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MEETING PACKET MARCH 2016 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Pub&Hen 120 WASHINGTON STREET,4l"FLOOR Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdin@salem.com LARRY RAMVW,RS/REIIS,CHO,CI HS MAYOR HEALTH AGENT NOTICE OF MEETING You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting Tuesday March 8, 2015 at 7.00 PM City Hall Annex 120 Washington Street 3"d Floor Room 313 MEETING AGENDA 1. Call to order n 2. Approval of Minutes d ca � 3. Chairperson Communications rn 4. Public Health Announcements/Reports/Updates a. PHN Report b. Health Agent c. Administrative 3' o Cf, J d. Council Liaison Updates 5. Universal Steel Site—Citizen Presentation 6. Protocols for evaluating Health Agent—Continuation 7. New Business/Scheduling of future agenda items • Items that could not be anticipated prior to the posting of the agenda Larry amdin Health Agent cc: Mayor Kimberley Driscoll, Board of Health, City Councilors Next regularly scheduled meeting is April 12, 2016 at 7:00pm at City Hall Annex, 120 Washington Street P 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 on "Official Bulletin Board" City 1-!;�Id, Salem. Mass. on ��h��n,l� at.2,"-b�-Q,A, in accordant ap. 30A, Sections 18-25. n i CITY OF SALEM BOARD OF HEALTH MEETING MINUTES February 9, 2016 DRAFT O MEMBERS PRESENT:, Dr. Shama Alam, Chair, Janet Greene, Paul Kirby, &Jeremy Schiller OTHERS PRESENT: Larry Ramdin, Health Agent, Erica Rimpila, Public Health Nurse &Heather Lyons-Paul Clerk of the Board TOPIC DISCUSSION/ACTION 1. Call to Order 7:00pm 2. Minutes of Last Meeting Dr. Schiller motioned to approve minutes with (January 12, 2016) correction. P. Kirby 2nd All in favor. Motion passed 3. Chairperson Announcements Dr. Alam informed the Board that she spoke with_omeone who is interested in applying for the open the Board of Health opening 4. Monthly Reports-Updates A. Public Health Nurse's *E. Rimpila has been trained on Massachusetts Virtual Report Epidemiology Network(MAVEN) *Flu clinic discussion. J. Greene asked where we stand compared to other years of directly administering flu shots. L. Ramdin stated that the numbers have gone down. The State is only supplying vaccine to public health departments for the under insured, uninsured and for children under 19 years old. Due to the availability of the flu shots at pharmacies there has been noticeably fewer people coming to our flu clinics. *Zika discussion. J. Greene suggested we look into having a scripted response for callers with questions about traveling. Copy available at the BOH office B. Health Agent's Report *David Greenbaum, Sr. Sanitarian has submitted his resignation effective 2/19/16. He has accepted the position of Public Health Director for the town of Saugus. *Roberta Cody, a part time inspector has submitted her resignation effective 3/1/16. * The Board participates in the Department interview process. *Constable service discussion. J. Greene asked for a review of the orders from the constables. L. Ramdin informed the Board that the state requires that when we have court orders that those orders have to be served by a ' constable now. The department can no longer serve their own orders due to a change by the Housing Authority. Dr. Alam asked L. Ramdin to provide a summary of the orders before the next Board meeting. u. Aammistratrve tceport ropy avaname at the rsvn oince Copy available at the BOH office f P. Kirby motioned to accept reports. 2"d J. Greene All in favor. Motion Passed D. City Council Liaison Not present Updates 5. Protocols for evaluating The Health *Dr. Alam met with the office of the City Agent- Continuation Solicitor, Human Resources, and the Mayor to obtain input for the evaluation form and process which the Board has been discussing. *360* evaluation discussion—Due to the small size of the department anonymity would not be an option. This can be re-assessed in the future. *Dr. Alam discussed the possibility of using Survey Monkey as a tool for the evaluation process. *Larry Ramdin expressed his concerns about having his review in a public meeting and would like to keep his review private if possible. Dr. Schiller Motioned