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MEETING PACKET FEBRUARY 2015r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET-4�'-'FLOOR - -INblicHeait i Prevent.Promote.Protect. TEL. (978)741-1800 FAx(978)745- 343 KIMBERLEY DRISCOLL lramdinQ alem.com 1 �5 EB _5 P � 23 _ LARRY RAMDIN,RS/REHS,CHO,CP-FS MAYOR FILE ## HEALTH AGENT NOTICE OF MEETING ER?t, S, Lhl'MASS. You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting Wednesday February 11, 2015 at 7.00 PM Senior Center S Broad Street I"Floor Salem MEETING AGENDA 1. Call to order 2. Approval of Minutes 3. Chairperson Communications oQ w 4. Public Health Announcements/Reports/Updates' C a. PHN Report 0 �U b. Health Agent c o J C. Administrative �0 d. Council Liaison or co w=3 5. 2na offense tobacco violation hearings for the following permit holders: �, y o Sunny Corner Lafayette St. v v o Tropicana Market Palmer St. O O M O Richdale Convenience Bridge St. C H 0 o Shell Boston St. we E ' u; c 6. Executive Session: Purpose 1 0 CL 0 N v V� 7. Nuisance complaint 69 Orchard Street 0 c c = 8. New Business/Schediding of future agenda items 0 v Larry Ramdin Health Agent cc: Mayor Kimberley Driscoll,Board of Health, City Councilors Next regularly scheduled meeting is March 10,2015 at 7pm at City Hall Annex, 120 Washington Street 3Id Floor Room 312. Know your rights under the open meeting law MGL chapter 30A ss. 18-25 and City Ordinance section 2-2028 through 2-2033 CITY OF SALEM BOARD OF HEALTH MEETING MINUTES _ January 7, 2015 DRAFT MEMBERS PRESENT: Dr. Barbara Poremba, Chair, Dr. Shama Alam,Janet Greene, Paul Kirby, and Dr. Danielle Ledoux OTHERS PRESENT: Larry Ramdin Health Agent, Council Liaison Beth Gerard & Suzanne Doty, Public Health Nurse&Heather Lyons-Paul, Clerk of the Board r TOPIC DISCUSSION/ACTION+ 1. Call to Order 7:00pm 2. Minutes of Last Meeting P. Kirby motioned to accept the"minutes Dr. Alam 2nd (December 9, 2014) Approvediunammously, x . y ':rW d3 x k 3. Chairperson Announcements *:Council Liaison Bd1i"Gerard will be presenting a motion to City Council to reduce the Board of Health from 7-5 members onk08 JanuWry.2015. ; Dr Poremba read into record Larissa Lucas's Salem News Article'from Nov 2012&a letter written by Dr. Poremba to the council°in May 2013w. x `J Greene suggested the Board present positive statements about "' shaving 5 members. She stated that there is a free flow of speakuig at the meetings with the 5 members. >f *P Kirtiy,Dr Alam, Dr. Ledoux,J. Greene, &Dr. Poremba are''all in favor of Council Liaison Beth Gerard g41. anging the topic of reducing the Board Members from 7 <f , t6k5 members to the City Council *The,requirements of releasing the executive session minutes will be added to the standing agenda *The next regularly scheduled board meeting will be moved to o$ Wednesday Febniary 11, 2015 at 7pm due to scheduling conflicts. 4. Monthly Reports-Updates A. Health Agent Report Mosquito control discussion. Approved copy available at the BOH • B. Public Health Nurse's There are 80 doses of flu vaccine left. S. Doty will be taking Report appointments in the office during work hours Approved copy available at the BOH C. Administrative Report Approved copy available at the BOH - Dr. Alain motioned to accept the reports. P. Kirby 2°d Approved unanimously - D. City Council Liaison None presented Updates 5. Items up for discussion A. Reorganization of the Board Chair of The Board and Clerk of the Board up for nomination Dr. Ledoux nominated Heather Lyons-Paul Clerk of the Board. 2nd J. Greene H. Lyons-Paul accepted the nomination Approved unanimously Dr. Ledoux'nominated Dr. Alam as Chairperson Dr. Alam responded by accepting the nomination 2nd by P Kirby There were no other nominations on the table. V6t6mas 3 in favor,of Dr. Alain as Chair; both Dr. Alain and,br. Poremba abstained. Dr.;',Alain was elected as Chair of The Board of Health. 6. Misc. None 7. MEETING ADJOURNED: 8:30pm Respectfully submitted, Heather Lyons-Paul Clerk of the Board Next regularly scheduled meeting is Wednesday, February 11, 2015 at 7pm nter 5 Broad Street 1s` oor Salem. 'or Ce .� At Sena s CITY OF SALEM BOARD OF HEALTH MEETING MINUTES January 21, 2015 DRAFT MEMBERS PRESENT: Dr. Shama Alam, Chair, Janet Greene, Paul Kirby, Dr. Danielle Ledoux&Dr. Barbara Poremba OTHERS PRESENT: Larry Ramdin Health Agent, Council Liaison Beth Gerard &Heather Lyons-Paul, Clerk of the Board TOPIC DISCUSSION/ACTION 1. Call to Order 7:30pm 2. Vote to recommend to Dr. Ledoux motioned that the Salem Board of Health support the reduction city council the reduction in the size of the Board from 7 to 5 members. of the Board of Health 2"d Janet Greene-No discussion- all in favor Members Councilor Gerard will be making a motion to Council for a Home rule petition to amend Ch. 654 of 1972. 3. New Business/Scheduling of Future Agenda Items A. Agenda items *City seals for Martin Fair and Gayle Sullivan. Dr. Poremba will talk to Gayle. for next month *Larry Ramdin provided information to the Board about a nuisance complaint. Board has instructed Mr. Ramdin to delay the delivery of nuisance complaint until the Board can discuss it at the next meeting. There was a brief discussion about open meeting law and conflict of interest law. Beth Rennard and Victoria Coldwell will be contacted for clarification. *Executive session and tobacco suspensions will be added to the agenda for next month 4. Meeting adjourned: :.-Dr. Poremba motioned to adjourn the meeting 2"d Dr. Ledofi,- all in favor -Meeting adjourned at 8:15pm Respectfully submitted, Heather Lyons-Paul Clerk of the Board • Next regularly scheduled meeting is February 11, 2015 at 7pm At Senior Center 1s`Floor 5 Broad Street, Salem r Suzanne Doty RN,BSN Salem Board of Health Public Health Nurse Public Health Nurse Report Reporting on January 8th 2015 to February 10`n 2015 Disease Prevention • Investigated reportable diseases and reported case information to MDPH. • In contact with North Shore Pulmonary Clinic and MGH pulmonary clinic on current active tuberculosis cases. • In contact with NSMC Infection Control department for prevention of disease within the hospital. • Administered 2 flu shots at flu clinic Thursday January 8`n at the OnPoint building. • Administered 8 flu shots at the Salem Community Charter School on January 10`n Health Promotion • Updated the Salem Board of Health Facebook and Twitter pages with information on flu clinics and appointment availability and MEMA information regarding snow storms. • Posted on the Salem Patch Bulletin board information about the flu and how to make an appointment for a flu shot at the health department. Meetings/Training_s • Continued the Local Public Health Institute"Foundations for Local Public Health Practice in Massachusetts"course. This class began on October 151n, included 3 in-person class session as well as weekly modules and webinars until graduating on March 2015. Attending second classroom lecture on January 71n in Boylston, MA. • On January 91n attended North Shore Medial Center quarterly Pulmonary Clinic meeting for updates regarding the clinic and for discussion regarding ongoing Tuberculosis cases. • On January 14`n attended Professional Development day with school nurses for a presentation by the Room to Breathe advocates to discuss their initiative and ways to promote their services. • On January 22nd attended the Salem REACT meeting at the police department with the Community Impact Unit, Salem Council on Aging and North Shore Elder Services to discuss ongoing and new issues involving seniors in our community and ways to assist them. i SMonthly Report of Communicable Diseases January 2015 _ Disease #Of Cases New Carry Over Discharged Running Total for Reported Total for 2014 2015 Tuberculosis 2 0 2 0 2 5 (Active) Latent 0 0 0 0 0 31 Tuberculosis* Calicivirus/No 0 0 0 0 0 1 rovirus Campylobacte 1 1 0 0 1 10 riosis Chikungunya 0 0 0 0 0 1 Ehrlichiosis 0 0 0 0 0 1 Enterovirus 0 0 0 0 0 0 Giardiasis 0 0 0 0 0 0 Group A 0 0 0 0 0 2 Streptococcus Group B 1 1 0 1 1 6 Streptococcus Haemophilus 0 0 0 0 0 0 Influenzae Hansen's 0 0 0 0 0 0 Disease Hepatitis B* 0 0 0 0 0 2 Hepatitis C* 2 2 0 2 2 37 Influenza* 10 10 0 10 10 27 Legionellosis 0 0 0 0 0 0 Lyme 0 0 0 0 0 7 Disease* Malaria 0 0 0 0 0 1 Meningitis 0 0 0 0 0 2 Pertussis 0 0 0 0 0 2 Salmonellosis 0 0 0 0 0 3 Shigatoxin 0 0 0 0 0 1 Producing Organism Shigellosis 0 0 0 0 0 4 Streptococcus 0 0 0 0 0 2 Pneumoniae - Varicella* 0 0 0 0 0 3 Vibrio 0 0 0 0 0 0 West Nile 0 0 0 0 0 0 Total 16 14 2 13 16 148 *Notifications only, LBOH not required to follow up or investigate per DPH. Summary of Current Communicable Diseases TB: Case#1: Case continues to be seen for DOT once per month,using daily medication box,very compliant and feeling well. Case#2: This case had planned to stay in Salem for a temporary stay but is considering staying long term. At this time, I continue to do DOT visits and am keeping in contact with the regional TB nurse as well as the original DOT nurse from their hometown for updates and coordinating with the clinic. Currently, this . patient is seen for DOT 3 times per week. They are feeling well, compliant with their medications and doctors' visits, and have been tolerating therapy for several months. Group B Streptococcus: Case#1: This case is an elderly person who was treated for bacteremia when admitted to the hospital and went on to continue medical care and therapy at a rehabilitation hospital. They had not traveled out of state or country, attended school, worked as a food handler or healthcare worker or attended any day programs. Their household contacts did not have any symptoms of infection. There is no further investigation necessary, this case has been closed. Campylobacteriosis: Case#1:At this time, I have made multiple phone calls and this case has been in communication with me but has stated they will call back when they have time to answer my questions and are in private. Therefore, case remains open pending their return phone call. ,-low Health Dept. Clerical Report FY 26". 'Z. rr"� x t, Burial Permits Certificate of $25 Permits_ Plan Reviews Fitness $50 Copies Fines Revenue Permit Fees July-14 $450.00 $815.00 $850.00 $2,115.00 Food Service Est.. <25S eats. $1.40 August $900.00 $2,415.001 $1,950.00 $5,265.00 25-99 Sea.tS >99 Seats $420 September $775.00 $1,000.00 $180.00 $950.00 $200.001 , $3,105.00 Retail Food <l000sq' $70 October $625.00 $1,804.00 $1,350.00 $7.00 $3,786.00 1000-10,000 $280 >10,000 $420 November $675.00 $0.00 $90.00 $1,700.00 $2,465.00 Temn.foo 1-3 4qys '*joo December $850.00 $50,095.00 $3,450.00 $54,395.00 4-7 days 0 .$6o I>7. aYs . d .Exam f>7 day temp food permit. January-15 I ,. , ,.91-e'd,._, 1 :1,. - 1. 