The URL can be used to link to this page

MONTHLY REPORTS 1986 TO 1989� BOARD' OF HEALTH MONTHLY REPORTS 3/ 1986 TO i 12/ 19.89 ,. AyMZH 4 MONTHLY REPORT 1 Decem er � 19�9 ANIMAL.BITES RE RTED. 0 w �I(7 {GSCS'bZSTRfiBUTED AMOtl2� I Dipthef1a,Tetanus'.&.-Pert.ussis 28 Vials,. 4' I: ^ }Jigt eria Tet, nus Tox.(under 6:yrs. ) 2 `vials BURIAL PERMITS 57 r r , r, ,., Immune Serum Globulin 0 INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED) : 0 , rieasles (Clinic use only) , . Measles/ s/Rubella 70 doses TOTAL CASH RECEIVED FROM $ 1235:.00 LICENSES & PERMITS ISSUED Polio .Vaccine 280 doses CERTIFICATE ' r" Tetanus & Diptheria (adult use) 35 vials OF;FITNESS $ 050,.00 .,. Tetanus Toxofd 1 vials-. T- ----- ". - ML 7 doses` 5 ML # 4 _Tuberculin P..P.D. # p typhoid Vaccine 0 dir pr r s t H.L.B. 20, doses EXPENDED T AL BALAIOCE 0 END OF FISC ALLOWED ; SALARY REPORT: $209,594.57 . $104;335.25 ALLOWED FENDED- EXFREE CASH Cincludes):ENCt31ERED EXPENSE REPORT.: » _ ., iT.;A,'art?3` ...L. (t., .. .-., T;l.L. `y, Aypfy . , •�;YS"< > - a .. J .. . sus mmmmmmmmmmmmmmmmmmmmm . , 2.FOOD SERVIC INSP. AMMMM 4.MOBILE/TEMP. FOOD ' ��nrr�u�■ �uoo��vuu��nr�� 7.NO HEAT/HOT WATER COMPLAINTS 8-GENERAL NUISANCES/ TRASH 11.BATHING BEACHES : R'.:. �CONTROL '� R 11110 �1�1011101111111011111 HEARINGS i 17-CONSTABLE SERVICE -(HAND DELIVER ETC.) MEETINGS . •11-b-ERT. OF FITNESS one ■��■■��■�■n■■■■■■��■■ : HOME CARE GROUP - of the North, Shore Visiting Nurse Association of Greater Salem, Inc. • Community Home Care, Ltd. 27 Congress Street,P.O. Box 4566 Salem,MA 01970 (508)745-9050 TO Salem Board of Health FROM: Karolyn S._ Jernigan, R.N. , B.S. DATE: January 2, 1990 RE December Statistics COMMUNICABLE DISEASES The following is a report of the identified foodborne illnesses for the month of December. - Salmonella New Cases 3 Carryover Cases: 8 Discharged, reports to state: 5 Summary: On December 11, .1989, the three new cases were linked to . the case reported November 30th when the state laboratory reports indicated all four cases were of the subgroup, Salmonella Braenderup, a subgroup not previously seen in Salem by this investigator. Investigating a possible common source of infection is part of the follow-up in foodborne illnesses. The time of onset of the first symptom ( including headache, fever, diarrhea, vomiting) is established and food eaten within 72 hours (the incubation period for Salmonella) prior to the first symptom is suspect. Investigation of these cases revealed -that one of the December cases ate a common food at a common restaurant within three days of the November 30th case. (The same restaurant was named by a second December case but the date and time of eating were unable to be determined. ) In order for the public to be protected, two possibilities needed to be ruled out: 1 . An employee with Salmonella infection contaminated food during the identified time period. 2. The common food item was improperly handled. I i I An inspection of the restaurant was conducted on • December 14th by Ms. Cameron and Ms. Jernigan. The owner reported no employee ill during the time period. Food handling procedures were for the most part adequate with suggestions made to further fine tune proper temperature maintenance and sanitation practices. Both possibilities were satisfactorily ruled out. This was verified by the fact that no further cases of S. Braenderup have been reported. The state epidemiology department was notified of this investigation of a possible potential outbreak, in order to make note of other cases in surrounding cities. Girardia New `Cases 3 Discharged, reports to state: 3 Summary: All three cases were members of the same family and were under the care of their physician who was treating them with antibiotics. No foodhandlers nor daycare workers were identified as household contacts, therefore, the cases were able to be discharged. Campylobacter New Case 1 Summary: This is an isolated case who is receiving medical care • by her own physician. The following are carryover cases of other reported illnesses. Follow-up has not yet been completed. Hepatitis B Listeriosis New Case 0 New Case 0 Carryover Cases: 3 Carryover Cases: 1 Meningitis, Aseptic Tuberculosis New Case . 0 New Case 0 Carryover Cases: 3 Carryover Cases: 3 The following is a report of the Salem residents tested for T.B. exposure and followed for prophylactic medication compliance: Number of clinics at V.N.A. : 3 Total number tested 7 (Positive: 2 Negative: 5) Total number Salem residents evaluated at North Shore Pulmonary Clinic: 11 Total number Salem residents evaluated at other T.B. Clinics . 2 , Ms. Jernigan continues to help with the T.B. Clinic at the North • Shore Pulmonary Clinic, Salem Hospital, on Tuesday mornings. -2- COMMUNITY PROGRAMS • St. Joseph's School Hearing/Vision; Height/Weight Screening: 19 Kindergarten students screened. .0 Hearing failures - O Vision failures Pediculosis Control 172 students screened in Grades K, 1, 2'9 3, 4, 5, 6, 7. Seven cases identified. - Summary:. The above'-students were screened following the report from a parent .that her child was infested. Five new cases (not previously treated) were found, three being siblings. Two cases had formerly been treated but nit removal was incomplete. Cholesterol Screening On December 12th Ms. Jernigan attended a follow-up session to the June 1989 workshop. (See 6/89 report) The Reflotron Loaner Program was explained. Physicians packets are being mailed by the Massachusetts Department of Public Eealth to Dr. Dumas and Dr. Ingraham. Ms. Jernigan will consult with them regarding feasibility of Salem participating • in this program. Flu and Pneumonia Vaccine Distribution Public Health Nurse Flu Pneumonia December office visits 3 0 December home visits 3 0 V.N.A. 1 0 December Total 7 0 (Totals for 89-90 will be reported in the January report. Newhall Nursing Home will be vaccinating residents during the first week in January per M.D. order, Dr. Schoelles. ) -3- ADMINISTRION MONTHLY REPORT Novem*1989 • + IBIOLOGICS DISTRIBUTED AMOUNT. ANIMAL BITES REPORTED 3 Diptheria,Tetanus & Pertussis 41 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 3 vials BURIAL PERMITS 73 Immune Serum Globulin 2 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 M4R--Meas1es/Mumps/Rubella 120 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 231.00 Polio Vaccine 320 doses -- - CERTIFICATE OF FITNESS $2,450.00 Tetanus & Diptheria (adult use) 11 vials Tetanus Toxoid 2 vials _ _ ----.__..._------- ------------ ------- - 1 ML Tuberculin P.P.D. 5 ML 38 vials ` Typhoid Vaccine _0 H.I.B. 24 doses ALLOWEDEXPE DED BALANCE TO END OF FISCAL SALARY REPORT: $209,594.57 $87,025.10 $122,569.47 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) EPICUTBERED - $79,518.79 $ 43 363.12 ,$36,155. .67 • ENVIRONMENTAL 1IEALTH DIVISION MONTHLY REPORT 191 NOV OAR il�� YEAR MONTH SANITARY CODE ENFORCE 1 12 3 4 5 6 7 18 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23124 25 26 27 28129 30 31 TOTALS COMPLIANCE REVIEW - ' ' � 3 ,1 Z 1. "PLAN REV. /SITE INSP. I 5. � - 2.FOOD SERVICE INSP. 2I I I I I I I 1 -) 2• ZR7 3.FOOD SERV.RE-INSP. Z '2 Z 3• 4.MOBILE/TEMP. FOOD _ SERVICE INSP. 4• 5.HOUSING INSP. 2. 2 1 / 2 5• 1 e. 6.HOUSING RE-INSP. ?j 1 Z / 6• 2 t� 7.NO HEAT/HOT WATER 17. COMPLAINTS 8.GENERAL NUISANCES/ I 'TRASH ( 18. L 9.RECREATIONAL CAMPS 19. 1O.SWIMMING POOLS 1 110. ll.BATHING BEACHES 111. 12.SUNTAN CENTERS 12• 13.ENVIRON.POLLUTION (WATER, SOIL, AIR- 13. ODORS, NOISE) 14.RODENT CONTROL 14. 15.FIELD TESTING 15. 16.COURT/ADMINISTRATIVE q HEARINGS 2 1 1 ' 10 16. 17-CONSTABLE SERVICE 17. HAND DELIVER ETC.) 18.SURVEY, RECALLS MONITORING 18. I19.SEMINARS/CONF./ 19. MEETINGS TO-CERT. OF FITNESS INSP 1,0 3 2 5 1 S q 5 21•CERT. OF FITNESS � ') F2 RE-INSPECTION - HOME CARE GROUP o f t h e N o r t h S h o r e Visiting Nurse Association of Greater Salem, Inc. • Community Home Care, Ltd. 27 Congress Street,P.O. Box 4566 Salem,MA 01970 (508)745-9050 TO . Salem Board of Health FROM: Karolyn S. Jernigan, R.N. , B.S. DATE: December 1, 1989:' RE . November Statistics COMMUNICABLE DISEASES The following is a report of the identified foodborne illnesses for the month of November: Salmonella New Case 1 Carryover Cases: 13 (Several of the carryover cases are ready for discharge) The following are other reported illnesses for November: Hepatitis B Listeriosis • New Cases 1 New Cases 0 Carryover Cases: 2 Carryover Case: 1 Meningitis, Aseptic Tuberculosis New Cases 0 New Cases 0 Carryover Cases: 3 Carryover Cases: 3 The following is a report of the Salem residents tested for T.B. exposure and followed for prophylactic medication compliance. Number of clinics at V.N.A.: 3 Total number tested 11 (Positive: 1 Negative 10) Total Salem residents evaluated at North Shore Pulmonary Clinic: 7 Ms. Jernigan continues to help with the T.B. Clinic at the North Shore Pulmonary Clinic, Salem Hospital, on Tuesday mornings. • s\ COMMJNTTY PROGRAMS St. Joseph's School Ms. Martha Elizalde, a bi-lingual community health aide, is in the process of becoming certified in hearing and vision screening through the Massachusetts Department of Public Health. She will assist with the hearing and vision screening at the school. Flu and Pneumonia Vaccine Distribution Clinics: Flu Pneumonia 11/2/89 Council on Aging 198 12 Other Housing Sites: 72 2 Public Health Nurse: Office Visits 21 1 Home Visits 15 0 Shaughnessy Hospital 13 V.N.A. 15 TOTAL 334 15 October, November, 1989 Total: 1,320 51 t 1988 Total: 1,191 41 Pediculosis Control - Case Study - A referral was received from a private physician for home instruction regarding measures necessary for eradication of pediculosis. After making an assessment during the home visit several social as well as health problems were identified. Ms. Jernigan is involved with the private physician, Witchcraft Heights School and the Department of .Social Services in coordination of services to this family. Weekly home visits are made to monitor progress on identified problems. pDMINIST ION MONTHLY REPORT Octoo 31, 1989 • BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 20 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 4 vials BURIAL PERMITS 46 Immune Serum Globulin 4 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 W4R—I*asles/Mumps/Rubella 110 Doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $62.00 Polio Vaccine 210 doses -- CERTIFICATE Tetanus & Diptheria (adult use) 48 Vials OF FITNESS $2,200.00 Tetanus Toxoi 2 vials _ _ ' --------- ------- -- 1 ML Tuberculin P.P.D. 5 ML 6 vials Typhoid Vaccine . 0 H.I.B. 20 doses EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED $209,594.57 $70,684.15 $138,910.42 EXPENDED FREE_ CASH (includes) ENCUYBERED EXPENSE REPORT: ALL® $79,518.79 $12,636.16 $66,882.63 r i HOME CARE G `ROUP of t he Nor t h S h o r e Visiting Nurse Association of Greater Salem, Inc. • Community Home Care, Ltd. 27 Congress Street,P.O. Box 4566 Salem, MA 01970 (508)745-9050 TO . Salem Board of Health FROM: Karolyn S. Jernigan, R.N. , B.S. DATE: November 1, 1989 RE . October Statistics COMMUNICABLE DISEASES. The following is a report of the identified foodborne illnesses for the month of October. Salmonella Listeriosis New Cases 3 New Cases 0 Carryover Cases: 10 Carryover Cases: 1 Meningitis, Aseptic Hepatitis B New Cases 0 New Cases 0 Carryover Cases: 3 Carryover Cases: 1 Tuberculosis • New Cases 1 Carryover Cases: 2 The new case is a 74 year old male who is currently on two T.B. medications and is being followed by his own physician. The following is a report of the Salem residents tested for T.B. exposure and followed for prophylactic medication compliance: Number of clinics at U.N.A. : 3 Number of worksite clinics . 1 Total number tested : 17 (Positive: 1 Negative: 16) Total evaluated at North Shore Pulmonary Clinic: 17 Ms. Jernigan continues to attend each Tuesday morning clinic for the North Shore Pulmonary Clinic . COMMUNITY PROGRAMS Refugee Services Referral received: 1 This referral is on a 58 year old Vietnamese man who has moved from Hawaii to Salem. r-, i St. Joseph's School Grades 4, 5 and 6 have been checked for pediculosis with 4 cases found. • Flu and Pneumonia Vaccine Distribution Clinics: Flu Pneumonia 10/5/89 Council on Aging 439 10 10/12/89 Charter Street 232 12 10/26/89 Point Neighborhood 16 0 687 22 Other Housing Sites: 206 14 Public Health Nurse Office Visits 7 Home Visits 22 29 Brookhouse 30 Shaughnessy 17 U.N.A. 15 62 TOTAL 984 36 • Pediculosis Control 25 children checked at Salem Y.M.C.A. 2 new cases found. AIDS Awareness 10/23/89 Ms. Jernigan attended HIV education meeting in Jamaica Plain. • -2- • ENVIRONMENTAAALTH DIVISION MONTHLY REPORT ®CTOF6� YEAR MONTH S s 5 SANITARY CODE ENFORCE 1 12 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23124125 26 27 28 29 30 31 TOTALS COMPLIANCE REVIEW "PLAN REV./SITE INSP. 2.FOOD SERVICE INSP. Z 'L 2 Z j 3 Z 5 2• 3.FOOD SERV.RE-INSP. 1 Z 3• 4.MOBILE/TEMP. FOOD SERVICE INSP. 4• 5.HOUSING INSP. 1 `� 5• `91 6.HOUSING RE-INSP. 2 I 1 `Z (0 / 6• 7.NO HEAT/HOT WATER COMPLAINTS I 7• 8.GENERAL NUISANCES/ TRASH 1 1 9.RECREATIONAL CAMPS 9• 1O.SWIMMING POOLS 110. ll.BATHING BEACHES Ill. 12.SUNTAN CENTERS 112. 13.ENVIRON.POLLUTION i (WATER, SOIL, AIR- ODORS, NOISE) 14.RODENT CONTROL 114. — 15.FIELD TESTING 15. 16.COURT/ADMINISTRATIVE 116. �3 HEARINGS 17.CONSTABLE SERVICE 117. HAND DELIVER ETC.) 18•SURVEY, RECALLS 18. MONITORING 19•SEMINARS/CONF./ 19. IQ MEETINGS 20.CERT. OF FITNESS INSP 'Z _ 21•CERT. OF FITNESS RE-INSPECTION ADMIN CION MONTHLY REPORT *ember 1989 • 'f ( ANIMAL BITES REPORTED BIOLOGICS DISTRIBUTED AMOUNT 2 Diptheria,Tetanus & Pertussis 34 via. -', Diptheria-Tetanus Tox. (under 6 yrs. ) 1 vial BURIAL PERMITS 48 Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 MKR--Measles/ s/Rubella 23 TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED No permits for September Polio Vaccine 470 doses CERTIFICATE OF FITNESS Tetanus & Diptheria (adult use) 22 viaFs $1,925.00 Tetanus Toxoid 2 vials --" 1 ML Tuberculin P.P.D. 5 ML 10 vials Typhoid Vaccine 0 H.I.B. 12 doses EXPENDED BALANCE TO END OF FISCAL ALLOWED REPORT: $209,124.00 $49,329.20 $159,794.80 ALLOWED EXPENDED FREE CASH (includes) ENCut*ERED EXPENSE REPORT: _ $50,531.29 $8,273.89 $42,257.40 Sssssssssmmmmmmmmmmmmmmmmmmmmmm . . :SERVICE .: ... ■■��■■■�=■�■■o■■�■■■one■�■■��■� . COMPLAINTS 8-GENERAL NUISANCES/ LO.SWIMMING POOLS Ll-.BATHING BEACHES 1.2.SUNTAN CENTERS (WATER, SOIL, AIR- ODORS, NOISE) � . HEARINGS :i.17.NO HEAT/HOT WATER [4.RODENT CONTROL ' � R iiiiiioiiio'uiiioii'■i'niiioinoiii �17-CONSTABLE SERVICE --jHAND DELIVER ETC.) 18.SURVEY, RECALLS i MONITORING MEETINGS Mon E��OfF��OL'7L'7mC7��L'i0L•:��GIL'��9��i�� ' i HOME CARE GROUP o f t h e N o r t h S h o r e • Visiting Nurse Association of Greater Salem, Inc. Community Home Care, Ltd. 27 Congress Street,P.O. Box 4566 Salem,MA 01970 (508)745-9050 TO : Salem Board of Health FROM: Karolyn S. Jernigan, R.N. , B.S. DATE: October 1, 1989 RE . September Statistics COMMUNICABLE DISEASES The following is a report of the identified foodborne illnesses for the month of September. Sal monella New Cases: 2 Home Visits: 1 Carryover. Cases: 8 ' Summary: One of the new cases became ill during foreign travel due to food ingestion in Spain. The..following are. other reported illnesses for September. Listeriosis New Case: 1 Summary: Listeriosis is a bacterial disease, usually among the very young, thevvery old, among people with immune system problems .. or during pregrSancy. This case, treated at Mass. General but " } giving a Salem address is a 49 year old male whose bloodstream was infected with the bacteria, (Listeria moncytogenes) . He has not responded, to' the letter sent him and may still be hospitalized. Follow-up will continue. . Observation: We are seeing-indicators of possible immune deficiency problems which may or may not indicate HIV infection (AIDS) . Meningitis, Aseptic New Cases: 2 Carryover Case: 1 Summary: Follow-up revealed that the two cases, although given different addresses, had lived in the same apartment house while symptomatic but with only casual contact. The MDPH Epidemiology Program was informed and surveillance will continue to watch for an outbreak, although outbreaks are uncommon. • Hepatitis B — • New Cases: 0 Carryover Cases: 1 Tuberculosis New Cases: 0 Carryover Cases: 2 Home Visits: 1 Summary: Follow-up on both these cases indicates compliance to medication regime. The following is a report of the Salem residents tested for T.B. exposure and followed for prophylactic medication compliance: Number of clinics at V.N.A. : 3 Number of worksite clinics: 1 Total number tested: 20 (Positive: 0 Negative: 20) Total evaluated at North Shore Pulmonary Clinic: 6 , ,Home Visits: 1 According to recommendations for maintaining T.B. Clinic (see memo, September 9, 1989) Ms. Jernigan attended each Tuesday clinic at Salem Hospital. COMMUNICABLE DISEASE CASE STUDY • A 35 year old hispanic male, diagnosed in January 1989 with active T.B. illustrates a common pattern seen in T.B./AIDS patients. As an I.V. drug user who had previously been infected with the T.B. germ N.N.A. ,Miles indicate he was a contact to one of the T.B. cases diagnosed in Salem during 85-86) he b$came infected with HIV (the virus causing AIDS) . Because his immune system was attacked by the HIV he was unable to continue to control the dormant T.B. germ. He therefore developed active T.B. disease. He is non contagious for T.B. at this time due to compliance to medication regime. COMMUNITY PROGRAMS -St. Joseph's School Health records were collected for 22 kindergarten children and 19 trans- fer students. The immunization status was reviewed for each student and the 1989 survey was completed and submitted by October 1st to the Massachusetts Department of Public Health. All students now comply to the requirements of the commonwealth. Pediculosis Control Forty children were checked for head lice at the Salem Y, four,-cases being identified involving two families. Ms. Jernigan is coordinating the efforts of the Y, schools, and the;' home for one family in particular where the mother is blind and requires additional support involving home visits. -2- Flu and Pneumonia Immunization Clinics Dr. Shannon, Medical Director of the Medicare Influenza Demonstration Project contacted Dr. Ingraham and Dr. Dumas to clarify the recommendations for physician coverage for the clinics. Dr. Dumas and Ms. Jernigan met to discuss the dates with Dr. Dumas being able to be present at the four sites previously used: Thursday October 5, 1989 9:00 a.m. - 12:00 noon Council on Aging Thursday October 12, 1989 9:00 a.m. - 12:00 noon Charter Street Thursday October 26, 1989 9:00 a.m. - 12:00 noon Point Neighborhood Community Center Thurdsay November 2, 1989 9:00 a.m. - 12:00 noon Council on Aging These clinics are being advertised by means of a press release to the Salem Evening News. The vaccine is being made available to other elderly housing units with Dr. Dumas being able to attend in most cases and on call for all dates and times involved. i f M1 -3- ADMINISWION MONTHLY REPORT August 31, 1989 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 2 Diptheria,Tetanus & Pertussis 33 vials , Diptheria—Tetanus Tox. (under 6 yrs. ) 2 Vials BURIAL PETS 66 Immune Serum Globulin 0 Vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 MMR--Measles/Mum s/Rubella 233 Doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 260 Doses $309.00 CERTIFICATE Tetanus & Diptheria (adult use) 22 Vials QF, FITNESS $1950.00 Tetanus Toxoid 21 Vials 1 ML Tuberculin P.P.D. 5 ML 35 Vials hoid Vaccine 0 H.I.B. 5 Doses" ,. EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: $209,124.00 $35,244.78 $173,879.22 EXPENSE REPORT: ALLOWED EXPENDED FREE E CASH (includes) ENCUMBERED $50,531.29 $1,311.93 $49,219.36 • ENVIRONMENTAL HEALTH DIVISION MONTHLY REPORT YEAR MONTH SANITARY CODE ENFORCE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15116 17 18 19 20 21 22 23 24 25 26 27 28 29130 31 TOTALS "PLAN REVIEW - I -I_ I , 1 3 1 2. 2 1 1 1 PLAN REV./SITE INSP. 2.FOOD SERVICE INSP. L 1 "2- 2 2 y 1 2• 3.FOOD SERV.RE-INSP. 3 3• S 4.MOBILE/TEMP. FOOD 4• 2 3 SERVICE INSP. 5.HOUSING INSP. rp y 7.. ! 1 ' 5• 1 -7 6.HOUSING RE-INSP. 1 �,. 5 Z Z- Z '� ► 6. 30 7.NO HEAT/HOT WATER Vf COMPLAINTS ! 7' 8.GENERAL NUISANCES/ 8, TRASH 9.RECREATIONAL CAMPS 9• Z-• 1O.SWIMMING POOLS I 10• 3 ll.BATHING BEACHES 1 7 IA 4 12.SUNTAN CENTERS 112. 13.ENVIRON.POLLUTION (WATER, SOIL, AIR- I 1 I 13. ODORS, NOISE) 14.RODENT CONTROL -L ! 14. 1. 