unit if they smell tobacco smoke when looking at it. ■ 70%-74% of residents who do not live in a smoke-free building would support the immediate implementation of a no-smoking rule or remain neutral. Apartment Buildings:Tenant Levels of Apartments(Divided House): Support for Smoke-Free Rules Tenant Levels of Support for Smoke-Free 100 Rules Support y 80 1� Support C N c C 80 60 H c O .. 60 Q� O 10 40 rn 40 C a 20 Neutral Oppose d 20 Neutral 8 4.5 2.5 Oppose 0 0 0 High demand, low availability: despite the enormous demand, only 37% of apartment buildings have smoke-free rules. • The Massachusetts Smoke-Free Housing Project An Initiative of the Public Health Advocacy Institute Funded by the Massachusetts Department of Public Health Toll-Free: (877) 830-8795 Landlords' Experiences with Smoke-Free Rules 99% of the landlords who implemented a smoke-free rule felt it was a good decision, according to a 2009 survey. Smoke-free buildings cost less: - 33% of landlords spent more than $500 extra or more extra in smoking-related maintenance costs per apartment. 66% of the landlords reported paying $100 or more extra. - 7% of the landlords reported that secondhand smoke has triggered fire alarms. • 5% of the landlords reported that smoking caused a fire in one or more of their properties. Smoke-free buildings reduce turnover and vacancy rates: - 16% of the landlords reported that a smoke-free rule decreased their vacancy rates. 77% experienced no effect on vacancy rate. - 19% of the landlords reported that a smoke-free rule decreased their turn over rates. 78% experienced no effect on turnover rates. • Implementing a smoke-free rule is easy: - 90% of the landlords reported that implementation of a smoke-free rule was easy or very easy. - 93% of the landlords reported that the rule was self-enforcing, the same as enforcing any other rule, or easy to enforce. - 39% of the landlords reported that a smoke-free rule lowered tenant conflict, and 54% reported no effect on tenant disputes. Landlord Expenses Landlords:66%Pay More for Smoke-Related Repairs Spend $300-$500 7. Spend ` extra cc�� Over$500 34% extra Spend <> ><, > > $100-$300 < . < . '< extra :�;�:<' 66% <.} Spend$0 extra • The Massachusetts Smoke-Free Housing Project An Initiative of the Public Health'Advocacy Institute Funded by the Massachusetts Department of Public Health Toll=Free: (877) 830-8795 Why to ao Smoke-Free n a 2009 survey, 99% of Massachusetts landlords iL who had a smoke-free rule felt it was a good decision. Benefits of Going Smoke-Free 1. Attract more tenants 67% of residents would prefer smoking information in a property listing, while 76-84% of residents are immediately less interested in a unit if they smell smoke when viewing the property. 2. Save money by reducing the need for repairs 65% of landlords reported paying $100 or more in smoking-related repairs. 33% paid $500 extra per apartment. 3. Eliminate the leading cause of residential fire deaths Every year, cigarette-caused fires cause $400 million in damages. 4. Reduce conflict among tenants 39% of Massachusetts landlords who had a smoke-free rule found that it lowered disputes between tenants. 5. Reduce potential legal liability Under Massachusetts law, landlords must provide their tenants with a safe environment. Residents have brought successful legal actions based on exposure to secondhand smoke. 6. Potentially reduce your insurance premiums Some insurance companies may offer landlords discounts on general liability insurance premiums if they implement a no-smoking rule. No-smoking rules reduce the risk of fires, injury, and death. Ask your broker. The Massachusetts Smoke-Free Housing Project • An Initiative of the Public Health Advocacy Institute Funded by the Massachusetts Department of Public Health Toll-Free: (877) 830-8795 North Shore Coalition for Smoke Free Communities Agenda January 24, 2011 Time: Start promptly at 10:30 a.m. and-end promptly at noon. Program Introductions by Richard Mullen Informational Presentation by Attorney Chris Banthin, Public Health Advocacy Institute. Housing Professionals offer ideas, positions and experience related to smoke free housing. Audience Questions and Discussion. Attending: • Cindy Dunn, Executive Director, Danvers Housing Authority Laurie DeFrancesco, Public Housing Administrator, Salem, MA Janet Dembkowsi, Manager, Harbor Management,Privately Owned Subsidized Housing City Councilor, Thomas Furey, Salem, MA Diane Jodoin,Executive Director, Georgetown Housing Authority Carol A MacGown, Executive Director, Salem Housing.Authority Stacy Minchello,Director, Silsbee Street Senior Center, GLSS,Lynn, MA State Representative, Theodore Speliotis, Danvers, MA Public housing tenants are not listed per confidentiality regulations. They may identify themselves if they choose or use"tenant". There will be time after the meeting for individual questions and networking. • North Shore Coalition for Smoke Free Communities • Richard Mullen, Coordinator 978-561-1523 email: rjmullen@gmail.com January 13, 2011 Thomas Furey, Salem City Councilor 77 Linden Street Salem, MA 01970 Dear Mr. Furey, On January 26, 2011, from 10:30 am to Noon at North Shore Community College, Beverly Campus in the Cummings Business Center, building 100E, we will host a meeting of interested community members to discuss developing smoke free public and conventional multi-family housing on the North Shore with a special emphasis on elderly housing. From our phone conversation, I would like to formally invite you to attend. If for any reason your plans change, please let me know. If you have any particular way you would like to be listed on the agenda, please give me • a call or I will list you as Salem City Councilor. Our key note speaker will be Attorney Chris Banthin from the Public Health Advocacy Institute at Northeastern University. There will be an opportunity for the invited attendees to speak for three to five minutes to present their positions. Our goal is to gather facts and concerns. The meeting is not intended to be a debate on the merits of smokers vs. non-smokers. We are primarily addressing second hand smoke. I appreciate you effort and concern in this matter. I look forward to meeting you in .person. Please call me if you have any questions. Thank You, Richard Mullen • North Shore Coalition for Smoke Free Communities The purpose of the North Shore Coalition for Smoke Free Communities is to advocate for residents of public and private multi-family housing including condominium owners to achieve smoke free living within the next three years. It is our intent to collect facts, eliminate myths and develop legal and social support for tenants, owners and managers. One of primary actions will be to hold information meetings to help tenants and housing professionals understand the options available to create smoke free living. In addition, we are preparing a Smoke Free information presentation for both smokers and smoke free residents to develop an understanding of the dangers of both primary and second hand smoke as well as residual or third hand smoke. Here we will offer options to smokers on how to become smoke free. Richard Mullen, Coordinator dmullen@gmail.com Some organizations providing research and information on smoke free living. www.makesmokinghistory.org Center for Disease Control(CDC) National Institute for Health(NII) American Heart Association American Lung Association of MA www.smokefree.gov/secondhand _quiz.aspx www.tobaccotimeline.org Public Health Advocacy Institute, Boston, MA Some Facts: 1. Air filters do not eliminate second hand smoke. 2. Smoke rises and will find any crevice or crack. 