to accept the evaluation form. P. Kirby 2"d Paul Kirby would like to further review the public records issue with the evaluation per OML. He will contact the City Solicitor on how to proceed with this. The topic of the evaluation process in a public forum and public records will be continued at the next meeting P Kirby motioned to discuss this topic at the next meeting. Dr. Schiller 2nd All in Favor. Motion Passed 6. Tobacco violation process to allow The Board discussed delegating authority to the Health Health Agent to enforce Agent to issue the tobacco suspension dates for 2nd suspensions for second violation offenses. L. Ramdin will meet with Victoria Caldwell, Assistant City Solicitor to update the language in the tobacco violation templates. Letters will be changed so there is a more precise explanation of the appeal process. J. Greene motioned per MGL Ch 111 that the Board delegate to the Health Agent the authority to set the dates of suspension for 2"d offenses, and that the Board revise the details of the language the next time the tobacco regulation is revised. Dr. Schiller 2nd All in favor. Motion passed. �7. New Business/Scheduling of future agenda Continuation of protocols for evaluating Health Agent. items Items that the Board could not anticipate 8. MEETING ADJOURNED: P. Kirby motioned to adjourn the meeting. J Greene ` All in favor. Motion passed 9:20pm Respectfully submitted, *Heather Lyons-Paul Clerk of the Board Next regularly scheduled meeting is March 8, 2016 at 7pm At City Hall Annex, 120 Washington Street,Room 313 Salem. 4 f ' t Erica Rimpila RN BSN BA Salem Board of Health Public Health Nurse Public Health Nurse Report Reporting on February loth, 2016 to March 8th, 2016 Disease Prevention • Investigated reportable diseases and reported case information to MDPH. • Obtained tuberculin PPD solution from Tewksbury State hospital for the Lydia Pinkham Memorial Clinic. • A Zika script, based on MDPH and CDC guidelines, is available at the Salem Health Department to provide Zika information to Salem residents. • Mumps Clinical Advisory: Six confirmed and fourteen suspect cases of mumps in Cambridge residents have been reported to MDPH since mid-February. All have been students at a large Boston-area university. The six confirmed cases have documentation of two doses of measles-mumps-rubella(MMR)vaccine, and the majority of the suspected cases are believed to have had two doses of MMR. MDPH urges providers to consider a diagnosis of mumps in anyone presenting with typical symptoms of mumps, regardless of vaccination history. Health Promotion • 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. • Organizing a Local Board of Health table for the Pathway's for Children annual health fair scheduled for March 10'h at Carlton School. • Provided flu clinic at the Fire Station for February I l h. Four flu vaccines were administered. • Flu Shots are still available. Meetings/Trainings • On February 12th attended the Public Health Nurse meeting in Tewksbury. Discussed stress reduction for disease prevention. • On February 16th`h attended the North Shore Public Health Nurse meeting in Manchester. Local North Shore Public Health Nurses are coordinating a Diaper Drive in April for National Child Abuse Prevention Month. • On February 181h attended a collaborative meeting for Salem Elders at the Police Station. Considering initiating a plan for a `Well Check' Program for elders in the community. • On February 26`h attended TB Case review and meeting at the North Shore Pulmonary Clinic. 6 ' • On March 4 h met with new director, Meredith McDonald, at the Council on Aging about reestablishing weekly Wellness Clinics at the senior center. Monthly Report of Communicable Diseases: February 2016 Disease New Carry Over Discharged/ Total#Of Running *41 for ot91.1or Reported Closed Cases this Total for �y201-5. rN,14j .r Month 2016 Y fi Tuberculosis 0 3 0 3 3 5 (Active) Latent 2 0 2 2 11 Tuberculosis* Arbovirus* 5 0 0 5 5 s Babesiosis 0 0 0 0 0d e] r r r. Calicivirus/No 0 0 0 0 0 rovirus Campylobacte 2 1 3 3 3 riosis ` Chikungunya 0 0 0 0 0 0 Dengue 1 0 1 1 1 `'0 0 Ehrlichiosis 1 0 1 1 1 Enterovirus 0 0 0 0 0 1 0 Giardiasis 0 0 0 0 0 `°0;. Group