MEETING PACKET MARCH 2012 CITY UI SALIJM, M-ASSACHUSIJT I'S
BOARD OF HEALTH
120 WAS STREET 4"'FLOOR �bl1CHP�tkh
� V'revm f.Pmmut e.Protect.
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL lxamdin@salem.com
ARRY R;ANID1N,RS/R[�l IS,CI 10,CP-1�s
MMAYORL 1I1;A1:1'II AGI%N'C
NOTICE OF MEETING
You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting
Tuesday,March 13, 2012 at 7.00 PM
City Hall Annex, 120 Washington St Room 311
MEETING AGENDA
1. Call to order
2. Approval of Minutes from Januaryl0, 2012, &Executive Session minutes from Dec 14,
2010, January 19, 2011, February 8, 2011, March 8 2011 &March 31, 2011
3. Chairperson Announcements
4. Public Health Announcements/ReportsiUpdates
a. Health Agent
b. Public Health Nurse
c. Administrative
d. Councilor Liaison
5. Discussion of reduction in number of Board Members and Department Head Title
6. Mutual Aid Agreement Region 3D—(North Shore Cape Ann Emergency Preparedness Program)
7. Ellen Gould with The Polish Family-Dental Hygienist
8. Miscellaneous
9. Adjournment
Larry Ramdin
Health Agent
cc: Mayor Kimberley Driscoll, Board of Health, City Councilors
Next regularly scheduled meeting is April 10, 2012 at 7pm at City Hall Annex, 120
Washington Street Room 311
Know your rights under the open meeting law MGL Chapter 39 Section 23B and City
Ordinance section 2-2028 through 2-2033
KI CITY OFSALEM, NL\ss1\CHUS1-1-YTS 10
BOARD()[`FfF-\1A'H
120 WASHINGTON STREF.T,4"' FLO(M Pul)&Health
Ti;,j- (978) 741-1800 F,\x(978) 745-0343
KIMBFRIAN DRISCOLL liat-nditi(a.salcm.com t2\NIDIN,16/10,A Is,CI R),(:I'-I,'S
1NlAY(.)R
111: 1 A(;1,"NT
NOTICE OF MEETING rn
rn
:r >
You are hereby notified that the Salem Board of Health will hold its regularly 4edult j meeting
Tuesday, March 13, 2012 at 7.-00 PM
City Hall Annex, 120 Washington St. Room 311
MEETING AGENDA
1. Call to order
2. Approval of Minutes from Januaryl 0, 2012, & Executive Session minutes from Dec 14,
2010, January 19, 2011, February 8, 2011, March 8 2011 & March 31, 2011
3. Chairperson Announcements 10 '44
4. Public Health Announcements/Reports/Updates
a. Health Agent I
• b. Public Health Nurse 3 10
c. Administrative Ub 0
d. Councilor Liaison 9P
5. Discussion of reduction in number of Board Members and Department Head Title
6. Mutual Aid Agreement Region 3D— (North Shore Cape Ann Emergency Preparedness Program) 0
7. Ellen Gould with The Polish Family-Dental Hygienist
8. Miscellaneous 0
OD
C
9. Adjournment
Larry Ramdin
Health Agent an
cc: Mayor Kimberley Driscoll, Board of Health, City Councilors
Next regularly scheduled meeting is April 10, 2012 at 7pm at City Hall Annex, 120
Washington Street Room 311
Know your rights under the open meeting law MGL Chapter 39 Section 23B and City
Ordinance section 2-2028 through 2-2033
CITY OF SALEM
BOARD OF HEALTH
EXECUTIVE SESSION MINUTES of OCTOBER 14, 2010
MEMBERS PRESENT: Dr. Barbara Poremba, Chairperson
Gayle Sullivan
Kemith LeBlanc
Martin Fair
MEMBERS EXCUSED: Mark Salinas
Dr. Larissa Lucas
The Chairperson stated the Board would convene an executive session for
the purpose of reviewing resumes of applicants for the Health Agent
position.
The Board voted unanimously to go into executive session.
• The Chairperson distributed copies of resumes that she had obtained from
HR.
The Board reviewed the resumes. They were collected and the members
reminded of their confidentiality.
It was the consensus of the Board to re-advertise the position.
• CITY OF SALEM
BOARD OF HEALTH
EXECUTIVE SESSION MEETING MINUTES of DECEMBER 14, 2010
MEMBERS PRESENT: Dr. Barbara Poremba, Chairperson
Dr. Larissa Lucas
Kemith LeBlanc
Martin Fair
Gayle Sullivan
MEMBERS EXCUSED: Marc Salinas
The Chairperson stated that the Board would convene an executive session for the
purpose of reviewing resumes that had been submitted by applicants for the Health
Agent position and that the Board would adjourn following the executive session.
The Board unanimously voted to convene an executive session.
The Chairperson distributed the resumes of applicants for the Health Agent
position that she had gotten from the HR Department. After reviewing the resumes
it was the consensus of the Board to interview three of the candidates during an
executive session on January 11, 2011. The Chairperson was to notify HR to
schedule the interviews.
