MEETING PACKET JUNE 2018 JUNE 2018
� CITY OF SALEM, IVIASSACHUSETTS
BOARD OF HEALTH
98 WASHINGTON STREET,3RD FLOOR NbHcHedtl
TEL. (978) 741-1800 Prevent.Promote.Protect.
health&salem.com
KIMBERLEY DRISCOLL e LARRY RAMDIN,RS/REHS,CHO,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,June 12, 2018 at 7.00 PM
ty�Hall Annex; 98 Washington-Street, 1st Floor Meeting Room
(Please note new address above)
MEETING AGENDA m
1. Call to order ;cc-)
3m Z.
2. Approval of Minutes >r Q.
3. Chairperson Communications 0t
4. Public Health Announcements/Reports/Updates
a. PHN Report
• b. Health Agent
c. Administrative
d. Council Liaison Updates
�
0 �5. Polystyrene container ban—update and discussion 0 ! � .
6. Regulation 7 - Solid Waste- adoption of new regulation N N 01
0 0o
7. New Business/Scheduling of future agenda items 0
0
• Items that could not be anticipated prior to the posting of the agenda "' -.3 ;-
• Planning summer meeting schedule CL
" o
n
p N
C. ® .,
Larry Ramdin, Health Agent g
W
cc: Mayor Kimberley Driscoll, Board of Health, City Councilors =o C
9-J CD
Next regularly scheduled meeting is July 10,2018 at 7:00pm at City Hall Annex, r A M
98 Washington Street, 1"Floor Meeting Room. n o 03
Know your rights under the open meeting law MGL chapter 30A ss 18-25 and City
Ordinance section 2-2028 through 2-2033 we
D
CITY OF SALEM
BOARD OF HEALTH
MEETING MINUTES
May 8. 2018
MEMBERS PRESENT: Paul Kirby, Chair, Dr. Jeremy Schiller, Mary Lauby, Geraldine Yuhas
EXCUSED: Kerry Murphy
OTHERS PRESENT: Larry Ramdin, Health Agent, Suzanne Darmody, Public Health Nurse, Maureen Davis, Clerk
of the Board, Kelsey Currier-Dougherty, Salem High School Junior& Salem Sound Coastwatch Intern, Sharon
Byrne-Kishida—MA DEP and Janine Delaney-Bishop—MA DEP, Datanis Elias, Esq.,potential candidate for Board
appointment to replace Mary Lauby
TOPIC DISCUSSION/ACTION
1. Call to Order 7:04pm
2. Approval of Minutes J. Schiller motioned to approve minutes. G. Yuhas 2°d. All in
(April 10,2018) favor. Motion passed
3. Chairperson Communications P. Ki by announced this is M. L.auby's last meeting after having served
almost two,yea s.`"'he is moving'back to her home state of Wisconsin.
She has bee n�a temNTc a e a d�has brought great perspective to the
gio�up. Her�potenual replacemen,batanis Elias, Esq. is in attendance.
Pt
Kirby said with regard to LRamdin's salary increase, it appears
other positioniin the City with similar or lesser required qualifications
amid respo ilia�s�re paid more than the Health Agent.
M,-Lai.by said it's Lear other health agents in the area are making more.
other
Health Dire t ap sition in Watertown,population of 38,000 recently
posted for$98,000.00 to $107,000.00, depending on experience.
L. R Odin said it's a question of pay equity.
June 5is L. Ramdin's budget hearing.
M, Lauby will update the draft letter to the Mayor to include the actual
salary increase number. She will email it to Beth Rennard to ask how to
proceed correctly and will cc P. Kirby and L. Ramdin.
M.Lauby motioned to take item#5 out of order. G.Yuhas 2°1. All
in favor. Motion passed.
4. Kelsey Currier-Dougherty- Kelsey Currier-Dougherty spoke of the negative effects of polystyrene
Health risks of polystyrene used in toys, packaging, food containers, etc.
Top two negative effects are health and environmental.
The health effects are that polystyrene is a carcinogen, causing cancer of
the esophagus and pancreas. It also causes damage to the nervous and
respiratory systems,kidneys and liver. The carcinogens can leach into
food and beverages. Food trays at the high school used by 80%of the
students every day—approximately 3,000 trays per day are used at the
schools. Kids poke the tray with a fork, exposing themselves further.
The environmental effects are that it floats, causing marine pollution
and endangering marine life. It is made out of petroleum. We
incinerate our trash, so the air is polluted by it. Because it is so porous,
it soaks up chemicals.
She would like to propose a ban of polystyrene. Currently 29
communities have legislation to ban it.
Lynn uses paper boats which are plastic-coated,but still better.
Marblehead banned polystyrene for businesses,but not schools.
M. Lauby asked if she has an alternative proposal to the polystyrene
trays.
K. Currier-Dougherty explained,there are compostable trays,but they
cost 8 cents compared to;/the current trays cost of 3 cents. The 5-cent
cost difference would-mean a cost increase of about$27,000.00 for the
schools. There are reusable plastic trays,but most schools don't have
dishwashers to Olean,them.
J. Schiller thinks the ban is an excellent idea.
L. Ramdin suggested p
., �b ested she resent the ban�to he school committee.
J. Schiller agreed`and said if was a board support her, she should then
go to the school committee with our backing.
G. Y�uha`uggested perhap s�the school food provider may be able to
help us andwe'could have�less�waste.
S. Byrne-Kishida and Janine Delaney-Bishop from MA DEP said their
• ~-•,goal is to "green"the schools and there are grants available to help.
Deb Jeffers, Directo of-School Food Services for Salem, is working on
making changes,tow,aid that-goal.
JulieRose applied for the grant.
L!Ramdin said he will look for suppliers at MASSBUYS Expo next
week.--`
J. Schiller said wshould send a letter of support to the school
committee.
L. Ramdin said we should accept K. Currier-Dougherty's concerns and
support,a move away from polystyrene and investigate further, looking
forward o'a ban in the future.
J.Schiller suggested we request text and policy from other communities
with a ban. We should continue discussions at the June meeting.
V Ramdin feels if we start with the schools it will be easier when a ban
is in place.
K. Currier-Dougherty will send her PowerPoint presentation to L.
Ramdin and he will forward it to board members.
M. Lauby motioned to accept and include into the minutes the
report and recommendations of Ms. Currier-Dougherty regarding
polystyrene and take action to address the concerns raised,
including communicating with the Salem Engineering Department,
• the Marblehead Board of Health and the Salem School Department.
G.Yuhas 2"d. All in favor. Motion passed.
J. Schiller motioned to take item#6 out of order. M. Lauby 2°d. All
in favor. Motion passed.
• 5. Period of public comment for L. Ramdin said Regulation 7 has been in place since the 1980s. It
amendment to Regulation 7- excluded businesses and multi-unit housing.
Solid Waste We will license all trash haulers. We don't license restaurant
dumpsters. We will register them and they must tell us where the trash
is going once it is picked up.
He said about 50 computer screens were dumped on Harmony Grove
Road. Some landscapers are dumping in places around the City.
