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MEETING PACKET JUNE 2011 'iWu i� u i CITY OF SALEM, MASSACHUSETTS BOARD OF HF 1LTI-I 120 WASHINGTON STItE eT,4"'FLOOR TEL. (978) 741-1800 ItiIl✓II3ERLEY DRISCOLL FAt(978)745-0343 �Zr1YOR lramdin@salein.com L.\itm'RANIDIN,RS/10?1 IS,CI I(_),CII-FS I-I :m,' 'I I A(;FINI' NOTICE OF MEETING You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting Tuesday, June 14, 2011 at 7:00 PM City Hall Annex, 120 Washington St Room 311 MEETING AGENDA 1. Call to order 2. Approval of Minutes from May 10, 2011 2 3. Chairperson Announcements _ �- 4. Public Health Announcements/Reports/Updates n- a. Health Agent • b. Public Health Nurse c. Administrative d. Councilor Liaison N 5. Body Art Establishment variance request from Michael LaChapelle; requesting permission to leave 1.5 feet between the walls and ceiling of each work space& to add a small window for viewing in each work space. 6. BOH Exterior Paint Removal Proposed Regulations and RRP 7. Update on smoking in taxi cabs 8. Miscellaneous 9. Adjournment 'Chia WIN pOStOd On "OffiCial Btl"e';'r !74 0P-fdR 0, City Hall Salem, MASS. 01i t&N - s 2011 Larry Ramdin at 32-2- P"I In WAh C�h " 30 SQQ Health Agent 23A & 230 of M.QL cc: Mayor Kimberley Driscoll, Board'ofHealth, City Councilors Next regularly scheduled meeting is July 12, 2011 at 7pm at City Hall Annex, 120 Washington Street Room 311 • Know your rights under the open meeting law MGL Chapter 39 Section 23B and City Ordinance.section 2- 2028 through 2-2033 This agenda has been prepared in advance and represents a list of topics that the Chair reasonably anticipates will be discussed at the meeting. However, the agenda does not necessarily include all matters which may be taken up at this meeting. CITY OF SALEM, MASSACHUSETTS • __ � BOARD OF HE kLTH 120 WASHINGTON STREET,4"'FLOOR KIMBERLEY DRISCOLL TEL. (978) 741-1800 FAX(978) 745-0343 MAYORlramdin@sAem.com LARRY RAMDIN,RS/RI?FIS,(:11(),CP-FS HF,A.L'n j A(,I"N't' NOTICE OF MEETING You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting Tuesday, June 14, 2011 at 7.00 PM City Hall Ann ex, 120 Washington St. Room 311 MEETING AGENDA 1. Call to order 2. Approval of Minutes from May 10, 2011 3. Chairperson Announcements 4. Public Health Announcements/Reports/Updates • a. Health Agent b. Public Health Nurse c. Administrative d. Councilor Liaison 5. Body Art Establishment variance request from Michael LaChapelle; requesting permission to leave 1.5 feet between the walls and ceiling of each work space&to add a small window for viewing in each work space. 6. BOH Exterior Paint Removal Proposed Regulations and RRP 7. Update on smoking in taxi cabs 8. Miscellaneous 9. Adjournment Larry Ramdin Health Agent cc: Mayor Kimberley Driscoll, Board of Health, City Councilors Next regularly scheduled meeting is July 12, 2011 at 7pm at City Hall Annex, 120 Washington Street Room 311 • Know your rights under the open meeting law MGL Chapter 39 Section 23B and City Ordinance section 2- 2028 through 2-2033 This agenda has been prepared in advance and represents a list of topics that the Chair reasonably anticipates will be discussed at the meeting. However,the agenda does not necessarily include all matters which may be taken up at this meeting. CITY OF SALEM BOARD OF HEALTH MEETING MINUTES • May 10, 2011 DRAFT MEMBERS PRESENT:Barbara Poremba, Martin Fair, Gayle Sullivan, Robert Dionne,Kemith LeBlanc& Larissa Lucas OTHERS PRESENT: David Greenbaum, Acting Health Agent, Tracy Giarla,Public Health Nurse and Councillor Liaison Thomas Furey MEMBERS EXCUSED: Marc Salinas TOPIC DISCUSSION/ACTION 1. Call to Order Meeting called to order by Dr. Poremba, Chair, at 7:00pm. 2.Minutes of Last Meeting Unanimously approved with corrections. (April 12, 2011) 3. Chairperson Announcements Kemith LeBlanc has resigned from the BOH and this is her last meeting. The Board thanked her for her valued contributions and service. The Board welcomed new member, Robert Dionne, who was appointed on 04/13/11. A description of his background and experience is available in the office. The Board also recognized Martin Fair for his 24 years of service and as a valued member the Board. • National School Nurse Day—The Board acknowledges Gayle Sullivan, Salem High School Nurse&Board member. On April 28, Mayor Driscoll and the Salem City Council recognized the 10 year anniversary of the Board's enactment of a ban on smoking in food establishments On behalf of the board,Dr. Poremba accepted the commendation. Dr. Poremba also wrote a letter to the Editor of Salem Evening News, commemorating the anniversary of the smoking ban that was published in the on April 21, 2011. Copy is included in the record. Dr. Poremba will be out of the country from May 21S`- 28`h Martin Fair will represent the BOH in her absence. The Board adopted a policy that prohibits the use of cell phones and other electronic devices in the meeting room, including texting and recording during meetings. Members and guests will have to step out of the meeting room to use phones and other electronic devices. The use of recording device by the Clerk was exempted from the policy. 