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MEETING PACKET MAY 2017 MAY 2017 • CITY OF SALEM, MASSACHLJ.SETTS - BOARD OF HEALTH-, 120 WASHINGTON STREET,4"'FLOOR XM�H Prevent.Promote,Protect. TEL. (978) 741-1800 FAX(978)745-0343 CITY CLERK KIMBERLEY DRISCOLL Iramdinna,salem.com SALEM. MASS MAYOR e LARRY RAMDIN,RS/REHS,CHO,CP-F', HEALTH AGENT NOTICE OF MEETING You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting Tuesday May 9, 2017 at 7.00 PM City Hall Annex 120 Washington Street Room 313 MEETING AGENDA 1. Call to order 2. Approval of Minutes This notice posted on "Official Bulletin Board" City Hall, Salem, Mass. on µ 41 3. Chairperson Communications at QA in accordance With MGL Chap. 30A, Sections 18-25. 4. Public Health Announcements/Reports/Updates a. PHN Report • b. Health Agent c. Administrative d. Council Liaison Updates 5. Fracked Gas Infrastructure issue 6. Hearing 2°d Violation Kwik Shop Market, 10 Jefferson Avenue 7. Board of Health program planning &city health status discussion 8. Continue discussion on banning smoking in public parks and beaches 9. New Business/Scheduling of future agenda items • Items that could not be anticipated prior to the posting of the agenda �4amdin Health Agent cc: Mayor Kimberley Driscoll, Board of Health, City Councilors Next regularly scheduled meeting is June 13,2017 at 7:00pm at City Hall Annex, 120 Washington Street 3rd 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 • CITY OF SALEM BOARD OF HEALTH MEETING MINUTES April 18, 2017 MEMBERS PRESENT: Chairman Paul Kirby, Jeremy Schiller&Mary Lauby EXCUSED: Nancy Crowder OTHERS PRESENT: Larry Ramdin, Health Agent, Suzanne Doty, Public Health Nurse,Maureen Davis, Clerk of the Board, Victoria Caldwell,Asst. City Solicitor, Joyce Redford, Director,NSTCP, Eric Stone, Owner,Vapor Outlet TOPIC DISCUSSION/ACTION " ` 1. Call to Order 7:06pm Tl ;Y rim i J. Schiller motione %6 move item # ouz of order on the Agenda to allow Eric Stdn om Vapor Outlet to . ke his appeal prior to other items of busines5`g_ 7 Y. M. Lauby 2°d. Alll-' favor, pion passed . +tx­T 2. Approval of Minutes Maryuiymotioned toprove minutes. Jeremy Schiller 2nd. (February 14,2017) All in fdV`or 11 q ►gassed } r y t�: Schiller tp�honed io tnpve items#6 out of order on the Agenda. 5 Laub in favo"otion passed. N +} +Y f� 3. Chairperson Ann.oungements � 't f i'�by� y sed tl l he has received a letter from resident Richard k{tS fl; +i tafford r Board to oppose any increases or additions } to yX sting fracl�edagas infrastructure (GFI) in the Commonwealth rt rtd F , �j for the ealth and environmental reasons and endorse a letter L :regardiig CFI. ' would like to invite Richard Stafford to speak at our May 4i eje ng to share his knowledge of the subject and the potential Y , '-"It h risks. The Board agreed to invite Mr. Stafford to the next meeting to discuss his request. T4- .,. M. Lauby suggested to P. Kirby we have more discussion about Healthy People, specifically Social Determinants of Health and health impact assessments. She states the CDC is spending time on their data and feels we should invite community leaders from homeless shelters, etc. Maybe we can help them get funding. L. Ramdin suggested we have summits regarding community health assessments. P. Kirby said two or more Board members can work on it. L. Ramdin suggested dedicating time at the end of the meetings for health discussions. 4. Monthly Reports-Updates A. Public Health S. Doty points out providing two months of reports. • Nurse's Report There were more type A flu cases, but starting to see more type B. J. Schiller said he saw lots of serious cases. L. Ramdin said people are contracting pneumonia as a result, and that H1N1 is still circulating. S. Doty says she has carryover numbers for follow-up from previous months in her totals and she will give a total for the year at year's end. J. Schiller read that this year'yx4ccine worked well. B. Health Agent's L. Ramdin announced rt_ S ; oty's birthday today and that she is Report getting married in Mai' the wa�ywished a happy birthday by all and best wishes for herx�arriage. ,t. L. Ramdin info rnie tie Board he ha$given Kerry Murphy a BOH Handbook, thoizg 'she is not confirmed a Board member yet. Ward 2 Council eather Famico will present Kerry to the Council at the Thursday,Axil�27`h nc ee@g at 7:OOp has com� �ted the first Jane Mancini l draft of t ie Operations Mani I���xd weeksraft was sent;�x�t this date. People will have a few 4461revril An make ch` geS. J. Schillenqu ;about the@ard student's project regarding �. f problem p@Wrties �� 7,- • t Y*;:, _r,' ,Ramdin�*amedl tie w,-,' ted a"database to identify problem {}Y properties. lftg#d I§ can plac&eports online for all other departments, sQf ,,s the police,to view. ffi Ls; d n stated� eIalso had a meeting with SSU marketing ' ents,, i createdian Instagram account for us. He is very 7.s la f Y ! -� 7i +.• 144 giateful to S 06ty.,forkeeping up our Patch account. + Z C. Admimstra i a , , M Laub: would like a breakdown of the number of annual permits Y Report r 1 =,and " at wat.cost? She would like us to show how much of our time a <, � e are spending compared to the cost of the permit. Jr Schiller agreed we should show the number of temporary pop-up imit s @ $300 last year and compare it to the number of permits t_y_ row @$35. D. City Council Councilor Gerard indicated that a discussion has been started on Liaison Updates siting of Food trucks in Salem brought up food trucks. Kerry Murphy will be a great addition to the Board. She is very active in our community. Plastic bag ban will go into effect Jan. ls`, 2018. Salem Sound Coast Watch will help. The ban will be enforced with a$50 fine. J. Schiller suggested reusable bags promoting Salem would be great. Maybe we could get the SSU students involved. L. Ramdin has seen some great heavy duty woven plastic reusable bags. J. Schiller motioned to accept the reports. M. Lauby 2"d. All in favor. Motion passed. • 5. Appeal 2"d Violation The Board invited Mr. Eric Stone owner of the Vapor Outlet to Vapor Outlet present his appeal to the Board for consideration Mr. Stone 103 Lafayette Street presented his appeal which was a denial of the event taking place. The Board then heard from Joyce Redford who indicated that after the sale she went back into the store and issued the report of the sale to Mr. Stone and gave him a copy. The Board asked questions of Mr. Stone,Ms. Redford, Larry Ratxln and Victoria Caldwell for 14 clarification. (Appeal Transer pt attached). The Chair invited motion on!the appeal.Jeremy Schiller motioned to deny tbe'appeal. Mai'y�Lauby 2"d. All in favor. Motion passedI'"' Victoria Caldwelhfolti\ ric Stanc a letter willhbe.going out next weekxgarding the supnlcn"dates. Dates will most likely be Morial i:Sunday of neObn;keek. LarryRanainx'eminded End=Stone he can only sell devices during the suspe#&ion pegod no juices=t Eri�414 ked abotltthe exacf u�grding of the suspension VL'toria Caldwell sh-iwed"flat at"shall",not"may" suspend was F in tNI wording #F, Erib... tone stated O will be taking his case to the courts for appeal rf la se =susens�on will put me out of business." He thanked the Board and departed T Jdvice Redford ex}lained to the Board that if a situation is unsafe (i e hgbugh neighborhood, or having to leave the youth alone in the ., 7 far), sh&lmay not go back in and will mail the violation to the ` establishment the next day. fhb said DJ from her office has the evidence(Simply Pineapple f r product purchased)and can provide it if need be. She thinks we may 0 =deed it for the court case if it goes that far. # She also stated no BOH has ever lost a case in Superior Court. They don't get many appeals. With regard to the 3/1/17 Tobacco Regulation, she and Peter from her office visited 20 establishments. They mostly issued Orders to Correct due to some prohibited products behind the counter,but they did have a few clear violators who seemed to make no effort whatsoever.to remove the flavored products. They did follow-up visits to those violators. She stated Vapor Outlet become adult-only on 3/1/17 because he sells only_flavored product. Anyone under 21 should be stopped at • the door and should not be allowed