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MONTHLY REPORTS 1990 TO 1992 BOARD OF HEALTH MONTHLY REPORTS 1/ 1990 TO 6/ 1992 1 ADMINI'STt�1ION MONTHLY REPORT June 1992 t BIOLpGICS DISTRIBUTED AMOUNT I ANIMAL, BITES REPORTED 7 - j" y Diptheria,Tetanus & Pertussis 405 doses Diptheria-Tetanus Tox. (under •6 yrs.. ) 40 doses BURIAL PERMITS 52 Immune Serum Globulin 7 doses INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED) Measles (Clinic use. onl 0 as 1 e s/Mump s/Rub.. lU,,. 300 doses TOTAL CASH RECEfirV$D:) FROM { LI:CENSES- & PERMITS' XSSUED•''; $ 282.00 Polio Vaccine 510 doses- CERT:IF'ICA2V OF', Tetanus & DiPtheria.'(adult us:e)) 550 doses FITNESS 2,125.00 { 0 Tefiaeaus Toxoi`d --- -— Tuber:cvlin P.P: t ML ? 190 dose$` Tyghofd Vaccine 230 doses Hj.I.B. TITRE Hepatitis B - 240 doses EXPa1DED BALANCE.TO END OF` SALARY REPORT:: ALLOWED FI9CAL $247,179.00 $247,06123 $117.77 gRpF3QSE REPORT: ALA ED EXP�DED FREE_CASH` (' �icludes) ENC.tJPIBERED r $22,065.47 $6919.62 $10., 172. 11 $40,000.00 - Supp. Appr. ii��iv■u��a� ■ ............. ........ W. M. HE mmmmmmmmmmmm m SPECTION FOOD SERVICE IN 101 2a. FOOD SERVICE RE-INSPEC. 2b. FOOD SERVICE COMPLAINT 3. RETAIL FOOD INSPECTION 3 a. RETAIL FOOD RE-INSPEC. �_._RETAIL FOOD COMPLAINT MEN i4. MOBILE UNIT/PUSHCART C�-MOBILE UNIT/PUSHCART 4a. COMPLAINT 5. TEMPORARY FOOD INSPEC. e■o■oo■o�■■■■�■■o�■■■eooe�n� 7. HOUSING INSPECTION GEN- NUISANCES/TRASH : 9 RECREATIONAL CAMPS 12. SUNTAN CENTERS mommoulmJ1,6 nommommollso �i�ONES MN ENuuiei= ■,i�■,m��■�■■ OMEN01 �i�i�■■iiii■■u■■�o■■■■■ PUBLIC HEALTH NURSE REPORT TUNE 1992 ACTIVPi'IES I CLINICS In touch with the T.B.Clinic and following active cases and case contacts Hearing Screening Clinic at the COA scheduled for 7/9/92 Preparation for a Diabetes Screening Clinic CONFERENCES AND MEETINGS Picked up and maintained vaccine inventory and distributed biologics city-wide Managed and staffed the COA Health Clinic Attended Board of Health Meeting Attended the MDPH meeting on Community Health Network Initiative and RFP informational • Prepared, developed and submitted a 10 page Immunization Action Plan (IAP) for the MDPH in a grant proposal process(copies available upon request) Attended a group initiative responsible for the development of the NORTH SHORE AIDS COLLABORATIVE (NSAC). I am presently serving on 3 committees within this collabortive, the Steering Committee,the Education Committee and the Funding Committee. Attended the first NSAC Education Committee meeting Prepared and provided for a guest speaker at the COA on the topic of ELDERLY NUTRITION. There were 23 attendees. (see attached) ST.JOSEPH'S Parents of all 3rd and 7th graders were notified of the availability of Free Physical Exams by the Physician for the Board Physical Exams were performed on 14 students by L.Dumas, M.D., Physician for the Board of Health, assisted by L.Silva,R.N. School out for the summer • d MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF JUNE 1992 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE r CAMPYLOBACTER 2 - 2 2 GIARDIA - - - - HEPATITIS - 1 1 1 MENINGITIS - 1 1 1 SALMONELLA 2 1 3 3 • SHIGELLA 1 - - - TUBERCULOSIS - 3 - - VARICELLA 9 - 9 9 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH / LORI A. SILVA,R.N.,B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH 4' The City of Salem Board of Health will be presenting a Speaker on the topic of ELDERLY NUTRITION. Maria Conger a Registered Dietitian from Salem Hospital will present • information on proper nutrition and its importance for the elderly population. WHEN: JUNE 24, 1992 WHERE: COUNCIL ON AGING— ACTIVITY ROOM TIME: 10:30 A.M. For any questions or inquiries please contact Lori A. Silva, R.N. Public Health Nurse at 741-1800. i NUTRITION AND THE ELDERLY Why are the elderly at risk of Malnutrition? The reasons for this are many and vary widely. One reason the elderly are at risk is that as we age our bodies are less able to correct for nutritional imbalances than when we were younger. Another reason is often times elderly are taking multiple prescription medications which sometimes interfere with the absorption of nutrients and may also, r.educe ones appetite. Other factors which cause a decrease or loss of appetite include the fact that with age oursense of smell decreases as well as the number of taste buds. f These factors among others are causing poor nutrition in the elderly which may, in turn, lead to various health problems. To determine if YOU are at risk of. poor nutrition, please fill out the checklist below. Determine your nutritional health* t Read the statements below.Circle the number in the yes column for those that apply to you(or someone j you know).Add the points for all the yes answers and put the score in the Total box. Yes I have an illness or condition that made me change the kind and/or amount of food I cat. 2 1 eat fewer than two meals per day. 3 I cat few fruits or vegetables,or milk products- 2 I I have three or more d+inks of beer,liquor,or wine almost every day. 2 I I have tooth or mouth problems that make it hard for me to eat. 2 1 don't always have enough money to buy the food 1 need. 4 1 cat alone most of the time. I I take three or more different prescribed or over-the-counter drugs a day. I iVitltout uanting to,l have lost orgained 10 pounds in the lost six months. 2 I am not always physically able to shop,cook,and/or feed myself. 2 Total If your nutritional score is 0-2 Good!Recheck your score in six months. + 3-5 You are at moderate nutritional risk.Sec what can be done to improve your eating habits and lifestyle.Your local office on aging,senior nutrition program,senior citizens center,or health department can help.Recheck your nutritional score in three months. G or You are at high nutritional risk.Bring this checklist the next time you see your doctor, . more dietitian,or other qualified health or social service professional.Talk with them about any • Problems you may have.Ask for help to improve your nutritional health. ' A reminder: warning signs suggest risk,but do not represent diagnosis of any condition. •tkveloped and distsibukd by the Nutrition acreenlnc Initiative,a project of the American Academy of Family Physicians,The American Diektic Association,and the National Covneil on A&C. SALEA HOSPITAL CHECK REQUEST JUNE 1992 PAYABLE TO: City of Salem - Board of Health AMOUNT 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWSE SPECIFIED PURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH SHORE PULMONARY CLINIC.. A visits -26@ $5 . 07 per visit = $131.82 • B . visits -20@ $3 .38 per visit = $ 67. 60 $199.42 7 SPECIAL INSTRUCTIONS: PREPARED APPROVED J DATE 7/1/92 PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $19 9.4 2 CHECK NO. DATE VOUCHER NO. 17-40 0 JUL 1 i ITY Or SALEM TO: SALEM BOARD OF HEALTH ",LTH DE?' FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF JUNE 1992 A visits with x-ray 16 A visits without xwray 10 B visits 20 GRAND TOTAL 46 NUMBER OF CHEST X-RAYS 16 • i F ADMINISTRON MONTHLY REPORT Mav 37, 1992 IBIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 5 Diptheria,Tetanus & Pertussis 435 doses Diptheria-Tetanus Tox. (under -6 yrs,. ) 20 doses BURIAL PERMITS 65 Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 1,M—Y&asles/Mumps/Rubella 170 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED Polio Vaccine ..410 doses $1,000.20 CERTIFICATE OF - Tetanus & Diptheria •(adult use) 60 doses FITNESS Tetanus Toxoid 0 ----- 1 ML Tuberculin P.P.D. 5 ML 200 doses :• Typhoid Vaccine H.I.B. TITRE 200 doses Hepatitis B 816 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL .'; $247, 179.00 $ 219,715.86 $29,438.14 , ;'`'• EXPENSE REPORT: ALLOWED EXPENDED FREE CAS (includes) ENCUMBE $22,065.47 $38,8.59.21• $17,091.73 $40,000.00 - Supp. Appr. $ 1,871.62 a■��u■�� nm� u iisi■iiiri'�iiie■m■■■■■nN ��■�a■��■n�nuuun��uun io�nnan��■■� ■ � is�iir�"i■iion�nriiiu u iuiiiiiiiiiii�iiri�■iii0iiu°i i 12, SUNTAN CENTERS �iniiiiii��'�■n■vii�e =�i u■��iiinii n�■��■ �■■ ■ ��■w��u■iiiii ��■��■m�■ n■�n n Rwnorunm■om�■ ■ �■n .• I PUBLIC HEALTH NURSE REPORT MAY 1992 ACTIVITIES CLINICS In touch with the T.B.Clinic and following active cases and case contacts Screened 22 Federal employees for T.B.at the Salem District Court House. All negative results Seven Blood Pressure Clinics for Municipal employees were held,results below: #SCREENED # REFERRED FOR FOLLOW UP FIRE FIGHTERS 48 3 POLICE 31 6 OTHER CITY WORKERS 28 4 TOTAL MUNICIPAL EMPL. 107 3 Hearing Screening Clinic scheduled for 5/21 was rescheduled for 7/9/92 due to equipment failure • CONFERENCES AND MEETINGS Picked up and maintained vaccine inventory and distributed biologics city-wide Continued the Salem State College Student Nurse Internship Program(SNIP),end of 1991/1992 school year. Program to commence in September Managed and staffed the COA Health Clinic Attended Board of Health Meeting Attended the MDPH meeting on Community Health Network Initiative and RFP informational Attended HIV/AIDS Educational Conference ST.JOSEPH'S Hearing Screening completed on all grades- 6 referrals Preparation for Physical Exams,to be held 6/5/92 by L.Dumas,M.D.Physician for the Board of Health i • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF MAY 1992 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 - 1 1 GIARDIA 3 1 2 2 HEPATITIS 2 1 2 1 MENINGITIS - 1 - - SALMONELLA - 1 2 2 • SHIGELLA - 1 1 1 TUBERCULOSIS - 3 - - VARICELLA 4 - 4 4 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH CC LORI A. SILVA,R.N.,B.S.N. • PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH V o • JUN 9 1992 TO: SALEM BOARD OF HEALTH OTY 4F SALFM A LTH DFP°" FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF MAY 1993 A visits with x-ray, 9 A visits without x-ray 8 B visits 13 GRAND TOTAL 30 NUMBER OF CHEST X-RAYS 9 • SALEM HOSPITAL ` CHECK REQUEST • MAY 1992 PAYABLE TO: • City of Salem Board of Health AMOUNT $130. 13 9 North Street ACTION WANTED Salem, MA 01970 AT DICE BEFORE (DATE) AS PRACTICAL — DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWISE SPECIFIED PURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH SHORE PULMONARY CLINIC. A visits -17@ $5. 07 per visit = $ 86. 19 • B . visits —13@ $3 .38 per visit = 43. 94 $130. 13 SPECIAL INSTRUCTIONS: PREPARED`/ a'' l4��-- �'��' �'►'v '�r.�� 1 APPROVED ;iKl i DATE' PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $13 0. 13 CHECK NO. DATE R UUN 9 1992 .VOUCHER NO. MY or UM kLTH DEM" • SAL.EM HOSPITAL BILLING DEPARTMENT SERVICES (Secretarial ,and office supplies) NORTH SRO RE ti^ULMO:,%,Rx" CLINIC MAY 1992 A visits B Visits ($5.07 each) t$3. 3ffi each � Total A visits 17 @ $5.07 each • $ 86. 19 Total B visits 13 @ $3. 38 aach - SS 43. 94 total $130. 13 Secretarial servicea A visits $2. 77 1: Visits $1 .85 Secretarial cuppl .es • A visits S2. O • I ADMINISTRh�'lON MONTHLY REPORT April's 1992 • BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 2 Diptheria,Tetanus & Pertussis 390 doses Dipth eri a-Tet anus Tox. (under 6 yrs.. ) 10 doses. BURIAL PERMITS 55 , Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 MMR--Measles/Mumps/Rubella 130 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $. 525.00 Polio Vaccine 370 doses CERTIFICATE OF • Tetanus & Diptheria (adult use) 410 doses FITNESS $2,075.06 Tetanus Toxoid ---• ----— 1 ML Tuberculin P.P.D. 5 ML ' 130 doses Typhoid Vaccine 0 ' H.I.B. TITRE 320 doses Hepatitis B 1.260 doses SALARY REPORT: ALL OWED EXPENDED BALANCE TO END OF FISCAL $247,179.00 $202,664.32 $48,757.59 EXPENSE REPORT: ALLOWED EXPENDED -- •~ FREE_ CASH (includes) ENCUMBERED. $22,065.47 $36,855.88 $17.898.60 ' $40,000.00 - SUPP. APPR. $ 3,068.08 4' i�n■iiii�i�� ■e■n■ iiii■iuiiiiiesi �riii� iinii�inr�iiiiiee��i�m■�ii■i�■ii� ��ne��eiiee�■n� e�i= �� ■N�eie■��eiii■mi�i� on i■�■■■iii■iiii■n ■N ■ �iriii eii��n■'"""" �ii . ��■�er��e■�� n nmiee�� ■��■��■a ■gy..m■ ��N�■■�■■�NNCN��p� N��■ wi � l • PUBLIC HEALTH NURSE REPORT APRIL 1992 ACTIVITIES CLINICS In touch with the T.B. Clinic and following active cases and case contacts Two formal Blood Pressure Clinics were held at the Council on ARinR (COA) Seven Blood Pressure Clinics for municinal emDlovees were planned for May Hearing Screening Clinic to be held at the COA CONFERENCES AND MEETINGS Picked up and maintained vaccine inventory and distributed biologics citv-wide Continued the Salem State College Student Nurse Internship Program (SNIP) Managed and staffed the COA Health Clinic Salem Communitv Alliance, Health Professional Peer Action Group (HPPAG) Forum sDonsored by the HPPAG on "The Addicted Health Professional, Recognition & Recovery" DPH program on Tuberculosis-Monitor and Control ST. JOSEPH'S Vision screening completed on all grades- 22 referrals Preparation for Audiometric screening for all Rrades Hearing screening began, to be completed in Mav l V • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF APRIL 1992 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 2 1 3 3 GIARDIA 1 1 - - HEPATITIS 0 3 1 1 MENINGITIS - 1 - - MSALMONELLA 2 1 - - SHIGELLA 1 1 1 1 TUBERCULOSIS - 3 - - VARICELLA 3 - 3 3 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH / n( ,E;;�� LORI A. SILVA,R.N.,B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • - -'. HIGH BLOO D P SS ROE RE SCR-EENING - 10 Date A4Time Location N High- blood pressure; ,one of the major ca-uses of heart.disease and stroke, has � 3'I° no symptoms . . . ADO LAO The only way to find out if you have high .140 blood pressure is to have it checked. IPo Wo i)O I1° II° I°• go �a t �. 70 SPONSORED BY THE CITY OF SALEM BOARD OF HEALTH AND THE COUNCIL ON AGING THE SXLEM;MASS.;EVENING NEWS—MONDAY,APRIL 27, 1992 9 Hearin . clinic slated for`Ma . g _ y. SAL-EM In recognition of.. through Thursday from 11 a.m. to May as "Older American Month," 1 p.m. Those having their hearing the Board of Health in cooper- tested will be asked to fill out a ation'.with the Council on Aging questionaire. Educational will sponsor a free hearing materials will be provided. Ques- screening provided--by the Guild for the Hard of Hearing. tions should be directed to Lori The.. Hearing Screening Van Silva at the clinic, 744=0924. will beat the Council on Aging;5 , Broad;St., between-10 a.m. and 3 p.m..Thursday',May 21. This-screening .will be used to determine a hearing loss.Persons who are wearing a hearing aid or who know they have a hearing loss,do not need to be tested. Participants must register at the Health Clinic Monday 7 199°a ,lTY OF SALEM TO: SALEM BOARD OF HEALTH .aTIT14 DEp" FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF APRIL 1992 A visits with x-ray 15 A visits without x-ray 11 B visits 11 GRAND TOTAL 37 NUMBER OF CHEST X-RAYS 15 • SALEM HOSPITAL CHECK REQUEST APRIL 1992 PAYABLE TO- City of Salem - Board of Health AMOUNT $169.00 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL - DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWSE SPECIFIED PURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH SHORE PULMONARY CLINIC. A visits -26@ $5. 07 per visit = $131. 82 B . visits 11@ $3 .38 per visit = $ 37. 18 .uu SPECIAL INSTRUCTIONS: PREPARED APPROVED oA DATE Lj ` PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $16 9. 0 0 CHECK NO. DATE VOUCHER NO. 17-4M ^LDMINYSTAN - MONTHLY REPORT March, 1992 • BIOLOGICS DISTRIBUTED AMOUNT I. ANIMAL BITES REPORTED 2 Diptheria,Tetanus & Pertussis 390 doses Diptheria-Tetanus Tox. (under 6 yrs. ) 20 doses BURIAL PERMITS _ 66 r Immune Serum Globulin 30 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 MMR--Measles/Mumps/Rubella 120 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 398.00 410 doses Polio Vaccine CERTIFICATE OF 2,650:00 Tetanus & Diptheria (adult use) $ 410 doses FITNESS 0 — Tetanus Toxoid - 1 ML • Tuberculin P.P.D. 5 p,II, 90 doses Typhoid Vaccine 0 340 doses H.I.B. TITRE Hepatitis B 96 doses ALLOWED EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: $247, 179.00 $178,697.52 $72,724.39 ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED EXPENSE REPORT: ; $22,065.47 $35,964.35 $18,282.44 $40,000.00 - SUPP. APPR. $ 3,575.77 . i�i�u��n■u nee u aa■■mn��w�� mommommomommommomm ue■ MEMO i�■■i■�■■ii��i■■� ■■■w■ ��■■■■��■■e�� Ana ■ ��■■■■■■■■�■�■■■ NV iiiieiiiiiiei��■r��i■�� e■■■■■��e■■■■■■■�w■■�w■w� ��a��n��a■w■�� .....................ACC:•� • PUBLIC HEALTH NURSE REPORT MARCH, 1992 ACTIVITIES CLINICS In touch with the T.B. Clinic and following active cases and case contacts Forum being Dlanned for April (Alcohol Awareness Month) by the Health Professinal Peer Action GrouD on the tonic of The Addicted Health Professional, Recognition and Recovery Received Annroval from the State for Glucose Screening at the .COA Clinic CONFERENCES AND MEETINGS Picked uD and maintained vaccine inventory and distributed biologics city wide Continued the Salem State College Student Nurse Internship Program • Managed and staffed the COA Health Clinic DeveloDed a Mini-Proposal for the CDC HIV Education and Prevention Grant Workshon on Diabetes and the Elderlv Several HIV Coalition Meetings Salem Community Alliance/ Mavors Task Force Meeting Salem Community Alliance, Health Professional Peer Action GrouD Meetings ST.JOSEPH'S Pediculosis Screening (2 cases identified and excludes) follow-uD with cases and Darents Preparation for Vision Screening to be held in April Vision Education Program held for Kindereardeners • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF MARCH *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER GIARDIA 1 - - HEPATITIS 1 2 2 2 MENINGITIS - 1 2 2 • PERTUSIS - - - - SALMONELLA 2 1 1 1 TUBERCULOSIS - 3 - - VARICELLA 5 - 6 6 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH Q t tZ • LORI A. SILVA,R.N.,B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH v e T0: SALEM BOARD OF HEALTH FROM: NORTH SNORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF MARCH 1992 A visits with x—ray 15 A visits without x—ray 14 B visits 7 GRAND TOTAL 36 NUMBER OF CHEST X—RAYS 15 • • SALEM HOSPITAL BILLING DEPARTMENT SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC MARCH 1992 A visits B visits ($5. 07 each) ($3. 38 each) Total A visits 29 @ $5.07 per visit - $147.03 Total B visits 7 @ $3. 38 per visit - 1 23. 66 $170.69 Secretarial Services A visits $2 . 77 B visits $1 .85 Secretarial Supplies A visits $2. 30 B visits $1. 53 a . ,.4D2�LIMSTRON MONTHLY REPORT Febri�y 28, 1992' BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 360 doses 44 , _ Diptheria-Tetanus Tox. (under -6 yrs.) BURIAL PERMITS doses 40 0 Immune Serum Globulin 0 INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED) Measles (Cljnic use only) 0 MMR--Measles/Mumps/Rubella 170 doses TOTAL CASH RECEIVED FROM $ 428.00 LICENSES & PERMITS ISSUED Polio Vaccine 320 doses CERTIFICATE OF , Tetanus & Diptheria 50 doses FITNESS $1,650.00(adult use) - Tetanus Toxoid 0 -- --— 1 ML Tuberculin P.P.D. 5 ML 80 doses Typhoid Vaccine 0 ' H.I.B.\TITRE 270 doses Hepatitis B 580 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $247,179.00 $160,037.40 $87, 141.60 EXPENSE REPORT• ALLOWED EXPENDED FREE CASH (includes) E1QCiJN�ERED, • $22,065.47 $33,847. 11 $23,062.80 ' $40,000.00 - Supp. Appr. $ 5, 155.56 - Encumbered ��Ni��nN�■A�Nu■n� �� e■■ii��e�e■■ ��roiii 10. CONSTABLE SERVICE 19. LEAD PAINT INSPECTION iii��iiii�iiiinu n��■��i 20. MEETINGS 'CONFERENCES,21. CERT. OF FITNESS INSPEC,§MM, iiinieiieii�'�'■� ■unn�u■ ��.■.■■■tit■�■■�Y■■�■■■■�■��N�� son mommommommolls EMISSIONS • PUBLIC HEALTH NURSE REPORT FEBRUARY, 1992 ACTIVITIES CLINICS Homebound recipients continue to receive flu vaccine through-out winter season Onlv 1 person received flu vaccine durine this month, a non-medicare recipient CONFERENCES AND MEETINGS ATTENDED Picked-uD and maintained vaccine inventory and distributed biologics Continued the Salem State College Student Nurse Internship Program Managed and staffed' the COA • The Rites of Sight Program was held on 2/ 18/92 at the COA and 24 participated UNDERSTANDING YOUR BACK PAIN program was held on 2/27/92, there were 49 nartirinants The Weight Loss Monitoring Program was continued at the COA Attended the Salem Communitv Alliance, Health ProfessionalPeer Action GrouD meeting In touch with the T.B. Clinic and following active cases and contacts ST. JOSEPH'S An educational Drogram on the tonic of Menstruation was held for girls in grades 4-6 Height and weight data was obtained on all grades • • I SALEM HEALTH DEPARTMENT 9 North Street Salem,MA 01970 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF FEBRUARY 1992 NEW CARRYOVER DISCHARGED REPORTS TO * DISEASE CASES CASES CASES STATE AMEBIASIS . - - - CAMPYLOBACTER GIARDIA • HEPATITIS - 4 - - MENINGITIS - 3 - - PERTUSSIS - - I I SALMONELLA 3 - 2 2 _ I TUBERCULOSIS - i 3 - - VARICELLA 5 - 3 3 • *THOSE DISEASES EXQLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH 11TY QV l.iALBM 4 TH DrIp TO: SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF FEBRUARY 1992 A visits with x-ray 5 A visits without x-ray 6 B visits 15 GRAND TOTAL 26 NUMBER OF CHEST X-RAYS 5 • s ® .01 •� SALEA HOSPITAL CHECK REQUEST • PAYABLE TO: City of Salem - Board of Health AMOUNT 106 4 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL _ DELVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWSE SPECIFIED • PURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH -SHORE PULMONARY CLINIC. A visits -11 @ $5. 