S. Byrne-Kishida, DEP Regional Recycling Coordinator for MA DEP
said she is present to speak inFs pport of the regulation. She distributed
a handout about waste bans/She says of her 39 communities, Salem
has the highest waste reduction and recycling. Salem also has the best
recycling Facebook page./Salem was the first to have sidewalk food
waste collection. Salem also has a plastic bag ban and a repair cafe
twice a year for-ruse of items.
The DEP is looking to include all wart generators.
g —
They are hopng t.have all private trash ha lers include recycling in a
bundle package,so customers will pay for recycling whether they
choose,to recycle or not Most will recycle ifthgy are paying for it
anyway`.
J. Delane =Bis o with MA DEP gets calls from frustrated residents
Y p
living inapartment buildings with no access to recycling. In response,
• the DEP has�put a document together for best management practices for
municipalities: SPZsays Salem, has-a well-known outstanding recycling
reputation W' h� e Boston DEP office. Salem's draft regulations are
very well-wri en and include a lot of the DEP's best practices.
Mk Lauby askedNif they have heard that less places are accepting
re5ychng� ��they
They responded that are aware and the DEP is working on cleaning
up the recycling'stream. China especially is not accepting as much
recycling. domestic, reduction of waste is best. Reduce, reuse,recycle
in thatorder.
P>,Kirby asked what happens to all the Salem recycling.
G 1 Yuhas said Waste Management takes it to places. China still accepts
paper,but not contaminated with food, etc. Some places are starting to
make factories to clean and reuse glass bottles.
L. Ramdin reminded all that the next meeting is the deadline to accept
the regulation due to funding from the DEP grant.
J. Delaney-Bishop said haulers want consistent regulations for a level
playing field across all communities.
L. Ramdin said the Board can adopt the regulation to give time to
educate people. Businesses realize they can save money by reducing
waste. A lot of businesses now have two dumpsters; one for trash and
one for recycling. Ledger restaurant is putting out more recycling than
trash.
G. Yuhas commented that some restaurants are even composting.
P. Kirby asked how the waste ban works with haulers.
J. Delaney-Bishop said haulers want to work with their customers, so
with the waste ban in place, they can tell them they are regulated by the
DEP to require recycling.
• G. Yuhas asked if we are charging a fee for the haulers and if it includes
all of the landscapers.
L. Ramdin said yes, there is a$100.00 fee for waste haulers and it does
include the landscapers.
J. Schiller motioned to adopt the regulation at the June meeting.
M. Lauby 211. All in favor. Motion passed.
If we hear nothing by the May 15d' deadline for written comment, then:
M. Lauby made an amendedmotion to consider and vote on the
regulation at the June meetmg�G. Yuhas 2"d. All in favor. Motion
passed.
6. Monthly Reports-Updates
a. Public Health P. Kirby asked�if flu season is over.
Nurse's Report S. Darmody said w are deli e y on the tail end of it.
Now—it-is camp season
The�amRp seminar with new regulations was really well attended.
Salem State�11hiversity was�there. There was a lack of communication
from them�with�the r�camps last year.
J. Schiller said t let the Bard know if there are any issues with Salem
State University cap ps,this year.
Copy avail ble��the'BOH office.
b. Health Agent's eJ e Ware now located at 98 Washington Street on the 3rd
Report P floor:—We are settling in. Still waiting on the installation of a counter.
Sm ke perme'I-,d,.from the Red Lion smoking room, so we had to shut
it own. Heard from a few very unhappy people, but it was for the
greater good.
Met with the opiate commission this morning.
Jeffrey Barosy has completed his licensed lead determinator training.
Janice Orta finished her RS review course and is preparing for the test.
Elizabeth Gagakis and Jeffrey Barosy went to training on Title V onsite
wastewater disposal systems.
All the inspectors will attend the MEHA Annual Meeting next week in
Wrentham.
Lots of rat complaints. Dry ice can be used to kill rats.
The dry ice is put into the burrows and when it dries up carbon dioxide
is released and it kills the rats.
P. Kirby commended L. Ramdin on his support of his staff with
trainings, etc.
Short-term rentals (air bnbs)must be inspected once a year. A working
• group is discussing a cap on the number of days a year that owners can
rent property for short-term rentals. P. Kirby asked who the members of
the working group were.
L. Ramdin said it is a working group with the police department, City
solicitor, Office of Tourism, etc. The issue will be most likely addressed
by City ordinance.
• L. Ramdin introduced Datanis Elias. She grew up in Salem and is
raising her family here. She does not have a public health background,
but he thinks that is a good thing. She is a practicing attorney.
M. Lauby sent her resignation on Friday. She will be meeting with the
Mayor and will recommend Datanis.
J. Schiller feels she will bring a healthy perspective.
L. Ramdin said it takes two City council meetings to confirm a new
Board member. First the Council has to accept the Mayor's
recommendation, then at the next'meeting the member is confirmed and
then the swearing in will take,pl�e. Larry Ramdin will attend the
confirmation meeting. / //
J. Schiller feels the information on the tobacco fact sheet for Salem is
not accurate. He wants to,put--it in perspective—what has happened in
Salem from year to year? How has our tobacco 21 program helped?
Some communities don't do spot checks, or not as often.
L. Ramdin said the information is cumulative for the entire year.
Copy available at ththe B,nOH office..
est
q
c. Administrative No;comments/ uiols,
Report Copy available at the BOH office.
d. City Council B. Gerard'said Councilor Domiri ez wants us to be at the next Council
• Liaison Updates ,-—,meeting to discuss restaurant barrpatrons smoking outside
stablishmenis \`
L. Ramdm p said some eople wan�
t exclusion zones, i.e. 20 feet from
entrance to restaurants.
G. Yuhas said at°one point they were trying to get restaurants to adopt
cigarette disposal `,butt" bins, but they were not interested.
B`Gerard said she can"present the Board's letter in support of K.
Currier-Dougherty s proposal to ban polystyrene.
\She asked if Trolley Depot can use up the 4-mil plastic bags they
ordered,because she mistakenly told them they could use them.
L� Ramdin said we must enforce the ban,but he is always guided by the
City Solicitor who said under the circumstances they can use them until
they're gone.
The zoning board approved the application for recreational marijuana
for the medical dispensary.
We can have U to five licenses in the City,but we don't want them all
in one place.
L. Ramdin is more concerned about growing and chemicals and the safe
use of edibles.
The strong odor of marijuana may cause nuisances.
L. Ramdin asked Councilor B. Gerard if she will be willing to
participate on a data analysis committee to review and analyze opioid
• data for Salem.
M. Lauby moved to approve the reports. J. Schiller 2°d. All in
favor. Motion passed.
• 7. Board of Health program M. Lauby handed out"Healthy People 2020"packets that included
planning leading health indicators. She likes the approach with a positive tool
looking at the strengths in a community, rather than Gateway city
programs that are negative and only highlight problems.
Data should be from the MA School of Public Health, Boston
University or Harvard. Her contacts would be able to dig down to get
Salem data. Sexual and domestic assaults are social determinants of
health. They affect mental health and so many other areas.
She believes in the appreciative inquiry. Do we want community
providers to come in to talk to us?