•
• CITY OF SALEM
BOARD OF HEALTH
EXECUTIVE SESSION MINUTES of JANUARY 11, 2011
MEMBERS PRESENT: Dr. Barbara Poremba, Chairperson
Martin Fair
Gayle Sullivan
Dr. Larissa Lucas
Kemith LeBlanc
Marc Salinas
• The Chairperson stated the Board would convene an executive session for the
purpose of conducting preliminary interviews of two applicants for the Health
Agent position and would adjourn after the executive session.
The Board voted unanimously to convene the executive session.
The Board interviewed one applicant for the Health Agent position. The second
candidate was unable to interview that evening due to his required attendance at
another meeting in preparation of the snowstorm. It was the consensus of the
Board to extend the gentleman a second opportunity for an interview on January
19, 2011 at 6:00 pm.
• CITY OF SALEM
BOARD OF HEALTH
EXECUTIVE SESSION MEETING MINUTES of January 19, 2011
MEMBERS PRESENT: None
The gentleman to be interviewed notified the Board he was withdrawing his
interest in the Health Agent position and the meeting was cancelled.
•
• CITY OF SALEM
BOARD OF HEALTH
EXECUTIVE SESSION MINUTES of FEBRUARY 8, 2011
MEMBERS PRESENT: Dr. Barbara Poremba, Chairperson
Kemith LeBlanc
Martin Fair
Marc Salinas
Gayle Sullivan
MEMBERS EXCUSED: Dr. Larissa Lucas
The Chairperson stated the Board would convene an executive session for
the purpose of discussion of applicants for the Health Agent position and
that the Board would adjourn following the executive session.
The Board voted unanimously to go into executive session.
Discussion took place about the qualities and strengths of the applicant for
the Health Agent position. The consensus of the Board was to not schedule
a public interview with the candidate.
A motion was made and seconded to appoint David Greenbaum to the
Health Agent position. The motion failed.
CITY OF SALEM
BOARD OF HEALTH
EXECUTIVE SESSION MEETING MINUTES MARCH 8, 2011
MEMBERS PRESENT: Dr. Barbara Poremba, Chairperson
Dr. Larissa Lucas
Marc Salinas
Martin Fair
Gayle Sullivan
MEMBERS EXCUSED: Kemith LeBlanc
The Chairperson stated that the Board would convene an executive session
for the purpose of reviewing the resume of a candidate for the Health Agent
position and that the Board would adjourn following the executive session.
By a vote of 5 ayes, 0 nays the Board voted to go into executive session.
The Board reviewed Mr. Ramdin's CV and was impressed with his
qualifications. It was the consensus of the Board to encourage him to send a
letter of interest in the position and three written references to the Human
Resources Department and to contact Mr. Ramdin to see if he would be
available for a preliminary interview on March 31, 2011.
• CITY OF SALEM
BOARD OF HEALTH
MEETING MINUTES of March 31, 2011, 6-7:30 pm
Members present: Dr. Barbara Poremba
Dr. Larissa Lucas
Gayle Sullivan
Kemith LeBlanc
Martin Fair
Members Excused: Mark Salinas
Others present: Larry Ramdin
The meeting was called to order by Dr. Barbara Poremba.
The members unanimously voted to go into executive session for a preliminary interview with
Larry Ramdin for the Health Agent's position and to adjourn after the executive session.
The members asked questions of Mr. Ramdin including, his qualifications, education,
experience, vision of the future of public health, and special projects he had worked on.
After the interview Mr. Ramdin was excused. The Board discussed his candidacy and voted to
invite him to the next regularly scheduled Board of Health Meeting for a second interview.
CITY OF SALEM MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4111 FLOOR PubliCHealth
Prevent.Promote.Protect.
• TEL. (978) 741-1800 FA,,,7 (978) 745-0343
KIMBERLEY DRISCOLL Itamctin@salem.com
7�,{� LARIt1'RAMDIN,RS/.R[;1=1S,CIA(),Cl?-I'S
MAYOR H1=?A1,Tll 11C.iJ N1'
LVi
Health Agent Report February 2012
Announcements
• Larry Ramdin, and Elizabeth Gagakis attended the Annual
Massachusetts Department of Environmental Protection Seminar on
February 23. At the seminar they discussed: Boil water orders, wind
turbines, changes to DEP regulations, : Changes to title 5 Sewer
connection and extension approval elimination.
• The Students in the Expect program have started to develop a
Facebook page, a blog, twitter account and are securing a Patch
account and will be posting articles in the near future.
• The Branding project class has presented their initial designs . The
designs were well thought out and they are moving to the next phase
in their design work.
• Department budget for FY 2013 was submitted, we are asking for an
additional Clerk and increases in the overtime budget
• Interviews were conducted for the Sanitarian vacancy and we have
selected a candidate. A candidate has been offered the position
pending medical and background clearance.
• We are leading an effort to review permitting/inspection software for
use by City Departments to enhance the inspection and permitting
processes and reduce/streamline the permitting application process
for customer
• Larry Ramdin attended a Mass in Motion institute training on
February 29 in Framingham. The program discussed ways to
improve health in the community and reduce the risk factors for
chronic illnesses.
• The Health Agent met with owners of 4 potential businesses to
discuss their operations and Public Health requirements
• A team (Building, Fire, and Public Health) inspection was conducted
at Loring Towers examining the common areas per complaint from
Paul Lima. It took some time putting the team together because of
conflicting schedules and Staff shortages. There were no major
observed violations of the State sanitary code. The building owner
was ordered to correct the violation noted.