11 $725.00 $2,670.0 $800.00 $5,025.00 d y --2,,�$60'0=$1j00 0 $180.00 $650.00 14(C aW' 4yioed b, 71 February $0.00 Frozen Desserts $25 March $0.00 Mobile Food $210 April $0.00 Plan Reviews Now. sl86,: , May $0.00 Remodel :$90 June Catering $2Spereventl$200 4 $0.00 catering kitchen Body Art Est. $315 Total $5,000.001 $58,799.001 $450.001 $10,900.001 $1,007-00 $76,156.00 Body Art Practitioner 135 Tobacco Vendors $135 Fiscai Year Budget 2015 Suntan Est. $140 Rec.Day Camp $10 Salary Starting Ending Expenses Ext.Paint Removal $35 Full Time $341,229.00 $147,307.01 Startina Ending Transport Off.Subst. sloS Part Time $15,997.00 $11,022.00 $17,050.00 $6,867.91 Overtime $2,000.00 $496.23 Swimming Pools Seasonal $'40 Balance $359,226.00 $158,825.24 Health Clinic Revolving Account Annual'$210 No nprofi,t:$46 $14,210.00 Title V Review s18o Well Application $18o Disposal works $225118o 0 CITY OF SALEM MASSACHUSETTS 6 BOARD OF HE<-1I,IH 120 W ASHINGTON STREET,41H FLOOR PabhcHedth Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL 1lamdinnsalem.com L,1RRY R,\MDIN,RS/R131 f.S,CI-IO,Cl'-FS MAYOR HEAIxi I AG1_;NI' January 5, 2015 Richdale Convenience Store 31 Bridge Street Salem, MA 01970 Dear Owner: On Monday December 29, 2014 at 12:09 am personnel from the North Shore/Cape Ann Tobacco Alcohol Policy Program conducted a compliance check to determine if your permitted establishment would sell a tobacco product to a minor. A 16 year-old female purchased a tobacco product from a clerk in your store. Documentation is now on file at the Board of Health regarding that sale. Richdale Convenience Store is in violation of Section III (A)of the Salem Board of Health Regulation Affecting the Sales of tobacco to a minor. According to section D.Tobacco and Nicotine Delivery Product Sales to Minors Prohibited ;the sale of cigarettes, chewing tobacco, snuff,or any tobacco in any of its forms to any person under the age of eighteen shall be punished by a fine of($200.00 Hundred Dollar fine)for the second offense and a 7 day suspension. FOLLOWING THE THIRD(3RD)OFFENSE,THE BOARD MAY CONSIDER POSSIBLE REVOCATION OR SUSPENSION OF THE PERMIT. The North Shore/Cape Ann Tobacco Alcohol Policy Program and the Salem Board of Health have worked with you and your employees to demonstrate methods to ensure compliance with this regulation. Therefore, you are ordered to pay a fine of$200.00 and a 7 day suspension for the violations stated above. A check or money order payable to the City of Salem must be at the Board of Health office, _ 120 Washington Street,0 floor,within ten days of receipt of this notice. Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A request for such a hearing must be received in writing in this office of the Board of Health within seven (7)days of receipt of this Order. At said hearing,you will be given the opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports,orders, and other documentary information in the possession of this Board, and-that ar.*;,adverse party has the right to be present at the hearing. If you have any questions regarding this notification please call me at 978-741-1800. Sincerely yours, Larry Ramdin Health Agent LR/hlp CERTIFIED MAIL: 70121640 0002 3313 3806 cc: North Shore/Cape Ann Tobacco Alcohol Policy Program • Barbara Poremba, Board of Health Chairperson and Members r ETTs CITY OF SALEM, MASSACHUS BOARD OF HEALTH 120 WASHINGTON STREET 4"1 FLOOR PublicHealth , Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 _ KIMBERLEY DRISCOLL liamdin@salem.com L,11tRY R:INIDIN,RS/RFsI IS,C:IiO,Cl'—FS MAYOR HI?,U.'CII AGI?N'I' January 5, 2015 Sunny Corner 335 Lafayette Street Salem, MA 01970 Dear Owner: On Monday December 29,2014 at 10:40am personnel from the North Shore/Cape Ann Tobacco Alcohol Policy Program conducted a compliance check to determine if your permitted establishment would sell a tobacco product to a minor. A 16 year-old female purchased a tobacco product from a clerk in your store. Documentation is now on file at the Board of Health regarding that sale. Sunny Corner is in violation of Section III (A)of the Salem Board of Health Regulation Affecting the Sales of tobacco to a minor. According to section D. Tobacco and Nicotine Delivery Product Sales to Minors Prohibited ;the sale of cigarettes, chewing tobacco, snuff, or any tobacco in any of its forms to any person under the age of eighteen shall be punished by a fine of($200.00 Hundred Dollar fine)for the second offense and a 7 day suspension. FOLLOWING THE THIRD(3RD)OFFENSE,THE BOARD MAY CONSIDER POSSIBLE REVOCATION OR SUSPENSION OF THE PERMIT. The North Shore/Cape Ann Tobacco Alcohol Policy Program and the Salem Board of Health have worked with you and your employees to demonstrate methods to ensure compliance with this regulation. Therefore,you are ordered to pay a fine of$200.00 and a 7 day suspension for the violations stated above. A check or money order payable to the City of Salem must be at the Board of Health office, 120 Washington Street,4`"floor,within ten days of receipt of this notice. Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A request for such a hearing must be received in writing in this office of the Board of Health within seven (7)days of receipt of this Order. At said hearing,you will be given the opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports,orders, and other documentary information in the possession of this.Board, and that any adverse party has the right to be present at the hearing. If you have any questions regarding this notification please call me at 978-741-1800. Sincerely yours, Larry Ramdin Health Agent LR/hlp CERTIFIED MAIL: 7012 1640 0002 3313 3783 cc: North Shore/Cape Ann Tobacco Alcohol Policy Program Barbara Poremba, Board of Health Chairperson and Members Violation Notice City,/Town �' ` � ���;`� _Board of Health revebhc Health Pnt. Promote. Protect. This notice is to inform you that your establishment violated the Board of Health Sale of Tobacco Products &Nicotine Delivery Products and/or Environmental Tobacco Smoke(ETS)Regulation. Name of establishment Address r __ Date of vio fl& Time of violation Minor's a eY ender Minor's ID# g g rAJrr i f. f (Ordinance,Section,'RegiAYi"on) V jj 1 (Act Constituting Violation) T� Narrative information: 1 _ a I affirm,under the pains and penalties of perjury,that'the above report is true to the best ofli knowledge ,and belief. _.: Inspector(Ighature) k (Print name) 'k ri .-� VENDOR STATEMENT: I acknowledge I received this Violation Notice on r.::. z�' "�! , 20 Iq at AMM and I am being given a carbon copy of this notice.I also acknowledge that I 1. have been that the Peabody Board of Health will provide additional,follow-up information to this violation notice. Owner/MAager%Clerk(Signature'" (Print names) If vendor refuses this Notice or if the inspector feels unsafe in delivering it,an explanation must be written on a note attached hereto.Mailing of this Notice is thus required. Contact the North Shore/Cape Ann Tobacco Alcohol Policy Program at 781-586-6821 with questions Establishment-white NSTCP-yellow Board of Health-pink CITY OF MASSACHUSETTS S ALEM, BOARD OF HEALTH " PablicHealth 120 WASHINGTON STREET,4 FLOOR rscvcne Promote.Protect. TEL. (978) 741-1800 FAx(978)745-0343 _ KIMBERLEY DRISCOLL lramdinnsalem.com L,\RRY RAMDIN,RS/Rl?FIS,CI-K),CP-FS MAYOR Hu,"M NI-i A(, NT January 5, 2015 Tropicana Market 24 Palmer Street Salem, MA 01970 Dear Owner: On Monday December 29,2014 at 11:21 am personnel from the North Shore/Cape Ann Tobacco Alcohol Policy Program conducted a compliance check to determine if your permitted establishment would sell a tobacco product to a minor. A 16 year-old female purchased a tobacco product from a clerk in your store. Documentation is now on file at the Board of Health regarding that sale. Tropicana Market is in violation of Section III (A)of the Salem Board of Health Regulation Affecting the Sales of tobacco to a minor. According to section D.Tobacco and Nicotine Delivery Product Sales to Minors Prohibited ;the sale of cigarettes,chewing tobacco, snuff,or any tobacco in any of its forms to any person under the age of eighteen shall be punished by a fine of($200.00 Hundred Dollar fine)for the second offense and a 7 day suspension. FOLLOWING THE THIRD(3RD)OFFENSE,THE BOARD MAY CONSIDER POSSIBLE REVOCATION OR SUSPENSION OF THE PERMIT. The North Shore/Cape Ann Tobacco Alcohol Policy Program and the Salem Board of Health have worked with you and your employees to demonstrate methods to ensure compliance with this regulation. Therefore,you are ordered to pay a fine of$200.00 and a 7 day suspension for the violations stated above. A check or money order payable to the City of Salem must be at the Board of Health office, - 120 Washington Street,0'floor,within ten days of receipt of this notice. Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A request for such a hearing must be received in writing in this office of the Board of Health within seven (7)days of receipt of this Order. At said hearing,you will be given the opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports, orders, and other documentary information in the possession of this Board, and that any adverse party has the right,to be present at the hearing. If you have any questions regarding this notification please call me at 978-741-1800. Sincerely yours, Larry Ram in Health Agent LR/hlp CERTIFIED MAIL: 70121640 0002 3313 3790 cc: North Shore/Cape Ann Tobacco Alcohol Policy Program Barbara Poremba, Board of Health Chairperson and Members Health Agent report February 2015 g P rY Announcements • The Salem City Council voted unanimously on March 21, 2015 to approve a Home Rule Petition to reduce the Salem Board of Health from 7 to 5 members • The MAOPC Grant collaborative will be posting a Coordinator's position to support opiate use and harm reduction efforts in Salem and Peabody. Also the program will be funding an addiction awareness training for the Salem Police Department on May 131h • The Northshore Cape Ann Emergency Preparedness Program in collaboration with the Salem Board of health will be providing 2 training seminars in Salem: Sheltering training on April 21 for volunteers and EDS 101(Introduction to Emergency Dispensing sites) on April 22. • Chief Mary Butler of the Salem Police Department was sworn in by the Mayor on April 9 at Old Town Hall. Community Outreach • • Larry Ramdin conducted a basic food safety training for Food worker at Finz Restaurant on April 7`h, workers from Finz and Sea Level restaurants were in attendance. Public Health Highlights • Interviews are being conducted to fill the Sanitarian vacancy and we have selected a candidate for the position pending positive background and reference check • Remediation of complaint at Cherry Street is ongoing • As the season changes and the weather becomes warmer our focus changes to trash issues, rodent and other pest issues. • We had a positive Budget meeting with the Mayor and are hopeful that our request for an additional clerk will be accepted Meetings and Trainings Larry Ramdin, David Greenbaum and Elizabeth Gagakis attended the MHOA/MA DEP annual training seminar that addressed Title V issues and regulatory issues for health officers and Emergency preparedness • I attended with Fire Chief and Red Cross representatives to discuss Red Cross • Emergency resources and discussed shelter training. Inspections Item Monthly Total YTD 2014 Total Certificate of Fitness 38 107 559 Inspection Certificate of Fitness 0 3 17 reinspection Food Inspection 15 40 384 Food Re-inspections 1 14 124 Retail Food 1 4 23 Inspections Retail Food 1 1 7 reinspection General Nuisance 1 3 14 Inspections Food— 0 0 1 Administrative Hearings Housing Inspections 18 55 183 Housing re- 6 9 39 inspections Rodent Complaints 1 1 23 Court 0 2 10 Hearings/filings Trash Inspections 4 22 218 • II Inspections Item Monthly Total YTD 2014 Total Certificate of Fitness 38 107 559 Inspection Certificate of Fitness 0 3 17 reinspection Food Inspection 15 40 384 Food Re-inspections 1 14 124 Retail Food 1 4 23 Inspections Retail Food 1 1 7 reinspection General Nuisance 1 3 14 Inspections Food— 0 0 1 Administrative Hearings Housing Inspections 18 55 183 Housing re- 6 9 39 inspections Rodent Complaints 1 1 23 Court 0 2 10 Hearings/filings Trash Inspections 4 22 218 Orders served by 0 0 "'2 Constable Tanning Inspections 1 1 1 Body Art 0 0 1 Swimming pools 0 0 23 Bathing Beach 0 0 100 Inspection/testing Lead,Determination 0 0 1 Septic Abandonment 0 0 1 Septic System Plan 0 0 1 Review Soil Evaluation 0 0 1 Percolation tests 0 0 2 Total 87 268 1737 Suzanne Doty RN, BSN Salem Board of Health Public Health Nurse Public Health Nurse Report Reporting on January 9th 2015 to March 5th2015 Disease Prevention • Investigated reportable diseases and reported case information to MDPH. • In contact with North Shore Pulmonary Clinic and MGH pulmonary clinic on current active tuberculosis cases. • In contact with NSMC Infection Control department