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MEETING PACKET APRIL 2016 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PubHCHeafth Prevent,Promote,Protect. TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LAIUZY RAMDIN,R5/KEPIS,Cl=IO,CP-FS MAYOR HEALTH AGENT NOTICE OF MEETING You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting Tuesday April 12, 2015 at 7.00 PM City Hall Annex 120 Washington Street 3rd Floor Room 313 MEETING AGENDA 1. Call to order 2. Approval of Minutes 3. Chairperson Communications 4. Public Health Announcements/Reports/Updates a. PHN Report b. Health Agent c. Administrative rv':"' O0 d. Council Liaison Updates _... r c9 5. Briefing by Cindy Rice on 2013 Food Code adoption c n 6. Joyce Redford and DJ Wilson- Tobacco regulation discussion; flavor suspension, creating exclusion zones and suspension language update. 7. New Business/Scheduling of future agenda items • Items that could not be anticipated prior to the posting of the agenda Larry Ramdin Health Agent cc: Mayor Kimberley Driscoll, Board of Health, City Councilors Next regularly scheduled meeting is May 10,2016 at 7:00pm at City Hall Annex, 120 Washington Street Yd Floor Room 313. Know your rights under the open meeting law MGL chapter 30A ss. 18-25 and City Ordinance section 2-2028 through 2-2033 This notice posted c_n "Official Bulletin Board" City liaH. S<.lero, M--.is. on at ri.sct iit-.tA ;a a:.cordance with MGL Chap. 30A, Sections 18-25. CITY OF SALEM BOARD OF HEALTH MEETING MINUTES March 8, 2016 DRAFT MEMBERS PRESENT:, Dr. Shama Alam, Chair, Janet Greene, Paul Kirby, &Dr. Jeremy Schiller OTHERS PRESENT: Larry Ramdin, Health Agent, Erica Rimpila, Public Health Nurse &Heather Lyons-Paul Clerk of the Board. Guests: Mary Madore and Dr. Jean Arlander TOPIC DISCUSSION/ACTION " 1. Call to Order 7:05pm / q 2. Minutes of Last Meeting J. Greene motioned take agenda out of order to hear item 5 (Feb 9, 2016) first. P. Kirby'2"/'All in favor. Motion passed Dr. Schiller,motion to approve minutes.J. Greene 2"d All in favor. Motion,passed •� 3. Chairperson Announcements Dr Alam reached out to Paul`Tucker about the,Home Rule Petition:'It.is in the 3rd reading of a committee, from there it will be -, voted on,in Legislation. `. Monthly Reports-Updates $� 1 A. Public Health Nurse's !` Discussion on�DPH`Mu ps-advisory and MMR Report `` Copy available�dt the BOH office B. Health Agent's Report`'; ��,, ° Opiate,.update r Copy available'at the BOH office C. AdministrativeReport �'" � Copf available at the BOH office °' 3 "d Kirby motioned to accept reports. 2 Dr. Schiller All in favor. Motion Passed D. City Council Liaison , f .Opiate discussion—There will be a presentation to the Updates Council on addictions and then a training on how to give Naloxone. Universal Steel—There is a public hearing at the City Council meeting tomorrow. 5. Universal Steel Site— Citizen Mary Madore addressed concerns to the Board about Presentation by Mary Madore and The Universal Steel site. A letter was sent addressing Dr. Arlander the Board signed by neighbors with concerns about the contamination of site and the handling of the capping of 0 the site. Once the cap was completed the city turned it into a parking lot. Mrs. Madore and Dr. Arlander believe the city can benefit from the site as a parking lot and that F.W. Webb shouldn't be allowed to build on the site due to the amount of contaminants still there • under the cap. Dr. Arlander spoke about the process that would take place if the City allows them to build there. There is concern about contaminants being released from underneath the cap during construction. *Dr. Alam asked Larry Ramdin if a list of conditions for site are given by the state as well as local. L. Ramdin responded that DEP has to accept the AUL which is provided by the LSP;and then it is put on the deed. The Board's list of,condifions would be given after the city's plans for`the site are determined. He also advised The Board that they have the authority to look into any source of contamination that would pose a risk to the communiiy *J. Greene asked'how the barriers will be,.to maintain if the lot is not sold. DEP has.,mandatory�conditions.16,inaintain the lot. *Dr. Alam asked.what theBodrd's role is at this point in the process. L. Ramdin advise'dAe Board that it would be premature to'get Involved with restriction now since the council has not decided on.the,use of the Wid yet. What should be done is to educate ourselves"on the condn of the site now. L. Ramd.mi\will p ovide-more information to the Board on the site. s ' , 6. Protocols for evaluating r Alam provided'handouts,to;the Board from Victoria Caldwell Health Agent- Continuation '' .� City Solicitor and went over the options for the evaluation with the Board , P. Kirby motio'ed'that each Board member will fill out an *r `;,evaluation:and provide it to the Chair. The Chair will aggregate the comments in the evaluation and the Board authorizes the Chair then to conduct the final evaluation ' \review with the Health Agent and provide a copy of the .x. x . aggregated report to the other members. J. Greene 2"d All in favor. Motion passed 7. New Business/Scheduling of futu e,,,, ,s1 *Items that the Chair could not anticipate. ;�, r p agenda items rs *Joyce Redford tobacco flavored suspension, creating exclusion zones, and suspension language. *Invite the DPH personal involved with the Universal Steel project for the May meeting. 8. MEETING ADJOURNED: P. Kirby motioned to adjourn the meeting. Dr. Schiller 2"d All in favor. Motion passed 8:40pm Oespectfully submitted, Heather Lyons-Paul Clerk of the Board Next regularly scheduled meeting is April 12, 2016 at 7pm At City Hall Annex, 120 Washington Street,Room 313 Salem. ,F r ay L� fps S 1 3 " F rr ""s IN MN p "v Z. y I 't Health Agent report April 2016 Announcements • Nancy Crowder's appointment to the Board of Health was confirmed unanimously by the City Council on April 28. • The Overdose prevention Coalition in conjunction with the Salem Cable Access Television( SATV) is screening the national The Road to Recovery series that feature panels of nationwide experts from the field of recovery. Episodes air on SATV on: Monday at 7:05pm,Wednesday at 3:O0pm and Friday at 10:30am • A panel series featuring on addiction and overdose is being currently planned and the first panel will be on the medical and psychological aspects of addiction. Community Outreach • The movie `Anonymous People" was screened at the Salem Visitors enter on April 6, approximately 100 persons were in attendance, including Mayor Driscoll, and Rep. Paul Tucker. After the screening a panel discussion was held. The panel comprised of 2 individuals in recovery and their mothers • Training on Shelter operations and Emergency dispensing sites was held at the Salem High School on April 14. The training addressed, the dynamics of setting up an emergency shelter and Emergency Dispensing site operations. Meetings and Trainings • A presentation to the City council was done on