07 per visit = $55. 77 B . visits - (5 @ $3 .38 per visit = 50. 70 $106.47 SPECIAL INSTRUCTIONS: PREPARED f , APPROVED -- _ DATE .3 ,y 4i?i PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT$10 6.4 7 CHECK NO. DATE _. VOUCHER NO. 17-4M SALEM HOSPITAL BILLING DEPARTMENT SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC FEBRUARY 1992 A visits B visits $5.07 each $3.38 each Total A visits 11 @ $5.07 per visit • $ 55.77 Total B visits 15 @ $3.38 per visit • $ 50. 70 $106.47 Secretarial Services A visits $2.77 B visits $1 .85 Secretarial. Supplies A visits $2. 30 8 visits $1.53 t Ja MAR 9 , 199� 71 TY OF SALEM ''Q TT-f OFIP— AD14INISTROON MONTHLY REPORT Januo 31, 1992 • BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 0 Diptheria,Tetanus & Pertussis 555. doses Di theria-Tetanus Tox. y ) 30 doses BURIAL PERMITS 85 p (under •6 rs. ' Immune Serum Globulin 12' vials INTERNATIONAL TRAVEL f CERTIFICATES (CERTIFIED) 0 Measles (Clinic use. on-1 0 MMR--Measles/Mum s/Rubella 345 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 676.50 Polio Vaccine 380`doses CERTIFICATE OF Tetanus & Diptheria (adult use) 570 doses FITNESS $2,075.00 Tetanus Toxoid a 0 -• ----— 1 ML Tuberculin P.P.D. 5 ML 30 dose's Typhoid Vaccine 0 ' H.I.B. TITRE 300 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $247, 179.00. $141,093.73 $106,085.27 EXMSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED, $22,065.47 $31,857.68 $24,496.39 $40,000.00 - Sup. Appr. $ 5,711.40 Encumbered s � sonsommosEffiffisommomom■■■��a■■�R� INNOMMINNE ��■n■��u� ■wnun PON nn■�r�. �i�iiie�en■ ■ ��N ��u■■�n��ee�u■■■�i�■n■ii ■ �■■9�JV■�Yson ��N�O U. CONSTABLE SERVICE 19. LEAD PAINT INSPECTION MENNEN . SEMINARS, CONFERENCES, 20. MEETINGS 21. CERT. OF FITNESS INSPEC� monsoon 22, CERT. OF FIT. RE-INSPEC monsoon NINE m a��iii�iiiiii i�%■ �ii�iiii PUBLIC HEALTH NURSE REPORT JANUARY, 1992 ACTIVITIES CLINICS Homebound recipients continue to receive flu vaccine throueht the winter season Only 1 person received flu vaccine during this month., a non-medicare recipient. Thank You letters were sent to all volunteers for their assistance during flu clinics CONFERENCES AND MEETINGS ATTENDED Picked-up and maintained vaccine inventory and distributed biologics Continued the Salem State College Student Nurse internship Program • Managed and staffed the COA Organized a Vision Education Program called The Rites of Sight to be held on 2/ 18/92@ COA Arranged for an educational program at the COA on UNDERSTANDING YOUR BACK PAIN to be held on February 27th Develoned and imnlementpd a Weight Loss Monitoring Program at the COA Attended the Salem Communitv Alliance, Health Professional Peer Action Group meeting In touch with the Tuberculosis Clinic and following active cases and contacts St. JOSEPH'S Preparation for holding a teaching assembly on Postural Health for grades 5-8 Postural Health Teaching Assembly held for grades 5-8 on January 28 Grades 5-8 were screened for postural abnormalities. 107 students were screened 5 referrals were made and notices were sent to narents . 3 Boys and 2 Girls were referred for follow-un . Preparation fnr student nurses to hold educational session for girls grades 4-6 on the tonic of Menstruation SALEM HEALTH DEPARTMENT 9 North Street Salem, MA 01970 • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF JANUARY 1992 NEW CARRYOVER DISCHARGED REPORTS TO * DISEASE CASES CASES CASES STATE AMEBIASIS . 2 1 3 3 CAMPYLOBACTER - I I 1 GIARDIA 3 5 8 8 • MENINGITIS 1 3 1 1 SALMONELLA 2 - 2 2 SHIGELLA TUBERCULOSIS 1 2 VARICELLA 11 - 11 11 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIEDD DURING THIS MONTH LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH FEB 6 J992 :ITV OF MUM TO: SALEM BOARD OF HEALTH 'ATTH DEPT FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF JANUARY 1992 A visits with x-ray 13 A visits without x-ray 11 B visits 16 GRAND TOTAL 40 Number of Chest X-rays 13 • • r t • SALEM HOSPITAL BILLING DEPARTMENT SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC JANUARY 1992 A visits B visits $5.07 each $3 .3.8 each Total A visits 24 @ $5.07 per visit ® $121 . 68 Total B visits 16 @ $3. 38 per visit - 54 . 08 $175. 76 Secretarial Services A visits $2 . 77 B visits $1 .85 Secretarial Supplies A visits $2 .30 B visits $1 . 53 • a' SALEA HOSPITAL CHECK REQUEST PAYABLE TO; NORTH SHORE PULMONARY ASSOCIATES , INC . AMOUNT C362 81 HIGHLAND AVENUE ACTION WANTED SALEM, MASSACHUSETTS 01970 AT ONCE BEFORE (DATE) c AS PRACTICAL — DELNER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWJSE SPECIFIED • PURPOSE: 24 PATIENTS SEEN IN THE NORTH SHORE PULMONARY CT.TNTC DURING THE MONTH OF JANUARY ' 92 @ $ 15 . 10 SPECIAL INSTRUCTIONS: PREPARED APPROVED eyv DATE z 3 Z PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2941600150 AMOUNT$3 6 2 . 4 0 CHECK NO. • DATE VOUCHER NO. • t7-40 AISTRATION MONTHLY REPOR*December 31, 1991 • BIOLOGICS DISTRIBUTED AMOUNT ) ANIMAL BITES REPORTED 2 Diptheria,Tetanus & Pertussis 405 doses Diptheria-Tetanus Tox. (under •6 yrs. ) 30 doses BURIAL, PERMITS 54 , . Immune Serum Globulin 0 . INTEMATIONAL,TRAVEL. - , , .....0 ".....,. CERTIFICATES .(CrRTIFIED). , Measles (Clinic use. onl 0 MMR--Measles/Mum s/Rubella 330 doses TOTAL CASH RECEIVED FROM ' LICENSES & PERMITS ISSUED $1,108.00 Polio Vaccine 320 doses CERTIFICATE OF $2,125.00 Tetanus & Diptheria (adult use) 430 doses FITNESS Tetanus Toxoid 0 - - 1 ML Tuberculin P.P.D. 5 ML 15 Typhoid Vaccine 0 H.I.B. TITER 420 doses SALARY REPORT: ALLOWED EXPENDED BALANCE_T0 END OF FISCAL $247, 179.00 . $117,797.75 $129,381.25 , EXPENSE REPORT: ALLOWED EXPENDED -. •. FREE CASH (f&6lM99XyMMMMMM $22,065.47 $7,612.86 $24,873.34 ; $40,000.00 - SUP. APPR. $29k,579.27 - ENCUMBERED i■°�i�e■eii ■nne■, ��i�°n■■nn��a�N n■mue■ ii��■�iiiiii=iien� �iiii . ::■:::�:::::u�ii:iiYiiii�iiii �iiuiiioioii�e o■� ■ n■ei�i� !o iiiii��iiii� i■�iiiii NIENEN-mom■� n��■ son■�i� la. CONSTABLE SERVTCR 19. LEAD PAINT INSPECTION ii��i�0�ii,=�i�■��nim� 19a. LEAD REMOVAL C( '17. ADMINISTRATIVE HEARINGS CONFERENCES,20. MEETINGS 2 1.- C-ERT. OF FITNESS INSPEC,lmmmmm ��nm�iiiieiine�■e■i■iw� 22 CERT. OF FIT. RE-INSPEC. in�■iiiiiiiii=��i■ n�i■ri■7�ii son iiiiiiiiiiiii=�in■� ��iui�ii aiiiiiiiiiii�i�iiii■��iiu�iii • PUBLIC HEALTH NURSE REPORT DECEMBER, 1991 ACTIVITIES CLINICS Continued to implement the Medicare Influenza Vaccine Demonstration 'Project FLU VACCINE RECIPIENTS MEDICARE NON-MEDICARE TOTAL RECIPIENTS RECIPIENTS RECIPIENTS DECEMBER HOMEBOUND 6 18 24 NOVEMBER HOMEBOUND 18 16 34 TOTAL HOMEBOUND 24 34 58 TOTAL CLINIC PARTICIPANTS 1093 121 1214 TOTAL HOMEBOUND AND 1117 155 1277 CLINIC PARTICIPANTS • Homebound recipients continue to receive flu vaccine throughout the winter season Thirteen of the 18 Non-medicare recipients during the month of December include people staying at the Crombie St. Shelter CONFERENCES AND MEETINGS ATTENDED Maintained vaccine inventory and distributed biologics Managed and staffed the COA Obtained Certification as an instructor in teh use of the New One Touch II, Glucose Monitoring System which was obtained Free of charge through rebates Providid In-Service Training_ for Angela McCarty, R.N. and certified here as a One-Touch II Glucose Monitor Operator. ComDleted the aDDlication process for Health Promotion Screening for Glucose Monitoring at the COA, including Biohazardouse waste disDosal assignment and semi-annual qualitv control by the Salem Hospital Laboratory. Attended the Finance Committee Meeting in the Council Chambers. • St. JOSEPHS Preparation for holding a teaching assembly on Postural Health for grades 5-8 SALEM HEALTH DEPARTMENT 9 North Street Salem,MA 01970 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF DECEMBER * DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE AMEBIASIS - ] CAMPYLOBACTER 1 2 1 1 GIARDIA — 5 � • LYME - - MENINGITIS - 3 - - SALMONELLA 2 1 1 ] SHIGELLA - 1 3 3 TUBERCULOSIS 1 2 1 ] i VARICELLA 1 • *THOSE DISEASES EXCLUDED FRO^l ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH g� J, G- ,)'G LOR1 A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH BLOOD GLUCOSE MONITORING SYSTEM Cutified .instTuctor 5is is to certify that s, Na-z Institution has been thoroughlty trained in the use of the ONE TOUC9 II Blood Glucose Monitoring System and has demonstrated the, ability to instnxt others in the. use of the System as a LifeScan Certified Instructor. presented this day of 19R Certified Instructor Li can Professional Representative/Cc d Authorized Distributor HOSPITA PROGRAMS ' LLIFESCAn ' • 0 `}AN 6 1992 TO: SALEM BOARD OF HEALTH QF FROM: NORTH SHORE PULMONARY CLINIC -F,�ALRH DEPT. MONTHLY SUMMARY MONTH OF DECEMBER 1991 A visits with x-ray 12 A visits without x-ray 2 B visits 9 GRAND TOTAL 23 Number of chest x-rays 12 • • - SALEM HOSPITAL CHECK REQUEST . December 1991 PAYABLE TO: CITY OF SALEM - BOARD OF HEALTH AMOUNT $101 .41 9 NORTH STREET ACTION WANTED SALEM, MASSACHUSETTS 01970 AT ONCE BEFORE (DATE) AS PRACTICAL — DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT jAN 6 1992 — UNLESS OTHERIWSE SPECIFIED ; ,A►L'T14 DEFT. PURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH SHORE PULMONARY CLINIC. 14 A visits @ $5.07 per visit - $ 70. 98 • 9 B visits @ $3. 38 per visit - $ 30.42 _ 101 . 41 SPECIAL INSTRUCTIONS: PREPARED t�^� APPROVED DATE. 3/ PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $101 .41 CHECK NO. DATE VOUCHER N0. .'1 j6M • SALEM HOSPITAL BILLING DEPARTMENT SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC Decebb er 1991 A visits B visits $5.07 $3. 38 Total A visits 14 @ $5. 07 .per visit - $ 70. 98 Total B visits 9 @ $3. 38 per visit a $ 30.42 $101. 41 Secretarial Services A visits $2. 77 • B visits $1.85 Secretarial Supplies A visits $2. 30 B visits $1. 53 ADMINISTRANON MONTHLY REPORT Novemb030, 1991 ` • ✓ I. ANIMAL BITES REPORTED 0 BIOLOGICS DISTRIBUTED AMOUNT Diptheria,Tetanus & Pertussis 345 doses Dipth eria-Tetanus Tox. (under 6 yrs.) 20 doses BURIAL 'PERMITS 40 , Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use. onl 0 MMR--Measles/Mum s/Rubella 190 doses TOTAL CASH RECEIVED FROM ' LICENSES & PERMITS ISSUED $ 183.00 Polio Vaccine 310 doses CERTIFICATE OF Tetanus & Diptheria '(adult use) 70 doses FITNESS $2,225:00 F Tetanus Toxoid 0 -. ----- 1 ML Tuberculin P.P.D. 5 ML Typhoid Vaccine 0 ' H.I.B. TITER 230 doses - . SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $247,179.00 $97,969.30 $149,209.70 EXPENSE REPORT: ALLOWED EXPENDEDF_ASH (includes) ENCUMBERED. $49,590.09 ($6,453.26) $22,065.47 $6.022. 12 ? 40,000.00 - Sup. Appr. s i. J i ii��m■�a��■��Oni■ ��n■■■■■■o■no■�■umn■on■■�■ iiniiiiiiiiiii�i■�ni■�riiiii o�d■oe■■■■■noo ■■�0■■�■■off■�� o� ■amom �� :�:.�::::::::�L'�...�.�.: ��un�� n unn�� ■o■■■■ao�■n■■■ni■'��■■■■u� ��■a■■n�■■■■■n■■n ■u■��■ v��N��■N��■�� p��N�� ........■..C..... ......�i... ��n�� V��N��■N�� ..��uu�� ■■��...�.��..C.. ........ PUBLIC HEALTH NURSE REPORT • NOVEMBER, 1991 ACTIVITIES CLINICS Implemented the Medicare Influenza Vaccine Demonstration project Coordinated the Annual Influenza Clinics MEDICARE NON-MEDICARE TOTAL FLU CLINIC RECIPIENTS RECIPIENTS RECIPIENTS 10/29/91 COA 692 75 767 14 11/7/91 27 CHARTER ST. 401 46 447 COMBINED CLINIC PARTICIPATION 1093 121 1214 NOV. HOMEBOUND RECIPIENTS 18 16 34 TOTAL FLU VACCINE GIVEN 1111 137 1248 FOR OCTOBER AND NOVEMBER 152 MORE FLU CLINIC PARTICIPANTS THIS YEAR AS COMPARED TO LAST YEAR • 8 MORE HOMEBOUND RECIPIENTS THIS YEAR (to date) AS COMPARED TO LAST YEAR SALEM HOSPITAL HAS BEEN FOLLOWING THOSE WHO WERE UNABLE TO ATTEND ABOVE FLU CLINICS HOMEBOUND RECIPIENTS CONTINUE TO RECEIVE FLU VACCINE THROUGH OUT THE WINTER SEASON DISTRIBUTED �,710 DOSES OF FLU VACCINE AND SUPPLIES TO PROJECT PROVIDERS CITY WIDE CONFERENCES AND MEETINGS ATTENDED Picked up and maintained vaccine inventory and distribution of biologics Managed and staffed the Council on Aging Health Clinic Established the COA first Great American Smoke-out and had 52 participants (co-sponsored by the American Cancer Society) Provided Salem State College Student Nurses with clinical observations and. activities ST. JOSEPH'S SCHOOL Maintained health records of students SALEM HEALTH DEPARTMENT 9 North Street Salem, MA Ot 970 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF NOVEMBER, 1991 NEW CARRYOVER DISCHARGED REPORTS TO * DISEASE CASES CASES CASES STATE AMEBIASIS - 1 - - CAMPYLOBACTER 1 1 1 ] GIARDIA. 3 3 8 8 LYME DISEASE - - 1 1 HEPATITIS - I 5 1 1 MENINGITIS - 3 - - SALMONELLA 1 1 2 2 i SHIGELLA - 4 - - i i *THOSE DISEASES EXCLUDED FRO"l ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS P10NTH LOR1 A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH � para Chnicael FluI1 Gratis Auspiciado por el Departamento De Salud Publica y el Hospital de Salem 1 � • 9 a.m. - 12 mediodfa en el "Salem Council on Aging", 5 de la calle Broad. 9 a.m. - 12 mediodia en el Complejo de Charter St. #27. Para informacion llame al Departamento De Salud de Salem 741-1800 Servicios gratis son ofreciados a personas Mayores de 65 anos o, personas con problemas cardiacos cronicos, enfermedades de los pulmones, rinones, diabetes y para personas que cuidan a estas personas enfermas. Si nececita trasportacion, llame al Departamento de Trasportacion de el Council on Aging, 744-0924 no menos de 2 dias antes de las clinicas. Favor de Traer su Targeta de Medicare Free Flu Vaccine Clinic Sponsored by the Salem Department of Public Health and Salem Hospital WIT IRS RIMS 9 a.m. - 12 noon at the Salem Council on Aging, 5 Broad Street 9 a.m. - 12 noon at 27 Charter Street Housing Complex For information call Salem Health Dept. 741-1800 A free service to persons 65 years old or older and to people with chronic heart, lung, kidney disease or diabetes, or providers of care to those with these chronic diseases. Transportation can be arranged by calling the Transportation Department at the Council on Aging at 744-0924 at least 2 days before the Flu Clinics begin. Please bring your • Medicare card. IAL ,N.. EWS 1 • THURSDAY, NOVEMBER 21, 1991 9. iff over pul'I'1119 restrictions .'. B Put those 3 = ` butts away mot% t yt�q Today, Nov.21, marks the 15th r ti G eat American m k S o e Out a program that b as encouraged rt to h ge millions llio s n. < �y. - quit smoking. The program S.. - r. a 1 issponsored by the Amerr- .ls iw "+ can Cancer Society and par- ticipants agree to quit smok- M :;,1 ing for one day and are encouraged to quit e arm - g nently. The slogan in Salem this • N McCORMACK LINDA PENERIELLO JOHN ZANCO vear is to `'Go Cold Turku" ,'1 smoke at home Helping her to cut down Sensitive to non-smokers and all participants are en- moking in any public tually helped me to cut do«n on ral smoking tables in public tered in a raffle to%k in a Ur- supermarket, court- my smoking,"Zanco said. rooms, but people at neighboring key. The American Cancer is transportation sys- tables were bothered by the odor Society will also distribute ,ertain open meetings. Others, like Mrs. Anna and the smoke. quit smoking kits which list Borenstein of Salem have no fear tips to help smokers stop. tuires that smoking be of smoking or desire to cut back. "For now, we only allow smok- They have tips to quit for ly in designated areas "I've smoked for over 40 vears Ing in the vestibule between t�ko one day. one month and to ases, schools, colleges rooms,"she said. "It's heated and quit permanently. rsities, museums, li- and when it's my time to go, it's there are chairs, but we're not ins.airplanes,and any my time to go," she said. "I know sure how long it will work." The Adopt-a-Smoker pro- ,wned or occupied by people who have never smoked gram is also run I)v the and had cancer,so who can tell'" Today, many smokers ��ill be American Cancer Societe tment of the state. J or town. In Peabody at the new Commu_ quitting for a 24-hour period in and invokes non-smokers nity Life Center, a smoking policy honor of the Great American as well as smokers. \on- Zanco of Marblehead has not yet been determined. The Smoke Out, a program which en- smokers sign actual adop- sometimes be difficult building is entirely new, includ- courages smokers to quit. tion papers for a smoker oker because he can't ing new carpet which could easily and encourage and support e a cigarette when he pick up the odor of smoke. The American Cancer Societe. them to stop smoking. which organizes this program. is "Many people think we should also working toward a tax in- In Salem, these programs sensitive to non-smok- restrict the smoking because the crease on cigarettes which would are being co-sponsored b\ f have a cigarette, I building is new,"said Janet Ring, raise cigarette prices and. the the city of Salem and the people around me if finance manager at the center. hope. lower smoking among Board of Health in Salem. The new laws have ac- "In the old building we had sere- youth. -BLIC OPINION United Way • drive looking = r for overcoats 0 DEC b '1991 TO : SALEM BOARD -OF HEALTH CITY OF MLVA IXALTH DEPT. FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF NOVEMBER 1991 A visits with x-ray 12 �►. A visit without x-ray 6 B .visits 12 GRAND TOTAL 30 Number of chest x-rays 12 • P SALEM HOSPITAL CHECK REQUEST ' November 1991 PAYABLE TO: . CITY OF SALEM _ BOARD OF HEALTH JAOUNT $131. 82 9 NORTH STREET ACTION WANTED SALEM, MASSACHUSETTS 01970 ONCEFORE (DATE) AS PRACTICAL _ DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWISE SPECIFIED PURPOSE: SECRETAPIAL SERVICES AND OFFICE SUPPLIES FOR NORTH SHORE PULMONARY CLINIC.\, .,A visits @ $5. 07 per visit =$ 91. 26 g: visits @ $3. 38 per visit a$ 40. 56 • SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE lc A Fl PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $k 31 .8 2 CHECK NO. DATE VOUCHER NO. my, or I'jEt4I TH DRPT- SALEM HOSPITAL BILLING DEPARTMENT SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC November 1991 A visits B visits $5.07 $3. 38 Total A visits 18 @ $5.07 per visit m $91 .06 Total B visits. 12 @ $3 . 38 per visit = $40. 56 $131 .82 Secretarial Services A visits $2 . 77 B visits $1 . 85 Secretarial Supplies , A visits $2. 30 B visits $1 . 53 0 DEC b 1991 l� py� �p��mar Y a is VS bA EM I:EALTH DEPT. t .. ADMINISTR ON MONTHLY REPORT Oct* 31, 1991J ' I • ' I BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 2 ' '`- Diptheria,Tetanus & Pertussis 660 doses Diptheria-Tetanus Tox. (under •6 yrs,. ) 60 doses BURIAL PERMITS 70 Immune Serum Globulin 0 _ INTERNATIONAL TRAVEL !=' - CERTIFICATES (CERTIFIED)" 0 Measles (Clinic use only) 0 MMR--Measles/Mumps/Rubella 390 doses` TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 162.00 , Polio Vaccine 640 doses CERTIFICATE OF, Tetanus & Diptheria '(adult use) 310 doses FITNESS $2 375.00 Tetanus Toxoid 0 - ---~ — 1 ML �r Tuberculin P.P.D. 5 ML 100 doses Typhoid Vaccine 0 H.I.B. TITRE 410 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL i $247, 179.00 $78,742.34 $168,436.66 EXPENDED FREE CASH (includes) ENCUMBERED. EXPENSE REPORT: ALLOWED $22,065.47 $4,990.47 $9,657.22 •($7,417.78) ' r j' �eeee�e�e one■=■eee■■■■■ ■■ten �■■■n■e■ ��ee■■��ee■unsa�■�e■n�■��en� . iiiu�■iiiiiiiniu�unii�i logo DI e�■u�■■n■■■■�■�eS'in "Rnns MENNEN i��■��■ONE ■■�■■■��■ • PUBLIC HEALTH NURSE REPORT OCTOBER, 1991 ACTIVITIES CLINICS Vial of life program was held on October 10, at the Council on Aging # of participants 52 The first Flu clinic was held on October 29th, statistics to follow in next monthly report Preparation for the second Flu clinic to be held on November 7th at 27 Charter St. Preparation for the American Cancer Societies "Great American Smoke-out" to be held at the Council on Aging on November 21st. CONFERENCES AND MEETINGS • Maintained vaccine inventory and distribution of biologics Managed and staffed the Council on AainR Health Clinic Established Salem State Colleae Student Nurse 'Internship Program Beverly White, R.N, Salem State Colleae'\School of Nursing Instructor Kay Kelley, R.N. , Salem Statte Colleee School of Nursing Instructor Attended a Forum with Dr. Alfred DiMaria, Assistant Commissioner for Disease Control (MDPH) , and PaulEtkind, Assistant State Epidemiologist on Case Investieation of Communicable Diseases ST. JOSEPH'S SCHOOL Maintained Health Records of students Preparation for hearine and vision screenings • SALEM HEALTH DEPARTMENT 9 North Street ' Salem,MA 01970 MONTHLY REPORT OF COMMUNICABLE DISEASES- FOR THE MONTH OF OCTOBER 1991 * DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE AMEBIASIS CAMPYLOBACTER. 