for prevention of disease within the hospital. • A Salem resident was notified that they were in contact with active Tuberculosis requiring a PPD• I was able to obtain PPD from DPH and reform the test for this q g P resident, the result was negative. • Completing input of patient information for all flu vaccines given this season into MIIS (Massachusetts Immunization Information System). • Health Promotion • Updated the Salem Board of Health Facebook and Twitter pages with information on Measles, information on the Medical Reserve Corps and links regarding heart health for the month of February. • Posted a recruitment letter on the Salem Patch Bulletin board providing information on what the Medical Reserve Corps is and how to sign up. • Provided the Director of Nursing, Paula Dobrow, with information from the CDC regarding Measles. Meetings/Trainings • Completed the Local Public Health Institute"Foundations for Local Public Health Practice in Massachusetts"course. This class began on October 15", included 3 in-person class session as well as weekly modules and webinars. Graduation was held on Wednesday March 4cn • Attended Personal Protective Equipment training on Topsfield regarding how PPE should be used in the community. • Attended the Emergency Preparedness Coalition meeting on February 251"with a focus on using WebEOC for ordering supplies in the event of an emergency, updates regarding the MRC and discussion on community concerns. • Attended the Salem React meeting on February 261"at the police department with the is Community Impact Unit, Salem Council on Aging and North Shore Elder Services to discuss ongoing and new issues involving seniors in our community and ways to assist • them. Monthly Report of Communicable Diseases January 2015 Disease #Of Cases New Carry Over Discharged Running Total for Reported Total for 2014 2015 Tuberculosis 2 0 1 1 2 5 (Active) Latent 0 0 0 0 0 31 Tuberculosis* Calicivirus/No 1 1 0 1 1 1 rovirus Campylobacte 0 0 0 0 0 10 riosis Chikungunya 0 0 0 0 0 1 Ehrlichiosis 0 0 0 0 0 1 Enterovirus 0 0 0 0 0 0 • Giardiasis 0 0 0 0 0 0 Group A 0 0 0 0 0 2 Streptococcus Group B 1 1 0 1 2 6 Streptococcus Haemophilus 0 0 0 0 0 0 Influenzae Hansen's 0 0 0 0 0 0 Disease Hepatitis B* 0 0 0 0 0 2 Hepatitis C* 0 0 0 0 2 37 Influenza* 6 6 0 6 16 27 Legionellosis 0 0 0 0 0 0 Lyme 0 0 0 0 0 7 Disease* Malaria 0 0 0 0 0 1 Meningitis 0 0 0 0 0 2 Pertussis 0 0 0 0 0 2 • Salmonellosis 0 0 0 0 0 3 • Shigatoxin 0 0 0 0 0 1 Producing Organism Shigellosis 0 0 0 0 0 4 Streptococcus 0 0 0 0 0 2 Pneumoniae Varicella* 0 0 0 0 0 3 Vibrio 0 0 0 0 0 0 West Nile 0 0 0 0 0 0 Total 10 8 1 9 23 148 *Notifications only, LBOH not required to follow up or investigate per DPH. Summary of Current Communicable Diseases TB: Case#1: Case continues to be seen for DOT once per month, using daily medication box, very compliant and feeling well. • Case#2: This case had planned to stay in Salem for a temporary stay but is considering staying long term. At this time, they have now completed therapy. Upon speaking with the Pulmonary Clinic and regional Tuberculosis nurse this patient has been discharged from DOT. They took all of the doses that they were prescribed have been feeling well. Group B Streptococcus: This case was hospitalized with this infection and has continued medical care at a rehabilitation facility. Prior to being hospitalized, this patient did not work or attend any day programs. They are continuing to recover and there is no further follow up required at this time, case is closed. Calicivirus/Norovirus: This is a case is an infant who has been hospitalized since birth in a hospital outside of Salem. I have followed up with the parents and epidemiologist. The epidemiologist is communicating with the Boston Public Health Commission(they do not use MAVEN)to coordinate follow up with the hospital in case more cases are being seen. There is no further action required by the Salem Board of Health at this time and this case is closed. Health Dept. Clerical Report FY�1 V Al $25 Permits Plan Reviews Certificate of Copies / Fines R,� Burial Permits Fitness $50 evenue Permit Fees July-14 $475.00 $2,210.00 $1,950.00 $4,635.00 Food Service Est. <25 seats s14o August $700.00 $985.00 $1,500.00 $3,185.00 25 99 seats s28o >99 seats 4420 September $1,475.00 $2,165.00 $4,300.00 $30000 `' $8,240.00 Retail Food <l000sq' s7o October $725.00 $3,295.00 $1,400.00 ? $5,420.00 l000-10,00o $28o >10,000 s420 November $600.00 $2,384.14 $180.00 $1,400.00 $200.00 $4,764.14 1 emn Food 13 days $390 December $1,375.00 $52,268.00 $2,600.00 $56,243.00 4 7days shoo >jdaysE4 s�3� January-15 -Example of>7 day terr►p food perm►t: $325.00 $10,780.00 $650.00 p $11,755.00 :i (da s)dryidedb 7- zs600-s22oo February fi Frozen Desserts g25 March $0.00 $0.00 Mobile Food $210 April Plan Reviews New � t18o $0.00 May , $0.00 Remodel: «#go June $315 a,� a Body er catering kitchen zoo C t ing $000 , E, . . . � Art Est. Total $5,675.00 $74,087.14 $180.00 $13,800.00 $500 00 : $94,242.14 Body Art Practitioner 135 Review Plans S18o Fiscal Year Budget 2014 Suntan Est. $140 Rec.Day Camp $10 Sala ry Starting Ending Expenses/Budaet Ext.Paint Removal s35 Full Time $357,223.00 $160,388.69 Startina Ending Transport Off.Subst. s1o5 Part Time $16,545.00 $12,172.50 $18,300.00 $8,721.18 Tobacco Vendors $135 Overtime $2,000.00 $0.00 Swimming Pools Seasonal s14o Balance $375.768.00 $172,561.19 Health Clinic Revolving Account Annual$210 Nonprofit$40 $S,720.09 Title V Review s18o Well Application $18o Disposal works $225118o g S CITY OF SALEM, MASSACHUSETTS BO.kRD OF FIEALTH 120 W ASHINGTON STREET 4""FLOOR PcNicHealth 7 Prevent.promote.Protest. - TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinna,salem.com L,\KRY R1NIDIN,RS/RE.14S,CHO,(:1?-FS MAYOR Hi AI;H AGI?,N.1. February 3, 2015 Re: Hearing Request for Tobacco Violations Sunny Corner 335 Lafayette Street Salem, MA 01970 Dear owner: The Salem Board of Health requests your presence at the next Board of Health meeting for a discussion of the tobacco violations at Sunny Corner 335 Lafayette Street. The meeting will be held Wednesday, February 11, 2015 at The Salem Senior Center 5 Broad Street 1st Floor Salem MA 01970 If you have any questions, contact me at 978-741-1800. Sincerely, For the Board of Health Larry Ramdin, Health Agent LR/HLP cc: Dr. Shama Alam, Chairperson of the Board of Health, Board Members, &Joyce Redford, Director, North Shore/Cape Ann Tobacco Alcohol Policy Program f a ' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PubUcHiealth 120 WASHINGTON STREET,4:"FLOOR Prevent.Promote.Protect.. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL liamdin .salein.coin L;\IZRY R;\MI)IN,RS/Ri?f{S,C;1-IO,(:P-IDS MAYOR Hl�.;\L;I'F-1 AC:13N'1' January 5,2015 Sunny Corner 335 Lafayette Street Salem, MA 01970 Dear Owner: On Monday December 29,2014 at 10:40am personnel from the North Shore/Cape Ann Tobacco Alcohol Policy Program conducted a compliance check to determine if your permitted establishment would sell a tobacco product to a minor. A 16 year-old female purchased a tobacco product from a clerk in your store. Documentation is now on file at the Board of Health regarding that sale. Sunny Corner is in violation of Section I II(A)of the Salem Board of Health Regulation Affecting the Sales of tobacco to a minor. According to section D.Tobacco and Nicotine Delivery Product Sales to Minors Prohibited;the sale of cigarettes,chewing tobacco,snuff,or any tobacco in any of its forms to any person under the age of eighteen shall be punished by a fine of($200.00 Hundred Dollar fine)for the second offense and a 7 day suspension. FOLLOWING THE THIRD(3RD)OFFENSE,THE BOARD MAY CONSIDER POSSIBLE REVOCATION OR SUSPENSION OF THE PERMIT. The North Shore/Cape Ann Tobacco Alcohol Policy Program and the Salem Board of Health have worked with you and your employees to demonstrate methods to ensure compliance with this regulation. Therefore,you are ordered to pay a fine of$200 00 and a 7 day suspension for the violations stated above. A check or money order payable to the City of Salem must be at the Board of Health office, 120 Washington Street,a floor,within ten days of receipt of this notice. Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A request for such a hearing must be received in writing in this office of the Board of Health within seven (7)days of receipt of this Order. At said hearing,you.will be given the opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports,orders,and other documentary information in the possession of this Board,and that any adverse party has the right to be present-at the hearing. If you have any questions regarding this notification please call me at 978-741-1800. Sincerely yours, Larry Ramdin Health Agent LR/hlp CERTIFIED MAIL:70121640 0002 3313 3783 • cc: North Shore/Cape Ann Tobacco Alcohol Policy Program Barbara Poremba, Board of Health Chairperson and Members Violation Notice i City/;Town AbUcHealth',�`_'� -I Board of Health Prevent. Promote. Protect. This notice is to inform you that your establishment violated the Board of Health Sale of Tobacco Products &Nicotine Delivery Products and/or Environmental Tobacco Smoke(ETS)Regulation. Name of establishment Address ..- :.•, 4 Da of.violatioh Time of violation Minor's age gender Minor's ID# (Ordinance,Section; ion (Act Constftuting Violation) l Narrative information: a3 t_ JFf t;:'...,,. I affirm,under the pains and penalties of perjury,'that the above report is true to the best of-m knowledge and belief CA Inspector( nature) z (Print name) #1,, VENDOR STATIWENT: I acknowledge I received this Violation Notice on l '._ _t , 20 t at AM/PM and I am being given a carbon copy of this notice.I also ac nowledge that I have been inforiie/dthat the Peabody Board of Health will provide additional,follow-up information to this violation notice. Owner/*' ag r%Clerk(Signatu�re�-'r (Print name) . . If vendor refuses this Notice or if the inspector feels unsafe in delivering it,an explanation must be written on a note attached hereto.Mailing of this Notice is thus required. Contact the North Shore/Cape Ann Tobacco Alcohol Policy Program at 781-586-6821 with questions -pink Establishment-white NSTCP-yellow Board of Health 0 THE STYLES CHECK COMPANY 1-04.724-3267 Z263 ©GARY PAE}ERSON HIGHLAND TERRIER M �� i ,,r, �Irm,0r , OD .4?t rev gi ^kst s _ 00�,.�� 5x � �i'�.�s maw i ��cs�a �zO�der a m a Y rRom, ` I, rl �i \ ✓ tt ;•°n ,4 S{,v .ram k�•p f si2 st , '~ 1 f �, Y#"io-. z.� I3 u r F aM�ywMro T 4 NVY(*tY Y 4 L Yq LL• t g z� � V. NdYu�hu�§ DO(�r�kr4 �E�Refeil�On Badc � sz v L9 1 y S $s k » k ' SE ' CRED� "�NION ,ti � s� k� f�Rk 338 0� 'rr ✓vai "+ FY: 4 a'd i 1'fir ' �.SS IFYG(TE STREET» tt cu. „wa ebd ,•c 4�. � I a '`��jv a`+ro kz �� i�a? Iv�;�SAJ..� MA 0 970 7"�SzAg�i"Y1t . 'sryryLSa'7 y,�I e 3. �,;�r 5..4 �'aw^ wx kshkw ��s A yr� �� �; t x s''�•� y d a r s r" •�� " ;fv?"u� '� �i �ak �an`S•,C ^fi SG"rF '...,..RZA41 M+ ��: 2`L i38;55 i4�: 017300 2 :2 256u' � 7 i.5 AGAR PAfiER.SnN::J111 RIGHTS RFSERVEU`". • I I _ CITY OF SALEM, MASSACI-IUSETTS T BOARD OF HEALTH 120 W ASHINGTON STREET,47'FLOOR PPublicHwIth romote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 - KIMBERLEY DRISCOLL lramdin@salem.com L,11tRY R.