• The Public Health Nurse position has been posted and interviews are
scheduled.
•
Other Activities
Inspections
• 39 Certificate of Fitness Inspections
• 9 Food inspections
• 24 Housing Inspections
• 19 Nuisance/Trash Complaints
• 2 meeting attended
• 1 seminars
• 2 Court Hearings
•
• lip® CITY OF SALEM' MASSACHUSETTS
�l
BOARD OF HEALTH
120 WASHINGTON STREET 4:'*"FLOOR PublicHealth
• t Prevent.Promote.Protect.
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL Iramdin@salem.com
LARItI'RAMDIN,RS/RI_J IS,CL-IO,C]?-L�S
MAYOR Hh:A n-1 AC; NXI'
Health Agent Report January 2012
Announcements
• Tracy Giarla Public Health Nurse has tendered her resignation
effective February 9, 2012. Ms. Giarla has accepted a position as the
Public Health Nurse in Marblehead
• Larry Ramdin David Greenbaum and Elizabeth Gagakis attended a
Massachusetts Environmental Health Seminar on Onsite Wastewater
Disposal for Local Health officials. The seminar discusses issues on
onsite waste water disposal and alternative methods for disposal.
• Larry Ramdin and Tracy Giarla attended MA Responds
Administrator, the training allows them to send messages for
assistance over the MA responds system in the vent of a Public
Health emergency
• Larry Ramdin David Greenbaum and Elizabeth Gagakis attended a
seminar on Bedbugs that dealt with detection and treatment of
bedbugs.
• The Healthy Salem Collaboration with Salem State University has
begun the active phase. There are 2 projects ongoing a Branding
project and a project that will market Local Public Health to the
community and is designed to convey information to Salem residents
on what their Board of Health does.
• The Health Agent attended meetings on a proposed rooming house
ordinance; the ordinance will address the health safety and other
concerns about rooming houses in the City of Salem.
Other Activities
Inspections
• 56 Certificate of Fitness Inspections
• 32 Food inspections
• 21 Housing Inspections -
• 1 Nuisance/Trash Complaints
• 1 meeting attended
• 4 seminars
•
Administration Monthly Report
January-12
Burial Permits @$25.00 $1,125.00
Permits $7,095.00
Certificate of Fitness@$50.00 $2,450.00
Fines Q
Total Monies Collected = $10,670.00
Annual Budget Expended
Available Balance
Total Salary/Longevity $344,000.00 ® $188,622.51 $155,377.49
Annual Budget Expended Available Balance
Non-Personnel $19,600.00 ® $15,874.85 $3,725.15
Administration Monthly Report
February-12
Burial Permits @$25.00 $900.00
Permits $2,455.00
Certificate of Fitness@$50.00 $1,800.00
Fines a
Total Monies Collected = $5,155.00
Annual Budget Expended
Available Balance
Total Salary/Longevity $344,000.00 ® $209,149.93 $134,850.07
Annual Budget Expended Available Balance
Non-Personnel $19,600.00 ® $15,732.85 $3,867.15
" CITY OF SALEM, MASSACHUSETTS
IE
K. BOARD OF HE:A TI-i
• 120 WASHINGTON STREET,4�"FLOOR
KIMBERLEY DRISCOLL TEL. (978) 741-1800
FAX(978) 745-0343
MAYOR Iramdin@salem.com
LARRY RAMDIN,RS/R1?IIS,CI'IO,CP-IDS
HEALTH AG FNT
Public Health Nurse Report
January 2012 Activities
Disease Prevention
• In contact with North Shore Pulmonary Clinic regarding active TB cases and
case contacts.
• Investigated communicable disease cases and reported to the MDPH.
• DOT Monday through Friday for Active TB Case.
Meetings/Clinics
Attended NSCAEP Coalition Meeting in Peabody to discuss upcoming drills.
• Received Maven Training for TB Certification.
Attended the Mass Responds Computer Training Program for calling up volunteers in an
emergency.
MONTHLY REPORT OF COMMUNICABLE DISEASE
DECEMBER 201 1
DISEASE NEW CARRY OVER DISCHARGED
REPORTED
LYME DISEASE 0 0 0 0
HEPATITIS C 2 0 2 2
CAMPY 1 0 1 1
TUBERCULOSIS 0 2 0 1
VARICELLA 0 0 O 0
•
CAMPYLOBACTER: 12 MO. MALE. TRAVELED TO DOMINICAN REPUBLIC DURING
INCUBATION PERIOD. DAY CARE NOTIFIED. DAY CARE INSPECTION CONDUCTED WITH
• DAVID GREENBAUM. PUBLIC HEALTH FACT SHEETS PROVIDED TO DIRECTOR. CHILD
MAY RETURN AFTER DIARRHEA HAS RESOLVED.
TB: ELDERLY MALE. ARRIVED IN US IN SEPTEMBER 201 1 . ABNORMAL CXR.
4 HOUSEHOLD CONTACTS. THREE SKIN TESTED NEGATIVE, ONE WAS PAST POSITIVE,
BUT HAS DECLINED LATENT TB TREATMENT.
