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MONTHLY REPORTS 1995 TO 1998
BOARD OF HEALTH MONTHLY REPORTS 6/ 1995 TO 2/ 1998 ANISTRATION - MONTHLY REPORT FEBRUARY 1990 • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus 6 Pertussis 525 BURIAL PERMITS ISSUED 57 $285.00 Diptheria-Tetanus Tox. (under 6 yrs. ) -0- ANIMAL BITES REPORTED -0 Immune Serum Globulin 10 RECEIVED - LICENSES & PERMITS $1,460.00 Measles/Mumps/Rubella 120 CERTIFICATE OF FITNESS - Polio 320 68 INSPECTIONS X $25 .00 = $1 700.00 TetNnus °6 i heria '(`3d'uit' :e) 690 Tuberc'u-liri }P?D 340 �-W-1B Titre 380 Hepatitis B 654 AtY%titEVZT ': A1�1IY `A1, B�JDG:ET EXPENSES YTA EXPENSES ENCUt�ERED AVAILABLE BALANCE $ 27 ,329.'00 --- $218,706.14 ------ $119,175.09 10,552.23 - SUPP. APPR. Np$�PE#t60NNE'L; kftUAL tB AG ET EXPENSES YTD- EXPENSES ENCUMBERED AVAILABLE BALANCE $36,147.31 �$'55,300.00 $14,580.76 ---- $4,571.93 /BA • Memorandum To: Board of Health Members From: Dawn Marie Cameron Date: February 26, 1998 Re: Resignation Just a note to say thanks for all of your help and guidance over the past 3.5 years. It has been a pleasure working for the Health Department and I am truly grateful for the valuable experience that I have gained as the Public Health Nurse. I wish you all the best. 06 1 t ;6 d 3 � � • �aj, . CIF r�r►,rs CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT PUBLIC HEALTH NURSE REPORT Tel:(978)741-1800 FEBRUARY 1998 ACTIVITIES Fax:(978)740-9705 DISEASE PREVENTION In touch with T.B.Clinic and following active cases and case contacts. Several vaccinations and/or PPD screenings done in office. Maintained vaccine inventory and distributed biologics citywide. Investigated all communicable disease cases and reported to the M.D.P.H. Teaching to general public as needed. MEETINGS AND CONFERENCES Feb. 3-Mtg with Dave Lodge at Salem News re:Health Fair. Feb. 6-Mtg with Maureen Carr and Charlie Reed re: Health Fair. Feb. 24-Mtg with Joanne Scott re: P.H.N. activities/job. • Feb. 25-Sexual Harassment Seminar. Feb.25-Mtg with Tracy Giarla re: P.H.N. activities/job. Feb.26-Mtg at S.H.S.re: Health Fair. Feb.26-Mtg at Police Station re: Health Fair. ST. JOSEPH'S SCHOOL PHOENIX SCHOOL OTHER BP Clinics at Fire Headquarters on Feb. 9, 12, 13,and 24. BP Clinic at Council Chambers on Feb. 19. BP Clinic at Police Station on Feb.27. • I I F tR 3 g3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(978)740-9705 FOR THE MONTH OF FEBRUARY 1998 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 0 0 0 0 • LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 1 0 1 1 SHIGELLA 1 0 1 1 TUBERCULOSIS 0 0 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. Dawn Marie Cameron,R.N., M.S.N. Public Health Nurse For the Board of Health • V • y1 } R • SUMMARY OF COMMUNICABLE DISEASES-FEBRUARY 1998 Salmonella: One New Case- a 42 y.o. male, non-foodhandler- exposure unknown- treated for abdominal cramps and diarrhea with lomotil prn Shigella: One New Case- an 8 y.o. male- unable to locate patient to investigate- incomplete case report sent to state City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month -------------------------------------------------------------- Type Jul 97 Aug 97 Sep 97 Oct 97 Nov 97 Dec 97 Jan 98 Feb 98 Count BB 0 0 0 0 1 0 0 2 3 CFI 122 73 82 66 29 71 45 58 546 CFR 0 5 11 15 7 5 0 3 46 CH 2 10 5 3 7 17 5 1 50 CON 17 11 5 9 1 4 1 9 57 CR 3 4 4 4 2 4 2 0 23 EC 13 1 3 6 5 3 1 5 37 EC/GN 1 0 0 0 0 0 0 0 1 EPR 0 3 0 0 1 0 0 0 4 FC 0 3 3 0 0 0 1 0 7 FRH 0 0 1 0 0 0 0 0 1 FSD 0 0 0 0 0 0 1 0 1 FSI 26 15 26 19 10 17 21 13 147 FSR 2 10 4 3 0 1 6 2 28 GN 9 10 6 3 7 0 2 2 39 GN/CON 1 0 0 0 0 0 0 0 1 HI 8 18 16 9 42 75 54 42 264 HR 9 9 17 11 18 13 23 12 112 HRI 2 1 0 0 0 0 0 0 3 JPI 0 0 0 0 0 0 1 0 1 LPI 0 0 0 0 1 0 2 2 5 MS 0 0 0 0 0 0 0 1 1 MUP 0 0 0 0 0 0 1 1 2 0RS 0 0 0 1 0 0 4 6 11 FI 5 7 4 8 8 6 3 3 44 RFR 2 1 3 0 3 1 0 1 11 RO 1 1 0 0 2 2 1 0 7 SB 18 19 0 0 0 0 0 0 37 SC 0 0 1 1 0 4 5 1 12 SES 1 0 0 0 0 0 0 0 1 SM 8 2 10 6 3 6 11 6 52 SP 2 0 0 0 0 1 0 0 3 ST 0 0 0 0 1 1 1 0 3 TFI 0 39 1 40 0 0 0 0 80 TR 68 80 105 80 31 46 47 20 477 TR/GN 0 1 0 0 0 0 0 0 1 Count 320 323 307 284 179 277 238 190 2118 BB - Bed/Break. 2 FSI - Food Serv. Ins . 243* RFD - Retail Food Disc . CFI - Cert . Fit . 890* FSR - Food Serv. Rein. 11l* RFI - Ret . Insp . 100* CFR - Cert . Fit .Reinsp . GN _ Gen. Nuisance 44* RFR - Retail Food Rein. CH - Court Hearing 44* HI Housing Insp . 312* RO - Rodent Control 13* CON - Constable Serv. HR - Housing Reinsp. 172* SC - Suntan 5 CR - Compliance Rev. LPI - Lead Paint Insp . 26* SES - SESD Odor 3* CT _ Computer Time MS - Massage 7 SM - Seminars/Meetings EC - Envirn. Compl . 85* MUP - Mobile Food Insp . 13* SP - Swim. Pools 14 R - Ext . Paint 5* OG - Overgrowth SB - Swim. Beaches 111* Food Compl . 22* OS - Off . Sub. Insp . 10* ST - Soil Test/Septic RH - Food Related Hear. RC - Rec . Camp 5 TFI - Temp . Food 65* FSD - Food Serv. Disc . RFC - Retail Food Compl . TR - Trash 758* 3/6/98 • NEWSLE7f TER 35 •• March 10, 1998 AGENT'S REPORT TO THE BOARDOD contract for those services added the objective through a private nursing concerning our Animal NURSE POSITION agency. Money remaining Control Officer. The Dawn Marie has begun from dawn Marie's position submitted version is in your her new position as school should cover the costs. packet. nurse at the Saltonstall School. We wish her WARD ONE TRASH13 happiness and lots of shiny George has asked me to FOODBORNE red apples! speak with Councillor OUTBREAKO We are extremely Paskowski about changing the We received notification fortunate to have Tracy day of trash pick-up, from Beverly Hospital of an Giarla filling in temporarily as particularly in the tourist elderly woman admitted our nurse while we go through section of ward One. because of dehydration the hiring process. Tracy had Councillor Paskowski resulting from foodborne ithe same position here when I agrees with that idea and will illness. She had eaten began four years ago. She is be at the board meeting to Sundav brunch with 15 experienced and has speak with you about it. members of her family at a wonderful skills. Salem restaurant. Seven Beth Rennard felt it was FOOD PERMITSaa people became ill with best to go through the civil I have required three symptoms of foodborne service list for this position. establishments to come before illness. She has begun the process of the Board to explain why they We did food histories on requesting the list. did not return their food all family members, service applications until conducted inspections of the March 6th, despite repeated establishment, and complied SCHOOL SCREENINGSO notification. I have enclosed with all recommendations Tracy is able to work from in the packet copies of those from the State regarding one to three days per week. notifications. One follow-up of this situation. At. this time of year we begin establishment still does not During the inspection it planning for the scotiosis, have a 98 permit. \,vas observed that there was hearing & vision screenings at no sanitizing occurring in the St. Joseph's and the Phoenix establishment at all. The schools. However, Tracy is FY98 BUDGET® dishwasher was not operating • not certified to do those The budget has been xvith a sanitizer, there were no screenings. We will be asking submitted to the Finance solutions in the food prep where the next training is for Director. We requested that area or anywhere else, the those screenings so that she Mary Jane Thomas also be handwashing sinks in the prep can become certified. In the allowed to -vorlc 20 hours, as area had no soap or paper meantime, I would Iilce to we did with Jose. Also, I towels. Therefore. the establishment was closed Health Department permits. until all code violations were SWIMMING POOL • corrected, which was one day. SEMINAR* FOREST RIVER POOL* We would have closed the Enclosed please note a There had been some establishment because of form I am forwarding to disagreement over purchasing these violations regardless of Mayor Usovicz. The Mayor issues and the contract to the outbreak. has asked that department evaluate the Forest River _ We received early heads submit such requests Pool. it seemed to be notification of this problem for time away from the office between the engineering because the woman was for seminars, etc. Whenever I department and the hospitalized. (She has since sent one to him I will also Purchasing Agent. However, I been released.) Otherwise, we include it in the packet for have received a copy of an would be sent lab results, if your information. opinion from the City tests are taken, a week or Solicitor indicating that the more later. This means that SESD ODOR MEETINGSD engineering evaluation will be it is possible that we may hear The SESD has published a conducted. of more cases next week. report regarding its interim Jeffrey and Tracy have odor control. I will have a been conducting this copy of that report at the investigation in a professional meeting. I am continuing to and extremely competent meet with the SESD manner. This began on regarding odor control. Most • Tracy's first day!! final control devises are on line now, with the last to be operating within the next six SALVATION ARMY weeks. This summer should CHILD CENTER./ be a good test of the Owen had read in the effectiveness of the new News that the Salvation Armv systems. was beginning an after school drop in center at its location BODY PIERCING PR— on North Street. There was Included in your packets concern because of the are reprints of articles from condition of the facilities. the Northshore Sunday. The I have contacted the editorial is interesting. agency which licenses such centers. I was told that the MASSAGE✓ Salvation Army had not The woman in the vellow applied for a permit or for an pages who had not been exemption. She is permitted to conduct massage investigating. I should have no\v has her necessary more information at the permits. She had gone to the • meeting. Zoning Board of Appeals for a variance, which was granted. She was not told, nor was she aware, that. she also needed �EWE •HOSPITAL WUE:�"" GEA►ERAL FUIVDST Vendor Number.• CITY OF SALFM —� d 1 �L - - - — Payable To: (lgirials Plat Full Nome); KEPT. Check Amount: ,$ Specify Date Mr needed within S calendar days) Month: Day: Year: y ... Dlu-GC, o+ �eA, ,;'r,;4a: Address ` , .Check I�istribWon IDENTIFY ONE r�i 5 leari /�Ig 6/97a Send By U.S. Mail.. (Artadi Original() To Be Mailed And Staple A Copy For Accounting.) Will Vendor Be Used Again? Y �1V Do R'at Mail - Depart�xtent Will Pick Up (Note:Staple A Copy.) Is This An Employee? Y N Call Extension For Check Pick-Up, ti. llpOnkN it 146er or tetv7ce n(arcd, ansaldred I,i•R �• • Social Security #_ _ (Print Name Or Federal Tax I.D. _ — — — - - - - - --- - (Print Name) i Prtrpace(g><¢Derer•ipdon) � r eGrc .v-;a.J Sevvrc t,. Mtn , (complete signature-se rowels) �i h rlC.r• Fe,6 onw4 /99B (Date) (phone Exetsion Responsibility Report Account Distribution (10 Digits) Account# Amount r-s,rs l ® .33P /D r7� 2 $- - -r- - - - - Total Qf More 77844 One Acet ll) H � 1,,W w,v�.' ;«;«,.. �. , Per Overfide YAk+ Reviewed By; Approved ay: 1099 Set U Y p i N N/A Check A- Invoice # _ Check Date: Invoice Date __ /_ _jWate Received by Accounting: P.O. Check Received By: Narac/Date �. Rev 061J4193 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 Telephone Records - February 1998 19 Work Days Telephone Calls = 739 Answered by 3 Secretaries : Barbara = 111 Mary = 290 Susan= 338 • M - 8-4 T - (8-4) W- (8-4) TH -(8-7) F- (8-4) 2-2=26 2-3=31 2-4=59 2-5=48 2-6= 30 2-9=39 2-10=35 2-11=37 2-12=50 2-13=28 2-16=Holiday 2-17= 44 2-18=38 2-19=47 2-20=39 2-23= 43 2-24= 46 2-25=34 2-26=35 2-27=22 Messages for or calls taken, complaints assigned, handled by office staff etc...... Joanne= 243 Dawn Marie =87 Ginny = 118 Pablo = 6 Mark T.= 33 Barb S. = 45 • Jeffrey V. = 47 Mary = 75 Jose = 30 Sue K. = 75 ADMl STRATION - MONTHLY REPORT JANUARY 1998 • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 445 BURIAL PERMITS ISSUED - 74 X $5.00 $370.00 Diptheria-Tetanus Tox. (under 6 yrs. ) 10 ANIMAL BITES REPORTED -0- Immune Serum Globulin 0 RECEIVED - LICENSES & PERMITS $2110.00 Measles/Mumps/Rubella 500 CERTIFICATE OF FITNESS - Polio 410 46 INSPECTIONS X $25 .00 = $1150.00 Tetanus & Diptheria (adult use) 510 Tuberculin PPD 300 HIB Titre 440 Hepatitis B 628 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $327 ,329.00 --- $193,146.34 --- $144,734.89 10,552.23 - SUPP. APPR. NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $55,300.00 $11,742.37 --- $5,746'.11 $37,811.52 .995/ BAS • 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT PUBLIC HEALTH NURSE REPORT Tel:(978)741-1800 JANUARY 1998 ACTIVITIES Fax:(978)740-9705 DISEASE PREVENTION In touch with T.B. Clinic and following active cases and case contacts. Several vaccinations and/or PPD screenings done in office. Maintained vaccine inventory and distributed biologics citywide. Investigated all communicable disease cases and reported to the M.D.P.H. Teaching to general public as needed. MEETINGS AND CONFERENCES Jan. 13-Diabetes Conference at S.H.S. Jan.14-Mtg with Maureen Carr and Charlie Reed re:Health Fair. • Jan. 15-Mtg with Health Dept. staff re:Health Fair. Jan.. 15-Mtg at Police Station re: Health Fair. Jan. 20-Mtg with Mayor Usovicz:re: Health Fair. Jan. 2 1-Mtg with Tom Dalton, Salem Evening News re: Health Fair. Jan. 22-Mtg with Dave Lodge, Salem Evening News re: Health Fair. ST.JOSEPH'S SCHOOL Began preparation for hearing and vision screenings,height and weight checks,to start in February. PHOENIX SCHOOL OTHER Jan. 2 1- last of three Hep B shots given to Policemen. Jan. 27- Recertification for CPR at Salem Hospital. • 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(978)740-9705 FOR THE MONTH OF JANUARY 1998 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 0 0 E:COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 0 0 0 0 • LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 SHIGELLA 0 0 0 0 TUBERCULOSIS 0 0 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. Dawn Marie Cameron,R.N., M.S.N. Public Health Nurse For the Board of Health Note-No New Cases This Month! • +vr„ .D.3;�x �.r'�! �` �•�`{ ••� Qp.«. t: a "'`is .. .�, ... .... .. - _ 3E;:V� '�.�,jtR�a.,F"` .°r'y`="µs,+ —'^LC.�.� City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------------------------ Type Jul 97 Aug 97 Sep 97 Oct 97 Nov 97 Dec 97 Jan 98 Count BB 0 0 0 0 1 0 0 1 CFI 122 73 82 66 29 71 45 488 CFR 0 5 11 15 7 5 0 43 CH 2 10 5 3 7 17 5 49 CON 17 11 5 9 1 4 1 48 - CR 3 4 4 4 2 4 2 23 EC 13 1 3 6 5 3 1 32 EC/GN 1 0 0 0 0 0 0 1 EPR 0 3 0 0 1 0 0 4 FC 0 3 3 0 0 0 1 7 FRH 0 0 1 0 0 0 0 1 FSD 0 0 0 0 0 0 1 1 FSI 26 15 26 19 10 17 21 134 FSR 2 10 4 3 0 1 6 26 GN 9 10 6 3 7 0 2 37 GN/CON 1 0 0 0 0 0 0 1 HI 8 18 16 9 42 75 54 222 HR 9 9 17 11 18 13 23 100 HRI 2 1 0 0 0 0 0 3 JPI 0 0 0 0 0 0 1 1 LPI 0 0 0 0 1 0 2 3 MUP 0 0 0 0 0 0 1 1 OS 0 0 0 1 0 0 4 5 0FI 5 7 4 8 8 6 3 41 RFR 2 1 3 0 3 1 0 10 RO 1 1 0 0 2 2 1 7 SB 18 19 0 0 0 0 0 37 SC 0 0 1 1 0 4 5 11 S SES 1 0 0 0 0 0 0 1 SM 8 2 10 6 3 6 11 46 SP ` 2 0 0 0 0 1 0 3 ST 0 0 0 0 1 1 1 3 TFI 0 39 1 40 0 0 0 80 TR 68 80 105 80 31 46 47 457 TR/GN 0 1 0 0 0 0 0 1 ------ ------ ------ ------ ------ ------ ------ ------ ----- ------ ------ ------ ------ ------ ------ ------ ------ ----- Count 320 323 307 284 179 277 238 1928 Inspection Types aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa BB - Bed/Break. 2 FSI - Food Serv. Ins . 243* RFD - Retail Food Disc . CFI - Cert . Fit . 890* FSR - Food Serv. Rein. 11l* RFI - Ret . Insp. 100* CFR - Cert . Fit .Reinsp. GN _ Gen. Nuisance 44* RFR - Retail Food Rein. CH - Court Hearing 44* HI Housing Insp. 312* RO - Rodent Control 13* CON - Constable Serv. HR Housing Reinsp. 172* SC - Suntan 5 CR - Compliance Rev. LPI - Lead Paint Insp. 26* SES - SESD Odor 3* CT _ Computer Time MS - Massage 7 SM - Seminars/Meetings Envirn. Compl . 85* MUP - Mobile Food Insp. 13* SP - Swim. Pools 14 WR - Ext . Paint 5* OG - Overgrowth SB - Swim. Beaches 111* FC - Food Compl . 22* OS - Off. Sub. Insp. 10* ST - Soil Test/Septic FRH - Food Related Hear. RC - Red. Camp 5 TFI - Temp. Food 65* FSD - Food Serv. Disc. RFC - Retail Food Compl . TR - Trash 758* 1/b/yb • NEWSLETTER 34 F ebruary 10, 1998 AGENT'S REPORT TO THE BOARDOD permitted facilities, i.e. offices. I two downtown locations. He is explained that the Board had considering the parking issue and FY 98 BUDGET® previously denied a similar understands that our sanitarians Mayor Usovicz held a budget request. However, she wanted to make many trips in a day. The meeting last week where the present her plan to you. consolidation of all offices is at Finance Director, Bruce Guy, least a year away. So in the described a change to this year's VALLEY ROAD SEPTIC meantime, the Mayor is looking at budget proposals. We must SYSTEMS some other space available to the include a mission statement, goals A house owned by an older city because of tax taking. One and objectives and performance woman on Valle Road failed J a led a location h P Y e mentioned was measures. I have reworked our septic system inspection. As Colonial Road Office Park, across planning document to fit the required, we sent an order letter to from the rear of the rehab required format. the owner describing what she hospital. He said he will let me Our budget must be submitted needed to do. In person, we have know in a couple of weeks. by February 20th. Therefore, I explained that ground water and • have prepared a draft for your sewage will probably back up into FOREST RIVER POOL* review. The Board could vote on her finished basement this spring During that same conversation, the budget at the meeting or hold if she does not tie into available I mentioned the Board's concern a special meeting if more time is City sewerage lines. Her attorney with the Forest River pool. The needed for consideration. Please has asked to come before the Mayor has commissioned an keep the deadline in mind. Board. evaluation of the pool by the Enclosed in your packet is the engineering company, Weston& draft budget and a page describing 2nd QUARTER UPDATEI Sampson. At this time, he is my suggested changes. Enclosed in the packet is the considering converting the pool to 2nd quarter update for the Board's fresh water which would improve BODY PIERCING objectives. I think we are doing the water quality, especially in VARIANCE— well, although we definitely need terms of visibility. I will keep the The owner of the body to increase our number of food Board informed. piercing establishment on Derby inspections. I have spoken to the Street, who attended the public sanitarians and suggested a more LOCKED DOORS AT SALEM hearing, is coming before the specific weekly goal in order to STATE SKATING RINK Board to request that her increase the number of Fire Prevention Officer establishment be granted a inspections. We should see an Latulippe and I did a safety variance to do genital piercing. increase after this quarter. inspection of the Salem State Skating Rink following the CHAIR MASSAGE= THE MOVED concern raised by Dr. Dumas Donna Clifford, who is a I had a meeting with the regarding locked exits. In fact, we Wermitted massage therapist, is Mayor regarding moving our did observe a first floor exit to be coming to the meeting to request office. He does not think Forest locked. In addition, we learned that the Board allow her to do River is appropriate. His goal is that the balcony exits may have portable chair massage at non- to have all city offices in one or been locked during some events. I_ We discussed this with the Tuesday, and will be repeated manager who acknowledged the during the next month. problem. Enclosed in the packet Also, the Boys & Girls Club • is his memo sent to all employees has asked me to come and talk to at the rink describing what needs the children about handwashing. to be done about the doors. We have a powder which glows Our department is responsible under black light. I will have the for checking the air quality in that children put it on their hands and rink. Therefore, I will check on then wash their hands. We will the doors when another inspection then use the black light to show is scheduled. how well (or not)they washed all the "germs" away. WASTE OIL COLLECTIOND In order to collect and use WELLNESS FAIR" waste oil, the DPW would have to Dawn Marie is planning the convert its heating system at the 2nd Annual Wellness Fair with garage. I am planning to speak to Maureen Carr and Officer Stanley Borenstein, DPW Reardon. Last year's fair was held 1 ,C f4 Director, about this and will in the High school auditorium. report more to you at the meeting. This year it has expanded to the field house. There is more I MASSAGEX financial support this year, +CD • `� We are still investigating the allowing it to be more enticing, f massage establishment listed in fun and rewarding for everyone. the yellow pages. The woman Our staff has decided to who placed the add is meeting continue the theme mentioned with me on Thursday. Again, I previously, and have a booth_ will have more information at the related to the importance of meeting. handwashing. HeQ_ The fair will be held on Friday, PUBLIC APPEARANCESO May 1st and Saturday, May 2nd, Owen requested that I speak to from 10 A.M. to 2 P.M. the Rotary regarding Board of Health activities. Enclosed in HOUSEHOLD HAZARDOUS your package is a copy of a WASTE COLLECTION DAY./ pamphlet about our department I have been working on a and one which is an update of a county committee once again to handout for landlords. Both of choose a contractor for household these were available at the rotary hazardous waste collection. This meeting county contract allows us to have Also, I was asked to be on the event at the lowest possible "Behind the Badge", a Salem price. Police Department production We have set a tentative date hosted by Conrad Proznewski and for June 20, 1998. Of course it Jim Walker. The show featured cannot be confirmed until a • the Mayor and also included contractor has won the county Police Captain Blake. The topic bid. was "Neighborhood Concerns." It was a live broadcast this past .A. SAum,HOSPITAL bb CHECK REQUEST GENERAL Vendor Number. Check Amount: $ _ _ _ ,�l 7 L • 2Q - Payable To: (initials Plus Full Name): Specify Date (If needed within 5 calendar days) Month: Day: Year: C o S, Distribution - IDENTIFY ONE Address egtfd �� sir a fly p C:e:'1" She n�, 146 0 9 70 Send By U.S. Mail: (Attach Original(s) To Be Mailed And Staple A Copy For Accounting.) Do Not Mail - Department Will Pick Up Will Vendor Be Used Again? Y _J (Note: Staple A copy.) Is This An Employee? Y N Call Extension For Check Pick-Up. . i l/payrnenr it tabor or xtWre related,thefoitowina /r � 1i l2ly" ir mquhertr (Print Name) �(lrL�ji ',qyl '• Social Security # _ _ _ - _ _ _ ___ `- ` Or K i ynh, Federal Tax I.D. # _ _ - _ ___ _ _— (Print Name) 4je�& 1 Purpose(Brief Description) <( CA-A-, . U-00 I o—/ 5er vrce S -4) (Complete Signature-No Initials) e� l yo y'-4 5ho(re_ Po'l to pros �-��3 y1 b o?S'l (Date) (Phone Eversion) Responsibility Report Account Distribution (10 Digits) Account tr Amount �. lei �a9 ? --- - - - - - - - $ - - -r- - - -- 2 - - - - - - $ - - -t- - - - - _ Total MI More 77tan One Acct#) $ _ _ --,_ Per Override ... ;,u vX++:i.�::''t•R::^:a'?ta:.iv^.:CJ.a):St•s�)/•S::<�G.:xv:.=�;`:.ovw:tui:C.cia?:i'•in .4�r.�<3i)�;:•x,:..;�: Reviewed By: Approved By: 1099 Set Up Y N N/A Invoice # _ _ _ ---_ _ __ _ Check #: Invoice Date Check Date: P.O. • Date Received by Accounting: rrh MAR 2 1998 Veck Received By: Name/Date Rev 06114193 CITY OF SALIEM HEALTH DEPT. 3 5! �mns CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,PIS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 Telephone Records January 1998 20 Work Days Telephone Calls = 760 Answered by 3 Secretaries Barb = 60 Mary = 337 Susan = 363 M (84) T (84) W (84) TH (8-7) F(8-12) • 1-1=Holiday 1-2= 13 1-5=46 1-6=40 1-7= 40 1-8= 36 1-9= 13 1-12= 41 1-13= 45 1-14=40 1-15=41 1-16= 9 1-19= Holiday 1-20= 52 1-21= 48 1-22- 47 1-23=22 1-26= 76 1-27= 47 1-28=37 1-29= 39 1-30= *27 *(8-4) Messages for or calls taken,complaints assigned, handled by office staff etc...... Joanne= 232 Dawn Marie = 62 Ginny = 142 Pablo = 4 Mark T.= 55 Barb S. = 37 Jeffrey V. = 47 Mary = 84 • Jose = 45 Sue K. = 94 • ADMOTRATION DECEMBER 1997 MONTHLY REPORT _ • BIOLOGICS DISTRIBUTED AMOUNT IN. DOSES AMOUNT Diptheria, Tetanus & Pertussis 630 BURIAL PERMITS ISSUED 63 Diptheria-Tetanus Tox. (under 6 yrs. ) 10 ANIMAL BITES REPORTED 0 Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $3,435.00 Measles/Mumps/Rubella 640 CERTIFICATE OF FITNESS - .CASH Polio 610 75 INSPECTIONS X $25.00 = $1,875.00 .Tetanus & Diptheria (adult use) 105 Tuberculin PPD 120 HIB Titre 430 Hepatitis B 651 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $327,329.00 --- $165,015.24 --- $162,313.76 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $55,300.00 $10,116.53 --- $6,303.40 $38,880.07 .995/BAS CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT PUBLIC HEALTH NURSE REPORT Tel:(978)741-1800 DECEMBER 1997 ACTIVITIES Fax:(978)740-9705 DISEASE PREVENTION In touch with T.B. Clinic and following active cases and case contacts. Several vaccinations and/or PPD screenings done in office. Maintained vaccine inventory and distributed biologics citywide. Investigated all communicable disease cases and reported to the M.D.P.H. Teaching to general public as needed. MEETINGS AND CONFERENCES Dec.4-Meeting re: Health Fair at Police Station. Dec. 8-Meeting with Maureen Carr and Charlie Reed re: Health Fair. • ST.JOSEPH'S SCHOOL Pediculosis screeings-3 cases of head lice identified. Dec. 18-Second Hepatitis B clinic. PHOENIX SCHOOL OTHER Dec. 10-Flu Clinic for the Spanish community at V.O.C.E.S.,approximately 100 shots given. Dec. 18-Assisted Maureen Carr with Second Hepatitis B clinic at Collins Middle School. • 3 ;q CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(978)740-9705 FOR THE MONTH OF DECEMBER 1997 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 0 1 1 E.COLI 0157 0 0 0 0 GIARDIA 0 0 1 1 HEPATITIS 2 0 6 6 • LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 1 0 1 1 SHIGELLA 0 0 1 1 TUBERCULOSIS 0 0 1 1 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. Dawn Marie Cameron,R.N.,M.S.N. Public Health Nurse For the Board of Health SUMMARY OF COMMUNICABLE DISEASES- DECEMBER 1997 Campylobacter: 1. A 41 y.o. photographer- believes he became ill from chicken purchased at Steve's Market in November- Sanitarian Notified. Salmonella: 1. A 35 y.o. student- c/o diarrhea- exposure unknown- treated with antibiotics- asymptomatic now. Hepatitis: 1. A 36 y.o. Hispanic male, with chronic Hep B- symptoms include jaundice, joint pain, poor appetite- exposure unknown- family members are negative. 2. A 31 y.o. Hispanic mother with chronic Hep B- exposure probably in Santa Domingo- has 4 children, all have been vaccinated- husband was screened and found to be negative for Hep B. • •H0SPI'1A.L . �gLElll ,. ___•.,, • . . ' ;CHECK REQUEST . d6WPUL DEC I. OF SALEM Vendor Number: Check Amount: $ __ Y�r . RL TH DEPT. Payable To: (Imdals PJns Full Name): Specify Date (Ifnetded wNdn 5 calendar dayJ) Month Day: Year. /av e z4 � - °s : Y lllion • mENT7FY ONE ��/nI J�jed�/f�/� ,;.;: CheckDlstnb ;,, 80M/� Kr � rl"w i7 ��.�+ 'y�' +• Ii�'•L,��. 1. ,�� �•� .� .y• A s l: troth D ri inal s 9 p � Send By U.S. Mat fA 1; ) To Be Marled Ad Staple A Copy For Accouning.) Do Not Mail -Depament Will Pick Up Will Vendor Be Used Again? YZ N (Note. Staple A copy.) Is This An Employee? Y N Call Exaension For Check Pick-Up. 4VPq"W&hAv or arww W004 dwfivowiv 6&97 11NOM& ' �ocial Security Or Fedeml Tax LD. #__ - -- - - P&7—M lB►t�lJrscrFp�ton) �v�g/ti,rt aJ se,Yymge r s r"T-go haakl aw) /9Q� Rjns!, bil' Report AccountDistribution (IO Digits) A0 Moms `f ®`15%07 .�,� gal-0 2j .0- WZea $ Totdl (If More Don one Accr 0) $W.W-affamm- Per_ Override Reviewed By: Approved By: 1099 Set Up Y___,_ N____ N/A invoice #_ ___ _ ___ _ Check #: Invoice Dare __/_ _ /_ _ 0 Check Date: P.O. #_ _ - _ ___-- _ Date Received by Accounting. Check Received By. Name/Date • �,, Rev 06/l�/93 - -J 3 � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Telephone Records December 1997 Fax:(978)740-9705 20 1/2 Work Days Telephone Calls = 815 Answered by 3 Secretaries Barbara = 190 Mary = 356 Susan= 269 M (8-4) T (8-4) W (84) TH (8-7) F 8-12 • 12-1=52 12-2=47 12-3=31 12-4=33 12-5=24 12-8=39 12-9=50 12-10=55 12-11= 47 12-12= 15 12-15=58 12-16=63 12-17=46 12-18=61 12-19=27 12-22=44 12-23=33 12-24=10 12-25=Hol. 12-26=11 (1/2) 12-29=39 12-30=24 12-31=6 (1/2) Messages for or calls taken, complaints assigned, handled by office staff etc...... Joanne= 153 Dawn Marie = 95 Ginny = 170 Pablo =10 Mark T.=90 Barb S. = 71 Jeffrey V. =43 Mary = 87 • Jose = 62 Sue K. = 47 ADMINISTRATION - MONTHLY REPORT NOVEMBER 1997 • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 405 BURIAL PERMITS ISSUED 52 Diptheria-Tetanus Tox. (under 6 yrs. ) 0 ANIMAL BITES REPORTED -1- Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $123.40 Measles/Mumps/Rubella 230 CERTIFICATE OF FITNESS - CASH Polio 400 37 INSPECTIONS X $25.00 = $925.00 Tetanus & Diptheria (adult use) 510 Tuberculin PPD 540 HIB Titre 170 Hepatitis B 854 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $327,329.00 --- $130,839.87 ---- $196,489. 13 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $55,300.00 $8,267.18 ----- $7,873.75 $39,159.07 1995/BAS hsY- • City Of Salem Environmental Health Division - - Inspection Monthly Summary Month -------------------------------------- Type Jul 97 Aug 97 Sep 97 Oct 97 Nov 97 Count BB 0 0 0 0 1 1 CFI 122 73 82 66 29 372 CFR 0 5 11 15 7 38 CH 2 10 5 3 7 27 CON 17 11 5 9 1 43 CR 3 4 4 4 2 17 EC 13 1 3 6 5 28 EC/GN 1 0 0 0 0 1 EPR 0 3 0 0 1 4 FC 0 3 3 0 0 6 FRH 0 0 1 0 0 1 FSI 26 15 26 19 10 96 FSR 2 10 4 3 0 19 GN 9 10 6 3 7 35 GN/CON 1 0 0 0 0 1 HI 8 18 16 9 42 93 HR 9 9 17 11 18 64 HRI 2 1 0 0 0 3 LPI 0 0 0 0 1 1 OS 0 0 0 1 0 1 RFI 5 7 4 8 8 32 FR 2 1 3 0 3 9 O 1 1 0 0 2 4 SB 18 19 0 0 0 37 SC 0 0 1 1 0 2 SES 1 0 0 0 0 1 SM 8 2 10 6 3 29 Sp 2 0 0 0 0 2 ST 0 0 0 0 1 1 TFI 0 39 1 40 0 80 TR 68 80 105 80 31 364 TR/GN 0 1 0 0 0 1 Count 320 323 307 284 179 1413 BB - Bed/Break. 2 FSI - Fo od Serv. I ns .243* RFD - Retail Food Disc . CFI - Cert . Fit . 890* FSR - Food Serv. Rein. 11l* RFI - Ret . Insp. 100* CFR - Cert . Fit .Reinsp. GN _ Gen. Nuisance 44* RFR - Retail Food Rein. CH Court Hearing 44* HI - Housing Insp. 312* RO - Rodent Control 13* CON - Constable Serv. HR - Housing Reinsp. 172* SC - Suntan 5 CR - Compliance Rev. LPI - Lead Paint Insp. 26* SES - SESD Odor 3* CT _ Computer Time MS - Massage 7 SM - Seminars/Meetings EC - Envirn. Comp1 . 85* MUP - Mobile Food Insp. 13* SP - Swim. Pools 14 EPR - Ext . Paint 5* OG - Overgrowth SB - Swim. Beaches 111* FC - Food Compl . 22* OS - Off . Sub. Insp. 10* ST - Soil Test/Septic FRH - Food Related Hear. RC - Rec . Camp 5 TFI - Temp.Food 65* D - Food Serv. Disc . RFC - Retail Food Compl . TR - Trash 758* 12/5/97 I 3 �alp. . jIF CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT PUBLIC HEALTH NURSE REPORT Tel:(978)741-1800 NOVEMBER 1997 ACTIVITIES Fax:(978)740-9705 DISEASE PREVENTION In touch with T.B. Clinic and following active cases and case contacts. Several vaccinations and/or PPD screenings done in office. Maintained vaccine inventory and distributed biologics citywide. Investigated all communicable disease cases and reported to the M.D.P.H. Teaching to general public as needed. MEETINGS AND CONFERENCES Nov. 5-Meeting with Champion Exposition Services re: Health Fair ST. JOSEPH'S SCHOOL Nov. 25-First Hep B clinic PHOENIX SCHOOL Nov. 21-First Hep B clinic OTHER Nov. 5-Flu Clinic-Salem Family Health Center Nov. 10-Flu Clinic-One Salem Green Approximately 200 Flu shots and approx. 30 Pneumonia shots given this month. • 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(978)740-9705 FOR THE MONTH OF NOVEMBER 1997 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 0 1 1 E.COLI 0157 0 0 0 0 GIARDIA 1 1 0 0 HEPATITIS 5 4 1 1 • LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 SHIGELLA 1 1 0 0 TUBERCULOSIS 0 1 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. Dawn Marie Cameron,R.N., M.S.N. Public Health Nurse For the Board of Health • f A • SUMMARY OF COMMUNICABLE DISEASES- NOVEMBER 1997 Campylobacter- One New Case: an 87 y.o. retired gentleman - admitted to Salem Hospital with c/o diarrhea and fever-treated with antibiotics-believes he became ill from undercooked chicken prepared at home- he bought chicken at Stop and Shop in Swampscott Giardia- One New Case: a 2 y.o. boy- case still under investigation Hepatitis- 5 New Cases: 4 cases still pending, last case a 49 y.o. chronic Hep B carrier Shigella- One New Case - a 28 y.o. male, case still pending • NEWSLETTER 33 December 9, 1997 AGENT'S REPORT TO THE BOARD® POINT FLU CLINIC I BODY PIERCING REGS+- V.O.C.E.S., an COMMUNITY HEALTH Dawn Marie will present organization which is ASSESSMENT the latest version of the Body dedicated to AIDS education Marcia Benes, Piercing Regs at our meeting. and prevention in the Point Executive Director of the She has received answers to neighborhhood, and is a very MAHB mentioned during most of the questions and active regarding many health part of the seminar that she concerns raised at the last and community related would be looking for a Board meeting. We have not activities, has asked if we of Health who would like to received any written or could organize a flu clinic at participate in a community telephone comments since the their location. Dawn Marie is health assessment program hearing. planning that clinic for with one of the schools of December loth from 2 to public health. I told her that •FOOD MANAGER 5P.M. our Board has been preparing CERTIFICATION® planning Documents fot the By January 1 st all food MAHB TRAINING & past few years and that I establishments which prepare CERTIFICATION would like to bring the potentially hazardous foods PROGRAMI assessment idea before you. must have at least one The Massachusetts She explained that it would certified food manager. We Association of Health Boards be done by Harvard MPH have been receiving letters held a seminar on November students using the APEXPH and phone calls regarding that 22nd in Marlborough. Mary, model, the Assessment requirement. Establishments Owen, Barbara and I Protocol for Excellence in which do not prepare attended. Sue was our Public Health. It is a tool potentially hazardous foods chauffeur! We each received which would assist the Board are exempt. "Classy Chassis" a "Guidebook for in setting its goals on the owner, Pauls Kefalis asked to Massachusetts Boards of documented needs of the be exempt. However, since Health." This guidebook is a community. The only cost to she does prepare potentially valuable tool which outlines the Board may be communter hazardous foods, I notified Board of Health train fare for the students. her that any exemption would responsibilities and suggested require a variance granted by activities in many different HAPPY HOLIDAYS@ the Board. I have invited her areas, such as housing, food The staff wishes the Board • to our next meeting. protection and waste disposal. members and their families a The inspectors will be Board members may want to happy, and of course healthy asking to see certificates borrow a copy from the office. holiday season! during their routine inspections. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 Telephone Records November 1997 17 1/2 Work Days Telephone Calls = 828 Answered by 3 Secretaries Barbara= 162 Mary = 292 Susan= 374 M (8-4) T(8-4) W (8-4) TH (8-7) F(8-12) 11-3= 48 11-4= 41 11-5=38 11-6=58 11-7= 20 11-10=49 11-11=Ho1. 11-12=68 11-13=82 11-14= 16 11-17=60 11-18= 51 11-19=56 11-20=50 11-21= 22 11-24=65 11-25=55 11-26=32 11-27=Ho1. 11=28= 8 Messages for or calls taken, complaints assigned, handled by office staff etc...... Joanne= 198 Dawn Marie =125 Ginny = 133 Pablo = 2 Mark T.= 78 Barb S. = 67 Jeffrey V. =37 Mary = 72 • Jose = 29 Sue K. =93 I ADMOSTRATION - MONTHLY REPORT OCTOBER 1997 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 318 BURIAL PERMITS ISSUED 55 Diptheria-Tetanus Tox. (under 6 yrs. ) 10 ANIMAL BITES REPORTED 0 Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $215.00 Measles/Mumps/Rubella 400 CERTIFICATE OF FITNESS - CASH Polio 73 INSPECTIONS X $25.00 = 360 $1,825.00 Tetanus & Diptheria (adult use) 735 Tuberculin PPD 310 HIB Titre 240 Hepatitis B 750 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $327,329.00 ---- $107,939.04 ----- $219,389.96 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $55,300.00 $6,601.59 ----- $4,999.25 $43,699. 16 1995/BAS • City Of Salem Insp Environmental Health Division - - Inspection Monthly Summary Month ------------------------------ Type Jul 97 Aug 97 Sep 97 Oct 97 Count CFI 122 73 82 66 343 CFR 0 5 11 15 31 CH 2 10 5 3 20 CON 17 11 5 9 42 CR 3 4 4 4 15 EC 13 1 3 6 23 EC/GN 1 0 0 0 1 EPR 0 3 0 0. 3 FC 0 3 3 0 6 it FRH 0 0 1 0 1 FSI 26 15 26 19 86 FSR 2 10 4 3 19 GN 9 10 6 3 28 GN/CON 1 0 0 0 1 HI 8 18 16 9 S1 HR 9 9 17 11 46 HRI 2 1 0 0 3 OS 0 0 0 1 1 RFI 5 7 4 8 24 RFR 2 1 3 0 6 RO 1 1 0 0 2 SB 18 19 0 0 37 •SC 0 0 1 1 2 SES 1 0 0 0 1 SM 8 2 10 6 26 SP 2 0 0 0 2 TFI 0 39 1 40 80 TR 68 80 lOS 75 328 TR/GN 0 1 0 0 1 ------ ------ ------ ------ ------ ----- Count 320 323 307 279 1229 BB - Bed/Break. 2 FSI - Food Serv. Ins . 243* RFD - Retail Food Disc. CFI - Cert. Fit . 890* FSR - Food Serv. Rein . 11l* RFI - Ret . Insp. 100* CFR - Cert . Fit . Reinsp. GN Gen .- Nuisance 44* RFR - Retail Food Rein. _ CH - Court Hearing 44* HI Housing Insp . 312* RO - Rodent Control 13* CON - Constable Serv. HR - Housing Reinsp . 172* SC - Suntan 5 CR - Compliance Rev. LPI - Lead Paint Insp . 26* SES - SESD Odor 3* CT _ Computer Time MS - Massage 7 SM Seminars/Meetings EC - Envirn. Compl . 85* MUP - Mobile Food Insp . 13* SP - Swim. Pools 14 EPR - Ext . Paint 5* OG - Overgrowth SB - Swim. Beaches 111* FC - Food Compl . 22* OS - Off . Sub. Insp . 10* ST - Soil Test/Septic FRH - Food Related Hear. RC - Rec . Camp 5 TFI - Temp. Food 65* FSD - Food Serv. Disc . RFC - Retail Food Compl . TR - Trash 758* • 11/14/97 R _ G CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 PUBLIC HEALTH NURSE REPORT Fax:(508)740-9705 OCTOBER 1997 ACTIVITIES DISEASE PREVENTION In touch with T.B. Clinic and following active cases and case contacts. Several vaccinations and/or PPD screenings done in office. Maintained vaccine inventory and distributed biologics citywide. Investigated all communicable disease cases and reported to the M.D.P.H. Teaching to general public as needed: MEETINGS AND CONFERENCES Oct. 6-Meeting with Jean Marie Rochna at Council on Aging re: Flu Clinic. Oct. 10-Guest Appearance on W.E.S.X. with Joanne Scott. Oct. 16-Meeting with Jay Walsh,Beverly Health Agent re: Health Fair. . Oct.23-Health Advisory Council at S.H.S. Oct.23-Meeting with Judy Murphy of Purple Scorpion re:Body Piercing. ST. JOSEPH'S SCHOOL Began preparation for Hep B Clinics. PHOENIX SCHOOL Began preparation for Hep B Clinics. OTHER Oct. 7&9-Home visit for active T.B. case-household contacts screened and referred for chest x-rays Oct. 15-Flu Clinic-Council on Aging. Oct. 29-Flu Clinic-Housing Authority. Oct. 30-Flu Clinic-Pioneer Terrace. Several flu shots done in office and during home visits. In total, 1441 flu shots given and 272 pneumonia shots given this month • e ti 3 v� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(508)740-9705 FOR THE MONTH OF OCTOBER 1997 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 0 0 1 1 • LYME DISEASE 0 0 0 0 MENINGITIS 1 0 1 1 MUMPS 0 0 0 0 SALMONELLA 0 0 1 1 SHIGELLA 1 0 1 1 TUBERCULOSIS 1 1 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. Dawn Marie Cameron,R.N.,M.S.N. Public Health Nurse For the Board of Health • .T • SUMMARY OF COMMUNICABLE DISEASES: Meningitis: 1) a serious case of bacterial, Streptococcus Pneumoniae- a young girl in kindergarten at the Bentley School- she was treated at Mass General and has since been transferred to N.S.M.C.