J. Schiller asked what our agenda would be after they come in.
M. Lauby said to give guidance for grants, etc. for issues we believe
will make a difference i.e. more-bike paths, etc. We can make positive
plans. ��
We can also try to' et data sources from DPH.
g
8. New Business/Scheduling of future - Vote�on Regulation�7,,
agenda items -B. Ge ardreport from Council on polystyrene
9. MEETING ADJOURNED: M. Lauby motioned to adjourn the meeting. J. Schiller 2"d. All in
favor. Motion passed.
0.06pm
Respectfully submitted,,/
Maureen Davis
Clerk of the Board
Next regularly scheduled meeting is Tuesday, June 12, 2018 at 7.00pm
�4t City Hall Annex Washington Street, Ist Floor,Salem,MA
•
Suzanne Darmody RN BSN
Salem Board of Health
Public Health Nurse
Public Health Nurse Report
Reporting on May 3,2018 through June 5, 2018
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.
• Continue recording and submitting refrigerator temperature logs, flu doses and clinic
information into the Massachusetts Immunization Information System(MIIS)for up to
date vaccine records and better continuity of care between clinics and providers.
• Posted to Facebook regarding the Red Cross blood drive at the Council on Aging,proper
Tick removal and Safe Grilling Practices to reduce foodborne illness in the Summer.
• Received report from concerned person whom requested we follow up with an elder in
Salem. Liz Gagakis and I made contact with this person,they are reluctant to accept
services however given their living conditions,their hygienic and mental state I am
required as a mandated reported to file with protective services. I assisted in connecting
North Shore Elder Services with this resident. At this time,they are working on the
resident's willingness to accept services and offering support. I will continue to keep in
contact with this open case.
• Foodborne illness symptoms reported by resident,a 72-hour food history and
information intake was completed.Reported to MDPH and Salem inspectors for follow
up inspection/investigation.
Meetings/Trainings
• Attended the Northshore Cape Ann Emergency Preparedness meeting on May 23rd for
discussion regarding Emergency Preparedness deliverables and alert systems. Emergency
Dispensing Site plan template provided to all communities.
• Held clinic at the Council on Aging on May 301 for blood pressure screenings and health
education,about 15 screenings done.
• On May 81 attended the Salem Overdose Awareness and Prevention Coalition meeting,
discussion included ongoing efforts to reach students and parents in the Salem Public
School system.
• Ongoing meetings,phone calls and inspection scheduling with summer camp directors;
met with Lynch-Van Otterloo YMCA on May 91 and Sail Salem on May 15'regarding
new state regulations.
•
• • Attended the mandatory Immunization Update hosted by the MDPH Immunization Unit
on May 22nd for updates on the flu season, ongoing compliance efforts and future vaccine
unit plans.
• Salem high school student intern started shadowing on Tuesday afternoons. She is
interested in attending college to become a nurse after graduating next year.
• Participated webinar regarding Social Media in emergency preparedness planning on
May 30'.
• Participated in webinar by MDPH on Tickborne illnesses on May 31th.
• On May 31",met with Melissa St. Pierre,a Health and Wellness teach at Salem High
School,to discuss the course she teaches as well as any gaps or recommendations she has
to improve students' overall health and wellness in Salem. This information is being
collected for a meeting that is scheduled with the Superintendent in June with members
of the Salem Overdose Awareness and Prevention Coalition.
Monthly Report of Communicable Diseases: May 2018
Disease New Carry Over Discharged/ Total#Of Running Total for ,
Reported Cases this Total for 2017
Closed Month 2018
• Tuberculosis 0 1 0 1 2 2
(Active)
Latent 0 0 0 0 16 45
Tuberculosis*
Arbovirus* 0 0 0 0 0 0
Babesiosis 0 0 0 0 0 0
Calicivirus/No 0 0 0 0 1 4
rovirus
Campylobacte 0 0 0 0 1 8
riosis
Cryptosporidi 0 0 0 0 1 0
osis
Chikungunya 0 0 0 0 0 0
Dengue* 0 0 0 0 0 0
. Ehrlichiosis 1 0 1 1 1 0
• Disease New Carry Over Discharged/ Total#Of Running Running
Reported Cases this Total for Total for
Closed Month 2018 2017
Enterovirus 0 0 0 0 0 0
Giardia 0 0 0 0 0 3
Group A 0 0 0 0 0 4
Streptococcus
Group B* 0 0 0 0 0 4
Streptococcus
Human 0 0 0 0 0 0
Granulocytic
Anaplasmosis
Haemophilus 0 0 0 0 1 4
Influenzae
Hansen's 0 0 0 0 0 0
Disease
• Hepatitis A 0 0 0 0 0 0
Hepatitis B* 0 0 0 0 0 1
Hepatitis C* 3 0 3 3 16 30
Influenza* 1 0 1 1 237 74
Legionellosis 0 0 0 0 0 1
Lyme 0 0 0 0 0 0
Disease*
(0) (0) (0) (24)
(Probable)
Malaria 0 0 0 0 0 0
Measles 0 0 0 0 0 0
Meningitis 0 0 0 0 0 1
Mumps 0 0 0 0 0 0
•
• Disease New Carry Over Discharged/ Total#Of Running Running
Reported Cases this Total for Total for
Closed Month 2018 2017
Rocky 1 0 1 1 1 '0
Mountain
Spotted Fever
Pertussis 0 0 0 0 0 2
Salmonellosis 1 0 1 1 2 7
Shigellosis 0 0 0 0 1 2
Streptococcus 1 0 1 1 2 5
Pneumoniae*
Varicella* 0 0 0 0 0 0
Vibrio 0 0 0 0 0 0
West Nile 0 0 0 0 0 0
Yersiniosis 0 0 0 0 0 0
• Zika Virus 0 0 0 0 0 0
Infection
Total 8 1 8 9 285 197
May 2018
*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 2017 have been updated for year end with the number of CONFIRMED cases.
•
• Summary of Current Communicable Diseases
Tuberculosis:
New arrival: I have been notified of a new arrival to the U.S. whom requires a PPD test indicated by the
Office of Immigration and Refugees. I coordinated with MDPH for PPD and an outreach worker to
provide translating assistance and completed Tuberculosis testing and have referred them to the
Northshore Pulmonary Clinic. Clinic appts found abnormalities and follow up is pending sputum culture.
Active Case: This case was diagnosed in the hospital and started on D.O.T. on January 11'. They
extrapulmonary tuberculosis (infection is not in the lungs) so there is no contact testing required as the
bacteria is not able to be airborne. I am seeing this patient Monday-Friday for medication management,
they are currently not working and are being followed by the pulmonary clinic and surgeon.
Ehlichiosis:
Case 1: This patient did not have a known tick bite or any recent travel out of the state.However,they felt
very fatigued and "off'for several weeks before testing positive. They have been treated and their
symptoms have resolved.This case does not require further follow up and is now closed.
Rocky Mountain Spotted Fever:
• Case 1: This patient was asymptomatic and was tested as a precaution by the patient's request.They were
currently completely a full course of antibiotics.This case does not require further follow up and is now
closed.