4.Monthly Reports-Updates A. Administrative Report Presented and approved. Copy available in office • B. Public Health Nurse Report There is a new fact sheet from state on measles and traveling. The next hoarding task force meeting is May 17th. Dr Poremba is interested in attending. There is a new form that updates each department on elders in need of help. A copy is available in the office. C. Acting Health Agent Report Updates from D Greenbaum on North Shore Shared Health Services Meeting—communities present were, Peabody, Salem, Danvers, Marblehead, & Swampscott. Discussion regarding what the agreement might look like&what types of shared • services may be included. A"cafeteria"model for shared services which allow cities to purchase services from other communities was explored. Dates and goals were set on work that needs to be done as the process needs to be completed by September Fraudulent Health Inspector Scams-Dr. Poremba asked D. Greenbaum to explain recent reports of this in Salem. D. Greenbaum explained that it is also a nationwide problem as these scammers are looking to get personal or financial information. Dr. Poremba asked that a memo be sent out to the establishments to remind them of this problem and request that they contact the Health Department with any concerns. A copy of the memo will be sent to the board members. McGrath Park has been closed due to lead and cadmium contamination. David Murphy, Engineer from Tighe and Bond will be working to resolve this matter. Currently the plan is to cap the area and rebuild the soccer fields. M. Fair pointed out that the ads in the Salem News about the Beverly's HHWD in April did not originally include Salem. D. Greenbaum explained that each community would advertise their events. A correction was in the paper the Friday before Beverly's • event stating that is was open to Salem residents. Plans for 405-427 Highland Avenue have changed. Mass highway has asked the developer to change the location of a driveway. M. Fair said that this does not need to be re-reviewed by the BOH. Meeting minutes: There was some misunderstanding regarding the lack of posting of the past 3 meetings. Once the staff became aware of this situation the minutes were promptly posted on the website. Additionally, due to updates by the website administrator, links to the minutes of 4 past meetings had been broken which apparently caused them to be deleted from the site. This was not the fault of BOH staff. All minutes have now been posted on the website in accordance with the Sunshine Ordinance. Mr. Lunt was very pleased with the outcome of the trash situation at 103 Highland Ave. D. Greenbaum informed the Board that the issue has been resolved. Councilor Furey informed the Board that a copy of the Salem's D. City Council Liaison Updates 10 year smoking ban anniversary dedication ceremony is available at Comcast if the board would like it for the record. • Councilor Liaison Furey read his letter to the editor that will be submitted to The Salem Gazette&The Salem Evening News. Letter available in office. 5. New Business Motion by M. Fair 2"d by G. Sullivan, to officially appoint Larry A. Appointment of Health Agent Ramdin as Health Agent for the Salem Board of Health in accordance with MGL ch. 111, s. 27 and 30; Motion unanimously approved. • B. Reorganization of Board: Motion by L. Lucas 2°d by K. LeBlanc, to reelect Dr. Poremba as Chairperson& Clerk Elections Chairperson in accordance with MGL Chap 111 S. 27. Motion passes unanimously Motion by M. Fair 2"d by L. Lucas to reappoint Heather Lyons- Paul as Clerk of the Board in accordance with MGL Chap I I I S. 27. Motion passes unanimously. C. BOH Exterior Paint Removal Proposed M Fair updated the board on his research to amend this Regulations & RRP— regulation and information on exterior paint removal. The State of RI has good regulations. It appears the EPA is the enforcement arm for violations there. M Fair wants to see the equipment in use in the field& suggested that the Board to give Shawn O'Connor a variance for a Salem property for the purpose of a demonstration. There was a discussion about fees, fines and loss of ability to obtain permits as a result of violations. The Board has decided that they are not ready to change the regulation but will allow a variance request. Motion by L. Lucas- 2nd by G. Sullivan to grant a one time variance for observation of this process only for Shawn O'Connor. Location for this variance is to be determined. Motion passes unanimously. • D. Current tobacco regulations and proposed D. Greenbaum presented to the Board for signature,a letter of amendment#415 that would preempt the opposition, to Senator Berry regarding Amendment#415, authority of local Boards if Health from Motion by G. Sullivan that the letter be signed by the board. 2nd. promulgating reasonable public health Motion passes unanimously and letter is signed and will be sent regulations. by D. Greenbaum. D. Greenbaum notified the board that Joyce Redford, of NS E. Smoking in taxi cabs. Tobacco Control suggested that all the taxi cab companies in Salem be requested to come in front of the board along with the licensing authority to inform them of this problem .After discussion, he Board decided to send out letters to all taxi companies and licensing officer stating that, in accordance with state law, smoking is prohibited in taxis. Along with this letter, nonsmoking stickers from tobacco control will be enclosed for the taxi cabs to use. 8. MEETING ADJOURNED: 9:10 P.M. Respectfully submitted, Heather Lyons-Paul Clerk of the Board • Next regularly scheduled meeting is June 14, 2011 at 7pm At City Hall Annex, 120 Washington Street,Room 311 Salem. CITY OF SALEM, MASSACHUSETTS BOARD OF HF--�LTH 120 WASHINGTON STREET,4`"FLOOR TEL. (978) 741-1800 KIMBERLI✓Y DRISCOLL FAX(978) 745-0343 Mt�YOR lramdinnasalcm.com LAR.RY RAMDIN,RS/RI:?l iS,Ci lO,CP-Fs, HEM,nII AGENT Public Health Nurse Report May 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 North Shore Head Start Health and Safety Advisory meeting. • Attended a meeting with North Shore Health Agents and Public Health Nurses to discuss the upcoming Influenza season changes from MDPH. • Attended the North Shore Hoarding Task Force meeting. • Assisted the Peabody Public Health Nurse on May 9 and May 11th with TB contact testing. 