- the M.D.P.H. Epidemiologist stated that this type is not contagious and contacts do not need antibiotics- he came to speak to concerned parents at the Bentley school Shigella: 1) An 8 y.o. boy with Shigella Sonnei- parents did not respond to my letters- no phone listed, no M.D. listed- unable to investigate further. Tuberculosis: 1) One new active case- an elderly, Hispanic gentlemen- so far, two close contacts have had positive ppd skin tests and have been referred to the T.B. clinic for chest x-rays • 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 M MORAN M Date: 11/14/97 To: George Levesque, Board of Health Chairman CC: Board of Health Members From: Joanne Scott RE: Agent's Report to the Board • In the interest of time and bad weather, I'll abbreviate this "newsletter." Two paid ads and at least one free ad ran in the Salem Evening News regarding the Public Hearing for the proposed Body Piercing regulations. We also sent copies to Salem dentists and ophthalmologists, the Mayor and City Councillors. Mayor Harrington called to say he supported the regulations. Dr. Sadowski, a dentist, called with some ideas regarding OSHA requirements. I will follow up on his concerns and bring any new information to the meeting. The First Quarter upd8te on the Board's goals are included in the packet. I haven't received any new information regarding our move. 1 • TiA-TE The Salem Health Department is responsible for the stewardship of the Public Health . This is accomplished through the enforcement of Environmental and Sanitary Codes, State Statutes and local regulations; promotion of sound public health practices, education and disease prevention. - ON ♦ The Department and Board will continually review objectives and goals for relevance and realism and to identify areas where resources should be expended. ♦ The Department shall strive for an improvement in the "Health Status Indicators" as presented by the Massachusetts Department of Public Health. ♦ The Department shall exhibit sensitivity toward culturally diverse populations. ♦ The Department will strive to make Salem a healthier, more attractive place to live and visit. • • G C_ )OA_dL_ INSPECTIONAL SERVICES ♦ Concentrate on the prevention of serious housing violations, especially in high population density areas and in non-owner occupied dwellings. ♦ Prioritize service to the Point Neighborhood and other high density neighborhoods in regard to housing and trash violations. ♦ Comply with the Massachusetts Department of Public Health regarding inspection frequency of food service, retail food establishments, and other permitted establishments. ♦ Establish a more knowledgeable force of food workers in order to avoid critical violations of the food code. ♦ Monitor operations at the South Essex Sewerage District, responding to neighborhood • complaints and concerns. ♦ Limit exposure to diseased animals. MEDICAL SERVICES ♦ Limit the exposure and incidence of contagious diseases. ♦ Maintain an inventory of vaccines and biologics required by the City's hospital, clinics and physicians. ♦ Provide school nursing services to St. Joseph's Elementary School and the Phoenix School. ♦ Provide immunization clinics and educational seminars as determined by the Board. ♦ Provide dental screening to Salem's school children. ADMINISTRATION ♦ Be aware of community public health concerns. ♦ Ensure the continued professional development of the Department's staff. ♦ Expand the office's capabilities regarding computers. ♦ Review objectives of the Board regarding tobacco control. ♦ Expand use of the media as a tool for disseminating information regarding public health • concerns and education. ♦ Continue to maintain a current base of public health information 4 Formalize methods of departmental operations. a� • OBi INSPECTIONAL SERVICES ♦ Provide educational materials for landlords and tenants regarding housing code requirements. ♦ Vigorously enforce the Housing Code and trash regulations with particular emphasis on the Point Neighborhood. ♦ Inspect all food establishments at least once every six months. ♦ Provide housing inspections in accordance with the State Sanitary Code. ♦ Inspect swimming pools, recreational camps and suntanning facilities at least once a year. ♦ Inspect massage establishments at least once a year. • ♦ Inspect bed and breakfast establishments at least twice annually. ♦ Provide Certificate of Inspection inspections for vacant apartments in accordance with City Ordinance. ♦ Inspect offensive substance transporters at least once a year. ♦ Inspect and review septic systems in accordance with Title V. ♦ Decrease the incidence of odor emissions at the South Essex Sewerage District through vigilant investigation and follow-up of all odor complaints and ,if possible,through resolution with the operations staff and consultants. ♦ Provide sanitary inspections of neighborhoods when requested in order to limit residents' exposure to raccoons and rodents. ♦ Develop Body Piercing Regulations. MEDICAL SERVICES ♦ Follow the State's guidelines regarding the follow-up of reported contagious diseases. ♦ Obtain immunizations from the State in order to maintain an inventory to be distributed to the City's primary care providers. ♦ Follow the State's requirements for the school children at St. Joseph's and the Phoenix School including; hearing and vision screening, postural screening, physical examinations, and other screenings as needed, i.e. pediculosis screening; height& weight measurements review of immunization & medical records; hold clinics, such as for • hepatitis b, as needed. ♦ Investigate the procedures for legal administrative of medication to children at St. Joseph's and Phoenix Schools. • ♦ Sponsor an annual influenza( and pneumonia ) clinics, and make home visits. for the City's elderly and at risk residents. ♦ The Board of Health dentist shall screen all the City's school children for dental problems. ♦ Plan and implement blood pressure clinics for Police, Fire and City personnel, making referrals as needed. ♦ Perform annual TB testing for North Shore ambulance employees and other city residents upon request. ♦ Conduct hepatitis B clinics for Police, North Shore Ambulance employeesand other City employees in conjunction with their contracts. ♦ The Board shall provide clinics for non-contagious diseases as determined by need and feasibility. ADMINISTRATION ♦ Maintain a link with the Point community by regularly attending community events. ♦ Provide the office staff with the opportunity to attend educational seminars as offered by • the State and other public health associations. ♦ Provide computer training for the staff and develop plan for such training. ♦ Continue to purchase computer equipment as necessary and allowed by the budget. ♦ Encourage networking between the inspectors and the staff of the Massachusetts Department of Public Health and the Department of Environmental Protection and between other health professionals. ♦ Maintain membership in the North Shore Boards of Health Collaborative for the purpose of administering its tobacco control grant, as well as for information sharing. ♦ Provide secretarial services to the Animal Control Officer in order to ensure that pets potentially exposed to rabies are properly quarantined. ♦ The Health Agent will gather information through public health publications, computer services or any other means and disseminate that information to the staff and Board members as necessary. ♦ The Health Department will maintain its memberships in professional organizations in order to receive current public health information. ♦ The Health Agent will review health status indicators to prioritize possible interventions. ♦ The Health Agent will develop a process and procedures book. ♦ The Health Agent will perform assessment of clerical support staff, review descriptions of jobs, and re-evaluate pay rates. • 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 Telephone Records October 1997 22 Work Days Telephone Calls = 1124 Answered by 3 Secretaries Barbara= 264 Mary = 433 Susan= 427 M (8-4) T (8-4) W (8-4) TH (8-7) F 8-12 10-1= 31 10-2= 52 10-3= 12 10-6= 57 10-7= 52 10-8=52 10-9= 66 10-10= 30 Holiday 10-14= 104 10-15= 65 10-16=62 10-17= 30 10-20= 54 10-21=50 10-22=60 10-23=63 10-24= 19 10-27= 83 10-28= 61 10-29= 55 10-30=54 10-31= 25 Messages for or calls taken, complaints assigned, handled by office staff etc...... Joanne= 234 Dawn Marie = 174 Ginny = 140 Pablo = 13 Mark T.= 87 Barb S. =95 Jeffrey V. = 67 Mary = 155 • Jose = 51 Sue K. = 114 SALEM-HOSPITAL CHECK REQUEST GENERAL FUND C1`�AJL, 199 7. Vendor Number: .— Check Amount.. $ Payable T0: (Initials Plus Full NameJ: Specify Date (If needed within S calendar days) /fy 0-r- Month: Dom': Year.• AddressPOP-7* ©� + Check Aistrliution -IDENTIFY ONE ._.�5. 41A- �)t 9-70 _ZSend By U.S. Mail: (Attach Original(s) To Be Mailed&nd Staple A Copy For Accouniing.) • Will Vendor Be Used Again? Y�N Do Not Mail - Department Will Pick Up (Note: Staple A Copy.) Is This An Employee? Y N Call Extension For Check Pick-Up. (4c)"M is bho►or setvfee Mw d,the fWbw!"d E oi3?+i if pr"bed; G�i' �(�N�. DYr►Gfj 7 Social Security #_ _ _ _ _ Mrvu ftme) Federal Tax I.D. # - __ - - - -- (Prin N e) Purpose(Brief Description) (Corrtplete Sianatnre-No InimCs) THE /Va sftP-C- 000t,n-ld,v07e / 1 °�) (Phone Euenrion) _ C��N`�'' © �''�—' 19 Responsibility Report Account Distribution (10 Digits) Account d vrst+s 9 d `*So7 ,_ �f5-1A.3 �` 2�3-,9Q- 91�v_ $ v�-s� ly �3,38 r4W= �5�• - `----- - -- - -- $- - - - - --- - � 0, 95 2 -- _ - - - - - $- - - - -- - - 2 — - •- -- - $- - — — Total pf• —tMore Than One Acct#) �. �.:r.< ��.:P.::�}..fi. ..�. �,,:�:w: 1 :,•�� :<. : a' Per Override Reviewed By: Approved By: 1099 Set Up Y N N/A Check 11.- Invoice /1__ - _ —_ —— Check Date: Invoice Date j_ ate Received by A P.O. Accounting: Check Received By: Name/Dart Rev 06114193 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 DENTAL INSPECTIONS OF SCHOOL CHILDREN FOR 1997 - 1998 SEPTEMBER WITCHCRAFT • OCTOBER WITCHCRAFT NOVEMBER BATES DECEMBER HORACE MANN JANUARY CARLTON FEBRUAIRY FEDERAL STREET MARCH COLLINS APRIL COLLINS MAY BENTLEY JUNE SALTONSTALL • ANISTRATION - MONTHLY REPORT SEPTEMBER 1 0 • AMOUNT BIOLOGICS DISTRIBUTED AMOUNT IN DOSES Diptheria, Tetanus 6 Pertussis 735 BURIAL PERMITS ISSUED 36 Diptheria-Tetanus Tox. (under 6 yrs. ) 50 ANIMAL BITES REPORTED 0 Immune Serum Globulin 5 $45.00 I:KS. RECEIVED - LICENSES & PERMITS Measles/Mumps/Rubella 940 CERTIFICATE OF FITNESS - CHECKS Polio 760 87 INSPECTIONS X $25.00 = $2,175. Tetanus 6 Diptheria (adult use) 1035 Tuberculin PPD 550 HIB Titre 680 Hepatitis B 780 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCI $327 ,329 .00 ---- $74,193.63 --- $253,135.37 EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANC NON-PERSONNEL: ANNUAL BUDGET $55,300.00 $3,464.61 --- $9,521.91 $42,313.48 1995/BAS City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month ---------------------- Type Jul 97 Aug 97 Sep 97 Count CFI 122 73 82 277 CFR 0 5 11 16 CH 2 10 5 17 CON 17 11 5 33 CR 3 4 4 11 EC 13 1 3 17 EC/GN 1 0 0 1 EPR 0 3 0 3 FC 0 3 3 6 FRH 0 0 1 1 FSI 26 15 26 67 FSR 2 10 4 16 GN 9 10 6 25 GN/CON 1 0 0 1 HI a 18 16 42 HR 9 9 17 35 HRI 2 1 0 3 RFI 5 7 4 16 RFR 2 1 3 6 RO '! 1 0 2 SB 18 19 0 37 SC 0 0 1 1 SES 1 0 0 1 • SM f 2 10 20 SP 2 0 0 2 TFI C 39 1 40 TR 68 80 105 253 TR/GN 0 1 0 1 ------ ------ ------ ------ ----- Count 320 323 307 950 CFR - Cert . Fit . Reinsp . GN _ Gen. Nuisance 44* RFR - Retail Food Rein. CH - Court Hearing 44* HI - Housing Insp. 312* RO - Rodent Control 13* CON - Constable Serv. HR - Housing Reinsp. 172* SC - Suntan 5 . CR - Compliance Rev. LPI - Lead Paint Insp . 26* SES - SESD Odor 3* CT Computer Time MS - Massage 7 SM - Seminars/Meetings _ EC Envirn . Compl . 85* MUP - Mobile Food Insp . 13* SP - Swim. Pools 14 EPR - Ext . Paint 5* OG - Overgrowth SB - Swim. Beaches 111* FC - Food Com 1 . 22* OS - Off . Sub. Insp . 10* ST - Soil Test/Se tic P P P FRH - Food Related Hear. RC - Rec . Camp 5 TFI - Temp. Food 65* c . RFC — Retail Food Compl.. TR - Trash 758* SL/ nv!cam, vV e`lcrti. 10/10/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT PUBLIC HEALTH NURSE REPORT Tel:(978)741-1800 SEPTEMBER 1997 ACTIVITIES Fax:(978)740-9705 DISEASE PREVENTION In touch with T.B. Clinic and following active cases and case contacts. Several vaccinations and/or PPD screenings done in office. Maintained vaccine inventory and distributed biologics citywide. Investigated all communicable disease cases and reported to the M.D.P.H. Teaching to general public as needed. MEETINGS AND CONFERENCES Sept. 8-Meeting with Dr.Dumas re: body piercing regulaltions. Sept. 9-Meeting with Maureen Carr and Charlie Reed re:health fair,which will be in May. Sept. 16-Meeting with Dave Shea,Maureen Carr and Charlie Reed re:health fair funding. Sept. 18-General planning meeting at Police Station re:health fair. • Sept. 19-Meeting with Dave Lodge at Salem Eve.News re:health fair advertisements. Sept.22-Meeting with Sandy Currier,V.N.A.Nurse,at St.Joseph's re: med administration plan. ST. JOSEPH'S SCHOOL Began review of immunization records. PHOENIX SCHOOL Discussed state regulations with Betsye Sargent re: med administration. OTHER Sept. 3-Administered Hepatitis B shots(#2)to North Shore Ambulance employees. Sept.23-Administered Hepatitis B shots(#2)to ten policemen. Sept. 30-Administered Hepatitis B shots(#1)and T.B. shots to new N.S.A. employees. Completed first draft of City of Salem body piercing regulations. Ongoing preparation for flu/pneumonia clinics: ■ added fourth clinic for city employees only-to be held on November 10 at One Salem Green ■ picked up,packed, and distributed flu and pnuemonia vaccine and information forms to all providers in the city • CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(978)740-9705 FOR THE MONTH OF SEPTEMBER 1997 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 1 1 1 1 • LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 2 0 2 2 SHIGELLA 0 0 0 0 TUBERCULOSIS 0 0 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. Dawn Marie Cameron,R.N.,M.S.N. Public Health Nurse For the Board of Health • • SUMMARY OF COMMUNICABLE_DISEASES-SEPTEMBER 1997: Hepatitis: One New Case- a 35 y.o. female with Hepatitis C-case still under investigation Salmonella: Two New Cases- 1) a 20 y.o. female - a non-foodhandler-believes she became ill from chicken or a hot dog, eaten while on vacation in Canada 2) a 65 y.o. retired female-exposure unknown-became ill shortly after having open heart surgery at Mass. General-illness may have been hospital-acquired-pt. received a full-course of antibiotics and has been discharged to home • NEWSLETTER 32 - October 14, 1997 AGENT'S REPORT TO THE BOARD% 1st QUARTER UPDATE OF THE FY 98 OBJECTIVES BODY PIERCING REGS THE UNDERAGE DRINKING Tempus fugit and the first Enclosed in the packet are the TASK FORCE 0 quarter of FY 98 has been first draft of the Body Piercing The Underage Drinking Task completed. The I st quarter regulations which you received Force has gained some motivated update to the board regarding previously. I have asked Bob new members. The prevention those objectives is not complete. Ledoux to give me his comments organization CommunityPLANS, I hope to have that information regarding those regs. Perhaps the which is part of Health & for you by the meeting. Board members could fine tune a Education Services gave me an Enclosed for your records is final draft at the meeting in award for the work this group has the final version of the Board's preparation for a public hearing at done. It is for the work of the FY 97 Planning Document. our November meeting. whole committee, not one person. The same organization had FLU CLINICS B 134 BRIDGE STREET 0 previously given the Task Force Dawn Marie has completed the The landlord of this property $300 toward the Welcome planinng for the flu clinics. Dawn •won his court case against the Package project. Marie and I were on WESX to City. He is allowed until spread the word about the clinics Halloween to pay the back taxes, PEP BOYS � and other Board of Health about$50460,000, in order to The Board had asked me to activities. reclaim his property. investigate the situation at the Pep Owen had asked her about Boys project on Highland immunizing teachers in school. I FOOD MANAGER Avenue. 1'he lots next to their wrote to Maureen Carr, Head CERTIFICATION CLASSES d building are vacant with some Nurse/Coordinator, regarding The Salem Chamber of debris, falling fencing, etc. In the teacher immunizations. That Commerce has offered several packet is the letter written to the letter and the response are in the classes over the past few months Pep Boys regarding what was packet. so that food establishments may observed and what they need to comply with the Board of Health do. 1 have had telephone THE MOVE regulation for Food Manager conversations with the project I will be arranging a staff tour cCation. manager, but have not received of our new building within the In fact, there will be three anything in \-vriting. The manager next couple of weeks. It will be more classes offered...one in claims he is having a meeting on a Friday afternoon. Please let English, one in Greek, and one in before our sleeting and will me know if you are interested in Cantonese (in Chinatown). The answer that letter. I'll update you. coming too. requirement takes effect on January 1, 1998. • BIE i 1 ES FIRST QUARTER UPDATE INSPECTIONAL SERVICES ♦ Provide educational materials for landlords and tenants regarding housing code requirements. ♦ Vigorously enforce the Housing Code and trash regulations with particular emphasis on the Point Neighborhood. Point streets include Peabody, Ward, Harbor Congress, Dow, Palmer, Salem, Park, Pingree, Perkins, Leavitt, Prince, Naumeag, and Harrison. City-wide: 42 Housing Inspections Point: 10 Housing Inspections (24%) 35 Housing Reinspections 8 Housing reinspections (23%) • 254 Trash Inspections 44 Trash Inspections (17%) ♦ Inspect all food establishments at least once every six months. # Food Service & Retail Food Establishments 239 # Inspections 83 # Reinspections 22 # Mobile Food Vendors 13 # Inspections 0 # Temporary Food Inspections 40 Sent reminder notices to all establishments regarding the Board's Food Manager Certification requirement. Food inspections were conducted at all festivals and events including: the Youth Festival, Heritage Week, and the Hispanic Festival. Notices sent to caterers working in Salem that they must; obtain a permit from the Department to serve food, register all events where they serve food, and have certified food manager on staff by January 1, 1998 to serve food in Salem. • J w • ♦ Provide housing inspections in accordance with the State Sanitary Code. # Inspections 42 # Reinspections 35 Condemned 134 Bridge Street due to violations of the Housing Code. ♦ Inspect swimming pools, recreational camps and suntanning facilities at least once a year. # Pools 14 # Inspections 2 Recreational Camps 5 0 Tanning Facilities 5 1 ♦ Inspect massage establishments at least once a year. # Establishments 7 # Inspections 0 ♦ Inspect bed and breakfast establishments at least twice annually. #to be determined during annual rooming house inspections. • ♦ Provide Certificate of Inspection inspections for vacant apartments in accordance with City Ordinance. # Inspections 277 # Reinspections 16 ♦ Inspect offensive substance transporters at least once a year. ♦ Inspect and review septic systems in accordance with Title V. Awarded $15,000.00 contract to environmental company to assist in developing a septic management plan for Salem with emphasis on Baker's & Tinker's Islands. Held a meeting with the consultant and Island representatives regarding the plan. Completed initial survey with consultant of Baker's & Tinker's Islands. Sent initial information letter to Island residents. ♦ Decrease the incidence of odor emissions at the South Essex Sewerage District through vigilant investigation and follow-up of all odor complaints and ,if possible, through resolution with the operations staff and consultants. Attended three odor control meetings with SESD staff and consultant. ♦ Provide sanitary inspections of neighborhoods when requested in order to limit residents' exposure to raccoons and rodents. Conducted two neighborhood inspections. • Began process of hiring a licenced pest control operator following the retirement of our previous operator. • ♦ Develop Body Piercing Regulations. The Health Agent accumulated regulations regarding body piercing in effect in other locations, as well as information from the professional organization and other resources. With the assistance of a Board member, the Public Health Nurse drafted regulations for the Board's review. MEDICAL SERVICES ♦ Follow the State's guidelines regarding the follow-up of reported contagious diseases. Salmonella 3 Shigella 1 Lyme 1 -.Hib 1 Hepatitis 2 ♦ Obtain immunizations from the State in order to maintain an inventory to be distributed to the City's primary care providers. MMR 1980 Oral Polio 1650 DTaP 1920 GG 5 Td 2580 DT 130 Pedi HepB 2088 High Risk HepB 1435 Hib 1520 • PPD 1090 IPV 300 Flu 2340 Pneumo 715 ♦ Follow the State's requirements for the school children at St. Joseph's and the Phoenix School including; hearing and vision screening, postural screening, physical examinations, and other screenings as needed, i.e. pediculosis screening; height & weight measurements, review of immunization& medical records; hold clinics, such as for hepatitis b, as needed. 350 immunization & medical records reviewed for compliance with Sate requirements ♦ Investigate the procedures for legal administrative of medication to children at St. Joseph's and Phoenix Schools. ♦ Sponsor an annual influenza ( and pneumonia ) clinics, and make home visits. for the City's elderly and at risk residents. ♦ The Board of Health dentist shall screen all the City's school children for dental problems. Sceening of Witchcraft Heights Children ♦ Plan and implement blood pressure clinics for Police, Fire and City personnel, making referrals as needed. ♦ Perform annual TB testing for North Shore ambulance employees and other city residents upon request. ♦ Conduct hepatitis B clinics for Police, North Shore Ambulance employeesand other City employees in conjunction with their contracts. • ♦ The Board shall provide clinics for non-contagious diseases as determined by need and feasibility. A • ADMINISTRATION ♦ Maintain a link with the Point community by regularly attending community events. Jose Diaz and Joanne Scott regularly attend meetings at the Salem Family Health Center on Congress Street as board members of the Center. Joanne Scott is a member of the negotiating team regarding affiliation of the Center with North Shore Medical Center ♦ Provide the office staff with the opportunity to attend educational seminars as offered by the State and other public health associations. New England Environmental Health Association Seminar, Food Protection: Mark Tolman Mass Health Officers Association Quarterly Meeting, Food Protection: Mark Tolman Northshore Public Health Forum, Food Protection: Jeffrey Vaughan, Mark Tolman ♦ Provide computer training for the staff and develop plan for such training. Personnel from Data Processing instucted Barbara Sirois on new computer. ♦ Continue to purchase computer equipment as necessary and allowed by the budget. Money from housing/san line item and special appropriation from household hazardous waste day was combined to purchase new $3200.00 computer for Barbara Sirois. Each secretary has her own computer and printer ♦ Encourage networking between the inspectors and the staff of the Massachusetts Department of Public Health and the Department of Environmental Protection and between other health professionals. Distribution of all materials from the State agencies and associations. ♦ Maintain membership in the North Shore Boards of Health Collaborative for the purpose of administering its tobacco control grant, as well as for information sharing. Joanne Scott regularly attends monthly meetings where the Tobacco Control program and other common interests are discussed. ♦ Provide secretarial services to the Animal Control Officer in order to ensure that pets potentially exposed to rabies are properly quarantined. Twenty-six reports forwarded to Animal Control Officer for possible rabies exposure. ♦ The Health Agent will gather information through public health publications, • computer services or any other means and disseminate that information to the staff and Board members as necessary. Montlily issues of professional journals such as The American Journal of Public Health, K The Journal of Environmental Health, and relevant articles are circulated through the inspectors' office. ♦ The Health Department will maintain its memberships in professional organizations in order to receive current public health information. The Health Department is a member of the American Public Health Association,the National Association of County & City Health Officials and the Massachusetts Association of Health Boards. ♦ The Health Agent will review health status indicators to prioritize possible interventions. In response to the elevated level of alcohol abuse, particularly among teens, the Health Agent continues to be a member of the Underage Drinking Task Force. The Task Force initiated a "Welcome Package" project for families new to Salem and registering their children in school. The Task Force received $450.00 in grants for this project. Approximately 400 packages made for distribution through the year at school registration points. Teen pregnancy is elevated in Salem. This is addressed by working to make the Salem Family Health Center a viable and accessible medical institution. • ♦ The Health Agent will develop a process and procedures book. ♦ The Health Agent will perform assessment of clerical support staff, review descriptions of jobs, and re-evaluate pay rates. Letter sent to Personnel Director requesting that the two senior clerk positions be changed to principal clerk positions. • Telephone Records September 1997 21 Work Days = Telephone Calls = � / Answered by 3 Secretaries Barbara= 164 Mary = 335 Susan= 422 M (8-4) T (8-4) W (8-4) TH (8-7) F(8-12� 9/2= 57 9/3= 37 9/4=54 9/5=26 9/8= 46 9/9= 40 9/10=47 9/11=38 9/12= 22 9/15=63 9/16=46 9/17=44 9/18=42 9/19=30 • 9/22=58 9/23= 62 9/24= 53 9/25= 53 9/26= 18 9/29= 56 9/30= 39 Messages for or calls taken, complaints assigned, handled by office staff etc...... Joanne= 227 Dawn Marie =135 Ginny = 115 Pablo = 14 Mark Tolman=94 Barb S. = 61 Jeffrey V. = 43 Mary = 112 Jose = 41 Sue K. = 91 • ADMOSTRATION - MONTHLY REPORT AUGUST 1997 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 375 BURIAL PERMITS ISSUED 48 Diptheria-Tetanus Tox. (under 6 yrs.) 40 2 ANIMAL BITES REPORTED Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $282.50 Measles/Mumps/Rubella 420 CERTIFICATE OF FITNESS - .CASH Polio 440 72 INSPECTIONS X $25.00 = $1,800.00 Tetanus & Diptheria (adult use) 840 Tuberculin PPD 70 HIB Titre 340 Hepatitis B 768 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $327,329.00 --- $48,297.59 --- $279,031.41 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $55,300.00 $2,174.52 --- $4,484.73 $48,640.75 1995/BAS • City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month -------------- Type Jul 97 Aug 97 Count ------ ------ CFI 122 73 195 CFR 0 5 5 CH 2 10 12 CON 17 11 28 CR 3 4 7 EC 13 1 14 EC/GN 1 0 1 EPR 0 3 3 FC 0 3 3 FSI 26 15 41 FSR 2 10 12 GN 9 10 19 GN/CON 1 0 1 HI 8 18 26 HR 9 9 18 HRI 2 1 3 RFI 5 7 12 RFR 2 1 3 RO 1 1 2 SB 18 19 37 SES 1 0 1 SM 8 2 10 SP 2 0 2 TFI 0 39 39 TR 68 80 148 TR/GN 0 1 1 Count 320 �323 643 GN Gen. Nuisance 44* RFR - Retail Food Rein. CFR - Cert . Fit .Reinsp . _ * RO - Rodent Control 13* CH - Court Hearing 44* HI - Housing Insp . 312 SC - Suntan 5 CON - Constable Serv. HR - Houssp ing Reinnsp . 2*26* SES - SESD Odor 3* CR - Compliance Rev. LPI - Lead Paint Insp . SM - Seminars/Meetings CT _ Computer Time MS - Massage 7 P * - Swim. Pools 14 EC - Envirn. Comp1 . 85* MUP - Mobile Food Ins 13 SB - Swim. Beaches 111* * OG - Overgrowth _ Test/Septic Paint 5 * T Soil EPR Ext . S FC - Food Comp1 . 22* OS - Off . Sub . Insp . 10 TFI - Temp . Food 65* FRH - Food Related Hear . RC -. Rec . Camp 5 TR _ Trash 758* FSD - Food Serv. Disc . RFC - Retail Food Compl . 9/5/97 A. 3 ` A CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,IRS,CHO NINE NORTH STREET HEALTH AGENT PUBLIC HEALTH NURSE REPORT Tel:(508)741-1800 AUGUST 1997 ACTIVITIES Fax:(508)740-9705 DISEASE PREVENTION In touch with T.B. Clinic and following active cases and case contacts. Several vaccinations and/or PPD screenings done in office. Maintained vaccine inventory and distributed biologics citywide. Investigated all communicable disease cases and reported to the M.D.P.H. Teaching to general public as needed. MEETINGS AND CONFERENCES ST. JOSEPH'S SCHOOL Summer Recess PHOENIX SCHOOL Sumner Recess OTHER Administered Hepatitis B shots(# 1)to ten policemen Ongoing preparation for Flu Clinics: -scheduled and confirmed three clinic dates -recruited 6 Salem State Nursing students to administer shots -wrote press release -printed flyers and posters,in English and in Spanish • 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 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(508)740-9705 FOR THE MONTH OF AUGUST 1997 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 1 1 0 0 N LYME DISEASE 1 0 1 1 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 0 0 1 1 SHIGELLA 1 0 1 1 TUBERCULOSIS 0 0 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE 14AVE NOT BEEN IDENTIFIED DURING THIS MONTH. Dawn Marie Cameron,R.N.,M.S.N. Public Health Nurse For the Board of Health • SUMMARY OF COMMUNICABLE DISEASES-AUGUST, 1997 Hepatitis- One New Case: a 45 y.o. male with Hep C- case still under investigation Lyme-One New Case: a 31 y.o. female-believes she became exposed while camping in Vermont- received full course of antibiotics Shigella-One New Case: a 29 y.o. female with S. Sonnei-believes she became ill from sick relatives in Minnesota- treated with antibiotics-nonfoodhandler i • NEWSLETTER 31 September 9,1997 AGENT'S REPORT TO THE BOARD® there is seasonal use, and the Force's "Welcome Package" FESTIVALS@ land is of poor quality for from social service agencies Once again,the Department leaching fields. In fact, and private businesses. In fact was busy with the many Tinker's Island is basically a we received $450.00 in grants festivals which occur in the rock with no water supply at for the project. summer. These include; the all. A sample will be at the Summer Solstice, the 134 BRIDGE STREET® meeting. Waterfront Festival, Fire This address was in the 1997 OBJECTIVES-Final Public Safety Fair, Boat News lately because it was Updatej& Safety Day, the Blues controlled by the City, due to Included in the package is Festival, the Hispanic tax default, and it was the final update for our 1997 Festival, the Taste of the necessary to condemn it Objectives. I think the North Shore, the Maritime because of tremendous code Department has done a good • Festival, the Scooper Bowl, violations. job in meeting most of the Chowder Fest, and the Essex The landlord has until objectives, with a little room Street Fair. early this month to pay all for improvement for 1998. SEPTIC MANAGEMENT taxes and regain control of the 1998 GOALS & GRANT property. He is suing the OBJECTIVES® An environmental City and I am being called as Owen &.I will be meeting consulting company is a witness. I am not sure what to discuss the goals & assisting us in putting the grounds are for the objectives for this fiscal year. together a septic management lawsuit, but I will let you A draft should be available by plan. Through this process, know meeting time. we should be able to identify 8 WYMAN AVENUE0 BODY PIERCINGa and track all septic systems The Conservation George agreed, because of within the City. Once the Commission voted to approve medical aspects and concerns, plan is accepted by the DEP, the septic plan for this it would be appropriate for we will be able to offer low property with conditions. Dawn Marie to work with the interest loans to homeowners The DEP notified me that the bodypiercing subcommittee. to make their system comply application to them was not Dawn Marie will be meeting with Title V properly submitted. I am with Dr. Dumas before the The challenging part of waiting to hear from the meeting regarding this issue this project is looking at owner's attorney whether the and will discuss it in her • Baker's and Tinker's Islands. plan has been resubmitted report. I did a site visit to both appropriately to the DEPP, islands with the consultant. UNDERAGE DRINKING Thank you for another fun These are unique TASK FORCEI BOH Cook-out. Next year communities, where there is We have received flashlights will be issued! no water supply to the homes, enormous supprt for the Task • Telephone Records August 1997 21 Work Days = 758 Telephone Calls Answered by 3 Secretaries Barbara= 118 Mary = 376 Susan = 260 M (8-4) T 8-4 W (8-4) TH (8-7) F(8-12) 8/1=6 8/4=50 8/5=37 8/6=48 8/7=48 8/8=13 8/11=62 8/12=50 8/13=56 8/14=59 8/15=17 • 8118=53 8119=44 8/20=40 8121=44 8122=23 :6/25=30 8/26=24 8/27=22 8/28=21 8/29=14 Messages for or calls taken complaints assigned. handled by office staff etc...... Joanne= 235 Dawn Marie = 83 Ginny = 131 Pablo = 9 Mark Tolman= 67 Barb S. = 32 Jeffrey V. = 40 Mary = 59 Jose = 51 Sue K. = 51 ADMINORATION - MONTHLY REPORT JULY 1997 is BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 780 BURIAL PERMITS ISSUED 35 Diptheria-Tetanus Tox. (under 6 yrs. ) 40 5 ANIMAL BITES REPORTED Immune Serum Globulin 0 $632.79 CASH RECEIVED - LICENSES & PERMITS Measles/Mumps/Rubella 620 CERTIFICATE OF FITNESS - .CASH Polio 600 110 INSPECTIONS X $25.00 = $2,750.00 Tetanus & Diptheria (adult use) 675 Tuberculin PPD 470 HIB Titre 500 Hepatitis B 901 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $327,329.00 $23,330.94 --- --- $303,998.06 NON-PERSONNEL. ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBE RED AVAILABLE BALANCE $55,300.00 -- --- $4,295.93 $51,004.07 1995/BAS City Of Salem Environmental Health Division --- Inspection Monthly Summary Month -------------- Type Jul 97 Aug 97 Count ------ ------ ------ CFI 122 73 195 CFR 0 5 5 CH 2 10 12 CON 17 11 28 CR 3 4 7 EC 13 1 14 EC/GN 1 0 1 EPR 0 3 3 FC 0 3 3 FSI 26 15 41 FSR 2 10 12 GN 9 10 19 GN/CON 1 0 1 HI 8 18 26 HR 9 9 18 HRI 2 1 3 RFI 5 7 12 RFR 2 1 3 RO 1 1 2 Sg 18 19 37 SES 1 0 1 SM 8 2 10 SP 2 0 2 TFI 0 39 39 TR 68 80 148 TR/GN 0 1 1 Count 320 323 643 RFR - Retail Food Rein. CFR - Cert . Fit .Reinsp. GN _ Gen. Nuisance 44** RO - Rodent Control 13* CH - Court Hearing 44* HI - Housing Insp. 312 SC _ Suntan 5 CON - Constable Serv. HR - Housing Reinsp . 172* CR - Compliance Rev. LPI - Lead Paint Insp . 26* SMS - Seminars/Meetings CT _ Computer Time MS - Massage 7 - Swim. pools EC - Envirn. Compl . 85* MUP - Mobile Food Insp . 13* Sp 4- Swim. Beaches111* EPR - Ext . Paint 5* OG - Overgrowth FC - Food Compl . 22* OS - Off . Sub. Insp . 10* ST - Soil Test/Septic I - Temp. Food 65* FRH - Food Related Hear. RC - TF Rec . Camp 5 - Trash 758* FSD - Food Serv. Disc . RFC — Retail Food Compl . TR 9/5/97 �4 3 � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,IRS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 PUBLIC HEALTH NURSE REPORT Fax:(508)740-9705 JULY 1997 ACTIVITIES DISEASE PREVENTION In touch with T.B. Clinic and following active cases and case contacts. Several vaccinations and/or PPD screenings done in office. Maintained vaccine inventory and distributed biologics citywide. Investigated all communicable disease cases and reported to the M.D.P.H. Teaching to general public as needed. MEETINGS AND CONFERENCES July 23-Mtg at D.P.H. in Boston re: Body Piercing and Tattoo Regulations. July 24-Mtg with Joanne Scott and Mary Madore re: Piercing and Tattooing. July 30-Seminar at Holiday Inn re:Attention Deficit and Depression. • ST. JOSEPH'S SCHOOL Working on legalizing medication administration plan. Sent new immunization guidelines to parents and School Principal. PHOENIX SCHOOL Working on legalizing medication administration plan which should be in place next year. Sent new immunization guidelines to parents and School Principal. OTHER Began preparation for upcoming Flu Season. July 16& 18-TB Testing for residents at John Bertram House. July 3 1-Administered Hep B shots to North Shore Ambulance employees,who purchased the vaccine. • 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 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(508)740-9705 FOR THE MONTH OF JULY 1997 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 1 0 1 1 • LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 1 1 0 0 SHIGELLA 0 0 1 1 TUBERCULOSIS 0 0 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. Dawn Marie Cameron,R.N.,M.S.N. Public Health Nurse For the Board of Health • i i SUMMARY OF COMMUNICABLE DISEASES— JULY, 1991 New Cases: Hepatitis— A 26 y.o. male with Hepatitis B— Occupation: carpenter— exposure unknown— patient lost to follow—up Salmonella— A 25 y.o. male — case still under investigation a • PUBLIC HEALTH NURSE RESPONSIBILITIES: Sept.- review of immunization records for approximately 325 children, submit immunization surveys to state, send letters to parents of those children not up-to-date, body piercing regs Oct.-plan, organize, and conduct at least 4 f lu clinics, as well as off ice and home visits,start hearing and vision, and height and weight screening Nov.-hearing and vision screening Dec.-hep b clinic , hearing and vision Jan.-hep b clinic, hearing and vision Feb.