A 0 0 0 0 0 4 2. Streptococcus Group B 0 0 0 0 0 7 ,F� iFr 6 Streptococcus l Human 0 0 0 0 0 Granulocytic Anaplasmosis Haemophilus 0 0 0 0 0 1 0 , Influenzae Hansen's 0 0 0 0 0 0 0 Disease Hepatitis B* 2 0 2 2 2 0: 2 Hepatitis C* 5 0 5 5 10 ;)a 37 Influenza* 2 0 2 2 2 29 27° Legionellosis 0 0 0 0 0 1 0 • On March 4�h met with new director,Meredith McDonald, at the Council on Aging about • reestablishing weekly Wellness Clinics at the senior center. .,- Monthly Report of Communicable Diseases:February 2016 Disease New Carry Over Discharged/ Total#Of Runningf" 3, F Reported Closed Cases this Total for Q : Month 2016 ` Tuberculosis 0 3 0 3 3 (Active) Latent 2 0 2 2 11 Tuberculosis* ti Arbovirus* 5 0 0 5 5 `= Babesiosis 0 0 0 0 0 Calicivirus/No 0 0 0 0 0 rovirus Campylobacte 2 1 3 3 3 riosis Chikungunya 0 0 0 0 0 Dengue 1 0 1 1 1 . lichiosis 1 0 1 1 1 Enterovirus 0 0 0 0 0 Giardiasis 0 0 0 0 0 y skh Group A 0 0 0 0 0 Streptococcus Group B 0 0 0 0 0 Streptococcus Human 0 0 0 0 0 1 Granulocytic Anaplasmosis Haemophilus 0 0 0 0 0 ; Influenzae _ Hansen's 0 0 0 0 0 ` Disease my Hepatitis B* 2 0 2 2 2 Hepatitis C* 5 0 5 5 10 3'S' Influenza* 2 0 2 2 2 ' Legionellosis 0 0 0 0 0 A1 r Lyme 2 0 2 2 2 12 7 Disease* 7Meningitis alaria 0 0 0 0 0 °J;,.0 fi 1 0 0 0 0 0 '0 2° ertussis 0 0 0 0 0 1 = ' Salmonellosis 1 1 2 2 2 6 3 Shigatoxin 0 0 0 0 0 Producing Organism Shigellosis 0 0 0 0 0 O£. 4 Streptococcus 3 0 3 3 3 2 Pneumoniae* Varicella* 0 0 0 0 0 Vibrio 0 0 0 0 0 '' 0& '< 0 West Nile 0 0 0 0 0 0" 0` . Yersoniosis 0 0 0 0 0 Total 26 5 23 31 42 98' 14 . February 2016 *Notifications only, LBOH not required to follow up or investigate per DPH. Summary of Current Communicable Diseases Active Tuberculosis: Case 1:Resident requires DOT at least 2 days a week. Resident has been compliant with medication and TB Clinic appointments. Resident has 3 children and a spouse living in the household. 3 children are being treated prophylactically. Spouse has started prophylactic treatment. Case 2: This case receives DOT 3 days a week from the Salem Public Health Nurse. This case also receives DOT 2 days a week from an outreach worker.Resident has been compliant with medications and TB Clinic appointments. Case 3: This resident currently receives DOT through an outreach worker. This resident is almost complete with DOT and could complete treatment as soon as March 25 h, 2016. Campylobacter: Case 1: Case is retired and reports living alone and that no other contacts have any symptoms of illness. Case is closed; no other contacts have reported illness. Case 2: Case reported travel outside of the United States prior to onset of symptoms. Case does not work as a food handler or as a day care worker. Case is closed; no other contacts have reported illness. Dengue: This case recently moved to Salem. This case was followed up with and closed by the Lynn Public Health Nurse. Ehrlichiosis: (Human Granulocytotropic Anaplasmosis) Case reported travel out of state prior to onset of symptoms. Case received follow up treatment. Salmonellosis: Case did not attend school during symptoms. Symptoms have cleared and case has returned to school. No other contacts have reported symptoms of illness. Case 2: • Case reported travel outside of the United States prior to onset of symptoms. Case does not work as a food handler or as a day care worker. Case is closed; no other contacts have reported illness. Dengue: This case recently moved to Salem. This case was followed up with and closed by the Lynn Public Health Nurse. Ehrlichiosis: (Human Granulocytotropic Anaplasmosis) Case reported travel out of state prior to onset of symptoms. Case received follow up treatment. Salmonellosis: Case did not attend school during symptoms. Symptoms have cleared and case has returned to school. No other contacts have reported symptoms of illness. February .15.2016 Mr. Larry Ramdin RS/REHS, CHO, CP-FSh, r <0 6 120Hea1Washth ington St f Salem BO�R�v `< M Salem, MA.01970 y�<T/y Mr. Ramdin, We,the under signed are requesting an urgent meeting of the Board of Health since there was no meeting this month. The purpose of the meeting is to discuss the environmental and health hazards related to the declaration