20 work contacts were tested. • 4 Blood Pressure Clinics were held at Salem Fire Headquarters for group's 1 through 4. • Attended a Risk Communication Workshop presented by Susan Santos, Ph.D. • Attended the-North Shore Cape Ann Emergency Preparedness Coalition meeting. CITY OF SALEM, MASSACHUSETTS -_ BOARD OF HE.mTH 120 WASHINGTON STREET,4"j FLOOR KIMBERLEY DRISCOLL TEL. (978)741-1800 MAYOR FAX(978)745-0343 Iramdinnasalein.com LARRY RAivIDI.N,RS/REIIS,CI10,CP-FS HIiAtai i AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES MAY 201 1 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER O O O 0 • HEPATITIS C 3 0 3 3 INFLUENZA 0 0 O O SHIGELLA 1 0 1 1 VARICELLA 0 O 0 0 SHIGELLA : 55 Y/0 MALE. NON FO OD HANDLER. NO TRAVEL OUT OF STATE BUT TRAVELS THROUGHOUT NEW ENGLAND FOR OCCUPATION. EATS OUT DAILY. HEP C: THREE CHRONIC HEP C CASES REPORTED. • e The Comm onwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health State Laboratory Institute V 305 South Street, Jamaica Plain, MA 02130 DEVAL L.PATRICK GOVERNOR Bureau of Infectious Disease Prevention, TIMOTHY P. R Response and Services LIEUTENANT GOVERNOR MURRAYR JUDYANN BIGBY,MD (617) 983-6800 SECRETARY JOHN AUERBACH COMMISSIONER To: All Public Provider Sites" From: Pejman Talebian, MA, MPH Deputy Program Manager for Policy and Planning, Immunization Program Robert W. Morrison, Vaccine Manager, Immunization Program Date: May 31, 2011 • Subject: State-Supplied Adult Vaccines Only Available for Uninsured and Underinsured: 1) Reduced Vaccine Availability; 2) Prioritization; 3) Private-Purchase of Vaccines for Insured Patients The state vaccine budget for adult vaccines was reduced by $2 million for the current fiscal year ending June 30, 2011. The impact of this cut was initially mitigated by federal stimulus funds (American Recovery and Reinvestment Act). However, those funds have ended. The state budget for the upcoming fiscal year as specified in both the Governor's (House1) and House budgets appears to be level funded. However, when vaccine price increases are taken into account, this budget actually represents a $1.5M decrease in the amount of vaccine we can purchase. The Massachusetts Department of Public Health(MDPH) regrets to inform you that effective July 1, 2011, we will no longer be able to routinely provide the following vaccines for adults (those 19 years of age and older): Hepatitis A, Hepatitis B, MMR, PPSV23, TdaP, or Varicella Vaccines. MDPH will only be able to supply a very limited allocation of these vaccines for your adult patients who are uninsured or underinsured (health plan does not provide coverage for vaccinations). Reduction and Prioritization • For most sites the limited allocation of adult vaccines will represent between a 70-80% reduction in the number of doses of MDPH-supplied vaccines you reported as administered in calendar year 2010. Depending on the size of your allocation, you may receive only one shipment of vaccine for the entire year. Additional information regarding reduced_adult_vaccines_for SFY12_5-11(2)[11 May 2011 your annual allocation of adult vaccines will be sent to you under a separate cover prior to July 1St Private-Purchase • • MDPH is asking public providers* to purchase vaccines for their adults patients, and for those who are insured, we ask you to bill health plans and other insurers for the cost of the vaccine and administration. MDPH is notifying health plans and insurers in Massachusetts about this reduction in vaccine availability and asking them to reimburse providers for all the vaccines recommended for adults by the Advisory Committee on Immunization Practices (ACIP) at the amount paid by provider, as well as the administration fee. Below is a list of vaccine manufacturers and their contact information along with the adult vaccines available from them. Manufacturer Phone Number Adult Vaccines GlaxoSmithKline 1-866-475-8222 Hep A, Hep B, Tdap Merck & Company 1-800-672-6372 Hep B, HPV, MMR, PPSV23, Varicella Sanofi Pasteur 1-800-822-2463 Tdap Prime Vendor Program to Assist with Vaccine Purchase The Prime Vendor Program, authorized by Congress, requires drug companies to provide discounts on drugs, including vaccines, for covered entities such as federally-qualified health centers. Many of the vaccine manufacturers also extend this program to certain other public sites as well. For more information on this program, please call 888-340-2787 or visit • www.340bpvp.com. Enclosed you will find a revised version of MDPH's Adult Vaccine Availability Table (dated July 2011), which provides more guidance on vaccines available by provider site type. This table and other documents related to vaccine availability can also be found on the Department's website www.mass.gov/dph/imm in the section on Vaccine Management Please note that this memo refers to all state-supplied adult vaccines except for influenza vaccine. You will be receiving a separate communication regarding state-supplied influenza vaccine. We recognize the challenges this action presents for you and your patients. We appreciate your commitment to your patients and will continue to work with you to mitigate the impact of the current funding constraints. If you have any questions regarding vaccine availability, please contact the Vaccine Management Unit at 617-983-6828. *Public Sector Sites include: o Local health departments; o TB clinics; o Integrated Counseling, o Community health centers o Public hospitals; Testing and Referral Sites; o Free community-based o Public Colleges; o Health care for the clinics; homeless • o Correctional facilities; reduced_adult vaccines_for SFY12_5-11(2)[1J May2011 CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR KIMBERLEY DRISCOLL TEL. (978) 741-1800 FAX(978) 745-0343 MAYOR tramdin@salcin.com LARRY RAMDI.N,RS/RF.I IS,CF[O,CP-I,'S HF.A1 T73.AGENT Acting Health Agent Report May 2011 Meetings/Trainings 1. Attended a case study regarding an Anthrax investigation in New York and Pennsylvania. Discussed the investigation and epidemiology of an anthrax exposure by the FBI and Pennsylvania Department of Health. 