Salmonella:
Case 1: This patient had traveled out of state during the incubation period and identifies an at-risk food
item they consumed that their family member did not whom also did not get sick.This patient did seek
outpatient medical care when they returned home and their symptoms resolved with treatment. They do
not work in a supervised care setting or as a food worker.This case does not require further follow up and
is now closed.
•
Health Agent report 2018
Announcements/Update
• The Budget Hearing for the Health Department FYI has been scheduled for June 4,
2018. The Budget submitted to the Council does not include any of Department staffing
and salary requests. $50 000. 00 was added to the contracted services line to provide for
contract inspections for certificate of fitness inspections.
• Datanis Elias has submitted a letter of interest to the Mayor to serve on the Board of
Health, the Mayor has advised that she will be meeting with Ms. Elias to discuss the
appointment as soon as she can.
• All Staff meeting was held on May 23, the Mayor discussed current issues, introduced
new staff and budget.
Community Outreach/Inter-Departmental Collaboration
• Larry Ramdin attended Forest River redesign committee meeting
• Larry Ramdin, Elizabeth Gagakis and Janet Mancini met with Julie Rose and Micaela
Guglielmi of the Engineering Department to discuss strategies and responsibilities in
dealing with trash on sidewalks.
• Meetings and Trainings
• Larry Ramdin and the Environmental Health attended the MEHA Annual meeting, where
there were presentations on Food Safety; Rodent Control, , Float Tanks and Micro-Cell
Towers
• Larry Ramdin and the Environmental Health team attended training on Individual Water
supply systems hosted by MEHA in conjunction with DEP and
• Janet Mancini participated in an online training on Bed-bugs
Environmental Health Activities
• Larry Ramdin and Elizabeth Gagakis met with Life Alive owner, Pest control provider
and Landlord, to discuss strategies to eliminate current rodent infestation and prevent its
re-occurrence. A separate site visit was done with the representatives of the Building
management company.
• We are dealing with a sewage odor at Intervale Road and a dye test was conducted, it
revealed the source of the odor steps are being taken to replace an in-ground ejector
pump that may be compromised
• The Health Agent, Building Inspector and Fire Marshal conducted an inspection at 19
Sumner Road to ensure compliance of regulations as the property is currently city owned.
Inspections
Item Monthly Total 2018 YTD 2017 Total
Certificate of Fitness 51 263 383
Inspection
Certificate of Fitness 0 1 47
re-inspection
Food Inspection 24 101 249
Food Re-inspections 2 28 83
Retail Food 5 18 33
Inspections
. Retail Food 1 8 14
re-inspection
Temporary Food 4 13 249
General Nuisance 1 11 34
Inspections
Food— 0 0 1
Administrative
Hearings
Housing Inspections 6 29 99
Housing re- 1 7 46
inspections
Rodent Complaints 5 13 46
Court 0 3 4
• Hearings/filings
• Item YTD 2018 2017 Total
Trash Inspections 65 288 906
Orders served by 0 1 4
Constable
Tanning Inspections 0 0 0
Body Art 0 1 0
Swimming pools 13 13 22
Bathing Beach 0 0 123
Inspection/testing
Recreational Camps 0 0 6
•
Lead Determination 2 2 1
Septic Abandonment 0 0 2
Septic System Plan 0 0 0
Review
Soil Evaluation 0 0 0
Percolation tests 0 0 0
Total 180 757 2338
Health Dept. Clerical Report FY 18 •
Burial Permits Permits Plan Reviews erti icate of Copies / Fines Revenue Permit Fees
July-1 7 $900.00 $4,350.00 $630.00 $1,800.00 $300.00 $7,980.00 Food Service Est. <25seats $140
August $700.00 $1,670.00 $270.00 $1,500.00 $4,140.00 25-99seats $28o >99seats $420
September $900.00 $4,530.10 $270.00 $2,350.00 $200.00 $8,250.10 Retail Food <i000sq' $7o
October $1,225.00 $2,910.80 $540.00 $1,550.00 $6,225.80 l000-10,000 $28o >io,000 $420
November $1,075.00 $10,620.00 $90.00 $1,450.00 $50.00 $13,285.00 Temp.Food 1-3 days $35
December $825.00 $64,390.00 $0.00 $1,400.00 $900.00 $67,515.00 4-7 days s70 >7days $
January-18 Example of>7 day temp food permit:14(days)
$1,625.00 $7,845.00 $180.00 $2,450.00 $1,600.00 $13,700.00 divided bY7=2 x s70=$140
February $1,025.00 $1,695.00 $270.00 $4,100.00 $600.00 $7,690.00 Frozen Desserts s25
March $925.00 $2,325.00 $720.00 $2,150.00 $100.00 $6,220.00 Mobile Food $210
April $1,125.00 $835.00 $270.00 $1,050.00 $175.00 $3,455.00 Plan Reviews New s18o
May $1,125.00 $3,420.00 $180.00 $1,200.00 $5,925.00 Remodel s90
June Catering s25pereventl$200
$0.00 catering kitchen
Body Art Est. $315
Total $11,450.00 $104,590.90 $3,420.00 $21,000.00 $3,925.00 $144,385.90 Body Art Practitioner $135
Review Plans s18o
Fiscal Year Budget 2018 Suntan Est. s140
Rec.Day Camp s10
Salary Starting Ending Expenses Ext.Paint Removal $35
Full Time $412,115.00 $81,876.88 Starting Endinq Transport Off.Subst. slo5
Part Time $43,354.00 $15,821.23 $32,500.00 $10,711.78 Tobacco Vendors $135
Overtime $5,800.00 $360.57 g 4
Swimmin Pools Seasonal s1 0
Balance $461,269.00 $98,058.68 Health Clinic Revolving Account Annual s2io Nonprofit s40
S11,221.19 Title V Review s18o
Well Application s18o
Disposal works $225118o
Breakdown of Permits and Fines
May 2018
Permit Description Total Permits Issued Permit Cost Total
Food, Annual -<25 seats 1 $140.00 $140.00
Food, Annual -25-99 seats 1 $280.00 $280.00
Food, Annual ->99 seats 1 $420.00 $420.00
Food, Annual - Retail<1,000sq' 1 $70.00 $70.00
Food -Temporary Pop Up 1-3 days 17 $35.00 $595.00
Body Art Practitioner 3 $135.00 $405.00
Burial Permit 45 $25.00 $1,125.00
Camp Permit 1 $10.00 $10.00
Catering 2 $25.00 $50.00
Certificate of Fitness 24 $50.00 $1,200.00
Exterior Paint Removal 3 $35.00 $105.00
Frozen Dessert 1 $25.00 $25.00
Funeral Director License 8 $75.00 $600.00
Plan Review-New or Major Renovation 1 $180.00 $180.00
Pool Permit 4 $140.00 $560.00
Pool Permit- Non-Profit 4 $40.00 $160.00
Total #=1 117 1 YTD = 1,7931 ITotal $= $5,925.00
CITY OF SALEM PUBLIC HEALTH REGULATION#7
Requirements for Placement, Collection and Disposal of Solid Waste by Residents,
Mandatory Recycling for Residents and Businesses within the City of Salem and
Solid Waste Disposal/Recycling Haulers Licensing and Operations
Section I. Scope of Authority
The Salem Health Department adopts the following regulation pursuant to authorization granted
by M.G.L. c Ills. 31 and 31B, 310 CMR 11.02 and 310 CMR 19.0 et seq. The regulation shall
apply, as specified herein, to all residents, institutions and businesses, existing and new, within
the City of Salem. This regulation was adopted on and shall be effective November
1, 2018.