\.MIDIN,RS/REr-IS,c1-r0,c;l'-Fs MAYOR HEA ;I'I I.AG 13N1. February 3, 2015 Re: Hearing Request for Tobacco Violations Richdale Convenience Store 31 Bridge Street Salem, MA 01970 Dear owner: The Salem Board of Health requests your presence at the next Board of Health meeting for a discussion of the tobacco violations at Richdale Convenience Store 31 Bridge Street. The meeting will be held Wednesday, February 11, 2015 at The Salem Senior Center 5 Broad Street 1st Floor Salem MA 01970 If you have any questions, contact me at 978-741-1800. Sincerely, For the Board of Health Larry Ramdin, Health Agent LR/HLP cc: Dr. Shama Alam, Chairperson of the Board of Health, Board Members, &Joyce Redford, Director, North Shore/Cape Ann Tobacco Alcohol Policy Program CITY OF SALEM, MASSACHUSETTS BOARD OF HEc1LTH — PubliCHealth 120 WASHINGTON STREET,4 17i FLOOR Prevent.Promote:Protect. TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com , L.1KItY Rr\R�IDIN,RS�IZF�F[S,CI-1C7,CI I S MAYOR HEALTH AGENT January 5,2015 Richdale Convenience Store 31 Bridge Street Salem, MA 01970 Dear Owner: On Monday December 29,2014 at 12:09 am personnel from the North Shore/Cape Ann Tobacco Alcohol Policy Program conducted a compliance check to determine if your permitted establishment would sell a tobacco product to a minor. A 16 year-old female purchased a tobacco product from a clerk in your store. Documentation is now on file at the Board of Health regarding that sale. Richdale Convenience Store is in violation of Section III(A)of the Salem Board of Health Regulation Affecting the Sales of tobacco to a minor. According to section D.Tobacco and Nicotine Delivery Product Sales to Minors Prohibited ;the sale of cigarettes,chewing tobacco,snuff,or any tobacco in any of its forms to any person under the age of eighteen shall be punished by a fine of($200.00 Hundred Dollar fine)for the second offense and a 7 day suspension. FOLLOWING THE THIRD(3R)OFFENSE,THE BOARD MAY CONSIDER POSSIBLE REVOCATION OR SUSPENSION OF THE PERMIT. The North Shore/Cape Ann Tobacco Alcohol Policy Program and the Salem Board of Health have worked with you and your employees to demonstrate methods to ensure compliance with this regulation. Therefore,you are ordered to pay a fine of$200.00 and a 7 day suspension for the violations stated above. A check or money order payable to the City of Salem must be at the Board of Health office, 120 Washington Street,4ei floor,within ten days of receipt of this notice. Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A request for such a hearing must be received in writing in this office of the Board of Health within seven (7)days of receipt of this Order. At said hearing,you will be given the opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports,orders, and other documentary information in the possession of this Board,and-that any adverse party has the right to be present at the hearing. If you have any questions regarding this notification please call me at 978-741-1800. Sincerely yours, Larry Ramdin Health Agent LR/hlp CERTIFIED MAIL:,70121640 0002 3313 3806 cc: North Shore/Cape Ann Tobacco Alcohol Policy Program Barbara Poremba, Board of Health Chairperson and Members �r Violation Notice City.1`T —L own tf `t _Board of Health blicHealth ` Prevent. Promote. Protect. This notice is to inform you that your establishment violated the Board of Health Sale of Tobacco Products &Nicotine Delivery Products and/or Environmental Tobacco Smoke(ETS)Regulation. y 1& V_yl ...ti ,'y `if V 'kT t'f• i�Ti f,s ' ' .� .+v.a., +- } i Z' t. . Name of establishment Address r f : ,,—Datp,of violat n Time of violation Minor's age/gender Minor's ID#. __ . (Ordinance,Section,Regulation (Act Constituting Violation) i Narrative information: l {}I affirm,under the pains and penalties of_perjury,that the above report is true to the best of my knowledge an belief., Inspector(Sipn rfure) `'(Print name) - VENDOR STATEMENT:I acknowledge I received this Violation Notice on � .,� - '- ' , 20 at AWP--M"�a"d I am being given a carbon copy of this notice.I also ac nowledge that I have been informed�fiat the Peabody Board of Health will provide additional,follow-up information to this violation notice. wner 'anager/Clerk(Signature) (Print name) If vendor refuses this Notice or if the inspector feels unsafe in delivering it,an explanation must be written on a note attached hereto.Mailing of this Notice is thus required. Contact the North Shore/Cape Ann Tobacco Alcohol Policy Program at 781-586-6821 with questions Establishment-white NSTCP-yellow Board of Health-pink i s • DBMRNAD CORPOR 31 BLE CONVENISNc TO B 8A EM MA 0 97pr. PAY ORDER OF f T I 324 �r U Ch DATE r v �.°ecumf. �J� ! Y J 179-113 rri MR 02130 FOR easternbank.com s� 7.800.EgSTERN DOLLARS its �.011301798�� 06. c'11 CITY OF SALEM, MASSACHUSETTS BOARD OF HE,-1LTH 120 WASHINGTON STREET 4"FLOOR PublicHWth Prevent.Promote.Protect. — TEL. (978) 741-1800 FAx(978)745-0343 - KIMBERLEY DRISCOLL lramdin@salem.com Li\12RY 1L\NIDIN,I2S/R13[IS,(:I-K),Cl?-FS MAYOR HI-:i\I..,LFI AGI3NT February 3, 2015 Re: Hearing Request for Tobacco Violations Tropicana Market 24 Palmer Street Salem, MA 01970 Dear owner: The Salem Board of Health requests your presence at the next Board of Health meeting for a discussion of the tobacco violations at Tropicana Market 24 Palmer Street. The meeting will be held Wednesday, February 11, 2015 at The Salem Senior Center 5 Broad Street 1s`Floor Salem MA 01970 If you have any questions, contact me at 978-741-1800. Sincerely, For the Board of Health Larry Ramdin, Health Agent LR/HLP cc: Dr. Shama Alam, Chairperson of the Board of Health, Board Members, &Joyce Redford, Director, North Shore/Cape Ann Tobacco Alcohol Policy Program CITY OF SALEM, MASSACHUSE'TTS ILL.JJJ • BOARD OF HEALTH P11b11CHeAlth 120 WASHINGTON STREET,4l'FI FLOOR Prevent.Promote.Protect. TEL. (978)741-1800 FAX(978)745-0343 - KIMBERLEY DRISCOLL ltamdin(a�.salem.com L11tR1'R,\1V4DIN,RS/R[iFIS,CI-K),CP-FS MAYOR HEAU;n-I AGENT January 5,2015 Tropicana Market 24 Palmer Street Salem, MA 01970 Dear Owner: 0n Monday December 29,2014 at 11:21 am personnel from the North Shore/Cape Ann Tobacco Alcohol Policy Program conducted a compliance check to determine if your permitted establishment would sell a tobacco product to a minor. A 16 year-old female purchased a tobacco product from a clerk in your store. Documentation is now on file at the Board of Health regarding that sale. Tropicana Market is in violation of Section III (A)of the Salem Board of Health Regulation Affecting the Sales of tobacco to a minor. According to section D.Tobacco and Nicotine Delivery Product Sales to Minors Prohibited ;the sale of cigarettes,chewing tobacco,snuff,or any tobacco in any of its forms to any person under the age of eighteen shall be punished by a fine of($200.00 Hundred Dollar fine)for the second offense and a 7 day suspension. • FOLLOWING THE THIRD(3RD)OFFENSE,THE BOARD MAY CONSIDER POSSIBLE REVOCATION OR SUSPENSION OF THE PERMIT. The North.Shore/Cape Ann Tobacco Alcohol Policy Program and the Salem Board of Health have worked with you and your employees to demonstrate methods to ensure compliance with this regulation. Therefore,you are ordered to pay a fine of$200 00 and a 7 day suspension for the violations stated above. A check or money order payable to the City of Salem must be at the Board of Health office, - 120 Washington Street,a floor,within ten days of receipt of this notice. Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A request for such a hearing must be received in.writing in this office of the Board of Health within seven (7)days of receipt of this Order. At said hearing,you will be given the opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports,orders,and other documentary information in the possession of this Board,and that any adverse party has the right to be present at the hearing. If you have any questions regarding this notification please call me at 978-741-1800. Sincerely yours, Larry Ram in Health Agent LR/hlp A CERTIFIED MAIL:70.12 1640 0002 3313 3790 cc: North Shore/Cape Ann Tobacco Alcohol Policy Program Barbara Poremba, Board of Health Chairperson and Members Violation Notice K .. City/,Town ' Board of Health blicHealth Prevent. Promote. Protect. This notice is to inform you that your establishment violated the Board of Health Sale of Tobacco Products &Nicotine Delivery Products and/or Environmental Tobacco Smoke(ETS)Regulation. Name of eslablishm6fitLOW LA 1' S! Address 2 Date of violation a Time of violation Minor's age/gender Minor's ID# (Ordinance,Section,Regulation) 3 (A Constitu g Violation) Y Narrative information: i )�t � ' ,�•� `sin. x ` � .._� � w.w t..y.�. .� I affirm,under the pains and penalties of perjury,that the above report is true to the best of my knowledge and belief. ;" Inspector '`'stature) `" '',-- ``'� v`t�, � �,;�,:` � �;,.` (Print name) . VENDOR STATEMENT: I acknowledge I received this Violation Notice on l e -7),'. }, , 20-�— at "/PM.and I am beinggiven a,carbon copy of this notice.I also ackr ow ed e that I t have been informed-&t the Peabody Board of Health will provide additional,follow-up information to this violation notice. - Ownez•%Manager/Clerk(Signature) (Print name) If vendor refuses this Notice or if the inspector feels unsafe in delivering it,an explanation must be written on a note attached hereto.Mailing of this Notice is thus required. Contact the North Shore/Cape Ann Tobacco Alcohol Policy Program at 781-586-6821 with questions Establishment-white NSTCP-yellow Board of Health-pink TROPICANA MA` ss"9.'13 314 3 •— 24 PALMER ST..�RKET SALEM`MA 01970 DATE �r gg.PAY TO THE 9 ORDERa �+#� DOLI IRS LItp �Eai ste. "M Boston MAoz110 r 1 .. easlembank com. ._.. 1.600-EASTE '0 1v� 30 L.79B�. 0600:6 7 3 38.Bii�' CITY OF SALEM MASSACHUSETTS BO.-�RD OF HEUTH 120 W ASHINGTON STREET 4' Prevent.Promote.Protect. FLOOR PublicHealth — TEL. (978) 741-1800 FAx(978) 745-0343 — KIMBERLEY DRISCOLL Iramdin@salem.com L,\RRY 12.1MDIN,RS/RI?HS,(.;ITO,CP-FS MAYOR Hrl,w ii AGENT February 3, 2015 Re: Hearing Request for Tobacco Violations Shell 146 Boston Street Salem, MA 01970 Dear owner: • The Salem Board of Health requests your presence at the next Board of Health meeting for a discussion of the tobacco violations at Shell146 Boston Street. The meeting will be held Wednesday, February 11, 2015 at The Salem Senior Center 5 Broad Street 1st Floor Salem MA 01970 If you have any questions, contact me at 978-741-1800. Sincerely, For the Board of Health Larry Ramdin, Health Agent LR/HLP cc: Dr. Shama Alam, Chairperson of the Board of Health, Board Members, &Joyce Redford, Director, North Shore/Cape Ann Tobacco Alcohol Policy Program r, CITY OF SALEM, MASSACHUSE 1 I S - BOARD OF HEALTH PublICHCAlth . - .. 120 WASHINGTON STREET,4 FLOOR Prcvent.Promote.Protect. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL liamdin@salem.com L,=Y R,IMDIN,RS/RI3I IS,Cl10,CP-FS MAYOR Hi3,\I:fli AGI."NIT January 2, 2015 Shell 146 Boston Street Salem, MA 01970 Dear Owner: On Tuesday May 16,2014 at 4:02pm personnel from the North Shore/Cape Ann Tobacco Alcohol Policy Program conducted a compliance check to determine if your permitted establishment would sell a tobacco product to a minor. A 16 year-old female purchased a tobacco product from a clerk in your store. Documentation is now on file at the Board of Health regarding that sale. Shell of Salem is in violation of Section III(A)of the Salem Board of Health Regulation Affecting the Sales of tobacco to a minor. According to section D.Tobacco and Nicotine Delivery Product Sales to Minors Prohibited ;the sale of cigarettes,chewing tobacco, snuff,or any tobacco in any of its forms to any person under the age of eighteen shall be punished by a fine of.($200.00 Hundred Dollar fine)for the second offense. FOLLOWING THE THIRD(3RD)OFFENSE,THE BOARD MAY CONSIDER POSSIBLE REVOCATION OR SUSPENSION OF THE PERMIT. The North Shore Tobacco Control Program and the Salem Board of Health have worked with you and your employees to demonstrate methods to ensure compliance with this regulation. Therefore,you are ordered to pay a fine of$200.00 and a seven(7)day suspension for the violations stated above. A check or money order payable to the City of Salem must be at the Board of Health office, 120 Washington Street,0 floor,within ten days of receipt of this notice. Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A request for such a hearing must be received in writing in this office of the Board of Health within seven (7)days of receipt of this Order. At said hearing,you will be given the opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports,orders,and other documentary information in the possession of this Board,and that any adverse paoy has the right to be present at the hearing. If you have any questions regarding this notification please call me at 978-741-1800. Sincerely yours, Lar Ramdin Hea th Agent LR/hlp CERTIFIED MAIL: 7012 3050 0001 2959 4206 cc: North Shore/Cape Ann Tobacco Alcohol Policy Program Barbara Poremba, Board of Health Chairperson and Members Violation Notice Clt0own f �( %`� -Board of Health Pub&He9th Prevent. Promote. Protect. i This notice is to inform you that your establishment violated the Board of Health Sale of Tobacco Products &Nicotine Delivery Products and/or Environmental Tobacco Smoke(ETS)Regulation. Name of establishment Address �-A Date o violatio Time of violation Minor's age/gender Minor's ID# f (Ordinance,Section,Regulation) 'I LL�L-1 (Act C6nstituting Violation) Narrative information: ' � t'+....%> tl 1_.�,ti. 1 d_'..�'h....5' ^w ! } 'l �'�4.4��� r �__ .. Y!�•• ` ..�� �-. a 4ke . ` Q I-affirm,under the pains and penalties.of perjury,that the above report is true to the best of my knowledge and belief. g Inspector(�ignature) (Print name) 1 Ll VENDOR STATEME :I acknowledge I received this Violation Notice on 20 of P and I am being given a carbon copy of this notice.I also acknowledge that I have been informe at the Peabody Board of Health will provide additional,follow-up information to this violatiron•not'ice. l r. wner/Manager/Clerk(Signature) (Print name) If vendor refuses this Notice or if the inspector feels unsafe nee ivering it,an explanation must be written on a note attached hereto.Mailing of this Notice is thus required. Contact the North Shore/Cape Ann Tobacco Alcohol Policy Program at t 781-586.6821 with questions It CA (k to shmeiit-whrte N TC.P-ye ow -Board of Health-pink r sTHE REVERSE SIDE OF THIS DOCUMENT .. rc^. .'- k'g"+5,.. r ¢ ,. SaMM'Shell Inc Salem F p Srr { - yO�YY -L :r 146Boston Sf '� � gH `.' 4 PMted WInUeAarbMm 01/0BN503 • Salem, M6 01970 rr wR C W f g .,, pqy Two Hundred and 00/100:Dollars � ' � W h • ,Asa�r a 4�� �s � ��$af <Y � �' �� "�� � ;.� r f. t me;µ To THE 0,11TYt OAF 1;ALEM '"r}s. ,r'.�"'a, D ' "'w,, rh as w - ,'�. i. t'se.sr 7`. .+nu, �x S i:➢- `N 4' ty S < i i d,v. F}u f^ g�>����;� J �+�....y� b i ..;Y K .- . 09 2'. MEMO 2nd'Ofif fipe r ! ;.:._ Y«oEs 1180 2008611' 1: 2 113 70 5 SEWO 00 74 3911' r a J MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH MassCHIP Massachusetts Community Health Information Profile Health Status Indicators Report for Salem • Demographic Indicators • All Perinatal and Child Health Indicators • Infectious Disease Indicators • Injury Indicators • Chronic Disease Indicators • Substance Abuse Indicators • Hospital Discharges • Report Specific Notes More detail for specific datasets is available by using custom reports General Notes: Notes on Population data Population data are used as the denominators for all rates in MassCHIP except for Infant Deaths which use the Births file as the denominator. The population data used for a given rate depends on the year of the numerator: MDPH Estimates for 2006-2009(only available at the state level) Census Counts for 2010(available at the city/town level) Population data may also be present in this report as Counts and Percentages. These data are Census counts for 2010 or sample data for 2000. Any population data that have more detail than geography, age, sex and or Race/Hispanic ethnicity are from the selected sample data for 2000 from the U.S. Census Bureau Summary File 3 (SF3). Limitations of Small Numbers Cells in some tables in MassCHIP reports, and particularly those specific to individual cities and towns, contain small numbers. In general, rates and proportions based upon less " d V than five observations are suppressed (specific protocols differ by data sets and are noted on the relevant reports). Whether or not the small numbers are suppressed, rates and • trends based upon small numbers should be interpreted cautiously. Note on NA MassCHIP marks cells with the tag "NA" if one or more of the following is true: • The data are suppressed for confidentiality reasons. See report-specific notes for Suppression Rules specific to the data sets used in this Instant Topic. • The particular combination of data element, selector value and statistical calculation is not available. • The population on which a particular cell is based is too small to calculate reliable results. Differences with Previously Published Data Numbers and rates in MassCHIP reports may differ slightly from those contained in previous reports or other publications. These differences may be due to file updates; slight variations in coding schemes used in categorizing the data; differences in the formulas used in calculating rates; and the re-calculating of rates using updates of population estimates from the Massachusetts Institute for Social and Economic Research (MISER). Note on Time Period Counts for most data sets are cumulative for the given Calendar or Fiscal year. Children in Foster Care(DSS), WIC, Child Care Services (OCCS) and Department of Transitional Assistance(DTA) data sets give point in time 'snapshot' counts. These are counts taken at a specified point during the year. See last page for additional informational report-specific notes. Demographic Indicators: Salem Copyright© 1995-2013 Massachusetts Department of Public Health -All Rights Reserved,Printed: 6/4/2013, 11:07:57 Area Area State Count IPercentipercent Per Capita Income * $23,857 $25,952 Population below 100% of poverty level * 3 9.7 9.3 787, Population below 200% of poverty level * 22.8 1 21.7 i than five observations are suppressed (specific protocols differ by data sets and are noted on the relevant reports). Whether or not the small numbers are suppressed, rates and trends based upon small numbers should be interpreted cautiously. Note on NA MassCHIP marks cells with the tag "NA" if one or more of the following is true: The data are suppressed for confidentiality reasons. See report-specific notes for Suppression Rules specific to the data sets used in this Instant Topic. The particular combination of data element, selector value and statistical calculation is not available. • The population on which a particular cell is based is too small to calculate reliable results. Differences with Previously Published Data Numbers and rates in MassCHIP reports may differ slightly from those contained in previous reports or other publications. These differences may be due to file updates; slight variations in coding schemes used in categorizing the data; differences in the formulas used in calculating rates; and the re-calculating of rates using updates of population estimates from the Massachusetts Institute for Social and Economic Research (MISER). • Note on Time Period Counts for most data sets are cumulative for the given Calendar or Fiscal year. Children g Y in Foster Care(DSS), WIC, Child Care Services (OCCS) and Department of Transitional Assistance(DTA) data sets give point in time 'snapshot'counts. These are counts taken at a specified point during the year. See last page for additional informational report-specific notes. Demographic Indicators: Salem Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:07:57 Area Area State CountIPercent Percent Per Capita Income * $23,857 $25,952 Population below 100% of poverty level * 13,787 9.7 9.3 Population below 200% of poverty level * 22.8 21.7 18,935 Children less than 18 years of age living below 100%of poverty1941-11q12.0 line * Unemployed persons age 16 and over 11,9921 8. 3 8.5 * 2000 Census Counts or Sampling Data Denominator for persons age less than 18 and living in poverty is all persons age less than 18. Unemployment Rate: all unemployed persons in labor force divided by all persons in labor force • Census 2000 Summary File 3 (Sample data prepared by the U.S. Census Bureau) • 2010 Employment and Training(DET) Area Area State Count Percent I Percent Persons under 18 years of age * 8,157 20.2 F2 3.6 Persons under 20 years of age 9,330 22.6 24.8 Persons age 65 years and over 5,341 12.9 13.8 White non-Hispanic persons 32,182 77.9 78.4 Black non-Hispanic persons 1,501 3.6 6.3 Hispanic persons 6,465 15.6 9.6 Asian persons 1,122 2.7 5.5 AFDC Medicaid Recipients 3,191 9.3 7.1 Multiple Assistance Unit Medicaid Recipients 91 0.7 1.2 * the most recent population Estimates (2000). AFDC recipients percent denominator is persons age less than 65 (eligible population based on age). Multiple Assistance Unit recipients percent denominator is persons age less than 25 (eligible population based on age). • See Notes on Population Data • 1996 Medicaid(MassHealth) • 2000 Census 2000 Summary File 1 (Massachusetts)/prepared by the U.S.Census Bureau All Perinatal and Child Health Indicators: Salem Copyright© 1995-2013 Massachusetts Department.of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:07:57 Area Area State Fertility Fertility Count Rate Rate • Births to women ages 15 to 44 479 49.2 53.8 White non-Hispanic 313 43.6 49.0 Black non-Hispanic 23 51.1 67.8 p • Hispanic 121 68.6 65.5 Asian 18 55.6 57.5 Area Area Infant State Infant Count Mortality Mortality Rate Rate Infant Deaths 1 NA 4.4 White non-Hispanic 1 NA 3.4 Black non-Hispanic 0 0.0 8.2 Hispanic 0 0.0 6.1 Asian 0 0.0 4.3 Area Area State Count Percent Percent Low Birthweight ( less than 2500 grams) 37 7.7 7.8 Births to adolescent mothers 29 6.0 5.4 Mothers not receiving prenatal care in first trimester 59 13.4 16.1 Mothers with adequate prenatal care(al 388 89.8 84.9 Mothers receiving publicly funded prenatal care(121 183 38.2 35.8 Area Area State Count Rate Rate i Lead poisoning cases (blood lead levels greater than or 1 0.7 0.3 equal to 25 µg/dL in children ages 6 mos - 5 yrs) Fertility Rate is expressed per 1,000 women ages 15 to 44(of a given race/ethnicity where mentioned). Infant Mortality Rate (IMR) is expressed per 1,000 live births in the same data year. Lead poisoning rates are expressed per 1,000 children screened. Unknown values of Prenatal care adequacy, Trimester prenatal care began or Prenatal care payment source are excluded from the denominator. • See Notes on Population Data • 2010 Births(Vital Records) • 2010 Infant Deaths(Vital Records) • 2010 Lead Poisoning Prevention Program(CLPPP)-fiscal year Infectious Disease: Salem Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:07:57 Area Area State Count Crude Rate Crude Rate HIV Incidence NA NA 8.6 • r t White non-Hispanic 313 43.6 49.0 • Black non-Hispanic 23 51.1 67.8 Hispanic 121 68.6 65.5 Asian 18 55.6 57.5 Area Area Infant State Infant Count Mortality Mortality Rate Rate Infant Deaths 1 NA 4.4 White non-Hispanic 1 NA 3.4 Black non-Hispanic 0 0.0 8.2 Hispanic 0 0.0 6.1 Asian 0 0.0 4.3 Area Area State Count Percent Percent Low Birthweight ( less than 2500 grams) 37 7.7 7.8 Births to adolescent mothers 29 6.0 5.4 Mothers not receiving prenatal care in first trimester 59 13.4 16.1 Mothers with adequate prenatal care Oa 388 89.8 84.9 Mothers receiving publicly funded prenatal care(b) 183 38.2 35.8 Area Area State • Count Rate Rate Lead poisoning cases (blood lead levels greater than or 1 0.7 0.3 equal to 25 µg/dL in children ages 6 mos - 5 yrs) Fertility Rate is expressed per 1,000 women ages 15 to 44(of a given race/ethnicity where mentioned). Infant Mortality Rate (IMR) is expressed per 1,000 live births in the same data year. Lead poisoning rates are expressed per 1,000 children screened. Unknown values of Prenatal care adequacy, Trimester prenatal care began or Prenatal care payment source are excluded from the denominator. • See Notes on Population Data • 2010 Births(Vital Records) • 2010 hifant Deaths(Vital Records) • 2010 Lead Poisoning Prevention Program(CLPPP)-fiscal year Infectious Disease: Salem Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:07:57 Area Area State Count Crude Rate Crude Rate HIV Incidence NA NA 8.6 HIV/AIDS Prevalence 107 256.9 261.0 AIDS and HIV-related deaths 0 0.0 1.8 Tuberculosis NA NA 3.7 Pertussis NA NA 5.8 Hepatitis-B NA NA 11.3 Syphilis 5 12.0 . 