TB: TODDLER FEMALE. SHE IS CONTINUING HER TREATMENT AT CHILDREN'S
HOSPITAL BOSTON, INFECTION CONTROL UNIT. SHE WILL FINISH HER TB TREATMENT
IN AUGUST OF 2012.
TB: 31 Y/O FEMALE. MOVED TO THE MIDWEST. DIVISION OF TB CONTROL SENT
INTERSTATE NOTIFICATION LETTER. SHE IS ALSO RECEIVING DOT IN THIS STATE. SHE
WILL COMPLETE THERAPY IN APRIL 2012.
HEPATITIS C: TWO CHRONIC CASES,NO FOLLOW UP NEEDED.
•
•
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The Benefits of Institiutional Membership
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WIND TURBINE HEALTH IMPACT STUDY
�. Executive Summary
The Massachusetts Department of Environmental Protection(MassDEP) in collaboration
with the Massachusetts Department of Public Health (MDPH)convened a panel of independent
experts to identify any documented or potential health impacts of risks that may be associated
with exposure to wind turbines, and, specifically, to facilitate discussion of wind turbines and
public health based on scientific findings.
While the Commonwealth of Massachusetts has goals for increasing the use of wind
energy from the current 40 MW to 2000 MW by the year 2020, MassDEP recognizes there are
questions and concerns arising from harnessing wind energy. The scope of the Panel's effort
was focused on health impacts of wind turbines per se. The panel was not charged with
considering any possible benefits of avoiding adverse effects of other energy sources such as
coal, oil, and natural gas as a result of switching to energy from wind turbines.
Currently, "regulation" of wind turbines is done at the local level through local boards of
health and zoning boards. Some members of the public have raised concerns that wind turbines
may have health impacts related to noise, infrasound, vibrations, or shadow flickering generated
• by the turbines. The goal of the Panel's evaluation and report is to provide a review of the
science that explores these concerns and provides useful information to MassDEP and MDPH
and to local agencies that are often asked to respond to such concerns. The Panel consists of
seven individuals with backgrounds in public health, epidemiology, toxicology,neurology and
sleep medicine,neuroscience, and mechanical engineering. All of the Panel members are
considered independent experts from academic institutions.
In conducting their evaluation, the Panel conducted an extensive literature review of the
scientific literature as well as other reports, popular media, and the public comments received by
the MassDEP.
ES-1 Page
WIND TURBINE HEALTH IMPACT STUDY
• ES 1. Panel Charge
1. Identify and characterize attributes of concern(e.g., noise, infrasound, vibration, and light
flicker) and identify any scientifically documented or potential connection between health
impacts associated with wind turbines located on land or coastal tidelands that can impact
land-based human receptors.
2. Evaluate and discuss information from peer reviewed scientific studies,other reports,popular
media, and public comments received by the MassDEP and/or in response to the
Environmental Monitor Notice and/or by the MDPH on the nature and type of health
complaints commonly reported by individuals who reside near existing wind farms.
3 Assess the magnitude and frequency of any potential impacts and risks to human health
associated with the design and operation of wind energy turbines based on existing data.
4. For the attributes of concern, identify documented best practices that could reduce potential
human health impacts. Include examples of such best practices (design, operation,
maintenance, and management from published articles). The best practices could be used to
inform public policy decisions by state, local, or regional governments concerning the siting
• of turbines.
5. Issue a report within 3 months of the evaluation, summarizing its findings.
ES 2. Process
To meet its charge, the Panel conducted an extensive literature review and met as a group
a total of three times. In addition, calls were also held with Panel members to further clarify
points of discussion. An independent facilitator supported the Panel's deliberations. Each Panel
member provided written text based on the literature reviews and analyses. Draft versions of the
report were reviewed by each Panel member and the Panel reached consensus for the final text
and its findings.
ES 3. Report Introduction and Description
Many countries have turned to wind power as a clean energy source because it relies on
the wind,which is indefinitely renewable; it is generated"locally,"thereby providing a measure
of energy independence; and it produces no carbon dioxide emissions when operating. There is
interest in pursuing wind energy both on-land and offshore. For this report, however,the focus
is on land-based installations and all comments are focused on this technology. Land-based
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WIND TURBINE HEALTH IMPACT STUDY
• wind turbines currently range from 100 kW to 3 MW(3000 kW). In Massachusetts, the largest
turbine is currently 1.8 MW.
The development of modern wind turbines has been.an evolutionary design process,
applying optimization at many levels. An overview of the characteristics of wind turbines,noise,
and vibration is presented in Chapter 2 of the report. Acoustic and seismic measurements of
noise and vibration from wind turbines provide a context for comparing measurements from
epidemiological studies and for claims purported to be due to emissions from wind turbines.
Appendices provide detailed descriptions and equations that allow a more in-depth
understanding of wind energy,the structure of the turbines,wind turbine aerodynamics,
installation, energy production, shadow flicker, ice throws,wind turbine noise,noise
propagation, infrasound, and stall vs.pitch controlled turbines.