Section II. Purpose of the Regulation
These regulations are intended to preserve the public and environmental health and are designed
to 1)keep banned recyclable materials and certain toxic materials out of the solid waste stream,
2)regulate and license haulers of solid waste and recyclables and 3) establish requirements for
the proper placement, collection and disposal of solid waste by residents and allowed small
businesses in order to prevent public health nuisances that could lead to disease and/or
environmental contamination.
Section III. Definitions
For the purpose of this regulation, the following words and phrases shall have the following
p � 1� � g P g
meanings:
A. Allowed Small Business: Those small businesses as listed in the "City of Salem,
Massachusetts, Contract for Solid Waste and Recyclable Materials, Collection and
Transportation, dated July 1, 2015."
B. Bag-Official Overflow Bag: 35 Gallon Plastic bag for excess solid waste that does not
fit in the City carts. Bags are available for purchase at local stores including Crosby's
and Winer Brothers. Volume shall not exceed 35 gallons and total weight of a bag
and its contents shall not exceed 501bs.
C. Bulky Waste: Included,but is not limited to, items weighing over 50 pounds or too
large to place in a solid waste barrel such as furniture or a mattress/box spring,but
excludes yard waste and construction debris and other waste ban items per
105CMR310
D. Construction Debris: Waste building materials resulting from construction,
remodeling, repair and demolition operations and as set forth in the Department's
Regulations relative to waste bans.
E. Containers: A receptacle for solid waste or recycling. For the purposes of curbside
collection of solid waste, a Contractor designated and supplied 64-gallon cart. For
purposes of recycling, a Contractor designated and supplied 96-gallon cart. The term
• "cart" shall mean a 64-gallon(solid waste) or 96-gallon(recyclables) commercially
manufactured plastic container with wheels and attached lid provided by the City's
Solid Waste Collection Contractor(Contractor) for the storage and setout of solid
waste and recyclables. An acceptable container may also include smaller containers,
approved by the Contractor on a case by case basis.
F. Department: The City of Salem Board of Health Office.
G. Facility: A licensed solid waste resource recovery or recycling plant, transfer station
or approved sanitary landfill or assigned or permitted composting site.
H. Hazardous Waste or Material: Any waste that is defined and regulated under 310
CMR 30.00.
I. Household: The single residential unit within a single or multi-family complex.
J. Leaf and Yard Waste: Any deciduous and coniferous seasonal deposition, grass
clippings, weeds, hedge clippings, garden materials and brush. Licensee: Any
person(s) or company, which has applied for and obtained the appropriate license to
collect solid waste within the limits of the City of Salem.
K. Recyclables: As established set forth in 310 CMR 19.00 including,but not limited to
glass containers, plastic containers, aluminum, metal containers and newspapers.
Glass containers as defined shall be made of clear, brown or green glass, and shall
exclude blue and flat glass (commonly known as window glass), dishes, pottery and
crockery. Plastic containers shall be household plastic containers#s 1, 2, 3, 4, 5, and
7, excluding plastic film (plastic bags, for example). Aluminum as defined shall
include cans,but exclude foil and containers or trays used in the packaging of food.
Metal containers as defined shall be made entirely of ferrous metal (iron or steel) and
• may exclude all pressurized cans and cans which have contained hazardous materials.
Paper, cardboard and paperboard products including newspaper as defined shall mean
unsoiled newsprint, including newspaper advertisements, supplements, comics,
enclosures, magazines, catalogues and telephone books.
L. Restricted Materials: As set forth in 310 CMR 19.00 including,but not limited to lead
batteries, leaves, tires, white goods, other yard waste, aluminum containers,metal or
glass containers, single polymer plastics, recyclable paper, cathode ray tubes, asphalt
pavement,brick and concrete,metal and wood.
M. Solid Waste collection vehicle: Any vehicle used for the delivery of solid waste
and/or recyclable material. Said vehicle shall be in a safe, clean condition and in
good repair, and appropriately marked identifying the haulers name, working phone
number and place of business.
N. Solid Waste: Useless, unwanted or discarded solid material, resulting from municipal
or household activities that is abandoned by being disposed or incinerated or is stored,
treated or transferred pending such disposal, not including any hazardous waste,
special wastes.
O. Special Waste: A solid waste that requires special handling(i.e. demolition/
construction material) or disposal techniques or methodologies to protect the public
health or safety or the environment.
P. White Goods: Stoves, refrigerators, water coolers,bubblers, dishwashers, clothes
dryers, washing machines, freezers, air conditioners, and dehumidifiers. White Goods
shall be classified as either Freon/refrigerant containing or non-Freon/refrigerant
containing types.
2
• Section IV. Requirements for Placement, Collection and Disposal of Solid Waste
A. Time of Placement: City issued carts may be placed curbside for municipal collection
no sooner than 6 PM the evening before the scheduled collection. All carts and
overflow bags must be placed curbside no later than 7 AM on the day of collection
and must be removed from the sidewalk on the same day as the collection.
B. Solid Waste Acceptable Materials: Only items included in the solid waste definition
in this regulation may be placed curbside in carts or overflow bags for collection.
C. Bulky waste: Two bulky waste items per household per recycling week may be
placed for collection per household and allowed small businesses.
D. Hazardous Materials: Hazardous materials, such as those banned from regular solid
waste disposal in accordance with 310 CMR 19.017, must be handled according to
local, state and federal rules and regulations.
E. Recyclable Materials: Recyclable materials may be placed curbside in City or
Contractor issued carts for collection on the same day as regular solid waste
collection on a bi-weekly schedule, see city website for schedule. Material placed in
the cart must have the potential to be recycled and is identified, listed and accepted as
such and which is not commingled with non-recyclable solid waste or contaminated
by toxic substances as per 310 CMR 19.006. Up-to-date information regarding
handling recyclable materials is located at www. salem.com/recycling-and-trash or by
calling the City Engineer's office(978) 619-5673.
• F. E-Waste: May be disposed of privately. The City provides quarterly e-waste
collection. Most items are free. See city website for details.
G. Yard Waste: Yard waste may not be included in regular municipal collection. It will
be collected on a schedule agreed upon by the city and the city's contractor or
brought to the Transfer Station on Swampscott Road seasonally. Yard waste must be
placed in yard waste paper bags or open containers clearly marked as "yard waste."
Trimmings may be bundled in lengths no more than three feet long. Branches may
not have a diameter greater than 3 inches long and weigh no more than 50 pounds.
H. Miscellaneous:
1. No person shall disturb, remove or collect any solid waste,bulky waste,
recyclable material, white goods, or yard waste from any premises without
consent of the owner, nor any waste placed out for collection upon any sidewalk
or way except employees or contractors of the City.