15.FIELD TESTING P T/ADMINISTRATIVEINGS 16. TABLE SERVICEy17.DELIVER ETC.)EY, RECALLS18•ORINGiiARS/CONF./ I19. INGS . OF FITNESS INSP. OF FITNESSNSPECTION '� ' . I i HOME CARE GROUP of the North Shore Visiting Nurse Association of Greater Salem, Inc. • Community Home Care, Ltd. 27 Congress Street,P.O.Box 4566 Salem,MA 01970 (508)745-9050 e 0 TO: Salem Board of Health CITY OF SALEIVY_ FROM: Karolyn S. Jernigan, R.N. B.S. AT,nu nFvv" DATE: September 8, 1989 RE: August Statistics COMMUNICABLE DISEASES The following is a report of the identified foodborne illness for the month of August. Salmonella New Cases: 3 Report to State: 3 Carryover Cases: 5 Home Visits: 2 Discharged: 3 Summary: Follow up indicated that none of the new contacts nor their household contacts are involved in foodhandling or day care. • Campylobacter New Cases: 0 Discharged: 1 Carryover Cases: 0 Report to State: 1 Summary: Although there were no new cases of. Salem residents ill, the Board of Health received a call from a traveler who reported - illness following eating in a Salem restaurant. Follow up substantiated that the call was indeed a confirmed case and the restaurant was inspected. No further reports have been received implicating the restaurant. Girardia New Cases: 0 Discharged: 2 Carryover Cases: 0 Reports to State: 2 Note: A comparative study of the past three summers (summer is the season when "food poisoning" is most prevelent) revealed a decrease in the number of cases reported: June, July, Aug. 1987: 19 new cases June, July, Aug. 1988: 22 new cases June, July, Aug. 1989: 7 new cases This can most likely be traced . to a. Decrease in reporting B. De- . crease in illness due to cooler weather conditions in 1989, or C. A combination of the above. The following are other reported illnesses for August. • 1 i I i Meningitis, Aseptic New Cases: 1' Discharged: 2 Carryover Cases: 0 Report to State: 2 Summary: Although Aseptic meningitis is less serious than Bacterial meningitis, outbreaks have been known to occur. Even though the new case was a boy in a "group home" situation surveillence indicated it was an isolated case. Hepatitis B New Cases: 0 Discharged: 0 Carryover Cases: 1 Report to State: 0 Tuberculosis New Cases: 0 Carryover Cases: 2 Summary: Follow up on both these cases indicates compliance to the medication regime. One patient continues to receive his med. daily through a methadone clinic in Boston. The following is a report of the number of Salem resident's tested for T.B. and followed for prophylactic medication compliance: • Number of Clinics at VNA: 4 Total Number Tested: Ti (Pos. : 1 Neg: 10) Total evaluated at North Shore Pul. Cl. 21 Home Visits: 4 Note: See attached memo for recommendaitons for maintaining T.B. Clinic. COMMUNICABLE DISEASE CASE STUDY An 11 mos. child has been followed since she was infected with Salmonella at age 3 weeks. (She was hospitalized then and followed upon discharge by VNA nurses. ) Although her symptoms have subsided, she continues to have cultures pos. for Salmonella. Other family .members from whom she was probably infected, have fully recovered from symptoms and culture neg. Infection control practices are reviewed when the family is visited monthly by Karolyn Jernigan, R.N. The pediatrician is consulted period- ically. REPORTING OF COMMUNICABLE DISEASES Memo drafted by Board of Health in July (see Attached) was mailed • to over 250 area physicians through use of the VNA mailing lists. COMMUNITY PROGRAMS Immunizations Measles, mumps, rubella (MMR) : 1 Tetanus, diptheria (Td) : 1 Flu and Pneumonia Clinics Plans for 189 clinics are under way. For the past two years about 1,000 flu shots have been administered through clinics to those 65 and older.. Salem's population for this age group is 5,917! Therefore, my goal this year is to double the number of elders imm- unized through clinics. To accomplish this goal, clinics are planned for each elderly housing complex in addition to the previous sites. (Total of 14 sites in 89! ) This increase will result in NO ADDITIONAL COST to the health department due to funding provided by a grant through the MA Dept of Public Health. Miscellaneous As the Public Health Nurse, Ms. Jernigan received a request from a Salem Shelter for the homeless for nursing services. Research of other Aiorth Shore shelters revealed an established program in Lynn utilizing • volunteer physicians and nurses. Through communication with the VNA, eleven nurses have volunteered to devote time to such a program in Salem. ti VNAVISITING NURSE U SE ASSOCIATION OF GREATER SALEM, INC. Edith Harman V Linda A. Billows Chairman President (SEP s 1989 TO: Salem Board of Health FROM: Karolyn S. Jernigan, R.N. CITY OF SALEM DATE: June 13, 1989 `A T Pru nrTr" RE: Preliminary recommendations for maintaining the T.B. Clinic at Salem Hospital Background: - From 1953-1986 T.B. was om the decline nationally. However, since 1986 there has been an increase in the number of cases and this increase is linked to the AIDS epidemic. The increase in T.B. Cases is found in isolated pockets of high risk populations including the homeless, the .foreigh born and I.V. drug users. Massachusetts ranks 6th in the nation for number of T.B. cases. It is crucial to continue the state T.B. Clinics, but due to fiscal restraints. at the state level, local communities need to share in the costs. Salem can expect an increase in both HIV infected (AIDS) cases as well as T.B. cases as these "spill" into our pockets of homeless, foreign born and I:V. drug.!users. As Boston Hospitals are filled, our local hospital will • certainly be called on to receive the overflow. Although specific behaviors are required in order to become infected with HIV. (AIDS), T.B. organisms are airborne and therefore contagious to the general public. Objective: To control the spread of T.B. in Salem and neighboring communities by maintaining the T.B. Clinic at Salem.Hospital. Public Health Nurse Actions: 1. To attend the following clinics while Mrs. Bohanon is present in order to facilitate the transition by her de arture date, August 31, 1989- 6/27, 7/25; 8/15; 8/22; 8/29. ct kvxM k 2. To identify: a. Public Health Nursing Actions b. Nursing Actions which can be delegated to Esther Chase, L.P.N.. c. Secretarial Actions. VNA supervision as well as the services of Peg Blum, R.N., regional nursing advisor for DPH, will be utilized in this identification. V 3. To prepare a written report of recommendations for the Board of Health relating to the above actions and how these actions relate to the WA contract. (See job description) . 4. To request a special BOH meeting during July or August to discuss the T.B. clinic along with other public health nursing issues (i.e., VNA contract; faciliation of increase of case reporting by physicians; background information to monthly report statistics. ) Peg Blum has agreed to attend such a meeting. SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617)745-9050 HOME CARE GROUP of the North Shore Visiting Nurse Association of Greater Salem, Inc. Community Home Care, Ltd. 27 Congress Street,P.O. Box 4566 Salem,MA 01970 (508)745-9050 TO: Salem Board of Health FROM: Karolyn S. Jernigan DATE: September 8, 1989 RE: Written report of recommendations for maintaining T.B. Clinic at Salem Hospital per June 13th memo. Objective: To control the spread of T.B. in Salem and neighboring communities by maintaining the T.B. clinic at Salem Hospital. Public Health Nurse Actions: Pre Clinic - Review charts prior to clinic to become familiar with case load. - To anticipate routine M.D. orders and follow up. .Clinic - Attend clinic each Tuesday a.m. - oversee patient flow • --carry out M.D. orders Post Clinic - Delegate follow up to appropriate local public health nurse - oversee completion of interagencies . - Act as local liason with Dr. Kirkpatrick regarding clinic and patients. - Act as local liason with Nancy Taylor and Linda Singleton, state T.B. program. Nursing Actions Delegated to Esther Chase, L.P.N. Pre Clinic Make up new charts pull charts, x-rays order drugs organize clinic materials Clinic B visits (nurse evaluations) Carry out M.D. orders Tuberculin testing Post Clinic Prepare clinic results for radiologists • Dispense certification cards as requested Consul„ with M.D. regarding abnormal x-ray findings. i Secretarial Actions i (Mon, Wed, Fri) Type inter-agency reports and mail out i Answer requests Make clinic appointments Monthly billing Keep inventory of syringes re-order when needed. • • ADMINISTRATION MONTHLY REPORT Ju 01, 1989 • ` � IBIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 3 Diptheria,Tetanus & Pertussis 15 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 4 vials BURIAL PERMITS 46 Immune Serum Globulin 3 vials INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only A714R--Measles/Mumps/Rubella 121 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $114.00 Polio Vaccine 240 doses TOTAL CASH RECEIVED FROM Tetanus & Diptheria (adult use) 55 vials CERTIFICATE OF FITNESS $2,425.00 Tetanus Toxoid a 6 vials 1 ML 5 � 13 vials, Tuberculin P.P.D. Typhoid Vaccine 0 r H.I.B. 3 vials EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED $209,124.00 $15,900.09- $193,223.91 EXPENDED FREE CASH (includes) ENCUM3ERED EXPENSE REPORT: ALLOWED $50,356.00 oowM101=110110 MIN IN IN ooa��nrna� NIMMININ oo� VISITING NURSE ASSOCIATION0 :1. OF GREATER SALEM, INC . Ed/ Herman p , ilnda A ♦Billows R t +t7' fi wr lvt ' '..45�r Sl�1,stfrt iire .; r :afcr,.} ' r tx <a K31. t`.•• a �5 a�,r�e ±',.F Pi�Slden{ r. $ .n":-�i s. Chairmen L i'ri rt n+ ,.. N r.,.%. a .k: r. , r r '4 a - k . _ -_.:�. TO: SA16hi Board of Health FROMc K rolyn;S.: :J.ernigan, R.. BS. DATE Y 'August, :1; 1989 RE: July .S'atis .ics . . � g - i�,,,- ::• COMMUNICABLE DISEASES . r . tt. a ,+at .a z. `vi r- -12 A �; �irardia :t Hepatitis B Kp , - t. 11 -Ai�{-�s-:9. eW Cases• 0 ' t rTeW Cases . , T YO -} $ a ��' Carryover Cases t1 f2 s _ :Ca trc�verCase ' „ ? t c.1 sY K +ql. ,.crrL^.t`l s*. i v 'S :t,r Y E 5 d t:'- t;. f �+rw ' "'r.., ^i e, ix ::"r s -k:s'' �' 4' A"i.3,' t t r t .�t '{ �'. n o ,r f s ter t 4 ;, w � rar T�� chrged: Q O,ri A Aisu hged l tt < � >�t 1, D pis.-ts + ` :.g o- ?j•... .1 '<' ;x,--t ..M r 5 e�5:..- �'ta�t^ " FT '�5.. n�,'.,b..cn �; �' 5. .4+ x"1�,x_�,.0 a`T .:'' �iT{yt} 1y�� 4?.,M /- - + xy i ?a' y}��Tp i oy�, ,{ s .t s s C .f�. P.; "x}'.? y, 1( .t2 J'Y t°�k 'l lie rVI. �Va Ve -�3 T t �'�' �:_�T 'n -1. >;�M J\Vapor V}S'fO :r Va��i h�`... v�0 5 �.�1 ,1 SP.<:+�.5�. f. e,`.�J^1"ks._S..'1,..I f j t ak.,,:, c; ..,'i s 'E +2' 1 -"' '1 $ B >.v'� stir...g 3 .j y syi,_,.. Y � ,y; �� .},.� i- j r ,h ,.y t 3 'L t„n+s ,A�r.a,� y�{�yy{� /� .:(* 6': y2r, �,. H ,v , }-+ L, { s Xi- S'Nf`Y'`�•"iv.. d -6 5 T L 1.V! i 5' t 0 .� j.t �$ - 5 F2 '.A".+.uSS iair3�mG�,�;�/ ta9..V ! tt E#�i; 1 1 kiS'�i k?y t. 'ts '�"Y T..:ail`ry.1✓-t. ":. }' hti,£ �' S4.-t' - r a ^`` r'a t --.t- `- fK t .•,g t x f °`' + +f < S r ^4E�gy. sy,. yi t s e?.. { .r ,! f i .s•< 'fF.� p w tT }v»3' _ Y t. y - 3 :.' �',o•1''ti'r:''+�'6` K { r s *' - r - v a° '.�,t, �` "t 133i��.f. Y�Pa` v. ^�.. .;,,� > -tj £.q �t+ �r :b ,.. -,F.''§k r �'rgF. 'tl .�•s i iu:F b,.._..4� ,, er Y .ir�i .i'}.'' t ylr•„.,t�` S j: 2� r.Sy, A k4 > ry� `►iobacter x i x + 'x` S c .tf�Jjd:�.fk 5 " i3 p- jP -. < rrfJ^".+ ) g i 4�r t a 9D, j a :;� 1` py x t K �t,^.,-f r�.r a re ,,A.x,; r ,...a A .- .. �. Z '.. �} r�ai`Fc ,u - x �...;x, -y, ',.y �': �. . J::t, x ? titx h �jew Cases 1'> s t < , [ ,,: �. } _ ,-� sz y e 3 5 , �.[ `a �4 �^,f- . 3i n$1'v1S, Asep V1C �k � A r l st y 3� � }r 4t¢Carryover Cases 0x ,� �4 z s } { . I Discharged 0 ; t t 4 s Anew Cases .f F, a1 . t r —: t> �¢�� r -',-, z ,•s, �ux�et s `F '� a I }- '.� x b u sir a y, t ti v t 4?;;, ` L L ., ,.,j t a s.:r.', �'' :t�r y .'r --Ci char`eedCases. u 7 00 � >y. x`-' �, w 31r� epbr„n,,o SVa,,e 0 x` y rrLHome>visits 1 x $ g �� , "K ry�t Sri 4 , k� ;l r R port l'to State• t 0 �f7 Y 3 x 'a�t"5' 1 kf Gs Y'i ' �Ft'7'^ u..�,5 i 5 �, y t < t I t "s�} 4`'�'' 4 5. '+e 4 tlx k P.,�Aha >'r d fyst�'L{,{i,�t`t'�' 451Sa-lmonella i - t'� tc, , r�` +' :-17ome , �r�� V_.' 'c%fir}a'.it"'H`� �� 1 a f k :r. _:+ y �, sy r ,0l>*Nel'.u',r .L. y +'. _ v 7'". ,.,, [ L 5 't r �t- gn s i 4 lam, `",`�,` Afew'Cases ;~ :. ,;, 1A ;; j rt, ' `,� �, Carryover,`:Cases.: 7_ .Tuberculosis'jl{ r: 'I H beharged -rre Cases t 0 '�eReport to Sbate 0: Carryover Cases i 2 �. s r p , Home Visits:- 1` �, r .Hgme Visits 2 �4 is zv� Zr r � ;' a T.' TESTING CLIIaICS �� 3 ' } ; X S I. Weekly Clinics= a, VA�A. 3 M i To�al'Mantoux Tests 2- Ne ; 1 No Show for reading 1 : Bookings made at Worth:--Shore'Pulmonary Clinic• 13 }Reports ,received�;f...rom :h�SP.C. 8 �,. a ,r� Rdports`'recei ved from •other TB Glint css 1 t: r ,New to:3NH. 2 - Continue INHz 5_ R, �: " „. s. l' . T.1tiil,Az, HQme Visits: 3. 'y�kt t t, . ...:.r .. '.. ,. . .. .:. : .......-..... ... • F . F = , i s.0 ,.'l t.. t F _X gY t » j,� F, r�1'�P'a brit i'I`! e)? ''-t rTL.,Y F°' ti� j 4 L. F'1" .. .v 4°': ,�� t '� s t. 6-r 24. l + r t r rr r .fMy 9tt.�e�} .r"+r�+'` ti `st tYY .1`t t- II ,, - 4... sr* f j,: >x :tF IS��i•., ��i�K3. ft j r{, xl fr„:'nY,_4 n t r .,, "-';, ,$•:jr3, E t s 1 i-o r r a 9 s.rr Sri r3si3^_ i�v>r 't .t•; l `$ 4,4,&aU,,,+' S:`), t'f' '« i T' -!i' �Y f.i "Z a S9 t' '4 �k ) 3 ., fr .+7 4.4:fi�,y&5 tr:� ; lr K'7 ++ - Y j- may.}'$: 4 r, fy C' a d+� ! t?I'ti{ 'e h'r t { M1.f" �'-FM1't"7i3' i SVr +`v r)x ,t �,i 4g�� ,N k } iC ,' -9''�., i a a.� ik f i`ti.�°ai 1p�e p `z � ", �+511"1:,f' 'j>xc t`^'�' s , i ry 1', i.vt a,-N Y t+}, s4'r'� i, ' 313'1 K. `Y i,�-Y"t"'ra. {��v'H 1' ..t y .« }Q'S '. J} ra b r'' ' -`-'? { ; t '+,L�,.r,-1 •.{i •O ',hc'(,t ', '•R'Y' '1..i„Y�r> �' �`F E.v C°1s.' SS r , es 5 , /,, N i Y., V}w T L� E 4 ~ t, ., t f Y. ✓k s*f.v� i'I. r(i[—AV' A 153 1�{ S" �i.. �'K -'7,� r' 5 IFS It i•. x i' i n v5"3,/1,� 7.{r t Y v +S '�.4 .}6 i j t S f f L .wJ 8�5 [_ - Y Y.l- `t 7s::- { {yYL"�i,y"�. �.t W 'Skti..4 "�F ,4k1 .'.`1e1i ,�41 Skjr t 'f4 ' x $r s9 tt �.�-rs� .�.� .,n Y e r {k r - '�'3 x �, 1, r iy.: _ a4 tiv r. { 4 - t r'. '��, �Y+ 1.,c f 1 t ,r Ya. F+'t C a i +. , Mta�; 3 , e.r '�..r s' # ''k +-. I ,. ...,„ , 'iC`4pv t-rw ' Yhv ,;� u .�,xq .}�'�...t',t e >,S,F 'fit 3 tff . -..V ;i ` ' ,' i $HETLAND OFFICE PARK/.2TCONGRESS STREET ' SALEM,MA b1970/(617)745 9050 a 1 a i gar", _ja, ti g,t s: f' �...R wr t ,+,fitt y1; e _ r 2. Ms. Jernigan is attending two NSPC on Tuesdays. • COMMUNITY PROGRAMS High Risk Infant Twin 7 mos. old infants were identified as high risk during follow up of the meningitis case. (Agenda Items) 1. City Council Order on Medical Waste. (see July minutes) . Sgt. Dick Howell, Salem Police, has been contacted and will get back to me with details from Chief St. Pierre as to the nature of desired program. The Superientendent of School's office has been contacted with the reply that no one is available during summer. 2. Feasibility of Community Cholesterol Screening William Govostes, New England Manager for Boehrirger Mannheim Diagnostics who represents the Reflotron Analyzer has been contacted and is sending information regarding options for. ..-conducting- community screening. • 0 I�L[NISTRATI MONTHLY REPORT June"7�8 ' I BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 4' Diptheria,Tetanus & Pe rtussis 53 vials } Diptheria-Tetanus Tox. (under 6 yrs. ) 3 vials BURIAL PERMITS 64 Immune Serum Globulin 1 vial INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED) Measles (Clinic use only) 0 M1,M--Measles/Mum s/Rubella 185 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $1,435.00 Polio Vaccine 560 doses Tetanus & Diptheria (adult use) 47 vials Tetanus Toxoid 2 vials. 1 ML Tuberculin P.P.D. 5 ML 12 vials. Typhoid Vaccine 0 H IB 0 SALARY REPORT: ALLO EXPENDED BALANCE TO END OF FISCAL $209,769.42 $182,853.04 $26,916.38 EXPENSE REPORT: ALLOWED EXPENDED . FREE CASH (includes) ENCUI✓,BERED $49,,928.33 $45,920.99 $4 ,007.34 • o�■■��nc��noom�c��noc�n��n va■��ne��■nuu�nan��■■ • VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn S. Jernigan, R.N. BS DATE: July 1 , 1989 RE: June Statistics COMMUNICABLE DISEASES Girardia New Cases: 1 Carryover Cases: 1 Dischrged: 0 Report to State: 0 • Home Visits: 2 Salmonella Hepatitis B New Cases: 0 New Cases: 1 Carryover Cases: 7 Carryover Cases: 0 Discharged: 0 Discharged: 0 Report to State: 0 Report to State: 0 Home Visits: 1 Home Visit: 0 Tuberculosis New Cases: 0 Carryover Cases: 2 T.B. Testing Clinics Weekly clinics at VNA: 4 Total M a-itoux Tests: 12 Neg. 12 Pos. 0 Bookings made at North shore Pulmonary Clinic: 9 Reports received from N.S.P.C. : 21 New to INH: 3 Continue INH: 2 Complete Pro: 6 Discharged, INH intolerance: 1 Home Visits: 2 Ms. Jernigan visited the Lynn BOH, and the North Shore Pulmonary Clinic as well as attended a planning meeting with Salem Hospital and a meeting with • the Northeast Region Nursing advisor to study the reorganization of the TB Clinic. SHETLAND OFFICE PARK/27 CONGRESS STREET/ SALEM, MA 01970/ (617) 745-9050 • \ f 6/7/89 Ms. Jernigan attended the Annual Ted Badger TB Conference: "TB in Institutions:0 held at Jamaica Plain State Laboratory. • COMMUNITY PROGRAMS BP Screening/Cardiac Risk Assessments Follow up clinics for those persons 140/90 were held at Fire and Police Headquarters and at One Salem Green for municipal employees. (Form Enclosed) 39 Rescreening appointment letters mailed 21 Rescreened 15 J - 140/90 6 > 140/90 Referrals to physicians made if not already under care. Follow up letters were sent to those who were no shows for rescreening offering free BP check at VNA office. 126 Total screened during May/June 89. On June 20, and 21st Ms. Jernigan attended an inservice on Community Cholesterol Screening to evaluate feasibility of including it with 1990 BP/ Cardiac Risk Assessment Screening. • HIV Update (Formerly AIDS Awareness) On 6/12/89 Ms. Jernigan attended the "Train the Trainer" update held in Framingham. Immunizations- office visits 1 Td 1 Gamma Globulin St. Joseph's School All Programs completed for the 88-89 school year. Massachusetts Department of Public Health/Division of Health Promotion Sciences High Blood Pressure Control Program INITIAL INTAKE REPORT -may/June 1989 TO BE COMPLETED BY HEALTH PROFESSIONAL Today's Date Agency Site r Name Birthdate Mo. Day Year Last First Mo. Day Year Blood Pressure Blood Pressure Height Weight Left arm: ® ® Right Arm: ® . ® ❑ Higher arm: ® Average: ® ® Ft. in. lbs. 126 persons sc Sys. Dia. Sys. Dia. 87_ Indicate Follow-up: (Elevated systolic OR diastolic indicates need for follow-up) 1=t140/90=Recheck by I year 3=140-1991105-114=Refer to MD by 2 wks 39- 2=1'40-199/90-104=Rescreen by 4-8 wks 4=200+1115=Immediate Referral to MD El 1. As far as you know, is your blood pressure normal or elevated? 1031=Normal 23 2=Elevated 1. 2a. Have you ever been told by a doctor or health professional that you have 2a. 0 j high blood pressure? 30 1=Yes —26 2=No. SKIP TO 3 b. IF YES, did your doctor prescribe medication for your high blood pressure? b. 18 1=Yes 2=No..SKIP TO 3 c. IF YES, are you currently taking medication for your high blood pressure? C. 14 1=Yes 2=No 3. Are you currently doing any of the following to reduce your risk of.high' blood pressure? Please fill in the box with your response: 1=Most of the time 2=Sometimes 3=Rarely 4=1Vever • a. Do you avoid adding salt to your food at the table and when you cook? 3a. 75 most of the time 21 sometimes 14 rarely 16 never b. Do you avoid eating foods high in salt? �— b. 60 most of the time 32 sometimes 20 rarely 14 never c. Do you limit the amount of fat or cholesterol that you eat? C. 53 most of the time 43 sometimes 14 rarely 16 never a. Uo you exercise vigorously T —orat least 20 consecutive minutes 3 times/wk? (Examples include walking briskly,jogging,swimming,NOT weight training) d. 52 most of the time _1 sometimes 22 rarely 21 never. e. Do you limit the amount of calories that you eat to maintain e. 0 desirable weight? 41 most of the time 49 sometimes 14 rarely 22 never 4. On average, how many alcoholic rinks do you have per week? —� drinks .4• (1 drink=lcan of beer=l glass wine=l mixed drink=l oz.of hard liquor) 5. What is your current smoking status? 5. a 37 1=Never smoked 3 3=Cigar/Pipe only 46 , 5=Ez-smoker 38 2=Cigarettes only 1 4=Cigarette & Cigar/Pipe smoker (i person did not answ r) 6. Do you now have diabetes? 4 1=Yes 1212=No 6. F1 T_ borderline 7. What is your race? 1=Aleut, Eskimo or American Indian 1234=White 7. 0 2=Asian or Pacific Islander 15=Hispanic 1 3=Black. not of Hispanic origin 16=01her • 8. What is your sex? 39 1=Female 87 2=Male 8. 9. What is your city or town of residence? Salem : 102— --- Peabod�i c_6 _ 1 Danvers : 4 ,VlarbleneaCi e Beverly : 2 Ipswich: 1 Amesbury : 1 Haverhill : 1 Nahant : 1 East Boston :T — — — ADMINISTRATION MONTHLY REPORT MAY 1989 I'BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 2 Diptheria,Tetanus & Pertussis 49 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 2 vials BURIAL PERMITS 55 Immune Serum Globulin 0 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 M471--Meas les/Mumps/Rubella 205 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $1,575.00 Polio Vaccine 490 dose --- - Tetanus & Diptheria (adult use) 57 vials Tetanus Toxoid 4 vials ---_-...--- - ---- ------_ --_.... 1 ML Tuberculin P.P.D. 5 ML 28 vials Typhoid Vaccine 0 SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $209,769.42 $164,320.70 $45,448.72 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCU51BERED $49,928.33 $38,381.91 $11,546.42 E6 L silo No Now vONE uono� a� No MINIM ON MINN Ml MEN MINIM mmm MINIM - ON MINIM MINIM MINIM 1001010110010101010 No MINN off IN mm No No SEEN MEMO -10409* MINIM No ••�iiin 00WN��HWINEON mu 0 ��0� � - •�r��0000Nii�onv ;;..All- VISITING a f VNAVISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President i I TO: Salem Board of Health FROM: Karolyn S. Jernigan, R.N. ' DATE: June 1, 1989 RE: May Statistics I i COMMUNICABLE DISEASES Campylobacter Girardik- New Cases: 0 New Gases: 0 Carryover Cases: 0 Carryover Cases: 1 Discharged: . 1 Discharged: 0 Report to State: 1 Report to State: 0 Home Visitst: ,2 Hepatitis Non A, Non B New Cases: 0 • Carryover Cases: 0 Salmonella Discharged: 1 New Cases: 0 Report to State: 1 Carryover Cases: 7 Discharged: 0 Tuberculosis Report to State: 0 New Cases: 1 Carryover Cases: 1 Home Visits: 3 The new case is a 78 year old woman who probably was infected years ago when her sister had active disease. T.B. Testing Clinics: Weekly Clinics at VNA: 4 Worksite Clinic: 1 Total Mantoux Tests: 17 Neg: 13 Pos: 2 No show for reading: 2 Bookings made at North Shore Pulmonary Clinic: 14 Reports received from N.S.P.C. : 18 Reports received from other clinics: 3 New to INH: 3 Continue I.N.H. : 3 Complete Pro: 1 Home Visits: 2 • L SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/ (617)745-9050 COMMUNITY PROGRAMS Immigrant and Refugee Referrals: 1 Home Visits: 4 HIV Update (Formerly AIDS Awareness) On 5/17, Ms. Jernigan presented a 2 hr. class on HIV infection to 2 home health aides. BP Screening: In observance of May as rational Hypertension month, BP screening including a cardiac risk assessment .was offered to fire, police and municipal employees. 127 persons were screened with 40 needing rescreening in 4 weeks due to elevations of 140/90 and above. Miscellaneous Referrals: 1 A home visit was requested through the High School for an assessment of home conditions of a student. St. Joseph's School Physical examinations by Dr. Stuchiner 11-Grade 3 12-Grade 7 BP Screening . 143 Students Health Education 16 4th grade girls 6 parents-Evening Mee ing • • MONTHLY REPORT JP 30 1989 ADMINISTRATION BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 34 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 3 vials BURIAL PERMITS 43 -_ Immune Serum Globulin 0 INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED) Measles (Clinic use only) 0 t2,[R--Measles/Mumps/Rubella 200 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $3,297.00 Polio Vaccine 520 doses -- Tetanus & Diptheria (adult use) 13 vials Tetanus Toxoid 0 1 ML Tuberculin P.P.D. 5 ML 14 doses Typhoid Vaccine 0 H.I.B. 0 EXPENDED BALANCE TO ETID OF FISCAL SALARY REPORT: ALLOWED $209,769.42 $143,183.59 $66,585.83 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $49,928.33 $36,685.92 $13,242.41 • 0 • ENVIRONMENT AL HEALTH DIVISION MONTHLY REPORT - ( nth) — -- -- er) 4 5 6 7 8 9 LO 11 21314 15 16 17 18 19 2) 21 22j23 24 25 6 27 2S ;29 3G 31I 1;a:�itar Code Enforce 1 2 3 �. Food Service Comp 1. Food Service Ins / Mobile Food Serv, Retail MarketsEIE: Housin -Ori anal / -- ✓Z No Heat/Hot Water J General Nuisances Day Care Centers 9, Day Camps / ,0. Swimming Pools ' 11. Beaches ! /� 12 . Water/Air/Noise 1 '_3. SESD-Observation - SESD-Com Taints ' Rodent Control - Lab Testing Field Testing, I 1.Lead Testin 2.Perc. Test for Sew, S stem 18. Licenses & Permits Court Hearings Off. Consultation I 3 3 a - 3 �t Sessions _ . . Referrals to and �_.. -. =rom Other Depart. I 1 .1tiousing Reinspect. / Food Serv. Com 1. Letter-Orders To ) ! 1 Owners; Reports Investigations Survey(Market/Rest - 27 Meet/sem/Lectures 28. Housing Cert/Ins a J 29. Housing Cert/Reins . � ! W VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. 0 VM Edith Harman Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn S . Jernigan , R .N . DATE : May 2 , 1989 RE: April Statistics COMMUNICABLE DISEASES Campylobacter Girardia New Cases: 1 New Cases : 1 Carryover Cases : 0 Carryover Cases : 0 Discharged : 0 Discharged : 0 Report to State: 0 Report to State 0 Home Visits: 1 Home Visits : 0 Hepatitis Non A, Non B Salmonella New Cases: .' 1 New Cases f 0 Carryover Cases.: 0 Carryover Cases: 7 Discharged: 0 Discharged: 0 • Report to State: 0 Reports to State: 0 Home .Visits: 0 Home ..Visits: 2 Tuberculosis New Cases: 0 .Carryover Cases: 1 { TB Testing Clinics Weekly Clinics at VNA: 4 Total Mantoux Tests: 6 Neg: 5 Po.s . : 1 Bookings made at North Shore Pulmonary Clinic: 13 Reports received from N.S. P.C . : 21 Reports received from other Clinics : 3 New to INH: 4 Continue INH: 5 Complete Pro. : 2 Discharged , medication intolerance: 1 Home Vis-its: 4 • SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/ (617)745-9050 y x" y i�:'w. ��.yroz 9 "s::.;_r�4^�":&'�:r+k,.rt .y.f•�e'.'HF^'1> �'_ �F .�'tw-��'�'.�$,.