naloxone administration and overdose awareness was done on April 28 and it was shown live on SATV. • Elizabeth Gagakis and Larry Ramdin attended the Northeast Mosquito Control Program meeting on April 11 • The Environmental Health team and Public Health Nurse attended the MA Community sanitation seminar that provided updates on housing, recreational camps, housing and other programs administered by the DPH Community Sanitation program Environmental Health Activities • The Department has been dealing with a number of issues related to improper placement of trash and illegal dumping, we will be meeting with the Engineering Department to address the concerns and plan strategies to address the problem • A meeting of City Departments was held with the Mayor and the administrative team to discuss problem properties and come up with strategies to address the same. One of the major points was to seek way to inspect properties on a more frequent basis to ensure a better quality of life for rental property residents and the community. Inspections Item Monthly Total YTD 2015 Total Certificate of Fitness 43 152 534 Inspection Certificate of Fitness 2 8 4 re-inspection Food Inspection 10 50 263 Food Re-inspections 2 21 55 Retail Food 2 12 18 Inspections Retail Food 5 10 1 re-inspection General Nuisance 0 5 25 Inspections Food— 0 1 0 Administrative Hearings Housing Inspections 8 39 181 Housing re- 2 7 37 inspections Rodent Complaints 2 3 19 Court 1 3 7 Hearings/filings Trash Inspections 15 69 138 V Orders served by 0 3 7 Constable Tanning Inspections 0 0 7 Body Art 0 0 1 Swimming pools 0 0 17 Bathing Beach 0 0 106 Inspection/testing Recreational Camps 0 0 12 Lead Determination 0 2 1 Septic Abandonment 0 0 0 Septic System Plan 0 0 0 Review Soil Evaluation 0 0 0 Percolation tests 0 0 0 Total 99 398 1433 • Erica Rimpila RN BSN BA Salem Board of Health Public Health Nurse Public Health Nurse Report Reporting on March 9th, 2016 to April 12th, 2016 Disease Prevention • Investigated reportable diseases and reported case information to MDPH. • Coordinating follow up with North Shore Pulmonary Clinic on 2 current active tuberculosis cases. Coordinating follow up with BMC TB Pulmonary Clinic on 1 current active tuberculosis case. • Posted MDPH Mumps factsheet link on Facebook. Health Promotion • On March 10`n, provided a Local Board of Health table for the Pathway's for Children annual health fair at Carlton School. The Health Department table theme was `Savor the Flavor' for Nutrition Month. Provided fresh fruit and handed out MyPlates to the children. • • Provided flu shots March 17th. Flu walk in date emailed to Salem employees and posted to Facebook. One flu vaccines was administered. Flu Shots are still available. • Posted Anonymous People(Spanish and English)movie screening flyer on Facebook. • Public Health Week April 0_81" Posted and tweeted daily Public Health messages on Facebook and Twitter. Meetings/Traininjis • On March 1 Ith attended the Public Health Nurse meeting in Tewksbury. Pfizer presented information on pneumococcal Prevnar13 vaccination. • On March 17th attended the Salem REACT collaborative meeting at the Salem Police Station. Collaborating with Liisa Jackson of the Medical Reserves Corps and the Council on Aging to start a `Well Check' program for elders in the community. • On March 30`n attended North Shore and Cape Ann Emergency Preparedness Coalition meeting at the DPW in Peabody. Discussions included information from NE Massachusetts Mosquito Control and updates from the Medical Reserve Corps starting Salem's Well Check program with the Salem Council on Aging. • April 51n-8tn attended TB information course at Rutgers College in Newark,NJ. TB course provided new information to better investigate TB cases. Monthly Report of Communicable Diseases: March 2016 Disease New Carry Over Discharged/ Total#Of Running Total for Total for Reported Closed Cases this Total for 2015 2014 Month 2016 Tuberculosis 0 3 1 3 3 4 5 (Active) Latent 3 0 3 3 15 5 31 Tuberculosis* Arbovirus* 0 0 0 0 5 0 0 Babesiosis 0 0 0 0 0 1 0 Calicivirus/No 0 0 0 0 0 1 1 rovirus Campylobacte 0 0 0 0 3 11 10 riosis Chikungunya 0 0 0 0 0 0 1 Dengue* 0 0 0 0 1 0 0 hrlichiosis 0 0 0 0 0 0 1 Enterovirus 0 0 0 0 0 1 0 Giardiasis 0 0 0 0 1 2 0 Group A 0 0 0 0 0 4 2 Streptococcus Group B* 1 0 1 1 1 7 6 Streptococcus Human 0 0 0 0 1 1 0 Granulocytic Anaplasmosis Haemophilus 0 0 0 0 0 1 0 Influenzae Hansen's 0 0 0 0 0 0 0 Disease Hepatitis B* 0 0 0 0 2 0 2 Hepatitis C* 5 0 5 5 13 29 37 Influenza* 9 0 9 9 11 29 27 Legionellosis 0 0 0 0 0 1 0 * Lyme 3 0 3 3 5 2 7 Disease* Malaria 0 0 0 0 0 0 1 Meningitis 0 0 0 0 0 0 2 Mumps 1 0 0 1 1 0 0 Pertussis 0. 0 0 0 0 1 2 Salmonellosis 1 0 1 1 3 6 3 Shigatoxin 0 0 0 0 0 0 1 Producing Organism Shigellosis 0 0 0 0 0 0 4 Streptococcus 1 0 1 1 4 3 2 Pneumoniae* Varicella* 1 0 0 1 1 0 3 Vibrio 0 0 0 0 0 0 0 West Nile 0 0 0 0 0 0 0 Yersoniosis 0 0 0 0 0 1 0 Total 25 3 24 28 70 98 148 0 March 2016 *Notifications only, LBOH not required to follow up or investigate per DPH. Summary of Current Communicable Diseases Active Tuberculosis: Case 1: Continuing to provide Directly Observed Therapy with case. No new updates. Case 2: Continuing to provide Directly Observed Therapy with case. Expected completion of treatment for this case is August 2016. Case 3: This resident completed treatment 03/22/16 and has been discharged from the North Shore Pulmonary Clinic. This case is closed. Mumps: Lab results confirm a case of Mumps. The case is linked to cases in Boston. The case has been advised to remain quarantined to their home until 3/25/16. This case does not currently work at a school or attend school classes. This case had 2 previous doses of MMR vaccine. BPHC is currently following up with the case's place of employment regarding possible exposures. Salmonellosis: Case no longer has symptoms. Case typically attends daycare 3 times a week and did not attend daycare one week prior to diagnosis due to unrelated medical reasons. Parent does not suspect food. Varicella*: Varicella events are notifications to boards of health only and typically do not require follow up. This case raised concerns because of the child's age and possible contact with daycare children. Event listed as suspect Varicella case with positive lab and PCP confirmed rash. Case does not attend day care and mother of case reports that case is quarantined until all vesicles have crusted over. I� TOBACCO A 0 ffiuefl-twentymone Smoking currently causes over 10,000 premature deaths each year in Massachusetts alone. Unfortunately, every year 3,900 Massachusetts children replace these big tobacco customers, becoming daily smokers themselves. The economy also suffers, as direct health care from tobacco use costs Massachusetts over$4 billion a year, and an additional $2.4 billion in lost productivity. Much of that is at the expense of employers paying health insurance premiums and taxpayers financing Medicaid and Medicare. Our municipality has already adopted our own Tobacco 21 