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NOTICE OF SPECIAL MEETING
You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting
on Thursday October 25, 2012 at 5:30 PM at
City Hall Annex, 120 Washington St Room 312,
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SPECIAL MEETING NOTICE rn C-11)
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1) Call to order
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2) The purpose of this meeting is to discuss and vote on forming a process and a committee to
evaluate the health agent.
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3) Adjournment
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Next regularly scheduled meeting is November 13, 2012 at 7pm at City Hall Annex, 120
Washington Street Room 311
Larry Ramdln
Health Agent
Cc: Barbara Poremba, Chairperson and Board of Health members
•
Know your rights under the open meeting law MGL Chapter 39 Section 23B and City Ordinance
section 2-2028 through 2-2033
4 CITY OF
y
BOARD OF HEALTH
120 WASHINGTON STREET 4� FLOOR PtlblicHeAlth
• f Prevent.Promote.Protect.
TEL. (978) 741-1800 RNX(978)745-0343
KIMBERLEY DRISCOLL h-amdin@salem.com
LAMY 1LID,�n ]N,RS/RFIIS,CI10,Cl'-I1*S
MAYOR HFIAI;n.I AG ENT
NOTICE OF MEETING
You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting
Tuesday, October 9, 2012 at 7.00 PM
City Hall Annex, 120 Washington St Room 311
MEETING AGENDA
1. Call to order
2. Approval of Minutes from September 18, 2012
3. Chairperson Announcements o
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4. Public Health Announcements/Reports/Updatesrn =
a. Health Agent
• b. Public Health Nurse Report 3
c. Administrative 3
d. Council Liaison c�ra w
en
5. Bath Salts as a Public Health Problem
6. Miscellaneous
7. Adjournment
Larry Ramdin
Health Agent
cc: Mayor Kimberley Driscoll, Board of Health, City Councilors
Next regularly scheduled meeting is November 13, 2012 at 7pm at City Hall Annex,
120 Washington Street Room 312
Know your rights under the open meeting law MGL Chapter 39 Section 23B and City
Ordinance section 2-2028 through 2-2033
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• city H���Zf��
• Health Agent Report September 2012
Announcements
• Household Hazardous Waste day will be held on October 6, 2012 from 8:00 am-
12:00 pm at the Salem High School. The hazardous waste collection day is a
shared with the City of Beverly.
® Food Permit has been issued to Village tavern located in the Museum place mall.
Meetings and Trainings
® Justina Polvere,R.N, Public Health Nurse attended the Pandemic influenza
Preparedness and Planning and Weapons of Mass Destruction Hands on training
course at the Center for Domestic Preparedness in Anniston Alabama, from
September 24-29.
® Larry Ramdin attended the 50t'Yankee conference on Environmental Health in
Groton Connecticut from September 27-29
Significant Communication or Complaints from Residents
® We continue to receive complaints about rat sightings but the reports are down
for this month.
•
Other Public Health Information
The threat of EE and West Nile virus continues in the region. Statewide the
number of positive mosquito pools and cases of both EEE and WNV are up
this year. Although there have been seven confirmed human cases of EEE in
Massachusetts residents so far this year; three of which resulted in death.
Additionally, there have been 20 Human cases of West Nile virus. Salem
continues to be listed as moderate for risk of these illnesses.
Other Activities
Inspections
Certificate of Fitness Inspections—52
Certificate of Fitness Re-inspections— 1
Food Service Inspections—38
Food Service Re-inspections— 16
Housing Inspections— 14
Housing Re-inspections—3
Trash Inspections— 17
Retail Food Inspections—3
Retail Food Re-inspections—3
Food Related Hearings—2 •
Rodent Inspections—4
Court Hearings 1
•
•
1USTINA POLVERE RN,BSN
SALEM BOARD OF HEALTH
PUBLIC HEALTH NURSE
PUBLIC HEALTH NPRSE REPORT
®CT'®BER 2012
Disease Prevention
• Investigated 3 reportable diseases and reported case information to MDPH
■ In contact with North Shore Pulmonary Clinic on current active cases
• Weekly medication refill for active TB case
•Skin tested 1 case contact of an active TB case;this was a re-test measure done 8-12 weeks
after initial testing
Health Promotion
•Attended Salem's Farmers Market and offered information on health topics and conducted
blood pressure screenings.