�4'.1;"r�:':i �Yae`�r x 's. 7x x- r '":'ns a� gyp,.: '..Y a"�.u�-0c, �vs' 7 ,s x F•d.,. � w COMMUNITY PROGRAMS Immigration and Refugee Referrahs. 4 - ` r 1 man has come from Portugal with an abnormal chesty-ray and will be further evaluated at North Shore Pulmonary Clinic . A man , his wife and 8 year old child are refugees from the USSR . Follow up is in process . St . Joseph ' s School Postural Screening: Screening was conducted on the basis of parental request in reply to a letter sent home . Grade 5 9 children screened 1 failure-already diagnosed and under care . Grade 6 14 children screened 1 failure-under care . HIV Update ( Formerly AIDS AWARENESS ) 4/25 , 4/26 44 public health nurses attended this 2-day conference held at the NE Regional Health Office in Tewksbury . Ms . . Jernigan , along. with the NE Region .Nursi�.g. Advisor and a supervisor for the Cambridge Pubflil.. He,alth..nN.urses. organized and presented this conference under' the direction of the MDPH AIDS Education ,Coordinator... LBad R:oi8oi11 ,s« �'te 'rir3 µfriti` i `rr� DO � - Referre�.s��eceived. he out '4.. xa 4, e r visits%werb made to moni`tgr tpatient ,ztr �aeri ; ,r ""4_µ f rr S K s yyu xrL .ru ,N��r u •�'tH .a. .5, ,� '3.s7<'�X'`'r `=` .f.•-t*S�iG',. k`.-. 3` i� f •��,�K, r` "�F$"'^C r oft leed poisoned` child f r � {{ ` .J:� "f $ F'>y�3�+ �, 'l y}1^" �. I ^2 � � !. 3� t r .yy�,S•'� f 45� Y 5 S 3f '. F ✓' Y iA."..`�k%� j,. .: .� '. S ��;Xya t -.: k l � �tl sl 5 �..,,�.9'"' •y.�c-r 4.f� � ri Ar v s.e�•.F �i .,x_,rs s �.-J -' ^��,C ti r e•b�,s�` ��;q'v� �,#�`tr,'.+. 44,>a._ ,y�'�"^ y'y± ��' M i�£t_' y� 4 ,�, c�.'s re.µ�" rr��•r`"�'�'v�"�',.`��`r* i��. .•� � .ih �.� .i:�wim".�`,*��-x'�'i� `n.��. �..0 _ �4'`z "`.`� a'€•3`ie;�„z�J' �, ''�.�t�� y�- ,' "$N. ,{.xz� ..ar �r�.�: Y}- d' �..-> ,..L. .fir.;,�, � : t�i r't':• ��`�i p"� ,; w't i��+.`'�--v a+a +}c� Nuts �.� r 1j ^a. .4:�v.. ��ya� f4-�a "Rti��a ._i T''�k�J "£M. '� tv :ya x„t�s:k, r-ar,_ i .•. fit f t,.' aR�-L�$ `r sx i.-. ,r .�Sa�T, `j�°.'SJ�';; k y�• x t'� at:. � '. ?s �i..�5 -y •:s sr} �`_.° ,s .-.`; .,s�a�}F•�-�..--� Kr�,..- '+ rry, � .�s't .1`�"r.,,rC ., � ."e "tk,_t _a �,,. r s -��..'�-t i '. EON@ �, 'SS%vvv a z'' ' tg_..""`ra^3d ° + xq, s .r- a lay.^ }' ,"jF. 7S M �z �S.+ ZZa -, . • � +3. -,�jr 2 a � '+` 1 ' '4 4 €�.- i T�� it -6 ° ' r 5 ' x '-:! Y �� '`t } at TN•Y �"'Y:3.`�`�5" `-"�- Yid t .,; iP` k k V ^k'",t+vz•r-"t •,Yc1 ' )Rh iFd -N, t t~ f 3`">`2_ �`"Fp'r.'F"'�1 Y,.:. �i5h 4 �* h.i 3,ra a a•p, -.t 3L�!` u-t..6� e'ti-- � �, r �i- ,� n •r ,_..,y �vg'rt•,=.>j•=si'�.�,�`.x. .ys'" { $•rx E. nf-* r<� r. � i w .'^ 4 i J �' F r w a':;z' ..Say ,*r •f o- t . `r `"` .d— r t " 4 e _'M: �r z �t z r r t a . 0 0 1, ADNI•TION MONTHLY REPORT March 31 1989 ANIMAL BITES REPORTED 'BIOLOGICS DISTRIBUTED AMOUNT 1 Diptheria,Tetanus & Pertussis 55 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 1 vial BURIAL PERMITS 57 _ Immune Serum Globulin 10 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 h2LR--1,!easles/Mumps/Rubella 180 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED$3,000.00 Polio Vaccine 660 doses —. Tetanus & Diptheria (adult use) 11 vials - - Tetanus Toxoid (absorbed) 4 vials ----- - - - - -- -- 1 MB, Tuberculin P.P.D. 5 ML 6 vials Typhoid Vaccine 0 HIB 0 SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $200,570.26 $127,100.72 $73,469.54 EXPENSE REPORT: ALLOWED EMENDED FREE CASH (includes) ENCUY3EP,ED !i $49,928.33 $27,657.37 $22,270.96 Al loom" MIN MIN NEW wo a IN mu MIN IN MKS IN m IN IN IN MIN mm INININ MINE! m IN IN INIM IN WIN IN IN MEMO IN IN OR ��neoun�NNONE ■onIll WIN so m n�� UEN&A��000no��o�a� f • VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows ItNA Chairman President I TO: Salem Board.of Health FROM: Karolyn S. Jernigan, R.N. B.S DATE: April 1 , 1989 RE: March Statistics COMMUNICABLE DISEASES Aseptic Meningitis Hepatitis B New Cases: 1 New Cases: 0 Carryover Cases: 0 Carryover Cases:0 Discharged: . 1 Discharged: 1 Report to State: 1 Report to State: 1 Home Visits: 1 Home Visits: 0 • Shigella Salmonella New Cases: 0 New Cases: 0 Carryover Cases: 0 Carryover Cases: 7 Discharged: 1 Discharged: 0 Report to State: 1 Report to State: 0 Home Visit: 0 Home Visits: 3 Tuberculosis New Cases: 0 Carryover Case: 1 This`case is part of a new program in which T.B. medications are dispensed at the methadone cynic in Boston. Methadone clinic participants report daily for medication; therefore, compliance to TB medication regime is also ensured. T.B. Testing Clinics Community Based clinics: 1 (Salem YMCA) Weekly Clinics at VNA: 4 Total Mantoux Tests: 17 Neg. 13 Pos. 4 (Positive reactors are evaluated at the Pulmonary Clinic. If x-ray indicates active disease they are then treated with anti T.B. Med- ications. If x-ray is normal and the patient is 35 years of age and under they will be treated for at least 6 months with medication if • their liver function test is within a normal range in order to kill the T.B. organisms in their body. Bookings made at North Shore Pulmonary Clinic: 6 Reports received from N.S.P.C. : 14 Patients new to INH: 2 Continue INH: 4 Home Visits: 7 iL SHETLAND OFFICE PARK /27 CONGRESS STREET/ SALEM. MA 01970/ (6171 745-9050 Miscellaneous Referrals Received: 2 1 Visit to a daycare to asses a burn. 1 request from a daycare for educational materials regarding pinworm. COMMUNITY PROGRAMS Immigration and Refugee Referrals: 4 A group of Vietnamese (3 adults and 1 child) arrived in Salem from Thailand. Using their sponsor as an interpreter, 'home visits were made to establish T.B. Status and to introduce them to the available health care systems. St. Joseph's School 78 Children in grades 6,7,8 screened for hearing/vision; height/weight; pediculosis. 3 Hearing failures ( 1 referral; 2 perm loss) 5 Vision failures (5 referrals) 24 Health interviews with parents of prospective kindergarten 89/90 students. 20 Records collected and evaluated. (K-89) 82 Children in grades 4,5,6 participated in human sexuality education: 2 one hour classes per grade. Aids Awareness • 3/17/89 Ms. Jernigan presented part II of a progam for Home Health Aides. 3/22/89 Ms. Jernigan met with a Mass Dept. of Public Health AIDS Education to continue planning 2-day advanced aids training session for public health nurses in the A.E. Region of the commonwealth. ADMINISTRATION MONTHLY REPORT February 1989 BIOLOGICS DISTRIBUTED ANIMAL BI' REPORTED`; 0 Diptheria,Tetanus & Pertussis 75 vials Diptheria-Tetanu§ jTox: (under yrs. ) 1.•Vial ' BURIAL PERMITS 64 Immune Serum Globulin 2 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 t2,1R--FAeasles/Mumps/Rub ella 90 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 100 doses AND CERTIFICATE OF FITNESS $2,965.00 Tetanus & Diptheria (adult use) 74 vials Tetanus Toxoid (absorbed) _..- ._....... _.__� _ -- ...--- ---- --- -- --- . . 1 14L Tuberculin P.P.D. 5 14L 31 vials Typhoid Vaccine H.I.B. 0 vials ALL OWED SALARY REPORT: EXPENDED BALANCE TO END OF FISCAL $200,570.26 $112,403.26 $88,167.00 ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED EXPENSE REPORT: $49,928.33 $26,858.12 $23,070.21 "�, No on � VNAVISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn S. Jernigan, R.N. B.S DATE: March 1 , 1989 RE: February Statistics COMMUNICABLE DISEASES Salmonelia Shigella New Cases: 3 New Cases: 0 Carryover Cases: 4 Carryover Cases: 1 Discharged: 0 Discharged: 0 Report to State: 0 Report to State: 0 Home Visits: 3 Home Visits: 2 Girardia Hepatitis B • New Cases: 0 New Cases: 0 Carryover Cases: 0 Carryover Case: 1 Discharged: 1 Discharged: 0 Report to State: 1 Report to State: 0 Chickenpox New Cases: 2 Letter to School: 1 Discharged: 2 Tuberculosis New Cases: 0 Carryover Case: 1 Report to State: 1 Home Visits: 6 Extensive follow up continues to ensure compliance to medication regime by carryover case. Household contacts tested negative. T.B. Testing Clinics: Community Based Clinics: 2 (Crombie Street Shelter and YMCA) Regular Weekly Clinics at VNA: 4 Total Mantoux Tests: 21 Neg: 15 Pos. 2 Need for repeat: 1 No show for reading: 2 • SHETLAND OFFICE PARK/27 CONGRESS STREET/ SALEM, MA 01970/ (617) 745-9050 Bookings made at North .Shore Pulmonary Clinic: 15 • Reports received from N.S.P.C. : 19 Reports received from other Clinics: 1 Patients new to INH: 5 Cintinue INH: 7 Complete Program: 1 Discharged, Non-compliant: 11 Home Visits: 1 Miscellaneous Referrals Received: 1 1 Visit to day care center to educate and evaluate possible scabies case. Miscellaneous Activities 2/28/89 Ms. Jernigan attended "Review and Update for Public Health Nurses Communicable Disease Control," sponsored by MDPH and held at the Regional Health office in Tewksbury. COMMUNITY PROGRAMS St. Joseph's School 75 children in grades 4,5,6 screened for hearing/vision; height/weight; pediculosis 3 hearing failures-2 under care, 1 needs repeat. 7 vision failures-5 referrals made, 1 under care, 1 needs retest. 2 pediculosis cases found-follow up conducted to ensure compliance and nit removal. AIDS AWARENESS 2/17/89 Ms. Jernigan attended planning meeting for Advanced AIDS Training for Pulbic Health Nurses scheduled for 4/25, 4/26. i f MONTHLY REPORT Januo- ADMIKSTOON1989 TR BIOLOGICS DI S IBUTED AMOUNT I ANIMAL BITES REPORTED 2 Diptheria,Tetanus & Pertussis 22 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 1 vial BURIAL PERMITS 55 -- Immune Serum Globulin 0 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 MMR--Measles/Mumps/Rubella 41 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $5,640.00 Polio Vaccine 390 doses Tetanus & Diptheria (adult use) 44 vials Tetanus Toxoid (absorbed) 0 vials 1 ML Tuberculin P.P.D. 5 ML 6 vials Typhoid Vaccine 0 H.I.B. 0 vials EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED $201,719.68 $99,876.51 $101,843.17 _ EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUM3ERED $49,928.33 $25,540.56 $24 ,387.77 $46,683.73 + $3,244.60 = $49,928.33 Appropriation for Visiting Nurse Association as requested. F21 221 23 No M am MINION IN ININ mimmi IN w IN IN Now 1001 MW MINIM No No Wla Mn MIN IN IN NINON WINN IN IN MEN OMEN 0 No WIEN NINON � imom mom iiWIN MIN 100wo IN .moo......-�.o..��o....�.�. VNAVISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President I TO: Salem Board of Health FROM: Karolyn S. Jernigan, R.N., B.S. DATE: February 1, 1989 RE: January Statistics COMMUNICABLE DISEASES Shigella New Cases: 1 Carryover: 0 Discharged: 0 -Rept. to State: 0 Salmonella Compylobacter New Cases: 0 New.Cases: 0 Carryover: 5 Carryover: 0 Discharged: 1 • i Discharged: 1 Reptb: '-.`o'-.State: 1 Rept. to State: 1 Home Visits: 1 Hepetitis B Girardia New Cases: 0' New.Cases• 0 Carryover: 1 Carryover 1 Discharged: 0 Discharged: 1 Rept. to State: 1 Rept. to State: 1 Tuberculosis New Cases: 1 A hospital visit was made with the translator prior to ;,his patient's discharge. Follow up will continue to. ensure compliance with. medication regime and to test contacts. Mantoux Tests: 9 Neg. 9 Positive 0 Booking made at -.North Shore Pulmonary Clinic: 11 Reports Received from N.S.P.C: 16 Reports received from other clinics: 1 Patients new to INH: 3 Continue INH: 4 Complete Program: 3 Home visits: 2 • SHETLANDD-OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617)745-9050 0 The Public Health Nurse is again serving as the liaison between the • Boston City Hospital T.B. Clinic and Salem State College to help mopitor the medication compliance of a T.B. Case who resides in Salem during the school year to attend classes at S.S.C. Pertussis Alert The BOH received a referral from the MDPH to investigate a possible pertussis case. The Public Health Nurse visited the involved Day Care Center and reviewed 35 health records to identify which children are at risk for infection if exposed. Thi7,s.- was of particular interest because the BOH had received a notice from Mass Dept. Public Health in December, 1988, alerting us to be aware of the increase in pertussis cases. COMMUNITY PROGRAMS j Lead Screening Prevention A Referral was received from the New York City Public Health Dept. to follow up an elevated lead level on a child who recently moved to. Salem. . A home visit and correspondance with a Salem pediatrician documented a repeat test was within normal limits. Miscellaneous.c�Referrals Received: 4 93 Children were examined for Headlice at 2 different community programs 2 ':':Home Visits made to instruct regarding headlice control 1 Home Visit.made. by PHN and BOH,.inspector-to investigate faulty heating .-�.4 system. Children were afso, identified as high risk for lead poisoning and were referred for testing. St. Joseph's School 77 Children screened for Hearing, Vision, Height and Weight in Grades 1 ,2,3. 4 hearing failures-need. repeat test 4 vision failures-1 referral made-3 to be retested. AIDS Aiaareness 1/19/89 Ms. Jernigan met with NE Regional Dept Public Health Nursing advisor, Peg Blum, R.N. , and .Cambridge Public Health Nurse, Ruth Karacek, R.N., to plan April "Advanced AIDS Update" for 50 community nurses. 1/30/89 Ms. Jernigan attended Mass HIV Educators Medical Update at Jamaica Plain. i AD MINISTRA•N MONTHLY REPORT Decembf31, 1988 �' ANIMAL BITES REPORTED BIG�OGICS DISTRIBUTED � AMOUNT ' I 1 r Diptheria,Tetanus & Pe rtussis 52 vials rh; Diptheria-Tetanus Tox. (under 6 yrs 1 vial BURIAL PERMITS.. ) 77 Immune Serum Globulin 0 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 MMR--Measles/Mumps/Rubella 160 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $1,373.00 Polio Vaccine 550 doses -- Tetanus & Diptheria (adult use) 45 vials Tetanus Toxoid a 1 vial v 1 ML Tuberculin P.P.D. 5 ML 15 vials Typhoid Vaccine 0 ------------ H.I.B. 40 doses ALLOWED —_ EXPENDED BALANCE TO ETD OF FISCAL SALARY REPORT: $201,719.68 $82,728.96 $118,990.72 _ r I 'LT?�EfiL'D E C ' e EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) $46,683.73 $21,833.59 $24,850.14 28 E61271 WIN ON No ww"Mm mum IMIUMMINIM am WIN! ON No No 0 ION 10 a 00101 WIN WIN 1001 No 0101 ==lMo ON No mom No mm IN No mom MONO 0 mom m on No No ri 0 WIN w ` ` VISITING NURSE ASSOCIATION OF' GREATER SALEM , INC . Edith Harman Linda A. Billows Chairman President TO Salem Board of health FROM: Karolyn S. Jcrn:igan, R.N. , B.S. DATE: January 3, 1989 RE DECEMBER 1988 STATISTICS COMMUNICABLE DISEASES Campylobacter Salmonellae- New Cases: l New Cases: 4 Carryover: 1 Carryover: 2 Discharged: 2 Discharged: 3 Reports to State: 2 Reports to State: 3 Home visits: 4 Home visits: 3 Giardia Bacteremia (Neisseria Meningitid• New Cases: 0 New Cases: 0 Carryover: 2 Carryover: 0 Discharged: 4 Discharged: 1 Reports to State: 4 Reports to State: 1 Home visits: 0 Home visits: 1 Hepatitis A Hepatitis B New Cases: 0 New Cases: 0 Carryover: 0 Carryover: 1 Discharged: 1 Discharged: 0 Reports to State: I Reports to State: 0 Home visits: 0 Home visits: 0 Tuberculosis New Cases: 0 Mantoux tests: 5 Neg. 5 Pos. 0 Bookings made at North Shore Pulmonary Clinic: 17 Reports received from N.S.P.C. : 18 Reports received from other pulmonary clinics: 1 Patients new to INH Continue INH 3 Complete program: 0 Home visits: 4 SHETLAND OFFICE PARK /27 CONGRESS STREET/ SALEM, MA 01970/ (617) 745-9050 � � COXiHUN|Ty PR0(l<AM,� ~ Misccllaocno» Uef,errals Kcceivcd� � Uomr Visits: 2 Head lice check at after school- program: 49 children Lead Screening, Prevention RoCerrals received: l Claus II ^ Home Visits: l �t. Joseph's School Zg Kindergarten s�udenis screened: Ueu,ioO/vis ion/lie i�hc/uoi�h� � Flu and Pneumonia Immunization Program Clinics: Flu Pn(�umoniu Point Neighborhood Comm, Ctr, ( 12/1) 23 Z Charter St, ( 12/6) 163 Z Council On Aging ( 12/8) 108 8 Other: Public Health Nurse Homo visits 12 Office visits 5 Shaughnessy 6 Newhall Nursing Home 30 VN& 6 / Total 1988 Flu and Pneumonia Program Clinics: Flu Vaccine Pneumonia Vaccine 11/6/88 Pioneer Terr. 142 4 I1/15/88 CO& 215 5 I1/29/88 COA 376 14 I2/01/88 Point 23 2 12/06/88 Charter 3t. 163 2 ' 12/08/88 CO8 108 8 1,027 40 Public Health nurse Home Visits 41 | Office Visits 18 --- 59 Board of Health Distribution 8rookbouoe 15 Newhall Nursing Home 30 Shaughnessy Hospital 36 l VNA 24 Dr. 3tuchioer | 120 � _--- --- 225 �l TOTAL: 1,311 U � K . ' 1 • Tuberculosis New Cases: 0 Mantoux Tests: 11 Negative: 11 Positive: 0 Bookings made at North Shore Pulmonary Clinic: 9 Reports received from .NSP.C: 26 Reports received from other pulmonary clinics: 1 Patients new to INH: 10 Continue INH: 2 Complete program: 3 COMMUNITY PROGRAMS Miscellaneous Referrals Received: 1 Home Visits: 1 Lead Screening Prevention Reports received: 0 St. Joseph's School Parents of students with incomplete health records were contacted and requested to supply additional information. Immigration Services Reports received: 1 • Follow up is being conducted to ensure receiving proper medical services. Flu - Pneumonia Clinics Clinics: Flu Pneumonia Pioneer Terrace (11/10) 142 4 Council on Aging (11/15) 215 5 Council on Aging (11/29) 376 19 Other: Public Health Nurse Home Visits 25 Office Visits 13 Brookhouse 15 Shaughnessy 30 VNA 18 1 834 29 MONTHLY REPORT Nove 1988 ADMINISTRATION ANIMAL BITES REPORTED 1 BIOLOGICS DISTRIBUTEb AMOUNTI Diptheria,Tet anus & Pertussis 28 vials BURIAL PERMITS 40 _ Diptheria-Tetanus Tox. (under 6 yrs. ) 0 --- 30: vi.als Immune Serum Globulin INTERNATFONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use onl 0 ? asles/Dfum�s/P,ubella 110 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED 360 doses $2772 .00 Polio Vaccine Tetanus & Diptheria (adult use) 6 vials 30 vials -- — - Tetanus Toxoid a 1 ML 5 ML 9 vials Tuberculin P.P.D. 0 Typhoid Vaccine TO ':�D OF FISCAL SALARY REPORT: ALLOWED EXPENDED BALA:+CE $201 ,719.68 $69.482.35 _ $132,237.33 EXPENDED FREE CASH (includes) EPiCLR•3ERED EypENSE REPORT: ALLOWED , $46,683. 73 $21,833.59 $24 ,850.14 VA �m0mDi7��F7[7m VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn S. Jernigan, R.N. , B.S. DATE: December. 1, 1988 RE: November Statistics COMMUNICABLE DISEASES Campylobacter Hepatitis B New Cases: 2 New Cases: 1 Carryover Cases: 0 Carryover Cases: 0 Discharged: 0 Discharged: 0 Reports to State: 0 Reports to State: 0 • Home Visits: 2 Home Visits: 0 Food Establishment Inspection: 1 Salmonella Hepatitis A New Cases: 1 New Cases: 1 Carryover Cases: 4 Carryover Cases: 0 Discharged: 0 Discharged: 0 Reports to State: 0 Reports to State: 0 Home Visits: 0 Home Visits: 0 Bacteremia (Neisseria Meningitidis) New Cases: 1 Carryover Cases: 0 Discharged: 0 Reports to State: 0 Home Visits: 0 Girardia New Cases: 1 Carryover Cases: S Discharged: 0 Reports to State: 0 Home Visits: 0 • SHETLAND OFFICE PARK/27 CONGRESS STREET/ SALEM, MA 01970/(617)745-9050 Tuberculosis New Cases-,.0 Mantoux Tests: 11 Negative: 11 Positive: 0 Bookings made at North Shore Pulmonary Clinic: 9 Reports received from .NSPC: 26 Reports received from other pulmonary clinics: 1 Patients new to INH: 10 Continue INH: 2 Complete program: 3 COMMUNITY PROGRAMS Miscellaneous Referrals Received: 1 Home Visits: 1 Lead Screening Prevention Reports received: 0 St. Joseph's School Parents of students with incomplete health records were contacted and requested to supply additional information. Immigration Services Reports received: 1 • Follow up is being conducted to ensure receiving proper medical services. Flu - Pneumonia Clinics Clinics: Flu Pneumonia Pioneer Terrace (11/10) 142 4 Council on Aging (11/15) .215 5 Council on Aging (11/29) 376 19 Other: Public Health Nurse Home Visits 25 Office Visits 13 Brookhouse 15 Shaughnessy 30 VNA 18 1 834 29 A �I ADhffNISTP�ATION MONTHLY REPORT October 1988 BIOLOGICS DI STRIBUTED AMOUNT I ANIMAL BITES REPORTED 0 Diptheria,Tetanus & Pertussis 58 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 1 vial BURIAL PERMITS 45 -- Immune Serum Globulin 26 vials INTERNATIONAL TRAVEL - CERTIFICATES (CERTIFIED) 0 Measles (Clinic use onl 0 14-LR--VRasles/Mumps/Rubella 120 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $2,300.00 Polio Vaccine 530 doses --__— — ------ - Tetanus & Diptheria (adult use) 50 vials 0 Tetanus Toxoid a - 1 ML Tuberculin P.P.D. 5 ML 53 vials 0 Typhoid Vaccine EXPENDED BALiViCE TO r.:;� G% FISCAL SALARY REPORT: ALLOWED $201,719.68 $53,241.36 $148,478.32 _ ALLOWED EXPENDED FREE CASH (includes) ENCU?43-,'.FD EXPENSE REPORT: $46,683.73 $6,876.01 $39,807. 72 too to 0 MINIM WASS- IN MINIM IN No IN IN IME No IN IN MIN no IN ORA IN ON MINIM 0 IN IN ININ MINE MIMI m�s� rcc•�r��r��ce�mon I PA goo NNW on MMUM MINNIE- .� r VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn S. Jernigan, R.N. , B.S. DATE: November 1, 1988 RE: October Statistics COMMUNICABLE DISEASES Campylobacter Girardia • New Cases: 0 New Cases: 0 Carryover Cases: 0 Carryover Cases: 5 Discharged: 1 Discharged: 0 Reports to State: 1 Reports to State: 0 Home Visits: 3 Salmonella Hepatitis A New Cases: 0 New Cases: 0 Carryover Cases: 5 Carryover Cases: 0 Discharged: 2 Discharged: 1 Reports to State: 2 Reports to State: 1 Home Visits: 2 Shigella New Cases: 0 Carryover Cases: 0 Discharged: 3 Reports to State: 3 Tuberculosis New Cases: 0 Mantoux Tests: 4 Negative: 4 Positive: 0 Bookings made at North Shore Pulmonary Clinic: 12 Reports received from N.S.P.C. : 15 Patients new to INH: 1 Continue INH: 2 Complete INH Program: 3 Discharged, INH/intol: 0 Home Visits: 1 SHETLAND OFFICE PARK/27 CONGRESS STREET/ SALEM, MA 01970/ (617) 745-9050 4. COML RJNITY PROGRAMS Lead Screening; Prevention Reports received IA, IB (.low risk) : 15 II (moderate risk) : 2 III (high risk) : 0 St. Joseph's School 24 Kindergarten records collected & surveyed - all comply with immunization requirements - survey mailed to MA Dept. Public Health 22 Transfer student records collected & surveyed - all compy with immunization requirements - survey mailed to MA Dept. Public health 45 Students checked for head lice. Flu & Pneumonia Clinics Tuesday, Nov. 29 Council on Aging 9 - 12 noon Thursday, Dec. 1 Point Community Center 9 - 12 noon Tuesday, Dec. 6 Charter Street 9 - 12 noon Thursday, Dec. 8 Council on Aging 9 - 12 noon • Additional Clinics due to early arrival of vaccine Thursday, Nov. 10 Pioneer Terrace 9 - 12 noon Tuesday, Nov. 15 Council on Aging 9 - 12 noon AIDS Awareness 10/17/88 Ms. Jernigan attended a follow up session of the "Train the Trainer" program. 10/26/88 Ms. Jernigan attended the Marblehead AIDS Awareness Program. i ADMINISW ON MONTHLY REPORT Septoer BIOLOGICS DI R UTE ST IB D AMOUNT I ANIMAL BITES REPORTED 0 Diptheria,Tetanus & Pertussis 59 vials Diptheria-Tetanus Tox. (under 6 yrs. ) l 'vial BURIAL PERMITS 61 Immune Serum Globulin 17 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 MMR--Measles/Mumps/Rubella 149 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $1,575.00 Polio Vaccine 600 doses _ — --- Tetanus & Diptheria (adult use) 48 doses Tetanus Toxoid (absorbed) 2 vials 1 ML Tuberculin P.P.D. 5 ML 6 vials 0 Typhoid Vaccine H.I.B. 25 doses + OWED EXPENDED BALANCE TO E14D OF FISCAL SALARY REPORT: AL $201,719.68 $40,922.89 __ $160,796.79 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $46,112.00 $5,535.40 $40,576.60 mom MINE WINE Ml 111111101 MINE &AMFM 111 111"III MINE No WINE ME INS MISS INS INS WINE INS 011111 @NONE III MM WON . . 