of surplus property(a parking lot) by the City.This site(formerly Universal Steel)adjacent to the Webb property which it wishes to buy through its LLC is grossly contaminated with PCBs,chromium, cadmium,arsenic and lead. It was a Brownfields Superfund clean up site. 6,000 tons of contaminated soil was removed in 2012 under the supervision of the EPA, a barrier applied and paved over.We believe opening this again would presents a serious health hazard to the . community as 27,000people five-within a one-mile radius of the site per EPA report This report strongly discouraged further development.The role of the Board of Health is to protect people in this City from known carcinogens and toxic elements. I will remind you that most of us took an oath to first do no harm. It is our hope that the Board will-oppose opening this site again.Let it remain a parking lot which is safe and generates revenue for the City. Respectfully, �� Z ,ram 9�iJ AlEA/6X Z- •Febftfary 15,2,016 Mr. Larry Ramdin RS/REHS, CHO, CP-FS Health Agent,City of Salem 12a Wasffi'tfgtm St. Salem, MA.01970 Mr. Ramdin, We,tffe°urfder signed are t"uestfog arf urgeot meeting of the Board of Fteaitff sfrfce t4rere was fro meeting this month. The purpose of the meeting is to discuss the environmental and health hazards related to the declaration of surplus property(a parking lot)by the City.This site(formerly Universal Steel)adjacent to the Webb•jproperty wff&A wfsffes tobWt4yroug4T{ts•L•LC Is grossly corftmfrfated witff pCB15,cffrorrfftufff, cadmium,arsenic and lead. It was a Brownfields Superfund clean up site. 6,000 tons of contaminated soil was removed in 2012 under the supervision of the EPA,a barrier applied and paved over.We believe opening this again would presents a serious health hazard to the cofrC•rnvoity a5 27,0f31t'•peopfe fire withfrf a•one mile radius of the site per EPA report This report strongly discouraged further development.The role of the Board of Health is to protect people in this City from known carcinogens and toxic elements. I will remind you that most of us took an oath to first do no harm. A is our-hope that toe-Board wilt-appose operffng tiffs site agarliT. Let itrematn a••parkiffg tot Wfc#f 45 safe and generates revenue for the City. Respectfully, / C / �o7-1.5 -1 '''(''OAY nn. hrla4tiergr*a� Q3 Q E,rcl, 4AwZ e.)" /S 12 Vrt 1 �v-4,, 1�h� r�er IPO&0v '�511-vhlipl ~�v � C-r- i - i One Mifflin Place ionceSuite 400 Cambridge,MA 02138 [[Environmental 617-492.6500 Group, Inc. Memorandum DATE: January 29, 2016 TO: Ms. Kimberly N. Tisa, PCB Coordinator USEPA FROM: Joel Walcott, PE Felix Perriello,CHMM, CPG, LSP,LEP CC: Andrew McBeth Green Leaf Construction Robert Mucciarone, COO/Treasurer F.W. Webb PROJECT: Former Universal Steel&Trading Company Site 297 Bridge Street Salem, Massachusetts Alliance Environmental Group, Inc. AEG is leased to provide our responses to our P (AEG) P P P Y comments/questions provided in an email dated January 22, 2016,which was sent in response to our original Request for Risk-Based Disposal Approval pursuant to 40 CFR 761.61. Comments and Responses EPA Comment#1: Given the PCB concentrations that are present at the site, the proposed remedial plan EPA must consider the plan under the risk-based disposal option at 40 CFR § 761.61(c). Generally,any such approval would be issued to the property owner. However, EPA understands that the City currently owns the property. Please clarify at what point, F.W. Webb will acquire the property. AEG Reply ft F.W. Webb Company(F.W. Webb) intends to purchase the property. Please issue approval to the pending property owner, F.W. Webb. The acquisition terms are currently under negotiation. EPA Comment#2: Is this Site still being used as a temporary parking lot for the MBTA train station? AEG Reply#2: No, the Site is currently a surplus parking lot. A[ Environmental liance Memorandum January 2016 Former Universal Steel&TradingCCompanv Site Page 2 EPA Comment#3: Based on the information provided in the proposed remedial plan, it appears that F.W. Webb is proposing to leave PCBs at the Site regardless of concentration, unless the soils are required to be excavated for site development. If soils are