2. Attended a meeting of the steering committee for the North Shore Shared Health Services planning. Topics of discussion included an update on outreach to potential municipal partners including Lynn and Beverly. Review of preliminary assessment results, and a review and discussion of the preliminary work plan and timeline. 3. Attended the North Shore/Cape Ann Emergency Preparedness Coalition meeting. Items discussed include upcoming deliverables and an update from the local state advisory committee. A discussion took place regarding offering measles vaccinations to first responders in each community. A letter will be sent to the police and fire chiefs regarding this potential vaccination effort. 4. Attended the Senior Staff meeting in the mayors' office. Discussed the upcoming farmers market, regionalization working group and the pending start date for the new Health Agent, Larry Ramdin. 5. Attended the monthly department head meeting. Significant Communication or Complaints from Residents NONE Inquiries or Reports from the Media NONE Other Public Health Information NONE Administration Monthly Report May-11 Burial Permits @$25.00 $1,025.00 Permits $3,005.00 Certificate of Fitness@$50.00 $1,650.00 Copies Fines Total Monies Collected = $4,695.00 Annual Budget Expended Finance Dept Total$ Transferred on 1118110 Available Balance Total Salary/Longevity $337,609.00 ® $238,918.27 ® $4,571.66 $103,262.39 Money Available $1,750.00 (Mileagereimbursment) Money Available in Purchase Orders $140.14 (office supplies) Annual Budget Expended Available Balance Non-Personnel $21,200.00 0 $19,309.86 $1,890.14 _ = The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health State Laboratory Institute J 305 South Street, Jamaica Plain, MA 02130 DEVAL L.PATRICK GOVERNOR Bureau of Infectious Disease Prevention, TIMOTHY P.MURRAY Response and Services LIEUTENANT GOVERNOR (617) 983-6800 JUDYANN BIGBY,MD SECRETARY JOHN AUERBACH COMMISSIONER To: All Public Provider Sites From: Pejman Talebian, MA, MPH Deputy Program Manager for Policy and Planning, Immunization Program Robert W. Morrison, Vaccine Manager, Immunization Program Date: May 31, 2011 • Subject: State-Supplied Adult Vaccines Only Available for Uninsured and Underinsured: 1) Reduced Vaccine Availability; 2) Prioritization; 3) Private-Purchase of Vaccines for Insured Patients The state vaccine budget for adult vaccines was reduced by $2 million for the current fiscal year ending June 30, 2011. The impact of this cut was initially mitigated by federal stimulus funds (American Recovery and Reinvestment Act). However, those funds have ended. The state budget for the upcoming fiscal year as specified in both the Governor's (House1) and House budgets appears to be level funded. However, when vaccine price increases are taken into account, this budget actually represents a $1.5M decrease in the amount of vaccine we can purchase. The Massachusetts Department of Public Health (MDPH) regrets to inform you that effective July 1, 2011, we will no longer be able to routinely provide the following vaccines for adults (those 19 years of age and older): Hepatitis A, Hepatitis B, MMR, PPSV23, TdaP, or Varicella Vaccines. MDPH will only be able to supply a very limited allocation of these vaccines for your adult patients who are uninsured or underinsured (health plan does not provide coverage for vaccinations). Reduction and Prioritization • For most sites the limited allocation of adult vaccines will represent between a 70-80% reduction in the number of doses of MDPH-supplied vaccines you reported as administered in calendar year 2010. Depending on the size of your allocation, you may receive only one shipment of vaccine for the entire year. Additional information regarding reduced adult vaccines for SFY12 5-11(2) May 2011 your annual allocation of adult vaccines will be sent to you under a separate cover prior to July 1st • Private-Purchase • MDPH is asking public providers* to purchase vaccines for their adults patients, and for those who are insured, we ask you to bill health plans and other insurers for the cost of the vaccine and administration. MDPH is notifying health plans and insurers in Massachusetts about this reduction in vaccine availability and asking them to reimburse providers for all the vaccines recommended for adults by the Advisory Committee on Immunization Practices (ACIP) at the amount paid by provider, as well as the administration fee. Below is a list of vaccine manufacturers and their contact information along with the adult vaccines available from them. Manufacturer Phone Number Adult Vaccines GlaxoSmithKline 1-866-475-8222 Hep A, Hep B, Tdap Merck & Company 1-800-672-6372 Hep B, HPV, MMR, PPSV23, Varicella Sanofi Pasteur 1-800-822-2463 Tdap Prime Vendor Program to Assist with Vaccine Purchase The Prime Vendor