0�N�n��I1�■�N�ON�A� MINE NEON rt� J VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President TO Salem Board of Health FROM: Karolyn S. Jernigan, R.N. , B.S. DATE: October 1, 1988 RE SEPTEMBER STATISTICS COMMUNICABLE DISEASES 1. Campylobacter New Cases 1 Carryover Cases 0 Discharged 1 Reports to State: 1 Home Visits 3 2. Salmonella • New Cases 4 Carryover Cases 4 Discharged 2 Reports to State: 2 Home Visits 6 Office Visits 1 3. ~ Shigella New Cases 0 Carryover Cases 3 Discharged 0 Reports to State: 0 Home Visits 2 4. Girardia New Cases 1 Carryover Cases 4 Discharged 0 Reports to State: 0 Home Visits 0 • SHETLAND OFFICE PARK / 27 CONGRESS STREET/ SALEM, MA 01970/ (617) 745-9050 L _ r � d y Board of Health • October 1, 1988 5. Hepatitis A • New Cases 0 Carryover Cases : 1 Discharged . 0 Reports to State: 0 Home Visits 0 6. . Tuberculosis New Cases 0 Mantoux Tests 19 Negative: 18 Positive: 1 Bookings made at North Shore Pulmonary Clinic : 12 Reports received from N.S.P.C. : 18 Patients new to INH: 4 Continue INH 3 Complete INH program: 2 Discharged INH Intol: 0 Work site clinics 2 Home Visits 4 7. Lead Screening Prevention Reports Received: la (low risk) 4 II (moderate risk) : 1 III (high risk) : 0 St. Joseph's School • Health records are being collected and immunization status evaluated for incoming kindergarten and transfer students. Flu - Pneumonia Clinics Flu vaccine will not be available until after mid November due to "trouble growing one of the strains" according to the MDPH immuniza- tion program. The following clinic dates have been established: Tuesday, Nov. 29 Council On Aging 9:00-1:00 Thursday, Dec. 1 Point Community Center 9:00-1:00 Tuesday, Dec. 6 Charter Street 9:00-1:00 Thursday, Dec. 8 Council On Aging 9:00-1:00 • ADMINISTRATION MONTHLY REPORT August 1988 BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 3 Diptheria,Tetanus & Pertussis 20 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 0 vials BURIAL PERMITS 66 Immune Serum Globulin 13 vials INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) h24R--?,easles/Mumps/Rubella 71 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 260 doses $2,459.00 Tetanus & Diptheria (adult use) 9 vials Tetanus Toxoid (absorbed) 1 vial ----- - ---- - - - 1 ML Tuberculin P.P.D. a 5 ML 41 vials Typhoid Vaccine H.I. B. 0 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $201,719.68 $28,959.32 $172,760.36 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $46,112.00 $3,553.85 $42,558. 15 omMOM iiiiii�iiiioii�001a�MOM No MMIN IN No 0010-IMMIM 0 WIN NIS so N �� MINIM IN am El 0 IMINNIM! IMMISKIN WIN OWN IN umnow WINN MOM IN �o�o■��N�a��MIN=BAN _ '�inn�i�6iiiF�'o�iii'��• on Now MEN No No ion M 0 I VISITING NURSE ASSOCIATION • OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President TO: Salem Board of Health From: Karolyn -. Jernigna, R. N. B. S. Date: September 1, 1988 Re: August Statistics COMMUNICABLE DIISEASES Campylobacter E. Coli New Cases: 0 New Cases: 0 Carryover Cases: 1 Carryover Cases: 0 Discharged: 1 Discharged: 1 Reports to State: 1 Reports to State: 1 Home Visits: 0 Home Visits: 0 Girardia Salmonella New Cases: 4 New Cases: 5 Carryover Cases: 0 Carryover Cases: 1 Discharged: 1 Discharged: 3 Reports to State: 1 Reports to state: 3 Office Visits: 1 Home Visits: 1 Comments: All new cases are Office Visit: 1 in one family. Work site Visit: 1 Group B Streptococus New Cases: 1 Carryover Cases: 0 Discharged: 1 Reports to State: 1 Hepatitis A Shigella New Cases: 1 New Cases: 3 Carryover Cases: 0 Carryover Cases: 0 Discharged: 0 Discharged: 0 Reports to State: 0 Reports to State: 0 Home Visits: 1 Home Visits: 4 � MA 01970/ 27 CONGRESS STREET/SALEM 617 745-9050 SHETLAND OFFICE PARK/ � ) • Tuberculosis New Cases: 0 Mantoux Tuts: 9 Negative: 7 Positive: 2 Bookings made at North Share Pulmonary Clinic: 9 Reports received from N. S. P. C. : 15 Patients new to INH: 1 Continue INH: 3 Complete INH program: 3 Discharged-- INH intol . : 1 COMMUNITY PROGRAMS Lead Screening Prevention Reports Received: IA (low risk) : 28 II (moderate risk) : 2 III (high risk) : 0 AIDS Awareness Activities 8/2/88 Met with Dennis James, AIDS Action Committee for consultation regarding Hispanic education. 8/8/88 Attended Cape Ann Task Force meeting. 8/11/88 Presented an inservice to lawyers & para-legals. • 8/16/88 Met with Peg Blum, R. N. , N. E. Nursing Advisor. 8/18/88 Met with Tania Griggs, Hispanic AIDS educator. 8/19/88 Met with Dr. David Stuchiner 8/23/88 Consultation with Home Health Aides re. AIDS pt. 8/25/88 Home visit--AIDS pt. 8/29/88 Attended the Mass. AIDS Educator' s meeting. September Plans: To attend the 2nd National AIDS Confer- ence, "Health Department Leadership & Community Response.' St. Joseph School Health records are being collected for incoming kindergar- ten children and immunization status evaluated. The health program has been evaluated with Sr. Alice, pr=ncipal, and plans for 1988-89 school year include utilizing parent volunteers, supervised by the Public Health nurse for vision and hearing screening. Flu & Pneumonia Clinics According to the Mass. DPH, flu vaccine will not be availa- ble until November. Clinic dates had been established, after consultation with vario,us .c.ommunity agen .i,es, but are now being rescheduled. ' ADMINISTRATION MONTHLY REPORT i Y 1988 . DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 3 BIOLOGICS Diptheria,Tet anus & Pertussis 57 vials Diptheria—Tetanus Tox. (under 6 yrs. ) 1 vial BURIAL PERMITS 40 Immune Serum Globulin 0 INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED) Measles (Clinic use only) 0 MMR--Meas le s/Mumps/Rubella 90 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $1,094.00 Polio Vaccine 350 doses Tetanus & Diptheria (adult use) 26 vials Tetanus Toxoid 17 vials - - 1 ML 6 Tuberculin P.P.D. 5 ML vials Typhoid Vaccine 0 H.I. B. 30 doses SALARY REPORT: ALLOWED �EXPENDED BALANCE TO END OF FISCAL $2019179.68 $14,386.12 _ $186,793.56 D EXPEITDED FREE CASH (includes) ENCUNTEftED EXPENSE REPORT: � . $56,319.75 $52,846.85 $3,472.90 I �no��on� • iu�i�iiii••�• n��n h y VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President TO: Salem Board of Health From: Karolyn S. Jernigna, R. N. B. S. Date: August 1, 1988 Re: July Statistics COMMUNICABLE DISEASES New Cases Campylobacter E. Coli New Cases: 1 New Cases: 1 Carryover Cases: 1 Carryover Cases: 0 • Discharged: 0 Discharged: 0 Reports to State: 0 Reports to State: 0 Home Visits: 2 Home Visits: 1 Girardia Salmonella \ New Cases: 1 New Cases: 3 Carryover Cases: 0 Carryover .Cases: 1 Discharged: 0 Discharged: 4 Reports to State:' 0 Reports to State: 4 Home Visits: 1 Home Visits: 3 Comments: This case is part of Comments: Two of the an outbreak in a daycare center new cases are food- in another community. There is handlers and are ex- a case (non-Salem resident) in cluded from work un- a Salem daycare til clear. Carryover Cases Hepatitis A Shigella New Cases: 0 New Cases: 0 Carryover Cases: 0 Carryover Cases: 0 Discharged: 1 Discharged: 2 Reports to State: 1 Reports to State: 2 Home Visits: 0 Home Visits: 0 r SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/ (617) 745-9050 v • Tuberculosis New Cases: 0 Mantoux Tests: 25 Negative: 22 Positive: 0 Needs repeat: 1 N. S. for read. : 2 Bookings made at North Shore Pulmonary Clinic: 16 Reports received from N. S. P. C. : 18 Patients new to INH: 2 Continue INH: 4 Complete INH program: 4 Lost to follow up: 1 Home Visits: 4 COMMUNITY PROGRAMS Lead Screening Prevention Reports Received: IA (low risk) : 15 II (moderate risk) : 1 III (high risk) : 0 AIDS Awareness 7/19/88 Ms. Jernigan presented a 2-hour inservice for home health aides. 7/27/88 Ms. Jernigan planned Part II "Beyond Fear--Aids Up- date for Nurses, Psych-Social Issues. " Guest speak- er, Fran McCarthy, R. N. who counsels HIV + inmates at Salem Jail. 7/25/88 Ms. Jernigan attended an AIDS Educators meeting in Hingham, Mass. MSTLion MONTHLY REPORT June0988 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 3 Diptheria,Tetanus & Pertussis 60 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 0 vials BURIAL PERMITS 52 Immune Serum Globulin 37 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 — MMR--Me as les/Mumps/Rubella 110 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $2,528.00 Polio Vaccine — --- -- Tetanus & Diptheria (adult use) 58 vials Tetanus Toxoid a 0 1 ML Tuberculin P.P.D. 5 ML 14 vial Typhoid Vaccine H.I.B. 25 doses EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED 150,082.69 $6,681.17 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUNMERED $56,319.75 $52,065.74 $4,254 .01 Big MINIM on MINN IN IN 011111111111 no MA IN IN on 0 mom IN MINIM M mom NEW i�iiioi��iiii��p� O��p • ■� ir7f,�0� �� RESTAURANT INSPECTIONS & COURT HEARINGS JUNE 1988 Date INSPECTOR LOCATION TYPE OF INSPECTION 6/1 Vm Brookhouse Nome for Aged Woman Routine Food 6/4 " Papa Ginos (Loring Ave.) Routine Food 6/4 ItS&S Variety Routine Retail Mkt 6/4 Newhall Nursing Home Routine Food 6/4 House of Seven Gables Routine Food 6/6 Weylus Reinspection -food 6/6 Salem Dist Ct.(iss . complaint) 27 Turner St. 6/6 Salem Dist. Ct.(iss.complaint) 6 Becket St. 6/7 Weylus Reinspection-food 6/8 Palmer Cove Yacht Club Routine food 6/8 EG&G, Inc. (cafeteria) Routine food 6/9 Polish Falcons Routine food 6/9 PLAV(Polish Legion Amer. Vets) Routine food 6/9 Ward II Club Routine food 6/9 McDonalds water source Investigation 6/9 Popeyes (grease traps) Investigation 6/11 Donut Cove Routine food 6/11 Lena's Subs (Lafayette) Routine Food 6/11 Salem Mariner Store Routine Food 6/11 Essex Roast Beef Routine food 6/13 Salem Dist. Ct. (iss .complaint) Riverbank Road 6/14 Camp Naumkeag Reinspection/license , 6/15 Shaws (Donnies Fried Chicken) Complaint/inspection 6/15 Temple Shalom Routine Food 6/16 Trackside Restaurant license 6/16 Salem Mariner Store license 6/18 Ward Eight Cafe Routine Food 6/18 Hawthorne Motor Inn Routine Food 6/18 B.P.O.E. (Elks) Routine Food 6/22 Engine House(dumping city drain) Investigation 6/23 Salem Dist Ct. Hearing 6 Becket St. 6/23 Salem Dist. Ct. Hearing 27 Turner St. 6/28 Kentucky Fried Chicken Fire-invest./insp. 6/28 Camp Fire Camp (food serv.) Food Service 6/29 " Kentucky Fried Chicken Fire/Reinspection 6/29 Forest River Concession Food -routine 6/30 " Cam Fire Camp p Reinspection final 6/30 Camp Lion Routine food SALEM HEALTH DEPARTMENT t; 9 North Street >� Salem, MA 01910 RESTAURANT AND COURT HEARING MONTHLY REPORT • COURT HEARINGS - JUNE 1988 1 . 6/2 WTB 53 Palmer St. - ARRAIGNMENT - CONTINUED TO 6/29/88 2. 6/29 WTB 53 Palmer St. - PRE TRIAL - PUT UP FOR STATUS 7/28/88 (Building being sold as of 7/ l/88) RESTAURANT INSPECTIONS - JUNE 1988 1 . 6/4 WTB Les Canadiens (Congress St.) ROUTINE INSPECTION 2. 6/4 WTB Olde Mill Pub (Congress St.) ROUTINE INSPECTION 3. 6/4 WTB Dairy Palace (Fort Ave.) ROUTINE INSPECTION 4. 6/4 WTB E.W. Hobbs (Fort Ave.) ROUTINE INSPECTION 5. 6/4 WTB Salem Lowe (Fort Ave.) ROUTINE INSPECTION 6. 6/4 WTB Dairy Witch (Boston St.) ROUTINE INSPECTION 7. 6/6 WTB Kitchen on Wheels (Mobile) ROUTINE INSPECTION - LICENSE ISSUED 8. 6/6 WTB Brian Klanow (Mobile) ROUTINE INSPECTION - LICENSE ISSUED 9. 6/6 WTB Alyces Restaurant (Canal St.) ROUTINE INSPECTION - LICENSE ISSUED 10. 6/7 WTB Hope Widtfelt (Mobile) ROUTINE INSPECTION - LICENSE ISSUED 11 . 6/7 WTB Popeye's (Canal St.) COMPLAINT-DUMPING GREASE INTO DRAIN 12. 6/ 11 WTB Cosmopolitan Club (Endicott St.) ROUTINE INSPECTION 13. 6/ 11 WTB Paul's Lounge (Gedney St.) ROUTINE INSPECTION 14 . 6/ 11 WTB Athen's Bakery (Gedney St.) ROUTINE INSPECTION 15. 6/ 11 WTB Salem Willow's Roast Beef ROUTINE INSPECTION 16. 6/ 11 WTB Puleo's Dairy Bar (Highland Ave.) ROUTINE INSPECTION • 17. 6/ 11 WTB The" Latest Scoop (Jackson St.) ROUTINE INSPECTION 18. 6/ 13 WTB Taco Mel (Fort. Ave.) ROUTINE INSPECTION - NEW ESTABLISHMENT 19. 6/15 WTB Salem Point Child Care (Congress St.ROUTINE INSPCETION - NEW KITCHEN 20. 6/ 17 WTB Walyo's (Essex St.) ROUTINE INSPECTION 21 . 6/ 17 WTB Salem Point Child Care (Congress St.REINSPECTION - LICENSE ISSUED 22. 6/ 18 WTB Cumberland Farms (Canal St) ROUTINE INSPECTION 23. 6/18 WTB Richdale Store (Loring Ave.) ROUTINE INSPECTION 24. 6/ 18 WTB Waikiki (Bridge St.) ROUTINE INSPECTION. 25. 6/.19 WTB U.S.A. Cinema (East India Mall) ROUTINE INSPECTION 26. 6/ 19 WTB On Stage Deli (East India Mall) ROUTINE INSPECTION 27. 6/ 19 WTB Little Chef Bar B Q (East India MallROUTINE INSPECTION 28. 6/ 19. WTB Nordberg's Caterer (House of 7 Gab.leROUTINE INSPECTION 29.. 6/23 WTB Taco Mel (Fort Ave.) REINSPECTION - LICENSE ISSUED 30. 6/24 WTB Crosby's Market (Canal St.) ROUTINE INSPECTION 31 . 6/24 WTB Young World Nursery (Greenledge Rd) ROUTINE INSPECTION 32. 6/25 WTB Stacia's Place (Bridge St.) ROUTINE INSPECTION 33. 6/25 WTB Lafayette Assoc. (Broadway) ROUTINE INSPECTION 34. 6/25 WTB C.V.S. (Essex St.) ROUTINE INSPECTION 35. 6/25 WTB Boston St. Variety ROUTINE INSPECTION 36. 6/25 WTB Richdale (Bridge St.) ROUTINE INSPECTION 37. 6/25 WTB Coffeetime Bake Shop (Bridge St.) ROUTINE INSPECTION 38. 6/29 WTB An Apple A Day (Derby St.) ROUTINE INSPECTION - NEW ESTABLISHMENT 39. 6/30 WTB The Grapevine Rest. (26 Congress) ROUTINE INSPCETION - NEW RENOVAT 40. 6/30 WTB An Apple A Day (Derby St.) REINSPECTION - LICENSE ISSUED \ ` x VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President TO: Salem Board of Health FROM.:: Karolyn S. Jernigan R.N. B.S. DATE: July 1, 1988 RE: June Statistics COMMUNICABLE DISEASES New Cases Campylobacter New Cases: 1 Hepatitis B Hepatitis A New Cases: 1 New Cases: 1 • Carryover: 0 Carryover: 0 Reports to State: ' 1 Reports to State: 1 Discharged: 2 Discharged: 1 Home Visits: 1 Salmonellosis Viral. Meningitis New Cases: 1 New Cases: 1 Carryover: 4 Carryover: 0 Reports to State: 2 Reports to State: 1 Discharged: 2 Discharged: 1 Home Visits: 1 Carryover Cases Girardiasis Shigella New Cases: 0 New Cases: 0 Carryover: 0 Carryover: 2 Discharged: 2. Reports to State: 2 Tuberculosis New Cases: 0 Mantoux Tests: 22 Negative: 20 Positive: 1 Bookings made at North Shore Pulmonary Clinic: 12 Reports received from. N.S.P.C..: 12 Patients new to INH: 4 Continue INH: 1 Ms. Jernigan attended the 2nd Annual Ted Badger Tuberculosis Conference: TB & AIDS - Challenge of the 19901s, sponsored by the American Lung Association of SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617)745-9050 i -2- F' Massa, Mass. Thoracic Society, and Mass. Department of Public Health. COMMUNITY PROGRAMS • Blood Pressure Screening Rescreening clinics were offered at works-it-es to those persons with readings 140/90 and above during May screening. Firs-time screenings were also conducted. 8 Clinics held 40 Appointments mailed 25 Rescreened 19 Screened for first time 8 Readings sent t.o M.D. (release signed) Lead Screening _Prevention Reports Received IA (low risk) : 20 III (high risk) : 1 Immigration Services Referrals received: 3 (1 family) Home Visits: 1 AIDS Awareness Ms.. Jernigan utilized the training gained in May through the Mass .DPH in presenting 'a"".2 hour inservice to the VhA R.N.s- and L.P.N.>'s on:.6/9/88. Ste. Joseph's School • In. preparation for 1988-89 forms were distributed to Grades 3, 7 to .obtain physicals with own physicians over the summer. Health records are being collected for Kindergarteners with reminders mailed to those still outstanding or in need of'further. immunizations. _ E ADMINISION MONTHLY REPORT 988 Tt31T I ,BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 2 Diptheria,Tetanus & Pertussis 17 vials Diptheria—Tetanus Tox. (under 6 yrs. ) I vial BURIAL PERMITS 46 --- Immune Serum Globulin -8.via ls INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 MMR--Measles/Mumps/Rubella 50 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $2,885.00 Polio Vaccine- Tetanus doses Tetanus & Diptheria (adult use) 33 vials Tetanus Toxoid (absorbed) 4 vials - 1 ML Tuberculin P.P.D. 5 ML 65 vials Typhoid Vaccine 0 H. I. B. 0 doses EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED $156,;763.86 $135,808.87 $20,954.99 EXPENSE REPORT: - ALLOWED EXPENDED FREE_ CASH (includes) ENCtiMBERED $55,679.75 $48,007.22 $7,672.53 f �alow moo Mi- - �i=ionu��i��ni Iwo WIMMMIM No low mmmm"m No mom m "WIN No mom omm Now IN 0 low low low 0 �onu No mom no MIME NNW 8�� ■ �■�NINE�� BAN SALEM HEALTH DEPARTMENT 9 North Street Salem, MA 01970 RESTAURANT AND COURT HEARING MONTHLY REPORT RESTAURANT INSPECTIONS - MAY 1988 1. 5/2 WB" c Spice of Life - Salem Mkt. Place ROUTINE ( new operation) 2. 5/3 WB Palm's. Family Store - Jefferson Avenue RE-INSPECTION 3. 5/5 WB KiKi's Rest. - 125 Boston St. ROUTINE 4. 5/11 WB Alyce's Rest. - 203 Canal St. RE-INSPECTION 5• 5/14 WB Kebab-n-Kurry - Peabody Museum ROUTINE 6. 5/14 WB Star of Siam - Peabody Museum ROUTINE 7. 5/14 WB_ Weylu's - Peabody Museum, ROUTINE 8. 5/14 WS Jeanne Tahnk Gormet Kitchen - Peabody Museum ROUTINE 9. 5/14 WB Sakura-bana Japanese - Peabo dyROUTINE 10. 5/14 WB Nha Hang Saigon - Peabody Museum ROUTINE 11. 5/14 WB Hot Diggety Dog - Mobile Unit ROUTINE 12. 5/14 WB On Stage Deli - Mobile Unit ROUTINE 13. 5/14 WB Damien Flynn(sausages) - Mobile Unit ROUTINE 14. 5/14 WB John Kelly(hotdogs) - Mobile Unit ROUTINE .15. 5/17 WB Plummer Home for Boys - 37 Winter Island Rd. ROUTINE 16. 5/19 WB Candlepin Lanes - Broadway Street ROUTINE 17. 5/19 WB Roosevelts' - 300 Derby Street ROUTINE 18. 5/24 WB Lydia's Subs - 8 Essex Street ROUTINE (ownership change) • 19. 5/24 WB Richdale - Loring Avenue ROUTINE (new establishment) 20. 5/2.5 WB Trackside Rest. - 17 Canal Street ROUTINE 21. 5/26 WB Sweet Scoops - Hawthorne Square ROUTINE 22. 5/27 WB Richdale - Loring Avenue RE-INSPECTION 23. 5/26 WB/VM Popcorn Kitchen - Crafts' Festival Pickering Wharf- ROUTINE 24. 5/26 WB/VM Cerones Pizza 25. 5/28 WB/VM Bavarian Strudel 26. 5/28 WB/VM Jeans Juice Bar 27. 5/28 WB/VM Hong Kong Star 28. 5/26 WB/VM Winfrey Fudge - IT it 29. 5/28 WB/VM Banana Rama - 1988 Seaport Festival,. on the Common ROUTINE 30. 5/28 WB/VM Itallian Suace (C & D Con) - IT it 31. 5/26 WB/VM Sam & A1's Pizza - IT " 32.. 5/28 ' WB/VM Flip & Fruit 33. 5/2o WB/VM Kwini(Fried Bananas) 34. 5/28 WB/VM New England Fruit & Nut 35. 5/28 WB/VM Holly's Fried Dough - " " 36. 5/28 WB/VM Super Fried Chicken - " " 37. 5/28 WB/VM C & D Concessions (onion rings) 36. 5/28 WB/VM Mike's Munchies - " 39• 5/28 WB/VM The Dock House Cart - Mobile Unit ROUTINE 4o. 5/28 WB/VM Cathrine Witwoik - Mobile Unit ROUTINE 41. 5/28 WB/VM Royal Slush - Mobile Unit ROUTINE/LICENSE ISSUED 42. 5/29 WB/VM Willow House - Fort Avenue ROUTINE 43. 5/29 WB/VM Cappy's Fried Clams -- Fort Avenue ROUTINE 44. 5/30 WB/VM Swenbeck's - Fort Avenue ROUTINE r VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President TO : Salem Board of Health FROM: Karolyn S. Jernigan R. N. B. S. DATE : June 1 , 1988 RE : May Statistics COMMUNICABLE DISEASES New Cases Shigella New Cases : 2 Carryover: 0 Home visits : 2 • Carryover Cases Hepatitis A Hepatitis B New Cases : 0 New Cases : 0 Carryover : 1 Carryover : 1 Discharged : 0 Discharged : 0 Giardiasis Salmonella New Cases : 0 New Cases : 0 Carryover : 2 Carryover : 6 Discharged : 0 Discharged : 1 Reports to state : 1 Home Visits : 1 Tuberculosis New Cases : 0 Mantoux Tests : 24 Negative : 22 Positive : 2 Bookings made at North Shore Pulmonary Clinic: 15 Reports received from N. S. P . C. : 16 Patients new to INH : 5 Continue INH : 3 Complete INH program : 2 Home Visits : 2 SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617)745-9050 -2- COMMUNITY PROGRAMS Blood Pressure Screening In observance of May as National High Blood Pressure Month , screening was again provided to the Fireand Police Departments . This year the screening service was extended to all municipal employees with the clinic held at One Salem Green. Participants with BP 140/90 and above were given rescreening appointments in June at their respective worksites . Counselling in cardiac risk reduction was provided. Risk factors will be analyzed. through Mass. .Dept. of Health and data _returped according .to worksite . ( see intake form) 7 clinics held 63 Fire dept . employees 27 Police dept. employees 41 Other municipal employees 131 total screened Lead Screening Prevention Reports received IA ( low risk ) : 18 II (moderate risk) : 1 III (high risk) : 3 High Risk Infant Referrals received : 5 Home visits : 2 Immigration Services Referrals . received :� 6 (2 families ) , One family has been contacted and . is receiving health services, Follow up continues to locate the second family. AIDS Awareness Ms. Jernigan was selected to participate in a 3 day training workshop on AIDS education through the Mass . Dept. of Health held on 5/4 , 5/12, 5/ 13 which enables her to be better prepared to respond to requests from community groups for inservice . St. Joseph School Physical Exams - Grade 7, Grade 3 10 Children examined by Dr. Hagele The remaining parents indicated preference for their own physicians. All health education and screening programs have been completed for 87-88. Blood Pressure Screening 6 Faculty/Staff .BP screening was offered to faculty/staff in ob'ser'vance h of High Blood Pressure Mont . r C Massachusetts Department of Public Health/Division of Health Promotion Sciences High Blood Pressure Control Program INITIAL INTAKE REPORT TO BE COMPLETED BY HEALTH PROFESSIONAL Today's Dat��e----��--��TT Agency Site Name Birthdate Mo. Day Year Last First Mo. Day Year Blood Pressure Blood Pressure Height Weight Left arm: ® Right Arm: ❑ Higher arm: L Average: Ft. in. ]bs. Sys. Dia. Sys. Dia. Indicate Follow-up: (Elevated systolic OR diastolic indicates need for follow-up) 1=<140/90=Recheck by I year 3=140-199/105-114=Refer to AID by 2 wks 2=140-199/90-104=Rescreett by 4-8 wk.s 4=200+/115=Immediate Referral to MD 1. As far as you know, is your blood pressure normal or elevated? 1=Normal 2=Elevated 1. El 2a. Have you ever been told by a doctor or health professional that you have 2a. 0 high blood pressure? 1=Yes 2=No. SKIP TO 3 b. IF YES, did your doctor prescribe medication for your high blood pressure? b. 1=Yes 2=No, SKIP TO 3 c. IF YES, are you currently taking medication for your high blood pressure? C. 0 1=Yes 2=No 3. Are you currently doing any of the following to reduce your risk of high blood pressure? Please fill in the box with your resaonse: 1=Most of the time 2=Sometimes 3=Rarely 4=Never a. Do you avoid adding salt to your food at the table and when you cook? 3a. El f: b. Do you avoid eating foods high in salt? b. a c. Do you limit the amount of fat or cholesterol that you eat? c. 0 d. Do you exercise vigorously for at least 20 consecutive minutes 3 times/wk? (Examples include walking briskly,jogging,swimming, NOT weight training) d. e. Do you limit the amount of calories that you eat to maintain e. E desirable weight? 4. On average, how many alcoholic drinks do you have per week? _____ drinks 4. (1 drink=lcan of beer=l glass wine=l mixed drink=l oz.of hard liquor) 5. What is your current smoking status? 5. 0 1=Never smoked 3=Cigar/Pipe only 5=Ex-smoker 2=Cigarettes only 4=Cigarette & Cigar/Pipe smoker 6. Do you now have diabetes? 1=Yes 2=No 6. 7. What is your race? 1=Aleut. Eskimo or American Indian 4=White 7. E 2=Asian or Pacific Islander 5=Hispanic 3=Black, not of Hispanic origin 6=Other 8. What is vour sex? 1=Female 2=Afale 8. 17 9. What is your city or town of residence? _______________________ 9. 9/87 ADb1IlISTRATION MONTHLY REPORT APRIL 1988 BIOLOGICS DISTRIBUTED AMOUT ANIMAL BITES REPORTED 2 Diptheria,Tetanus & Pertussis 43 vials BURIAL PERMITS 53 Diptheria-Tetanus Tox. (under 6 yrs. ) 2 vials Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) — D4LR--Measles/Mumps/Rub ella 90 TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $1,676.00 Polio Vaccine 570 - -- -- Tetanus & Diptheria (adult use) 15 vials Tetanus Toxoid ab 1 vial - 1 ML Tuberculin P.P.D. Ma 5 ML 10 vials Typhoid Vaccine 0 HIB 50 doses SALARY REPORT: ALLOWED EXPENDED BALfrICE TO n OF FISCAL $156,763.86 $119,614 .63 $37,149.23 EXPENDED FPFE CASH (includes) ENCt"DEfi��' EXPENSE REPORT: ALLOYED - $55,679.75 $45,027.80 $10,651.95 N� SALEM HEALTH DEPARTMENT _ 9 North Street Salem MA 01970 RESTAURANT AND COURT HEARING MONTHLY REPORT • RESTAURANT INSPECTIONS - APRIL 1988 1 . 