Loading...
MEETING PACKET JANUARY 2013i NOTICE OF MEETING You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting Tuesday, January 8, 2013 at 7.00 PM City Hall Annex, 120 Washington St Room 311 MEETING AGENDA 1. Call to order 2. Approval of Minutes from October 9, 2012 3. Public Health Announcements/Reports/Updates a. Health Agent b. Public Health Nurse Report • c. Administrative d. Council Liaison 4. Chairperson Announcements 5. Food enforcement policy 6. Miscellaneous 7. Adjournment Larry Ramdin Health Agent cc: Mayor Kimberley Driscoll, Board of Health, City Councilors Next regularly scheduled meeting is February 12, 2013 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 • Health Agent report January 2013 • City Updates • Jason Silva, the Mayor's Chief Aide has left his position as Mayor Driscoll's Chief Aide to lead the Salem YMCA. Jason will be replaced by Dominick Pangallo, former Chief Aide to Rep. John Keenan, who will start work on March 19. • Richard Viscay City Treasurer has left the city employment for a similar position in the City of Everett • John Tomaz, DPW Director, Hamilton has been hired as the new DPW Director to replace Richard.Rennard, who retired in November. He will begin work on February, 19. • The City council has elected William Legault to fill the remainder of Joan Lovely's term. • Councilor Tom Furey has been re-appointed as the City Council Liaison to the Board of Health Announcements • The City Council has approved an increase of$1500.00,to our rodent control budget. Due to an increase in the response to calls about rodent activity in the city we have depleted our rodent control budget and the request allows us to provide rodent control • services for the rest of the fiscal year • The City has received a grant from the DEP to increase recycling,the grant requires the following: o Mandatory recycling o The hire of a recycling coordinator In order to have mandatory recycling there has to be some rule in place, a decision as to whether the city council will be asked to make an ordinance or the Board of Health will be asked to make a regulation is being considered by the executive and further details will be forthcoming. • The trash collection contracts were put out to bid jointly with Beverly. The bids have been opened and a decision will be made shortly to award contract. It is anticipated that an award will be made within the next week. • The Viewpermit inspection program was launched on December 18`h, the software provider is currently conducting a needs assessment and will be visiting departments to discuss individual departmental needs. The next phase is to customize the program for Salem and develop a demonstration site that will allow users to try out the product. When the process is complete the inspectors will be using tablets to conduct inspections and the records will be electronic allowing for real time review of the inspections.. • We have been approached to be a co-applicant with Lynn and Peabody for an Opiod use • reduction RFR that has been posted by the Bureau of Substance Abuse. Meetings and Trainings • • Larry Ramdin Health Agent and Mike Lutrzykowski Assistant Building Inspector attended the Radon Resistant New Construction Workshop from November 27-29. The workshop provided information on radon risks and remediation tools. We will soon begin a radon reduction campaign in Salem. The campaign will focus on messaging the risks of radon, testing and mitigation resources that are available to homeowners. Also, we will provide information on radon risks for builders and building owners. • Elizabeth Gagakis attended the MEHA EEE/WNV seminar in November that discussed the past arbovirus season, which was one of the worst we have seen in recent history, with several cases of West Nile virus and EEE. • A seminar for food workers on Basic Food Safety was held in conjunction with Martins Food Safety and was well received. The presenters discussed basic food safety and personal hygiene with local food handlers. • David Greenbaum attended MA PHIT Food Inspector training. The training provides the inspector with the information and training necessary to conduct a standard food inspection. The goal of the PHIT program is to enable inspectors across all the Massachusetts communities to conduct inspections in the same manner. • Delilah Castro and Justina Polvere are attending for Foundations of Local Public Health • course. The program introduces new Board of health employees to the local health Public Health practice and is held over a 4 month period. The training is broken up into 3 main components: Administration, Environmental Health and Community Health Practice • Inspection Staff attended training on the risks of UV radiation from tanning beds. The trainers discussed the cancer risks associated with indoor tanning, methods for inspecting a tanning facility and risk reduction. Other Public aBusiness e b cHalth • The regional MRC has posted the Coordinator position and will be hiring a Coordinator shortly. Once the Coordinator's position is filled, we will commence recruiting of MRC volunteers to assist in public Health emergency response. • Cafe Polonia, on Washington Street has been sold. The format will be an American style restaurant