Program, authorized by Congress, requires drug companies to provide discounts on drugs, including vaccines, for covered entities such as federally-qualified health centers. Many of the vaccine manufacturers also extend this program to certain other public • sites as well. For more information on this program, please call 888-340-2787 or visit www.340bpvp.com. Enclosed you will find a revised version of MDPH's Adult Vaccine Availability Table (dated July 2011), which provides more guidance on vaccines available by provider site type. This table and other documents related to vaccine availability can also be found on the Department's website www.mass.gov/dph/imm in the section on Vaccine Management Please note that this memo refers to all state-supplied adult vaccines except for influenza vaccine. You will be receiving a separate communication regarding state-supplied influenza vaccine. We recognize the challenges this action presents for you and your patients. We appreciate your commitment to your patients and will continue to work with you to mitigate the impact of the current funding constraints. If you have any questions regarding vaccine availability, please contact the Vaccine Management Unit at 617-983-6828. *Public Sector Sites include: o Local health departments; o TB clinics; o Integrated Counseling, o Community health centers o Public hospitals; Testing and Referral Sites; o Free community-based o Public Colleges; o Health care for the • clinics homeless� o Correctional facilities; reduced adult vaccines for SFY12 5-11(2) May 2011 Massachusetts Department of Public Health (MDPH) Immunization Program State-Supplied :Adult Vaccine Availability Table Pp Y -- Effective July 1, 2011 -- Eligibility: • MDPH does not provide vaccines for adults seen at private provider sites. The only exception to this is tetanus-diphtheria (Td) vaccine, which MDPH continues to provide for all Massachusetts residents, regardless of where they receive care. • MDPH provides a very limited supply of vaccines listed below only for adults who are uninsured or underinsured (health plan does not provide coverage for vaccinations) seen in public sector sites'. • Sites with billing capacity should purchase vaccine and seek reimbursement from health insurers. Employees of public sector sites are not eligible for state-supplied vaccine. (Please note that all new changes appear in bold and italics.) Private and Public Sectors Vaccine Adults (19 years of age and older) Eligible for State-Supplied Vaccine Administered in the Private and Public Sectors Td • All adults as recommended by the ACIP. Public Sector' Vaccine Adults Eligible for State-Supplied Vaccine Administered in the Public Sector He A • Only for uninsured or underinsured2 adults in AC I P-recom mended groups3 seen at public p sites. Hep B • Only for uninsured or underinsured2 adults in ACIP-recommended groups3 seen at public sites. Please Note: Employers covered by federal OSHA regulations are responsible for supplying hepatitis B vaccine to their employees. State-supplied vaccine is not available for this group. Influenza • Only for uninsured or underinsured2 adults who are at high-risk for complications from Vaccine influenza(those who are 50 years of age and older, those who are pregnant, and those who have chronic medical conditions)who are seen at public sites. ' • MDPH-supplied HPV vaccine for adults is no longer available. HPV • Sites may consider using the Merck Vaccine Assistance Program (www.merck.com/merckhelps/vaccines/home.html)to receive free doses of HPV for eligible uninsured adults. • Only for uninsured or underinsured2 adults in AC I P-recom mended groups3 seen at public sites.' MMR • Sites using state-supplied MMR should take advantage of the Merck Vaccine Assistance Program (www.merck.com/merckhelps/vaccines/home.html)to receive free doses of M-M-R®II to replace state-supplied doses administered to eligible uninsured adults. Adult Vaccine Availability Table MDPH 7-11 (4) MDPH July 2011 t r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET,4"i FLOOR KIMBERLEY DRISCOLL TEL. (978) 741-1800 FAX(978)745-0343 NL�YOR Iramdin@salem.com LAlM RAMII)IN,RS/RVII IS,CI 10,CP-FS FII-AL ri t AG I;NT NOTICE OF MEETING You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting Tuesday, October 11, 2011 at 7.00 PM City Hall Annex, 120 Washington St Room 311 MEETING AGENDA 1. Call to order 2. Approval of Minutes from September 13, 2011 3. Chairperson Announcements __ N 4. North Shore Collaborative Health Services Program Implementation-MAPC 5. Public Health Announcements/Reports/Updates n a. Health Agent b. Public Health Nurse ` c. Administrative • d. Councilor Liaison C) 6. Discussion of Board of Health mission,objectives, responsibilities and plans 7. BOH Exterior Paint Removal Proposed Regulations and RRP 8. Miscellaneous 9. Adjournment Larry Ramdin Health Agent cc: Mayor Kimberley Driscoll, Board of Health, City Councilors Next regularly scheduled meeting is November 15, 2011 at 7pm at City Hall Annex, 120 Washington Street Room 311 Know your rights under the open meeting law MGL Chapter 39 Section 23B and City Ordinance section 2-2028 through 2-2033 his agenda has been prepared in advance and represents a list of topics that the Chair reasonably anticipates will discussed at the meeting. However,_the,a end a ' in at this meeting, e 1"10 t1Q��������� �� � �� ��� ��h�fay��ie'taken up ,City Hap Salem, maws. O6 odbloer CITY OF SALEM BOARD OF HEALTH MEETING MINUTES September 13, 2011• DRAFT MEMBERS PRESENT: Dr. Barbara Poremba, Chairperson, Martin Fair, Marc Salinas, Dr. Larissa Lucas, Robert Dionne & Gayle Sullivan OTHERS PRESENT: Larry Ramdin, Health Agent MEMBERS EXCUSED: Thomas Furey, Councilor Liaison TOPIC DISCUSSION/ACTION 1. Call to Order Meeting called to order by Dr. Poremba, Chair, at 7:05pm. 2. Minutes of Last Meeting Unanimously approved with corrections (June 14 2011) 3. Chairperson Announcements Dr. Poremba pointed out that the regularly scheduled November 8th meeting is on an election day. The Board agreed to change the meeting date to November 15 '. 