1 1 1 1 GIARDIA _ 2 6 4 4 LYME DISEASE HEPATITIS 1 5 ] ] MENINGITIS 1 3 1 1 SALMONELLA 2 2 2 2 SHIGELLA - 4 j *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH cx. i • J^ I i Flu" clinic scheduled Thursday SALEM=The Board of Health and Salem Hospital will co-spon- sor a free flu vaccination clinic from 9 a.m. to noon Thursday, Nov.7,at 27 Charter St. Health board nurse Lori A. Silva recommended that seniors and people with hedlth problems receive- .the vaccine. But she warned that some people should check with a physician-before tak- ing the influenza vaccine.Persons who are ill,and have a fever should delay the vaccine until symptoms are gone. The vaccine is not recom- • mended for persons with allergies to eggs and to anyone who has been paralyzed with the Guillain- Barr Syndrome, nor for women who may be pregnant(unless they, are in a high risk category) and t are not in their first trimester. Influenza is not just a•bad cold, especially for seniors and those . with chronic illnesses. A bout of �\ flu leaves the immune system weakened-and may lead to life threatening complications includ- ing pneumonia and bronchitis. An estimated 50,000 elderly die and 172,000 are hospitalized each year because of the flu and its complications. The best protection against the dangers of the flu is an annual flu ccination. Because the vaccine is made 'from killed viruses, it cannot cause the flu, nor can someone who has been vacci- nated infect someone else.Differ- pnt strains of,the virus appear each year, which means those who wish to be protected must re- reive annual vaccinations. This year's flu shot contains the strains A-Taiwan, A-Beijing and B-Panama. l Relatively few people have a iiegati6e reaction to the flu vac- .ine.A very people experience a :ore arm, fever or achiness for me or two days. For more information about flu linics, call Lori at the Salem lealth Department (508) 744- ,924. V NOV G 1991 tTrY OF SALEM TO: SALEM BOARD OF HEALTH -7ACTH DEPT FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF OCTOBER' 19 - A visits with x—ray 9 A visits no x—ray 12 B visits 14 GRAND TOTAL 35 NUMBER OF CHEST A RAYS TAKEN 9 SALEM HOSPITAL BILLING DEPARTMENT SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC October 1991 A visits B visits $5.07 each $8.38 each Total A visits $166.47 Total B visits $ 47.32 Secretarial Services A visits $ 2 .77 B visits $ 1 .85 Secretarial Supplies • A visits $ 2 . 30 B visits $ 1 . 53 SALEM HOSPITAL . CHECK REQUEST f OCTOBER 1991 PAYABLE TO: CITYi OF SALEM — BOARD OF HEALTH AMOUNT 153. 79 9 NORTH. STREET ACTION WANTED SALEM, MASSACHUSETTS 01970 AT ONCE BEFORE(DATE) AS PRACTICAL DELIVER CHECK BY MAIL HAND i CHECK DRAWN CH GENERAL FUND LIP REGULAR ACCOUNT Y NAV 6 inn. UNLESS OTHERME SPECIFIED ti ;or" AF $A= PURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH SHORE PULMONARY CLINIC. A visits @$5.07 per visit' = $106.47 B visits @$3.38 per visit 47.32 $153.79 SPECIAL INSTRUCTIONS: PREPARED62 APPROVED DATE J / PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT CHECK NO. DATE VOUCHER NO. i 17�469 ti ADMII IST MONTHLY REPORTSEPTET 30, 1991 91ON • BIOLOGICS DISTRIBUTED AMOUNTI ANIMAL BITES REPORTED Diptheria,Tetanus & Pertussis 360 doses r� Diptheria-Tetanus Tox.(under 6 yrs.) 50 doses BURIAL PERMITS 5.0 3 vials Immune Serum Globulin INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED). Measles (Clinic use- only) -- MMR--Measles/ s/Rubella 450 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 168.00 Polio Vaccine 450 doses CERTIFICATE OF,. $1,125.00 / Tetanus & Diptheria (adult use) 660 doses FITNESS Tetanus Toxoid 0 --- 1 ML 5 • 110 doses Tuberculin P.P.D. ML Typhoid Vaccine 0 J... H.I.B. TITRE 210 doses BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED EXPENDED $247,179.00 $55,071.86 $192,107. 14 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENctMERED $22,065.47 $2,985. 15 •` $9,798.51 ($9,281.81) §§M _■� din■■i� ■�er� 2. FOOD SERVICE u■n■■■■eeeo e■o qz ■■oe■ 2a. FOOD SERVICE RE-INSPEC. 2b. FOOD SERVICE COMPLAINT 3. RETAIL FOOD INSPECTION ■ ■��e�■■�■n■en��ei��iin°i 3 a. RETAIL FOOD RE-INSPEC. 14*. MOBILE UNIT/PUSHCART - MOBILE UNIT/PUSHCART 4a. COMPLAINT TEMPORARY FOOD INSPEC. 7. HOUSING INSPECTION 7a. HOUSING RE-INSPECTION 8*. GEN. NUISANCES/TRASH 9. RECREATIONAL CAMPS BATHING BEACHES 14, ��iii=i�i�=iiGiienm■■�ii■�■■■ �■eeun�■■u■e■e�o■mou■■�■ ,iioi■niAii�iiii��■�eir°ii�iii - i��i■ iiiii■■■u ■■e�■ ■ uii■�u�iiiiii�■i�iie■■�i��Cuii HEpL'fH,DEPARTMENT 9 North Strout Salem,MA 01970 . MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF SEPTEMBER 1991 *. DISEA6E NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 . GIARDIA 2 - 8 - HEPATITIS 1 S - - LYME DISEASE - I - SALMONELLA 6 - 4 4 SHIGELLA �`. 2 1 1 MENINGITIS 3 1 2 2 i i*THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIU DURING THIS MONTH JI LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • PUBLIC HEALTH NURSE REPORT SEPTEMBER, 1991 ACTIVITIES CLINICS Preparation continued for the Vial Of Life Program to be held on October 10, 1991 at the Council on Aging (see attached ) . Preparation continued for the Annual Influenza Clinics to be :=held on October;29, and November 7th, 1991 at the Council on Aging and 27 Charter St. respectively. A follow-up clinic will be arranged if deemed necessary following ;Salem Hospitals delivery of their vaccine during- the second two weeks of November. CONFERENCES AND MEETINGS • Maintained and picked up vaccine inventory Managed and staffed the Council on Aging Health Clinic Marthac.Coste.11o, R.N. Ambulatory Care Salem Hospital to coordinate "Flu Clinics" Kay Kelley, R.N. _ SAlem_ State College=School of Nursing Community Instructor Instruction and training of Salem State College Nursing Students in the role of the Public Health Nurse as a Community Health:--Nurse. Health Professional Peer Action Group OSAP Community Partnership Training Program i ST. JOSEPH'S SCHOOL Organized and maintained health records of 229 enrolled students ' 1991- 1992 school year. (Compared to 220 students enrolled in 1990- 1991 school year) ,Prepared Immunization Survey of'all Pre-K, Kindergarten, 1st grade and 7th graders. Obtained and organized%'Immunization History and Health Records of new incoming students. • Organized new offic space provided at St. Joseph's School. .'-THE- VI-AL-.OF LIFE PROGRAM PROVIDED'BY THE CITY OF SALEM BOARD OF HEALTH WHEN: Thursday, October loth, 1991 TIME: 9:00 a:m. - 1:00 p.m. WHERE: Salem Council .on Aging, 2nd floor Social Hall. WHAT IS IT: " The vial is a plastic container that holds all your medical data..-It is to be kept in your refrigerator, under the upper right shelf, where it is readily available should you become ill or injured, for an emergency squad to:* locate. '.--The :words VIAL OF LIFE should be posted on the outside of the refrigerator. It is FREE to 'Senior Citizens and it could save your life. FREE—Empty vials are available and will be distributed. on the above . date. Salem State Nursing Students and the City of Salem Board of . -- -. Health Nurse.,. Lori A. Silva will be there to assist in filling out'.-,the necessary forms for your VIAL OF LIFE. The setting will be..informal • seating. WHAT YOU NEED TO BRING Name, Address, Phone #, D.O.B. , Age, Physicians Name, Physicians Phone relative or neighbors name, address and phone # for emergency contact, list*-df current medications and an pertinent medical information, such as',• diseases, illnesses and p st medical history, including allergies (if ";known) blood type and previous surgery. Also including social -security # and all health in urance information will be :heipful. This service is made possible dye to the generosity of Walgreens Pharmacy- for donating the vials; Salem State College School of Nursing for donating the student nurses assistance , the City of Salem and COA for providing the space. • FOR YOUR -INFORMATION The Salem .Council on Aging Health Cliic in cooperation with the Mayor' s office will again be sponsoring "THE VIAL OF LIFE" program. The "VIAL OF LIFE" is a brief medical summary written on a piece of paper' andenclosed in a pharmacy bottle or vial and put into the refrigerator. The words "VIAL OF LIFE" should-}be written on a piece of paper and attached to* theoutside of the bottle as well as taped to the front of the refrigerator. In the case of a medical emergency, should you be unable to speak for yourself, the ambulance driver is trained to look for this "VIAL OF LIFE" . ---------------------Cn — Having a Vial of Life IFNyne: is especially inpor - I taut for the people (Address: I living alone or with extensive medical ITAephone #:. I 'histories. It, is { I important for eaeh Date of Birth: I person in the house- hold to have their Person to Contact in Emergency: I own Vial of Life- Please� Please use this form ITelephone #: to create your own I 1 "VIAL OF LIFE" frllergies: •I I I More information on „, Doctors Name free vials for all I&Telephone #: 1 senior citizens , and 1 I help in filling out E Current medications & Dosages: I the Medical -summary I(attach paper-to back if more than 5 medications)` ► will be forthcoming I I in the -October issue i#1 I of the Senior Power . I I 1#2 1 I I 1#3 1 i 1#4 I I {#5 I {Pertinent Medical history: { I �I I I e SALEM HOSPITAL BILLING DEPARTMENT SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC September 1991 A visits B Vialts' $4. 90 each $3. 27 each Total A visits $ 94. 10 Total B visits $ 58 . 86 Secretarial Services A visits $ 2 . 68 B visits $ 1 . 79 Secretarial supplies . A visits $ 2 . 22 B visits $ 1 . 43 i . SALEM HOSPITAL L _ CHECK REQUEST PAYABLE TO: CITY OF SALEM — BOARD OF HEALTH AMOUNT 152 . 96 9 ITORT'1' STREET ACTION WANTED SALEM, MASSACHUSE'TTS, 01970 AT ONCE BEFORE (DATE) AS PRACTICAL DELVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWISE SPECIFIED PURPOSE: SECRETARIAL SERVICES AI1T) 07'?TC:7, STtpPT.T7c For N0n� '^4 PULMONARY CLINIC'. A visits 19 P $4 . 90 per visit e S 94 . 10 B visits 13 :a Sj 27 per visit - $ 58 . 86 __ _ • TOTAL $152 . 96 SPECIAL INSTRUCTIONS: PREPARED &,;, J i APPROVED DATL_q/10/tv PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. 2112505990 DATE VOUCHER NO. t7-4M . a OCT 2 1991 TO: SALEM BOARD OF HEALTH CITY OF SALEM `TEALTH DEFT. FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF SEPTEMBER 1991 A visits with. x-ray .11. A visits no x-ray 8 B visits 18 GRAND TOTAL 37 NUMBER OF CHEST X RAYS TAKEN 11 .ADMINISTA� ff MONTHLY REPORT August 1991 • 41 ANIMAL BITES REPORTED 3 BIOLOGICS DISTRIBUTED AMOUNT Dipth eri a,Tetanus & Pe rtussis 450 doses Diptheria-Tetanus Tox. (under -6 yrs. ) BURIAL PERMITS '56 Immune Serum Globulin 2 vials INTERNATIONAL TRAVEL. « CERTIFICATES (CERTIFIED'). 0 Measles (Clinic use only) MMR--Measles/Mumps/Rubella 310 doses TOTAL CASH RECEIVED FROM f LICENSES & PERMITS ISSUED $. 391.0.0 Polio Vaccine 439 doses CERTIFICATE OF.. Tetanus & Diptheria (adult use) 510 doses FITNESS $2500.00 ' i Tetanus Toxoid 0 - 1 ML Tuberculin P.P.D. 5 ML 130 doss Typhoid Vaccine ' H.I.B. Titre 335 doses ALLOWED EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: $247,179.00 $35,974.04 $211.204.96 EXPENSE REPORT: , ' ALLOWED EXPENDED FREE CASH ENCUMBERED �_:.�.��,_�.- ,�=s-�-:;•�=r•-••,,_" $22,065.47 $1,523.65 '$'D,881.23 $10,660.59 ' ■ ii e� ie■ n n�■ rm■�■e■■e �0e■■■■■■ �ieiiii �eii��oiiiemieiiu�iii�■nioii 7a' . HOUSING RE-INSPECTION m�iinir�iiia�ni■yni■�.n.�e�nii.i.�°�w�i iiiiiiiniiiiiii i��i�■■��■�� Aiiii�iuiiiii�■■�u ��■�■ �n■�■�oe■■■��nn■�er ■■�en� iiiiiiiiiiiiiiii��i�iiii■iii T • PUBLIC HEALTH NURSE REPORT AUGUST, 1991 ACTIVITIES CLINICS Preparation for Vial Of Life Program to be held at the Council on Aging Preparation for upcoming Influenza Clinic Preparation for upcoming Blood Drive CONFERENCES AND MEETINGS Maintained vaccine inventory Attended Board of Health meeting Tuberculosis Clinic Staffed Council on Aging Health Clinic Health Professional Peer Action Group Salem Community Alliance Project Meeting Cindy Neumann-Roach, Salem Hospital Community Education Coordinator ST. JOSEPH`S SCHOOL School out for the summer I E SALEM HEALTH DEPARTMENT 9 North Street Salem, MA Ot 970 a_ • MONTHLY REPORT OF; COMMUNICABLE DISEASES FOR THE MONTH OF AUGUST NEW CARRYOVER DISCHARGED REPORTS TO * DISEASE CASES CASES CASES STATE i CAMPYLOBACTER I I I I GIARDIA 3 5 - - HEPATITIS - 5 3 3 LYME DISEASE MENINGITIS I 1 3 3 SALMONELLA I - 3 3 SHIGELLA 6 - 4 4 TUBERCULOSIS 2 VARICELLA - - 3 3 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH LL�3LAly � SEPIU1991 0TV Or MUM TO: Salem Board of Health IALTIJ IDS' ° FROM: North Shore Pulmonary Clinic MONTHLY SUMMARY MONTH OF AUGUST 1991 A visits with x—ray 8 A visits no x—ray 5 B visits 16 GRAND TOTAL 29 NUMBER OF CHEST X RAYS TAKEN 8 • I • SALEA HOSPITAL + CHECK REQUEST 4 1 O SEP 1941 PAYABLE T0: CITY OF SALEM • City of Salem - Board of Health AMOUNT '^ALTH DEFT: 9 North Street ACTION WANTED Salem, Massachusetts, 01970 AT ONCE __— BEFORE (DATE) AS PRACTICAL — DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWSE SPECIFIED PURPOSE: Secretarial services and office supplies for North Share Pulmonary Clinic. A visits 13 @ $4. 90 per visit = fi,63 . 70 • B visits 16 @ $3.27 per visit = $52 .32 C visits 0 total $1,26. 02 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE. PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE VOUCHER NO. • t740 • Salem Hospital Billing Department SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC August 1991 A visits B visits $4. 90 ea. $3. 27 ea. Total A visits $ 63 . 70 Total B visits $ 52 .32 $126. 02 Secretarial Services A visits $ 2. 63 B visits $ 1 . 79 Secretarial supplies • A visits $ 2 .22 B visits $ 1 .48 • .COAD/� SEP 1 0 1991 um,e • CITY OF SALEM HEALTH DEPARTMENT CIT. OP SALEM BOARD OF HEALTH Salem, Massachusetts 01970 "VALTH DEPT. ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT (617) 741-1800 DENTAL INSPECTIONS OF SCHOOLS FOR 1991-1992 WEEKLY SCHEDULE--MONDAY 8 : 30 to 11 : 30 a .m. September St -Joseph' s & Endicott October Horace Mann November-December Middle School East Bentley & Carlton January Bates February Witchcraft • March-April Middle School West May Federal Street June Make-up • T 'Cox �� r 114 6 a SEP 1 0 1991 urMe • CITY OF SALEM HEALTH DEPARTMENT OF SALEM BOARD OF HEALTH CITY Salem, Massachusetts 01970 "-FALTH DEFT! ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT (617) 741-1800 DENTAL HEALTH PROGRAM 1991-1992 The examination of the school children of the city of Salem is the prime purpose of the dental health program. Referral of those students requiring dental work to the proper channels, be it family dentist, medicaid or other dental facilities, is the end result . Examination of the school children for the detection of: 1. Carious Lesions • 2 . Jaw Deformities 3. Soft Tissue Disease 4. Conscientious Home Care •,4I)MIN ISTR40ON MONTHLY REPORT JU1911, 1991 I.BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 4 � Diptheria,Tetanus & Pertussis 495 =do:se.s Dipth eria-Tetanus Tox. (under 6 yrs. 10 doses BURIAL PERMITS 55 Immune Serum Globulin 5INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED). 0 Measles (Clinic use onlyj 0 MMR--Measles/Mumps/Rubella 470 doses TOTAL CASH RECEIVED FROM $141.00 LICENSES & PERMITS ISSUED Polio Vaccine 570 doses CERTIFICATE OF Tetanus & Diptheria (adult use) 710 doses FITNESS $3,100.00 Tetanus Toxoid 0 "- 1 ML Tuberculin P.P.D. 5 ML -270 doses a: Typhoid Vaccine 0 ' H.I.B. TITER 1175 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL$247, 179.00 - $17, 130.89 $230,048. 11 11 ALLOWED EXPENDED FREE H (includes) ENCUMBEREDEXPENSE REPORT: , $22,065.47 $22,065.47 $00.00 ' iiii�w■i�i� ■e■■■■iie■■m■■ MINN no sommomm ENRONiii�ii�■i�niiiiiiee . SOMEONE ` mom . ��■�■N■�■■NON■■��■■■��■�■ mom moommumom MEMO PUBLIC HEALTH NURSE REPORT JULY 1991 ACTIVITIES • CLINICS B1ood' Pressure Rescreening done Heat Stress Program presented at Council on Aging Cholesterol Screening Clinic postponed due to lack of availability of equipment CONFERENCES AND MEETINGS Picked up and maintained vaccine inventory Tuberculosis Clinic Federal Block Grant Seminar • Staffed Council on Aging Health Clinic Council on Aging Picnic David Shea, Chief Administrative Aide Salem Community Alliance Project Meeting ST. JOSEPH'S SCHOOL School out for the summer SALEM HEALTH DEPARTMENT 9 North Street Salem,MA 01970 • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF JULY 1991 t * DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES ; CASES STATE CAMPYLOBACTER 1 - - - GIARDIA 2 3 - - HEPATITIS 1 6 - - LYME DISIASE MENINGITIS 2 SALMONELLA 3 t 1 1 SHIGELLA 1 - - - VARICELLA 10 - 7 10 f *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH TO: Salem Board of Health • FROM: North Shore Pulmonary Clinic MONTHLY SUMMARY MONTH OF JULY 1991 A visits with x-ray 15 A visits no x-ray 10 B visits 9 C visits (no longer covered by the State) GRAND TOTAL 34 NUMBER OF CHEST X RAYS TAKEN 15 • I i i 0 j AUG 1991 CITY, OF SAunt '*r-AT,TF DFr SALEM HOSPITAL • CHECK REQUEST . V U 'AUG 11991 PAYABLE T0: City �of Salem - Board of Health AMOUNT01 I&Aw 9 North Street ACTION MPTH I)ET' . Salem, Massachusetts, 01970 AT ONCE BEFORE (DATE) AS PRACTICAL - DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWJSE SPECIFIED PURPOSE: Secretarial services and office supplies for North Shnre Pulmonary Clinic. A visits 25 @ $4 . 90 per visit - $ 122 . 50 • B visits 9 @ $3 . 27 e S 29 .43 C visits 0 $ 151 . 93 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE VOUCHER NO. • 17�4.'8 v 'AUG 7 1991 CITY QF SALZM HEALTH DEP- Salem Hospital Billing Department SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC July 1991 A visits B visits C visits $4 .90 ea. $3.27 ea. (discontinued) Total A visit& $122. 50 Total B " 29.43 $151 . 93 Secretarial Services A visits $ 2 . 68 B Is $ 1 .79 • C " 0 Secretarial supplies A visits $ 2,. 22 B visits 1 .48 C 0 • 0 ADI�NISTION MONTHLY REPORT JUNEI 1991 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 4 Diptheria,Tetanus & Pertussis 315 doses . Diptheria-Tetanus Tox. (under 6 yrs. ) 0 BURIAL PERMITS 54 Immune Serum Globulin 5 vials INTERNATIONAL TRAVEL _____ CERTIFICATES (CERTIFIED) 0 Measles (Clinic use onil MMR--Measles/Mumps/Rubella 200 doses TOTAL CASH RECEIVED FROM ' LICENSES & PERMITS ISSUED $137.40 Polio Vaccine 250 doses CERTIFICATE OF Tetanus & Diptheria (adult use) 150 doses FITNESS $1 650.00 Tetanus Toxoid 0 _. 1 ML Tuberculin P.P.D. 5 ML Typhoid Vaccine 0 H.I.B. TITRE 210 SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $245,537.00 $ 193,689.20 $ 15,686.3.4.......... EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $ 21 ,647.28 $ 16, 122.41 $5,524.87 • . .• S�SSSS■Ssmmmmmmmmmmmmmmmmmmmm�m . SERVICE..' . . ............................... • PUBLIC HEALTH NURSE REPORT JUNE 1991 ACTIVITIES CLINICS Blood Pressure Rescreenings scheduled for July Cholesterol Screening Clinic to be established pending Board of Health consensus and pending availability of equipment (Reflotron and supplies) CONFERENCES AND_:MEETTNGS ATTENDED...' „v Maintained Vaccine Inventory Attended Tuberculosis Clinic Health Professional Peer Action Group Meeting • Dennis Heenan, YMCA Camp Director ST. JOSEPH'S SCHOOL Audiometric retesting completed Vision retesting completed Physical Exams by L. Dumas, M.D. completed on June 10, 1991 • .tu SALEM HEALTH DEPARTMENT + 9 North Street ' Salem, MA 01970 • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH. OF JUNE 1991 * DISEASE NEW CARRYOVER DISCHARGED . REPOTS TO CASES CASES CASES' STATE i CAMPYLOBACTER GIARDIA ] 2 - - HEPATITIS 1 5 - - • LYME DISEASE I - - - SALMONELLA 3 VARICELLA 3 1 - - *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH ` N LORI A. SILVA, R.N. , B.5.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH JUL 3 - 1991 CITY OF SALFM AT TH HE",,, TO: Salem Board of Health FROM: North Shore Pulmonary Clinic MONTHLY SUMMARY MONTH OF JUNE 1991 A visits with x-ray 12 A visits no x-ray 7 B visits 4 C visits 11 GRAND TOTAL: 34 • NUMBER- OF CHEST X-RAYS TAKEN 23 SALEM HOSPITAL CHECK REQUEST • PAYABLE TO: City of Salem - Board of Health AMOUNT 9 North Street ACTION WANTED Salem, Massachusetts, 01970 AT ONCE BEFORE (DATE) AS PRACTICAL _ DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWJSE SPECIFIED PURPOSE: Secretarial services and office supplies for North Shore • Pulmonary Clinic. A visits 19 @ $4. 90 per visit -$ 94 . 10 B visits 4 @ $3 .27 " " =$ 13.03 C visits 11 @ $1 . 78 " " -$ 19. 58 SPECIAL INSTRUCTIONS: PREPARED AP,1-ROVE D DATE. PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE VOUCHER NO. 1,T-M Salem Hospital Billing Department SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC June 1991 A visits B visits C visits ($4. 90 ea.) ($3.27 ea.) ($1. 78 ea.) Total A visits $ 94. 10 Total B visits $ 13.08 Total C " $ 19. 58 $126. 76 Secretarial Services • A visits $2. 68 B visits $1 . 79 visits $ . 67 Secretarial supplies A visits $2. 22 B visits $1.48 C visits $1. 11 i J U L 9 1991 NORTH SHORE PULMONARY CLINIC CITY 9F $AL. EN A.LTH DEFT' Patients seen in clinic during the month of JUNE 1991 Beverly 2 Danvers 0 Essex 0 Gloucester 0 Hamilton 0 Ipswich 0 Manchester 0 Marblehead 3 • Middleton 2 Peabody g Rockport 1 Rowley 0 Salem 13 Topsfield d Wenham, Newburyport, 1 Amesbury, etc . Others (this includes Lynn , Swampscott , and others not listed above) . 