ordinance, along with over 100 other municipalities in Massachusetts covering nearly half the population of the state, in order to reduce the health and economic burden of nicotine and tobacco addiction. Our municipality believes that Massachusetts should join Hawaii and California in passing a statewide Tobacco 21 law, continuing the state's leadership role. We support Senate Bill 2152, which will increase the age of legal tobacco purchased from 18 years old to 21 years old. Tobacco 21 is supported by every major national public health organization, empirical evidence, and 75% of the public.Age 21 reduces initiation in younger kids and reduces addiction in older teens. By increasing the legal purchase age,we will be ensuring our children do not suffer a lifetime of health problems because of addiction to tobacco products. As of we support Massachusetts raising the legal age of tobacco purchase from 18 years old to 21 years old. Your name Your title Phone Email address Municipality name Signature State eyes raising smoking age to 211 Local News salemnews.com http://www.salemnews.com/news/local news/state-eyes-raising-smok... Au 1 Get . I local daily'news,special offers more dolivered right to your in6oxi SIGN UP NOW> http://www.sa lemnews.com/news/local_news/state-eyes-raising-smoking-age-to/article_879ceeeb-4ba 1-5e6f- 95a0-d 1 fe41542e41.html State eyes raising smoking age to 21 By Christian M.Wade Statehouse Reporter 9 hrs ago Smoking age in local towns City/town Smoking age L!j Beverly 18 Boxford 18 BOSTON—Smokers must be at least 21 years old to buy a pack Danvers 21 Hamilton 18 of cigarettes in Salem and more than a dozen other communities Ipswich 18 north of Boston, under local regulations passed in recent years. Marblehead 18 Middleton 18 Peabody 21 Underage smokers, however, need only travel a few miles to Salem 21 nearby towns where the minimum age to buy tobacco products is Swampscott18* still 18. Topsfield 18 Wenham 18 *Swampscott's smoking age will That patchwork of different smoking ages is reflected throughout increase to 21 effective June 1. the state. At least 100 cities and towns in Massachusetts ban Source:Municipal Tobacco Control cigarette sales to those younger than 21. But the majority of the Technical Assistance Program, state has stuck with state law, keeping the minimum age at 18. Massachusetts Municipal Association At least four communities, including Newburyport, have set the minimum age at 19. Lawmakers could soon clear the air of confusion over how old smokers must be to buy cigarettes by making Massachusetts only the second state,after Hawaii, to set the minimum age at 21. "This will once again put us at the forefront of preventing youth addiction to tobacco and nicotine products, to improve health, save lives and reduce health care costs,"said state Sen. Jason Lewis, D-Winchester, chairman of the Joint Committee on Public Health. "Ultimately this will result in countless lives saved." Lewis'committee last week voted to support the bill that includes other regulations aimed at curbing smoking by young adults. Among them is a measure raising the legal age for buying e-cigarettes to 21, and another that prohibits the sale and use of e-cigarettes on school grounds, in restaurants, businesses and 1 of 5 3/11/2016 9:25 AM State eyes raising smoking age to 21 Local News salemnews.com http://www.salemnews.com/news/local news/state-eyes-raising-smok... other places where smoking tobacco is now forbidden. The proposals include a requirement that e-cigarette manufacturers use child-resistant packaging for liquid nicotine. A 2013 report by the nonprofit Institute of Medicine projected that setting the legal age to buy cigarettes and e-cigarettes at 21 will reduce tobacco use in Massachusetts by 12 percent—or 150,000 smokers. State law gives local health boards far-reaching, independent powers—including the authority to enact regulations that are tougher than state and national law.As a result, local anti-smoking campaigns have led to a patchwork of smoking ages. Peter Mirandi, director of the Danvers Health Department, said it's "too early to tell"if the town's decision last year to increase the minimum smoking age to 21 is having an impact on tobacco use. "There hasn't been an evident impact. So far, it has been kind of a non-event,"he said. Mirandi said there was little opposition to the switch to 21, and he hasn't heard from local retailers since the law went on the books. Retailers elsewhere, however, say the proposed statewide regulations are too severe and will do little to prevent teens from picking up the smoking habit. "It's really going to hurt convenience stores,"said Jon Hurst, president of the Massachusetts Retailers Association. "They don't make much money on tobacco, but smokers also buy milk and other groceries and this would cut down on traffic." Hurst said 18-year-olds may legally vote and join the military, and they're old enough to make informed decisions when it comes to tobacco use. 4 pages remaining Massa husetts'cigarette taxes—the second-highest in the count , behind New York—already drive many smokers across Subscribe today for Total Access the bo der to New Hampshire. That state charges$1.78 in taxes If already a subscriber,Click Here to logi $er pack,compared with the Bay States$3.51 levy. Print subscribers Click Here to Activate Digital Access ei2o rs say raising the state's minimum smoking age to 21 2 of 5 3/11/2016 9:25 AM State eyes raising smoking age to 21 Local News salemnews.com http://www.salemnews.com/news/local news/state-eyes-raising-smok... would send even more tobacco consumers across state lines. "We're already getting hit pretty hard as it is, and it's very difficult for us to compete with New Hampshire,"said Jon Harris, manager of the Tobacco Shack in Newbury, where the minimum smoking age is still 18. "This would be a double whammy." Joyce Redford, executive director of the North Shore and Cape Ann Tobacco and Alcohol Policy Program, a state-funded group that advises communities on regulations, said setting the minimum age at 21 will curb smoking among youth. "This will help protect teens and may prevent many people from ever starting to smoke,"she said. At least 9 of 10 smokers pick up the habit before they turn 18, she said. Despite a 60 percent decline in youth smokers over the past two decades, tobacco use remains the leading cause of preventable illness and premature death. A recent survey by the state Department of Public Health found about 14 percent of young adults smoked cigarettes. "Too many adult smokers begin this deadly habit before age 21," said Casey Harvell,director of public policy for the American Lung Association of the Northeast. "The data shows that preventing access decreases the likelihood they'll start smoking." Retailers who sell tobacco to underage customers face fines from $100 to$300 for subsequent offenses. Massachusetts is one of just a few states that hasn't taken steps to regulate e-cigarettes. Attorney General Maura Healey last year imposed statewide rules banning the sale of e-cigarettes to minors younger than 18,and re uin g the devices be kept out of reach of customers at conver ience stores, among other restrictions. 