3. There is no safe amount of second hand smoke, CDC 4. Smokers have several options to replace smoking 5. Non-smokers have no options to breathing safe air. 6. Eighty-five percent of all smokers wish they could quit. 7. Twelve percent will refuse to quit no matter what the cost. Please feel free to share your comments and ideas. Richard Mullen • ,��e+ u , i��c�snE-�r_:V',� '' Globe.North 5 T'FTUR§DAY, FEBRUARY 3., 2,oi> T H E B O S T. O N G LOBE _ waits ndom re c hsm ba fr lon. s pou.singGrou By John Laidli. housing,noting that studies by Smoke-Free Environments Law kickoff meeting last week proach,perhaps setting a period issue with residents and get their GLOBE WRRESPONDEII'C federal agencies and cancer�or-. Project in Michigan, which Kevin Ascolillo,executive di- of time when smoking is allowed feedback,"he said."We wouldn't A newly organized group ganizations have shown that the tracks the issue. rector of the Beverly Housing Au- in designated sections of housing want anything to happen with wants to:snuff out smoking in elderly are the most affected by The Boston Housing Author- thority,said that while he sup- complexes. out a process involving residents public housing north of Boston secondhand smoke." ity is seeking to make all.of its ports the coalition's goals,he sees Charles J.Gaeta,Lynn Hous and managers:' The North Shore Coalit<on for Mullen said he was spurred to federally funded:sites smoke-free practical ing Authority&Neighborhood Salem Councilor at Large difficulties in managing asmoke free policy. Development director,said his Thomas Furey said he will par- Smoke Piee Commumt es,v�hicli ' organize the group because he over the neaitthree years• to evict some agency plans to hold discussions ticipate in the coalition,after try field its fast meeting last week m 'and his wife are exposed to ciga- 'The dangers of secondhand "Are you going Beverly,plans to work with-local zette smoke from a downstairs smoke:are well documented,"Bill one who is smoking in a unit?It's with residents of its Wall Plaza ing unsuccessfully on several r a housing authorities,state law- unit in their complex. McGonagle,the Boston Housing not going to happen.It's difficult senior housing complex about casions to win support for a makers-;and others to pursue its Particularly in older build ttiuthority`s administrator,said in enough to evict people for using adopting a smoke free policy.He smoking ban for Salem Housing goal of iiiakmg gublid housing ings,"cigarette smoke can't'be a prepared statement."With the illegal drugs or committing a said some residents have raised Authority sites,most recently last smoke-free,an organizer said. stopped.It comes up any crack or, dramaticincreasesin asthma we crime, or for nonpayment of the idea with authority manag year. The fledgling group also plans "erevice,"he,said,noting;that are seeing with our al rent;'he said,citing the often ers,while others expressed oppo "Mr.Mullen had taken a n to explore the idea of promoting some days smoke will just fill .in public fiousing,'coupled with lengthy court proceedings in- sition. gional approach, and I think no smoking policies in private their living room or bedroom. respiratory ailments among our volved in those situations. "We are looking to discuss the that's a great idea;'Furey said. multifamily properties,but its "We have to keep the windows elderly and disabled residents,it Given those administrative is principal target is public hous- open allthetime:' is clear.that creating smoke-free sues,Ascolillo said,he would ing,according to Richard Mul- "I've stayed healthy all my life . housing is the right thing to do." want to have the"full coopers- 4 • - i • len,a resident of senior lousink ' but I have minor problems with Several other Massachusetts lion and support"of the state De m iYt{ in Tbpsfield who is launching the my breathing;'Mullen said:."And housing authorities also have im partment of Housing and Com ¢ r RELAX WITH THE GAME AND coalition. when I come into contact with plemented or are in the process munity Development before HANDCRAFTED SAUSAGES 'Public housing is where we*' cigarette smoke,it's 10 times of moving to smoke-free environ- proceeding with aban. 142 Broadway,Saugus are putting our effort because we worse..He said his wife gets mi- ments,according to Christopher Mullen said his group.appre- (Route 1 North) Coarse Bratwurst Andouille believe we can do something grainer from the smoke: Banthin,a Natick lawyer who is ciates that there may be practical 781-233-3099 Rost Bratwursi Knockwurst there,and it's much needed;'he About 170 public.housing au- active in the push for antismok- issues involved,but that one of www•ours:T-T age.com and so,nuch'more policies in multiunit housing. its tasks is to provide the answers Hours,S -6 German Potato Salad,.Apple Strudel, said. thorities nationwide,or.about 5 ing po� F 9-7,S 9-6 Mullen said creating a smoke- percent,had implemented some "It's very doable,"said Ban- that housing authorities may Dusseldor Mustard.•• free environment is particularly type of smoking limits as of last thin,who was scheduled to speak need.He said the coalition might importa for residents of senior summer, according to the at the North Shore coalition's be amenable to a phased-in ap- BE WELL RESEARCH ON DISEASES AND PREVENTION Glucosamine fails test for low back pain Glucosamine,a natural com- swers at the study's outset when : pound found in cartilage with a asked to gauge their pain and reputation for calming inflamed disability. joints,is a popular remedy for After six months,people in « some of the millions who suffer both groups said they improved YZ ,; - s= from chronic pain in their knees, by about the same amount.A hi andspines. hips, Research has year later there was also no } been inconclusive about its statistically significant differ- .. *` benefits,so Norwegian scientists ence in their pain,disability,or decided to pit the supplement quality of life. I against a placebo among people r who suffer from chronic low BOTTOM LINE.Patients with .x back pain. chronic low back pain and osteo- Philip Wilkens of the Univer- arthritis who took glucosamine RAYANA SZYMCZAR FOR THE BOSfO2IGLOBE sity of Oslo and his colleagues for six months had just as much G FORCE J O N A T H A N W I N I C K O F F randomly divided into two pain-related disability as similar groups 250 people with long- = patients who took a placebo pill. term low back pain whose MRIs Cp q �+ showed degenerative osteoar- CAUTIONS:People who volun- earing the all thritis in their spines.One group teered to be in the free trial may took 1,500 milligrams of glucos- be different from other people amine each day for six months with low back pain,so the Doctor believes smoking ban in public housing and the other group took cap- results might not be the same sules that looked the same but for all patients. would protect those most vulnerable were filled withaninactive substance.Researchers did not WHERE TO FIND IT:Journal of Dr.Jonathan Winickqff,a pediatrician at It travels along air ducts,cracks in the walls and . know which patients got which. the American Medical Associa- VassGeneralHospital for Children,recently floors,it travels in air shafts,in plumbing and pills until after the trial ended. tion,July 7 :aUed far a ban on smoking in public housing in electrical tines.Maybe 10 people smoking in a Both groups gave similar an- z New En&nd.7ournal ofMedicine comn=- building could have smoked tens of thousands of a cigarettes inside shared air where women re- side,where children with asthma reside,where ?• y focus on smoking in public housing? folks with disabilities reside. 6 There are certain groups who are particularly Both cyb erbullies susceptible to tobacco smoke:the elderly,dis- Q.Would a smoking ban be punishing smokers fled persons,people who have compromised who live in public housing? :ardiac or pulmonary function,and children. A.There s a social justice piece here.