9.4 Gonorrhea 12 28.8 37.9 Chlamydia 154 369.8 322.1 Area Area State Count Age-specific Age-specific Rate Jc Rate Lel Syphilis, ages 15-19 0 0.0 3.9 Gonorrhea, ages 15-19 NA NA 76.6 Chlamydia, ages 15-19 50 F 1992.2 1310.9 Crude rates are expressed per 100,000 persons. Age-specific rates are expressed per 100,000 persons in the specific age group. • See Notes on Population Data • 2009 AIDS Surveillance Program • 2009 Division of Epidemiology and Immunization • 2009 Division of Tuberculosis Prevention and Control • 2010 Division of Sexually Transmitted Disease Prevention • 2010 Mortality(Vital Records)ICD-10 based Injury Indicators: Salem Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:07:57 Area Area State Count Crude Rate Crude Rate Motor vehicle related injury deaths 3 7.3 5.8 Suicide 3 7.3 9.0 Homicide 0 0.0 3.1 Crude rates are expressed per 100,000 persons • See Notes on Population Data • 2010 Mortality(Vital Records)ICD-10 based Chronic Disease Indicators: Salem Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:07:57 • Area Area State Count Age-adjusted Age-adjusted Rate J!L Rate JdJ Total deaths (all causes) 320 668.7 667.8 Total cancer deaths 56 119.5 170.3 Lung cancer deaths 16 34.8 47.2 Breast cancer deaths 7 22.3 19.1 Cardiovascular disease deaths 120 246.7 192.0 Age adjusted rates are expressed per 100,000 persons, see note(d)for details. • See Notes on Population Data • 2010 Mortality(Vital Records)ICD-10 based Substance Abuse Indicators: Salem Copyright C 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:07:57 Area Area State Count Crude Crude Rate Rate Admissions to DPH funded treatment programs 918 2204.2 1532.4 Injection drug user admissions to DPH funded 289 693.9 621.2 • treatment program Alcohol and other drug related hospital discharges 199 477.8 344.7 Crude rates are expressed per 100,000 persons. Age adjusted rates are expressed per 100,000 persons, see noted for details. • See Notes on Population Data • 2009 Calendar Year Hospital Discharges(UHDDS) • 2011 Substance Abuse(BSAS)DPH funded program utilization Hospital Discharges for Primary Care Manageable Conditions: Salem MassCHIP v3.0 r325.0 Printed: 6/4/2013, 11:07:57 Copyright C 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:07:57 Area Area State Count Age-adjusted Age-adjusted Rate Jdl I Rate LdJ Asthma 102 233.3 160.2 Angina NA NA 10.3 Bacterial pneumonia 120 272.5 296.1 • Area Area State • Count Age-adjusted Age-adjusted ' Rate Ldl Rate f Total deaths (all causes) 320 668.7 667.8 Total cancer deaths 56 119.5 170.3 Lung cancer deaths 16 34.8 47.2 Breast cancer deaths 7 22.3 19.1 Cardiovascular disease deaths 120 246.7 192.0 Age adjusted rates are expressed per 100,000 persons, see note(d)for details. • See Notes on Population Data • 2010 Mortality(Vital Records)ICD-10 based Substance Abuse Indicators: Salem Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:07:57 Area Area State Count Crude Crude Rate Rate Admissions to DPH funded treatment programs 918 2204.2 1532.4 • Injection drug user admissions to DPH funded 289 693.9 621.2 treatment program Alcohol and other drug related hospital discharges 199 477.8 1 344.7 Crude rates are expressed per 100,000 persons. Age adjusted rates are expressed per 100,000 persons, see note fjJ for details. • See Notes on Population Data • 2009 Calendar Year Hospital Discharges(UHDDS) • 2011 Substance Abuse(BSAS)DPH funded program utilization Hospital Discharges for Primary Care Manageable Conditions: Salem MassCHIP v3.0 r325.0 Printed: 6/4/2013, 11:07:57 Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:07:57 Area Area State Count Age-adjusted Age-adjusted Rate U Rate Ldl Asthma 102 233.3 160.2 Angina NA NA 10.3 Bacterial pneumonia 120 272.5 296.1 Age adjusted rates are expressed per 100,000 persons, see note(j�for details. • See Notes on Population Data • 2009 Calendar Year Hospital Discharges(UHDDS) Health Status Indicators Report Notes a. The Adequacy of Prenatal Care Utilization(APNCU) Index attempts to characterize prenatal care (PNC) utilization on two independent and distinctive dimensions - namely adequacy of initiation of PNC and adequacy of received services (once PNC has begun). The index uses information readily available on U.S. birth certificates (month of initial PNC visit, number of visits, and gestational age). This index does not assess quality of the prenatal care that is delivered, only its utilization. This classification is adjusted for gestational age to allow for proper classification of premature births. b. The source of payment for prenatal care is a self-reported item on the birth certificate. Publicly-funded prenatal care includes Medicaid, Medicare, Healthy Start, free care and other government sources. Healthy Start is a Massachusetts- funded program providing services and financing for prenatal care to low-income women. • c. Age-specific rate: A rate for a specific age group. The numerator and denominator refer to the same age group. Age-specific rates are expressed per 100,000 persons in the specific age group. Denominators use 1990 Census counts and MISER population estimates. d. Age-adjusted rate: A procedure for adjusting rates, designed to minimize the effects of differences in age distributions when comparing rates for different populations. Age-adjusted rates are usually expressed per 100,000 persons. For standardization within MassCHIP the standard population used is the 2000 US population. Suppression Rules: • Counts and related calculations of I - 4 [Births, Communicable Diseases] are suppressed • Counts and related calculations of I - 6 [Hospital Discharges] are suppressed • Counts and related calculations of I - 9 [Substance Abuse] are suppressed • Calculations of infant mortality rate (IMR) when denominator is less than 500 are suppressed • For Information or Assistance contact MassCHIP Massachusetts Department of Public Health 250 Washington Street Boston, MA 02108 Voice: In MA: (888) MAS-CHIP Outside MA: (617) 624-5629 E-Mail: MassCHIP.Support@state.ma.us • 1 For Information or Assistance, contact MassCHIP Massachusetts Department of Public Health 250 Washington Street Boston, MA 02108 Voice: In MA: (888)MAS-CHIP Outside MA: (617) 624-5629 E-Mail: MassCHIP.Support@state.ma.us • MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH MassCHIP Massachusetts Community Health Information Profile Health Status Indicators Report for Worcester • Demographic Indicators • All Perinatal and Child Health Indicators • Infectious Disease Indicators > • Injury Indicators • Chronic Disease Indicators • Substance Abuse Indicators • Hospital Discharges • • Report Specific Notes More detail for specific datasets is available by using custom reports General Notes: Notes on Population data Population data are used as the denominators for all rates in MassCHIP except for Infant Deaths which use the Births file as the denominator. The population data used for a given rate depends on the year of the numerator: MDPH Estimates for 2006-2009 (only available at the state level) Census Counts for 2010(available at the city/town level) Population data may also be present in this report as Counts and Percentages. These data are Census counts for 2010 or sample data for 2000. Any population data that have more detail than geography, age, sex and or Race/Hispanic ethnicity are from the selected sample data for 2000 from the U.S. Census Bureau Summary File 3 (SF3). Limitations of Small Numbers Cells in some tables in MassCHIP reports, and particularly those specific to individual cities and towns, contain small numbers. In general, rates and proportions based upon less than five observations are suppressed (specific protocols differ by data sets and are noted on the relevant reports). Whether or not the small numbers are suppressed, rates and trends based upon small numbers should be interpreted cautiously. Note on NA MassCHIP marks cells with the tag "NA" if one or more of the following is true: The data are suppressed for confidentiality reasons. See report-specific notes for Suppression Rules specific to the data sets used in this Instant Topic. The particular combination of data element, selector value and statistical calculation is not available. The population on which a particular cell is based is too small to calculate reliable results. Differences with Previously Published Data Numbers and rates in MassCHIP reports may differ slightly from those contained in previous reports or other publications. These differences may be due to file updates; slight variations in coding schemes used in categorizing the data; differences in the formulas used in calculating rates; and the re-calculating of rates using updates of population estimates from the Massachusetts Institute for Social and Economic Research (MISER). Note on Time Period • Counts for most data sets are cumulative for the given Calendar or Fiscal year. Children in Foster Care(DSS), WIC, Child Care Services (OCCS) and Department of Transitional Assistance(DTA) data sets give point in time 'snapshot' counts. These are counts taken at a specified point during the year. See last page for additional informational report-specific notes. Demographic Indicators: Worcester Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:10:36 Area Area State Count IPercentlPercent Per Capita Income * $18,614 $25,952 Population below 100%of poverty level * 129,115 1 17.9 9.3 Population below 200% of poverty level * 36.2 21.7 than five observations are suppressed (specific protocols differ by data sets and are noted on the relevant reports). Whether or not the small numbers are suppressed, rates and . trends based upon small numbers should be interpreted cautiously. Note on NA MassCHIP marks cells with the tag "NA" if one or more of the following is true: • The data are suppressed for confidentiality reasons. See report-specific notes for Suppression Rules specific to the data sets used in this Instant Topic. • The particular combination of data element, selector value and statistical calculation is not available. • The population on which a particular cell is based is too small to calculate reliable results. Differences with Previously Published Data Numbers and rates in MassCHIP reports may differ slightly from those contained in previous reports or other publications. These differences may be due to file updates; slight variations in coding schemes used in categorizing the data; differences in the formulas used in calculating rates; and the re-calculating of rates using updates of population estimates from the Massachusetts Institute for Social and Economic Research (MISER). Note on Time Period • Counts for most data sets are cumulative for the given Calendar or Fiscal year. Children in Foster Care(DSS), WIC, Child Care Services (OCCS) and Department of Transitional Assistance(DTA) data sets give point in time 'snapshot' counts. These are counts taken at a specified point during the year. See last page for additional informational report-specific notes. Demographic Indicators: Worcester Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved Print ep gh Printed: 6/4/2013, 11:10:36 Area Area State Count ercent Percent Per Capita Income * $18,614 $25,952 Population below 100%of poverty level * 17.9 9.3 29,115 Population below 200% of poverty level * 36.2 • 58,841 • Children less than 18 years of age living below 100%of 1 25.1 12.0 poverty line * 10,062 