4. Monthly Reports-Updates A. Administrative Presented and approved. Copy available in office Report Presented and approved. Copy available in office B. Public Health Nurse Report • Presented and approved. Copy available in office. C. Health Agent • Clarification of WNV: There was one(1) mosquito sample Report in Salem which has tested positive for West Nile Virus and the affected area has been treated;there were no positive samples in 2010. The press release on the website will be corrected to reflect this. • Given tobacco violations reported, the Board requested that Joyce Redford from Tobacco Control be invited to present recommended changes in tobacco policies/fines to the board next month or at a mutually convenient meeting date. • Regionalization grant; will update the board next month. None presented. D. City Council Liaison Updates Request from owner of 117 Lafayette St. to vary the code for each unit from the minimum size of 150 square feet of habitable floor 5. Variance Request for space per unit to not less than 100 square feet. 117 Lafayette Street— Clarification: The measurement of habitable floor space excludes lOSCMR 410.400A Minimum closets, bathrooms, interior hallways, and kitchen cabinets, Square Footage. countertops and fixed appliances. • The building has been in its present use since renovations in1988 when Occupancy Permits were issued for all 63 units. Notices of the hearing were posted on the doors of all units at 117 Lafayette Street on September 9, 2011. Letters of support of the variance were submitted from the Building Commissioner and Fire Department. The state code states that a variance may be granted in cases where implementation of the code would create "manifest injustice". If the • variance is not granted, 63 SRO units would be deemed illegal and uninhabitable. Atty. David Jackowitz spoke on behalf of Caritas Communities, a non-profit provider of affordable subsidized single room occupancy (SRO) housing and owner of 117 Lafayette Street since 2004. This variance will not conflict with the spirit of the code and stop a manifest injustice by allowing the tenant to stay in their units and allow continued use of the building as single occupancy dwellings as if has for 23 years. Every unit has a private bathroom with tub and shower and kitchen sink, small refrigerator and stove. There have been no complaints regarding square footage prior to a former tenant 6 years ago who has filed a civil suit against the owner. Atty. Jackowitz presented that a variance was granted by the Boston Housing Court in the case of Lenard Sammy Trustee of Kelspec Realty Trust vs. Marshy Raribin Sonario—Boston ISD. Wilson Tejada, Building Manager, stated that only one person is allowed to live in each unit. Currently there are 60 units rented and 60 residents would be homeless without this variance. The Board discussed the option of converting the building into a • rooming house. In that case, the stoves would need to be removed and the code requirement would then be reduced to 80 square feet of habitable floor space, significantly less than what exists. However, this type of change may impact provision of federal grant subsidies,be costly to owners and present a hardship on residents who would not have personal cooking facilities. Atty. Chris Winton Hendderson spoke for current and potential clients, 9 current tenants and 2 former tenants at 117 Lafayette St. She requested a continuance to review information and interview clients. Her understanding is that the units are not SROs but dwelling units that require a minimum of 150 square feet. Given that if the variance is not granted that her clients may be homeless, her stated reason to delay action was that she did not know how many of the tenants would be affected because it is not known how many units are less than 100 square feet. The Board clarified that the variance request was only for units greater than 100 square feet and therefore any unit less than 100 square feet would not apply. The Health Agent informed the Board that granting of the variance would have no negative effects from a public health perspective. • Dr. Poremba, Chair, opened the floor for comments from the audience members that would be directly affected by this variance. There were a number of tenants who reported that they had previously been homeless, had no other place to go, and were scared to be back on the streets; one resident had lived there for 12 years. All asked the board to grant the variance. Wilson Tajada Sr., Site Manager showed a pile of applications of • people looking for a place to live and asked the Board to support of this variance. A former resident, who has a legal case against the owners, presented some information to the Board; he is opposed to the variance. The Board also reviewed letters submitted in support of the variance. Motion by M. Salinas: to approve variance for 117 Lafayette Street permitting single room occupancy of all units that are not less than 100 square feet. 2"d by R. Dionne. Discussion by the Board included that: • A continuance of the hearing would not provide any new relevant information. • The property owner has been responsive in correcting any sanitary issues identified by the health department as evidenced by inspection reports submitted. • There is no evidence to support that the granting of the variance will have any direct negative effect on public health. • • Not granting the variance would cause manifest injustice by potentially leaving 63 people homeless. Motion passed unanimously. 