[For]this 7� Chose groups have very high occupancy in pub- group of people living in public housing,this is and Victims feel unsafe is housing.There's an intersection between their housing of last resort.They don't have the some of the most vulnerable populations and option to move to another building.This is the Bullying can have tragic emotions,behavior,and head- vho resides in public housing. place where they are and its important that consequences.A study from aches.Victims were less likely to protections are in place such that the air supply Finland focuses on its new elec- come from homes with two ?.Why are children especially vulnerable? in that building where they have to reside:and tronic forms and ways they can parents,and bullies smoked and L Young children spend much of their time children have to reside is safe.We don't want to affect troubled students. drank more.Both groups felt . ndoors and they have a higher metabolism rate._ penalize someone who is a smoker.We just want Dr.Andre Sourander of Tur- unsafe not only at school,but 'bey ingest more dust than adults,so when they .to say you can't contaminate the shared air.We ku University led a team that also out of school,a sign that re in a contaminated environment,children want to support smokers who live in multiunit anonymouslysurveyed more online eyed aggression doesn't stop iften°have a higher load of toxic contamination. housing and elsewhere in their efforts to quit than 2,000 seventh-and ninth- when the school day ends. n studies looking at[tobacco]carcinogens in [through]smoking cessation programs that are grade students about cyberbully-. hildren,those levels are higher than for[adult] available. ing,which the researchers de- BOTTOM LINE:Among adoles- tonsmokers. fined as repeatedly picking on cents,being an electronic bully, Q.Is that fair? another person online or victim,or both is associated with 6 You coined the term"third-hand smoke." A.This brings a certain fairness and consistency through text messages.The a greater risk of psychosocial Vhat is it? to smoking rules.Now workplaces are smoke- students,who were 13 to 16 and other problems,including L TIraditionally when people think about sec- free for people who work in buildings,and bars years old at the time of the 2008 worries about safety in and.out ndharid smoke,they think about visible tobac- and restaurants are smoke-free to protect wait- survey,also answered questions of school,compared with other o smoke from smokers and smoke coming off staff and bartenders.Well,what about where about their physical and mental students of the same age. he bunting tips of cigarettes.When you think you live?Where children live?Where the dis- health.Smoking,alcohol use, .bout the contamination of a building from abled who aren't working live?In this sense it's. and family life were also as- CAUTIONS:The study relied on abacco smoke,oftentimes it's not visible.It's the past time that we make these smoke-flee rules sessed. anonymous reports from teens ontamination that remains after the cigarette is even. Overall,4.8 percent of the that were not independently xtinguished. ELIZABETH COONEY students said they were cyber- confirmed. victims,7.4 percent said they L How does smoke from one apartment affect Interview was condensed and editea were cyberbullies,and 5.4 per- WHERE TO FIND M.Archives of noth2 c, a o^y a w�`,:, i a s�• i. :.t,:r,,l rr 1 cent said they were both bullies General Psychiatry June TbJW smoke doesn't stop of ihLgdyyi; TZzzabeth . a Od victims.victims and rill ry available space in the environment b 1�wir+'% r I i,„► �.Nu E C p ecooney@globe.conz. alike had more problems with ELIZABETH GOONEY Salem STATE I UNIVERSITY e-Salern • • • , TOBACCO CL&Ti7 PUS Salem State University is becoming a Tobacco-Free Campus Prepare mentally;you will need willpower to break September 2011. Based on a recent student the habit for good. survey,the majority of SSU students support this change and look forward to a cleaner, Be prepared and be realistic.When you healthier environment on campus. For first quit you may feel restless, irritable, some students who currently use frustrated,and even sleepless.These tobacco products,this might just will pass as the addictive effects be the incentive they need to of the nicotine in tobacco leave quit once and for all. your system. BACCO Make a list of why you If you have tried it before,you want to be tobacco free. know quitting tobacco is notTW You can use this to help easy. In fact,most tobacco you through the tough users try on average to quit first few days. times before they are s essful. It can be done,and • Set a date.This helps with we can help. Counseling and your mental preparation. Health Services has trained staff • Tell your friends,family, who can be of assistance in helping coworkers and everyone else who you quit. Research shows that getting help can be supportive.This helps make your increases the chances you will be successful quitting efforts more real. in your quitting efforts. So whether you need a • Avoid temptation.Especially in the first few prescription for a cessation medication or just to talk,come in so we can help.We can provide you with the tools you tough days,you will likely want to avoid situations or . people who were part of your tobacco rituals. need to become anon-smoker or non-tobacco user for good. • Hang in there. It takes about two weeks to get nicotine Tips and Tricks to Stop Tobacco out of your system.The cravings will subside and • Get help.You are more likely to be successful if you use soon it will be much easier to say NO forever. some type of help. • AIRS • • � t • Market Demand and Tenant Support trong demand for rental units in buildings with no-smoking rules found in 2009 survey ■ 401/6-43% of residents are willing to pay more to live in a smoke-free building. ■ 771/6-84% of prospective tenants are immediately less interested in an apartment unit if they smell tobacco smoke when looking at it. ■ 70%-74% of residents who do not live in a smoke-free building would support the immediate implementation of a no-smoking rule or remain neutral. Apartment Buildings:Tenant Levels of Apartments(Divided House): Support for Smoke-Free Rules Tenant Levels of Support for Smoke-Free • 100 Roles 100 Support 80 Support o C N c 80 m 60 rn 240 ID C M 40 d 20 Neutral Oppose d 20 NeLd 8�f 4.5 2.5 Oppose :0 0 0 High demand, low availability: despite the enormous demand, only 37% of apartment buildings have smoke-free rules. • The Massachusetts Smoke-Free Housing Project An Initiative of the Public Health Advocacy Institute Funded by the Massachusetts Department of Public Health Toll-Free: (877) 830-8795 Landlords' Experiences with Smoke-Free Rules 99% of the landlords who implemented a smoke-free rule felt it was a good decision, according to a 2009 survey. Smoke-free buildings cost less: • 33% of landlords spent more than $500 extra or more extra in smoking-related maintenance costs per apartment. 66% of the landlords reported paying $100 or more extra. • 7% of the landlords reported that secondhand smoke has triggered fire alarms. • 5% of the landlords reported that smoking caused a fire in one or more of their properties. Smoke-free buildings reduce turnover and vacancy rates: . • 16% of the landlords reported that a smoke-free rule decreased their vacancy rates. 77% experienced no effect on vacancy rate. • 19% of the landlords reported that a smoke-free rule decreased their turn over rates. 78% experienced no effect on turnover rates. • Implementing a smoke-free rule is easy: • 90% of the landlords reported that implementation of a smoke-free rule was easy or very easy. • 93% of the landlords reported that the rule was self-enforcing, the same as enforcing any other rule, or easy to enforce. • 39% of the landlords reported that a smoke-free rule lowered tenant conflict, and 54% reported no effect on tenant disputes. Landlord Expenses Landlords:66%Pay More for Smoke-Related Repairs Spend $300-$500 Spend <;<;<' extra q4° ° Over$500 34% � � extra Spend 7mzextra 66% d$0 • The Massachusetts Smoke-Free Housing Project .An Initiative of the Public Health Advocacy Institute Funded by the Massachusetts Department of Public Health Toll=Free: (877) 830-8795 Why to go Smoke-Free n a 2009 survey, 99% of Massachusetts landlords iL who had a smoke-free rule felt it was a good, decision. Benefits of Goinq Smoke-Free 1. Attract more tenants 67% of residents would prefer smoking information in a property listing, while 76-84% of residents are immediately less interested in a unit if they smell smoke when viewing the property. 2. Save money by reducing the need for repairs 65% of landlords reported paying $100 or more in smoking-related repairs. 33% paid $500 extra per apartment. 3. Eliminate the leading cause of residential fire deaths Every year, cigarette-caused fires cause $400 million in damages. 4. Reduce conflict among tenants 39% of Massachusetts landlords who had a smoke-free rule found that it lowered disputes between tenants. 5. Reduce potential legal liability Under Massachusetts law, landlords must provide their tenants with a safe environment. Residents have brought successful legal actions based on exposure to secondhand smoke. 