•Upcoming involvement in "On Point" a teen resource center;discussions and meetings with
directors in progress
•Upcoming involvement in the "Friday Club Program" at Saltonstall School- a program to
educate students about nutrition, healthy body weight, and making better dietary choices
Meetings/Clinics
• Assisted Gloucester Health Department with their flu clinic at the Rose Baker Senior Center
•Met with members of North Shore REACT, NSES, Boards of Health,Salem Police, and Salem
Council on Aging on the "Grab & Go" Emergency Preparedness Project for the senior citizens of
Salem, Ma
•
•Transported and accompanied two NSPPHC referrals to their appointments at NSMC
• Attended 5 day training at the Center for Domestic Preparedness in Anniston, Alabama— •
News article attached
-Flu Clinic dates:
October 17th, 2012 9-12pm at:
Council on Aging
5 Broad St.
Salem, MA 01970
October 18th, 2012 4-6pm at Lifebridge Shelter
56 Margin ST.
Salem, Ma 01970
Monthly Report of Communicable Disease .
October 2012
Disease Reported #Of Cases New Carry Over Discharged
campylobacter 1 1 0 0
Shigella 1 1 0 1
Cryptosporidiosis 1 1 0 0
Tuberculosis 1 0 1 0
Summary of Communicable Diseases for September 2012
Campylobacteriosis:
Case#1:This case is currently being investigated.
Shigella:
7),
Case#1:This case is not a food hander and is not employed in any supervised care setting. Case
• is no longer exhibiting symptoms and has fully recovered. Suspect drinking water in other
country while visiting family.
Cryptosporidiosis:
Case#1:This case is currently being investigated.
TB:
Case#1: Case discharged from DOT; now self-administering meds. Once weekly med
refill/house visit by PHN
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•
•
Center for Domestic Preparedness
Anniston,Alabama
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• FEEMA
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October 2, 2012
Media Contact: 256-847-2212
LOCAL RESPONDER ATTENDS HOMELAND SECURITY TRAINING
Emergency Responder Justina Polvere from The Salem Board of Health,recently completed training offered
by the Center for Domestic Preparedness (CDP), in Anniston, Ala. The CDP is operated by the United States
Department of Homeland Security's Federal Emergency Management Agency and is the only federally-chartered
Weapons of Mass Destruction(WMD)training facility in the nation.
The training I received at the CDP is like nothing I have ever experienced before. The initial 3 days I focused
on learning how to prepare for an influenza pandemic its the Pandemic Planning and Preparedness (12-07 P3)
course. There and throughout my trainings I met so many responders from all over the country, and that in
itself was an amazing learning experience. Working together as a team, the class was able to act out and
respond to such an outbreak.I was able to learn the many roles of persons that would be involved in such a
circumstance. The information I learned is extremely valuable to my position as the Public Health Nurse here
in Salem,Ma, and I now feel better prepared and ready if such real life events ever occurred.
• My training at the CDP was completed with a hands-on training inside the COBRA facility where I was
taught how to wear protective gear suitable to protect me against some of the most toxic chemicals in the world.
Succeeding through this course has made me feel confident that if we were ever faced with a biological attack I
would be ready and eager to respond.I look forward to future trainings at the CDP and the wealth of
knowledge and experience they have to offer me.
The CDP develops and delivers advanced training for emergency response providers, emergency managers,and
other government officials from state, local, and tribal governments. The CDP offers more than 50 training
courses focusing on incident management,mass casualty response, and emergency response to a catastrophic
natural disaster or terrorist act. Training at the CDP campus is federally funded at no cost to state, local, and
tribal emergency response professionals or their agency.
Resident training at the CDP includes healthcare and public health courses at the Noble Training Facility, the
nation's only hospital dedicated to training healthcare professionals in disaster preparedness and response.
A number of resident training courses culminate at the CDP's Chemical, Ordnance, Biological and Radiological
Training Facility(COBRA). The COBRA is the nation's only facility featuring civilian training exercises in a true
toxic environment using chemical agents and nonpathogenic biological materials. The advanced hands-on training
enables responders to effectively prevent, respond to, and recover from real-world incidents involving acts of
terrorism and other hazardous materials.
Responders participating in CDP training gain critical skills and confidence to respond effectively to local
• incidents or potential WMD events.
Information about CDP training programs can be found at http://cdp.dhs.gov. Visit the"News&Media"tab at
the top of the site to download images, share CDP training articles, and find out what others are saying about CDP
training. For more information about the CDP,contact the CDP External Affairs Office, at(256) 847-2212/2316
or e-mail pao acdpemailAhs.gov.
-30- •
FEMA's mission is to support its citizens and first responders to ensure that as a nation we work together to build,sustain, and improve
our capability to prepare for,protect against,respond to, recover from,and mitigate all hazards.
•
•
Administration Monthly Report
July and August 2012
Burial Permits @$25.00 $1,075.00
Permits $6,925.00
Certificate of Fitness@$50.00 $2,050.00
Copies $0.00
Fines $300.00
Total Monies Collected = $10,350.00
Annual Budget Expended
Available Balance
Total Salary/Longevity $359,198.00 $90,214.12 $265,845.99
Annual Budget Expended Available Balance
Non-Personnel $15,600.00 $2,375.45 $13,224.55
' AA
`? CTI'Y OF, SAL.E7,M, MASSAC HUSK I T'S
• BOARD OF Huwxfj PublicHealth
t•" Prevent.Promote.Protect.