2. No person, firm,business, or corporation shall place or keep any container, bag,
box, crate, or any other receptacle containing solid waste or recyclable materials
on any sidewalk in the City except for removal or collection by the City, its
Contractor or a private collector. Waste or recyclable material may be placed
curbside adjacent to the place such person, firm,business, or corporation resides
or has a place of business.
1. Commercial collection:
•
3
The owner of every business, other than the small businesses which have been
provided bins by the City and who follow the rules established for municipal curbside
collection, shall provide, keep clean and in good repair proper and sufficient solid
waste receptacles for the storage of solid waste and recycling. Such owner shall
provide for the collection and removal of the solid waste and recycling by him/herself
or by a private collector, at sufficient intervals, and in a manner to prevent a nuisance
as may be determined by the Board of Health. Tightly covered containers may be
placed curbside for private collection no sooner than 6PM the evening before the
scheduled collection and must be removed from the sidewalk on the same day as the
collection. In the event bags are utilized for private collection,bags may be placed
curbside for collection no sooner than 6 AM the morning of the scheduled collection
and must be removed from the sidewalk on the same day as the collection.
Section V. Mandatory Recycling Regulation
A. Solid waste collected by the City of Salem or any licensed rubbish hauler shall not
contain recyclables or restricted materials. Each generator of waste and/or property
owner/manager shall separate from non-recyclable rubbish all recyclables, as defined.
B. Waste generators are responsible for ensuring that they do not contract for the
disposal of recyclables or restricted materials with their solid waste.
• C. Owner/Manager of a property shall be responsible for immediate removal of all solid
waste and/or recyclables placed on or near the side of a street for collection which does
not comply with the rules and regulations of the Salem Health Department. Failure to
remove within 24 hours shall result in a fine being issued.
D. No person shall willfully or maliciously disturb or handle the contents of or tip over or
upset any container placed for the collection of solid waste or recycling.
Section VI. Solid Waste Disposal/Recycling Haulers Licensing and Operations
A. General:
1. Any person or company engaged in the collection of solid waste and recyclables
shall obtain a license from the City of Salem. Solid waste and recyclables collected
shall be brought to a Department of Environmental Protection(DEP) approved solid
waste disposal facility.
2. The licensee shall provide Integrated Solid Waste Services, defined as providing
bundled service for the collection of both Solid Waste and Recyclables for each
Customer to allow compliance with the DEP solid waste bans found at 310 CMR
19.
3. All licensed solid waste disposal/recycling companies serving residential, municipal
and commercial/industrial/institutional customers in the City of Salem shall provide
customers with bundled service for the collection of both solid waste and
recyclables at a rate that reflects the cost of both services. An approved recycling
• service consist of a recycling collection, minimum bi-monthly(twice a month).
4
• 4. Individuals engaging in yard waste collection and/or removal of bio-degradable
waste shall obtain a permit from the Health Department and shall indicate the site of
final disposal and maintain records on an annual basis for examination.
B. Licensing procedure:
1. All persons collecting solid wastes in the City of Salem shall obtain a license from
the Health Department prior to commencing with its collection.
2. At the time of application or as otherwise specified, the licensee shall submit to the
Health Department the following information:
a. A completed application form.
b. A non-refundable$100 application fee for each vehicle.
c. A list of the residential, municipal and commercial/industrial customers
serviced by the collection. Supplied yearly.
d. A description of the collection vehicle(s)to be used, including the make, model,
registration, year, type and size of compactor, and the company name appearing
on the vehicle(s).
3. An exact figure of the tonnage of solid waste and recyclables that have been
collected from residential/commercial sites shall be submitted to the Health
Department monthly on company letterhead and signed by company representative.
4. The Health Department reserves the right to require all vehicles collecting solid
waste in Salem to have a marking thereon indicating they are licensed in Salem.
5. A licensee has the right to be heard by the Board of Health to discuss its
application by making written request to the Department.
•
C. Insurance:
1. Each applicant shall furnish the Health Department with certificates from an
insurance company, licensed to do business in the Commonwealth of Massachusetts
showing the applicant carries public liability and property insurance. Certificates of
insurance shall be furnished each year upon the renewal of the license.
2. The applicant shall make certain that the above insurance policy is not cancelled
prior to notification of the Health Department. This notification shall be not less
than(30) days prior to the cancellation.
D. Operation Procedures:_
1 The license shall expire on December 31" following the date of issue unless
sooner revoked and shall be renewable annually on the first day of January subject
to review and approval by the Health Department
2. No license shall be transferable except with the approval of the Health Department.
3. The licensee shall deliver all solid waste collected within the corporate limits of
Salem to a licensed solid waste resource recovery plant, transfer station or approved
sanitary landfill.
4. The licensee shall provide recycling service to allow compliance with the DEP solid
waste bans and the Board of Health bans by the effective dates of those bans.
5. All recyclables must be collected at a minimum bi-monthly(twice a month).
Licensees are required to collect both paper products and co-mingled
• (glass/plastic/metal) at each pickup.
5
6. The licensee shall take all reasonable care in the collection of solid waste and
recyclables. Solid waste and recyclables shall not be scattered about the streets or
onto private property. Solid waste and recyclables which are spilled, shall be
immediately picked up by the licensee and removed with other wastes. Failure to
comply may result in fines up to $100.00 per incident.
7. The Health Department reserves the right to inspect collection vehicles and loads at
reasonable times in order to ensure that they comply with all applicable state and
local laws, by-laws and regulations.
8. Any violation of these regulations or any other applicable laws or regulations by the
licensee will be grounds for suspension, modification or revocation of said license.
9. The individuals empowered to enforce the provisions of these regulations shall be
the Agent of the Health Department and any member of the Department, or any
Police Officer of the City.
10.Licensees are required to provide their customers with a list of acceptable waste
types and recyclables according to Department regulation and with a list or
description of proper packaging or bundling methods.
11. The licensee shall pick up from residential, commercial, institutional and industrial
service recipients within the city limits between the hours of 7:OOam and 8:OOpm.
12. The licensee shall provide adequately sized receptacles for solid waste and
recycling if necessary and maintain in a clean insect resistant manner free from
odors, leaks, rodents and insects.
13. Licensees shall not store recyclables or solid waste in the vehicle on public ways
overnight without permission of the Board of Health.
E. Indemnification:
1. Licensees may enter into arrangements for the collection of solid waste and
recyclables with condominium units, residential apartment complexes in excess of
six (6)units and commercial/industrial/institutional customers of the City. The
licensee will be paid directly by the customer. The City shall have no liability for
payment to the licensee for any residential or commercial/industrial/institutional
collection and disposal work that is not included in the City's contract.
2. The licensee shall take all responsibility for the work and take all reasonable
precautions for preventing injuries to persons or damage to property; shall bear all
losses resulting to the collection company on account of the quantity or character of
the work; shall indemnify and hold harmless the City of Salem, its officers, agents
and servants from all claims relating to labor and materials furnished to do the
work, and for all injuries to any person or corporation received or sustained by or
from the licensee and its employees doing the work, in consequence of any
improper materials, implements or labor used therein: and to any act, omission or
neglect of the licensee and its employees.