6. Potentially reduce your insurance premiums Some insurance companies may offer landlords discounts on general liability insurance premiums if they implement a no-smoking rule. No-smoking rules reduce the risk of fires, injury, and death. Ask your broker. • The Massachusetts Smoke-Free Housing Project An Initiative of the Public Health Advocacy Institute Funded by the Massachusetts Department of Public Health Toll-Free: (877) 830-8795 North Shore Coalition for Smoke Free Communities Agenda January 24, 2011 Time: Start promptly at 10:30 a.m. and-end promptly at noon. Program Introductions by Richard Mullen Informational Presentation by Attorney Chris Banthin, Public Health Advocacy Institute. Housing Professionals offer ideas, positions and experience related to smoke free housing. Audience Questions and Discussion. Attending: Cindy Dunn, Executive Director, Danvers Housing Authority Laurie DeFrancesco, Public Housing Administrator, Salem, MA Janet Dembkowsi,Manager, Harbor Management,Privately Owned Subsidized Housing City Councilor, Thomas Furey, Salem, MA Diane Jodoin,Executive Director, Georgetown Housing Authority Carol A MacGown, Executive Director, Salem Housing.Authority Stacy Minchello,Director, Silsbee Street Senior Center, GLSS,Lynn, MA State Representative, Theodore Speliotis, Danvers, MA Public housing tenants are not listed per confidentiality regulations. They may identify themselves if they choose or use"tenant". There will be time after the meeting for individual questions and networking. • I North Shore Coalition for Smoke Free Communities Richard Mullen, Coordinator 978-561-1523 email: rjmullen@gmail.com January 13, 2011 Thomas Furey, Salem City Councilor 77 Linden Street Salem, MA 01970 Dear Mr. Furey, On January 26, 2011, from 10:30 am to Noon at North Shore Community College, Beverly Campus in the Cummings Business Center, building 100E, we will host a meeting of interested community members to discuss developing smoke free public and conventional multi-family housing on the North Shore with a special emphasis on elderly housing. From our phone conversation, I would like to formally invite you to attend. If for any reason your plans change, please let me know. If you-have any particular way you would like to be listed on the agenda, please give me a call or I will list you as Salem City Councilor. Our key note speaker will be Attorney Chris Banthin from the Public Health Advocacy Institute at Northeastern University. There will be an opportunity for the invited attendees to speak for three to five minutes to present their positions. Our goal is to gather facts and concerns. The meeting is not intended to be a debate on the merits of smokers vs. non-smokers. We are primarily addressing second hand smoke. I appreciate you effort and concern in this matter. I look forward to meeting you in person. Please call me if you have any questions. Thank You, Richard Mullen • North Shore Coalition for Smoke Free Communities The purpose of the North Shore Coalition for Smoke Free Communities is to advocate for residents of public and private multi-family housing including condominium owners to achieve smoke free living within the next three years. It is our intent to collect facts, eliminate myths and develop legal and social support for tenants, owners and managers. One of primary actions will be to hold information meetings to help tenants and housing professionals understand the options available to create smoke free living. In addition, we are preparing a Smoke Free information presentation for both smokers and smoke free residents to develop an understanding of the dangers of both primary and second hand smoke as well as residual or third hand smoke. Here we will offer options to smokers on how to become smoke free. Richard Mullen, Coordinator dmullen@gmail.com Some organizations providing research and information on smoke free living. www.makesmokinghistory.org Center for Disease Control (CDC) National Institute for Health(NIH) American Heart Association American Lung Association of MA www.smokefree.gov/secondhand_quiz.aspx www.tobaccotimeline.org Public Health Advocacy Institute, Boston, MA Some Facts: 1. Air filters do not eliminate second hand smoke. 2. Smoke rises and will find any crevice or crack. 3. There is no safe amount of second hand smoke, CDC 4. Smokers have several options to replace smoking 5. Non-smokers have no options to breathing safe air. 6. Eighty-five percent of all smokers wish they could quit. 7. Twelve percent will refuse to quit no matter what the cost. Please feel free to share your comments and ideas. Richard Mullen • .. .. ......... ...j,,:.a. raux,,.c *.x.;';:sx. ,_9..h:_.�...Wvk...:$.:::t�„en'`.✓ ; SFr. ii?Yt ',�:3,Yk�MihiRti"aufvn.<s..:':5:$r A-. .ai4i T. ° B E '` Globe.North 5 TIiUR§DAY, FEBRUARY 3, 2:011 T H E B O S O N G L O . : .ihousinxedom fr re on s ubcgGrom wantssmoke bagl p p g By JohnLaidler ents.and get their housing,noting that studies by Smoke-Free Enviqc, ronments Law lackoffmeetinglastweek. proach,perhaps setting allowed feedback,'he issue with lsaid. `We wouldn't ccoasconkssroxnsiax'. :::, federal agencies and cancer or-: Project in Michigan, which Kevin Ascolillo,executive di of time when smoking' A newly organized group :ganizations have shown that"the.' backs the issue. rector of the Beverly Housing Au in designated sections of housing want anything to happen dents elderl are the most affected b The Boston Housing Author- thoity,said that while he sup- complexes. out a process involving residents wants.to;snuff Out smoking in.,. Y Y g pCharles J.Gaeta, public housing northofBoston secondhand smoke." ityis seeking to make all.of its ports the coalition's goals,he sees in Authority&Nei bo hood �Salem Councilor at Large The North Shore'Coahhon for Mullen said he was spurred to federally funded site smoke free practical difficulties in managing Development director,said his Thomas Furey said he will par Smoke-Free Commum4es,:wluch organize the group because he .overthenextthieeyears• asmoke-free policy. field its fast meeting last week m and his wife are exposed to ciga- "The dangers..secondhand "Are you going to evict some- agency plans to hold discussions ticipate in the coalition,after try Beverly,plans to wo)rk with local ratite smoke from a downstairs smoke:are well documented,"Bill one who is smoking in a unit?It's with residents of its Wall Plaza ing unsuccessfully on several r a housing authorities,state law- unit in their complex. a�IcGonagle,the Boston Housing not going to happen.It's difficult senior housing complex about casions to win support for a makers;;and others to pursue its Particularly in older build- ttiuthoity's administrator,said in enough to evict people for using adopting a smoke free policy.He smoking ban for Salem Housing goal of makuig publc'housing ings,"cigarette smoke can't_be a prepared statement."With the illegal drugs or committing a said some residents have raised Authority sites,most recently last smoke,ainorgamze.rMI& stopped.It comes up any crack or dramatic increases in asthma we crime,or for nonpayment of the idea with authority doppomanag- year. fledgling group also plans `:'crevice,"he,said,noting that are seeing with our young people rent;'he said,citing the often ers,while others expressed oppo "Mr.Mullen had taken a re The ional approach, and I think to explore the idea of promoting some days smoke will just fill in public housing,"coupled with lengthy court proceedings in- sition. g no-smoking policies in private their living room or bedroom. respiratory ailments among our volved in those situations. We are looking to discuss the that's a great idea,"Furey said. multifamily properties;but its "We have to keep the windows elderly and disabled residents,it Given those administrative is- principal target is public hous- open all the time:' i.:clear that creating smoke-free sues,Ascolillo said,he would ing,according to Richard Mul- "I've stayed healthy all my life . housing is the right thing to do." want to have the"full coopera len,a resident of senior housing but I have minor problems with Several other Massachusetts tion and support"of the state De- s � - in Thpsfield who is launching the my breathing,Mullen said;"And housing authorities also have im- partmeni of Housing and Com RELAX WITH THE GAME AND coalition. when I come into contact with plemented or are in the process munity Development