Unemployed persons age 16 and over 85619 1 10.0 8.5 * 2000 Census Counts or Sampling Data Denominator for persons age less than 18 and living in poverty is all persons age less than 18. Unemployment Rate: all unemployed persons in labor force divided by all persons in labor force • Census 2000 Summary File 3 (Sample data prepared by the U.S.Census Bureau) • 2010 Employment and Training(DET) Area Area State Count Percent Percent Persons under 18 years of age * 40,727 23.6 23.6 Persons under 20 years of age 48,607 26.8 24.8 Persons age 65 years and over 21,157 11.7 13.8 White non-Hispanic persons 112,126 61.9 78.4 Black non-Hispanic persons 19,374 10.7 6.3 Hispanic persons 375818 20.9 9.6 Asian persons 11,257 6.2 5.5 AFDC Medicaid Recipients 195970 14.0 7.1 Multiple Assistance Unit Medicaid Recipients 797 1.3 1.2 * the most recent population Estimates (2000). AFDC recipients percent denominator is persons age less than 65 (eligible population based on age). Multiple Assistance Unit recipients percent denominator is persons age less than 25 (eligible population based on age). • See Notes on Population Data • 1996 Medicaid(MassHealth) • 2000 Census 2000 Summary File 1 (Massachusetts)/prepared by the U.S.Census Bureau All Perinatal and Child Health Indicators: Worcester Copyright C, 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:10:36 Area Area State Fertility Fertility Count Rate Rate Births to women ages 15 to 44 12,4681 58.0 1 53.8 • White non-Hispanic 1 1,4951 60.1 1 49.0 Black non-Hispanic 377 78.8 67.8 Hispanic 414 43.0 65.5 Asian 160 50.6 57.5 Area Area Infant State Infant Count Mortality Mortality Rate Rate Infant Deaths 14 5.7 4.4 White non-Hispanic 6 4.0 3.4 Black non-Hispanic 3 NA 8.2 Hispanic 4 NA 6.1 Asian 1 NA 4.3 Area Area State Count Percent Percent Low Birthweight ( less than 2500 grams) 197 8.0 7.8 Births to adolescent mothers 246 9.9 5.4 Mothers not receiving prenatal care in first trimester 541 21.9 16.1 Mothers with adequate prenatal care O 1 1,7811 72.0 1 84.9 Mothers receiving publicly funded prenatal care(121 1,260 51.1 35.8 Area Area State . Count Rate I Rate Lead poisoning cases (blood lead levels greater than or 3 0.4 0.3 equal to 25 µg/dL in children ages 6 mos - 5 yrs) Fertility Rate is expressed per 1,000 women ages 15 to 44(of a given race/ethnicity where mentioned). Infant Mortality Rate(IMR) is expressed per 1,000 live births in the same data year. Lead poisoning rates are expressed per 1,000 children screened. Unknown values of Prenatal care adequacy, Trimester prenatal care began or Prenatal care payment source are excluded from the denominator. • See Notes on Population Data • 2010 Births(Vital Records) • 2010 Infant Deaths(Vital Records) • 2010 Lead Poisoning Prevention Program(CLPPP)-fiscal year Infectious Disease: Worcester Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:10:36 Area Area State Count Crude Rate Crude Rate HIV Incidence NA NA 8.6 • White non-Hispanic 1 1,4951 60.1 1 49.0 • Black non-Hispanic 377 78.8 67.8 Hispanic 414 43.0 65.5 Asian 160 50.6 57.5 Area Area Infant State Infant Count Mortality Mortality Rate Rate Infant Deaths 14 5.7 4.4 White non-Hispanic 6 4.0 3.4 Black non-Hispanic 3 NA 8.2 Hispanic 4 NA 6.1 Asian 1 NA 4.3 Area Area State Count Percent Percent Low Birthweight ( less than 2500 grams) 197 8.0 7.8 Births to adolescent mothers 246 9.9 5.4 Mothers not receiving prenatal care in first trimester 541 21.9 16.1 Mothers with adequate prenatal care Dad 1,781 72.0 84.9 Mothers receiving publicly funded prenatal care Q?J 1,2601 51.1 1 35.8 Area Area State • Count Rate I Rate Lead poisoning cases (blood lead levels greater than or 3 0.4 0.3 equal to 25 µg/dL in children ages 6 mos - 5 yrs) Fertility Rate is expressed per 1,000 women ages 15 to 44(of a given race/ethnicity where mentioned). Infant Mortality Rate(IMR) is expressed per 1,000 live births in the same data year. Lead poisoning rates are expressed per 1,000 children screened. Unknown values of Prenatal care adequacy, Trimester prenatal care began or Prenatal care payment source are excluded from the denominator. • See Notes on Population Data • 2010 Births(Vital Records) • 2010 Infant Deaths(Vital Records) • 2010 Lead Poisoning Prevention Program(CLPPP)-fiscal year Infectious Disease: Worcester Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:10:36 Area Area State Count Crude Rate Crude Rate HIV Incidence NA NA 8.6 HIV/AIDS Prevalence 902 501.6 261.0 • AIDS and HIV-related deaths 6 3.3 1.8 Tuberculosis 6 3.3 3.7 Pertussis 11 6.1 5.8 Hepatitis-B 40 J 22.2 11.3 Syphilis 21 11.7 9.4 Gonorrhea 144 80.1 37.9 Chlamydia 1,120 622.8 322.1 Area Area State Count Age-specific Age-specific Rate Lel Rate JcJ Syphilis, ages 15-19 0 0.0 3.9 Gonorrhea, ages 15-19 11 76.8 76.6 Chlamydia, ages 15-19 302 2109.E 1310.9 Crude rates are expressed per 100,000 persons. Age-specific rates are expressed per 100,000 persons in the specific age group. • See Notes on Population Data • 2009 AIDS Surveillance Program • 2009 Division of Epidemiology and Immunization • 2009 Division of Tuberculosis Prevention and Control • 2010 Division of Sexually Transmitted Disease Prevention • 2010 Mortality(Vital Records)ICD-10 based Injury Indicators: Worcester Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:10:36 Area Area State Count Crude Rate Crude Rate Motor vehicle related injury deaths 13 7.2 5.8 Suicide 11 6.1 9.0 Homicide 7 3.9 3.1 Crude rates are expressed per 100,000 persons • See Notes on Population Data • 2010 Mortality(Vital Records)ICD-10 based Chronic Disease Indicators: Worcester Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:10:36 Area Area State • Count Age-adjusted Age-adjusted Rated Rate fd Total deaths (all causes) 1,565 802.2 667.8 Total cancer deaths 359 198.6 170.3 Lung cancer deaths 103 58.5 47.2 Breast cancer deaths 23 21.2 19.1 Cardiovascular disease deaths 405 195.8 192.0 Age adjusted rates are expressed per 100,000 persons, see note(dd)for details. • See Notes on Population Data . 2010 Mortality(Vital Records)ICD-10 based Substance Abuse Indicators: Worcester Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:10:36 Area Area State Count Crude Crude Rate Rate Admissions to DPH funded treatment programs 4,294 2387.7 1532.4 Injection drug user admissions to DPH funded 1119.9 621.2 treatment program 12,014 Alcohol and other drug related hospital discharges 1 541 300.8 344.7 Crude rates are expressed per 100,000 persons. Age adjusted rates are expressed per 100,000 persons, see note(d.)for details. • See Notes on Population Data • 2009 Calendar Year Hospital Discharges(UHDDS) • 2011 Substance Abuse(BSAS)DPH funded program utilization Hospital Discharges for Primary Care Manageable Conditions: Worcester MassCHIP v3.0 r325.0 Printed: 6/4/2013, 11:10:36 Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:10:36 Area Area State Count Age-adjusted Age-adjusted Rate LdJ Rate JdJ Asthma 437 254.2 160.2 Angina 14 7.9 10.3 Area Area State - . Count Age-adjusted Age-adjusted Rate Jdl Rate JdJ Total deaths (all causes) 1,565 802.2 667.8 Total cancer deaths 359 198.6 170.3 Lung cancer deaths 103 58.5 47.2 Breast cancer deaths 23 21.2 19.1 Cardiovascular disease deaths 405 195.8 192.0 Age adjusted rates are expressed per 100,000 persons, see note for details. • See Notes on Population Data • 2010 Mortality(Vital Records)ICD-10 based Substance Abuse Indicators: Worcester Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:10:36 Area Area State Count Crude Crude Rate Rate Admissions to DPH funded treatment programs 4,294 2387.7 1532.4 Injection drug user admissions to DPH funded 1119.9 621.2 treatment program 12M4 Alcohol and other drug related hospital discharges 1 541 300.8 344.7 Crude rates are expressed per 100,000 persons. Age adjusted rates are expressed per 100,000 persons, see note(d)for details. • See Notes on Population Data • 2009 Calendar Year Hospital Discharges(UHDDS) • 2011 Substance Abuse(BSAS)DPH funded program utilization Hospital Discharges for Primary Care Manageable Conditions: Worcester MassCHIP v3.0 r325.0 Printed: 6/4/2013, 11:10:36 Copyright© 1995-2013 Massachusetts Department of Public Health-All Rights Reserved,Printed: 6/4/2013, 11:10:36 Area Area State Count Age-adjusted Age-adjusted Rate f I Rate Jdl Asthma 437 254.2 160.2 Angina 14 7.9 10.3 • Bacterial pneumonia 650 345.5 296.1 Age adjusted rates are expressed per 100,000 persons, see note(dd,)for details. • See Notes on Population Data • 2009 Calendar Year Hospital Discharges(UHDDS) Health Status Indicators Report Notes a. The Adequacy of Prenatal Care Utilization(APNCU) Index attempts to characterize prenatal care(PNC) utilization on two independent and distinctive dimensions -namely adequacy of initiation of PNC and adequacy of received services (once PNC has begun). The index uses information readily available on U.S. birth certificates (month of initial PNC visit, number of visits, and gestational age). This index does not assess quality of the prenatal care that is delivered, only its utilization. This classification is adjusted for gestational age to allow for proper classification of premature births. b. The source of payment for prenatal care is a self-reported item on the birth certificate. Publicly-funded prenatal care includes Medicaid, Medicare, Healthy Start, free care and other government sources. Healthy Start is a Massachusetts- funded program providing services and financing for prenatal care to low-income women. c. Age-specific rate: A rate for a specific age group. The numerator and denominator refer to the same age group. Age-specific rates are expressed per 100,000 persons in the specific age group. Denominators use 1990 Census counts and MISER population estimates. d. Age-adjusted rate: A procedure for adjusting rates, designed to minimize the effects of differences in age distributions when comparing rates for different populations. Age-adjusted rates are usually expressed per 100,000 persons. For standardization within MassCHIP the standard population used is the 2000 US population. Suppression Rules: • Counts and related calculations of 1 - 4 [Births, Communicable Diseases] are suppressed • Counts and related calculations of 1 - 6 [Hospital Discharges] are suppressed • Counts and related calculations of I - 9 [Substance Abuse] are suppressed • Calculations of infant mortality rate(IMR) when denominator is less than 500 are suppressed r Assistance, contact For Information o MassCHIP Massachusetts Department of Public Health 250 Washington Street Boston, MA 02108 Voice: In MA: (888) MAS-CHIP Outside MA: (617) 624-5629 E-Mail: MassCHIP.Support@state.ma.us • For Information or Assistance, contact MassCHIP Massachusetts Department of Public Health 250 Washington Street Boston, MA 02108 Voice: In MA: (888) MAS-CHIP Outside MA: (617) 624-5629 E-Mail: MassCHIP.Support@statc.ma.us • ti t • I.\ The Commonwealth of Massachusetts Affilmolp Executive Office of Health and Human Services U VEM Department of Public Health William A. Hinton State Laboratory Institute IF . 