3. The licensee agrees to indemnify the City for any liability that may arise from the
improper treatment, storage or disposal of hazardous wastes collected within the
City.
F. Suspension, Modification or Revocation of licenses:
6
Any solid waste/recycling collection license may be suspended, modified or revoked by
the Health Department upon receipt of evidence satisfactory that the licensee has not
conformed to the requirements of these regulations or to any applicable state or federal
statute, regulation, rule or order regarding the transportation or disposal of solid waste
or the collection and disposal of solid waste or recycling. Appeals of any such
suspension,modification or revocation may be directed to the Board of Health within
ten(10)business days of said suspension, modification or revocation.
Section VII. Enforcement
Enforcement of this regulation shall be by criminal complaint in the district court and/or non-
criminal disposition ticket M.G.L. Chapter 40, § 21 D. Agents of the Health Department shall
have the power to enforce the provisions of this regulation. The City shall also have the option of
seeking equitable relief to enjoin violations.of the rules and regulations of the Board of Health.
Section VIII. Penalties
A violation of these regulations may be punished by a fine set forth in City Ordinance Chapter 1-
10. Each day of failure to comply with the regulations shall constitute a separate violation.
Section IX. Severability
In case any section, paragraph or part of this regulation is for any reason declared invalid or
unconstitutional by any court of last resort, every other section, r
or paragraph art shall continue
r
in full force and effect.
7
Maureen Davis
.From: Patricia Gozemba <pgozemba@gmail.com>
Sent: Monday,June 11, 2018 3:52 PM
To: Maureen Davis; Larry Ramdin; Paul Kirby
Subject: BoH Sign on Letter; Two More Municipalities
Attachments: Cities and Towns 6.9.18.docx
Maureen, Larry, and Paul,
I'm following up on the email that I sent to you last Friday just'to note that two more municipalities:Weymouth and
Winthrop have signed on to the letter to go to Governor Baker.This brings the total number to 67 municipalities
(representing 33.7%of the population of MA)that are requesting these reasonable responses regarding new gas
pipelines from the governor.
I am hoping to hear from you regarding the next opportunity that SAFE might have to meet with you and discuss our
request to have the Salem Board of Health join with the growing number of concerned municipalities.
I know that you are meeting on June 12th, but would like to know when the next opportunity will arise.
Thanks so much,
Pat
X(9
FI
Patricia A.Gozemba
Co-Chair SAFE
pgozemba@gmail.com
www.SalemSAFE.org
Facebook:SalemSAFE
978.744.9141
s
•
1
I�
0
Y
Governor Charles Baker
Massachusetts State House
Office of the Governor
Room 280
Boston, MA 02133
Dear Governor Baker:
The Board of Health joins other Massachusetts Boards of Health in urging you to
require an independent and comprehensive health impact assessment prior to authorization of
any new natural gas infrastructure, including, pipelines, compressor stations, and storage
facilities in the Commonwealth. .
We have adapted the excellent letter to you from the Amherst Board.of Health, dated October
12, 2017.
Natural gas transmitted in pipelines contains contaminants that can cause human illnesses even
at low concentrations. These contaminants include benzene and other volatile organics, heavy
metals, formaldehyde, and small particulate matter, as acknowledged by pipeline companies in
permit applications'. Ideally, pipeline gas and its contaminants would be perfectly contained,
and there would be no illness risk to people living near pipelines and compressor stations. In
• fact, however, releases of pipeline contents are well-documentedZ. Inadvertent release occurs
via equipment failures, "fugitive" gas leaks, and accidents and explosions3. In addition to
inadvertent releases, maintaining the transmission infrastructure requires regular, deliberate
venting of compressors (blowdowns), which expel significant quantities of gas plus
contaminants into the environment around compressor stations4.
Preliminary studies have linked gas transmission infrastructure to adverse health effects on
people living nearby"', but better data are needed on actual toxin levels near pipeline
infrastructure and on their health impacts. Since releases containing toxic chemicals definitely
do occur, it is not prudent to authorize new pipeline construction until pollutant levels have
been measured over time and at different distances from existing pipelines, and health
registries have been established and the results studied to allow valid assessments of the health
of people living near gas infrastructure. Perhaps actual health risks will turn out to be so low as
to be deemed acceptable if the pipeline delivers gas needed in the community under conditions
where renewable energy sources are currently insufficient. However, if the pipelines main
purpose is to export gas, as is the case for some pipelines proposed in Massachusetts, it is
difficult to imagine a legitimate justification for subjecting local residents even to very low
levels of health risk.
Existing pipelines, and any new ones that may be built however inadvisably, must be subject to
regulation. At the national level, the Federal Energy Regulatory Commission has a history of
• favoring the fossil fuel industry rather than.the public interest. This is perhaps not surprising
Page 1—Draft letter to Governor Baker
given the Commission's funding, which comes entirely from the industries it regulates'. Thus, it
is vital for the Commonwealth to take the lead in ensuring that existing as well as new gas
infrastructure are safe, since federal regulation may be inadequate.
Based on the foregoing considerations, the Board of Health makes these specific
recommendations for state action:
1. Do not authorize new natural gas infrastructure projects in Massachusetts until and
unless adequate data have been gathered to allow making a valid health impact
assessment specific to each project.
2. When the above data have been gathered, require a comprehensive health impact
assessment before permitting any gas infrastructure project, following the American
Medical Association and Massachusetts Medical Society policies to that effect$'9.
3. Do not allow any new natural gas infrastructure in the state that primarily serves to
export natural gas, if it subjects state residents even to small health effects.
4. Review current regulations, both state and federal, for existing and new pipelines and
other natural gas infrastructure. Put in place additional state regulations needed to
improve safety of the infrastructure and containment of pipeline contents.
5. Consider renewable alternatives to natural gas such as solar and wind reducing our
reliance on fossil fuels which add to global warming.
We ask that you take timely action on this request. Several pipelines, compressor stations, and •
storage facilities are being considered in the Commonwealth. Beginning independent
comprehensive health impact assessments of the potential human health hazards of these new
natural gas infrastructure projects is a high priority.
Thank you for considering these requests.