4 Total 34 J U L 9 1991 CITY OF SALEM NORTH SHORE PULMONARY CLINIC '-AL'T'H DEP'r' Patients seen in clinic during the month of MAY 1991 Beverly 0 Danvers 1 Essex 0 Gloucester 0 Hamilton 2 Ipswich 0 Manchester 0 Marblehead 0 • Middleton 2 Peabody 6 Rockport 0 Rowley 0 Salem 7 Topsfield 0 Wenham, Newburyport , 1 Amesbury, etc . Others (this includes Lynn , 5 Swampscott , and others not listed above) . Total 24 JUL 9 1991 CITY OF SALEM NORTH SHORE PULMONARY CLINIC ALThI DEPr Patients seen in clinic during the month of APRIL 1991 Beverly 1 Danvers 4 Essex 0 Gloucester 2 Hamilton 0 Ipswich 0 Manchester 0 Marblehead 0 . Middleton 5 Peabody 4 Rockport 1 Rowley 0 Salem 12 Topsfield 0 Wenham, Newburyport, 1 Amesbury, etc. Others (.this includes Lynn , Swampscott , and others not listed above) . 8 Total 38 �uj • J U L 9 1991 CITY OF SALEM NORTH SHORE PULMONARY CLINIC TALTH DEPgi Patients seen in clinic during the month of MARCH 1991 Beverly 1 Danvers 4 Essex 0 Gloucester 1 Hamilton 1 Ipswich 0 Manchester 1 Marblehead 1 • Middleton 0 Peabody 4 Rockport 0 Rowley 0 Salem 4 Topsfield 0 Wenham, Newburyport, 0 Amesbury, etc . Others (.this includes Lynn, 2 Swampscott , and others not listed above) . Total 19 JUL 9 1991 CITY OF SALEM NORTH SHORE PULMONARY CLINIC "ATTH DFPrr Patients seen in clinic during the month of FEBRUARY 1991 Beverly 2 Danvers 5 Essex 0 Gloucester 2 Hamilton 1 Ipswich 0 Manchester 0 Marblehead 2 • Middleton 2 Peabody 2 Rockport 0 Rowley 0 Salem 12 Topsfield 0 Wenham, Newburyport, 0 Amesbury, etc . Others (.this includes Lynn, 3 Swampscott , and others not listed above). Total 35 ADMI�NISTN MONTHLY REPORT May1991 BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 7 s Diptheria,Tetanus & Pertussis 540 doses Diptheria-Tetanus Tox. (under 6 yrs. ) 40 doses BURIAL PERMITS 60 Immune Serum Globulin 4 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use onl 0 MMR--Measles/Mumps/Rubella 330 doses _ TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $605.00 Polio Vaccine 570 doses CERTIFICATE OF Tetanus & Diptheria (adult use).. 330 doses FITNESS Tetanus Toxoid a 0 1 ML 5 ML 30 doses Tuberculin P.P.D. - Typhoid Vaccine 0 H.I.B. 0 H.I.B. Titre 510 doses - SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $ 245,537.00 $ 211 ,769.93 $ 33,767.07 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $ 21 ,647.28 $ 13,030.42 $6,867.30 • ENVIRONMENTALALTH DIVISION MONTHLY REPORT • YEAR MONT C' S — D SANITARY CODE ENFORCE 1 2 3 4 15 6 7 8 9 10 11 12 13 14 15 16 17 18119 20 21 22123 24 25 26127 28 29 30131 TOTALS COMPLIANCE REVIEW - '-PLAN REV./SITE INSP. 1• 2-FOOD SERVICE INSP. / lai13Q 2•y 3.FOOD SERV.RE-INSP. 2 3• 4.MOBILE/TEMP. FOOD SERVICE INSP. / jcZ 4• 5.HOUSING INSP. / / / / 5- 6.HOUSING RE-INSP. / e� 6• 7.N0 HEAT/HOT WATER - COMPLAINTS 1 17. 8.GENERAL NUISANCES/ ja TRASH I 18. 9.RECREATIONAL CAMPS 9• I lO.SWIMMING POOLS / 10. ll.BATHING BEACHES 11. 12.SUNTAN CENTERS 12• 13.ENVIRON.POLLUTION (WATER, SOIL, AIR- ODORS, NOISE) 13. '14.RODENT CONTROL 14. '15.FIELD TESTING / 15. 16.COURT/ADMINISTRATIVE ? HEARINGS i17-CONSTABLE SERVICE 17• , HAND DELIVER ETC.) 18.SURVEY, RECALLS 18 MONITORING j '19.SEMINARS/CONF./ 19. MEETINGS 20.CERT. OF FITNESS INSP ,� 21•CERT. OF FITNESS / q 21. RE-INSPECTION c: • PUBLIC HEALTH NURSE REPORT MAY 1991 ACTIVITIES CLINICS Eight Blood Pressure Screening Clinics were held during the month. of May. Below are the statistics. City Employees Screened 115 Persons with Blood Pressure greater than 140/90 (Boarderline Hypertensive) 5 Persons on Blood Pressure control medication and being followed by an M.D. 16 Number of Blood Pressure Rescreenings to be done 6-8 weeks following clinics 5 Intake reports were completed on all participants. This statistical information will be shared with the Massachusetts Department of Public Health/ Division of Health Promotion Sciences, High Blood Pressure Control Program. CONFERENCES AND MEETINGS ATTENDED Attended April Board of Health meeting • Picked up and maintained Vaccine Inventory Attended Tuberculosis Clinic Attended Drop A Dime Press Conference Attended Salem Community Alliance Project Meeting Attended Nursing Forum 91 at Salem Hospital in honor of National Nurses Week ST. JOSEPH'S SCHOOL Audiometric retesting provided Vision retesting provided Physical Exams by L. Dumas, M.D. , scheduled for June 10, 1991 SALEM HEALTH DEPARTMENT 9 North Street Salem.MA 01970 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF MAY, 1991 * DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER - 1 - - GIARDIA - 2 2 2 HEPATITIS 2 3 - - • LYME DISEASE 1 - - VARICELLA 5 1 5 5 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH . A, LORI A. SILVA, R.N. , B.S.N. A CENTER FOR ADDICTIVE BEHAVIORS Alcohol and Drug Reatment and Prevention Services for Individuals. Famiiles. Communities and Businesses SALEM COMMUNITY ALLIANCE PROJECT Project Description P There is increasing evidence, gathered from prevention research and demonstration studies that comprehensive community prevention programs offer promising means by which to address the significant problems posed to our society by drug and alcohol abuse. Such programs, which offer a coordinated effort, provide wide access to information and resources, foster diversity of involvement by promoting the development of groups at various levels within the community, reflect a variety of citizens' perspectives and empower people to develop their own strategies to combat drug and alcohol abuse, are seen to be most useful. Based on this growing body of information, The Center for Addictive Behaviors (CAB), on behalf of the City of Salem, MA is implementing the Salem Community Alliance Project. The project is funded through a five year grant from the Office of Substance Abuse Prevention of the United States Public Health Service. The goal of this program is to reduce the risk factors and promote protective factors which directly relate to the incidence of drug and alcohol problems within the City of Salem. The • principal aims of the overall project are to develop, implement and then evaluate a model prevention progam focused on the Salem community at large. The Center for Addictive Behaviors (CAB) will primarily manage this program in collaboration with the City of Salem and the Salem Coalition to Prevent Substance Abuse. The project is based the assumptions that: • Existing prevention efforts within the Salem area, are focused primarily on youth. • In order for real change to occur within a community, program efforts need to go beyond attempting to affect knowiege and attitudes, and directly engage citizens in activities designed tv affect behavioral change. • The project assumes that change is an active, as opposed to a passive process, requiring members of the community to fully participatOwn shaping their own messages and developing their own strategies for action. Project Objectives • Identify and organize 25 Peer Action Groups over the length of the project. • Provide an organizational structure that links these Peer Action Groups city-wide. • Integrate the existing school based Salem Coalition to Prevent Substance Abuse into the new city-wide structure. • Provide staff support, education, and materials to each Peer Action Group. • Sponsor community wide activities targeted to a diversity of community groups. r Lonauct born a process ana outcome evaluation of the uveraii program. CENTER FOR ADDICTIVE BEHAVIORS INC. :. -)NGRESS STREET. SALEM MASSACHUSETTS- 01970 j5081 745.8890 IN MA 16lug 334-5512 FAX (508) 741-3104 :AB IS AN AFFILIATE OF NORTHEAST HEALTH SYSTEMS, INC. AND A PARTNER IN COALMI'NITY HEALTH%%TrH BEVERLY HOSPITAL SALEM COAEW UNITY ALLIANCE PROJECT P�AetteQ:Groans; What U IM Peer Action Groups represent a simple concept. People with -interests get together and talm responsibility to prevmt the damage done by drug and alcohol abuse. The basic ideas to the approach are described below- 1. People determine for themselm the action that they wam to take. 2. People with similar interests come together. 3. Each group that forms-is provided with sufficient-staff support to • acoompliah their chosen-project and include other people in their work. Why Do This? There are many good reasons to do this, but the basic reason is that substance abuse is a community problem. Nekborthe police, the schools,nor the treatmmt agencies can 'cure' this problem: The high personal, family and community cost of substance abuse will only be reduced when enough people say, "I am doing....." In short we are doing this because: * Prevention and education must include, but reach beyond schools. * Police serve the community, they cannot take the place of responsible citizens. * The well being of our children, our families, our businesses and our community depend upon our taking responsibility for this issue. * If we don't, who do we expect will? • I • How Does It worm': Peer Action Groups.work like any other Comm ngy wide effort * People come together because they are concerned. * People talk to their pease- friends, business associates, neighbors and establish.the exteat of their concern. * egtbapcebteeaot` d M do am-of most importance to them. * People discum this list of problems;obtaining mortspecific information abooe-a k-findsCamp-a►> is b ft donwaboat each; putting them in order of priority. * People begin to identify the actions thattbeir gronp.can.take.to address the problems they identify-find out what is done in other communities, is there money or time needed, what do we expect the results to be. * People continue the effort by enlisting help from others and engage in • other.Actions. • may'" • DROP DIME s 6, 0 `, PRESS RELEASE FOR IMMEDIATE RELEASE MAY 6, 1991 FOR FURTHER INFORMATION, CONTACT: MAYOR NEIL J. HARRINGTON 508-745-9595 MAYRA RODRIGUEZ-HOWARD CAB 508-745-8890 DROP-A-DIME PROGRAM INITIATED The Salem Community Alliance Project, a community-wide substance abuse prevention effort of the City of Salem and the Center For Addictive Behaviors, and Mayor Neil J. Harrington announced today the formation of North Shore Drop-A-Dime. The effort is being undertaken in cooperation with Shetland Properties, the Center For Addictive Behaviors, the Salem City-wide Coalition • to Prevent Substance Abuse, The Point Neighborhood Action Group, Drop-A-Dime Report Crime Intelligence Data, Inc. of Dorchester, and the Salem Police Department. "The Drop-A-Dime program, which Georgette Watson began in Boston in 1983, is a 24-hour anonymous tip line on which residents can report non-emergency, drug-related crimes or activities, " said Mayor Harrington. The telephone number for citizens to call to report drug-related activities is 744-7011. When citizens dial the Drop-A-Dime number, a recorded message will instruct them on how to report the crime. Callers will not have to speak to a police officer or leave their name. The Drop-A- Dime staff will compile all tips and forward them to the Police Department. The intent of the line is to gather names, addresses and locations of persons involved in drug-related crimes and other illegal activities which police may use in undercover investigations. The Police Department will furnish Drop-A-Dime with regular progress reports on the results of any tips. "The Drop-A-Dime program has been very successful in Roxbury/Dorchester and has recently been established in the Cape Ann area, 11 said Pearl White, director of the Drop-A-Dime Report Crime Intelligence Data, Inc. of Dorchester. "I am very pleased that the City of Salem has chosen to become one of our affiliates. This program has proven to be very successful and has lead to a significant number of arrests. " Victor A. Capoccia, President of the Center For Addictive • Behaviors, was enthusiastic about the program. "The Drop-A-Dime program is a terrific example of citizens knowing the best action to take for the problems that affect them. It's wonderful that this has gained the support of the City of Salem, Shetland Properties, and CAB, " Capoccia said. e • Both Mayra Rodriguez-Howard, director of the Salem Community Alliance Project, and Mary Jane Lee, a Peer Action Group member, actively supported the project. "We are very excited about the development of North Shore Drop-A-Dime and are looking forward to working with the community of Salem to develop' additional projects to address issues of interest and concern •to them, " said Rodriguez-Howard. ""It is painfully obvious that to 'Just Say No' doesn't make it, " said Lee. "It is absolutely critical that we take action to eradicate the drug dealers, the agents of hopelessness and death, at every level. North Shore Drop-A-Dime provides people with a means for action. " Robert Lappin, president, of Shetland properties and a financial supporter of North Shore Drop-A-Dime, was recognized for his support. "Salem is filled with good, honest people and it has been Shetland's pleasure to be among them as a corporate citizen for well over 30 years, " Lappin said. "As with every area, there are spoilers among us who must be driven out. The Drop-A-Dime Program is designed to do just that, and it is a privilege to give full support to this program and to express our thanks to and respect for neighborhood leaders who have made it possible. I also want to thank Victor Capoccia, the Center For Addictive Behaviors, the Salem Community Alliance Project, Mayor Harrington, who has encouraged the effort, and the many members of the Police Department and those within our city departments, all of whom have made this program a reality. The number to call to make an anonymous report of a non- emergency drug-related crime or activity is 508-744-7011. -30- Enclosed is background information about Drop-A-Dime, the Center For Addictive Behaviors and the Salem Community Alliance Project, and a copy of the brochure being distributed throughout Salem and the North Shore announcing North Shore Drop-A-Dime. 0 R T DROP I DIME FACT SHEET NORTH SHORE DROP-A-DIME *North Shore Drop-A-Dime is a 24-hour anonymous tip line for reporting non-emergency, drug-related crime information. Citizens are encouraged to use the tip line to report all kinds of criminal activity, but drug-related crimes are the major target. *The• phone number for North Shore Drop-A-Dime is 508-744-7011 . *North Shore Drop-A-Dime' s recorded message instructs tip line callers to leave information on suspected drug dealers , including their location, description, vehicles, and other identifying characteristics. *North Shore Drop-A-Dime DOES NOT REQUIRE CALLERS TO LEAVE THEIR NAMES. Neighborhood residents will feel comfortable calling • the tip line feeling secure in their anonymity. *North Shore Drop-A-Dime staff will compile and chart calls onto Tip Data Sheets and forward the sheets to the Police Department. Police will furnish North Shore Drop-A-Dime with periodic reports on the results of tips . *North Shore Drop-A-Dime is funded by grants from the City of Salem and Robert Lappin, president of Shetland Properties , with assistance from The Salem Community Alliance Project , a community- wide substance abuse prevention effort of the Center For .addictive Behaviors and the City of Salem. The effort is undertaken with the support of the Salem City-Wide Coalition to Prevent Substance Abuse, Drop-A-Dime Report Crime Intelligence Data, Inc . of Dorchester, and the Salem Police Department. *Drop-A-Dime was started in the Roxbury/Dorchester area in 1983 , and has had a great degree of success to date , with a significant number of tips leading to arrests . Several collaborative ventures have been formed with other communities , including Cape Ann Drop-A-Dime , located in Gloucester . *North Shore Drop-A-Dime brochures , in Spanish and English , will be disseminated throughout the North Shore , starting with the schools . I tJU.d G 1991 0 AL w I,T_TH DEP"' TO: Salem Board of Health FROM: North Shore Pulmonary Clinic MONTHLY SUMMARY MONTH OF MAY 1991 A visits with x—ray 5 A visits no/x—ray 4 B visits 5 • C visits 10 • Total patients 24 Number of chest x—rays 15 SALEA HOSPITAL CHECK REQUEST PAYABLE T0: City of Salem - Board of Health AMOUNT 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL DELNER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWJSE SPECIFIED PURPOSE: Secretarial services and office supplies for North Shore Pulmonary Clinic . A visits 9 @ $4 . 90 per visit = $ 45 . 10 • B visits 5 @ $3 . 27 = 16 . 35 C visits 10 @ 1 . 78 " " - 17 80 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE _ PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE I�a4 — •C� VOUCHER NO. JUN 0 iggi r V — 17-499 T TH DE�rv*- ADMINIST N MONTHLY REPORT April Sk 1991 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 315 doses Diptheria-Tetanus Tox..(under 6 yrs. ) 10 doses BURIAL PERMITS - 65' Immune Serum Globulin 5 vials - 'INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) MMR--Measles/Mumps/Rubella 140 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $569 .50 Polio Vaccine 290 doses _ CERTIFICATE OF $2,825.00 Tetanus & Diptheria (adult use) FITNESS Tetanus Toxoid a 0 1 ML Tuberculin P.P.D. 5 ML '50 doses Typhoid Vaccine 0 ` H.I.B. 10 doses H.I.B. TITRE 150 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $245,537.00 $ 189,867.09 $54,494.91 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $21 ,647.28 $ 11 ,236.75 $ 10,410.53 eee�AeeeeeoeAeeee��oeooe�ee . . �ssss�smmmmmmmmmmmmmmmmmmmmmc� . 2.FOOD SERVICE INSP. :" � � ..3.FOOD � : soi�iiiii'ei�'■iioi'eiiiiii'niiiii�ii 15.FIELD TESTING HEARINGS • PUBLIC HEALTH NURSE REPORT APRIL 1991 ACTIVITIES CLINICS May is National Blood Pressure Month. In observance of this health awareness issue several 1991 Blood Pressure clinics will be offered to the Police Department, .Fire Department, and for City of Salem Employees. Clinic Dates: May 15, 1991 For all City Employees May 17, 20, 21, & 23rd For Fire Department May 21, 22, & 23rd For Salem Police Department CONFERENCES AND MEETINGS ATTENDED Attended April Board of Health Meeting Picked up and Maintained Vaccine Inventory Attended Tuberculosis Clinics Carol Bonjorno, Community Organizer, Center For Addictive Behaviors (CAB) 1st Health Professional Peer Action Group Meeting, The Salem Community Alliance Project • Attended Cholesterol Workshop with the M.D.P.H. , Division of Chronic Disease Prevention Professor Kenneth McIver, Salem State College Community Involvement Instructor Salem State College Nursing Students for Public Health experience. Ron O'Connor, M.D.P.H. , Blood Pressure Control Program, D.C.D.P. Salem Police Department, Captain Blake Salem Fire Department, Chief Sullivan Donna Leete, Personnel Department ST. JOSEPH'S SCHOOL Audiometric Testing - All grades screened Vision Testing - All grades screened 1 � SALEM HEALTH DEPARTMENT 9 North Street ' Salem, MA 01970 • MONTHLY REPORT OF COMMUNICABLE DISEASES. FOR THE MONTH OF APRIL, 1991 * DISEASE 41 NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACT'ER - 2 1 1 GIARDIA 1 3 HEPATITIS - 3 - _ • VARICELLA 5 1 4 4 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH s TO: Salem Board of Health FROM: North Shore Pulmonary Clinic MONTHLY SUMMARY MONTH OF APRIL 1991 A visits with x-ray 11 A visits no/x-ray 7 B visits 17 C visits 3 Total patients 38 • Number of chest x-rays 14 MAY 2 - 1991 SALEM HOSPITAL CHECK REQUEST • PAYABLE TO: City of Salem - Board of Health AMOUNT 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHER'WSE SPECIFIED PURPOSE: Secretarial services and office supplies for North Shore • Pulmonary Clinic. A visits 18 @ $4. 90 per visit - S 88 .20 B visits 17 @ $3.27 " it $ 55.59 C visits 3 @ $1 .78 $ 5.34 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE. PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE VOUCHER NO. 17-M • Salem Hospital Billing Department SERVICES (Secretarial and office supplies) NORTH SHC), RE PULMONARY CLINIC April 1991 A visits B visits C visits ($4. 90 ea.) ($3 .27 ea. ) ($.1 . 78 ea.) Total A visits $88 .20 Total B $55 . 59 Total C $ 5.34 $149. 13 Secretarial Services • A visits $ 2 . 68 B it, $ 1 . 79 C it $ . 67 Secretarial supplies A visits $ 2 .22 B '' $ 1 . 