4/4 WB Fantasy Island - Loring Ave. RE-INSPECTION i 2. 4/ 11 WB Courtyard Cafe' - Summer St. NEW OWNER - RE OPENING 3. 4/ 11 WB Hot Diggity Dog (Mobile Cart) SEASONAL - NEW INSPECTION 4. 4/5 WB Jillians Restaurant - Winter Island SEASONAL - NEW INSP. 5. 4/5 WB Little Caesars - Highland Ave. - COMPLAINT - INSPECTION 6. 4/ 12 WB Crosby's Market - Essex St. COMPLAINT - INSPECTION 7. 4/ 13 WB Little Caesars - Highland Ave. -RE-INSPECTION 8. 4/ 13 WB Heartland Food Warehouse -Hawthorne Plaza - COMPLAINT - INSP. 9. 4/ 15 WB Jillians Restaurant - Winter Island - REINSPECTION 10. 4/ 15 WB Fragata Inc. - Congress St. - COMPLAINT FROM D.P.W. RE: Grease blockage of sewer line. 11. 4/ 15 WB Cheese Cake Co. - Congress St. - COMPLAINT FROM D.P.W. RE: Grease blockage of sewer line. 12. 4/ 18 WB Engine House- Lafayette St. _ COMPLAINT FROM D.P.W. RE: Dumping washwater in storm drain. 13. 4/22 WB China Clipper Restaurant - Front St. - COMPLAINT FROM D.P.W. RE: Dumping washwater/grease in storm (surface) drain. 14. 4/26 WB Salem Youth Baseball Stand - Forest River -SEASONAL -NEW INSP. COURT HEARINGS - APRIL 1988 • • 1 . 4/ 14 WB 1222 Boston St.- SUBPOENA TO COURT - EVICTION 2. 4/ 14 WB 45 Ward St. (Fred Small) - CLERK HEARING -CONT. TO 4/28/88 3- 4/21 WB 38 Salem St. (Fred Samll) -. CLERK HEARING - CONT. TO 4/28/88 4. 4/28 WB 45 Ward St. # 1 (Fred Small) - CLERK HEARING - DISMISSED 5. 4/28 WB 38 Salem St. (Fred Small) - CLERK HEARING - DISMISSED 6. 4/28 WB 38 Salem St. (Fred Small) - Common Areas - PRE-TRIAL CONF. CONT. TO 7/28/88 PENDING WAIVER FROM STATE BUILDING DEPT. OTHER VIOLATIONS CORRECTED. 7. 4/28 WB 46 Peabody St. (Fred Small) - CLERK HEARING _ DISMISSED PER VM 8. 4/28 WB 9 Heritage Dr. - CLERK HEARING DISMISSED PER VM N VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President TO: Salem Board Of Health FROM: Karolyn S. Jernigan R.N. B.S. DATE: May 1, 1988 RE: April Statistics COMMUNICABLE DISEASES New Cases Hepatitis A Salmonellosis New Cases: 1 New Cases: 1 Carryover: 0 Carryover: 6 Discharged: 0 Discharged: 2 • Report to sate: 1 Reports to state: 2 Home visit: 1 Home visit: 1 Carryover Cases Giardiasis Hepatitis B New Cases: 0 New Cases: 0 Carryover: 2 Carryover: 1 Tuberculosis New Cases: 0 Mantoux tests: 14 Negative: 10 Positive: 4 Bookings made at North Shore Pulmonary Clinic: 20 Reports received from N.S.P.C. : 21 Reports received from other T.B. Clinics: 1 Pts new to INH: 6 Continue INH: 5 Complete INH Program: 2 Home Visits: 12 Follow up continues regarding the Salem State student who is a class III active T.B. patient and who requires local monitoring for medication compliance. COMMUNITY PROGRAMS Lead Poisoning Prevention • Reports received: IA (low risk) : 17 II (moderate risk) : 3 SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617) 745-9050 - 2 - Lead Poisoning Prevention, cont. III (high risk) : 1 AIDS Awareness 4-15-88 Inservice presented to St. Joseph's teachers, staff 4-22-88 Inservice attended: AIDS, system approach, Director Client Services, AIDS Action Committee 4-28-88 Inservice presented to Gables settlement personnel St. Joseph School Postural screening - Grade 8 24 screened 2 not screened - parent note requesting own M.D. 3 already dx 0 referrals made 2 referrals returned (Grades 7, 8) Postural screening completed .for grades 5, 6, 7, 8 Hearing/Vision Screening 1 Hearing referral returned All hearing referrals have now been returned. 4-5-88 Presented evening class for mothers and daughters on J female sexuality - Grades 5, 6. 4-14-88 Attended evening in-service on New Creation Series. I DMIINISTRATION MONTHLY REPORT MARCH 1988 BIOLOGI CS DISTRIBUTI'ED AMOUNT I ANIMA BITES REPORTED 1 Diptheria,Tetanus & Pertussis 23 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 2 vials BURIAL PERMITS 50 _ Immune Serum Globulin 50 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) Measles (Clinic use only) 0 0 h2QR--Measles/Mumps/Rub ella 10 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 330 doses $565.00 Tetanus & Diptheria (adult use) 55 vials Tetanus Toxoid ------~-- - - ----- - - 1 ML Tuberculin P.P.D. 5 ML 7 vials Typhoid Vaccine 0 HIB 0 EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: �L� $156,763.86 $107,152.98 $49,610.88 EXPENSE REPORT: ALLOWED EXPENDED FREE _CASH (includes) ENCUMBERED $55,662.00 $32,684 .87 $22,977.13 S SALEM HEALTH DEPARTMENT 9 North Street Salem, MA 01970 RESTAURANT AND COURT HEARING MONTHLY REPORT RESTAURANT INSPECTIONS - MARCH 1988 1 . 3/3 VM Home Plate - Essex St. ROUTINE 2. 3/4 WB Lydia's Sub Shop - Essex St. ROUTINE (new owner) 3. 3/4 WB GTE Sylvania Caf. - Loring Ave. ROUTINE (new company-Daka Foods) 4. 3/9 WB Dunkin Donuts - Washington St. CONSUMER COMPLAINT 5. 3/9 WB Fragata Rest. - Congress St. RE-INSPECTION 6. 3/ 17 VM Steve's Market - Margin St. ROUTINE 7. 3/ 17 WB/REB Tony Lena's Sub Shop - N.S.C.H. ROUTINE (new operation ) 8. 3/ 17 WB/REB Kitchen Witch Bakery - Lafayette St. ROUTINE (new operation) 9. 3/ 18 WB Salem Lowe, Inc. - Salem Willows ROUTINE 10. 3/ 18 VM Home Plate - Essex St. RE-INSPECTION 11 . 3/ 18 VM Steve's Market - Margin St. RE-INSPECTION 12. 3/22 WB Kitchen Witch Bakery - Lafayette St. ROUTINE - NEW 13. 3/23 WB Domino's Pizza - Norman St. CONSUMER COMPLAINT 14. 3/23 WB Kitchen Witch Bakery - Lafayette St. PERMIT SIGNED/LICENSES ISSUED 15. 3/23 WB Tony Lena's Sub Shop - N.-S.C.H. PERMIT SIGNED/ LICENSES ISSUED 16. 3/24 VM Steve's Market - Margin St. ROUTINE GIVEN COPY OF REPORT COURT HEARINGS - MARCH 1988 1 . 3/4 REB 83 Derby St. , - ABANDONED VEHICLE - CONT. TO APRIL 4, 1988 • 2. 3/4 VM 16-18 Juniper Ave. - NON COMPLIANCE SINCE EARLY 1987 3.. 3/4 VM 1 Hazel Terr. - CONT. TO 3/ 16/88 4. 3/4 VM 19 Bryant St. - RE-ISSUING. OF COMPLAINT 5. 3/ 10 STAFF 46 Peabody, 38 Salem & 32 Perkins St. - FRED SMALL - GUILTY FINDING 6. 3/ 14 AM 41 Ward st. - #9 & #4 Heritage Drive 7.. 3/ 14 VM 46 Peabody *St. 8. 3/ 14 VM 22 Peabody St. - TENANT MOVED 9. 3/ 14 VM 38 Peabody St. - TENANT MOVED 10. 3/ 14 VM 41 Ward St. - CORRECTED - CASE DISMISSED 11 . 3/ 16 VM 1 Hazel Terr. -HEARING 12. 3/ 16 WB 38 Salem St. , Apt. #8 & # 10 -CONT. TO 3/31/88 13. 3/ 16 WB 45 Ward St. , Apt. # 1 & Common Areas - CONT. TO 3/31/88 14. 3/ 18 AM 117 Lafeyette St. (Lincoln Hotel) 15. 3/ 18 AM 20 Peabody St. Apt. #8. & Common Area's 16. 3/28 VM 46 Peabody St. HEARING CONT. TO 4/7/88 17. 3/31 WB 38 Salem St.-Common Areas -PRE TRIAL 4/28/88 18. 3/31 WB 38 Salem St. , Apt. #8 & # 10 CLERK HEARING DISMISSED 19. 3/31 WB 45 Ward St. , Apt. # 1 - CONT. TO 4/ 14/88 20. 3/31 WB 53 Palmer St. , Apt. #2 ARRAIGNMENT 6/2/88 21 . 3/31 VM 16-18 Juniper Ave. PRE TRIAL CONFERENCE 22. 3/31 VM Peabody/Ward St. - TRASH - DISMISSED WITHOUT PREJUDICE mom IN won ��un��on�Au��u■�nnn01onIMMINOW" IN �� WIN OEM No 101111 m low =ON INIEW ME oon�000.ioe-mooson 01108101mmoll MINES on mom ��c�� NINO 0000 lowo 0 • VMVISITING NURSE ASSOCIATION OF GREATER SALEM, INC. Edith Harmon Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn S. Jernigan, R.N. , B.S. DATE: April 1 , 1988 RE : March Statistics COMMUNICABLE DISEASES Girardiasis Salmonellosis New Cases : 2 New Cases : 2 Carryover: 0 Carryover : 6 Discharged : 0 Discharged : 0 • Report to State : 0 Report to State : 0 Hospital Visit : 1 Home Visits : 3 Viral Meningitis New Cases : 1 Carryover: 0 Discharged : 1 Report to State : 1 Carryover Cases Campylobacter Hepatitis B New Cases : 0 New Cases : 0 Carryover Cases : 0 Carryover Cases : 1 Discharged : 2 Discharged : 0 Reports to State : 2 Report to State : 0 Tuberculosis New Cases : 0 Mantoux Tests : 13 Negative: 10 Positive : 2 Bookings made at North Shore Pulmonary Clinic : 17 Reports received from other T. B. clinics : 7 Pts . New to INH: 6 Continue INH : 4 Complete INH Program: 3 Home Visits : 1 SHETLAND OFFICE PARK/27 CONGRESS STREET/ SALEM, MA 01970/ (617) 745-9050 Page 2 TB continued • On March 30 , 1988, the Public Health Nurse attended the "Tuberculosis in Massachusetts" seminar sponsored by the D. P. H. and American Lung Association in Dedham, MA. COMMUNITY PROGRAMS Approximately 30 people attended the March 1 Hispanic Education program at th.e Las Antillas Club on- Lafayette Street . On March 15 , the UDAG R. N. and the Public Health nurse discussed AIDS on the daily talk show on WESX. On March 25 , the Public Health Nurse attended the Salem Hospital AIDS Treatment Task Force . St . Joseph School Postural Screening 41 screened - Grades 6, 7 5 not screened - parent note requesting own M. D. 3 referrals made 1 referral returned (Gr. 5 ) - confirmed dx Human Sexuality Education • 30 students - Grade 5 - 2 sessions 3/ 14 , 3/16 28 students - Grade 6 - 2 sessions 3/17 , 3/18 31 students - Grade 4 - 2 sessions 3/22 , 3/24 The Public Health Nurse was invited to teach the Human Sexuality sections in a 14- lesson course New Creation dealing with self esteem, relationships , family life, and sexualtiy. AIDS IN MASSACHUSETTS COMMUNITIES In the May 1987 issue of this newsletter we published a listing of those Massachusetts cities and towns that were known to have more than 5 residents with AIDS. This presentation of data was very popular with our readership so we are again reporting our surveillance data in this fashion. In the original summary, we reported 13 communities with more than 5 AIDS cases, and a total of 140 cities and towns with at least one resident with AIDS. As of March 1, 19881 184 of the 351 communities in the Commonwealth (52%) have reported at least one AIDS case among residents and 24 communities have more than 5 cases in their population. With the exception of Boston and Provincetown, the average population of the communities is about 76,000, with a range of 35,000-162,000 persons. Below, communities are ranked by cumulative case totals and rates per population size. COMMUNPTIES WITH MORE THAN 5 AIDS CASES Descending Order Descending Order by Total Cases by Rate per 100,000 Population j 1. Boston 553 1. Provincetown > 100 2. Cambridge 53 2. Boston 98 3. Provincetown 40 3. Cambridge 56 4. Springfield 28 4. Brookline 35 5. Worcester 28 5. Somerville 28 6. New Bedford* 22 6. Revere 24 7. Somerville 22 7. New Bedford 22 8. Brookline 19 8. Everett 19 9. Brockton 16 9. Lawrence 19 10. Lawrence* 12 10. Springfield 18 11. Framingham* 10 11. Brockton 17 12. Lynn 10 12. Plymouth 17 13. Revere 10 13. Worcester 17 14. Medford* 8 14. Framingham 15 15. Lowell 8 15. Medford 14 16. Quincy* 8 16. Weymouth 14 17. Weymouth 8 17. Lynn 13 18, Everett* 7 18. Malden 13 19. Malden* 7 19. Peabody 13 20. Newton 7 20. Arlington 12 21. Arlington* 6 21. Lowell 9 22. Fall River* 6 22. Quincy 9 23. Peabody* 6 23. Newton 8 i 24. Plymouth* 6 24. Fall River 6 1 *Had less than 6 cases reported at time of previous summary (May 1987). In the ten months since the original summary, 439 new Massachusetts resident cases were identified including 93 that fulfill the revised case definition. There has been a shift in the geographic location of patients, favoring areas outside metropolitan Boston where nearly 30% of the 1987 cases reside. • � �a�o�a��onn-s-�oo��n�rss�� m�s■��0oo■o�s0000■noa��■ ��rc»un�n�n��r ��anooc ��a SALEM HEALTH DEPARTMENT , 9 North Street �• Salem, MA 01970 RESTAURANT AND COURT HEARING MONTHLY REPORT 1' RESTAURANT INSPECTIONS FEBRUARY 1988 • 2/2 VM Little Joe's - Jefferson Avenue (report of food borne illness) 2/2 WB Jimmies Stoveside Kitchen - located at Moose (routine) 2/2 WB LeCafe Deli - Jefferson Avenue (routine) 2/3 WB Castle Hill Cafe - Jefferson Avenue (routine) 2/3 WB Palm's Family Store —Jefferson Avenue (routine) 2/3 VM Little Joe's - Jefferson Avenue (follow-up) 2/3 VM Sam Song Food Mart - Jefferson Avenue ,(routine) 2/8 VM Sam Song Food Mart - Jefferson Avenue (follow-up) 2/ 10 WB Lena's Sub Shop - 101 Loring Avenue (routine) 2/ 10 WB Hasty Food Mart - Canal Street (routine) 2/ 11 WB Heartland Food Warehouse - Highland Avenue (routine) 2/ 11 WB Fragatta, Inc. - Congress Street ( routine) 2/ 18 WB Stop & Shop - State Road (routine) 2/ 18 WB Candlepin Lanes - Broadway (routine) 2/22 VM Weylus Restaurant - East India Mall (routine with Food & Drug) 2/23 AM Bertini's Restaurant - Canal Street (routine with Food & Drug) 2/23 AM Kuszmar's Market -.Bridge Street (routine with Food & Drug) 2/29 WB Fantasy Island - Loring Avenue (report of food borne illness) COURT HEARINGS FEBRUARY 1988 2/2 VM 19 Bryant St. - Clerk's hearing • 2/ 10 REB White & Blaney St.. , T. Mackey Const. -property is secure, request long range plans Continued to 9/30/88 2/ 11 WB 6 Monroe St. - L'Heureux - Continued 3/ 10/88 2/ 11 WB 75 Palmer St. , J. Janes - Dismissed 2/ 11 WB 38 Salem St. , Fred Small - Common Areas, Continued 3/31/88 2/ 11 WB/VM 46 Peabody St. , Trash - Continued 3/ 10/88 2/ 16 WB/AM 38 Salem St. Fred Small's Properties 2�/�16 2/ 16 REB 46 Peabody St. -. Scheduled for trial 3/ 10/88 2/ 16 pV 32 Perkins St. 2/ 17 WB AM 41 Ward St. - Issued complaints 3/ 16/88 2/ 17 WB/AM 38 Salem St.- Fred Small - Issued complaint 3/ 16/88 2/ 18 AM 31 Bridge St. - Trash. Cleaning property,Continued A2MI`NISTRATION MONTHLY REPORT February 1988 BIOLOGI CS DISTRIBUTED AMOUNT ) ANIMAL BITES REPORTED 2 b Diptheria,Tetanus & Pertussis 82 vials Diptheria-Tetanus Tox. (under 6 yrs.) 4 vials BURIAL PERMITS 50 Immune Serum Globulin 0 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) Measles (Clinic use onlO 0 vials 0 t24R--Measles/Mumps/Rubella 94 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $295.00 Polio Vaccine 640 doses Tetanus & Diptheria (adult use) 62 vials Tetanus Toxoid a 3 vial 1 ML Tuberculin P.P.D. 5 ML 53 vial Typhoid Vaccine 0 vials H.I.B. 50 doses ALLOWED— � BALANCE TO END OF FISCAL SALARY REPORT: $156,763.86 $91,430.21 $65,333.65 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCMERED $55,662.00 $28,897.09 $26,764.91 i C` VNAVISITING NURSE ASSOCIATION . OF GREATER SALEM , INC. Edith Harmon Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn' S. Jernigan, R.N. , B.S. DATE: March 1, 1988 RE: February Statistics COMMUNICABLE DISEASES New Cases Tuberculosis New Cases: 1 Mantoux Tests: 14 Neg: 13 Pos: 1 • Bookings made at North Shore Pulmonary Clinic: 19 Reports received from NSPC: 19 New to INH: 8 Continue INH: 5 Complete INH Program: 3 Reports received from Middlesex Pulmonary Clinics: 2 Home visits: 9 Follow-up is being conducted for a temporary Salem resident, a Salem State College student, who is a class III active T.B. patient and requires local monitoring by the Public Health Nurse while a. student here. Salmonellosis New Cases: 1 Carryover Cases: 4 Discharged: 1 Reports to State: 1 Home visits: 1 Carryover Cases Hepatitis B Campylobacter New Cases: 0 New Cases: 0 Carryover: 1 Carryover Cases: 2 Discharged: 0 Discharged: 1 Report to State: 0 Report to State: 1 SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617) 745-9050 `#February Statistics Page 2 March 1 , 1988 Miscellaneous Referrals: 2 1. A home visit was made in response to a request from Salem Hospital to conduct teaching and follow-up with a family of an in-patient who was found to have head-lice. 2. A food establishment was inspected with the BOH inspector and food samples were submitted to the state lab in a suspected preformed I oxin, Bacillus cereus, foodborne illness investigation involving coordinator with a neighboring BOH. COMMUNITY PROGRAMS High Risk Infant Referrals received: 1 Followed by VNA Lead Poisoning Prevention Reports received: IA (low risk) : 2 AIDS Awareness Planning and promotional activities continued for the March 1 Hispanic Education program. The Public Health Nurse along with..the.UDAG nurse conducted an interviee in response to a request by a local, day care center. The Public Health Nurse attended the February meeting of the Salem Hospital AIDS Treatment Task Force. St. Joseph School .12 Kindergarten (Sept 88) registration health interview with `parents. Postural Screening 27 Screened - Gr. 5 2 already under care - not screened 1 referral made 4 watch Hearing/Vision 1 Hearing referral returned 1 Vision referral returned 0 ADhQNISTPATION MONTHLY REPORT JANUARY 1988 DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 2 BIOLOGICS Diptheria,Tetanus & Pertussis 22 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 4 vials BURIAL PERMITS 50 Immune Serum Globulin ---- IINTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) ---- D4•LR--Measles/Mumps/Rubella 30 doses TOTAL CASH RECEIVED FROM Polio Vaccine LICENSES & PERMITS ISSUED 330 doses $2,870.00 Tetanus & Diptheria (adult use) 33 vials 15 vials _—__— ------ �.��_------ - Tetanus Toxoid ab 1 ML Tuberculin P.P.D. 5 ML 32 vials Typhoid Vaccine ----- H.I .B. ------ FISCAL SALARY REPORT: ALLOWED _EXPENDED BALANCE TO END OF F it $146,764.00 $79,042.94 $67,721 .06 _ EXPENDED FREE CASH (includes) ENCUb3ERED EXPENSE REPORT: ALLOWED $55,662.00 $25,472.24 $30,189 .76 ��i��0o0�i6`80��ABF�L'7A�NA�� i�i��iiiin�ui�iiiiiFo iiiini • VISITING NURSE ASSOCIATION - -- OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President TO: Salem- Board of Health FROM: Karolyn S. Jernigan, R.N. , B.S. DATE: February 1 , 1988 RE: January Statistics COMMUNICABLE DISEASES New Cases Campylobacter Salmonella New Cases: 1 New Cases: 3 Carryover: 2 Carryover: 4 • Discharged: 1 Discharged: 1 Reports to State: 1 Reports to State: 1 Home Visits: 2 Home Visits: 1 On January 12th, the Public Health Nurse attended an inservice at MDH in Jamaica Plain on Foodborne illnesses. Carryover Cases Hepatitis B Lymes Disease New Cases: 0 New Cases: 0 Carryover: 1 Carryover: 0 Discharged: 1 Discharged: 1 Reports to State: 2 Reports to State: 1 T.B. New Cases: 0 Mantoux Tests: 18 Negative: 16 Positive: 2 Bookings made at North Shore Pulmonary Clinic: 13 Reports received from N.S. P.C: 12 New to INH: 5 Continuing INH: 3 1,ef'errals received t'rom other Pulmonary C1_.n_cs: 2 • Home Visits by Public Health Nurse: 4 Home Visits by Hispanic Translator: 3 �' SHETLAND OFFICE PARK / 27 CONGRESS STREET/ SALEM, MA 01970/ (617) 745-9050 I 13O Ord of Heal',h I'ebru�:iry COMMUNITY PROGRAMS High Risk Infant Referrals received : 4 Followed by VNA: 1 Home Visits by Public Health Nurse: 2 Horne Visits by Translator and UDAG Rf\: 1 Miscellaneous Referrals Referrals received: 4 Home Visits: 2 AIDS Awareness The Public Health Nurse is participating with the VNA in planning-and AIDS Educational Program on Tuesday, March 1 , 1988, 7-9 p.m. a. the Spanish Club on Lafayette Street. Mr. Roberto Crespa from the AIDS Action .Committee will be the featured speaker. The program, entirely in Spanish, is designed for the Hispanic Community. The Public Health Nurse, along with the UDAG Nurse is planning an inservice on AIDS for personnel at a Salem Day Care Center, on Thursday, February 3, 1988. On January 22, the Public Health Nurse attended the Salem Hospital AIDS Treatment Task Force. • St. Joseph School -• Hearing/Vision 23 Screened - Grades 6,7,8 3 Hearing Failures 1 Vision Failure Referrals 'Returned 1._.Hearing 2 Vision Extensive follow up continues with a Hispanic child and parent with the help of the translator to follow M.D. recommendation regarding vision failure. Grades K-8 have been completed for Hearing/vision; Height/Weight: Blood Pressure. Follow up will continue regarding referrals and recommendations. Grades K-8 Totals 250 Screened 20 Vision Failures - 20 Referrals made: 7 referrals returned 10 Hearing Failures - 8 Referrals made: 2 already under care 5 Referrals returned • v H l h The Hispanic translator ra[crrcU %, in and previous mx/�h\ y reports is a Community Health Aide (C. H. 8. ) assigned to work with the Public Health Nurse for 20 hrs. /week and funded by the Gateway Cities Program throogh the City or Salem. The C.H.A. aosits in the following arras: l . Tuberculosis Testing: Many immigrants from Latin America have positive reactions to tuberculosis skin 'eyting necessitating a 'referral to the Pulmonary Clinic u" Salem Hospital and although this clinic in located in the hospital, it is staffed and funded by the state. There are no translating services available for "his clinic. Patients with positive skin tasty are evaluated and may be placed on prophylactic medication (usually IMH) for up to one year, with quarterly clinic supervision. ' Scheduling appointments and follow-up of non-compliant patients is the responsibility of the Public Health Nurse who also conducts the epidemiology � of active cases. The C.H.A. is placed at the pulmonary clinic three hours weekly to translate and assists in outreach and follow up through hbme visits, �elephoning, and neighborhood canvassing. 2, School Nursing: The C.H.A. a.uaioto in the communication with Hispanic families at 3t. Joseph School regarding immunizations, results of screening � programs, coordination and tranolatiou for reoultant medical mppoiutvment�s. � Referrals are also received from public school nurses requiring a translator during home visits and telephone follow up. 3. Lead Screening: Follow up of children with elevated lead levels at 1�-imes requires translattion assistance in communicating with parents. 4. Communicable Diseases.: , The G.H.A. assists with patient educattion and illnesses, hepat -is and menihgitl The work of the Public Health Nurse is greatly enhanced by the availabilit�y of the bi-lingual community health aide. Y ADMINISTRATION MONTHLY REPORT DE . . RER 1997 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 52 vials p Diptheria-Tetanus Tox. (under 6 yrs. ) '3 vials BURIAL PERMITS 48 Immune Serum Globulin 5 vials INTERNATIONAL TRAVEL ' CERTIFICATES (CERTIFIED) Measles (Clinic use only) 0 A,2,IR--Measles/Mumps/Rubella 243 Doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $191.00 Polio Vaccine 500 Doses - Tetanus & Diptheria (adult use) 28 vials Tetanus Toxoid 4 vials 1 ML Tuberculin P.P.D. 5 ML 4 vials Typhoid Vaccine 0 H.I.B. 10 Doses EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED 5% Increase $146,764.00 $66,034.20 — $80,729.80 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $55,662.00 $22,263.98 $33,398.02 n�■■n��w.��.onn��ovou��a iiiiiiiiiieiiiiiiiiiiiii��■�� VISITING NURSE ASSOCIATION OF GREATER SALEM , INC . Edith Harman Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn Jernigan, R.N. B.S. DATE: January 4, 1988 RE: December 1987 Statistics COMMUNICABLE DISEASES New Cases Campylobacter Salmonella New Cases: 1 New Cases: 3 Carryover: 1 Carryover: 3 Discharged: 0 Discharged: 8 Reports to State: 0 Reports to State: 8 Home Visits 0 1 • Res,,auran,. Inspect. : Home Visits: 1 Hepatitis B New Cases: 1 Carryover: 1 Discharged: 0 Reports to State: 0 Carryover Cases Lyme's Disease New Cases: 0 Carryover: 1 Discharged: 0 Report to State: 0 T.B. New Cases: 0 Mantoux Tests: 22 Negative: 16 Feed for retest: 1 Positive: 2 No Show for reading: 3 Bookings made at. North Shore Pulmonary Clinic: 10 Reports received ('rom N.S. P_C: > > • New to INH: 1 Continuing IN'H: 3 Home Visits: SHETLAND OFFICE PARK / 27 CONGRESS STREET/ SALEM, MA 01970 / (617) 745-9050 COMMUNITY PROGRAMS Lead Poisoning Prevention Reports from State IA: (Low Risk) 10 IT (Moderate Risk) 2 III: (High Risk) 1 AIDS AWARENESS On December 11 the Public Health Nurse attended the Salem Hospital AIDS Treatment Task Force. Miscellaneous Referrals Headlice: 6 Other: 3 Home Visits: 2 Miscellaneous Activities On 12/3 the public Health Nurse participated in a seminar at the Salem Dislocated Worker Center. Immunizations The final 25 doses remaining of the 1500 received by the BOH were utilized by the VNA. +6 . 