Sincerely,
•
Page 2—Draft letter to Governor Baker
r
References
1 e.g. Spectra Energy Partners, Atlantic Bridge Project, Resource Report 9. Algonquin Gas
Transmission LLC Weymouth Compressor Station Permit Application, Table B1A1. Cited by
Nordgaard C., (2015)
https://drive.google.com/file/d/OBvMONoeZSvWSTVRYUOFGUDZubmM/view
2 Allen, DT Emissions from oil and gas operations in the United States and their air quality
implications.Journal of the Air& Waste Management Association 66: 549-575 (2016).
http://www.tandfonline.com/doi/full/10.1080/10962247.2016.1171263
3 Pipeline and Hazardous Materials Safety Administration (U.S. Department of Transportation),
serious incidents (injury or death, or large accidental releases or fires or explosions); search
limited to onshore gas transportation incidents: in the 10 years 2007 through 2016, in the U. S.
there were 579 incidents resulting in 22 fatalities, 112 injuries requiring hospitalization, and
over$1 billion in property damage.
https://www.phmsa.dot.gov/pipeline/library/data-stats/pipelineincidenttrends
4 Kloczko, N. A Brief Review of Compressor Stations. Southwest Pennsylvania Environmental
Health Project, (2015).
http://www.environmentaIheaIthprooect.org/files/A%2OBrief%2OReview%20of%2OCompressor
%20Stations%2011.2015.pdf
5 Steinzor N, Subra W, Sumi L. Investigating links between shale gas development and health
impacts through a community survey project in Pennsylvania. New Solutions:AJournal of
Environmental and Occupational Health Policy 23: 55-83 (2013) https://doi.org/l0.2190/NS.23.1.e
6 Anderson AR. Health effects of cut gas lines and other petroleum product release incidents -
• seven states. Morbidity and Mortality Weekly Report 64: 601-605 (2015)
https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6422al.htm
7 "The Federal Energy Regulatory Commission (FERC or the Commission) recovers the full cost
of its operations through annual charges and filing fees assessed on the industries it regulates ...
resulting in a net appropriation of zero." https://ferc.gov/about/strat-docs/2017/FY18-Budget-
Request.pdf
8 American Medical Association H-135.930 Protecting public health from natural gas
infrastructure, Resolution 519, A-15 (2015). https://policysearch.ama-
assn.org/policyfinder/detail/Resolution%20519%2C%20?uri=%2FAMADoc%2FHOD.xml-0-
301.xml
9 Massachusetts Medical Society. Natural gas policy adopted by House of Delegates, April 29,
2017. Page 30, Massachusetts Medical Society Policy Compendium.
•
Page 3—Draft letter to Governor Baker
e _
Towns & Cities whose Board of Health has signed on to group letter or written own letter
to Governor Baker about health risks of natural gas
Population represented by Mass. Population / Mass population
Boards that have sent letter 2,203,597 33.7% represented by Boards
to Governor 6,547,629 sent letter
Town/City PopulationT Signed on or wrote Town/City Population Signed on or wrote
own letter own letter
1 Abington 15,985 Signed on May 2017 36 Holyoke 39,880 Signed on July 2017
2 Adams 5,515 Signed.on Jun 2017 37 Lanesborough 3,091 Signed on Aug 2017
3.Agawam 28,438 Own letter Jun 2018 38 Lexington 31,394 , Own letter Jun 201-7
4 Amherst _ 37,819 Own letter Oct 2017 39 Ludlow 21,103 Signed on Apr 2017
5 Arlington 42,844 - Signed on May 2017 .40 Methuen 47,255 Signed-on Sept 201-7 `
6 Ashburnham 6,081 Signed on Jun 2017 41 Millis 7,891 Signed on Apr 2017
7 Ashby 3,074 Signed on May 2017 42 Milton 27,003 Own letter May 2018
8 Ashfield 1,737 Signed on July 2017 43 Natick 32,786 Own letter Sept 2017
9 Athol 8,265 Signed on May 2017 44 Newton 85,146 Own letter May 2017
10 Attelboro 43,493 Signed on Apr 2018 45 Norfolk 11,227 Signed on May 2017
11 Bedford 13,320 Signed on Jun 2017 46 North Adams 13,708 Own letter Mar 2018
12 Bellingham 16,332 Signed on Apr 2017 47 Norton 19,031 Signed on Apr 2017
13 Billerica 40,243 Signed on Jun 2017 48 Norwood 28,602 Signed on May 2017
14 Boston 617,594 Own letter Jun 2017 49 Northampton 28,549 Own letter Dec 2017
15 Brookline 58,732 Own letter May 2018 50 Pittsfield 44,737 own letter May 2018
16 Buckland 1,902 Signed on May 2017 51 Provincetown 2,642 Signed on May 2017
17 Cambridge 105,162 Signed on Jan 2018 52 Rehoboth 11,608 Signed on
18 Canton 21,561 Own letter Jan 2018 53 Rockport 6,952 Signed on Jun 2017
19 Carlisle 4,852 Signed on May 2017 54 Saugus 26,628 Signed on 2017
20 Chatham 6,125 Own letter Mar 2018 55 Shelburne 1,893 Signed on Aug 2017
21 Chicopee 55,298 Signed on Oct 2017 56 Springfield 153,060 Signed on Apr 2018
22 Chilmark 866 Signed on Apr 2017 57 Stoughton 26,962 Signed on Oct 2017
23 Cohasset 7,542 Signed on July 2017 58 Stow 6,590 Signed on Apr 2017
24 Concord 17,668 Signed on May 2017 59 Townsend 8,926 Signed on May 2017
25 Conway 1,897 Signed on Apr 2017 60 Uxbridge 13,457 Signed on Aug 2017
26 Dalton 6,756 Own letter Oct 2017 61 Walpole 24,070 Signed on Aug 2017
27 Dartmouth 34,032 Own letter May 2018 62 Waltham 60,632 Signed May 2018
28 Deerfield . 5,125 Signed on-Apr 2017 63 Westfield. 41,094 Signed on July 2017
29 Eastham 4,956 Signed on Aug 2017 . _64 Weston 11,261 Signed-on-Mar 2018
30 Egremont 1,225 Signed on July 2017 65 West Springfield 28,391 Signed on May 2017
31 Essex 3,504 Signed on Apr 2017 66 Weymouth 53,743 Signed on Apr 2017
32 Grafton 17,765 Signed on Apr 2017 67 Winthrop 17,497 Signed on Jun 2017
33Great Barrington 7,104 Signed on Jun 2017
34 Greenfield 17,456 Own letter May 2018
35 Harvard 6,520 Signed on May 2017
Updated-May 30, 2018
r
• Page 8 of 19
1 ADOPTED AS AMENDED
2
3 Item#: 8
4 Code: Resolution A-17 A-105
5 Title: Protecting Public Health from Natural Gas Infrastructure in
6 Massachusetts
7 Sponsors: Srita Lundberg, MD
8 Krupa Patel, MD
9 Susan Racine, MD
10
11 Referred to: Reference Committee A
12 Kevin O'Callaghan, MD, Chair
13
14 HOUSE VOTE:
15
16 Referred to: (Item 1): MMS Policy Compendium
17 (Item 2): Committee on Legislation(and MMS Policy
18 Compendium)
19
20 Informational Report: (Item 2): A-18
21 Strategic Priority: Sustainable Health Care Delivery
22
23 1. That the MMS adopt the following adapted from AMA policy:
24
• 25 That the MMS recognizes the potential impact on human health associated with
26 natural gas infrastructure. (HP)
27
28 2. That the MMS advocate to appropriate agencies and the Massachusetts state
29 legislature to require ongoing independent Comprehensive Health Impact
30 Assessments to assess the human health risks of all existing and proposed new or
31 expanded natural gas infrastructure in Massachusetts. (D)
32
33 Fiscal Note: No Significant Impact
34 (Out-of-Pocket Expenses)
35
36 FTE: Existing Staff
37 (Staff Effort to Complete Project)
•