excavated, soils with PCB concentrations<10 ppm may be placed back on the Site beneath the cap. Please confirm that EPA's understanding is correct. If so, please clarify if the<10 ppm PCB soils would be placed outside the new building footprint only or if the soils would also be placed beneath the new building footprint. AEG Reply#3: EPA's understanding is correct. F.W. Webb will manage all soils requiring removal as part of development,but does not plan to over-excavate soils based on the results of the previous remedial excavation conducted by Weston& Sampson. Soils exhibiting<10 ppm of PCBs are proposed for reuse on-site beneath the engineered cap. The cap will consist of the building floor slab as well as asphalt or concrete pavement outside of the building footprint. Restrictions regarding the reuse of soils beneath versus outside of the building footprint(but under an engineered cap)was not anticipated to be required. EPA Comment#4: On page 9 of the October 2015 plan, it is stated"Soil suitable for disposal off-site as non-TSCA waste= 10 to 50 mg/kg". This implies that PCB- contaminated waste at the Site is not regulated under TSCA. However,waste at the Site likely meets the definition of a PCB remediation waste as defined at 40 CFR § 761.3 and thus is regulated under TSCA. EPA assumes that the intent actually was that PCB waste with these concentrations would be disposed of at a state-permitted landfill rather than a TSCA-permitted landfill. Please confirm. AEG Reply#4: EPA is correct; the designation was intended to imply that these soils would be disposed of at a state-permitted landfill facility. EPA Comment#5: Page 7. There is reference to a geotechnical evaluation to confirm the appropriate building foundation design measures. The schedule provided on page 10 of the remediation plan indicates that this work was to be completed'in November 2015. Was this evaluation conducted and if so,what was the result(s) and does it affect the utilization of the stone pier system to support the building floor slab? AEG Reply#5: The geotechnical soil borings have not been advanced. Commencement of the drilling program is pending MassDEP written or presumptive approval of the,RAM Plan, to be submitted prior to initiation of the work. EPA Comment#6: Given that the Site is currently covered by asphalt,it is likely that some asphalt would be removed during site development work. Please clarify how any removed asphalt would be managed. AEG Reply#6: Soils below the asphalt pavement were previously excavated to a minimum depth of 1.5 feet below grade; the asphalt was installed above clean fill material and is not expected to be impacted. The asphalt will be considered general solid waste/construction debris unless otherwise instructed. `Environmental Memorandum January 2016 Former Universal Steel&Trading CoMM Site Pam EPA Comment#7: Both the Release Abatement Measure("RAM") Plan dated October 2015 and the Soil&Groundwater Management Plan and Health and Safety Plan S ("SGMP") dated October 2015 contain a Figure 2 that shows the remaining PCB concentrations remaining at the Site. a. Please confirm that the PCB concentrations indicated on this figure were based on the data collected by EPA during the Removal Action conducted between 2012 and 2013. If so,please be aware that the samples were collected on approximately 25-foot grid intervals. Thus, additional in-situ PCB samples may need to be collected to confirm PCB concentrations for off-site disposal unless it is assumed that all such wastes contain PCBs at greater than or equal to(">") 50 ppm. AEG Reply#7a: Confirmed; the information is based on the January 2015 Weston& Sampson report entitled Phase III Remedial Action Plan(RAP) and Permanent Solution with Conditions Statement. b. Given the information provided, EPA is unable to determine what soil would require excavation for installation of utility corridors and where the proposed stone columns would be installed. Is a figure available that shows where these structures would be? AEG Reply#7b: AEG is currently preparing this Site Figure which will be submitted to EPA under separate cover. EPA Comment#8: disposal Page 6 of the SGMP refers to of PCB