4 pages remaining Christi n M. Wade covers the Massachusetts Statehouse for Subscribe today for Total Access CNHI' newspapers and websites. Reach him at If already a subscriber,Click Here to login Print subscribers Click Here to cwade cnhi.corn Activate Digital Access 3 of 5 3/11/2016 9:25 AM cDtlY1l1ronwtalth Of A.agoatbugetto e� MAIJ� 0 U1STATE RECLAMATION AND MOSQUITO CONTROL BOARD NORTHEAST MASSACHUSETTS MOSQUITO CONTROL AND WETLANDS MANAGEMENT DISTRICT 118 Tenney StreetGeorge 1833 Phone:t(978 own,M52-02800 �,��►�N�e��+�� www.northeastmassmosquito.com Commissioners Mary F.Duggan.:Executive Director John W.Morris,CHO:Chair William Mehaffey,Jr.: Operations Manager Vincent J.Russo,MD,MPH: Vice Chair Emily D.W.Sullivan: Wetlands Project Coordinator Paul Sevigny,RS,CHO Kimberly A.Foss.:Entomologist Joseph T.Giarrusso,Conservation Officer Robyn A.Januszewski:Biologist Rosemary Decie,RS 2016 Best Management Practice Plan Salem FY17 Percentage of assessment allocated to specific measures as prescribed by individual municipalities Best Management Practice(BMP) in the City of Salem i For 2017 the District is asking for a level funded budget. For FY17, our primary goal is to protect our subscribing communities from virus. We will do all in our power to reduce the mosquito populations on a regional and town wide basis, thus reducing the virus risk to our residents.We look for continued support and understanding from all the communities we serve if we are to be successful. Assessment: As estimated by the Massachusetts Department of Revenue, Division of Local Services, in accordance with Chapter 516 of the General Laws of the Commonwealth.The assessment formula is based on a regional concept, which considers square miles and evaluation. The District offers this breakdown as a general guide to how funds are allocated specific to your community. FY17 Estimated District Budget for the City of Salem $39,552.91 FY17 State Reclamation and Mosquito Control Board (est.) $ 1,409.09 FY17 Total Assessment for the City of Salem $40,962.00 -Committed to the principals of mosquito control and wetland management- i 2016 Best Management Practice Plan: Salem . District Breakdown of Control Measures (Control measures specific to Salem are Bolded) General Operational Cost Share Regional Adult Mosquito Surveillance Program Regional Aerial Salt Marsh Larviciding Program Regional Vector/Virus Intervention Surveillance Larviciding/Catch Basin Treatment/Manual Ditch Maintenance Adulticiding/Barrier Treatment(Virus Intervention with Board of Health approval only) Ditch Maintenance/Wetlands Management Tire Recycling Program Inspectional Services Property Inspections Mosquito Habitat Mitigation Research and Development Education and Outreach Social Media 2015 Overall Mosquito & Arbovirus Surveillance Summary Snowy and cold winter Abundant snowfall occurred during the winter of 2014-2015. The Northeast was particularly snowy with below average seasonal temperatures, where Boston, Massachusetts had its snowiest February of any month since 1872 with 64.8 inches of snow. Because of these early below average temperatures, many cattail marshes froze into the root zone; reducing the survival of Coquillitidia perturbans AKA "cattail mosquito" (bridge vector for EEE/WNV) larvae for their July emergence period. The 2015 adult cattail mosquito numbers were reduced by 79%. Page 2 of 13 2016 Best Management Practice Plan: Salem March cool and dry April cool and dry May hot and dry Drought conditions dominated from March through May with below normal temperatures in March and April. Massachusetts saw the second driest and warmest May on record since 1895. With snowmelt pockets available for larval development, "spring brood" mosquito populations (those that emerge in May) increased slightly from 2014 but were at seasonal average numbers for 2015 (compared to 2010-2013 data). However, red maple swamps/acid bogs and sphagnum bogs were also hard hit with the cold winter months and with the very dry spring reduced the spring populations of Culiseta melanura (primary vector for EEE). EEE was not detected during 2015 in the District. EEE risk may increase during years of normal to above average precipitation. June cool and wet The Northeast went from a very dry May to a very wet and cool June. The Northeast saw 7.29 inches of rainfall, which was 173 percent of normal and made it the 3rd wettest June on record. Massachusetts ranked loth wettest June on record. July average temperature and dry July continued to have average annual temperatures but below average precipitation. Due to the lack of precipitation, the rain/fresh floodwater mosquito, Aedes vexans (bridge vector EEE/WNV), was reduced from 2014 by 81%. Under drought conditions untreated salt marsh breeding areas are flooded only during the • monthly high tides and hatching of the accumulated eggs produces hordes of mosquitoes. The District saw a large decrease (94% in Oc. sollicitans and 77% in Oc. cantator) in both species of salt marsh mosquitoes. This can be in part attributed to diligent larviciding efforts in all marsh district communities. August hot and dry Northeast Massachusetts had the 9th warmest August on record with moderate drought conditions by the end of August. The first positive WNV mosquito pool for the NE District was identified on August 24th, 2015 in Culex pipiens followed by 5 more mosquito pools (Cx pipiens/restuans complex and Cx. salinarius) on August 315Y. Container breeding mosquito populations are negatively affected by drought conditions. However, during hot, dry seasons water supplies are in high demand for both mosquitoes and bird populations. They both congregate at the areas of contained water, potentially increasing urban WNV infections. Catch basin larviciding should be moved up to June to further reduce adult Cx. pipienslCx. restuans populations for July and August in the high risk municipalities. The District recommends a more closely coordinated catch basin management plan for those communities not participating in early larviciding. September hot and near normal precipitation Massachusetts saw the warmest September with some extreme temperature days recorded since 1895. The District was still experiencing moderate drought conditions and received about average rain for the month. The District had 3 positive WNV mosquito pools of Cx pipiens on September loth, 14th, and 24th and 1 human WNV case on September 29th; bringing the districts 2015 season total to 9 WNV positive mosquito pools and 1 WNV confirmed human case. Populations of Cx. salinarius, an efficient bridge vector of WNV, were relatively similar to past years where the risk for WNV was increased thorough the state. Page 3 of 13 2016 Best Management Practice Plan: Salem October near normal seasonal conditions October temperatures and