to enter the establishment. She informed the Board she will be away on vacation in Italy from 6/9—6/18/17. • 6. Continue discussion on The Board discussed the banning of smoking on Beaches. Larry banning smoking in public Ramdin indicated there are implications for the Police and Parks and arks and beaches Recreation Departments. There will be an internaldiscussionwith p p rna both the PD and Parks and Recreation Departments to discuss implementation of such a policy before it is brought to the respective boards 7. New Business/ The Board will schedule time Wits agenda to discuss Health Status Scheduling of future of the of the Cityfan-i,pd�icy deve�4 meat related to same. agenda itemstr i . , 8. MEETING ADJOURNED: M. Lauby motionedId adjbttrn the meeting J:`'Schiller 2°d. All ! in favor' lotion passed 9:15pmIN x �;; Fji 3 iiu# � Respectfully submitted Maureen Davis ; fir }t Clerk of the Board of Health III tq. Next regular'lylscheduled mee[gtg is May 91017 at 7:OOpm at City Hall Annex, {I-- 0 Washin#6 Street, 3' floor,Room 313 441, • Appeal Transcript • Eric Stone asked Joyce Redford if she had a receipt from the tobacco sale? Joyce Redford replied that a receipt was not given. Eric Stone replied, "We always give a receipt." Joyce Redford says they rarely get receipts from businesses and asking for a receipt would be a red flag. Only time receipt is given is at grocery stores. Eric Stone presented a POS transaction report from Vapor Outlet for 1/19/17, the date of the violation sale. There were no transactions for$20 at the time of the sale on the NSTCP violation report. When questioned about cameras, E. Stone said he has cameras, but they were not running on the day of the violation sale. He stated he did not realize it cost extra money to record. His cameras are now recording. ,J4� Joyce Redford added details from the sale, such as it was she,hetsif,who was with the youth. The item purchased cost$26,but the youth only had$20 and the salesria agreed to sell it to her for the$20. She added that over 20 compliance checks were performed at oter estabhshments on 1/19/17. Larry Ramdin shared that Eric Stone's attorney reached out Ito him and was willing to pay the fine, but wanted to negotiate the suspension. It was made cle44-;_;mere is no negot ag a violation of this Regulation. Mary asked why they were willing to pay th fupe if there was supposedlyno sale. Eric Stone stated he just wanted to end it because a suspension v� Jd put him out gf�business. He also stated his first violation was a sale to aeular customer and=tbJYSaIe age had just changed from 18 to 21. Victoria Caldwell pointed out that first-4014ttonwas in July{ f015, which was 6 or 7 months after the sale age changed from 18 to 2L. a`. M For the record: Suzanne Doty,,,,lnde copies dfhe POSE trLansaction repgrt for all. • Eric Stone was asked if all cash7saies show up o-144,4 n the EOrepoxt He said no. Also, sometimes a cash sale will be entered in thet'�ister latd {m the day i �t s lesper' s busy. Larry Ramdin asked if thd'+& a-tua`- came out�ol"the establishment with the product. Joyce Redford said yes, Simply, ineapp was the pAgduct. r'�Er a�_ Eric Stone says lie 1s:real Strict with hYs eiri'ployees He Baas not at the counter at the time of the sale. He was downstarft'ai his o fie ,but was called up"fb slgn the violation. Jeremy Schiller said to EricStone: Joy says it happened; your employee said it didn't. It is hard for me to doub06yce—that is what`she does:*y 5he is and has always been a professional and I feel it is actually disrespectful of you to gtstion he4 Eric Stone said th*lii ,,no disresp6' tended:`~ Paul Kirby said Eric 5tOne acknowl ed and signed the violation at 4:29pm. Was there a customer there at that time?Neither Eric Stone Dior Joyce Redford could recall. According to the POS report a sale was made at 4:28pm Victoria Caldwell reiterated flia `fdyce is the professional,much like a police officer and there is no doubt in her process. Beth Gerard asked what products are sold that are tax free? There are some sales on the POS report that are not taxed. Eric Stone said there are no tax-free products sold. The clerk may have hit the wrong button by accident. At the end of the period he makes sure he pays the proper taxes according to the total sales. Larry Ramdin asked if transactions can be deleted. Joyce Redford asked if Vapor Outlet has an age verification tool. Eric Stone said no, it is very expensive—around$800.00—but he is looking into other less expensive options. • Confirmed On CITY OF SALEM, MASSACHUSETTS Kimberley Driscoll Mayor March 23, 2017 Honorable Salem City Council Salem City Hall Salem, Massachusetts 01970 Ladies and Gentlemen of the City Council: I am very pleased to appoint Kerry Murphy of 10 '/s Mall Street, to the Salem Board of Health for a three-year term to expire March 23, 2020. Ms. Murphy will take the seat previously held by Janet Greene, who-has decided to step down from the Board. I hope you will join me in thanking Ms. Greene for her years of • volunteer service to the board. Ms. Murphy is a nutrionist and public health advocate who currently serves as the Salem Mass in Motion Healthy Living Coordinator and the program manager for our Salem Summer Meals program. She is leading our newly launched Salem Food Policy Council initiative, serves on the Salem for All Ages Task Force, and volunteers with the Salem Food Pantry, on the Carlton Innovation School Council, and as coordinator of the Salem Backpack Program.As a dietetic technician pursuing her M.S. degree in the field she has completed multiple supervised practices in community, long-term care, and outpatient nutrition. I strongly recommend confirmation of Ms. Murphy's appointment. We are fortunate that she is willing to volunteer to serve our community in this important role and lend her expertise and dedication to this board and their work. Sincerely, Kimberley Driscoll • Mayor City of Salem Salem City Hall 9 93 Washington Street• Salem, MA•01970-3592• p: 978.745.9595•f: 978.744.9327 Suzanne Doty RN BSN Salem Board of Health Public Health Nurse Public Health Nurse Report Reporting on April 7, 2017 through May 4,2017 Disease Prevention and Health Promotion • Investigated reportable diseases and reported case information to MDPH. • Coordinating follow up with North Shore Pulmonary Clinic on tuberculosis cases. • Continually inputting refrigerator temperature logs, flu doses and clinic information into the Massachusetts Immunization Information System(MRS) for up to date vaccine records and better continuity of care between clinics and providers. • Added posts to the Board of Health Facebook page including information from the Salem Overdose and Substance Use Prevention page on the"If Only' screening in April, shared information from Learn 2 Cope about scams from addiction treatment centers, and the Salem State Expect Students post for their presentation on"Decide to Destigmatize." Meetings/Trainings • Continued modules, conference calls and Working on Wellness webinars. Submitting on going assignments as plans become more finalized. First round of seed funding of$2,000 awarded on December 15th and arrived mid-January. Second round of seed funding for $7,000 has also been awarded and arrived mid-February. The program launched on Monday May 1 St,Mayor Kim Driscoll send out an all staff launch email. I prepared for this launch by creating a newsletter, ordering materials and putting together and delivering gift baskets and bags for all departments involved, an activity challenge has been started as well. Stairwell signs are being made as the proof has been reviewed. More of the plans will be put started as the summer starts. • Attended the Community Sanitation seminar on April 1 lth for yearly updates from DPH regarding camps, swimming pools, Christians Law and other seasonal updates. • Participated in a Northshore Medical Center Decontamination drill in Salem on April 12`h, this was a disaster drill as victims of a chemical contaminant arrived at the hospital and protocols needed to be put in place, the Salem Fire department set up a decontamination tent, processed patients through and the hospital staff registered and triaged the patients. I