concentration less than 50 mg/kg as non-TSCA waste. Please see previous comment 4 regarding the term "non-TSCA"and amend as necessary for clarity and compliance with 40 CFR Part 761. AEG Reply#8: The designation was intended to imply that"non-TSCA" soils would be disposed of at a state-permitted landfill facility. However, as indicated in the EPA comment#4,waste at the Site likely meets the definition of a PCB remediation waste as defined at 40 CFR § 761.3 and thus is in fact regulated under TSCA. EPA Comment#9: Page 6 of the SGMP. 3rd paragraph. It is inferred that disposal of the excavated soils will be based on the PCB concentration in each stockpile. Please be aware that disposal requirements would be based on the as found (i.e., in situ) PCB concentrations,not the stockpile concentrations,unless higher PCB concentrations were identified in the stockpiles. Please also see previous Comment Ta. regarding Site PCB concentrations. Please also be aware that for PCB-contaminated,wastes,the stockpiling requirements at 40 CFR § 761.65(c)would apply. AEG Reply#9: Agreed; soil disposal requirements will be based on maximum detected PCB levels with a focus on the in situ concentrations. Stockpile samples may also be analyzed to provide additional data and/or as requested by the selected disposal facility. `Environmental l Memorandum January 2016 Former Universal Stec]&Trading Company Site Page 4 EPA Comment#10: Page 6 and Page 9 of the SGMP. Given the high water table at this and as discussed on page 9,there is a possibility that groundwater could be encountered during soil excavation work. If so and if that soil will be disposed off-site, please include in the discussion how"saturated"soil would be stockpiled and managed, including free liquids, for off-site disposal. AEG Reply#10: If dewatering is required, groundwater will be pumped into frac tanks for off-site disposal. A significant amount of saturated soils is not expected to be encountered based on the limited excavation requirements below the water table. Dewatering will remove a majority of the free liquids prior to soil removal,and proper stockpiling methods will prevent the runoff of any additional residual liquids. EPA Comment#11: Page 7 of the SGMP. The 2°d paragraph references "sediment". Please clarify what this refers to specifically at the Site. AEG Reply#11: This accounts for sediment that is expected to be generated and stored in 55-gallon steel drums following cleaning of the frac tank. The vehicles transporting these drums were included in this paragraph to confirm that they would also be inspected/cleaned as needed before leaving the site. EPA Comment#12: Pages 8 and 9 of SGMP. It is unclear why disposal of , groundwater would only be regulated under the MCP. In addition, there is no discussion as to why the PCB regulations at 40 CFR§ 761.79 would not apply to decontamination of the frac tank if it was used to hold/treat potentially PCB-contaminated groundwater. AEG Reply#12: The sentence on page 9 referring to MCP compliance will n p y p g g p once wi be amended to include acknowledgement of federal requirements for groundwater disposal. Please also note that the Decontamination Plan(Section 9.0) is intended to include the procedures, equipment, and personnel associated with the frac tank cleaning and residual waste disposal process. EPA Comment#13: Section 9.0 of SGMP. For the decontamination procedures,please be aware that the provisions of 40 CFR § 761.79(c)would pertain to decontamination of PCB-contaminated field equipment. As described, it is not clear if the procedure meets the self-implementing requirements under §761.79(c). Alternatively, samples could be collected to confirm that the appropriate decontamination standard has been achieved. Also, as indicated previously, any generated waste that contains PCBs above allowable standards would be regulated for disposal under 40 CFR Part 761. AEG Reply#13: F.W. Webb proposes self-implementing the decontamination procedures as outlined in 40 CFR §761.79(c), and acknowledges that any decontamination wastes generated will be required to meet the applicable standards. F.W. 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