-blood pressure clinics, hearing and vision March-hearing and vision April-scoliosis screening, finish hearing and vision May- physicals, record all info in chart • June-hep b clinic, start preparation for next year flu clinic Other: Health Advisory Council Meetings, Vaccine Pick-up and distribution, communicable disease investigation, major sponsor for the Health Fair, Public Health Nursing meetings, conferences, annual TB testing for North Shore Ambulance, John Bertram House, and many residents of Salem who need screenings With all of these responsibilites, I have little time to get involved with other worthwhile community projects, such as community education, the National Smokeout, National AIDS day, etc. V • MEETING WITH DR. DUMAS ON SEPTEMBER 8 1997 SUGGESTION5: -adopt Quincy's regs and just change things as needed -no oral piercing other than the tongue -no piercing of genitalia -use all disposable equipment and do away with autoclaving, etc. -add liability insurance as a requirement 7 ? -basic CPR is good enough -must have A & P Course and OSHA course • • To NEWSLETTER 30 July 8, 1997 AGENT'S REPORT TO THE BOARDOD the surplus is returned to the his employees before the general fund. rebuilding was completed. BUDGET FY98 ® He, and others, gave brief but We have received our POINT CLEAN- UP C) inspirational speeches. budget for fiscal year 98 On Saturday, June 28th, which began July 1, 1997. the Health Department took TOBACCO CONTROL ow The pay increase for our part in its third Point Clean- Steven Douglas has been student intern position was up. We joined VOCES, the hired by the Tobacco Control approved. Therefore, Jose CDC, the DPW, neighbors, Program to coordinate Diaz will be paid $10.00 per and kids from the district education and compliance hour. This was our third court's juvenile diversion rounds in the collaborative request for an increase. The program. The two candidates communities. I have asked Department appreciates Jose's for Ward 1 City Councillor Mr. Douglas to our meeting fine work and now we are worked sisde by side. It was a to discuss compliance checks, &ble to pay him a more great turn-out. to hear the Board's appropriate salary philosophy, and be available Our telephone line item SALEM FAMILY HEALTH to answer any questions from was increased, as requested, CENTER ✓ the Board. from $3500 to $4000. Jose and I are still on the We were not funded for a Board of the Family Health UNDERAGE DRINIUNG community health educator, center. The center is going TASK FORCE I nor for an increase in our through a very challenging This task force is developing equipment line item. time, particularly financially. a "welcome basket" for A $30,000 appropriation It is an extremely valuable families new to Salem, who was included for another resource for the community are registering their children Household Hazardous waste and the Board is intent on for school. These families may day making it survive. be at a greater risk for problems because they have A NEW COMPUTER 0 THE SALEM AWARD O not yet become part of the We had a surplus in the George, Owen and I were community and are not aware Household Hazardous waste fortunate to attend the of the resources and activities budget of about $8,000. The presentation of the Salem available. The basket will mayor approved our use of Award. This year's recipient include the community phone $2000 of that money toward was Aaron Feuerstein, owner book, brochures on the epurchasing a new computer of Malden Mills. Malden Boys&- Girls club,etc and for the secretaries. Together Mills had a devastating fire, social service agencies. They with money from our but Mr. Feuerstein was will be distributed at points of housing/san line item, we committed to rebuilding the registration for school. have done that. The rest of business and continued to pay HAVE A HAPPY 4TH • 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 Telephone Records July 1997 22 Work Days Answered by 3 Secretaries Barbara 129 Mary 392 Susan 454 975 M 8-4 T 8-4 W 8-4 TH 8-7 F 8-12 7/1=32 7/2=51 7/3=63 7/4=off • 7/7=38 7/8=57 7/9=48 7/10=54 7/11=18 7/14=60 7/15=43 7/16=32 7/17=43 7/18=18 7/21=40 7/22=50 7/23=43 7/24=38 7/25=8 7/28=56 7/29=44 7/30=47 7/31=54 Messages for or calls taken, complaints assigned, handled by office staff etc...... Joanne= 262 Dawn Marie = 99 Ginny =105 Pablo =11 Mark Tolman=88 Barb S. = 55 Jeffrey V. =106 Mary = 95 Jose =46 Sue K. = 108 - - SALEIVI HOSPITAL CHECK REQUEST GENERAL FUND �? Check Amount: $ _ __ ���L q ' Vendor Number: `l l� ' Specify Date (If needed within S calendar days) Payable To: (Initials Plus Full Nanw): Month: ______ Day: Year: C IT 0F : .. .: Check Distribution - IDENTIFY ONE 80 e b 0 Address De i s Send By U.S. Mail: (Atracli Originals) To Be Mailed And Staple A Copy For Accounting.) _ Do Not Mail - Department will Pick Up (Note: Staple A Copy.) I will Vendor Be Used Again? Y N For Check Pick-Up. Call Extension Is This An Employee? Y N it tabor or servirs retired,the fOM"4 g (plvl[N uPay-Wame) )C7"'7 it requiredP,9,:! r'' : Social Security # _ _ _ - — — — — --— Or (Print Name) *Federal Taxl.D. # _ _ - -- - - - - - purpose(Brttf Description) (Complete Signature-No Inidats) hone F_ueresion) AT* S/{�F°r� (Date) � J q Responsibility Report Account DistribuAmounttion D Digits} Account p �^ 9.3 .E a- Z, , o $ - -rol 3�%- '38 . -2 $ Total (If More Than One Acct #) $ _ -- — — 1997 Per Override y w :� r.. t. fit;:...,dl�.c•f�;l. d.v:�y. t•+K'' •i1w> '` •'�� •4••�;u �.rv.•y :ti:•a: r A _ F;ED E PT. 1099 Set Up Y N — NIA— Reviewed By: Approved By: Invoice # Invoice Date Check #: 255 P.O. # __ - - - -- - - - Check Date: `3 Date Received by Accounting. Check Received By: NawlDate Rev 0611419-4 • • • ADMINISTRATION - MONTHLY REPORT JUNE 1997 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Dipthcria, Tetanus & Pertussis 510 BURIAL PERMITS ISSUED 54__ Diptheria-Tetanus Tox. (under 6 yrs . ) 30 ANIMAL BITES REPORTED 3 Immune Serum Globulin 0 CKS. RECEIVED - LICENSES & PERMITS '$893.75 Measles/Mumps/Rubella 280 CERTIFICATE OF FITNESS - CHECKS Polio 460 64 INSPECTIONS X $25.00 $1,600.00 Tetanus & Diptheria (adult use) 480 ' Tuberculin PPD 560 HIB Titre 380 Hepatitis B 423 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $344,000.00 343,506.96 --- $493.04 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $54,800.00 -- $5,642.00 2, 174. 36 - HELD OVER $58,332.36 7 ,000.00 - SUPP. APPR. $63,974.36 1995/BAS City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month --------------------------------------------------- Type Jul 96 Aug 96 Sep 96 Oct 96 Nov 96 Dec 96 Jan 97 Feb 97 Mar 97 Apr 97 May 97 Jun 97 Count ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ 3 1 0 0 0 0 0 0 3 0 0 0 7 OS 0 0 0 0 0 0 0 0 1 0 0 0 1 BB 1 0 0 0 0 1 1 0 0 0 0 0 3 CFI 93 88 74 129 50 65 57 72 73 63 68 58 890 CFI/HR 1 0 0 0 0 0 0 0 0 0 0 0 1 CFR 8 5 7 5 0 0 3 2 0 9 1 4 44 CH 1 2 2 0 7 6 4 3 5 1 5 4 40 CON 7 19 7 29 13 4 6 10 5 5 12 19 136 CR 22 2 7 9 2 1 4 6 3 3 3 6 68 CRF 0 0 0 0 0 0 0 0 1 0 0 0 1 DC 1 0 0 0 0 0 0 0 0 0 0 0 1 EC 11 14 13 4 3 7 6 12 5 1 2 7 85 EPR 1 0 0 0 0 0 0 0 0 0 2 2 5 FC 1 6 1 4 0 0 1 2 1 3 1 2 22 FCQ 1 0 0 0 0 0 0 0 0 0 0 0 1 FRH 0 0 0 2 0 1 0 0 1 0 0 1 5 FSD 1 1 2 6 1 1 3 2 3 2 0 1 23 FSI 25 16 22 28 13 14 30 16 44 14 9 12 243 FSR 17 11 7 21 6 6 11 13 1 12 5 1 ill GN 7 9 1 2 1 1 2 3 3 2 7 6 44 HI 14 22 22 31 63 10 70 15 36 5 13 11 312 HR 9 14 21 19 14 16 15 8 13 18 12 13 172 LPC 1 0 0 0 0 0 0 0 0 0 0 0 1 LPI 3 5 2 3 4 0 3 2 0 2 2 0 26 MS 1 0 0 0 0 0 0 0 1 0 0 0 2 MUC 1 0 0 0 0 1 0 0 0 0 0 0 2 MUP 0 1 0 0 1 2 0 0 0 4 3 2 13 OS 0 0 0 0 0 1 7 0 1 0 1 0 10 RO 1 0 0 0 0 0 0 0 0 0 0 0 1 RC 0 2 0 1 1 2 0 0 1 0 1 5 13 RFC 0 0 0 0 1 0 0 1 0 0 1 0 3 RFD 0 0 0 1 1 0 1 0 0 0 0 0 3 RFI 4 4 5 5 7 9 5 6 8 1 5 5 64 • RFR 3 5 0 3 3 3 2 3 3 1 1 0 27 RO 3 2 1 1 0 0 2 2 1 0 7 2 21 SB 26 45 14 0 0 0 0 0 0 0 0 26 ill SC 0 0 1 0 2 0 3 5 0 2 0 0 13 SES 0 3 0 0 0 0 0 0 0 0 0 0 3 SM 11 10 12 13 11 20 7 9 8 12 9 9 131 Sp 4 1 0 0 0 0 9 1 0 0 6 6 27 ST 1 0 0 1 0 0 0 0 0 0 0 0 2 TFI 2 28 0 4 0 0 0 0 0 0 24 7 65 TR 91 76 51 57 28 35 43 98 78 46 80 75 758 -- ------ ------ ------ ------ ------ ------ ______ Count 376 392 272 378 232 206 295 291 299 206 280 284 3511 BB - Bed/Break. 2 FSI - Food Serv. Ins . 252* RFD - Retail Food Disc . CFI - Cert . Fit . 912* FSR - Food Serv. Rein. 117* RFI - Ret . Insp . 68* CFR - Cert . Fit .Reinsp. GN Gen. Nuisance 40* RFR - Retail Food Rein. * _ CH - Court Hearing 51* HI Housing Insp. 185* RO - Rodent Control CON - Constable Serv. HR - Housing Reinsp. 117* SC - Suntan 6 CR - Compliance Rev. LPI - Lead Paint Insp. 15* SES - SESD Odor 19* DC - Day Care MS - Massage 5 SM - Seminars/Meetings EC - Envirn. Compl . 117* MUP - Mobile Food Insp. 13* SP - Swim. Pools 14 EPR - Ext . Paint 11* MUC - Mobile Unit Compl . SB - Swim. Beaches 76* FC - Food Compl . 22* OS - Off . Sub. Insp . 8* ST - Soil Test FRH - Food Related Hear. RC - Rec . Camp 5 TFI - Temp. Food 98* F - Food Serv. Disc . RFC - Retail Food Compl . TR - Trash 617* 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 JUNE 1997 ACTIVITIES DISEASE PREVENTION In touch with T.B. Clinic and following active cases and case contacts. Several vaccinations and/or PPD screenings done in office. Maintained vaccine inventory and distributed biologics citywide. Investigated all communicable disease cases and reported to the M.D.P.H. Teaching to general public as needed. MEETINGS AND CONFERENCES • June 2-Interdepartmental mtg re: Household Hazardous Waste Day June I I-Meningitis Seminar at Beverly Hospital. June 12-Health Advisory Council mtg at S.H.S. June 13-Public Health Nursing mtg in Tewksbury June 24-Computer Conference in Woburn ST.JOSEPH'S SCHOOL Working on legalizing medication administration plan. PHOENIX SCHOOL Working on legalizing medication administration plan which should be in place next year. OTHER June 7-Household Hazardous Waste Day June 16-Children's Island Inspection June 17-Campfire Camp Inspection June 17& 19-TB Testing at North Shore Ambulance June 26-Camp Lyons Inspection June 30-Administered Hep A shots to 3 Servpro employees,who purchased the vaccine June 30-Reinspection of Children's Island • CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(508)740-9705 FOR THE MONTH OF JUNE 1997 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 0 1 1 E.COLI 0157 0 0 0 0 GIARDIA 2 0 2 2 HEPATITIS 0 0 0 0 • LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 SHIGELLA 1 1 0 0 TUBERCULOSIS 0 0 1 1 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. Dawn Marie Cameron,R.N.,M.S.N. Public Health Nurse For the Board of Health • • Summary of Communicable Diseases- June, 1997 CAMPYLOBACTER: One New Case- a 31 y.o. male with Campy. -exposure unknown, occupation unknown-patient did not respond to phone calls or letters- I was unable to complete my investigation GIARDIA: Same Case as above (he had both diseases at the same time!) GIARDIA: A 47 y.o. engineer with G. Lamblia-patient believes he may have gotten sick from drinking tap water in a home in Marblehead-he reports that he had "heard of some trouble with the Marblehead drinking water"- I notified the Marblehead B.O.H. SHIGELLA: One New Case- a 37 .o. male- case stil l 11 under investigation • I NEWSILETTER 30 July 8, 1997 AGENT'S REPORT TO THE BOARDOD the surplus is returned to the his employees before the general fund.. rebuilding was completed. BUDGET FY98 ® He, and others, gave brief but We have received our POINT CLEAN- UP inspirational speeches. budget for fiscal year 98 On Saturday, June 28th, which began July 1, 1997. the Health Department took TOBACCO CONTROL ow The pay increase for our part in its third Point Clean- Steven Douglas has been student intern position was up. We joined VOCES, the hired by the Tobacco Control approved. Therefore, Jose CDC, the DPW, neighbors, Program to coordinate Diaz will be paid $10.00 per and kids from the district education and compliance hour. This was our third court's juvenile diversion rounds in the collaborative request for an increase. The program. The two candidates communities. I have asked Department appreciates Jose's for Ward 1 City Councillor Mr. Douglas to our meeting fine work and now we are worked sisde by side. It was a to discuss compliance checks, Jkble to pay him a more great turn-out. to hear the Board's appropriate salary philosophy, and be available Our telephone line item SALEM FAMILY HEALTH to answer any questions from was increased, as requested, CENTER ✓ the Board. from $3500 to $4000. Jose and I are still on the We were not funded for a Board of the Family Health UNDERAGE DRINKING community health educator, center. The center is going TASK FORCE I nor for an increase in our through a very challenging This task force is developing equipment line item. time, particularly financially. a "welcome basket" for A $30,000 appropriation It is an extremely valuable families new to Salem, who was included for another resource for the community are registering their children Household Hazardous waste and the Board is intent on for school. These families may day. malting it survive. be at a greater risk for problems because they have A NEW COMPUTER 0 THE SALEM AWARD O not yet become part of the We had a surplus in the George, Owen and I were community and are not aware Household Hazardous waste fortunate to attend the of the resources and activities budget of about $8,000. The presentation of the Salem available. The basket will mayor approved our use of Award. This year's recipient include the community phone $2000 of that money toward was Aaron Feuerstein, owner book, brochures on the *purchasing a new computer of Malden Mills. Malden Boys& Girls club,etc and for the secretaries. Together Mills had a devastating fire, social service agencies. They with money from our but Mr. Feuerstein was will be distributed at points of housing/san line item, we committed to rebuilding the registration for school. have done that. The rest of business and continued to pay HAVE A HAPPY 4TH f1ECK REQUEST °•.:GENERAL FUND JU N� I ? 7 IT • Vendor Number: C,JTY OF AL80 Check Amount: $ _ _ _ /� • �' Payable To: (initials Plus Full Name): Specify Date (1j needed within S calendar days) Month: Day: Year: C1�9 aF Sly-�-� �J ON E.a" 'Jb TID FY Address (Required' cl /ly`0 ST721:� Isend at 970 By U.S. Mail: (Attach original(s) To Be Mailed And Staple A Copy For Accounting.) Do Not Mail - Department Will Pick Up "Fill Vendor Be Used Again 2 Y"-� N. Is This An Employee? Y N Call Extension For Check Pick-Up. �rya;,,va h lobar ai rreicc nerd,Ihe)bfo.v, �� trp 4 nPvind T— rinI Name) X Social Security Or Federal Tar I.D. # — — - — — — — — — (Print Heine) Purpou(Hrig(Desmprian) vt,v J ` Uy e Sg e IZffT/9-P-I n-L (complete Signature.1.o l�i:�'•) Tl, /V®R" 5/' V9F— AbLMON/9 / (Pror:r F:.rriort) #011,5Lte_ ftEWf,7W 0—LI4/1 e. Responsibiliry Report Account Distribution (10 Digits) r(Tourt JvtiF. 1197. 2r J 3 9 0 - d,0 /4 o i-1-5 ®Sod E�.= 7(,• 2 ws - - - - _ — _ — = — S— _ _,__- - - Vi5/l3 �20 .® 3S Eft•' � 2 _—_ _- - _ _ — _ _ -- -�_— � - - 8 _ — �5`�•6 Total ff More Than One Acct ✓f) `CC0.�1N7...1yGDEPi{X�MENT�SEp;,��l�' Per Override Reviewed By: Approved By: 1099 Set Up Y N N/A InvoicelY _ _ _ __ _ _ _ _ _ — Check #: Invoice Date Check Date: P.O. Date Received by Accounting: Check Received By: • h'arr�/Dore . Rev 06114193 . Telephone Calls June 1997 Total Calls in 21 Work Days 932 (Average 44 per day) Calls answered by 3 Secretaries Barb 162 Mary 315 Sue 455 M (8-4) T (84) W (8-4) Th (8-7) F (8-12) 6/2/1997 * 54 6/3/1997 *44 6/4/1997 * 37 6/5/1997 *49 6/6/1997 *25 6/9/1997 *59 6/10/1997 *43 6/11/1997 * 52 6/12/1997 *47 6/13/1997 *29 6/16/1997 *67 6/17/1997 *64 6/18/1997 *51 6/19/1997 *44 6/20/1997 * 30 6/23/1997 *50 6/24/1997 *46 6/25/1997 * 37 6/26/1997 *36 6/27/1997 *21 6/30/1997 *46 Messages for or calls taken, complaints assigned, handled by office staff etc... • Joanne -287 DMC = 96 Ginny 114 Pablo = 9 Mark 72 Barb = 54 Jeffrey = 64 Mary - 71 Jose = 37 Sue = 128 c� • alp, . f�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 MAY 1997 ACTIVITIES DISEASE PREVENTION In touch with T.B. Clinic and following active cases and case contacts. Several vaccinations and/or PPD screenings done in office. Maintained vaccine inventory and distributed biologics citywide. . Investigated all communicable disease cases and reported to the M.D.P.H. Teaching to general public as needed. MEETINGS AND CONFERENCES • May 30-Public Health Nursing Seminar in Framingham. ST. JOSEPH'S SCHOOL Working on legalizing medication administration plan. May 2-Completed hearing and vision screening for K-8. Sent referrals as needed. May 9-Last of three Hep B Clinics for 61h and 71h graders held. May 15-Assisted Maureen Carr with Hep B Clinic at Collins Middle School. May 21-Assisted Dr. Dumas with physical exams for grades 3 and 7. PHOENIX SCHOOL Working on legalizing medication administration plan which should be in place next year. May 9-Last of three Hep B Clinics held. May 28-Completed hearing and vision screening for K-8. Sent referrals as needed. OTHER 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 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(508)740-9705 FOR THE MONTH OF MAY 1997 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 0 0 0 0 LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 SHIGELLA 0 0 0 0 TUBERCULOSIS 0 1 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. Dawn Marie Cameron,R.N.,M.S.N. Public Health Nurse For the Board of Health Note:No New Cases to Summarize ADMINISTRATION - MONTHLY REPORT MAY 1997 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 615 BURIAL PERMITS ISSUED 46 (cks;^'.re $230.00 Diptheria-Tetanus Tox. (under. 6 yrs. ) 70 ANIMAL BITES REPORTED -0- Immune Serum Globulin p CKS.` RECEIVED - LICENSES & PERMITS $1,165.00 Measles/Mumps/Rubella 510 (CERTIFICATE OF FITNESS - CHECKS Polio 75 INSPECTIONS X $25.00 = 450 .� $1,875.00 Tetanus .& Diptheria (adult use) 480 Tuberculin PPD 770 HIB Titre 500 Hepatitis B 741 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES SES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $344,000.00 $310,454.21 $37,104.79 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $54,800.00 --- $36,868.13 2,174.36 - HELD OVER 7,000.00 - SUPP.APPR. $63,974.36 1995/BAS City Of Salem • Environmental Health Division --- Inspection Monthly Summary. Month ------------------------------------------------------------------------------------ Type Jul 96 Aug 96 Sep 96 Oct 96 Nov 96 Dec 96 Jan 97 Feb 97 Mar 97 Apr 97 May 97 Count 3 1 0 0 0 0 0 0 3 0 0 7 OS 0 0 0 0 0 0 0 0 1 0 0 1 BB 1 0 0 0 0 1 1 0 0 0 0 3 CFI 93 88 74 129 50 65 57 72 73 63 68 832 CFI/HR 1 0 0 0 0 0 0 0 0 0 0 1 CFR 8 5 7 5 0 0 3 2 0 9 1 40 CH 1 2 2 0 7 6 4 3 5 1 5 36 CON 7 19 7 29 13 4 6 10 5 5 12 117 CR 22 2 7 9 2 1 4 6 3 3 3 62 CRF 0 0 0 0 0 0 0 0 1 0 0 1 DC 1 0 0 0 0 0 0 0 0 0 0 1 EC 11 14 13 4 3 7 6 12 5 1 2 78 EPR 1 0 0 0 0 0 0 0 0 0 2 3 FC 1 6 1 4 0 0 1 2 1 3 1 20 FCQ 1 0 0 0 0 0 0 0 0 0 0 1 FRH 0 0 0 2 0 1 0 0 1 0 0 4 FSD 1 1 2 6 1 1 3 2 3 2 0 22 FSI 25 16 22 28 13 14 30 16 44 14 9 231 FSR 17 11 7 21 6 6 11 13 1 12 5 110 GN 7 9 1 2 1 1 2 3 3 2 7 38 HI 14 22 22 31 63 10 70 15 36 5 13 301 HR 9 14 21 19 14 16 15 8 13 18 12 159 LPC 1 0 0 0 0 0 0 0 0 0 0 1 I: 3 5 2 3 4 0 3 2 0 2 2 26 1 0 0 0 0 0 0 0 1 0 0 2 MUC 1 0 0 0 0 1 0 0 0 0 0 2 MUP 0 1 0 0 1 2 0 0 0 4 3 11 OS 0 0 0 0 0 1 7 0 1 0 1 10 RO 1 0 0 0 0 0 0 0 0 0 0 1 RC 0 2 0 1 1 2 0 0 1 0 1 8 RFC 0 0 0 0 1 0 0 1 0 0 1 3 RFD 0 0 0 1 1 0 1 0 0 0 0 3 RFI 4 4 5 5 7 9 5 6 8 1 5 59 RFR 3 5 0 3 3 3 2 3 3 1 1 27 RO 3 2 1 1 0 0 2 2 1 0 7 19 SB 26 45 14 0 0 0 0 0 0 0 0 85 SC 0 0 1 0 2 0 3 5 0 2 0 13 SES 0 3 0 0 0 0 0 0 0 0 0 3 SM 11 10 12 13 11 20 7 9 8 12 9 122 SP 4 1 0 0 0 0 9 1 0 0 6 21 ST 1 0 0 1 0 0 0 0 0 0 0 2 TFI 2 28 0 4 0 0 0 0 0 0 24 58 TR 91 76 51 57 28 35 43 98 78 46 80 683 Count 376 392 272 378 232 206 295 291 299 206 280 3227 BB - Bed/Break. 2 FSI - Food Serv. dns .252* RFD - Retail Food Disc. CFI - Cert . Fit . 912* FSR - Food Serv. Rein. 117* RFI - Ret. Insp. 68* CFR - Cert. Fit.Reinsp. GN _ Gen. Nuisance 40* RFR - Retail Food Rein. CH - Court .Hearing 51* HI - Housing Insp. 185* RO - Rodent Control W - Constable Serv. HR - Housing Reinsp. 117* SC - Suntan 6 - Compliance Rev. LPI - Lead Paint Insp. 15* SES - SESD Odor 19* DC - Day Care MS - Massage 5 SM - Seminars/Meetings EC - Envirn. Compl . 117* MUP - Mobile Food Insp. 13* SP - Swim. Pools 14 EPR - Ext . Paint 11* MUC - Mobile Unit Compl . SB - Swim. Beaches 76* FC - Food Compl .22* OS - Off . Sub. In'sp. 8* ST -, Soil Test FRH - Food Related Hear. RC Rec. Camp 5 TFI - Temp.Food 98* FSD - Food Serv. Disc. RFC - Retail Food Compl . TR - Trash 617* _`__ • NEWSLETTER 29 June 10, 1991 AGENT'S REPORT TO THE BOARDOD imminent. Imminent has received 864 incoming calls, HHWCDn now become more than three an average 41 per day, for By meeting time I hope to years. All the while sewerage the month of May! Of course report that the Household is in the back yard, especially that does not include any Hazardous Waste Collection during rainy seasons. follow- up outgoing calls. Day was a great success! Apparently, it will take a Would the Board like to see If you read this before condemnation order to finally this summary every month? Saturday, I encourage you to have the problem resolved. SESD ODORO come and see the operation. TOBACCO CONTROL I Two odor control facilities We will have a tee shirt ONven has designed a form will be out of operation this waiting for you. We "rill also to be used during compliance month. One is scheduled for bring them to the meeting if checks by tobacco control a two day shut down between you are unable to come. personnel. It is enclosed for June 1 Ith and 13th, the other Jeff has done most of the your review. between June 18th and 20th organizing for this event. All In looking over previous depending on the weather. staff members plan to be minute~ and newsletters, the This information will be there and you may see George Board had asked me to take published in the paper. riding in the golf cart with the steps necessary to allow POPE STREET 0 Sue! for ticketing of violations of Residents at. Pope Street 8 WYMAN AVENUE -r-a its tobacco regulations. I will were without hot water for There will not be a public begin that process. three days before notifying hearing regarding 8 Wyman TELEPHONE LOGS F our Department. We went to Avenue septic plans at this Our Department has court with the management meeting. The attorney said begun to keep records of all company right away. While a he was busy in court and did incoming, non personal, new boiler was being not have the opportunity to telephone calls. We had installed, residents had access send the required notices to previously been recording by bus shuttle to a hotel for abutters. I have included in complaints only However, showering,etc. The new the packet the timetable Martin had suggested keeping boiler was installed very memo previously submitted a log of .ill calls. It has quickly! to you and and an addendum proven vcry helpful on several SAVE THE DATE !! to that. It is my occassions when attemting to recommendation to the Board doctinient the time of certain Our Annual BOH Cook- out that this property be events or retrieve misplaced is scheduled for August 16th, condemned immediately for information. the Saturday of Heritage not having an operational -rile log has also generated Week. It's only two months septic system. It is what I some interesting statistics. A away! should have done previously, SUnlma v is included in your but believed a solution was packets. You can see that we 1 C14ECK REQUEST iY GENERAL FUND *or Number., Check Amount: $ _ _ _ ► o�Q �� '{ f 19-J, Specify Date (1f needed within S calendar days) Payable To:' gaitials Plus Full Name): Month: Day: Year: .�T �- ;:.`, . `' °• `biifiol: �1DENTIFY,OIVE' ' '.;},`. •�� " ;Check ist� :.. : ''>,,;; Address tt af.. �," a h-f' s'r+'e Ci— t9- 9 end Tay U.S. Mail: (,lrmcn orig►noi(s) , To Be Ataiied Awd Staple A Copy For Accounting,) Do Not Mail - Deparmlent Will Pick Up (Note: Staple A Copy.) WlIt Vendor Be Used Again? Y Is This An Employee? Y N Call Extension Tor Check Pick-UJ� Ui"fwro 4 rebel ee rerv:ee nbled,Jbe.6jw"j (Mm h'ameJ 4 Social Security l _ __ - — — - —-- —— Or (plial NNW-eJ ederal Ta-c I.D. # ►pale(left e�ipnanJ aw, (Comple�f`e Signature•No Ili:=—'') T1.1't~ n/(�� St�DIG�. �LMoN,vFpGt' areJ (PP�*r�cu+on) LiL CCati� M Responsibility Report Accouru Distribution (10 Digits) G Accountnr X13 A•nounf 6 -,�0 Z. A Vt �•i�c I ® S•o7 �,Ncll -/oG 97 ?——--— s —— — -- —ID I b'7-f 7 Total of More^?Iran One AM ✓r) ' r Per Override • �,� „ �' p�,�2:+,Gt h`�:tn}:�:t b}Y,to' ;4YR.{A�:i. 1099 Set Up Y N _ NIA Reviewed By: Approved By; Invoice # _ — _ — _ — tnvoiee Date Check P ' P.O. Check Date: Dote Received by Accounting: - Check Received By: Ha,,,r/Dare Rcv 06114193 CITY OF SALEM HEALTH DEPARTMENT Nine North Street • ,i' " Salem, Massachusetts 01970 Telephone Records May 1997 Total Calls Recv'd in 21 Work Days = 864 (average per day =41) Calls Answered by 3 Secretaries ; Barb S. =210 Mary P. = 327 Sue K. = 327 • (8-7) (8-12) (8-4) (8-4) (8-4) Thursday Friday Monday Tuesday Wednesday (5-1) =48 (5-2)=14 (5-5)=65 (5-6)=48 (5-7)=55 (5-8) =43 (5-9)=33 (5-12)=55 (5-13)=49 (5-14)=43 (5-15)=49 (5-16)=20 (5-19)=42 (5-20)=38 (5-21)=39 (5-22)=40 (5-23)=18 (5-27)=47 (5-28)=45 (5-29) =49 (5-30)=24 Messages for or calls taken,complaints assigned, handled by office staff etc... Joanne=285 Dawn Marie =69 Ginny= 83 Pablo =8 Mark=89 Barb =74 Jeff=54 Mary=61 Jose=53 Sue =63 * Note-25 Messages Assignment not Recorded • 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 May 6, 1997 Dear Board Members: I am sorry that I will be unable to attend this month's meeting to present my monthly report. I am serving as a sponsor for two college students and I must attend a Scholarship Fund meeting that night at the same time. Since they only meet twice a year,I think that it is important that I be there. I will see you all next month. Thanks for your understanding. Sincerely, M Dawn Marie Cameron,R.N. Public Health Nurse • t • '�rnna 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 APRIL 1997 ACTIVITIES CLINICS In touch with T.B. Clinic and following active cases and case contacts. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Inter✓iewed and followed all communicable disease cases and reported to CDC. MEETINGS AND CONFERENCES • April 8-Assisted Senior Sanitarian with inspection of Ground Round following Campylobacter complaint. April 10-Health Advisory Council mtg at S.H.S. April 10-Health Fair mtg at S.H.S. April 10-Interdepartmental mtg re:Health Fair. April I I-Public Health Nursing mtg in Tewksbury. April 14-Guest Appearance on WESX radio with Maureen Carr and Charlie Reed. April 16-First Annual Community Wellness Fair at S.H.S. from 10a.m.-7p.m. April 29-Meeting at Police Department re: Health Fair evaluation and feedback. ST.JOSEPHS SCHOOL Working on legalizing medication administration plan. Ongoing hearing and vision screening. April 17-Scoliosis teaching for 5th graders. April 28- Scoliosis Screening for boys. April 29- Scoliosis Screening for girls. Began preparation for last Hepatitis B Vaccination Clinic and physicals. PHOENIX SCHOOL Working on legalizing medication administration plan-until then,I am administering the meds M-Th,per request of Betsye Sargent. Ongoing preparation for hearing and vision screening.. April 9- Scoliosis teaching for entire school. April 11- Scoliosis Screening held at the Y.M.C.A. -2 referrals made. • Began preparation for last Hepatitis B Vaccination Clinic. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES Tel:(508)741-1800 Fax:(508)740-9705 FOR THE MONTH OF APRIL 1997 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 0 0 0 0 LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 1 0 1 1 SHIGELLA 0 0 0 0 TUBERCULOSIS 0 1 1 1 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. �9�PC.l.VYI�Gttic.� `�LP��.fJvL� Dawn Marie Cameron,R.N.,M.S.N. Public Health Nurse For the Board of Health • • Summary of Communicable Diseases- April, 1997 Salmonella: A 32 y.o. non-foodhandler with S. enteritidis. No antibiotics needed. Patient believes she became ill from unrefridgerated milk consumed on her honeymoon in Jamaica. Summary of Health Fair- The First Annual Community Wellness Fair was organized and well- attended. Overall, the feedback was very positive. The Salem Health Department had two tables, with some nice posters and a lot of valuable information. The Health Department was well-represented throughout the day as the entire staff took turns manning the tables. Now that we know what to expect, next year's fair should be even more successful. ?-DMINISTRATION - MONTHLY REPORT APRIL 1997 _ BIJLOCICS DISTRIBUTED AMOUNT IN DOSES AMOUNT 65 Diptheria, Tetanus 6 Pertussis 585 BURIAL PERMITS ISSUED Diptheria-Tetanus Tox. (under 6 yrs. ) 0 ANIMAL BITES REPORTED 2 Immune Serum Globulin 0 CKS. RECEIVED - LICENSES & PERMITS $527.40 Measles/Mumps/Rubella 250 CERTIFICATE OF FITNESS - CHECKS Polio 400 76 INSPECTIONS X $25.00 $1,900.00 Tetanus & Diptheria (adult use) 315 Tuberculin PPD 720 HIB Titre 370 Hepatitis B 810 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $344,000.00 $280,225.44 --- 63,774.56 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $54,800.00 $18,235.60 --- $8,870.63 $36,868. 13 2, 174.36 - HELD OVER 7,000.00 - SUPP. APPR. $63,974 .36 - 1995/BAS City Of Salem Environmental Health Division --- Inspection Monthly Summary Month Jul 96 Aug 96 Sep 96 Oct 96 Nov 96 Dec 96 Jan 97 Feb 97 Mar 97 Apr 97 Count We --- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ===-7 3 1 0 0 0 0 0 0 3 0 7 0S 0 0 0 0 0 0 0 0 1 0 i BB 1 0 0 0 0 1 1 0 0 0 3 CFI 93 88 74 129 50 65 57 72 73 63 764 CFI/HR 1 0 0 0 0 0 0 0 0 0 1 CFR 8 5 7 5 0 0 3 2 0 9 39 CH 1 2 2 0 7 6 4 3 5 1 31 CON 7 19 7 29 13 4 6 10 5 5 105 CR 22 2 7 9 2 1 4 6 3 3 59 CRF 0 0 0 0 0 0 0 0 1 0 1 DC 1 0 0 0 0 0 0 0 0 0 1 EC 11 14 13 4 3 7 6 12 5 1 76 EPR 1 0 0 0 0 0 0 0 0 0 1 FC 1 6 1 4 0 0 1 2 1 3 19 FCQ 1 0 0 0 0 0 0 0 0 0 1 FRH 0 0 0 2 0 1 0 0 1 0 4 FSD 1 1 2 6 1 1 3 2 3 2 22 FSI 25 16 22 28 13 14 30 16 44 14 222 FSR 17 11 7 21 6 6 11 13 1 12 105 - GN 7 9 1 2 1 1 2 3 3 2 31 HI 14 22 22 31 63 10 70 15 36 5 288 HR 9 14 21 19 14 16 15 8 13 18 147 LPC 1 0 0 0 0 0 0 0 0 0 1 LPI 3 5 2 3 4 0 3 2 0 2 24 MS 1 0 0 0 0 0 0 0 1 0 2 MUC 1 0 0 0 0 1 0 0 0 0 2 MUP 0 1 0 0 1 2 0 0 0 4 8 0 0 0 0 0 1 7 0 1 0 9 Wo 1 0 0 0 0 0 0 0 0 0 1 RC 0 2 0 1 1 2 0 0 1 0 7 RFC 0 0 0 0 1 0 0 1 0 0 2 RFD 0 0 0 1 1 0 1 0 0 0 3 RFI 4 4 5 5 7 9 5 6 8 1 54 RFR 3 5 0 3 3 3 2 3 3 1 26 RO 3 2 1 1 0 0 2 2 1 0 12 SB 26 45 14 0 0 0 0 0 0 0 85 Sc 0 0 1 0 2 0 3 5 0 2 13 SES 0 3 0 0 0 0 0 0 0 0 3 SM 11 10 12 13 11 20 7 9 8 12 113 SP 4 1 0 0 0 0 9 1 0 0 15 ST 1 0 0 1 0 0 0 0 0 0 2 TFI 2 28 0 4 0 0 0 0 0 0 34 TR 91 76 51 57 28 35 43 98 78 46 603 Count 376 392 272 378 232 206 295 291 299 206 2947 BB - Bed/Break. 2 FSI - Food Serv. Ins . 252* RFD - Retail Food Disc . CFI - Cert . Fit . 912* FSR - Food Serv. Rein. 117* RFI - Ret . Insp. 68* CFR - Cert . Fit .Reinsp. GN Gen. Nuisance 40* RFR - Retail Food Rein. _ CH - Court Hearing 51* HI Housing Insp. 185* RO - Rodent Control CON - Constable Serv. HR - Housing Reinsp . 117* SC - Suntan 6 CR - Compliance Rev. LPI - Lead Paint Insp. 15* SES - SESD Odor 19* DC - Day Care MS - Massage 5 SM - Seminars/Meetings EC - Envirn. Compl . 117* MUP - Mobile Food Insp. 13* SP - Swim. Pools 14 W - Ext . Paint 11* MUC - Mobile Unit Compl . SB - Swim. Beaches 76* - Food Compl . 22* OS - Off . Sub. Insp. 8* ST - Soil Test FRH - Food Related Hear. RC - Rec . Camp 5 TFI - Temp. Food 9Q* FSD - Food Serv. Disc . RFC - Retail Food Compl . TR - Trash 61j, • NEWSLETTER Zg May 13,1997 AGENT'S REPORT TO THE BOARDOD A second set of plans for a septic system have been HEALTH FAIR@ MOVING?O submitted. These plans The First Annual Wellness The City is considering request several variances from Fair was a success. moving the Health TitleV, so that we must hold Congratulations to Maureen Department to the Recreation a public hearing, abutters Carr, Officer Reed, and Building at Forest River Park. must be notified by mail and especially to Dawn Marie The staff is very happy about information must be Cameron. Dawn Marie the location. However, the published in the newspaper. continued her regular duties building requires considerable We will discuss the timetable in addition to planning the renovation to make it at the meeting. Health Fair. appropriate for office space. We are calculating an HIGHLAND AVENUE9W MEDIA® estimate for that renovation. The Health Department You may see me this .We are not certain if there has taken action against the month on two SATV will be sufficient funds to do owner of the landscaping productions. The first is the work. If we move there it business on Highland Avenue. "Behind the Badge." The would probably be in The last step was a hearing topic was underage drinking. November. before the Housing Court It was originally to be filmed judge. The owner failed to last month which was Alcohol TB CLINIC✓ appear, so we requested a Awareness Month. However Mary Jane Thomas and I warrant for his arrest. It was the April Fools Blizzard are in the process of writing a issued and we will forward it caused it to be postponed. job description which is to the Salem Police In addition, the Mayor specific to her position. She department for execution. asked me to discuss the has had some concerns that Household Hazardous Wastre some of the duties she has TOBACCO CONTROLO Collection Day on his acquired were nursing in Ann Marie Milcols, "Executive Forum." nature. I have discussed this Director of the Tobacco with the Director of Control program will attend Ambulatory Care, Janet our meeting to discuss the Atkins. She agrees that Mary results of her last compliance My thanks to our great Jane should not be performing check. A report is enclosed in staff for running a smooth any nursing services and has the meeting packet. ship while I was in Florida •increased the number of We ordered the owners of having a mind readjustment nursing hours available at the the four establishments who with Mickey Mouse! clinic. sold to minors to also attend the meeting. 8 Wyman Avenue Mm 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 PUBLIC HEALTH NURSE REPORT MARCH 1997 ACTIVITIES CLINICS In touch with T.B. Clinic and following active cases and case contacts. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. MEETINGS AND CONFERENCES • March 4-Mtg with Dr. Dumas at Workwell re:TB mask fitting. March 6-Health Advisory Council mtg at S.H.S. March 11-Mtg with Kelly Fouhey re: poster design. March I I-Interdepartmental mtg re: Health Fair. March 14-Public Health Nursing mtg in Tewksbury. March 22-Public Speaking Conference in Haverhill. March 25-Health Fair mtg at S.H.S. ST. JOSEPHS SCHOOL Working on legalizing medication administration plan. Ongoing hearing and vision screening. Begun preparation for postural screening in April. PHOENIX SCHOOL Working on legalizing medication administration plan-until then,I am administering the meds M-Th,per request of Betsye Sargent. Ongoing preparation for hearing and vision screening.. Begun preparation for postural screening in April. • L `r 3 rc. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES Tel:(508)741-1800 Fax:(508)740-9705 FOR THE MONTH OF MARCH 1997 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 1 0 > > LYME DISEASE 0 0 0 0 MENINGITIS 1 0 1 1 MUMPS 0 0 0 0 SALMONELLA 1 0 1 1 SHIGELLA 0 0 0 0 TUBERCULOSIS 0 2 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. Dawn Marie Cameron,R.N.,M.S.N. Public Health Nurse For the Board of Health • 4 • Summary of Communicable Diseases- March, 1997 HEPATITIS: One New Case-A 50 y.o. male with Hepatitis C-minimal risk factors, exposure unknown-warehouse worker-patient asymptomatic- teaching provided to patient. MENINGITIS: One New Case-A76 y.o. female with bacterial meningitis, serotype Neisseria-patient attends adult daycare at the Spectrum in Danvers-Danvers B.O.H. notified- after consultation with M.D.P.H., advised that all day care participants and staff receive antibiotics prophylactically, as well as all household contacts-patient still hospitalized. SALMONELLA: One New Case-A 15 y.o. female- patient has an unpublished phone number and has not responded to my letters- case discharged and sent to the state. MEMORAN M, Date: 04/04/97 To: Board of Health Members From: Joanne Scott. Re: No Newsletter Because of the snow storm my newsletter to the Board has been cancelled for this month! But I did want to let you know that I will be out of town from April 17th through the 27th. • Sincerely, i ADMINISTRATION - MONTHLY REPORT MARCH 1997 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus b. Pertussis 420 BURIAL .PERMITS ISSUED 56 Diptheria-Tetanus T.-,x. .(under 6 yrs. ) 0 ANIMAL BITES REPORTED Immune Serum Globulin 1870.00 2. CKS.` RECEIVED -* LICENSES & PERMITS $ Measles/Mumps/Rubella 150 CERTIFICATE OF FITNESS - CHECKS ' Polio 500 INSPECTIONS X $25.00 � $1575.00 Tetanus & Diptheria (adult use) 330 Tuberculin PPD 240 HIB Titre 360 Hepatitis B 557 SALARY/LONGEVLTY: ANNUAL BUDGET EXPENSES YTD. EXPENSES ENCUMBERED AVAILABLE BALANCE $344,000.00 $29;878.90 --- $8,875. 10 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $54,800.00 $19,294.28 --- $3,955.. 72 $33,724.36 2, 174.36 - HELD OVER 1995/BAS . City Of Salem Environmental Health Division - - Inspection Monthly Summary Month --------------- ----- --------------------------------------- Type Jul 96 Aug 96 Sep 96 Oct 96 Nov 96 Dec 96 Jan 97 Feb 97 Mar 97 Count ------ ------ ------ ------ ------ ----- 3 '1 0 0 0 0 0 0 3 7 OS 0 0 0 0 0 0 0 0 1 1 BB 1 0 0 0 0 1 1 0 0 3 CFI 93 88 74 129 50 65 57 72 73 701 CFI/HR 1 0 0 0 0 0 0 0 0 1 CFR 8 5 7 5 0 0 3 2 0 30 CH 1 2 2 0 7 6 4 3 5 30 CON 7 19 7 29 13 4 6 10 5 100 CR 22 2 7 9 2 1 4 6 3 56 CRF 0 0 0 0 0 0 0 0 1 1 DC 1 0 0 0 0 0 0 0 0 1 EC 11 14 13 4 3 7 6 12 5 75 EPR 1 0 0 0 0 0 0 0 0 1 FC 1 6 1 4 0 0 1 2 1 16 FCQ 1 0 0 0 0 0 0 0 0 1 FRH 0 0 0 2 0 1 0 0 1 4 FSD _ 1 1 2 6 1 1 3 2 3 20 FSI 25 16 22 28 13 14 30 16 44 208 FSR 17 11 7 21 6 6 11 13 1 93 GN 7 9 1 2 1 1 2 3 3 29 HI 14 22 22 31 63 10 _ 70 15 36 283' HR 9 14 21 19 14 16 15 8 13 129 LPC 1 0 0 0 0 0 0 0 0 1 LPI 3 5 2 3 4 0 3 2 0 22 MS 1 0 0 0 0 0 0 0 1 2 MUC 1 0 0 0 0 1 0 0 0 2 MUP 0 1 0 0 1 2 0 0 0 4 OS 0 0 0 0 0 1 7 0 1 9 RO 1 0 0 0 0 0 0 • RC 0 2 0 1 1 2 0 0 1 7 RFC 0 0 0 0 1 0 0 1 0 2 RFD 0 0 0 1 1 0- 1 0 0 3 RFI 4 4 5 5 7 9 5 6 8 53 RFR 3 5 0 3 3 3 2 3 3 25 RO 3 2 1 1 0 0 2 2 1 12 SB 26 45 14 0 0 0 0 0 0 85 - SC 0 0 1 0 2 0 3 5 0 11 SES 0 3 0 0 0 0 0 0 0 3 SM 11 10 12 13 11 20 7 9 8 101 SP 4 1 0 0 0 0 9 1 0 15 ST 1 0 0 1 0 0 0 0 0 2 TFI 2 28 0 4 0 0 0 0 0 34 TR 91 76 51 57 28 35 43 98 78 557 Count 376 392 272 378 232 206 295 291 299 2741 BB - Bed/Break. 2 FSI - Food Serv. Ins . 252* RFD - Retail Food Disc . CFI - Cert . Fit . 912* FSR - Food Serv. Rein. 117* RFI - Ret . Insp. 68* CFR - Cert . Fit .Reinsp. GN _ Gen. Nuisance 40* RFR - Retail Food Rein. CH - Court Hearing 51* HI - Housing Insp. 185* RO Rodent Control CON - Constable Serv. HR - Housing Reinsp . 117* SC - Suntan 6 CR - Compliance Rev. LPI - Lead Paint Insp,. 15* SES - SESD Odor 19* DC - Day Care MS - Massage 5 SM - Seminars/Meetings EC Envirn. Compl . 117* MUP - Mobile Food Insp. 13* Sp - Swim. Pools 14 EPR - Ext . Paint 11* MUC - Mobile Unit Compl . SB - Swim. Beaches 76* FC - Food Compl . 