participated as a controller and played a patient as well. • On April 201h,I met with a camp counselor to help guide her in the process of creating a new summer camp out of Salem Sound Coast Watch,we will be continuing to meet in June to ensure the safest protocols and help with the permitting process before our official inspection prior to camp starting in July. • Attended the Adult Immunization Conference in Marlboro on April 25"', this conference discussed rates of administration of vaccines in adults,updated vaccines and promoting vaccines for preventable diseases. • Attended the North Shore Emergency Preparedness meeting on April 261h, the collaboration of 15 cities and towns for emergency planning and preparedness, approved for a purchase request for sidewalk signage for emergency dispensing sites. • Attended a meeting with the North Shore public health nurses on April 181'to collaborate on issues we are seeing within our communities such as food borne illnesses reported and Tuberculosis education, treatment and other ongoing updates. Monthly Report of Communicable Diseases: April 2017 Disease New Carry Over Discharged/ Total#Of Running Total for ldffi f6r-- Reported Cases this Total for 2016 20'18* Closed Month 2017 Tuberculosis 0 0 0 0 0 4 ..4 ._, (Active) Latent 0 0 0 0 3 31s� Tuberculosis* Arbovirus* 0 0 0 0 0 0 O j Babesiosis 0 0 0 0 0 0 Calicivirus/No 0 0 0 0 0 0 1. . rovirus �t Campylobacte 0 0 0 0 0 15 riosis Chikungunya 0 0 0 0 0 0 0 Dengue* 0 0 0 0 0 0 0 Ehrlichiosis 0 0 0 0 0 0 01 Enterovirus 0 0 0 0 0 0 1 Giardiasis 0 0 0 0 2 6 2" Group A 0 0 0 0 1 0 4 Streptococcus Disease New Carry Over Discharged/ Total#Of Running Total for Total fox Reported Cases this Total for 2016 Y 2015 ? Closed Month 2017 Group B* 0 0 0 0 3 2 Streptococcus Human 0 0 0 0 0 1 - 1 Granulocytic Anaplasmosis Haemophilus 0 0 0 0 1 2 Influenzae Hansen's 0 0 0 0 0 0 ~:b Disease x i. Hepatitis A 0 0 0 0 0 0 0 ` Hepatitis B* 0 0 0 0 1 8 Oa Hepatitis C* 3 0 3 3 18 30 2 � Influenza* 13 0 13 13 62 19 gionellosis 0 0 0 0 0 2 `1 Lyme 0 0 0 0 0 0 Disease* (27**) (Probable) Malaria 0 0 0 0 0 2 10 Measles 0 0 0 0 0 1 Meningitis 0 0 0 0 0 0 0.. Mumps 0 0 0 0 0 1 0 Pertussis 0 0 0 0 0 1 1 Rocky 0 0 0 0 0 0 Mountain Spotted Fever Salmonellosis 2 0 1 2 3 11 . 6 Disease New Carry Over Discharged/ Total# Of Running Total for fatal for l` Reported Cases this Total for 2016 Closed Month 2017 Shigatoxin 0 0 0 0 0 0 7,775 777 Producing Organism Shigellosis 0 0 0 0 0 3 0 = Streptococcus 1 0 1 1 3 8 3 Pneumoniae* Varicella* 0 0 0 0 0 1 0 Vibrio 0 0 0 0 0 1 West Nile 0 0 0 0 0 0 0 " Yersoniosis 0 0 0 0 0 0 Zika Virus 0 0 0 0 0 1 0— Infection Total 19 0 18 19 97 204 .." `I40 April 2017 *Notifications only, LBOH not required to follow up or investigation per DPH. **Total reflects cases that have also been reported as suspect cases. All Communicable disease totals above are subject to change in the event that the follow up investigation results in the revocation of the diagnosis. Yearly totals for 2016 have been updated for year end with the number of CONFIRMED cases. Summary of Current Communicable Diseases Pulmonary Clinic referral: I was contacted by the Department of Public Health to refer a new arrival immigrant to the NSMC pulmonary clinic for follow up regarding testing in previous country of origin that showed evidence of a possible latent Tuberculosis infection. A chest x ray will be done and the patient will be counseled and offered treatment to prevent an active Tuberculosis infection. Varicella: A case of varicella was reported by a school nurse. This case has not been confirmed in the DPH database at this point but I have been working with the school nurse to be proactive and consulted with an Epidemiologist at DPH.The student was in 1 classroom for a total of 1 hour during the period of infectiousness. The school is identifying anyone who may be susceptible(unvaccinated or immunocompromised)to exclude from school or require vaccination before returning to school. The patient will return to school once the period of infectiousness (crusted/scabbed lesions)is over. No further cases have been reported. Per DPH this case will be reported at"no follow up necessary" as it is routine. Erlichiosis (revoked): Case 1:A case of Erlichiosis was revoked after investigation showed the patient had evidence of a previous infection and was treated for a different illness. Salmonella: Case 1: This case had recently traveled out of the country; no household contacts have become ill. They were treated by their primary care physician, did not require hospitalization and have improved.No further follow up required, this case is closed. Case 2: This case was seen in an outpatient setting and treated. I have not been able to reach this patient directly but did received information from the ordering provider who diagnosed and treated the patient. A letter has been sent to their home requesting a phone call for follow up which I am currently awaiting at this time. Zika Virus Infection: 34 cases of Zika Virus Infection previously listed as cases have been revoked after lab tests. In • the month of April, there were no new cases of testing and 2 revoked cases. Confirmed Case(June 2016): Case not pregnant at time of diagnosis. Case traveled to Dominican Republic and reported symptoms of fever and rash. s r - Health Agent report April 2017 Announcements/Updates • The City Council, unanimously confirmed Kerry Murphy as a member of the Board of Health on April 27, 2017, term ending March 23, 2020 • The City Council has referred the updated certificate of fitness ordinance to the Public Health Safety and Environment Committee. No meetings have been scheduled to date. • The City Council is considering an ordinance to prohibit smoking on the common. The Ordinance is before the Ordinance , Licensing and Legal Affairs Committee( OLLA) • There is an ad-hoc committee discussing siting of food trucks in Salem. Community Outreach • The Salem State Expect students produced a video "Destigmatize Salem as part of their class project with the Health Department. The link is https://www.voutube.com/watch?v=G5o 1 SLRHYEg • The Salem Working Program has been launched with packages with wellness tools being made available to City employees 4 • The movie"If only" produced by the Wahlberg Foundation was screened at the Salem Visitor Center on April 4th • Meetings and Trainings • Larry'Ramdin attended the" Future of Local Public Health Symposium that was held at the Public Health Museum in Tewksbury on May 7. Dr. Monica Bharel Public Health Commissioner delivered the feature address and it focused on utilization of Social determinants of health to develop public health programs and addressing gaps in service delivery. • Environmental Health team and Public Health Nurse attended the Department of Public Health Community Sanitation updates Environmental Health Activities • The Department is preparing for the warm weather and camp activities. We will be inspecting swimming pools, camps and promotions safe practices when going out in warm weather to reduce mosquito and tick-borne diseases. It is predicted that the tick population will be high this year given we had a warmer winter that led to low die of due to weather and increases in small mammal population. Inspections Item Monthly Total YTD 2016 Total Certificate of Fitness 20 126 506 Inspection Certificate of Fitness 6 25 42 re-inspection Food Inspection 19 62 241 Food Re-inspections 9 29 31 Retail Food 1 5 17 Inspections Retail Food 1 1 12 re-inspection Temporary Food 6 25 48 General Nuisance 1 6 26 Inspections Food— 0 0 2 Administrative Hearings Housing Inspections 7 33 94 Housing re- 3 23 25 inspections Rodent Complaints 0 0 24 Court 0 0 3 Hearings/filings • Item Monthly Total YTD 2016 Trash Inspections 75 274 574 Orders served by 0 0 3 Constable Tanning Inspections 0 0 0 Body Art 0 0 0 Swimming pools 0 0 9 Bathing Beach 0 0 108 Inspection/testing Recreational Camps 0 0 6 • Lead Determination 0 0 2 Septic Abandonment 0 0 0 Septic System Plan 0 0 0 Review Soil Evaluation 0 0 0 Percolation tests 0 0 0 Total 148 602 1699 • 51412017 Year 2017 Holidays Calendar 2017 2018 Thu May 04,2017 Menu • 2017 Holidays Calendar Like 75 Tweet I G*1 log National/Prominent Holidays 2017 Below are holidays for the calendar year 2017.Holidays that are in bolt are both National and prominent holidays.You can get more detailed information on each holiday by clicking on Holidays in red denotes a national holiday. them. .._.._.