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MONTHLY REPORTS 1992 TO 1995 BOARD OF HEALTH MONTHLY REPORTS 7/ 1992 TO 5/ 1995 tDM STRAT.ION MONTHLY REPORT MAY 1995 BIOIAG.ICS DISTRIBUTED AMOUNT IN DOSES QT1,19R 1 SC. AMOUNT Diptiheri,a, Tetanus & Pertussi.s 480 BURIAL: tERNj;,TS ISSUVjD 63 Bigther a Tet.an s Toxl ;,(u .e-r 6 :yrs.) _ - 20 INTERNATIONAL, .TRAVEL CERTS. i Zimnune 5i6tmbi'Globulin • 158 CASH RECEIVED - T.ICENSES & PERMITS $832.00 Measles:/Mumps 1 R°ub el l.,a 440 CERTIFICATE OF FITNESS - CASH $2,125.00 'Polioq.1 _ ... 540 ANIMAL,RITtg REPORTED 3 Te.tanus`& Diptheria.(adult. use) . 340 Tuberculin, fin 290 HIB`Titre 330 .:,Hepa,t lktis B.. 408 Pi SALARYJEONG ITY ANNUAL: BUDGET EXPENSES YTD ..EXPENSES ENCUMBERED AVAILABLE BALANCE $28`8,787.00 ------ $244,754.28 --=------ $44,032.72 NON=4ZRSONNEL: ANNUAL :BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE .. . ------- $48,513..;,36 -- $3,775.02 $29`;365.42 "(HELD OVER) 1998BAS I • asaooi■0000a■�ao©ee®�e0000�■ • gee .. . �oeso��a�®ea■�eaoee®�eeeeo��oe . .. . 00000■■eeooa■■a©ooae■eooeo■■■®e . . , son .. rr�o�r��r. ■ ��or,»r�o�r�ar.»rss��r�r� . . ... . 00000��0000©■�000eoo�000ee��ee - . . . . .., . . . a0000■■0000e■■00000■■a000a■e�oa . oaova�■c�0000�■noa©o ■a0000i■■�oe • . : - . . . onoonnnn�on©��nnrr. n �nonr�on��on : 00000��eeeoo■■ooaeo �o©o©o��oe . ... . . .., e0000■■0000�■■eooeo■■000®omm�oo ., . : , . : . . . e0000■■0000®■■oeooa■■000ao■a�oa . • osoao■■ooae®■■ooeae��00000■��oo - . • eeooe■�eooee■�oeeoo■■ooaoo■■■oe : . A _:__. v0000■■oaaoo■■oao�o■■00000■®goo : . . . , , .•. 00000■■000©©■■oeaoa■■oo©ea■�■oa • : oe000■■0000©■�e0000�■ao�oo��■oe eooev®■0000©■■000�o��oe000��oo :., , : . . : e0000■■eoeo©■■aeod®e■e®oeo■■�oo . • • ©0000■■ooeoo■■000 eo■e000e■��oo • ae000■■eoo©o■■ooe mom moomo ENVIRONMENTAL, HEALTH 5JLISION MONTHLY REPORT pe 2 of 2 gs ril 2 3 16 .7 8 19 110 11 12 13 14 15 16 17 18119120121 122 23124125126 27 28 29 30 31 TOTALS 17 . ADMINI.STRATIVE HEARINGS 0 0 0 0 0 O © 0 v O O "Q 0 & 0 O o 0 O L 11 D D 17. 0 1 n R T F O v 0 O 0 O 010 0 0 G -O d O D 14110 61010 D 0 17'a.Q IS. coNs'r.\BL E SERVICE / a / 0 4 0 0 0 0 / 0 / 1010 O 010 / a / 1.0-10 118. $ 19. LEAD PAINT INSPECTION D O o 0 0 b 0 0 0 © 6 0 0 0 0 1 010 O 6 p 1016119. 0 1 9a . LEAD REMOVAL COMPLAINT 0 0 0 6 0 O Q O Cj O . 010 Q 0 0 010 0 , 0101 p Q I 19a.0 SEMINARS, CONFERENCES, D D I) a / 0 / d -0101 - � D20. ML•ETINGS D / / / U U O2030 21 . CL•-IN'T. 01: FITNESS INSPEC ? a 3 a 0 3 2 a ao 3 S y S y / D _3 3 1// l y I I I I a I s 1 21.�3 22 . CERT. OF FIT. RE-INSPEC O 0 00 1 1 l 4 D o 1 0 D O O O D 1 3 0 0 p dd -0 1/ 101 22. S 2 3. EXTERIOR PA-DU RIIKOVAL D C1 0 / O 010 0 U 010 D U bl I lo 0101010 101d / 24. DAY CARE 0 0 O / O -p 0 O D 0 010 O ( 0 () D 1'0 d 0 D 24. 25. MASSAGE D O O d G p 0 0 0 0 C) G O 0kq 0 010 010 1010125- 0 26. SESD COMPLAINTS 0 00 d O O U o U D d Q lo 0 O old I I I 1 () l Q 126. d . CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT MAY 1995ACTIM ES CLINIC In touch with T.B.Clinic following active cases and case contacts. • Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. _MEETINGS AND CONFERENCES Immunization Round Table Mtg on May 4 at Hunt Center. Volunteered services at Underage Drinking Forum on May 4 at Collins Middle School. Health Advisory Council Mtg re: S.H.Health Survey on May 8. Along with Maureen Carr and Joanne Scott,met with Middle School faculty re:Hep A on May 11. Health Advisory Council Mtg on May 16 at Salem High School. ST.JOSEPHS SCHOOL School Nurse during recess hours: Monday through Thursday. Assisted Dr.Dumas with physical exams for Grades 3 &7-TEN physicals performed on May 3. Ongoing Review of Health/Immunization Records. • I AM CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF MAY 1995 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 2 0 0 • GIARDIA 0 1 0 0 HEPATITIS 7 6 7 7 LYME DISEASE 0 0 0 0 MENINGITIS 1 0 1 1 MUMPS 0 1 0 0 SALMONELLA 0 0 0 0 TUBERCULOSIS 0 1 0 0 VARICELLA 2 0 2 2 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. -M�� DAWN MARIE CAMERON,R.N. • PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH L • Summary of Communicable Diseases-May 1995 CAMPYLOBACTER: One new case-still under investigation HEPATITIS: Seven new cases- Five cases involved in Hepatitis A Outbreak-all five cases are close contacts of original Hep A cases at the Bates School Also,there are two new cases of Hepatitis C, which are still under investigation MENINGITIS: One new case-a 24 y.o. male with viral, aseptic meningitis- patient was hospitalized and released VARICELLA: Two cases of chicken pox reported by the House of Seven Gables Preschool • • A 1 6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 May 25, 1995 Dear Doctor: According to Chapter III, Section 6 of Massachusetts General Laws, it is imperative that all communicable diseases affecting public health be reported to the Salem Health Department immediately either by phone or by mail.. There has been some deficiency in this reporting. In light of the recent Hepatitis A outbreak,the Board of Health members voted to remind all area physicians of this statute. • For your convenience, enclosed is a communicable disease reporting form which can be duplicated and used to report back to the Salem Health Department. Physicians will also be - asked to include copies of pertinent lab and clinical data. Your cooperation is needed to help control contagious diseases. Thank you. Sincerely, joan-=Scott Dawn Marie Cameron ,R.N. Health Agent Public Health Nurse cc:Alfred De Maria,Jr., MD, Bureau of Communicable Disease Control, M.D.P.H. Leonard Dumas, MD, Board of Health Physician • • Salem, Ma. 19 The Board of Health is hereby notified that Age DOB Address Phone# Doctor Hospital Diseases declared by the M.D.P.H. to be dangerous to the public health and reportable under Section 6,7,109,111 and 112 of Chapter 111 of the General Laws I. Reportable to local Board of Health: please circle below Amebiasis Leptospirosis Animal Bite Lyme Disease Anthrax Malaria Babesiosis Measles(Rubeola) Brucellosis(Undulant Fever) Meningitis Campylobacter Enteritis a. Bacterial Chickenpox(Varicella) b. Viral Cholera c. Other . Diptheria Meningococcal infection Encephalitis (specify type if known) (without meningitis) Epidemic Staphylococcal infection Mumps of Newborn Pertussis(Whooping Cough) Food Poisoning Plague a. Botulism Poliomyelitis b. Mushrooms and other poisonous Psittacosis vegetable/animal products Rabies(Human or Animal) c. Mineral of organic poisons like Reye's Syndrome arsenic or lead Rickettsial Diseases d. Staphylococcal a. Rickettsialpox e. Paralytic shellfish poisoning b. Typhus f. Other c. Rocky M. Spotted Fever Giardiasis Rubella(German Measles) Haemophilus Influenzae systemic a. Congenital infection(without meningitis) b. Non-congenital Hepatitis,Viral Salmonellosis a. Type A Shigellosis(Bacillary Dys.) b. Type B Tetanus c. Type C Toxic Shock Syndrome d. Undetermined Toxoplasmosis Kawasaki Disease Trichinosis Legionnaires' Disease Tuberculosis Leprosy Tularemia Yersiniosis DBOH/5-26-95 ADMINISTRATION - MONTHLY REPORT APRIL 1995 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 480 BURIAL PERMITS ISSUED 42 Diptheria-Tetanus Tox. (under 6 yrs.) 30 0 INTERNATIONAL TRAVEL CERTS. Immune Serum Globulin 100+ Hep. A outbreak CASH RECEIVED - LICENSES & PERMITS $647.00 Measles/Mumps/Rubella 440 CERTIFICATE OF FITNESS. - CASH $1,650.00 Polio 560 ANIMAL BITES REPORTED 1 Tetanus & Diptheria (adult use) 330 Tuberculin PPD 400 HIB Titre 310 Hepatitis B 648 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $288,787.00 ------- $223,576.31 -------- $65,210.69 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,500.00 ------- $44,809.43 $5,550.41 $4,334.92 $29,365.42 (HELD OVER) 1993BAS • • ■■�aoo©e■®000��eeoo��©000e�� ... • ■■0000e■■0000��s�aeee��oeooe��■ . ..1 . ■■eao©a■■ooae■��■000e■�000©o�� _ . . :: � ■�oa000■■000a■��■�ova��00000�■� . •• ..r�novo■.onnn..■■no�n.■n©non■.■ . . ... . ■■eeaoo�■ooe®■��oao■�00000�� - . . . ... . . . ■■oaaoe■■e000■■■■000a■�0000e��■ . -. ■.n0000..nnoo....00no..©©voo■.. - : • ■■a0000�■oov��ooee■�a0000�■■ - . ... . . ... ■■eoaeo■■000a■■■�aoao■�0000a�■■ . : . :. . . ■■eaooa■■eo�o■��■oaoa�■oD000�■� • . ■■ooaoo■■ooao�■■�0000�■e�ooe�� . . ■■ovaoa■■0000■■■�o�oo��0000s�■■ _ ; _ :: ■■ooeoo■■aooa■��■®voo�■0000��■■ . . . , . ��n�r��e�n�n�■i�r■�r�nn ■nr7l��7n �� • 1 . , , ... _ ■■ooa�e■■0000■■■■a000■■eooeo■�■ / , : : . ■■00000■■0000■■��0000■■a0000■�■ ■■e0000■■aoao■■■�Q000■�00000�� : . . : ■■o�o�o■■a�oo■o��deoo��o0000�■■ ■■00000�■a000■ 14, ■■■ aao■■eoeoo��■ . _ ■■oaoaa■■000a■■■■ - 000■■0000a�■■ ENVIRONMENTAL. HEALTH a&USION MONTHLY REPORT � 2 of 2 rn �'. w R �' a /L F /n 7' c✓ 2 10 11 12 1 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 -Z TOTALS 17 . A DIM IN1.ST1%Al'IVE HEARINGS 0 o 0 0 0 O 00 O 010 d D 1 1 101010 O / 1 1 117. l L-Z9. - >>n R nTF O O 0 O D O D 0101 O 0 1a D 1 4 0 0 0 0 1 1 117..0 18. CONSTABLE SERVICE 0 0 / 0 0 1' O 0 4 0 a 0 0 1 0 1 D 1 O / . 01. 118. 6 19 . LEAD PAINT INSPECTION / 0 0 © 0 0 C) O 0 o 0 0 O 0. 1 1 1 lig. 3 19a . 1.InI) I:I;^tOVAL COMPLAINT O 0010 010 010 19a. 20. SEMINARS , CONFERENCES, O 3 2 . 0 MEETINGS v O / D D D o� 0 O 21 . CL•'RT. OF FITNESS INSPEC s s 5 (0 -3 0� 3 3 O 9 r0 21. (p7 22 . CERT. OF FIT. RE-INSPEC 119 4 0 S 0 Q 0 a O o ol 1 0 1 10 1 y 10101 22. 10 23. EXTERIOR PAINT REMOVAL O 0 0 a 0 0 0 0 0 0 0 D 1010101dol 0 24. DAY CARE 0 0 0 a 0 0 0 0 0 01010 Q D O O lo Q 1 24. 25. MASSAGE 10 0 0 .O 0 0 0 0 01010 0 01010 O 25. (� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT APRM 1995ACTIVITIES CLINICS In touch with T.B.Clinic following active cases and case contacts. • Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. MEETINGS AND CONFERENCES Along with Joanne and George, met with Al Needham of WESX Radio on April 6 re: Public Health Issues. Public Health Nursing Network Meeting on April 12-in Tewksbury. Meeting with Joe Pike and Karolyn Jernigan on April 20 re: TB survey/study. Meeting with Joanne Scott and Maureen Carr on April 25 re: Hep A outbreak. Attended Hep Seminar on April 26 in Burlington. Meeting with state epidemiologists, Maureen Carr, Joanne Scott, school nurses and parents re: Hep A outbreak at Bates School on April 26. ST.JOSEPHS SCHOOL School Nurse during recess hours: Monday through Thursday. World Health Day (April 7) announced winners and awarded prizes, along with George Levesque and Joanne Scott. • 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF APRIL 1995 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 1 1 1 1 GIARDIA 0 1 0 0 HEPATITIS 5 6 1 1 LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 1 1 0 0 SALMONELLA 1 0 1 1 TUBERCULOSIS 0 1 0 0 VARICELLA 3 0 3 3 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. P4,7LInWLu b . DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH 04M24mIM 18t37 617 522+3700 t311 MDPM CQMMUN1CALE 01SWE BUREAU P,02 The Commonwealth of Maosachuaatts Executive Office of Health and Human Services Department of Public Health State laboratory Institute w11a,Afu4 F.W" 306._South Street ab`""= Boston, MA 021 SEA-3687 AWOUT0r!W GOYMORCELLUCCI 617-522-3700 c�rua.ccr�trol Q1FtiAt;�Whil76W�N . 1o11m DAVIO)4.MULLIGAN LIGAN 1:0 MM1111MR April 24, 1995 MRrM Carr, R,N, Nursing 8uperint bout Salem Scdxvl System Salera, MA Dar Me, Carr! This letter is in follow-up to our conversation on Monday, April 24, regarding Hepatitis A control at Bates Momentary School In Salem. The Division of Epidcmlology, Massachusetts Department of Public Health, was. notified by the SAlem Board of H dtb of this situation on April 20,.199S, The following recom=&tions were developed based on the current situation at I*Elementary School, where beSg In early February and up to the current date, five children have been diagnosed with Hepatitis,A. 1. lady of the fi�ro etaes is in a different classroom, includlug two indervmn classes, on su*nd grade class, one third grade class, and one fift grada alas. it is recommended that all members of each of dues classes receive Immune Globulin (10). In addition, members of the third kindergarten class (without a known cafe) should also receive 10, 2, All other plcrl ns (out lde of the specific oils ) who were known or sugpacted to be clone contain (e.g, shared Egad, beverages, eating uteruils, water bottles, otc,) with any of the saws should receive 10, It is generally recommended to give 10 within two weeks of exposure to the infected individual. Therefore, any other students, staff{ maimenatu workers, or faculty who contact you should be evalu ixci individually for exposure to a we and the time at which exposure ocourrsed. • 3. The incubation period for hepatitis A can be up to eight weeks after exposure to an infected person, Exposed comacts of cages should be under surveillance for at least six weeks after the last day of exposure. The Infecxioue period of hepatitis ranges horn two weeks before the onset of symptoms to ens week after onset, 'Four bf the five tuft had acute onset of Hgxdds A between April 9 and April 14. Comequemly, exposed coamet>r of the eases should be undo ...Qzmze BUREAU P.03 least the end of May, 1995. 4. Students who u=fer into ono of the 6 target classes should realve Id. .5, Heightened awareness and practice of hod washing will help prevent the spead of the Hepedds A virus. A Hepatitis A fact sheet and two pages from the school health manual, including a form leftr which can be sent to parents, were faxed on April 24 and 21. IG can be obtained from the Massachusetts Riolagic I.aboi`atarles at 617•522-3700 x5444 (or ask the operator), If additional cases of Hap dt6 A are determined, ploasse coiiwt us as we will be pleased to assist you, We can be reached at (617) 983-68W, Slntwely, r ' Ds niel Hamlin, M.S, Division of Rpidamiolog cc; Susan Lett, M.D,, M,P.H. Director of Epidemiology and Immunization Dawn Mahe Cameron, R.I . SALEM PUBLIC SCHOOLS School Health Service SALEM, MASS.01970 April 25, 1995 Dear Parent or Guardian, On April 24, 1995 the Department of Public Health developed the following recommendations based on the current situation at the Bates Elementary School. It is recommended that: 1. All members of each of these classes should receive Immune Globulin: 1. Mrs. Gorham- Kindergarten class 2. Mrs. King - Kindergarten class 3. Ms. Ellison - Kindergarten class 4. Miss Hines - Grade 2 class S. Mrs. Hayes - Grade 3 class 6. Mrs. Marrin - Grade 5 class 2. All other persons who were known or suspected to be close contacts • (example: shared food, beverages, eating utensils, water bottles, etc.) Any studbnt or staff member who is not in the above categories and are concerned about possible exposure should contact either Dawn Marie Cameron, Public Health Nurse 741-1800 or Maureen Carr, Head Nurse Coordinator 740-1171. The Salem School Nurses and Public Health Nurse will administer this injection on Friday, April28, 1995. In order for your child to receive this you must sign and return the permission slip. Sincerely, Maureen P. Carr i • SALEM PUBLIC SCHOOLS School Health Service SALEM, MASS.01970 The gamma globulin injection will provide protection from Hepatitis A for 30 days. The injection must be given in the thigh.Individuals who have a history of reaction to gamma globulin or have a weak immune system should not receive it. Children should not receive polio, measles, mumps or Rubella vaccines for 3 months after receiving it. Pain and discomfort at injection site may occur and less common are headache, chills and nausea. ------------------------------------------------------------------------------ Name DOB Aciclm� Tel Dru 'e� Parent/Guardian Signature I do not wish my child to receive this injection. I will contact my own physician. Parent/Guardian Signature ------------------------------------------------------------------------------ For Clinic Use Only DateVaccineAdininistered: VaccineManufacturer: • VaccineLotNumber. Siteoflnjection: Name and Title of Vaccine Administrator. C2 s � c��ie� �� S 4—jV 0 l� f CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 Dear Parent or Guardian: April 13, 1995 The Massachusetts State Law requires that a physical examination be done when your child enters school for the first time and again in the third and seventh grades. The Salem Health Department encourages all parents to take their children to their own doctors, but will offer free physical exams to those who cannot. Please fill in the form below indicating your decision. If we do not receive this form by THURSDAY,APRIL 27 we will assume that you want your.child seen by Dr. Dumas,the School Doctor. • Dr. Dumas will be conducting physicals,along with the school nurse,on WEDNESDAY, MAY_3 at St.Joseph's. Thank you very much. Incerely, Dawn Mane Cameron, R.N. Public Health Nurse -------------------------------------------------------------------------------------------------------------------------------- cut here cut here date: 1) --------- I request the School Physician do the exam. 2) -------- I prefer to take my child to our own family physician who is: , appointment date (name of doctor) NAME OF STUDENT: GRADE: PHONE: • signature of parent i MASSACHUSETTS SCHOOL HEALTH RECORD PRIVATE PHYSICIAN'S EXAMINATION - Subsequent Evaluations Only Physician/Practitioner: Please note that your initial school examination of the child should be recorded on the prescribed itemized form (PH-M-18) . This abbreviated form is to be used only for follow up or subsequent examinations. Student's Name: Address: Date of Birth: School: Date of last complete physical exam: Hgt. Wgt. Significant Findings: Blood Pressure: / Hot. or Hgb. : Other Lab. : TB Test: 1 t•Significant illness or injuries since last report: General estimate of health: Immunization/Boosters (give exact date) : DTP: Other: Td: TOPV: Medication or treatment orders to be carried out at school: Restrictions on sports participation or recommended modifications to school program: Other Comments: Signature, Examining Physician/.curse Practitioner (Date) Oame & Address (Please print) : Telephone PH-M-18A(Rev.1983)-250M-504964 7z Comm ow-, ea Z-4 1:4 . 2 c.J • C�i%CC;ll1`IUP��`��[�JLQ/ll/C1-i.�,��!!!Z/Q//LcJPlYX,CC6� V41111am F.w*ld Gownor Gerald%itbum v kmuri 30S cfout�tfb�4 0o&os4X( 02130-3S97 spa°r Caauauniabk ° vid� ne� 61 T-S22-3T00 Disease Control To: Public Health Officers, Local Boards of Health From: Joseph G. Pike, RRA, Epidemiologist, Project Director Date: Subj: TB Occupational Supplement Project The Department of Public Health, Division of Tuberculosis (TB) Control is participating in a Centers for Disease Control and Prevention (CDC) study which will examine the risks of acquiring TB associated with various occupations. The Division is seeking your assistence in collecting the additional occupational data on people with known or suspected active tuberculosis. The Division will reimburse you a$25 interview fee per patient. The irequested data is to be collected by public health nurses and can be done as part of their regular TB Case Investigation. Staff from the Division of TB Control will coordinate the Project including: providing training; distribution of forms and supplies; data entry; and payment of interview fees. Confidentiality will be maintained by removal of patient identifiers prior to submission of data to CDC. Interview fees can be paid to Local Health Departments with a current Memorandum of Understanding (MOU) with DPH. These fees will be paid on a monthly basis following submission of completed Occupational Supplement Forms and an approved Payment Voucher(PV) to: Project Director TB Surveillance Unit,Rm 133 Department of Public Health 305 South Street Jamaica Plain, MA 02130-3597 If you have any questions please call me at 617-522-3700 X 322 Attachments: • I CHECK REQUEST GENERAL FUND . . . iidor Number: Check Amount: _ _ _ , 14 1 2 1995 Payable To: (initials Plus Full Name): Specify Date (if needed within S calenda> S Month: Day: Year: -� -�1DE NTIF Y ONE or-�'�► 5-�-��-f- ::: ;;:;::;:;:::::Check Dtstnbutlo Address {Reg redJh 0 1 5 7D �� Send By U.S. Mail: (Ariach Dr.'ginal(s) To Be Mailed And Staple A Copy For Accour.:ing.) Do Not Mail - Deparnnent Will Pick Up Will vendor Be Used .again? Y� N (Note: Staple.A Copy.) Is This An Employee? Y N Call Ertension For Check Pick-Up. (/ic!.1rt it!:ior cr rrr.irr rr�rd,t!•1 4(:.+v.s (/�.� �GI.Y� ' D✓rn�v L7A Social Security ;` _ _ _ - _ _ - _ _ _ f,ro,r..... Or •Federal Tax I.D. _ _ - — — — — — — _ Pu rose(ar.'eTDr•cr.'r:.^) �1re+c,.r I0_( 5eV y i c.P_S (Lux (Compleu Sigrv: re.No /-j"/f''j /v b �V101'C. po Responsibility Report Account DistrbU ion (10 Digits) ^� — riccow.r A, — — _ — — 3 5��TI v�s i+s 2 s � s. 0 7 k(,&� 2 1 L 2 5 p J a s 1 �' zs - - - - - - e � -4 �7 � 0 2 - - - - - - - - - - ` — — — - - - - - —T-64-6.L I I �� r Total of More Than One Accr .................................,............,,..,....:::...................:......:..........,.:::,.,,,...,.:.. ACCOtIh17'ING.bEk4R7'h1E1 1 I�SE<ONL�' Per Override Reviewed By: Approved By: 1099 Set Up Y N NIA Invoice #! _ _ - - - - _ _ _ _ — Check Invoice Date Check Date: P.O. # - - - - _ _ _ _ - - . Date Received by Accounting: Check Received By: Rey 06114193 i bef r447 5ti o ile- A - Sore, pa Ivncn�' 1 Iq V t # s,o i i2-k-'- - 6-7 © 3:3 s r5 7 r MAY 1 21995 Ci y O HEALTH k • NEWS1 JETTER SEVEN May 9, 1995 AGENT'S UPDATE TO THE BOARDOo process of being eliminated by Hepatitis does not usually the Mayor. Enclosed is a involve long lasting effects. FESTIVAL SEASON* memo to the Mayor to In retrospect, we think the In anticipation of many persuade him to retain that parents should have been planned festivals, the position. We just learned notified after the first case Waterfront and Maritime this that it has been reinstated. and handwashing procedures month as examples, we have That is wonderful news for should have been reviewed updated and rewritten our Jose, all of us who work with with the school children requirements and permit him, and especially for the immediately. applications for "Mobile" and Department! "Temporary" food vendors. UNDERAGE DRINKING These revisions are based on BATES & HEPATITIS AO SEMINARY the State Sanitary Code and There was a recent The underage drinking discussions with the State outbreak of Hepatitis A at the seminar was held on May 4th. Division of Food and Drugs. Bates Elementary School. High School spring athletes, Oplease find copies enclosed in The first reported case was in for whom it was mandatory, your packets. February. This Department and a small number of did not receive notice of lab parents, attended. There PUBLIC HEARING® testing then, but was notified were guest speakers and the The Public Hearing to by the supervisor of school audience brainstormed for discuss the four proposed nurses, Maureen Carr. She ideas on how to address this Board of Health regulations is told Dawn Marie that the problem. The students were scheduled for Tuesday school physician determined very honest and enthusiastic. evening, May 16th,7PM to it was not necessary to alert The ideas were discussed and IOPM in the City Council the parents because the child will be put into a "community Chambers. A legal notice has was no longer contagious. In action plan" sometime in the been submitted and is April more cases, a total of fall. enclosed. In addition, I will five more to date, have been place a regular ad in the diagnosed. With Maureen STAFF✓ Salem section of the News Carr, Dawn Marie set up a The inspectors and I have next week. Please let me parent information meeting attended seminars regarding know if you want any with the State Disaster Planning and additional distribution. We epidemiologists, and an Swimming Pool Inspections. are in the process of printing immune globulin Dawn Marie attended a 100 copies of the regulations. immunization clinic for seminar on Hepatitis. • school contacts. The parents STUDENT INTERN® were extremely concerned but "FULL SPEED AHEAD!!„ The position currently were somewhat relieved to filled by Jose Diaz was in the learn that this type of ADMfPSTRATION - MONTHLY REPORT MARCH 1995 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Di theria, Tetanus & Pertussis p 450 BURIAL PERMITS ISSUED 70 Diptheria-Tetanus Tox. (under 6 yrs.) ----- 30 INTERNATIONAL TRAVEL CERTS. Immune Serum Globulin 10 CASH RECEIVED - LICENSES & PERMITS $402.60 Measles/Mumps/Rubella 580 CERTIFICATE OF FITNESS - CASH $1,875.00 Polio 450 oral, 8-EIPV ANIMAL BITES REPORTED 1 Tetanus & Diptheria (adult use) 390 Tuberculin .PPD 820 HIB Titre 360 Hepatitis B 706 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $288,787.00 f= =--- $202,339.90 ------ $86,447. 10 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,500.00 ----- $44,435.55-' $5,550.41 $4,879.46 $29,365.42 (HELD OVER) 1993BAS • ENVIRONMENTAL HEALTH *SION MONTHLY REPORT • 9S l9�cy Li R F R F n 7 w ,e F 7T w �2 F �+ T ►,. SANITARY CODE ENFORCE 10 11112 13 14 15116117 18119120121122 23 24 25 26 27 28 29 30 31 TOTALS 1• PLLANLREV. SITEIINSP. O 00 tJ 0 0 (f) © 101010 , 0, 0 2. FOOD SERVICE INSPECTION C 0 ? 0 3 .9 0 0 0 0 310 O 1 1 L a 2. 33 2a. FOOD SERVICE RE-INSPEC. 0 0 0 3 0 00 C) 0 O l 0 a O 8' O , C71 3c. o c2a. 19 2b. FOOD SERVICE COMPLAINT 0 C 1 10, Q C, G0 010 / (' C o 0' 0 0 (Jk') 0 C Cl O 10 1 C I 3. RETAIL FOOD INSPECTION 0 0 o 0 0 10 1 0 1 .7 0 010 1 0 1C' 1 1 loll @3• 5' 3a. RETAIL FOOD RE-INSPEC. 0 G G-) 0 O C7 0 0 0 0 0 69 O O O 1 C) C) Cl 1 0 101013.. RETAIL FOOD COMPLAINT Q Q 0 0 0 0 0 0 � U 0 v G D C> G� O 0 / 13b. a Se-- peTn,'& C' O' 0 0 0 c 0C' G 0 0 C7 4 . MOBILE UNIT/PUSHCART UNIT/PUSHCART 0 O O ) 0 0 C, C' 1 U 0 0 0 1 0 14. MOBILE UNIT PUSHCART 4a. COMPLAINT C� O O G' O C'� C� 0 L� 0 © C� (� G U � 0 0 D 0 L 14a. O 5. TEMPORARY FOOD INSPEC. O 10 10 1 10 10 01611 C CIO 0 0 0 0 0 0 C2 0 G' C (j C .0 6. BED & BREAKFAST INSPEC. O C? 0101 0 01010 0 G O 0 0 0 0 0 (: U I C) 1 6. 0 7. HOUSING INSPECTION / / C .� Ca 0 O 0 0 0 CI Q 7. �C1 7a. HOUSING RE-INSPECTION 0 �� O L C' D 0 C'1 �1 0 U C) 0 0 a n 7a. 8. 'l GEN. NUISANCES C) C 0 0 0 10 0 / Q G p 0 (J O 8 R 719/ S / / O C2 9 . RECREATIONAL C C 3 7 o v y. .l._ s_o_........ ...... _.a ?_-- . .3 . . . .----a..._�_. .G'.. G'. ........__.- 2_ o n G c C' 9. E' c� 0 0 010 G C' 0 o C% 0 C' O c 10 0, 10. � 11. BATHING BEACHES O C U C C) O 61 16) 0 0 C' G 0 Q 0 11. 12. SUNTAN CENTERS c C) 0 C) 0 0 6 16, Q G 0 0 Q O b c:! 0 p 0 12. G COMPLAINTSr U n c 0 0 0 0 0 0 3 0 0 0 0 / C% c, 0 11, 14. RODENT CONTROL 0' C' C' �? , o C) CI 0 a L' D 0 C) 0 61 C 0 C) 14. L� TING TITLE V O D C �' C:' C �, Q G Q 0 C? (J C� 0 C) 0 G� Q 0 CO 16. COURT HEARINGS 0 I C) � �' / p O O Q � C � 16. s'' ENVIRONMENTAL, HEALTH DIVISION MONTHLY REPORT page 2 of 2 - kcit. F rw k/ A F 8 10 1 12 1 4 15 16 17 �18 19 20 21 22 23 24 25 26 27 28 29 .30 31 -TOTALS 17 . ADM I N I-STRATIVE HEARINGS 0 0 1c) 0 0 3 01 0 0 0 0 0 01 0 / 0 0 p p 1 O o 1 0 1 17. / z ,�,�, I: : F © v a o o / o 0 0 o a o o a o ) 10 o b d o 610 17a. IS. CO\'ST,\BLl SERVICE 0 a 0 b a 0 © 0 .� Q O d 0 b '. Q 18. L9 . LEAD PAINT INSPECTION O 0 0 3 0 0 0 0 / 0 0 0 0 0 0 d 0 0 010 010119. 19a . 1.IAI) REMOVAL COMPLAINT O Cl O 0 p 101010 10 0 0 , 010 1 10 01010 01 16 / 19a./ SL,mi,N RS , CONFERENCES , 0 / 0 / 0 0 0 O / 0. 0 0 0 0 0 0 0 3 0 20. MEETINGS 9 21 . CLRIT. OF FITNESS INSPEC 9 3 a 3 3 0 Ll 3 O 3' l ? D 7 S" 9 & 21. 79 22 . CERT. OF FIT. RE-INSPEC 0 0101 O D o a 0 1/ O O O l 010 O l 0 O O 0 0 22. 23. EXTERIOR PAINT REMOVAL 0 0 C? !