120 t�,�sIIINC�"I'{)N.`'l`I'RF;<I;'I',4 I']:.O{)It
I)M. (978)741-1800 F,�x(978)745-0343 Dr. Barbara Poremba EdD,MPH
I::IMBI?,IU..I;.Y DRISCOLL. lratLiditl t s-Igm—cote Chair,Board of Health
(MAYOR bbporemLQhotmail.cotn
To: Councilors Kevin R. Carr,Jr.,Thomas H Furey,Joan B. Lovely,Arthur C. Sargent, III,
Robert K. McCarthy,Michael Sosnowski,Todd A. Siegel,Jerry L. Ryan, Josh H.Turiel,
Paul C. Prevey,Joseph A.O'Keefe, SR.
From: Board of Health Members Dr. Barbara Poremba,Chair,Dr.Larissa Lucas, Gayle Sullivan,
Robert Dionne,Martin Fair
Re: Reduction in Number of BOH Members
Date: 21 September 2012
Dear Councilors,
The BOH is requesting a reduction in the size of the board from 7 members to 5 members.
This is in keeping with other boards,most of whom are 3 members.
• Historically,the size of the board was increased to 7 members when the city also was overseeing
a chronic disease hospital. Since this is no longer the case,the board would like to reduce its size.
This request comes from the board and is unanimous. Please do not hesitate to contact any/all of the
members if you have any questions or need further clarification.
We greatly appreciate your consideration of our request.
Dr. Barbara Porembafr2tM
Dr. Larissa Lucas � � 0 C)LY
W
Gayle Sullivan 0441�, t�t�Tt `� ( �
Martin Fair o St
Robert Dionne Di
•
•
Section of Minutes of the Meeting from March 3,2012 discussing reduction in Board Members
CITE'OF SALEM
BOARD OF HEALTH
MEETING MINUTES
March 13, 2012
MEMBERS PRESENT: Martin Fair, Acting Chair, Dr. Larissa Lucas, Robert Dionne & Gayle
Sullivan
OTHERS PRESENT: Larry Ramdin, Health Agent
MEMBERS EXCUSED: Dr. Barbara Poremba, Chairperson
Discussion of reduction in number of Board Members and Department head Title
The Board discussed the appearance of Beth Renard, City Solicitor, Larry Ramdin and Martin Fair before
the City Council Committee on Public Health Safety&Environment to ask the Council's support in
requesting special legislation to reduce the number of Board Members from seven(7)to five(5)and
discussed their reasoning for the request. They also asked that the Council amend city ordinance to be
consistent with MGL Chapter 111 that allows for the Board of Health to appoint either a Director or
Agent. The Board decided to write a letter to the City Council explaining their thoughts and rationale for •
recommending a reduction in board membership.
G. Sullivan made a motion that the Board of Health recommend to the City Council and Mayor
that the size of the Board be reduced from a 7 member Board to a 5 member Board.Dr,Lucas
seconded it and the motion passed unanimously.
oa16 of Hea��h
ARespely s ed 0 -ONDI ns- I
a Board
1NE�Q�P
Salem,MP
•
• BOH Retreat
Date: September 22, 2012, 9-2
P1ace:Public Health Museum, Tewksbury
Present: B. Poremba, M. Fair, L. Lucas, G. Sullivan, R. Dionne, T. Furey, L. Ramdin, J. Polver
Qj
D. Greenbaum, E. Gagkis, D. Castro, H. Lyons-Paul
Tour of museum followed by discussion of the following: U .`
u
Mission of the BOH
V � �) n
5�
The mission of the Salem BOH is to protect, promote and improve the health of residents,
business, and visitors in A culturally sensitive manner that demonstrates professi$ al courtesy, �'V-) it
respect and caring. Pu�t�c#iealth includes preventing and monitoring of diseaseo}pviding health
education and enforcing codes and public health ordinances. Public health is everyone's health.
Current Significant PH Issues
• Food-borne illness
• Vaccine Preventable Diseases
• Tobacco/ETOH/substance abuse
• Obesity
• Cultural disparity
• Poverty, homeless
• Heart Disease
• Vector borne disease: ticks, mosquitos
Barriers
• Language
• Limited staff,particularly clerical
• Substandard housing
• Restaurant inspections...734 restaurants, must inspect 2x per year
Possible Interventions
• Exercise programs
• Rating of restaurants
• Tobacco restriction to<21 yr
• Food borne disease education- language barriers
• Look to other communities with cultural diversity for translation, etc.
• More inspections prior to rental
• Social media for education-facebook, twitter, newspapers, cable
•