----------------- _ Sunday,Jan 1-New Years Day i Change Year: 2017•; Change Country:'United States • f Monday,Jan 16-Martin Luther King Day 1 Tuesday,Feb 14-Valentines Day Date Holiday Details 1 Monday,Feb 20-Presidents Day -January 2017- ; Friday,Mar 17-St.Patrick's Day Jan 1-Sunday Hanukkah/Chanukah-Final Day Jewish Sunday,Mar 12-Daylight Saving Starts i Jan 1-Sunday New Years Day National holiday Sunday,Apr 16-Easter Sunday,May 14-Mothers Day Jan 6-Friday Epiphany Christian Monday,May 29-Memorial Day ' Jan 7-Saturday Orthodox Christmas Day Orthodox Christian Sunday,June 18-Fathers Day Jan 14-Saturday Orthodox New Year Orthodox Christian Tuesday,July 4-Independence Day Jan 14-Saturday Maker Sankranti Hindu Monday,Sept 4-Labor Day Jan 16-Monday Martin Luther 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Observance Mar 20-Monday Spring/Fall-March equinox Season • -April 2017- Apr 1-Saturday April Fools'Day Observance Apr 4-Tuesday Rama Navami Hindu https•I/www.calendardate.comtyear2017 hdidays.php 114 5/4/2017 Year 2017 Holidays Calendar Apr 9-Sunday Palm Sunday Christian Apr II-Tuesday Passover-Starts Jewish Arp 13-Thursday Thomas Jefferson Birthday Observance Apr 13-Thursday Maundy Thursday Christian Apr 14-Friday Orthodox Good Friday Orthodox Christian • Apr 14-Friday Good Friday Christian Apr 15-Saturday Holy Saturday Christian Apr 16-Sunday Orthodox Easter Orthodox Christian Apr 16-Sunday Easter Christian Apr 17-Monday Tax Day Observance Apr 17-Monday Faster Monday Christian Apr 18-Tuesday National Library Workers Day Observance Apr 18-Tuesday Passover-Final Day Jewish Apr 22-Saturday Earth Day Observance Apr 24-Monday Yom Hashoah Jewish Apr 24-Monday Isra and Mi'raj Muslim Apr 26-Wednesday Administrative Professionals Day Observance Apr 27-Thursday Take our Daughters and Sons to Work Day Observance Apr 28-Friday Arbor Day Observance -May 2017- May 1 -Monday May Day Observance May 4-Thursday National Day of Prayer Observance May 5-Friday Cinco de Mayo Observance -...__- May 6-Saturday National Nurses Day Observance May 11 -Thursday Laylat al Bara'at Muslim May 14-Sunday Mothers'Day Observance • May 14-Sunday Lag BaOmer Jewish May 15-Monday Peace Officers Memorial Day Observance May 20-Saturday Armed Forces Day Observance May 22-Monday National Maritime Day Observance May 25-Thursday Ascension Day Christian May 27-Saturday Ramadan starts Muslim May 29-Monday Memorial Day National holiday May 31-Wednesday Shavuot Jewish -June 2017- Jun 4-Sunday Pentecost Christian Jun 5-Monday Whit Monday Christian Jun 6-Tuesday D-Day Observance Jun 14-Wednesday Flag Day Observance Jun 15-Thursday Corpus Christi Christian Jun 18-Sunday Fathers'Day Observance Jun 21-Wednesday Summer/Winter Solstice Season Jun 21-Wednesday Laylat al Oadr Muslim Jun 25-Sunday Rath Yatra Hindu Jun 26-Monday Eid al-Fitr Muslim -July 2017- Jul 4-Tuesday 4th of July-Independence Day National holiday • Jul 23-Sunday Parents Day Observance htipsJ/www.calendardate.com/year2017 holidays.php 214 5J4/2017 Year 2017 Holidays Calendar -August 2017- Aug 6-Sunday Friendship Day Observance Aug 7-Monday Raksha Bandhan Hindu Aug 14-Monday Tisha B'Av Jewish • Aug 14-Monday Krishna Janmashtami Hindu Aug 15-Tuesday Assumption of Mary Christian Aug 19-Saturday National Aviation Day Observance Aug 21-Monday Senior Citizens Day Observance Aug 24-Thursday Ganesh Chaturthi Hindu Aug 26-Saturday Women's Equality Day Observance Aug 31-Thursday Day of Arafat Muslim -September 2017- Sep 2-Saturday Eid at-Adha Muslim Sep 4-Monday Labor Day National holiday Sep 10 Sunday National Grandparents Day Observance Sep 11-Monday Patriot Day Observance Sep 17-Sunday Constitution Citizenship Day Observance Sept 20-Wednesday Muharram Muslim Sept 21-Thursday Rosh Hashana Jewish Sept 21-Thursday Navratri Hindu Sep 22-Friday FaIU Spring-September equinox Season Sept 30-Saturday Yom Kippur Jewish Sept 30-Saturday Dussehra Hindu -October 2017- Oct 1-Sunday Ashura Muslim • Oct 2-Monday Child Health Day Observance Oct 5-Thursday Sukkot Jewish Oct 9-Monday Leif Erikson Observance Oct 9-Monday Columbus Day National holiday Oct 12-Thursday Shemini Atzeret Jewish Oct 13-Friday Simchat Torah Jewish Oct 16-Monday Boss's Day Observance Oct 19-Thursday Diwali Hindu Oct 31 -Tuesday Halloween Observance -November 2017- Nov 1-Wednesday All Saints'Day Christian Nov 2-Thursday All Souls Day Christian Nov 5-Sunday Daylight Saving Time-ends Daylight Saving Time Nov 11-Saturday Veterans Day National holiday Nov 23-Thursday Thanksgiving Day National holiday Nov 24-Friday Black Friday Observance Nov 27-Monday Cyber Monday Observance -December 2017- Dec 1-Friday The Prophet's Birthday Muslim Dec 3-Sunday Advent Christian Dec 6-Wednesday St Nicholas Day Christian • Dec 7-Thursday Pearl Harbor Remebrance Day Observance 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Monday,Jan 1-New Years Day Change Year:r2018 7y Change Country: United States • Monday,Jan 15-Martin Luther King Day Wednesday,Feb 14-Valentines Day Date Holiday Details Monday,Feb 19-Presidents Day -January 2018- I Saturday,Mar 17-St.Patrick's Day Jan 1-Monday New Years Day National holiday Sunday,Mar 11 -Daylight Saving Starts Jan 6-Saturday Epiphany Christian Sunday,Apr 1-Easter I Sunday,May 13-Mothers Day Jan 7-Sunday Orthodox Christmas Day Orthodox Christian Monday,May 28-Memorial Day Jan 14-Sunday Orthodox New Year Orthodox Christian Sunday,June 17-Fathers Day Jan 14-Sunday Makar Sankranli Hindu Wednesday,July 4-Independence Day Jan 15-Monday Martin Luther King Day National holiday i Monday,Sept 3-Labor Day t Monday,Oct 8-Columbus Day Jan 31-Wednesday Tu B'Shevat Jewish I Wednesday,Oct 31 -Halloween Day -February 2018- Sunday,Nov 4-Daylight Saving Ends Feb 1-Thursday National Freedom Day Observance Sunday,Nov 11-Veterans Day Feb 2-Friday National Wear Red Day Observance i 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Clerical Report IM1617 -Burial Permits- erti icate o $25Permits Plan Reviews Copies/ Fines Revenue Permit Fees —Fitness $50- Jul -16 $475.00 $2,210.00 „Y „ $1,950.00 $4,635.00 FoodSeavrceEst t: <zsseats $140.;;bt August $700.00 $985.00 > r $1,500.00 t $3,185.00 September $1,475.00 $2,165.00 $4,300.00 $300.00 "a`:; $8,240.00 Retail Food <i000sq' $70 October $475.00 $3,415.00 $2,150.00 $6,040.00 1000-10,000 $280 >10,000 $420 November $500.00 $7,785.00 $2,150.00 $150.00 $10,585.00days535 December $700.00 $36,265.00 ,� w Yr�Y�x t $700.00 $37,665.00 4�7a dQs ,.$7� >7days:t,s . . `,_ January-17 x� Example of>7daytempfoodpermit: # $750.00 $12,220.00 $90.00 $600.00 $13,660.00 � 14�days)drvidedby7=zxs35 $49Qb,: i February $1,075.00 $1,495.00 $1,400.00 $3,970.00 Frozen Desserts $25 March $1,525.00 $2,660.00 $1,080.00 $2,100.00 $500.00Ap $7,865.00 Mobile Food szlo April $5,285.00 May PCan.Reviews " ` IVeiv 'gi8o $775.00 $2,175.00 $810.00 $1,000.00 $525.00 >; i; Remodel i2sgo tiN June $25 perevent/$zoo Catering catering kitchen zt Body Art Est. $315 Total Body Art Practitioner 135 $8,450.00 $71,375.00 $1.980.00 $17,850.00 $1,475.00 " < $101,130.00 Review Plans $18o Fiscal Year Budget 2017 Suntan Est. $140 Rec.Day Camp $10 Salary Starting Ending Expenses Ext.Paint Removal $35 Full Time $359,539.00 $77,134.72 Starting Ending Transport Off.Subst. slo5 Part Time $28,306.00 $6,888.98 $19,000.00 $7,752.98 Tobacco Vendors $135 Overtime $4,500.00 $2,359.56 Swrmmrria Pools`` . Seasonal ' 8140, E Balance $392.345.00 $86,383.26 Health Clinic Revolving Account A0i00alS2i0"a. Nonprofits4o $I2,41S.74 Title VReview s18o Well Application s18o Disposal works szzs/i8o • Breakdown of Permits and Fines April 2017 Permit Description Total Permits Issued Permit Cost Total Annual Food 1 $420.00 $420.00 2 $280.00 $560.00 1 $140.00 $140.00 Temporary Food-Pop Up(1-3 days) 6 $35.00 $210.00 Seasonal Food 3 $140.00 $420.00 Retail Food 2 $70.00 $140.00 Frozen Dessert 3 $25.00 $75.00 Non-Profit Food 1 $25.00 $25.00 Plan Review- New or Major Remodel or Variance 3 $180.00 $540.00 - Renovation/Remodel 3 $90.00 $270.00 Burial Permit 31 $25.00 $775.00 Exterior Paint Removal 1 $35.00 $35.00 Camp Permit 1 $10.00 $10.00 Pool Permit 1 $140.00 $140.00 Certificate of Fitness 20 $50.00 $1,000.00 Tobacco Violations 1 $100.00 $100.00 2 $200.00 $400.00 Returned Check Fee 1 $25.00 $25.00 Total = 5,2 55.00 Maureen Davis • From: Paul Kirby Sent: Tuesday, May 02, 2017 3:32 PM To: richard Stafford Cc: Larry Ramdin; Maureen D Subject: RE: [City of Salem M Fracked Gas InfEastructur Letter to Governor Bake (Sent by Richard Stafford, rwjsteac er o mail.com Hi Richard, thanks for this information - so that plan is for Brita to speak to us, or both of you? If she has any written materials that she'd like the Board to have ahead of time please feel free to send them on.... thanks, Paul From: richard Stafford [rwjsteacher@hotmail.com] Sent: Tuesday, May 02, 2017 1:57 PM To: Paul Kirby Subject: Re: [City of Salem MA] Fracked Gas Infrastructure Letter to Governor Bake(Sent by Richard Stafford, rwjsteacher@hotmail.com) Hi Paul, �R I wanted to give you a little more background informatior4on who will be speaking to the Board on the 9th with regards to the Fracked Gas issue. Brita Lundberg is am an infectious diseases specialist, formerly an assistant professor of medicine at Emory University; Brita has just started a patient advocacy business, which will launch in June. Lo - -fQrvn to meeting with you and the Board. Rich Stafford From: Paul Kirby<pkirby@Salem.com> Sent:Thursday,April 20,2017 5:36 PM To: richard Stafford Cc: Larry Ramdin; Maureen Davis; Beth Gerard Subject: RE: [City of Salem MA] Fracked Gas Infrastructure Letter to Governor Bake(Sent by Richard Stafford, rwjsteacher@hotmail.com) Thank you, Rich, glad you can speak to us! Even if you're not an expert you clearly know enough about the subject to help us gain an understanding. We will add the gas infrastructure petition issue to our May agenda. Thank you again, Paul From: richard Stafford [rwjsteacher@hotmail.com] Sent: Wednesday, April 19, 2017 4:26 PM To: Paul Kirby Subject: Re: [City of Salem MA] Fracked Gas Infrastructure Letter to Governor Bake(Sent by Richard Stafford, rwjsteacher@hotmail.com) Hi Paul, expert but would be happy to pursue the matter with the Board at its May 9th meetin I look forward to meeting with the Board then. Ric tafford p.s. I apologize for mashing your name on my previous email. i • From: Paul Kirby<pkirby@Salem.com> Sent:Wednesday,April 19,2017 8:19 PM To: rwjsteacher@hotmail.com Subject: FW: [City of Salem MA] Fracked Gas Infrastructure Letter to Governor Bake (Sent by Richard Stafford, rwjsteacher@hotmail.com) Hello Mr. Stafford, thank you for contacting us about this issue. I mentioned your email at our Board meeting last night, and we are all interested in learning more about this. Would you be willing to attend one of our monthly meetings and speak to us, so we can better understand the issues involved? Our next meeting will be on Tuesday May 9th, at 7:00 PM. Please let me know if you'd like to attend and we will put you on the agenda. Thanks again for reaching out. -Paul Hello pkirby, Richard Stafford (rwjsteacher@hotmail.corn) has sent you a message via your contact form(http://www.salem.com/user/506/contact) at City of Salem MA. If you don't want to receive such e-mails, you can change your settings at http://www.salem.com/user/506/edit. Message: Dear Chairman Kirby and Members of the Board of Health, I ask the Board to vote to endorse the following letter to Governor Baker urging him to oppose any increases or additions to existing fracked gas infrastructure in the Commonwealth for the health and environmental reasons set forth in the letter. Additionally, please urge the Governor to conduct a full environmental assessment of each individual request to determine if it is in conformity with Massachusetts' long term environmental commitments to reducing our carbon footprint. Thank you, Richard Stafford Sign on Letter to Governor Baker Dear Governor Baker: We write to you as Boards of Health from communities across Massachusetts who are committed to protecting the health, welfare, and safety of the residents of the Commonwealth. We commend Massachusetts' Health Commissioner Monica Bharel's goals to combat health disparities, promote health, and make the best use of our resources in that endeavor. We are concerned that the rush to develop fracked gas infrastructure (FGI) in our state is in direct conflict with those goals: it increases health • disparities, worsens public health and makes poor use of our health care resources by potentially creating public health problems instead of preventing g them. 2 The health concerns surrounding FGI are several. While it is widely recognized that gas extraction via the hydraulic fracturing process causes health problems due to air and water pollution where the drilling is done, • many people are not aware that the toxins and carcinogens that travel with the gas when it is extracted from the earth's crust can be emitted when there are releases of gas, unintentional or intentional, anywhere along the pipeline infrastructure. These substances, acknowledged by Spectra and other gas companies in their reports, include hazardous air pollutants like benzene and formaldehyde, particulate matter, radioactive elements like radon, and heavy metals including mercury, lead and chromium. These toxins pose a health risk as they can potentially cause cancers like leukemia, lung problems like asthma and lung cancer, heart deformities in babies, miscarriages, and neurologic disease. Natural gas pipelines pose threats to human health and to the environment at every stage of processing and delivery including interstate transmission pipelines, distribution pipelines, storage facilities, metering and regulating stations, compressor stations, and liquefied natural gas facilities. Without comprehensive health impact assessments of the effects of these toxins and carcinogens, it is impossible to know the magnitude of risk that these pollutants pose to human health. New FGI in our state also threatens public health because it is a driver of climate change, releasing significant amounts of methane, nitrogen oxides and sulfur dioxide. New interstate pipelines add significant amounts of greenhouse gases to the atmosphere, exacerbating climate change. Climate change is disrupting our state's natural ecosystems and built infrastructure • and negatively impacting human health, and is leading to increased rates of infectious diseases and cancer. FGI also threaten public health and safety due to leaks, water contamination, and explosions; accidents have increased five-fold across the United States between the years 2000 and 2010. We agree with the American Medical Association that FGI has a potentially significant human health impact and that any expanded or new FGI requires comprehensive health impact assessments to evaluate these health risks. Also, according to an analysis by our State Attorney General, an expanded FGI is unnecessary and alternatives such as renewable energy and energy efficiency are healthier and less expensive. While we recognize that our legislators and governor may differ in their views of FGI, they are unanimous in their commitment to promote and protect the public health, welfare and safety of the residents of the Commonwealth. We need safe, reliable and affordable energy for our residents, businesses and municipalities. Our state can and must achieve those goals by investing in renewable energy and energy efficiency rather than in more fossil fuels that warm our planet and create health hazards for all our residents. Thank you. Sincerely, Salem Board of Health 3 Health Risks of Fracked Gas Pipeline Infrastructure Why are health providers concerned about natural gas pipeline infrastructure? iNegative health impacts are a consequence of infrastructure emissions, including: 1- Hazardous air pollutants, 2-Particulate matter, 3-Radioactive radon and polonium,4- Heavy metals like lead, arsenic and mercury, as well as--S-Noise pollution and 6- Accidents Hazardous air pollutants elaborated by pipeline infrastructure include benzene, toluene, heptane and naphthalene among many