48 C $ 1 1 T CITY OF SALEM `7ALTH DEFT AD MINISTRA�`!Q1�T MONTHLY REPORT March., 1991 BIOLOGICS DISTRIBUTED AMOUNT Ij ANIMAL BITES REPORTED p j I , Diptheriajet anus & Pertussis 435 dos&s Diptheria-Tetanus Tox. (under 6 yrs. ) 40 doses 1 � BURIAL PERMITS 49 Immune Serum Globulin 0 _ INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) MMR--Measles/Mumps/Rubella 320 doses' TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 272-.00' Polio Vaccine 560 doses-. CERTIFICATE OF Tetanus & Diptheria (adult use) 100 dosep FITNESS $2,075.00 Tetanus Toxoid a 0 Tuberculin P.P.D. 5 ML 140 doses Typhoid Vaccine 0 -- H.I.B. 90 doses H.I.B. TITRE 270 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $245,537.00 $174,049.43 .. , $71 ,487.57 FREE CASH (includes) ENCMERED EXPENSE REPORT: ALLOWED EXPENDED $21 ,647.28 $9,857.23 $ 11 ,790..0.5 r eoeeeeeeeseseeeoeosaeee�eee ., . ssssss�ssmmmmmmmmmmmmmmammmmmmm , 4.MOBILE/TEMP. FOOD SERVICE INSP. RPWATER COMPLAINTS6.HOUSING � 8.GENERAL NUISANCES/ TRASH ll.BATHING BEACHES (WATER, SOIL, AIR- ODORS, NOISE) 15.FIELD TESTING HEARINGS 'eMi'eiiiiiiiii'miiiiiiiiiiii0'eMiiMEETINGS (HAND DELIVER ETC.) ' RM 0N7LriO7 MMM. G9GlMMMMi/i7VdMV] MWAl� Gi'1MMM ' ' SAL-EWHEALTH DEPARTMENT . _ — 9 North Street MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF MARCH, 1991 * ;DISEASE NEW CARRYOVER DISCHARGED REPORTS TO ' CASES CASES CASES STATE i CAMPYLOBACTER 2 1 1 1 GIARDIA 3 - HEPATITIS 1 2 - - • VARICELLA 1 - - - TUBERCULOSIS - 2 - - • *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH ' LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • P BLIC HEAL TH ,NU RSE REPORT MARCH 1991 ACTIVITIES CLINICS 'Diabetic Alert Day .was sucessfully held 'on March 19th, 1991. There were fifty people who participated in the Sreening. The statistics follow: 50 total participants # of participants % of participants Age 61 and older !21 42% 50-60 years old 13 26% 40-49 5 10% 30-39 9 18% 20-29 " 2 4% under 20 • Twelve percent of participants were found to have Blood Sugar ranges outside of the normal range. These participant' were recommended to contact their physician regarding these test results. CONFERENCES AND MEETINGS ATTENDED Picked up and maintained vaccine inventory Salem evening news Robert Bishop, State Diabetic Control Program Volunteers and nursing students for the diabetic screening Dr. Joseph Greco, Volunteer ophthalmologist for diabetic eye screening Cindy Neumann-Roach, Community Education Dept. at Salem Hospital Salem Hospital Health Seminar Center for Addictive Behaviors ST. JOSEPH' S SCHOOL Initiated Vision Screening which has been completed on three upper grade classes. Vision Screening will continue throughout the month of April. Hearing Screening continues and is almost complete. • r ' .CONO�� ' 1 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street ROBERT E..BLENKHORN Salem, Massachusetts 01970 HEALTH AGENT 508-741-1800 March 20, 1991 — — --- - Dear ��'G�l:• 1f�Nr.� ��G.�� iC Thank you for your participation. in this year's Diabetes Screening Program. With your assistance and that of the many helpful students and sincere volunteers, the 1991 Salem Diabetes Program was an educational and successful clinic. It is with great appreciation that the Health Agent, Robert E. • Blenkhorn of the Salem Health Department, the Salem Board of Health, Dr. Leonard A. Dumas and I would like to recognize the importance and dedication of your work. Without your help and that of others such as yourself, the success of this program could not be possible. We are certainly looking forward to many future successful programs and hope there will be as many thoughtful and dedicated individuals as we were fortunate enough to have this year. Again, we thank you and wish you health and happiness. Sincerely, C,. r Lori A. Silva, R.N. , B.S.N. Public Health Nurse REB/cc r , APR z, 1991 CITY OF SALEM T.A L TH DEiyr TO: SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF MARCH 1991 A visits with x-ray 5 A visits no/x-ray 6 B visits 3 C visits 5 • Total patients 19 Number of chest x-rays 10 • I SALEM HOSPITAL CHECK REQUEST PAYABLE TO: City of Salem - Board of Health AMOUNT 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL — DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWSE — SPECIFIED PURPOSE: Secretarial services and office supplies for North Shore • Pulmonary Clinic. A visits 11 @ $4. 90 per visit $ 53. 90 B " 3 @ $3 . 27 " " $ 9. 81 C " 5 @ $1 .78 " 8. 90 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE VOUCHER NO. APR 4, 1991 G 1740 -A T,rH DF.P r • Salem Hospital Billing Department SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC March 1991 A visits B visits C' ,visits ($4.90 ea. ) ($3.27 ea. ) ($1 .78 ea. ) Total A visits $ 53. 90 B it $ 9.81 C of 8.90 $ 72. 61 Secretarial services A visits $ 2. 68 B " $ 1 . 79 C it $ . 67 Secretarial supplies A " $ 2. 22 B it $ 1 .48 C $ 1. 11 U APR 1991 • CITY Op SALEM ADMJNISTRA* MONTHLY REPORT Februa&8, 1991 •': BIOLOGICS DISTRIBUTED AMOIJNT I ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 555 doses Dipth eri a-Tetanus Tox. (under 6 yrs. ) 10 doses BURIAL PERMITS 53 Immune Serum Globulin 6 vials INTERNATIONAL TRAVEL " CERTIFICATES (CERTIFIED) 0 Measles (Clinic use onl -- - M.MR--Measles/Mumps/Rubella 250 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS.ISSUED $1,184 .00 Polio Vaccine 480 doses y CERTIFICATE OF Tetanus & Diptheria (adult use) 130 doses FITNESS _ $2 475.00 Tetanus Toxoid ----- 1 ML Tuberculin P.P.D. 5 ML 580 doses Typhoid Vaccine ------ H.I.B. 200 doses H.I.B. TITRE 100 doses ALLOWED EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: _$245,537.00. - $156,067.87 $89,469. 13 _ EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $2 1 ,647.28 $6,093.04 $ 10,962. 16 a�aa� e°or�a��eeo�eeoeeon�e .. . ssssss�smmmmmmmmmmmmmmmmmmmmmm • 2.F-0-0-D SERVICE 4.MOBILE/TEMP. FOOD SERVICE INSP. 5.HOUSING INSP. 6.HOU RE-INSP. 7.NO HEAT/HOT WATER COMPLAINTS 8.GENERAL NUISANCES/ TRASH 10.SWIMMING POOLS 11.BATHING BEACHES �' :� AIR- ODORS, '12.SUNTAN CENTERS IIIIIIIIIIIIIIIIIIII�IIIIIISIII • ' �wSALEM HEALTH DEPARTMENT , 9 North Street Salem, MA Oi 970 • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR. THE MONTH OF FEBRUARY 1991 * .D:ISEASE NEW CARRYOVER. DISCHARGED REPORTS TO ASES.. CASE'S CASES STATE CAMPYLOBACTER GIARDIA 1 1 2 2 HEPATITIS 1 3 2 2 SHIGELLA - 1 1 1 • TUBERCULOSIS — 2 — 2 VARICELLA *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH q, LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH PUBLIC HEALTH NURSE REPORT • FEBRUARY 1991 ACTIVITIES CLINICS Diabetic Alert Day will be held March 19, '1991.: (see attached information) Two Blood Glucose monitors have been obtained without expense to the city. More than $100.00 worth of supplies for the Diabetic Screening were, received as charitable donations from local pharmacies. Plans for a High $load Pressure Screening axe underway. ' CONFERENCES AND MEETINGS ATTENDED Picked up and maintained vaccine inventory Distributors of Diabetic Monitoring Devices Several.meetings with Cindy Neumann-.Roach, Community Education Dept. at Salem Hospital Bob Bishop, State Diabetic Control Program Dr. Joseph Greco, volunteer Ophthalmologist for Diabetic Eye Screening • Several Salem State Nursing Students for Public Health Nursing expe-rience Ear, Nose and Throat Seminar Flerida Reyes, NSCAP advocate Vicci Bocc, Salem Harbor CDC ST. JOSEPH'S SCHOOL Greater than eighty percent of students have had their hearing tested during this month. Percentages of passing and failing scores will be calculated ,upon completion of testing. Vision screening will begin during the month of March Cowor� f � CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street ROBERT E. BLENKHORN Salem, Massachusetts :01970 HEALTH AGENT 508-741-1800 PRESS RELEASE DIABETES SCREENING COMING TO SALEM Robert E—Blenkhorn, Health Agent for the City of Salem Board of Health = announces that the Salem Health Department in cooperation with Salem Hospital and the Massachusetts Department of Public Health will be sponsoring a FREE Blood Sugar Screening for Salem residents. This service will include Blood Sugar Screening, Visual Aquity. Exam and educational material. Additional Diabetes services will be offered for people with known Diabetes. These additional services will include a Diabetic Eye Exam, and a Diabetic Foot Exam which will' be scheduled BY APPOINTMENT ONLY and will be offered to • qualified recipients. For further information please call the Salem Health Department, Lori A. Silva, R.N., Public Health Nurse at 7.41-1800. American Diabetes Alert March 19th, 1991 Free Blood: Sugar Screening Sponsored by - Salem Realth Department Salem Hospital Massachusetts Department of Public Health For people who want to know their Blood Sugar level and who may be at- risk of developing Diabetes. Where: Highland Hall Auditorium (on Salem Hospital campus) 55 Highland Avenue._. Salem, MA When: Tuesday, March 19th, 1991 from 9 am to 3 pm Free services provided to the general public *Blood Sugar Screening *Diabetes Risk Assessment *Blood Pressure Screening *Visual Acuity Exam *Educational Material Additional services provided to KNOWNDiabetics by APPOINTMENT ONLY include: *Diabetic Eye Exam *Diabetic Foot Exam Please call the Salem Health Department • at (508) 741-1800, Lori Silva, R.N. - r• r; iii r'�;. .��;ems-:!i/1yr, ..__. - I ::wi 1 I D i betesC h a n g; e th e Way You Look AtthO World ..,. Find Out. nin Test- Free Diabetic Eye Scree g Date—Marc , . . By A pointment PE If you answer yes to these questions, -this screening is for you. • Have you taken insulin for 5 or more, years, or do•you have diabetes, but don't need insulin? • Has it been over a year since your last eye exam? • For more information , call 741 7' eat ept . BLOOD AR SCREENING LOG • DATE: _ OwN 'LAST TEST RESULTS BLOOD PHONE AGE )IABET MEAL NAME ADDRESS. y�N (hrs PREVIOUS PRESENT PRESSURE a (if known) c000f�� . f 1 „ ��o4m+t ydf.� • CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street ROBERT E. BLENKHORN Salem, Massachusetts 01970 - HEALTH AGENT 508-741-1800 BLOOD SUGAR SCREENING e � 1 i r DATE NAME YOUR BLOOD GLUCOSE LEVEL IS mg/dl. • WITHIN THE NORMAL RANGE OUTSIDE THE NORMAL RANGE IT IS RECOMMENDED THAT YOU CONTACT YOUR PHYSICIAN REGARDING THIS TEST RESULT. NORMAL RANGES: FASTING 80- 140 mg/dl . NON FASTING 80-200 mg/dl . ELEVATED BLOOD SUGAR LEVELS ARE OFTEN INDICATIVE OF A DIABETIC CONDITION IN WHICH THE BODY CANNOT PROPERLY USE FOOD FOR ENERGY OR AUTOMATICALLY CONTROL THE AMOUNT OF SUGAR IN THE BLOOD. DIABETES CAN LEAD TO HEART DISEASE, KIDNEY DISEASE, BLINDNESS AND EV13N DEATH. • lakep g Q% erg DE SU SALUD • Escriba los pantos al lado de cads afirmaci6n que sea cierta en su caso. Si una afirmaci6n no es cierta en su caso,escriba un cero. Luego sume los numeros para obteper su punteo total. 1. He tenido.uno o mSs de los siguientes sintomas regularmente. • sed.excesiva .. ... . . . . . . . . . . . SI 3 • necesidad de orinar con frecuencia I. . . . . . . . . . SI 3 • fatiga extrema . . . . .. . . . . . . . . . .. . :. . . . .. . .. ... . . . . . .. . .. . .. .... . . . . . . SI 1 • p6rdida de peso inexplicable . . . ... . . . . . . . . .. . ... . . . . . . . . . . . .... . . . . . . . . . . . S13 • visi6n borrosa de vez en cuand0 . . :. . . . . . . . . . . . :.. . . .s . . . . . . ..::. . .. . ... . . . . . SI 2 2. Tengornas de 40 anos . . . . . . .: . . . . . . . . . . . . . . . . ... . . .I. . . . . . . . .. . . . . . . . . . . . SI 1 ; 3. Mi peso es igual o mayor al indicado en la tabla que aparece abajo . . . . . . .. . . . . . . . . SI 2 4. Soy mujer que ha tenido mas de un beb6 que pes6 m5s de 9 libras al nicer .. . . . . . . . SI 2 5. Soy de descendencia hispana .. . ... . ..... .... ... .. ... . ... .... .... . .... . . . . .. SI 1 6. Uno de mis padres tiene diabetes .. . . . .. .. . .. . .. ..... . ... ... . . . . .... ... . . . .. . SI 1 7. Tengo un hermano o hermana que tiene diabetes ...... .. .. .. . . .. . . . .... . . . . . .. SI 2 i TOTAL La American Diabetes Association recomienda a todas las mujeres embarazadas que,entre las semanas 24 y 28 del embarazo, se examinen pars ver si tienen diabetes. Este cuestionario es para informarle y hacer que se de cuenta de los graves riesgos de la diabetes. Unicamente un m6dico puede determinar si.usted tiene diabetes. Tabla de pesos para mujeres Tabla de pesos para hpmbrr s (muestra un 20%por encima del peso ideal) (muestra un 20%por enctma dell peso ideal) Estatura Peso en fibras Estatura Peso en fibras Estatura Peso en Was Estatura Peso en fibras (sin zapatos) (sin ropa) (sun zapatos) (sin ropa) (sin zapatos) (sin ropa) (sin zapatos) (sin.ropa) Pies Pulgadas Pies Pulgadas Pies Pulgadas Pies Pulgadas 4 .... 9 ............113-127 5 .... 4 ........... 139-157 5 .... 1 ........... 133-146 5 .... 8 ........... 162-179 4 .... 10 ...:....... 116-131 5 .... 5 ........... 144-162 5 .... 2 ............ 137-151 5 9 ........... 167-184 4 .... 11 ....:*...... 120-134 5 .... 6 ........... 149-167 5 .... 3 ........... 140-155 5 ..:'. 10 ........... 172-190 5 .... 0 ........... 124-138 5 ..... 7 ........... 154-172 5 .... 4 ........... 144-158 5 .... 11 ........... 176-196 5 .... 1 ........... 127-142 5 ..... 8 ........... 158-176 5 .... 5 ........... 148-163 6 .... 0 ........... 181.202 5 .... 2 ........... 131-146 5 .... 9 ........... 163-181 5 .... 6 ........... 152-168 6 .... 1 ........... 186-208 5 .... 3 ........... 134-151 5 .... 10 ............ 168-186 5 ..... 7 ........... 157-174 6 .... 2 ........... 192-214 6 .... 3 ...........-198-220 r MAR 1 a 1991 qTV OF WAX TALTH " TO: SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF February 1991 A visits with x-ray 9 A visits no x-ray 5 B visits 10 C visits 11 Total patients Number of chest x-rays 20 SALEA HOSPITAL CHECK REQUEST PAYABLE TO: City of Salem - Board of -Health AMOUNT 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWSE SPECIFIED PURPOSE: Secretarial services and office supplies for North Shore Pulmonary Clinic. A visits 14 @ r4. 90 per visit $ 68. 60 • B visits 10 C $3. 27 " _ " . 70 TT— _ �3S— $120. 88 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE. PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE VOUCHER NO. • 17�41A Salem Bospital killing Department SERVICES (Secretarial and office supplies) NORt3 SHORE PULMONARY CLINIC February 1991 , ' ,A visits B visits C visits 04.90 a&.) (�"_ . 27 ea.) ($1. 78 ea. ) Total A visits $ 68. 60 8 $ 3?. 70 C ►► $ 1958 $120.88 Secretarial services A visits $ 2.68 B ►, $ 1.79 C " $ . 67 Secretarial supplies A visits $ 2.22 B '► " 1 .48 C " $ 1 .11 • ADMINISTRAfi MONTHLY REPORT Janua0l, 1991 • BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITES REPORTED 0 Diptheria,Tetanus & Pertussis 490 doses Diptheria-Tetanus Tox. (under 6 y rs. ) 45 doses BURIAL PERMITS 69 .. Immune Serum Globulin ` 13 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 MMR--Measles/Mumps/Rubella 179 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED-- $2,983.00 Polio Vaccine 440 doses CERTIFICATE OF Tetanus & Diptheria (adult use) 420 doses FITNESS $2,375.00 Tetanus Toxoid a 0 __�..,.—..__.,_ 1 ML Tuberculin P.P.D. 5 ML 120 doses - - Typhoid Vaccine 0 A.I.B. 65 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $245,537.00 $ 138,468.81 $ 107,068. 19 ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED EXPENSE REPORT: - $21 ,647.28 $6;093.04 $10,962. 16 .. . sssss�smmmmmmmmmmmmmmmmmmmmmm . 2.FOOD SERVICE INSP. 4.MOBILE/TEMP. FOOD . SERVICE INSP. 5.HOUSING 7.NO HEAT/HOT WATER COMPLAINTS 8-GENERAL NUISANCES/ TRASH 10-SWIMMING POOLS ll.BATHING BEACHES 12.SUNTAN CENTERS (WATER, SOIL, AIR- ODORS, NOISE) . HEARINGS . . . . . �■■u i��■�■■�■■■■��■o��■■■yes . . t I 4 FEB 6 1991 CITY OF SALEM TO: SALEM BOARD OF HEALTH 'F.ALTH DEPT FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF January 1991 A visits with x—ray 16 A visits no x—ray 10 B visits . 4 C visits 11 Total patients seen in clinic • 41 Number of chest x-rays- 27 SALEM HOSPITAL CHECK REQUEST . PAYABLE TO: City of Salem - Board of Health AMOUNT 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL DELIVER CHECK BY {RAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERIWSE SPECIFIED PURPOSE: Secretarial services and office supplies for North Shore • Pulmonary Clinic. A visits 26 @ $4. 90 per visit $127. 40 B 4 @ $3.27 " @ 13.08 C " 11 $1 . 78 " p $ 19. 58 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. Ell DATE FEB 199i VOUCHER NO. CITY Or SAULM v ALTH DF t ,L • Salem Hospital Billing Department SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC January 1991 A visits B visits C visits ($4. 90 ea.) ($3. 27 ea.) ($1 . 78 ea.) Total A visits - $127.40 B ft $ 13.08 C $ 19. 58 $160.06 Secretarial services A visits $ 2. 68 : B " 1 . 79 C it . 67 Secretarial Supplies FEB G , 1991 A if $ 2.22 CITY OF SALEM. B It 1.48 -P.ALTH DEPT C y 1 SALEM HEALTH DEPARTMENT 9 North Street Salem, MA 01970 • MONTHLY REPORT OF COMMUNICABLE DISEASES = FOR THE MONTH OF January 1991 * NEW CARRYOVER DISCHARGED' REPORTS TO DISEASE CASES CASES CASES STATE GIARDIA HEPATITIS 1 3 — — NEISSERIA MENINGITIDIS • SHIGELLA 1 — — — TUBERCULOSIS 1 2 — — suspected *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH �l �, . c�C..�.C',c- /JI , I LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE �' FOR THE BOARD OF HEALTH PUBLIC HEALTH NURSE REPORT JANUARY 1991 ACTIVITIES CLINICS Continued progress on plans for upcoming Diabetes Screening and Awareness Clinic CONFERENCES AND'MEETINGS ATTENDED . Attended December. Board of Health meeting picked up and maintained vaccine inventory South east Asian Immigrants: — Distributors of Diabetic Monitoring Devices Brian Wallins, Senior Administrator of Salem Hospital Cindy Neumann-Roach, Community Education Dept. at Salem Hospital Salem State College Professor, Kay Kelley Salem Community Alliance Advisory, Committee at the Center for Addictive Behaviors • ST. JOSEPH'S SCHOOL. Educational program presented to grades 5-8 (lecture and video tape) Postural Screening provided to grades 5-8 Results of Postural Screening Program Total # of Students Screened 66 Total # of Female Students Screened 41 Total # of Male Students Screened 25 Total # of Students Referred to a Physician 37 = 56% of Total Students Total # of Females Referred to a Physician 26 = 63% of Total Females Total # of Males Referred to a Physician 11 = 44% of Total Males MONTHLY REPORT Decemall, 1990 �. ADMINI8TRAT. AMOUNT I ANIMAL BITES .REPORTED 2` BIOLOGICS DISTRIBUTED AM Di'ptheria,Tetanus & Pertussis 330 doses .62. Diptheria-Tetanus Tox. (under 6 yrs. ) : 10 doses BURIAL PERMITS .. 38 doses r ' Immune Serum Globulin INTERNATIONAL y ,: CERTIFICATES (CERTIFIED) 0 Measles_• (Clinic use. onl 0 - MMR ,Mas eles/Mumps/Rubella 140 doses TOTAL CASH RECEIVED FROM ISSUED $1�280�:00. iKeToc . LICENSES.-& PERMITS _ _- . Vaccine 370 .doses Polio CERTIFICATE OF1. _ .. Tetanus & Diptheria (adult use) 5:90 doses F_ITNE ^SS $1,425_.00 +^Ilb Tetanus .Toxoid a ----- 1 ML f wt 5 250,doses Tuberculin P.P.D. ntoux) Typhoid Vaccine . 25- doses EXP_ENDED . ALLOWED BALANCE TO END OF FISCAL SALARY' REPORT: - : . 197:68 $131=51339.321 • $245,53,7 ,00 $I ]4 AS (in Ex EXPENSE REPORT: ALLOWED EXPENDED ' FREE C` H r $21,.64.7:28. $6;093.04 - $11 ,049:72 ., s • 0 ENVIRONMENTAAEALTH DIVISION MONTHLY REPORT l_ qRo YEAR MONTH S, (.-tl �` S a T � � S c •, T GtJ ; F S %?� 7- lv / , F SANITARY CODE ENFORCE 1 2 3 4 5 6 7 18 9 10 11 12 13 14 15 16 17 18 19 20 21122 23 24 25 2-6 27 28 29 30 31 TOTALS COMPLIANCE REVIEW 1-PLAN REV./SITE REV./SITE INSP. 2.FOOD SERVICE INSP. /_ 2' 3.FOOD SERV.RE-INSP. 3' I 4.MOBILE/TEMP. FOOD ° SERVICE INSP. 4-2, 5.HOUSING INSP. 15. 6.HOUSING RE-INSP. / 6' 7.NO HEAT/HOT WATER 7. COMPLAINTS 8.GENERAL NUISANCES/ 8. TRASH 3 3 9.RECREATIONAL CAMPS 911- 10.SWIMMING POOLS - 10.` .11.BATHING BEACHES 11. —. 12.SUNTAN CENTERS 12 13.ENVIRON.POLLUTION i (WATER, SOIL, AIR- ODORS, NOISE) / 13-. 14.RODENT CONTROL 14. 15.FIELD TESTING 15. .�' 16.COURT/ADMINISTRATIVE HEARINGS / 16. 17°CONSTABLE SERVICE HAND DELIVER ETC.) 17.j 18°LEAD PAINT INSPECTIONS t 18. /9 DELEADER MONITORING J' 19°SEMINARS/CONF./ 19. 6 MEETINGS J j 20°CERT. OF FITNESS INSP 21°CERT. OF FITNESS 21. �� RE-INSPECTION - f ' v4 �� Cry � • TO : SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC . MONTHLY SUMMARY MONTH OF December 1990 A visits with. x-ray 12 A visits no x-ray 9 B visits 7 C visits 4. Total patients seen in clinic 32 Number of chest x-rays 16 • • L SALEM HOSPITAL CHECK REQUEST j PAYABLE TO: . City of Salem - Board of Health AMOUNT 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWJSE SPECIFIED PURPOSE: Secretarial services and office supplies for North Shore Pulmonary Clinic. A visits 21 @ $4. 90 per visit $102 . 90 • B " 7 @ $3. 27 C 4 @ $1 .7 8 7 . 12 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE VOUCHER NO. • 1'77-40 Salem Hospital Billing Department SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC December 1990 A visits B visits CvVI sits ($4. 90 ea.) ($3.27 ea.) ($1. 78 ea. ) Total A visits - $102 . 90 B $ 22 . 89 C $ 7 . 12 $132. 91 Secretarial Services A baits $ 2 . 68 B visits $ 1 . 79 C visits $ . 67 Secretarial Supplies A visits $ 2. 22 B it $ 1 .48 C • Salem Hospital Billing Department SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLUMTC Decenuer 1990 A ,'sits�`J'c'-B'visits C visits ( $4 . 90 ea . ) ($3 : 27 ea. ) ($1 . 78 ea . ) Total A visits - $ 102 . 90 B I f ' . F 9 C it $ 7 . 12 $132 . 91 Secretarial Services A tisits $ 2 . 68 B visits $ 1 . 79 C visits $ . 67 • Secretarial Supplies A visits $ 2 . 22 B It $ 1 . 48 C $ 1 . 