precipitation for northeast district were near normal. Even with some normal precipitation, drought conditions in the area remained. Due to lack of mosquitoes collected in all trap types, surveillance and submissions to the lab ceased on October 1sc By the end of December 2015, the district remains unseasonably warm with moderate drought conditions in the area. Total Mosquito Collected bV NE Mosquito Control District* 2014 2015 %change Resting Boxes 1244 370 70%decrease NJ CO2 traps 73,894 19,573 74%decrease Gravid Traps 7,856 3,480 56%decrease *See 2016 Vector Management Plan for trap information Pest and Medically Important Mosquito Species(habitat)* 2014 2015 %change Culiseta melanura(red maple/acid bog/sphagnum swamp) 1,480 552 63%decrease Culex pipiens(container/catch basins) 4,104 1,860 55%decrease Culex restuans(container/catch basins) 3,397 1,108 67%decrease Culexsalinarius(brackish water/phragmities/roadside ditches) 2,101 1,823 13%decrease Coquillitidia perturbans(cattail) 45,685 9,463 79%decrease Aedes vexans(rainwater/fresh floodwater) 4,934 916 81%decrease Ochlerotatus japonicus (tree hole/container breeder) 2,014 489 76%decrease Ochlerotatus sollicitans(salt marsh) 1,793 114 94%decrease Ochlerotatus cantator(salt marsh) 12,980 3,007 77%decrease Ochlerotatus canadensis(spring/summer woodland pool) 770 325 58%decrease *Totals include all traptypes in historical locations Page 4 of 13 2016 Best Management Practice Plan: Salem • Divisional Precipitation Ranks Apd-September 2015 Period.105-2015 t r i rwf � Q i C] 1"_7 !� Record Mud► BBIDW Naar Above Muds Recatd [most *w AB Aft" Average Average AAbM WOW Precipitation in Massachusetts 2015 Normal Actual April State 3.81 2.58 District 3.72 2.49 State 3.80 1.05 May District 3.54 1.75 State 3.86 6.11 June District 3.56 7.07 July State 3.70 3.39 District - 3.48 2.71 State 3.91 2.60 August District 3.63 2.53 September State 3.85 3.99 ! District 3.56 4.18 Page 5 of 13 2016 Best Management Practice Plan: Salem • Divisional Average Temperature Ranks April-September 2015 Pedal,1895-2015 LT r ` ti SA fr tl• � � O i� O � er Ageal��dsl much A A Below e"o A Warmest Average Awagle Georgetown,MA Monthly Temperature Averages(F) Actual2015 Normal Departure April 47 48 -1 May 63 58 +5 June 65 68 -3 July 73 73 0 F ugust 74 72 +2 eptember 68 64 +4 Page 6 of 13 2016 Best Management Practice Plan: Salem Detections of West Nile (WNV) and Eastern Equine Encephalitis (EEEV) viruses in infected mosquitoes in Northeast Massachusetts Mosquito Control District from 2002 through 2015. Number of pools* WNV EEEV Submitted for Positive Pools Positive Pools Year Testing No. Percentage No. Percentage 2002 740 14 1.9 0 0.0 2003 646 2 0.3 0 0.0 2004 604 4 0.7 0 0.0 2005 870 11 1.3 2 0.3 2006 1,181 5 0.4 11 0.9 2007 850 16 1.9 0 0.0 2008 774 10 1.3 0 0.0 2009 567 2 0.4 13 2.3 2010 714 21 2.9 0 0.0 2011 1,009 58 5.7 0 0.0 2012 1,039 48 4.6 14 1.3 2013 1,315 76 5.8 4 0.3 2014 804 7 0.9 2 0.2 2015 541 9 1.7 0 0.0 * "Pool or batch" is a sample containing from 1 to 50 mosquitoes, all of the same species collected on the same date from the same location later tested by the Massachusetts Department of Public Health. Page 7 of 13 r 2016 Best Management Practice Plan: Salem �" ''.` ,atMEmwRx � seau�suRx JrERiROdPC _ . -A—_ NE MA Mosquito Control District Municipalities reporting EWWWO WNV and EEEV infections in 2015 / 1 �� PtEWBVBN r NEW6VRY {{�6AGlla.W7+D y- r�- til s®R6ETCWN SOVAEV ` EME iBOiLPGRU � OXMTW NN@OVU `�. ANO WER + SEEX KPORi 3AlAGWiN r' 2 I� ,�` t AaIGGfl!ERC9N NRN �. l GIi0WCE57ER MAOCREFM MNWERS ' IREYERLY J r LYMFMD FROOLDR O �yti �/9MIE1N y 1 Municipalities with WNV positive mosquitoes Municipalities with WNV human cases 0 Municipalities not in the program P r Positive Virus Events in NE Massachusetts District-2015 7/27/2015 Cx.pipiens(1 pool)WNV-Winthrop, MA 8/24/2015 Cx.pipiens(1 pool)WNV-Winthrop, MA 8/31/2015 Cx.salinarius(2 pools),Cx.pipiens/restuans(2 pools)WNV-Winthrop, MA 9/10/2015 Cx.pipiens(1 pool)WNV-Methuen,MA 9/14/2015 Cx.pipiens(1 pool)WNV- Revere, MA 9/24/2015 Cx.pipiens(1 pool)WNV-Nahant, MA 9/29/2015 1 Human WNV case -No Eastern Equine Encephalitis(EEE) identified in NE District in 2015 Page 8of13 2016 Best Management Practice Plan: Salem Salem As overall mosquito populations decreased District-wide by 72% in 2015, they decreased in Salem by 63% from 2014 levels. The season-long drought, as explained in the previous section, was a probable cause of decline in these populations. Catch basin larviciding may also have contributed to the reduction of WNV vectors. Total Mosquito Collected in Salem* 2014 2015 %change NJ CO2 Trap (1) 541 163 -70% Gravid Trap (1) 181 102 -44% Totals 722 265 -63% *See 2016 Vector Management Plan for trap information,()=total#of traps District Total- Mosquito Species-pest/disease list-Salem* 2014 2015 %change WNWEEE+ 2015 Culiseta melanura(red maple swamp/acid bog) 0 0 0% NO 552 Culex pipiens(container/catch basins) 74 57 -23% NO 1,860 Culexrestuans(container/catch basins) 7 22 214% NO 1,108 Culex salinarius(brackish water/phrogmities/roadside ditches) 24 10 -58% NO 1,823 • Coquillitidia perturbans(cattail) 240 57 -76% NO 9,463 Aedes vexans(rainwater/fresh floodwater) 222 59 -73% NO 916 Ochlerotatus japonicus(tree hole/container breeder) 92 25 -73% NO 489 Ochlerotatus sollicitans(salt marsh) 0 0 0% NO 114 Ochlerotatus cantator(salt marsh) 7 2 -71% NO 3,007 Ochlerotatus canadensis(snowmelt/woodland pool) 0 10 100%** NO 325 **Using a relative fixed value to calculate%change when original#is 0 *Totals include all trap types in historical locations There were no WNV/EEE detections in Salem in 2015. In the beginning of October, 2015, the arboviral risk level for Salem remained remote for EEE and low for WNV. Risk Categories are described in Table 2 of the 2015 MDPH Surveillance and Response Plan. Mosquito infection history(WNV/EEE) in Salem: Collection Date Species Test Type Result 8/14/2013 Culex pipiens/restuans complex WNV Positive 9/10/2013 Culex pipiens WNV Positive 9/05/2011 Culex pipiens/restuans complex WNV Positive 9/12/2011 Culex pipiens/restuans complex WNV Positive 9/12/2011 Culexpipiens/restuans complex WNV Positive 8/01/2007 Culex pipiens/restuans complex WNV Positive 8/08/2007 Culex pipiens/restuans complex WNV Positive Page 9 of 13 2016 Best Management Practice Plan: Salem . Although there was no WNV detected in Salem in 2014, there were infected mosquito samples detected in adjacent Peabody, Lynn and nearby Saugus and a human WNV infection in Saugus. Due to WNV/EEE history in Salem and surrounding communities, from August through the end of September, residents should take necessary precautions to reduce the risk of infection from these viruses, regardless of low mosquito populations and/or aggressiveness of control. Refer to the 2015 Massachusetts State Arbovirus (MDPH) Surveillance and Response Plan viewed online at http://www.mass.gov/eohhs/docs/dph/cdc/arbovirus/arbovirus-surveillance-plan.pdf Focus of Operations Regional control efforts will