6. Discussion of BOH Deferred. mission, objectives, responsibilities and plans 7. BOH Exterior Paint Deferred. Removal Proposed Regulations and RRP 8. Miscellaneous None 9. Meeting Adjourned: 9:50pm Respectfully submitted, Heather Lyons-Paul Clerk of the Board Next regularly scheduled meeting is October 11, 2011 at 7pm at City Hall Annex, 120 Washington Street, Room 311,Salem. 0 • This is a separate document for the official meeting book only; these names need not be published on the website. The following where present and stated they were being represented by Atty. Chris Winton Hendderson • William Sperlinga#213, • Jane Barton#409, • Charles Chouinard#303, • Lisa Gianelli#203, • Kris Blackburn #313, • David Covino #201, • George Covan#414, • Faustao Martinez, #217 • Leon Keif, #208 former tenant, currently residing at Salem Heights A203, • Francis Keeft, #310 former tenant, currently residing at Salem Heights A104 There were a number of tenants who reported that they had previously been homeless, had no other place to go, and were scared to be back on the streets; they asked the board to grant the variance. • James Bigaro #413 —previously homeless—in support of this variance • Chris Edwards#308 —previously homeless— in support of this variance • • William Ceria#206— 1998 —has no other place to go—in support of this variance • Lisa Gianelli#203 —has been homeless many times— scared to go to the street • Joseph DeVito #314—Read letter he wrote about a tenant at 117 Lafayette St who was giving false information to other tenants to convince them to be against this variance- In support of this variance. • Ronald Coron#420— 12 years living there— in support of this variance • Wilson Tajada Sr., Site Manager, holding a number of applications in his hand of people looking for a place to live— in support of this variance. Those not in support: • Charles Chouinard #303—Asked for continuance for 1 month so his Atty. can get further information-Not in support of this variance. • David Covino #201 — Says the size of unit is too small. Not in support of the variance. (Atty. Jackowitz is in court with this tenant.) • Richard Harrell, currently a resident at 2 Heritage Dr and former resident of#23- Plaintiff- • presented information to the board about his ongoing case with Caritas Communities. CITY OF SALEM BOARD OF HEALTH • MEETING NOTES July 12, 2011 Members present: Dr. Barbara Poremba, Gayle Sullivan, Dr. Larisa Lucas, Others present: Larry Ramdin, Health Agent and Council Liaison Tom Furey Members absent: Martin Fair, Bob Dionne&Marc Salinas Meeting called to order at 7PM. As there was no quorum,business requiring a quorum was deferred to the September meeting. The meeting was devoted to discussing the Board of Health mission, objectives, responsibilities and plans. Some of the highlights were: • The Board's role in Public Health Larry handed out a packet to members last month that explains the role and responsibilities of the Board. Barbara sent out an email to the members with similar information and directed members to complete the Orientation to Local Public Health before the September meeting. http://sph.bu.edu/otlt/LPHI/OrientationtoLPH/ All Board members need to complete the MAHB Certification Program in November; Larry will send out the information and dates to all members when available. There was discussion about the additional time requirement for board members in completing training and certifications and participating in such things as a retreat. However all members must understand that by accepting this position, they also have a • responsibility to meet the training needs necessary to do the work of the board. • Mission, goals and objectives Larry handed out a few mission statements for the board members to look over and will email them to all of the members. Currently the mission statement is: 1. Responsible for protecting and promoting resident and visitor health through enforcement of MA Department of Public Health and MA Department of Environmental Protection sanitary and environmental codes and statutes, as well as local regulations and ordinances. 2. Works to improve residents'health status by enhancing access to health care for the most vulnerable of the population;limiting youth access to tobacco products, providing vaccines to the health care providers,operating clinics;conducting surveillance of contagious diseases, and collaborating with other agencies that promote health. 