4 -64 Yrs. 5 Yr s 5 Unknown 17 2 6 St. Joseph's School Hearing/Vision/BP/Weigpt 86 sceened Grades 5,6,7,8 2 Hearing Failures - (3 to be rechecked) 10 Vision Failures Referrals returned (Screened in November) 1 hearing 2 vision ADMINISTRATION MONTHLY REPORT November 1987 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 3 Diptheria,Tetanus & Pertussis 25 vials Diptheria-Tetanus Tox. (under 6 yrs.) 3 vials BURIAL PERMITS 55 Immune Serum Globulin 0 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) tM--Measles/Mumps/Rubella 270 Doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 210 Doses Tetanus & Diptheria (adult use) 53 vials Tetanus Toxoid (absorbed) 1 vial 1 ML Tuberculin P.P.D. 5 ML 12 vials Typhoid Vaccine 0 SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $140,711.85 $50,504.93 $90,206.92 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $44,662.00 $18,848.40 $25,813.60 I l VNAVISITING NURSE ASSOCIATION OF GREATER SALEM, INC. Edith Harmon Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn Jernigan, R.N. , B.S. DATE: December 1, 1987 RE: November Statistics COMMUNICABLE DISEASES New Cases Campylobacter Hepatitis B New Cases: 1 New Cases: 1 Carryover: 0 Carryover: 0 Discharged: 2 Discharged: 1 Reports to State: 2 Reports to State: 1 • Home Visits: 1 Carryover Cases Salmonellosis Lyme's Disease New Cases: 0 New Cases: 0 Carryover: 11 Carryover: 1 Discharged: 3 Report to State: 3 Girardia Viral Meningitis New Cases: 0 New Cases: 0 Carryover: 01 Carryover: 0 Discharged: 1 Discharged: 2 Reports to State: 1 Reports to State: .2 Hepatitis A New Cases: 0 Carryover: 0 Discharged: 1 Reports to State: 1 SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/ (617) 745-9050 'r -2- T.B. New Cases: 0 Mantoux Tests: 27 Negative: 25 No show for reading: 2 Positive: 0 Bookings made at North Shore Pulmonary Clinic: 15 Reports received from N.S.P.C. : 17 New to INH: 8 Continuing INH: 2 Home Visits: 2 COMMUNITY PROGRAMS Lead Poisoning Prevention Reports from State IA: (low risk) 1 III: (high risk) 1 The family from 23 Carlton St. has been relocated to Malden and the case has been transferred to the Malden Board of Health. High Risk Infants Referral Received: 1 Home Visit: 1 Immigrant Services Referrals Received: 4 25 yr. old male and 21 yr. old female from Poland 23 yr. old male and 19 yr. old female from Ethiopia • All are under care for immunizations and T.B. evaluation Home Visits: 1 Miscellaneous Referrals: 1 Home Visit: 1 (Assisted by Gateways Grant Translator) AIDS Awareness On November 13, the Public Health Nurse attended the Salem Hospital AIDS Treatment Task Force and was invited to join as a permanent member. St. Joseph's School Hearing/Vision 57 screened - Grade 3,4 2 Hearing failures 3 Vision failures Referrals returned (screened September, October) 3 Hearing • 2 Vision Heigh, Weight, PB 57 screened - Grades 3,4 -3- � Immunizations Flu: 1462 • Vaccine Administered by Board of Health Clinics + 65 yrs. 45-64 yrs: 20-44 yrs. TOTAL 10/29/87 COA 568 18 4 590 11/05/87 Charter St. 258 16 2 276 11/19/87 COA 147 45 6 198 11/19/87 Pt. Comm. Ctr. 5 5 0 10 978 84 12 1074 Home/Office Visits (Public Health Nurse) October 4 6 1 11 November 14 22 12 48 18 28 13 59 Requests from under 65 at clinics: 52 Public Health Nurse assisted to obtain M.D. prescription and referred to next clinic or VNA office. Vaccine administered •by commune„ agencies: Y g (Provided by BOH) VNA 172 Shaughnessy .90 Brookhouse 27 Newhall 40 329 Total 1462 Remaining 25 Returned unrefrigerated - wasted 13 1500 Pneumonia: 61 10/29/87 30 11/05/87 11 11/19/87 20 • ��o��.--��o�—ems �� j ADMINISTRATION MONTHLY REPORT Octo her 1987 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 19 Doses Diptheria-Tetanus Tox. (under 6 yrs. ) 0 BURIAL PERMITS . 60 Immune Serum Globulin 50 vials_: _ INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) Measles (Clinic use only) 0 0 MMR--Measles/Mumps/Rubella 49 doses: TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 220 doses _ $81.00 Tetanus & Diptheria (adult use) 27 Doses Tetanus Toxoid 22 vials; - - 1 ML Tuberculin P.P.D. 5 ML 37 vials. 0 Typhoid Vaccine SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $140,711.85 $39,399.33 $101,312.52 ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED EXPENSE REPORT: Difference in the amount allowed is $44,662.00 $14,923.60 $29,738.40 $850.00 appropriated for exterminator $43,812.00 + $850.00 = $44,662.00 . I -likel" -[24 :'25 M[�IL22 L23 AVON WOO* IIIU-1 I i i VNAVISITING NURSE ASSOCIATION OF GREATER SALEM INC. Edith Harmon Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn Jernigan, R.N. , B.S. ' DATE: November 6, 1987 RE: October Statistics COMMUNICABLE DISEASES New Cases Lyme's Disease Salmonellosis New Cases: 1 New Cases: 2 Home Visit: ('attempted x 2) Carryover: 12 Discharged: 5 Report to State: 5 Home Visits: 5 • Carryover Cases Campylobacter Girardia New Cases: 0 New Cases: 0 Carryover: 2 Carryover: 1 Hepatitis A Viral Meningitis New Cases: 0 New Cases: 0 Carryover: 1 Carryover: 2 Home Visits: 1 Hepatitis B New Cases: 0 Carryover: 1 III .: T.B. New Cases: 0 Mantoux Tests: 28 Negative: 27 Positive: 1 Bookings made at North Shore Pulmonary Clinic: 13 Reports received from N.S.P.C. : 18 New to INH: 4 Continuing INH: 1 Complete INH: 3 Reports from other clinics: 1 • Home visits: 3 4- additional visits by Gateways Grant translator I � -2- COMMUNITY PROGRAMS Lead Poisoning Prevention Reports from state: IA: (low risk) 4 II: moderate risk 2 III: (high risk) 1 **: unclassified - need repeat: 1 The court case has been discontinued against former residents of 23 Carlton Street. Belongings have been removed. Family continues to reside in temporary family shelter in Peabody. Home Visits: 2 High Risk Infants: Referral received: 2 Home visits: 1 Immigrant Services: Referral received: 1 Home visit made with help of translator through Gateways Grant Miscellaneous referrals: 1 Referral from school department regarding head lice. Home visit with Gateways Grant translator and ongoing intervention utilizing UDAG grant nurse. • AIDS Awareness On October 8, the Public Health Nurse participated on a panel at Salem Hospital as part of the national AIDS awareness week campaign. On October 13, the Public Health Nurse met with Fran Larkin, Community Health Department, Addison Gilbert Hospital, to discuss the Cape Ann AIDS Task Force. On November 14 the Public Health Nurse will participate with Salem Hospital to plan the formation of an AIDS Task Force for the Salem area. Immunizations DT: 1 Flu and Pneumonia Vaccine Administered by Board of Health Clinic - Thursday, October 29 - Council on Aging FLU PNEUMONIA • over 65 568 over 50 30 45-64 18 20-44 4 Total 590 30 -3- 1 Requests from under 65: 17 Public Health Nurse assisted to obtain MD prescription and referred to next clinic Home/Office Visits Flu Pneumonia (.13 requests) 11 0 Vaccine Administered by Community Agencies Flu Pneumonia VNA (180 dispensed) 73 0 Shaughesssy (120 dispensed) 35 0 Brookhouse (40 dispensed) 27 0 Newhall (60 dispensed) 0 0 132 Total 736 30 St. Joseph's School Immunizations Kindergarten: 27 - meet state requirement Survey mailed to state Transfer students: 12 12 records collected - all meet state requirements Survey mailed to state Hearing/Vision 70 completed - Grade K, 1,2 3 Vision failures 2 refe--rals made 1 under,- care Home Visits: 2 assisted by Gateways Grant translator and UDAG Grant RN 4 hearing failures 2 referrals made 1 under care 1 to be retested Height/Weight/BP 70 completed - Grade K, 1, 2 . r ADMINISVION MONTHLY REPORT September 1987 w BIOLOGIC S S DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 4 _ Diptheria,Tetanus & Pertussis _ 48 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 2 vials BURIAL PERMITS 59 Immune Serum Globulin 0 INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED) Measles (Clinic use only) - - — MMR--Measles/Mumps/Rubella 40 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $25.00 Polio Vaccine 680 doses Tetanus & Diptheria (adult use) 62 doses Tetanus Toxoid (absorbed) 2 vials - --- 1 r� Tuberculin P.P.D. Ma 5 ML 29 vials Typhoid Vaccine 0 H.I.B. 10 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $140,711.85 $27,030.01 $113,681.84 EXPENSE REPORT• ALLOWED EXPENDED FREE CASH (includes) EP?C'Lrn $43.812.00 $7,334.25 $36,477.75 M21[22 t23124 ;25 OEM�o��■■��on■��aeoa�s �.■moo.■..■.�o��■■��u�� • VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harmon Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn Jernigan, R.N. , B.S. DATE: October 2, 1987 RE: September Statistics COMMUNICABLE DISEASES New-Cases Hepatitis B Viral Meningitis New Cases: 1 New Cases: 2 Carryover: 1 Carryover: 0 Home Visits: 1 Hepatitis V • New Cases: 1 Carryover: 0 T.B. New Cases: 1 (already diagnosed, under care, new to Salem) Mantoux tests: 15 Negative: 14 Positive: 1 Bookings made at North Shore Pulmonary Clinic: 21 Reports received from N.S.P.C. : 17 New to INH: 5 Continuing INH: 2 Complete INH: 1 Reports from other clinics: 1 Carryover Cases Salmonellosis Campylobacter New Cases: 0 New Cases: 0 Carryover: 17 Carryover: 2 Home Visits: 3 Contacts tested: 2 Girardia New Cases: 0 Carryover: 1 Home Visits: 1 • SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/ (617) 745-9050 r 2 COMMUNITY PROGRAMS • Lead Poisoning Prevention Reports from state: 1A (low risk) 10 II: (moderate risk)4 III: (high risk) 1 IV: (Urgent risk) 1 (class YII and IV same child - became class III after medical intervention - chelation therapy) The family from 23 Carlton St. continues to reside at the Inbetween in Peabody, while search for lead-free housing continues. Home Visits: 2 High Risk Infants Referrals received: 3 Home Visits: 2 St. Joseph School Immunizations Kindergarten Enrollment: 27 27 records collected 27 meet requirements for state survey Transfer students: 12 8 records collected • 8 meet requirements for state survey 4 records outstanding Hearing/Vision 14 completed - Grade 1 0 vision failures 0 hearing failures Height/Weight/Blood Pressure 14 completed - Grade 1 Immunizations ?TAR: 1 Flu Clinic Plans - Final dates Thurs, Oct. 31 9-12 Council on Aging Thurs, Nov. 5 9-12 Charter Street Thurs, Nov. 12 9-12 Point Neighborhood Community Center Thurs, Nov. 19 9-12 Council on Aging Clinic protocols have been developed with Dr. Stuchiner advising. i AIDS Awareness Week: October 4-11' • Thursday, October 8 7p.m. to 9p.m. - Salem Hospital The Board of Health is invited to support and attend a program designed for Community resource leaders. The public health nurse will be on the panel. On September 22, the public health nurse met with Mr. Hank O'Donnell, Superintendent of Schools, to discuss the AIDS curriculum and to invite Salem teachers to the October 8th program. Mr. O'Donnell expressed interest in planning inservice for teachers and parents. On September 30, the public health nurse met with Pam Bayne, RN, infection control and Cynthia Newman, RIFT, Community Education, Salem Hospital, regarding the AIDS Awareness program. • i VNAVISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harman Linda A. Billows Chairman President TO Mr. Robert Fouhy Chairman, Board of HealthfW1 H City of Salem Q A 9:= North Street ," Salem, MA 01970 L"'. UP 2 81987 FROM: Gail B. Gall, RN C ANP Ci I Y OF SALEM Clinical Specialist for Special Projects HEALTH DEPT, DATE: September 23, 1987 RE Worksite Hypertension Screening The Visiting Nurse Association of Greater Salem has received a request for proposals from the Center for Health Promotion and Disease Prevention of the Massachusetts Department of Public Health to conduct worksite hypertension screening between November 1987 and August 1988. Based on our agency's successful completion of such programs at the Police and Fire Departments dating back to 1980, we propose to extend this effort to approximately 1,100 members of the municipal workforce. The following features would be included in the program: 1. Individual health education, cardiovascular risk assessment and hypertension screening by an agency nurse at the worksite. 2. Follow-up of persons with elevated blood pressures including health counselling and prompt physician referral as necessary. 3. Respect for individual privacy and confidentiality in record keeping and statistical reports. 4. Cooperation with department heads in scheduling. I spoke with Robert Blenkhorn, City. Health Agent, this morning and explained that the proposal is due on September 29, 1987. Based on his conversation with you, I obtained verbal approval to include the City of Salem employees as a component of our proposal. I understand that full commitment will depend on acceptance by the Board of Health at its October meeting. The Department of Public Health will award the grants after October 30, 1987. We are very optimistic about this program and hope you share our enthusiasm to expand the Hypertension Screening Program. V SHETLAND OFFICE PARK/27 CONGRESS STREET/ SALEM, MA 01970/(617) 745-9050 t _ VISITING NURSE ASSOCIATION V. M OF GREATER .SALEM , INC. Edith Harman Linda A. Billows Chairman President TO Mr. Robert Fouhy 2 ,13EP Chairman, Board of Health City of Salem 2 8 1987 9 North Street Salem, MA 01970 Cl'1'Y OF SALEM FROM: Gail B. Gall, RN C ANP HEALTH DEPT. Clinical .Specialist for Special Projects FOR THE BOARD OF HEALTH ROBERT E. BLENKHORN, C.H.O. DATE: September 23, 1987 HEALTH AGENT RE . Worksite Hypertension Screening �c�Ci4i1. { The Visiting Nurse Association of Greater Salem has received a request for proposals from the Center for Health Promotion and Disease Prevention of the Massachusetts Department of Public Health to conduct worksite hypertension screening between November 1987 and August 1988. Based on our agency's successful completion of such programs at the Police and Fire Departments dating back to 1980, we propose to extend this effort to approximately 1,100 members of the municipal workforce. The following features would be included in the program: 1. Individual health education, cardiovascular risk assessment and hypertension screening by an agency nurse at the worksite. 2. Follow-up of persons with elevated blood pressures including health counselling and prompt physician referral as necessary. 3. Respect for individual privacy and confidentiality in record keeping and statistical reports. 4. Cooperation with department heads in scheduling. I spoke with Robert Blenkhorn, City. Health Agent, this morning and explained that the proposal is due on September 29, 1987. Based on his conversation with you, I obtained verbal approval to include the City of Salem employees as a component of our proposal. I understand that full commitment will depend on acceptance by the Board of Health at it's October meeting. The Department of Public Health will award the grants after October 30, 1987. We are very optimistic about this program and hope you share our enthusiasm to expand the Hypertension Screening Program. 1 SHETLAND OFFICE PARK / 27 CONGRESS STREET/ SALEM, MA 01970/ (617) 745-9050 ADMINISTRATION MONTHLY REPORT August 31, 1987 BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 19 vials �~ Diptheria-Tetanus Tox. (under 6 yrs. ) 0 BURIAL PERMITS 53 _ _Immune Serum Globulin 0 INTERNATIONAL TRAVEL _ CERTIFICATES (CERTIFIED) Measles (Clinic use only) 0 tM--Measles/Mumps/Rubella 123 Cdo.ses i TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 130 doses $256.00 Tetanus & Diptheria (adult use) 13 vials Tetanus Toxoid a 0 1 ML Tuberculin P.P.D. Ma 5 ML 9 vials Typhoid Vaccine 0 SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL 5% increase for Bob and $140,711.85 $17,654.56 $123,057.29 ^ Retro from 7/l/87-8/14/87 i EXPENSE REPORT: ALLOWED EXPENDED FREE E CASH (includes) ENCUMBERED x . E nuuv�a�unn�n��ciu��oacy�a��n�� VNAVISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Ms. Linda A. Billows, R.N., M.S. Executive Director TO: Salem Board of Health FROM: Karolyn Jernigan, R.N. , B.S. DATE: September 1 , 1987 RE: August Statistics COMMUNICABLE DISEASES New Cases Salmonellosis: Campylobacter: New Cases: 5 New Cases: 1 Carryover: 12 Carryover: 1 Discharged: 1 Discharged: 1 Reports to State: 1 Reports to State: 1 Home Visits: 11 Contacts Tested: 26 Girardiosis New Cases: 1 Discharged: 1 Report to State: 1 Home Visits: 2 CARRYOVER CASES Hepatitis B Hepatitis Non-A-Non B New Cases: 0 New Cases: 0 Carryover: 1 Discharged: 2 Discharged: 1 Home Visits: 1 Reports to State: 1 Meningitis (Viral) New Cases: 0 Discharged: 2 Reports to State: 2 Meningitis (Bacterial) New Cases: 0 • SHETLAND OFFICE PARK/27 CONGRESS STREET/ SALEM, MA 01970/ (617) 745-9050 • CARRYOVER CASES (continued) T.B. New Cases: 0 Mantoux Tests: 31 Community Clinic: 1 Negative: 22 Positive: 7 Need to repeat: 2 Bookings Made at N.S.P.C. : 20 Reports received from N.S.P.C. : 14 New to INH: 6 Continuing INH: 1 Complete INH: 1 Home Visits: 10 COMMUNITY PROGRAMS Lead Poisoning Prevention Reports from State: IA-28 IB-3 II-3 IV-1 Home Visits: 5 Miscellaneous Referrals: 5 Home Visits: 4 Immunizations: MMR: 1 DT: 1 Flu Clinic Plans: Tentative Dates Thurs. , Oct. 15 9-12 Charter St. Thurs. , Oct. 22 9-12 Council on Aging Thurs. , Oct. 29 9-12 Point Neighborhood Community Center Thurs. , Nov. 19 9-12 Council on Aging Protocols are being developed to conduct the clinics with Dr. Stuchiner's orders, but without a physician present at clinic sites. Aids Awareness Week October 4-11 Thurs. , Oct. 8 7 p.m. to 9 p.m. at Salem Hospital The Board of Health is invited to support and attend a program designed for Health Care and Social Services providers in the community. • ADMINISTRATION MONTHLY REPOK July 1987 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 1 — Diptheria jetanus & Pertussis 20 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 2 vials BURIAL PERMITS 60 Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) MMR--Measles/Mumps/Rubella 80 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 300 doses $252.00 Tetanus & Diptheria (adult use) 57 vials Tetanus Toxoid (absorbed) _, 2 vials -- 1 ML Tuberculin P.P.D. Ma 5 ML Typhoid Vaccine 0- -- SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $140,526.00 $9184.04 $131,341.96 EXPENSE REPORT: ALLOWED EXPENDED FREE E CASH (includes) ENCUT�B-'T �ii�n�o�iiinin��i��ii�� l VNAVISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harmon Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn Jernigan R.N. , B.S. DATE: August 1, 1987 Re; July Statistics COMMUNICABLE DISEASES New Cases Salmonellosis Girardiosis New Cases: 9 New Cases: 1 Carryover: 4 Carryover: 0 Home Visits: 7 Hospital Visits: 1 Menigitis Inspections: 2 Viral New Cases: 2 Carryover: 0 • Carryover Cases Campylobacter Tuberculosis New Cases: 0 New Cases: 0 Carryover: 4 Mantoux Tests: 13 Discharges: 2 Neg. 11 Pos. 2 Reports to state: 2 Bookings made at NSPC: 14 Home Visits: 3 Reports received from NSPC:21 New to tx. : 5 Hepatitis Continuing tx. : 6 Hep. B Home Visits: 13 New Cases: 0 Carryover: 2 Home Visits: 1 Hep. Non A - Non B New Cases: 0 Carryover: 2 SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617) 745-9050 V i >' -2- COMMUNITY PROGRAMS i Cardiac Risk Assessment - Bp. Screening Letters mailed to participants: 21 Lead Poisoning Prevention Reports Received 1A - 28 1B - 1 II - 6 III - 5 Home Visits: 4 Court Appearance: 1 In observance of Lead Poisoning Prevention Week: July 13 - 20 the PHN attended an inservice at the Sate House in Boston entitled, Lead and Learning Disabilities: The Effects of Lead on Learning and Development. Miscellaneous Referrals Head Lice: 2 Inspection at day camp: 1 Inspection at home: 1 t # `�Dr-4IrliST�ION MONTHLY REPORT J*21987 BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 3 Diptheria,Tetanus & Pertussis 45 vials_._ -.._ Diptheria-Tetanus Tox. (under 6 yrs. ) BURIAL PERMITS 59 Immune Serum Globulin --- __� INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 - Measles (Clinic use only) MME--Measles/Mum s/Rubella 150 doses � TOTAL CASH RECEIVED, FROM LICENSES & PERMITS ISSUED Polio Vaccine 440 d $153.00 Tetanus & Diptheria (adult , e) 69 vials Tetanus Toxoid 2 vials 1 ML Tuberculin P.P.D. 5 ML 6 vials m R 3 0 Typhoid Vaccine EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED Z increase and retro pay. ' $114,688.27 $110,616.72 _ $4,071.55 EXPENSE REPORT: ALLOWED EXPO D FRE 'CASH (includes) ENCUMBERED $42,513.00 $39,068.84 $3,444.16 1 * Outstanding bills for June will be paid out of this amount. ! ' 1 I I 1 • • 1 '• ' / I � - - = �■■�■■i■��■tom■■■■i�i■■®®i■�■��■�■■�■■�■■■ • - . . :: ■�■t�■��■■■o■■■�■■■■■■■�■■©■ate■®■�r�■ . . : . : . _ . : . - .■.©.....■.�.■■■.■�■■■.■ate■®� VISITING NURSE ASSOCIATION OF GREATER SALEM, INC. 4 A Edith Harmon Linda A. 8111owa Chairman prosldent S TO: Salem Board of Health FROM: Karolyn Jernigan, R.N. , B.S. DATE: July 1, 1987 Re: June Statistics COMMUNICABLE DISEASES New Cases Campylobacter {` New Cases: 4 Carryovers: 0 Discharges: 1 'e Reports to state: 1 Home Visits: 4 Hepatitis • Hep. B Hep. Non A - Non B New Cases: 1 New Cases: 0 Carryovers: 1 Carryovers: 2 Discharges: 0 Discharges: 0 Reports to state: 3 Reports to staff; 1 Home Visits: 2 Hep. A New Cases: 0 Carryovers: 0 Discharges: . 1 Reports to state: 1 Carryover Cases Salmonella T.B. New Cases: 0 New Cases: 0 Carryovers: 4 Mantoux Tests: 14 Discharges: 3 Neg. 13 IN.S. 1 Reports to state: 3 Bookings made v,- ,NSpC. 112 Home Visits: 1 Reports receivfd From "WC. 10`, SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617) -9050 ��,�� 1 e' COMMUNITY PROGRAMS BP Screening Lead Poisoning Prevention Work Site Reports Received Intial Screening: 12 IA - 10 II - 3 Rescreening: 11 Home Visits: 2 Office: Rescreening: 1 Court Appearance: 1 Immigrant Services Reports Received: 1 Miscellaneous Referrals: 1 Home Visits: 1 St. .Joseph's School Physical Exams: 3rd and 7th Grade 17 - School Physician 42 - Parents Indicated own M.D. Incoming Kindergarten for 9/8T 28 Enrolled 21 - Health Forms received 10 - need aditional immunizations j All school health. services completed for 86• - 87 school year including: state compliance for-.immunizations, periodic physical exams, postural screening, Bp screening and hearing and vision screening. Other Activities • The PHN attended a seminar on AIDS. for local Health Officials presented by the MDPH on June 25 at Jamaica Plain. The program included: AIDS epidemiology, overview of State AIDS policies, DPH programs (including Alternate Testing Site Program), legal issues and AIDS related activities on the local level. a �f • A DMIN IS•TI ON MONTHLY REPORT May /GI 8 7 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 7 Diptheria,Tetanus & Pertussis 66 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 0 BURIAL PERMITS 49 Immune Serum Glcoulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) Measles (Clinic use only) 0 0 K,IR--Measles/Mum s/Rubella 240 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 710 doses . _ $469.00 Tetanus & Diptheria (adult use) 14 vials Tetanus Toxoid 0 - 1 ML Tuberculin P.P.D. 5 ML 1 vial' Typhoid Vaccine 0 — HIB Vaccine 30 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $112,512.20 $99,527.91 $12,984.29 ALLOWED EXPENDED FREE_ CASH (includes) ENCUMBERED EXPENSE REPORT: ' $42,513.00 $35,836.98 $6,676.02 i p �asur��■��n■n��v��n��r VISITING NURSE ASSOCIATION OF GREATER SALEM, INC. ff VIIA Edith Harmon Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn Jernigan, R.N. , B.S. DATE: June 1, 1987 HE: May Statistics COMMUNICABLE DISEASES New Cases Girardia Hepatitis New Cases: 1 Hep. A Carryovers: 0 New Cases: 11 Discharges: 5 Carryovers: 0 Report's -to Stlate:. 