22* OS, - Off . Sub. Insp. 8* ST - Soil Test WH - Food Related Hear. RC - Rec . Camp 5 TFI - Temp . Food 98* SD - Food Serv. Disc . RFC - Retail Food Compl . TR Trash 617* ------------- CHECK REQUEST F ,e V 9 9 GENERAL FU ' C �Areoutt • tendor Num heck ber: Speed Date (if needed within S calendar days) 'payable To: (Initial., Plus Full Name): Month: Day: --. Year: ENT FYy ONE ��� , CheckUYtSd�7�JUllolt Address ��,. ��� • Send By U.S. Mall: (Atrocl, origi,at(s) 01 7 _._ P For Accounting.) To Be Mailed And Sra le A SPY _ Do Not Mail - Depal'nnent Will Pick Up (Note: Staple A COPY.) Will Vendor Be Used Again? Y �N Call Extension For Check Pick-Up Is This An Employee? Y N . (/pe;evNv Lbor o•arrwu n'ai.d.i!v Jl+lb.vt (Prim,NanrJ xlrGl��� Social Security lr Or Garin,�cmeJ eFederal Tax I.D. k _ _ - - - - - pilnp ase( of Ducripri9MJ/ (Compfere siswurc Le6 •No lrir�'J NOr 5t'IGr� ✓/�r1oh4�' (D�1 }rrcFrionl (�( TG Dh r'C Responsibiliry Report Account Dis(riburioll (10 Digits) 9 2 3�o ��•�0 z More �,an one Acct q) vt tts V o ® 43 3l' �• Total gfMo �- 0? r r .. ` �< Per Override 1 o99 Set Up Y — N Reviewed By: Approved By Invoice _ _ _ — — — — — -- — _ Invoice Date — Check b: P.O. !t _ _ ' - - - - -- - • Check Date: Date Received by Accoutfrilfg: Check Received By: Katne(Dore Rev 06IJ 4193 ADMIT•'rRATION MONTHLY REPORT FEBRUARY 1997• • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus 6 Pertussis 525 BURIAL PERMITS ISSUED 50 Diptheria-Tetanus Tox. (under 6 yrs. ) 1 -0- ANIMAL BITES REPORTED Immune Serum Globulin $884.00 -0- CKS., RECEIVED - LICENSES & PERMITS Measles/Mumps/Rube-lla 160 CERTIFICATE OF FITNESS - CHECKS Polio 450 INSPECTIONS X $25.00 = $1,675.00 Tetanus & Diptheria (adult use) 300 Tuberculin PPD 690 91B Titre 540 F;epatitis B 817 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $344,000.00 $205,580.73 $138,419.27 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $54,800.00 $18,033.22 --- $3,197.14 $42,743.90 2,174.36 - HELD OVER 7,000.00 - APPRO. 1995;BAS y d7 �, `1 a�c..4 �`�'t,.�-e.. �ri��_. ,Ci y Of7Salem .. ,•.. - '+ � tEnvironmental Health D+vision Flnspection.Monthly Summary ,, a Month ------------------- ------------------------------------------ e Jul 96 Aug 96 Sep 96 Oct 96 I40v 96 Dec 96 Jan 97 Feb 97 Count 3 1 0 0 0 0 0 0 4 BB 1 0 0 0 0 1 1 0 3 CFI 93 88 74 129 50 65 57 72 628 CFIIHR 1 0 0 0 0 0 0 0 1 CFR 8 5 7 5 0 0 3 2 30 CH 1 2 2 0 7 66 4 3 25 CON 7 19 7 29 13 4 6 10 95 CR 22 2 7 9 2 1 4 6 53 DC 1 0 0 0 0 0 0 0 1 EC 11 14 13 4 3 7 6 12 70 EPR 1 0 0 0 0 0 G 0 1 FC 1 6 1 4 0 0 1 2 15 FCQ 1 0 0 0 0 0 0 0 1 FRE 0 0 0 2 0 1 0 0 3 FSD 1 1 2 6 1 1 3 2 17 FSI 25 16 22 28 13 14 30 16 164 FSR 17 11 7 21 6 6 11 13 92 GN 7 9 1 2 1 1 2 3 26 HI 14 22 22 31 63 10 70 15 247 HR 9 14 21 19 14 16 15 8 116 LPC 1 0 0 0 0 0 0 0 1 LPI 3 5 2 3 4 0 3 2 22 MS 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 2 op 0 1 0 0 1 2 0 0 4 OS 0 0 0 0 0 1 7 0 8 RO 1 0 0 0 0 0 0 0 1 RC 0 2 0 1 1 2 0 0 6 RFC 0 0 0 0 1 0 0 1 2 RFD 0 0 0 1 1 0 1 0 3 RFI 4 4 5 5 7 9 5 6 45 RFR 3 5 0 3 3 3 2 3 22 RO 3 2 1 1 0 0 2 2 11 SB 26 45 ,_-14 0 0 0 0 0 85 SC 0 0 1 0 2 0 3 5 11 SES 0 3 0 0 0 0 0 0 3 SM 11 10 12 13 11 20 7 9 93 Sp 4 1 0 0 0 0 9 1 15 i ST 1 0 0 1 0 0 0 0 2 TFI 2 28 0 4 0 0 0 0 34 TR 91 76 51 57 28 35 43 98 479 Count 376 392 272 378 232 206 295 291 2442 BB - Bed/Break. 2 FSI - Food Serv. Ins.252* RFD - Retail Food Disc. . CFI - Cert. Fit.912* FSR - Food Serv. Rein.1.17* RFI - Ret. Insp. 68* CFR - Cert. Fit:Reinsp. GN _ Gen. Nuisance" 40.* RFR - Retail Food Rein. r' * - Housing Insp. 18'5* RO - Rodent Control t Hearing 51 HI CH Court g g P CON - Constable Serv. HR - Housing Reinsp.117* SC - Suntan 6 4V - Compliance. Rev. LPI - Lead Paint Insp. 15* SES - SESD Odor 19* - Day Care MS - Massage 5 SM - Seminars/Meetings EC - Envirn. Compl.117* MUP - Mobile Food Insp. 13* SP - Swim. Pools 14 EPR - Ext. Paint 11* MUC - Mobile Unit Compl. SB - Swim. Beaches 76* FC - Food Compl.22* OS - Off. Sub. Insp. 8* ST —Soil Test FRH - Food Related Hear. RC - Rec. Camp 5 TFI - Temp.Food 98* FSD - Food Serv. Disc. RFC - Retail Food Compl. TR - Trash 617* 3 � nrn>B 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 RIB PORT FEBRUARY 1997 ACTIVITIES CLINICS In touch with T.B.Clinic following active cases and case contacts. Several PPD tests done in office. • Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. Completed Blood Pressures for city employees,firemen,and policemen. Arranged follow-up as needed. MEETINGS AND CONFERENCES Feb.6-Health Fair Meeting at Salem Police Station. Feb.18-Intradepartmental Meeting re: Health Fair. Feb.24-Meeting with Karolyn Jernigan at Pulmonary Clinic re: active TB cases. Feb.24-Meeting with S.S.C. Nursing Professor re: student preceptorship. ST.JOSEPHS SCHOOL Working on legalizing medication administration plan. Ongoing hearing and vision screening. PHEONIX SCHOOL Working on legalizing med.program-until then,I am giving meds M-Th,per request of Betsye Sargent. Ongoing preparation for hearing and vision screening. • 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 1997 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 1 0 2 2 E.COLI 0157 0 0 0 0 GI ARDIA 1 0 1 1 HEPATITIS 2 2 0 0 LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 TUBERCULOSIS 0 2 2 2 VARICELLA 16 0 16 16 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. DAWN MARIE CAMERON,R.N.,M.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH r • SUMMARY OF COMMUNICABLE DISEASES-FEBRUARY, 1997 CAMPYLOBACTER: One New Case-A 70 y.o. retired male-treated with antibiotics and IVF- exposure unknown. GIARDIA: One New Case-A 2 y.o. girl- mother believes that child may have been exposed during a recent trip to Dominican Republic- patient treated with antibiotics-family contacts were not ill. HEPATITIS: 2 New Cases of Hepatitis C-still under investigation. TUBERCULOSIS: No new cases but two active cases have completed treatment and have been discharged. VARICELLA: 16 New Cases- 1) An outbreak at the Solarterre-e-em School involving 15 children. 2) A 29 y.o. female. No case report required for Varicella but total number of cases sent to M.D.P.H. _ • , EWSLEiTTER 27 MARCH 11, 1997 AGENT'S REPORT TO THE BOARDOu COPY MACHINE 1113 utilize the grant money FOOD The Mayor and City received. A computer George and I met with Council approved a special consultant is evaluating our Ellen DiGeronimo of the appropriation of $7,00.0.00 computers and will advise us Salem Chamber of Commerce for our Department to regarding the purchase of lap regarding certification. purchase a new copy machine. top computers to do some George was able to secure St. The staff has been battling field work and investigation. Ann's School for training with our current machine We will then begin to educate sessions. Ellen asked for a with poor results. We hope septic owners, particularly on couple of volunteers from our new machine will.be the islands, regarding the food establishments to work helping to prepare your April availability of low interest with her. She now has the packets! loans. owner of "Coffee Tie" and HOUSING b Mark is working on this "In a Pigs Eye" interviewing The Neighborhood project with me. We potential trainers and Improvement Task Force and attended a seminar regarding deciding on a schedule of our Department have implementation of the grant. classes. This group is received many complaints SEMINARS planning to hold a morning about property at 66,Derby Ginny and I attended a and afternoon session in Street from neighbors, City seminar to enhance our April, May and September, Councillors and Elder Services communication skills. Let me for a total of six different workers. The Health, Building know if you notice an opportunities. Many owners and Fire Departments improvement! were concerned about the attempted to do an inspection HHWCD 0 location and accessibility of with the occupant/owners Jeff has taken over the the program. Ellen is doing a permission, but we were planning of this year's event. wonderful job addressing this denied access. It was The.tentative date is June 7th concern and "getting the ball necessary for us to obtain a TRASH " rolling." search warrant. A report to Trash inspections this year We have.issued the Task Force is enclosed. total 474 as compared to 381 approximately 250 food A similar situation exists last year at this time. Hats off permits for 1997. on Felt Street. I'll update the to Jose! Approximately seven Board at the meeting. CLERICAL STAFFV establishments are operating Enclosed please find Bob Special thanks for the without a current permit. We Ledoux's response to Owen's efforts of our secretaries in are ticketing these letter regarding rooming assisting with all the activities • establishments and will step house inspections. previously mentioned. They up enforcement if that does SEPTIC MANAGEMENT really are the wind beneath not work. GRANT ® II our wings We are beginning to ADMINIST RATION MONTHLY REPORT JANUARY 1997 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Dipcheria, Tetanus & Pertussis 525 BURIAL PERMITS ISSUED 69 iptheria-Tetanus Tox. (under 6 yrs.) 1 _p_ ANIMAL BITES REPORTED immune Serum Globulin _&2 CKS.' RECEIVED - LICENSES & PERMITS $2,750.00 Measles/Mumps/Rubella 250 CERTIFICATE OF FITNESS - CHECKS Polio 62 INSPECTIONS X $25.00 = $1,550.00 450 Tetanus & Diptheria (adult use) 555 Tuberculin PPD 200 HIB Titre 390 Hepatitis B 1064 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES� YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $344:000.00 --- $205,580.73 --- $138,419.27 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $54,800.00 $18,033.32 --- $3,197. 14 $35,743.90 2,174.36 - HELD OVER 1995/BAS I �7 City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ------ ----------------------------------------------- Type Jul 96 Aug 96 Sep 96 Oct 96 Nov 96 Dec 96 Jan 97 Count 3 1 0 0 0 0 0 4 BB 1 0 0 0 0 1 1 3 CFI 93 88 74 129 50 65 57 556 CFI/HR 1 0 0 0 0 0 0 1 CFR 8 5 7 5 0 0 3 28 CH 1 2 2 0 7 6 4 22 CON 7 19 7 29 13 4 6 85 CR 22 2 7 9 2 1 4 47 DC 1 0 0 0 0 0 0 1 EC 11 14 13 4 3 7 6 58 EPR 1 0 0 0 0 0 0 1 FC 1 6 1 4 0 0 1 13 FCQ 1 0 0 0 0 0 0 1 FRH 0 0 0 2 0 1 0 3 FSD 1 1 2 6 1 1 3 15 FSI 25 16 22 28 13 14 30 148 FSR 17 11 7 21 6 6 11 79 GN 7 9 1 2 1 1 2 23 HI 14 22 22 31 63 10 70 232 HR 9 14 21 19 14 16 15 108 LPC 1 0 0 0 0 0 0 1 LPI 3 5 2 3 4 0 3 20 MS 1 0 0 0 0 0 0 1 1 0 0 0 0 1 0 2 1W 0 1 0 0 1 2 0 4 OS 0 0 0 0 0 1 7 8 RO 1 0 0 0 0 0 0 1 RC 0 2 0 1 1 2 0 6 RFC 0 0 0 0 1 0 0 1 RFD 0 0 0 1 1 0 1 3 RFI 4 4 5 5 7 9 5 39 RFR 3 5 0 3 3 3 2 19 RO 3 2 1 1 0 0 2 9 SB 26 45 14 0 0 0 0 85 SC 0 0 1 0 2 0 3 6 SES 0 3 0 0 0 0 0 3 SM 11 10 12 13 11 20 7 84 SP 4 1 0 0 0 0 9 14 ST 1 0 0 1 0 0 0 2 TFI 2 28 0 4 0 0 0 34 TR 91 76 51 57 28 35 43 381 Count 376 392 272 378 232 206 295 2151 BB - Bed/Break. 2 FSI Food Serv. Ins . 252* RFD - Retail Food Disc. CFI - Cert . Fit . 912* FSR - .Food Serv. Rein. 117* RFI - Ret . Insp. 68* CFR - Cert . Fit .Reinsp. GN _ Gen. Nuisance 40* RFR - Retail Food Rein. CH - Court Hearing 51* HI - Housing Insp. 185* RO - Rodent Control CON - Constable Serv. HR - Housing Reinsp. 117* SC - Suntan 6 46 - Compliance Rev. LPI - Lead Paint Insp. 15* SES - SESD Odor 19* - Day Care MS - Massage 5 SM - Seminars/Meetings EC - Envirn. Compl . 117* MUP - Mobile Food Insp. 13* SP - Swim. Pools 14 EPR - Ext . Paint 11* MUC - Mobile Unit Compl . SB - Swim. Beaches 76* FC - Food Compl . 22* OS - Off . Sub. Insp. 8* ST - Soil Test FRH - Food Related Hear. RC - Rec. Camp 5 TFI - Temp.Food 98* FSD - Food Serv. Disc . RFC - Retail Food Compl . TR - Trash 617* 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 1997 ACTIVITIES CLINICS In touch with T.B. Clinic and following active cases and case contacts. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. Began preparation for Blood Pressure Clinics scheduled throughout February. • MEETINGS AND CONFERENCES Jan.9-Meeting at SHS re: planning of community-wide health fair scheduled for April 16. Jan.27-Began preceptorshio of SSC Graduate Nursing Student-every Monday for a semester. ST.JOSEPHS SCHOOL Working on legalizing medication administration plan. Ongoing hearing and vision screening. PHOENIX SCHOOL Working on legalizing medication administration plan-until then,I am administering the meds M-Th,per request of Betsye Sargent. Ongoing preparation for hearing and vision screening.. • l 3 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 JANUARY 1997 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 1 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 2 2 • HEPATITIS 0 0 0 0 LYME DISEASE 0 0 0 0 MENINGITIS 2 0 2 2 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 SHIGELLA 0 0 0 0 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.,M.S.N. Public Health Nurse For the Board of Health • rj Summary of Communicable Diseases- January 1997 CAMPYLOBACTER: One New Case- a 13 y.o. female- case still under investigation. MENINGITIS: 2 New Cases- 1) A 2 y.o. boy with Neisseria Meningitidis-hospitalized at Salem Hospital for a febrile seizure- patient treated with anitibiotics- school friends, family contacts and other close contacts (as determined by the state epidemiologist) were advised to receive prophylaxis. 2) A 60+y.o. male with Herpes Encephalitis- exposure unknown because patient is comatose-limited info provided by the nurse at Union Hospital. • • N EWSLETTER 26 FEBRUARY 11, 1997 AGENT'S REPORT TO THE BOARDOo matter and a letter from Owen on Wednesday to begin planning HOUSING detailing his concerns. I will try to a training session in Salem. During the last three obtain the Solicitor's response for months the Health the meeting. Department has condemned BUDGET TOBACCO CONTROL 0 Our FY 98 Budget proposal is seven units on Bridge Street. Sixteen establishments had due on Friday, February 14th. An � Three of those units were sold cigarettes to a minor during a initial version is included in the condemned twice. A State compliance check in December. packet for your review. law requires us to assist in The Board voted to require those relocation costs when tenants establishments to send a EMPLOYEE are displaced because of representative to a retail training EVALUATIONS violations of the Housing session. Thirteen of those I have been working with Beth Code. Those costs were over establishments complied with that Rennard of Personnel regarding $5,000.00, which we took order. Two establishments did employee evaluations. It is an Worn our "housing-san" line not. I have ordered them to come item which Beth says must be item. This has put that line before the Board on Tuesday. negotiated with the Union. I have item in the red. This is a In addition, Eaton's Pharmacy sent her a proposed method of temporary situation because a has decided not to sell cigarettes evaluation which she is presenting Planning Department grant any longer. Alexandria's Liquors, to the Union. I hope to have an should reimburse us for the was not mandated to attend but update at the Board meeting. total amount. If it does not, I did so. COMPREHENSIVE SEPTIC will petition the Mayor's FOOD MANAGER MANAGEMENT GRANT® office to reimburse the CERTIFICATION d We were awarded the $18,000 remainder. We are receiving inquiries grant(with an additional $2,000 follwing the mailing of our newly to come later). Mark and I will be ROOMING HOUSE passed regulation. Most people attending a seminar at the end of INSPECTIONS ✓ are enthusiastic about the training. the month regarding Owen has voiced concern However,there is a concern implementation of the grant. It regarding a form letter which the regarding the availability of a will help us locate and educate Health Department sends to class which will be convenient homeowners, especially on the rooming house owners. This regarding place and time. All islands, of septic problems and letter requires landlords to have establishments have been notified available low interest funds to tenants sign a release to allow us of a session taking place in Lynn help solve those problems. to inspect their premises if they this month. Six employees of will not be home to grant us entry. Crosby's Market are scheduled to ill is a copy of that form attend. George and I will be letter, a memo I sent to the City meeting with Ellen DiGeronimo Solicitor asking his opinion in this ADMINISTRATION - MONTHLY REPORT DECEMBER 1996 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUIiT Diptheria, Tetanus & Pertussis 390 BURIAL PERMITS ISSUED 71 Diptheria-Tetanus Tox. (under 6 yrs.) 0 ANIMAI, BITES REPORTED 1 Immune Serum Globulin 0 CKS. RECEIVED - LICENSES & PERMITS $7,306.36 Measles/Mumps/Rubella 400 CERTIFICATE OF FITNESS - CHECKS Polio 400 56 INSPECTIONS X $25.00 $1,400.00 Tetanus & Diptheria (adult use) 495 _ Tuberculin PPD 310 HIB Titre 370 Hepatitis B 953 SALARY/LONGEVITY: ANNUAL BUDGET EXPPENS_ES _YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $344,000.00 -- $148,873.72 --- $195, 126.28 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $54,800.00 $13, 164.37 --- $3870.50 $39,939-49 2, 174.36 - HELD OVER 1995/BAS . ': :•, ,. v �i City Of8alema ,.� 4 ev 1 ionmental+Health Diviaion Inspection Mgntlily Sumnaxy h ' ..r 41 "'111 Month 7 type Jul 96~{Aug 96 Sep, 96, ',Oct-96+ Nov 96 .Der. 96 Count y . 3 1 0_.' 0 0 0 4 BB L 1> 0;'r 0 0 0: 1 2 , 93 ";:88} a'5 74 " '129 `50 65 499 - CFI/M 1 0 0 0 0 0 1 -CFR 8 5 7 5 0 0 25 CH 1 2 ' . 2 0 7 6 18 CON 7 19 7 29 13 4 79 CR 22 2 7 9 2 1 43 DC 1 O y,.: 0 0 0 0 1 EC 11 14 13 4 3 7 52 SPR 1 0 0 .0 0 0 1 PC 1 6 1 4 0 0 12 FCQ 1 0 0 - 0 0 0 1 FRB 0 0 0 2 0 i 3 FSD 1 1 2 6 1 1 12 PSI 25 15 22 28 13 14 118 FSR 17 11 7 21 6 6 68 W* 7 9 1 2 1 1 21 HI 14 22 22 31 63 10 162 HR 9 14 21 19 14 16 93 LPC 1 0 0 0 0 0 1 LPI 3 5 2 3 4 0 17 MS 1 0 0 0 0 0 1 �C 1 0 0 0 0 1 2 P 0 1 0 0 1 2 4 OS 0 0 0 0 0 1 1 RO 1 0 0 0 0 0 1 RC 0 2 0 1 1 2 6 RFC 0 0 0 0 1 0 1 RFD 0 0 0 1 1 0 2 RFI 4 4 5 5 _7.' 9 34 RFR 3 5 0 3 3 3 17 RO 3 2 1 1 0 0 7 SB 26 45 14 0 0 0 85 SC 0 0 1 0 2 0 3 SBS 0 3 0 0 0 0. 3 SM 11 10 12 13 11 20 17 SP 4 1 0 0 0 0 5 -.-ST 1 0 0 1 0 0 2 TPI 2 28 0 4 0 0 34 TR 91 76 51 57 28 35 338 Count 376 392" "`°`:2 378 232 206 1856 BB - Bed/ .2 o d S Retail_ FSI - Foerv. Ins.252* RFD - Reta Food Disc. CF.I - Cert Fib 9-12* FSR - .Food Serv. Rein.117* RFI_.- Ret. lasp.68* CFR - Cert. Fit.Reinsp. GN -Gen. Nuisance 40* RFR - Retail Food Rein. CH - Court Hearing 51* HI _ - Housing Insp. 185* RO - Rodent Control N = Constable :Serv. HRH -v Housing. Rei.nsp.117* SC - Suntan 6 • - Compliance Rev. LPI _ = Lead .Paint Insp.. 15* SES - SESD .Odor 19* -DC - Day Care MST- '- -Massage 5 SM - Seminars/Meetings EC - Envirn. Compl.117* D& - Mobile Food Insp. 13* SP —Swim. Pools 14 EPR - Ext. Paint ll* MUC - Mobile Unit Compl. SB - Swim. Beaches 76* 'FC - Food Compl.22* OS - Off': Sub. Snsp. 8* ST - Soil Test FRH - Food Related Hear. RC Rec Camp _5 TFI - Temp.Food 98* FSD - Food Serv. Disc. RFC Retail Obod Compl. TR - Trash 617* .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 PUBLIC HEALTH NURSE REPORT DECEMBER 1996 ACTIVITIES CLINICS In touch with T.B. Clinic and following active cases and case contacts. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. Several home visits and office appointments done for flu and/or pneumonia shots. • MEETINGS AND CONFERENCES Dec. 10-Health Advisory Council meeting at Salem High School. ST. JOSEPHS SCHOOL Working on legalizing medication administration plan. Dec. 19-Second Hep B clinic held-approx.25 shots given. Hearing&Vision screening started. PHOENIX SCHOOL Working on legalizing medication administration plan-until then,I am administering the meds M-Th,per request of Betsye Sargent. Began preparation for hearing and vision screening. Dec.20- Second Hep B clinic held-approx. 10 shots given. • CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,IRS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(508)740-9705 FOR THE MONTH OF DECEMBER 1996 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 1, 2 0 0 HEPATITIS 1 0 2 2 • LYME DISEASE t 0 1 1 MENINGITIS 0 0 1 1 MUMPS 0 0. 0 0 SALMONELLA 0 0 0 0 SHIGELLA 0 0 1 1 TUBERCULOSIS 1 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.,M.S.N. Public Health Nurse For the Board of Health y • Summary of Communicable Diseases-December 1996 GIARDIA: One New Case-a 27 y.o. male-occupation unknown-exposure unknown-pt. speaks Arabic-will need interpreter. HEPATITIS: One New Case-a 47 y.o. unemployed male with minimal risk factors for Hepatitis C-exposure unknown- teaching provided to patient. LY ME: One New Case-a reported case which was proven to be negative by Western Blot test. TB: One New Case-a 70 y.o. Vietnamese male with active pulmonary T.B.-5 case contacts screened and investigated-will rescreen contacts in 3 months. • • ER 25 JANUARY 14,1997 AGENT'S REPORT TO THE BOARDID and permitted the trucks. spring. These covers are not air tight. PIERCE ROAD% They do fit extremely.well TOBACCO CONTROU This subdivision is before particularly at the corners. I All those vendors , who the Board again at Tuesday's inspected the trucks when sold cigarettes to a child meeting. Several Board they contained sludge..and did under eighteen during a members have voiced not detect any odors. recent compliance check, have concerns regarding been ordered to attend a retail environmental health impacts FAMILY HEALTH training session in Saugus. If from the project. The Board CENTERO any do not attend they will be may make decisions regarding it has been an exciting ordered before the r:e:::t Board subdi«sion approval based on time for Jose and I to be on meeting. I have not received its usual areas of jurisdiction. the executive board.of the any negative comments from I have been investigating Family Health Center:The any. A couple called to verify whether that includes areas GraTr&Opening of the Salem that they would be attending. •not specifically dealing with branch on Congress Street is public health but with ` Wednesday, January 14th. I FOOD-MANAGER "environmental health." I'll have been helping to organize CERTIFICATION have much more information the "senior' activities between TRAINING for you by Monday or 9 and 11:30 AM. Jose has Once again that topic will Tuesday. It appears that the -been working on the .: be discussed at the next courts have not upheld BOH afternoon community collaborative meeting. decisionF not to approve segment. "There will be Whatever the collaborative because of environmental speeches by dignitaries, decides, I will be meeting with issues unless they have including the Mayor and the Ellen DiGeronimo, Executive included Title V concerns. Commissioner of Public Director of the Salem 'However, the Board may be Health, beginning at 11 AM. Chamber of Commerce, to able to address environmental Everyone is cordially invited. discuss organizing local concerns by "approving with A facility located in the Point training classes. Georgeims conditions." Those conditions neighborhood will improve volunteered to work on that could address issues such as access to care. endeavor. oil storage, release of toxics from automobiles, etc. HOUSEHOLD STAFF* The City Solicitor will attend HAZARDOUS WASTE It is good to have a full the meeting. COLLECTION DAYO complement of staff back • The FY 97 budget includes after the holidays. SESD SLUDGE TRUCKS✓ $30,000.00 for another I have inspected the new, HHWCD. The Mayor would temporary sludge truck covers like us to plan one for the ADMINISTRATION - MONTHLY REPORT NOVEMBER 19960 • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 450 BURIAL PERMITS ISSUED 44 Diptheria-Tetanus Tox. (under 6 yrs. ) 0 10 ANIMAL BITES REPORTED Immune Serum Globulin 4 CKS•' RECEIVED - LICENSES & PERMITS $115.00 Measles/Mumps/Rubella 530 CERTIFICATE OF FITNESS - CHECKS $1,225.00 Polio 450 INSPECTIONS X $25.00 = Tetanus & Diptheria (adult use) ' 450 Tuberculin PPD 460 .� HIB Titre 470 Hepatitis B 685 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $344,000.00 --- $148,873.72 --- $195,126.28 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $54,800.00 $13,164.37 --- $3,870.50 $39,939.49 2,174.36 - HELD OVER 1995/BAS d 4 �3 �v' t v ersY,Y as Y S x c f1 +v f + FT, 'wT.zl.'it�"i �n * 15 � t it" Fnvir�uzen A1 ctdib . , onchiy a.su y - aaaaaaaaaaaaaaaaaaaaaaadaaaaaaaaaa `daa a�aaaaaaaaaaaaaaaaaaaaaaaciaaaaaaa BB Bed/Break 2 r FSrI' Fn�d Sera Ins: 252`* RFD - Retail Food ?isc: CFI Cent. `Fit 912* FSR= Focd Serv. Re ri.117* RFI - Ret. Insp.68* CFR Cert. Fit :Reinsp. GN -Gen Nuisance 40* RFR - Retail Food Rein. CH: Court° Hearing`"S1* HI Housing Insp. 185* RO - Rodent Control CON = Constable Serv. ER. - Housing Reinsp.117* SC - Suntan 6 CR cwmpTance Rev. LPI - Lead' Paint 'Tnsp. `15* SES - SESD` odor 19 DC - Day- Care MS ' Massage 5 SM - Seminars/Meetings EC - Envirn. Compl.117* .MUP - Mobile Food Insp.. ,13* SP - Swim. Pools 14 EPR - Ext. Paint 11* MUC Mobile Unit Compl SB - Swim. Beaches 76*, FC - Food Compl.2,2* OS - Off. Sub. Insp. 8* ST - Soil Test FRH - Food Related. Bear. RC - .Rec. Camp 5 TFI - Temp.Food'. 9 F3* FSD - Food Serv. Disc. RFC - `Retail Food Compl. TR - Trash 617* Month Type Jul 96 Aug 96 .Sep 96 Oct 96 Nov 96 Count 3 1 0 0 0 4 BB 1 0 0 0 0 1 CFI 93 88 74 129 50 434 CFI/HR 1 0 0 0 0 1 CFR 8 5 7 5 0 25 CH. 1 2 2 0 7 12 CON. . 7 19 7 29 13 75 CR 22 2 7 9 2 42 DC 1 0 0 0 0 1 EC 11. 14 13 4 3 45 EPR 1 0 0 0 0 1 FC 1 6 1 4 0 12 FCQ 1 0 0 0 0 1 FRH 0 0 0 2 0 2 FSD 1 1 2 6 1 11 FSI 25 16 22 28 13 104 FSR 17 v 11 7 21 6 62 GN 7 9 1 2 1 20 HI 14 22 22 31 63 152 HR 9 14 21 19 14 77 LPC 1 0 0 0 0 1 LPI 3 5 2 3 4 17 MS 1 0 0 0 0 1 MUC 1 0 0 0 0 1 MUP 0 1 0 0 1 2 RO 1 0 0 0 0 1 RC 0 2 0 1 1 4 RFC 0 0 0 0 1 1 RFD 0 0 0 1 1 2 RFI 4 4 5 5 7 25 RFR 3 5 0 3 3 14 RO 3 2 1 1 0 7 SB 26 45 14 0 0 85 SC 0 0 1 0 2 3 SES 0 3 0 0 0 3 • SM 11 10 12 13 11 57 SP 4 1 0 0 0 5 ST 1 0 0 1 0 2 TFI 2 28 0 4 0 34 TR 91 76 51 57 28 303 Count 376 392 272 378 232 1650 3 _ 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 NOVEMBER 1996 ACTIVITIES CLINICS In touch with T.B. Clinic and following active cases and case contacts. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. Nov.13-Flu Clinic at Pioneer Terrace: approx.260 flu shots given,approx. 65 pneumonia shots given. Nov.14-Mini-Clinic at City Hall for city employees: approx.25 flu, approx. 10 pneumonia. • Nov.18-Mini-Clinic at Thermal Circuits-approx. 35 flu,approx. 20 pneumonia. Nov. 19-Mini-Clinic at Police Station-approx. 15 flu, approx. 5 pneumonia. Nov.21-Assisted at Salem Hospital flu clinic. Several home visits and office appointments done for flu and/or pneumonia shots. Total so far: 1612 flu shots administered and 472 pneumonia shots. MEETINGS AND CONFERENCES Nov. 7-M.H.O.A. Conference in Cape Cod. Nov.22-Medication Delegation Conference in Lowell. ST. JOSEPHS SCHOOL Working on legalizing medication administration plan. Nov.20-First Hepatitis B Clinic held-approx.25 shots given. Second Hep.B Clinic will be in December. Began preparation for hearing and vision screening. PHOENIX SCHOOL Working on legalizing medication administration plan-until then,I am administering the meds M-Th,per request of Betsye Sargent. Nov.25-First Hepatitis B Clinic held-approx. 10 shots given. Began preparation for hearing and vision screening. • n a. 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 NOVEMBER 1996 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 1 0 1 1 E.COLI 0157 0 0 0 0 GIARDIA 1 1 0 0 HEPATITIS 1 1 2 2 • LYME DISEASE 0 0 0 0 MENINGITIS 0 0 1 1 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 SHIGELLA 0 0 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.,M.S.N. Public Health Nurse For the Board of Health • 0 • Summary of Communicable Diseases-November 1996 CAMPYLOBACTER: One New Case-A 33 y.o.male with Camp.Jejuni-unable to locate patient-case discharged. GIARDIA: One New Case-A 27 y.o.male with Giardia-case still under investigation. HEPATITIS: One New Case-A 41 y.c.male with Acute Hepatitis B-case still under investigation. • • K T reAS, 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 14, 1996 Dean Lapkin Salem State College School of Nursing 352 Lafayette Street Salem, MA 01970 Dear Dean Lapkin: I would like to take this opportunity to express my gratitude to Salem State College School of Nursing. For the past three years, I have had the privilege of working with Dr. Barbara Poremba and her nursing students at my annual flu and pneumonia clinics. Because staffing was limited this year, I relied mostly on the students, who proved to be invaluable. At the two clinics, the nursing students did a great job and administered over 1225 injections! As Barbara stated, this is an excellent opportunity for hands-on practical experience. Also, it is a nice way to interact \vith the elderly community of Salem. Once again, thank you to Salem State. College. I look forward to working with the School of Nursing in the future. Sincerely, Dawn Marie Cameron,R.N.,M.S.N. Public Health Nurse • A F ,,.• ; THERMAL � ��E�; :: 1996 11-ICIRCUITS specializing in the design,engineering,and production of surface heaters,heater assemblies,and infrared Ms Dawn Marie Cameron RN. The Salem Board of Health 9 North Street Salem, MA 01970 December 2, 1996 Dear Dawn, Just a Brief note of thanks for the flu clinic that you provided for our employees. The increase in the number of participants each year is clear proof of the popularity of this program. Again Thanks for all of your assistance. We look forword to your visit next year. Very Truly Yours, THERMAL CIRCUITS INC. -- C Timothy H. Doggett Materials Manager Y • Thermal Circuits Inc. One Technology Way Technology Park Salem, Massachusetts 01970-7000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 November 5,1996 Fax:(508)740-9705 Dear Parents: On Monday,November 25,at 11:00 a.m. , I will hold the first of three Hepatitis B Vaccination Clinics. At.this time,all sixth and seventh graders who have parental consent will receive the first shot of the Hepatitis B series. Any parent who would like to be present during this time, is welcome to attend. The shots will be given on the school premises. The second clinic will be held in December and the third one will be held in either May or June. If you have any further questions, feel free to contact me at 741-1800. Sincerely, 0/'!J)VIkIIA, Dawn Marie Cameron,R.N. Public Health Nurse • N -EWSLETTER ?q DECEMBER 10, 1996 AGENT'S REPORT TO THE BOARDss of the procedures and the risk of lower ceiling requiring the worker infection and/or injury,regulation to bend over to fit. He claims that PIERCE ROAD ® is something to consider. There the temporary cover would George Levesque, Martin Fair was some mention that the MDPH completely enclose the trucks' and I, attended the Pierce Road would promulgate regulations. contents and not allow for escape site inspection with the Planning However, considering how they of material or odor. I am meeting Board. This subdivision was passed the buck to local boards of with Hal before the meeting so before the Board previously and health regarding massage, I'm not that I should have more details for included building two houses off confident that they will take the you. Loring Avenue. These houses lead in these areas either. would be built on stilts. FOOD MANAGER This matter is before the Board ROOMING HOUSES i) CERTIFICATION:G again at our next meeting. At Reinspections of those Several trainers have least one neighbor will be present rooming houses, in the initial approached me regarding food to speak in opposition to the round of inspections, has begun. certification training. If the Board development. There has been an extremely high votes on the regulations, there irate of compliance with our Board will probably be several SEMINARS ® of Health orders. So, in spite of opportunities for individuals to Dawn Marie and I attended one the slanted press reports and very receive the training close to home. day of the Mass Health Officers aggressive approach of members Owen reworked some aspects annual conference in Falmouth. I of other Boards, progress is being of the regulation so that only "for received excellent information on made and more units are coming profit businesses would be procedures to address noise and into compliance with Minimum included and only one person at odor problems. In addition,there Standards. each establishment employing up was a presentation regarding to ten individuals would be smoking in high school SESD ✓ required to be certified. I'd prefer restrooms. There was some good Hal Newhall is requesting that one on each shift. However, I literature on the subject which I the Board allow an alternative top have included Owen's changes in forwarded to the Salem High closure to the sludge hauling the draft because the Board teacher who is interested in the trucks. This alternative would be seemed to be favoring that subject. from December until the alternative. The staff and I will Jeff, mark and I attended an completion of the project in the appreciate this additional tool environmental health seminar spring. The current top is a rigid aimed at increasing compliance in regarding body piercing,tatooing metal devise attached to the body. our establishments. and massage. Tatooing is According to Hal,this top makes prohibited in Massachusetts, but it it very dangerous for the workers THE HOLIDAYS 0 will probably become legalized in because they must distribute the The staff wishes the board 4Ve near future. Body piercing sludge while standing on top of members and their families a ready exists and most the truck. The loading has been merry and safe Holiday season! communities do not regulate it. moved from the front to the back However, given the invasiveness of the building where there is a i ADMOST RATION - MONTHLY REPORT OCTOBER 19960 • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT. Diptheria, Tetanus & Pertussis. 390 BURIAL PERMITS ISSUED 80 Diptheria-Tetanus Tox. (under 6 yrs.) 20 ANIMAL BITES REPORTED I 0 Immune Serum Globulin 6 CKS. RECEIVED - LICENSES & PERMITS $380.60 Measles/Mumps/Rubella 330 CERTIFICATE OF FITNESS - CHECKS $2,675..0.0 Polio_— ._ 400 107 INSPECTIONS X. $25.00 = Tetanus & Diptheria (adult use) ' 420 Tuberculin PPD 460 HIB Titre 280 Hepatitis B 1078 . SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALAIICE $344,000.00 --- $126,349.38 -- $217,650.62 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $54,800.00 $7,763.05 --- $6,950.91 $42,260.40 2, 174.36 - HELD OVER r 1995/BAS City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------------------ Type Jul 96 Aug 96 Sep 96 Oct 96 Count 3 1 0 0 4 BB 1 0 0 0 1 CFI 93 88 74 129 384 CFI/HR 1 0 0 0 1 CFR 8 5 7 5 25 CH 1 2 2 0 5 CON 7 19 7 29 62 cr 22 2 7 9 40 DC 1 0 0 0 1 EC 31 14 13 4 42 EPR 1 0 0 0 1 FC 1 i> 1 4 12 FCQ 1 0 0 0 1 FRH 0 0 0 2 2 FED 1 1 2 6 10 FSI 25 16 22 26 91 FSR 17 11 7 21 56 GN 7 9 1 2 19 HI 14 22 22 31 89 HR 9 14 21 19 63 LPC 1 0 0 0 1 LPI 3 5 2 3 13 MS 1 0 0 0 1 MUC 1 0 0 0 1 MUP 0 1 0 0 1 RO 1 0 0 0 1 RC 0 2 0 1 3 RFD 0 0 0 1 1 RFI 4 4 5 5 18 RFR 3 5 0 3 11 RO 3 2 1 1 7 SB 26 45 14 0 85 SC 0 0 1 0 1 SES 0 3 0 0 3 SM 11 10 12 13 46 SP 4 1 0 0 5 ST 1 0 0 1 2 TFI 2 28 0 4 34 TR 91 76 51 57 275 aQ II a Counts 376 392 ma 272 ac 378 1418 �BB - Bed/Break. 2 FSI - Food Serv. Ins .25-2* RFD - Retail Food Disc . CFI - Cert . Fit . 91.2* FSR - Food Serv: Rein. 117* RFI - Ret . Insp. 68* CFR - Cert . Fit .Reinsp. GN _ Gen. Nuisance 40* RFR - Retail Food Rein. = Court Hearing 51* HI - Housing Insp. 185* RO - Rodent Control CON - Constable Serv. HR - Housing Reinsp. 117* SC - Suntan 6 C:-, - Compliance Rev. LPI - Lead Paint Insp. 15* SES . - SESD Odor 19* DC - Day Care MS - Massage 5 SM - Seminars/Meetings - C Envirn. Compl . 117* MUP - Mobile Food Insp. 13* SP - Swim. Pools 14 EPR -- Ext . Paint 11* MUC - Mobile Unit Compl . SB - Swim. Beaches 76* FC Food Compl . 22* OS - Off. Sub. Insp. 8* ST - Soil Test 1. - FRH - Food Related Hear. RC - Rec. Camp 5 TFI - Temp.Food 98* FSD Food Serv. Disc . RFC - Retail Food Compl . TR - Trash 617* :y /nrn�op" 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 1996 ACTIVITIES CLINICS In touch with T.B. Clinic and following active cases and case contacts. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. Oct.16-Flu Clinic at the Council on Aging: approx. 815 flu shots given,approx.260 pneumonia shots given, Oct.28-Mini-Clinic at F.W. Webb: approx.20 flu shots given. • Oct.30-Flu Clinic at 27 Charter St.: approx.415 flu shots,approx. 120 pneumonia. Oct. 3 1-Mini-Clinic at North Shore Ambulance: approx.20 flu shots given. Several home visits and office appointments done for flu and/or pneumonia shots. MEETINGS AND CONFERENCES Oct.4-Broadcast with Al Needham,W.E.S.X.re: flu season. Oct.24-Health Advisory Council meeting at Collins Middle School. ST. JOSEPHS SCHOOL Working on legalizing medication administration plan. Ongoing preparation for Hepatitis B Vaccination Clinic(first one to be held in November). Flu and Pneumonia shots given to teachers and staff,per request. PHOENIX SCHOOL Working on legalizing medication administration plan-until then,I am administering the meds M-Th,per request of Betsye Sargent. Ongoing preparation for Hepatitis B Vaccination Clinic. Flu and Pneumonia shots given to teachers and staff,per request. • 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 OCTOBER 1996 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 • GIARDIA 1 0 1 1 HEPATITIS 2 2 0 0 LYME DISEASE 0 0 0 0 MENINGITIS 1 1 0 0 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 SHIGELLA 1 1 0 0 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.,M.S.N. Public Health Nurse For the Board of Health • • Summary of Communicable Diseases-October, 1996 GIARDIA: One New Case-A 3 y.o.Hispanic male sick with Giardia for approx. one month-during the incubation period,patient traveled to the Dominican Republic-his mother believes he became ill there-treated with antibiotics and is"feeling better now". HEPATITIS: Two New Cases-cases are pending(unable to speak with either patient yet). MENINGITIS: One New Case-A 1 y.o. female with Streptococcus Pneumonia-case still under investigation. SHIGELLA: One New Case-A 30 y.o. Hispanic male with Shigella-patient is not a foodhandler-patient was treated at Beverly Hospital-for this investigation,I will recruit Jose Diaz to help me interpret. MONTHLY REPORT SEPTEMBER 1996 * • STRATION M __ ADMI BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 465 BURIAL PERMITS ISSUED 59 Diptheria-Tetanus Tox. (under 6 yrs. ) 0 ANIMAL BITES REPORTED 1 Immune Serum Globulin 0 ICASH RECEIVED - LICENSES & PERMITS $114.00 Measles/Mumps/Rubella 240 $1,950.00 CERTIFICATE OF FITNESS - CASH Polio 300 78 INSPECTIONS X $25.00 = Tetanus & Diptheria (adult use) 210 Tuberculin PPD 600 HIB Titre 170 Hepatitis B 892 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $344,000.00 -- $93,992.62 -- $250,007.38 NON-PrIRS0NWEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $54,800.00 $4,899.01 -- $8,098.00 $43,977.35 2,174.36 - HELD OVER 1995/BAS City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month. ---------------------- Type Jul 96 Aug 96 Sep 96 Count ------ ------ ------ ------ --- e 3 1 0 4 BB 1 0 0 1 CFI 93 88 74 255 CFI/HR 1 .0 0 1 CFR 8 5 7 20 CH 1 2 2 5 CON 7 19 7 33 CR 22 2 7 31 DC 1 0 0 1 EC 11 14 13 38 EPR 1 0 0 1 FC 1 6 1 8 FCQ 1 0 0 1 FSD 1 1 2 4 FSI 25 16 22 63 FSR 17 11 7 35 GN 7 9 1 17 HI 14 22 22 58 HR 9 14 21 44 LPC 1 0 0 1 LPI 3 5 2 10 MS 1 0 0 1 MUC 1 0 0 1 0 1 0 1 1 0 0 1 . RC 0 2 0 2 RFI 4 4 5 13 RFR 3 5 0 8 RO 3 2 1 6 SB 26 45 14 85 SC 0 0 1 1 SES 0 3 0 3 SM 11 10 12 33 SP 4 1 0 5 ST 1 0 0 1 TFI 2 28 0 30 TR 91 76 51 218 Count 376 392 272 1040 BB - Bed/Break. 2 FSI - Food Serv. Ins.252* RFD Retail Food Disc. CFI - Cert . Fit . 912* FSR - Food Serv. Rein. 117* RFI - Ret . Insp. 68* CFR - Cert. Fit .Reins p. GN _ Gen. Nuisance 40 RFR - Retail Food Rein. CH - Court Hearing 51* HI - Housing Insp. 185* RO - Rodent Control CON - Constable Serv. HR - Housing Reinsp. 117* SC - Suntan 12* CR - Compliance Rev. LPI - Lead Paint Insp. 15* SES - SESD Odor 19* -ODay Care MS - Massage 4* SM - Seminars/Meetings - Envirn. Compl . 117* MUP - Mobile Food Insp. 13* Sp - Swim. Pools 19* R - Ext . Paint 11* MUC - Mobile Unit Compl. SB - Swim. Beaches 76* FC - Food Compl . 