11 w 1, SALEM HEALTH DEPARTMENT _ 9 9 North Street Salem, MA 01970 4• MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF DE-C-EMBER-1990 -` NEW CARRYOVER DISCHARGED REPORTS TO * DISEASE CASES CASES CASES STATE CAMPYLOBACTER 1 1 2 2 HEPATITIS 2 3 1 1 SALMONELLA 1 - 1 1 TUBERCULOSIS - 2 1 - • *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH I LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH PUBLIC HEALTH NURSE REPORT DECEMBER ACTIVITIES • CLINICS Continued progress on. plans for upcoming Diabetes_ Screening and Awareness Clinic Flu Clinic held at Salem Mission for the homeless Flu Clinic statistics- Medicare Recipients 980 Non-Medicare Recipients 123 Total Recipients 1103 Estimated total cash receipts to be received from the Medicare Influenza Vaccine Demonstration Project $7,848 (# of medicare recipients X $8) Actual total cash receipts received to date from the Medicare Influenza i Vaccine Demonstration Project $4,544 CONFERENCES AND MEETINGS ATTENDED Attended November Board of Health Meeting Picked up and maintained vaccine inventory Attended Postural Screening Clinic Dr. Richard S. Eisner, Podiatrist who has agreed to volunteer his time at the upcoming Diabetic Screening and Awareness Clinic Dr. Jose h Greco Ophthalmologist who is a candidate for assisting in the P � g upcoming Diabetic Screening and Awareness Clinic Arranged meeting with Mr. Robert Bishop of the State Diabetic. Control Program Attended Mass Health Officers Meeting Scheduled meeting with Beth Newton to discuss Grant Writing Coordinated meeting with recent Tuberculosis case and contacts ST. JOSEPH'S SCHOOL Postural screening clinic scheduled for January 24th and January 29, 1991 Letter prepared to be sent to parents in January for upcoming postural screening clinic (see attached) Contacted Salem State Nursing instructor to arrange for student nurse learning experience during upcoming postural screening clinic School Audiometric equipment calibrated for first time since 1977 ,¢ l SAINT JOSEPH SCHOOL 20 HARBOR STREET SALEM, MASSACHUSETTS 01970 • January 10, 1990 Dear :Parent or Guardian: We are again offering postural screening to all students in grades 5-9 to detect early signs of possible •spinal problems. If your child has any unusual findings , you will be notified and asked to have your child seen by a physician as 'a precaution. The screening will take place: e FOR GIRLS ONLY ,JANUARY 24, 1990 ! FOR BOYS ONLY JANUARY 29, 1990 Girls are asked to wear a 2-piece bathing suit or halter and shorts under their clothing. Boys will be asked to remove their shirts. This will allow for a more accurate observation of the back. If you have any questions, contact me at 741-18o0. Sincerely`, Lori A. Silva R.N. , B.S.N. School Nurse/Public Health Nurse ------------------------------------=---------------------------------- NAME OF STUDENT GRADE OF STUDENT I grant permission for my child to be screened at school for postural abnormalities. I refer to take m p y child to my own M.D. and will return a statement of her/his findings to the school nurse. ********** PLEASE RETURN BY JANUARY 17th, 1990 TO THE SCHOOL NURSE ********** j I I I 1-1- L L i i L t__ f V tC 'I'f t l_)I t_ I t 1 f 1. ' 1 RE : Name r,f Chi Id: Date: Sc, l G ro..l de Dear Physician, : The above named child participated in the Postural Screening Program on and demonstrated the following positive signs: A II III 8 V s 9 I - A / A D C i E A-Head A-Round Chest - Shoulder B-Shoulder B Bak cY Cage Spine Hump B-Waist C-scapula C-Hip o-spine Back E-waist Hump • We would appreciate your review of the findings and recommen- dation for the management of this child in school . he bottom half of this page to the School Please return t p g Physician/Nurse detailing your findings and recommendations. Thank You. Sincerely, School Physician/Nurse --------------------------------------------------------------------------- TO BE FILLED IN BY PHYSICIAN Name of Child : School : Grade: Birth Date : Date : I have observed the following after examination of this patient . I recommend the following : • Revised 7/84 Physicians Signature/ Date: 1t CD I = Im U CD i I i r) ^' m m z - 0 C D (n -- - - - - m = m m — 1 m _ x o z I 1 I I w - -' -1------I --- — - n -- - -'�---I-- I I ---�------- I Z L 7 C Q m Co > H m � MOQTD �u,Glinl d 9.0pw ^mc�n > mC �m o k7 m D n co£CD • p co > H S C-) c d S 3 0 Cn v m S c 3 I � a i Under Current ! z Medical Treatment { Refer for rescreen z Date: Rescreening { n � Screener: Z . oate: 3 ! I I I O T o = d j I I i I o< i I I i ? a I I I i I O I C A QO O C o3 � d I i I � � � d m H•N Z. NORTH SHORE PULMONARY CLINIC Patients seen in clinic during the month of December 1990 Beverly 4 Danvers 1 Essex 0 Gloucester 1 Hamilton 0 Ipswich 0 Manchester 0 Marblehead 0 Middleton 0 r Peabody 2 Rockport 0 Rowley 0 Salem 16 Topsfield 1 Wenha.m, NerAburyport , 0 Amesbury, Etc . Others (includes Lynn, 7 Swampscott and others not listed above) Total 32 � JAB 7 199 CITY OF SALEM I - 1 AM TION MONTHLY REPORT_Noaer. 30, 1990 I BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BIDES REPORTED 2 Diptheria,Tetanus & Pertussis 28 vials Diptheria-Tetanus Tox. (under 6 y rs. ) 1 vial BURIAL PERMITS .54 Immune Serum Globulin 7 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) ----- Measles (Clinic use only) 0 MM--Measles/Mumps/Rubella 60 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 216.00 Polio Vaccine 50 doses - - CERTIFICATE OF Tetanus & Diptheria (adult use) 28 vials FITNESS $1 ,225,00 Tetanus Toxoid 0 1 ML Tuberculin P.P.D. 5 ML 13 vials Typhoid Vaccine H.I.B. 125 doses ' 1 SALARY REPORT: EXPENDED BALANCE TO EN OF FISCAL ALLOWED $245,537.00 $94,272.85 $151 ,264. 15 - ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED EXPENSE REPORT: $4, 168.92 $ 17,478.36 $21 ,647.28 .. .,.. .. �aes� o��e�e�e�eee�sse� .. . sssss . smm�mmmmmmmmmm�mmmmmmmm , 4.MOBILE/TEMP. FOOD SERVICE INSP. MENOMINEE miii . O 7.NO HEAT/HOT WATER 14-.RODENT -CONTROL �iiiir�ivnii��nii��i��iinin� • - - 8-GENERAL NUISANCES/ TRASH 9.RECREATIONAL CAMPS --mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI (WATER, SOIL, AIR- ODORS, NOISE) ' SALEM HEALTH DEPARTMENT 9 North Street Salem, MA 01970 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR JHE MONTH OF NOVEMBER, 1990 * DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES ; CASES STATE CAMPYLOBACTER 1 2 2 2 GIARDIASIS HEPATITIS — 3 — — SALMONELLA 1 — 5 4 SHIGELLA TUBERCULOSIS 1 2 — — *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MON TH R.N. LORI A. SILVA, R.N. , B.S.N. NOVEMBER ACTIVITIES • CLINICS Home visifs`�-U-derive -vaccine to handicapped and infirme wi "1 continue :thro_ughout the winter season. -�•.,� _ Initiated plans for holding a Diabetic Screening and awareness clinic. Thank you letters sent to volunteers for FLU clinics. Established date of December 6th, 1990 td administer FLU vaccine to homeless at the Salem Mission. CONFERENCES AND MEETINGS ATTENDED Continued delivery of FLU vaccine to providers, ie. Hospitals, M.D. 's, etc. Accompanied Sanitarian on Health Inspection regarding food service and hygiene Picked up vaccine and maintained vaccine inventory. Coordinated reminders for participants of T.B. Clinic and follow-up of cases. • Jack Francis, R.N. from Parker Brothers. • Nancy Taylor, M.D.P.H. Tuberculosis Department Arranged meeting with local distributors of Glucose monitors for diabetic screening. Donald Grimes, President Salem State College, Student, Nurses Association. Salem Community Alliance Advisory Committee at the Center For Addictive Behaviors. ST. JOSEPH'S SCHOOL Training in Audiometric certification obtained, certification received from M.D.P.H. Registered for. scoliosis screening certification for the month of December. Establishid plans to deliver physical exams, ie. -vision, hearing, scoliosis, etc. PUBLIC SCHOOLS Lecture to three eighth grade classes of Salem Public Schools on The Role of the Public Health Department in the Control and Prevention of Communicable Illnesses. 0�1 W9Q CITY: 4F SAIM TO: SALEM BOARD OF HEALTH -'TALTH AEA' FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF November, 1990 A visits with x—ray 14 A visits no x—ray 3 Bl' visits 10 C visits 7 Total patients seen in clinic: 34 Number of Chest X—rays 21 SALEM HOSPITAL CHECK REQUEST NOV 2 g 19M PAYABLE T0: City of Salem - Board of Health AMOUNT $128.46 9 Borth Street ACTION WANTED Salem. MA 01970 AT ONCE --- BEFORE (DATE) AS PRACTICAL DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWISE SPECIFIED PURPOSE: Secretarial services and office supplies for Borth Shore Pulmonary Clinic. A visits 17 @ $4.90 per visit $ 63. 30 B " 10 @ $3.27 " " $ 32.70 C '• 7 $1. 78 " $ 12.46 TOTAL �IZU*46 SPECIAL INSTRUCTIONS: PREPARED , APPROVED DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE VOUCHER NO. 1 .R Salem Hospital Billing Department SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC November 1990 A visits B visits C visits 17 10 7 ($4. 90 ea. ) ($3.27 ea. ) ($1 . 78 ea.) Total A visits -$ 83. 30 B visits - 32.70 C " 12.46 $128.46 Secretarial Services A visits -$ 2. 68 B visits -$ 1. 79 C fS $ . 67 Secretarial Supplies A visits-- S 2 . 22 B it1.48 C 1 . 11 II NORTH SHORE PULMONARY CLINIC Patients seen in clinic during the month of November 1990 Beverly 2 Danvers 2 Essex 0 Gloucester 1 Hamilton 1 Ipswich 1 Manchester 0 Marblehead 0 Middleton 0 e Peabody 7 Rockport 0 Rowley 0 Salem 15 Topsfield 0 Wenha.m, Newburyport , 2 Amesbury, Etc . Others (includes Lynn, 3 Swampscott and others not listed above) Total_= 14 JAN 7 1991 CITY OF SALFM ALTH DF ADMINISTRA�N MONTHLY REPORT Octobe 1990 BI,OLOGICS DISTRIBUTED AMOUNT l ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 14 Vials Diptheria—Tetanus Tox. (u.nder 6 yrs. ) 6 Vials BURIAL PERMITS 46 Immune Serum Globulin 5 Vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 MMR--Measles/Mumps/Rubella 150 Doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $145.00 Polio Vaccine 80 Doses CERTIFICATE OF Tetanus & Diptheria (adult use) 13 Vials FITNESS $1,325 .00 Tetanus Toxoid a 0 1 ML Tuberculin P.P.D. Ma 5 ML 16 Vials Typhoid Vaccine 0 H.I.B. 38 Doses SALARY REPORT ALLOWED EXPENDED BALANCE TO END OF FISCAL, $245,537.00 $71.,007.39 _ $ 174 529.61 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $21 ,647.28 $3,230.53 .$ 11 ,204 .97 TO: SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY ONTA .OF October 1990 visit with :-ray 12 A visits no s-ray 12 B visits C visits 11 Total patients seen in slink 39 Number of Chest x-rays 23 i ' I i i NOV 5 , 1990 I CITY OF SALEM TR-ALTH DEPT i i i f y i f �_ I SALEM HOSPITAL - OCT 3 1 1990 CHECK REQUEST PAYABLE TO: City of Salem - Board of Health AMOUNT 9 North Street ACTION WANTED Salem, MA 01970 . AT ONCE BEFORE (DATE) AS PRACTICAL DELIVER CHECK BY MAIL HAND CHECK DRAWN ON I o ? GENERAL FUND REGULAR ACCOUNT UNLESS OTHERUME SPECIFIED PURPOSE:Sscretarial services and office supplies for North Shore Pulmonary _ _ Clinic. A visits 24 $4. 90 per visit 117.� H_�t�•{r• 4 Q $337 a 13.08 C visits 11 $1.78 " " 19.58 TUTAL • .26 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE NOV 5 , 1990 VOUCHER NO. STY, OF SALEM -TRALTH DEFT' Salem_Hospital Billing Department J SERVICE$ (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC October 1990 A visits B' visits C' visits 24 4 11 ($4,90 each) ($3.27;! ea. ) '($1 . 78 ea.) Total A visits - $117. 60 B visits - 13.08 C visits - 19. 58 $150.26 Secretarial Services A visits - $2. 68 B visits - $1. 79 C visits - $ . 67 • Secretarial Supplies A visits $2. 22 B visits - $1 .48 C .v.isits - $1 . 11 NOV 5 , 1990 CITY OF SALEM TFALTH DEPT ENVIRONMENTALWEALTH DIVISION MONTHLY REPORT ° Oc�o �t YEAR. MONTH m w 5 -r T F 'S r�'� ✓7- F S S li'1 �T l.0 "�" r- S 5 rn -r z t•` s SANITARY CODE ENFORCE 1 2 3 4 5 6. 7 8 9 10111 12 13114 15 16117 18 19 20 21- 22. 23 24 25 26 27 28 29130131 TOTALS COMPLIANCE REVIEW 1-PLAN REV./SITE INSP. 2.FOOD SERVICE INSP. 3 62 / 2` 3.FOOD SERV.RE-INSP. 3• 13 4.MOBILE/TEMP. FOOD 4. SERVICE INSP. < S.HOUSING INSP. / oZ / 5' 6.HOUSING RE-INSP. 6' 7.NO HEAT/HOT WATER 7. COMPLAINTS 8.GENERAL NUISANCES/ 8. TRASH I / a 9.RECREATI0NAL CAMPS "' 9-` -' 1O.SWIMMING POOLS 10. — ll.BATHING BEACHES 11. 12.SUNTAN CENTERS / 12. 13.ENVIR0N.POLLUTION (WATER, SOIL, AIR- ODORS, NOISE) 1 / 3 13. l 14.RODENT CONTROL 14. 15.FIELD TESTING 15. -- 16.COURT/ADMINISTRATIVE , HEARINGS 07 "f� 16. 17.CONSTABLE SERVICE 17• HAND DELIVER ETC.) I 118. / 19.SEMINARS/CONF./ 119 • /0 MEETINGS / ) 1 ; / 20.CERT. OF FITNESS INSP 1 oZ 0 21.CERT. OF FITNESS 21. RE-INSPECTION i SALEM HEALTH DEPARTMENT `9 North Street Salem, MA 01970 r MONTHLY REPORT-OF COMMUNICABLE DISEASES �- FOR THE MONTH OF October, 1990 * DISEASE NEW CARRYOVER DISCHARGED REPORTS TO • CASES CASES CASES STATE i CAMPYLOBACTER - 2 2 2 GIARDIASIS 1 - 4 4 HEPATITIS 2 1 - - SALMONELLA. 0 5 0 0 • SHIGELLA 1 - - - YERSINIA *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH R n/ LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH y OCTOBER ACTIVITIES CLINICS Coordinated Annual Influenza Clinics (see Attached)_ MEDICARE NON-MEDICARE; TOTAL FLU -CLINIC "RECIPIENTS -RECIPIENTS RECIPIENTS 10/23/90 Council on Aging 590 131 721 10/30/90 27 Charter Street 305 36 341 Combined clinic participation 895 167 1062 Salem Hospital is following-athose participants who were unable to attend above clinics Home bound recipients to be. given flu vaccine by the Public Health Nurse in November via home visits Implemented the Medicare Influenza Vaccine Demonstration Project Delivered 2,160 doses of influenza vacine monthly usa a re orts and supplies > > Y g P � PP to 15 vaccine providers city wide CONFERENCES AND MEETINGS ATTENDED • October Board of Health Meeting Steve Zisson, Salem Evening° News (see attached article, October 10, 1990) Salem State College Nursing Students, Community rotation observation Judy Fury, Council on Aging and Carol McGown, 27 Charter Street, personnel Coordinated reminders for participants of T.B. Clinic Attended North Shore Pulmonary Clinic at the Salem .Hospital Ester Chase, Mary Jane Thomas, Karolyn Jernigan and Dr. Kirpatric Seminar on the Treatment of Lung Disease at Atlanticare (Union Hospital) The 4th Annual Tuberculosis Conference The 23rd Annual Health Conference Transferred files from the ;Salem Visiting Nurses Association ST. JOSEPH'S SCHOOL Training in vision screening obtained, certification received from the M.D.P.H.. Inquiries made in reference to the need for calibration of the S.H.D. audiometers Appointment for Audiometric Certification made for the month of November, 1990 All Students in complience with the state immunization requirements PUBLIC SCHOOLS Arrangements were made with the Salem Public Schools to provide three talks to three eighth grade classes on The Role of the Public Health Department in the Control and Prevention of Communicable Illnesses. 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Council on Aging, 5 Broad Street October 30 9 a.m. - 12 noon at 27 Charter Street Housing Complex For information call Salem Health Dept, 741-1800 A free service to persons 65 years old or older and to people with chronic heart,. lung, kidney disease or diabetes, or providers of care to those with these chronic diseases. Please bring your Medicare card. For those who cannot attend either clinic, Flu Vaccine will be available by appointment only at Salem . Hospital's Ambulatory Care Center Clinic. Hours,Monday-Friday(mornings only)from November 1-16. For appointments,call Salem Hospital at 741-1215,ext.3515. I ` y Health ,Dept. sponsors flu clinics SALEM—The Health Depart- tweeh 8 a.m.and noon.^'To'r an'ap ment, in cooperation with the . ppointment, call, 741-1215, ext. Ambulatory Care.Center at Sa- 3514: lem Hospital, will hold fiu clinics ' for groups or persons;subject to.a The Health Department warns higher risk of contracting the flu; some people to coeck.with a phy- sician before taking the5nfluenza- Health Agent Robert E. Blenk- vaccine-Persons who ace ill and.! horn said au shots are offered; have a fever should delay the vac-,. free each year for protection cinel until the fever ind other,:' against the influenza strain ex-; temporary symptoms are gonei pected to strike this season. This, years flu strains are A�Taiwan, The vaccine is not recom- A-Shanghai and B-Yamagata.Al- mended for persons with allergy; though the composition of of this to eggs:and to anyone;.who has year's vaccine resembles that of been paralyzed .with Guillain ! last year's, the A-Shanghai..com- J Barre Syndrome, nor.for.women who might be or are pi for un- ponent is different.'- ..,. less they:are in a high-c1sk,cat: The Health.Department recom- ,egory and.are not in.theit.0q.f ti�i- mend$ the.following groups be, mester:�.:.; ;T - immunized: healthy people over ? ? �. • 44 age ft especially those yho are People,over age 65 are as><dd to.� clustered in elderly care facili- -briAB-ti �Medicare •Identifleaa ties;people of all ages with chro- Lion cat 7;�; 8e gift will be&W nic :lung and heart problems. to wall this 'C�eeeiving the vaechi those with diabetes or kidney dis :`•" '`� ease,and medical personnel hav-. Trans)Qortation .to clinics ing 'extensive contact with high-. be �by calling the Sale. risk patients. . Council,bn'Aging at 744-0�24 two: days- p ibr Ao the clinic. The first•clinic will be.- held Questloi4sibout the cuides'.16:.. from 9 a.m.to noon Tuesday.Oct. answered.by calling •the Health 23, at- the Council on Aging, 5 Department at 741-1800 and Pub- -$road St.The second will be from •lic Health'Nurse Lori Suva. 9 a.m.to noon Tuesday,Oct.30,at 27 Charter St. In addition,during the first two weeks of November, by appoint- "•. .ment only, the Salem Hospital Ambulatory Care Center clinic , will provide innoculatios be- i . NORTH SHORE PULMONARY CLINIC Patients seen in clinic during the month of October 1990 Beverly S Danvers 1 Essex 0 Gloucester 0 Hamilton 0 Ipswich 1 Manchester 0 Marblehead 2 Middleton 0 Peabody 8 Rockport 0 Rowley 0 Salem 12 ' Topsfield 0 Wenham, Newburyport , 1 Amesbury, Etc. Others (includes Lynn, ' Swampscott and others not listed above) Total 39 JAN i 1991 CITY of SALIM �-NT TV. DFIc" AD *IIC-R.A ZO� ".ONTHLY REPORT SEPTEMBE) 1990 ?i0L•CGiCS I'iSTRI3L" D P1±OI?;T ANIMAL BITES REPORTED ni-ctheria ,Tetanus & Pertussis 23 VIALS 'i nt?:eria-Tetanus Tex. (un 6 VIALS BURIAL PERMITS 51aer 6 yrs . ) -.----------. -- -- --------- lm une Serum Globulin 9 VIALS INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 0 '±Easles ( 1 : , s 1 r "easles/"umms/Rubella, 244 DOSES TOTAL CASH RECEIVED FROM -- LICENSES & PFRMITS ISSUED $237.00 530 DOSES Polio 'Jacci ne ----- -- ----- _... - CERTIFICATE OF 1 Tetanus & Dititheria (adult use) 14 VIALS FITNESS $3,825.00 Etarus Toxoid abs O 1 ?- 22 VIALS Tuberculin P.P. D. 5 tfL ' y-_Dhoid 'Vaccine 0 H . I .B . 0 ( _ YTD EXPENSES ENCUMBERED AVAILABLE BALA`+CF SALARY/LONGEVITY : ANNUAL BUDGET 7-7 EXPENSES -- $193,238. 17 $245,537.00 $17,439.85 $52,298.83 YTD EXPENSES EXPENSES ENCUMBERED t AVAILABLE BALANC __._ NON-PERSONNEL ANNUAL BUDGET $13 389.77 $.6 579. 12 ? $21;647.28 $875- 95 $1 ,678.39 .'.,.. ! ! f! . • •' ��mmmmmmmmmmmmmmmmmmmmmm . � iii omniiiiimmiiiiinwiiiiu�uiii - ; SALEM HEALTH DEPARTMENT - 9 North Streit Salem,MA 01970 MONTHLY REPORT OF COMMUNICABLE DISEASES = FOR THE MONTH OF` SEPTEMBER,1990 NEW CARRYOVER DISCHARGED REPORTS TO * DISEASE CASES CASES CASES STATE CAMYLOBACTER 1 3 - GIARDIASIS 2 HEPATITIS B • SALMONELLA - 5 - - YERSINIA *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT B> EN IDENTIFIED DURING THIS MONTH • fu C& a. � � LORI A. SILVA, R.N. , B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH ay coo°'�if CONTACT LOR L. S L LVA,R.N. ,Ii.S. r4 •r Sa Lein. Pub L is Ilea L th Nurse ' 74 1-1800 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Stroet ROBL=RT E. BLENKHORN Salem. Massachusetts 01970 HEALTH AGENT 508-741-1600 C CfY OF SALEM ANNUAL INFLUENZA (FLI1) LMMUN L%A'1'ION CLINICS SALEM REAL'lIC AgPNr (!"or the BOARD OF IIF,Aul:0 KOBERT F. BLENKHQRN,C_11 .0 IN COOPERATION G7rm THE AMBULATORY_ CARE CENTER CLINIC OF SALEM SOSPITAL ANOUNCE THE .FOLLOWING FLU CLINICS : TUESDAY, OCTOBER. 