others. HAPs can be toxic, carcinogenic, or both. Particulate Matter refers to tiny soot-like particles that,when breathed in, can exacerbate respiratory disease and lead to heart attacks and cancer. It is also linked with premature birth and low birth weight in newborns. Pollutants that are known drivers of climate change, including methane, nitrogen oxides (NOx),carbon monoxide,and sulfur dioxide. Radioactivity There is a concern that the gas transiting the pipes and being compressed in compressor stations contains radioactive radon,lead and polonium that can put workers and residents living in the area at risk. Heavy metals potentially released include lead, arsenic, chromium and mercury. In Massachusetts, M&R stations are listed as hazardous waste generators for this reason. Lead, mercury and arsenic are notorious neurotoxins, fetotoxins, and cause impaired learning in children, miscarriages, and impair fertility. Chromium is known to cause DNA damage; hexavalent chromium is a known carcinogen. Unsafe emissions can occur up to a mile or more from compressor stations or other parts of pipeline infrastructure such as metering and regulating stations and are a major concern for this community. Noise pollution has been shown to raise the risk of heart attack and high blood pressure in adults,and cognitive deficits in children. Accidents:The possibility of leaks,fire and water contamination,which have occurred at natural gas infrastructure facilities across the country, raises a number of concerns: do the nearby localities have the resources available to contain a gas fire or explosion? Will first responders and hospitals be able to care for injured workers or other victims? Will evacuation be required,and have evacuation plans been developed and tested? CONCLUSIONS Compressor stations and M&R stations pose a health risk because of the pollutants they elaborate and the illnesses that they can potentially cause: cancer, respiratory illness, cardiac and neurologic disease,birth defects,and miscarriage. We join the ranks of other groups, including the American Medical Association, Physicians for Social Responsibility, Massachusetts Nurses Association and Concerned Health Professionals of New York, in calling for a Health Impact Assessment, a thorough assessment of the impact of these activities on public health and safety. If we value the health of our communities,our families,and our children,then we must acknowledge that the increased risks of asthma,heart attacks,and cancer associated with much natural gas infrastructure are unacceptable. r Health Risks of Fracked Gas Pipeline Infrastructure References Algonquin Gas Transmission,LLC.(Oct 2015).Atlantic Bridge Project,Resource Report 9,Weymouth Compressor Station,Table H-1Ca. Lee B-J,Kim B,Lee K.Air Pollution Exposure and Cardiovascular Disease. Toxicological Research.2014;30(2):71- 75.doi:10.5487/TR2014.30.2.071.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4112067/ 3. http://www.ogi.com/articles/Print/volume-88/issue-26/in-this-issue/production/radioactive-materials-could-pose- problems-for-the-gas-industry.html https://oaspub.epa.gov/envi ro/rcrai nfoquery_3.fa cility_i nforma tion?pgm_sys_id=MAR000 009993 http•//www intertek com/petroleum/natural-gas-trace-metals/Noise: http://www.euro.who.intl data/assets/pdf file/0008/136466/e94888 Rdf Accidents:Source:Southwest Environmental Health Project:Summary on Compressor Stations-feb 2015 http://www.environmentalhealthproject org/researchers/resources Pollution from compressor stations httP://www.iom.edu/—/media/Files/Activity%20Files/Environment/EnvironmentalHealthRT/2012-04- 30/Robinson.pdf Compendium of Medical, Scientific and Media Findings Demonstrating Risks and Harms of Fracking (Unconventional Gas and Oil Extraction). Accessed 6/7/16. http://www.psr.org/assets/pdfs/fracking- compendium.pdf http://www.recordonline com/article/20150508/news/150509512 http://ntp.niehs.nih.gov/ntp/roc/twelfth/profiles/formaldehyde.pdf 2 .D.Nichols New Study Connects Health Issues with Gas Compressor Stations 9/16/15 U to a Rea de r 12. Algonquin Gas Transmission, LLC. (Oct 2015). Atlantic Bridge Project, Resource Report 9, Weymouth Compressor Station,Table H-1Ca. htip:llnj.gov/healthleohlrtkweb/documents/fs/1245.pdf ATSDR-httR//www.atsdr.cdc.gov/csem/csem.asp?csem=8&po=5 EPA-htWs://www.epa.gov/radon http://www.intertek.com/petroleum/natur-al-gas-trace-metaIsi https://oaspub.epa.gov/enviro/rcrainfoquery_3.facility_information?pgm_sys id=MAR000009993 http://www.academicjournals.org/article/articlel380209337 Duruibe%20et%20al.pdf http://www.euro.who.int/ data/assets/pdf file/0008/136466/e94888 pdf http://www.earthworksaction.org/noiseresources.cfm#GENERALNOISE 3 • 1 MASSACHUSETTS MEDICAL SOCIETY HOUSE OF DELEGATES 2 �y 3 4 Item #: 8 5 Code: Resolution A-17 A-105 6 Title: Protecting Public Health from Natural Gas Infrastructure in 7 Massachusetts 8 Sponsors: Brita Lundberg, MD 9 Krupa Patel, MD 10 Susan Racine, MD 11 12 Referred to: Reference Committee A 13 Kevin O'Callaghan, MD, Chair 14 15 Whereas, MMS strategic priorities for 2016-2017 include a heightened focus on population 16 health; and 17 18 Whereas, The MMS currently has no policy on the human health impacts of natural gas 19 infrastructure (NGI), which includes pipelines, compressor stations, metering and regulating 20 stations, liquefied natural gas storage facilities, and gas-fired power plants; and 21 22 Whereas, While it is widely recognized that natural gas extraction causes health problems 23 due to air and water pollution where the drilling is done, many physicians are not cognizant of 24 the impacts on human health and safety from the toxins and carcinogens elaborated by NGI; 25 and 26 27 Whereas, These toxins and carcinogens include hazardous air pollutants (notably benzene, 28 toluene, and hexane),' particulate matter(PM 2.5),2 radioactive elements (including radon 29 and its decay products, radioactive lead, polonium, and bismuth),3 and heavy metals (lead, 30 chromium, and mercury)3 that are either present in the fluid used to extract the natural gas or 31 entrained from the earth's crust during the process of extraction and present in the natural 32 gas as it travels through the NGI; and 33 34 Whereas, NGI poses a potential health risk to humans because of the pollutants it elaborates 35 and the diseases it can potentially cause, including cancer, respiratory illness, cardiac and 36 neurologic disease, birth defects, and miscarriage',",'; and Burger JL, Lovestead TM, Bruno TJ . Composition of the C6+ Fraction of Natural Gas Energy Fuels 2016;30:2119-2126. 2 Compressor stations emissions of'particulate matter, radon: www.spectraenergy.com/content/documents/S E/Operations/US—NatGas_ops/Projects- US/AtlanticBridge/RR9_ _Atlantic-BridgeVol-II-A—OCT-2015 FINAL.pdf 3 EPA report: Hazardous waste produced by M&R station in New Bedford, MA; httos:Hoasi)ub.epa.aov/enviro/rcrainfoguery 3 facility information?pgm sys id=MAR00000993 4 Lee B-J, Kim B, Lee K. Air Pollution Exposure and Cardiovascular Disease. Toxicological Research. 2014;30(2):71-75. doi:10.5487/TR.2014.30.2.071. 5 Hays J, Shonkoff SBC. Toward an Understanding of the Environmental and Public Health Impacts of Unconventional Natural Gas Development:A Categorical Assessment of the Peer-Reviewed Scientific Literature, 2009-2015. PLoS ONE 2016 11(4): e0154164. doi:10.1371/journal.pone.0154164 6 Southwest Pennsylvania Environmental Health Project 2015: Summary of Minisink Monitoring results. www.environmentalhealthproject.org/resources/presentations 'Stacy SL, Brink LL, Larkin JC, Sadovsky Y, Goldstein BD, Pitt BR, et al. Perinatal outcomes and unconventional natural gas operations in Southwest Pennsylvania. PloS One. 2015;10(6):e0126425. 