�' D O O D O O O D 0 0 0 C� O Q 0 01010 D 24 . DAY CARE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 01010 0 1 24. O 25 MASSAGE 9 0 O U O 0 0 0 O D U O 0 D O U 0 0 L 0 0 O (j 25.'0 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,IRS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT MARCH 1995ACTPMIES CLINICS In touch with T.B.Clinic following active cases and case contacts. • Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. MEETINGS AND CONFERENCES Attended TB orientation at Malden B.O.H.on March 2. Student mentoring ended March 10. Underage Drinking Forum Planning Committee meeting,March 15&March 23. Health Advisory Council meeting on March 24. Attended Epidemiology Seminar in Milford March 28-30. ST.JOSEPHS SCHOOL School Nurse during recess hours: Monday through Thursday. Postural Screening done on March 1 and March 15 for grades 5-8. 10 students required rescreening and of the 10,,3physician referrals were made(see enclosed letters) Thorough review of student health records. A second letter sent home to parents re: immunization standards(see enclosed letter). Preparation for World Health Day (April 7). Organized a coloring, poster, and essay contest at St.Joseph's focusing on the importance of immunizations. • 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF MARCH 1995 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 1 1 0 0 GIARDIA 1 1 0 0 HEPATITIS 5 3 5 5 LYME DISEASE 0 0 0 0 MENINGITIS(for Feb.) 1 0 1 1 SALMONELLA 1 0 1 1 TUBERCULOSIS 0 1 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. yam,-17na, kv DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH 3 � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 March Cases- Summary of Communicable Diseases CAMPYLOBACTER: One new case-a 15 y.o. male with C. Jejuni. Pt. has not responded to my letter. I will continue to follow. GIARDW One new case-a 6 y.o. Spanish patient. This occurred in December, so facts may be hard#oascertain-also,there is a communication barrier. I sent case report to Doctor. HEPATITIS: 5 new cases- 1) A 49 y.o. male with Hep C 2) A 31 y.o. female with Hep C • 3) A 24 y.o. male with Hep C, died from cardiac arrest in Feb. 4) A 47 y.o. male with Hep B& Hep C- pt. is incapacitated in the hospital- unable to interview him directly 5) A 30 y.o.female with Hep C- h/o IVDU over 12 years ago- is a chronic carrier-treated in the past with interferon MENINGITIS: One case (from Feb.)-a 21 y.o. male with viral,aseptic meningitis- was hospitalized at Salem Hospital and released- unable to reach patient SALMONELLA: One new case-A 3 y.o. male with Salmonella- his mother believes he got ill from chicken eaten in Indonesia at the end of Feb.-the child has been treated with amoxicillin and is asymptomatic now- has returned to daycare. • a � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 DATE Dear I recently sent home a letter regarding immunization standards. In addition to those,the MDPH recommends at least one Mantoux(TB) skin test prior to a child's entry into school. Also, it is mandated by state law that all children under age 6 have annual lead screenings. I have compiled a list of students who need immunizations. According to the health records, the following student(s), need the following vaccines: • MMR DTP Polio HIB TB Lead Please make arrangements to immunize your children as soon as possible. The Lydia Pinkham Clinic in Salem offers free vaccines to children in need. For further information, the clinic number is 744-3288. All students in 7th grade must show proof of two MMR shots. Thank you. Dawn Marie Cameron,R.N. Public Health Nurse • 4 6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 DATE DEAR Your child, recently participated in the POSTURAL SCREENING PROGRAM at St. Joseph's School. As the school nurse, it is my job to identify any student with a potential problem(such as uneven shoulders, waist, hips, legs, or a crooked spine). Based on my examination, I recommend that your child be seen ,-by your family physician, pediatrician, or orthopedist for a second opinion. This does not necessarily mean that your child has, or will have, scoliosis. Enclosed please find a physician referral form which you should give to your child's physician. Please return to the school nurse when completed. Your cooperation is greatly appreciated. Should you have any questions, feel free to contact me at the Health Department, 741- 1800. SINCERELY, Dawn Marie Cameron, R.N. Public Health Nurse • RE: Name of Child: Date: • School : Grade: Dear. Physician, The above named child participated in the Postural Screening Program on and demonstrated the following positive signs: A II III IY Y! e Al / A O ! C i B � E A-Head A-Round Chest -shoulder B-Shoulder Back B-Waist c-scapula B-Sway Cage Spine Hump -Hip D-Spine E-Waist 6ack Hump We would appreciate your review of the findings and recommen- dation for the management of this child in school . Please return the bottom half of this page to the School 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: V ~ CHECK REQUEST GENERAL FUND cSALEM Check Amount: $ _ _ _ , L 1 Andor Number: S Payable To: (Initials Plies Full Name):JAEAL Specify Date (If needed within S calendor days) Montle: ._ Day: Year: City of Salem - Board of Health 9 North Street , 'Salem, MA .:. :::Check Dlstnbution .�IDENTIFY.ONE Address {Requiedf Send By U.S. Mail: (.mach Original(s) To Be mailed And Staple A Copy For Accounting.) Do Not Mail - Deparnnent Will Pick Up Will Vendor Be Used Again? Yx N (Note: Staple,A Copy.) Is This An Employee? Y N Call Extension For Check Pick-Up. uv� ,fur�, . M Social Security # _ _ _ - _ _ Or •ederal Tar l.D. # _ _ - _ _ _ _ — _ — Plgose(ar.'ejDcer.'r:cJ Secretarial services and office (eompletesig=_re-NO)-:--) supplies for North Shore 4b Pulmonary Clinic. A visits ResponsibilityRepor,AccountDistribicrion (10Digits) Account# cam:' 17 @ $5 . 07 each = $ 86 . 19 _ s-y Cf0 � S" - - - - - - -,L - - - - ? LL - - — B visits 9 @ $3. 38 each 2 - - - - - - - - -'— _ - - - 2 - - - - - - - - - - - - - - - - - - $30. 42 Total $ 116. 51 2 Total (lf More Than One Acct ..CC`O�IN7'11V DEP: R iNF.l tT J E O1JZ Per Override Reviewed By: Approved By: 1099 Set Up Y N NIA Invoice # _ _ _ — _ _ _ _ _ _ — Check #: Invoice Date •CheckDcte: P.O. # - - - - _ _ _ _ - - Dote Received by Accounting: Check Received By: I�'ar,.tDctc Rev 06/14193 NORTH SHORE MEDICAL CENTER BILL.ING DEPARTMENT NORTH SHORE PULMONARY , CLI111C SERVICES (secretarial- and office supplies) MARCH 1995 A visits B visits $5 . 07 each $3 . 38 each Total A visits 17 @ $5 . 07 each $ 86. 19 Total B It 9 @ $3 . 38 = $ 30. 42 $116. 51 Secretarial services A visits $2 . 77 B visits $1 . 85 • Secretarial / Office supplies A visits $2 . 30 B visits $1 . 53 APR 1 3 1995 CITY OF SALEM HEAj jH DEPT. • ADVISTRATION - MONTHLY REPORT FEBRUARY 1995 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 420 BURIAL PERMITS ISSUED 55 Diptheria-Tetanus Tox. (under 6 yrs.) --- INTERNATIONAL TRAVEL CERTS. -------- Immune Serum Globulin 4 CASH RECEIVED - LICENSES & PERMITS $1,538.00 Measles/Mumps/Rubella 470 CERTIFICATE OF FITNESS - CASH $1,150.00 Polio 470 ANIMAL BITES REPORTED 4 Tetanus & Diptheria (adult use) 430 Tuberculin PPD 650 HIB Titre 400 Hepatitis B 232 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $288,787.00 $175,226. 15 ------------ ---------- $113,560.85 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,500.00 $41,767.04 ----------- $6,265.42 $6,832.96 $29,365.42 (HELD OVER) 1993BAS meFemEon logo 6. 12. Bonn u • ENVIRONMENTAL HEALTH SION MONTHLY REPORT p• 2 of 2 a 8 19 110 11112113114 15 16117 18119120121122 23 24 25 26 27 28 3* 34 TOTALS 17 . AI)P11N 1.S'I'I:A'I'1 17 HEARINGS ClU C' L� C� C7 O c 0 O CU G D O U 0 117. Q 179, 0 n RH :\T F 0 C% G p p 'O C 16) 0 10. 16) O 1 0 0 1 17'a.Q 13 . CO\S'1',\3Ll. SERVICE C' C' C% C= C' �' C% G D 0 c' � I o I / D 10.11 18. $ L9 . LEAD PAINT INSPECTION C% O D 101 D c) C� U 1016, 1 1 119. 0 19a . 1.17 AD REMOVAL. COMPLAINT G C� C' U �� D 0 O 0 C) 0 G (1 C7 0 1 C' O 1 1 1 1 19a.0 SEMINARS , CONFERENCES , 0 ' / C% v � .� C"t v 0 � i� C� � / 10101 0 20. MEETINGSO / D 2.1 . CERT. 0F FITNESS INSPEC 3 5 «? a 0 . zl S 313 a 0 S 3 6) D S 21.1; 22 . CERT. OF FIT. RE-INSPEC a1� U �'% 0 U '` 0 0 0 0 0 D d (� 1 / 101 1 22. 7 23. EXTERIOR PATTTr REMOVAL G' o C' C; �' 0 O C O U © 0 G �� C' C� D U 24 . DAY CARE C C=' u C: 0 C? 0 a D v G 6) O U 21. O U L C.' C; C; L C �% (] C? C Ci O 0 O O L1 25. MASSAGE C% � -25. 0 26. SESD - COMPLAINTS • NEWSLETTER FIVE MARCH 14, 1995 AGENT'S UPDATE TO THE BOARD SEMINARS® FOOD SERVICE The inspectors attended WHES ROOFb INSPECTIONS✓ another TitleV seminar this The roof of the Witchcraft The inspectors and I are month, as well as a Housing Heights Elementary School developing an inspectional Seminar. has been leaking over the past schedule for the 300 food several years, and has become service establishments under SATV❑ an issue with many parents our jurisdiction. Each The Mayor has begun a lately. The leaks occur in the establishment has been rated program on SATV called seating area of the cafeteria, high, medium or low risk, "Executive Forum." He has in the guidance suite, in the thus requiring one, two or asked that I take part in the corridor, storage room, nurse's three inspections per year, not next segment of that program office and gym. One parent including reinspections. The regarding the Neighborhood has been asked to be placed establishments are then improvement Task Force. on our agenda. I am scheduled for those attempting to have the inspections during a particular IMIC HEALTH WEEK® Director of the schools' month. The staff will be The first week in April is Building and Grounds attend testing this method over the National Public Health as well. This is becoming a next few months, so that any Week. The theme this year is very heated issue. difficulties should be "Immunize: Birth to Two, It's remedied and it will be up to You." Dawn Marie is SOUTH WARD completely in place by July. organizing a program at St. NEIGHBORHOOD® On the same note(or Joseph's to promote that This neighbor hood has maybe song!)-- in the past theme. Please see her asked me to atwpid a meeting only two churches have had enclosed letter to the teachers to discuss their perceptions of their kitchens permitted by describing that program. We an increase in the cancer rate us. We are now in the will try to have some media in their area. That meeting process of licensing any others coverage regarding this in will be held April 4th. that prepare food for service order to further promote the to the public. In addition, theme. SEASONALSW Bed & Breakfast In addition, I have We know Spring has establishments have not been scheduled an hour with Al arrived because the seasonal permitted, but we are in the Needham on WESX for establishments at the Willows 4 rocess of updating the list of Thursday, April 6th from 10 are beginning to request uch establishments and will to 11AM to discuss the inspections prior to their be permitting them as well. activities of the Department. opening. All we need now is a Ginny and Dawn Marie will few more degrees! accompany me. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT FEBRUARY 1995ACTIMIES CLINICS In touch with T.B.Clinic following active cases and case contacts. • Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. CONFERENCES AND MEETINGS Working with student every Wed.from 8a-12p. Guest speaker at Witchcraft Heights Elementary School on Feb.3. Attended P.H.N.Network mtg on Feb.8. Attended mtg re:Employee Assistance Program on Feb.9. Attended Blood Borne Pathogen Lecture at Police Station on Feb. 16 Attended Underage Drinking Forum mtg at Salem High on Feb.23. ST.JOSEPHS SCHOOL School Nurse during recess hours: Monday through Thursday. School Vacation Feb.20-Feb.24. Preparation for Postural Screening:dates set for March 1 and March 15. Began review of immunization records-letter sent to parents re:new immunization standards(effective September 1995). CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF FEBRUARY 1995 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 0 0 • GIARDIA 0 0 0 0 HEPATITIS 2 3 2 2 LYME DISEASE 0 0 0 0 SALMONELLA 0 0 0 0 TUBERCULOSIS 0 1 0 0 VARICELLA 2 0 2 2 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • • February Cases- Summary of Communicable Diseases Hepatitis: 2 New Cases 1) A 33 y.o. male, with h/o Etoh abuse- has Chronic Hep C- under care of a physician 2) A 34 y.o. female, with Chronic Hep C- patient very knowledgeable about disease- under care of a physician Tuberculosis: One active case in Salem-being followed at TB clinic Varicella: 2 New Cases 1) A 6 y.o. male-excluded from school until lesions crusted over 2) A 38 y.o. female with "presumed" chicken pox- lab spec was negative on 2/17/95- treated at Beverly Hospital Dawn Marie Cameron,R.N. Public Health Nurse • • • F(CITY Of DEPARTMENT and YOUR HEALTH H EALT' Sponsored by: The Fourth Grade Class of Witchcraft Heights Elementary School Guest Speakers: Joanne Scott, Health Agent and Dawn Marie Cameron, Public Health Nurse Friday, February 3, 1995 11 AM • School Library r R CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 February 7, 1995 Dear Parents: The Massachusetts Department of Public Health has passed new immunization regulations, effective September 1995. Please review these guidelines and make arrangements to have your children immunized before next September. It may take me some time to review all the immunization records for St. Joseph's, so please locate your children's records and stay current with • all the vaccinations. Children who are not up-to-date will be excluded from school. For further information, I can be reached at the Salem Health Department, at (508) 741-1800. Thank you for your cooperation. Sincerely, Dawn Marie Cameron,R.N. Public Health Nurse • Massachusetts Department of Public Health • New School Immunization Regulations REQUIREMENTS EFFECTIVE SEPTEMBER 1995 (SHADED AREAS HIGHLIGHT NEW REQUIREMENTS) Day Care Preschool Kindergarten Grades 7-12 College Hepatitis Bl 3 doses 3:doses --- --- --- DTP/DT/Td >4 doses DTP >4"doses'DTP S doses DTP2 >4 doses DTP or I Td booster >3 doses Td within last 10 I Td booster in years grades 10- 12 Polio >3 doses >3doses:::;_ 4doses3' >3 doses --- Hib° >3 doses > 4oses: --- --- --- MMR 1 dose 1 dose T doses:measles: 2 doses measles 2 doses measles 1 dose:mumps 1 dose mumps I dose mumps l:dose rubella I dose rubella 1 dose rubella REQUIREMENTS EFFECTIVE SEPTEMBER 1996 Day Care Preschool Kindergarten Grades 7-12 College Hepatitis Bl 3 doses 3 doses 3 doses7:1 --- --- DTP/DT/Td >4 doses DTP >4 doses DTP 5 doses DTP2 >4 doses DTP or 1 Td booster >3 doses Td within last 10 1 Td booster years given in grades 10- 12 Polio >3 doses >3 doses 4 doses >3 doses --- Hib4 >3 doses >3 doses --- --- --- MMR 1 dose 1 dose 2 doses measles 2 doses measles 2 doses measles 1 dose mumps 1 dose mumps 1 dose mumps 1 dose rubella 1 dose rubella 1 dose rubella 1 Hepatitis B vaccine is required for all children born on or after January 1, 1992. 2 Five doses unless 4th dose was given after 4th birthday,then only 4 doses. 3 Four doses unless 3rd was given after 4th birthday,then only 3 doses. *4 Doses 3 and 4 should be given according to manufacturer's guidelines. 5 A second dose of measles vaccine will be required for entry into 7th grade until 2002. MDPH November 1994 (105 CMR 220.00) MONTHLY SUMMARY. 14ONTH OF FEBRUARY 1995. TOTAL: A visits. with x—ray 14. A visits without x—ray 4 , B visits 18 C visits xxxxxxxxxxx GRAND TOTAL: 36 :iUMBER OF CHEST X—RAYS TAKEN . 14 . CHECK REQUEST GENERAL FUND Ondor Number: Check Amount: $ _ _ _ , L Via. ! 0 Payable To: (Initials Plus Full Name): Specify Date (If needed within 5 calendar days) Month: Day: Year: City Of Salem - Board of Health 9 north Street , Salem, MA :.:>:. Check Drstnbit -_IDENTIFY ONE Addressquieaj — Send By U.S. Mail: (Attach Original(s) To Be Mailed And Staple A Copy For Accounting.) Do Not Mail - Deparnnent Will Pick Up Will Vendor Be Used Again? Y x N (Note: Staple,A Copy.) Is This An Employee? Y N Call Ertenson For Check Pick-Up. ��stir 1� _ M" •V('L�� Q 071 !V S 3/6/1 t) Social Securi r Or •'ederal Tar I.D. k — _ - _ Pur,.ore (ariejD� Secretarial services and aff; ce (Complete5igrc:_re-1b1. -) supplies for North Shore ��'� 9S 7066 Pulmonary Clinic . A visits Responsibility ReporAccowuDistribiuion (10Dioils) ACC0=1 d-cl 18 @ $5 . 07 each =$91 . 26 2 1 / �S_ 0 5_1 G p B visits 18 @ $3 . 38 each =$60. 84 2 - - - - 2 - _ _ _ _ _ S _ _ _,- - --- - Total $152 . 10 2 — — — — — — y - - -'- - - - - 2 - - - - - - - - - $ - - - - - --- - Total (If Afore Than One Acct #0 ACOUNTIN I�EPA7'k1EN ">TIE;>ONZ ' Per Override Reviewed By: Approved By: 1099 Set Up Y N AVA Invoice # _ - - - - - - _ _ - - Check h: Invoice Date •Check Date: P.O. # - - - - _ _ _ _ - - Date Recc i ved by Accounting: Check Received By: Rev 06114193 • NORTH SHORE MEDICAL CENTER BILLING DEPARTMENT NORTH SHORE PULMONARY CLINIC SERVICES (secretarial and office supplies) February 1995 A visits B visits $5. 07 each $3 . 38 each Total A visits 18 @ $5. 07 each = $ 91 .26 Total B visits 18 @ $3 . 38 each = $ 60. 84 $ 152 . 10 Secretarial services A visits $2 . 77 B visits $1 . 85 Secretarial/Office supplies A visits $2 . 30 B visits $1 . 53 • ADMOSTRATION - MONTHLY REPORT JANUARY 1995 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 435 60 BURIAL PERMITS ISSUED Diptheria-Tetanus Tox. (under 6 yrs.) --- INTERNATIONAL TRAVEL CERTS. Immune Serum Globulin --- CASH RECEIVED - LICENSES & PERMITS $1,882.50 Measles/Mumps/Rubella 170 CERTIFICATE OF FITNESS - CASH $1,775.00 Polio 400 ANIMAL BITES REPORTED 7 Tetanus & Diptheria (adult, use) 340 Tuberculin PPD 810 HIB Titre 360 Hepatitis B 438 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $288,787.00 $153,856.01 ---------- --------- $134,930.99 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,500.00 $39,533.75 ------------- $5,107.34 $10,224.33 $29,365.42 (HELD OVER) 1993BAS • • ■■eoeo■aoeeeo��eeoo�■eeeo©■gee •• • • ■■oeee■�oeeee�■�oeeo�■o�eeo��ee _ .•• . ■■eeee■■eeeeo■■■eeeo■■ode©e■�ee . .., . . . ' ■■eeee■■oeeea■■■eeeo■■oe000■■oe . • ITOTALS ■■0000■■00000■■■n000■■nnoon■■ no • ' ..•lousTel • ■■eoeo��oeeeo■��eoee�■eeeoe��o© - . . . •., • ■■eeae■■eooeo■■■oeee■■eoeeeOEM . ■■nn©o■■00000■■■�oan©■■00000i■■ao • 12. • • ■■eeea��oeeee■■�- • eoea�■eeeee��oe - ... . . ... ■■eooe■■eeeee■■■eeee■■aooee�■eo . : . : • ■■ease■■eaeee■■■eeee■■eeeea■■0e • • ■■eeee■■eeeee■■■eoee■■ooeeo■�eo . . • ■■e000�■ooeee■■■eoeo�■eoeee■■ea : . , _ ___ ■■eoao■■eoaee■■■eeoe■■eaoeo■�eo :. • . , ... ■■sae■■■eoaee■■■eeoa■■oeeee■■ee • : ' : ' ■■aeea■■oeeee■■■eooe■■eeeea■■ee • ■■oeeo��oeoee■■�eeeo�■ooeee■�ae :., , : . . : ■■aoee■■eeaee■■■ed■e■■eeoeo■�ee .. . .. ■■eoeo■■eoeee■■■e - ea■■oeeee■�oe _ ■■000a■■eoeee■■■e • ee■■eeoao■�ea • ENVIRONMENTAL HEALTH D SION MONTHLY REPORT pa*2 of 2 2 - 71 7 8 19 10 11 12 13 14115116117 181191201 21 22 23124125126 27128 29130 31 TOTALS 17 . ADMTNi.STRA'rIVE HEARINGS 0 / 0 O 0 0 / 0 d 1 / 01 / 101 0101010 ,01 10101 17. y 1 )0n I: T 0 0 0 O O d (� O O O O 10101 6 1010161ol - I OTC 1Ta. 0 IS. CONSTABLE, SERVICE / Q L/ O 0 3 0 b rJ' 0 © / 1010101a101 O 1 18. L9 . LEAD PAINT INSPECTION 0 0 0 0 / 0 0 (? O a O O 101 / 1010101 p 19. � 19a. LEAD REMOVAL COMPLAINT 0 O 0 0 D O O O O O 0 010 10101010101 O Q 19a.0 SEMINARS, CONFERENCES, `_ 20. MEETINGS l / 0 O 0 / / 0 0 0 G O 0 b / 0 0 0 20. to 21 . CERIT. Ot: FITNESS INSPEC 1 S 3 5 O 7 1 1 I0 3 a 13 1 1 1310 3 / / 1 a 1 21. 6,0 22 . CERT. OF FIT. RE-INSPEC 010 0 0 (7 0 0 0 0 1 0 / 0101 1 1010 0101011 1 / 101 22. a 23. EXTERIOR PAINT REMOVAL 0 O 0 0 O 0 0 0 0 0 0 0101 010 d 0 ( 101019.4 O 24. DAY CARE 0 0 0 0 1 b 0 0 0 0 0 00101 010 01010 10101 24. a 25. MASSAGE O © O 0 60 0 O O 0 0 0101 1 1010 010101 O CUB 25. 0 • NEWSLErl TER FOUR FEBRUARY 21, 1995 AGENT'S UPDATE TO THE BOARDj& FY 96 BUDGET® experience with similar regs. The budget for the INSPECTIONAL LOG ON upcoming fiscal year, as voted TOBACCO FORUM, COMPUTER@ by the Board, has been Tobacco Control A computer program, submitted to the City sponsored a forum at Salem Q&A, has been installed on Auditor. The Planning High School for the health the computer used by me and document is enclosed in the classes involved in the the inspectors. We are in the packet with changes petition to ban smoking in process of entering the log of incorporated from the last Salem restaurants by the year inspections for this calendar meeting. 2000. That petition is in the year to date. This program packet and is on the agenda will allow us to look at our THE BUILDING H for Tuesday's meeting. The inspections in a number of Within the last month Attorney General's office was different ways.. For example, both Tobacco Control and in attendance and supported we will be able to the Park Department have the students. No questions or •automatically tabulate the moved from our building at 9 concerns were directed to me. monthly report or look at a North Street. We are trying particular establishment to not to take it personally! We ELEMENTARY see its inspection history. are enjoying the extra space PRESENTATION@ Once we have a little and additional parking areas. The fourth grade class at experience, it will be a faster Witchcraft Heights method for the inspectors to TRANSPORTING Elementary School has been record their activities. OFFENSIVE studying "Healthy Bodies" SUBSTANCESO and asked us to explain how FAFARD DEVELOPMENTn Contact with the Laidlaw the City helps to keep The Fafard Company has representative supervising the residents healthy. Dawn submitted its plans for phase municipal trash pick-up in Marie and I enjoyed the 3A of its development off of Salem, Peter Gamache, was enthusiastic audience. Highland Avenue, behind made. He does think it Somerville Lumber. It will be would be a problem to block THE STAFF* presented to the Board at the the hole in the well area of Congratulations to Jeff upcoming meeting for review the trash trucks. He does and Jose for becoming This phase of the agree to permit all the trucks certified lead determinators, development will build six used in the Salem service. and to Dawn Marie for "fourplexes." There will be Mr. Gamache's response is in another semester completed some blasting of another area the packet. The Town of toward her Masters Degree. of their property to create fill Winthrop's health for this location. department has not yet HAPPY PRESIDENTS DAYM responded regarding its CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT JANUARY 1995ACTIVITIES CLINICS In touch with T.B.Clinic following active cases and case contacts. • Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Administered two mantoux(PPD)tests. Administered one flu shot. MEETINGS Steering Committee Meeting of T.C.C.at Mass Prevention Center on Jan. 12. Meeting with rep.from Smith, Kline, &Beecham re: Hep B vaccine on Jan. 18. Meeting at Salem Hospital re:Kellogg grant on Jan. 31. Working with student every Wed.from 8-12p. ST.JOSEPHS SCHOOL School Nurse during recess hours: Monday through Thursday. Completed hearing&vision screenings for K-8-referral notices sent home. Pediculosis screenings on pre-K-2nd grade-info sent home to parents Started preparation for scohosis screening in Feb./March • i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF JANUARY 1995 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 1 1 • GIARDIA 0 0 0 0 HEPATITIS 4 3 1 1 LYME DISEASE 0 0 0 0 SALMONELLA 0 0 0 0 TUBERCULOSIS 0 1 3 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • ,.tuWq ear SALEM HEALTH DEPARTMENT 9 North Street Salem,.MA 01970 • January Cases- Summary of Communicable Diseases HEPATITIS: 4 New Cases 1) A 32 y.o. woman, h/o IVDA, with Hep C- still trying to contact patient 20) A 3 y;o. and a 4 y.o. (same family) with viral Hep A- may have a communication barrier- parents have not responded to my letters 4) A 34 y.o. male, h/o enlarged liver due to ETOH abuse- recent death of wife- has Hep C exposure but asymptomatic- case dc'd TUBERCULOSIS: 3 Active cases were dc'd, according to Karolyn Jernigan, at TB clinic- one active case continues:: No new cases of CAMPYLOBACTER OR SALMONELLA • nDawn Marie Cameron, R.N. Public Health Nurse • CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 January 6, 1995 Tot' All Parents Several cases of head lice have been identified at St. Joseph's School. As a preventative measure, please read the enclosed information about pediculosis. In addition, please examine your children daily, for the next two weeks, paying particular attention to the nape of the neck and behind the ears. Any child in question should receive the two part treatment: shampoo and nit removal: Because the problem can easily spread, causing a school epidemic, it is important to take action NOW! ! ! ! Feel free to contact me at the Salem Health Dept. (508) 741-1800. Questions can also be directed to your private physicians. Thank you for your cooperation. Sincerely, • Dawn Marie Cameron,R.N. Public Health Nurse • THE NORTH SHORE _ MEDICAL CENTER v Salem Hospital •JAN 2 ., i9/95 Memo Hate: January 24, 1995 CITY OF SALEM 1iEALTH DEPT. To: List + From: Janet Atkins, Director`t 1 Emergency Services/i.mbulato Care g Y rY Subject: Community Care Network Demonstration Program Thank you for your willingness to participate in applying for grant money awarded to the W.K. Kellogg Foundation. The objective of the grant money is to help local systems of health care to work toward the Community Care Network Vision. The four basic dimensions of their vision are: 1) community health focus; 2) community accountability; 3) a seamless continuum of care, and 4) management within fixed resources. The deadline for a letter of intent to apply is due • February 17, 1995. The focus of the meeting on Tuesday, January 31, 1995 at 2:00 p.m. in the D102A Conference Room will be to address the content of this letter. Please read the attached information regarding the application process prior to the meeting. I look forward to working with all of you on this project! List: Tony Traino Pam Bayne Yoland Boland Ed Dyke JStephen Schaffer Dawn Marie Cameron Father Guthrie att. • rn MONTHLY SUMMARY. � � 1995 CITY OF SALEM I EALTH DEPT.' MONTH OF TOTAL: . .A visits with x-ray A visits without x—ray B visits /7 C visits GRAND TOTAL: NUMBER OF CHEST X—RAYS TAKEN / i • NORTH SHORE MEDICAL CENTER BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC January 1995 A visits' B visits $5. 07 each $3 . 38 each Total A visits 29 Cx $5 . 07 each = $147 . 03 Total B " 17 @ $3 . 38 = 57 . 46 $204 . 49 Secretarial services A visits $2 . 77` B visits $1 . 85 • Secretarkal services A visits $2. 30 B visits $1 . 53 • CHECK REQUEST GENERAL FUND Wor Number: Check Amount: Payable To: (7nitiats Plan Full Na-1): Specify Date (If needed williin S calendar days) Month: Day: Year: City of Salem — Bgard of He:a:lth X. ;: 9 North street CheckDtstnbution ..•IDENTIFY ONE Address (Requi:red) Salem, ..MA X Send By U.S. Mail: (Artacl, Otiginal(s) To Be Mailed And Staple A Copy For Accounting.) Do Not Mail - Deparnnent Will Pick Up Will Vendor Be.Used Again? Y X N (More: Staple,A Copy.) Is This An Employee? Y N Call Emmion For Check Pick-Up. Social Security # Or - T - rer-:Sam.eLd ral Tat I.D. - _ — - - - — Pugo:t(33ritf De:cr:r:�cr) QUA rx,(y iCl/tA-y✓ki Secretarial services and office. teom lelleSiS_:.re•Nor-::-J supplies for North Shore cd Pulmonary clinic. A visits [7,onsibiliry Repor, AccounrDisiribiiron (10Di;iis) 29 @ $5 07 each= $147 . 03 aS d5 50 B visits 17 @ $3 . 38 each= 2 _ - - - - - _ _ - - � _ - -t- - - - - $57 . 46 2 - - - - - - - - - - - - - - - - Total $204 . 49 Total of More Than One Acct ...............................::..:..EP..,:...........:......:,....,,...:.......,,,,...,.,..::.. Override ACe0lIN7'ING D RTiN0 T1SE ONLY Per Reviewed By: Approved By: 1099 Set Up Y N N/A Invoice # _ - - - - - - _ _ - - Check #: Invoice Date Check Date: Ware P.O. # - - - - _ _ _ _ - - Recei i•ed by Accounting• Check Received By: NGT1.tDCIL - . BL ti 061/4/93 • memo am�aeeooeooeeo®ooeee�oo�� .