23, 1990 9am to 12 noon SALEM COUNCIL OF AGING 5 BROAD ST. TUESDAY, OCTOBER 30, 1990 9am to 12 noon CHARTER STREET HOUSING 27 CHARTER ST. • The first two weeks in November Sam to 12 noon SALEM HOSPITAL AMBULATORY CARE By appointment od'ly —call 74 1-12 15 X3514 CENTER CLINIC r- FLU shots are offered free each year for protection against the influenza strain expected to strike this season. This year's flu strain contains: A/Taiwan, A/Shanghai, B/Yamagata. Although the composition of this year's vaccine resembles that of last year, the A/Shanghai component is different. The Public Health Department recommends the following groups be immunized: healthy people over 65, especially those who are clustered in elderly care facilities, people of all ages with chronic lung and heart problems oc those with diabetes or kidney disease, and medical personnel having extensive contact with high risk patients along; with providers of care to ,high risk persons in the home SeEting ( includin); volunteers and family members) _ WARNING ; Some people should check with physician before taking influenza vaccine;: '!hose persons who are 1.11 and have a fever should delay vaccine until the fever and other temporary symptoms have gone. vie vaccine is not indicated . for persons with allergy to eggs and to anyone who has-ever been pa_raLyzed with Guillain Barre Syndrome, as well as women who might be or are pregnant, unless they are in a high—ri.sk category and are not in their first trimester. IMPOR'L'ANT: FLU VACCINES ARE ADMINISTERED FREE OF CHARGE. PEOPLE OVER • 65 AND OVER ARE ASKED 'I'0 BRING THEIR MEDICARE IDENTIFICATION CARD. A free gift will be given to all those receiving the flu vaccine. Transportation to clinics may be arranged by calling the Salem Council On Aging �. at 744-0924 2 days prior to the clinic date. Questions about the clinl,.cs /fi t✓ can he answered by calling the Salem Ileal.th Department at 741-I800. • SEPTEMBER ACTIVITIES :. CLINICS Dates established for the Annual Influenza Immunization Program Press release brought to The Salem Evening� News ( see attached) CONFERENCES AND MEETINGS ATTENDED = i September Board of Health meeting Cholesterol; Cardiovascular Program A Leadership Call To Action: AIDS/HIV On The North Shore Mayor Neil Harrington Elaine Bledsoe, R.N. for the Lynn Board of Health • Robert Goldstein, Epidemiologist for the M.D.P.H. and Coordinator for FLU program Maria Pia Sanches, Epidemiologist for Regional Health.-Office (Northeast) Karolyn Jernigan, R.N. , Salem V.N.A. Salem Hospital Department heads, RE: Influenza Immunization Program collaboration Salem State College Student Nurses- Community rotation observation ST. JOSEPH'S SCHOOL Meeting with Sister Alice State form for Childhood Immunizations completed and sent Pediculosis screening for Grade 1 was conducted. One case was noted. Student case was treated and discharged following follow-up evaluation • q d�Cic rc !1.AV, • TO: SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF September 1990. . A visits with x-ray 15 A visits no x-ray 8 B visits 4 C visits 5 Total Patients seen in clinic , 32 Number of Chest x-rays 20 OCT 9 1990 • 'CITY OF SAUM .1�LTH DES, SALEM HOSPITAL CHECK REQUEST • PAYABLE T0: City of Salem - Board of Health AMOUNT 9 North ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWJSE SPECIFIED PURPOSE: Secretarial serQices and Office supplies for North Shore • Pulmonary Clinic. A visits 23 @ $4. 90 per visit $112. 70 B visits _4 0 3.27 " • $ 13.D8— - C visits 5 @ 1 . 78 8. 90 TOTAL $134. 68 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE. PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE VOUCHER NO. i� ..y w� • Salem Hospital Billing Department SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC September 1990 A visits B visits C visits 23 4 S ($4.90 per visit) ($3.27 each) ($1. 78 each) TOTAL A visits — $112.70 B " 13.08 C to 12.46 Total $i� 3 g Secretarial Services • A visits - $2. 68 B visits - $1. 79 C visits - $ .67 Secretarial Supplies A visits - $2. 22 B to $1*48 C b O C T 9 1990 CITY OF SALEM '77ALTH DEW" ADMINISTRATION MONTHLY REPORT August 31, 1990 ---- BIOLOGICS DISTRIBUTED---- - AMOUNT I ANIbSAL BITES REPORTED 3 Diptheria,Tetanus & Pertussis 35 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 2 vials BURIAL PERMITS 57 Immune Serum Globulin 0 vials INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED) Measles (Clinic use only) 0 ----- — --------- ----- - 121M -Measles/Mumps/Rubella 302 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $240.00 Polio Vaccine 530 doses CERTIFICATE OF Tetanus & Diptheria. (adult use) 61 vials FITNESS 1,625.00 Tetanus Toxoid (absorb 0 1 ?/m Tuberculin P.P.D. Ma 5 ML 24 vials Typhoid Vaccine 0 H. I .B . 0 AVAILABLE BALANCE SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED $210,678.02 $245,537.00 $ 17,437.69 $34 ,858.98 ^----—_ - NON-PERSONNEL ANNUAL BUDGET EXPENSES YTD EXPENSES -ENCUMBERED AVAILABLE BALANCE $6,960.57 $13,884 .27 $21 ,647 .28 $802.44 $802.44 • ENVIRONMENTAL HEALTH DIVISION MONTHLY REPORT • YEAR MONTH VJ T S S M T W rM T �iJ T f M r `�"W T. vt1 IT F SANITARY CODE ENFORCE 1 2 3 4 5 6 7 8 9 10111 12 13 14 15 16 17118 19 20 21 22 23 24 25 26 27 28 29 30 31 TOTALS .OMPLIANCE REVIEW - G} 'LAN REV./SITE INSP. ' ' I ' ' 1' =00D SERVICE INSP. 2' I Z ' FOOD SERV.RE-INSP. 3• 3 ,10BILE/TEMP. FOOD 4. SERVICE INSP. Z 5. iOUSING INSP. 1 6. _ Z iOUSING RE-INSP. Z f �. 1 _IO HEAT/HOT WATER SOMPLAINTS 7' JENERAL NUISANCES/ 3 ?) C) 5 3 3 2- ` , Z 8. S I TRASH RECREATIONAL CAMPS 1 1 9. SWIMMING'POOLS 0. 3ATHING BEACHES ( - 1I 11 11' 3 3 SUNTAN CENTERS 12' - -- SNVIRON.POLLUTION ' I � ' , 2- � I ! (WATER SOIL, AIR- 13., ODORS, NOISE) 14. RODENT CONTROL FIELD TESTING 15. COURT/ADMINISTRATIVE t 1 16. HEARINGS CONSTABLE SERVICE 17. HAND DELIVER ETC.) I tvDMIPAX Kq'm n'G'Z IL vftoNs L" 118. SEMINARS/CONF./ ' 1 Z ' 1 1 ` 19. HEETINGS CERT. OF FITNESS INSP � � 5 � � � � � � CERT. OF FITNESS 1 'Z 1 21. S RE-INSPECTION r TO: SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF August 1990 A visits with x-ray 11 B. visits/ no x-ray 9 B visits. 14 C visits 7. . Total Patients seen in clinic 41 Number of Chest X-rays .18 • �F? 1990 CITY: OF SALEM DEP"" SALEM HOSPITAL - CHECK REQUEST PAYABLE TO: City of Salem - Board of Health AMOUNT 9 North Street ACTION WANTED Salem, MA 01970• AT ONCE BEFORE (DATE) AS-PRACTICAL DELIVER CHECK BY MAIL HAND = CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWISE — SPECIFIED PURPOSE: Secretarial services and office supplies for North Shore Pulmonary Clinic-. A visits 20 M- t4 . 90 per visit - $ 98. 00 • B visits 14 @ $3. 27 e S 45. 78 C visits 7 ? $1 .73 $ 12 . 46 TOTAL- $156. 24 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT v AMOUNT CHECK NO. DATE _ VOUCHER NO. 17 M 1; M. Salem Hospital Billing Department SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC August 1990 A visits B visits C visits 20 14 7 ($4 . 90 each) ($3.27 ea.) ($1 . 78 ea.) TOTAL A visits - $98.00 B ff45. 78 C it 12.46 TOTAL $156.24 Secreatarial Services A visits - $2. 68 • B " $1 . 79 C $ . 67 Secretarial Supplies A tisits $2 . 22 B $1 .48 C $1 . 11 • MONTHLY REPORT July 0, 1990 ADMINIvITZON f - — BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 5 — Diptheria,Tetanus & Pertussis _ 35 vials _ Diptheria-Tetanus Tox. (under 6 yrs. ) 1 vial BURIAL PERMITS 60 Immune Serum Globulin 22 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 -- MMR--Measles/Mumps/Rubella 324 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED" " $` 353.00 Polio Vaccine 370 doses CERTIFICATE OF FITNESS $1,325.00 Tetanus & Diptheria (adult use) 57 vials r � Tetanus Toxoid ab 0 _ 1 ML Tuberculin P.P.D. Ma 5 ML 8 vials Typhoid Vaccine 12 doses H.I.B. SALARY REPORT: ALLOWED EXPENDED BALANCE TO 70D OF FISCAL $245,537 .00 $ 17,421 .29 l- _ - $228, 115.71 EXPENSE REPORT: '! ALLOWED EXPENDED FREE CASH (includes) $21 ,647.28 $8,234.86 $13,412.42 I •' �� • mmmmmm' mm' mmmmmmmm' mmmmm off , I . ' IvO� 0111��11111��vi0�a��le , AUG 1990 TO: SALEM BOARD OF HEALTH CITY OF SALEM FROM: NORTH SHORE PULMONARY CLINIC HEALTH DEPT• MONTHLY SUMMARY MONTH OF JULY 1990 A visits with xray 15 A visits /no xray -7 B visits. .1.0. . C visits 3 Total Patients seen in clinic 35 Number of Chest xrays 18 • • SALEM HOSPITAL CHECK REQUEST •, PAYABLE TO: City of Salem - Board of Health AMOUNT $14 5 . 8 4 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) A PRACTICAL _ DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWJSE SPECIFIED PURPOSE: Secretarial services and office supplies for North Shore Pulmonary Clinic . A vis.tis. 22 @ $4 . 90 per visit = $107 . 80 • vi.si.ts 10 @ $3 . 27 " " = 32 . 70 C visits 3 @ $1 . 78 = 5 . 34 TOTAL 5 . SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE _ PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE VOUCHER NO. fl-aE9 I ate. SALEM HOSPITAL BILLING DEPARTMENT SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC JULY 1990 A visits B visits C visits 22 10 3 (.$4. 90 per visit) ($8 . 27 per visit) ($ 1 . 78 per visit) TOTAL A visits - $10.7 . 80 B 32 . 70 C - 5 . 34 Total $145 . 84 Secretarial Services A visits - $2 . 68 B it, $1 . 79 C if $ . 67 Secretarial Supplies. A vis.its $2 . 22 B. ". $1 .48 C �W i NORTH SHORE PULMONARY CLINIC Patient seen in clinic during the month of July 19.90 3-4 Beverly 3 Danvers 0Essex Gloucester 1 1 SEP -, 1990 Hamilton 0 CITY OF SALEM Ipswich. 0 -TRALTH DLPr Manchester 0 Marblehead 2 Middleton 0 Peabody 3 • Rockport 0 Rowley 0 Salem 18 Topsf ield 0 Wenh.am 1 Newburyport , Amesbury, Etc. Others ('includes. Lynn, 6 Swampscott, and others not li.s:ter above) 9 1990 TO : SALEM BOARD OF HEALTH QTY OF GALEM FROM: NORTH SHORE PULMONARY CLINIC :1EALTH DEP'1`_ Reimbursements to Salem Board of Health for secretarial duties and office supplies beginning September 1989 and ending June 30, 1989 . September 1989 thru December 1989 total : $ 497 . 18 January 1990 174 . 62 February 1990 142 . 53 March 149 .43 April 167. 78 May 162 . 62 • June 157 . 52 $1451 . 68 Total reimbursements : $1451 . 68 . • • AD MIN TSTP,ATION MONTHLY REPORT June 30, 1990 � IBIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pgrtussis 47 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 1 vial BURIAL PERMITS 59 Immune Serum Globulin 0 INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED) Measles (Clinic use only) 0 MtQR--Measles/Mumps/Rubella 180 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 438.00 Polio Vaccine 390 doses -- Tetanus & Diptheria (adult use) 58 vials CERTIFICATE OF FITNESS $1,775.00 Tetanus Toxoid (absorbed) 0 ...... 1 ML Tuberculin P.P.D. Ma ` 5 ML 7 vials Typhoid Vaccine 0 H.I.B. 8 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $215,594.57 $215,317.68 $276.89, EXPENDED FREE_ CASH (includes) ENCUMBERED EXPENSE REPORT: ALLOWED • ENVIRONMENTAL HEALTH DIVISION MONTHLY REPORT YEAR MONTH SANITARY CODE ENFORCE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 TOTALS COMPLIANCE REVIEW - 1-PLAN REV./SITE INSP. ' f I l 1• l 2.FOOD SERVICE INSP. f I / / 2• 3.FOOD SERV.RE-INSP. _ � o� 3• 4.MOBILE/TEMP. FOOD SERVICE INSP. / 4• S.HOUSING INSP. / / / 5• 6.HOUSING RE-INSP. % 6. 7.NO HEAT/HOT WATER COMPLAINTS 7• 8.GENERAL NUISANCES/ TRASH 3 a 318. 9.RECREATIONAL CAMPS _ 9• lO.SWIMMING POOLS a / 10. ll.BATHING BEACHES 11. 12.SUNTAN CENTERS 12. 13.ENVIRON.POLLUTION j(WATER, SOIL, AIR- I f I 13. a ODORS, NOISE) 14.RODENT CONTROL 15.FIELD TESTING 15. 16.COURT/ADMINISTRATIVE HEARINGS %- a2 02 16. 17.CONSTABLE SERVICE / 117. HAND DELIVER ETC.) 18.SURVEY, RECALLS ^ MONITORING l j� j l 118. p� 19.SEMINARS/CONF./ / 19. �S MEETINGS r / 1� 20.CERT. OF FITNESS INSP ' _ 17 j 0• 21.CERT. OF FITNESS / 7721. 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 Jernigan DATE: July 2, 1990 RE June Statistics COMMUNICABLE DISEASES The following is a report of the identified foodborne illnesses for the month of June: Typhoid Fever New Cases 0 Carryover Cases 1 This patient has completed antibiotic therapy and will be cleared to resume foodhandling after second negative culture has been received. • Salmonella New Cases 0 Carryover Cases 1 Discharged Cases: 3 Reports to State: 3 The remaining carryover rase will be discharged when documentation of follow- up culture is received. Girardia_ New Cases 0 Carrvover Cases 0 Discharged Cases: 2 Reports to State: 2 The following is a report of other reportable illnesses for the month of June: Heepatitis_B New Case . 1 Carrvover Cases 0 Attempts to locate this patient by means of letters and a home visit have been unsuccessful . )0 .r° m Mumps • New Case 0 Discharged i Tuberculosis New Case i Carrvover Cases 2 A home visit revealed that the new rase is no longer a Salem resident. The Public Health Nurse in a neighboring community was contacted. The following is a report of persons treated for exposure to T.B. Number of clinics at V.N.A. 2 Number of work-site clinics held: 2 Total number tested 13 (Negative: 12 Positive: 1) Total number of Salem residents evaluated at North Shore Pulmonary Clinic: 17 Ms. Jernigan continued to fill the position of clinic nurse for the T.B. Clinic on Tuesdays at Salem Hospital. • COMMUNITY PROGRAMS Blood Pressure Screening Clinics Follow-up clinics were held for those persons screened in May who had elevations greater than 140/90. Three clinics held (Fire Station, Police Station, City Hall) 4 persons requested initial screening 19 appointment reminders mailed for follow-up screening 8 persons kept rescreening appointments St. Josephs' s School All components of the 89-90 health program have been completed. HIV/AIDS Update ., Ms. jernigan ai.tenr'ea the June, 6th meeting of the North Shore AIDS Coaiition . immigration Servires Referrals Received: 2 • These persons are parents of the person referred in May. A home visit i:as been made and follow-up is in progress. 4, • T0: SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY _ 0�r JUN 2 9 1990 MONTH OF JUN;E :19.910L, CITY of WO, A visits with. x—ray 2.1: HEALTH, DEFT A visits / no B visits. . . . . . . . . 8. . . C visits , . . . , .5. . . Total patients- seen in clinic 3.8., Number of Chest X—rays taken 26: ; • ✓; A SALEA HOSPITAL •�' CHECK REQUEST PAYABLE TO: City of Salem - Board of Health AMOUNT $157 52 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWJSE SPECIFIED PURPOSE: Secretarial services and office supplies for North Shore Pulmonary Clinic . A Visits 25 @ $4. 90 per visit - $122. 50 • B Visits 8 @ $3 . 27 per visit - $ 26. 12 C Visits 5 @ 1 . 78 " " - 2 8. 90 Total- $157 . 52 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE. PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE � 9 1990 VOUCHER NO. 1=1 CIF.. MTYA- FMALTH DEFT' 174.99' • NORTH SHORE PULMONARY CLINIC Patients seen in clinic during the month. of June; 19�90 _ 38. Beverly 1 Danvers 2 Essex 0 Gloucester 0 Hamilton 0 Ipswich 2 � � � Manchester 0 JU�1 2 9 1990 Marblehead 0 'CITY 6F S.ALEM_ Middleton 0 HEALTH DEPT' Peabody 6 Rockport 0 Rowley 0 Salem 21 Topsfield 0 Wenh.am 1 Newburyport , Amesbury, etc . 1 Others (includes r Lynn, Swampscott , and others not listed above) DMINIST ION MONTHLY REPORT May 31, 1990 A r. BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 25 vials Diptheria-Tetanus Tox. (under 6. yrs. ) 0 BURIAL PERMITS 69 K. Immune Serum Globulin 7 vials INTERNATIONAL, TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only 0 h24Y--Measles/Mumps/Rubella 50 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $369.00 Polio Vaccine 150 doses - 8 vials CERTIFICATE Tetanus & Diptheria (adult use) OF FITNESS $2,350.00 Tetanus Toxoid (absorbed) r 1 ?III, +--- --------- � a Tuberculin P.P.D. Ma 5 ML 27 vials Typhoid Vaccine 0 H.I.B. 0 EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED $215,594.57 $197,399.83 $182194.74 EXPENDED FREE CASH (includes) ENCUMBERED EXPENSE REPORT: ALLOWED $79,866.29 $702727.76 $9,138.53 y ENVIRONMENTAL HEALTH DIVISION MONTHLY REPORT -'v YEAR MONT W � 7� P11 T T� SANITARY CODE ENFORCE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 TOTALS :OMPLIANCE REVIEW - 1 ILAN REV:/SITE INSP. . 'OOD SERVICE INSP. i 1 L/ 1 / a 2' FOOD SERVAE-INSP. / 1 / 5' / / R .2 13. . .AOBILE/TEMP. FOOD j VICE P. / 14. S iG INSP. a ► a I CA. 15. HOUSING RE-INSP. / / 6• NO HEAT/HOT WATER SOMPLAINTS 7' JENERAL NUISANCES/ / a 8• IVY TRASH o'. r t� 9• -- RECREATIONAL CAMPS SWIMMING:POOLS 110. S . BATHING 4EACHES 111. _- SUNTAN CENTERS / 12. ENVIRON.POLLUTION (WATER, SOIL, AIR- ' )DORS, NOISE) 13. RODENT CONTROL / / 14. . FIELD TESTING 15. COURT/ADMINISTRATIVE HEARINGS j J 7 16. CONSTABL ' SERVICE HAND DEI:IVER yETC.) � / � / 17. leN-IOING L��D 18. SEMINARS/CONF./MEETINGS / �' 19. S CERT. OF FITNESS INSP 3 I 3 7 3 77/ 21.0 RT. OF FITNESSRE-INSPECTION M• I - HOME CARE ' GROUP o f -0 h 'V N 0'`r-t-fi.- S_fi"0 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 Jernigan DATE: June 4, 1990 RE May Statistics • - s COMMUNICABLE DISEASES The following is a report of the identified foodborne illnesses for the -month of May: Typhoid Fever New Case 1 Report to State: 1 Summary: This 30 year;,pld male foodhandler is a native of India and during 3 1/2 month visit there developed symptoms of fever, malaise, and a dry rough. Upon return to Salem he sought medical treatment - his blood culture - tested positive for S. typhi. He has been excluded from foodhandling at a local restaurant and has completed a 14 day course of antibiotic therapy. Negative cultures and cAquired in order for" him to resume foodhandling. Four other cases of typhoid fever have been identified in Massachusetts - all associated with lappas, a type of shellfish usually eaten raw. These rases have all required hospitalization and appear to be unrelated to the Salem case. Campylobacter New Case 1 Discharged Case: 1 .. Report-to State: 1 Summary: , The new case is not employed in daycare or foodhandling, has been successfully treated with an antibiotic and is therefore able to be discharged. Salmonella New Case 0 Carryover Cases: 4 Girardia New Case 0 Carryover Cases: 2 The following is a report of other reportable illnesses for May: New Case 1 Report to State: 1 Summary: This 26 year old male is one of eight rases of mumps reported on the North Shore. He was excluded from work from date of onset until non- contagious but had already exposed a large group of people at an anniversary party, one of, whom has subsequently contracted mumps even though properly immunized. This case's 13 month daughter, previously unimmunized (mumps immunization is recommended at 15 months) was exposed but received. mumps vaccine and has passed through the incubation period without signs or symptoms of mumps. Tuberculosis New Case 0 Carryover Cases: 2 The following is a report of persons treated for exposure to T.B. Number of clinics at V.N.A. : 3. Total number tested 8 (Negative: 8 Positive: 0) Total number of Salem residents evaluated at North Shore Pulmonary Clinic: 9 Ms. Jernigan continued to fill the position of clinic nurse for the T.B. Clinic .on Tuesdays at Salem Hospital • COMMUNITY PROGRAMS Blood Pressure Screening Clinics In observance of May as National High Blood Pressure Month, Blood Pressure Screening Clinics were offered to the Fire, Police and Municipal employees with the following results: 7 clinics held 128 total persons screened 23 over 140/90 - to be rescreened 10 on medication - under M.D. care 105 AQ/90 and below 5 on medication - under M.D. care St. Joseph's School Postural screening for sc.oliosis was conducted in grades 5,6,7 and 8. Parents were given the option of having their child screened at school or by their own M.D. 64 total screened 4 referred to M.D. for further evaluation HIV/AIDS Update . a . lts.._ Jernigan attended tke May meeting_of _theeMassarhusgtts=North."6hore Leadership Conference on HIV/AIDS. On May 2, she also attended the first meeting of the North Shore AIDS Coalition. (A copy of the report of the mee� was forwarded to Dr. Ingraham) . Immigration Services Referral Received: 1 The name of a person from the U.S.S.R. was received but as of yet has not been located for follow-up. t 4 • • TO : SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF May 1990 A visits with x-ray 20 A visits / no x-ray 3 B visits 12 C visits 6 Total patients seen in clinic 41 Number of Chest" X-fays taken 26 V J" 2- 1990 CITY OF SALEM 'TEALTH DEPT 14 NORTH SHORE PULMONARY CLINIC Patients seen in clinic during the month of May 1990 = 41 Beverly 4 Danvers 4 Essex 1 Gloucester 1 Hamilton 1 Ipswich Manchester Marblehead 1 Middleton Peabody 9 Rockport Rowley • Salem 13 Topsfield 1 Wenham Newburyport , Amesburty , etc . Others 3 - (this No . includes Lynn, Swampscott , and others not listed above) • A ril� 1990 • ADMINISTRATION MONTHLY REPORT P BIOLOGICS DISTRIBUTED AMOUNT ) ANIMAL BITES REPORTED 2 Diptheria,Tetanus & Pertussis ?. 33 vials Diptheria-Tetanus Tox. (under 6 y rs. ) 5 vials BURIAL PERMITS 51 Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) DQIR--Measles/Mumps/Rubella 110 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $175.50 Polio Vaccine 43 — Tetanus & Diptheria (adult use) 45 vials CERTIFICATE OF FITNESS $2,250.00 Tetanus Toxoid (absorbed) 0 --_..__-- ----_..___..-----.---------- _— ---_--.. Tuberculin P.P.D. 5' ML 2 vials Typhoid Vaccine 0 H.I.B. 0 .r SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL- $215,594.57 $176,498.18 — $39,096.39 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $79,866.29 $66,267.53 $13,598.76 • ENVIRONMENTALQALTH DIVISION MONTHLY REPORT • Apa, / H N YEAR ONTH S M T cu "R S SI r-1 `f w R I F S S V►1 T LvIk F S r W RIFIS S M SANITARY CODE ENFORCE 1 2 3 4 5 6 17 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26127128 29 30 3 TOTALS COMPLIANCE REVIEW - 1•PLAN REV./SITE INSP. a \ 1. f� 2.FOOD SERVICE INSP. 3 / 2. / 3.FOOD SERV.RE-INSP. 3• 4.MOBILE/TEMP. FOOD SERVICE INSP. 4• 5,.HOUSING INSP. 1V / / 5• ola 6.HOUSING RE-INSP. I / 1 -7 Z/ 3 / oZ 6• 7.NO HEAT/HOT WATER COMPLAINTS 7• 8.GENERAL NUISANCES/ a a a 8. TRASH IN --2 9.RECREATIONAL CAMPS 9. 10.SWIMMING POOLS 10• o'Z. 11.BATHING BEACHES 12.SUNTAN CENTERS 12. _ 13.ENVIRON.POLLUTION (WATER, SOIL, AIR- ODORS, NOISE) N'l 3. 14.RODENT CONTROL / 14. 15.FIELD TESTING 15. 