before �jApTDCRAFiED SAUSAGES! "Public housing is where we cigarette smoke,it's 10 times of moving to smoke-free environ- proceeding with aban. 142 Broadway,Saugus are putting our effort because we worse:'He said his wife gets mi- ments,according to Christopher Mullen said his group appre- (Route 1 North) Coarse Bratwurst Andouilte believe we can do something grains from the smoke. Banthin,a Natick lawyer who is ciates that there may practical 781-233u3099 Rost I3rat:ourst Knockwurst there,and it's much needed;?he About 170 public housing au- active in the push for antismok- issues involved,but that one of ww Hours:T-T a9-6 ,,,and so much more said. thoities nationwide,or about 5 ing policies.in multiunit housing. its tasks is to provide the answers Hours:T Th 9 6 German Potato Salad,.Apple Strudel, F 9-7,S 9-b Mullen said creating a smoke- percent,had implemented some "It's very doable,"said Ban- that housing authorities may Dusseldor Mustard.. free environment is particularly type of smoking limits as of last thin,who was scheduled to speak need.He said the coalition might impo or residents of senior summer, according to the at the North Shore coalition's be amenable to a phased-in ap ♦. BE WELL RESEARCH ON DISEASES AND PREVENTION Glucosamine fails test for low back pain Glucosamine,a natural com- swers at the study's outset when r pound found in cartilage with a asked to gauge their pain and reputation for calming inflamed disability. , ? joints,is a popular remedy for After six months,people in a, some of the millions who suffer both groups said they improved from chronic pain in their knees, by about the same amount.A hips,and spines.Research has year later there was also no been inconclusive about its statistically significant differ- i} benefits,so Norwegian scientists ence in their pain,disability,or y decided to pit the supplement quality of life. e ; against a placebo among people who suffer from chronic low BOTTOM LINE:Patients with back pain. chronic low back pain and osteo- Philip Wilkens of the Univer- arthritis who took glucosamine %AYANA SZYMCZA%FOR THE BOSfOPt,GLOBE sity of Oslo and his colleagues for six months had just as much G F O R C E J O N A T H A N W I N I C K O F F randomly divided into two pain-related disability as similar groups 250 people with long- patients who took a placebo pill. term low back pain whose MRls showed degenerative osteoar- CAUTIONS:People who volun- C e aril y�lg the air thritis in their spines.One group `teered to be in the free trial may took 1,500 milligrams of glucos be different from other people amine each day for six months with low back pain,so the Doctor believes smoking ban in public housing and the other group took cap- results might not be the same sules that looked the same but for all patients. would protect those most vulnerable were filled with an inactive substance.Researchers did not WHERE TO FIND IT:Journal of Dr.Jonathan Winickoff,a pediatrician at It travels along air ducts,cracks in the walls and know which patients got which the American Medical Associa- IdawC.eneral Hospital for Childrery recently floors,it travels in air shafts,in plumbing and pills until after the trial ended. tion,July 7 vlkd for a ban on smoking in public housing in electrical lines.Maybe 10 people smoking in a Both groups gave similar an- a New nglandJournal ofMedwine comrnen- building could have smoked tens of thousands of ar cigarettes inside shared air where women re- side,where children with asthma reside,where ).Why focus on smoking in public housing? folks with disabilities reside. 1.There are certain groups who are particularly:u Both eyb erbullies sceph'ble to tobacco smoke:the elderly,dis- Q.Would a smoking ban be punishing smokers tbled persons,people who have compromised who live in public housing? w-diac or pulmonary function,and children. A.There's a social justice piece here.[For]this and victims feel unsafe Chose groups have very high occupancy in pub- group of people living in public housing,this is is housing.There's an intersection between their housing of last resort.They don't have-the ome of the most vulnerable populations and option to move to another building.This is the Bullying can have tragic emotions,behavior,and head- vho resides in public housing. place where they are and it's important that consequences.A study from aches.Victims were less likely to protections are in place such that the air supply Finland focuses on its new elec- come from homes with two P.Why are children especiaUyvulnerable? in that building where they have to reside and tronic forms and ways they can parents,and bullies smoked and L Young children spend much of their time children have to reside is safe.We don't want to affect troubled students. drank more.Both groups felt . ndoors and they have a higher metabolism rate. penalize someone who is a smoker.We just want Dr.Andre Sourander of Tur- unsafe not only at school,but 'hey ingest more dust than adults,so when they to say you can't contaminate the shared air.We ku University led a team that also out of school,a sign that au in a contaminated environment,children want to support smokers who live in multiunit anonymously surveyed more online aggression doesn't stop often'have a higher load of toxic contamination. housing and elsewhere in their efforts to quit than 2,000 seventh-and ninth- when the school day ends. n studies looking at[tobacco]carcinogens in [through]smoking cessation programs that are grade students about cyberbully-, hildren,those levels are higher than for[adult] available. ing,which the researchers de- BOTTOM LINE Among adoles- tonsmokers. fined as repeatedly picking on cents,being an electronic bully, Q.Is that fair? another person online or victim,or both is associated with F You coined the term"third-hand smoke." A.This brings a certain fairness and consistency through text messages.The a greater risk of psychosocial Vhat is it? to smoking rules.Now workplaces are smoke- students,who were 13 to 16 and other problems,including L Traditionally when people think about sec- free for people who work in buildings,and bars years old at the time of the 2008 worries about safety in and out -ndhand smoke,they think about visible tobac- and restaurants are smoke-free to protect wait- survey,also answered questions of school,compared with other o smoke from smokers and smoke coming off staff and bartenders.Well,what about where about their physical and mental students of the same age. he bunding tips of cigarettes.When you think you live?Where children live?Where the dis- health.Smoking,alcohol use, bout the ixantamination of a building from abled who aren't working live?In this sense it's. and family life were also as- CAUTIONS:The study relied on :)bacco smoke,oftentimes it's not visible.It's the past time that we make these smoke-free rules sessed. anonymous reports from teens ontamination that remains after the cigarette is even. Overall,4.8 percent of the that were not independently xtinguished. ELIZABETH COONEY students said they were cyber- confirmed. victims,7.4 percent said they I.How does smoke from one apartment affect Interview was condensed and edited. were cyberbullies,and 5.4 per-' WHERE TO FIND IT:Archives of iioth2 ,r.a s-9 cc Y i' x c,a;r. :1. ::i, cent said they were both bullies General Psychiatry,June L,To smoke doesn't stop a�,"i d@4lzyvaY altrasrFliwabetlt . and victims.victims at}d ham )riit;z:. .;.f rillirry available space in the environment. wooney@globe.cam alike had more problems with ELIZABETH COONEY <,.._:,. a ,, x ;...-:,.»• .„_..�, , ..,.--,~gin ,rc: ::,...xr�z �` >.,:< y-.,. a r.n„ .",,,�, `•a «xr<qw rt1 , ;-:a .. , ,.. >.> „13. . -.. . ., vanilla � � ,,>a,�<, tea- ,�. ram- € ...x,. ��.". tea::. . ...• ->. _�-?s _€' .. ,,,..,rrr, . �. ., ��<;.� � .„>>au, ,, r."�"✓:*"T. - �.. ..�->, xs:a„; •• °�` §.r Y, � " e. 