5 Home Visits: 1 Salmonella ' Hep. Non A - Non B New Cases: 2 New Cases: 1 Carryovers: 4 Carryovers: 1 Discharges: 1 Home Visits: 1 Report,s %o State: 1 Home Visits: 2 Hep. B Work Site Visits: 2 New'Cases: 0 Carryovers: 1 Discharges: 7 Carryover Cases Campylobacter Meningitis New Cases: 0 New Cases: 0 Carryover: 1 Discharges: 2 Discharges: 2 Reports oo State: 1 Reports to State: 2 Home Visits: 1 SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617)745-9050 -2- .Carryover Cases (cont. ) T.B. Yersinia • New Cases: 0 New Cases: 0 Mantoux Tess: 9 Discharges: 2 Neg: 9 Pos: 0 Reports to State: 1 Bookings made at NSPC: 8 Reports received from NSPC: 16 COMMUNITY PROGRAMS High Risk Infant Reports: 6 Miscellaneous Referrals: 2 Transfer to other BOH: 3 Home Visits: 1 Home Visits: 1 Lead Poisoning Prevention Reports Received: 1A: 2 II: 1 St. Joseph's School Nursing Hours: 9 Physical exams are required by law on each child entering kindergarten, and again in grades 3 and 7. Parents are informed by letter and forms sent. -home for private physicians to fill out. For those families who wish, the B.O.H. physician, Dr. Desjardins examines students. This is planned for Monday, June 1. Blood Pressure Screening In observation of May as National High Blood Pressure Month, clinics were held with the following participants: Fire - 66; Police - 36; Persons with elevations 140/90 or above will be rescreened in June. I II i ADMINIUTRATION MONTHLY REPORT April 30, 1987 BIOLOGICS DISTRIBUTED I AMOiAVT ANIMAL BITES REPORTED Diptheria,Tetanus & Pertussis 4 47 vials _ Diptheria-Tetanus Tox. (under 6 yrs. ) 3 vials BURIAL PERMITS -- 67 Immune Serum Globulin 0 INTERNATIONAL TRAVEL Measles (Clinic use on1 0 CERTIFICATES (CERTIFIED) rat--Measles/Mumps/Rubella 80 vials -- TOTAL CASH RECEIVED FROM LICENSES & PE . Polio Vaccine 510 doses.. RMITS ISSUED $268.00 Tetanus & Diptheria (adult use) 75 vials - Tetanus Toxoid a 2 vials Tuberculin P.P.D. Ma 5 m, 8 vials Typhoid Vaccine 0 Haemophilus Influenza Type B . 7 Doses SALARY REPORT: AL;-,OWED EXPANDED BALANCE TO END OF FISCAL ` $112,512.20 $91,088.25 $21,423.95 EXPENSE REPORT: AI.,LOWED E;T-ErIDED FREE CASH (includes) ENCUNMERED $42,513.00 $34,917.09 $7,595.91 I� M�21 125 0 mmmmsaN� mmmmmmomm sup mommomommmoom moommums mom �■vuo�� r- ~ r VNAVISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harmon Linda A. Billows Chairman President TO . Salem Board of Health U FROM: Karolyn Jernigan, R.N. , B.S. DATE: May 4, 1987 RE . April Statistics COMMUNICABLE DISEASES New Cases Salmonella Yersinia New Cases: 2 New Cases: 2 Carryovers: 4 Visits: 1 D`/.C• 3 Reports to State: 3 Visits: 2 Campylobacter Inspectionoof Day Care: 1 New Cases: 1 Carryovers: 2 Visits: 1 CARRYOVER Girardia -( New Cases: 0 Hepatitis Carryovers: 4 Hep. B D/C: 1 New Cases: 0 Reports to State: 2 Carryovers: 8 Visits: 1 NonA - NonB New Cases: 0 Carryovers: 1 T.B. Meningitis New Cases: 0 New Cases: 0 Mantoux Tests: 11 Carryovers: 1 (viral) Neg: 9 Pos: 1 (Contact to March T.B. case) 1 (Bacter' 1) No Show:; 1 Bookings made at NSPC: 12 Reports received from NSPC: 18 Visits: 5 SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/ (617) 745-9050 -2- ♦~ I COMMUNITY PROGRAMS Lead Poisoning Prevention • Reports Received: lA: 33 II: 4 Visits: 3 3 of the 4 Class II elevations are children in the family residing at 23 Carlton indicating ongoing lead poisoning. The Essex County District Court has given the parents 60 days from 4/4/87 to find suitable housing utilizing their 707 certifi- cate issued by the Salem Housing Authority. The social worker rfeom Catholic Charities and the Public Health Nurse make separate weekly visits to monitor pro- gress. St. Joseph's School Nursing Hours: 201, Postural Screening: 46 7th and 8th graders screened 20 Rescreened 1 Referral 9 Watch 1 Referral returned from March screening 7 Salem State Nursing Students participated in classroom education and screening BP Screening 12 Rescreened 1 Watch Blood Pressure Screening In observation of May as National High:;Blood Pressure Month clinics are scheduled for municipal employees: Fire Friday, ,May 8 Wednesday, May 20 Friday, May 22 Tuesday, May 22 Police Monday, May 18 Thursday„May 21 ADMINISTRATION MONTHLY REPORT NLA_RCH IBIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 10 vials Diptheria-Tetanus Tox. (under 6 yrs. ) ----- BURIAL PERMITS 58 Immune Serum Globulin 50 vials . INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) Measles (Clinic use only) ----- _ MMR--MRasles/Mumps/Rubella 3.0 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine $262.00 _�—__�-�---- -- ---------- Tetanus & Diptheria (adult use) 5 vials O Tetanus Toxoid a _—.-_—___ -�_-- -_- -__.__-- _.-- -_.__...- 1 ML Tuberculin P.P.D. 5 ML 38 vials Typhoid Vaccine ----- ALLOWED, EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: $112,512.20 $82,915.50 $29,596.70 _ EXPOSE rF1'ORT: ALLOWED EXPENDED FREE ,CASH (includes) ENCUMBERED $42,513.00 $31,725.85 $10,787.15 i i men mn��n� , • VNAVISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harmon Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn Jernigan, R.N. , B.S. DATE: April 6, 1987 RE: March Statistics COMMUNICABLE DISEASES New Cases Campylobacter Girardia ew ases: 1 New Cases: 1 Carryovers: i Carryovers: 5 D/C: 1 D/C: 1 Reports to State: 1 Reports to State: 0 • Home Visits: 3 Home Visits: 0 Hepatitis Streptococcal Infection Hep'BNew: I Strep. 9 septicemia —mew Cases: 1 Carryover: 0 Carryovers: 7 D/C: 0 D/C: 0 Reports to State: 1 Reports to State: 0 Home Visits: 1 Hep. Non A, Non B NewCases: 0 Carryovers: 1 D/C: 0 Reports to State: 1 Home Visits: 1 TB (Feb and March) NewCases: 1 Mantoux Tests: 19 16 neg. 2 N.S. 1 Repeat Bookings made at NSPC: 28 Reports received from NSPC: 29 Home Visits: 4 i SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617)745-9050 r -2- Carryovers ` Meningitis Salmonella ira ew ases: 0 New Cases: 0 Carryover: 7 Carryover: 1 D/C: 4 Bacterial Reports to State: 1 New Cases: 0 Carryover: 2 ` COMMUNITY PROGRAMS High Risk Infants Immigration Services eports received: 3 Reports received: 1 Home Visits: i Home Visits: i Lead Poisoning Prevention i Reports received: , IA: 7 Extensive followwup continues regarding residents of 23 Carlton St. who are residing there illegally while 3 of 4 children are lead poisoned. 1. Case conference with Catholic Charities. 2. 'Meeting with Salem Housing Authority - 707 certificate issued. M 3. Court date set for April 8th. 4. 2 home visits made. St. Joseph"s School Postural. Screening 43 Sth and 6th graders screened 13 Rescreened 5 Referrals 7 Watch 9 Salem State 'Nurs:ing Students participated in classroom education and screening. In preparation for the screening, a physical therapist from the Department of Public Health was invited to conduct an inservice at the VNA for nursing students, nurses; and physical therapists. Thirteen people attended the 2 hour session. Blood Pressure Screening Plans are being made to conduct Bp screening' for municipal employees during May which is Bp. month. i tRUARYADMINISTRATION MONTHLY REPORT /q 8 BIOLOGICS DISTRIBUTED AMOifi1T ANIMAL BITES REPORTED 3 Diptheria Jet anus & Pertussis 20 vials _ Diptheria-Tetanus Tox. (under 6 yrs. ) 0 BURIAL PERMITS 60 ^_ Immune Serum Globulin 3 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic-ase only) 0. I.M--Me as les/Mumps/Rubella 120 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 210 doses $454.00_ _ Tetanus & Diptheria (adult use) 1 vial Tetanus Toxoid a 1 vial 1 ML Tuberculin P.P.D. 5 ML 9 vials Typhoid Vaccine ALLOWED EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: $111,112.00 $72,655.85 $38,456.15 EXPENDED FREE CASH (includes) ENCUMBERED EXPENSE REPORT: ALLOWED - $42,440.00 $24,428.73 $18,011.27 A ' �._...o ✓,9 1087 • VNAVISITING NURSE ASSOCIATION OF GREATER SALEM , INC. K E`� 1:: Ms. Linda A. Billows, R.N., M.S. TO: Salem Board of Health Executive Director FROM: Karolyn Jernigan, R.N. , B.S. DATE: March 2, 1987 RE: February Statistics COD24JNICABLE DISEASE New Cases Campylobacter Salmonella New Cases: 2 - New Cases: 4 Carryovers: 0 ; Carryovers: 7 D/C: 7 D/C: 5 Reports to State: 6 Reports to State: 2 Home Visits: 2 Place of Employment Visit: 1 Food site inspection: 1 • CARRYOVERS _ Girardia Hepatitis New Cases: 0 Hep. B Carryovers: 2 New Cases: 0 D/C: 0 Carryovers: 7 Reports to State: 2 D/C: 1 Meningitis Non A Non B Viral New Cases: 1 New Cases: 0 Carryover: 0 Carryover: 1 Bacterial New Cases: 0 Carryovers: 2 Reports to State: 2 • SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/ (617)745-9050 -2- " {JONAI[JNITY. PROGRAMS Lead<Poisoning.Preventson , E :_ k T� Reports Receiveds hµ 1A: 16 `- Home visits: 2 Case Conferences: :2 (regarding family in which 3 of 4-children are-poisoned; one conference with Catholic Charities; one conference with private physician) . St. Joseph School _Nurisng, Hours: 111 Blood Pressure Screening/Teaching 231 Children screened 7..Nursing. students from Salem State conducted.classroom teaching and screening grades"�R 8 'Health 'Conferences: 19 parent conferences with kindergarten registrants for 9/87 ,M K., "C• } i. �„ r ,��, ,:$ .? _X,r% $at.. art r 5.# C""d�� '� n k :rrHearYng/Vision <, . s, � � ,� }k, r F vision>referrals ret1 ed v �h� t-f ., f '+` r, .k k , r �-'' x4' �Ta? .t ;".ii'r ..� :,.��.. 4i%;,.fi.st�� -•'�� .. �Z��':'�'.r �'4}�r'�'3 `.• z•-..m "�, s,2' :5;,4 �y� -;� �:'r {..a��t 3 } z `s '.-t`r"}r�r s ?t x 2 hearing referralsreturnecl-� r. t s.w7' F.:a a74ri� 72 � _ ... xr z:alIntervent�.on.. �kk : .y, -... .-.yi./ { .kr f- r "•b-.,3�,Ja -s.&:}wr„x�'�#•%finrF+Y r, L.ivr ` rH -...k,r -,r 7 u.: i r } C �r< `y'r 1 3i x 7 rt . xd.Y)_�' ,y- a3 The PHN'wnrked exten �uly#ytai�h hispanic mother by; means of an'> ite pr eke r sV. y s= ��` , - �� r�rr to sch�iiule a t�edioalf' uonal and an audilogical evaluatlonitroucjh�� r erg, F+i r�'`4 `� "h� t raN✓s 5 CFi 4 f}or f4 a s•- w'��s p rg� x i,: Ch�.1;zt # ' Fr Fi �' ..t ,+ _ W. .z x ;'� `{�4 4:. w'r fi «+ t a ++#,jt4 � 2 Fes?, ,t ,�4 � ��a✓ <" 4`rY � C s �'f ;4heZ;.`'ACtlyltleS, a' 3 5�as� a ik5 � tax z rays 3 �tR sWx ys The'PHN attended;'an i nservice at1ie tonal Health Of f tee in`.Tewksbury.,: which Or. an update on variousograms of the MassDepz of Public 'Health 3 inclix1ing new cancex incidence data and high risk fants 4 4�Yr t 4 s : k ;R [ k` v 1i S q 0 ,:.DMIIN=RATION MONTHLY REPORT JANUARY 1987 13IO�_ .---LO'GICS DISTRIBUTED- IB D AMOUNT � I ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis . 31 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 1 vial ,— BURIAL PERMITS 51` 11 vials +' Immune Serum Globulin INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) Neasles (Clinic use only) — 0 P'aT.M--14easles/Mumps/Rubella 111 doses TOTAL CASH RECEIVED FROM -- LICENSES & PERMITS ISSUED �_ ryolio Vaccine 410 doses $1 ,224.00 Tetanus & Diptheria (adult use) 10 vials Tetanus Toxoid (absorbed) 0 ---- - 1 r� ^uberculin P.P.D. Ma 5 ML 30 vials, Ty, phoid Vaccine 0 SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $111 . 112.00 $65,354.36 $45,757.64 ---- - - ----- ENCUMBERED EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) $42,440.00 $24,428. 73 $18,oii .27 k • • . ENVIRONMENTAL HEALTH DIVISION MONTHLY REPORT (month) Code Enforce 1 2 3 4 1 5 6 7 8 9 10 11 2 113114 15 16117118 19 23 21 22I23 24i25 26 127128 29130 31 TOTALS I ompl . Revie InInsp. ?, Food Service Insp. 21 - 3 ``obiie Food Serv. Retail Markets 1 �-- _ Housing-Ori anal t - +o Heat/I?ot Water 7 Ceneral Nuisances �a: Care Centers � -- Dav Cam s - Pools - /Y. Beaches 17. water/Air/Noise ►� SESD-Observation - /" . SESD-Complaints 15 Rodent Control J -- /( Lab Testing - 177 field Testin, i !.Lead Testing i 2 .Perc. Test for: I Sew. System If Licenses & Permits Court Hearings 1 3 1s = 4'2!� Off. Consultation .¢ 1 � 1 •7 Sessions --- Z� Referrals to and. from Other Depart. -- Ts Housin Reins ect. Z 2. 3 7► i Food Serv. Con i. Constable Services 2 nt sti¢ations Survey(Market/Rest). - - — �. Meetings 1 y 2. - - r r VISITING NURSE ASSOCIATION OF GREATER SALEM, INC.. Edith Harmon Linda A. Billows Chairman President TO: Salem Board of Health 4 ',! FROM: Karolyn Jernigan, R.N. , B.S. DATE: February 2, 1987 ' . RE: January StatisticsHE COMMUNICABLE DISEASES , New Cases i Girardia Meningitis New Cases: 1 Bacterial Carryover: 4 New Cases: 2 D/C: 1 Carryover: 0 Viral- • New Cases: 0 Carryover: 1 Hepetitis B New Cases: 1 Carryover: 6 Carryovers Campylobacter Salmonella New Cases: 0 New Cases: 0 Carryover: 6 Carryover: 8 D/C: 2 Home Visits: , 2 T.B. New Cases: 0 Mantoux Tests: 7 - 7 negative - 0 positive Bookings made at NSPC: 16 Home Visits: 10 Mass. Dept. of Public Health T.B. Control Reports: 1 Survey of T.B. Files T.B. Cases: 9 . . ,7 Current compliant status - non infectious .'; ;2 Non compliant status - possibly still infectious v S ETLAND O .FICA .ARI /2`�7CONGRESS:S�REEt�/S' lE 'AMA 01970 (617),745�9050 � � ; r -2- Ci. II - T.B. infection - no disease INH Status 36 current 49 non compliant X-Ray Recall 45 current . 14 non compliant People under 35 with T.B. infection but no disease are recommended to take medication (INH) as a prevention to future T.B. disease. Individuals who are non compliant with this recommendation are at risk for developing active T.B. in the future. The state T.B. nurse and outreach worker were asked to visit Salem as consultants during January. Criteria were developed for management of non compliance. COMMUNITY PROGRAMS r Immuniizations: Office visits: 2 Gamma Globulin -1 ; MMR -1 Lead Poisoning Prevention Reports Received: 21 1A 14 II t . Home Visits: 1 Follow up of Lead Poisoned children continued to be shared with North Shore Children's.Hospital's Lead Program. St. Joseph School Nursing Hours: 15 Hearing/Vision Screening Children screened: 56 Vision failures: 5 - 5 referrals made. Hearing failures: 2 - 2. referrals made. Referrals returned: 2 As part of their community nursing rotation, Salem State College Nursing Students have again this semester been assigned to the PHN at St_. Joseph School. Travel Services On 1/22, the PHN attended an informational meeting at -Hunt Hospital regarding . . '.. their Travel Clinic. R�ti 'F �' r'ai �:a_ l f -•.S -- 'fit v; -:ry. � N? k+ 1 y;., 0 0 ADMINISTRATION MONTHLY REPOR`.0 December 1986 BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 0 Diptheria,Tetanus & Pertussis 28 vials Diptheria—Tetanus Tox. (under 6 yrs. ) 1 vial BURIAL PERMITS 53 Immune Serum Globulin 28 vials , INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) ____________ Measles (Clinic use only) ------ --� MMR--Meas les/Mumps/Rubella 110 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $1 , 134.00 Polio Vaccine 540 doses Tetanus & Diptheria (adult use) 29 vials Tetanus Toxoid (absorbed) 1 vial 1 ML Tuberculin P.P.D. 5 ML 1 vial Typhoid Vaccine ------ SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $111 . 112.00 $56,764.44 $54,347 56 ------- — EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUI3ERED $42,440.00 $18,359.65 $24,080.35 ii0i��FJm�f-5��i��0��t-��i VISITING NURSE ASSOCIATIOVM N OF GREATER SALEM , INC. Edith Harmon Chairman Linda A. Billows President TO: Salem Board of Health FROM: Karolyn Jernigan, R.N. , B.S. DATE: January 5, 1987 RE: December 1986 Statistics COMMUNICABLE DISEASES New Cases Campylobacter Girardia New Cases: 2 New Cases: 5 Carryovers: 6 Carryovers: D/C: 0 1)/C: 2 • I Home Visits: 3 Transfer to another BOH: 1 Hoae Visits: 1 Salmonella Viral Meningitis New Cases: 2 New Cases: 1 Carryovers: 10 Carryovers: 0 D/C: 0 D/C: 4 Inspection, food site: 1 Home 17i sits: 2 Carryovers Hepatitis T.B. New Cases: 0 New Cases: 0 Carryovers: 6 Mantbux Tests: 13 D/C: 0 1 Neg. : 13 Pos: 0 Home Visits: Bookings made at NTSPC: 20 Home Visits: 10 Reports from NSPC: 22 SHETLAND OFFICE PARK /27 CONGRESS STREET/ SALEM, MA 01970/ (617)745-9050 I , -2- COMMUNITY PROGRAMS Immigration Services: Immunizations Reports received: 2 Flu: . 11 Lead Poisoning Prevention Children Screened: _27 Elevation: 1 (Screening done by BOH. with North Shore Children's Hospi'al Lead Program at House of Seven Gables, pre-school program) Case Conference: 1 (with Catholic Charities regarding family with 3 or 4 children poisoned. ) Reports Received: 23 1A-12 1B-3 II-8 St. Joseph School Nursing Hours: 9 i Hearing/Vision Screening Children screened: 28 i 4 vision failures: . 3 referrals; 1 under care 2 hearing failures: 2 referrals Referrals returned: 1 Home Visits: 1 • • i � i i RT NOVEF(BER I ADMINISTRATION MONTHLY REPO BIOLOGICS .DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 32 vials Diptheria-Tetanus Tox. (under 6 y rs. ) ---- BURIAL PERMITS - 61 Immune Serum Globulin INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) Measles (Clinic use only) --- - ---- ---- MMR--Measles/Mum s/Rubella 60 doses -� TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 250 doses: Tetanus & Diptheria (adult use) 6 vials - Tetanus Toxoid -- 1 MII, 11 vials Tuberculin P.P.D. 5 ML -= Typhoid Vaccine —.— SALARY REPORT: ALLOWED EXPENDED BALANCE TO i ?1D OF FISCAL $111 . 112.00 61 _ $65. 905. 39ED - EXPENSE REPORT: ALLOWED EXPENDED FRFF CASH (includes) FNCtMEL $ 42;440.00 $18,359.65 $24,080.35 EL on MEN - ' • Min=ii�� - ONEiiiioiioiei6■' M'iin�n SON F J � VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harmon Linda A. Billows Chairman President TO . Salem Board of Health FROM: Karolyn Jernigan, RN, ES DATE: December 3, 1986 RE . November Statistics NEW CASES Campylobacter Giardia New Cases . 1 New Cases . 1 Carryover . 4 Carryover . 3 Salmonella Viral Meningitis New Cases . 2 New Cases . 1 • Carryover . 8 Carryover . 4 Home Visits: 2 CARRYOVERS Hepetitis New Cases . 0 Carryover . 7 High Risk Infant Reports: 2 Elevated Lead Level Reports: Class II - 1 (telephone referral) 1 Case Conference (with Catholic Charities Social Worker) 2 Home Visits TB New Cases . 0 Mantoux Test: 19 Neg,: 13 Pos. : 3 No Show for Reading: 2 To be repeated 1 Bookings made at NSPC : 12- • Reports received from NSPC: 9 Home visits . 2 Miscellaneous Home Visits: 1 (referral from fire dept. ) SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/ (617)745-9050 •:, -2- i Flu and Pneumonia Flu Pneumonia Home Visits (VNA staff)' 18 1 Home Visits (PHN) 6 Office Visits (PHN) 46 TOTAL 70 1 St. Joseph's School Nursing Hours: 161 Hearing/Vision Program: 45"" Children Seen (Grade 4, 5, 2 retests) 1 Hearing failure (5 awaiting retests) 0 Referrals 1 Already under care g -' Vision failures 8 Referrals 1 Already under care Referrals returned: 1 vision 1 hearing ADMINISTRATION MONTHLY REPORT Octo er BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 6 Diptheria,Tetanus & Pertussis 94 vials Diptheria-Tetanus Tox. (under 6 yrs. ) BURIAL PERMITS 42 _ -- Immune Serum Globulin 3 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) - — MMR--Measles/Mumps/Rubella 80 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 520 doses $52.00 Tetanus & Diptheria (adult use) 53 vials Tetanus Toxo d - - 1 ML Tuberculin P.P.D. 5 ML 5 vials Typhoid Vaccine SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $111 , 112.00 $36,715.46 $74,396.54 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $42,440.00 $1.3,901 .88 $28,538. 12 • . c L 119 Mo slommi 1 15116117118 [2 mum sod so see MIN mm PAVIA MOWN mmmm led •MOO an MENnon on N ." ails i�ir�: Jim ommiii�wii� 0�i I' VISITING NURSE ASSOCIATION O VNA OF GREATER SALEM , INC. Ms. Linda A. Billows, R.N., M.S. TO: Salem Board of Health Executive Director FROM: Karolyn Jernigan, RN, BS DATE: November 10, 1986 RE: October 1986, Statistics New Cases Campylobacter Hepetitis Salmonella New Cases: 1 New Cases: 1 New Cases: 1 Carryovers: 3 Carryovers: 6 Carryovers: 7 Discharges: 0 Discharges: 0 Discharges: 1 Home Visits:l Carryovers Giardiasis Lyme's Disease • New Cases: 0 New Cases: 0 Carryover: 3 Carryover: 0 Discharge: 0 Discharge: 1 Menningitis, Viral Tetanus New Cases: 0 New Cases: 0 Carryover: 4 Carryover: 0 Discharges: 0 Discharges: 1 High Risk Infants: 1 • SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617) 745-9050 x Lead: Elevated level reports received Class lA = 20 • 1B - 3 II - 8 III - 2 IV - 2 3 out of 4 children in one family now have elevations at class II or III. House was deleaded 15 mos. ago but exposure to lead continues. House in disrepair Conference with Housing Authority: 1 Home Visits: 2 Flu and Pneumonia Clinics Flu Pneumonia 10/14 Council on Aging 504 40 10/16 Point Neigh. Comm. Ctr. 59 3 10/21 Charter St. Housing 351 20 10/23 Council on Aging 332 48 1246 M Cooperative effort of Bott, VNA, Dr. Desjardins, Salem State Nursing students, COA Staff, Shaughessy Hospital Staff and Salem Housing Authority Hone Visits: PHN 12 • . Office 22 2 Vaccine Distributed: Shaughnessy 120 Newhall Nursing Home 40 40 Brookhouse 40 VNA 176 Dr. Desjardins 10 N.S. Comm. Ctr. (Peabody) 10 1676 153 • T.B. f New Cases: 0 Mantoux Tests: 13 Neg: 13 Pos: 0 Bookings made at NSPC: 13 Reports received from NSPC: 13 St. Joseph's School Immunizations: 18 transfer students comply with Dept. of Pub. Health recommendationsoSurvey Submitted. Hearing/Vision 29 2nd graders screened 30 3rd graders screened 3 Vision failures: 2 under care, 1 referral 1 hearing failure: referral 29 Kindergarteners screened 1 Vision failure: under care 1 hearing to be rescreened 1 lst grader hearing referral rescreened 89 Total children seen BOARD OF HEALTH MINUTES OF MEETING OCTOBER 14 , 1986 A regular meeting was held at 9 North Street, Salem on Tuesday, October 14 , 1986. Present at the meeting were Phil Saindon, Chairman of the Board, and members George Levesque, Arthur Johnson, Robert Fouhey, Denise Wallace, and Dr. Stuchiner. Also present were Bob Blenkhorn, Health Agent, Lenny O'Leary, Health Council Agent, and Carolyn Jernigan, V.N.A. CALL TO ORDER 7: OO P.M. Bob Fouhey made a motion to accept the minutes of the September 9, 1986 minutes. Denise Wallace seconded the motion. All in favor. Bob Fouhey made a motion to accept the Special Minutes as correct- ed dated September 30, 1986 . George Levesque seconded the motion. All in favor. VISITING NURSE ASSOCIATION Carolyn Jernigan went over the V.N.A. ' s monthly report and one of • the topics she spoke about. was the flu clinic and the work that went into planning this project. She -explained that 504 patients received the flu vaccine and that the students at Salem State were a big help in this project. SALEM SUEDE Accepted as informational . ALMEDA STREET Accepted as informational. VARIANCE TITLE V - BAKERS ISLAND Dr. Stuchiner made a motion requesting a proposal from T & M Engineering describing the changes in the privy concerning the mixing of black and grey water. Denice Wallace seconded the motion. All in favor. H & R REALTY TRUST Mr. Hacker, the sole trustee of H & R Realty, was present at the meeting to discuss the site plan review. He stated that the .he is trying to keep the cost moderate ' (about $65, 000 . 