3. Actively planning for infectious disease emergencies that may be presented by bio-terrorism. Such planning improves our ability to respond to natural threats, as well such as SARS and the Avian Influenza virus. • Basically the logo is "Public Health: Prevent, Promote, Protect"; The primary focus of the department has been on the "protect" in the area of inspections such as food, housing, camps, beaches and this has been difficult due to limited staff. Larry is concerned that staff is not meeting the state standards for food inspections because of short staffing and the large number of housing inspections and trash violations that take precedent. Food inspections should be done twice a year. Larry is having staff track all of their inspections, including the length of each inspection. Heather will also prepare the fee schedule for the board to review. • • The Board would like to see more "Public Health Prevention and Promotion"but the limited staffing is challenging. Some thoughts were to create projects that could be done by volunteers such as students at SSU, applying for grants and working collaboratively with another community. Another thought was to create something like "Friends of the Board of Health"that could raise money for public health issues in our community. Larry will explore how SSU might help in coming up with a new logo for a"Healthy Salem". • Larry is also working on building a local volunteer data base for emergency preparedness. • Organizational chart of the department Larry will provide this by the October meeting • Staff performance The Board is responsible for evaluating the health agent; however Larry states that there is no formal evaluation of the health department employees. • Educating the community on the value of Public Health. This seems to be key for advancing public health in the community. Most people have no idea of what is public health and therefore it has no value to them. Barbara will try to get nursing students to work on the"What is Public Health Campaign". She asks that Board members help by going to the website and order the free educational stickers http://www.thisispublichealth.org/ • Updating the Community Assessment of Salem Larry will prepare and present findings for the October meeting. Some incidental observations about community needs included 1. Trash receptacles are needed on the east side of Lafayette Street 2. Water fountains—Heather will send an email to DPW 3. Beach testing and permitting which includes Children's Island 4. Need input from the Point area and Latino community • Where do we go from here? Larissa suggested that we need a plan and strategy to work on all of these new ideas such • as looking at a few at a time at a meeting. Councilor Furey suggested a retreat similar to other boards. Barbara and Gayle agreed. Larry stated that it would be difficult to get the staff to attend anything out of their contractual time; however the retreat would be just for the board members. All agreed that we could start with a "Meet & Greet"where the Board could come to the office on a Thursday evening to meet all of the staff. Larry will arrange this. Meeting adjourned at 9 PM. Respectfully submitted, • • • • Administration Monthly Report September-11 Burial Permits 25.00 $825.00 Permits $210.00 Certificate of Fitness@$50.00 $2,100.00 Flu reimbusement $3,100.43 Fines Q $0.00 Total Monies Collected r $6,235.43 Annual Budget Expended Available Balance Total Salary/Longevity $344,000.00 0 $83,392.31 $260,607.69 Annual Budget O Expended Available Balance Non-Personnel $19,600.00 $11,646.48 $7,953.52 Public health affects all ects or lees • ­ : . To the editor: .; What is N., � » where.and how public health affects your "public health" a� 1 life on a day-today basis. Its a question that is often asked of me.It seems that From `No Smoking' signs and most people don't under v emergency alerts to immunization an stand what public health is, clinics,from safe d blood pressure much less how it affects their " fond and water and trash recepta- everydayaives. Iles to bi&e paths and farmers'mar- Given this, Salem State Univer kets,public he this everywhere, sity nursing studenfs will be joining a ai the laces where we all national initiative to educate residents an I pep rl 01 d t f 09" live,work and play. just how important a role public health ,p plY put,public health is your health. plays in protecting their daily lives and these red an 1�hZte . Now do keep an eye out for those red-and- wellbeing: stickers C1rlC1�1 l�he white stickers and when you see one,stop Instead of Band-aids,the nursing stu / and "dal So this is public health!" dents will be out and about in Salem you see`one, sto C q OR.BARBARA POREAPA applying red-and-white"This is.Pub- t/t inkI Mha!SO this' Professor,PuWk health Nursing lie health removable stickers(shown t, �� Salem State University above)to highlight,at least for a few days, ZS public health!"-� Chairperson,Board of Health City of Salem a WE GIVE THANKS 2011 Dear Tracy and Dave, For the past 2 years, North Shore Elder Services has sponsored the "We Give Thanks"Awards. These awards bring to light examples of the care and service others provide to older persons on the North Shore and to publicly thank them for their accomplishments and contributions. 1 am pleased to tell you that this year The Salem Collaborative was nominated for,and chosen,as our winners for the COLLABORATION AWARD. This award is given to a creative partnership where the impact on the older adult 0 community is greater than each separate nominee.Your proactive approach to improved communication and outreach in the city of Salem certainly makes you the perfect honorees! Congratulations! Our Awards dinner will be held on Thursday, November 17th at 6:00pm at the Hawthorne Hotel in Salem,MA and we anticipate more than 150 people in attendance! 1 am sending you 2 tickets to attend this event as well as a certificate stating that you won. At the dinner we will present you with a beautiful trophy! Once again I congratulate you for the wonderful work you are doing on behalf of the elders in the city of Salem!. Please feel free to contact me with any questions. �au�tiez Director of Communications and Development North Shore Elder Services 152 Sylvan Street Danvers,MA 01923 978-750-4540 ext 220