Extensive literature searches and reviews were conducted to identify studies that
specifically evaluate human population responses to turbines, as well as population and
individual responses to the three primary characteristics or attributes of wind turbine operation:
noise, vibration, and flicker. An emphasis of the Panel's efforts was to examine the biological
• plausibility or basis for health effects of turbines (noise,vibration,and flicker). Beyond
traditional forms of scientific publications, the Panel also took great care to review other non-
peer reviewed materials regarding the potential for health effects including information related to
"Wind Turbine Syndrome"and provides a rigorous analysis as to whether there is scientific basis
for it. Since the most commonly reported complaint by people living near turbines is sleep
disruption, the Panel provides a robust review of the relationship between noise,vibration,and
annoyance as well as sleep disturbance from noises and the potential impacts of the resulting
sleep deprivation.
In assessing the state of the evidence for health effects of wind turbines, the Panel
followed accepted scientific principles and relied on several different types of studies. It
considered human studies of the most important or primary value. These were either human
epidemiological studies specifically relating to exposure to wind turbines or,where specific
exposures resulting from wind turbines could be defined,the panel also considered human
experimental data. Animal studies are critical to exploring biological plausibility and
understanding potential biological mechanisms of different exposures,and for providing
information about possible health effects when experimental research in humans is not ethically
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WIND TURBINE HEALTH IMPACT STUDY
• or practically possible. As such, this literature was also reviewed with respect to wind turbine
exposures. The non-peer reviewed material was considered part of the weight of evidence. In all
cases, data quality was considered; at times, some studies were rejected because of lack of rigor
or the interpretations were inconsistent with the scientific evidence.
ES 4. Findings
The findings in Chapter 4 are repeated here.
Based on the detailed review of the scientific literature and other available reports and
consideration of the strength of scientific evidence,the Panel presents findings relative to three
factors associated with the operation of wind turbines: noise and vibration, shadow flicker, and
ice throw. The findings that follow address specifics in each of these three areas.
ES 4.1 Noise
ES 4.La Production of Noise and Vibration by Wind Turbines
1. Wind turbines can produce unwanted sound(referred to as noise)during operation. The
nature of the sound depends on the design of the wind turbine. Propagation of the sound
is primarily a function of distance,but it can also be affected by the placement of the
• turbine, surrounding terrain, and atmospheric conditions.
a. Upwind and downwind turbines have different sound characteristics,primarily
due to the interaction of the blades with the zone of reduced wind speed behind
the tower in the case of downwind turbines.
b. Stall regulated and pitch controlled turbines exhibit differences in their
dependence of noise generation on the wind speed
c. Propagation of sound is affected by refraction of sound due to temperature
gradients,reflection from hillsides, and atmospheric absorption. Propagation
effects have been shown to lead to different experiences of noise by neighbors.
d. The audible, amplitude-modulated noise from wind turbines ("whooshing")is
perceived to increase in intensity at night(and sometimes becomes more of a
"thumping")due to multiple effects: i)a stable atmosphere will have larger wind
gradients, ii)a stable atmosphere may refract the sound downwards instead of
upwards, iii)the ambient noise near the ground is lower both because of the stable
atmosphere and because human generated noise is often lower at night.
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WIND TURBINE HEALTH IMPACT STUDY
2. The sound power level of a typical modern utility scale wind turbine is on the order of
103 dB(A),but can be somewhat higher or lower depending on the details of the design
and the rated power of the turbine. The perceived sound decreases rapidly with the
distance from the wind turbines. Typically, at distances larger than 400 in, sound
pressure levels for modern wind turbines are less than 40 dB(A),which is below the level
associated with annoyance in the epidemiological studies reviewed.
3. Infrasound refers to vibrations with frequencies below 20 Hz. Infrasound at amplitudes
over 100-110 dB can be heard and felt. Research has shown that vibrations below these
amplitudes are not felt. The highest infrasound levels that have been measured near
turbines and reported in the literature near turbines are under 90 dB at 5 Hz and lower at
higher frequencies for locations as close as 100 in.
4. Infrasound from wind turbines is not related to nor does it cause a"continuous
whooshing."
5. Pressure waves at any frequency(audible or infrasonic)can cause vibration in another
structure or substance. In order for vibration to occur, the amplitude(height)of the wave
• has to be high enough, and only structures or substances that have the ability to receive
the wave(resonant frequency)will vibrate.
ES 4.L b Health Impacts of Noise and Vibration
1. Most epidemiologic literature on human response to wind turbines relates to self-reported
"annoyance,"and this response appears to be a function of some combination of the
sound itself,the sight of the turbine, and attitude towards the wind turbine project.
a. There is limited epidemiologic evidence suggesting an association between exposure
to wind turbines and annoyance.
b. There is insufficient epidemiologic evidence to determine whether there is an
association between noise from wind turbines and annoyance independent from the
effects of seeing a wind turbine and vice versa.
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WIND TURBINE HEALTH IMPACT STUDY
• 2. There is limited evidence from epidemiologic studies suggesting an association between
noise from wind turbines and sleep disruption. In other words, it is possible that noise
from some wind turbines can cause sleep disruption.
3. A very loud wind turbine could cause disrupted sleep,particularly in vulnerable
populations, at a certain distance, while a very quiet wind turbine would not likely disrupt
even the lightest of sleepers at that same distance. But there is not enough evidence to
provide particular sound-pressure thresholds at which wind turbines cause sleep
disruption. Further study would provide these levels.