16.COURT/ADMINISTRATIVE HEARINGS1,2 y 16. �3 17.CONSTABLE SERVICE 1 HAND DELIVER ETC.) 17• I 18 118. l 19.SEMINARS/CONF./ ! b MEETINGS XI 19. 20•CERT. OF, FITNESS INSP 21•CERT. OF FITNESS RE-INSPECTION it 3 21. r HOME CARE GROUP of. the . . N.o. r. th Sho .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, RN, BS DATE: May 2 1990 RE April Statistics COMMUNICABLE DISEASES The following is a report of the identified illnesses for the month of April. Salmonella • New Cases 2 Carryover Cases 2 Discharged Cases: 5 Reports to State: 5 Surveys to State: 5 Summary Follow-up continues on the case reported in February who is a foodhandler and who continues to be excluded from work. Although her culture reports from the state laboratory of 4/10/90 and 4/17/90 indicate that she is free of the organism, her husband' s culture report is. positive. Although he has had no symptoms, he was routinely tested in order for his wife to be cleared to return to work. She will ron'�inue to be excluded from work until there are two negative cultures from her husband. Giardia New Case 1 Carryover Case 1 Summary The new case is employed at a sewage treatment plant and because Giardia is often a water born infection, investigation will attempt to determine if the• worksite is a possible source of infection. Campylobacter New Case 1 Discharged Case 1 Report to State 1 Summary The new rase is not employed in daycare or foodhandling, has been successfully treated with an antibiotic and therefore is able to be discharged. The following is a report of other reportable illnesses for April. Hepatitis B New Case 1 Discharged Case 1 Report to State 1 Summar This is a first-time Hepatitis B diagnosis for this 43 year old white male who was hospitalized for this illness. He readily admitted I.V. drug use 0 the probable source of- infection and at time of the interview was planning to check himself into the detox unit to "get his act together" . He was instructed as to his contagious state and methods of infection control. Tuberculosis New Cases 0 Carryover Cases 2 The following is a report of persons tested for exposure to T.B. Number of Clinics at V.N.A. : 4 Total Number Tested... 18 (Negative: 16 Po-sitive:2) Total number Salem residents evaluated at North Shore Pulmonary Clinic 18. Ms. Jernigan continued to fill the position if clinic nurse for the T.B. Clinic on Tuesdays at Salem Hospital . COMMUNITY PROGRAMS St. Joseph' s School • Grades 7 and 8 were screened for Hearing/Vision; Height/Weight. Y;.s T HIV/AIDS Update Ms. Jernigan attended the April meeting of the Massachusetts North Shore Leadership Conference on HIV/AIDS. Northeast Regional Health Promotion Task Force Ms. Jernigan has been invited to serve with this group and attended a meeting on April 26th. Salem Citywide Coalition to Prevent Substance Abuse Ms. Jernigan attended the April meeting .at which time the Center for Addictive Behaviors presented the "Salem Preventfon Project: . (see attached) • A *31,TION MONTHLY REPORT Marc 1990 ADMINI BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 2 Diptheria,Tetanus & Pertussis 27 Vials Diptheria—Tetanus Tox. (under 6 yrs. ) 0 BURIAL PERMITS 50 Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 D24R--Measles/Mumps/Rubella 52 Doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $1 ,088.00 Polio Vaccine 170 Doses ------ Tetanus & Diptheria (adult use) 7 Vials CERTIFICATE OF FITNESS $2,350.00 Tetanus Toxoid (absorb. 1 Vial - 1 PL Tuberculin P.P.D. 5 ML 9 Vials Typhoid Vaccine H.I.B. 24 Doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL $215,594 .57 $159,603.29 $55,991.28 _ EXPENDED FREE CASH (includes) ENCL�BERED EXPENSE REPORT: ALLOWED ,M $79,866.29 $62,603.93 $17,262.36 • ENVIRONMENTALOALTH DIVISION MONTHLY REPORT • 7a� 1114w-cy1l�' YEAR MONTH .r� S S m r' �/�,' 7"p F S S i+'�• ) )e? S -T k.1 ( r S SANITARY CODE ENFORCE 1 2 3 4 5 6 7 8 9 10 11 12 13 14115 16 17 18119 20 21 2223 24 25 26 27128 29 30131 TOTALS COMPLIANCE REVIEW - 1.PLAN REV./SITE INSP. c2 oZ ,2 2.FOOD SERVICE INSP. 3.FOOD SERV.RE-INSP. S' / / oZ 5 1 3• a 4.MOBILE/TEMP. FOOD SERVICE INSP. 4• S.HOUSING INSP. / / / / / ✓ / / 5• 717 6.HOUSING RE-INSP. D 6• 7.NO HEAT/HOT WATER 7. COMPLAINTS I I 8.GENERAL NUISANCES/ 02 a ` / TRASH 8. 9.RECREATIONAL CAMPS 9• 10.SWIMMING POOLS ll.BATHING BEACHES 11. _.. 12.SUNTAN CENTERS 12. 13.ENVIR0N.POLLUTION (WATER, SOIL, AIR- ODORS, NOISE) / 13. 3 14.RODENT CONTROL J 14. oZ 15.FIELD TESTING 15. 16.COURT/ADMINISTRATIVE HEARINGS o? 3 f 16. 17.CONSTABLE SERVICE a 17. HAND DELIVER ETC.) 18. 'INGZw rr o2 / 18.MN 19.MEETIARS/CONE/ I f lig. 20.CERT. OF FITNESS INSP o? 0 3 / �'- 5 y/ 0. 21.CERT. OF FITNESS , 21. RE-INSPECTION I o7 3 L MONTHLY SUMMARY MONTH OF MARCH 1990 MAR 3 O 1990 tITy OF SALEM -TOTAL: A visits with x—ray 17 "4EALTH DEFT A visits without x—ray 8 B visits S C visits - 6 GRAND TOTAL: 36 • NUMBER OF CHEST X—RAYS TAKEN 23 • i SALEA HOSPITAL CHECK REQUEST PAYABLE TO: • City of Salem - Board of Health AMOUNT $149 . 43 9 North Street ACTION WANTED Salem MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL _ DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWSE SPECIFIED PURPOSE: Secretarial services and office. supplies for North. Shore Pulmonary Clinic. A visits 25 @ $4 . 90 per visit = $122 . 50 • R ; �q; r 5 @ $3 . 27 " 16. 25 _ C visits 6 @ $1 . 78 " 10. 68 � 149 . 43 TOM SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE In W VOUCHER NO. CITY OF SALEM `-TEALTH DEPT ta-&% l • SALEM HOSPITAL BILLING DEPARTMENT SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC A Visits B Visits C Visits MARCH 1990 25 5 6 ($4. 90 per visit) ($3. 27 per visit) ($1 . 78 per visit) TOTAL A visits — $122. 50 B it $ 16.25 C It $ 10. 68 TOTAL $149 . 43 Secretarial Services A visits $2. 68 • B It $1 . 79 C it $ . 67 Secretarial Supplies A it $2.. 22 B " $1 . 48 C $1 . 11 MAR 3 0 1990 CITY OF SALEM • '4EALTH DEPT -M E----CARS---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, RN, BS DATE: April 3, 1990 RE March Statistics COMMUNICABLE DISEASES The following is a report of the identified foodborne illnesses for the month of February. Salmonella New Cases 3 Carryover Cases 6 Discharged Cases: 6 Reports to State: 5 Surveys to State: 6 • Summary: Follow-p continues on the case reported in February who i,s a food- handler and who continues to be excluded from. work. She submits weekly cultures by mailk to the state lab and as of 3/27, the culture . is still positive. It has now been seven weeks since the onset of symptoms. Of the three new cases in March, investigation revealed one to be a non-Salem resident and the other two not involved in foodhandling or day care. Giardia New Case 1 Summary: This new case is a 27 year old female foodhandler who by the time reported had been sucessfully treated with an antiparasitic medication and had been without symptoms for three weeks. The following is a report of other reportable illnesses for March. Measles Request for investigation received: 1 Summary - --- -- - On Friday afternoon,' March 2, the Public Health Nurse received a request from the Regional Health Office in Tewksbury to help with the investigation of a possible case of measles. Due to measles outbreaks on college campuses in Maine and Rhode Island there is an increase in surveillance of even possible cases. Investigation of this case needed to be completed prior to the weekend in order to prevent further spread. Through a home visit the possible case was contacted and it was determined that it was not a confirmed case of measles. (see attached regarding measles and changes in immunization recommendations) Hepatitis: New Cases 0 Discharged-Reported to State: 1 Tuberculosis i New Case 1 Carryover Case 1 - -Discharged - Su • mmar The new case is a fifty year old female. The source of her exposure to tuberculosis is unknown. So far seven family and 27 work contacts have been mantoux tested with no positive reactions. (Work contacts tested in Lynn. ) She is compliant to her medication regime and therefore is • not contagious at this time. The discharged case has completed one year of medication therapy and has, been discharged from the clinic. The following is a report of persons tested for exposure to T.B. Number of Clinics at V.N.A. : 4 Home Visit Clinics 3 Total Number Tested 16 (Negative: 15 No show for reading: 1 ) Total number Salem residents evaluated at North Shore Pulmonary Clinic: 14 Ms. Jernigan continued to fill the position of clinic nurse on Tuesdays during March. COMMUNITY PROGRAMS St. Joseph's School 28 grade 6 students screened for Hearing/Vision; Height/Weight 25 grade 5 students participated in two one-hour classes on human sexuality. -2- I �- ---- .`: immrgratron--Servi-c�s- - • Referrals Received 3 Summary: Three sisters, ages 32, 31 , and 24 years are Vietnamese refugees who have spent several months in the Phillipines prior to entering the U.S. Their sister is sponsoring them. They are being evaluated at the North Shore Pulmonary Clinic and have appointments with a local M.D. for physical exams. HIV/AIDS Update Ms. Jernigan continues to serve on the Massachusetts North Shore Leadership Conference on AIDS. On March 16th, Ms. Jernigan met with Rafael Gillean who is an HIV/AIDS specialist with the Massachusetts Department of Public Health. Mr. Gillean is a physician, trained in the Dominican Republic, who is working towards certification in-'the-U.S.—Ho-1-5-committed to HIV/AIDS education in the Latino community and will be an effective educator .. and resource for reaching Salem'slLatino community. Mr. Gillean was informed of HIV/AIDS activities in Salem including"the Board of Health Subcommittee. • -3- AD MINIS*ION MONTHLY REPORT ,Febru0 199.0 • BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED O Diptheria,Tetanus & Pertussis 59 vials a Diptheria-Tetanus Tox. (under 6 yrs. ) 1 vial BURIAL PERMITS 54 Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) t2,LR--Measles/Mumps/Rubella 140 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 303.00 Polio Vaccine 710 dnqpq -- �- CERTIFICATE Tetanus & Diptheria (adult use). 52 vials OF FITNESS $2,200.00 Tetanus Toxoid (absorbed) 1 ?4L Tuberculin P.P.D. 5 ML 23 vials Typhoid Vaccine 0 H.I.B. 20 doses EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED. $215,594 .57 $143,076.07 — $72,518.50 EXPENDED FREE CASH (includes) ENCUMBERED EXPENSE REPORT: ALLOWED $79,866.29 $58,358.85 $21,507 .44 ENVIRONMENTAL HEALTH DIVISION MONTHLY REPORT I��ID15_�eieu Af YEAR MONTH N r S S m T to Tie F S .S /rJ -r w �e �' S S /rJ i' w -,e F S S /h `T lJ SANITARY CODE ENFORCE 1 12 3 14 5 6 17 8 9 10 11 12 13114 15 16 17 18 19 20 21 22 23 24125 26 27128 29 30 31, TOTALS COMPLIANCE REVIEW - "PLAN REV./SITE INSP. f 3 1• I 2.FOOD SERVICE INSP. / / / 2• Iq 3.FOOD SERV.RE-INSP. / / 3• 4.MOBILE/TEMP. FOOD SERVICE INSP. 4• S.HOUSING INSP. el 1 115. 6.HOUSING RE-INSP. / a 1 3 6• 7.NO HEAT/HOT WATER COMPLAINTS 8.GENERAL NUISANCES/ TRASH 1 .2l / °Z 8• 9.RECREATIONAL CAMPS 9- 10.SWIMMING POOLS 10. ll.BATHING BEACHES 12.SUNTAN CENTERS 12• �. 13.ENVIRON.POLLUTION (WATER, SOIL, AIR- ! ` 13. ODORS, NOISE) 14.RODENT CONTROL 14. / 15.FIELD TESTING 15. 16.COURT/ADMINISTRATIVE jj HEARINGS cZ, 16. 17,CONSTABLE SERVICE a 17. HAND DELIVER ETC.) 18 M�NG Z—ZWO 19•SEMINARS/CONF./ MEETINGS / V A 19. 20.CERT. OF FITNESS INSP 21•CERT. OF FITNESS RE-INSPECTION o� mg2l. 6 I� SALEM HOSPITAL FEB 2 CHECK REQUEST • PAYABLE TO: City of Salem - Board of Health AMOUNT $. 142.53 9 North Street ACTION WANTED Salem MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL _ DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWJSE SPECIFIED PURPOSE: Secretarial services and office supplies for North Shore Pulmonary Glini_ • A visits - 22 @ $4.90 per visit $107.80 ai visits - 3 $ $3.27 " $ 9.81 C visits - 14 @ $1.78 " " $ 24.92 TOTAL S142.53 SPECIAL INSTRUCTIONS: PREPARED APPROVED DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT AMOUNT CHECK NO. DATE • MAR5 i990 _-- VOUCHER N0. I OF Uxm, I16m 1 2/28/90 • SALEM HOSPITAL BILLING DEPARTIMENT SERVICES (Secretarial and office supplies) NORTH SHORE PULMONARY CLINIC A Visits B Visits C Visits FEBRUARY 22 3 14 ($4.90 per visit) ($3.27 per visit) ($1.78 per visit) TOTAL A visits - $107.80 B visits - $ 9.81 C visits - $ 2$4.92 TOTAL $142.53 Secretarial Services A visits - $2.68 B $1.79 C " $ .67 Secretarial Supplies A visits - $2.22 g It $1.48 C 1 Z-4 mm 5 1990 CITY OF SALEM M, ALTH DFPT: TO: SALEM BOARD OF HEALTH • FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF FEBRUARY 1990 A visits with x-ray 16 A visits /no x-ray 6. , . . . . . . . . . B visits 3. C visits 14 TOTAL: Patients seen in clinic , . _ . . .39 . Number of Chesty-rays taken 30. • 14 PAR 5 1990 • CITY OF SALEM HEALTH DEPT.' • NORTH SHORE PULMONARY CLINIC Patients seen in clinic during month of February 1990 39 FROM BEVERLY 3 DANVERS 3 GLOUCESTER 3 HAMILTON IPSWICH 1 NEWBURYPORT PEABODY 1 ROCKPORT • SALEM 14 WENHAM 1 OTHERS 13 (-this No. includes. Lynn, Swampscott, and many others not listed above) . 4 �R 1990 • CITY OF, SALE HEALTH DEFT' .�l . 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, RN, BS DATE: March 12, 1990 RE Statistics COMMUNICABLE DISEASES The following is a report of the identified foodborne illnesses for the month of February. Salmonella New Case 1 Carryover Cases 11 • Summary: The new case is a 72 yeariold female who works as a .: cafeteria worker in accompany in a neighboring town. She has been removed from work and will not be able to return until she has two cultures in which salmonella is not found. The neighboring Health Department has been notified in order to conduot additional work site investigations as necessary. Girardia New Case 1 Discharged 1 Report to State: 1 Summary: Investigation of this case revealed that the patient is the same person reported for Salmonella infection (see February 1, 1990 report, Salmonella, case. study) . She has since moved to another state. Her physician has contacted her there advising her of the necessary treatment. The following is a report of carryover cases of other reported illnesses: Hepatitis, unspecified New Cases 0 • Carryover Case 1 Tuberculosis New Cases 0 Carryover Cases: 2 Discharged 1 Summary: One case was discharged due to the patient's death. He was a TB/AIDS patient. • The following a is report of p persons tested for exposure to T.B. and followed for prophylactic medication compliance: i Number of clinics at V.N.A. : 3 Total Number Tested 14 i (Positive: 1 Negative: 13) Total number evaluated at North Shore Pulmonary Clinic: 9 Due to the illness of Esther Chase, Ms. Jernigan continued to fill the position of clinic nurse during the month of February. COMMUNITY PROGRAMS St. Joseph's School Hearing, vision, height and weight screening continues. Immigration Services Referrals Received 1 The name was received from the tuberculosis program of a 54 year old woman from the Dominican Republic but after contacting the landlord of the address provided it is determined that she is not at that address and cannot be located. HIV/AIDS Update Ms. Jernigan continues to serve on the Massachusetts' North Shore Leadership Conference on AIDS. a J • ADMINi-, RATION MONTHLY REPORT January 31, 1990 • BIOLOGICS DISTRIBUTED AMOUNT ANIMAL BITES REPORTED 1 Diptheria,Tetanus & Pertussis 28 vials Diptheria-Tetanus Tox. (under 6 yrs. ) 0 BURIAL PERMITS 77 Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 tZM--Measles/Mumps/Rubella 100 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $3,203.00 Polio Vaccine 150 doses _ -- - CERTIFICATE Tetanus & Diptheria (adult use) 27 vials OF FITNESS $2,400.00 Tetanus Toxoid 1 vial ----- ---._...._------- ------------------------- 1 ML Tuberculin P.P.D. 5 ML 37 vials Typhoid Vaccine 0 H.I.B. 12 doses EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED $215,594 .57 $126,480.08 _ $89,114 .49 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED $79,866.29 $54,511.44 $25,354 .85 1 • ENVIRONMENTAL HEALTH DIVISION MONTHLY REPORT �slqo . YEAR MONTH SANITARY CODE ENFORCE 1 2 3 4 5 6 7 8 9 10 11 12 13 14115 16 17 18 19 20 21 22 23 24125 26 27 128 129 30 131 ITOTALS COMPLIANCE REVIEW - "PLAN REV./SITE INSP. 2.FOOD SERVICE INSP. 3.FOOD SERV.RE-INSP. / 3. 4.MOBILE/TEMP. FOOD SERVICE INSP. 4. '- 5.HOUSING INSP. aI L4 5. 6.HOUSING RE-INSP. 6. 7-NO HEAT/HOT WATER COMPLAINTS / 7. B. RAL NUISANCES/ TRASH l / I ol 8. 9..RECREATIONAL CAMPS Ig. 10.SWIMMING POOLS 10. - 11.BATHING BEACHES 11. 12.SUNTAN CENTERS / 12. el 13.ENVIRON.POLLUTION (WATER, SOIL, AIR- ODORS, NOISE) , c� 13. 14.RODENT CONTROL 14. 15.FIELD TESTING 15. 16.COURT/ADMINISTRATIVE HEARINGS 16. o 17.CONSTABLE SERVICE � � � ' �, a � / � � 17. HAND DELIVER ETC.) 18 �. ca AJa a 3 1 J I 1 18. 19.SEMINARS/CONF./ / , / f 19. MEETIS NG 20.CERT. OF FITNESS INSP q j 5? /1 21.CERT. OF FITNESS4. 1 j 3121. RE-INSPECTIONJT��] 1 a 1 A/ Cc� �, `�� o7Lti�5s Otif4c � Ciao /�� I oA-) V- � ale /�' , 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: February 1 , 1990 RE . January Statistics COMMUNICABLE DISEASES The following is a report of the identified foodborne illnesses for the month of January. Salmonella New Cases l i Carryover Cases 10 Discharged 1 Reports to state: 2 Case Study: The new case is a female, 15 years old, Salem High School Sophomore who attended the "Space Academy II" program in Huntsville, Alabama in November of 1989. During her time there she ate "cafeteria food including a few bites of 'runny' scrambled eggs that did not taste right." During her stay she developed gastro-intestinal symptoms as did many of her classmates. When she returned to Salem she saw her pediatrician for intermittent symptoms during December 1989 and was tested for Salmonella at the end of that month, when her symptoms did not resolve. She is still symptomatic at times and will be followed until two lab tests; 48 hours apart indicate she is free of the salmonella organism. I Note: The subgroup, S. Senflenberg has not been seen in Salem by this investigator which may indicate she became infected out-of-state. Although this subgroup is not usually associated with contaminated eggs (see MMWR, vol . 38) this possible source of infection was reported to the state epidemiologist who is contacting the Alabama Department of Public Health to determine if this case is part of an outbreak. • i i i I Hepatitis, unspecified New Case . 1 Summary: Although this patient has had a history of high risk be- haviors for Hepatitis B infection (I.V. drug use) and presented with symptoms of Hepatitis, the lab tests came back negative so he was reported as Hepatitis, unspecified. The following is a report of carryover cases of other reported illnesses: Campylobacter Hepatitis B New Cases 0 Carryover Cases : 0 Discharged 1 Discharged . 2 Report to state: 1 Reports to state: 2 Listeriosis Meningitis New Cases 0 New Cases : 0 Discharged 1 Discharged . 2 Report to state: 1 Reports to state: 2 Tuberculosis New Cases 0 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 Number of work site clinics: 1 Total number tested : 8 (Positive: 0 Negative 8) Total number of Sailem residents evaluated at North Shore Pulmonary Clinic 11 Due to the illness of Esther Chase, L.P.N., Ms. Jernigan filled the position of clinic nurse during the month of January. COMMUNITY PROGRAMS St. Jdseph's School Hearing, vision, height, weight screening: 97 students in grades 1 , 2, 3, 4 were screened. Pediculosis Control Cases previously identified continue to be monitored. • -2- HIV Update On January 18th Ms. Jernigan joined the program committee of the Massachusetts North Shore Leadership Conference on AIDS. This conference is being planned for Fall 1990 for community leaders in Business, Government, Education, Church and Health Care. Flu and Pneumonia Vaccine Distribution Public Health Nurse Flu Pneumonia January Office Visits 7 0 U.N.A. Home Visits 6 0 Newhall Nursing Home 50 0 TOTAL For January; 63 0 Total October 1989 - January 1990 Vaccine Distribution Clinics 10/5/89 Council on Aging 439 10 10/12/89 Charter Street 232 12 10/20/89 Point Neighborhood 16 0 11/2/89 Council on Aging 198 12 885 34 Other Housing Sites 278 16 1 ,163 50 Public Health Nurse Office Visits 38 1 Home Visits 40 0 78 1 Brookhouse Home for Women 30 0 Shaughnessy Hospital 30 0 Newhall. Nursing Home 50 0 V.N.A. 37 0 147 0 Oct. '89 - Jan '90 TOTAL 1 ,388 51 Oct. '88 - Dec. '88 1 ,191 • -3- Recommendations for fall 1990 to vaccinate higher percentage of Salem's 65 and over population: 1 . Increase Publicity a. Memo to area physicians giving clinic dates and places. b. Ads in Salem Evening News in addition to feature article on Health Page. c. Listing or article in North Shore Sunday. d. Listing in North Shore Elder's Newsletter. e. Continue past publicity. Salem Evening News Housing Authority WESX Radio Council on Aging Newsletter 2. Increase community education - work with Health Educator for Medicare Influenza Demonstration Project to develop community education.. 3. Timing/spacing of clinics Two in October Two in November One in early December as follow-up -4-