operating under the name "Naumkeag Ordinaire". • Salem Tipico located on Congress Street (the Point) has been sold and will reopen under the name `Celia's Restaurant II, the restaurant will be offering Dominican/Hispanic food. • • We have been contacted by the owners of the closed Shell gas station located on North • street, they are planning to open soon, but will not be offering, food or tobacco for sale until they have secured the required permits. • The Northshore Shared Public Health Services Program has received a$40,800 grant (that is renewable for 4 additional years for a total of$204,000)to reduce the risks of Asthma in all eight communities and develop risk mitigation programs/strategies that can be utilized across the communities/year. These strategies include : o Developing and utilizing Integrated Pest management programs in multi-unit dwellings o Provide landlords with tools that will allow them to have their properties go smoke-free o Development of rules, policies, regulations for Smoke free public housing. a � CI'IY OF SALEM, MASSACHUSE 1 rS lu • BOARD OF HEALTH 120 WASHINGTON STREET 4`FLOOR PublicHealth Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin o,salem.com LAlilil'RAMI)IN,1ZS/lil;r:[S,CI10,CP-I^S MAYOR Hrna;rr r AcF,N'r Draft Food Enforcement Policy' This is the Food Enforcement policy of the Salem Board of HealthThispolicy will ensure that there is standard enforcement of the Food Establishment regulations. Also it allows for even'and consistent administration of the food establishment regulations. Additionally it meets the requirements of the FDA Voluntary National Food Regulatory Standards. ' Food Establishment Permits 1. All food establishments shall possess a food establishment permit.issued by the City of Salem. If a new establishment is found to be g a operating without ermit.- e owner/o erator shall be notified in writing that p r p .,, .,. p g a.. they are operating without a permit and,shalt°,cease to operate their food establishment until such time that a food permit is issues by the Salem Board=of'Health..., 2. If an existing establishment is found operating without'a validfood establishment permit issued by the Salem Board of Health. The owner/operator will be notified in writing that-they are required to possess a valid food • permit to operate and their food permit has expired. They wiffbe required to acquire a food permit by noon of the next business day. Failing which.the establishment will be ordered closed until a food permit is acquired. Fines and late fees may be assessed on the establishment. Inspections 1. During as� ns WhIl,be recorded appropriate on the a ro riate form. A correction order on the p ,.. inspection form.will be issued to'the,. own•.� er/operator of the establishment with specific dates for correction and a re-inspection date. , a. If the violations are not corrected at the re-inspection without valid reason(s), fines will be assessed for each violation and a correction date for correction shall be established. b. If the Establishment,fails to correct the violations at a third inspection an administrative inspection shall be held beforeathe,Health agent to discuss corrective actions and orders to the same issued per c. If after the administrative hearing the operator fails to correct the violations and take other actions within the required time period. The Board of Health will take action to suspend the permit with notice per 105CMR 590. Suspension of Permit Permits may be suspended with or without notice according to the requirements of 105CMR 590.014 Permits may be suspended without notice if an imminent Health hazard is deemed to exist at a facility and shall be in �cordance with the requirements of 105CMR 590.014(A) Permits may be suspended with notice and the procedures shall follow the requirements of 105CMR590.014 (B) • Hearings If anyone is aggrieved by the finding at an inspection or about any regulatory action that is taken by the Board of Health staff they may apply for a hearing before the Board of Health. The application has to be in writing and filed within 10 day of the inspection. The hearing will be held in accordance with the requirements of 105CMR 590.0015 (B) Variances The Board of Health may issue variances to the requirements of 105CMR 590 per 199 Food Code 8-103 and 105CMR590.010 (H). The variance may be granted if in the opinion a health hazard or nuisance will not result from the granting of the variance. Applications for variances shall be made on forms prescribed by the Board of Health with all required supporting documentation and fees (if necessary). • • JUSTINA POLVERE RN,BSN SALEM BOARD OF HEALTH PUBLIC HEALTH NURSE .1p. JHLIfff- . A N .� A I{A��TI 6 , f 1A�.