focus primarily on adult mosquito surveillance, virus testing and preemptive virus intervention strategies. Specific to Salem the primary focus of control efforts will be on freshwater larviciding, catch basin treatments and virus intervention for WNV and EEE. Regional Control Measures Regional Adult Mosquito Surveillance Program: The importance of surveillance data in reducing the risk of vector borne disease cannot be overstated. By focusing on areas of heightened viral activity, preemptive control measures can be timely, efficient and effective. In 2002 we expanded and greatly improved our • surveillance program by developing and implemented an automated carbon dioxide (CO2) surveillance system.This system incorporates a CO2 modified light trap and gravid trap into one automated unit. CO2 traps are used to sample the general adult mosquito population, monitor both short and long term trends, and determine dominant species and population density. Gravid traps are designed to collect adult female Culex species the primary vectors of WNV. One of these dual function units is placed in a fixed location in each member municipality for a total of 32 deployed throughout the District. Mosquitoes are collected and identified from each trap twice a week beginning in early May thorough early October and beyond if conditions and circumstances warrant. To supplement Culex collections from fixed gravid trap locations,the District will deploy additional gravid traps at multiple random locations in communities with a history of WNV activity as conditions and circumstances warrant. In the event mosquitoes collected from these traps test positive for EEE or WNV the District will add supplemental CO2 traps at those sites. The District will operate 128 resting boxes at 16 sites. Resting boxes are designed to collect blood fed female Culiseta melanura mosquitoes relevant to EEE transmission.The District began deployment of resting boxes in 2006 in response to the emergence of EEE in the Northeast and they have proven to be a valuable tool in early intervention. Six to eight resting boxes will be placed at each fixed location and there will be two fixed locations in communities bordering New Hampshire as well as other communities considered to be at risk.The District will collect and identify samples from each trap every week and the specimens will be tested for virus. iIn the event Cs. melanura mosquitoes collected from resting box sites test positive-for EEEV the District will deploy portable CO2 traps at those sites. Whereas Cs. melanura rarely bites humans they serve as an early Page 10 of 13 2016 Best Management Practice Plan: Salem • indication of the presence of EEE in the environment. CO2 traps attract human biting mosquitoes and mosquitoes testing positive from CO2 traps indicate a heightened risk. Virus Testing: Specimens from our trap collections will be sent to The Massachusetts Department of Public Health (DPH)to be tested for the presence of encephalitis viruses. Regional Vector/Virus Intervention: Control efforts will focus on early intervention strategies in municipalities that have shown a greater risk to mosquito borne virus based on events of the previous seasons and surveillance data as prescribed in the District's VMP. This approach is in the best interest of all member municipalities as focused early intervention strategies seem to demonstrate containment of WNV, and may reduce the risk of EEE exposure to humans and the migration of virus to other municipalities. Regional Aerial Salt Marsh Larviciding Program: Coastal salt marshes in neighboring communities from Ipswich to the New Hampshire border will be aerially larvicided to control salt marsh mosquitoes in accordance with the respective Best Management Practice Plans. Salt marsh mosquitoes are capable of flying up to 25 miles in search of a bllood meal in order to lay eggs. Coastal communities as well as many inland cities and towns receive direct and immediate benefit from the control of salt marsh mosquitoes which, if left untreated,will inundate these communities. Control Measures Specific to Salem Ground Larviciding: Larviciding sites from the District's data base and areas requested by the Board of Health will be checked and treated as necessary, not to exceed one day per week from April 1st to August 31st and beyond if circumstances warraint and conditions allow. Catch Basins: Catch Basin treatments will be scheduled with local DPWs so that the town's annual cleaning of their basins does not jeopardize the treatment and effectiveness of the larvicide used to control mosquito larvae in these basins. Catch !basins, retention ponds, detention basins, etc. will be checked and treated as necessary, not to exceed one day per week from May 1st to August 31st. Manual Ditch Maintenance: In the course of larviciding and catch basin treatments, roadside ditches and culverts will be manually cleared of manageable blockages and debris in order to reduce mosquito breeding habitat and /or potential habitat. Adulticiding: Science based selective adulticiding for virus intervention only will be available to the city, with recommendations from Northeast MA Mosquito Control, of specific areas to be targeted with approval of the Board of Health, as circumstances warrant and conditions allow. Applications to schools must be in compliance with MGL ch85. Barrier Treatment: The District uses a system called Ultra Low Volume (ULV) for ground adulticiding applications. ULV is designed to dispense very small amounts of pesticides over a large area. While this is a cost effective means of reducing mosquito populations on a large scale, it only affects those mosquitoes present at the time of the application and repeated applications are sometimes necessary to sustain the initial reduction in the mosquito population in some areas. Page 11 of 13 2016 Best Management Practice Plan: Salem . To reduce the need for repeated applications and provide more sustained relief from mosquitoes in high public use areas,the District will provide barrier treatments to public use areas such as schools (applications to schools must be incompliance with MGL ch85), playgrounds, athletic fields, etc., at the request of the Board of health and/or school departments. Ditch Maintenance / Wetlands Management: The town may petition the District to undertake larger scale ditch maintenance projects,wetlands enhancement and restoration projects requiring specialized mechanized equipment and expertise. Petitioned sites will be evaluated and a site specific proposal will be written for acceptable projects. Wetlands management projects may be beyond the scope of any municipality's assessment and may require a separate and additional appropriation. Tire Recycling Program: Tires have historically been discarded in any number of locations, on public and private properties, in both upland and wetland environments. Once a pile is started it can quickly grow into a substantial public health issue not only as a source of mosquito