1 Whereas, The majority of the neurologic and mucocutaneous sequelae of NGI such as 2 severe headache, memory loss, nosebleeds, and burning eyes/rashes disproportionately • 3 affect young children and are suffered most by those residing within a mile of compressor 4 stations6; however, leaks in the NGI, particularly transmission pipelines, render the risks from 5 the carcinogens and toxins it elaborates universal'; and 6 7 Whereas, NGI releases significant amounts of methane, nitrogen oxides and sulfur dioxide, 8 all of which are known drivers of environmental disruptions; and 9 10 Whereas, Accidents at NGI — including leaks, explosions, and water contamination —are 11 common, and have increased five-fold between 2000 and 201010; and 12 13 Whereas, A significant expansion of NGI has been proposed in Massachusetts, with 14 compressor stations envisioned for the towns of Weymouth and Rehoboth, and a vast LNG 15 facility on a wetlands in Acushnet that has been called by the Massachusetts Department of 16 Energy and Environmental Affairs "one of the largest wetlands expansions in the history of 17 the Commonwealth of Massachusetts";` and 18 19 Whereas, AMA Policy states: 20 AMA Position on Protecting Public Health from Natural Gas Infrastructure H-135.930 21 22 Our AMA recognizes the potential impact on human health associated with 23 natural gas infrastructure and supports legislation that would require a 24 comprehensive Health Impact Assessment regarding the health risks that may be 25 associated with natural gas pipelines12_ 26 • 27 ; and 28 29 Whereas, The Medical Society of the State of New York adopted the following policy in 2015: 30 31 That the Medical Society of the State of New York(MSSNY) recognizes 32 the potential impact on human health and the environment associated with 33 natural gas infrastructure. 34 35 That all levels of government should urge the implementation of a comprehensive Health 36 Impact Assessment (HIA) in order to assess the potential adverse health risks that are 37 associated with natural gas infrastructure, including but not limited to pipelines, compressor 38 stations, and other technologies. This would also include natural gas storage facilities and 39 liquefied natural gas (LNG)offshore, and deep water export terminals13. 40 41 ; and ' Howarth RW, Shindell D, Santoro R, Ingraffea A, Phillips N, and Townsend-Small A. 2012. Methane emissions from natural gas systems. Background paper prepared for the National Climate Assessment. Reference number 2011-0003. 9 Tollefson J. Methane leaks erode green credentials of natural gas. Nature 2013. 493,doi:10.1 038/493012a. 10 U.S. Pipeline and Hazardous Materials Safetv Administration 11 Memorandum, Massachusetts DEPA. 5/31/16 • 12 American Medical Association (2015). H-135.930 Protecting public health from natural gas infrastructure, Resolution 519,A-15. Retrieved from https://searchpf.ama- assn.org/SearchML/searchDetails.action?uri=%2FAMADoc%2FHOD.xml-0-301 xml 13 NY Medical Society resolution: http://concerned healthnv.org/wp-content/uploads/2015/05/MSSNY- Resol ution-2015-2.pdf 4 1 Whereas, While MMS members are diverse in their views of the value of natural gas • 2 infrastructure expansions, they are unanimous in their commitment to promote and protect 3 the public health, welfare, and safety of the residents of the Commonwealth; therefore, be it 4 5 1. RESOLVED, That the MMS adopt the following adapted AMA policy: 6 7 That the MMS recognizes the potential impact on human health associated 8 with natural gas infrastructure. (HP) 9 10 ; and, be it further 11 12 2. RESOLVED, That the MMS advocate to appropriate agencies and the 13 Massachusetts state legislature to require ongoing independent 14 Comprehensive Health Impact Assessments to assess the human health risks 15 of all existing, new or expanded natural gas infrastructure in Massachusetts. 16 (D) 17 18 19 Fiscal Note: No Significant Impact 20 (Out-of-Pocket Expenses) 21 22 FTE: Existing Staff 23 (Staff Effort to Complete Project) • Radiation in gas wells : Conventional vs . Fracked Figure 3-7. Conventional vs Unconventional Produced Water Radium Concentrations O&G Filtered No. of Av.erage Production Samples Samples Ra-226 ( C� Conventional No 4 336 Unconventional No 9 1 8.340 Pennsylvania Department of Environmental Protection. Technologically Enhanced Naturally Occurring Radioactive Materials (TENORM) Study Report, Pipelines : h substances IOCCromp 12.2.278 a_5509 Ethme 03335 wy VOC a5na 23W cry Pollutant Total Project S KkO Crato 1.1420 Vy Emissions Arn1deh* 4.45E-02 Anal 7.11E-03 W Increase Berme 133E-02 tpT 133 (with Bumdiew -3 4.75E-04 W Fugitive Emissions) CUnftm 3 OPY) F tnitemaw 3.36E-02 Ednieie ITS N Ox 10.70 Fdm dive 7.84E-01 r� Home(¢ CO 18.18 �>�i�(ksaode VOC 14.18 1w�lene 1.45E-03 PMio PM2.s 2.02 pAH '-SSE-03 t3y S02 1.03 Pbawl CO2e 44,420 rye TwaNmwdm .122 Total HAPs 0.91 Tom 115E-01 my Tddl;laoel}'TI P -U— Tdwt%'.aemm .."4- VM 1 Q.Wi& • Spectra Ener Partners ibid . Table B1Ai . ( PDF pg Energy 736) . :: �� � .�'.. .�",.'�.�.. ���_ � = mom.����N �'u s :� � ,, w" a''�• e� �n s 3 yr. -,- :. _ +.. '1^�..,,.,, , `ti:: '"'� �.:iF ,T?'µ»f"t ^:.;�.1"s.." . .'Gs'�� ✓ 4..•T3. r'�s"^-`�.,"T' w 4'tai �M1< ,,.i`.�.:� � '�_'�3" , > X" - • � .� ., �- .. :.,..- .,... >. _. .:,, � c_- a.c.-.e. 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Lauby; Nancy Crowder; Paul Kirby Cc: Larry Ramdin Subject: Kwik Shop Market Hearing Good morning, We have just been informed that the attorney for Kwik Shop Market had a death in the family and will be unable to attend the meeting tonight. They have asked to be heard at the June meeting instead. Thank you, Ma tWeew Dcw%k Principal Clerk Salem Board of Health 120 Washington St., 4th floor Salem, MA 01970-3523 978-619-5654 i i CITY OF SALEM • BOARD OF HEALTH MEETING MINUTES April 18, 2017 MEMBERS PRESENT: Chairman Paul Kirby, Jeremy Schiller&Mary Lauby EXCUSED: Nancy Crowder OTHERS PRESENT: Larry Ramdin, Health Agent, Suzanne Doty, Public Health Nurse, Maureen Davis, Clerk of the Board, Beth Gerard, Council Liaison, Victoria Caldwell, Asst. City Solicitor, Joyce Redford, Director, NSTCP, Eric Stone, Owner, Vapor Outlet TOPIC DISCUSSION/ACTION 1. Call to Order 7:06pm J. Schiller motioned to move item#5 out of order on the Agenda to allow Eric Stone from Vapor Outlet to make his appeal prior to other items of business. M. Lauby 2"d. All in favor. Motion passed. 2. Approval of Minutes Mary Lauby motioned to approve minutes. Jeremy Schiller 2"d. (February 14, 2017) All in favor. Motion passed. . J. Schiller motioned to move item#6 out of order on the Agenda. Mary Lauby 2"d. All in favor. Motion passed. 3. Chairperson Announcements P. Kirby advised that he has received a letter from resident Richard Stafford requesting the Board to oppose any increases or additions to existing fracked gas infrastructure (GFI) in the Commonwealth for the health and environmental reasons and endorse a letter regarding GFI. P. Kirby would like to invite Richard Stafford to speak at our May meeting to share his knowledge of the subject and the potential health risks. The Board agreed to invite Mr. Stafford to the next meeting to discuss his request. M. Lauby suggested to P. Kirby we have more discussion about Healthy People, specifically Social Determinants of Health and health impact assessments. She states the CDC is spending time on their data and feels we should invite community leaders from homeless shelters, etc. L. Ramdin suggested we have summits regarding community health assessments. P. Kirby said two or more Board members can work on it. L. Ramdin suggested dedicating time at the end of the meetings for health discussions. r 4. Monthly Reports-Updates A. Public Health S. Doty points out providing two months of reports. Nurse's Report There were more type A flu cases, but starting to see more type B. J. Schiller said he saw lots of serious cases. L. Ramdin said people are contracting pneumonia as a result, and that H1N1 is still circulating. S. Doty says she has carryover numbers for follow-up from previous months in her totals and she will give a total for the year at year's end. J. Schiller read that this year's vaccine worked well. B. Health Agent's L. Ramdin announced it is S. Doty's birthday today and that she is Report getting married in May. She was wished a happy birthday by all and best wishes for her marriage. L. Ramdin informed the Board he has given Kerry Murphy a BOH Handbook, though she is not confirmed as a Board member yet. Ward 2 Councilor Heather Famico will present Kerry to the Council at the Thursday, April 27th meeting at 7:OOpm. Janet Mancini has completed the first draft of the Operations