•. . • os��eooeo��eeeee��o©oo��oeA�a onnnnonor�nn©or�onnno oo��nno�� . .. . eoeeoaee - eeoa000eeeeeeeenoeo�e •_ • . • Win■■®oonn�nnoo©ono©r♦�o■��n�or ©■ram mosemommon nommommommon Emmons . . , ao��®ooeoH aeoo��aooe��aoo�� • eon • ee� 000eo��oaeeaa�eeee��a�ee�� . . . oo��eeo o��eeooe��eo©a��eeo�■ . r, n� ■oo�nonnn000nn�s000��ta�o�� • . , ... es��e 000��eeaees�o©se��eoo�s • man ♦ - m�oo��ae�os��eeos��000�� ®oar ♦ o®©onoesooeeo©oea��ooa�� MOM ao� o© oa��ee000� a©ao��eeo�� oar aoao��00000� e000��oeo�■ ENVIRONMENTAL HEALTH D ISION MONTHLY REPORT pab2 of 2 t w 'r P-. nu 8 1910 11112113114 15116117 18119120121122123124125126 27128129 30 31 TOTALS 17 . ADN I N I STRATIVE' HEARINGS 010 1 1010 0 0 1 d O v © 0101 101010101 D 1 v 1 O 1 117. 0 )()nn 1: \'rr. 00 0 0 0 0 0 0 0 0 010 1010 0101 0 0 0 1 1 17-a.0 IS. CONSTABLE SERVICE 0 0 6 0 0 0 0 O 0 / D 101 / 0101 01010 18. .3 19 . LEAD PAINT INSPECTION 0 0 O O b 0 0 D 0 010 0 0 0 4 010101 119. O 1 9a . LEAD It17MOVAL COMPLAINT D O 0 0 0 0 0 0 O 010 0 O 0 0 01010 19a. 67 it SE`1INARS, CONFERENCES , O 0 2 s 20. ii1E1ETINGS 1 1 fJ J 0D D / fJ D O D / CG 0 0 0 > . c;1_1: r. ()F I' TNESS INSPEC 7 a // q y 5" 3 a y 5 3 a y Ll 1 21 . gl ?2 . CERT. OF FIT. RE-INSPEC O 0 0 O / 0 0 0 0 0 0 O 0 0101 01010 22. a 23. EXTERIOR PAINT REMOVAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 D 0 0 0 TI O 24. DAY CARE O 0 0 0 0 -0 O 0 5 0 0 O 0 U 0 0 O 6 0 24. 0 25. MASSAGE D © O © O 0 U 0 © o © O © O 0 0 O 0 0 25. p N EWSLETTER TWO DECEMBER 13, 1994 AGENT"S UPDATE TO THE BOARD Pablo will be on vacation for OD ADOLESCENT HEALTH three weeks. Mark will be taking PLANNING FAIRI over the Certificate of Fitness Mission statements have been The idea for a health fair inspections in his absence. received from the Mass Health aimed at middle school age The tickets for trash have not Officers Association, Methuen, children is in its infancy. I will been printed yet, however the Andover and one should be speak to the school nurse and troops are trained , ready and on arriving from Amherst. I am other school officials to determine the alert ! looking forward to meeting with if there is a need. It is my feeling the Planning Subcommittee to that this may be an under served STAFF@ begin work on our own mission population. There could be a We are all very happy that Sue statement, goals and objectives. wide variety of booths/events Kocur has remained smoke free Perhaps when the dust and tinsel such as for nutrition and eating since the Great American Smoke- from the holidays settle, we can disorders, sports medicine, aids out on November 17th! She is a share some ideas. information, etc. It would little irritable at times, but ear In the meantime, Board probably be very helpful to plugs and tylenol have been members' feedback on several involve Salem Hospital in this distributed, so we barely notice! possible events being discussed event ,as well as in the rabies Dawn Marie, Jose and Mark by staff would be appreciated. seminar. all move closer to their They are the following: educational goals this month as OTHER POSSIBLE EVENTSd they complete their school RABIES SEMINAR FOR Other events we might semesters. PHYSICIANS d consider in our planning process Animal Control Officer, Don are a household hazardous waste BUDGET% Famico and I have been day, a video on home ownership On reviewing the budget, we discussing the possibility of including the sanitary code, and a have generally spent half our having an educational seminar for seminar for food handlers. funds in most line items except doctors, particularly primary care "personnel." We are developing a and ER doctors. Don has ANNUAL REPORT® wish list for the end of the year if discussed several cases where The Annual Report has been there are any unexpended funds. patients have been bitten by a submitted. A copy is in the This list includes items varying in known animal, sometimes a meeting packet. It is considerably expense from a cabinet to a copy family pet, and the treating shorter and more to the point than machine. physician has recommended in recent years. Next year we euthanasia of the animal. The would like to return to the more HAPPY HOLIDAYSA appropriate procedure would be to extensive graphics format, but The staff and I would like to quarantine and observe the animal still keep it succinct. wish the Board members the e(nnecessary r ten days if possible. Merriest and of course Healthiest treatment has also INSPECTIONSg of Holidays! been started before lab results Many of the staff are using have been received. their vacation days this month. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT DECEMBER 1994 ACTIVITIES CLINICS In touch with T.B.Clinic following active cases and case contacts. • Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Administered flu shots to employees at Thermal Circuits. Administered flu shots to city residents by appointment. MEETINGS Meeting with Karen Doucett,N.P. at Salem High Teen Health Center. Arranged to precept a Northeastern student next semester. ST.JOSEPHS SCHOOL School Nurse during recess hours: Monday through Thursday. Started hearing and vision screening on students,grades K-8. Will continue into next month. • CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF DECEM 3ER 1994 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 3 0 3 3 GIARDIA 0 0 0 0 HEPATITIS 1 0 4 4 LYME DISEASE 0 0 0 0 SALMONELLA 1 0 2 2 TUBERCULOSIS 0 3 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,IRS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 December Cases- Summary of Communicable Diseases CAMPYLOBACTER: 3 New Cases: 1) A Peabody resident- Peabody H.D. notified 2) A 35 y.o. pregnant woman- exposure unknown- pt. is a housewife- admitted to Brigham and Women's for IVF and IV antibiotics- symptoms lasted one week- asyptomatic now 3) A 25 y.o. waiter- pt. works at Bugaboo Creek- has been removed from work- has not returned because he has been admitted to Bridgewater State for detox- I have beerrin touch with Bugaboo Creek and Peabody H.D.- pt. has been treated with antibiotics for one week- information obtained from mother- exposure unknown HEPATITIS: One New Case- A 18 y.o. with Hep. B and Hep.' C- pt. has a h/o IVDA and was admitted to detox- I encouraged contacts to be screened- pt. is unemployed. 3 Old Cases Completed: 1) A policeman( see Nov. report) 2) A 40 y.o. with Hep. C- pt. has a h/o IVDA and ETOH- believes he has been a carrier since 1991- has also been exposed to friends with Hep. .C- he is unemployed. 3) A 5 y.o. with Hep. A- exposure unknown- family has been screened- pt. is asymptomatic now. SALMONELLA: One New Case- A 39 y.o. home health aide- believes she got ill from food, but cannot be certain of which meal (she ate at 3 separate places on Nov. 28)- Two places were in question: North Shore Comm. College cafeteria and Taymor's Sub Shop in Vinnin Square, Salem- Danvers and Salem sanitarians were notified- both places were inspected- pt. has been treated with antibiotics- was removed from work until one negative stool. Dawn Marie Cameron, R.N. Public Health Nurse CHECK REQUEST GENERAL FUND De c Qvr, e✓- l y 011dor Number: Check Amount: $ _ _ _ , • 3 o Specify Date (If needed within 5 calendar days) Payable To: (Initials Plus Full Name): Month: Day: Year: City of Salem,. — Board of Health 9 North Street, Salem, MA Check Distribution -IDENTIFY ONE Address {Required) Send By U.S. Mail: (Aaach Original(s) To Be Afailed And Staple A Copy For Accounting.) Do Not Mail - Deparnnent Will Pick Up Will Vendor Be Used Again? Y x N (Nate: Staple,A copy.) Is This An Employee? Y N A. Call Ertension For Check Pick-Up. (P %,rcLYd b•t• Social Security Qederal Tar I.D. lY — — — — — — — — — - (Pr.l:t;c-eJ PJ rr C:C Sri rf Dccr.'p Secretarial services and office (eomptt:esigr=: re-h'olr.::-) supplies for North Shore Pulmonary Clinic . A visits Respoluibiliq Repor, Accou)u Disirbitron (10 Digils) �tcco�.a 12 @ $5 . 07 each =$60 . 84 2 1 lay - �+ S t0 5 _ - - l i ' 3iD 2 - - - - - - — — — — — --- - —'— — B visits 17 @ #3 . 38 each= $57 . 46 2 2 - - - - _ - - - - - ~ - - - - - -'- - Total = $118 . 30 - - - - 2 - - - - - - - - - - $ - - - - - -'= — Total of Afore Tian One Acct #) — _ _-- — — — — :...............................,.........,........:,,.........,;........,.....,..,........:,:,.:....,....:.. AcCOUSTINC DEP;�RTi4fENT �1SE ONLY' Per Oierr e Revieitied By: Approved By: 1099 Set Up Y N NIA Invoice # _ _ — _ - - - - - - - Ci; Invoice Date .Cr:<< l: Date: P.O. # - - - - - - - - - - D,:rc [?eceived by Accounting: Check Received By: Rcti•Cti'i +/Oj • NORTH SHORE MEDICAL CENTER BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC DECEMBER 1994 A visits B visits ($5. 07 each) ( $3 . 38 each) Total A visits 12 @ $5 . 07 each = $ 60. 84 Total B visits 17 @ $3 . 38 each = $ 57 . 46 $118. 30 Secretarial services A visits $2 . 77 B visits $1 . 85 Secretarial services A visits $2 . 30 B visits $n . 53 ADMINISTRATION - MONTHLY REPORT NOVEMBER 1994. • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 525 BURIAL PERMITS ISSUED 60 Diptheria-Tetanus Tox. (under 6 yrs.) 0 INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin 3 1v.ONEY. RECEIVED - LICENSES & PERMITS $ 469.30 Measles/Mumps/Rubella 260 CERTIFICATE OF FITNESS - MONIES $ 1 ,925.00 Polio 600 ANIMAL BITES REPORTED 3 Tetanus & Diptheria (adult use) 430 Tuberculin PPD 100 HIB Titre 510 Hepatitis B 394 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $288,787.00 $103,856. 71 1 -------- -------- $184,930.29 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,500.00 $37,088.59 -------- $6,517.38 $11,259.45 $29,365.42 (held over) 1993BAS • • aoeo■■oee©��■eeoeo■�eeeoo�■oeo■ •• • eeee■■eaee■■■0000o■■eeeso�■oee■ ••, • ©eea■■oaoe■■■eeeee■■e0000�■oo®■ . • . .. . . . . . 0000■■oe©®■■■ooeoe■■aoeoo■■oeo■ . _. . -- - rinnr�■■oo©o■■■nnnon��r�nnon��o�o� ••� n�rr��rnnn�nnnr•�nonn■r�nnon■■ena■ . : ... . eeoo��e�®o�■�eeD00■LSD ` , r r . 000�■eoo■ : . . ... . . . aeae■■oe®a■■■DODDD■■Sesee�■DOD■ .. .. ronr�■■nor�n■■■r:�nono■■n000n■■r.��n■ : : r��u�■■nnr�v■■■rr�nonv■■nr�onr•�■■■oon■ . W. M. -one MMM . : . . ©000��eeeo�■�oeoos■�soaeo�■000■ . . smell . : . . : . . . 0000■■ee©e■■■eosoe■■eoeee■■eoo■ • . . ooeo■■eaee■■■eaeoo■■eeoee�■eso■ _ . eeoa■■eeoo■■■oeeee■■eeeeo■■oee■ . __=_ ooso■■ee®e■■■oeeee■■eoeee�■�oe■ : . . . ran©�ii■�■n©n®■■■o�©��■■nr�n��■■c�©�■ r. , • . , . ... eeao■■eeee■■■ooeee■■eeeeo■■eae■ • . : ' aeao■■ee©m■■■Qaaoo■■eeoeo■■eoa■ oaoa■■0000■■■oaoea■■eoe©o�sooe■ :., . : . . : oaeo■■oaee■■■eoaen■■000ee■■ee©■ ... . .. eoeo■■e000■■■oaeo ■■00000�■ooa■ _ • Noma ■o®a■■eaoo■■■ooea ■■eaaoo�■000■ ENVIRONMENTAL HEALTH -D v SION MONTHLY REPORT pa#62 of 2 • �,pPY 9P`I rn W 1a w •r°� w 8 9 10 11 12 13 14 15 16 17 18 19120121122 23124125126 27 2812913010 TOTALS 17 . ADMINI.STRATIVE HEARINGS d d Q G W O a 0 0 d d p 0 O a / a o (� O 0 1 17. � Icy 1) = "I'F U 0 D D (� O O d U D b 01 ,91 0 O D 101 010 101 17'a. O is. CONSTABLE SERVICE 0 d 0 0 0 0 0 / a I 0 1 / d © 1 101 Q / 1.01 1 18. L9 . LEAD PAINT INSPECTION 0 0 o C7 0 v Q v d 0 0 0 0 0 o Q 101 010 101 19. 0 19a. LEAD 1117,.IOVAL COMPLAINT 0 a O D 0 0 Q Q 0 0 0 D 0 Q Q d 0 010 D 1 19a. SEIMINAItS, CONFERENCES, 20. iIEETINGS O O O / 0 Q 1 0 0 0 ^® � � 0 101 1010 1 D 20. 2 1 . CERT. 01� FITNESS INSPEC S 7 3 S a �O 0 g 2 3 d o� 07 101 16-1'9' 21. /3 ?2 . CERT. OF FIT. RE-INSPEC O O O O 0 l v 0 a 0 1 J © D f� � a 1 101 O O 101 22. 23. EXTERIOR PAINT REMOVAL 0 D O U 0 0 D o 0 010 O Q 1 0 D 0 1 / 1 1010101 / 24. DAY CARE o v a o D -;v o o 0 o o v 01 d o D o 010101 24. U i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,IRS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF NOVEMBER 1994 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 1 1 1 1 GIARDIA 0 0 0 0 HEPATITIS 3 3 0 0 LYME DISEASE 0 0 0 0 SALMONELLA 2 1 1 1 TUBERCULOSIS 0 3 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE • FOR THE BOARD OF HEALTH 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT NOVEMBER 1994 ACTIVrfIES CLINICS In touch with T.B.Clinic following active cases and case contacts. • Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Flu clinic,November 9th and November 15th Assisted with Flu clinic at Salem Hospital on November 21st Administered 50 Pneumonia shots. Visited home-bound patients,for flu shots.. CONFERENCES AND MEETINGS Attended Hearing Screening Certification Program in Melrose on Nov.3. Attended Vision Screening Certification Program in Tewksbury on Nov.4. Meetingwith Dr.Dumas r • flu clinic as e. u c con Nov.8. Attended Public Health conference at Beverly Hospital on Nov. 22. Attended Credibility,Composure,Confidence seminar in Danvers on Nov.29.. ST.JOSEPHS SCHOOL Administered flu shots to faculty.. Provided material for National Smokeout. • School Nurse during recess hours: Monday through Thursday.. Pediculosis screening for Pre-K and First Grade-identified 2 cases of head lice- educated parents and teachers of proper treatment.. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 November Cases- Summary of Communicable Diseases CAMPYLOBACTER: One new case- A case of Campy, unspecified type- a 66 y.o. retired gentleman- exposure unknown-treated with antibiotics and I.V. Fluids- asymptomatic now HEPATITIS: 3 New Cases: 1) A chronic Hep B carrier- pt. a policeman- believes he contracted Hep B while on the job in N.Y.C.-awaiting labs from physician 2) A case with Hep A- still waiting to hear from patient 3) A case of Hep C- still waiting to hear from patient SALMONELLA: 2 New Cases: 1) A salmonella case- not responding to my letters or phone calls- will continue to try 2) A foodhandler, working at Richardson'.s Dairy in Middleton- Middleton V.O.H. notified- source of exposure unknown- employer and employee instructed on procedure- patient removed from work and instructed to return to Doctor for negative stool culture- the patient is confirmed to be negative and is asymptomatic- returned to work on Thanksgiving TUBERCULOSIS: No new cases, three cases carried over ADMI STRATION - MONTHLY REPORT October.:1994 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis a"7 0 BURIAL PERMITS ISSUED 59 Diptheria-Tetanus Tox. (under 6 yrs.) v INTERNATIONAL TRAVEL CERTS. Immune Serum Globulin CASH RECEIVED - LICENSES & PERMITS $ 176.00 Measles/Mumps/Rubella CERTIFICATE OF FITNESS - CASH $1 950.00 Polio ANIMAL BITES REPORTED Tetanus & Diptheria (adult use) 7 O Tuberculin PPD 7 ? U HIB Titre Hepatitis B SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $288,787.00 $82,654.75 --------- ------- $206, 132.25 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,500.00 $30,340.48 --------- $11,978.42 $12,546.52 $29,365.42 (held over) 1993BAS e■eeeoe�■e .. . • ■000000■■■©ooe■■000eoe■eeaee��o . .. . ■■ooeoo■■■eve®■■ennao■■nnenn�■o . . . .., . . ' ■■eooan■■■ovon■■oeaon■■©000a■■e . . ..• . ■■oaeeoe■■oono■■oeoeeeeeoone�■e . . . ..• ,.,_. . ■■000se■■■oa©®■■oe000■■000vo�■o . - ..o©000.■■ov©a■■©0000i■■ovai©a■.o •: ■■nno©�i■■.00no■■o©onn■■onnon■■n .: e000�■�oao©■�osooe��e000 ... . . ... ■■000sn■■■onao■■ono■a■■nonon■■e • . : • . : . . . ■■0000e■■■oeoo■■00000■■0000a■■e . • ■■oeoeo■■■e ✓ oa■■■eoee■■neooe�■n • ■■eneooe■■eaeo■■eeooa■■on�oo�■n I MIR W. M.. . I 'm m m 71 -: ��0�000■■■SOD rrl■��0�©■■�0d©n■■� ' r .. • ■■oaaoo■■■soon■■®ooso■■oaooa■■o • 12. 0 ■■000so■■■oaoo■■aoeoo■■a®000■■o ■■ooaao�■■a000■■oc�eoe■eeoeoo�■o :.. , : . . : ■■00000■■■oo®o■■ad000■�eoeoa■■o MENNEN OEM mommullso • OEM ENVIRONMENTAL HEALTH DIJLISION MONTHLY REPORT pa*2 of 2 ➢A'I . [1 12 3 14 5 6 7 8 19 110 11112113 14 15116 17 18119120121122 23 24 25 26 27 28 29 30 31 TOTALS 17 . ADMINI.STI\ATIVE HEARINGS D 0 0 0 O © 0 a O a 1010100 0 0 d D 17. 1 n E : T 0 O 010, O 0 0 101010 D 0 0 0 101 D 17a. 0 13. CONSTABLE SERVICE O O 0 0 o 0 0 0 1010 O 0 D 6 ® / 0 18. / L9 . LEAD PAINT INSPECTION 0 0 0 o O © 0 0 0 0 1016) 0 010 10 10101 1 1 ® 1 19. O 19a. 1.1 AD REMOVAL COMPLAINT 0 0 0 O (9 © 0 0 0 0 0 1 0 Q 0 0 10101 Q 19a. 0 SEMINARS, CONFERENCES, d © Q aO © 0 0 0 b I ! D p Q d O s 20 20. MEETINGS r . 21 . CERT. 01: FITNESS INSPEC 1 3 5 7 It/ b 1 y 9 ✓ /-� 7 y� jolo D 3 3 S- 7 1 21. 79 22 . CERT. OF FIT. RE-INSPEC O O D O o D O D O 0 0 0 © O 1011) 11 0 6 1 Q 1 22. l 23. EXTERIOR PA= REMOVAL 0 O © U O 0 0 0 0 0 010 1010 O p O 10101 101 � 24. DAY CARE 0 0 D D O ,. 0 O C O (, Q j (') JO 0 Olt, O 10101 O 24. � 3 y; CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT OCTOBER 1994 ACTIVPI'IES CLINICS In touch with T.B.Clinic following active cases and case contacts. • Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. Flu Clinic scheduled for November 9th and November 15th. Initiated Follow-up for Blood Pressure Rescreenings. CONFERENCES AND MEETINGS Attended National Health Conference in Hyannis on October 2oth. Meeting with Salem Hospital re: flu clinic. Meeting with Council on Aging re:flu clinic. Meeting at Charter Street re: flu clinic. Contacted Salem Eve.News, SATV,WESX Radio re:flu clinic. Attended Postural Screening Certification Program at B.U.on Oct.24th. ST.JOSEPHS SCHOOL Administered Mantoux(PPD)tests to faculty. Began preparation for National Smokeout and World AIDS Day. School Nurse during recess hours: Monday through Thursday. • CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF OCTOBER 1994 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 2 1 1 0 • GIARDIA 0 0 0 0 HEPATITIS 0 0 2 2 LYME DISEASE 0 0 0 0 SALMONELLA 0 0 0 0 TUBERCULOSIS 0 3 1 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE • FOR THE BOARD OF HEALTH SALEM HEALTH DEPARTMENT 9 North Street 'u Salem, MA 01970 OCTOBER CASES- SUMMARY OF COMMUNICABLE DISEASES CAMPYLOBACTER: Two New Cases: 1) One Swampscott resident- referred to Swampscott B.O.H. 2) A case of Campy- exposure unknown, treated with IV Fluids and antibiotics Occupation: Marketing Agent- Slight GI discomfort persists- patient to follow-up with physician GIARDIA, LYME, SALMONELLA No New Cases HEPATITIS: No new cases, two old cases discharged and reported to the state. i Dawn Marie Cameron, R.N. Public Health Nurse NOV 1 4 1�94 MONTHLY SUMMARY. ' CITY OF SALEM MONTH OF OCTOBER 1994 TOTAL: A visits with x-ray 11 A visits without x-ray 4 B visits 16 C visits xxxxxxxxxxxx• GRAND TOTAL: 31. NUMBS R OF CHEST X-RAYS TAKEN 11 . • YORTH SHORE MEDICAL CENTER BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC OCTOBER 1994 A visits B visits $5 . 07 each $3. 38 each Total A visits '15 @ $5. 07 each = $ 76. 05 Total B visits 16 @ $3 . 38 each = $ 54. 08 $ 130. 13 Secretarial_ services A visits $2 . 77 • B visits $1 . 85 S.ecretari-al- sup-plies A visits $2 . 30 B visits $1 . 53 CHECK REQUEST GENERAL FUND October 1994 9ndor Number: Check Amount: $ _ _ _ , = Q • 3 Payable To: (Initials Plus Full Name): Specify Date (If needed within S calendar days) Month: Day: Year: j City of Salem — Board of Health 9 North Street , Salem, MA ::< CheckDtstribuiion IDENTIFY ONE: .: . . ... .. . .. ...........::. Address jxegreaj Send By U.S. Mail: (Anacli Original(s) o Be blailed And Staple A Copy For Accounting.) Do Not Mail - Deparnnent Will Pick Up Will Vendor Be Used Again? Y N (Note: Staple,A Copy.) Is This An Employee? Y N Call Ertension For Check Pick-Up. U;m..v r it L•ior o.irn;c n1.e,iF,fr_�;,t •(,V 1/A{'l+ E,I o m 4.6 O/P 7 7�rGtr�ti}C Social Security # _ _ _ - _ _ .. Or Oederal Ta1.D. # - - - - _ — �r: \`�`J r _ Plr(a:e (aricJDccr.'Y::cr:J Secretarial services and office (Comple:eSignz-' re-1,'oJr.:: J supplies for North Shore Pulmonary Clinic. A visits Responsibility Repor, AccoutuDisiriburon (10Diciis) cicco�v 15 @ $5 . 07 each= $76. 05 2 1 � � OS1 � U S _ _ —�� 30.13 16 @$3. 38 each= $54. 08 2 — _ - - _ - - - - Total = $130. 13 - - - - - v - - 2 _ - - - - - - - - - Total of More 77ran One Acct #) — i ..::.:.................................................:.............,.......:......:..:...............................:.. ACO"UN7'11�1G 1EP#R3'MEN'1' iISE ONZ Per Override Reviewed By: Approved By: 1099 Set Up Y N NIA Invoice # _ _ _ - - _ - - - - - Check #: Invoice Date • Check Date: P.O. Date Received by Accounting: Check Received By: l\a.T.G.�C.tC _ Rev 06114193 ADMIDTTSTRATION - MONTHLY REPORT SEPTEMBER 1994 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pert.ussis f 930 BURIAL PERMITS ISSUED 52 Diptheria-Tetanus Tox. (under 6 yrs.) 50 INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin 7 CASH RECEIVED - LICENSES & PERMITS $ 178.60 Measles/Mumps/Rubella 580 CERTIFICATE OF FITNESS - CASH $2575.00 Polio 830 ANIMAL BITES REPORTED 5 Tetanus & Diptheria (adult use) 820 Tuberculin PPD 10 HIB Titre 720 Hepatitis B ADULT/PEDI 46/522 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $288,787.00 $63,566.57 ------- ------ $225,220.43 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,500.00 $28,633.81 -------- $5,991.93 $20,239.68 $29,365.42 (held over) 1993BAS • • ■o■■�000e■�eoo®o��00000�■0000©� •. . • MEMOoeo■ . ■o■■■eeea■■e000a■■ooeoo■■oeoe■■ . . ... . . . ■a■■■ooeo■�oaooae■0000a■■ooaoa■ . .., . - . �u■�u■r-� . ue■■inosninr■■��ee■�■ooe®n■ . . ... . sone©o� - . . . ... . . ■a■■■esoo■■00000■■ooeao■■000eo■ . . : . ■a■■■eeo�■■v0000■■ooeae■■a0000■ INS 0 0 4a. . ... ■o■■■eoao■■000ee■■aeose■■eoeee■ Em . : ■o■■■eeee■■aeoao■■ooeoe■■eeoeo■ . ■o■■■0000■■0000e■■eoees■�ooeeo■ . • ■o�■�eeee■■oeo©e■■aeooe■■eeoee■ _ . :.... ■e■■■ooeo■■a■eoo■sooeoo■■ese�ee� • �� ■■DODO■■ i r r . , .•. ■o■■■�soo■■ooaeo■■oaoeo■■eeoeo■ • 12. : • : ■o■■■e®oa■■oo■ao■■©ooeo�■oeeoo■ ■e■■■ooao■■o�aoo■�e000e■000000■ :.. , : • . : _ ■o■■■0000■■000®e■■00000■■e000©■ mom Ono oaooa■■000e®■ • _ ONO mom son000■ ONoao■■oevoo■ ENVIRONMENTAL HEALTH Dl.U.ISION MONTHLY REPORT pa*2 of 2 ll�i brti (- w P 8 19 1 10 11 12113114 15116117 18119120121122 23124 25126 27 128 29 30 TOTALS 17 . A])MINLS'I'I:A'1'IVI: HEARINGS d © © 1 01010 0 101 101610 0 0 O a D © 1 G? 1 1 17. 0 1 )M) PEI LEED HEARINGS 0 D D D 0 O O D O D O b D D O 0 b o B G' 17'a. p 18. CONSTABLE SERVICE 0 D O O 4 0 0 0 0 / / 6 Q Q 18. L9. LEAD PAINT INSPECTION D 0 D 10 D 1010 D a o 1010 D 0 4 / O O O 1 -01 19. 3 I9a . LEAD RI."10VA1. COMPLAINT D O D 0 0 © o 1010 D G O 0 0 0 0 c3 19a. O SEMINARS , CONFERENCES, G G d G' 20. MEETINGS O p O d� / 3 / D le D D O O/ / 1 20. L1 . CERT. OF FITNESS INSPEC oC $ 7 17 3 Y 7 / 1 b 9 1 .3 6131 21. 9l 22 . CERT. OF FIT. RE-INSPEC d D © D O D Q 0 O D 1a O D 0 0 0 40 1 22 23. EXTERIOR PAINT REMOVAL d O 0 0 0 O 0kq 0 O a 0 610 O Q 3 24. DAY CARE D 0 0 .0 / Q 0 0 D O D D O O O 610 O 0 24. vQ' 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT SEPTEMBER 1994 ACTIVITIES CLINICS In touch with T.B.Clinic following active cases and case contacts. • Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. Blood Pressure Clinic for City Employees on Sept.15. For Police on Sept.22. . Began coordinating Flu Clinic for November. CONFERENCES AND MEETINGS Lead Conference in Tewksbury on Sept.14. Meeting with Dr.Dumas re: Flu Clinic on Sept.15. ST.JOSEPHS SCHOOL Faculty meeting at St.Joseph's on Sept.6. Parent Orientation Night on Sept.26. Sent Permission Slips to parents re: administration of medications (such as tylenol,cough drops,etc.). School Nurse during recess hours: Monday through Thursday. • CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE.MONTH OF SEPTEMBER, 1994 1994 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 3 0 3 3 GIARDIA 1 0 1 1 HEPATITIS 2 2 3 3 LYME DISEASE 0 0 2 2 SALMONELLA 3 0 4 4 TUBERCULOSIS 0 4 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. A al. DAWN MARIE CAMERON,R.N. • PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 September Cases- Summary of Communicable Diseases CAMPYLOBACTER: 3 New Cases: 1) One Lynn resident-referred to Lynn B.O.H. 2) A Case of Campy. Jejuni-exposure unknown, treated with antibiotics, occupation-Manager 3) A Case of Campy. Jejuni-exposure unknown, treated with antibiotics, occupation-Civil Engineer GIARDIA: One New Case- Giardia Lamblia- Case's impression of cause: Pondwater from campground in Maine. Received antibiotics and is asymptomatic. • HEPATITIS: 2 New Cases: 1) A Case with Hep A and Hep C, admitted to hospital for psychiatric care-under care of Dr. Tejwani-Pt. has history of IVDA-Sexual Contacts unknown 2) A Case with Hep B, seen in E.W. of Atlanticare-presently unable to contact patient via phone or mail Three cases discharged, one old case still pending. LYME: No new cases, two old cases discharged and reported to the state SALMONELLA: 3 New Cases: 1) Case's impression of Cause: Scallops eaten at the Weathervane Rest.- Lynnfield Sanitarian notified-received antibiotics, asyptomatic- occupation-unemployed 2) Exposure unknown-the patient has a history of vomiting, due to pyloric stenosis, so parents assumed the nausea and vomiting was related to that, when, in fact, the baby had Salmonella 3) Exposure unknown-no medication given-pt. is asymptomatic One old case discharged and lost to follow-up TUBERC.ULO:SIS�;- No new cases, 4 carried-over::cases Dawn Marie Cameron, R.N. Public Health Nurse CHECK REQUEST SEPTEMBER 1994 GENERAL FUND Ondor Number: Check Amount: $ _ _ _ , _ 190 . L7— Payable To: (Initials Plus Full Name): Specify Date (If needed within 5 calendar days) Month: Day: Year: City of Salem — Board of Health 9 North Street , Salem, MA CheckDstnbution IDENTIFY ONE Address `(Retjnred) Send By U.S. Mail: (�rtacli Original(s) To Be Mailed And Staple A Copy For Accounting.) Do Not..Mail - Deparnnent Will Pick Up Will Vendor Be Used Again? Y x N (Note: Staple,A Copy.) Is This An Employee? Y N Call Extension For Check Pick-Up. U.�: v., et r Social Security - _ _ - _ _ _ Or &ede,ral Ta-c I.D. # — — - — — — — — — — Purpose (55rief D�=cr.*,:.c:) NA-.—� Secretarial services and office. (eomprc:eSigrr:src-tolr.:r_) supplies for North Shore % l9� 70Gt (D—) Pulmonary Clinic . A visits FRespoiuibiliryRepor, AccouniDisnrburion (1ODigits) 27 @ $5 . 07 each = $ 136. 891 ..��- B' visits 16 @ $3 . 38 each = 2 — _ — _ _ - - - - - - - 25 - - -'- - -'- - ota - 90 . 97 2 - - - - - - - - - Y - - -'- - -'- - 2 _ _ S _ - -'- - -'- - Total (If Afore Than One Accr ) . .................................................. INC IEPRTi4fENTI,SE;D1J1 Per Override Reviewed By: Approved By: 1099 Set Up Y h' IVA Invoice ## _ _ _ _ _ — _ - - - - Check #: - - Invoice DateCheck Date: P.O. Date Received by Accounting: Check Received By: . ta.T1.rDCIC Rev 06114193 • NORTH SHORE MEDICAL CENTER BILLING DEPARTMENT SERVICES (secretarial and gffice supplies) NORTH SHORE PULMONARY CLINIC SEPTEMBER 1994 A visits B visits $5. 07 each $3. 38 each Total A visits 27 @ $5 . 07 each = $ 136. 89 Total B visits 16 @ $3 . 38 each = $ 54 . 08 - $190. 97 .Secretarial services A visits. $2 . 77 • B visits $ 1 . 85 Secretarial supplies A visits $2.. 30 B visits $1 . 53 _ o OCT6 u 1994 CITY OF SALEM HEALTH DEPT. ADMIOSTRATION - MONTHLY REPORT AUGUST 1994 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 510 BURIAL PERMITS ISSUED 40 Diptheria-Tetanus Tox. (under 6 yrs.) 70 INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin 5 CASH RECEIVED - LICENSES & PERMITS $788.00 Measles/Mumps/Rubella 220 CERTIFICATE OF FITNESS - CASH $2,600.00 Polio 470 ANIMAL BITES REPORTED 19 Tetanus & Diptheria (adult use) 400 Tuberculin PPD 730 HIB Titre 820 Hepatitis B 737 .SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $288,787.00 $38,116.58 ------ -------- $250,670.42 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,500.00 $25,454.57 ------- $2,563.95 $26,846.90 $29,365.42 (held over) 1993BAS '4 ENVIRONMENTAL HEALTH DI ON MONTHLY REPORT pag of 2 1 2 13 4 15 6 7 8 9 110 11 12 13 14 15 16117 18119120121 22 23 24 25 26 27128129130 31 TOTALS 17. ADMINISTRATIVE HEARINGS 117. IZ,q, FOOD RELATED HEARTNGS 17a. 10 18. CONSTABLE SERVICE 18. 3 19. LEAD PAINT INSPECTION 1 19. 19a. LEAD REMOVAL COMPLAINT 19a. SEMINARS, CONFERENCES, r 20. MEETINGS _ _I F 20. 21 . CERT. OF FITNESS INSPEC 60 Q �V I y �I 1 ( 21.427 22. CERT. OF FIT. RE-INSPEC 22. 23. EXTERIOR PAINT REMOVAL C9 24. DAY CARE J I 24. 0 .. 1 �ne■■■noA i eono�■ �i ■■o�■u9�■r�v■■ quo n' �a�■iioiiioi�in"�"i�7�G'■��■ mi�a��■iiiaii'■i��nii monsoons� .. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT AUGUST 1994 ACTIVYITES CLINICS In touch with T.B.Clinic following active cases and case contacts. • Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. Blood Pressure Clinic for Firemen on August 22,24,25.Per Firemen request, will arrange a program for cholesterol screening in the future. Plan on BP clinic in Sept. for Police and City Employees. CONFERENCES AND MEETINGS Meeting held with Principal of St.Joseph's School regarding the upcoming year. Will meet with faculty and parents next month at orientation. Plan to attend lead conference in Tewksbury in September. ST.JOSEPHS SCHOOL SUMMER VACATION • CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF AUGUST,1994 1994 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 1 0 1 1 GIARDIA HEPATITIS 1 3 1 1 LYME DISEASE 1 1 1 1 SALMONELLA 4 1 4 4 TUBERCULOSIS 0 4 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE • FOR THE BOARD OF HEALTH ADMINISTRATION - MONTHLY REPORT Jul 31 1:94 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 435 BURIAL PERMITS ISSUED 43 Diptheria-Tetanus Tox. (under 6 yrs.) 20 INTERNATIONAL TRAVEL CERTS. O Immune Serum Globulin 2 CASH RECEIVED - LICENSES & PERMITS $ 268:00'- Measles/Mumps/Rubella 50 CERTIFICATE OF FITNESS - CASH 1,825.00 Polio 460 ANIMAL BITES REPORTED 11 Tetanus & Diptheria (adult use) 310 Tuberculin PPD 530 HIB Titre 230 Hepatitis B 550 (ADULT - 6 PEDI -544) .SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $288,787.00 $16.,806.59 -------- ------- $271,980.41 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,500.00 - 0 - ------ ----- $25,500.00 1993BAS ENVIRONMENTAL HEALTH DI ION MONTHLY REPORT • YEAR MONTH SANITARY CODE ENFORCE 11112113 14 15116117 18119120 21 22 23 24125 26 27128 29130131 TOTALS C:OMPLIANCF REVIEW 1. PLAN REV. //SITE INSP. 2. FOOD SERVICE INSPECTION I 2, 3 2a. FOOD SERVICE RE-INSPEC. 2a. 2b. FOOD SERVICE COMPLAINT 3. RETAIL FOOD INSPECTION 3. 3a. RETAIL FOOD RE-INSPEC. I 3a. b RETAIL FOOD COMPLAINT I 3b. �- 4. MOBILE UNIT/PUSHCART 4. - MOBILE UNIT PUSHCART 4a. COMPLAINT 4a. � 5. TEMPORARY FOOD INSPEC. 5. �- 6. BED & BREAKFAST INSPEC. 6• �`- 7. HOUSING INSPECTION W I 3 7• 7a. HOUSING RE-INSPECTION a. M i a I I 7a. D 8. GEN. NUISANCES TRASH I 8• 9. RECREATIONAL CAMPS 9. 16- SWIMMING POOLS 10. 11. BATHING BEACHES 11,23 12. SUNTAN CENTERS 12. ll� 'ENVIRONMENTAL COMPLAINTS d �- a �-- 14. RODENT CONTROL 14. 15, SOIL TESTING TITLE V 16. COURT HEARINGS ` _ 1 16. • ENVIRONMENTAL HEALTH DTAKION MONTHLY REPORT pa of 2 mw 6 7 8 9 110 11 12 13 14 15 16 17 18 19 20 21 22123 24 25 26 27 28 29 30 31 TOTALS 17. ADMINISTRATIVE HEARINGS 17.0 11 17a. 18. CONSTABLE SERVICE 18. 19. LEAD PAINT INSPECTION 19. 19a. LEAD REMOVAL COMPLAINT I 19a. SEMINARS, CONFERENCES, 20. MEETINGS 20. 0 21. CERT. OF FITNESS INSPEC L I 21. 22. CERT. OF FIT. RE-INSPEC 22. o� r • JULY CASES CAMPYLOBACTER Case#1 Cases impression of cause: Unknown Occupation: Machinist. Follow up call 7/28 stool results (-) Case#2 Cases impression of cause: Mcdonalds Q-Pounder Occupation: Foodhandler Employed at McDonalds Main St. Peabody,and Salem Hospital Cafeteria Places of employment notified. Exclusion from work letter sent. Peabody Board of Health notified. Returned to work after one negative result. (7/20) HEPATITIS • ONE CASE LYME DISEASE One case confirmed by serology testing. Case was treated with Doxycycline. One case was unconfirmed by M.D. First serology test was positive. Western Blot was negative. Physically the case complained of arthralgia. M.D. has diagnosed this case as a false positive. SALMONELLA SIX CASES Case#1 Cases impression of cause: His Pizza and Sub Shop. Occupation: Owner of Cape Ann Pizza and Subs, Essex MA. Essex B.O.H. notified. An outbreak of Salmonella occured in late June 94 at the Cape Ann Sub Shop. 64 people were positive with Salmonella after eating at • the sub shop. Essex B.O.H. closed the store for one week. Owner and employees enrolled in a Safe foodhandling course. This case has now returned to work after 4 negative results. i • Case#2,#3,#4 These cases are work and household contacts of above case. They are now negative for Salmonella. #2 works at sub shop. #3 and#4 are children of#1 neither children are in day care. Case#5 5 y/o male. Interviewed Mother. She feels child became ill after eating rice from Kiki's Chinese Rest. The leftover rice was brought home, left in refrigerator for two days. The whole family(6) ate the rice, but only the child became ill. "Pets at home: 1 dog, 4 cats, 2 birds, 2 frogs, 1 rat, 1 snake and 2 iguanas. This case was reported to the sanitarians. Case#6 Unable to contact as of this time. Several CD letters mailed No phone# available. Annual Listing: Non-Foodhandler. Two cases are carried over. VARICELLA O • Tracy Giarla L.P.N • CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF JULY1994 1994 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 2 - 3 3 GIARDIA HEPATITIS 1 4 - - LYME DISEASE 2 - - - SALMONELLA 6 3 3 3 TUBERCULOSIS 0 2 1 1 VARICELLA 0 1 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. a i r • TRACY L.GIARLA L.P.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • a�, �p s CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT JULY994 ACTIVITIES CLINICS In touch with T.B.Clinic following active cases and case contacts. • Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. CONFERENCES AND MEETINGS A meeting was held at Salem Board of Health with Joanne Scott, Health Agent, and Dawn Marie Cameron,R.N.,Ms.Cameron will be the Public Health Nurse for the city of Salem as of August 1, 1994 ST.JOSEPHS SCHOOL SUMMER VACATION CHECK REQUEST July 1994 GENERAL FUND $t 131,82 k Amount: _ _ _ , _ odor Number: — — — Payable To: (7nitials Plus Full Name): Spec Date (If needed within 5 calendar days) Month: Day: Year: City of Salem —Board of Health 9 North Street , Salem,MA `>: >Checkbistrtbution --IDENTIFY.ONE ::>> Address `(Required) Send By U.S. Mail: (Anach Original(s) To Be Mailed And Staple A Copy For Accounting.) Do Not Mail - Deparnnent Will Pick Up Will Vendor Be Used Again? Y X N (Note: Staple,A Copy.) Is This An Employee? Y N Call Ertension For Check Pick-Up. UrP..11 u LSo.c.teni,need. Joe, I I Q�l�s (7 G Social Security r _ _ _ - _ _ - .. Or Oderal Ta-c I.D. — — - — — — — — — — Psgosc Secr-etarial services and off ice tcGm?re:esrgrr:.re•tot-:--t supplies for North Shore ?l—) Pulmonary Clinic. a visits 16 Responsibility Repor, Account Distribution (10Digits) @ $5. 07 each = $81 . 12 B visits . 2 I I � � - Q5 I `� � S 131-8 15 @ $3 . 38 each = $50. 70. - - $ — _)— Total $131 . 82 2 - _ — _ _ _ - - _ - - -'- - 2 - - - - - - 5 - - - - - -'- - Total of More 77ran One Acct ) — _ --- — — — — .A. C0.Uld7'..... P 14Ti4IEN�`;m. Per Override Reviewed By: Approved By: 1099 Set Up Y N NlA Invoice #I _ _ — _ _ — _ - - - _ Check Invoice Date •ClieckDate: P.O. ## - - - - _ _ _ _ - - Date-Received by Accountitig: Check Received By: 1\aT�.tDcfc Rev 0611.193 NORTH SHORE MEDICAL CENTER BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC July 1994 A visits . B visits $5. 07 each $3 . 38 each Total A visits 16 @ $5. 07 each =$ 81 . 12 Total B visits 15 @ $3 . 38 each =$ 50. 70 $131 . 82 Secretarial services A visits $2 . 77 • B visits_. $1 ..85 Secretarial supplies A visits $2 . 30 B visits $1 . 53 r CITY OF SALEM HEALTH DEPT. ADMINISTRATION - MONTHLY REPORT June 11, 1994 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 345 doses BURIAL PERMITS ISSUED 67 Diptheria-Tetanus Tox. (under 6 yrs.) 50 doses INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin 1 vial CASH RECEIVED - LICENSES & PERMITS "$`'z 256.00 Measles/Mumps/Rubella 101 doses CERTIFICATE OF FITNESS - CASH $3,150.00 Polio 410 doses ANIMAL BITES REPORTED 17 Tetanus & Diptheria (adult use) 130 doses Tuberculin PPD 230 doses HIB Titre 140 doses ` Hepatitis B 152 doses .SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE i NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE 1993BAS ■ ■ �i■■iii� e e �eu■rii �■��e�ii��in • ENVIRONMENTAL HEALTH DTAMION MONTHLY REPORT pa of 2 v/V t 6 7 8 9 110 11 12 13 14 15 16117 18 19120121 22 23 24 25 26 27128129130 31 TOTALS 17. ADMINISTRATIVE HEARINGS I 17• 17'a. 18. CONSTABLE SERVICE 18. 19. LEAD PAINT INSPECTION 19. 19a. LEAD REMOVAL COMPLAINT 119a. SEMINARS, CONFERENCES, I I 3 20. MEETINGS 20, 21. CERT. OF FITNESS INSPEC 9 S 22 CERT. OF FIT. RE-INSPEC a. 22. • 4 aj� �P CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT JUNE1994 ACTIMIES CLINICS In touch with T.B. Clinic following active cases and case contacts. Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an • appointment and rescheduled a new appointment. With the recent outbreak of Middleton Jail, all inmates are under quarantine. MMR vaccinations are being offerer. to Salem District Court employees, and Salem Superior Court employees before entering the Jail for Bail Reviews. 20 people have received the vaccine during the month of June. They include Judges,Lawyers, Court Officers and Clerks going up to the Jail. On Friday June 24 , MMR vaccinations were offered to current residents at Crombie Street Shelter. Six residents were immunized. ST.JOSEPHS SCHOOL SUMMER VACATION CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF JUNE 1994 1994 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 - - - GIARDIA - HEPATITIS - 3 - - RUBELLA 1 0 1 1 SALMONELLA 1 - 1 1 TUBERCULOSIS 0 3 1 1 VARICELLA 2 - 2 2 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. TRACY L. IIARLA L.P.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • _ May 31, 1994 • • ADMINISTRATION MONTHLY REPORT BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 420 BURIAL PERMITS ISSUED 53 Diptheria-Tetanus Tox. (under 6 yrs.) 10 INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $ : 540' 00 Measles/Mumps/Rubella 370 CERTIFICATE OF FITNESS - CASH $2,025.00 Polio 530 ANIMAL BITES REPORTED 27 Tetanus & Diptheria (adult use) 510 Tuberculin PPD 330 HIB Titre 330 Hepatitis B 530 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $250,4.84,.00 xxxxxxxxx $234,798.21, - 0 - $53,337.03 . 21,948.00 APPR. NON=PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $20,200.00 $29,089.28 xxxxxxxxxxx $5,359.98 $5,750.74 20,000.00 - APPR. 1993BAS ENVIRONMENTAL HEALTH DI ON MONTHLY REPORT YEAR �- H • SANITARY CODE ENFORCE 101 11112 13 14 1511611.7 18119120121 22 23124 25 26127128 29130131 TOTALS GOMPLIANC REVIEW I 1• PLAN REV. INSP. t1. 7 2. FOOD SERVICE INSPECTION 2• 2a. FOOD SERVICE RE-INSPEC. N 2a• 2b. FOOD SERVICE COMPLAINT t' 3. RETAIL FOOD INSPECTION / 3• 3a. RETAIL FOOD RE-INSPEC. 3a. / �b RETAIL FOOD COMPLAINT �' / 3b. a. 4. MOBILE UNIT/PUSHCART 4' f . 3 MOBILE UNIT PUSHCART 4a. COMPLAINT 4a. 5. TEMPORARY FOOD INSPEC. 5. 6. BED & BREAKFAST INSPEC. ' 6• 7. HOUSING INSPECTION O d` 7• 7a. HOUSING RE-INSPECTION a. ( 1 ' 7a• 8. GEN. NUISANCES TRASH I ' 8 61 9. RECREATIONAL CAM' P�- 9. t 10. 11. BATHING BEACHES 12. SUNTAN CENTERS 12. COMPLAINTS 14. 14. RODENT CONTROL STING TITLE 15, 16. COURT HEARINGS pZ 16. 5 awn ■oo■'u�■�iiu■ �riri:N CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH,AS.CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 PUBLIC HEALTH NURSE REPORT MAY 1994 ACTIVITIES CLINICS In touch with T.B. Clinic following active cases and case contacts. Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. • CONFERENCES AND MEETINGS Attended a meeting with Joanne Scolt and Mr.Paul Plante at St.Joseph's School regarding the duties of the Public Health Nurse at St.Joeeeph's. PPD Mantoux skin test for a legally blind Salem resident. This was upon referral from Ped. Health Care in Lynn.. A home visit was made on 5/31 ST.JOSEPHS SCHOOL Physical Exams were performed on May 25,1994 by Dr. Dumas, Physician for the Board of Health. 9 students were examined,assisted by Tracy Giarla L.P.N. • CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF MAY 1994 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 - 1 1 GIARDIA 2 - 2 2 • HEPATITIS 2 4 1 1 LYME DISEASE 1 - - (UNCONFIRMED) SALMONELLA - - - TUBERCULOSIS 0 3 1 1 VARICELLA 1 - 1 1 *THOSE DISEASED EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. C4 ox d C TRAM.GIARLA L.P.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • � CHECK REQUEST GENERAL FUND MAY 1994 Check Amount: Vendor Number: ` Payable To: (lnirials Plus Full Name): Spec Date (If needed within 5 calendar days) • Month: Day: Year: City of Salem- Board of Health 9 North Street , ' Salem, MA :Check`Distribution 1DENTIFY.ONE Address (Requi:redJ Send By U.S. Mail: (Anacli Original(s) To Be Afailed And Sraple A Copy For Accounring.) Do Not Mail - Deparnnent Will Pick Up Will Vendor Be Used Again? Y IV (1Jate: Smple•A Copy.) Is This An Employee? Y N Call Er tens ion For Check Pick-Up. I Prr.,ct�'bti.' V ic.•..�u L-Sor c.rr v,n!wed,,F 41:�i-S 1 A&'/' .J k KPj: u �� Social Security - _ _ - _ _ b.c Or Federal Tar I.D. # _ _ - _ — — — — _ _ Pur,.o.e brief Dccnr:.�=.J Secretarial services and office (compte,eSig-.-,f.re-for":-_� supplies for North Shore /P Pulmonary Clinic. A visits 28 Responsibility Report Account Disiribcuion (10Digits) @ $5. 07 each = $141 . 9E 2 � S- 0 S� b - - -,�I�.R� B visits 21 @ $3. 38 each =$70. 98 2 —- - - - - Total = $212 . 94 2 - - - - - - - Total (lj Afore Than One Acct ::.:..:.............:..........:..:.................:............:............::...;................................ ACeO:tlhrl'IN EP:4I�TME1 ' T��'E .... Per Override Reviewed By: Approved By: 1099 Set Up Y N NIA Invoice # _ _ _ _ _ - - _ - - - Check #: Invoice Date Check Date: P.O. Dare Received by Accounting: • Check Received By: I�Q.T1.rDC(C ' Rcti•0611.1193 r • NORTH SHORE MEDICAL CENTER BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC MAY 1994 A visits B visits ($5 . 07 ea..) ($3 . 38 ea. ) Total A visits 28 @ $5. 07 each = $141 . 96 Total B visits 21 @ $3 . 38 each = 70. 98 $212 . 94 Secretarial services A visits $2 . 77 B visits $1 . 85 Secretarial supplies A visits $2 . 30 B visits $1 . 53 a: CITY OF SALEM • HEALTH DEPT. ADMINISTRATION - MONTHLY REPORT APRIL 30, 1994 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 20 BURIAL PERMITS ISSUED 41 Diptheria-Tetanus Tox. (under 6 yrs.) 300 INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS. $ 537.50 Measles/Mumps/Rubella 210 CERTIFICATE OF FITNESS - CASH $2 950.00_ Polio 350 ANIMAL BITES REPORTED 20 Tetanus & Diptheria (adult use) 710 Tuberculin PPD 420 HIB Titre 300 Hepatitis B 378 .SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $250,484.00 xxxxxxx $218,735.49 - 0 - $69,399.75 .. 21,948.00 - .APPR. NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $20;;200.00 $27,641.68 xxxxxxxxxxx $6,430.31 $6,128.01 20,000.00 - APPR. 1993BAS ` •. 2�L ENVIRONMENTAL HEALTH DI ION MONTHLY REPORT • (YEAR MONTH SANITARY CODE ENFORCE 10111112 13114 15116117 18119120121122 23 24 25 26 27128129 30 31 TOTALS 1. PLLAN REV. SITEIINSP. I 1 1• �� 2. FOOD SERVICE INSPECTION 2. 2a. FOOD SERVICE RE-INSPEC. 2a• 2b. FOOD SERVICE COMPLAINT 3. RETAIL FOOD INSPECTION 1 3• 3a. RETAIL FOOD RE-INSPEC. 3a. b RETAIL FOOD COMPLAINT 3b. 4. MOBILE UNIT/PUSHCART 4. MOBILE UNIT PUSHCART 4a. COMPLAINT I 14a. 5. TEMPORARY FOOD INSPEC. 5. j 6. BED & BREAKFAST INSPEC. 6• 7. HOUSING INSPECTION oZ I I 7• 7a. HOUSING RE-INSPECTION ( 7a• 8. GEN. NUISANCES TRASH 8• 410- 9. RECREATIONAL CAMP- 9. POOLS10, SWIMMING 10. 11. BATHING BEACHES 11. 12. SUNTAN CENTERS 12. 13� ENVIRONMENTAL COMPLAINTS 3. 14. RODENT CONTROL 14. 15, SOIL TESTING TITLE V 16. COURT HEARINGS g(_ �, 1 16 7 • ENVIRONMENTAL HEALTH DlAbION MONTHLY REPORT Ao21L pa of 2 8 19 10 11 12 13 14 15 16117 18119 20 21 22123 24 25126127128129 30 31 TOTALS 17. ADMINISTRATIVE HEARINGS 117. LZg. FOOD RFLATFT) HEARINGS 17'a. 18. CONSTABLE SERVICE 18. 19. LEAD PAINT INSPECTION 19. 19a. LEAD REMOVAL COMPLAINT 19a. SEMINARS, CONFERENCES, 20. MEETINGS r J 20. 21 . CERT. OF FITNESS INSPEC 3 . 6 3 3 3 '_ Cr 21. �_ s r 22 CERT. OF FIT. RE-INSPEC 22. oosort�� a� 3 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street Salem, Massachusetts 01970 508-741-1800 MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF APRIL 1994 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 - 1 1 GIARDIA - 1 4 4 HEPATITIS - 5 4 4 MENINGITIS - - - - SALMONELLA 2 - 1 2 TUBERCULOSIS 2 4 - - VARICELLA 2 - 2 2 *THOSE DISEASED EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. 10 - I 6;��34� TRACY L.GIARLA L.P.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • I i .� e� 3 J \�aum+s tiy,,,0 CITY OF SALEM HEALTH DEPARTMENT • BOARD OF HEALTH 9 North Street Salem, Massachusetts 01970 508-741-1800 PUBLIC HEALTH NURSE REPORT APRIL 1994 ACTIVITIES CLINICS Interviewed and followed all communicable disease cases and reported to the CDC Maintained vaccine inventory and distributed biologics citywide. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. • CONFERENCES AND MEETINGS A restaurant establishment was inspected by Ginny Moustakis, accompanied by T. Giarla L.P.N. This was pertaining to a Salmonella case who suspected the restaurant as a source of contamination. A Food Service Inspection Report was completed. Attended a meeting at the Salem Board of Health with Joanne Scott, Health Agent,and Karolyn Jernigan R.N. This meeting was regarding two active tuberculosis cases within the city. ST.JOSEPHS SCHOOL MMR immunizations are required by all students entering grade 7 Letters were sent out to the parents to inform them on April 26th r r eb co�� R CITY OF SALEM HEALTH DEPARTMENT • BOARD OF HEALTH 9 North Street Salem, Massachusetts 01970 508-741-1800 I April 26, 1994 Dear Parent/Guardian: Recent regulations from the State Department of Public Health have advised us that beginning September 1991, all students entering Grade 7 (or in the case of an ungraded classroom,beyond the 12th birthday) must have a second MMR (measles, mumps, rubella) immunization. It would be advisable to make an appointment early with your childs Physician to schedule his/her seventh grade physical exam and this immunization update,both can be done before school starts in September. This immunization may be obtained free of charge at the Lydia Pinkham Clinic, 230 Derby Street in the City of Salem on Tuesdays from 2 P.M. to 4 P.M. Please note, that according to the new law, "No child shall be admitted to Grade 7(or in the case of an ungraded classroom, beyond the 12th birthday)without a Physicians Certificate or a copy of an immunization record..." Please send a copy of your childs Physicians Certificate or a copy of their immunization record showing they have the required two(2) MMR immunizations. We must receive this information before school opens in September. Please submit required information to St. Josephs School. Your cooperation is greatly appreciated in this important matter. FOR THE BOARD OF HEALTH REPLY TO A �j OANNE SCOTT M.P.H,R.S.C.H.O. TRACY IARLA L.P.N PUBLIC HEALTH NURSE HEALTH AGENT i SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC AP RIL 1994 A visits B visits ( $5,...07 each) ($3 .38 each) Total A visits 20 @ $5. 07 each = $101 . 40 Total B visits 19 @ $3 . 38 each = $ 64. 22 $ 165 . 62 • Secretar_i.a.l_ser_vices A visits $2 . 77 B visits $1 . 85 Secretarial supplies A visits $2. 30 B visits $ 1 . 53 LE Q . MAY 9 1994 CITY OF SALEM HEALTH DEPT. ,)AtL,Gtvt n u,)ri l riLi CHECK REQUEST GENERAL FUND A.P RI L 1994 �ndor Number: Check Amount: $ _ _ _ , 165 . . 62_ Payable To: (Initials Plus Full Name): Spec Date (If needed within 5 calendar days) Month: Day: Year: City of Salem — Board of Health 9 North Street , Salem, MA CheckDrstrtbutron IDENTIFY ONE .. .....,.:. Address {RequireriJ Send By U.S. Mail: (Aaacli Original(s) To Be Afailed And Staple A Copy For Accounting.) Do Not Mail - Deparnnent Will Pick Up Will Vendor Be Used Again? Yx N (Note: Staple A Copy.) Is This An Employee? Y N Call Extension For Check Pick-Up. .................. U➢m v 1 u Tabor o•rrry« ry.d,rF<foli.n, 1 V 0 NL (Pr.::Fame) Social Security Or — _ - - � �ederalTavI.D. # _ - - _ (Prx.fName) Purpose(Brief Dccr pr:c) Secretarial services and office (Complete Sigr=ure-l.'olr.i-4J supplies for North Shore (D-) (Prtrc F =cr.J Pulmonary Clinic. A visits 20 Responsibility Repor, Account Distriburion (10 Digits) Accaca: @ $5. 07 each = $101 . 40 2 ._(_ L� B visits 19 @ $3. 38 each =$64 .22 2 - - - - - - - - Y - - - - - - - - 2 - - - 5 - - - — — —•— — Total (If Afore Tian One Acct k) AUlld7' 1 :< kIF1' Per Override Reviewed By: Approved By: 1099 Set Up Y N N/A Invoice # _ — _ _ — _ _ - - _ _ Check #: Invoice Date Check Date: P.O. # - - - - _ _ _ _ - - Date Received by Accounting: Check Received By Na e.tDate Rev 06114193 • - March 31 1994 • • ADMINISTRATION MONTHLY REPORT , BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 375 doses BURIAL PERMITS ISSUED 57 Diptheria-Tetanus Tox. (under 6 yrs.) 20 doses INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin 0 CASH RECEIVED —LICENSES & PERMITS $1,768.00 Measles/Mumps/Rubella 180 doses CERTIFICATE OF FITNESS - CASH $2,075.00 Polio 390 doses ANIMAL BITES REPORTED 6 Tetanus & Diptheria (adult use) 160 doses Tuberculin PPD 260 doses HIB Titre 40 doses Hepatitis B 384 doses SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $250,484.00 xxxxxxxx $202,785.94 - 0 - $85,349.30 21,948.00 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $20,200.00 $24,804.68 xxxxxxxxxxxxx $9,222.76 $6,172.56 20,000.00 - APPR. 1993BAS ADMI RA N TION - MONTHLY REPORT February 1994 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 510 doses BURIAL PERMITS ISSUED Diptheria-Tetanus Tox. (under 6 yrs.) 0 INTERNATIONAL TRAVEL CERTS. Immune Serum Globulin 1 dose. CASH RECEIVED - LICENSES & PERMITS Measles/Mumps/Rubella 280 doses CERTIFICATE OF FITNESS - CASH Polio 470 doses ANIMAL BITES REPORTED Tetanus & Diptheria (adult use) 390 doses Tuberculin PPD 190 doses HIB Titre 310 doses Hepatitis B 616 doses SALARY/LONGEVITY: ANNUAL, BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE 1993BAS 14 9 y -ENVIRONMENTAL HEALTH DI` ION MONTHLY REPORT w 0 YEAR MONTH SANITARY CODE ENFORCE 1101 11 12 13114 15116117 18 19120121122 23124 25126 27128129130131 TOTALS 1• PLANLREV. SIITEIINSP. 1 2. FOOD SERVICE INSPECTION J J J ` 2. 2a. FOOD SERVICE RE-INSPEC. 2a. 2b. FOOD SERVICE COMPLAINT 2b, a- 3. RETAIL FOOD INSPECTION 1 3. 3a. RETAIL FOOD RE-INSPEC. 3a• b RETAIL FOOD COMPLAINT 3b• 4. MOBILE UNIT/PUSHCART 4. MOBILE UNIT PUSHCART 4a. COMPLAINT 4a. 5. TEMPORARY FOOD INSPEC. 5. 6. BED & BREAKFAST INSPEC. 6. 7. HOUSING INSPECTION / / t �, 7. /3 7a. HOUSING RE-INSPECTION S- 7a• 8. GEN. NUISANCES TRASH ✓� 8. ,3 9. RECREATIONAL - 9 1 0- SWTMMTNG POOLS 10. 11. BATHING BEACHES 11. 12. SUNTAN CENTERS J 12. 11-- ENVIRONMENTAL AINTS 1 14. RODENT CONTROL 14. 15, STING TITLE V 16. COURT HEARINGS J 1 �, 16. 3 ENVIRONMENTAL HEALTH DI ON MONTHLY REPORT pag• of 2 1 2 3 4 5 6 7 8 9 110111 12 13 14 15116117 18 19120121 , 22123 24 25 26 27128129 30 31 TOTALS 17. ADMINISTRATIVE HEARINGS 17. 17a. 1S. CONSTABLE SERVICE 18. L9. LEAD PAINT INSPECTION 13 19. 19a. LEAD REMOVAL COMPLAINT 19a. 1 SEMINARS, CONFERENCES, 20. MEETINGS / 1 %I 20. 21 . CERT. OF FITNESS INSPEC ,'� b i b 0[ j 21. 1r�y 22. CERT. OF FIT. RE-INSPEC f f 22. 6— • PUBLIC HEALTH NURSE REPORT MARCH 1994 ACTIVITIES CLINICS In touch with T.B.clinic and following active cases and case contacts Preparation for audiometric (hearing) sceening clinic at the Council on Aging. Date for hearing screening set for May loth 1994(see attached press release). Due to an outbreak of Rubella in the North Eastern part of Massachusetts, the Regional office of the MDPH has recommended the "at Risk" populations be immunized. Coordination of Immunization Clinics were established. The Health Department sponsored a free immunization clinic at the Crombie Street Homeless Shelter on March 30th. 26 people were immunized and arrangements were made for immunization of others following the March 30th Clinic. CONFERENCES AND MEETINGS Maintained vaccine inventory and distributed biologics city wide . Maintained records and case reports of communicable diseases Attended the North Shore Area Boards of Health Collaborative meeting(NSABOHC) Attended the Community Health Network Area (CHNA), Tobacco Control Coalition (TCC) STRATEGIC PLANNING SESSION on March 14th. Attended the Mayors Task Force Meeting of the Salem Community Alliance Attended the Salem Community Alliance,Community Leaders Meeting held for CSAP representatives Continued Student Nurse Internship Program(S.N.I.P.) Continued orientation of the new staff member, David Collins, Program Director for the NSABOHC Tobacco Control Initiative Attended the Ciy Council Meeting RE: Cigarette Vending Machines in the City of Salem. ST.TOSEPH'S SCHOOL- Prepared and Maintained school records Vision screening performed on Grades K-8 Hearing screening performed on Grades 1-8 • Injury Prevention Programs were held for Grades 2-8 Co*ara • .lanwc CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street Salem, Massachusetts 01970 508-741-1800 The City of Salem Board of Health in cooperation with the Boston Guild for the Hard of Hearing, will sponsor a Hearing (audiometric) Screening on May 10, 1994, during Seniors Month. Hearing Screening will be provided FREE of charge for all seniors on an Appointment only basis.To make an appointment please visit the Council on Aging Health Clinic and fill out a Hearing Screening Form. For more information call 744-0924 or contact Lori Silva, R.N., Public Health Nurse at the Salem Health Department at 741-1800. • • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF FEBRUARY AND MARCH 1994 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 2 - 2 2 GIARDIA - 5 - - HEPATITIS 4 5 - - MENINGITIS 1 - I 1 • SALMONELLA 1 1 1 1 TUBERCULOSIS 1 4 - - *THOSE DISEASED 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 • APR I I" CITY OF SALEM SALEM HOSPITAL BILLING DEPARTMENT HEALTH KEPT. SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC MARCH 1994 A visits B visits ($5. 07 each) ($3 . 38 each) Total A visits 21 @ $5 . 07 each = $106. 47 Total B visits 20 @ $3. 38 each = $ 67 . 60 $174 . 07 • Sec-retarial- services A visits $2 . 77 - B visits $1 . 85 Secretarial supplies A visits $2 . 30 B visits $1 . 53 • CIIEC�; REQUEST r GENERAL FUND „ MARCH 1994 Check Amount: �tidor Nwnber: , Payable To: (Initials Plus Full Name): Specify Date (If needed wit1iin 5 calendar days) Mouth: Day: Year: City of Salem — Board of Health 0 1:1NTI Y NE ......:. .:. . .::::::::.:...:.:.::::..::.:.:.:........... North Street , Salem, MA . "' ;.: ;: < : : ::Check Distribution .- IDE Address {KequrdJ Send By U.S. Mail: (Anacli Original(s) To Be Irfailed And Staple A Copy For Accounting.) Do Not Mail - Deparnnent Will Pick Up Will Vendor Be Used Again? Y X N (Note: Staple A copy.) Is This An Employee? Y N Call Extension For Check Pick-Up. •^'roe— f; G r Social Security >r — _ - - _ - - - - - - �o..... Or ederal Tat I.D. Pure-as, (Brief Dc:cr,p^cr.) Secretarial services and office (comprtasigre:Jrc- ;ot-;:�iL) supplies for North Shore Pulmonary Clinic. A visits 21 @ $5 . 07 each Responsibility Report Account Dislribluion (10Digits) _ $106. 47 . 2 B visits 20 @ $3 . 38 each =$67 . 60 2 - _ — _ — _ - - - - - --- — 2 _ - - - - - - - - - Total = $174 . 07 2 - - - - - - - - - 5 - - - - - - - - - - - - -'- - Total (If lfore Titan One Acct n) A CO:�11�?7'I1 . DEPA RT MEW.......... :�' Per Override Reviewed By: Approved By: 1099 Set Up Y N N/A Invoice lr — _ - - - - - - - - _ Check lie: Invoice Date — — / — — /— _ Check Date: P.O. # — — - — — — — — — — • Date Received by Accounting: Check Received By: t�'ars!Dctc R« CWJ4!93 • • f' ,JA2(1 HI-MR walivS 30 Jula L ` 8dV • ADMINISTRATION - MONTHLY REPORT FEBRUARY 1994 r s BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis BURIAL PERMITS ISSUED 50 Diptheria-Tetanus Tox. (under 6 yrs.) NEXT MONTH'S REPORT WILL BE FOR FEBRUARY AND MARCH INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin CASH RECEIVED - LICENSES & PERMITS $1,162.00 Measles/Mumps/Rubella CERTIFICATE OF FITNESS - CASH $1,550.00 Polio ANIMAL BITES REPORTED 14 Tetanus & Diptheria (adult use) Tuberculin PPD HIB Titre Hepatitis B SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $250,484.00 xxxxxxxx $165,398.20 - 0 - $107,033.80 21,948.00 - APPR. NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $20,200':'.00 $8,303.25 xxxxxxxxxxxx $18,914.63 $12,982. 12 20,000.00 - APPR. 1993BAS ENVIRONMENTAL HEALTH DI ON MONTHLY REPORT • YEAR — MONTH SANITARY CODE ENFORCE 10 11 12113 14 15116117 18 19120121 22 23124 25 26127128129130 31 TOTALS 1. PLLANLREV. SRITEIINSP. Z 2. FOOD SERVICE INSPECTION b $. ( 2, 2a. FOOD SERVICE RE-INSPEC. 2a. 2b. FOOD SERVICE COMPLAINT ` 1 3. RETAIL FOOD INSPECTION I I 1 3. 3a. RETAIL FOOD RE-INSPEC. 3a. b RETAIL FOOD COMPLAINT 3b. 4. MOBILE UNIT/PUSHCART 4, MOBILE UNIT PUSHCART 4a. COMPLAINT 4a. 5. TEMPORARY FOOD INSPEC. 5. i 6. BED & BREAKFAST INSPEC. �( 6• 7. HOUSING INSPECTION 7 • 7a. HOUSING RE-INSPECTION �- L t 7a. 8. GEN. NUISANCES TRASH t ( 8, 2. 9. RECREATIONAL CAMP-__—_ 9. POOLS lI I lo. "Z 11. BATHING BEACHES 11. . SUNTAN CENTERS 12. COMPLAINTS 13, 14. RODENT CONTROL 14. 15- TING TITLE V 16. COURT HEARINGS 16. a NIEMEN oni�iiia�ii■i�i��ii�nii NEESE En0 MEN 0�iiii PUBLIC HEALTH NURSE REPORT FEBRUARY 1994 ACTIVITIES CLINICS In touch with T.B.clinic and following active cases and case contacts Preparation for audiometric(hearing)sceening clinic at the Council on Aging CONFERENCES AND MEETINGS Maintained vaccine'inventory and distributed biologics city wide Maintained records and case reports of communicable diseases Attended the Massachusetts Department of Public Health's LOCAL HEALTH COMMISSION 2000. Meeting chaired by Commissioner David Mulligan. Attended the North Shore Area Boards of Health Collaborative meeting(NSABOHC) • Attended the Community Health Network Area (CHNA) meeting of the Tobacco Control Coalition (TCC)and the T.C.C.Planning meeting for the March 14th retreat. Attended the Mayors Task Force Youth Planning Sub-committee Meeting of the Salem Community Alliance Continued Student Nurse Internship Program(S.N.I.P.) Performed orientation of the new staff member, David Collins, Program Director for the NSABOHC Tobacco Control Initiative Attended the North Shore Public Health Nurse Network Meeting on Blood Borne Pathogens ST.JOSEPH'S SCHOOL Prepared and Maintained school records Performed the vision and hearing screening of all grades, to be completed in March • r. MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF FEBRUARY 1994 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER GIARDIA MARCH REPORT WILL INLUDE FEBRUARY STATISTICS HEPATITIS MENINGITIS MUMPS • SALMONELLA SHIGELLA TUBERCULOSIS V ARICELLA *THOSE DISEASED EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. LORI A. SILVA, R.N.. B.S.N- PI,BLIC HEALTH NURSE FOR THE BOARD OF HEAIJ-I-I z�� o MONTHLY SUMMARY MAR 1 0 1994 CITY OF 9A SM HEALTH IM T. MONTH OF FEBRUARY . 1994 TOTAL: A visits with x—ray 7 - A visits without x—ray 11 B visits 11 C visits XXXXXKX GRAND TOTAL: 29 I • _ NUMBER OF CHEST X—RAYS TAKEN 7. • FEBRUARY 1994 tpdor Malibu: Check Amount: ,ti Payable To: (Initials Plus Full Name): ,Specify Date (If needed withi}t 5 calendar days) Month: Day: Year: City of Salem - Board of Health - 9 North Street , Salem,M Check Disiriblilion - IDENMFY.ONE Address (R� uir�ij Send by U.S. rJail: (=::acl; or:gi,ial(s) To Be Mailed And Staple A Copy For Accounting.) Do Not 1lfail - Deparnrent Will Pick Up will Vendor Be Used Again? Y N (Note: Staple A Cop).) Is This An Employee? Y N Call Erteiisioll For Check Pick-Up. r r��rf t! 1Jr Cr!rr•.<(nJr,,1}I�I.�='S Social Security Or Federal Tar I.D. i' _ _ - _ _ _ _ _ _ _ P rc:c�rcjDcmj'cT.J Secretarial services and office rc,;,ple:esa -t supplies for North Shore Pulmonary Clinic . A visits 18 @ $5 . 07 , J:cirb..--ot: (10! each = $91 . 26 B visits 11 @ $3 . 38 each = $37 . 18 2 _ — _ - - _ - - _ _ Total = $128. 44 2 - - - - - - Y - - - - - -'- - Total Of Afore Than One Acct A,CCO.�IhrI11VGD�P�7'�'.fEt1�T; tISE.OIti?ZY Per O�err e 1099 Set U Y t'1' N.�i Reviewed By: Approved By: P Invoice � _ _ - - _ _ - - - - - Check #. Invoice Date Check Date: P.O. • Date Received by Accounting: Check Received By: Re L:,'14 93, SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC FEBRUARY 1994 A visits B visits ($5 . 07 each) ( $3 . 38 each) Dotal A visits 18 @ $5 . 07 each = $91 . 26 Total B visits 11 @ $3 . 38 each n $37. 18 $128 . 44 Secretarial services A visits $2 . 77 • B visits $1 .85 Secretaril supplies A visits $2 . 30 B visits $1 . 53 ti S jy.l�d1'�r `•'- ADMINISTSON MONTHLY REPORT Januo31., 1993 •'. 4.' . f BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL BITS REPORTED .` 5 �;. Diptheria,Tetanus & Pertussis 360 doses Diptheria-Tetanus Tox. (under -6 yrs.. ) 0 BURIAL `PERMIT$ 44 Immune Serum Globulin 0 INTEMATIONAL 'TRAV'EL CERTIFICATES (CERTIFIED)- 0 Measles (Clinic use only) 0 MMR--Measles/Mumps/Rubella 170 doses TOTAL CASH .RECEIVED FROM LICENSES & PERMITS ISSUED $1,830.50 Polio Vaccine 140 CERTIFICATE OF Tetanus & Diptheria '(adult use) 120 doses FITNESS $2 525.00 Tetanus Toxoid 0 -— 1 ML „ Tuberculin P.P.D. 5 ML '260 dose Typhoid Vaccine 0 H.I.B. TITRE 370 doses Hepatitis B 1244 doses SALARY REPORT: ALLOWEDENDED BALANCE TO END OF FISCAL $250,284.00 $143,561.86 $110,427. 14 3,705.00 - SUPP. APPR. _ E)CPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED, i $20,200.00 $17, 102.55 $6,437.45 3,340.00 CAtS MEN IN loommummommommom sell F al m MEN M ME ME MEN ME M MEN 0 sommommomm MEN ME ME MEN ��ii■�ii=i■�nu��i �i� ■ n � �■riiii ■■� �■nn■�i=iiriiinea�e��Giii " �m■miiuuuiu�i��m�ni piiiii,n�iiiiii■i■�i CC�iiiiii PUBLIC HEALTH NURSE REPORT JANUARY 1993 ACTIVITIES CLINICS In touch with the T.B.Clinic and following active cases and case contacts CONFERENCES AND MEETINGS Picked up and maintained vaccine inventory and distributed biologics city-wide Attended Mayors Task Force Meeting of the Salem Community Alliance Salem Community Alliance,Health Professional Peer Action Group Meeting Attended a meeting of the North Shore Area Boards of Health Collaborative(NSABOHC) • Salem State College Student Nurse Internship Program(S.N.I.P.) Attended North Shore AIDS COILABORative Education Committee meeting Continued Training of Public Health Nurse replacement for pending maternity leave of staff R.N. Attended the Community Health.Initiative Meeting Attended a Mass. Public Health Association Forum on The Future of Public Health Services St.JOSEPH'S Continued Hearing and Vision Screening on all grades. Prepared for Postural Screening, to be held on February 2, and 9th(see attached) s • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF JANUARY 1993 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 GIARDIA - - 2 2 HEPATITIS MENINGITIS LYME DISEASE • I SALMONELLA - - 3 3 SHIGELLA 1 2 - TUBERCULOSIS - 2 - - **This case was unconfirmed after follow-up laboratory work and should be removed from previous case reports. *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 I cowor� a CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street ROBERT E. BLENKHORN Salem, Massachusetts 01970 HEALTH AGENT 508-741-1800 January 20, 1993 Dear Parent or Guardian: We are again offering postural screening to all students in grades 5-8 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: For Girls Only Tuesday February 9 For Boys Only Tuesday February 2 Girls are asked to wear a 2-piece bathing suit of 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 741-1800. FOR THE BOARD OF HEALTH Reply to: Robert E. Bl n e khorn,C.H.O. Lon A. Silva,R.N., B.S.N. Health Agent Public Health Nurse For the Board of Health NAME OF STUDENT GRADE I grant permission for my child to be screened at school for postural abnormalities. I prefer to take my child to my own M.D.and will return a statement of her/his findings to the school nurse PARENT OF GUARDIAN SIGNATURE ***********PLEASE RETURN BY lANUARY 27, TO SCHOOL NURSE**** MONTHLY SUMMARY .� • _ I Ja — r.5i MONTH 0 F CITY OF SA,L,�':?T ",ALTH DEY,T, TOTAL: A visits with x—ray fS A visit s. without x—ray /f B visits C visits _ . GRAND TOTAL: � 9 NUMBER OF CHEST X—RAYS TAKEN ��- 1 �^� SALEIA. HOSPITAL ;tom: CHECK REQUEST PAYABLE TO: Cit of Salem - Board of Health Y AMOUNT 9 North Street ACTION WANTED Salem, MA 01970 I AT ONCE BEFORE (DATE) AS PRACTICAL DELIVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWSE `xu nr' SPECIFIED A LTH DES •PURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH SHORE PULMONARY CLINIC. A visits 26@ $5. 07 per visit - 131 .82 B . visits -i3@ $3 . 38 per visit = 43.94 $175.76 SPECIAL INSTRUCTIONS: PREPARED _J4,4.,d— APPROVED Z q3 DATE 7� PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $17 5.7 6 CHECK NO. • DATE VOUCHER NO. 17-AM AV. SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC JANUARY 1993 A visits B visits ($5. 07 each) 03.38 each) Total A visits 26 @ $5.07 each • $131.82 Total B visits 13 @ $3. 38 each s 43.94 $175. 76 Secretarial Services A visits $2. 77 • B visits $1 .85 Secretarial Supplies A visits $2.30 B visits $1. 53 y �c CITY OF SALEM HEALTH DEPARTMENT OFFICE OF THE BOARD OF HEALTH Salem,Massachusetts 01970 January 14, 1994 ROBERT Ems+qi0 NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 William Weld F�x(50e)740-9705 Governor of Massachusetts State House Room GW Boston, MA 02133 Dear Governor: As Health Agent for the Salem Board of Health and as Chairperson for the North Shore Area Boards of Health Collaborative (NSABOHC), I would like.to take this time to thank you for your past support of appropriating Question 1 funds to the Massachusetts Tobacco Control Progams. Whereas the NSABOHC has been in receipt of funding for Tobacco Control for fiscal 1994 we are well aware of the importance of your support of Tobacco Control and the harmful health effects due to tobacco use. The funding we have received for fiscal 1994,though is only a first step in preventing the harmful effects of tobacco use. Unless Question 1 funds are reappropriated for the continued use of tobacco control, I feel we will be fighting an uphill battle against this deadly addictive habit of tobacco use. As a result of the highly visible media campaign of the Massachusetts Department of Public Health for Tobacco Control,sales of cigarettes have been reduced by atleast 13%. This reduction is just the tip of the iceberg. In addition to reduced sales the health benefits to our youth and general population are immeasurable . It is with this in mind that I ask for your continued support of full funding of tobacco control programs with Question 1 funds for the next fiscal year. The continued support of these progams is vital in the progress toward a reduction in smoking rates.and therefore a more healthy Massachusetts resident. The Massachusetts Department of Public Health has initiated a Tobacco Control Program in a pioneering fashion which should be praised and continually supported. It is with great enthusiasm that I recognize the continued need for this prevention progam and others of its kind. On January 6, 1994 the members of the NSABOHC, covering eight communities, as well the members of the Salem Board of Health at their January 11, 1994 board meeting offered their continued support for the existing programs in tobacco control. It is my hope you will continue to support these efforts and the wishes of the voters of Massachusetts to support tobacco control. Thank You. Sincerely, For the Board of Health, For the NSABOHC, R bert E. Blenkhorn, C.H.O. R bert E. Blenkhorn Health Agent Chairperson cc: Mayor Neil Harrington George H. Levesque, Chairman Salem Board of Health NSABOHC Members ADMINISTRATION - MONTHLY REPORT DECEMBER 31,1993 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 520 BURIAL PERMITS ISSUED 53 Diptheria-Tetanus Tox. (under 6 yrs.) 10 INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $ 651.60 Measles/Mumps/Rubella 190 CERTIFICATE OF FITNESS - CASH $1,200.00 Polio 490 ANIMAL BITES REPORTED 4 Tetanus & Diptheria (adult use) 320 Tuberculin PPD 230 HIB Titre 520 Hepatitis B 232 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $250,484.00 XXXXXXXX $129,065.28 - 0 - $143,366.72 21,948.00 - APPR. NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $20,200.00 $8,303.25 XXXXXXXXXX $18,664.63 $13,232.12 20,000.00 - APPR. 1993BAS •.l ENVIRONMENTAL HEALTH D"ION MONTHLY REPORT • YEAR MONTH SANITARY CODE ENFORCE 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. 3 1. 2. FOOD SERVICE INSPECTION 2, 2a. FOOD SERVICE RE-INSPEC. 2a. 2b. FOOD SERVICE COMPLAINT 3. RETAIL FOOD INSPECTION 3. 3a. RETAIL FOOD RE-INSPEC. 13a. b RETAIL FOOD COMPLAINT 13b. 4. MOBILE UNIT/PUSHCART 4, MOBILE UNIT PUSHCART 4a. COMPLAINT 4a. 5. TEMPORARY FOOD INSPEC. 6. BED & BREAKFAST INSPEC. 16. 7. HOUSING INSPECTION j 7. 7a. HOUSING RE-INSPECTION c� / l 7a. ,6 8. GEN. NUISANCES TRASH 8. 9. RECREATIONAL CAMPS----------.__ �-.- -- - - --- --�- -- --- 9. 16. SWIMMING POOLS 10. 11. BATHING BEACHES 1 11. 12. SUNTAN CENTERS 1 12. COMPLAINTS 3 14. RODENT CONTROL 14. STING TITLE V 16. COURT HEARINGS / / 16,_3 �i�si■iiei��i■iei■■ �ii■�■�■ ITOTALS too MIN Mason on m MMEEMN MEN MENNEN 0 son ��■■■■■■�■��m�iini■�uiiii�iii i�■�ii��uiiiiiiii�■�iiii��ii MONTHLY SUMMARY. t � ' 'JA T:+s� Ably f3 ' SALEM .. - 4tALTII DEPT. MONTH OF DECEMBER 1.993. TOTAL: A visits with x-ray 10 A visits without x-ray 1 B visits 16 C visits GRAND TOTAL: 27 NUMBER OF CHEST X-RAYS TAKEN 10 • GENERAL I Ut",'D December 1 9 9 3 . .. `.M S'SF_T.ECtix9T.iaC�'3Ti9':�.%L1128:tr�L'.^Ord?.'TL'dY�11L^.BLS.7Lsk�BZCti'�.-`C�..Z:`.-•c-m.•-�n�3."�k'JSLiF4:^�Y.^.z^'.�G6'^fix',1C4^Cv^_�pGf:]R-.-S^....3 4�113FT.:R.GI%i�]iJn�CiS'.G6A'.."�:.'SkQ3^'d:1��:d'aTAG=SYS.Ta:....RJ�.:t59c'T�i:`C[S-."�..'Sb`.aCS1:'��d Veiidor Number: Check Amowit: ,5 _ _ , _ 112 , 45_- Payable To: (lnirials Phz_r Full Name): Specify Date (If needed wilhin 5 calendar days) Month: Day: Year: City of Salem - Board of Health 9 North Street , Salem, MA Check.Dlstiibution -'IDENTIFY ONE Address (Izequired) Seed By U.S. Mail: (trrach Originals) To Be Mailed And Staple A Copy For Accounting.) Do Not Mail - Deparnnew Will Pick Up Will Vendor Be Used Again? Y x N (Note: Staple A Copy.) Is This An Employee? Y N Call Extension For Check Pick-Up. p;ter l3, / AM „ (Pr.^: Vc;nc) Social Security fl _ _ _ - _ _ - _ _ — .....Y=.. . Or Federal TQr1.D. # _ _ - _ _ _ _ _ _ _ (P�s.r•�-�) Purpose(Brief Duerpcc:) • Secretarial services and office (Complete 5ige-:are-No/%!:-) eupplies for North Shore Pulmonary Clinic . A visits - 11 @ $5 . 6 7 ea. Respoauibility Repot Account Distribution (10 Digits) $ 5 5 . 7 7 Acco'-f" /-.0 1- 1 �� - 01 Q - - - L 5 2 - S B visits 16 @ $3 . 38 each = 2 _ - - - ,- - -•- - 2 - — — — — — C - - - - - -'- - $54. 68.. TraTAL - $ 112 . 45 - - _ _ — _ - - - 2 S _ Total (lf More Tian One Accr r:l;CCn... ......:...................:;:.::....,....... _ Oi'er�T e........1.�..... :.I....... U1QTU88E. Per Reviewed By: Approved By: 1099 Set Up Y N N/A Invoice # _ _ _ _ _ _ _ _ _ _ _ Check It: Invoice Date Check Date: P.O. # - - - - _ _ _ _ - - Date Received by Accounting: Check Received By: Nan !Date R c r 0611.119.3 SA.LEM HOSPITAL BILLING DEPARTMENT • E c SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC DECEMBER 1993 A visits B visits ( $5 . 07 each) ($3 . 38 each) Total A visits 11 @ $5. 07 each =$ 55 . 77 Total B visits 16 @ $3 . 38 each =$ 54 . 68 $112 . 45 Secretarial services A visits $2 . 77 B visits $1 . 85 Secretarial supplies A visits $2 . 30 • B visits $ 1 . 53 ..1 . 0 0 ADMINISTRATION - MONTHLY REPORT November 30, 1993 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES ATHER MISC. AMOUNT M�ptheria, Tetanus & Pertussis 480 BURIAL PERMITS ISSUED 48 Diptheria-Tetanus Tox. (under 6 yrs.) ? 10 �. . INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS 50:00 Measles Mumps Rubella 320 CERTIFICATE OF .FITNESS - CASH $1,7.75:00. Polio 420. ANIMAL BITES REPORTED 5 Tetanus & Diptheria (adult use) 610 Tuberculin PPD ' 600 ,. Fyn•. HIB Titre . 330 E. Hepatitis B j i SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $250,484.00 $87,382.64 - 0 - $185,670.18 21,948.00 - appr. NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $20,200.00 $4791.78 `q $9,204.44 $26,203.78 20,000.00 - appr. 1993BAS in■■iiiiiiiiiiiiii��an��i too L8. CONSTABLE SERVICE L9. LEAD PAINT INSPECTION SEMINARS9 CONFERENCES, .--aF PIT- RE-IVSPEC-,Emmmmmmmmmmmmmmmmmommommommonom ZO. MEETINGS. i�iii MEN iiiiiii iii OEM iiMEN iiiiiiiloolsommommom ON • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF NOVEMBER 1993 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER - 1 2 2 GIARDIA 3 1 - - HEPATITIS 1 1 - - MENINGITIS 1 - 2 2 SALMONELLA 7 6 5 5 SHIGELLA 1 - - - TUBERCULOSIS 1 4 - - *THOSE DISEASED 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 NOVEMBER 1993 ACTIVITIES CLINICS In touch with T.B.clinic and following active cases and case contacts Annual Influenza Clinic held on October 26 #of recipients 911 November 9 #of recipients 344 Home visits #of recipients 25 Total # of recipients 1280 CONFERENCES AND MEETINGS Maintained vaccine inventory and distributed biologics city wide Distribution of Flu vaccine continued Maintained records and case reports of communicable diseases • Attended Mayors Task Force Meeting Attended the North Shore Area Boards of Health Collaborative meeting(NSABOHC) Attended Mass.Tobacco Control Program Award Ceremony-$300,000 awarded to NSABOHC Great American Smoke Out promotional held on November 18 Smoking Survey Conducted Attended meeting with Ann Blessing,Director of Communication,NSMC and George Levesque Continued Student Nurse Internship Program(S.N.I.P.) ST.TOSEPH'S SCHOOL Prepared and Maintained school records Postural Screening held on November 30th for females Grades 5-8, No cases were identified. Postural Screening to be held on December 7th for males Grades 5-8 Great American Smoke Out materials provided November 18 I•TRATION - MONTHLY REPORT ctober 31 19 • •ADM 0 93 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis BURIAL PERMITS ISSUED 62 Diptheria-Tetanus Tox. (under 6 yrs.) 0 INTERNATIONAL TRAVEL CERTS. Immune. Serum Globulin CASH RECEIVED - LICENSES & PERMITS $ 404.20 Measles/Mumps/Rubella CERTIFICATE OF FITNESS - CASH $2,075.00 Polio ANIMAL BITES REPORTED 7 Tetanus & Diptheria (adult use) Tuberculin PPD HIB Titre Hepatitis B SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $250,484.00 xxxxxxx $87,382.64 - 0 - $185,670. 18 21,948.00-appr. NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $20,200.00 $4,791.78 xxxxxxxxx $9,204.44 $26,203.78 20,000.00-appr. 1993BAS ENVIRONMENTAL HEALTH DI ' ION MONTHLY REPORT . YEAR MONTH SANITARY CODE ENFORCE 110111 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 271281 29 1301311 TOTALS COMPLAANC REVIEW P 1• PLAN REV.F/SITE INSP. / 2 2. FOOD SERVICE INSPECTION 1 3 I 2 2a. FOOD SERVICE RE-INSPEC. ` 2a, 7 2b. FOOD SERVICE COMPLAINT 3. RETAIL FOOD INSPECTION 3• 3a. RETAIL FOOD RE-INSPEC. 3a. b RETAIL FOOD COMPLAINT I 3b• 4. MOBILE UNIT/PUSHCART 4, MOBILE UNIT PUSHCART 4a. COMPLAINT 4a. 5. TEMPORARY FOOD INSPEC. 5. 6. BED & BREAKFAST INSPEC. 6• 7. HOUSING INSPECTION Z a 1 7. 7a. HOUSING RE—INSPECTION S 7a. 8. GEN. NUISANCES TRASH 8. 9. RECREATIONAL CAMPS- - / 9 10. 11. BATHING BEACHES 12. SUNTAN CENTERS ( 12. COMPLAINTS1 I 1 ! I13, 14. RODENT CONTROL 4 STING TITLE V 16. COURT HEARINGS I 1 16. f� SEMINARS, CONFERENCES, 1-0. MEETINGS !1. CERT. OF FITNESS T • PUBLIC HEALTH NURSE REPORT OCTOBER 1993 ACTIVITIES CLINICS In touch with T.B.clinic and following active cases and case contacts Pediculosis Screening Annual Influenza Clinic held on October 26 Total Recipients 911 Next Influenza Clinic to be held on November 9 CONFERENCES AND MEETINGS • Maintained vaccine inventory and distributed biologics city wide Distribution of Flu vaccine continued Maintained records and case reports of communicable diseases Attended the North Shore Area Boards of Health Collaborative meeting(NSABOHC) Attended Mass.Tobacco Control Initiative Symposium"Its time we made smoking history." Attended meeting with David Shea, George Levesque,and Robert E. Blenkhorn re: Mass. Tobacco Control Program Grant Award to the NSABOHC Attended MDPH Educational Session on the Administration of Prescription Meds.in Schools Continued Student Nurse Internship Program(S.N.I.P.) ST.JOSEPH'S SCHOOL Prepared and Maintained school records Pediculosis Education Program provided to Pre K and K grades Pediculosis Screening performed on all Pre K and K students • No cases isolated Postural Screening to be held in November • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF OCTOBER 1993 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE AMEBIASIS - - 1 1 CAMPYLOBACTER 1 3 2 2 GIARDIA - 1 - 1 • HEPATITIS 2 - 1 1 MENINGPTIS 3 1 2 2 SALMONELLA 6 4 5 5 SHIGIjLLLA 1 - - - TUBERCULOSIS - 4 - - *THOSE DISEASED EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. '6� Q. s LORI A. SILVA,R.N.,B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • MONTHLY SUMMARY. NOV j 2 1993 0TY AF SALFM HEALTH DEFT. MONTH OF OCTOBER . 1993 . . . TOTAL: A visits with x-ray 7 A visits without x-ray 7 B visits 24 C visits xxxxaXR GRAND TOTAL: 38 NUMBER OF CHEST X-RAYS TAKEN 7 I CHECK REQUEST GENERAL FUND . . . O C T O B E R 1993 Vendor Number: Check Amount: _ _ _ ,-_1 52.1 0 _ *ayable To: (Initials Plus Full Nanu): Specify Date (If needed wUlzin 5 calendar days) Month: Day: Year: City Of Salem - Board of Health 9 North Street eck'Distribution .- IDENTIFY,ONE Address `(Required) cln17na Send By U.S. Mail: (Attach Original(s) To Be Mailed And Staple A Copy For Accounting.) Do Not Mail - Deparnrent Will Pick Up Will Vendor Be Used Again? YXx N (Note: Staple,A Copy.) Is This An Employee? Y N Call atension For Check Pick-Up. U:. 1�,u cam,or„�;,.„_•.e.at,�:i��v., l y l �r �/LC(/� ��, L Social Security r - - - - - - - - - - - .. ..... .. Or TrI 6 ' 'cJ Federal TQT I.D. >r — — - _ _ — — — _ _ Pl rose(grief Descr.'r -j • Secretarial services and offirp (Ccr..rleu,SiS_:sre-NO In:-) supplies for North Shore PulmonaryrRespoi C1inic . A visits - 14 @ $5 . 07 sibility Repot Accounu Disrnoic ai (10 Digirs) each = $70. 98 . B visits 242S- Q S 9 Q _ —,L&�Z-1 O@ $3 . 38 each = $81 . 12 . - 5 - - -'- - -'- - Total = $ 152. 10 2 - - - - - - - - - - - - - - - - - 2 $ - - -'- - -'- - Total 6f Afore Than Ore Acct r) ........................................................�Ihrl'INC .::...................,........:...........:::..,.:.....:.. ACCoDEPA�7�4fE1 T IISE D1 rL ' Per Ovei e Reviewed By: Approved By: 1099 Set Up Y h' NlA Invoice lr _ _ - - _ — _ — _ - - Check ✓r: Invoice Date — — / _ — l — — Check Date: P.O. rr _ _ - _ - - - - - - • Date Received by Accounting: Check Received By: ,1'W^�s!r'ctc sev 06/I4/93 i • SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC OCTOBER 1993 A visits B visits ( $5. 07 each) ($3 .38 each) Total A visits 14 @ $5. 07 each $ 70.98 Total B visits 24 @ $3. 38 each $ 81,. 12 $152 . 10 Secretarial services I A visits $2 . 77 B visits $1 . 85 • Secretarial supplies A visits $2 . 30 B visits $ 1 . 53 • ADMINISTRATION - MONTHLY REPORT September 30, 1153 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 45 BURIAL PERMITS ISSUED 48 Diptheria-Tetanus Tox. (under 6 yrs.) 50 INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $ 183.00 Measles/Mumps/Rubella 310 CERTIFICATE OF FITNESS - CASH $2,425.00 Polio „ 320 ANIMAL BITES REPORTED 9 Tetanus & Diptheria (adult use) 320 Tuberculin PPD 510 HIB Titre 90 Hepatitis B 624 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $250,484.00 xxxxxxx $68,351.41 - 0 - $204,080.59 21,948.00-appr. NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $20,200.00 $ 1,937.89 xxxxxxxxxxxx $8,061.46 $10,200.65 1993BAS ENVIRONMENTAL HEALTH D7MION MONTHLY REPORTQ:�� • YEAR MONT SANITARY CODE ENFORCE ' 11 12113114 15116117 18119120121 22 23 24 25 26127128129130131 TOTALS ANC 1. PLAAPNLIREV. SITEIINSP. 1. 2. FOOD SERVICE INSPECTION c3 2. 2a. FOOD SERVICE RE-INSPEC. 2b. FOOD SERVICE COMPLAINT 3. RETAIL FOOD INSPECTION I I I I I I 1 13. 3a. RETAIL FOOD RE-INSPEC. 3a. b RETAIL FOOD COMPLAINT 3b. 4. MOBILE UNIT/PUSHCART 4. MOBILE UNIT PUSHCART 4a. COMPLAINT 4a. 5. TEMPORARY FOOD INSPEC. 5. 6. BED & BREAKFAST INSPEC. I 6• 7. HOUSING INSPECTION 3 7 7a. HOUSING RE-INSPECTION �7 3 / 7a.1 GEN. NUISANCES TRASH S{w I `�' 8 / __ _9. RECREATIONAL CAMPS- _ .,. g, POOLS 10. 11. BATHING BEACHES 11. 12. SUNTAN CENTERS 12. COMPLAINTS 1 14. RODENT CONTROL 14. 15, STING TITLE V 16. COURT HEARINGS . ENVIRONMENTAL HEALTH DIbION MONTHLY REPORT pa of 2 4 15 6 17 8 19 110111 12 13 14 15 16117 18 19120121 22 23 24 25126127128129 30 31 TOTALS 17. ADMINISTRATIVE HEARINGS 3 17. FOOD RELATED HFARTNCq 17a. 18. CONSTABLE SERVICE 18. 19. LEAD PAINT INSPECTION 19. 19a. LEAD REMOVAL COMPLAINT 19a. SEMINARS, CONFERENCES, q 20. MEETINGS V I `L 20. 21. CERT. OF FITNESS INSPEC 15 J ? 3 1 Y Z 13 J I V kj 1 21. 22. CERT. OF FIT. RE-INSPEC 13 22. PUBLIC HEALTH NURSE REPORT SEPTEMBER 1993 ACTIVITIES CLINICS In touch with T.B.clinic and following active cases and case contacts Pediculosis Screening and education provided for September as National Pediculosis Month Preparation for Influenza clinics to be held on October 26 and November 9 CONFERENCES AND MEETINGS Maintained vaccine inventory and distributed biologics city wide Distribution of Flu vaccine began • Maintained records and case reports of communicable diseases Attended the North Shore Area Boards of Health Collaborative meeting(NSABOHC) Attended Mass Health Officers Association Meeting Initiated Student Nurse Internship Program(S.N.I.P.)following S.S.C.summer vacation Attended the North Shore Public Health Nurses Network meeting Attended Tuberculosis Conference on Current Issues in T.B. ST.JOSEPH'S SCHOOL Prepared and Maintained school records Pediculosis Education Program provided to 1st graders and planned for Pre K and K graded Pediculosis Screening performed on all 1st graders . Student Nurse Intern trained on proper technique and provided educational information Prepared for Postural Screening, training of Student Nurse Intern Prepared for Postural Screening to be held in October • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF SEPTEMBER 1993 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE AMEBIASIS - 1 - - CAMPYLOBACTER 3 1 2 2 GIARDIA - 2 - - • HEPATITIS - - 3 3 LISTERIOSIS 1 - 1 1 MENINGITIS 1 - 2 2 SALMONELLA 3 3 2 2 SHIGELLA 1 - - - TUBERCULOSIS - 4 - -. *THOSE DISEASED EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. ' a. S�1"0 'q, ri, LORI A. SILVA,R.N., B.S.N. • PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • Massachusetts Tobacco Control Program You are cord affy invited to join us for an historic press conference and rally. Thursday, October 14th, 10 o cfocka.m., The Great Hal.L, Faneuifxaf, Boston The launch of the most ambitious tobacco education campaign in the country J16ighCr�hts include remarks by health advocates, celebrities and youth; entertainment, and a preview of the advertising • campaign. Please calf with your reply by Friday, October 8th to Cone Communications at 61 r-227-2111. Commonwealth of Massachusetts Department of Public Health • (vt_T 1= '93 1 : 1n LAB P. 1 MONTHLY' S_UMMARX,. 0 cIlflt OP SAktt�C, ` '1EALTH DEPT. MONTH OF ' TOTAL; k visits with x—ray l A visits without x-ray .! B visits C visits �- GRAND TOTAL: NUMBER OF CHEST X-RAYS TAKEN OCT 12 '93 12: 17 LAD P. SALEX HOSPITAL BILLING DEPARTMENT SBRVICES (secretarial and office supplies) NORTH SHORE PULMOVART CLINIC SEPTEMBER 1993 A visits B visits $5. 07 each $3.38 each Total A visits 16 @ $5.07 oath 81. 12 Total B visits 11 @ $3.38 each $118.30 Secretarial. services • A visits $2. 77 B visits $1. 85 Secretarial supplies A visits $2.30 S visits $1. 53 • ADMINISTRATION - MONTHLY REPORT August 31, 1993 0 0 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 870 BURIAL PERMITS ISSUED 53 Diptheria-Tetanus Tox. (under 6 yrs.) 40 INTERNATIONAL TRAVEL CERTS. O Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $ 330.80 Measles/Mumps/Rubella 370 CERTIFICATE OF FITNESS - CASH $3,125.00 Polio 960 ANIMAL BITES REPORTED 4 Tetanus & Diptheria (adult use) 540 Tuberculin PPD 420 HIB Titre 770 Hepatitis B 584 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $250,484.00 xkxxxxxx $34, 162.85 - 0 - $238,269. 15 $ 21,948.00 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $20,200.00 $1,217.05 xxxxxxxxxxx $7,764.25 $11,218.70 1993BAS ii'��i■�iiu■�inu�■ i�i�'�"�sii�imm�•�e n■ee ��Orxiiiin■i�� • ENVIRONMENTAL HEALTH DIAMION MONTHLY REPORT pa of 2 ,gygvs 7" / 3 4 15 6 17 8 9 10 11 12 13 14 15 16 17 18 19 20121122123 24 25126 27128129 30 31 TOTALS 17. ADMINISTRATIVE HEARINGS o2 17. .7 17 FOOD RFlATFD HFARTNCS 17a. 1.8. CONSTABLE SERVICE 18. 1.9. LEAD PAINT INSPECTION 19. 19a. LEAD REMOVAL COMPLAINT 19a. SEMINARS, CONFERENCES, 20. MEETINGS / + �/ 20. 21. CERT. OF FITNESS INSPEC �� 7 �� S y I -3 9 �o�. b `� 3 (� v` 21. 22. CERT. OF FIT. RE-INSPEC 22. • PUBLIC HEALTH NURSE REPORT AUGUST 1993 ACTIVITIES CLINICS In touch with T.B.clinic and following active cases and case contacts Preparation for September as National Pediculosis Month CONFERENCES AND MEETINGS Maintained vaccine inventory and distributed biologics city wide • Maintained records and case reports of communicable diseases Attended Mayors Task Force Meeting of the Salem Community Alliance. Professor Kay Kelley of Salem State College (S.S.C.) arrangements to restart the Student Nurse Internship Program(S.N.I.P.)following S.S.C. summer vacation ST.JOSEPH'S SCHOOL Preparation for school opening on September 8th. Maintain school records Prepare for Postural Screening Prepare for Pediculosis Screening. • i • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF AUGUST 1993 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE AMEBIASIS - 1 - - CAMPYLOBACTER 5 2 3 3 E.COLI0157.H7 - 2 3 3 • GIARDIA - 2 - - HEPATITIS 1 2 2 2 MENINGITIS 5 2 4 4 SALMONELLA 11 2 9 9 SHIGELLA 1 - I 1 TUBERCULOSIS - 4 - - VARICELLA - - - - *THOSE DISEASED EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. 4 • i LORI A. SILVA,R.N., B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH � o MONTHLY SUMMARY. -SEP r CI'�`X QF SALEM '9RALTH AE - MONTH OF AUGUST 1993 TOTAL: A visits. with x-ray 16 . A visits without x-ray 5 B visits 28 C visits XX GRAND TOTAL: 49 • NUMBER OF CHEST X-RAYS TAKEN 16 . L SALEM HOSPITAL CHECK REQUEST • /Rq3 •PAYABLE TO: City of Salem - Boar-d of Health AMCUNT $201 . 11 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL DELIVER CHECK BY MAIL HAND CHECK DRAWN ON t_ GENERAL FUND REGULAR ACCOUNT j UNLESS OTHERWSE C �,E SPECIFIED TTY OF S SECRETARZ AL SERVICES AND OFFICE SUPPLIES FOR NORTH -SHORE 0PURPOSE: PULMONARY CLINIC. A visits $5 . 07 per visit = $106.47 B . visits a$@ $3 . 38 per visit = $ 94. 64 201 . 11 SPECIAL INSTRUCTIONS: PREPARE APPROVED Q . t. DATE 1h.3 PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $2 01 . 11 CHECK NO. • DATE VOUCHER NO. t SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC AUGUST 1993 A visits B visits $5. 07 each $.3. 38 each Total A visits 21 @ $5. 07 each = $106. 47 Total B visits 28 @ $3. 38 each = $ 94 . 64 $201 . 11 Secretarail services A visits $2. 77 B visits $1 . 85 . Secretarial supplies A visits $2 . 30 B visits $1 . 53 n �,1 - 1 3 • 0 ADMINISTRATION MONTHLY REPORT JULY 30, 99 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 405 DOSES BURIAL PERMITS ISSUED 33 Diptheria-Tetanus Tox. (under 6 yrs.) 20 DOSES INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin 0 DOSES CASH RECEIVED - LICENSES &PERMITS $181.80 Measles/Mumps/Rubella 280 DOSES CERTIFICATE OF FITNESS - CASH $1,450.00 Polio 320 DOSES ANIMAL BITES REPORTED 7 Tetanus & Diptheria (adult use) 430 DOSES Tuberculin PPD 190 DOSES HIB Titre 270 DOSES Hepatitis B 528 DOSES SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $250,484.00 $15,391.88 $15,391.88 $ - 0 - $235,092. 12 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $20,200.00 $ - 0 - $ - 0 - $8,800.00 $11,400.00 1993BAS oii■ii�=w�■iii■■■■ MOBILE UNIT/PUSHCART ii�■�imu■■ii■■_��_ �u■i■ 5. TEMPORARY FOOD INSPEC. �iiii■i�aiiiiiiiPii" ui■ni� ii� ■�i�i�ii"i�■= iiii�i�■�■�i iTi�■iiiiiiiiiii�■ ��iiriii� i�i■iiiiiiii�=i� �iiia�ii • PUBLIC HEALTH NURSE REPORT JULY1993 ACTIVITIES CLINICS In touch with T.B.clinic and following active cases and case contacts Maintained vaccine inventory and distributed biologics city wide. Maintained records and case reports of communicable diseases. • Mantoux Testing for 15 employees of Bass River II, 18 Commercial St. Salem, throughout the month of July by the Public Health Nurse. Testing took place at the Salem Board of Health. CONFERENCES AND MEETINGS Attended Mayors Task Force Meeting of the Salem Community Alliance. ST.JOSEPH'S SCHOOL School is closed for summer vacation. • • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF JULY JULY1993 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE AMEBIASIS 1 - - - • E.COLI0157.H7 1 1 1 1 GIARDIA 4 - 2 2 HEPATITIS 2 - - - MENINGITIS - 1 - - SALMONELLA 2 1 1 1 SHIGELLA 1 - - - TUBERCULOSIS - 2 - - VARICELLA - - - - *THOSE DISEASED EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING • THIS MONTH. I TRACY L.GIARLA L.P.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH MONTHLY SUMMARY. AUG 1993 Y or mum - HEALTH-DEPT. MONTH OF July 1993 . '1 VLA A Ni:i I 1_s N'i C.h x—ray 8' A visits without x-ray. .11 B visits 15 C visits xxxxxxxxxxxxxx . GRAND TOTAL: 34 • NUMBER OF CHEST X—RAYS TAKEN 8 . . .. I I� SALEJA HOSPITAL CHECK REQUEST PAYABLE TO: City of Salem — Board of Health AMOUNT $147.03 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL DELVER CHECK BY MAIL HAND CHECK DRAWN ON Lt GENERAL FUND REGULAR ACCOUNT A I IC-- UNLESS OTHERWSE CITY OF S SPECIFIED x.0 a 'aai •PURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH -SHORE PULMONARY CLINIC. A visits —19@ $5 . 07 per visit = $96.33 B . visits —15@ $3 . 38 per visit = 150. 70 $147.03 SPECIAL INSTRUCTIONS: PREPARED APPROVED/ j 1 DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $14 7.0 3 CHECK NO. • DATE VOUCHER NO. 1'7-AM � n U 1 AUG 2 1993 CITY Or S�I. 1Vi SALEM HaSPITAL BILLING DEPARTMENT HEALTH DEPT. SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC JULY 1993 A visits B visits ($5.07 each ) ($3.38 each ) Total A visits 19 @ $5.07 each $96.33 Total B visits 15 @ $3.38 each $50. 70 $1 7.03 • Secretarial services A visits $2. 77 B visits $1 .85 Secretarial supplies A visits $2.30 B visits $1 . 53 ADMINISTRtiIlON MONTHLY REPORT June 3u. :1993 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL..BITES. REPORTED 6 Diptheria,Tetanus & Pertussis 405 doses Diptheria-Tetanus Tox. (under •6 yrs.. ) 0 BURIAL PERMITS 41 , Immune Serum Globulin 0 INTERNATIONAL TRAVEL 0 CERTIFICATES (CERTIFIED). Measles (Clinic use only) 0 MMR--Measles/Mum s/Rubella 200 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 286.60 Polio Vaccine 21 CERTIFICATE OF • Tetanus & Diptheria '(adult use) 340 doses FITNESS $1.750.00 Tetanus Toxoid 0 — — 1 ML Tuberculin P.P.D. 5 ML 180 does Typhoid Vaccine 0 H.I.B. TITRE 230 doses Hepatitis B 604 SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL 5 ,28 .00 $243,173.67 $10,815.33 c. 3,705.00 - SUPP. APPR. EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) EHMMERED, $20,200.00 $22,599.22 $940.78 3,340.00 �iiiniiiii=;iiu �■■■iri ENVIRONMENTAL HEALTH DIAftTON MONTHLY REPORT YEAR MONTH SANITARY CODE ENFORCE 31 TOTALS COMPLTANffSREVIEW PLAN REV. ITE INSP. 2a. FOOD SERVICE RE-INSPEC. 2b. FOOD SERVICE COMPLAINT 3a. RETAIL FOOD RE-INSPEC. 3h. RETAIL—FOOD COMPLAINT 4. MOBILE UNIT/PUSHCART 5. TEMPORARY FOOD INSPEC. N��Y�N��WV YN■�m� �ie■■■e■■■e�■�e■e =i�4a. COMPLAINT 7. NE �ii�i■eiiii��■■■ n■�iu■� =mom n■—ii�i�i�=�i'G��■i=�i�iiiii "� ■�w'iiiiiin■�i'■■��ni■eii mao��■■o�e■o■■n ■�e�� .,�.cliw,y1Q �b SALEM HEALTH DEPARTMENT 4 9 North Street Salem, MA 01970 Inspections in accordance with 105 CMR 590.000; State Sanitary Code Chapter 10,Minimum Sanitation Standards for Food Establishments, JUNE 1993 ESTABLISHMENT ADDRESS TYPE OF INSPECTION Maritime Festival iPz6y Street temporary food inspection FireHouse Coffee Shop Church Street routine inspection transfer of ownership Papa Gino's Loring Avenue routine inspection structural changes Kwik Shop Jefferson Avenue routine inspection transfer of ownership Pizza Lovers Traders Way routine inspection transfer of ownership re-inspection-compliance Taco Bell Highland Avenue inspection • new construction Ice Cream Men(2 units) mobile mobile unit inspection LaRosa Bastro Museum Place inspection transfer of ownership Mino's Roast Beef Boston Street inspection new owners Bridgeside Bridge Street inspection-COMPLAINT re-serving potentially hazardous foods Grand Turk Derby Street inspection-COMPLAINT SALMONELLA Kiki's Boston Street inspection -COMPLAINT roaches Red's Sandwich Shop Central Street reinspection Red Raven Congress Street inspection-COMPLAINT grease barrel • Hobbs(seasonal) Salem Willows reinspection,compliance Salem Lowe(seasonal) Salem Willows reinspection-compliance .w.c7wy�o �b SALEM HEALTH DEPARTMENT 9 North Street Salem, MA 01970 Weylus Museum Place reinspection Fantasy Island Loring Avenue routine inspection General Mariner Store Pickering Wharf routine inspection Cerones Pizza Pickering Wharf routine inspection Bavarian Struedel Pickering Wharf routine inspection Gourmet Fare Pickering Wharf routine inspection Alden Merrill Cheese Cake Company Pickering Wharf routine inspection Ten Loon Chinese Pickering Wharf routine inspection Corner Roast Beef Pickering Wharf routine inspection Old World Deli Pickering Wharf routine inspection Dairy Palace Salem Willows routine inspection • Mandees Pizza Boston Street routine inspection Cafe'de LaRosa 107 Essex Street inspection-COMPLAINT TRASH CVS 200 Essex Street routine inspection CVS 400 essex Street routine inspection Mandees Pizza Boston Street routine reinspection Tortilla Flat Essex Street reinspection w • V i I • PUBLIC HEALTH NURSE REPORT RNE1993 ACTIVITIES i CLINICS In touch with T.B.clinic and following active cases and case contacts Maintained vaccine inventory and distributed biologics city wide. Maintained records and case reports of communicable diseases. \ CONFERENCES AND MEETINGS • Attended Mayors Task Force Meeting of the Salem Community Alliance. St.Josephs School MMR immunizations are required by all students entering Grade 7. Letters were sent out to parents to inform them of this. (Letter enclosed.) Summer vacation begins. • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF JUNE June 1993 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 5 - 5 5 E.COLI 0157.1-17 1 - - - GIARDIA - - - - HEPATITIS - - - - • MENINGITIS - 1 - - PERTUSSIS 1 - 1 1 SALMONELLA 5 1 3 3 SHIGELLA - - - - TUBERCULOSIS 2 - - VARICELLA 1 - - - *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH TRACY L .GIARLA L.P.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH i � S . 4otxna�, CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street 0 ROBERT E. BLENKHORN Salem, Massachusetts 01970 .SUN 4 1993 HEALTH AGENT 508-741-1800 CITY OF SALZM ` .EALTH DEPT. Dear Parent/Guardian: Recent regulations from the State Department of Public Health have advised us that beginning September 1991, all students entering Grade 7 (or in the case of an ungraded classroom, beyond the 12th birthday) must have a second MMR (measles, mumps and rubella) immunization. It would be advisable to make an appointment early with your child's Physician to schedule his/her seventh grade physical exam and this immunization update, both can be done before school starts in September. This immunization may be obtained free of charge at the Lydia Pinkham Clinic, 230 Derby Street in the Citv of Salem on Tuesdays from 2 p.m. to 4 p.m. or Thursdays from 12:30 p.m to 4 p.m. • Please note, that according to the new Law "No child shall be admitted to Grade 7 (or in the case of an ungraded classroom, beyond the 12th birthday) without a Physician's Certificate or a copy of an immunization record. . . . ." Please send a copy of your childs Physician's Certificate or a copy of their immunization record showing they have the required two (2) MMR immunizations. We must receive this information before school opens in September. Please submit required information to St. Joseph's School. Your cooperation is greatly appreciated in this important matter. FOR THE BOARD OF HEALTH REPLY TO Robert E. Blenkhorn, C.H.O. Lori A. Silva, R.N. Health Agent Public Health Nurse REB/BAS • I t st 994 ` � +�z>r�►� �f'.��rl�aid.�cu�na��!� Wipiam F.Weld amb Governor / ,G • David P.Forsberg secretary 30 cF0&0ff�c 00stn," 02130-3597 David H.Mulligan 617-522-3700, Fax 617-522-8735 Commissioner January 1992 TO: Vaccine Recipients FROM: Donna Lazorik, R.y9 Coordinator, Hepatitis B Prevention Project Susan Lett, M.D., Medical Director, Immunization Program RE: Universal Hepatitis B Immunization of Infants The Immunization Practices Advisory Committee (ACIP) has recently recommended universal hepatitis B immunization of infants. In accordance with this recommendation, the Massachusetts Department of Public Health (MDPH) is pleased to announce that we will be making hepatitis B vaccine available for the three-dose vaccine series for ALL newborn infants, regardless of mother's hepatitis B status. Vaccine distribution to health care providers and hospitals through local boards of health will begin February 10, 1992. Universal hepatitis B immunization of infants has been shown to be effective in reducing the incidence of hepatitis B and its chronic sequelae. Also, the cost of immunizing infants is less than half that of immunizing adults. MDPH will be providing RECOMB/VAX HB vaccine, a recombinant hepatitis B vaccine produced by Merck, Sharp & Dohme. The vaccine will be distributed in the same manner as are the other MDPH-supplied vaccines. Hepatitis B vaccine also will be distributed to maternity hospitals for administration of the first dose to infants at birth. MDPH only has funding for enough vaccine to immunize infants. Use of MDPH-supplied hepatitis B vaccine for other individuals will result in a vaccine supply inadequate to ensure immunization of all infants. PLEASE RESTRICT USE OF MDPH-SUPPLIED HEPATITIS B VACCINE TO INFANTS ONLY. The dose and schedule of vaccine administered to the infant, and the need for hepatitis B immune globulin (HBIG), is dependent upon knowledge of the mother's hepatitis B surface antigen (HBsAg) status. Therefore, prenatal HBsAg screening of pregnant women, and communicating HBsAg results to the delivery hospital and the infant's pediatrician, continues to be essential (see enclosed Recommendations for Hepatitis B Screening). When the mother's HBsAg status is not known, she should be screened on admission to Labor & Delivery. The hepatitis B vaccine schedule and doses for infants are on the following page. • Testing for Response to Vaccine Routine serologic testing to assess response to vaccine is not necessary for infants born to • HBsAg-negative mothers. For infants born to HBsAg-positive mothers, testing for HBsAg and anti-HBs should be done at 12 - 15 months of age (at least 1. month after the last dose). Need for Booster Doses Booster doses of hepatitis B vaccine are not recommended at this time. The possible need for booster doses will be assessed as additional information becomes available. Consent All providers obtaining vaccine from MDPH must take appropriate steps to provide meaningful warning relating to the risks and benefits of the vaccine. Use of the form: Important Information About Hepatitis B and Hepatitis B Vaccine (see attached) will fulfill this requirement. Vaccination Record All doses of hepatitis B vaccine administered should be recorded in the infant's Massachusetts Lifetime Health and Immunization Record (Blue Book). Administering the first dose of hepatitis B vaccine before discharge from the hospital, and providing the mother with the child's Blue Book, offers an excellent opportunity to educate the mother regarding the importance of childhood • immunizations. Vaccine Usage Reports The Vaccine Usage Report scanner forms have been revised to include hepatitis B vaccine. All doses administered of MDPH-supplied vaccine should be recorded on this form. Questions If you have questions regarding these recommendations, please call your regional Immunization Program epidemiologist or the Hepatitis B Prevention Project at (617) 522-3700, ext. 420. References CDC. Hepatitis B virus: a comprehensive strategy for eliminating transmission in the United States through universal childhood vaccination: recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR 1991:40(No. RR-13):1-25. Alter MJ, et al. The changing epidemiology of hepatitis B in the U.S.: Need for alternative vaccination strategies. JAMA 1990;263:1218-1222. • CDC. Protection against viral hepatitis: recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR 1990;39(No. RR-20-26. s MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH CITY OF SAI,FM VACCINE ORDER FORM _ COMPLETE THE FOLLOWING INFORMATION EACH TIME YOU REQUEST ADDITIONAL VACCINE. 1 2 3 4 5 Current Doses distributed No.of doses No.of doses No.of doses Inventory to other sites lost or expired requested approved (doses) (health dept only) Date12L�`1� DTP POLIO MMR Td DT I?ib • HepB g Z AUTHORIZED SIGNATU DATE��L�, , PROVIDER SITE NUMBER I t 2- 1 z PROVIDER SITE ,5ALV-A Nose��L- Submit this form and your vaccine usage forms to your vaccine supplier whenever you order additional vaccine. ADDITIONAL SUPPLIES OF VACCINE WILL NOT BE RELEASED UNLESS THE ORDER FORD AND VACCINE USAGE FORMS ARE SUBMITTED. MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH VACCINE ORDER FORM COMPLETE THE FOLLOWING INFORMATION EACH TIME YOU REQUEST ADDITIONAL VACCINE. 1 2 3 4 5 Current Doses distributed No.of doses No.of doses No.of doses Inventory to other sites lost or expired requested approved (doses) (health dept only) Date DTP 2 /� FOLIO _ MMR J DT HepB AUTHORIZED SIGNATU V. DATE PROVIDER SITE NUMBER I z z -7 PROVIDER SITE 6A►—E:m I-1�p► rr�c� Submit this form and your vaccine usage forms to your vaccine supplier whenever you order additional vaccine. ADDITIONAL SUPPLIES OF VACCINE WILL NOT BE RELEASED UNLESS THE ORDER FORM AND VACCINE USAGE FORMS ARE SUBMITTED. Y -T i s s A N T�(ZD�K Fc�2 S/-.1�� H c Try t_ L t,ltc T I M M U V\1 i< .) or MONTHLY SUMMARY. CITY OF SALEM "EALTH DEPT. MONTH OF JUNE :1993 - TOTAL: A. visits with x—ray 12 . A visits without x—ray 13 B visits 23 C visits Xxxxxx . GRAND TOTAL; 48 NUMBER OF CHEST X—RAYS TAKEN 12. • .7 SALEIA HOSPITAL CHECK REQUEST r •PAYABLE TO: City of Salem - Board of Health AMOUNT ��`��•� / 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRAC7ICAL DELIVER CHECK SY 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 ar@ $5. 07 per visit = $126. 75 B . visits -13 @ $3 . 38 per visit = $ $u 70: SPECIAL INSTRUCTIONS: PREPARED �G,,, APPROVED � a DATE PAYMENT RECORD ACCOUNT DISTRIBUTION /74O ACCOUNT 2112505990 AMOUNT CHECK NO. • DATE VOUCHER NO. t7-L�9 • SALEM HOSPITAL BILLING DEPARTMENT SERVI.CE.S (secretarial. and office supplies) NORTH SHORE PULMONARY CLINIC JUNE 1993 A visits B visits ($5. 07 each) ($3 .38 each) Total. A visits 25 @ $5. 07 each p $126. 75 Total B visits 13 @ $3.38 each m $ 43 .94 $170. 69 Secretarial services A visits $2. 77 • :3 visits $1. 85 Secretarial supplies A visits Y • `,v R visits $1 . 53 6 • t� ADMINISTRON MONTHLY REPORT May 1993 .. Y. BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL.BITES.REPORTED 9 Diptheria,Tetanus & Pertussis 570 doses Diptheria-Tetanus Tox. (under •6 yrs.. ) 50 doses BURIAL PERMITS 43 , Immune Serum Globulin 17 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED). 0 Measles (Clinic use only-) MMR--Measles/Mumps/Rubella 310 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $1,196.00 Polio Vaccine ' CERTIFICATE OF Tetanus & Diptheria '(adult use) 650 doses FITNESS $2,125.00 Tetanus Toxoid 0 1 ML Tuberculin P.P.D. 5 ML 260 does Typhoid Vaccine H.I.B. TITRE 440 doses Hepatitis B 736 dos s _ EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: ALLOWED as '. $250,284.00 . $222,527.87 $29,286.13 3,705.00 - SUPP. APPR. AL�D EXPENDED FREE CASH (includes-) ENCUMBERED. EXPENSE REPORT: . $20,200.00 $21,31.8.08 $2,221.92 3,340.00 iii�iiu■■e ■��n� �ii■nii�iniii■ �iii�� . ii�'niiaaNii� ■■ ■n�ii ��n�en�■�� ■ee■n .,■�HN.�.' n��ii� �ii��i ■ ii�'�i■�i�iniiiiei■� ■��i■�ii ��ii�■■iiiiiuii°n■iriiiiiiii �i�ui■�■u�iiii�iiimuiii� �iiaiiiii�=Qiniiu■i■iiin■�� ,�.cu.uyb SALEM HEALTH DEPARTMENT 9 North Street Salem, MA 01970 Inspections in accordance with 105 CMR 590.000; State Sanitary Code Chapter 10,Minimum Sanitation Standards for Food Establishments. MAY 1993 ESTABLISHMENT ADDRESS TYPE OF INSPECTION Dodge Street Bar&Grill 7 Dodge Street routine Nichole's Mini Mart 406 Essex Street routine Athens Bakery 9 Gedney Street routine Tortilla Flat 408 Essex Street routine Red's Sandwich Shop 15 Central Street complaint of trash Pump'N Pantry 200 Canal Street reinspection McDonald's 150 Canal Street reinspection#2 reinspection#3 compliance • Pizza Hut 105 Canal Street reinspection Kentucky Fried Chicken 2 Paradise Road reinspection#3(new mgr) reinspection#4 compliance Thai Place Museum Place reinspection#1 reinspection#2 compliance Bambolino's 7 Summer Street routine(new owner) reinspection#1 reinspection#2 compliance White Hen Pantry 28 Norman Street routine(new management) reinspection,compliance i Jennifer's Market 24 Palmer Street administrative hearing reinspection#1 reinspection#2 administrative hearing(no show) Loews Salem Triplex Museum Place routine reinspection#1 reinspection#2 compliance Wendy's 4 Paradise Road reinspection,compliance complaint of improper food . handling compliance Dunker's Salem Willows routine(seasonal) w.cuw,gb SALEM HEALTH DEPARTMENT s� A 9 North Street Salem, MA 01970 • reinspection,compliance Willow House Salem Willows routine(seasonal) reinspection,compliance Willow House Pizza Salem Willows routine(seasonal) reinspection,compliance E.W.Hobbs Salem Willows routine e o s (seasonal) reinspection,compliance Salem Lowe Salem Willows routine(seasonal) reinspection,compliance Weylus Museum Place complaint of water being served to patrons from plastic containers Carlton School 10 Skerry Street routine Horace Mann School 16 Loring Avenue routine Paula's Dogs-Pushcart Mobile Cart routine Kennedy's 213 Essex Street complaint lack of hot water reinspection,compliance • Amigo's Market 122 Lafayette Street routine site review expansion of food service operation Maggie's Ice Cream Mobile Unit routine Cafe'de LaRosa 107 Essex Street complaint of trash and no valid food permit administrative hearing 6/17/93 Kwik Shop 12.Jefferson Avenue routine(new owner) Popcorn Kitchen Pickering Wharf routine site review proposed new location Mad Hatter-Pushcart Mobile routine Boys&Girls Club Hawthorne Blvd. routine summer food program Temptation 304 Essex Street operating without a valid permit collected app.and fee DeLeo's Pizza Norman Street routine(new establishment) reinspection,compliance • Waterfront Festival Salem Common 15 routine inspections of temporary food vendors City of Salem 95 Margin Street. Salem , MA 01970 DATE : June 15 , 1993 TO: Salem Board of Health FROM : Donald Fami.co , Animal Inspector SUBJECT : ACTIVITY REPORT : April 13 , 1993 to June 15 , 1993 ---------------------------------------------------- During this period , nine ( 9 ) notices of possible exposure to Rabies were received and processed , and the necessary paper work sent to the Division of Epidemiology and Division of Animal Hea.ltl . Requested r examinations for the following animals : � q rabies g Skunks ( 1 ) , Raccoons ( 5 ) , Cats ( 3 ) . All results came back negative . • Ten orders of quarantine were issued to animal owners for bites or wounds of unknown origin to the animals . I continued to distribute literature on Rabies to citizens visiting the new police station and conducted a two-hour talk show on rabies on radio station W .E .S .X . with myself and Doctor Freedman of the Hawthorne Animal Hospital being the quest speakers . No other activity to report . Sincerely , 1,I, fL/ Donald Famico Inspector of Animals City of Salem Rabies Control Plan City of Salem Donald R. Famico Dog Constable/Animal Inspector jUN 1 5 jqq,� • CITY OF SALEM HEALTH DEFT. At the present time, provisions have been made to answer the following concerns : 1 . Capture of the suspect rabid animal that has or may have exposed humans or domestic animals (Don Famico) . 2 . Euthanasia of suspect rabid animals : New England Vete rinarian erinarian Clinic, 204 Highland Ave . ,g or Hawthorne Animal Hospital, Canal St . 3 . Decapitation of animal heads for rabies testing: New England Veterinarian Clinic, 204 Highland Ave . Cost : $50-75/each Hawthorne Animal Hospital, Canal St . Cost : $50-75/each 4 . Transportation of head to the State Lab (private courier service provided by above animal clinics) . Cost included in above price. • 5 . Disposal of carcasses after decapitation: New England Veterinarian Clinic, 204 Highland Ave. , or Hawthorne Animal Hospital, Canal St . Cost included in above price . 6 . Written quarantine of dogs and cats on other suspected animals that have bitten humans (Don Famico) . 7 . Isolation and confinement of dogs and cats with exposure to suspect rabid animals, according to State Guidelines and Regulations. No facilities are available in the state as of this time . It has been suggested by state officials to have the owners provide a secure area, to be inspected and approved by the Animal Inspector, for long term isolation and confinement (Don Famico will follow-up) . Any cost to be paid by animal owner. Education/Information I have provided, as time will allow, necessary information to individuals and groups as I come in contact with them. More assistance is needed to reach out to schools, and money for -- - -pr= nt�ing=as-well=as-c°ler-ioa=1 assistance to-Am mall`=--I-nspect-or. • Page Two • Bites 1 . At the present time, reported bites are reported from medical facilities and medical doctors to the Salem Board of Health. 2 . Health Department contacts Animal Inspectors via phone and/or writing, or both. 3 . Inspector sends out quarantine notices to animal owner and follows-up. Animals with Open wounds of Unknown Origin 1 . Animal Inspector receives notice by veterinarian. 2 . Inspector sends written order to animal owner. 3 . Follows-up on each order, as necessary. 4 . Sends out release forms . • i PUBLIC HEALTH NURSE REPORT MAY1993 ACTIVITIES CLINICS In touch with T.B.clinic and following active cases and case contacts Maintained vaccine inventory and distributed biologics city wide. Maintained records and case reports of communicable diseases. CONFERENCES AND MEETINGS Attended Mayors Task Force Meeting of the Salem Community Alliance Attended Nurses Network Meeting at the M.D.P.H.in Tewksbury . Agenda enclosed. St.JOSEPH'S May 21, 1993 Physicals Exams were performed on. 23 students by Dr. Dumas , Physician for the Board of Health assisted by Tracy Giarla L.P.N. • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF MAY 1993 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 2 - 2 2 GIARDIA - - HEPATITIS - 2 2 2 • MENINGITIS 1 I SALMONELLA 4 1 4 4 SHIGELLA TUBERCULOSIS - - - VARICELLA * THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH • TRACY L .GIARLA L.P.