proliferation but also as a potential fire hazard or worse, as a source of toxic fumes that,once ignited, can be extremely difficult to extinguish. Discarded tires almost always hold water and are a prime location for artificial container breeding mosquito species, most notably Culex pipiens, Culex restuans and Ochlerotatus japonicus. Cx. pipiens and Cx. restuans are considered to be the key vector species of both encephalitis viruses in the District. Oc. japonicus is a new species to Massachusetts since 2000, and is thought to have been imported into the United States in used tires. Oc.japonicus has also shown to be a competent vector of West Nile virus. Invasive mosquito species are • known to travel in containers like tires. This season the district will be starting a tire water sample program in order to monitor any new species coming into the district. Inspectional Services: While the District is authorized under the provisions of Chapter 252, section 4 of the General Laws of the Commonwealth to enter upon lands for the purpose of inspection, it is not a regulatory agency. Nor is it our intention to impose on any resident or business, but rather to be a resource for information and technology to help property owners prevent or abate mosquitoes to the mutual benefit of the property owner and the community. The District will act as a technical advisor as requested by the Board of Health and represent the municipalities' public and animal health and human annoyance concerns relative to mosquito breeding, potential breeding and proposed development. The District, at the request of the Board of Health will also review site plans and inspect sites where storm water structures are planned or under construction. Upon completion of an inspection, the District will make and submit written recommendations to both the Board of Health and the property owner. District Field Technicians in the course of routine catch basin treatments and larviciding may inspect such facilities as time and circumstance allows or as requested by the local Board of Health. Property Inspection: Socioeconomics often plays an important role in mosquito control and associated public health risks. Over the last few years the District has received many requests from Boards of Health to inspect abandoned properties. The District has a long standing policy of property inspections at the request of Boards of Health. Given the current economic climate and the increased health risk associated with property abandonment the District will Page 12 of 13 2016 Best Management Practice Plan: Salem take a more aggressive approach to property inspections. In the course of our routine activities in your community, if we discover such properties, we will inspect and report these properties to the Board of Health. We understand that addressing concerns related to such properties is a matter of time and process. In the long term we will offer any support that may be appropriated to resolve mosquito problems related to such properties and in the short term with the Board of Health's support we will implement the necessary control measures to mitigate the immediate mosquito problem associated with such properties. Mosquito Habitat Mitigation: The District will represent the town's mosquito control concerns in an advisory capacity relative to proposed development and where prudent as requested by local health officials. Research and Development: The District will evaluate the efficacy and efficiency of current control methods, investigate new methods, procedures and technologies in mosquito control and wetlands management and evaluate their implications for use in Salem. Education and Outreach: The District will present educational displays and programs on mosquito control and related wetlands management programs at the request of health officials, schools or civic organizations. The District will also monitor and update local schools, daycares etc. regarding IPM plans and current child protection requirements. Social Media: In the recent past, the District has recognized the need to provide information on our activities in a timelier manner. Social media is proving to be the go to method of disseminating information for many companies and individuals. This past season the District started a Facebook page as a way of providing up to date information and opening up civil discussions on our operations. We chose to offer limited information to start, but through the page, we were able to let people know when and where we would be adulticiding each week. The District is also looking at new website hosts in order to make our website more dynamic and also provide more timely updates in another format. We have found that many questions can be answered through the website and/or Facebook and will continue to increase our web presence. https://www.facebook.com/pages/Northeast-Massachusetts-Mosquito-control-and-Wetlands-Management-District http://www.northeastmassmosquito.com/ Page 13of13 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 4D �y��_ ��h 120 WASHINGTON STREET,4'"FLOOR Prr"iYi�He Protect. TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdin ,salem.com lu LARRY RAMDIN,WREFIS,CHO,CP-FS MAYOR HEALTf-1 AGENT Tropicana Market Re-Inspection March 31, 2016 After the food re-inspection that was conducted at Tropicana Market on March 31, 2016 Victoria Hart was contacted by phone the same day and I discussed with her the remaining issues the Salem Board of Health had with the establishment. The conversation included the need for the owner, Yanira Rodriguez, and the employees of the establishment to make sure the walk-in freezer is not overstocked in order to ensure that there is adequate airflow within to enable effective cooling. Another part of the conversation included a discussion about the owner's upcoming Serve Safe class with Ms. Hart which the owner and employees attending need to take and pass in order for the Salem Board of Health to approve of the establishment serving pastalitos once more. Following this phone call was another phone call made to Francisco Castillo, the owner's husband and employee of Tropicana Market, and I discussed with him his upcoming class and the issues the Salem Board of Health has with the establishment's walk-in freezer. I /effrey Barosy Sanitarian Massachusetts Department of Public Health Salem Board of Health Division of Food and Drugs 120 Washington Street,4s'Floor Salem,MA 01970-3523 Tel. (978)741-1800 Fax(978) 745-0343 City/Town of eoI Address: FOOD ESTABLISHMENT INSPECTION REPORT Tel. Name ,: Date Type of Operations) Typyof Inspection O /2D Service [*Routine Address 2!� Risk Retail ❑Re-inspection Telephone �T pr�-^ Level ❑ Residential Kitchen Previous Inspection V--, q _ lJ o ❑ Mobile Date: Owner � HACCP YIN [I Temporary [I Pre-operation an 1'y rl .