Manual. A draft was sent out this date. People will have a few weeks to review and make changes. J. Schiller inquired about the Harvard student's project regarding • problem properties. L. Ramdin explained they created a database to identify problem properties. Inspectors can place reports online for all other departments, such as the police, to view. L. Ramdin stated he also had a meeting with SSU marketing students who created an Instagram account for us. He is very grateful to S. Doty for keeping up our Patch account. C. Administrative M. Lauby would like a breakdown of the number of annual permits Report and at what cost. She would like us to show how much of our time we are spending compared to the cost of the permit. J. Schiller agreed we should show the number of temporary pop-up permits @ $300 last year and compare it to the number of permits now @ $35. D. City Council Councilor Gerard indicated that a discussion has been started on Liaison Updates siting of Food trucks in Salem. Kerry Murphy will be a great addition to the Board. She is very active in our community. Plastic bag ban will go into effect Jan. 1", 2018. Salem Sound Coast Watch will help. The ban will be enforced with a$50 fine. J. Schiller suggested reusable bags promoting Salem would be great. • Maybe we could get the SSU students involved. L. Ramdin has seen some great heavy duty woven plastic reusable bags. J. Schiller motioned to accept the reports. M. Lauby 2"d. All in favor. Motion passed. • 5. Appeal 2"d Violation The Board invited Mr. Eric Stone owner of the Vapor Outlet to Vapor Outlet present his appeal to the Board for consideration Mr. Stone 103 Lafayette Street presented his appeal which was a denial of the event taking place. The Board then heard from Joyce Redford who indicated that after the sale she went back into the store and issued the report of the sale to Mr. Stone and gave him a copy. The Board asked questions of Mr. Stone, Ms. Redford, Larry Ramdin and Victoria Caldwell for clarification. (Appeal Transcript attached). The Chair invited a motion on the appeal. Jeremy Schiller motioned to deny the appeal. Mary Lauby 2"d. All in favor. Motion passed. Victoria Caldwell told Eric Stone a letter will be going out next week regarding the suspension dates. Dates will most likely be Monday to Sunday of next week. Larry Ramdin reminded Eric Stone he can only sell devices during the suspension period—no juices. Eric Stone asked about the exact wording of the suspension language. . Victoria Caldwell showed him that "shall", not "may" suspend was in the wording. Eric Stone stated he will be taking his case to the courts for appeal because, "a suspension will put me out of business." He thanked the Board and departed. Joyce Redford explained to the Board that if a situation is unsafe (i.e. a rough neighborhood, or having to leave the youth alone in the car), she may not go back in and will mail the violation to the establishment the next day. She said DJ from her office has the evidence (Simply Pineapple product purchased) and can provide it if need be. She thinks we may need it for the court case if it goes that far. She also stated no BOH has ever lost a case in Superior Court. They don't get many appeals. With regard to the 3/1/17 Tobacco Regulation, she and Peter from her office visited 20 establishments. They mostly issued Orders to Correct due to some prohibited products behind the counter, but they did have a few clear violators who seemed to make no effort whatsoever to remove the flavored products. They did follow-up visits to those violators. She stated Vapor Outlet become adult-only on 3/1/17 because he sells only_flavored product. Anyone under 21 should be stopped at • the door and should not be allowed to enter the establishment. She informed the Board she will be awayon vacation in Italy from Y 6/9— 6/18/17. 06. Continue discussion on The Board discussed the banning of smoking on Beaches. Larry banning smoking in public Ramdin indicated there are implications for the Police and Parks and parks and beaches Recreation Departments. There will be an internal discussion with both the PD and Parks and Recreation Departments to discuss implementation of such a policy before it is brought to the respective boards. 7. New Business/ The Board will schedule time in its agenda to discuss Health Status Scheduling of future of the of the City and policy development related to same. agenda items 8. MEETING ADJOURNED: M. Lauby motioned to adjourn the meeting. J. Schiller 2"d. All in favor. Motion passed. 9:15pm Respectfully submitted, • Maureen Davis Clerk of the Board of Health Next regularly scheduled meeting is May 9, 2017 at 7.OOpm at City Hall Annex, 120 Washington Street, 31 floor,Room 313 • Appeal Transcript • Eric Stone asked Joyce Redford if she had a receipt from the tobacco sale? Joyce Redford replied that a receipt was not given. Eric Stone replied, "We always give a receipt." Joyce Redford says they rarely get receipts from businesses and asking for a receipt would be a red flag. Only time receipt is given is at grocery stores. Eric Stone presented a POS transaction report from Vapor Outlet for 1/19/17, the date of the violation sale. There were no transactions for $20 at the time of the sale on the NSTCP violation report. When questioned about cameras, E. Stone said he has cameras, but they were not running on the day of the violation sale. He stated he did not realize it cost extra money to record. His cameras are now recording. Joyce Redford added details from the sale, such as it was she, herself, who was with the youth. The item purchased cost $26,but the youth only had $20 and the salesman agreed to sell it to her for the $20. She added that over 20 compliance checks were performed at other establishments on 1/19/17. Larry Ramdin shared that Eric Stone's attorney reached out to him and was willing to pay the fine, but wanted to negotiate the suspension. It was made clear there is no negotiating a violation of this Regulation. Mary LqpbX asked why they were willing to pay the fine if there was supposedly no sale. Eric Stone stated he just wanted to end it because a suspension would put him out of business. He also stated his first violation was a sale to a regular customer and the sale age had just changed from 18 to 21. Victoria Caldwell pointed out that first violation was in July of 2015, which was 6 or 7 months after the sale age changed from 18 to 21. • For the record: Suzanne Doty made copies of the POS transaction report for all. Eric Stone was asked if all cash sales show up on the POS report. He said no. Also, sometimes a cash sale will be entered in the register later in the day if the salesperson is busy. Larry Ramdin asked if the youth actually came out of the establishment with the product. Joyce Redford said yes, Simply Pineapple was the product. Eric Stone says he is real strict with his employees. He was not at the counter at the time of the sale. He was downstairs in his office, but was called up to sign the violation. Jeremy Schiller said to Eric Stone: Joyce says it happened; your employee said it didn't. It is hard for me to doubt Joyce—that is what she does. She is and has always been a professional and I feel it is actually disrespectful of you to question her. Eric Stone said there is no disrespect intended. Paul Kirby said Eric Stone acknowledged and signed the violation at 4:29pm. Was there a customer there at that time?Neither Eric Stone nor Joyce Redford could recall. According to the POS report a sale was made at 4:28pm. Victoria Caldwell reiterated that Joyce is the professional, much like a police officer and there is no doubt in her process. Beth Gerard asked what products are sold that are tax free? There are some sales on the POS report that are not taxed. Eric Stone said there are no tax-free products sold. The clerk may have hit the wrong button by accident. At the end of the period he makes sure he pays the proper taxes according to the total sales. Larry Ramdin asked if transactions can be deleted. Joyce Redford asked if Vapor Outlet has an age verification tool. • Eric Stone said no, it is very expensive— around $800.00—but he is looking into other less expensive options.