4. Whether annoyance from wind turbines leads to sleep issues or stress has not been
sufficiently quantified. While not based on evidence of wind turbines, there is evidence
that sleep disruption can adversely affect mood, cognitive functioning, and overall sense
of health and well-being.
5. There is insufficient evidence that the noise from wind turbines is directly(i.e.,
independent from an effect on annoyance or sleep) causing health problems or disease.
6. Claims that infrasound from wind turbines directly impacts the vestibular system have
• not been demonstrated scientifically. Available evidence shows that the infrasound levels
near wind turbines cannot impact the vestibular system.
a. The measured levels of infrasound produced by modem upwind wind turbines at
distances as close as 68 m are well below that required for non-auditory perception
(feeling of vibration in parts of the body,pressure in the chest, etc.).
b. If infrasound couples into structures,then people inside the structure could feel a
vibration. Such structural vibrations have been shown in other applications to lead to
feelings of uneasiness and general annoyance. The measurements have shown no
evidence of such coupling from modern upwind turbines.
c. Seismic (ground-carried)measurements recorded near wind turbines and wind turbine
farms are unlikely to couple into structures.
d. A possible coupling mechanism between infrasound and the vestibular system(via
the Outer Hair.Cells (OHC) in the inner ear)has been proposed but is not yet fully
understood or sufficiently explained. Levels of infrasound near wind turbines have
been shown to be high enough to be sensed by the OHC. However, evidence does not
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WIND TURBINE HEALTH IMPACT STUDY
• exist to demonstrate the influence of wind turbine-generated infrasound on vestibular-
mediated effects in the brain.
e. Limited evidence from rodent(rat)laboratory studies identifies short-lived
biochemical alterations in cardiac and brain cells in response to short exposures to
emissions at 16 Hz and 130 dB. These levels exceed measured infrasound levels
from modern turbines by over 35 dB.
7. There is no evidence for a set of health effects, from exposure to wind turbines that could
be characterized as a "Wind Turbine Syndrome."
8. The strongest epidemiological study suggests that there is not an association between
noise from wind turbines and measures of psychological distress or mental health
problems. There were two smaller,weaker, studies: one did note an association,one did
not. Therefore,we conclude the weight of the evidence suggests no association between
noise from wind turbines and measures of psychological distress or mental health
problems.
9. None of the limited epidemiological evidence reviewed suggests an association between
noise from wind turbines and pain and stiffness, diabetes,high blood pressure,tinnitus,
• hearingimpairment,cardiovascular disease and headache/migraine.
ac p d he/migraine.
ES 4.2 Shadow Flicker
ES 4.2.a Production of Shadow Flicker
Shadow flicker results from the passage of the blades of a rotating wind turbine between
the sun and the observer.
1. The occurrence of shadow flicker depends on the location of the observer relative to the
turbine and the time of day and year.
2. Frequencies of shadow flicker elicited from turbines is proportional to the rotational
speed of the rotor times the number of blades and is generally between 0.5 and 1.1 Hz for
typical larger turbines.
3. Shadow flicker is only present at distances of less than 1400 in from the turbine.
ES 4.2.b Health Impacts of Shadow Flicker
1. Scientific evidence suggests that shadow flicker does not pose a risk for eliciting seizures
as a result of photic stimulation. .
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WIND TURBINE HEALTH IMPACT STUDY
• 2. There is limited scientific evidence of an association between annoyance from prolonged
shadow flicker(exceeding 30 minutes per day)and potential transitory cognitive and
physical health effects.
ES 4.3 Ice Throw
ES 4.3.a Production oflce Throw
Ice can fall or be thrown from a wind turbine during or after an event when ice forms or
accumulates on the blades.
1. The distance that a piece of ice may travel from the turbine is a function of the wind
speed, the operating conditions, and the shape of the ice.
2. In most cases, ice falls within a distance from the turbine equal to the tower height, and in
any case, very seldom does the distance exceed twice the total height of the turbine
(tower height plus blade length).
ES 4.3.b Health Impacts of Ice Throw
1. There is sufficient evidence that falling ice is physically harmful and measures should be
taken to ensure that the public is not likely to encounter such ice.
• ES 4.4 Other Considerations
In addition to the specific findings stated above for noise and vibration, shadow flicker
and ice throw,the Panel concludes the following:
1. Effective public participation in and direct benefits from wind energy projects (such as
receiving electricity from the neighboring wind turbines)have been shown to result in
less annoyance in general and.better public acceptance overall
ES 5. Best Practices Regarding Human Health Effects of Wind Turbines
The best practices presented in Chapter 5 are repeated here.
Broadly speaking, the term"best practice"refers to policies, guidelines, or
recommendations that have been developed for a specific situation. Implicit in the term is that
the practice is based on the best information available at the time of its institution. A best
practice maybe refined as more information and studies become available. The panel recognizes
that in countries which are dependent on wind energy and are protective of public health, best
practices have been developed and adopted.
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WIND TURBINE HEALTH IMPACT STUDY
In some cases, the weight of evidence for a specific practice is stronger than it is in other
cases. Accordingly,best practice* may be categorized in terms of the evidence available, as
follows:
Descriptions of Three Best Practice Categories
Category Name Description
A program, activity, or strategy that has the highest degree
1 Research Validated of proven effectiveness supported by objective and
Best Practice comprehensive research and evaluation.