�JJPO Reporting on November 13th,2012—February 4, 2013 Disease Prevention ■ Investigated 9 reportable diseases and reported case information to MDPH g p p ■ In contact with North Shore Pulmonary Clinic on current active cases Health Promotion • -Flu vaccination promotion on going/public flu clinic dates for past Thursday evenings *All flu clinics have now ended—supplies exhausted -Working with the On Point Program(scheduled for 2 times monthly) -Blood pressure screenings/medication Q&A every Monday at the Salem Council on Aging -Press release—influenza vaccination • PHN WordPress Article on Aids Day • Updating both Facebook and Twitter on health topics and health related news updates when possible -Education on nutrition topics conducted for students at Saltonstall on January 18, 2013-this is the Friday Club- "Mindful Munching Club" (asked to return in future) Meetings/Clinics • ■ Attended Mass in Motion meeting— action plan is being focused on nutrition and physical activity ■ Attended MAPHN monthly meeting-Nov-discussed and learned how to better utilize MAVEN Jan- flu discussion/updates, billing project for vaccine reimbursement discussion, and Tdap recommendations: Recommended for ALL adults, and ALL pregnancies *Upcoming training on MAVEN-TB with Deven Smith-Clarke -Attended "From Crime Scene to Sentencing, and Beyond: Addressing Crimes Against Persons with Disabilities and Elders" and received certificate with David Greenbaum -Attended the"On Point" Program on November 28, 2012 and December 12th, 2012 with Kiame Mahaniah CMO of The North Shore Community Health Center ■ December 11, 2012—meeting with Kiame Mahaniah; tour of NSFHC and collaboration planning ■ December 11, 2012-Wellness Committee Meeting; formed subcommittees to work on Wellness Plan ■ Home visits of two at-risk individuals with David Greenbaum and Salem PD; one referral to NSES • Home visit of another at-risk individual with Salem PD; follow-up with patient care services and admission to Salem E.D • December 13, 2012-North Shore REACT meeting • January 8, 2013 —Started foundations for Local Public Health Practice course (Jan 8-April 30)— webinars and modules two times weekly • January 10, 2013- Met with members of the "Grab & Go"project—future event planning and status of supplies discussion; January 25th, 2013 filled bags with seniors at the Salem C.O.A. -Met with Wellness Committee's "Social Emotional" sub-committee—discussion of what programs are currently in our school system, wellness plan critique, and discussion of how to evaluate current programs •Inspection of Sacred Harp Tattoo with Elizabeth Gagakis -January 29th, 2013 —Wellness Committee Meeting • • Flu Clinics: -Salem Fire 2012 flu clinics vaccination total: 38 -V.O.C.E.S vaccinated: 4 -Public Flu Clinic November 29`h vaccinated: S -Public Flu Clinics December e-January 17, 2013, vaccinated:92 -TOTAL PERSONS VACCINATED IN 2012-2013 SEASON: 430 -Pneumonia- vaccinated 17(total from all clinics) Monthly Report of Communicable Disease Disease Reported # Of Cases New Carry Over Discharged Tuberculosis 1 0 1 0 HGA 1 1 0 1 • Babesiosis 1 1 0 1 Giardia 2 2 0 2 Enterovirus 1 1 0 1 Legionellosis 1 1 0 1 Pneumonia Pertussis 1 1 0 1 Invasive Strep A 1 1 0 1 Summary of Communicable Diseases TB: Case#1: Case being followed by MDPH and treated in Boston since 2011 HGA: Case#1: This not a current indication of active infection nor was this the patients diagnosis with their primary care—no follow up recommended. Babesiosis: • Case#1: This not a current indication of active infection nor was this the patients diagnosis with their primary care—no follow up recommended. Enterovirus: Case#1: Case is not a food handler; does not work at or attend a health care/day care facility. No out-of-state or out-of-country travel during incubation period noted. Pt. was treated and fully recovered. Legionellosis Pneumonia: Case#1: Case had no out-of-state or out-of-country travel, no dental work, and no outpatient hospital visits during incubation period. Case does not work in a hospital. Case treated and fully recovered. Pertussis: Case#1: Case has unknown vaccination history unknown. Case completed appropriate antibiotics and has fully recovered. No known sick contacts. Contacts recommended for antibiotic prophylaxis. Case does not work at or attend a health care/day care facility. Strep A: Case#1: Case diagnosed with cellulitis infection in the leg, no underlying illness, and not sick contacts. Case had antibiotic treatment and has fully recovered. Giardia: Case#1: Case is a refugee and Giardia was found on a routine refugee screening. Case is not a food handler; does not work at or attend a health care/day care facility. No one else around case is or became ill. Pt. was treated and fully recovered. Case#2: Case is a refugee and Giardia was found on a routine refugee screening. Case is not a food handler; does not work at or attend a health care/day care facility. No one else around case is or became ill. Pt. was treated and fully recovered. • • Administration MonthlN Report December-12 Burial Permits @ $25.00 $0.00 Permits $25,285.00 Certificate of Fitness@$50.00 $0.00 Copies $0.00 Fines �. $0.00 Total Monies Collected = $25,285.00 Annual Budget Expended Available.Balance Total Salary/Longevity $359,198.00 $163,930.44 $188,187.75 Annual Budget Expended Available Balance Non-Personnel $15,600.00 $6,659.20 $8,940.80 Administration Monthly Report November-12 Burial Permits @$25.00 $300.00 Permits $18,319.00 l Certificate of Fitness@$50.00 $1,200.00 Copies $3.00 Fines $50.00 Total Monies Collected = $19,872.00 Annual Budget Expended Available Balance Total Salary/Longevity $359,198.00 ► $143,597.18 $214,018.33 Annual Budget Expended Available Balance Non-Personnel $15,600.00 $6,314.49 $9,285.51 j