22* OS - Off. Sub. Insp. 8* ST - Soil Test FRH - Food Related Hear. RC - Rec. Camp 14* TFI - Temp.Food 98* FSD,=,Food,Serv. Disc;, , ,,RFC,=,Retail,Food,Compl . TR - Trash 617* 3 53 • �'�inHg�� 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 III, PUBLIC HEALTH NURSE REPORT SEPTEMBER 1996 ACTIVITIES CLINICS In touch with T.B. Clinic and following active cases and case contacts. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics.citywide. Interviewed and followed all communicable disease cases and reported to CDC. Ongoing preparation for flu and pneumonia clinics-ordered supplies,recruited help,made and distributed posters,obtained and distributed vaccine to all local providers and nursing homes,advertised on S.A.T.V., W.E.S.X. radio, Salem Eve.News. • MEETINGS AND CONFERENCES Sept. 9-meeting with Health Agent and Mr.Plante re:school year activities at St.Joseph's. Sept. 10-meeting with Phyllis Kraney from the Salem News re: advertisements for flu/pneumonia clinics. Sept. I 1 -meeting with Health Agent and Phoenix School administrators re: school year activities. Sept.26-TB conference in Lawrence. Sept.27-meeting with Maureen Carr, School Nurse Coordinator,re: implementation of Hepatitis B program in Salem schools. ST. JOSEPHS SCHOOL Working on legalizing medication administration plan. Reviewed all immunization records and sent out notices to parents and physicians as needed. Working on immunization surveys for the M.D.P.H. for Pre-K,Kindergarten.and Grade 7. PHOENIX SCHOOL Working on legalizing medication administration plan-until then,I am administering the meds M-Th,per request of Betsye Sargent. Reviewed all immunization records and sent out notices to parents and physicians as needed. Working on immunization surveys for the M.D.P.H. for Pre-K,Kindergarten and Grade 7. • I 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 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(508)740-9705 FOR THE MONTH OF SEPTEMBER 1996 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 3 0 4 4 E.COLI 0157 0 0 0 0 GIARDIA 1 0 1 1 HEPATITIS 2 0 2 2 • LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 SHIGELLA 0 0 0 0 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.,M.S.N. Public Health Nurse For the Board of Health • Summary of Communicable Diseases-September 1996 CAMPYLOBACTER: 1 Old Case, 3 New Cases- 1) A 31 y.o.male with Camp. Jejuni-occupation: engineer-treated at Beverly Hospital with full course of antibiotics-exposure history unknown because I was unable to locate patient by phone or by mail. 2) A 32 y.o.male with Camp. Jejuni-occupation: unknown-case incomplete(unable to locate patient). 3) A 34 y.o.male with Camp.-occupation: chef at East Side Marios in Danvers-although patient was treated with antibiotics and is asymptomatic now,patient did not get cleared medically before returning to work-after consultation with the M.D.P.H. and Peter Mirandi,Danvers B.O.H.,we decided to exclude patient from work until he produces one negative stool sample. 4) A 75 y.o.retired female with Camp.-patient was severely dehydrated and required hospitalization for 5 days-she believes that she became ill at a barbeque at the Lyons Club in Mendon,MA on Sept. 15-1 notified the Mendon Health Dept. on Sept.29-they had not received any other complaints of this nature. GIARDIA: 1 New Case- 1) A 26 y.o. female with Giardia-occupation: non-foodhandler-symptoms included diarrhea,nausea, vomiting, and syncope-treated at Beverly Hospital with full course of flaggyl-exposure unknown-all info obtained from nurse at H.C.H.P. HEPATITIS: 2 New Cases- 1) A 44 y.o.male with Hep. C-occupation: painter-patient moved and left no forwarding address-Dr. Tejwani could not provide any additional info. 2) A 29 y.o.male,a chronic Hep. B carrier from the Dominican Republic-occupation: machine operator- patient does not know where or how he contracted the virus but his knowledge base is adequate and his girlfriend has been screened and vaccinated. ?1 "� 't S' !�I t i v.ter....... v..- r—. dry` € � CHECK REQUEST GENERAL FUND 2 �cI , E mount: $ Ohdor Number: ' �.;a':-' k Check A — — — Payable To: (initials Plus Fatt Name): Specify Date (if needed within-5 calendar days) • /. / Month: Day: Year: "'A stnbudon -IDENTIFY ONE Address e• (1�`''qutredJ 9 IVO S t` �� Send By U.S. Mail: (,taach original(s) Sl�LM, �-t t9— v S7 a To Be 1Lfailed And Staple A Copy For Accounting.) _ Do Not Mail - Deparanent Will Pick Up Will Vendor Be Used Again? Y�N (Note: Sraple,A Copy-) Is This An Employee? Y N Call Ertension For Check Pick-Up. p X1 Alp M r r, l sk Ufe?nvr�u Lu'or ar un.�r n��d"d+�41Lw! 1 Social Security # Or - (Pis:Name) eFederal Tar I.D. !i _ _ - _ — _ - - - - Purpare(oaneef D-acr,;/=-) � �F-+�'� (Complete Sisrs:-re•SO (D—) RespO7uibility Repor�Accowu Disirioi�ion (10 Dioirs} «a�� 9 39voo i L oy: ` � - - - - - - - - 9 y, Total (lf More Than One Accr per Override ld7'IN.G:�'DEPTk1El�'S�SEONI• , e — .............1.... n....N...n.......I.. ::its:. Approved By: 1099 Set.Up Y N N/A Reviewed By: pp Invoice # — _ _ _ _ — — — — — — Ilivoice Date Check Dare: Dare Received by Accounting: Check Received By: 11'arrs.�crc ' Rcti"06114193 • 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 DENTAL INSPECTIONS OF SCHOOL CHILDREN FOR 1996-1997 September Saltonstall October Carlton-St .Joseph ' s November Bates • December Horace Mann January, Federal Street February Collins March Collins April Bentley May Bentley-Witchcraft June Witchcraft • 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 DENTAL INSPECTION OF SCHOOL CHILDREN FOR 1995-1996 WEEKLY SCHEDULE-MONDAY 8 : 30 a.m. to 11 : 30 a .m. September Carlton-St-Joseph' s 275 October Bates 370 November Horace Mann 366 December Federal Street 214 . January Collins February Collins 836 March Bentle;7'_� April Bentley 457 May, Witchcraft June Witchcraft 497 I • i 0 ADMINISTRATION - MONTHLY REPORT AUGUST 1996 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 495 BURIAL PERMITS ISSUED 54 Diptheria-Tetanus Tox. (under 6 yrs.) 0 ANIMAL BITES REPORTED 3 Immune Serum Globulin 5 CASH RECEIVED - LICENSES & PERMITS $311.80 Measles/Mumps/Rubella 295 CERTIFICATE OF FITNESS - .CASH $2,300.00 Polio 400 92 inspections X $25.00 = Tetanus & Diptheria (adult use) 600 Tuberculin PPD 540 HIB Titre 90 Hepatitis B 820 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $344,000.00 --- $77,845.67 __ $266,154.33 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $54,800.00 $2,867.19 -- $9,622.20 $44,484.97 $ 2,174.36 - held over 1995/BAS City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month -------------- Type Jul 96 Aug 96 Count 3 1 4 BB 1 0 1 CFI 93 88 181 CFI/HR 1 0 1 CFR 8 5 13 CH 1 2 3 CON 7 19 26 CR 22 2 24 DC 1 0 1 EC 11 14 25 EPR 1 0 1 FC 1 6 7 FCQ 1 0 1 FSD 1 1 2 FSI 25 16 41 FSR 17 11 28 GN 7 19 16 HI 14 22 36 HR 9 14 23 LPC 1 0 1 LPI 3 5 8 MS 1 0 1 MUC 1 0 1 Is 0 1 1 1 0 1 RC 0 2 2 RFI 4 4 8 RFR 3 5 8 RO 3 0 3 SB 26 45 71 SES 0 3 3 SM 11 10 21 SP 4 1 5 ST 1 0 1 TFI 2 28 30 TR 91 76 167 Count 376 390 766 BB - Bed/Break. 2 FSI - Food Serv. Ins.252* RFD - Retail Food Disc. CFI - Cert . Fit . 912* FSR - Food Serv. Rein. 117* RFI - Ret . Insp. 68* CFR - Cert. Fit.Reinsp. GN _ Gen. Nuisance 40* RFR - Retail Food Rein. CH - Court Hearing 51* HI - Housing Insp. 185* RO - Rodent Control CON - Constable Serv. HR - Housing Reinsp. 117* SC - Suntan 12* CR - Compliance Rev. LPI - Lead Paint Insp. 15* SES - SESD Odor 19* DC - Day Care MS - Massage 4* SM - Seminars/Meetings EC - Envirn. Compl . 117* MUP - Mobile Food Insp. 13* SP - Swim. Pools 19* EPR - Ext. Paint 11* MUC - Mobile Unit Compl. SB - Swim. Beaches 76* Fr^ - Food Compl .22* OS - Off. Sub. Insp. 8* ST - Soil Test - Food Related Hear. RC - Rec. Camp 14* TFI - Temp.Food 98* FSD - Food Serv. Disc. RFC - Retail Food Compl : TR - Trash 617* 9/9/96 • NEWSLETTER 21 September 10, 1996 AGENT'S REPORT TO THE BOARD ability to detect those of the Center. The Center is ODOR TASK FORCE@ chemicals far exceeds looking for people who will use There were many odor technology. its services to join the Board. It is complaints during the month There will be significant very exciting for Jose and I to be of August and are continuing disruption of the odor control involved with this group and into September. The task facilities during the third and planning the opening of the force analyses the complaints fourth weeks of September. I Center. in regard to wind direction, worked to have that occur then g HOUSING INSPECTION wind speed, and most instead of August. Through our FORMS6 importantly what is taking discussions, it was determined p y g that several things can and will be We are collecting housing place at the plant. It appears done to mitigate the odors. It will inspection forms used by other that many, but not all, the probably still be a problem. Departments and the State. I will complaints are related to the I will continue to meet with let the Board know as soon as we sludge processing procedure. this task force into the fall and begin using a form. The building where this winter to press for a better season •occurs is not under negative as promised next year. UPCOMING EVENTS./ pressure so that any openings George, Dave Shea, an The Environmental Health to the exterior, either engineer from NEPCO and I met Association Conference takes unintentional or due to to discuss the on site air testing of place September 1 I-13. construction, cause escape of NEPCO as proposed by the The Mass Health Officers the odors from there. A new SESD. Issues such as accuracy Conference is November 6-8. We door to this buildingbeing and location of the testing, and are looking carefully at the is g liability issues were raised. It was agendas to determine what would installed. Also, new odor benefit the staff. control facilities, which will determined at that meeting that George, as the Chairman of the The Health Department will be cause negative pressure, will Board, would not request that inspecting all the boarding houses be installed by next April. NEPCO allow that testing. in Salem with the Licensing Analysis of air testing Board, in preparation for their canisters have been FAMILY HEALTH CENTER® license renewal through the LB. completed. The results are The North Shore Community very disappointing. The nose Medical Center is opening a THANKSB is far more sensitive to several Family Health Center on ...to Mother Nature, Fabio, odor causing chemicals than Congress Street,probably in and all who contributed laughter even the most sophisticated November. As you know, I am a and delicious food to this year's equipment. The chemicals of member of the Board of Directors. BOH Cookout. We missed those most concern were not able to Jose Diaz is also a member. By who could not make it and hope be detected because of law, the Board of Directors must all will be able to attend next limitations of technology. be composed of certain people year. Unfortunately, the nose's such as providers, residents, users 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 AUGUST 1996 ACTIVITIES CLINICS In touch with T.B. Clinic following active cases and case contacts. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. • Began preparation for upcoming flu season. MEETINGS AND CONFERENCES ST. JOSEPHS SCHOOL Summer Recess.. Working on legalizing medication administration plan. Preparation for upcoming school year. PHEONIX SCHOOL Summer Recess. Working on legalizing medication administration plan. Preparation for upcoming school year. 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 1996 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 4 0 4. 4 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 • HEPATITIS 1 0 2 2 LYME DISEASE 0 0 0 0 MENINGITIS 1 0 1 1 MUMPS 0 0 0 0 SALMONELLA 1 0 1 1 TUBERCULOSIS 0 3 1 1 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. DAWN MARIE CAMERON,R.N.,M.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • Summary of Communicable Diseases-August 1996 CAMPYLOBACTER 1) A 33 y.o.male with Campy.-exposure unknown-treated with antibiotics-occupation: photographer 2) A 31 y.o.male-case pending. 3) A 6 month old male with C.Jejuni-the baby only eats baby food and formula-some exposure to household pets-father has syptoms of pancreatitis, including abdominal pain and diarrhea-father was instructed to take a stool specimen to the doctor. 4) A 34 y.o.male who is employed by Salem Hospital as a Food Service Supervisor-he was removed from work and treated with antibiotics-I consulted with Pam Bayne,Infection Control Nurse at Salem Hospital,and she will allow him back to work after two negative stool samples. HEPATITIS A 1) A 45 y.o. unemployed female with Hepatitis A and chronic Hep B-patient did not have any hepatitis- related symptoms but does have some other medical problems which may affect her liver-patient has lived at a shelter for one month-I talked to Linda Comeau,the Patient Advocate at the shelter,and I provided both with info on Hepatitis-Gammaglobulin was not given to the other residents at the shelter because the patient is no longer contagious. MENINGITIS 1) A 2 month old infant with viral meningitis-patient was admitted to Salem Hospital and is currently under the care of Dr.Lipman. SALMONELLA 1) A 26 y.o.male with Salmonella-I was unable to investigate because address and phone number were incorrect-no listing for doctor-patient lost to follow-up. CHECK REQUEST XGENERAL FUND S endor Number: Check Amount: $ _ _ _ , 0 g Payable To: (initials Plus Full Name): Specify Date (if needed within S calendar days) _ Month: Day: Year: ck`bistribu'iiolt --IDENTIFY ONE 6o�eD o� fir* :ci�e is Ad ess gqwto,w, 970 Send By U.S. Mail: Naach Original(s) To Be Mailed And Staple A Copy For Accounting.) Do Not Mail - Depamnent Will Pick Up Again? Y N• (Note: Staple A Copy.) Will Vendor Be Used Ag . Is This An Employee? Y N Call Extension For Check Pick-Up. ]'rrd Sir /��,�/ /�/•y`� �/��[���� 4 npund• (Prinf Some) Social Security . ° .. Or Federal Tar 1.D. # _ _ - _ _ _ _ _ — _ (Print Name) urpose(Brief Dvcripton) SSG t t s IDES (Complete Signature-No lni:z•) (Dye) (Prime E:=on) 5h'f45:. ALMO 10-raq �-+Mr, Responsibility Report Accowu Disiribtaion (10 Digits) Account Amount 0 g Total (lf More Than One Acet #) `eCbllN7'IN.G DP14Tk1ElV 'IJ;SDL? ' 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: Name/Date Res,06114193 � � \ 5 it-P ] 6 996 TY OF-± , . HEAD\DE PIT. � ADMINISTRATION - MONTHLY REPORT July 1996 BIOLOGICS DISTRIBUTED AMOUNT IN DOSES OTHER MISC. AMOUNT Diptheria, Tetanus & Pertussis 465 BURIAL PERMITS ISSUED 91 Diptheria-Tetanus Tox. (under 6 yrs.) 0 INTERNATIONAL TRAVEL CERTS. 7 Immune Serum Globulin 29 CASH RECEIVED - LICENSES & PERMITS $815.00 Measles/Mumps/Rubella. 220 CERTIFICATE OF FITNESS - CASH $2,675.00 Polio 450 ANIMAL BITES REPORTED Tetanus & Diptheria (adult use) 725 Tuberculin PPD 410 HIB Titre 240 Hepatitis B 534 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $344,000.00 -- $17.,729.05 -- $326,270.95 NON-PERSONNEL: . ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $54,800.00 -- -- $10,429.00 $44,371.00 1993BAS 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 DULY 1996 ACTIVITIES CLINICS In touch with T.B. Clinic following active cases and case contacts. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. • MEETINGS AND CONFERENCES On July 8,assisted sanitarian with inspection of McDonald's following report of Salmonella. On July 11,assisted sanitarian with inspection of Probate Court following waste disposal complaint. ST. JOSEPHS SCHOOL Summer Recess.. Working on legalizing medication administration plan. PHEONIX SCHOOL Summer Recess. Working on legalizing medication administration plan. • �Y 3AN CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 MONTHLY REPORT OF COMMUNICABLE DISEASES Fax:(508)740-9705 FOR THE MONTH OF July 1996 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE CAMPYLOBACTER 2 1 1 1 E.COLI 0157 2 0 2 2 GIARDIA 0 0 0 0 HEPATITIS 1 1 0 0 LYME DISEASE 0 0 0 0 • MENINGITIS 3 0 3 3 MUMPS 0 0 0 0 SALMONELLA 1 0 1 1 SHIGELLA 1 0 1 1 TUBERCULOSIS 0 4 0 0 VARICELLA 1 0 1 1 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. Dawn Marie Cameron,R.N.,M.S.N. Public Health Nurse For the Board of Health • CITY OF SALEM HEALTH DEPARTMENT 1. r! Nine North Street ` Salem,Massachusetts 01970 Summary of Communicable Diseases-July 1996 CAMPYLOBACTER: 2 New Cases 1)A 35 y.o. male-may have been exposed over July 4th but exact exposure undetermined-treated with antibiotics. 2)Case Pending. E.Coli 0157: 2 New Cases 1)A 77 y.o.male-exposure unknown-treated at Salem Hospital with IVF and antibiotics-patient was very upset that he had not been informed by doctor about diagnosis of E.Coli 0157. 2)A 5 y.o.boy-exposure unknown-treated with antibiotics but not admitted to the hospital. HEPATITIS: 1 New Case 1)Case Pending. MENINGITIS: 3 New Cases 1)A newborn male with viral meningitis-treated at Salem Hospital. 2)A 16 y.o..female with viral meningitis-treated at Salem Hospital. • 3)A 13 y.o. female with viral meningitis-treated at Salem Hospital. SALMONELLA: 1 New Case 1)A 27 y.o. female with Salmonella-suspect food eaten at Kiki's in Salem-sanitarians notified-patient works at Mino's Roast Beef in Lynn as foodhandler-she was removed from work and has since been cleared to return to work-Lynn Health Department involved in investigation. SHIGELLA: 1 New Case 1)A 49 y.o. female-suspect food eaten while on vacation in.India-patient not hospitalized but treated with antibiotics. VARICELLA: 1 New Case 1)A 5 y.o.girl-removed from daycare until medically cleared. CHECK REQUEST ..,.,... GENERAL FUND �ndor Number: Check Amount: $ _ _ _ ; L 3 Pdyable TO: (Initials Plus Full Name): Specify Date (If needed within 5 calendar days) Month: Day: Year: C 5't - r:, IF ONE !:.; LTrf �Check�`bistrbution -+'1DENT' Y Address �.... ) AWW STt� T- $I�ZFif/t�I�, Mi4 oc 9 �o Send By U.S. Mail: (ARach Original(s) To Be Mailed And Staple A Copy For Accounting.) Do Not Mail - Department Will Pick Up Will Vendor Be Used Again? Y. N . (Note: Staple A Copy.) Is This An Employee? Y NW— Call Extension For Check Pick-Up. 1'r�rdBK: F rI//� g�a�9k v pnme J U tdbw Of ter»ee eelaed.the fbt!q.b,j Of L ergvirtd• (Prins Name) a-)re- SocialSecurityll _ _ _ - _ _ - _ _ _ _ .T-"Vert'` 0r Federal Tar l.D. 1' - _ _ -- (Printhcme) enrpoje(Brief Description) (Complete Sigrature•No tri::cil) (Date) (Phcre Ez--ndon) Responsibility Report Accoluu Distribution (10 Digits) j Account , Amount C //Ule— -hnon -4 o-(- 9U41 2 L a2r- D -I 9 0 S - - -tL 6s2 do 2 — , t E ds! — - - - - _,_ _ - - - /' j 4.8 9 Total (If Afore Than One Aecr I!) 1.CCC4. N7'ING''DRPARTM. 1�P1? .,.. ' Per Override Reviewed By: Approved By: '- 1099 Set Up Y N N/A Invoice Al _ _ _ _ — _ _ Check #: Invoice Dare Check Date: P.O.0 Date Received by Accounting: Check Received By: 11 ame/Date Rev 06114193 • • SEP 1 6 1996 CF!YAP �.Ati j- +yi;5 a yN� • HEAL-H D ADABSTRATION - MONTHLY REPORT JUNE 1996 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 510 BURIAL PERMITS ISSUED 57 Diptheria-Tetanus Tox. (under 6 yrs.) 10 ANIMAL BITES REPORTED 2 Immune Serum Globulin 4 CASH RECEIVED - LICENSES & PERMITS $681.40 Measles/Mumps/Rubella 500 CERTIFICATE OF FITNESS - CASH $1,550.00 Polio 550 62 X_ 25 _ $1,550.00 Tetanus & Diptheria (adult use) 780 Tuberculin PPD 380 HIB Titre 500 Hepatitis B 783 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $313,223.00 $308,781.79 $6,731.32 2,290. 11 - SUP. APPR. NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,300.00 $27,833.63 $2$,97.6.99 $4,489.38 36,000.00 - SUP. APPR. 1995/BAS • N EWSLETTER 19 June 11, 1996 AGENT'S REPORT TO THE BOARM& ODOR TASK FORCE➢ effectiveness of each VIHOUSEHOLD The odor task force met chemical, the suitability of HAZARDOUS WASTE again on May 30th. An "odor the location and the dosing. COLLECTION DAY0 complaint analysis for 1995" 4 An "odor cop" will be on A representative of Clean was distributed. The site this summer to Harbors toured the High summary states that the investigate complaints, and to School area with George majority of odor complaints ameliorate odor situations Levesque, Paul L'Heureux of are related to the "District" wherever possible. As an the school buildings and meaning the SESD! Most of example, she will check at the grounds department, and me. the complaints are from the end of the day to determine if We are confident that the Memorial Drive/Settlers all operations have been event will be successful. As a Way/Larkin Lane/Victory "buttoned up" as much as reminder, it will be held on Road area. possible to prevent escape of Saturday, June 22nd at the 4 Hal Newhall said that the fugitive odors. JWigh School. meteorological station on the r-'In spite of these efforts, George will be appearing Bentley School should be in Hal feels that this will be a on a live call in talk show on place by mid July. This difficult odor summer. As SATV on Tuesday, June 18th station will i4entify the wind pat of the construction from 7:30 to 8:30 p.m. This direction during times of project, there will be show will be discussing complaints. In addition, the modifications of existing odor recycling and George will be students at the school will be control systems causing a fielding questions regarding able to incorporate the devise disruption in their operation. the HHWCD. into their lessons. Chemical addition is POINT NEIGHBORHOOD planned to begin by late June. CLEAN UP* The chemicals will be in a On Saturday, June 1st, the tank on SESD property. They - Health Department will travel via an underground cosponsored and participated line and be dispensed into the in this year's Point Derby Street interceptor SAVE THE DATE !! Neighborhood clean up. By before it meets with the The Third Annual Board noon we had collected lots of Salem/Peabody interceptor. of Health Cook Out is trash, tires and metal waste, Hydrogen peroxide will be tentatively scheduled for burned a few calories and added for approximately two Saturday, August 17th. We 40strengthened some weeks and then sodium will try again to see the friendships. It was a very nice chlorite will be added for two fireworks! We hope all can way to spend a Saturday weeks. Factors to be make it. morning. evaluated will be the overall 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 DUNE 1996 ACTIVITIES CLINICS In touch with T.B. Clinic following active cases and case contacts. Sent out appointment letters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. • Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. MEETINGS AND CONFERENCES Meeting with Health Agent and Children's Island on June 13 re:medical plan. Health Advisory Council meeting at Salem High School on June 18. Public Health Nurses' meeting in Tewksbury on June 19. Received computer training on June 19 and June 27. Assisted sanitarians with inspection of the Salem YMCA daycare and Campfire Camp. ST. JOSEPHS SCHOOL Last day-June 7. Working on legalizing medication administration plan. PHEONIX SCHOOL Attended End-of-Year Celebration on June 13. Last Day-June 14. Working on legalizing medication administration plan. • 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 JUNE 1996 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 1 0 1 1 LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 TUBERCULOSIS 1 4 0 0 VARICELLA 1 0 1 1 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. ccuy(&� DAWN MARIE CAMERON,R.N.,M.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH 0 CITY OF SALEM HEALTH DEPARTMENT 1 !�o Nine North Street r Salem,Massachusetts 01970 SUMMARY OF COMMUNICABLE DISEASES- JUNE 1996 HEPATITIS- 1) A 77 Y.O. MALE WHO DIED FROM COMPLICATIONS OF HEPATITIS C. TUBERCULOSIS- 1) A 27 Y.O. MALE FROM DOMINICAN REPUBLIC- HAS ACTIVE, NON-CLINICAL, NON-INFECTIOUS T.B.- IN PROCESS OF INVESTIGATING CONTACTS . VARICELLA- 1) A 3 Y.O. BOY WITH CHICKEN PDX- ATTENDS'.MARBLEHEAD CHILDREN'S CENTER. • CHECK REQUEST GENERAL FUND J Check Amount: $ _ �_ _ _ , l . Vendor Number: S� Specify Date (if needed within S calendar days) m Payable To: pnin'als Plus Full Name): Year:__ Day: Year: IFY DNE tbutitin U F Nfe4ZTH ;Check Dts,y, Address (Regrreaj 7Vo,e ,s'� r Send By U.S. Mail: (Atrad, Originals) spL M�- OtS�� 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. tt F°:mrr�u labor er,rr.+tl,ryrd,,M kfL-.v.! ...• ! (pr1.:�'Crt} /�V ((, s-57— L n-vine• ...,... , t.+.- Social Security rr4 _ _ _ - - - - - - - Or (Prw h=e) ederal Tar I.D. f; _ _ - — - — — — — — Pa role (oriel DLtr•'p:::=) (complete Sigrt:--re-No Se��et-��rc�I eirv+tomes cL� S�o,�lteS Ar -r e_ mil Tt u��r} Nor-+ stio�� pJ� � Responsibility Report Acco( i uu Disiribi on (10 Digits) Account X U11 2 6547 ? - - - - _ - - - 2 - -- - — — — — a Total (If Afore 77ion one Acct #) COU1dTIN.. <DEPTMF117» I,SE`01tiL ' Per Override :...::....:.. 1099 Set Up Y N N/A Reviewed By: Approved By: Invoice # _ _ _ — — — — — — — — invoice Date Check #: P.O. # _ _ - — — • Check Dare: Date Received by Accounting: Check Received By: Rev 06/14193 r 1996 • • y 1tt 1 • June 1996 i 1 NMM SM LAICAL aNM BnLM LUAirIIM SMICFS FOR IM MM SHME paMOMARY REM HBAL'11I COLIC (secretary and office supplies) A visits 11 @$5.07 each = $55.77 B visits 10 @ $3.38 each = $33.80 $89.57 Secretarial services A visits $2.77 B visits $1.85 Secretarial / office supplies • A visits $2.30 B visits $1.53 • �r a r, Y 1996 • ADMIDTRATION - MONTHLY REPORT MAY 1996 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 585 BURIAL PERMITS ISSUED 63 Diptheria-Tetanus Tox. (under 6 yrs. ) 0 2 ANIMAL BITES REPORTED Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $1, 168.80 Measles/Mumps/Rubella 650 CERTIFICATE OF FITNESS - CASH $2,250.00 Polio 500 9Q.. ns ections X .$25.00=$2250.00 Tetanus & Diptheria (adult use) 495 Tuberculin P.PD 680 HIB Titre 450 Hepatitis B 826 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $313,223.00 -- $226,575.71 -- 49,937.40 2,290. 11 - SUPP. NONI PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,300.00 $16,025.00 -- $5,200.00 $2,200.00 6,000.00 - SUPP. , 1995/BAS • N EWSLETTER 19 June 11, 1996 AGENT'S REPORT TO THE BOARD0D ODOR TASK FORCE);- effectiveness of each HOUSEHOLD The odor task force met chemical, the suitability of HAZARDOUS WASTE again on May 30th. An "odor the location and the dosing. COLLECTION DAY0 complaint analysis for 1995" An "odor cop" will be on A representative of Clean was distributed. The site this summer to Harbors toured the High summary states that the investigate complaints, and to School area with George majority of odor complaints ameliorate odor situations Levesque, Paul L'Heureux of are related to the "District" wherever possible. As an the school buildings and meaning the SESD! Most of example, she will check at the grounds department, and me. the complaints are from the end of the day to determine if We are confident that the Memorial Drive/Settlers all operations have been event will be successful. As a Way/Larkin Lane/Victory "buttoned up" as much as reminder, it will be held on Road area. possible to prevent escape of Saturday, June 22nd at the Hal Newhall said that the fugitive odors. •High School. meteorological station on the In spite of these efforts, George will be appearing Bentley School should be in Hal feels that this will be a on a live call in talk show on place by mid July. This difficult odor summer. As SATV on Tuesday, June 18th station will i4entify the wind part of the construction from 7:30 to 8:30 p.m. This direction during times of project, there will be show will be discussing complaints. In addition, the modifications of existing odor recycling and George will be students at the school will be control systems causing a fielding questions regarding able to incorporate the devise disruption in their operation. the HHWCD. into their lessons. Chemical addition is POINT NEIGHBORHOOD planned to begin by late June. CLEAN UP* The chemicals will be in a On Saturday, June 1st, the tank on SESD property. They Health Department will travel via an underground cosponsored and participated line and be dispensed into the in this year's Point Derby Street interceptor SAVE THE DATE !! Neighborhood clean up. By before it meets with the The Third Annual Board noon we had collected lots of Salem/Peabody interceptor. of Health Cook Out is trash, tires and metal waste, Hydrogen peroxide will be tentatively scheduled for burned a few calories and added for approximately two Saturday, August 17th. We •strengthened some weeks and then sodium will try again to see the friendships. It was a very nice chlorite will be added for two fireworks! We hope all can way to spend a Saturday weeks. Factors to be make it. morning. evaluated will be the overall City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month -------------------------------------------------------------------------------------- Type Jul 95 Aug 95 Sep 95 Oct 95 Nov 95 Dec 95 Jan 96 Feb 96 Mar 96 Apr 96 May 96 Count ----- ------ ------ ------ ------ CFI 93 107 107 98 65 41 48 69 69 56 101 854 CFR 6 8 11 6 8 0 4 7 10 7 8 75 CH 5 11 6 12 5 3 1 4 1 0 3 51 CON 18 20 11 4 11 3 6 5 5 9 20 112 CR 2 3 3 9 2 1 6 8 . 5 7 0 46 EC 15 21 7 12 3 5 2 5 8 6 20 104 EPR 1 0 2 1 0 0 0 0 0 1 2 7 FC 1 4 1 1 2 1 1 1 1 0 7 20 FRH 0 0 0 1 0 0 0 1 1 1 1 5 FSD 3 2 2 3 4 0 0 0 1 0 4 19 FSI 12 24 29 20 19 13 27 24 22 19 23 232 FSR 12 16 11 13 16 9 18 26 10 6 25 162 GN 4 4 3 4 4 0 0 1 10 3 1 34 HI 15 19 16 25 13 22 16 17 16 8 8 175 HR 4 20 11 14 13 13 12 8 7 7 6 115 LPI 2 3 2 0 1 1 4 1 0 0 1 15 MUC 0 0 0 0 0 0 0 0 0 1 0 1 MUP 1 1 0 2 0 0 0 1 0 6 2 13 OS 7 0 1 0 0 0 0 0 0 0 0 8 rc 3 0 6 0 0 0 0 0 0 0 1 10 RFC 0 0 0 0 0 0 0 0 3 2 0 5 RFD 0 0 0 0 0 0 1 0 0 1 0 2 RFI 11 3 7 1 17 2 8 4 4 5 1 63 4 4 5 0 2 0 2 4 2 5 1 29 0 2 0 1 1 0 1 1 0 0 5 11 SB 23 23 0 0 6 2 0 0 0 0 0 54 SC 0 1 1 0 0 0 2 4 4 0 0 12 SES 7 4 6 1 0 0 0 0 0 0 0 18 SM 7 28 12 15 10 7 27 5 8 17 4 140 SP 4 0 0 0 0 0 0 6 0 0 5 15 ST 0 1 0 2 3 0 0 0 0 2 2 10 TFI 0 40 0 2 0 0 0 0 0 0 49 91 TR 118 84 48 35 24 20 32 21 47 57 79 565 Count Q3C378 453 308 282 229 143 218 223 234 226 379 3073 BB - Bed/Break. 1 FSI - Food Serv. Ins. 131 RFD - Retail Food Disc. CFI - Cert . Fit . 1001* FSR - Food Serv. Rein. RFI - Ret . Insp. 110 CFR - Cert . Fit.Reinsp. GN _ Gen. Nuisance RFR - Retail Food Rein. CH - Court Hearing HI - Housing Insp. 155* RO - Rodent Control CON - Constable Serv. HR - Housing Reinsp. SC - Suntan 6 CR - Compliance Rev. LPI - Lead Paint Insp. 16* SES - SESD Odor DC - Day Care MS - Massage 5 SM - Seminars/Meetings EC - Envirn. Compl . MUP - Mobile Food Insp. 17 SP - Swim. Pools 13 EPR - Ext . Paint MUC - Mobile Unit Compl . SB - Swim. Beaches 11 FC - Food Compl . OS - Off . Sub. Insp. 8 ST - Soil Test FRH - Food Related Hear. RC - Rec. Camp 5 TFI - Temp.Food 61* FSD - Food Serv. Disc. RFC - Retail Food Compl . TR - Trash • 6/5/96 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 1996 ACTIVITIES CLINICS In touch with T.B.Clinic following active cases and case contacts. Sent out appointment letters for all T.B.clients for the month. • Contacted any client that missed an appointment and rescheduled a new appointment. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. Approx.75 PPD tests done at North Shore Ambulance on May 13-all negative. MEETINGS AND CONFERENCES Completion of preceptorships of Salem State graduate students. Mass Pro Influenza Prevention Conference on May 1 in Natick. Health Advisory Council meeting at Salem High School on May 21. ST.JOSEPHS SCHOOL School nurse during recess hours,Monday-Thursday. Assisted Dr.Dumas with physicals on May 22-three 7th graders,one 3rd grader. PHEONIX SCHOOL Administration of prescription medications to children Monday-Friday during lunchtime. In recognition of Osteoporosis Week,per request of school,teaching done on May 10. Y • I �aj„ jtF 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 1996 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 2 0 2 2 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 0 0 0 0 LYME DISEASE 0 0 0 0 MENINGITIS 1 0 1 1 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 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.,M.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH , ` 1 • Summary of Communicable Diseases- May, 1996 Campylobacter- 1) A 31 y.o. male engineer with Campylobacter-exposure unknown- hospitalized and treated with a full course of antibiotics-asymptomatic now. 2) A 25 y.o. male with Campylobacter Jejuni- patient suspects he became ill from contaminated water consumed in Rhode Island- Rhode Island Health Department notified-treated with Lomotil and asymptomatic now-nonfoodhandler. Men ing itis/Bacteremia- 1) A 12 y.o. boy with Group A Streptococcus- hospitalized at Children's Hospital and treated with Penicillin-sibling also treated with Penicillin- patient still out of school. • ADOSTRATION - MONTHLY REPORT APRIL 1996 • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 525 BURIAL PERMITS ISSUED 57 Diptheria-Tetanus Tox. (under 6 yrs.) 0 ANIMAL BITES REPORTED 2 Immune Serum Globulin 1 CASH RECEIVED - LICENSES & PERMITS $680.00 Measles/Mumps/Rubella 360 CERTIFICATE OF FITNESS - $25.00 E $1,450.00 Polio 450 _..58•. INSPECTIONS X 25 = $1,450.00 Tetanus & Diptheria (adult use) 40 Tuberculin PPD 420 HIB Titre 480 Hepatitis B 801 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $313,223.00 -- $256,575.71 -- $58,937.40 2,290. 11 - SUPP. NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,300.00 $15,045.34 -- $10,240.98 $6,013.68 6,000.00 - SUPP. 1995/BAS City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------------------------------------------------ Type Jul 95 Aug 95 Sep 95 Oct 95 Nov 95 Dec 95 Jan 96 Feb 96 Mar 96 Apr 96 Count CFI 93 107 107 98 65 41 48 69 69 56 753 CFR 6 8 11 6 8 0 4 7 10 7 67 CH 5 11 6 12 5 3 1 4 1 0 48 CON 18 20 11 4 11 3 6 5 5 9 92 CR 2 3 3 9 2 1 6 8 5 7 46 EC 15 21 7 12 3 5 2 5 8 6 84 EPR 1 0 2 1 0 0 0 0 0 1 5 FC 1 4 1 1 2 1 1 1 1 0 13 FRH 0 0 0 1 0 0 0 1 1 1 4 FSD 3 2 2 3 4 0 0 0 1 0 15 FSI 12 24 29 20 19 13 27 24 22 19 209 FSR 12 16 11 13 16 9 18 26 10 6 137 GN 4 4 3 4 4 0 0 1 10 3 33 HI 15 19 16 25 13 22 16 17 16 8 167 HR 4 20 11 14 13 13 12 8 7 7 109 LPI 2 3 2 0 1 1 4 1 0 0 14 MUC 0 0 0 0 0 0 0 0 0 1 1 MUp 1 1 0 2 0 0 0 1 0 6 it OS 7 0 1 0 0 0 0 0 0 0 8 RC 3 0 6 0 0 0 0 0 0 0 9 RFC 0 0 0 0 0 0 0 0 3 2 5 RFD 0 0 0 0 0 0 1 0 0 1 2 11 3 7 1 17 2 8 4 4 5 62 0 4 4 5 0 2 0 2 4 2 5 26 RO 0 2 0 1 1 0 1 1 0 0 6 SB 23 23 0 0 6 2 0 0 0 0 54 SC 0 1 1 0 0 0 2 4 4 0 12 SES 7 4 6 1 0 0 0 0 0 0 18 SM 7 28 12 15 10 7 27 5 8 17 136 SP 4 0 0 0 0 0 0 6 0 0 10 ST 0 1 0 2 3 0 0 0 0 2 8 TFI 0 40 0 2 0 0 0 0 0 0 42 TR 118 84 48 35 24 20 32 21 47 57 486 Count 378 453 308 282 229 143 218 223 234 226 2694 BB - Bed/Break. 1 FSI - Food Serv. Ins . 131 RFD - Retail Food Disc. CFI - Cert . Fit . 1001* FSR - Food Serv. Rein. RFI - Ret . Insp. 110 CFR - Cert . Fit .Reinsp. GN _ Gen. Nuisance RFR - Retail Food Rein. CH - Court Hearing HI - Housing Insp. 155* RO - Rodent Control CON - Constable Serv. HR - Housing Reinsp. SC - Suntan 6 CR - Compliance Rev. LPI - Lead Paint Insp. 16* SES - SESD Odor DC - Day Care MS - Massage 5 SM - Seminars/Meetings EC - Envirn. Compl . MUP - Mobile Food Insp. 17 SP - Swim. Pools 13 EPR - Ext . Paint MUC - Mobile Unit Compl . SB - Swim. Beaches 11 FC - Food Compl . OS - Off . Sub. Insp. 8 ST - Soil Test FRH - Food Related Hear. RC - Rec. Camp 5 TFI - Temp. Food 61* 4D - Food Serv. Disc. RFC - Retail Food Compl . TR - Trash 5/10/96 S • NEWSLETTER 18 May 14, 1996 AGENT'S REPORT TO THE BOARDao Clinical Services. George, Mary students found smoking in the Jane and I will be meeting with building and on campus. In order HOUSEHOLD HAZARDOUS him on Monday. He is also for that to occur the Board of WASTE COLLECTION DAYD invited to our meeting. Health would need to do the The plans for a Household following: Adopt as a local Hazardous Waste Collection Day THE OLD LEAD MILLS regulation,the state law are being finalized. The City This site is the current location prohibiting smoking on school Purchasing Agent has approved of a popular bike and foot path property and include a fine. the use of the Essex County which leads from Salem into Allow the principal and vice- contract with Clean Harbors. Marblehead. The bike path is principal to act as agents of the Paul L 'Heureux, Buildings and supposed to follow a Marblehead Board in enforcing this regulation. Grounds Director for the schools right of way, but it veers in some Petition the City Council to allow, has approved Saturday, locations onto private property. under non-criminal disposition, June22nd as a date when their The right of way and areas of the the Board to issue tickets for this will be no other conflicting existing bike path have been offense. Be certain that all activities at the school. The City tested for lead and have been entrances to the High School council has approved a found to have extremely high building and grounds are clearly supplemental appropriation to our levels. Most of the land is in marked as non-smoking areas. budget of$30,000.00. Dave Shea Marblehead, but there is also a I have spoken with several has asked that the Planning smaller portion in Salem. The students at the High School who Department have involvement in DEP and EPA are involved in this say they cannot use the restrooms the event, so I am meeting with situation. The first priority of there without being overwhelmed Beth Debski and Steve Dibble. these agencies is to limit people's by cigarette smoke. The Clean Harbors coordinator is exposure to the lead. I am meeting me next Thursday to meeting with the engineer on site ODOR TASK FORCE settle some details and do a site on Monday afternoon and will The odor task force had its first visit. We are on our way to have more to report at our meeting last Tuesday evening. fulfilling this goal within FY96! meeting. Hal Newhall thinks this will be a difficult summer in terms of odor TB CLINIC SMOKING AT THE HIGH because of all the "destruction" A letter was sent to SCHOOL 9 that will occur during the Representative Ruane's office Paul Harrington, health and construction. I attempted to regarding the workings of the physical education teacher, is expedite the process of oxidant newly expanded TB Clinic. A requesting that the Board of addition to the most septic line, copy is enclosed. In response to Health assist in eliminating the one Hall mentioned at our that letter, Linda Singleton, of the smoking at the High School, meeting, in order to ameliorate DPH TB Program called me. particularly among students. I the problem as much as possible. W. a long conversation, she have enclosed information in this Dana Snow, who is on this task suggested that the best person to regard. He is asking that the force, has said he will sent the speak with would be Wayne principal and vice-principals be proposal to do this through his Dodwell,Vice President of allowed to issue tickets to "Futures Committee" as quickly ( as possible. Then if that instruction on them next week. committee recommends that action, it will go before the entire FESTIVALS & FOOD Ward of Directors for approval. We are gearing up for a busy This is a long process, one I hope summer of festivals and will be completed in time to give temporary food events. The first affected residents some relieve. I is the Waterfront Festival over emphasized this as a Board's Memorial Day weekend. concern. STAFF 0 PLANNING DOCUMENT The staff is all present and FOR FY 97 r accounted for! The Planning Subcommittee has met and drafted its FY 97 vision,mission, goals and objectives which would take effect Julylst. I have enclosed that draft. In addition, I am circulating it through our staff for any suggestions they may have. PROCESS & PROCEDURES BOOK ow As a result of a seminar on Onforcement I attended and a recent legal deposition I survived, the idea of a"process" book has emerged. Many of the inspectors and I were "new" here at the same time. A great deal of our time was spent answering emergency situations. This has been somewhat difficult for the inspectors who sometimes hear, after the fact, the best way to do something. We have worked out the details of many aspects of Health Department business. Therefore, we will be slowly putting together a Process & Procedures Book. The first installment is enclosed regarding Mobile Food vendors. COMPUTERS ■ 0 Dawn Marie and I have eceived our brand new,beautiful computers! They are being set up and we will receive some uyn,� 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 APRIL 1996 ACTIVPITES CLINICS In touch with T.B.Clinic following active cases and case contacts. Sent out appointment letters for all T.B.clients for the month. • Contacted any client that missed an appointment and rescheduled a new appointment. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. Blood pressure rescreenings for city employees and firemen on April 8-approximately 5 people rescreened by Salem State student-no physician referrals needed. MEETINGS AND CONFERENCES Ongoing preceptorship of two Salem State graduate nursing students-will be finished in May. Health Advisory Council meetings at Salem High School on April 1 and April 30 re:Condom Availability Proposal. Meeting with Mary Ellen Connolly,Lynn P.H.N.,on May 11 re:TB follow-up procedure. In contact with John Walsh,North Shore Ambulance re:TB testing for paramedics and EMTs. Approximately 85 employees will be tested in May. ST.JOSEPHS SCHOOL School nurse during recess hours,Monday-Thursday. Scoliosis screening for boys,grades 5-8 completed on April 4.In total,85 children screened, 8 rescreened,with 0 physician referrals needed. PHEO�SCHOOL Administration of prescription medications to children Monday-Friday during lunchtime. 3 � • 1]i �/� IM- 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 1996 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 2 0 3 3 LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 TUBERCULOSIS 0 3 0 0 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. fio-w-n--Nwu�b DAWN MARIE CAMERON,R.N.,M.S.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • Summary of New Communicable Disease Cases-April 1996 HEPATITIS: 1) A 41 y.o. male with Hepatiitis C-patient refused to interview with me-very upset that his diagnosis was sent to me 2) A 37 y.o. male with Hepatitis C- history of IVDA and alcoholism- under care of private physician • • HEALTH ADVISORY COUNCIL • BEM PUBLIC SCHOOLS Maureen Carr Julie' Doherty Head Nurse Coordinator Comprehensive Health Coordinator 740-1171 740-1142 March 26, 1996 To: Salem High School Faculty and Staff Last year at this time with your assistance and cooperation the Youth-At-Risk Behavior Survey was administered to the entire high school. This collaborative effort resulted in very valid and reliable data regarding certain at risk behavior among our adolescent population. We feel it is importfant for you to know that your efforts were not futile. The Health Advisory Council has continued to address some of the critical areas of concern. They established the Youth At-Risk Sub-Committee to explore prevention strategies to reduce unhealthy lifestyles. A major concern was the fact that 50% of the students at Salem High School were sexually active and many were not protecting themselves against sexually transmitted diseases (STD's) including HIV/AIDS. The survey also revealed that sexual activity began as young as 12 years old, and that 29.70% of the students have had multiple partners. Statistics from the Department of Public Wealth show that STD's among Salem adolescents are on the rise particularly in the minority populations. Approximately 20% of people diagnosed with AIDS in Massachusetts are in their 20's, with Salem reporting 21%. Because the latency period between HIV infection and the onset of symptoms is about 10 years, many were probably exposed as adolescents. This public health crisis became the major focus of the sub-committee. A Condom Availability Program which promotes abstinence and provides strategies to prevent the transmission of HIV/AIDS and other sexually transmitted diseases and decreases teen pregnancy was unanimously approved by the Health Advisory Council. Prior to presenting any proposal to the School Committee, the council recommended that input from the community be obtained. This information is presently being gathered from a variety of focus groups. Clergy, teachers/staff, parents, and students will be invited to address the issue of a condom availability program at the high school. Anyone interested is welcome to participate in a focus group of staff members on Tuesday, April 9, 1996 at 2:30 P.M. in the I.M.C. A draft of the Condom Availability Program proposed for Salem High School by the Health Advisory Council will be available at the meeting. If you plan on attending, please notify Maureen Carr at X-171 or Julie' Doherty at X-142 by Friday, April 5, 1996 so that adequate resources can be provided to all in attendance. Your continued cooperation in this endeavor is greatly appreciated.• Maureen Carr Julie' Doherty Head Nurse Coordinator Comprehensive Health Coordinator ACTION ITEM Recommendation of the. Youth-At-Risk Sub-Committee to the Health Advisory Council Statement of Purpose In the interest of Public Health, the Salem Public Schools Health Advisory Council supports Comprehensive Health Education that promotes abstinence and provides strategies to prevent the transmission of HIV/AID S and other se xually y transmitted diseases and decreases tee n pregnancy. Goals The adoption and implementation of age-appropriate programs that encourage abstinence, provide skills to delay sexual intercourse, and make condoms available to sexually active adolescents. Suggested Program Implementation 1 . Upon request, condoms will be available in the Nurse's Office and the Teen Health Center, in wrappers clearly labeled to indicate that abstinence is the only complete protection against sexual transmission of HIV/Aids. 2. Instructions for proper condom use will be enclosed. 3. Health Education teachers will reinforce the classroom health education message, strongly encouraging abstinence within the student population. �. The parents right to exclude their children will be honored when such a request is made in writing to the school nurse/nurse practitioner. 0 A Newsletter for Health, Family Life, and Sexuality Educators Published by the Network for Family Life Education 1'ami!y No. 27 Winter 1996 L o iflel%ATTE . RS • • "Responsible adolescent intimate C®MmI55I®n Urges Focus relationships," the Commission says, "like those of adults, should be based ®n Teen Sexual Health on shared personal values, and GGt`rr should be consensual, nonexploita- tive, honest, pleasurable and pro- The National Commission on Adoles- ally—for mature relationships and tected against unintended pregnancies cent Sexual Health encourages adults their consequences. Teens should and sexually transmitted diseases, if to recognize that a majority of teens receive education about intimacy; any type of intercourse occurs." will become involved in sexual rela- sexual limit-setting; resisting social. The report discourages traditional tionships and to focus on enabling media, peer, and partner pressure; adult denial and disapproval of teen adolescents to evaluate their readiness the benefits of abstinence from inter- sexual behavior, suggesting that it for mature sexual relationships. course; and prevention of prep may actually increase teenagers' risk The Commission is a group of nancy and sexually-transmitted of pregnancy and STDs. This is distinguished educators, health pro- disease. because many teens will risk prep- fessionals and sexuality experts con- While the Commission opposes nancy and disease, rather than expe- vened by the Sexuality Information abstinence programs that provoke rience disapproval of their parents and Education Council of the United fear and shame, it encourages clear or of other adults from whom they tates (SIECUS). The Commission's messages—especially to young adoles- might obtain contraceptives and 0 report, Facing Facts: Sexual Health cents—about the benefits of ahsti- condoms. for America's Adolescents, is based nence. At the same time, the Commis- Instead, the Commission urges all on a '*Consensus Statement,"which sion says that adolescents should sectors of the community to promote has been endorsed by 48 prominent receive both support and education adolescent sexual health by providing national organizations. These include for developing skills to evaluate accurate information and education; the American )Medical Association, the their readiness for mature sexual fostering responsible decison-making American School Health Association, relationships. skills; offering young people support Girls Incorporated and the National (continued on page 8) Association of School Psychologists. Sexual behavior in the broad sense, the Commission says flatly, "is almost universal among American adolescents."About 85 percent of teens have had a boyfriend or girl- friend; more than half of all teens have engaged in petting; by the time they are 18, more than three-quarters have engaged in heavy petting. More than 80 percent of all Americans first have intercourse as teenagers. Too much of the public policy debate about teen sexuality, says the Commission report, has focussed on whether adolescents should abstain 0uuu om sexual behaviors, especially tercourse. Instead, society should encourage teens to delay sexual behaviors until they are ready— physically, cognitively. and emotion- • Teen Sexual Health WHAT MAKES SEXUALITY EDUCATION EFFECTIVE? (continued from page 1) Facing Facts says that effective comprehensive sexuality education programs: and guidance to explore and affirm ■ are experiential and skill-based; their own values; and modeling healthy ■ are taught by well-trained teachers and leaders; sexual attitudes and behaviors. ■ discuss controversial issues; In this process, Facing Facts ■ provide multiple sessions through multiple media; emphasizes the role of comprehensive sexuality education programs, the pri- ■ are.relevant to all teens, regardless of sexual orientation; mary goal of which should be to pro- ■ are culturally specific, culturally sensitive and linguistically appropriate; mote sexual health. Such programs ■ discuss social influence and pressures; should seek to help children obtain a ■ reinforce values and group norms against unprotected sexual behaviors; positive view of sexuality,provide them ■ provide age-and experience-appropriate messages and lessons; with information and skills to take care ■ teach skill-building, including refusal skills; . of their sexual health and help.them ■ are integrated with comprehensive health education;and acquire skills to make decisions now ■ use peer counseling and peer support when appropriate. and in the future. The Commission makes specific recommendations about characteristics and contents of effec-. comprehensive sexuality education ally healthy. Facing Facts calls upon tive sexuality programs (see Box). programs paralleling those of the individual adults and society in gen- But schools are only one site for sex- schools. Parents should be able to eral to "help adolescents develop the • uality education, the Commission says. . attend programs to help them provide values, attitudes,maturity and.skills Other key players are parents, health sexuality education to their adolescent to become sexually healthy adults." care professionals, community pro- children at home. grams, and the mass media. The There is public and professional For copies of Facing Facts, contact Commission encourages community consensus about what is sexually SIECUS, 130 Best 42nd Street, Suite y y agencies,religious institutions and unhealthy for teenagers, the Commis- 350, New York, NY 10036-7802, youth-serving organizations to develop sion says, but not about what is sexu- 2121819-9770. ■ s Condoms: An Essential Classroom Topic ondoms. For anyone engaging in transmission of disease, including during sexual activity. The condom sex, they can be a matter of life or HIV. And the Centers for Disease acts as a barrier, preventing sperm or death. So why do people object to dis- Control and Prevention reports a germs from traveling from one sexual cussing them in our classrooms? Some two-year study that tracked 124"dis- partner to the other. say such discussions rob children of cordant" couples (i.e., couples in Given exaggerated claims about the their innocence. This is a comfortable which only one partner was infected failure rate of condoms, teachers notion, but even cursory review of with HIV)who reported consistent should probably spend some time media that children are exposed to use of latex condoms; not one of the explaining methods u$ed to test relia- yields the conclusion that the cat is uninfected partners became infected bility of contraceptive methods. The already out of the bag(see cartoon). with HrV. article, "How Reliable Are Con- Others argue that discussion of The Centers for Disease Control doms?"in the May 1995 issue of Con- condoms will lead to promiscuity. and Prevention puts condom relia- There is very good research demon- bility in context: "Those who prac- strating that this fear is baseless, such tice abstinence as a prevention Condoms, when used as the recent"Does the Promotion strategy will find it effective only if properly, fail about two and Distribution of Condoms Increase they always abstain. Similarly, those percent of the time. Teenage Sexual Activity? Evidence who . . . [use] condoms,will find from an HIV Prevention Program for them highly effective if used correctly Latino Youth" (American Journal of and consistently." Sumer Reports, can be helpful in this Public Health, December 1994). In regard. Students need to hear the this study, author Deborah Sellers Teaching About Condoms conclusion of the FDA,which regu- and others found that students who Educators need to be forthright about lates the manufacture of condoms as were provided with information about the wisdom of discussing condoms, medical devices, that latex condoms, and access to condoms were less likely emphasizing that providing such when used properly,fail approxi- become sexually active than those information does not increase sexual mately two percent of the time. o did not receive such information. activity;promoting condom use does Without giving students a false pic- Some people oppose discussing not'promote sexual activity or mul- ture, teachers can also point out that condoms based on their.personal or tiple sex partners; and education not every broken or incorrectly used religious opposition to birth control. about condom efficacy does promotes condom leads to pregnancy or infec- Some find the subject dirty or.dis- condom use among those who are sex- lion. For example, a woman's chance tasteful. Others appear to resent the ually active. of pregnancy from a single act of fact that condoms prevent pregnancy The best way to begin a classroom unprotected intercourse is generally or disease, as if these were proper discussion of condoms may be to four percent, but ranges from 0 to 20 punishments for having sex. Reasons define terms. A condom is a sheath or percent depending-upon her men- why people object to teaching about cover for the penis that is worn strual cycle. The chance of becoming condoms might be a good infected with HIV from a discussion topic for older single act of unprotected students. MWW d_�1 intercourse with an Although narrow, resis- a EOM ! infected partner is between tance to teaching about W0 AW5A .01 and 20 percent condoms is sometimes patio? (according to K. M. Stone, fierce. A recent manifesta- tion has been the strongly r� 1 Barriers,"in Barrier Con- stated concerns—often �F 'a traceptives: Current based on wildly inaccurate Status and Future claims—about reliability of Prospects, 1994), and the condoms, particularly in danger while using a preventing transmission of condom depends on when HIV. In fact, the U.S. Food the break or misuse and Drug Administration z occurs. DA)has concluded that The teacher should also 4 condoms,when used cor- a inform students about con- rectly and consistently, are doms for women. Like the highly effective in pre- 1...itti male condom, the female venting pregnancy and condom is tubular in 4 shape,but has two rings: the outer ring spreads over the labia and keeps FIGHTING MYTHS ABOUT CONDOMS the condom from slipping into the vagina; the inner ring is inserted the Myths and misinformation about condoms discourage their use in situations where same way as a diaphragm, anchoring they could.prevent disease and unwanted pregnancy. Educators must help dispel the condom in place inside the these misconceptions: woman's body. Laboratory studies • Condoms don't work. indicate that the female condom is a WRONG. Recent studies provide compelling evidence that condoms are highly effec- barrier to viruses and sperm, but fur- tive so long as they are used correctly and consistently. ther clinical research is necessary to • Condoms frequently break. determine its effectiveness in pre- WRONG. Condoms are regulated by the U.S. Food and Drug Administration. Manu- venting transmission of HIV. Perhaps facturers test every latex condom for defects before packaging. Condom breakage the most important reason to raise rates in the United States are less than two percent and most of the breakage is the subject of the female condom is. likely due to incorrect usage, rather than poor condom quality. to give students an opportunity to . HIV can•poss through condoms. discuss why they think it was devel- WRONG. Intact latex condoms provide a continuous barrier to microorganisms, oped. including HIV. Teaching How To Use Condoms • Education about condom efficacy promotes sexual activity. Given the controversy about the sub- WRONG. Of 30 studies about the effects of sex education, not one suggests that ject, teachers may want to limit teaching about condoms leads to earlier or increased sexual activity among young instruction about actual condom use people. to situations where support or need is evident. One good way to approach Source:Centers for Disease Control and Prevention, 'Facts About Condoms and Their Use in Preventing HIV Infection and Other STDs,'January 1995. the topic is to lead a discussion of the basic steps of condom use, eliciting the reason for each: ■ Use fresh condoms(no more than a few card the used condom. REASON: This say they use condoms for birth con- years old)that have been stored in a protects from exposure to sperm or trol, but many fail to use them to pre- • cool,dry place.REASON: Heat,light and germs;the condom is more likely to slip vent AIDS when other means of birth air pollution can hasten deterioration. off accidently if withdrawal occurs control are available. The 48 percent later. who used a condom the last time they ■ Put on anew latex condom for every act of intercourse. REASON: Condoms had sex decreased to 19 percent among those using birth control ills ari n o g P are unreliable for more th one Students need to link use. to prevent pregnancy. Disease preven- condoms to intercourse ■ Put the condom on as soon as erection tion is not high enough on the agenda occurs and before any vaginal, anal or the Way they lint{ seat }felts of sexually active high school stu- oral contact with the penis. REASON: to Car travel. dents. This protects both partners from And, of course, adolescent use of infection and the woman from preg- contraceptives is inconsistent and nancy. Psychological and Social Factors often inept. The Institute of Medicine ■ Pinch the reservoir tip or end of the In their article, "Belief about AIDS, of the National Academy of Sciences Use of Alcohol and Drugs, and reports that, in a recent year, the condom as it is put on. REASON: This � p y forces out air and allows room for Unprotected Sex Among Massachu- rate of unintended pregnancy semen to collect. setts Adolescents" (American Journal among females ages 15 to 19 was 82 ■ Unroll the condom carefully and com- of Public Health, March 1990), percent. pletely. REASON: This protects against researchers R. W. Hingson and others To increase condom use among sex- breakage and makes it less likely that identified factors that increase likeli- ually active students, educators must the condom will slip off. hood of teenage condom use: feeling fight the myths about their effective- ■ Never use oil-based lubricants. REASON: personally at risk of HIV infection; ness (see box) and teach students how Oil-based lubricants,like petroleum believing condoms are effective in to counter objections and excuses jelly,hand lotion,baby oil or cooking preventing HIV infection; having about their use. The ultimate goal is oil,may weaken condoms and cause skills to negotiate condom use with a to link condoms with sexual inter- them to break(water-based lubricants, partner; having talked with a physi- course the way seat belts have become • such as surgical jelly,are safe). cian about condoms; and perceiving linked to car travel: the inconve- ■ Withdraw from the partner immediately Peer approval of condom use. nience is slight compared to the after ejaculation,holding the base of According to a survey by the Cen- potential benefit, and Americans of the condom firmly to keep it from slip- ters for Disease Control, nearly half the 1990s put them on without even ping off; then carefully remove and dis- of sexually active high school students thinking.■ 5 Joan Nolan-Fuhr, a nurse at North Shore Techin(cal High School In Middleton, ogemarried Joan stands In front of an AIDS education poster In tier ges t6.:t4 office. She and other educa- tors will distribute condoms to students who ask for them. es heeu the two ele- By SUSAN FLYNN r tile, last school's nurse. Iteo gymleachers, or Bo is not at News staff cial worker fora condone. n-tirtg and Nurse Joan Nolan-f uhr said it lnav Some of MiDDI,ETON — Vanessa Cooper seem o(l(I praising the prcltrant will) so laughs at first and then her voice turns few s(u(len(s par(icipaling. She certaild are Italy, erica andSMART angry when talking about what she says knows snore than 30 sluden(s are sexually is the twisted logic of some adults. active. She's proud her school—North Shore But the number of reported sexually of others Technical High — look a controversial trans►nitted diseases are down and teen )r middle stand by agreeing four years ago to give pregnancy rates have dropped from 25 lu explain condoms to students who ask for them. percent in 1992 to 5 percent Ibis year. Four years ago, But the 18-year-old senior can't under- Nolan said she lilies to think the avail- stand what's preventing more schools ability of condoms, along with a clintale gram for �T 1 �+ r from doing the same. The idea that hand- where adtdts and students can (alk openly �mettead, Nor or th Shore Tech became ing out condoms somehow encourages and honestly about sex, haS helped towel mote het- teen-alters to have sex is absolutely ridicu- these numbers.eng,etc. the only high school in the loos,she said. "1 think everyone here is proud of the ling, etc. "I don't say, 'Qh great, I have a condom decision," said Nolan-Fuhr, who still utter (Ile now—let's go use it."'said Cooper. "What spends far more time handing out aspirin to lobar` region to distribute condoms. (to these (adults) think we are — some and ice packs than condoms. itlee, we kind of animals?" "I thine( we convinced (file School Con lt- e d to oil-could With decreased rates of teen In n m 1992,faced with a alarming number rttittee) it was a medical decision rather le eschool of teen pregnancies and the death of a re- than n a un•al issue. None of us wanted in cent graduate from AIDS, the regional a few years to look back and say, If on- t middle Pregnancy and sexually school committee voted to distribute con- ly?"'she said the age . doors in conjunction with one-on-one Students, however, are less positive Wore transmitted diseases, counselhig with staff. about tile program . They little e progra . 'They say (he guest tle m What the school off Route 114 acco - speakers who visit the sch for fo health plished that night was rather remarkable. education programs are etli�clive, particu still utt - ti Kids educators say its a choice Tile school with 450 students today re- larl,y the former vocational s(udent who is s mains the only one on the North Shore now flIV-posi(ive. safety they would gladly make again. giving condoms to students. But overall they say students are too deo and School officials are calling the 4-year- embarrassed to ask adults (Ad enough to (.lie im- old AIDS education policy a success. Ali be their parents for birth control. 'They of(lie average of 30 students a year ask the CONDOMS, page 132 t teams arding, ifornia Icing to nent's) al cru sta ,are of SALEM—More than 30 adult to gives 136 a .lot of visitors,Including clwaleaders > a + t V teachers het ly saw # and city.and school.employees, �� f.ti•.r r1 . �' •-` 1.a bike volunteered to read to students' ' to kids la t week during Comn�unit 1 xr`� G Y more y r I,n �x. rF''' tier; a In ff era Day at the'gentley ., tough of and Salem Early Child- '' ''; "� +'f d "��+ Stlidell r oans So. as hood`Center. i.J • N.p i ,air.` �tirF•� 1.. .. Condoms: Distributed at N.S. Tech e Continued from page 131 I would rather see condom ma- Bob Parsons, the Gloucester represegtative on • t chines installed in the bathrooms the regional school committee, voted against the I and locker rooms. Senior Matt Tumbiolo said the condoms in 1992 and would do so again today. school should place a big box of "The schools are asked to solve all the ills in t condoms somewhere that's easily accessible to students. the world today and it just can't be done," "I wouldn't go to the nurse's of- 1 Thomson said. "I told m 0 fice to get condoms," he said. "I P y son if you think you're t think people are just shy." big and old enough to handle that responsibility Junior John MacKinnon agreed, t adding that students don't want to you're big enough to walk into a drugstore i themike the teachers are judging and buy your own." Since the state Department of Education in 1991 recommended the distribution of condoms as 'Tempest in a teapot' Fuhr. She ends every conversation part of a comprehensive AIDS cur- How the vocational teachers and the same way:"Be smart." riculum, only 23 schools have fol- students convinced the School Occasionally, Nolan-Fuhr said lowed the advice. They include Committee to approve the mea- she finds herself reluctant to hand such affluent communities as sure is anyone's guess. Some point out a condom. The student may Brookline, Newton, Lexington and to the lack of parental involve- storm into her office and demand- Lincoln-Sudbury and larger cities ment; others credit the close rela- condoms in front of a room full of ! like Cambridge and Boston. tionship between the students and teachers and say things like, "It's In recent years, few education teachers. my right"to get condoms. issues have polarized communi- Still others say the committee "They're kids."said Nolan-Fuhr. ties like the debate over condoms. members representing the district's "Some are young and foolish and Many adults say they fear that 16 North Shore cities and towns were too immature to be having sex." handing out condoms encourages scared to death that their students Since the vote, the school has sexual activity among teen-alters. were at risk for contracting AIDS. not received any complaints from Schools, they say, should teach The vocational school Principal parents about the condom policy. students how to read, write and John Roper said the entire con- A few schools districts, however, think, and not the proper way to dom controversy turned out to be have called asking for advice. wear a condom. "a tempest in a teapot" and other Clare Sabo,the parent of a voca- Bob Parsons,the Gloucester rep- schools could learn from their ex- tional school senior, said she sup- resentative on the regional school perience. ports the condom policy. "I feel it's committee, voted against the con- "We expected parents to be com- a good thing. The kids will go out doms in 1992 and would do so ing out of the woodwork and there and do it anyway," said Sabo, a again today. really weren't any,"said Roper. Beverly resident. "The schools are asked to solve Parents do have a say in She said the lack of parental in- all the ills in the world today and whether their children receive volvement at the school may have it just can't be done," Thompson condoms.At the start of the year,a made it easier to pass the policy. said. "I told my son if you think letter is sent home explaining the Senior Maria Marquez, 17, said you're big and old enough to han- program and giving parents a abstinence is a nice idea but it's not dle that responsibility you're big chance to respond. the reality. Teens are having sex. enough to walk into a drugstore This year, about 20 parents, Marquez herself is the mother of a and buy your own." mostly those of special-education 16-month-old girl named Mercedes. A group of Falmouth parents students, wrote back to excuse "It's the 1990s. They could be 12 took their case as far as the U.S. their children. years old and doing it. You can't tell Supreme Court last January to When students request a con- them they're too young," Marquez block the school from handing out dom, they are first counseled on said. "They're not going to listen.'' condoms.The parents lost. the benefits of abstinence. Nolan- She said it's the teachers and In Beverly last year, a survey Fuhr said a few times students parents who are against condom showed that 84 percent of the high walked into the nurse's office look- distribution that need the educa- school students want condoms made ing for a condom and after talking tion. "They're the scared ones." available on campus.Still,the School awhile,changed their minds. i%,Iarquez said. Committee has not taken any action. Surprisingly, Nolan-Fuhr said, The school staff is now assessing The Salem schools are studying the conversations are not as awk- the AIDS education program. whether condoms should be avail- ward as one might suspect. Most Nolan-Fuhr does not support con able.The health advisory committee teen-alters are well informed about dom vending machines. but she is expected to bring the proposal to set and, in fact,many talk as open- may be willing to train students to the School Committee next month. ly about• being tested for the HIV act as peer counselors to hand Ralph Edwards, an AIDS educa- virus as they might about their them out. for with the state Department of driver's license exam. "Our goal now :s to make (pass- Public Health, said parents who An equal mix of males and fe- ing out condoms) less intitnidat- mav never have attended a single males have asked for the condoms, ing," she said. "I do know we have school function are apt to turn out which are given in packs of three. 30 sexually active kids who are for votes about condoms. "In an ideal world, (high school) trying to be smart.J-Iv hope is they "It's an issue communities real- students would wait. but that's just are sharing with other students ly wrestle with," Edwards said. not what we are seeing,"said Nolan- what they are learning." r e.rh_r�x_a�•s_.—::-ac:a:r::::>^-a tin::a'rsm.. .s.,.-wc-�.. ez�:��re;:n.wr.:�aua.u:_�rF:,a�c..�nz,:.v�.va'-y r9r'.'t£,'�';."Y'K1n:F.". 'y"` ,�„�r+�Cp.— - s - . .. ..... REPRODUCTIVE FREEDOM PROJEC*i SCHOOL-BASED CONDOM AVAILABILITY PROGRAMS Sexual Activity and Condom Use Among Adolescents • Eighty percent of teenagers nationwide are sexually active by the age of 19. The percentage 0 of sexually active students increases dramatically with each grade, from 39.6% in the 9th grade, to 71.9% in the 12th grade. "Sexual Behavior Among High School Students -- United States, 1990," Centers for Disease Control Morbidity and Mortality Weekly Report, January 3, 1992. • Each year, American teenagers bear over half a million children, the vast majority of them unplanned; abortions terminate an almost equal number of adolescent pregnancies. Deborah Anne Dawson, "The Effects of Sex Education on Adolescent Behavior," 18 Family Planning Perspectives 162 (1986). • Among currently sexually active students, only 49.4% of male students and 40% of female students report that they or their partner used a condom during their last sexual intercourse. "Sexual Behavior Among High School Students—United States, 1990,"CDC Morbidity and Mortality Weekly Report, January 3, 1992. • In evaluating strategies for encouraging condom use among teenagers,teens say guaranteeing confidentiality (78%), making them free (75%), and making them easy to obtain (70%), would be most likely to influence them and their peers to use condoms. Louis Hams and Associates, American Teens Speak. Sex, Myth, TV, and Birth Control (Highlights of Survey Findings) 1986. Adolescents Are at Risk for HIV/AIDS • In 1988, AIDS was the seventh leading cause of death among 15 to 24 year-olds, and 21% of all AIDS cases in the United States were found in young adults ages 20 to 29. The eight to ten year latency period from infection to development of AIDS suggests that most of these infections occurred during adolescence. Karen Hein, "Lessons from New York City on HIV/AIDS in Adolescents," N.Y.S. J. Med., Mar. 1990, at 143, 145. • The New York State AIDS Advisory Council — made up of physicians, educators, and community leaders — recommended that schools make available condoms in a confidential manner to all sexually active students. Citing a growing rate of HIV infection among adolescents, • the council reported that schools are imperative sources for HIV prevention education and teen health care. New York State AIDS Advisory Council, "Illusions of Immortality: The Confrontation of Adolescence and AIDS," 1991. 7 f f' • School-Based Condom Availability Programs Are Effective •Among students in Baltimore who participated in a school-based pregnancy prevention program that linked sex education with free medical and contraceptive services at an adjacent clinic, the pregnancy rate declined 30.1% after 28 months in the program. Laurie S. Zabin et al., "Evaluation of a Pregnancy Prevention Program for Teenagers," 18 Family Planning Perspectives 119, 122-24 (1986). it •Students in Muskegon, Michigan, who participated in a school-based clinic that issued vouchers for free contraceptives at a nearby Planned Parenthood clinic were more likely than their counterparts at a comparison school to have used condoms at their last se xual intercourse. Douglas Kirby, et al., "Six School-Based Health Clinics: Their Reproductive Health Services and Impact on Sexual Behavior," 23 Family Planning Perspectives 6, 12 (1991). Alternative Sources of Condoms are Less Effective •A recent survey conducted in Washington D.C. indicated that only 13%of stores marked where condoms were shelved, and in another 33% condoms were kept behind the counter. Teenage female respondents indicated that 40% of the time, their requests for condoms were met with resistance or condemnation from store clerks. Quarterly Newsletter, Center for Population Options, Winter/Spring, 1991. • Only 14% of teenagers make their first visit to a family planning clinic before their first intercourse. Fear that their parents will find out they are sexually active is the major reason most teens delay visiting a clinic until a year or more after starting intercourse. Laurie S. Zabin, et al., 'Why They Delay: A Study of Teenage Family Planning Clinic Patents ," 13 Faintly Planning Perspectives 205 (1981). Condom Availability Programs Do Not Increase. Teenage Sexual Activity The re is no scientific evidence that school-based contraceptive counseling and provision hasten the initiation or increase the frequency of adolescent sexual activity. Joy G. Dryfoos, "School-Based Health Clinics: Three Years of Experience," 20 Family Planning Perspectives 193, 196 (1988). • A study of six school-based clinics (including several that provided condoms to the students) showed that at most sites, there were no significant differences in the age of initiation or the frequency of sexual activity between clinic and non-clinic schools. When significant differences did occur, the data showed less sexual activity among students attending the clinic schools. Douglas Kirby, et al., "Six School-Based Health Clinics: Their Reproductive Health . • Services and Impact on Sexual Behavior," 23 Family Planning Perspectives 6, 14 (1991). 6/15/93 q 1 CHECK REQUEST t m AY,6 - 1996 ,<GENERAL FUND nd Check Amount: $ - - - t33Q • 31 Ve or Number: Specify Date (►f needed wullin 5 calendar days) Payable To: (Wrials Plus F41l Name): Month: -- Day Year: � ;•�t;' •qA,f:tilytu� 5r'." 3;.''�'•�tt•' �r l! : ", .f�•.i.." .CA:..x'... :. `I},•x,:;,4�.v 1'h�Y��;h a'• .�;t� i,, ?: ��i u: DEN17FY ONE MW eoaRo OF Mat,•nt :.zkY.�� lstnbutl0 4' Address a"�Fr,`a) .A G JAY tiY:ih Send By U.S. Mall: (Anal, Originals) To Be bfailed jnd Staple A Copy For Accounting) Do Not Mail Department Will Pick Up —Will Vendor Be Used Again? Y L �►_— t'IJoce:StaplehA Copy.) -call Extension For Check Pick-Up. Is This An Employee? Y,_ N IfPMFWN is isbr of abler Nyd,7Ar JblS.rnt (� tPf•n!"We) L n;vurrd• ...���• T�� SocialSecuriry >U _ _ _ - _ - - --•- - - Or Qederal (PrvTaxI.D. # _ _ - _ _ _ _ - -- lrY 4 putpare(Brief De:er'pdm) (Compiele Sisr'r:ure•r'o Jri��'•/ Ste, SiaZV= AND 0Iqr= SM � � � �J 3 O, Responsibility Report Accouly Distribigion (10Digits) A..ou�rjr G Aerosol fi A VISITS 51:@$5.07 eachIs VMUS _ - - - Total Of bfore 71tan One Ace[ B) Per Override 1099 Set Up Y N, N/A Revielved By: Approved By: invoice — Irtvolce Date Check h.• P.O. Check Date: Dote Received by Accoilr2tirig: Check Received By: 11'arrtMate Rev 06/14/93 i e • S sI RUCES Fm Nam paLMAMpM= MALTH CLMM (secretarial and office supplies) A visits 510$5.07 each = $258.57 B visits 39 0 $3.38 each = 031.82 $390. 93 Secretarial. services A visits $2.77 B visits $im Secretarial / offices supplies A visits $2.30 B visits $1.53 41'� i- c ;a i MAY 6 - 1996 Qiy , HEAI:hi EP-i. ADASTRATION - MONTHLY REPORT MARCH 1996 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 480 BURIAL PERMITS ISSUED 44 Diptheria-Tetanus Tox. (under 6 yrs. ) 0 ANIMAL BITES REPORTED 0 Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $1,190.00 Measles/Mumps/Rubella 90 CERTIFICATE OF FITNESS - .CASH 1,675.00. Polio 500 (67 X $25.00 = $1,675.00) Tetanus & Diptheria (adult use) - 140 Tuberculin PPD 330 HIB Titre 610 Hepatitis B 700 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $313,223.00 -- $233,697.98 -- $81,815. 13 2,290. 11 SUP. APPR. NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,300.00 $11,509.51 -- $6,443.71 $13,346.78 6,000.00 SUP. APPR. 1995/BAS 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 MARCH 1996 ACTIVITIES CLINICS In touch with T.B.Clinic following active cases and case contacts. Sent out appointment letters for all T.B. clients for the month. • Contacted any client that missed an appointment and rescheduled a new appointment. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. Plan for follow-up blood pressure screenings-date set for April 8. MEETINGS AND CONFERENCES Ongoing preceptorship of two Salem State graduate nursing students. Health Advisory Council meetings at Salem High School on March 5,March 14,and March 26. TB conference at Salem Hospital on March 18. Meeting with Karolyn Jernigan(TB Nurse)and Nancy Taylor(M.D.P.H.)at Salem Hospital on March 18. ST.JOSEPHS SCHOOL School nurse during recess hours,Monday-Thursday. Hearing&Vision screening completed for grades K-8. Several referrals made to parents and physicians re:hearing&vision. Scoliosis teaching project done by Salem State student and the Public Health Nurse on March 7. Scoliosis screening for girls,grades 5-8 on March 21.Date for boys:April 4. PHEONIX SCHOOL • Administration of prescription medications to children Monday-Friday during lunchtime. h 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 Meeting with Betsye Sargent (Coordinator) , Barbara McFall(Teacher) , and Joanne Scott on March 29 re:medication administration. Review of state requirements and application. • • l v�' 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 1996 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 1 1 0 0 LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 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 �Q HEWLETT° �® Hewlett-Packard Company U/ PACKAPO �000I�1 Pr uct ods Group �;UuO Minuteman Road Andover;Massachusetts 01810 I.- 1996 March 29, 1996 Dawn Marie Cameron Salem Board of Health Nine North Street Salem, MA 01970-3928 Dear Ms. Cameron: Hewlett-Packard's Local Community Donations Committee has reviewed your request for computer equipment. With a large agenda and much competition for a limited amount of funds, we were unable to fund all of the very worthy requests received. While • we recognize fully the critical services provided by Salem Board of Health, we were unable to fulfill your request. We wish you great success in your efforts to develop an effective patient tracking system. Thank you for your interest in Hewlett-Packard. Sincerely, HEWLETT-PACKARD COMPANY �r9 I?Ir Kathy Rogers Public Affairs Administrator KR:mtf ASISTRATION - MONTHLY REPORT FEBRUARY 199610 {" BIOLOGICS DISTRIBUTED AMOUNT IN DOSES ` AMOUNT': ':., Diptheria, Tetanus & Pertussis 60 BURIAL PERMITS ISSUED $4 Diptheria-Tetanus Tox. (under 6 yrs. ) 0 ANIMAL BITES REPORTED 0 Ei 4...: Immune Serum Globulin 0 CASH RECEIVED .- LICENSES & PERMI _ 11 n !y Measles/Mumps/Rubella 60 CERTIFICATE OF FITNESS - .CASH $1,;750 Otl Polio 90 Tetanus & Diptheria (adult use) ' 70 Tuberculin PPD Ay 220 HIB Titre 50 Hepatitis B 392 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVIAILAB ;BALANCE $313,223.00 -- $210,147. 13 -- $103,0 5.'87 _ NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILAB BALANCE' $25,300.00 $9, 182.78 -- $6,676.44 $9,440 �8 1995/BAS f Inspection Types .......... . ..... ......... . . . . .. ....... . .... .. .. .. . . .. . . ... . . . . . . . .. . . . .. ... aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa BB - Bed/Break. 1 FSI - Food Serv. Ins . 131 RFD - Retail Food Disc . - Cert . Fit . 1001* FSR - Food Serv. Rein. RFI - Ret . Insp. 110 - --=--Ger=t . Fit .Rein-sp. GN - --Gen---Nuisance F RFR - Retail Food Rein. CH - Court Hearing HI - Housing Insp. 155* RO - Rodent Control CON - Constable Serv. HR - Housing Reinsp. SC - Suntan 6 CR - Compliance Rev. LPI - Lead Paint Insp. 16* SES - SESD Odor DC - Day Care MS - Massage 5 SM - Seminars/Meetings EC - Envirn. Compl . MUP - Mobile Food Insp. 17 SP - Swim. Pools 13 EPR - Ext. Paint MUC - Mobile Unit Compl . SB - Swim. Beaches 11 FC - Food Compl . OS - Off . Sub. Insp. 8 ST - Soil Test FRH - Food Related Hear. RC - Rec. Camp 5 TFI - Temp.Food 61* FFSD —Food Serv. Disc. RFC - Retail Food Compl . TR - Trash aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa City Of Salem — - - Environmental Health Division --- Inspection Monthly Summary Month -------------------------------------------------------------- Type Jul 95 Aug 95 Sep 95 Oct 95 Nov 95 Dec 95 Jan 96 Feb 96 Count CFI 93 107 107 98 65 41 48 69 628 CFR 6 8 11 6 8 0 4 7 50 CH 5 11 6 12 5 3 1 4 47 CON 18 20 11 4 11 3 6 5 78 CR 2 3 3 9 2 1 6 8 34 EC 15 21 7 12 3 5 2 5 70 EPR 1 0 2 1 0 0 0 0 4 FC 1 4 1 1 2 1 1 1 12 0 0 0 1 0 0 0 1 2 3 2 2 3 4 0 0 0 14 r I 12 24 29 20 19 13 27 24 168 FSR 12 16 11 13 16 9 18 26 121 GN 4 4 3 4 4 0 0 1 20 HI 15 19 16 25 13 22 16 17 143 HR 4 20 11 14 13 13 12 8 95 LPI 2 3 2 0 1 1 4 1 14 MUP 1 1 0 2 0 0 0 1 5 OS 7 0 1 0 0 0 0 0 8 RC 3 0 6 0 0 0 0 0 9 RFD 0 0 0 0 0 0 1 0 1 RFI 11 3 7 1 17 2 8 4 53 RFR 4 4 5 0 2 0 2 4 21 RO 0 2 0 1 1 0 1 1 6 SB 23 23 0 0 6 2 0 0 54 SC 0 1 1 0 0 0 2 4 8 SES 7 4 6 1 0 0 0 0 18 SM 7 28 12 15 10 7 27 5 ill SP 4 0 0 0 0 0 0 6 10 ST 0 1 0 2 3 0 0 0 6 TFI 0 40 0 2 0 0 0 0 42 TR 118 84 48 35 24 20 32 21 382 Count 378 453 308 282 229 143 218 223 2234 • 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 FEBRUARY 1996 ACTIVITIES CLINICS In touch with T.B.Clinic following active cases and case contacts. Sent out appointment letters for all T.B.clients for the month. • Contacted any client that missed an appointment and rescheduled a new appointment. Several PPD tests done in office. Maintained vaccine inventory and distributed biologics citywide. Interviewed and followed all communicable disease cases and reported to CDC. Accompanied sanitarian on inspection of Keefe's Restaurant-teaching about Salmonella done. Blood Pressure Clinics: Firemen,Division 3-Feb. 1. City Employees-Feb.5. Policemen-Feb.8. Firemen,Division 1-Feb. 12. Firemen,Division 2-Feb.22. Firemen,Division 4-Feb.26. MEETINGS AND CONFERENCES AIDS Collaborative meeting at Salem Hospital on Feb. 13. Health Advisory Council meeting at Salem High School on Feb. 15. P.H.N.meeting in Tewksbury on Feb.21. Meeting with Dr.Dumas re: Pheonix School on Feb.28. Ongoing preceptorship of two Salem State graduate nursing students. ST.JOSEPHS SCHOOL • School nurse during recess hours,Monday-Thursday. Ongoing Hearing&Vision Screening. Review of immunization records-follow-up with physicians and parents as needed. 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 Preparation for scoliosis screening in March. PHEONIX SCHOOL Administration of prescription medications to children Monday-Friday during lunchtime. Meeting with parents and teachers on Feb. 13 re:head lice situation-teaching and information sharing. Negotiations continue re:medication administration-ongoing review of legal requirements. • i • To: Joanne Scott From: Dawn Marie Cameron Re: Pheonix School Date: March 4, 1996 To summarize my meeting with Dr. Dumas on February 28: The Health Agent and the Public Health Nurse will meet with the Administrators of the Pheonix School to discuss a medication administration plan. Legal issues will be discussed. Dr. Dumas will be available as needed for consultation. ICI • i 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 FEBRUARY 1996 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 1 0 2 2 LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 2 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. • n DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • Summary of Communicable Diseases- February 1996 HEPATITIS: 1) A 33 y.o. pregnant woman with Hep A and Chronic Hep 13- being followed by Dr. Murray. SALMONELLA: 1) A 6 y.o.female with Salmonella- exposure unknown- unable to locate patient to investigate. 2) A 86 y.o.female with Salmonella-exposure unknown- unable to locate patient to investigate. CHECK REQUEST • - :GENERAL FUND FEBRUARY 19�e, Wendor Number: Check Amount: $ L _ _ � � 3 �' � � L Specify If needed wutun 5 calendar days) Payable To: (Initials Plus Full Name): S P h' Date ( Year: Month: Day: City of Salem , i "[''th 1�ti�• �VJ.��/�4 ','`�yPii''�1(,��':.y4'., .. Ili .. ... .. A''`' .; i Board of Health ry` eheckl7isttrbuiion fIDENTlFY.ONE Address ��jRR�et�,"r 9 Nbr`Ofteet, Salem, Ma 01970 Send By U.S. Mall: (Atradf Original(s) i To Be Mailed/Anal.Sraple A Copy For Accotrnring.) Do Not Mail - Department Will Pick Up Will Vendor Be Used Again? Y L;N (Note: Staple,A copy.) Is ?his An Employee? Y N x Call Extension For Check Pick-Up. #Fo2R Fj tr tabor or unicr AT&W,Ike Jbi"inf . (Pf`�If�rJrel ' 4wrriRL' •• } , -piDVf?�r1 Social Securiry # Or Federal Tat I.D. # _ _ - _ -—- —— — (print xr=e) •Puppate(oriejDcrr.'prsn) �/ti.a�f.r�� Secretarial services and office (Complate siaretuee-No supplies for the Forth Shore Pulmonary rpm) • �+i rtxr F._'e=cnl Public Health Clinic _A visits 49 ® $5.07 each $249.43 Respoiuibiliy Report 4ccowur Distribil-Ron (10Di01rs) Account# B visits 26 @ $3.38 each $336.31 2 - - - - - - - - - " - -- - - - -'-r— — — — - — — — — — 5 - -- - - - Total Of More 77tan One Accr � G'O I.0 D001 P RT SE`b•�, i� Per _ Override arkoicvX.a �G a 'd .'wnid„oo- ia +f;sF Reviewed By: Approved By: 1099 Set Up Y N NM Invoice # _ —_ _ _ _ _ - -- Check #: Invoice Dare Clieck Date: P.O, • Dote Received by Accotrliting: Check Received By: ' �'cral!Date . Rev 06114193 • FEBRUARY 1996 NORTH SHORE MEDICAL CENTER BILLING DEPARTMT SERVICES (secretarial and office supplies) A visits 49 @ $5.07 each B visits 26 @ $3.38 each total A visits 49 @ $5.07 each = $248.43 total B visits 26 @ $3.38 each = $ 87•88 total $336.31 i Secretarial services A visits $2.77 B visits $1.85 Secretarial / Office supplies it A visits $2.30 • B visits $1.53 . I i i ; E r e T T MAR 2 01996 I 1; ISTRATION - MONTHLY REPORT JANUARY 1996 • .' � `� BIOLOGICS DISTRIBUTED AMOUNT IN DOSES j _ AMOUNT .. . Diptheria, Tetanus & Pertussis 405 65` + BURIAL PERMITS ISSUED Diptheria-Tetanus Tox. (under 6 yrs.) 10 i#'o ANIMAL BITES REPORTED Immune Serum Globulin 5 CASH RECEIVED - LICENSES & 'PERMITS;. $lk;6i15 00y Measles/Mumps/Rubella 250 CERTIFICATE OF FITNESS - .CASH +$1,275 rr � Polio420 •t.W a A, It Tetanus & Diptheria (adult use) Tuberculin PPD 950 g HIB Titre 260 Hepatitis B 874 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE':. $313,223.00 --- $1809458.53 --- $132,76 , 1,47 ' q ti NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE' $25,300.00 $6,703.94 --- $8,197.77 $10,398.29 I 1995/BAS ' ! f City of Salem, Massachusetts Environmental Health Division Inspection Input Form a a a a as a966-6aaa-6aaadaaadsaad6aaaaaadaadaaa�aaaaaaaaaaaaaaa. _ pect Date. Estab Name. or-Owner"Name: --" —" . Location: Type: Inspector: Inspection Types aaaaaaaaa�aaaaaaaa�aaa�aaa$���a�����Serv��Ins�a131aaaa£RFD�£�Reta�la d dd Food Disc. BB ' - Bed/Break. 1 FSI - Food RFI - Ret. Insp.110 CFI - Cert. Fit. 1001* FSR - Food Serv. Rein. RFR - Retail Food Rein. CFR - Cert. Fit.Reinsp. GN _ Gen. Nuisance RO _ Rodent Control CH - Court Hearing HI Housing Insp. 155* SC - Suntan 6 CON - Constable Serv. HR - Housing Reinsp. CR - Compliance Rev. LPI - Lead Paint Insp. 16* SMS - Seminars/Meetings dorMeetings DC - Day Care MS - Massage 5 EC - Envirn. Compl . MUP - Mobile Food Insp. 17 SP Swim. Pools 13 EPR - Ext. Paint MUC - Mobile Unit Comp8 . ST - Soil Test caches 11. FC - Food Compl . OS - Off. Sub. Insp. FRH - Food -Related Hear. RC - Rec. Camp 5 TFI - Temp.Food 61* FSD - Food Serv. Disc. RFC - Retail Food Compl . TR . - Trash City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------------------------ Jul 95 Aug 95 Sep 95 Oct 95 Nov 95 Dec 95 Jan 96 Count ------ ------ ------ ------ ------ ----- CFI 93 107 107 98 65 41 48 559 CFR 6 8 11 6 8 0 4 43 CH 5 11 6 12 5 3 1 43 CON 18 20 11 4 11 3 6 73 CR 2 3 3 9 2 1 6 26 EC 15 21 7 12 3 5 2 65 EPR 1 0 2 1 0 0 0 4 FC 1 4 1 1 2 1 1 11 FRH 0 0 0 1 0 0 0 1 FSD 3 2 2 3 4 0 0 14 FSI 12 24 29 20 19 13 27 144 FSR 12 16 11 13 16 9 18 95 GN 4 4 3 4 4 0 0 19 HI 15 19 16 25 13 22 16 126 HR 4 20 11 14 13 13 12 87 • LPI 2 3 2 0 1 1 4 13 MUP 1 1 0 2 0 0 0 4 OS 7 0 1 0 0 0 0 8 RC 3 0 6 0 0 0 0 9 RFD 0 0 0 0 0 0 1 1 RFI 11 3 7 1 17 2 8 49 RFR 4 4 5 0 2 0 2 17 RO 0 2 0 1 1 0 1 5 SB 23 23 0 0 6 2 0 54 SC 0 1 1 0 0 0 2 4 SES 7 4 6 1 0 0 0 18 7 28 12 15 10 7 27 106 4 0 0 0 0 0 0 4 ST 0 1 0 2 3 0 0 6 TFI 0 40 0 2 0 0 0 42 TR 118 84 48 35 24 20 32 361 Count 378 453 308 282 229 143 218 2011 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 1PUBLIC HEALTH NURSE REPORT JANUARY 1996 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. One home visit for Pneumonia shot on Jan.5. One home visit for PPD on Jan. 16. One PPD done in office. One Td,One MMR done in office. Home visit for active TB case on Jan.23. MEETINGS AND CONFERENCES. Meeting with Karolyn Jernigan and Mary Jane Thomas re:TB clinic changes on Jan. 11. American Heart Association Meeting at Salem Hospital on Jan. 18. ST.JOSEPHS SCHOOL School nurse during recess hours,Monday-Thursday. Ongoing Hearing&Vision Screening. Head Lice check on Jan. 17-no cases identified. PHEONIX SCHOOL • Administration of prescription medications to children Monday-Friday during lunchtime. 6 cases of head lice identified-parents educated re: treatment-ongoing evaluation of children 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 JANUARY 1996 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 5 1 4 4 LYME DISEASE 0 0 0 0 MENINGITIS 1 0 1 1 MUMPS 0 0 0 0 SALMONELLA 1 0 1 1 TUBERCULOSIS 1 3 0 1 VARICELLA 0 0 0 0 *THOSE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED DURING THIS MONTH. 'J r DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • Summary of Communicable Diseases- January 1996 HEPATITIS: 5 New Cases 1) A 41 y.o. male with Hep C- no significant risk factors- I suggested that he &his partner get screened and/or vaccinated for Hep B 2) A 25 y.o. male student with Hep B-Salem Health D. notified by the American Red Cross- patient education on Hep B 3) A 55 y.o. female with chronic Hep C- has a history of ETOH abuse-boyfriend to be screened 4) A 63 y.o. male with Hep C- unable to locate patient- family says that he has "left the country" 5) A 30 y.o. male with Hep A& Hep B-Occupation: Supervisor at McDonald's Rest.- patient has been excluded from work- I have been in contact with the manager of McDonald's,the patient,the physician, and the state epidemiologist. Gammaglobulin is not very effective at this point, but all the employees of McDonald's will be educated on Hep A and foodhandling- I will continue surveillance MENINGITIS: One New Case- Bacterial, in nature-An 18 y.o. female with Streptococcus Pneumonia, Penicillin Resistant-treated by Dr. Agarwal. SALMONELLA: One New Case- a 35 y.o. male with S. Paratyphi B. - patient thinks he may have gotten ill from hot dogs eaten at 7-11 in Salem-Virginia Moustakis notified TUBERCULOSIS: 3 Active Cases at present-all contacts are being followed- I am collaborating with Nancy Flynn (State TB Program)and Karolyn Jernigan as needed ,1 CHECK REQUEST —r GENERAL FUND n V k r t Ondor Number: Check Amount: $ _ _ _ , 1 • 53 Payable To: (Initials Plus Full Name): Spec Date (If needed within 5 calendar days) Month: Day: Year: City of Salem <:..:.::..:....:: :. :....:::.:.. :. :. Board of Health Check Distribution =:IDENTIFY.ONE Address (Req%zred) 9 North "Street, Salem, Ma 01970 Send By U.S. Mail: (.wadi Original(s) To Be Afailed And Staple A Copy For Accounting.) Do Not Mail - Deparnnent Will Pick Up Will Vendor Be Used Again? Yam_ N (Note: Staple,A copy.) Is This An Employee? Y N Call Ertension For Check Pick-Up. Social Securiry r _ — — - _ _ - Or �ederal Tar I.D. _ — - — — — — --— — puro:e`rRefD=cr;::c,:) �1.�h�-ice 7 c lefe..irz:ure-NO Secretarial services and office (Cm 7 s supplies for the North Shore Pulmonary Public Health Clinic. Res ion (IODioits) A visits 37 @ $5.07 each = $187.59 ACC0=1" -C1^f 2L �as - B visits 13 @ $3.38 each = $ 43.94 2 - - - - - - - - - - - - -'- - - - - $231.53 2 - - - - — — — — — - - -'- - --- - 2 - - - -'- - -'- - - - - -_ — - - - - - 2 - - -'- - -'- - Total of Afore 77fan One Accf #) .eC0I1hrTIN EPART4IEt�l` 11SE-ONLY Per Override Reviewed By: Approved By: 1099 Set Up Y _ Invoice # — — — — — — — — — — — Check #. Invoice Date Check Date: P.O. #1 - - - - - - - - - - *Dare Received by Accounting: Check Received By: 1`'ar�.tDcfc Rer 06114193 • F r B 1 41996 l ((V Y NORTH SHORE PULMONARY PUBLIC HEALTH CLINIC North Shore Medical Center Billing Department SERVICES (secretarial and office supplies) JANUARY 1996 A visits $5.07 each B visits $3.38 each total A visits 37 @ $5.07 each $187.59 total B visits 13 @ $3.38 each = $ 43.94 $231.53 Secretarial services A visits $2.77 B visits $1.85 Secretarial / Office supplies A visits $2.30 B visits $1.53 • II • FEB 141996 4 • N EWSILETTER FOURTEEN JANUARY 9, 1996 AGENT'S REPORT TO THE BOARDOu the date if any Board members I am beginning to ask for would like to attend. QUARTERLY UPDATE d estimates to contract for a food The whole idea is simple , We have reached the end of service training class. Since we practical, and exciting. the second quarter for fiscal year are not making this class 199,. I am preparing the :randier, at thi- VENDING MACHINES ❑ quarterly update of our goals and thinking of incentives for A copy of the amendment the objectives. It will be available at establishment managers to take City Ordinance regarding vending our next meeting. the class and encourage their machines was sent to you employees to take it ; ' -o. Any previously. It is also included in FEE SCHEDULE® ideas the Board may have would this packet for your information. Enclosed you will find a be appreciated. The amendment includes summary of fees charged by "enforcement personnel" and neighboring communities and UNDERAGE DRINKING n "fines" therefore making it some recommendations regarding The Salem Community enforceable. our fees. This is a starting point Alliance is involved with a The Tobacco Control Staff • for evaluating our fees and initiating a program in Salem has put together a booklet of our determining whether or not the called "Safe Homes." It is a tobacco regulations. The draft Board wants to change them. community- wide effort to includes our vending machine educate parents regarding the regs. The Tobacco Control Staff FOOD SERVICE prevalence of drinking among was to begin an educational We have sent applications to teens and the hazards associated sweep of all vendors, checking to all locations which may be with such behavior. be certain that they were considered "Bed & Breakfast" In addition, the parents are permitted. I would like them to establishments. They should be asked to sign a pledge stating that use the booklets in this effort. permitted within the next month. they will not allow underage Should the booklet include those The owner/operator of"In a drinking in their homes, thus regs? The issue needs to be Pig's Eye" will be before the creating "safe homes." resolved to avoid confusion for Board on Tuesday night. I have Enclosed you will find a the merchants. enclosed a letter outlining our sample pledge and letter sent to problems with her establishment. community leaders asking for STAFF 0 Also enclosed are the inspection support. December was a "short" reports involved. Although in our Middle school age children are month. Pablo was on vacation for conversations with her, she being asked to design a logo for the month, I was out for a week, agrees to correct the outstanding this program. The winners of this and there were several holiday violations, we find that little is contest will receive savings bonds days. actually done. following judging at the Peabody We all look forward to getting • Museum. This event will take back on track this month. place at the end of February. I will let the Board members know ADOSTRATION - MONTHLY REPORT DECEMBER 1995 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 465 BURIAL PERMITS ISSUED 53 Diptheria-Tetanus Tox. (under 6 yrs. ) 20 ANIMAL BITES REPORTED 0 Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $1,075.00 Measles/Mumps/Rubella 200 CERTIFICATE OF FITNESS - .CASH 2 1 -:$ Polio 500 Tetanus & Diptheria (adult use) 340 r . Tuberculin PPD 370 HIB Titre 420 Hepatitis B 1008 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $311,223,00 ---- $158,478.20 ----- $154,744.80 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,300.00 $5,805.83 ----- $8,497.31 $10,996.86 1995/BAS City of Salem, Massachusetts Environmental Health Division Inspection Input Form aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa - -- -- _------ -- spect Date: Estab Name. or Owner ame: - Type: Location: Inspector: ----Inspection Types. . aaaaaaaaaaaaa�aaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaadaad.aaaaaaaaa BB - Bed/Break. 1 FSI - Food Serv. Ins. 131 RFD - Retail Food Disc. CFI - Cert. Fit. 1001* FSR - Food Serv. Rein. RFI - Ret. Insp.110 CFR - Cert. Fit.Reinsp. GN _ Gen. Nuisance RFR - Retail Food Rein. Housing Insp. 155* RO - Rodent Control _ HI P Court Hearin g CH Cou g CON - Constable Serv. HR - Housing Reins.p. SC - Suntan 6 CR - Compliance Rev. LPI - Lead Paint Insp. 16* SES SESD Odor DC - Day Care MS - Massage 5 SM - Seminars/Meetings EC - Envirn. Compl . MUP - Mobile Food Insp. 17 Sp - Swim. Pools 13 EPR - Ext. Paint MUC - Mobile Unit Compl . SB - Swim. Beaches - 11. FC - Food Compl . OS - Off. Sub. Insp. 8 ST - Soil Test FRH - Food Related Hear. RC - Rec. Camp 5 TFI - Temp.Food 61* FSD - Food Serv. Disc. RFC - Retail Food Compl . TR - Trash Month ----------------- Type Jul 95 Aug 95 Sep 95 Oct 95 Nov 95 Dec 95 Count ----- ------ ------ CFI 93 107 107 98 65 41 511 CFR 6 8 11 . 6 8 0 39 CH 5 11 6 12 5 3 42 CON 18 20 11 . 4 11 3 67 CR 2 3 3 9 2 1 20 15 21 7 12 3 5 63 1 0 2 1 0 0 4 FC 1 4 1 1 2 1 10 FRH 0 0 0 1 0 0 1 FSD 3 2 2 3 4 0 14 FSI 12 24 29 20 19 13 117 FSR 12 16 11 13 16 9 77 GN 4 4 3 4 4 0 19 HI 15 19 16 25 13 22 110 HR 4 20 11 14 13 13 75 LPI 2 3 2 0 1 1 9 MUP 1 1 0 2 0 0 4 OS 7 0 1 0 0 0 8 RC 3 0 6 0 0 0 9 RFI 11 3 7 1 17 2 41 RFR 4 4 5 0 2 0 15 RO 0 2 0 1 1 0 4 SB 23 23 0 0 6 2 54 SC 0 1 1 0 0 0 2 SES 7 4 6 1 0 0 18 SM 7 28 12 15 10 7 79 SP 4 0 0 0 0 0 4 ST 0 1 0 2 3 0 6 TFI 0 40 0 2 0 0 42 TR 118 84 48 35 24 20 329 Count 378 453 308 282 229 143 1793 • i r� 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 DECEMBER 1995 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. Conducted 2 home visits(Dec. 12&14)for TB screening for Albanian immigrants-one positive ppd- referred to TB Clinic-will have follow-up every month. Several Flu/Pneumonia shots given in office. 3 Flu shots given at John Bertram House on Dec. 18. MEETINGS AND CONFERENCES Health Advisory Council Meeting on Dec.5 at Salem High School. Meeting with Barbara Poremba, Salem State Nursing Instructor,re: student on Dec.7. P.H.N.Network Meeting in Tewksbury on Dec. 13. ST.JOSEPHS SCHOOL School nurse during recess hours,Monday-Thursday. Ongoing Hearing&Vision Screening. PHEONIX SCHOOL • Administration of prescription medications to children Monday-Friday during lunchtime. t r4 .F 3 /IMINg 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 DECEMBER 1995 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 0 0 0 0 LYME DISEASE 0 0 0 0 MENINGITIS 0 0 01 0 MUMPS 0 0 0 0 SALMONELLA 0 0 0 0 TUBERCULOSIS 1 2 0 1 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 CHECK REQUEST �`•- GENERAL FUND ( e c e to b-e j 4endor Number: Check Amount: $ _ _ _ , i 1 D_ Payable To: (Initials Plus Full Name): Speck Date (if needed within 5 calendar days) Month: Day: Year: City of Salem Board of Health 9 North Street, Salem, Ma ::: > : .:::;':;Check Dstribulion --IDENTIFY.ONE Address (RegiredJ Send By U.S. Mail: (Ariacli 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 (Note: Staple,A Copy.) Is This An Employee? Y N Call Ertension For Check Pick-Up. ro...... Social- Security Or. -- - - •Federal Tax I.D. _ — - — — — — — — — P1,pose(grief Dccr.'p.,c=.) :G.v►�,J d�n.���'.: Secretarial services and office (eomple:e Sign=re-No supplies for North Shore Pulmonary /h.14 T�� b Clinic. Responsibility Repor, Account DistrbiL:ion (10Di?iis) A visits 20 @ $5.07 each = $101.40 A"ou-ni#ci^ B visits 15 @ $3.38 each = $ 50.70 2 - — — — — — — — —'— — —'— — $152.10 2 - 2 - - - - - - - ~ — - -'- - - - — 2 - - _ - - - - - 5 - - - - - -'- - Total of Afore Than One Acct ACCOUN7'lI1G DEPRTMFN7 il>SE;ONZ;Y Per Override Reviewed B;': Approved By: 1099 Set Up- Y N h'lA _. Invoice # - - - - - - - - Check,#.- �nW-ram A Invoice Date-_-_ Check Date r ' , � ! I °T i `- P:.O: • Date Received by Accounting: ' 0 9 1996' C Check Received By: �'c.•rslDctc . Rc 0611419 • North Shore Pulmonary Clinic North Shore Medical Center Billing Department SERVICES (secretarial and office supplies) December 1995 A visits $5.07 each B visits $3.38 each total A visits 20 @ $5.07 each = $101.40 total B visits 15 @ $3.38 each = $ 50.70 $152.10 Secretarial services A visits $2.77 B visits $1.85 Secretarial / Office supplies A visits $2.30 B visits $1.53 • i • North Shore Pulmonary Clinic North Shore Medical Center Billing Department SERVICES (secretarial and office supplies) December 1995 A visits $5.07 each B visits $3.38 each total A visits 20 @ $5.07 each = $101.40 total B visits 15 @ $3.38 each = $ 50.70 $152.10 Secretarial services A visits $2.77 B visits $1.85 Secretarial / Office supplies A visits $2.30 B visits $1.53 I • NEWSLETTER THIRTEEN DECEMBER 12, 1995 AGENT'S UPDATE TO THE BOARDOD year in the grant money. addition our letter head will However, Ann Marie be on the permit, giving ANNUAL REPORTd understands our Department's patrons the information A copy of the Annual need for assistance now that needed to make a complaint if Report as submitted to the the permitting of tobacco necessary. City Clerk is included in your vendors is beginning. packets. We used the same VENDING MACHINES@ format as last year, but of FOOD PERMITTING@ George has spoken with course there were significant The 1996 food Sally Hayes who suggested we increases in some of the establishment applications wait until after January to inspection numbers. have been sent and we have speak with the new City received many back. All the Council president about the MASSAGE✓ forms, which have included conflicting ordinance and We have issued the first retail food, food service, regulation. There will be "massage therapist" and mobile and temporary food, some changes in the Council •"massage establishment" milk, and manufacturing of members then too. permits to Bogart's Salon and frozen desserts, have been- a woman who will be working combined. The form also LYNN SAND & STONE there as a therapist . The includes the tobacco vendor I attended another City process was much simpler application. Mary Page Council subcommittee than in the past, but still transfers the information meeting to discuss the thorough. from these applications into problems created by the the computer that operations at Lynn Sand SL TOBACCO CONTROL- automatically keeps a listing Stone. The Town of Jeanine Aniello, who was and prints out the permit. Swampscott has placed the Community Health The stream lining of this conditions on those Educator for Salem, has process will make it simpler operations. Salem supports become a sanitarian in for the applicant and our those conditions and is Watertown. We all wish staff. Enclosed is an example considering taking its own Jeanine the best. It's good to of the application and measures. know she will remain a resulting permit. colleague of ours. George and I met with a PEABODY MUSEUM Ann Marie Mikols made the City Council subcommittee to Members of the Board and recommendation not to discuss mobile Food vendors. I attended the "unveiling" of replace Jeanine, but to have The Council supports us in the Museum's plans for •the other staff take over her requiring that our permit be expansion. The only direct responsibilities. There is prominently displayed so that concern of the Board appears concern that there may be customers will know that the to be any new food service significant reductions next cart has been inspected. In operation that may result. 1 AW-rA UPDATED November 16th was the date of this annual event. _ - - 00, Sue Kocur was a guest on Al Needham's Partyline program on WESX. Sue discussed her current attempt to quit smoking. Barbara, Mary, George, and the rest of Sue's colleagues enjoyed her radio debut. She was a natural on the air. We hear rumors that Al will be grooming Sue as his replacement! Dawn Marie is finishing her studies for a Master's Degree in Nursing. We all admire her dedication and give her hearty SL healthy Congratulations!! I will be home for the month of January, enjoying a little R &.R and trying to learn a bit of Spanish! The �;- staff knows they can call me. Ginny will be filling for me as necessary. With her help, and that of the rest of our great staff, all should be fine at the Health Department! { The staff wishes you and your families a MERRY CHRISTMAS &HAPPY NEW YEAR! • ADOSTRATION - MONTHLY REPORT NOVEMBER 199� • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 450 BURIAL PERMITS ISSUED 54 _ I Diptheria-Tetanus Tox. (under 6 yrs.) 2 50 ANIMAL BITES REPORTED Immune Serum Globulin 7 CASH RECEIVED - LICENSES & PERMITS $2, 165.00 Measles/Mumps/Rubella 460 CERTIFICATE OF FITNESS - .CASH $1,500.00 Polio 600 Tetanus & Diptheria (adult use) 290 Tuberculin PPD 580 HIB Titre 420 Hepatitis B 661 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $313,223.00 ---- $135,922.52 ---- $177,300.48 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,300.00 $5, 142.56 ----- $8,017.26 $12, 140.18 I 1995/BAS City of Salem, Massachusetts Environmental Health Division Inspection Input Form aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa Inspect Date : Estab Name or Owner Name : Type: Location: � Inspector: Inspection Types ----- aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa BB - Bed/Break. 1 FSI - Food Serv. Ins . 131 RFD Retail Food Disc. CFI - Cert . Fit . 1001* FSR - Food Serv. Rein. RFI - Ret . Insp. 110 CFR - Cert . Fit .Reinsp. GN _ Gen. Nuisance RFR - Retail Food Rein. CH - Court Hearing HI - Housing Insp. 155* RO - Rodent Control CON - Constable Serv. HR - Housing Reinsp. SC - Suntan 6 CR - Compliance Rev. LPI - Lead Paint Insp. 16*. SES - SESD Odor DC - Day Care MS - Massage 5 SM - Seminars/Meetings EC - Envirn. Compl . MUP - Mobile Food Insp. 17 Sp - Swim. Pools 13 EPR - Ext . Paint MUC - Mobile Unit Compl . SB - Swim. Beaches 11 FC - Food Compl . OS - Off . Sub. Insp. 8 ST - Soil Test FRH - Food Related Hear. RC - Rec. Camp 5 TFI - Temp.Food 61* FSD - Food Serv. Disc . RFC - Retail Food Compl . TR - Trash Month -------------------------------------- Type Jul 95 Aug 95 Sep 95 'Oct 95 Nov 95 Count CFI 93 107 107 98 65 470 CFR 6 8 11 6 8 39 CH 5 11 6 12 5 39 CON 18 20 11 4 11 64 • CR 2 3 3 9 2 19 EC 15 21 7 12 3 58 EPR 1 0 2 1 0 4 FC 1 4 1 1 2 9 FRH 0 0 0 1 0 1 FSD 3 2 2 3 4 14 FSI 12 24 29 20 19 104 _FSR_ 12 16 11 13 16 68 GN 4 4 3 4 4 19 HI 15 19. 16 25 13 88 HR 4 20 11 14 13 62 LPI 2 3 2 0 1 8 MUP 1 1 0 2 0 4 OS 7 0 1 0 0 8 rc 3 0 6 0 0 9 RFI 11 3 7 1 17 39 RFR 4 4 5 0 2 15 RO 0 2 0 1 1 4 SB 23 23 0 0 6 52 SC 0 1 1 0 0 2 SES 7 4 6 1 0 18 SM 7 28 12 15 10 72 Sp 4 0 0 0 0 4 ST 0 1 0 2 3 6 TFI 0 40 0 2 0 42 TR 118 84 48 35 24 309 ----- ------ ------ ------ ------ ------ ----- ----- ------ ------ ------ ------ ------ ----- ,r Count 378 453 308 282 229 1650 • a rc. 3 MINB 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 1995 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 L tters for all T.B. clients for the month. Contacted any client that missed an appointment and rescheduled a new appointment. Several Mantoux tests done in office this month. Flu &Pneumonia Clinic on Nov. 2- approx. 350 doses of flu administered, 100+ doses of pneumovax administered. Volunteered at Salem Hospital flu clinic on Nov. 13. 13 flu shots given at Thermal Circuits on Nov.20. Approx.30 home/office visits done for flu/pneumovax. MEETINGS AND CONFERENCES Ongoing preceptorship of Salem State Nursing students. Health Advisory, Council Meeting on Nov. 15 at Salem High School. American Heart Association Meeting on Nov.30 at Salem Hospital. ST.JOSEPHS SCHOOL School nurse during recess hours,Monday-Thursday. Hearing&Vision Screening started on Nov.30. Distributed materials to teachers re: World AIDS Day(Dec. 1). • PHEONIX SCHOOL 3 S 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 Administration of prescription medications to children Monday-Friday during lunchtime. Review of Immunization Records-letters sent to parents re:new immunization standards- Immunization Surveys for Kindergarten and Grade 7 completed and sent to M.D.P.H. • 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 1995 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 2 0 2 2 E.COLI 0157 0 0 0 0. GIARDIA 0 0 0 0 HEPATITIS 5 0 5 5 LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 0 0 0 SALMONELLA 1 0 2 2 TUBERCULOSIS 0 1 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 • Summary of Communicable Diseases- November 1995 CAMPYLOBACTER: 1) A 64 y.o. female with C. Jejuni- patient believes she became ill from her kittens, who were very ill with diarrhea- patient hospitalized at Salem Hospital and received antibiotic therapy 2) A 31 y.o. male with C. Jejuni- believes he became ill from food consumed in London, England- received antibiotic therapy- asymptomatic now HEPATITIS: 1) A 29 y.o. male with' Hep C- occupation: health care worker- frequent contact with blood at work- treated with interferon- sees a liver specialist 2) A 43 y.o. female with Hep C- patient believes she contracted Hep C from her boyfriend- both have a h/o alcoholism- LFT's are being monitored 3) A 32 y.o. male with Hep C- whereabouts unknown- may be homeless- case incomplete 4) A 55 y.o. female with Hep C- several attempts to contact patient- she did not respond to letters or phone calls- case discharged 5) A 30 y.o. female with chronic Hep C- h/o IVDA- now on methadone maintenance- waiting for liver transplant SALMONELLA: 1) A 72 y.o. female with Salmonella- 7 days of fever, vomiting & diarrhea- exposure unknown-treated with antibiotics, feeling "much better now"- occupation: retired • ` 53 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 December 5, 1995 Ms. Kathy Rogers Hewlett-Packard Company Community Contributions Program 3000 Minuteman Road Andover, MA 01810 r Dear Ms. Rogers: As the Public Health Nurse for the City of Salem, I am very interested in obtaining,through your Contributions Program, a Hewlett- Packard personal computer, monitor, and laser printer, which would aide me tremendously in many facets of my job. • The Salem Health Department strives to ensure sound public health practices by enforcement of Environmental and Sanitary Codes, State Statues and Local Regulations as well as by educating the public on health promotion and disease prevention. My services are available,free of charge, to all residents of Salem. I am responsible for reporting and investigatiing all contagious diseases. I conduct annual hearing, vision, scoliosis and pediculosis screenings for St. Joseph's students. I maintain all private school health and immunization records and assist the school physician with annual physical exams. Collaborating with Salem Hospital TB Clinic, I follow all TB cases and contacts and administer Mantoux tests as needed. Servicing a large number of the elderly population in Salem, I organize annual Blood Pressure, Influenza and Pneumonia Clinics. I give childhood and adult immunizations by appointment , keep the vaccine inventory and distribute biologics citywide to physicians, clinics, and nursing homes. Finally, I submit monthly reports to the Board of Health Members on diseases, clinics,and other events. Certainly a personal computer , monitor, and a laser printer would be time-efficient and useful for all of the above tasks. My request for the grant, however, stems from the need for a more effective patient tracking system. Last year in the U.S., only 67%of children under age 2 were properly immunized. A significant number,then, are at risk for vaccine-preventable diseases. By 1996, it is the goal of the Childhood Immunization Initiative to increase vaccination coverage to at least 90%among 2 year olds. Missed opportunities, inconvenient appointment times, and invalid contraindications are all factors which lower immunization rates. The M.D.P.H. will be implementing a state-of-the art computer tracking system (please refer to the enclosed pamplet) which will eliminate some of these problems. As the Public Health Nurse, it is imperative that I have access to such a system for it would enable me to better serve the community of Salem. • Unfortunately, as the attached budget indicates,finances for the Health Department are tight and it seems unlikely that I will be able to buy computer equipment for the nurse's office. 3 g; 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 I appreciate your time and your consideration of my request. I look forward to hearing from you. Sincerely, Dawn Marie Cameron, R.N.,M.S.N. Public Health Nurse r • • CHECK REQUEST GENERAL FUND NOVEMBER 1995 Wendor Number: Check Amount: $ _ _ _ , 1 JL. _QY- Payable To: (Initials Plus Full Name): Spec Date (If needed within S calendar days) City of Salem Month: Day: Year: ::::Check Drstnbution IDENTIFY.ONE Address `(Requi:redj 9 North Street Salem, Ma 01970 �_ Send By U.S. Mail: (Anoch Original(s) To Be Afailed And Staple A Copy For Accounting.) Do Not Mail - Deparnnent Will Pick Up Will Vendor Be Used Again? Y_L N (Note: Staple,A Copy.) Is This An Employee? Y N Call Extension For Check Pick-Up. �t ym•v i it L•1ar or rr.irr rr�rd,iF r41�-+uS l(�t"L J`(,�� 1 / 1 b./1 Ct.-5 �OC/U/I -+ I JY^PrOt� ..... So 'cial-Security r _ - - _,_ _ _ Or • Federal Tavj.D. # _ _ - _ _ _ — - (Per.:n'r e) Purpoa(a-rief Dccr.p.:cro) / Secretarial services..and office (complete Sigre:::re-No t-:-_'•) supplies for North Shore (D ) �''�T e c es e•:) Pulmonary Clinic. Responsibility Repot Accoluu Distriottrion (IO Digits) A visits 30 @ $5.07 each $152.10 ACOUT.1 2 B visits 13 @ $3.38 each $ 43.94 2 — $196.04 2 - — — — — — — —°— — —'— — Total (If Afore Tian One Acct Y) ACOUN7'ING DEP�R?'MENT::TISE DNL� Per Override .................................. Reviewed By Approved By: 1099 Set Up Y N N/A Invoice — - - - - - Check #: Invoice Date • 'Check Dale: P.O. # - - - _ _ _ _ - - Date Received by Accounting: Check Received By: �'aT�.�Dctc Rn-0,5114193 N • North Shore Pulmonary Clinic No y North Shore Medical Center Billing Department SERVICES (secretarial and office supplies) November 1995 A visits $5.07 each B visits $3.38 each Total A visits 30 @ $5.07 each = $152.10 Total B visits 13 @ $3.38 each = $ 43.94 $196.04 p Secretarial services A visits $2.77 B visits $1.85 Secretarial / Office supplies A visits $2.30 • B visits $1.53 1995 ADM1!!STRATION - MONTHLY REPORT OCTOBER 1995 • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 525 BURIAL PERMITS ISSUED 52 Diptheria-Tetanus Tox. (under 6 yrs. ) 60 ANIMAL BITES REPORTED 0 Immune Serum Globulin 1 CASH RECEIVED - LICENSES & PERMITS $397.40 Measles/Mumps/Rubella 450 CERTIFICATE OF FITNESS - .CASH $2,475.00 Polio 300 Tetanus & Diptheria (adult use) 530 Tuberculin PPD 650 HIB Titre 260 Hepatitis B 729 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $313,223.00 --- $105,063.47 --- $208, 159.53 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,300.00 $4,707.92 $20,592.08 $8,463.20 $12,128.88 1995/BAS ; City of Salem, Massachusetts Environmental Health Division Inspection Input Form . . . . . . . . . . . . . . . . . ... . . . .. . . . . . . . . . . . . . . . aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa Inspect Date : Estab Name or Owner Name : We: Location: pector inspection Types . ..... .. . . .. . . ... . . . . .... .. . . . . . . . .. . . . . .. . . . . aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa BB - Bed/Break. 