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Federal law requires that individuals receive certain information before renovating more than six square feet of painted surfaces in a room for interior projects or more than twenty square feet of painted surfaces for exterior projects or window replacement or demolition in housing,child care facilities and schools built before 1978. •Homeowners and tenants:renovators must give you this pamphlet before starting work. •Child care facilities, including preschools and kindergarten classrooms,and the families of children under six years of age that attend those facilities: renovators must provide a copy of this pamphlet to child care facilities and general renovation information to families whose children attend those facilities. WHO SHOULD READ THIS PAMPHLET? This pamphlet is for you if you: Reside in a home built before 1978. Own or operate a child care facility,including preschools and kindergarten classrooms,built before 1978,or •Have a child under six years of age who attends a child care facility built before 1978. You will learn: •Basic facts about lead and your health. How to choose a contractor,if you are a property owner. •What tenants,and parents/guardians of a child in a child care facility or school should consider. How to prepare for the renovation or repair job. •What to look for during thejob and after the job is done. •Where to get more information about lead. This pamphlet is not for: •Abatement projects.Abatement is a set of activities aimed specifically at eliminating lead or lead hazards.EPA has regulations for certification and training of abatement professionals.If your goal is to eliminate lead or lead hazards,contact the National Lead Information Center at 1-800-424-LEAD(5323)for more information. •"Do-it-yourself'projects.If you plan to do renovation work yourself,this document is a good start,but you will need more information to complete the work safely.Call the National Lead Information Center at 1-800-424-LEAD(5323)and ask for more information on how to work safely in a home with lead-based paint. •Contractor education.Contractors who want information about working safely with lead should contact a. r the National Lead Information �i i�' i3.r� Center at 1-800-424-LEAD(5323) for information about courses and resources on lead-safe work practices. ago • 1 RENOVATING, REPAIRING, OR PAINTING? LEAD AND YOUR HEALTH Is your home,your building,or the child care facility Lead is especially dangerous to children or school your children attend being renovated, under six years of age. repaired,or painted? Lead can affect children's brains and developingi` t 111 , =� •Was your home,your building,or the child care facility nervous systems,causing: or school where your children under six years of age •Reduced IQ and learning disabilities. ,, • attend built before 1978? ` " � - •' •Behavior problems. If the answer to these questions is YES,there are a h` few important things you need to know about .:; Even children who appear healthy can have lead-based paint. dangerous levels of lead in their bodies. This pamphlet provides basic facts about lead and p P P Lead is also harmful to adults.In adults,low levels information about lead safety when work is being of lead can pose man dangers,including: done in your home,your building or the child care y gers, High blood pressure and hypertension. facility or school your children attend. • •Pregnant women exposed to lead can transfer lead to their fetuses.Lead gets into the body when it is swallowed or inhaled. •People,especially children,can swallow lead dust as they eat,play,and do other normal hand-to-mouth activities. •People may also breathe in lead dust or fumes if they disturb lead-based paint. People who sand,scrape,burn,brush or blast or otherwise disturb lead-based The Facts About Lead paint risk unsafe exposure to lead. Lead can affect children's brains and developing nervous systems,causing reduced IQ,learning disabilities,and behavioral problems.Lead is also harmful to adults. What should I do if I am concerned about my family's exposure to lead? •Lead in dust is the most common way people are exposed to lead.People can also •Call your local health department for advice on reducing and eliminating get lead in their bodies from lead in soil or paint chips.Lead dust is often invisible. exposures to lead inside and outside your home,child care facility or school. Lead-based paint was used in more than 38 million homes until it was banned for •Always use lead-safe work practices when renovation or repair will disturb residential use in 1978. painted surfaces. •Projects that disturb painted surfaces can create dust and endanger you and your •A blood test is the only way to find out if you or a family member already has lead family.Don't let this ha poisoning.Call your doctor or local health department to arrange for a blood test. happen to you.Follow the practices described in this pamphlet to protect you and your family. For more information about the health effects of exposure to lead,visit the EPA lead website atwww.epa.gov/lead/pubs/leadinfo.htm or call 1-800-424-LEAD(5323). There are other things you can do to protect your family every day. •Regularly clean floors,window sills,and other surfaces. •Wash children's hands,bottles,pacifiers,and toys often. •Make sure children eat a healthy,nutritious diet consistent with the USDA's dietary guidelines,that helps protect children from the effects of lead. •Wipe off shoes before entering house. 2 3 WHERE DOES THE LEAD COME FROM? CHECKING YOUR HOME FOR LEAD-BASED PAINT Dust is the main problem. Percentage of Homes Likely to Contain Lead The most common way to get lead in the body is from dust.Lead dust comes from d Between y�,. y� deteriorating lead-based paint and lead-contaminated soil that gets tracked into 0 1960-1976 .i�J da,�1 24% your home.This dust may accumulate to unsafe levels.Then,normal hand to-mouth = Between y�,� � y�� 690/ activities,like playing and eating(especially in young children),move that dust from o 1940-1960 ICI AM ° surfaces like floors and window sills into the body. Q Before AAAAAAAAAAAA87% $7% Home renovation creates dust. 10 20 30 40 50 60 70 80 90 100 Common renovation activities like sanding,cutting,and demolition can create hazardous lead dust and chips. Older homes,child care facilities,and schools are more likely to contain Proper work practices protect you from the dust. lead-based paint. The key to protecting yourself and your family during a renovation,repair or painting Homes may be single-family homes or apartments.They may be private,government- job is to use lead-safe work practices such as containing dust inside the work area, assisted,or public housing.Schools are preschools and kindergarten classrooms.They using dust-minimizing work methods,and conducting a careful cleanup,as described may be urban,suburban,or rural. in this pamphlet. You have the following options: Other sources of lead. You may decide to assume your home,child care facility,or school contains lead. Remember,lead can also come from outside soil,your water,or household items Especially in older homes and buildings,you may simply want to assume lead-based (such as lead-glazed pottery and lead crystal).Contact the National Lead Information paint is present and follow the lead-safe work practices described in this brochure Center at 1-800-424-LEAD(5323)for more information on these sources. during the renovation,repair,or painting job. You can hire a certified professional to check for lead-based paint. p : These professionals are certified risk assessors or inspectors,and can determine if your home has lead or lead hazards. A certified inspector or risk assessor can conduct an inspection telling you whether ? 4., " your home,or a portion of your home,has lead-based paint and where it is located. �it This will tell you the areas in your home where lead-safe work practices are needed. 