A program, activity,or strategy that has been shown to
2 Field Tested Best work effectively and produce successful outcomes and is
Practice supported to some degree by subjective and objective data
sources.
A program, activity,or strategy that has worked within one
organization and shows promise during its early stages for
3 Promising Practice becoming a best practice with long-term sustainable
• impact. A promising practice must have some objective
basis for claiming effectiveness and must have the
potential for replication among other organizations.
*These categories are based on those suggested in `Identifying and Promoting Promising Practices."
Federal Register, Vol. 68.No 131. 131:July 2003.
www.acfhhs..zov/programs/ccf/about ccf/QbkPdfpp Qbk pdf
ES 5.1 Noise
Evidence regarding wind turbine noise and human health is limited. There is limited
evidence of an association between wind turbine noise and both annoyance and sleep disruption,
depending on the sound pressure level at the location of concern. However,there are no
research-based sound pressure levels that correspond to human responses to noise. A number of
countries that have more experience with wind energy and are protective of public health have
developed guidelines to minimize the possible adverse effects of noise. These guidelines
consider time of day, land use, and ambient wind speed. The table below summarizes the
guidelines of Germany(in the categories of industrial, commercial and villages)and Denmark
(in the categories of sparsely populated and residential). The sound levels shown in the table are
•
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WIND TURBINE HEALTH IMPACT STUDY
• for nighttime and are assumed to be taken immediately outside of the residence or building of
concern. In addition, the World Health Organization recommends a maximum nighttime sound
pressure level of 40 dB(A) in residential areas. Recommended setbacks corresponding to these
values may be calculated by software such as WindPro or similar software. Such calculations
are normally to be done as part of feasibility studies. The Panel considers the guidelines shown
below to be Promising Practices (Category 3)but to embody some aspects of Field Tested Best
Practices (Category 2) as well.
Promising Practices for Nighttime Sound Pressure Levels by Land Use Type
Land Use Sound Pressure Level,
dB(A)Nighttime Limits
Industrial 70
Commercial 50
Villages,mixed usage 45
Sparsely populated areas, 8 m/s wind* 44
• Sparsely o ulated areas, 6 m/s wind* 42
Residential areas, 8 m/s wind* 39
Residential areas, 6 m/s wind* 37
*measured at 10 m above ground, outside of residence or location of concern
The time period over which these noise limits are measured or calculated also makes a
difference. For instance, the often-cited World Health Organization recommended nighttime
noise cap of 40 dB(A)is averaged over one year(and does not refer specifically to wind turbine
noise). Denmark's noise limits in the table above are calculated over a 10-minute period. These
limits are in line with the noise levels that the epidemiological studies connect with insignificant
reports of annoyance.
The Panel recommends that noise limits such as those presented in the table above be
included as part of a statewide policy regarding new wind turbine installations. In addition,
suitable ranges and procedures for cases when the noise levels may be greater than those values
• should also be considered. The considerations should take into account trade-offs between
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WIND TURBINE HEALTH IMPACT STUDY
• environmental and health impacts of different energy sources,national and state goals for energy
independence,potential extent of impacts, etc.
The Panel also recommends that those involved in a wind turbine purchase become
familiar with the noise specifications for the turbine and factors that affect noise production and
noise control. Stall and pitch regulated turbines have different noise characteristics, especially in
high winds. For certain turbines, it is possible to decrease noise at night through suitable control
measures (e.g.,reducing the rotational speed of the rotor). If noise control measures are to be
considered,the wind turbine manufacturer must be able to demonstrate that such control is
possible.
The Panel recommends an ongoing program of monitoring and evaluating the sound
produced by wind turbines that are installed in the Commonwealth. IEC 6140041 provides the
standard for making noise measurements of wind turbines (International Electrotechnical
Commission,2002). In general, more comprehensive assessment of wind turbine noise in
populated areas is recommended. These assessments should be done with reference to the
broader ongoing research in wind turbine noise production and its effects,which is taking place
• internationally. Such assessments would be useful for refining siting guidelines and for
developing best practices of a higher category. Closer investigation near homes where outdoor
measurements show A and C weighting differences of greater than 15 dB is recommended.
ES 5.2 Shadow Flicker
Based on the scientific evidence and field experience related to shadow flicker,Germany has
adopted guidelines that specify the following:
1. Shadow flicker should be calculated based on the astronomical maximum values (i.e.,not
considering the effect of cloud cover, etc.).
2. Commercial software such as WindPro or similar software may be used for these
calculations. Such calculations should be done as part of feasibility studies for new wind
turbines.
3. Shadow flicker should not occur more than 30 minutes per day and not more than 30
hours per year at the point of concern(e.g., residences).
4. Shadow flicker can be kept to acceptable levels either by setback or by control of the
wind turbine. In the latter case, the wind turbine manufacturer must be able to
demonstrate that such control is possible.
•
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WIND TURBINE HEALTH IMPACT STUDY
• The guidelines summarized above may be considered to be a Field Tested Best Practice
(Category 2). Additional studies could be performed, specifically regarding the number of hours
per year that shadow flicker should be allowed,that would allow them to be placed in Research
Validated(Category 1)Best Practices.