1 FSI - Food Serv. Ins . 131 RFD Retail Food Disc . CFI - Cert . Fit . 1001* FSR - Food Serv. Rein. RFI - Ret . Insp. 110 CFR - Cert . Fit .Reinsp. GN _ Gen. Nuisance RFR - Retail Food Rein. CH - Court Hearing HI - Housing Insp. 155* RO - Rodent Control CON - Constable Serv. HR - Housing Reinsp. Sc - Suntan 6 CR - Compliance Rev. LPI - Lead Paint Insp. 16* SES - SESD Odor DC - Day Care MS - Massage 5 SM - Seminars/Meetings EC - Envirn. Compl . MUP - Mobile Food Insp. 17 SP _ Swim. Pools 13 Paint MUC - Mobile Unit Compl . SB, Swim' ' . Beaches 11 - EPR Ext . P FC - Food Compl . OS - Off . Sub. Insp. 8 ST . - Soil Test FRH - Food Related Hear. RC - Rec . Camp 5 TFI - Temp .Food 61* FSD - Food Serv. Disc . RFC Retail Food Compl . TR„= ,Trash, , , , , , aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa Month ------------------------------ Type Jul 95 Aug 95 Sep 95 Oct 95 Count ----- ------ ------ ------ ------ ====_ `* Fy 94 numbers CFI 93 107 107 98 405 CFR 6 8 11 6 31 no current number of permits issued CH 5 11 6 12 34 CON 18 20 11 4 53 CR 2 3 3 9 17 15 21 7 12 55 0( 1 0 2 1 4 FC 1 4 1 1 7 FRH 0 0 0 1 1 FSD 3 2 2 3 10 FSI 12 24 29 20 85 FSR 12 16 11 13 52 GN 4 4 3 4 15 HI 15 19 16 25 75 HR 4 20 11 14 49 LPI 2 3 2 0 7 MUP 1 1 0 2 4 OS 7 0 1 0 8 RC 3 0 6 0 9 RFI 11 3 7 1 22 RFR 4 4 5 0 13 RO 0 2 0 1 3 SB 23 23 0 0 46 Sc 0 1 1 0 2 SES 7 4 6 1 18 SM 7 28 12 15 62 SP 4 0 0 0 4 ST 0 1 0 2 3 TFI 0 40 0 2 42 TR 118 84 48 35 285 ----- ------ ------ ------ ------ ----- ----- ------ ------ ------ ------ ----- Count 378 453 308 282 1421 0 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 OCTOBER 1995 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. Several Mantoux tests done in office this month. Flu & Pneumonia Clinics on Oct. 17 and Oct. 18- 828 doses of flu administered, 386 doses of pneumovax administered. Last clinic scheduled for Nov.2 at Charter St.-ongoing planning for that. MEETINGS AND CONFERENCES Ongoing preceptorship of Salem State Nursing students. Completed S.A.T.V.Basic Studio Class. Along with George Levesque and Joanne Scott,guest speaker on WESX Radio on Oct. 10- topic: flu season . American Heart Association Meeting on Oct. 19 at Salem Hospital. Health Advisory Council Meeting on Oct.26 at Salem High School.. ST.JOSEPHS SCHOOL School nurse during recess hours,Monday-Thursday. Review of Immunization records-parents reminded of new immunization requirements. 3 Cases of head lice identified in Grade 3. Parents informed and instructed on proper procedure(nit removal,etc.) Kids excluded from school, as needed. Salem public schools follow the no-nit policy, but at St.Joseph's, it is left up to my discretion. (please see letter sent home to parents). • Flu&Pneumonia shots administered to teachers on Oct.27. 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 PHEONIX SCHOOL Administration of prescription medications to children Monday-Friday during lunchtime. Flu shots administered to teachers. • • 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 OCTOBER 1995 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 0 0 HEPATITIS 1 0 1 1 LYME DISEASE 0 0 0 0 MENINGITIS 1 0 2 2 MUMPS 0 0 0 0 SALMONELLA 1 1 2 2 TUBERCULOSIS 0 1 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,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 Summary of Communicable Diseases-October 1995 HEPATITIS: One New Case 1) a 30 y.o. male with Hep. C- patient is lost to follow-up- unable to investigate MENINGITIS: One New Case 1) a 6 y.o. male with Viral Meningitis-treated at Salem Hospital,then released SALMONELLA: • One New Case 1) a 24 y.o. female with Salmonella Cerro. Unable to locate patient to investigate-case discharged and sent to state. • 3�i fp 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. r Dawn Margie Cameron,R.N. Public Health Nurse • a x s • ��MIIIB 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----------------------------------------------------: In reviewing the school records, I noticed that the medical records for the following student(s) are incomplete. Please complete and return to the school nurse • as soon as possible. Thank you for your cooperation. Sincerely, Dawn 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 October 23, 1995 To: All Parents During routine scalp checks, I discovered that a few students at St.Joseph's School have head lice. Head lice is easy to spread- people of all ages can get it. It is NOT a result of poor hygiene so parents and children should not be ashamed or embarrassed about this. Let me repeat,there is NOTHING to be ashamed of ! Any suspicions should be reported to me immediately. It is very important to check your child(ren) on a regular basis. Head lice is not easy to recognize, unless you have seen it firsthand. Unlike dandruff, which flakes off, nits(eggs)cling to the hairshaft, especially around the nape of the neck and the ears. In addition, children should be discouraged from sharing hats,combs, hair brushes, hair accessories. 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 • r CHECK REQUEST f GENERAL FUND endor Number: Check Amount: $ _ _ _ , •I 7 Payable To: (initials Plus Full Name): Spec Date (if needed within S calendar days) City Of Salem Month: Day: Year: Board of Health <` '`Check Distribution .:IDENTIFY.ONE ..... .. . .. .....:.::..;:.:............... Address eqra � 9 No 5'tzeet, Salem, Ma Send By U.S. Mail: (Anadt Original(s) To Be Mailed And Staple A Copy For Accounting.) Do Not Mail - Deparnnent Will Pick Up Will Vendor Be Used Again? Y_�j N (Note: Staple,A Copy.) Is This An Employee? Y N Call Ertensi.on For Check Pick-Up. U jaT<f t!t3�01 Cf IfM('l RJfd,IFl 41_+v, ... .u..,Y'N h li• \ L 6Vht(,,•s J I I U . Social Security r _ _ _ - _ _ - .. Or �ederal Tar l.D. # _ _ - _ _ _ _ _ _ _ Pfr,.ote brief Dcer;p::cnJ Secretarial services and office supplies (Complete Sigr=,sre-No for North Shore Pulmonary Clinic. /,/ g5 �OG A visits 23 @ $5.07 each = $116.61 Responsibility Report AccountDistribiafon (10Digits) B visits 7 @ $3.38 each = $ 23.66 Acco °`" — — — — - - - - - - - -'- - - - - 2 - $ - - -'- - -'- - 2 — — — — — — — - - -,_ _ _ - - 2 — — — - - - - - - - -,— _ _ - - Total af More Than One Acct ,,) ........................................,,....:....:..:.:,..................:.........,........:.::...,,.....,:.. ACOUhtTl�l1 .EPffR7'k1EN'I USE DNLY Per Override Reviewed By: Approved By: 1099 Set Up Y N N/A Invoice # - - _ _ - - - - - - Check Ir: Invoice Date Check Date: P.O. - - - - _ _ _ _ - - •Date Received by Accounting: Check Received By: ]v'a,T�.tDcic Rn,06114193 yyti -i • North Shore Pulmonary Clinic North Shore Medical Center Billing Department SERVICES (secretarial and office supplies) October 1995 A visits $5.07 each B visits $3.38 each. Total A visits 23 @ $5.07 each = $116.61 Total B visits 7 @ $3.38 each = $ 23.66 $140.27 Secretarial services A visits $2.77 B visits $1.85 Secretarial / Office supplies A visits $2.30 B visits $1.53 s k Date: November 9, 1995 To: Joanne Scott From: Jeanine AnielloT_ Subject: Monthly Update CC: Ann Marie Mikols Recently, I completed a phone survey to identify all merchants.selling tobacco products and to assure that no establishment are missed. Approximately 275 establishments were called. Through this survey, 59 establishments have been identified as selling tobacco products. One hundred and sixty-six establishments have been identified as not selling tobacco products. Forty- eight places, including mobil food carts, have not peen reached. I will keep you updated. The vending machine issue is reflected in the community. Some merchants have responded to the City Council ban on vending machines, while others have complied with the Board of Health regulation and installed a lockout device. There are also those merchants who have vending • machines without lockout devices. I have been in contact with the DARE officer, Michael Fecteau, regarding educational materials and giving him one show of"Up in Smoke." Officer Fecteau has not yet set a date for the "Up in Smoke" presentation. I will be sending him a letter within the week regarding this issue and the need to set a date as quickly as possible. I will also be giving him additional catalogs to order educational materials from. The last week of October was "tobacco week" at Salem High School. I supplied them with our tabletop display unit and materials for the event. I will be working with Marlene Lunt in the future on other events/projects. Thursday, October 5, I attended the Carlton Elementary School advisory committee meeting. As a result of the meeting, I scheduled Bob Mehrman to speak to grades 3, 4, and 5 on January 9, at 9:00am. I will also supply the children with bumper stickers and coloring books. Our tabletop will be on display for the school the day of the event. I am lending the school our puppets from January 8 - January 19. The teachers will be using the puppets as an aid to teach the tobacco education section of their curriculums. I am scheduled to attend the advisory committee meeting at the Witchcraft Elementary School, • December 12. I will be offering my assistance, scheduling of Bob Mehrman to speak at the _school, and the materials in our lending library (videos,puppets,tabletop display unit, models, • etc.).- The Great American Smokeout is Thursday,November 16. This event will be promoted in the Salem Evening News. A Salem resident, who has recently quit smoking, will be on the WESX talk show Thursday,November 16, 10:00am - 11:00am as part of the Great American Smokeout schedule of events.. r • • ADASTRATION - MONTHLY REPORT SEPTEMBER 1995 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 315 BURIAL PERMITS ISSUED 54 Diptheria-Tetanus Tox. (under 6 yrs. ) 40 ANIMAL BITES REPORTED 1 Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $82.00 Measles/Mumps/Rubella 450 CERTIFICATE OF FITNESS - .CASH $2,725.00 Polio 250 _ Tetanus & Diptheria (adult use) 620 Tuberculin PPD 690 HIB Titre 280 Hepatitis B 731 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $313,223.00 --- $81,557.98 --- $231,265.02 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,300.00 $3,848.41 $21,451.59 $9,046.10 $12,405.49 1995/BAS City of Salem, Massachusetts Environmental Health Division Inspection Input Form aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa WS-pect Date: Estab Name or Owner Name : Type : Location: Inspector: Inspection Types aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa BB - Bed & Breakfast RFC - Retail Food Complaint HI - Housing Insp FSI - Food Service RFD - Retail Food Rpt Disc HR - Housing ReInsp FSR - Food Sery Reinsp MUP - Mobile Unit Pushcart TR - Trash FC - Food Complaint MUPC- Mobile Unit Complaint RC - Recreational Camp FSD - Food Sery Disc TFI - Temporary Food Insp SP - Swimming Pool RFI - Retail Food Insp CR - Compliance Review SC - Suntan Center RFR - Retail Food ReInsp GN - General Nuisance EC - Environment Complt RC - Rodent Control LPI - Lead Paint Insp OS - Offensive Sub Insp ST - Soil Testing FRH - Food Related Hearing LPR -Lead Paint ReInsp CH - Court Hearing CON - Constable Hearing SES- SESD Odor SM - Seminars/Meetings CFI - Certificate. Fitness EPR -Exterior Paint Remv DC - Day Care CFR - Certif Fitness ReInsp MS - Massage City Of Salem Environmental Health Division --- Inspection Monthly Summary Month Type Sep 95 Count 107 107 R 11 11 CH 6 6 CON 11 11 CR 3 3 EC 7 7 EPR 2 2 FC 1 1 FSD 2 2 FSI 29 29 FSR 11 11 GN 3 3 HI 16 16 HR 11 11 LPI 1 1 E LPR 1 1 OS 1 1 RC 6 6 RFI 7 7 RFR 5 5 SC 1 1 SM 12 12 TR 48 48 Count 302 302 • • NEWSLETTER OCTOBER 10, 1995 ELEVEN AGENT'S UPDATE TO THE BOARDOD Burns has agreed to be one The other canisters will be of the contestants. It will be given to neighbors who are FOOD SERVICE done "live to tape" on willing to use them in the ESTABLISHMENTSc� Tuesday the IOth and it will same way. I will be able to September is a busy be shown on the air sometime report on this better at our month in regard to food soon. It's a fun exercise meeting. service establishment helping us to gain the inspections. Because no knowledge necessary for THE FLU CLINICS k inspectors are on vacation and producing tapes that are There will be three flu the heating complaints have public health oriented. clinics this year. Last year the not yet begun, we scheduled F BOH bought and offered the over 50 inspections for this PHOENIX SCHOOL pneumonia vaccine on a month and next. The Phoenix school has limited basis. This year the The Mandarin Super requested school nursing State has supplied us with Buffet is opening on Highland services from us. As you may three hundred doses, without *Avenue at the mall developed see in Dawn Marie's report, cost to our Department. by the Rockett family. It is of she observes children as they Publicity for the clinics particular interest because of take their necessary daily will include the usual ads in its size-- 270 seats. medications. Dawn Marie the newspaper and notices Mr. Bowman has been has also given TB tests to around the City. In addition, making efforts to comply with members of the staff who Dawn Marie, George and I the Board of Health's requested them and she will will be on WESX radio with requirements for his be checking the children's Al Needham to discuss the establishment. We are still medical records to be certain clinics and answer questions. working together to develop a all the required The shows demographics cleaning and sanitizing immunizations have been show a large elderly listening schedule for his business. I given. audience. am anxious to see if these plans will be maintained over SESD ® FEE SCHEDULE $$ i time. The SESD has recently I am in the process of received the canisters which surveying several SATV were mentioned at the last communities to determine the fees other Boards of Health The staff involved in BOH meeting. These charge for permits. The taking classes at SATV are in canisters will be used to results will read in Oct. the process of completing the capture odors in the SESD y • Basic Studio segment. As the neighborhood. The odors will staff wishes our final project for this class, we then be analyzed. I will keep O The are producing a Salem trivia one canister in my car for Chairman a jolly good time in game show Councillor Bill follow up of odor complaints. merry olde England H 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 DENTAL INSPECTIONS OF SCHOOL CHILDREN FOR 1995-1996 WEEKLY SCHEDULE-MONDAY 8 : 30 a .m. to 11 : 30 a .m. SEPTEMBER CARLTON-ST.JOSEPH' S- /Ola OCTOBER /` ° BATES NOVEMBER -, HORACE MANN DECEMBER FEDERAL STREET • JANUARY COLLINS FEBRUARY COLLINS MARCH BENTLEY APRIL BENTLEY MAY WITCHCRAFT JUNE SALTONSTALL • ' HECk REQUEST GENERAL FUND Vendor Number: Check Amount: $ _ _ _ , 1 k— ,-3 Payable To: (Initials Plus Full Nmne): Specify Date (If needed within 5 calendar days) city of Salem Month: Day: Year: Board of Health 9 North Street Salem >:> Check`Distribution 1DENTIFY.ONE Address (Requi:rer?J Send By U.S. Mail: (.;each Originals) To Be Mailed And Staple A Copy For Accounting.) Do Not Mail - Deparimew Will Pick Up Will Vendor Be Used Again? Y " N (Note: Staple,A Copy.) Is This An Employee? Y N X Call Ertension For Check Pick-Up. i.r Social Security #Or, Weder,al Ter I.D. F Psrras[ Secretarial services and office (camp![:[sig._ar[-NO supplies for North Shore Pulmonary �� � �qS Clinic. A visits 23 @ $5.07 each Responsibility Repot Accowu DisirciCon (10 Di?ils) = $116.61. B visits 14 @ $3.38 each 7 5- — �-� - - — _ $ 47.32. ' Total = $163.93 ? - - — — - — - - - - ` - - -'- - - - - 2 - - - -_ _ - - - - - - - -'- - - - - - - - - - - - - - - $ - - - - - -•- - Total 6f More Than Ore Acct R) ::..:.............................................................................................:.............: O1'f rTc?E ACCOtI,'�r77NG DEPARTMEtYT TI SE:QNLY Per Reviewed h: npp roved By. 1099 Set Up Y !j' '!n u . Invoice Cr.ec,I, Invoice Date • C P.O. r _ _ - - - - - - - - Check Dare: Date Received by AccowMing: Chec.: Received h)': L NOV 11995 North -Shore Pulmonary Clinic 1_1 jl:D.,1 1.1,.1. North Shore Medical Benter Billing Department AL u H L?L:� SERVICES (secretarial and office supplies) September 1995 A visits $5.07 each B visits $3.38 each Total A visits 23 @ $5.07 each = $116.61 Total B visits 14 @ $3.38 each = $ 47.32 $163.93 Secretarial services A visits $2.77 B visits $1.85 Secretarial / Office supplies A visits $2.30 B visits $1.53 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 1995 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. Several Mantoux tests done in office this month. Ongoing planning of Flu&Pneumonia Clinics-advertising,organizing supplies,recruitment of help. One Flu shot given in office to International Traveler on Sept.20. MEETINGS AND CONFERENCES Meeting with Betsye Sargeant,Director of the Pheonix School,on Sept.7 re: nursing services. Meeting with Nancy MacKenney,Nurse at the Lydia Pinkham Clinic,on Sept.7 re: services offered. Public Health Nurses Network Meeting in Tewksbury on Sept. 13. Meeting with Patrick Culhane, Territory Manager of BFI Medical Waste Systems on Sept. 20 re:needle disposal. Health Advisory Council Meeting on Sept.21 at Salem High School. Started Preceptorship of Salem State Nursing student on Sept.21 S.A.T.V.-Basic Studio Class-working on Final Production(Oct. 10) Assertive Communication Seminar on Sept.28 at Danvers Ferncroft. ST.JOSEPHS SCHOOL School nurse during recess hours,Monday-Thursday. Review of Immunization records and Immunization Surveys(to be submitted to M.D.P.H.). P14EONIX SCHOOL • Administration of prescription medications to children Monday-Friday during lunchtime. Mantoux(PPD)tests administered to teachers. 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 1995 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 0 0 0 0 E.COLI 0157 0 0 0 0 GIARDIA 0 0 1 1 HEPATITIS 1 0 2 2 LYME DISEASE 0 0 0 0 MENINGITIS 4 1 3 3 MUMPS 0 0 0 0 SALMONELLA 4 2 2 2 TUBERCULOSIS 0 1 0 0 V ARICELLA 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 • w. Summary of Communicable Diseases-September 1995 : HEPATITIS: One New Case-a 38 y.o. female diagnosed with Hep C, while hospitalized for delivery of twins- no symptoms present-patient cannot identify risks or exposure history. MENINGITIS: 1) a 23 y.o. female hospitalized with Viral M. 2) a 14 y.o. male hospitalized with Viral M. 3) a 36 y.o. male hospitalized with Viral M. One case still pending. SALMONELLA: 1) a 45 y.o. male with Salmonella-exposure unknown-asymptomatic now. 2).a 44 y.o. male with Salmonella- suspects he became ill from undercooked fish bought at Crosby's Market, but he is not certain-his mother ate the fish,too, but her's was well-cooked-she was "fine". • i 6 • 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 September 95 19 P 8 Helena Tripp Division of Registration Investigative Unit Saltonstall-15th Floor 100 Cambridge Street Boston,MA 02202 r Dear Ms. Tripp: On Wednesday, August 30, 1995 , the Salem Health Department received a phone call from • Barry Driscoll, of the Department of Public Works. While removing trash from 187 Federal Street, Laidlaw workers discovered a cardboard box full of needles and syringes. Because there were sharps jutting out of the sides of the box, the situation was hazardous to the workers- they refused to remove the box. Jeffrey Vaughan and Mark Tolman, the Health Department Sanitarians, removed the box and reported that it was labeled Dr. Benjamin Polan, D.M.D. As the Public Health Nurse, I was quite concerned about this situation. When I talked to Dr. Polan the following morning,he stated that he was unaware of any such disposal. He assumed that his assistant/technician must have "found the box in the cellar and put it out in the trash". However, he was" uncertain" why she would do this, as they had a contract with Allmed Safe Waste Company. In talking with Don, from Allmed Safe Waste, I discovered that Dr. Polan does purchase his Isolyser kits from Allmed. The kit consists of a puncture-proof container(to store the sharps in) and the isolyser chemical, which solidifies over the needles, thus rendering them safe. The containers can then be disposed of, along with the regular trash. It appears as though a solidifying agent, such as the Isolyser, was poured into the cardboard box. However, only some of the needles were covered, while others were overflowing onto the ground. As a trained medical professional, Dr. Polan is aware of the risks of blood-borne diseases, such as Hepatitis B and AIDS. He also knows the improper and proper way to dispose of medical • waste. There is no excuse, then, for jeopardizing the safety of not only the Laidlaw workers, but also of the general public. The Salem Health Department would appreciate an investigation of this incident and would be interested in the report from the Board of Registration. Feel free to contact me at(508) 741- 1800. Thank you very much. Sincerely, E)"tt IE-Ma LC bC Dawn Marie Cameron,R.N., B.S.N. Public Health Nurse OF 44ly cs Division of Registration Investigative Unit 100 Cambridge Street, Room 1509 U y Boston, Massachusetts 02202 i1e9�5��0 617-727-7406 WILLIAM F. WELD Governor PRISCILLA DOUGLAS Secretary WILLIAM WOOD CASE NAME: Dawn Marie Cameron Director vs JERRY C. DECRISTOFARO Benjamin Polan Chief Investigator DOCKET NO: DN-96-051 INVESTIGATOR: Vincent DiBenedetto Dawn Marie Cameron City of Salem Board of Health 9 North St. Salem, Ma. 01970 , Dear Ms. Cameron: This is to acknowledge receipt. of your complaint against Benjamin Polan. Your complaint has been assigned to the investigator above. Following our investigation of your complaint, a report will be forwarded to the Dental Board and a decision rendered. You will be notified of the decision by the Board. If you have any questions, please contact the investigator assigned to your case at the above number. Sincerely, 67era(C. DeCristof ro Chief Investigator DATE: 9/20/95 REF: LETTACKI ADMOISTRATION - MONTHLY REPORT AUGUST 1995 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 405 BURIAL PERMITS ISSUED 49 Diptheria-Tetanus Tox. (under 6 yrs. ) 2 50 ANIMAL BITES REPORTED Immune Serum Globulin 3 CASH RECEIVED - LICENSES & PERMITS $154.60 Measles/Mumps/Rubella 500 CERTIFICATE OF FITNESS - CASH $2,500.00 Polio 350 Tetanus & Diptheria (adult use) 660 Tuberculin PPD 810 HIB Titre 210 Hepatitis B 386 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $313,223.00 ---- $56,755.07 ----- $256,467.93 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,300.00 $1,424.88 $23,875. 12 $10,288.74 $13,586.38 1995/BAS •• • • • e000■io®oee■■a0000��e0000�■oo oa ... . • ea©o��e©ooa��oeo©a■�o®000.�ooae - ••• ooaa■�ea000■■eeoaa■■osaoes�eo®a . . .. . . . . oeoo■■0000v■■oeoeo■eoeoeo®■save . - oovo■■©r�000■■r�ovov��o©r�r, o��or�., © •• nnoo��r�rino���n000n■■noncar�■����0 oeoo�■®0000■�oe000■ 'OEM oommoo . . . .., . . . oaoo■■ooeoo■■a0000�■00000m aoo . -- ©000■■ooaon■■000rao■■ovoao■■r�r�oo • : DODO■■ooar�n■■�0 • . : 0©O�■00000■���0� MEN I .•. ... , aaao■■oa000■■e©©oo©©0000a■e®oeo . . : . : . . . oeoo■■o■aoo■■00000■■aoeoo■■e000 ' • eaoe■■eoeoe■■ooeoe■�oaeeo�■a©©a . eeee�■oe000■■eo©oo�■oaaoa��a0007a.Bonn - : . __-_-. 0000■seoaoe■■ooao�■■00000e�oo©a • . •.. oeee■■eeeeo■■ooaoo■■oeeao��ooao • : ova©■■ooemo■■oe000■■000mo■■s000 NEE 712 : .�. : eoaa■■eeo©o■■oaeo■■■000ea�■e000 ee oeeo■■ r - ao ■■Dove e � - • � � ■�oeooe�■0000 • moommooeo■■oava ■�00000�■ao®o ENVIRONMENTAL HEALTH DAMESION MONTHLY REPORT ple 2 of 2 96 . w 2 F /h T w w ,e r w 2 s S.A. 7- " 10 2 U 14 15 16 17 18119120121122 23 24 25 26 27 28 29 30 31 TOTALS 17 . ADMIN1.STKATIVE HEARINGS 0 0 0 0 / 0 ® O 0 , 0 0 0 0 0 © (� D / O a 0 0 0 17. LZ ' )can HE,ARINGS0 0 D O 1010 O D o p o O 0 0 O O D U Q 0 0 0 0 17a. D IS. CO\S'1',\i3Ll.: SERVICE 0 0 0 0 a 0 () D D Q 0 0 0 / / O a // © O Q a 18. ;Z) L9. LEAD PAINT INSPECTION 0 10 0 0 O O D O d / D D 0 0 0 010 0 0 0 4 ILI l9a . l.I AI) 1:17?I0VAL COMPLAINT O D O O O O Q D Q 0 0 0 010 O Q O O 1010 D 1 D 1 19a. Q SL•.WARS, CONFERENCES, a7 20. rIEETINGs a o / ° % D / / I O / o 1 . CL'RT. 0 F l'I1'NL'SS INSPEC a 3 19 O 3 /0 a Y 3 / 0 /O 6 L/ a � 21. ,03 22 . CERT, OF FIT. RE-INSPEC 3 P O O D OLO 0 07 010101 0 0 1 .-) 1 / 1010 l 1010 O Q 22. 2 3. EXTERIOR PAINT' PZIOVAL D O 0 D b 0 O D 0 O C) O D 0 D 01010101 lololdd Q 24. DAY CARE O b 0 0 D -0 Q D 0 0 o 0 0 0 D D O 0101 Id 'OIL d 24. 4 25. MASSAGE 0 a 0 0 D '0 0 D 0 O O O 0 0 IC) I01010101 p 0 o O 1 25. 0 26. SESD COMPLAINTS D 0 0 O D D O D O O 01010 D 1 / 1010101 ,01 C9 O Q D -. / d 2- 0 0 0 o O v Q 0 O o 0 0 o 10101010101 0 0 0 a'2. O 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 1995 ACTIVITIES LINIC 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. Several Mantoux tests done in office this month. Started planning Flu&Pneumonia Clinics(see poster). MEETINGS AND CONFERENCES Public Health Nurses Network meeting in Tewksbury on Aug.9. Meeting with Henry Caron,Director of Council of Aging,on Aug. 18.re: upcoming Flu Clinics. American Heart Association meeting at Atlanticare on Aug. 24. ST.JOSEPHS SCHOOL Summer Recess-school resumes after Labor Day. • 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 AUGUST 1995 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 2 0 2 2 E.COLI 0157 0 0 0 0 GIARDIA 2 1 1 1 HEPATITIS 2 1 2 2 LYME DISEASE 0 0 0 0 MENINGITIS 3 0 3 3 MUMPS 0 0 0 0 SALMONELLA 0 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. DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • Summary of Communicable Diseases-August 1995 CAMPYLOBACTER: Two New Cases- 1) A 37 y.o. male with C. Jejuni-exposure unknown-some travel to New Hampshire during exposure time-treated with antibiotics 2) A 42 y.o.female with C. Jejuni- patient suspects meat or mayonaisse as the "culprit" but cannot be certain-treated with antibiotics G IARDIA: Two New Cases- 1) A 23 y.o. male- here on vacation from Greece- exposure unknown-treated with antibiotics- lives with an aunt who is a deli worker-she was not excluded from work because she was free of symptoms-according to M.D.P.H., because the contact did not have diarrhea or other symptoms,there was no cause for alarm 2) A 6 y.o. male-case still under investigation HEPATITIS: Two New Cases- 1) A 31 y.o. male with Hep. B and Hep. C-case still under investigation 2 A 37 .o. male with Hep. B-some travel to Vietnam and Hon Kong-wife and child to be y P 9 9 screened for Hepatitis One Old Case- 1) Patient is lost to follow-up- unable to reach physician, unable to find patient-do not have labs to confirm diagnosis-case discharged and sent to state • MENINGITIS: Three New Cases, all Viral 1) A 48 y.o. male with Viral M.-admitted to Salem Hospital and treated 2) A 24 y.o. female with Viral M.-admitted to Salem Hospital and treated 3) A 5 y.o. male with Viral M.-admitted to N.S. C.H. and treated NOTE- Pam Bayne, Infection Control Nurse at Salem Hospital, called to report an increase this month in Viral Meningitis-this is not unusual, as it peaks in late summer-the M.D.P.H. is not concerned over this-also, there was some concern re: a Pop Warner Football team-apparently, one or more players became sick with Viral M. and the team shares water bottles, etc. I distributed info re: Meningitis to the Coach and I advised that he discourage the players from sharing the same bottles, etc. • i PNEUMONIA CLINICS FLU & Sponsored by: City of Salem-Health Debartment Tues., October 17, 1995 Council on Aging 5 Broad St. 9:00 a.m.- 12:00 noon Wed. October 18 1995 Pioneer Terrace Community Rm. 9:00 a.m.- 12:00 noon > Y Thur., November 2, 1995 27 Charter St. Housing Authority 9:00 a.m.- 12:00 noon • All Vaccines are FREE! No Medicare Cards Needed! For additional information, please contact: Public Health Nurse City of Salem Dawn Marie Cameron,R.N. Health Department Telephone # 741-1800 9 North Street Fax# 740-9705 Salem,MA 01970 ADMSTRATION - MONTHLY REPORT JULY 1995 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 390 BURIAL PERMITS ISSUED 51 Diptheria-Tetanus Tox. (under 6 yrs. ) 20 ANIMAL BITES REPORTED 11 Immune Serum Globulin 0 CASH RECEIVED - LICENSES & PERMITS $618.00 Measles/Mumps/Rubella 320 CERTIFICATE OF FITNESS - .CASH $2,275.00 Polio 250 _ Tetanus & Diptheria (adult use) 140 Tuberculin PPD 230 HIB Titre 280 Hepatitis B 216 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $313,223.00 ----- $17,053.66 ----- $296, 169.34 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,300.00 ----- ----- $10,940.04 $14,359.96 1995/BAS ■o �i imp mew s� ■ mAr� ■ ■ m ENVIRONMENTAL HEALTH DI"ON MONTHLY REPORT pa of 2 s 12 1 1 1 17 '18 19 20 21 22 23 24 25 26 27128129 30 31, TOTALS 7 . AI)PIIiN I.S'I'I:A'I'IVI: HEARINGS 0 d 0 d U ,C') 0 0 0 G C3 110101 D O 0 0 0 O 17. O .7a, ' inn I: : ,\TE D O O O �7 0 O U o 0 1610 0 O 0 O O 0 O 17'a.Q S. CONSTABL17 SERVICE O 0 a L7 O d O D 1 0 I O l / 11- -]0118. f,3 .9 . LEAD PAINT INSPECTION 10 0 0 O 1 0 0 010 010 G G O cp d lol 19. 9a. LEAD REMOVAL COMPLAINT D O 0 O 0 0 d d 0 0 O I 19a.p SLMINARS, CONFERENCES, 0�. MEETINGS o O a 3 0 1 0 / O a ° o a 13 :' 1 . CLKT. 01: FITNESS INSPEC c2� °? ? O .3' 01616 13 a G 21. 99 2 . CERT. OF FIT. RE-INSPEC D / c 0 1 0 0 1 Y O D a 0 y 0 O cd 0 O 22 U a 0 o 0 0 1 0 U 0 0 B 0 0 O Q O p 0 U '3. EXTERIOR PAINT REMOVAL I 4. DAY CARE 0 a 0 O1 101 24 d 5. . MASSAGE O O G' O 0 O p 0 0 O v 6210 0 D p 010 O O 0-5. 0 6. SESD COMPLAINTS O 0 0 o C 0 U d O o 0 0 O O d G 0 0 O G) O o U D 0 a� u o o D o o 0 / a 0 . (c) a7 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 JULY 1995 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. MEETINGS AND CONFERENCES American Heart Association Meeting at Atlanticare on July 11. Public Health Nurses Network Meeting in Tewksbury on July 12. Meeting with Infection Control nurses re:commun.disease reporting at Salem Hosp. on July 17. Informal Meeting with Mary Jane Thomas at T.B.Clinic on July 17. First Organizational Meeting of Am. Heart Association,Northeast Region, at Atlanticare on July 27. ST.JOSEPHS SCHOOL Summer Recess. • 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 JULY 1995 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 0 0 0 0 E.COLI 0157 1 0 1 1 GIARDIA 0 0 0 0 HEPATITIS 2 1 5 5 LYME DISEASE 1 0 2 2 MENINGITIS 1 1 1 1 MUMPS 1 1 0 0 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. • pC(ao-MUL a co-�>2L DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • Summary of Communicable Diseases-July'1995 E.COLI 0157: One Case-a 21 y.o. male,presented with bloody diarrhea,abdominal cramps, received antibiotics for one week-exposure unknown-occupation:student-asymptomatic now HEPATITIS: Two New Cases- 1) A 31 y.o. unemployed male with Hep. C- history of hemophelia- has received blood products in the past 2) A 58 y.o. unemployed female with Hep.B- has been with husband for 30 years-husband had hepatitis as a child-patient has also received blood transfusions in the past LYME: One Case-a 31 y.o. male with symptoms and positive blood test results-received course of antibiotics MENINGITIS: One New Case of Viral Origin-still under investigation MUMPS: One New Case-a 5 y.o. male,with symptoms and positive blood test- has been vaccinated with • MMR-case still under investigation- unable to contact patient, but have been in touch with physician's office and Karen Ogden, Regional Epidemiologist SALMONELLA: One New Case-a 1 y.o. male, with high fever, diarrhea,vomiting- received antibiotics for 10 days-exposure unknown 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 Dear Doctor I have dust received notification that patient has been exposed to I have been unable to reach this patient to investigate. It is important that•I obtain this data for the M.D.P.H. Could you please take a few moments to: 1) Review and complete the enclosed case report 2) Fax or mail the pertinent lab data • a)Hepatitis Screen - b)Liver Function Tests c)Stool Cultures d)Serologic Cultures e)Other- ie. CSF, Peritoneal,etc. 3) Respond via phone Kindly send back the data AS SOON AS POSSIBLE to the Salem Health Department. Your cooperation is greatly appreciated. Sincerely, Dawn 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 July 17, 1995 Dear Betty and Pam: I contacted the M.D.P.H. regarding Hepatitis C reporting. According to Richard Knowlton, the Epidemiologist,you do not have to report a Hep. C case to the Salem Health Dept.unless the patient has Hep,C antibodies AND has elevated LFT's or clinical symptoms such as jaundice. This would indicate that the patient is probably an acute clinical case. If the case is not believed to be a clinical case, it is unnecessary to report and to do a complete case investigation. Enclosed are some Hep. C reporting guidelines which may be helpful. Thank you. Sincerely, • Dawn Marie Cameron,R.N. Public Health Nurse • _05ba��,oIYZ&21 Z2M William F.Weld Governor Charles D.Baker Bureau of secretary 305 cfoz%A�f� _qo&69171," 02130-359 7 Communicable David H.Mulligan Disease Control Commissioner 617-522-3700 �D6M17-522-8735 r-:1 .F-A 7& TO: Local Boards of Health FROM: Division of Epidemiology DATE: April 1994 CITY OF SA:LRM RE: Hepatitis C Reporting Guidelines HEALTH DEPT. P 1 1 ines The following list of criteria and questions should be consulted when a case of hepatitis C is reported to you at the local health department. Consider a patient to be an acute case of hepatitis C.if they meet all of the following: 1. Have a discrete onset of symptoms OR elevated Liver Function Tests (LFT's, specifically • ALVAST). 2. If available have had a 4 - 5 week interval between onset of their symptoms and seropositivity for hepatitis C. 3. Are anti- HCV positive. 4. Are IgM negative for hepatitis A and hepatitis B core antibody. The following questions should be asked for every case of hepatitis C that is reported to you to help you determine if it is an acute case. 1. Does the patient have symptoms of viral hepatitis? 2. What is the date of onset of those symptoms? 3. Can other types of hepatitis be ruled out? What are the specific laboratory results for hepatitis A, B and C? 4. Have LFT's been reported? Can the results be obtained? What are the results of the ALT and AST" (In some cases, these may be the only indicators of disease). 5. What are the normal LFT ranges for the testing laboratory? 6. Was the patient hospitalized? If yes, what was the diagnosis? 7. What risk factors does this patient have? 8. Could the hepatitis and/or the elevated LFT's be attributed to other causes (e.g.,alcohol, medications, etc.)? This information may not be readily accessible to you. These questions should be used as a guide to help you in your investigation. Please attach all lab test results to your case investigation form. Remember, ,report all cases of hepatitis C to the Division of Epidemiology even if you are not sure if they are acute cases. We can help make that determination. If you have any questions, call the Division of Epidemiology at (617) 522-3700 X420. ADMOSTRATION - MONTHLY REPORT JUNE 1995 • • BIOLOGICS DISTRIBUTED AMOUNT IN DOSES AMOUNT Diptheria, Tetanus & Pertussis 660 BURIAL PERMITS ISSUED 60 Diptheria-Tetanus Tox. (under 6 yrs. ) 10 ANIMAL BITES REPORTED 2 Immune Serum Globulin 9 CASH RECEIVED - LICENSES & PERMITS Measles/Mumps/Rubella 430 CERTIFICATE OF FITNESS - .CASH $ 1 ,775.00 Polio 540 Tetanus & Diptheria (adult use) 560 Tuberculin PPD 540 HIB Titre 540 Hepatitis B 504 I P V 5 SALARY/LONGEVITY: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $288,787.00 ----- $278,597.00 ----- $10,190.00 NON-PERSONNEL: ANNUAL BUDGET EXPENSES YTD EXPENSES ENCUMBERED AVAILABLE BALANCE $25,500.00 ----- $52,556.92 ----- $2,308.50 $29,365.42(HELD OVER) 1995/BAS • ao■■eo©ee■�oa000■�00000s�oeao�� ' 31 TOTALS ••I • • oe■■eeeeo®�eeeoe■�eaoao�eaeeoe� . ••I • ea■■a©oeo■■eeoee■■eeeee■�eeee®� _ . •.1 . • . oe■■oeoea■■000eo■■oeeoo■■eoaeo� . - - "- oo■�oa000■■oo©oo■roo©or�■�0000r�■- , . ••I • /.7A����a�r ���I»�n��ri]On� I���Ii7ril +7�rrl� , . . ..I . se�■a000e■�ooeoa��oaaoo��oaeoa� . . . . .•I . . . as■■aoeov■■oeeaa■■oo�oe■■oeeoe■ . . - oo■■eooao■■0000a■■0000r�■■©0000■i -. : •I "• on�nr•�oevnn�onnor.��nr�©ono�neo�o�n .: • eo�■e r oe eeoe�■oovaa��0000e■ _ ._ •.• .•I ao■■eosoo■■eooee■�eosoa�r0000©� • I : • ee■■eases■■oeeoe■■e000e■■Deemer • a©■■ee000■■oeooe■■ooeoe■eoe000e o■■ov©ee■reevaer _ -=-=_- oa■■eeaae■■eeooe■soseee��oeeo©® . . �a ■� � •• . I , ... _ eoor• ■■�■■raorer�ee■■e©aea■■oeoee■�■■eeooc�ee■ •HN,En MEMO oMEN n ■mnarmn©r■ ; , , .. • : ee■reoaoor■es�ma■roeeoe■reaomer . , eo■■oeeoe■�eeeoe■�eoaoeeeoeeoe■ . :., , : • . : ea■■eoaeer■ooeaerreeseerr00000r ••I . .. oo■■aeooe■■eeeeo■ oaeee■■ooeoa� . N om 16. INE • _ eo■■eoeoor■eoeee■ o©eaerroaover . . ENVIRONMENTAL HEALTH DAMESION MONTHLY REPORT pq 2 of 2 qs- see- F L,l F n, 7- F 1.. a,/ 12 13114 15116117 18119120121122 23 24 25 26 27 28 29 30 31 TOTALS 17 . ADMINI.STRATIVE HEARINGS / 0 D 0 C? / D 0 0 D © 10101610 , 01 O 10161016 17, � 1 , >>n i;i:j \TFD HFARINGS D 0 0 0 D D O 0 10 D D -U 1 6 101010, 101 0 D 1_0 1 0 0 1 1 17•a.O 13. C0NSTABL17 SERVICE 0 b U 3 010 0 U / 9 o D o D j` D p . o / o. 18. / 19. LEAD PAINT INSPECTION D O O / 0 0 0 0 0 / 6 101010101 / 1 W/ 1010101 19. S� 19a . LEAD 1117?I0VAL COMPLAINT 0 0 0 0 b 0 0 1 G 0 0 G 10 0 1 010 0101 1 1 Q 10101 U 1 0 1 1 19a.0 SEMINARS , CONFERENCES, 20. ME•ETINGS / 101 1 610 . 0 U y 0 0101 / b 0 21 . CL'I:'1'. 01: f:I1'\L'SS INSPEC S 3 b b 0 © y / � / j 3 �/ ,l �" 3 Z/ & S" S 21. a 22 CERT. OF FIT. RE-INSPEC 00 G 0 O / / I 1O b 1016 0 ,A O CJ O D D 1010101 / O 22. 3 23. EXTERIOR PAINT REMOVAL 0 0 0 a 0 b 0 D 0 0 0 0 r l 10101 0 10101010101 3 24. DAY CARE U 0 0 0 0 - 0 0 0 0 O © 0 0 0 0 0 0 d 0 0 0 1 1 24. 0 25. MASSAGE D O 0 O 0 C) D 1 0 0 0 lold o D 0 0 lo D 0 0 1491 0 0 25. 6 26. SESD COMPLAINTS D © 0 0 0 Q Q 0 0 D 4 t;, 0 D -0 b 0 Q O Q Q d 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 TUNE 1995 ACTIMTI'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. MEETINGS AND CONFERENCES Guest appearance on SATV on June 1-topic: Salem High Health Survey Meeting with Claire Provencher, School Lunch Coordinator,to discuss nutrition issues on June 6 Health Advisory Council meeting re:Public Forum on June 8. Guest speaker at Public Forum at Police Station on June 13.-topic:diet and exercise Sent out reminder letters to approx.300 area physicians re: communicable disease reporting. ST.JOSEPHS SCHOOL School Nurse during recess hours: Monday through Thursday. Attended Staff luncheon at St.Joe's on June 15. Ongoing Review of Health/Immunization Records. June 20-last day of school. • 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 JUNE 1995 *DISEASE NEW CARRY OVER DISCHARGED REPORTS TO CASES CASES CASES STATE • CAMPYLOBACTER 1 2 1 1 GIARDIA 0 0 1 1 HEPATITIS 2 3 5 5 LYME DISEASE 0 0 0 0 MENINGITIS 0 0 0 0 MUMPS 0 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. . DAWN MARIE CAMERON,R.N. PUBLIC HEALTH NURSE FOR THE BOARD OF HEALTH • Summary of Communicable Diseases-June 1995 CAMPYLOBACTER- One New Case-a 64 y.o. male with C.Jejuni-exposure unknown-patient was treated with antibiotics-asymptomatic now Two old cases still under investigation. HEPATITIS- 2 New Cases under investigation: -a 28 y.o. homeless woman with Hep A and Hep C -a 36 y.o. male with Hep B SALMONELLA- One New Case-a Lynn resident-case referred to Lynn B.O.H. I