* ❑ Caterer ❑Suspect Illness Person-in-Charge(PIC) o r Time ❑ Bed&Breakfast ❑General Complaint In: HACCP Inspector LT $ Out: Permit No. ❑Other Each violation checked require an explanation on the narrative page(s)and a citation of specific provision(s)violated. Non-compliance with: Violations Related to Foodborne Illness Interventions and Risk Factors(Red Items) Anti-Choking 590.009(E) ❑ Violations marked may pose an imminent health hazard and require immediate Tobacco $90.009(F) ❑ Allergen Awareness 590.009(G) ❑ corrective action as determined by the Board of Health. ;? PROTECTION MANAGEMENT V13* "Prevention of Contamination from Hands (g'1. PIC Assigned/Knowledgeable/Duties .Handwash Facilities EMPLOYEE HEALTH PROTECTION FROM CHEMICALS ❑ 2. Reporting of Diseases by Food Employee and PIC ❑ 14.Approved Food or Color Additives ❑ 3. Personnel with Infections Restricted/Excluded FOOD FROM APPROVED SOURCE El 15.Toxic Chemicals ❑ 4. Food and Water from Approved Source TIME/TEMPERATURE CONTROLS(Potentially Hazardous Foods) ❑ 5. Receiving/Condition ❑ 16.Cooking Temperatures ❑ 6. Tags/Reoords/Accuracy of Ingredient Statements ❑ 17.Reheating ❑ 7. Conformance with Approved Procedures/HACCP Plans ❑ 18 ling rSeparation/Segregation/Protection CTION FROM CONTAMINATION 19.Hot and Cold Holding ❑20.Time as a Public Health Control Food Contact Surfaces Cleaning and Sanitizing REQUIREMENTS FOR HIGHLY-SUSCEPTIBLE-POPULATIONS(HSP) ❑ 10.Proper Adequate Handwashing ❑21.Food and Food Preparation for HSP ❑11.Good Hygienic Practices CONSUMER ADVISORY E122.Posting of Consumer Advisories Violations Related to Good Retail Practices-(Blue Number of Violated Provisions Related Items) Critical(C)violations marked must be corrected To Foodborne Illnesses Interventions immediately or within 10 days as determined by the Board and Risk Factors (Red Items 1-22): of Health. Non-critical(N)violations must be corrected Official Order for Correction:Based on an inspection immediately or within 90 days as determined by the Board today,the items checked indicate violations of 105 CMR of Health. 590.000/federal Food Code.This report, ned below when signed c x9 3. Management and Personnel (FC-2)(590.003) by a Board of Health member or its agent constitutes an 4. Food and Food Protection (FC-3)(590.004) order of the Board of Health. Failure to correct violations 5. Equipment and Utensils cited in this report may result in suspension or revocation of (FC-5)(590.005) the food establishment permit and cessation of food fi.Water, Plumbing and Waste (FG5)(590.006) establishment operations. If aggrieved by this order,you 27. Physical Facility (FCS)(590.007) have a right to a hearing. Your request must be in writing 28. Poisonous or Toxic Materials (FC-7)(590.008) and submitted to the Board of Health at the above address 29. Special Requirements (590.009) within 10 days of receipt of this order. 30. Other DATE OF RE-INSPECT/ON:02 Z p .414.aec /2- (o Inspector's Signature: Print, PICs Signature: Print: Q . / Page of Pages CITY OF SALEM BOARD OF HEALTH e Establishment Name:TC icokia MarVe-4Date: (0 3/ � Page: 2__ of Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Data No. Reference R-Red Item Verified PLEASE PRINI rLEARLY 00 o f r r v 2 _3 zzrr Ao-S iCrtg , C//1 b • - o-e 8 o r r^ov° e- 0 1 -6o ma; / x ro. O 3 � _-�Mjw as knQ ; ! ` ' dl D0.- a.vt n � Y`vGr r f � • 1 Z b_ - ' r e- a r r^ s l i Discussion With Person in Charge: Corrective Action Required: ❑ No O Yes I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance 13 Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to Exclusion comply with all mandates of the Mass/Federal Food Code. I understand that ❑ Re-inspection Scheduled ❑ Emergency Suspension noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of ❑ Embargo ❑ Emergency Closure your food permit. l^ 0 Voluntary Disposal 0 Other: CITY OF SALEM BOARD OF HEALTH Establishment Name: ry C e, Date: 031.W20a6 Page: T of Hem Code C-Critical item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date No. Reference R—Red item Verlfled PLEASE PRINTCLEARLY 0, Son; r � Y' �AXS i/ o y oLm ec 4 Od 3w- , 11 I ^ , o- t M M rAQ room A&S d �r_ 2p 0 Gz ►^o e e.✓' g 2 c pot2e ;klridl 0114f o 2 3-30 S 'V Or 12G 1 h Discussion With Person in Charge: Corrective Action Required: ❑ No O yes I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance ❑ Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to Exclusion comply with all mandates of the Mass/Federal Food Code. I understand that ❑ Re-inspection Scheduled ❑ Emergency Suspension noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of ❑ Embargo ❑ Emergency Closure your food permit. - ,e 7yz�' ❑ Voluntary Disposal 13 Other: CITY OF SALEM r BOARD OF HEALTH Establishment Name: Date: Q 3f10120, �6 Page: of Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION pats No. Reference R-Red Item VwMled -PLIM PRINT CLEARLY (/`` c Mr, r rri j(p Yinam I acl v s ` 1 ?LW5 , 2 G-5M-12 s 1 r 1 Clean Amd t,,m W O' T YI 1 �✓1 "1/1 c 1 I ; c Z -20 r a; D ae. t,+^rv, pr r C , 3 20 Discussion With Person in Charge: Corrective Action Required: ❑ No ❑ Yes I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance O Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to Exclusion comply with all mandates of the Mass/Federal Food Code. I understand that v Re-inspection Scheduled ❑ Emergency Suspension noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of ❑ Embargo U Emergency Closure your food permit. 0 Voluntary Disposal o Other: CITY OF SALEM BOARD OF HEALTH Establishment Name: T Date: 63C.Q,�2-D.. Page: of Rem Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION bats No. Reference R—Red Item Verlfled PLEASE PRINT CLEARLY (rSo sea ' Mjs ,ra r . � r ,^ c v o Ina 0c,61ae-0 D i11 Pja4fc_ I tom' y ' S' Vier vc� o oJ ✓-e r r r J�• ' ye-_ log t c w e r. M 4 f✓ 3/31/20 i3n Oki v I Discussion With Person in Charge: Corrective Action Required: ❑ No a yes I have read this report, have had the opportunity to ask questions and agree to correct all Cl Voluntary Compliance ❑ Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to Exclusion comply with all mandates of the Mass/Federal Food Code. I understand that ❑ Re-inspection Scheduled ❑ Emergency Suspension noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of ❑ Embargo O Emergency Closure your food permit. / �.� 0 Voluntary Disposal ❑ Other: CITY OF SALEM BOARD OF HEALTH Establishment Name: r ( e Date: C?31.�,D/20_1,C Page: of u Rem Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Dolle No. Reference R—Red Item Verified PLEABE PRINT LEARLY ff /�,v^ car Q` T 1// e c to c e �11:/ "S( r� r S v-ee YlL 0 r 4_ 1 e- f r 1 o V i c e 2 S O r � � W 1 T C Y^ � Or e e- o Vgea Co C LL t dl'slpn5ex Ir t T s o ofe- &Ud mr Pej4A � e rev,e►v, Discussion With Person in Charge: Corrective Action Required: ❑ No o Yes I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance ❑ Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to Exclusion comply with all mandates of the Mass/Federal Food Code. 1 understand that ❑ Re-inspection Scheduled ❑ Emergency Suspension noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of ❑ Embargo ❑ Emergency Closure your food permit. ❑ Voluntary Disposal ❑ Other: