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MEETING PACKET SEPTEMBER 2013 • NOTICE OF MEETING You are hereby notified that the Board of Health meeting scheduled for September 11, 2013 has been canceled and rescheduled for Thursday, September 12, 2013 at 7.00 PM City Hall Ann ex, 120 Washington St. Room 314 MEETING AGENDA 1. Call to order 2. Approval of Minutes from July 23, 2013 3. Chairperson Announcements • 4. Public Health Announcements/Reports/Updates a. Health Agent b. Public Health Nurse Report c. Administrative d. Council Liaison 5. Miscellaneous 6. Adjournment Larry Ramdin Health Agent cc: Mayor Kimberley Driscoll, Board of Health, City Councilors Next regularly scheduled meeting is October 8, 2013 at 7pm at City Hall Annex, 120 Washington Street Room 312 Know your rights under the open meeting law MGL chapter 3" ss 18-25 and City • Ordinance section 2-2028 through 2-2033 CITY OF SALEM BOARD OF HEALTH MEETING MINUTES July 23, 2013 04EMBERS PRESENT: Dr. Poremba, Chair, Gayle Sullivan, Martin Fair, Dr. Alam &Dr. Ledoux OTHERS PRESENT: Larry Ramdin, Health Agent, City Council Liaison, Councilor Furey MEMBERS EXCUSED: None OTHERS PRESENT: Councilor at Large, William Legault TOPIC DISCUSSION/ACTION 1. Call to Order 7:08pm 2. Minutes of Last Meeting Motion by M. Fair to approve the draft minutes, G. Sullivan 2°d. (June 13, 2013) Approved unanimously. 3. Chairperson Announcements Per BOH custom, there is no meeting in August. In case of any emergencies, Dr. Poremba requested that BOH members keep August 20 available. All agree to this request. Dr. Shama Alam, new BOH member was welcomed and introduced 4. Introductions with new Board Member • 5. Monthly Reports-Updates A. Health Agent Presented & approved. Copy available at the BOH. Report *Maria's Sweet Something—The door was open and air curtain was off on 7/23/13. A formal notice will be sent out tomorrow. The notice will advise Maria's Sweet Something that the Air curtain has to be on at the high setting whenever the door is open. If the door is found open the BOH will institute action to suspend the Food establishment permit. *The BOH standard list of conditions was sent to the Planning Board for the Power Plant Project. The Health Agent will invite Footprint to present their plans to the Board for the Sept meeting. *Public Health Nurse's Position has been posted internally and on MAHB, MHOA, MPHN. * Mayor's neighborhood walks—The Point and High Street area dumpsters are not being kept clean, a formal notice will be sent out. The Health Agent met with CDC Summer Program to discuss their clean-up initiative. Next week all inspectors will go into the point area to note all public health issues in the area. *West Nile Virus positive in Lynn - no mosquito spraying will be done in Salem at this time. • B. Public Health Presented & approved. Copy available at the BOH. Nurse's Report The Board requests that in contagious disease report an additional column be added for"#of cases current". Rabies case amended to "on recommendation of DPH". 1 V. Administrative Presented & approved. Copy available at the BOH. Report D. City Council Board request for reduction of members is still pending in the City Liaison Updates Council Public Health, Safety and Environment Committee. BOH discussed and requested that Health Agent send a letter to the Mayor on their behalf requesting the status of this issue. 6. New Business A. Tobacco violations Board members were made aware that 1 st time violation letters for selling tobacco products to underage persons were sent out to 11 tobacco retail establishments. It was also explained to the Board that due to cut backs to the North Shore Tobacco Control Program, fewer inspections are able to be done during the year. This increase in underage tobacco sales may be attributed to the decreased surveillance. 7. MEETING ADJOURNED: 9:03pm Respectfully submitted, • Heather Lyons-Paul Clerk of the Board Next regularly scheduled meeting is September 10, 2013 at 7pm At City Hall Annex, 120 Washington Street,Room 311 Salem. • i • Health Agent report July/August 2013 Announcements • Food Permits issued to : Medusa Cafe, Firenze Trattoria, Melita Fiore Patisserie • Caroline Kinsella, RN PHN has been hired on an interim basis to process Communicable disease notifications and TB outreach program • Dr. Mona Sigal, an MPH Student at UMass Amherst is working with the BOH (as part of her internship requirement)to develop a series of trainings based on informing restaurateurs on the risks associated with Fats, Salt and gluten and develop strategies to address these risks in their menu offerings. This project is being done with the assistance of the Chamber of Commerce • Public Health Nurse vacancy posting period has closed, applicants have been invited for interviews in the first round of interviews on September 12. Community Outreach • The Department participated in Neighborhood walk through with the Mayor and other City department representatives • Salem BOH was represented at the NSCDC summer youth program presentation and • participated in the NSCDC Point Neighborhood walk through that identified student projects and problems. Meetings and Trainings • Larry Ramdin attended presentations to the city administration by potential Marijuana Dispensary applicants • David Greenbaum attended meetings of the Abandoned Property Taskforce Other Public Health Business Certificate of Fitness Inspections 139 Food Service Inspections—72 Food Service Re-Inspections—42 Housing Inspections— 55 • Housing Re-Inspections—2 • Recreational Camp Inspections—4 Retail Food Inspections— 11 Retail Food Re-Inspections— 7 Rodent Complaints— 15 Meetings- 4 Trash Complaints— 13 • I • Health Agent report September 2013 Announcements • A positive West Nile virus pool was detected in South Salem the area within a half mile radius of the locus was treated • A Salem resident was diagnosed with the West Nile Virus, night time temperatures and other factors precluded spraying, messaging of precautionary measures was delivered in addition to increased trapping for mosquitoes. The NEMMC reported that the last treatment of the storm drains is still effective. F • Haunted Happenings have commenced in Salem and there are a number of events for the month focused on Halloween. The BOH team will be out conducting several inspections • We are coordinating with the Engineering Department, DPW and Housing Authority to address concerns of sewage back- ups at the Rainbow Terrace Public Housing complex. Community Outreach • Household Hazardous waste day was held on September 28, 2013 — 136 cars were able to dispose of hazardous waste in an environmentally safe way. • Meetings and Trainings • The Staff attended a webinar on Electronic Death Registration System(EDRS), the state is moving to an electronic registration of Deaths next year and all certificates , including burial permits will be done electronically. The webinar was an introduction program. • Larry Ramdin attended the Healthy Housing training in Brockton hosted by the Healthy Housing program and UMASS Lowell. The training focused on the factors that affect general health in the home and strategies to reduce the risk factors. It focused on factors beyond regulatory housing requirements. • The NSSPHS met with Housing Authority Directors to discuss strategies to go smoke free. • Larry Ramdin is participating in the Supervisory Leadership Development Program hosted MMA, UMASS Boston, Collins Center for Public Management and the UMASS Amherst, Workplace and Development Center Other Public Health Business Certificate of Fitness Inspections— 64 Environmental Complaints—2 • Food Complaints—2 Food Service Inspections—52 General Nuisance Complaints—3 Housing Inspections— 19 Retail Food Inspections— 10 Rodent Complaints— 1 Swimming Pool Complaints—4 Trash Complaints—21 i • • DR SYSTEM V.I.P.E S S S FEAT RES VITALS INFORMATION PARTNERSHIP (W.P.) User-friendly death certificate data entry • Highly secure and Internet-accessible i ELECTRONIC DEATH REGISTRATION SYSTEM Available 24 hours a day, 7 days a week • Accommodates hospitals, nursing homes, BENEFITS FAQ private physician practices and medical examiners offices • Reduces time and effort for users through When will this happen? - online completion of death certificate Roll-out activities will begin in late 2013. More AMERICAN MEDICAL ASSOCIATION • Minimizes errors with online edits and detailed information and training materials will (AMA) RESOLUTION instructions become available as the roll-out proceeds. Also • Electronic workflow between funeral check the Registry's web site www.mass.gov/ homes, hospitals, nursing homes, dph/rvrs for updates. ,In 2002,the AMA House of Delegates adopted a physicians, medical examiners and local and resolution sponsored by the American College of How will I participate? Preventive Medicine (ACPM) related to improving state registrars increases efficiency !the reporting of cause-of-death. This resolution • Physicians, their authorized staff members, or in calls for the following four measures: Improves the timeliness of death reporting g some cases a funeral director, may prepare the • Promotes uniformity in cause-of-death 1. Emphasize to the medical community that electronic death record for certification.statistics precise cause-of-death reporting is critical A physician will then certify the medical 12. Work with the Centers of Disease Control • Improves mortality data used by disease information directlyonline or through an g (CDC) National Center for Health Statistics surveillance and medical research alternate fax attestation method. (NCHS),as well as state medical associations, • Reduces fraud through secure to ensure use of uniform cause-of-death authentication, verification of social Will there be training? terminology security numbers, birth/death matching and Online and regional training sessions will be 3. Educate state legislators on the importance of prevention of records loss and forgery available for physicians and other registration uniformity in mortality statistics so research • Electronic burial permits partners. dollars may be appropriately disbursed • Online corrections and amendments 4. Train physicians in medical schools, residency - _ Can I help? programs and continuing education courses How do I get more information? Yes! The Registry depends on physicians and on how to fill out a death certificate. This may other partners to work with us to refine the require AMA to partner with the Association The V.I.P. Project Team can be reached by P of American Colleges to create a death email at vipprojectteam@massmail.state.ma.us system, help with outreach and education. certificate curriculum