ES 5.3 Ice Throw
Ice falling from a wind turbine could pose a danger to human health. It is also clear that the
danger is limited to those times when icing occurs and is limited to relatively close proximity to
the wind turbine. Accordingly, the following should be considered Category 1 Best Practices.
1. In areas where icing events are possible,warnings should be posted so that no one passes
underneath a wind turbine during an icing event and until the ice has been shed.
2. Activities in the vicinity of a wind turbine should be restricted during and immediately
after icing events in consideration of the following two limits (in meters).
For a turbine that may not have ice control measures, it may be assumed that ice could
fall within the following limit:
X=x,throw —1.5(2 R+H)
Where: R=rotor radius(m),H=hub height(m)
•
For ice falling from a stationary turbine,the following limit should be used:
x,,=,All =U(R+H)l15
Where: U=maximum likely wind speed(m/s)
The.choice of maximum likely wind speed should be the expected one-year return
maximum, found in accordance to the International Electrotechnical Commission's
design standard for wind turbines, IEC 61400-1.
Danger from falling ice may also be limited by ice control measures. If ice control
measures are to be considered,the wind turbine manufacturer must be able to demonstrate that
such control is possible.
ES 5.4 Public Participation/Annoyance
There is some evidence of an association between participation, economic or otherwise,
in a wind turbine project and the annoyance(or lack thereof)that affected individuals may
express. Accordingly, measures taken to directly involve residents who live in close proximity
•
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WIND TURBINE HEALTH IMPACT STUDY
• to a wind turbine project may also serve to reduce the level of annoyance. Such measures may
be considered to be a Promising Practice (Category 3).
ES 5.5 Regulations/Incentives/Public Education
The evidence indicates that in those parts of the world where there are a significant
number of wind turbines in relatively close proximity to where people live,there is a close
coupling between the development of guidelines,provision of incentives,and educating the .
public. The Panel suggests that the public be engaged through such strategies as education,
incentives for community-owned wind developments, compensations to those experiencing
documented loss of property values, comprehensive setback guidelines,and public education
related to renewable energy. These multi-faceted approaches may be considered to be a
Promising Practice(Category 3).
•
•
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• • •
Polished Locations
Plymouth _ Mildred H.Aiken Elementary Nantucket Pre-school Dennisport Head Start
Cold Spring Elementary George R. Martin Elementary Cape Cod Barnstable Head Start
Federal Furnace Elementary Seekonk High School Quashnet Elementary Brewster Head Start
Hedge Elementary Somerset Kenneth C.Coombs Early Learning Center at Centerville
Indian Brook Elementary North Elementary Chatham Elementary Mashpee Head Start
Manomet Elementary Chace Elementary Orleans Elementary W.Yarmouth Preschool
Nathaniel Morton Elementary Wilbur Elementary Wellfleet Elementary Women,Infants and Children(WIC)
South Elementary South Elementary Eastham Elementary Program
West Elementary Diman Regional Vocational Technical Stony Brook Elementary WIC-Hyannis
Plymouth Community Intermediate High School Eddy Elementary WIC-Quincy
School Gloucester Charter for the Arts Barnstable Horace Mann Charter WIC-Southbridge
Plymouth South Middle School Lynn School WIC- Greenfield
Plymouth North High School KIPP Academy Lynn West Villages Elementary WIC-Orange
Plymouth South High School KIPP High School Lynn Henry T.Wing WIC-Haverhill
Mt. Pleasant Pre-school Lynn Early Head Start Oak Ridge YMCA
Peabody Lynn Head Start Forestdale Boston YMCA
Captain Samuel Brown Elementary Dorchester Hyannis West Elementary Harwich YMCA
South Memorial Elementary Dorchester Collegiate Academy Barnstable Community Horace Pre-Schools
Center Elementary Boston Mann Public Charter School Children's Services of Roxbury
William A.Welch Elementary Cathedral High School Centerville Elementary VNA Child Care
Thomas Carroll Elementary Dearborn Middle School Barnstable-West Barnstable Worcester Main Boys and Girls Club
John E. McCarthy Elementary Epiphany Elementary Franklin Hill Boys and Girls Club
West Elementary Roxbury Cape Cod Regional Technical School Bright Ideas Pre-school
John E. Burke Elementary Higginson/Lewis K-8 Nauset Regional Middle School Tender Years Pre-school
St.John's School St. Patrick's Nauset High School Ob Gyn—Pregnant Moms
Community of Christ Church Roslindale Truro Elementary Lawrence Community Health Center
Revere Washington Irving Middle School Veterans Memorial Elementary Senior Citizens
Beachmont Elementary Sacred Heart Head Start Programs Lawrence Senior Center
Paul Revere Elementary St.Columbkille Partnership School Falmouth Head Start Martha's Vineyard Councils on Aging
A.C.Whelan Elementary Nantucket Bourne Head Start Haverhill
Susan B. Anthony Middle School Nantucket High School Hyannis Head Start Amesbury
Seekonk Cyrus Peirce Middle School Stevens Street Head Start Operation Stand Down America @
Dr.Kevin M. Hurley Middle School Nantucket Elementary Wareham Head Start IBEW,256 Freeport St.,Dorchester
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