1 � A certified risk assessor can conduct a risk assessment telling you if your home currently has any lead hazards from lead in paint,dust,or soil.The risk assessor can also tell you what actions to take to address any hazards. •For help finding a certified risk assessor or inspector,call the National Lead . t Information Center at 1-800-424-LEAD(5323). You may also have a certified renovator test the surfaces or components being disturbed for lead using a lead test kit.Test kits must be EPA-recognized and are available at hardware stores.They include detailed instructions for their use. 4 5 FOR TENANTS AND FAMILIES OF CHILDREN UNDER SIX FOR PROPERTY OWNERS YEARS OF AGE IN CHILD CARE FACILITIES AND SCHOOLS You have the ultimate responsibility for the safety of your family,tenants,or children You play an important role ensuring the ultimate i I in your care. safety of your family. This means properly preparing for the renovation and keeping persons out of the work This means properly preparing for the renovation area(see p.8).It also means ensuring the contractor uses lead-safe work practices. and staying out of the work area(see p.8). i. Federal law requires that contractors performing renovation,repair and painting projects Federal law requires that contractors performing that disturb painted surfaces in homes,child care facilities,and schools built before 1978 renovation,repair and painting projects that disturb be certified and follow specific work practices to prevent lead contamination. painted surfaces in homes built before 1978 and in Make sure your contractor is certified,and can explain clearly the details of the job child care facilities and schools built before 1978,that c and how the contractorwill minimize lead hazards during the work. a child under six years of age visits regularly,to be • certified and follow specific work practices to prevent You can verify that a contractor is certified by checking EPA's website at epa.gov/getleadsafe or by calling the National Lead Information Center at lead contamination. 1-800-424-LEAD(5323).You can also ask to see a copy of the contractor's The law requires anyone hired to renovate,repair,or do firm certification. painting preparation work on a property built before •Ask if the contractor is trained to perform lead-safe work practices and to see a 1978 to follow the steps described on pages 9 and 10 unless the area where the work copy of their training certificate. will be done contains no lead-based paint. Ask them what lead-safe methods they will use to set up and perform the job in your home,child care facility or school. If you think a worker is not doing what he is supposed to do or is doing something •Ask for references from at least three recent jobs involving homes built before 1978, that is unsafe,you should: and speak to each personally. Contact your landlord. Always make sure the contract is clear about how the work will be set up, Call your local health or building department,or performed,and cleaned. • Call EPA's hotline 1-800-424-LEAD(5323). Share the results of any previous lead tests with the contractor. • •You should specify in the contract that they follow the work practices described on If you are concerned about lead hazards left behind after the job is over,you can pages 9 and 10 of this brochure. check the work yourself(see page 10). •The contract should specify which parts of your home are part of the work area and specify which lead-safe work practices will be used in those areas.Remember,your contractor should confine dust and debris to the work area and should minimize ri I spreading that dust to other areas of the home. ' •The contract should also specify that the contractor will clean the work area,verify that it was cleaned adequately,and re-clean it if necessary. � F If you think a worker is not doing what he is supposed to do or is doing something that is unsafe,you should: •Direct the contractor to comply with regulatory and contract requirements. + •Call your local health or building department,or Call EPA's hotline 1-800-424-LEAD(5323). If your property receives housing assistance from HUD(or a state or local agency that uses HUD funds),you must follow the requirements of HUD's Lead-Safe Housing Rule and the ones described in this pamphlet. 6 7 PREPARING FOR A RENOVATION DURING THE WORK The work areas should not be accessible to occupants while the work occurs. Federal law requires contractors that are hired to perform renovation,repair and painting The rooms or areas where work is being done may need to be blocked off or sealed projects in homes,child care facilities,and schools built before 1978 that disturb painted with plastic sheeting to contain any dust that is generated.Therefore,the contained surfaces to be certified and follow specific work practices to prevent lead contamination. area may not be available to you until the work in that room or area is complete, The work practices the contractor must follow include these three simple procedures, cleaned thoroughly,and the containment has been removed.Because you may not described below: have access to some areas during the renovation,you should plan accordingly. 1.Contain the work area.The area must be contained so that dust and debris do not escape from that area.Warning signs must be put up and plastic or other impermeable material You may need: and tape must be used as appropriate to: •Alternative bedroom,bathroom,and kitchen arrangements if work is occurring in •Cover the floors and any furniture that cannot be moved. those areas of your home. A safe place for pets because they too can be poisoned by lead and can track lead Seal off doors and heating and cooling system vents. dust into other areas of the home. These will help prevent dust or debris from getting outside the work area. A separate pathway for the contractor from the work area to the outside in order to 2.Avoid renovation methods that generate large amounts of lead-contaminated dust. bring materials in and out of the home.Ideally,it should not be through the same Some methods generate so much lead-contaminated dust that their use is prohibited, entrance that your family uses. They are: A place to store your furniture.All furniture and belongings may have to be moved •Open flame burning or torching. 'r from the work area while the work is beingdone.Items that can't be moved,such as cabinets,should be wrapped in plastic. •Sanding,grinding,planing,needle gunning, or blasting with power tools and equipment s K� ,; To turn off forced-air heating and air conditioning systems while the work is being not equipped with a shroud and HEPA r , done.This prevents dust from spreading through vents from the work area to the p P 9 9 vacuum attachment. * q rest of your home.Consider how this may affect your living arrangements. 3 W •Using a heat gun at temperatures greatery' You may even want to move out of your home temporarily while all or part of the than 1100°F. " . •, --� work is being done. There is no way to eliminate dust,but some renovation methods rnake less dust than others. Child care facilities and schools may want to consider alternative accommodations Contractors may choose to use various methods to minimize dust generation,including for children and access to necessary facilities. using water to mist areas before sanding or scraping;scoring paint before separating components;and prying and pulling apart components instead of breaking them. 3.Clean up thoroughly.The work area should be cleaned up daily to keep it as clean as possible.When all the work is done,the area must be cleaned up using special cleaning methods before taking down any plastic that isolates the work area from the rest of the home.The special cleaning methods should include: Tr-Ir r,. •Using a HEPA vacuum to clean up dust and debris on all surfaces,followed by .;. ,. I : •Wet wiping and wet mopping with plenty of rinse water. rx 1r,4 K When the final cleaning is done,look around.There should be no dust,paint chips,or debris * t ,k in the work area.If you see any dust,paint chips,or debris,the area must be re-cleaned. I! N II ! I �I 1.9 �I� II ° Ili#IlIGI� 8 9 FOR PROPERTY OWNERS: AFTER THE WORK IS DONE FOR ADDITIONAL INFORMATION When all the work is finished,you will want to know if your home,child care facility,or You may need additional information on how to protect yourself and your children school has been cleaned up properly.Here are some ways to check. while a job is going on in your home,your building,or child care facility. Ask about your contractor's final cleanup check.Remember,lead dust is often The National Lead Information Center at 1-800-424-LEAD(5323)or invisible to the naked eye.It may still be present even if you cannot see it.The www.epa.gov/lead/nlic.htm can tell you how to contact your state,local,and/or contractor must use disposable cleaning cloths to wipe the floor of the work area tribal programs or get general information about lead poisoning prevention. and compare them to a cleaning verification card to determine if the work area was adequately cleaned. •State and tribal lead poisoning prevention or environmental protection programs can provide information about lead regulations To order a cleaning verification card and detailed instructions visit the EPA lead and potential sources of financial aid for reducing website at www.epa.gov/lead or contact the National Lead Information Center at lead hazards.If your state or local government has 1-800-424-LEAD(5323)or visit their website at www.epa.gov/lead/nlic.htm. requirements more stringent than those described in this pamphlet,you must follow those requirements. s You also may choose to have a lead-dust test.Lead-dust tests are wipe samples sent to a laboratory for analysis. -Local building code officials can tell you the regulations that apply to the renovation work that you You should specify in your contract that a lead-dust test will be done.In this case, are planning. 