305 South Street, Jamaica Plain, MA 02130 CHARLES D.BAKER Bureau of Infectious Disease MARYLOU SUDDERS GOVERNOR Tel: (617)983-6550 SECRETARY KARYN E.POLITO Fax: (617)983-6925 MONICA BHAREL,MD,MPH LIEUTENANT GOVERNOR www.mass.gov/dph Commissioner TO: Massachusetts Hospitals, Local Boards of Health FROM: Patricia Kludt, MPH Director, Epidemiology Program DATE: December 29, 2015 RE: End of Ebola Monitoring of Travelers from West Africa The Massachusetts Department of Public Health will no longer monitor travelers who leave West Africa after December 29, 2015. Guinea is the last country affected by the Ebola outbreak to be declared free of Ebola transmission. On December 29, 2015,the World Health Organization(WHO) declared Guinea free of Ebola virus transmission, 42 days having passed since the last patient with Ebola twice tested laboratory- negative. Travelers entering the US from Guinea will continue to undergo exit screening before leaving Guinea and be required to enter the US through one of three designated airports conducting enhanced entry screening. Entry screening is overseen by the Department of Homeland Security and includes a temperature check and interview about travel history, symptoms and possible exposure to Ebola. However, CDC no longer recommends active monitoring by local and state health departments for travelers arriving in the US from Guinea. The country has now entered a 90- day period of enhanced surveillance. Since March 2014, West Africa has experienced the largest outbreak of Ebola in history, with multiple countries affected. To date, 28,637 total, probable, and confirmed cases have been identified. Over 15,000 of these were laboratory confirmed, and 11,315 deaths were recorded. In response to the outbreak, CDC activated its Emergency Operations Center to coordinate technical assistance and control activities with other U.S. government agencies, WHO, and other domestic and international partners. Widespread transmission of Ebola in West Africa has been controlled, although additional cases may continue to occur sporadically. However, because of ongoing surveillance and strengthened response capacities, the affected countries now have the • experience and tools to rapidly identify any additional cases and to limit transmission. W6/2015 Column:Refusing to vaccinate isn't just a personal choice-Salem News:Opinion Column: Refusing to vaccinate isn't just a personal Obhoice Justin Fox I Posted: Thursday, February 5, 2015 9:35 pm Should you get your kids vaccinated against measles? Of course you should. '- You shouldn't do this, however, because it is risk-free. Drugs can have side effects, and although those documented for the MMR (measles, mumps and rubella) vaccine are either minor or extremely rare, the risk of something bad happening isn't zero. And `yFy although the belief in a link between the MMR vaccine and autism is a superstition foisted upon the world by a showboating British doctor who has since Column: Refusing to vaccinate lost his medical license, there may well be links isn't just a personal choice between the vaccine and other maladies that we just Associated Pressln this Jan. 29 photo, 40M't know about yet. pediatrician Charles Goodman vaccinates Such is life. The medical consensus is always shifting; 1-year-old Cameron Fierro with the risk can't be completely eliminated. It's just that, measles-mumps-rubella vaccine, or MMR when you weigh the real and hypothetical risks of the vaccine, at his practice in Northridge, Calif. NIlVIlZ vaccine against the known risks posed by actual The largest measles outbreak in recent measles—ear infections, pneumonia, convulsions, memory occurred in Ohio's Amish country brain inflammation, brain damage, death—they don't where 383 people were sickened last year amount to much. after several traveled to the Philippines and brought the virus home. While that For a long time, the risk ofr ricountering measles in outbreak got the public's attention, it's the U.S. didn't amount to much either. Thanks to near- nowhere near the level as the latest measles universal vaccination, measles and other once-deadly outbreak that originated at Disneyland in childhood diseases had become vanishingly rare. I met December, prompting politicians to weigh a pediatrician 15 years ago who had refused to let her in and parents to voice their vaccinations kids go through the standard childhood vaccination views on Internet message boards. (AP cycle. She knew perfectly well that if lots of people Photo/Damian Dovarganes) 40ollowed her example it would be dangerous. But she lso knew from her work as a doctor that everybody else in her community vaccinated their kids, so she figured hers were safe. httpI/www.salemnews.com/opiniorVcolumn-refusing-to-vaccirate-isn-t-just-a-personal-choicefarticle_d54d5cff-2c7d-5cl9-bd29-7079c01b8c39.html?mode--print l/3 2/6/2015 Column:Refusing to vaccinateisn'tjustapersonalchoice-SalemNews:Opinion 1 , She was, in economic terms, a free rider—taking advantage of a public good to which she didn't' contribute. It was a terribly selfish choice, but it was also arguably a rational one. At least, it was back then. Now, however, thanks to the rise of vaccine skepticism, the risk of encountering several of these childhood diseases in the U.S. has been growing, especially if you live in the hotbed of unconventional belief that is Southern California. Last September, The Hollywood Reporter documented a whooping cough epidemic—the worst since the 1940s—in the affluent This month a measles neighborhoods of West Los Angeles. epidemic centered around Disneyland g has hit the region. When these diseases run rampant, even those who have been vaccinated aren't entirely safe. Vaccines succeed in large part because they make diseases so rare, not because everyone who gets one becomes completely immune. When vaccination rates fall, non-vaccinators not only expose their children to greater risk but they endanger lots of other people too, including people whose parents did choose to vaccinate them. Every disease has a different "basic reproduction number," or RO, a measure of how contagious it is. The formula to determine what percentage of the population needs to be vaccinated to stop a disease from spreading is 1 — 1/R0. For influenza, RO is two or three, meaning that a vaccination rate of 50 percent might be enough to stop its spread. For the Ebola virus it could be as low as 1.5, meaning that only 33 percent would have to be vaccinated—if there were a vaccine. • Measles is among the most infectious of diseases, with an RO of between 12 and 18. At least 92 percent of the populati on n has to be vaccinated to ensure that it doesn't spread. The national MMR vaccination rate in the U.S. is, remarkably enough, 91.9 percent. There are communities, though, where the rate is much, much lower. Among the Ohio Amish, for example, who suffered the worst measles outbreak in decades last year, and also, as already noted, in certain nice neighborhoods in and around LA. Such clusters of the non-vaccinated give harbor to the disease and help it spread. And if polling results on vaccination beliefs by age hold up, we're about to see a lot more such p g r• clusters as the millennials have kids. ' made and then retracted b New Jersey i about�Monda s assertions, y This is what's so problematic y Gov. Chris Christie, and made and so far stuck to by Kentucky U.S. Sen. Rand Paul, that vaccination 1 choice. This view presume s that it's a choice.that affects no one e a matter of parental c p should b p outside your family. When you're the onlyfamily in town choosing to forgo an MMR vaccine, that's close to being true. As soon as vaccine-refusal begins to catch on, though, it not only increases the risk to your own children but begins to put others at risk as well. It becomes a choice along the lines o around the neighborhood setting houses on fire. • in to drive while drunk or g g of choosing g the are unacceptable. For one thing, there's a direct, drunk driving and arson we all et that y p g With dru g � g httpJ/www.salemnews.com/opinion)column-refusirg-to-vaccirote-isr}t just-a-personal-choice/article_d54d5cff-2c7d-5c19-bd29-7079c01b8c39.html?mode=print 2/3 2/6/2015 Column:Refusing to vaccinate isn't just a personal cWce-Salem News:Opinion She was, in economic terms, a free rider—taking advantage of a public good to which she didn't' contribute. It was a terribly selfish choice, but it was also arguably a rational one. At least, it was it then. Now, however, thanks to the rise of vaccine skepticism, the risk of encountering several of these childhood diseases in the U.S. has been growing, especially if you live in the hotbed of unconventional belief that is Southern California. Last September, The.Hollywood Reporter documented a whooping cough epidemic-the worst since the 1940s—in the affluent neighborhoods of West Los Angeles. This month, a measles epidemic centered around Disneyland has hit the region. When these diseases run rampant, even those who have been vaccinated aren't entirely safe. Vaccines succeed in large part because they make diseases so rare, not because everyone who gets one becomes completely immune. When vaccination rates fall, non-vaccinators not only expose their . children to greater risk but they endanger lots of other people too, including people whose parents did choose to vaccinate them. Every disease has a different"basic reproduction number," or RO, a measure of how contagious it is. The formula to determine what percentage of the population needs to be vaccinated to stop a disease from spreading is 1 — 1fR0. For influenza, RO is two or three, meaning that a vaccination rate of 50 eercent might be enough to stop its spread. For the Ebola virus it could be as low as 1.5, meaning that only 33 percent would have to be vaccinated—if there were a vaccine. Measles is among the most infectious of diseases, with an RO of between 12 and 18. At least 92 percent of the population has to be vaccinated to ensure that it doesn't spread. The national MMR vaccination rate in the U.S. is, remarkably enough, 91.9 percent. There are communities,though, where the rate is much, much lower. Among the Ohio Amish, for example, who suffered the worst measles outbreak in decades last year, and also, as already noted, in certain nice neighborhoods in and around LA. Such clusters of the non-vaccinated give harbor to the disease and help it spread. And if polling results on vaccination beliefs by age hold up, we're about to see a lot more such clusters as the millennials have kids. This is what's so problematic about-Monday's assertions, made and.then retracted by New Jersey Gov. Chris Christie, and made and so far stuck to by Kentucky U.S. Sen. Rand Paul, that vaccination should be a matter of parental choice. This view presumes that it's a choice that affects no one outside your family. When you're the only family in town choosing to forgo an MMR vaccine, that's close to being true. As soon as vaccine-refusal begins to catch on, though, it not only increases the 4Wsk to your own children but begins to put others at risk as well. It becomes a choice along the lines of choosingto drive while drunk or o around the neighborhood setting houses on fire. �. g With drunk driving and arson, we all get that they are unacceptable. For one thing, there's a direct, httpJMrww.salemnews.com/CpiriorVcolumIn-refusing-to•-vaccinate-isn't just a-personal-choice/article d54d5cff-2c7d.5c19-bd29-7079c01b8c39.html?mode=print 213 202015 Column:Refusing to vaccinate isn't just a personal choice-Salem News:Opinion visible connection between the act and the damage it causes. It took a few decades to convince society on drunk driving, and even now lots of people still do it. But I'm pretty sure that Rand Paul wouldn't argue that anybody has a right to get hammered and then get behind the wheel. IRVith vaccinations, the culpability is more probabilistic, and we tend not to deal well with - probabilities in public debates in the U.S. During the rise of vaccinations, most people had memories of the suffering that childhood diseases could wreak. Now those memories are gone, and it's a matter of understanding percentages and trusting experimental data. Which means that Americans may have to get a lot more first-hand experience-of measles epidemics before the vaccine skeptics (and their political enablers) catch a clue. Justin Fox is a Bloomberg View columnist. Readers may send him email at justinfox@bloomberg.net. rr • httpJ/www.salemnews.com/opinioricolumr�refusing-to-vaccinate-isn-t-just a-personal-choice/article_d54d5cif-2c7d-5c19-bd29-7079cOlb8c39.html?mode=print 3/3 I