00 per unit) and explained the the Condo documents have not yet been drawn up but that everything will be done uniformally. ,'ADMINISTRATION MONTHLY REPORT_ September 1986 BIOLOGICS DISTRIBUTED AMOUIVNT I ANIMAL BITE$ REPORTED 0 Diptheria,Tetanus & Pertussis 31 vials Diptheria-Tetanus Tox. (under 6 yrs. ) ----- BURIAL PERMITS 45 Immune Serum .Globulin 8 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) Measles (Clinic use only) ------ MMR--Measles/Mumps/Rubella 140 Doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 570 doses el7cc no Tetanus & Diptheria (adult use) Tetanus Toxoid a 6 vials -- 1 ML Tuberculin P.P.D. 5 ML 51 v i a l s - Typhoid Vaccine SALARY REPORT: ALL_AED E,_E�1DED BALANCE TO END OF FISCAL $111 , 112.00 $28,839- 15 --- --$$2,272•85 EXPENSE REPORT: ALLOWED EXPENDED FREE CASK (includes) ENCUMBERED $41 ,850.00 $9,632.07 $32,217.93 ■��as��a-o-n�a��ra�n�0ei-n��aa ti s • VNAVISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harmon Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn Jernigan RN, BS. DATE: October 2, 1986 RE: September 1986 statistics New Cases Hepatitis Menningitis, Viral New cases: 1 New cases: 1 Carryover: 5 Carryover: 3 Discharge: 0 Discharge: 0 Carryovers Campylobacter New cases: 0 Carryover: 3 Discharge: 0 Salmonella Giardiasis New cases: 0 Carryover: 8 New cases: 0 Transfer to Carryover: 3 other BOH: 1 Discharge: 0 Discharge: 6 Listeriosis Tetanus New cases: 0 New cases: 0 Carryover: 0 Carryover: 1 Discharge: 1 Discharge: 0 Lyme's Disease Yersinia New cases: 0 New cases: 0 Carryover: 1 Carryover: 0 Discharge: 0 Discharge: 1 SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617)745-9050 High Risk Infants: 4 Lead: Elevated Level Reports (Aug; September) Class 10 25 1B: 12 II: 7 III: 3 Unclassified: 1 Extensive follow up continues to determine source of re-exposure in a class III case and to manage related problems. Home Visits: 5 T.B. New cases: 0 Mantoux Tests: 25 Neg: 2 Pos. 1 Bookings made at N.S. Pulmonary Clinic: 8 Reports received from N.S.P. Clinic: 16 Home Visits: 8 with an interpreter when necessary The PHN attended the following conferences: 11 Case conference with Lead Poisoning Prevention Program to discuss case management. 2. Conference on Viral Hepatitis, Worcester MA sponsored • by Worcester Dept. of Pub. Health, U. Mass. Medical School and Mass. Dept. of Pub Health. 3. Conference on food born diseases in Burlington MA sponsered by New England Dairy Council. The PHN Appeared with Al Needham on Talk Show over WESX to discuss flu and pneumonia. Flu Clinic Plans: BOH in collaboration with Salem VNA, utilizing services of Dr. Desjardens and Salem State Nursing Students. Dates Oct. 14 9-12 Council on Aging Oct. 16 9-12 Point Neighborhood Community Center Oct. 21 9-12 Charter St. Housing Oct. 23 9-12 Council on Aging St. Joseph School Immunizations: 30 Kindergarten records reviewed - survey submitted to the Mass. Dept. of Health all K. students comply with Mass. Dept. Health requirements. 17 Transfer students' records reviewed - meet requirements, 1 record outstanding. Hearing/Vission 30 1st graders tested • 1 4th grader tested (parent request) a • MONTHLY REPORT Au • 1986 ADMINISTRATION 9 BIOLOGICS DISTRIBUTED AMOUNT l ANIMAL BITES REPORTED 1 _^^ Diptheria jetanus & Pertussis 34 Vials Diptheria-Tetanus Tox. (under 6 yrs. ) 1 Via] BURIAL PERMITS 32 Immune Serum Globulin 0 vial INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) Measles (Clinic use only) ----- 0 MMR--Measles/Mumps/Rubella 50 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 360 doses $302.00 Tetanus & Diptheria (adult use) 11 Vials Tetanus Toxoid (absorbed) 2 Vials 1 r� Tuberculin P.P.D. Ma 5 ML 3 Vials Typhoid Vaccine -'--' SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $111 , 112.00 $18,440.57 $92,671 .43 EXPENSE REPORT: ALLOWED EXPENDED ` FREE CASH (includes) ENCUMBERED $41 ,850.00 $6,999.82 $34,850. 18 i iiiiinoiiii�i■'�oiee■neuee�a " : . = .;: �■�■�ee�■o■n�o��e��n■■sue ��or��n ��r��n��nnr�ii ��ir►�n�� . 11 1 �11 ti VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Edith Harmon Linda A. Billows Chairman President TO: Salem Board of Health FROM: Karolyn Jernigan, RN, BS DATE: September 2, 1986 RE: August 1986 Salmonella Hepa itis N6w Cases: 3 New Cases: 1 Carryovers: 9 Carryovers: 5 Discharges: 1 Discharges: 0 Visits 5 Meningitis Yersinia New Cases: 2 • New Cases: 0 Carryovers: 1 Carryovers: 1 Discharges: 0 Discharges: �0' Tetanus Campylobacter New Cases: 0 New Cases: 1 Carryovers: 1 Carryovers: 3: Discharges: 0 Discharges: 0 Visits 1 Lymes Disease Giardiasis New Cases: 1 Carryovers: 0 New Cases: 0 Discharges: 0 Carryovers: 3 Discharges: 0 Tuberculosis Lysteriosis New Cases: 0 New Cases: 1 Mantoux Tests: 27 Carryovers: 0 _ Discharges: 0 Negative 25 Positive 2 Lead Tests Visits: 2 Northshore Pulmonary Clinic: 18 Visits: 6 High Risk Infants: 4 SHETLAND OFFICE PARK/27 CONGRESS STREET/SALEM, MA 01970/(617)745-9050 :PUBLIC` HEALTH Lyme r• v �t p. - rA`., :•cam-n`r '_ - � 1`S .+F•��'��t�S`# Se f 1:< W41 Y MAP',as a <14 nthi .� 'r' 'kiSr .. can later irtgJve#h a � tjrh . i. " 4�i RAI3` -a.a r rr�t 4 iti=.. b 3 :i x � to humansbyahebitedl nctedt ick. TheVlassaChus #tsRe artmentpfPUbiicHel#h bF� 1zw's, 'es fi ze: 7 SCE v',`• .A'"� v.paC: i my ar '7� X r..e'S �"t r .s' ;*'✓; S > :_• r h s!.i {s b in� ass ukal � i e y✓tf�tA^r.•f4t��4�T.,-.-aE ;�}ifi. .�.�f p�r�uJe T�ve>{ntion: F � tu tw,�s�,r..r,e�rris 7 i lls�f��"r b�.fi�i._y:?�.}.,..��,v ss�f e* d an��iFtri'4.:'•-a t�a'�`s'P�e#.•rS��e�.S$d.c !i.'�_r��"rt'�i•�..,,.xIrrrryT'Rr �x u+a�N r�l s a tw, =. � , � �t W�, s,j3 r•,��e ��r�Ry� ,.�: �.4�.r�ga�p..' "Wit x ' ,•�" .«+. hi 197 ;a mvestigat, of geographie'clustenng of`children with`arthritis in.Lyme, Connecticut led to the dseription 9t,1< i$ng1 ;iecpgiized disease It is rpw recognised that LD occurs,®ver wide arasof the t . its ," tat �TC TMW5�a as°cori*espand :to the;clistritiUtion-bf the"tick `carne`r-yof th`e ndis ass r fn ` Massachusetts,`thegreatastconcentration of ticks is in coastal areas and the„Connecticut River Valley The disease is most likely° o occur between Late May and,eariy Falt,,which are:the peak activity periods ofahe tick How is LD Transmitted? YR Jyt•�M .l,:C 7 r 4 '•Mi".5 ? r4?` a'-AS .lye ti `{.. Via. deer iclt' n 11 by t,e scierat tic naafi a !xa"es i .rrir�tr► :obis. arFJet f ; ..� . t yurl`,iW 1.^ .;ne, r-:i i�ei ?'tai. ,Y ' sT^tl � ?xw $1 �`:'rg,.a9E r t�iediseas ;{- is�t�isshk�;ave. sixtatt��Ql�: er#han#t-iesize=pfa_�w■efioci=pn'aR ri�ted={��555� '�T:.��ri�ks elirs�.:.ta +t$' -.:•> tY wi.'}.P°'f'fl' sr l,hSR'$ P.: +fir,.',+r;. W;`?3.:.X�.7i+rF a. � i:.S, asf) i:'A` f [i..�iY'r�'S`.- ♦-.Y« .Y y f,c F;. t �,.. � 1._<<F .k!•�:.. o f a n:a}�d�vre mos rti. rierp ss ng> prushy, ooded'or�arass t bitat T Ce b 3# ,u :t- n ope 'g `.-. " •t.'Hs a..•? Ay+.a •, •�,i .�.a2 :tF `i' �T Y am'.�r' .t... � a ^v 4 7=: i •w '<;. r :�:,, sue'' aoeaohes, crr n $#ici :s om 1ex# io year,hfe clea rtt +rr re �rart �oss�er1 df ems} _. ((�� FS.Y�. GF ..., r r•"h`i�,X�K,,,.Ri�rN, ,:'^ v _:�v4`> ,.,.•": .•.g:xi,�+ aP,.+, }e•:. -xhK«.i ;t*ti19 ^. `+F�'. a is F vkte* 5d#etart� si ,dt7oasiit otFiar anrrnat fritthafc�iu :at'e gore _, �c< _' 7 " .v E�.•-r 7 +a °° a . Y ..F. > tuven�f ;treks�ta +ae+ftfiat:may fe dnf an infected animal ust�atfy atouse fA sib_s ct erit s#a`/�e Qf fhetr t ,. •- v•<i �,ty,,s e,,: s; 4`its'ti. .E t. -C�' s i, a l < -tick y .: 1.1:;a, �, v�: �,e, r:; .Jr ••a r:. r-: 4. +Fr ,"7••rF9 M .. r, , Y,.y,. p e: taZ ob ndistransfex edbydiKect ontac -To theskirtofa .}r M!;IfT n ; .a ::.. r•=v,,..� - "s ..,,.`•:•-,a rc ,., ..•! humariTit'e bi#e of iter/+te ,-r�%m 'ktal#ikcantien transmit#:he infectious oc`anism#o t s tewost : 1 ' i.%•�rv'+r�x?:!rs ,:"t'„v 'k..'ht:fiY > .x+�L'Tk:': ,FR .z ".'.+. r,,<:s,ry �. ...,.A g K'.` :s„ m n r•. ; ;eat st:' a f b ,com n infiec#ed b jh'-bite Ot'the tickoccurs whilexvtr lki;, biareie ed k . Y 'ttroci hr` ts ' tx surir" °-a >4h-o``;'u A 'ust}tte' 'eriod f' re test n�'>:` _ fit` ilk ��99 i ry ,? £; o a g M Y ugh ug p p 9 a ymga t c actor ty s ,s: g zr se w_ ",y; snT34.m` +kh 3 "`4F' .. r 1; Mu`kv.tk xg itnporEn# a�'e•mr�tbelatfoi�a11 t'icks`Carry Lyme`Disease..Thus,a tick bite noes trot nea�ssaiiy r s•"t 'aa �" }. >•a+� 3.._s x :;:. ,r,yrmean that disea&e•W, - t v ,si d protxi.p Yeri oval,af a;tick wilF-lessen air #aa i o ,disease J" y ;y'. 7n�:K:?ti;i9r4;?'1 �` •;tr. r,.?(y,, i:....q P.3� .....: � ¢�'r'?s.•-p r '�77 a d 1& <<y fransrnis�sion,;�`Yarfsfnis t� " ;e ecterla#,ro thetick#Oa humanappears:to er " tteasUT hours ;'. < `si<{c $+, a' '�,_, � a>i ^'tir. S}•4n r 4 @ .t v 2 t @ -�k a �� x r r of attachment rof the n !'«�.t'� • ra ..,` r� ,w�r* a Y3�-`^� ;. .•r. •if •..;[ y _H4 `Y f.�f��r,�,� r>„�-s,..� *i" '*xs��,dj p7:k.n*+ .3i� Fyn, " 3 qy+��-{a�,� ,„r�; y,n,�,�,z._,.r<,,, r4o s3 ..!` '', .' -" •�y.'..« ?`SYx ,,, r F �Waxc z a b::i via s d, a F t ; hat�ar .:th. �. •:` i�>±+a"+°' y+�,,a.F* r '+ x� 'y tr "t'hS} ��,•,..f ,. -, Early -:The first symptom of LD is usually a skin rash,called erythema chromtcum.migrans, that o661,117$1.. at the its of,the'tick bite ='l he`actual tick;may go unrecognized.:The rash;:which,begins 3 ta32 days 4 after tt'e tick bite, begins as asrali Xe area,which:-gradually enlarges;often with_partial eleanng irl the ,h center of the:lesion`so tFat if,tdse►'itbl `sa donuts There maybe multiple`secondaryle kin ' lesipn is occasionalljr,descrtbetr. s . riairig sir itching Other skin'signsinclude Eivesr retrtess oftte r ti.. r fi cr .'.,yv.. "J,1 ?.cY`.^ C _ •m `*,t},-,.f :.,7 .t o}V "`.s,'P,•.''- S,a+*.t;,&£^rk} ,��. cheeks and a deC ttii '.:e / a Sh andlolswellitag of these elide with'reddenfi(�,.o#w.ites srf ttie , aate3cr T 1 .yJ µ .�€ qa y 5 - v� 5 `FaJ:.Y - �ii 2 f'.<'.:if .. 'JI �aw ' ` ;teyas 'flaese s tts a .#fit �edbu�hke m{t torrasuch asfeveFyhi: #iffeC , .r; _rt y> ram,-.z.'i �s.+rr "s" a.avFmt*. �k+: z �• '?+- e xsareanQ� a'- *sit:t iya�U ° otih at2►t1d wo4len4p landa1 fate ',: :ea' � x. ' �a< a < ~7 rwc 1j .,k tm x. 7 > n• i� .{{I�{y.. i 4 t' 'Y h Fs, 'q�4' `f y*' A 333••• r on RM F$ •x0r i ', M a C' n ,ek#; „�k}°T'L� rn cyr � � p"r. tr.: .w s �"` �'rt+w�i s; .. Y,_43�..�+�F. � z, .;�'.-:.�a.,, .s_�)h'.�.� �-��''�'�� r .�.:, {�..�1�a ;i$.�� '�,r,;•z_ ��+, ? + i�i'k,'; - �~x �' �. ��«� °'x` • ADMINISTRATION MONTHLY REPORT July 1986 BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 3 Diptheria,Tetanus & Pertussis 43 vials Diptheria-Tetanus Tox. (under 6 yrs. ) ----- BURIAL PERMITS 54 Immune Serum Globulin 33 vials _ INTERNATIONAL TRAVEL ----- CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) _ — DOT,--Measles/Mumps/Rubella 136 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 240 doses $174.00 _ Tetanus & Diptheria (adult use) 66 vials _ Tetanus Toxoid (absorbed) --- ---- ._— __---------. 1 ML Tuberculin P.P.D. 5 ML 59 vials - Typhoid Vaccine --- - - - --- SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $11.1 , 112.00 $10, 125.25 $100,986.75 EXPENSE REPORT: ALL_ 0_ WED EXPENDED FREE CASH (includes) ENCUMBERED $41 ,850.00 $2,624.o8 $39,225.92 • • ' ' �® • . : FM. : /►�i�[1.!!..![!�l�l�I��i1h7!lF7lli!!!�!!i - . - _ _ . . . ■��s�■l�r��cjl�r.�unl��rcjnul�lr►�rc�nt�nlil�K�c No mom Em NONNI .„. : . _ .��u�l�!l��l�li�!!■ilul��l�l�l�!■��lillin.n..al� ■��a��e�® . . s! ■ MMUMM VNAVISITING NURSE ASSOCIATION OF GREATER SALEM , INC. TO• :Salem Board of Health Ms. Linda A. Billows, R.N., M.S. FROM: Ann Dominick, RN, BS Executive Director DATE: July, 1986 RE: Statistics Salmonella Joint investigations with the Health New Cases 6 Department inspector will be contin- Carryovers 6 ued on scxne of these cases. Discharges 1 Yersinia New Cases 0 Carryovers 1 Discharges I . Campylobacter New Cases 0 Carryovers 3 Discharge 2' Giardiasis • New Cases .2 Carryovers T Discharges 0 Hepatitis New Cases 0 Carryovers 5 Discharges 1 Meningitis New Cases 0 Carryovers 1 Discharges 1 Tetanus New Cases 1 (unconfirmed) Carryovers 0 Discharges 0 t SHETLAND OFFICE PARK /27 CONGRESS STREET/ SALEM, MA 01970/ (617) 745-9050 Tuberculosis • New Cases 0 Mantaux Tests 10 Negative - 9 - Positive - 1 Northshore Pulmon. Clinic 15 High Risk Infants 1 Lead Test Results Ia 1 Ib 2 II 3 Karolyn Jernigan is replacing Ann Dominick as Public Health Nurse and will continue Board of Health Nursing functions at the Salem Visiting Nurse office 27 Congress Street 745-9050. Ann Dominick thanks all the Board of Health Members and Health Department Staff for their support and assistance the past three years. ADMINISTRATION MONTHLY REPORT JUNE 1986 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 2 Diptheria,Tetanus & Pertussis 55 Diptheria—Tetanus Tox. (under 6 yrs. ) --- BURIAL PERMITS 51 f Immune Serum Globulin 34 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) _ _ _ ------------ MMR--Measles/Mumps/Rubella 130 TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 450 $171 .00 ._. _. _ _._.._. Tetanus & Diptheria (adult use) 48 Tetanus Toxoid (absorbed) 31 _ — ___ ___------- --- ---•-- --- -'- 1 ML Tuberculin P.P.D. Ma 5 ML 33 _ Typhoid Vaccine SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL Transfered $168.00 from expenses $108,082.34 $107,875.93 $206.41 to Personnel account for 2 weeks in June. EXPENSE REPORT: ALLOWED EXPENDED FREE CASH ;includes) ENCUMBERED i $55,060.00 $54.599.79 $460.21 1 i 1 • �.�.�ii�n oiii•••�iii. . VISITING NURSE ASSOCIATION OF GREATER SALEM , INC . Ms. Linda A. Billows, R.N., M.S. Executive Director To : Salem Board"of Health FROM: Ann Dominick, RN, BS DATE: June 1986 RE Statistics Salmonella Yersinia New Cases 4 New Cases 1 Carryovers: 6 Carryovers: 0 Discharges: 2 Discharges: 0 Campylobacter Meningitis New Cases : 3 New Cases 1 Carryovers: 2 Carryovers: 0 Discharges: 2 Discharges: 0 Hepatitis High Risk Infant - 2 New Cases 1 Carryovers: 5 Discharges: 0 Immigrants - 1 Tuberculosis New Cases 0 Mantoux Tests - 23 Negative - 21 Positive - 2 North Shore Pulmonary Clinic - 17 Other Clinic - 1 Lead Test Results IA - 6 Giardiasis • New Cases 1 Carryovers: 0 Discharges: 0 SHETLAND OFFICE PARK/ 27 CONGRESS STREET/ SALEM, MA 01970/(617) 745-9050 `( ADMINISTRATION MONTHLY REPORT May 1986 BIOLOGICS DISTRIBUTED AMOUNT_ ANIMAL BITES REPORTED Diptheria,Tetanus & Pertussis 38 Vials _--- _- — Diptheria-Tetanus .Tox. (under 6 yrs. ) _-__ BURIAL PERMITS 41 Immune Serum Globulin 11 Vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) Measles (Clinic use onl - M1,R--Measles/Mumps/Rubella TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED 500 Doses $231 .00 Polio Vaccine --- - -- Tetanus & Diptheria (adult use) 34 Vials Tetanus Toxoid 6 Vials -- --------- ---�-- --- "---`- -- 1 ML Tuberculin P.P.D. 22 Vials Typhoid Vaccine EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED $107,914. 34 $99,019. 26 $8,895.08 - ALLOWEDEXPENDED FREE__CASH (includes) ENCUMBERED EXPENSE REPORT: $35,060.00 4412.04 Appropriation for 2 vehicles $20,000.00 $50,647.96 $ TOTAL $55,060. 00 r ao��r��a��nnr��nnanu mooN�niiva VISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Ms. Linda A. Billows, R.N., M.S. Executive Director TO Salem Board of Health FROM: Ann Dominick, RN, BS DATE: May 1986 RE : Statistics Salmonella New Cases 1 Carryovers: 8 Discharges: 4 Shigella New Cases 0 Carryovers: 6 Discharges: 6 Tuberculosis New Cases : 0 Mantoux Tests (PPD's) - 28 Negative - 24 / Positive - 3 Retested - 1 North Shore Pulmonary Clinic - -1-4/ 9 Immigrants - 4 Lead Test Results IA - 11 II - 7 III- 1 Campylobacter New Cases : 2 Carryovers: 2 Discharges: 0 Hepatitis New Cases 1 Carryovers: 4 Discharges: 1 SHETLAND OFFICE PARK / 27 CONGRESS STREET/ SALEM, MA 01970 / (617) 745-9050 J { Immigrant Services i Immigrants enter the United States at various ports of entry enroute to their final destination. When the State Dept. of Public Health notifies a city health department of immigrants who will reside it) that community, they are _ visited by the Public Health Nurse and introduced to available health -care systems in the area. During the visits, particular attention is paid to the immunization records of the children. Immigrants are also requested to attend the Mantoux clinic for TB skin testing, or are referred to North-Shore Pulmonary Clinic for further evaluation. During the home visit, Public Health Nurse obtains a list of the household members and close contacts to the immigrants and determines their tuberculosis classification. If this information is unknown, a TB skin test is requested. A medical history can reveal any other unmet health needs. Under, the immigrant program, the sponsor is responsible for the financial needs of the immigrant and signs a financial statement attesting to this. Many immigrants and refugees have positive Mantoux tests, because it is customary in their countries to receive a "BCG" (Bacillus Calmette-Guerin) vaccination. Their physicians feel this snot lessens a person's susceptibility to tuberculosis which is more prevalent in their country. These people are included in the usual follow-up for positive reactors. Many years ago the "BOG" vaccination was given to some health providers in the United States on an expirimental basis, but was discontinued because the field results were inconclusive and the United States has a low incidence of Tuberculosis. Immigrants and Refugees enter the United States under different immigration statutes. The main difference is that immigrants have a person in .the community, a sponsor, who is responsible for the medical, financial, housing, employment and general living status of the immigrant. A refugee is assisted by an agency to relocate in the community and is supported by that agency until they are independent. MONTHLY REPORT ADMINISTRATION APRIL 9186 f BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 4 r Diptheriajet anus & Pertussis 36_V1;L1 Diptheria-Tetanus Tox. (under 6 yrs. ) _. -- BURIAL PERMITS 59 Immune Serum Globulin 7 Vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) Measles (Clinic use only) ------ 0 MMR--Measles/Mumps/Rubella 230 TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 540 Doses $573.00 Tetanus & Diptheria (adult use) 25 Vials Tetanus Toxoid a 12 1l i a l s 1 r2L Tuberculin P.P.D. Ma 5 14 Typhoid Vaccine ------- EXPENDED BALANCE TO END OF FISCAL SALARY REPORT.: ALLOWED $107,914.34 $90,620.05 _ $17,294.29 - EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $35,060.00 $29,696.79 $5,363.21 L_ ■moo W4AVISITING NURSE ASSOCIATION OF GREATER SALEM , INC. Ms. Linda A. Billows, R.N., M.S. Executive Director TO: Salem Board of Health FROM: Ann Dominick, R.N. , B.S. DATE: April, 1986 RE: Statistics Salmonella New Cases - 0 Carryovers - 8 Discharges - 0 Campylobacter New Cases - 1 Carryovers - 1 Discharges - 0 • Shigella New Cases - 0 Carryovers - 5 Discharges - 0 Hepatitis I New Cases - 0 Carryovers - 4 Discharges - 0 Lead Ia - 1; II - 2 Tuberculosis New Cases - 1 • Mantoux Tests (PPD's) - 20; Neg. - 20; Pos. - 0 North Shore Pulmonary Clinic - 23 Mass. Department of Public Health TB Control Reports - 3 SHETLAND OFFICE PARK /27 CONGRESS STREET/ SALEM, MA 01970/ (617) 745-9050 I 4 Tuberculosis - The case of tuberculosis was discovered while the patient was under treatment for several other conditions. The tuberculosis organism entered the person's system many years ago and did not cause active disease at that time, • but it lay dormant until now. Because the other illnesses weakened the body, the the tuberculosis organism overcame the body's defense system and multiplied causing the active case and death to the patient. The usual follow of case con- tacts was initiated. So far there have been no positive reactors. High Risk Infant Program - A visit was made to a mother and baby recently dis- charged from Salem Hospital and referral was made to the VNA Spanish speaking nurse for further follow-up. Other Business 1. The Public Health Nurse and the Board of Health Sanitarian, Virginia Moustakis, met with Greta Buckley, Director of the Department of Social Services (DSS) to discuss functions and goals of their departments and to promote coordin- ation of service plans to shared clientel. 2. The Public Health Nurse and the VNA Supervisor, Maureen Brennan Cormier, met with Elayne Hart, Director of Housing, and several other representatives involved in health and hypertension screening and follow-up in Salem to discuss their pro- grams and assess unmet health needs of the various age groups in Salem. 3. The Public Health Nurse and the two Board of Health Sanitarians attended a most informative program at the State Laboratory in Jamaica Plain on food- borne illnesses. The importance of the local Boards of Health, in the invest- igation of reproted cases, health teaching to food service personnel and routine inspections of food sites was stressed as essential to the control of these illnesses in the community. The state is available to assist the Boards of Health with educational programs and support in case investigation. More detailed investigation forms and a new intake form were reviewed. This intake form should be used to obtain sufficient information from a caller who has complaints regarding a food site or a food connected illness. 4. This month the Public Health Nurse visited the Lydia Pinkham Well Baby Clinic (and also for older children) located on Derby St. The nurse, Nancy McKenny, described her clinic services. The clinic is open Tuesday and Thursday after- noons. The clinic physician is Dr. Brown and he does physical exams and re- views health concerns on Thursdays at 12:30. Children who need immunizations and routine physical examinations are referred there. • THY REPORT JR� < �b • ADM14NISTRATION MONTHLY BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 5 Diptheria,Tetanus & Pertussis 40 vials Diptheria-Tetanus Tox. (under 6 yrs. ) ------ BURIAL PERMITS Immune Serum Globulin 4 vials -. INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) ------ 12' R--Measles/Mumps/Rubella 70 vials TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine 540 dodes_ _ $355.00 Tetanus & Diptheria (adult use) 62 vials Tetanus Toxoid 1 ML Tuberculin P.P.D. 5 ML 30 vials Typhoid Vaccine -- SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $107,914. 34 $80,082.87 $27,831 47 r _ OWED EXPENDED FREE CASH (includes) ENCUMBERED EXPENSE REPORT: ALLOWED $35,060.00 $26,993.53 $8,066.47 III �in��iii�i�=iniisiiiai�i��ii� i�iiiiii��iiiiiiiiii�i�ai��ii VNAVISITING NURSE ASSOCIATION 0 OF GREATER SALEM, INC. Ms. Linda A. Billows, R.N., M.S. Executive Director TO . Salem Board of Health FROM: Ann Donimick, R.N. , B.S. DATE: March, 1986 RE : Statistics Salmonella Campylobacter New Cases - 0 New Cases - 1 Carry Overs - 9 Carry Overs - 1 Discharges - 1 Discharges - 1 Shigella Yersinia New Cases - 0 New Cases - 0 Carry Overs - 6 Carry Overs - 1 • Discharges - 1 Discharges - 1 Giardia Hepatitis New Cases - 0 New Cases - 3 Carry Overs - 1 Carry Over - 1 Discharges - 1 Tuberculosis New cases - 0 Mantoux Tests (PPD's) - 38; Negative- 35, Positive -3. North Shore Pulmonary Clinic - 11 Lead Test Results Ia - 2 III - 1 (finger stick) High Risk Infant Program - 1 Follow-up visits made to this low birth weight baby for weight monitoring and newborn teaching. Site testing for recent immigrants was done at Salem High School upon request from the School nurse. Twenty-one students were tested or evaluated and four students were referred to the North Shore Pulmonary Clinic for chest x-ray's and further evaluation .by the clinic physician because of their positive reactions.