'R x , make it clear who will do the testing. State,county,and local health departments can Testing should be done by a lead professional. provide information about local programs,including If you choose to do the testing,some EPA-recognized lead laboratories will send you assistance for lead-poisoned children and advice on a kit that allows you to collect samples and send them back to the lab for analysis. ways to get your home checked for lead. t Contact the National Lead Information Center at 1-800-424-LEAD(5323)for lists of The National Lead Information Center can also provide a variety of resource materials,including the following qualified professionals and EPA-recognized lead labs. Y 9 9 guides to lead-safe work practices.Many of these If your home,child care facility,or school fails the dust test,the area should be materials are also available at re-cleaned and tested again. www.epa.gov/lead/pubs/brochure.htm. Where the project is done by contract,it is a good idea to specify in the contract that •Steps to Lead Safe Renovation,Repair and Painting. the contractor is responsible for re-cleaning if the home,child care facility,or school .t fails the test. Protect Your Family from Lead in Your Home r i •Lead in Your Home:A Parent's Reference Guide . � 4++ For the hearing impaired,call the Federal Information Relay Service at 1-800 877-8339 to access any of the phone numbers in this brochure. 10 >> EPA CONTACTS OTHER FEDERAL AGENCIES EPA Regional Offices CPSC HUD Office of Healthy Homes and Lead EPA addresses residential lead hazards through several different regulations. The Consumer Product Safety Hazard Control EPA requires training and certification for conducting abatement and renovations, Commission(CPSC)protects the public The Department of Housing and Urban education about hazards associated with renovations,disclosure about known lead from the unreasonable risk of injury or Development(HUD)provides funds paint and lead hazards in housing,and sets lead-paint hazard standards. death from 15,000 types of consumer to state and local governments to Your Regional EPA Office can provide further information regarding lead safety and products under the agency's jurisdiction. develop cost-effective ways to reduce CPSC warns the public and private lead-based paint hazards in America's lead protection programs at epa.gov/lead. sectors to reduce exposure to lead and privately-owned low-income housing.In Region 1 Region 4 Region 7 increase consumer awareness.Contact addition,the office enforces the rule on (Connecticut,Massachusetts, (Alabama,Florida,Georgia, (Iowa,Kansas,Missouri, CPSC for further information regarding disclosure of known lead paint and lead Maine,New Hampshire, Kentucky,Mississippi,North Nebraska) regulations and consumer product safety. hazards in housing,and HUD's lead safety Rhode Island,Vermont) Carolina,South Carolina, Regional Lead Contact regulations in HUD-assisted housing, Regional Lead Contact Tennessee) U.S.EPA Region 7 CPSC provides public outreach and technical U.S.EPA Region 1 Regional Lead Contact 901 N.5th Street 4330 East West Highway assistance,and conducts technical Suite 1100 U.S.EPA Region 4 Kansas City,KS 66101 Bethesda,MD 20814 studies to help protect children and their One Congress Street 61 Forsyth Street,SW (913)551-7003 Hotline 14800)638-2772 families from health and safety hazards Boston,MA 02114-2023 Atlanta,GA 30303-8960 www.cpsc.gov in the home.Contact the HUD Office of (888)372-7341 (404)562-9900 Region 8 Healthy Homes and Lead Hazard Control (Colorado,Montana, CDC Childhood Lead Poisoning for information on lead regulations, Region 2 Region 5 North Dakota,South Dakota, outreach efforts,and lead hazard control (New Jersey,New York, (Illinois,Indiana,Michigan, Utah,Wyoming) Prevention Branch research and outreach grant programs. Puerto Rico,Virgin Islands) Minnesota,Ohio,Wisconsin) Regional Lead Contact The Centers for Disease Control and Regional Lead Contact Regional Lead Contact U.S.EPA Region 8 Prevention(CDC)assists state and local U.S.Department of Housing and Urban U.S.EPA Region 2 U.S.EPA Region 5 1595 Wynkoop Street childhood lead poisoning prevention Development 2890 Woodbridge Avenue 77 West Jackson Boulevard Denver,CO 80202 programs to provide a scientific basis Office of Healthy Homes and Building 205,Mail Stop 225 Chicago,IL 60604-3507 (303)312-6312 for policy decisions,and to ensure that Lead Hazard Control Edison,NJ 08837-3679 (312)886-6003 health issues are addressed in decisions 451 Seventh Street,SW,Room 8236 (732)321-6671 Region 9 about housing and the environment. Washington,DC 20410-3000 Region 6 (Arizona,California,Hawaii, Contact CDC Childhood Lead Poisoning HUD's Lead Regulations Hotline Region 3 (Arkansas,Louisiana,New Nevada) Prevention Program for additional (202)402-7698 (Delaware,Maryland, Mexico,Oklahoma,Texas) Regional Lead Contact materials and links on the topic of lead. www.hud.gov/offices/lead/ Pennsylvania,Virginia, Regional Lead Contact U.S.Region 9 Washington,DC,West U.S.EPA Region 6 75 Hawthorne Street CDC Childhood Lead Poisoning Virginia) 1445 Ross Avenue, San Francisco,CA 94105 Regional Lead Contact 12th Floor (415)947-8021 Prevention Branch U.S.EPA Region 3 Dallas,TX 75202-2733 4770 Buford Highway,MS F-40 1650 Arch Street (214)665-6444 Region 10 Atlanta,GA 30341 Philadelphia,PA (Alaska,Idaho, (770)488-3300 19103-2029 Oregon,Washington) www.cdc.gov/nceh/lead (215)814-5000 Regional Lead Contact U.S.EPA Region 10 1200 Sixth Avenue Seattle,WA 98101-1128 (206)553-1200 12 13 p � i SAMPLE PRE-RENOVATION FORM This sample form may be used by renovation firms to document compliance with the Federal pre-renovation education and renovation,repair,and painting regulations. Occupant Confirmation Pamphlet Receipt ❑I have received a copy of the lead hazard information pamphlet informing me of the potential risk of the lead hazard exposure from renovation activity to be performed in my dwelling unit.I received this pamphlet before the work began. , , Printed Name of Owner-occupant Signature of Owner-occupant Signature Date Renovator's Self Certification Option(for tenant-oc(upied dwellings only) Instructions to Renovator:If the lead hazard information pamphlet was delivered but a tenant signature was not obtainable,you may check the appropriate box below. , 0 Declined-I certify that I have made a good faith effort to deliver the lead hazard information pamphlet to the rental dwelling unit listed below at the date and time indicated and that the occupant declined to sign the confirmation of receipt.I further certify that I have left a copy of the pamphlet at the unit with the occupant. ' ❑Unavailable for signature-I certify that I have made a good faith effort to deliver the lead hazard information pamphlet to the rental dwelling unit listed below and that the occupant was unavailable to sign the confirmation of receipt.I further certify that I have left a copy of the pamphlet at the unit by sliding it under the door or by(fill in how pamphlet was left). , , , , , , Printed Name of Person Certifying Delivery Attempted Delivery Date , , Signature of Person Certifying Lead Pamphlet Delivery , , Unit Address Note Regarding Mailing Option—As an alternative to delivery in person,you may mail the lead hazard information pamphlet to the owner and/or tenant.Pamphlet must be mailed at least seven days before renovation.Mailing must be documented by a certificate of mailing from the post office.