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH �fiT�Af,�s . 3 TOWN of WI LMI NGTON MASSACHUSETTS BOARD of HEALTH TO : Members , North Shore Public Health Network FROM : Ann FitzGerald ,. Town of Wilmington Public Health Nurse RE : Network Meeting DATE : May 6 , 1993 Please be advised that the Network meeting will take place at the Tewksbury Mass . Department of Public Health , on May 12 , 1993 , from 10 a . m . to 12 noon . Soda will be provided , bring your lunch . • AGENDA: Vaccine Management : Karen Ogden , R . N . , Epidemiologist Vaccine Administration: Bertha Hooper , R . N . , N . E . Regional Immunization Nurse T . B . 2 step and Anergy testing: Nancy Taylor , R . N . T . B . Program , Mass D . P . H . Standing Orders : Clia Regulation: Job , Stoneham Nurses Positions : New Programs : • network . ann MONTHLY: SUMMARY. O JUN d 1493 ... CITY OF �LEM IMALT'H DEPT. MONTH OF MAY 1993 TOTAL: A visits with x—ray 9 A visits without x-ray _ g B visits Zg C visits xxxxxgxxaxxxza GRAND TOTAL: 40 NUMBER OF CHEST X—RAYS TAKEN 9. - SALEM HOSPITAL CHECK REQUEST WPAYA8LE TO: City of Salem - Board of Health AMOUNT f 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 J N UNLESS OTHERWSE SPECIFIED CITE' OF SALEM TIEALTH D=- PURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH SHORE • PULMONARY CLINIC. A visits —I5@ $5. 07 per visit =$76.05 B . visits -25@ $3 .38 per visit = 8� 4. 50 • :) � S?ECIAL INSTRUCTIONS: PREPARED APPROVED i lDATE `�'ram, 3 f, PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT /6 ' CHECK NO. . DATE VOUCHER NO. 17-1.`9 SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC MAY 1993 A visits B visits ($5007) ($3. 38) Total A visits 15 @ $5. 07 each e $ 76.05 Total B visits 25 @ $3.38 each - $ 84. 50 $160. 55 Secretarial services A visits $2.77 B visits $1 .85 Secretarial supplies • A visits $2. 30 B visits $1. 53 ADMIHISTRAIION MONTPY REPORT A rile 1993 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL..BITES REPORTED 4.. ' Diptheria,Tetanus & Pertussis . 390 doses Diptheria-Tetanus Tox. (under •6 y.rs,. ) 0 BURIAL 'PERMITS 45 j Immune Serum Globulin 4 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use. only) 0 MMR--Measles/Mum s/Rubella 90 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $675.13 Polio Vaccine 290 dosp CERTIFICATE OF;. Tetanus & Diptheria '(adult use) 160 doses FITNESS $1,850,00 Tetanus Toxoid 0 — 1 ML Tuberculin P.P.D. 5 ML ' 150 dosees Typhoid Vaccine 0 Typ H.I.B. TITRE 220 doses Hepatitis B 282 doses BALANCE TO END OF FISCAL SALARY REPORT: .. ALLOWED EXPENDED , ,. $250,284.00 $203,878.56 $47,935.44 {` 3,705.00 - SUPP. APPR. _ ► EXPENDED FREE H (includes) ENC��D. EXPENSE REPORT: ALLOWED 1 2 , . $ 18061 • $20,200.00 $2,359.39 � 3,340.00 �ue�s�e u ��p� nii■n ■ �i■ �■nN�Y�■■■Y �i°nn us■�n�an nn n■■■■■ ■■�i i ��i�i■��■��i nun ��W��N ■V■n �i�i i��■■■■m�i� a� ie RODENT CONTROL i=Cn�iiaii ■ � ■u �■iiii�u■iii■iriini rii�ii�i ��iii=�aii�■i■iii�■iii ■ ��iiii� i��ii MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF APRIL 1993 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER - - - - GIARDIA 2 - 2 2 • HEPATITIS 3 2 1 1 MENINGITIS - 1 - - SALMONELLA 1 1 1 1 SHIGELLA 0 1 1 1 TUBERCULOSIS - - - - VARICELLA - - - - *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH TRACY L .GIARLA L.P.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • PUBLIC HEALTH NURSE REPORT APRIL 1993 ACTIVITIES CLINICS In touch with T.B.clinic and following active cases and case contacts Maintained vaccine inventory and distributed biologics city wide. Maintained records and case reports of communicable diseases. • CONFERENCES AND MEETINGS Attended Mayors Task Force Meeting of the Salem Community Alliance St.JOSEPH'S Physical Exams scheduled for May 7,1993 will be rescheduled for May 21, 1993 at Dr.Dumas request. All parents will be notified of the new date. • SALEA HOSPITAL CHECK REQUEST 5131f3 �P AYAB L£ T O- City of Salem - Board of Health AMOUNT 9 North Street ACTICN WANTED Salem, MA 01970 AT ONCE BEFCRE (DATE) AS PRACTICAL _ DELVER CHECK BY MAIL HAND CHECK DRAWN ON GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWSE SPECIFIED OPURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH SHORE PULMONARY CLINIC. A visits -19@ $5. 07 per visit =$ 96. 33 B . visits -23 @ -$3 .38 per visit = 77. 74 $174. 07 SPECIAL INSTRUCTIONS: PREPARE APPROVED _- DATE X7/f PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT$17 4.0 7 CHECK NO. • DATE VOUCHER NO. TI-L"9 SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC April 1993 A visits B visits ($5. 07 each) ($3 . 38 each) Total A visits 19 @ $5.07 each $ 96. 33 Total B visits 23 @ $3. 38 each s $ 77 . 74 $174 . 07 Secretarial Services A visits $2. 77 . B visits $1 .85 Secretarial Supplies A visits $2 . 30 B visits $1 . 53 1 p^SIN'_ ION MONTHLY REPORT_ Mal* 31, 1993 -,� BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL. BITES REPORTED xt 2 Diptheria,Tetanus & Pertussis 405 doses Dipth eri a-Tetanus Tox. (under •6 yrs.. ) 30 doses BURIAL 'PERMITS 67 , j Immune Serum Globulin 7 vials ' INTERNATIOftAL TRAVEL CERTIFICATES (CERTIFIED). 0 Measles (Clinic use- only) MMR--Measles/Mum s/Rubella 90 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 200.00 Polio Vaccine '310 doses CERTIFICATE OF Tetanus & Diptheria '(adult use) 220 doses FITNESS 2 925.00 Tetanus Toxoid 0 -• -— 1 ML Tuberculin P.P.D. 5 ML 100 dosses Typhoid Vaccine 0 H.I.B. TITRE 340 dose Hepatitis B 384 dose SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL {., $250,284.00 $179,841.161 $71,972.39 3,705.00 - — EXPENDED EXPENSE REPORT: ALLOWED FREE CASH (includes) ENCIIHIDERED, $20,200.00 $19,150.72 $ 4 389.28 3,340.00 MUM loss MENNEN M 0 MENEM M M sell MEN M ME MENNEN ��i�■ii■■■M■■�O■�ii�n i■0 M�EM IN IN °n° � niiiei�ei��i�Ne�� •g■C■i MENOMINEE �W � ■n�■ ■■■■■■�iiii�i��iii ��eni�m��■iiinieii e=i■i■ i�iiCnniiuii�i�e■ �is�i�° nA ��i��■�Ciiiiirii"��■i��iii�ri■ ��iiiii�iipunii■�iiiii'�iii PUBLIC HEALTH NURSE REPORT MARCH 1993 ACTFYrn S • CLINICS In touch with the T.B.Clinic and following active cases and case contacts n f Blood Pressure Clinics held during the month o February #SCREENED #REFERRED FOR FOLLOW UP FIRE FIGHTERS 29 �' fo 2 POLICE 24 3 OTHER CITY WORKERS 24 .37• -2 TOTAL MUNICIPAL EMPL. 77 7 CONFERENCES AND MEETINGS Picked up and maintained vaccine inventory and distributed biologics city-wide Attended Mayors Task Force Meeting of the Salem Community Alliance Salem Community Alliance,Membership Committee Salem Community Alliance,Health Professionals Peer Action Group/Beth Green Presentation Attended Board of Health Meeting • Attended am eeting of the North Shore Area Boards of Health Collaborative(NSABOHC) Salem State College Student Nurse Internship Program(S.N.I.P.) Continued Training of Public Health Nurse replacement for pending maternity leave of staff R.N. Rita Rice,R.N.for E.N.C.A.R.E.(Emergency Nurses Cancel Alcohol Related Emergencies) Coordinated collaboration between Salem Public School System with Linda Coffill, Student Assistance Program Coordinator and Rita Rice, R.N. to present a progam on Alcohol Related Emergencies to students within the Public School System.Date TBA. Lead Poising Screening held on March 10,at the Boys and Girls Club. Co-sponsored by the North Shore Lead Paint Poisoning Prevention Center,City of Salem and the North Shore Area Boards of Health Collaborative(NSABOHC) St.JOSEPH'S Completed hearing and vision screening on all grades Remaining 6 student were tested for visual defects and results are below. 2 referrals and notices sent to parents Final Vision Screening Results 225 students screened 13 referrals and notices sent to parents Physical Exams Scheduled for May 7th, 1993 with Dr.Dumas(see attached) • r, • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF MARCH 1993 *DISEASE NEVI' CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER - - - - GIARDIA I HEPATITIS - 2 - - MENINGITIS - 1 - - SALMONELLA 1 - - - • SHIGELLA - 1 3 3 TUBERCULOSIS - 2 - - VARICELLA - - - *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH A LORI A. SILVA,R.N.,B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • CITY OF SALEM HEALTH DEPARTMENT • BOARD OF HEALTH 9 North Street ROBERT E.BLENKHORN Salem, Massachusetts 01970 HEALTH AGENT . 508-741-1800 Dear Parent or Guardian: The School Health Law and the Local Board of Health Regulations require initial and periodic Physical Examinations during the school year. This year your child is required,by the School Health Law and Board of Health Regulations, to have a Physical Examination. Please fill in the attached form indicating your decision,so that we may schedule an appointment for your child to be examinined by the School Physician or send forms to you so as you may have your child examined by his or her own physican. The School Physician will be at St.Joseph's School on FRIDAY,MAY 7,1993 THE FORM BELOW MUST BE RETURNED TO THE SCHOOL NURSE AT ST.JOSEPH'S BY APRIL 6, 1993 Very Truely Yours, , For the Board of Health, • %Rt E.Blenkhorn,C.H.O. Lori A.Silva,R.N., B.S.N Health Agent Public Health Nurse CUT HERE DATE: SALEM HEALTH DEPARTMENT SCHOOL HEALTH SERVICES 1. I request the School Physician perform the physical examination. 2. I prefer to take my child to our own family physician who is appointment date physician name NAME OF STUDENT: ADDRESS: PHONE: GRADE: • SIGNATURE OF PARENT SALEM HOSPITAL t CHECK REQUEST PAYABLE TO: , City of Salem — Board of Health AMOUNT $185, 90 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE i 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 —24@ $5 . 07 per visit = $121 .63 • B _ visits — i9@ $3 .38 per visit = .64 .22 $185 . 90 S?EC1AL INSTRUCTIONS: PREPAREDO)4 J APPROVED I /1; r DATE �/A;.� I � PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $18 5. 9 0 CHECK NO. DATE VOUCHER NO. 17-An SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC March 1993 A visits B visits ($5. 07) each ($3. 38) each Total A visits 24 @ $5. 07 each = $121 . 68 Total B visits 19 @ $3. 08 each = $ _64.22 $18#. 90 Secretarial Services A visits $2. 77 B visits $1. 85 Secretarial Supplies • A visits $2 .30 B visits $1 . 53 lYf� � ADMINIST l ON MONTHLY REPORT Februlqa 28, 1993 • 2 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL., BITES.REPORTED 2 t Diptheria,Tetanus & Pertussis 195 doses Di theria-Tetanus Tox. (under •6 rs. ) 0 BURIAL PERMITS 49 P Y 2 vials ........ Imm - .une Serum Globulin INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles C1 nic use only) 0 � MMR--Measles/Mumps/Rubella 180 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $2,356.00 260 doses Polio Vaccine CERTIFICATE OF Tetanus & Diptheria *(adult use) 470 doses FITNESS $1,400.00 0 Tetanus Toxoid - -- 1 70 d(yses Tuberculin P.P.D. 5 ML Typhoid Vaccine 0 H.I.B. TITRE 90 doses Hepatitis B 336 doses S ALLOWED EXPENDED SALARY REPORT: BALANCE TO END OF FISCAL $248,109.00 $160:925.97 $90,888.03 3,705.00 SUPP. APPR. — EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCtTNBERED, $20,200.00 $18,696.96 $4,843.04 3,340.00 ` r i e� 1. PLAN REV. ITE IN nni■■■�iii■■'�■' 'i�i■�■iu� C��'C�==iiu nn��i�■u �iia■eneuii 00■��uer�i'uiii i�i�ri i�iiiirii��in�i iiiiuii �............�..IQ�:�:: ■■■■■A ��n■■ n■■■■�■u ■■��■■��n■u■■mn �� n��u��■m��■�� IB�Y� ��u�� iuii��d �■uiii= �Q�iii 4 I • PUBLIC HEALTH NURSE REPORT FEBRUARY 1993 ACTIVITIES CLINICS In touch with the T.B.Clinic and following active cases and case contacts Blood Pressure Clinics held(see attached) statistics to be included in next monthly report Flu shots- 2 CONFERENCES AND MEETINGS Picked up and maintained vaccine inventory and distributed biologics city-wide Attended Mayors Task Force Meeting of the Salem Community Alliance Salem Community Alliance,Membership Committee Attended a meeting of the North Shore Area Boards of Health Collaborative(NSABOHC) Salem State College Student Nurse Internship Program(S.N.I.P.) Attended North Shore AIDS Co1LABORative Steering Committee meeting Continued Training of Public Health Nurse replacement for pending maternity leave of staff R.N. • Rita Rice,R.N.for E.N.C.A.R.E.(Emergency Nurses Cancel Alcohol Related Emergencies) Arranged for Lead Poising Screening for March 10,at the Boys and Girls Club. Co-sponsored by the North Shore Lead Paint Poisoning Prevention Center,City of Salem and the North Shore Area Boards of Health Collaborative(NSABOHC) St.JOSEPH'S Continued Hearing and Vision Screening on all grades. Postural Screening Completed on Grades 5-8 108 students screened 4 referrals and notices sent to parents Vision Screening Completed on all grades 225 students screened 11 referrals and notices sent to parents 6 students to be retested Audiometric(hearing) Screening completed on all grades 225 students screened • 5 referrals and notices sent to parents • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF FEBRUARY 1993 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 2 - 2 2 GIARDIA - - - HEPATITIS 2 1 1 1 MENINGITIS LYME DISEASE - - - • SALMONELLA - - - - SHIGELLA 1 3 - - TUBERCULOSIS - 2 - - VARICELLA 1 1 1 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH !ice, iv, LORI A. SILVA,R.N.,B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH 1 4 North THE BOSTON SUNDAY GLOBE • FEBRUARY 28,1993 Jl, otn healthnetworokfo , a iad'%:1 By Amy Sessler ration between consumers, provid- sources available and how can:we SPECIAL To THE GLOBE ers, service agencies and health care best provide for people," she said.;,; practitioners. Catherine O'Connor, director..�df The pilot communities, however, the community health networks for Agroup of eight communi- are ahead of the rest of the state be- the state Department of Public ties has formed acommu- cause they started to form networks "Health, said the idea is that the fief nity health network under about a year ago. The goal of the work can be a"clearinghouse for all a pilot state Department network is"to maintain,protect;im- kinds of health information and'`a of Public Health program prove health in each or our commu- good forum for people to talk to each to provide smoother communication nities,"said Lori Silva,public health other." between health care consumers, nurse from Salem. In addition to forming networks, health care providers and the state. In the past, public health grants the state has provided communitie The network includes" the'':com- for programs such as breast cancer -4 with information regarding..thi • 'munities of Danvers;Lynn,"Marble- screening, blood lead levels in chil- health status of.the"communit` o head;Nahant,Peabody;Salemau- dren have been given to health care the will be able to better id_Y 1J gus and Swampscott The state is providers such as hospitals and com- y Pr ' K areas of need. "We're'.trying to=�m ]now`in the.process.of�assignmg all":. "munity health centers without input power ,communities to, take; the communities ui,;the state;to.one from "'individual-communities. As p g . .of 27 community health networks: they got organized into a network; repsonsiblity for the health status in Each,community is represented by a community health representatives their.,area,"to understand,what-& member of their."inspectionalr ser- say they are more aware of the mon- ,problems`and strengths"are,".,said >vices or health department' ey that providers have and maybe O'Connor. In addition,',,the,state m"De%part-. able to help ensure that services'go By.working" together; individii d ment of Public Health will be res- .to those who need them the most representatives from the eight cep tructuring the way it provides $200 without duplication. munities say they will be able,44 million worth"of public health pro Wayne 0. Attridge, director avoid being competitive with eacela grams in areas such as AIDS treat- Marblehead's health department, other and work collaboratively-t6 ment and prevention, substance said, "I've heard more from Salem make sure community health k* abuse services,teen health,prenatal Hospital in the last eight months grams are being delivered to those care and others. In the past each than the last eight years." who need them. service was bid separately. From Pam Bayne, infection.control Gerald Carpinella, director-of now on, all the services for each of coordinator for Salem Hospital, said, Lynn's-Board of Health,said that7A the 27 geographic areas will be bid the network has improved communi- the past, local providers have"in- " at one time. "When the bids are cations between the hospital and the formed hini from time to time.that awarded, the state will assist with. various community agencies.. 'It's they were going door-to-door.to,dip the development of community really,an attempt to establish what. blood lead screenings,but"we wgrll health networks to increase collabo- are the priorities, what are the re- never really a part of it" ,"108 • SALE M BOARD OF HEALTH I wHIGH BLOOD .f REaSSURE : SCREENING FOR MUNICIPAL EMPLOYEES Date FEBRUARY 25, 1993 i Time 12P•M.- 4P.M. Location COUNCIL CHAMBERS High blood pressure, one of the major causes of heart disease and stroke, has u aio no symptoms . . . The only way to find out if you have high 0 C. blood pressure is to have it checked. ro BYO •)O Iy0 '10 i0• go ao I o Lo W �I • I *****FOR ACCURATE READINGS, PLEASE AVOID CIGARETTE SMOKING AND ***** *CAFFEINE INTAKE ONE HOUR BEFORE SCREENING F SACE-M--- BOARD OFHEALTH 141, G H1 , BLO O( ; D PR E-� S SURE SCREE' G FOR FIRE FIGHTERS ate FEBRUARY 19,22,24, AND 25, 1993 Time 9A.M.- 12P.M. FIRE DEPT. HEADQUARTERS Location CONFERENCE ROOM High blood pressure, one of the major causes of heart disease and stroke, has 1>0 no symptoms . . . The only way to find out if you have high f. blood pressure is to have it checked. .10 ro .'o 90 io 10 V. • *****FOR ACCURATE READINGS,PLEASE AVOID CIGARETTE SMOKING AND *CAFFEINE INTAKE ONE HOUR BEFORE SCREENING SALEA HOSM'AL u' CHECK REQUEST WAYABLE 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 —21@ $5. 07 per visit =$106.47 c _ _ Month of Feb. 1993 B . visits —21@ $3 .38 per visit = 70_98 $177.45 SPECIAL INSTRUCTIONS: PREPARED ?— NL� - A� a a� a APPROVED (/ a ! �9 CITY OF SALEIVI DATE R March 4-. 1993 b, T ' I PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT CHECK NO. • DATE VOUCHER NO. 17V..`9 SALEM HOSPITAL BILLING DEPARTMENT SERVICES . (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC February 1993 A visits B visits ($5.07 each) ($3. 38 each) Total A visits 21 @ $5.07 each $106. 47 Total B visits 21 @ $3.38 each 70. 98 $177.45 Secretarial Services • A visits $2. 77 B vitits $1. 85 Secretarial Supplies A visits $2 . 30 B visits $1. 53 • _ JANUARY 1 .4• • ADMINISTRATION MONTHLY REPORT ��. 4 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 195 BURIAL PERMITS ISSUED 50 Diptheria-Tetanus Tox. (under 6 yrs.) 0 INTERNATIONAL TRAVEL CERTS. 0 Immune Serum Globulin 8 CASH RECEIVED - LICENSES & PERMITS $1,713.00 Measles/Mumps/Rubella 50 CERTIFICATE OF FITNESS - CASH $1,525.00 Polio 160 ANIMAL BITES REPORTED 9 Tetanus & Diptheria (adult use) 250 Tuberculin PPD 140 HIB Titre 140 Hepatitis B SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $250,484.00 XXXXXXX $146,896.82 - 0 - $125,535.18 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $20,200.00 8,303.25 xxxxxxxxx $18,664.63 $13,232.12 1993BAS ti a • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF JANUARY 1994 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 1 3 3 GIARDIA 3 4 2 2 HEPATITIS 7 5 9 9 MENINGITIS 4 - 4 4 MUMPS - - I 1 (unconfirmed) • SALMONELLA 1 - 1 1 SHIGELLA - - 1 1 TUBERCULOSIS - 4 - - VARICELLA - - - - *THOSE DISEASED EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. "�'L LORI A. SILVA,R.N., B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • PUBLIC HEALTH NURSE REPORT JANUARY 1994 ACTIVITIES CLINICS In touch with T.B.clinic and following active cases and case contacts Preparation for audiometric(hearing)sceening clinic at the Council on Aging CONFERENCES AND MEETINGS Maintained vaccine inventory and distributed biologics city wide Distribution of Flu vaccine continued Maintained records and case reports of communicable diseases Invited as a representative, on the Massachusetts Department of Public Health's LOCAL HEALTH COMMISSION 2000. Attended the first meeting of the LOCAL HEALTH COMMISSION 2000. Invited to sit on the newly established City of Salem Public Schools, HEALTH ADVISORY COUNCIL. • Attended the first meeting of the HEALTH ADVISORY COUNCIL. Attended the North Shore Area Boards of Health Collaborative meeting(NSABOHC) Attended the Community Health Network Area (CHNA) meeting of the Tobacco Control Coalition (TCC) Attended the MDPH conference on AN OUNCE OF PREVENTION: BUILDING HEALTHY COMMUNITIES Attended the Mayors Task Force Meeting of the Salem Community Alliance and was appointed to a Youth Planning sub-committee Continued Student Nurse Internship Program(S.N.I.P.) Prepared for the arrival of a new staff member , the Program Director for the NSABOHC Tobacco Control Initiative ST.TOSEPH'S SCHOOL Prepared and Maintained school records Prepared for the vision and hearing screening of all grades H- *Y-W ENVIRONMENTAL HEALTH D"ION MONTHLY_ REPORT •YEAR MO t SANITARY CODE ENFORCE 10 11 12 13 14 15 16 17118119120121 22123 24 25 26 27 28129 ,130 31 TOTALS 1. PLAANNLRE. IITEIINSP. 2. FOOD SERVICE INSPECTION / i2. 2a. FOOD SERVICE RE-INSPEC. 12.. I 2b. FOOD SERVICE COMPLAINT I' J 3. RETAIL FOOD INSPECTION I I 1 3• 3a. RETAIL FOOD RE-INSPEC. 3a. RETAIL FOOD COMPLAINT 3b. 4. MOBILE UNIT/PUSHCART 4. MOBILE UNIT PUSHCART 4a. COMPLAINT 4a. 5. TEMPORARY FOOD INSPEC. 5. 6. BED & BREAKFAST INSPEC. 6. 7. HOUSING INSPECTION / / jp a 7 . 7a. HOUSING RE-INSPECTION ) I 7a. 8. GEN. NUISANCES TRASH 8• 9. RECREATIONAL CAMP_ ^ ' 9, POOLS 1 10. 11. BATHING BEACHES 11. 12. SUNTAN CENTERS I I 1 12. COMPLAINTS 14. RODENT CONTROL 14. STING TITLE V // 16. COURT HEARINGS ' 16. p • ENVIRONMENTAL HEALTH Do ION MONTHLY REPORT p 2 of 2 r 1 2 3 4 6 7 8 19 10 11 12 13 14 15 16117 18 19120121 22 23124 25 26 27 28. 29 30 31 TOTALS 17. ADMINISTRATIVE HEARINGS 1 1 117. 17a. 18. CONSTABLE SERVICE 18. 19. LEAD PAINT INSPECTION 19. 19a. LEAD REMOVAL COMPLAINT 19a. SEMINARS, CONFERENCES, 20. MEETINGS c� 20. 21 . CERT. OF FITNESS INSPEC ! p� a 3 21�0 2_2. CERT. OF FIT. RE-INSPEC 22. G � January 1994 Vendor Number: Check ,Amount: L Payable To: (Initials Plus Full Name): Specify Date (If heeded wit/tin 5 crlene-tr days) • Month: Day: Year: City of Salem — Board of Health 9 North Street , Salem, MAChec' Dist iibitlion - IDENTIFYOr�'F Address `(tt �Jt`r iij Serail ry U.S. Mail: To tie bfa;lea And Staple A Copy For Do Not Mail - Deparmenl `:'ill Pick Up Will Vendor Be Used Again? Y N (Note: Staple A Copy.) Is This All Employee? Y N Call Ertelrsioti For Check Pick-Up. Social Security ;? _ _ _ - _ _ - _ _ _ _ Or -- Federal Tar I.D. Secretarial services and office supplies for North Shore Pulmonary Clinic. A visits 16 @ $5 . 07 ea. ilityP,epol-, Ccoul:: D c:r: B visits 15 @ $3 . 38 ea. _ - - -'- - 2 - - - -'- - - - - $50. 70 2 - - - - - - - - - - - - -r- - - - - Total (If,'fore Titar Ore Acct C — — —._ — Total =$131 . 82 .., .:..................................,.....:.......:.,...........:..............:............:::..:..,....:.. r C. ,'TI1V DEP�R7��fE1�7 `L'SE DNLY Per Overr,* e Reviewed By: ApproVeed By: 1099 Set Up Y N iW11 Invoice lr _ - - - _ - - - Check Invoice Date Check Date: P.O. # - - - - _ _ _ _ - - Date Received b - Accowiting: Check Received By: se,•CS,!tirt, I • SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC January 1994 A visits B visits ( S5 . 07 each ) ( $3 . 38 each ) Total A visits 16 @ $5 . 07 each. _ $81 . 12 Total B visits 15 @ $3 . 38 each = $50. 70 $ 131 . 82 Secretarial services A visits $2 . 77 B visits $ 1 . 85 Secretarial supplies _ • A visits $2 . 30 �1 \Y B visits $ 1 . 53 FE3 Y 1994 CITY OF SALEM FIAEALTH DEPT. ADMINISTAON MONTHLY REPORT_December 31, 1992 BIOLOGICS DISTRIBUTED AMOtJNT I ANIMAL.,BITES.REPORTED 1 Diptheria,Tetanus & Pertussis 375 doses Diptheria—Tetanus Tox. (under '6 yrs.. ) 30 doses BURIAL 'PERMITS 60 Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Clinic use only) 0 MMR--Measles/Mumps/Rubella 380 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 895.00 Polio Vaccine 580 doses CERTIFICATE OF , Tetanus & Diptheria '(adult use) 470 doses FITNESS 2 ; Tetanus Toxoid 0 — — 1 ML Tuberculin P.P.D. 5 ML 130 doss Typhoid Vaccine 0 H.I.B. TITRE 450 doses Hepatitis B 0 SALARY REPORT: ALLOWEDEXPENDED BALANCE TO END OF FISCAL $250,.284.00 $124,365.41 $129,623.59 ; \, 3,705.00 — SUPP. APPR. — EXPENSE REPORT: ALLOWED EXP_ENDED FFOE $ (includes) ENCUMBERED. $20,200.00 $16,535.96 - $7,004.00 3,340.00 MONOMER: woommmmmmmmmmo I too . immoommosommommom MEN 0 0 sommommommomm�ni■■ MEN M imu■�� i�ia■riinuii� SEEMS ME� Imummm MHOMENOURNMEMMEME mmomms ME MEN HE Mis NOW son��i■��:�i�"i"iil��iig VA M- MMMMMMM OEMiii CICCR001�@i�'i.��■N�iei son e�'i�■"w i'e■'iiiiam■ �i■ie �11�'uni�i■iiii,■�■�■■�i=uriiri iiiii.■i. irii�j��i�C■n��■■�n�■■■■ ■ •PUBLIC HEALTH NURSE REPORT DECEMBER 1992 ACTIVITIES CLINICS In touch with the T.B.Clinic and following active cases and case contacts FLU VACCINE RECIPIENTS Total Flu Vaccine recipients for November 1302 Total Flu Vaccine recipients for December(H.V.) _4 Total Flu Vaccine recipients for Nov. &Dec. 1306 Homebound recipients continue to receive flu vaccine throughout the winter season as needed CONFERENCES AND MEETINGS c Picked up and maintained vaccine inventory and distributed biologics city-wide Continued to Distributed Flu vaccine Attended Mayors Task Force Meeting of the Salem Community Alliance Salem Community Alliance,Membership Committee Member Salem Community Alliance Calandar Distribution Attended a meeting of the North Shore Area Boards of Health Collaborative(NSABOHC) Salem State College Student Nurse Internship Program(S.N.I.P.) Attended North Shore AIDS Co1LABORative Education Committee meeting Continued Training of Public Health Nurse replacement for pending maternity leave of staff R.N. St.JOSEPH'S Continued Hearing and Vision Screening on all grades. MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF DECEMBER 1992 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER - - - GIARDIA 2 2 4 4 HEPATITIS MENINGITIS LYME DISEASE • SALMONELLA 4 3 4 4 SHIGELLA - 2 - - 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 SALEbA !HOSPITAL CHECK REQUEST 40PAYABLE TO: City of Salem - Board of Health AMOUNT $148.72 9 North Street ACTION `NAMED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL — DELIVER CHECK BY MAIL HAND ::EC:{ DcAM?N LY' GENERAL FUND REGULAR ACCOUNT UNLESS OTHER`BISE SPECIFIED PURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH SHORE • PULMONARY CLINIC. A visits - 18@ $5 . 07 per visit = $91.26 t B . visits - 17@ $3 .38 per visit = In.46 MONTH OF DECEMBER* 1992 148.72 SPECIAL INSTRUCTIONS: PREPARED t N- APPROVED DATE I PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $148. 72 9 CHECK NO. ; a • DATE JIAN tJ VOUCHER NO. CITY OF SAT'LM "TALTH DET' t� SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC DECEMBER 1992 A visits B visits ($5 . 07 each) ($3 . 38 each) ' Total A visits 18 5 . 07 each = 91 . 26 Total B visits 17 @ $3 . 38 each = $ 57 . 46 $ 148 . 72 Secretarial Services • A visits $2 . 77 B visits $ 1 . 85 Secretarial Supplies A visits $2 . 30 B visits $1 . 53 0 JAN 5 1993 CITY OF SALEM "TALTH DEP" � 4 ADMIHLSTRr"ON MONTHLY REPORT_ Novem�r 30, 1992 ` BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL,BITES.REPORTED 4 r, Diptheria,Tetanus & Pertussis 210 doses BURIAL PERMITS 50 , ,Diptheria-Tetanus Tox. (under -6 yrs,. ) 20 doses Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED). 0 Measles (Clinic use only) MMR--Measles/Mumps/Rubella 190 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 25.00 Polio Vaccine 320 doses CERTIFICATE OF , Tetanus & Diptheria '(adult use) 290 doses FITNESS $2,750,00 Tetanus Toxoid 0 - — 1 ML ' Tuberculin P.P.D. 5 ML 40 dosses Typhoid Vaccine 0 H.I.B. TITRE 465 doses Hepatitis B 0 FISCAL SALARY REPORT: ALLOWED EXPENSED BALANCE TO END OF FISCAL, $250,284.00 $99,187.58 $151,096.42 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED. t $20,200.'00 $16,535.9.6- $7,004.00 ' 3,340.00 �, nu��i�i�ii■■�i��m ii�ii�� . i�■■ee■n��inen�iin�iii . ��i iiiir�i■�uii■■�i iiii�inii 'NE , I I . Itso"CINEW �iwi� �iiii■iei��a�riiiiii�ii sommmomon,61104Milo-in��eie �iiiAi ��■w�is"�i7iiiii�nnNi�iiiriiii ii■ ■■�uJj=■i�iiii��iiiiiii • PUBLIC HEALTH NURSE REPORT NOVEMBER 1992 ACTIVITIES CLINICS In touch with the T.B.Clinic and following active cases and case contacts FLU VACCINE RECIPIENTS Council on Aging Clinic 11/4/92 830 Charter Street Housing Clinic 11/10/92 448, Home Visits during November 24 Total Flu Vaccine recipients for November 1302 Medicare Influenza Vaccine Demonstration Project Discontinued this year Homebound recipients continue to receive flu vaccine throughout the winter season as needed CONFERENCES AND MEETINGS Picked up and maintained vaccine inventory and distributed biologics city-wide • Distributed Flu vaccine(1780 doses) Attended Mayors Task Force Meeting of the Salem Community Alliance Attended a meeting of the North Shore Area Boards of Health Collaborative(NSABOHC) Salem State College Student Nurse Internship Program(S.N.I.P.)resumed Attended MDPH Health and Wellness Planning Seminar Developed and distributed Health Questionnaires for assessment of community health needs in Salem (SEE ATTACHED) St.JOSEPH'S Continued Hearing Screening on all grades. Preparation for Vision Screening MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF NOVEMBER 1992 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE AMEBIASIS - - - - CAMPYLOBACTER - - 4 4 GIARDIA 1 3 - - HEPATITIS MENINGITIS 1 1 - - • LYME DISEASE SALMONELLA 2 3 2 2 SHIGELLA - - - - 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 co*orr�� a t�otw�ws a�� • CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street ROBERT E. BLENKHORN Salem, Massachusetts 01970 HEALTH AGENT 508-741-1800 HEALTH QUESTIONNAIRE PLEASE RATE THE FOLLOWING HEALTH ISSUES ACCORDING TO THEIR IMPORTANCE. 1 (very important), 2(important),3 (somewhat important),4(less important), 5 (unimportant) 1 2 3 4 5 i Accessibility to Medical Care for uninsured or underinsured Health Promotion/Education Services offered to the public( ie. cholesterol & diabetes screenings,AIDS info., smoking cessation,cancer,etc.) Nutritional Disorders( ie.obesity,diet maintenance, cholesterol, anorexia, bulemia) Violence and Sexual Abuse to Women and Children HIV/AIDS, Teen Sexuality Substance Abuse (ie.drugs&alcohol) I I • Mental Illness, Isolation, Loneliness Homelessness Environmental Health Issues Youth and Violence Health Issues for Pregnant women,Infants and Children List your opinion on what you see as the most important health issue in the Salem Community. Are you in favor of condom distribution and associated education in the Public Schools as an approach to HIV/AIDS prevention? (CIRCLE ONE) YES NO Comments: In your opinion, is the City government doing enough to protect the health of the public and environment in Salem. (CIRCLE ONE) YES NO Comments: Additional Comments: Please use the back of this page. THANK YOU! • SALEA HOSPITAL CHECK REQUEST PAYABLE TO: City. of Salem - Board of Health AMOUNT $36. 19 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFORE (DATE) AS PRACTICAL DELIVER CHECX BY MAIL HAND CHECK DRAWN ON I GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWSE SPECIFIED PURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH -SHORE PULMONARY CLINIC. A visits —7 @ $5 . 07 per visit = $ 35.4 B . visits 1 , @ $3 .38 per visit — • y 86. 19 SPECIAL INSTRUCTIONS: PREPARED i,4.� �-J�Y'117fg2F f APPROVED DATE f �� i PAYMENT RECCRD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT r€6. 1 9 CHECX NO. DATE • V6UCHER NO. SALEM HOSPITAL BILLING DEPARTMENT Y SERVICES (secretaria.l' and office supplies) NORTH SHORE PULMONARY CLINIC NOVEMBER 1992 A visits B visits ($5. 07 each) ($3 . 38 each) Total A visits 7 @ $5 . 07 each = $ 35. 49 Total B visits 15@ $3 . 38 each = $ 50. 70 $ 86. 19 Secretarial Services A visits $2 . 77 B visits $1 . 85 Secretarial Supplies A visits $2. 3C B visits DEC 9 4 • CITY QF SALEM 1 ADMI*iM ON MONTHLY REPORT_ OcAr 31, 1992 ` BIOLOGICS DISTRIBUTED AMOUNT ANIMAL..BITES REPORTED 7 i Diptheria,Tetanus & Pertussis 435 doses Diptheria-Tetanus Tox. (under •6 yrs.. ) 60 doses BURIAL PERMITS 51 Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) Measles (Clinic use only) 0 MMR--Measles/Mumps/Rubella 575 dIds ses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 272.00 Polio Vaccine `370 CERTIFICATE OF , Tetanus & Diptheria •(adult use) 660 doses FITNESS $L325.00 Tetanus Toxoid 0 - 1 ML Tuberculin P.P.D. 5 ML 140 doses Typhoid Vaccine 0 H.I.B. TITRE 200 doses Hepatitis B 452 doses SALARY REPORT: ALL OWED EXPENDEDBALANCE TO END OF FISCAL $ 250,284.00 $80,062.35 $170,221.65 ' EXPENDED _. • FREE CASH ExpMSE REPORT: ALLOWED 14, 134.22 $9,405.78 $20,200.00 $ - . 3,340.00 I anon. @monsoon monsoon nommonso nrinii� ��■■��■� ■pan NONE No 0 M ME NEON ONE ME IN MM ME MIME ME ME EM M N w��e � �ni��iiiiii ■nin � ii�YN�ii.ii� ■ �■�ri■ninueii ��i0�iiin■i�uin■iiiGiii n�,�,■u■■n■■ m iiu�iMii �'��■�n�■iii�i'�in■�`'■■iirinii ia�■�■nunniii■■��iiiii�riiii PUBLIC HEALTH NURSE REPORT OCTOBER 1992 ACTIVTI'IES CLINICS In touch with the T.B.Clinic and following active cases and case contacts Preparation for the Annual Influenza Clinics to be held on November 4th at the Council on Aging and on November 10th at 27 Charter St. (See attached flyers) CONFERENCES AND MEETINGS Picked up and maintained vaccine inventory and distributed biologics city-wide Distributed Flu vaccine Attended Mayors Task Force Meeting of the Salem Community Alliance Attended a meeting of the North Shore Area Boards of Health Collaborative(NSABOHC) Salem State College Student Nurse Internship Program(S.N.I.P.)resumed Attended-Mass.Health Officers Association Annual Conference Steven Zisson, Salem Evening News WESX notified and public service announcement for FLU Clinic provided Martha Costello,R.N. Salem Hospital Ambulatory Care Center/Co-sponsor of FLU Clinics Follow-up Clinic days to be held at Salem Hospital from November 22-December 4,weekday mornings. St.JOSEPH'S Initiated Hearing Screening on all grades. Preparation for Vision Screening, vision machines repaired and maintained MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF OCTOBER 1992 _ *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE AMEBIASIS - - 2 2 CAMPYLOBACTER 4 GIARDIA 4 HEPATITIS MENINGITIS 2 LYME DISEASE - - - 1 SALMONELLA 4 - 3 3 SHIGELLA 1 - 1 1 TUBERCULOSIS - 2 - - *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH � �� ice. 0 ., -/ - -`'`e` , �`-`� LORI A. SILVA,R.N.,B.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH y. . Free Flu Va :in h e C cc c Sponsored by the Salem Department of Public Health and Salem Hospital 9 a.m. - 12 noon at the Salem Council on Aging, 5 Broad Street � • I L 9 a.m. - 12 noon at 27 Charter Street Housing Complex For information call: Lori A. Silva, R.N.,Public Health Nurse Salem Health Department, 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 Coun- cil on Aging at 744-0924 at least 2 days before the Flu Clinics begin. Follow up clinic days will be held at Salem Hospital weekday mornings by appoint- ment only from November 22 to December 4. Call ambulatory care for appointments at 741-1215 Ext. 3515. Please bring your 04 Medicare card. Clinics para el " Flu" Gratis Auspiciado por el Departamento De Salud Publica Y el Hospital de Salem 9 a.m. - 12 mediodia 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 Lori A. Silva, R.N., Public Health Nurse Departamento De Salud de Salem 741-1800 Servicios gratis son ofrecidos 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. Despues del Dia de la clinica Estaremos en El Hospital De Salem. Desde el dia 22 de Noviembre hasta El dia 4 de Diciembre. Solamente Por cita. Favor de llamar ambulatory care al telefono 741-1215 Extension 3515. Favor de Traer su Targets de 04 Medicare eoeort�� ' v4404tmc CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street ROBERT E. BLENKHORN Salem, Massachusetts 01970 IiEALTH AGENT 508-741-1800 CITY OF SALEM ANNUAL INFLUENZA (FLU) IMMUNIZATION CLINICS Robert E. Blenkhorn, C.H.O. , Health Agent for the Salem Board of Health, would like to announce that the City of Salem Board of Health, in cooperation with Salem Hospitals Ambulatory Center will be holding its annual flu clinics. Flu shots are offered free each year for protection against the influenza strains expected to strike each season. This year's flu strains contain A/Texas, A/Beijing and B/Panama. Although the composition of this year's vaccine resembles that of last year's the A/Texas component is different. It is recommended that the following groups be immunized, healthy people over 65, people of all ages with chronic lung, heart, or kidney disease, people with diabetes and medical personnel having frequent contact with high risk patients. The vaccine is not recommended for persons with allergies to eggs or egg products, those having a serious reaction to previous influenza vaccine, anyone who has been paralyzed with Guillain=Barre' Syndrome, and persons who are ill or have a fever. These people and pregnant women should consult with their ,doctor before receiving the vaccine. Because the flu vaccine is made from killed virus, it cannot cause the flu. Most people have had no side effects from recent influenza vaccines. Occassionally, there may be soreness for a day or two at the injection site or perhaps a fever or achiness for 1 or 2 days. In contrast to the 10's of thousands of deaths which occur each year in those who are not vaccinated these side effects seem insignificant. To protect yourself against this years strains of influenza please join us on November 4th at the Council on Aging, 5 Broad Street, Salem from 9:00 a.m. to 12 noon or on November loth at 27 Charter Street from 9:00 a.m. to 12 noon. In addition, Salem Hospital Ambulatory Care Center will provide flu vaccine by appointment only from November 22nd - December 4th weekday mornings. For appointments call 741-1215 Ext. 3515. . Transporation to clinics maybe arranged by calling the Salem Council on Aging at 744-0924 two days prior to the clinic date. If you have any questions please contact Lori A. Silva, R.N. Public Health Nurse for the Salem Board of Health at 741-1800. i THE SALEM,MASS.,EVENING NEWS—WEDNESDAY,OCTOBER 21,1992 1 Flu' ,vaccines offered,.:, SALEM Health Agent Rob,., Barre syndrome;anyone who is ill ert E.Blenkhorn and the Board of or has a fever. These people and . .Health, in conjunction with Sa- pregnant women should consult lem Hospital's•.-ambulatoryo cen- . their doctor before receiving the ' ter, Will' be,'holding 'annual flu vaccine: clinics soon. ' Because the flu vaccine is made According to Lori Silva, public from the killed virus, it can't health nurse for the Board of cause the flu,and most people re- Health; more than 1,200 people port no side effects from the lat- were vaccinated at the clinics last est .vaccines. Sometimes, there year,and the Board of Health dis- may be soreness,for a day.or two tributed .more than 3,500 flu shots ' at'the injection site and perhaps a last year throughout the commu- fever or achiness for a day or two. y g nity. In contrast to the tens of thou- The shots are offered free for sands of.deaths which can occur . protection against- the influenza in-those who are not,vaccinated, strains expected to strike each these side effects seem insignifi- season This year's flu strains are . cant. expected to 'contain A/Texas, A/ The Board of Health will hold a Bejing and-B/Panama. Although flu clinic Nov. 4, from 9. a.m. to the composition of this year's vac-- noon at the Council on Aging, 5 cine resemble's that of last year's, Broad St., and from 9 a.m. to . the A/Texas component is new. noon,Nov.10,at 27 Charter St. • It is recommended that the fol- The Salem .Hospital Ambula- lowing `groups be immunized: tory Care center will provide flu healthy people over age 65, peo vaccines (by appointment only) ple of all ages with.chronic lung, from Nov. 22 through Dec. 4, heart'or,kidney disease, people' weekdays mornings.For appoint- with diabetes and medical per- ments call, 741-1215 extension sonnel, who will have frequent 3515. contact with high-risk patients. Transportation to clinic s The vaccine is not ,recom- maybe arranged by calling the mended for the following persons: .. Salem Council on Aging at 744- those with allergies to eggs or egg 0924, two days prior to the clinic products; anyone having had se- date. rious reaction to a previous in- If. you have any questions, fluenza vaccine; anyone who has please conact'Silva at the Salem been paralyzed .with Guillainz Board of Health at 741-1800. TO: SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF OCTOBER 1992 A visits with x—ray 9 A visit without x—ray 7 B visits 12 GRAND TOTAL 28 old OCT j C g �� ITY OF SALEM • ' 'A,LTH DET- .w SALEM HOSPITAL CHECK RECUEST 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 Z6 @ $5 . 07 per visit = $ 81 . 12 •� B . visits -12 @ $3 .38 per visit = $ 40, 56 MONTH OF OCTOBER 1992 121. 68 SPECIAL INSTRUCTIONS: PREPARED a - — APPROVED -- - DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $121 . 68 CHECX NO. DATE VOUCHER NO. I 1K'°3 SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC OCTOBER 1992 A visits B visits ($5 . 07 each) ($3 . 38 each) Total A visits 16 @ $5 . 07 ea. = $ 81 . 12 Total B visits 12 @ $3. 38 ea. = $ 40. 56 $ 121 . 68 Secretarial Services A visits $2 . 77 B " $1. 85 •� Secretarial Supplies A visits $2 . 30 B visits $1 . 53 ADMINIST LON MONTHLY REPORT Septeler 30, •1992 BIOLOGICS DISTRIBUTED AMOUNT I ANIMA, BITE$, REPORTED 1 'r Diptheria,Tetanus & Pertussis 465 doses Diptheria-Tetanus Tox. (under 6 yrs,. ) 30 doses BURIAL 'PERMITS 51 Immune Serum Globulin 0 INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED) 0 Measles (Cl$.nic use. only) 0 MMR--Measles/Mumps/Rubella 320 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 263.00 Polio Vaccine 460 doses CERTIFICATE OF Tetanus & Diptheria '(adult use) 190 doses FITNESS $1,900.00 Tetanus Toxoid 0 — 1 ML 5 150 doss Tuberculin P.P.D. ML Typhoid Vaccine 0 II.I.B. TITRE 265 doses Hepatitis B 312 doses SALARY REPORT: ALLOWED EXPENDED D BALANCE TO END OF $250,284.00 $56,082.47 $194,201.53 EXPENSE REPORT: ALLOWED EXPENDED FREE CASH (includes) ENCUMBERED. $23,540.00 $1,463..93 $ 9,468.41 ' 2. FOOD SERVICE INSPECTION -2a. FOOD SERVICE RE-INSP-- 2b. FOOD SERVICE COMPLAINT 3 a. RETAIL FOOD RE-INSPEC. 3b. RETAIL FOOD COMPLAINT 4'. MOBILE UNIT/PUSHCART MOBILE UNIT/PUSHCART 0 4a. COMPLAINT 5. TEMPORARY FOOD INSPEC. ■ee■a■■��m■■ NOREEN R110 iiiiuiiiiiiiiui ■■ °i■iCii u�w■�■■n��■■�■ ,emu■■■ �i� niiieiu� ■�■■■ ■�u�� 18. CONSTABLE SERVICE � 19. LEAD PAINT INSPECTION i�eniiiiiin■■■■■� 19a. LEAD REMOVAL SEMINARS, CONFERENCES, 120. MEETINGS �e17. ADMINISTRATIVE HEARING�mmosommononsommoLORMENommossommon iiiriiiiiiiiimii"■ '■ iiiiiii 22 CERT. OF FIT. �iiiiiiORiiii;NEi uri■C io iiiiiii�iiiii�ui■��i�iii�iiri mommommoolsom masons mm =Ann iiiw�Ciiiiiiii■'ll ,ii'�iii iiiiiii�iiiiuii�n■��iu�iii i PUBLIC HEALTH NURSE REPORT SEPTEMBER 1992 ACTIVrfIES CLINICS In touch with the T.B.Clinic and following active cases and case contacts Preparation for the Annual Influenza Clinics to be held on November 4th at the Council on Aging and on November loth at 27 Charter St. CONFERENCES AND MEETINGS Picked up and maintained vaccine inventory and distributed biologics city-wide Attended Mayors Task Force Meeting of the Salem Community Alliance • Attended several meetings-of the North Shore Area Boards of Health Collaborative(NSABOHC) Compiled and submitted a Grant Proposal for the NSABOHC on Breast Cancer Initiative Presented a Program on Infection Control to the staff members at H.A.W.C. (Help for Abused Women and Children)See attached evaluation form. Salem State College Student Nurse Internship Program(S.N.I.P.)resumed The Council on Aging Health Clinic is no longer being staffed by the Public Health Nurse ST.JOSEPH'S Organized and maintained health records of all students enrolled in 1992-1993 school year. Prepared Immunization Surveys of grades K and 7. Obtained and organized Immunization History and Health Records of new incoming students. I • • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF SEPTEMBER 1992 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE AMEBIASIS - - 2 2 CAMPYLOBACTER 1 - 1 1 GIARDIA - - 5 . 5 HEPATITIS 3 - 2 2 LYME DISEASE 1 SALMONELLA 4 - 3 3 SHIGELLA - - - - 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 I These are the responses from the participantsof the September 22, 1992 presentation. • INFECTION CONTROL PROGRAM EVALUATION 1 . How would you rank your level of knowledge of infection control before this program? A. Expert 16.6% B. Knowledgable 49.8% C. Somewhat Knowledgable 16.6% D. Novice or unknowledgable 16.6% 2. Did this program contribute to your knowledge and understanding of infection control? A. Yes 100% B. No 3. What changes, if any, do you expect in your daily work or life as a result of this program? (use bottom of page or back if necessary, please number) (see bottom of page) 4. : Did you find the presenter to be well-informed and responsive to your questions? 100%- YES 5. Which areas, if any, do you suggest be expanded or deleted from subsequent presentations of infection control? 100%-NONE 6. Are there any other aspects of infection control which you feel should be included in the program? 100% NONE 7. Do you have any suggestions which would enhance the value of this program? 83.4%-None One suggestion was to include how children can pass on illness. 8. How would you rank your level of knowledge of infection control following this presentation. A. Expert or Very knowledgeable 83.4% B. knowledgable 16.6% C. Somewhat knowledgable D. Novice or unknowledgable THANKYOU FOR YOUR INTEREST AND PARTICIPATION Answers to #3. 1 . Use of better hygiene, 2. Increased use of bleach solution as a disinfectant, 3.Better awareness to need for better hand washing techniques, 4. Better bathroom hygiene. • I 1 0 • 1992 CITY Of $A LEX TF.ALfit DEPT. TO: SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF SEPTEMBER 1992 A visits with x-ray 10 A visit without x-ray 6 B visits 13 GRAND TOTAL 29 SALEM HOSPITAL CHECK REQUEST PAYABLE TO: City. of Salem - Board of Health AMOUNT $125. 06 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFCRE (DATE) AS PRACTICAL _ DELIVER CHECK BY MAIL HAND CHECK DRAWN CH GENERAL FUND REGULAR ACCOUNT UNLESS OTHERWSE SPECIFIED PURPOSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH SHORE • PULMONARY CLINIC. A visits -16@ $5 . 07 per visit = $ 81 ._=$2 B . visits Z3 @ $3 .38 per visit = $ 43 .94 $125.06 SPECIAL INSTRUCTIONS: PREPARE WIT APPROVED \ I r- > DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $125. 06 CHECK NO. DATE • VOUCHER NO. • SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC SEPTEMBER 1992 A visits B visits ($5.07 each) ($3.38 each) Total A visits 16 @ $5. 70 each = $ 81 . 12 Total B :visits 13 @ $3.38 each = $ 43. 94 $125. 06 Secretarial services A visits $2 . 77 B visits $1 .85 Secretarial supplies A visits $2. 30 B visits $1 . 53 1 ADMINISTWON MONTHLY REPORT_ _ AuQ�Tst 31 , 1992 BIOLOGICS DISTRIBUTED AMOUNT I ANIMAL.,BITES.REPORTED 2 h� Diptheria,Tetanus & Pertussis 405 doses Di theria-Tetanus Tox. BURIAL -PER 36 , p (under -6 yrs.. ) 20 doses Immune Serum Globulin 18 vials INTERNATIONAL TRAVEL CERTIFICATES (CERTIFIED). 0 Measles (Clinic use only) 0 MMR--Measles/Mum s/Rubella 645 doses TOTAL CASH RECEIVED FROM ' LICENSES & PERMITS ISSUED $ 411 .80 Polio Vaccine 450 doses CERTIFICATE OF Tetanus & Diptheria '(adult use) 500 doses FITNESS $2,450.00 Tetanus Toxoid 0 — -— 1 ML Tuberculin P.P.D. Typhoid Vaccine 0 H.I.B. TITRE 310 doses Hepatitis B 292 doses ALLOWED EXPENDED BALANCE TO END OF FISCAL SALARY REPORT: $250,284.00 $36,776.76 $213,507.24 H (includes) ENCUMBMMD, EXPENSE REPORT: ALLOWED EXPENDED F REE CAS ( $23,540.00 $1,139.94 $12,917.41 1 _ �� oa■ue■■■■�■■ nnnx■■■ iiiiiiiinii�' w��■i■i� ��■o■■■■�■■nAu n�ii ��n SEMEN iii°u°iiiiiiin■ii� ■"'"�in�i�°��iiii 'iiniu�■iu'�� Cu�■u �u��n��■ �� aye■ �� nm■■u ea■■iii■�■■n ■�w iiri::::::iiiiu■■ ■■�niii iiii iiiiiiiiiiiiii�i�ui■N■w�iiii=ii r PUBLIC HEALTH NURSE REPORT AUGUST 1992 ACTIVITIES CLINICS In touch with the T.B.Clinic and following active cases and case contacts Heat Stress and the Elderly Informational held on 8/12/92 at the COA #of participants 30 { CONFERENCESAND MEETINGS i Picked up and maintained vaccine inventory and distributed biologics city-wide Managed and staffed the COA Health Clinic • Attended Board of Health Meeting Attended several meetings of the newly formed North Shore Area Boards of Health Collaborative (NSABOHC) ST.JOSEPH'SJOSEPH'S School out for the summer • } 1 • MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF AUGUST 1992 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE AMEBIASIS 1 1 - - CAMPYLOBACTER - - 1 1 GIARDIA 4 1 - - I HEPATITIS 1 - 1 1 SALMONELLA 5 - 5 5 • SHIGELLA 1 - 1 1 TUBERCULOSIS - 2 - - VARICELLA - - - - *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH '& 0. -R LORI A. SILVA,R.N.,B.S.N. PUBLIC HEALTH NURSE • FOR THE BOARD OF HEALTH o • SEP 4 199*1 CITY OF SALEM "LTH DE"'' TO: SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF AUGUST 1992 A visits with x—ray 14 A visits without x—ray 8 B visits 19 GRAND TOTAL 41 • • SALEM HOSPITAL CHECK REQUEST PAYABLE TO: • City of Salem - Board of Health AMOUNT 111. 54 I 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE BEFCRE (DATE) AS PRACTICAL DELNER 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 -,Z @ $5. 07 per visit = $111 .54 B . visits @ $3 .38 per visit = 64. 22 _ • .TG— PREPARED SPECIAL INSTRUCTIONS: APPROVED I r i DATE PAYMENT RECORD ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $17 5. 7 6 CHECK NO. DATE VOUCHER NO. 17�1'9 F` j • SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC AUGUST 1992 A visits B visits ($5.07 each) ($3.38 each) Total A visits 22 @ $5.07 each - $111.54 Total B visits 19 @ $3.38 each - $ 64.22 $175. 76 Secretarial services A visits $2. 77 B visits $1.85 Secretarial supplies • A visits $2.30 B visits $1. 53 MONTHLY REPORT Jul 1992ADMINIS` R001, v , BIOLOGICS DISTRIBUTED AMOtMT I ANIMAL BITES REPORTED 6 s Dipthr.-ria,Tetanus & Pertussis 420 doses Diptheria-Tetanus Tox. (under -6 yrs.. ) 10 doses BURIAL PERMITS 60 Immune Serum Globulin 10 doses INTERNATIONAL TRAVEL' 0 CERTIFICATES (CERTIFIED) Measles (Clinic use. onl 0 MMR--Measles/Mumps/Rubella 230 doses TOTAL CASH RECEIVED FROM LICENSES & PERMITS ISSUED $ 894.00 Polio Vaccine 370 doses CERTIFICATE OF Tetanus & Diptheria '(adult use) 410 doses FITNESS $2,325.00 Tetanus Toxoid 0 -. ----- 1 ML Tuberculin P.P.D. 5 120 doses Typhoid Vaccine 0 H.I.B. TITRE 410 doses Hepatitis B 676 doses SALARY REPORT: ALLOWED EXPENDED BALANCE TO END OF FISCAL 4 EXPENSE REPORT: ALLOWED EXPENDED FREE H (includes) ENCUNIDERED, ^ j i=�inoiium■� 4a. COMPLAINT 5. TEMPORARY FOOD INSPEC. iiiiiiiiuirii�■ivi�■n��=i� GEN, -NUISANCES/TRASH iuiiiiiiiiim iiN■■��■u��inii �un��ii��■nN■��ii�u ••� iiiuiiiiii��ui■iu■ �iui i�i�iii�ii�iii■�iii u ■iu�iii PUBLIC HEALTH NURSE REPORT JULY 1992 ACTIVITIES CLINICS In touch with the T.B.Clinic and following active cases and case contacts Hearing Screening Clinic at the COA held 7/9/92 (see attached) #Participants Screened 23 #Participant Passed 4 #Participants Failed 19 All those participants that failed were referred to have a further audiologic evaluation. 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 Bidders Conference Arranged for the Glucose Monitor to be checked for Accuracy and Precision by Salem Hospital (S.H.) per State regulation. Monitor delivered to S.H. and Accuracy and Precision were found to be within acceptable range. Attended several meetings of the newly formed North Shore Area Boards of Health Collaborative (NSABOHC) Attended the first North Shore Aids Collaborative(NSAC)Steering Committee meeting Prepared and provided for a guest speaker at the COA on the topic Heat Stress and the Elderly also tips on how to save energy and money Attended a Child Lead ScreeningClinic at North Shore Childrens Hospital p Met with Carol Martin the new Community Organizer and Facilitator of the Health Professional Peer Action Group(HPPAG) ST.JOSEPH'S School out for the summer • r MONTHLY REPORT OF COMMUNICABLE DISEASES FOR THE MONTH OF JULY 1992 *DISEASE NEW CARRYOVER DISCHARGED REPORTS TO CASES CASES CASES STATE AMEBIASIS 1 - - - CAMPYLOBACTER 4 1 3 3 GIARDIA 1 - - - HEPATITIS 1 - 1 1 MENINGITIS - - - - • SALMONELLA 4 - 4 4 SHIGELLA 1 1 1 1 TUBERCULOSIS - 2 1 1 VARICELLA 3 - 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 •FOR THE'S O BOSTON GUILDFOR THE HARD OF HEARING INC. ,.,.° 283 COMMONWEALTH AVENUE ■ BOSTON, MASSACHUSETTS 02115 ■ 267-4730 (voice) 267-3496 (TDD) July 10, 1992 Ms. Lori Silva, R.N. Salem Council On Aging 5 Broad Street Salem, MA 01970 i Dear Ms. Silva: It was a pleasure to perform hearing screenings once again for the Salem Council On Aging on July 9th. I tested a total of 23 people. The results are: PASS - 4 FAIL - 19 • All who failed the screening are advised to seek further audiological evaluation. If you have any questions or if we- can further assist your organization, please do not hesitate to con- tact me at the Boston Guild. Cordially, George Neh' ey, COH Director, Mobile H aring Services P. S. I want to thank you for your assistance in helping to- make the screening a success . I THIS AGENCY IS SUPPORTED IN PART BY I ACCREDITED IN AUDIOLOGY BY THE AMERICAN BOARDS OF EXAMINERS,AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION w�M l I LICENSED AS A CLINIC BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SERVICES AND EMPLOYMENT OPPORTUNITIES AT THE BOSTON GUILD FOR THE HARD OF HEARING ARE PROVIDED ON A NON-DISCRIMINATORY BASIS. AUG 4 199 ,,ITY OF SALEM ALTH DEP'r TO: SALEM BOARD OF HEALTH FROM: NORTH SHORE PULMONARY CLINIC MONTHLY SUMMARY MONTH OF JULY 1992 A visits with x—ray 3 A visits without x—ray 5 B visits 14 GRAND TOTAL 22 NUMBER OF CHEST X—RAYS 3 • • SALEJA HOSPITAL CHECK REQUEST JULY 1992 PAYABLE TO: City of Salem - Board of Health AMOUNT $8 7 .8 8 • i 9 North Street ACTION WANTED Salem, MA 01970 AT ONCE I -- BEFORE (DATE) AS PRACTICAL - DELVER C*xECK BY MAIL HAND CHECK DRAWN CN GENERAL FUND P.EGULI.R ACCOUNT UNLESS OTHER`!L'SE SPECIFIED PURPCSE: SECRETARIAL SERVICES AND OFFICE SUPPLIES FOR NORTH SHORE PULMONARY CLINIC. A visits -8 @ $5 . 07 per visit =$40 56 B . visits -14@. $3 .38 per visit =$47 . 32 • 87 . 88 SPECIAL INSTRUCTIONS: PREPARED - APPROVED DATE PAYMENT RECCRO ACCOUNT DISTRIBUTION ACCOUNT 2112505990 AMOUNT $8 7 . 8 8 CHECK NO. DATE VOUC}iER N0. I7-4,`9 i SALEM HOSPITAL BILLING DEPARTMENT SERVICES (secretarial and office supplies) NORTH SHORE PULMONARY CLINIC JULY 1992 A visits B visits ($5.07 •each) ($3 .38 each) Total A visits 8 @ $5.07. each — $40. 56 Total B visits 14" $3 . 38 each — $47.32 $87.88 _.a Secretarial services A visits $2..77 B visits $1.85 • Secretarial supplies A visits $2 .30 B visits $1. 53 i L� .