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MONTHLY REPORTS 2002 TO 2003 BOARD OF HEALTH i MONTHLY REPORTS 1/2002 TO 12/2003 w Y' �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Z $; 120 WASHINGTON STREET, 4TH FLOOR p SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. ..JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report December 2003 Activities Disease Prevention • In touch with North Shore Pulmonary Clinic regarding active cases and cases contacts. • Vaccine inventory maintained and distributed. • Investigated communicable disease cases and reported to the MDPH • 2 ppd's planted in November Meetings and Clinics 012/2 Meeting at North Shore Pulmonary Clinic with MDPH, and N.E. Public Health Nurses to discuss active T8 cases on the North Shore. 12/4 Attended an introductory meeting with Joanne to discuss MDPH Emergency Preparedness Grant_ Home visits Monday through Friday administering DOT for a suspect active TB case. Seven Office visits and One Home visit for Flu Shots, St. Joseph's Salem Public School has hired a nurse with the Non Public School Health Grant This RN wifl work two hours per week at the school and will begin screenings. Phoenix School This nurse will also work at Phoenix school to begin health screenings. •. I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' 120 WASHINGTON STREET, 4TH FLOOR • �Po SALEM, MA 01970 seq . TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO MAYOR HEALTH AGENT Summary of Communicable Diseases for December 2003 Hepatitis C cases: 2.chronic Hepatitis C cases reported. • Influenza A: 6 cases reported. Influenza b Rapid Screen. P Y P Pertussis: One case. Male Teacher. Salem Resident, teacher in Stoneham. Infectious period was determined to be October. Teacher was prophylaxed in late October. School contacts were alerted by Stoneham Public Health Nurse. One contact in household asymptomatic. Tuberculosis: One case 52 y/o female. Arrived October 2003 from Dom. Rep. visiting her daughter. PPD 60mm. CXR+ non cavitary. Sputum smear negative. DOT for 5xweek for 3 weeks. Case was then cleared to travel. International notification letter sent by the state. No contacts were tested because the patient had negative smears. I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' 120 WASHINGTON STREET, 4TH FLOOR • �� Po• SALEM, MA O 1970 " "dam TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES December 2003 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Camp_ Y lobacter 0 0 0 0 • Giardia 0 0 0 0 Hepatitis 2 0 0 0 Influenza A 6 0 6 6 Pertussis 1 0 1 1 Salmonella 0 0 0 0 Tuberculosis 1 1 1 1 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. • AGENT'S NEWSLETTER TO THE BOARD • VOLUME 93 December 16, 2003 EMERGENY PREPAREDENESS There is very exciting news! The state is making some federal money available to groups of Boards of Health in order to facilitate public health emergency preparedness. We will be joining in this effort with those communities currently in our existing collaborative and adding Gloucester, Rockport, Manchester, Hamilton and Wenham. In the current year this group will receive approximately $220,000. 1 am suggesting that Salem be the host community. We have space here for a staff person hired by this new collaborative and the Mayor has agreed. I would ask the Board to consider this too. Enclosed in the packet are two form letters of intent that would need to be signed. The co'll'aborative will receive money for each community whether it agrees to participate or not. To not participate means that the community wou;d have no say in how the money is spent. There doesn't seem to be a reason not to join and lots of incentives to join. The Emergency Preparedness Survey being done by us, with police and Fire is complete. This survey will help determine the amount of FY 2005 funding to each community based on risk factors and population. The FY 04 funding was based entirely on population. • WORKPLACE SMOKING BAN REGULATION The new Smoking Ban regulation is slated top go into effect January 1st. Therefore, the Board may want to give final consideration to the section on private clubs. Tom Tardiff, representing the clubs, will be at the meeting advocating for the changes suggested by the subcommittee. Those changes, the regulation, and an additional consideration regarding outdoor smoking, are in the packet. SALEM SOUND SURVEY The consultant for the survey of Salem Sound met recently with the involved communities. They will be conducting a visual survey of the coastline along Salem Sound looking for outfall pipes. In the spring they will be sampling these outfalls following rain storms to determine which may be causing pollution at area beaches. This survey includes Marblehead, Salem, Beverly, Manchester, and Danvers. ! 9 • HAPPY HOLIDAYS TO THE BOARD OF HEALTH MEMBERS & STAFF! City Of Salem Environmental Health Division ---. Inspection Monthly Summary • Month ---------------------------------------------- Type Jul 03 Aug 03 Sep 03 Oct 03 Nov 03 Dec 03 Count 0 1 0 0 0 0 1 BP 1 0 0 0 0 0 1 CFI 91 61 59 42 38 21 312 CFR 2 3 6 2 6 4 23 CH 1 3 2 0 1 1 8 CON 3 5 4 0 2 1 15 CR 8 7 10 2 2 0 29 CT 4 6 7 9 1 2 29 EC 10 13 0 0 3 2 28 EPR 1 0 0 1 0 0 2 FC 2 3 1 2 4 0 12 FRH 0 0 1 0 0 1 2 FSD 1 9 4 0 6 11 31 PSI 12 18 21 1 17 15 84 FSR 7 3 2 1 9 16 38 GN 3 3 6 7 5 2 26 HI 6 12 11 7 9 8 53 HR 2 8 4 3 3 2 22 LPI 0 1 0 0 0 2 3 MS 0 0 0 0 0 1 1 MT 7 7 5 5 7 1 32 MUP 2 4 2 0 0 0 8 OG 7 4 3 6 0 0 20 0,F D 0 0 0 0 1 0 1 I 4 3 1 1 8 10 27 RFR 0 1 0 0 2 2 5 RO 3 0 4 0 2 0 9 SB 78 59 0 0 0 0 137 SC 1 0 1 0 0 0 2 SM 1 0 6 0 3 0 10 Sp 1 1 1 0 0 0 3 TFI 10 12 0 0 1 0 23 TR 34 37 29 13 16 14 143 Count 302 284 190 102 146 116 1140 City of Salem, Massachusett. Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: 06- - GU'&-�Ikti77f Inspection Types BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret .Food Disc. 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* CON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* - Compliance Rev. 25* LPI - Lead Paint Insp. . 6* SES - SESD Odor 0* Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health DECEMBER'HONE LOG 2003 Total Answered Answered Calls Monday December 1,2003 33 Barb = 138 Tuesday December 2, 2003 22 Mary = 324 Wednesday December 3, 2003 20 Thursday December 4, 2003 43 Friday December 5,2003 35 Saturday December 6, 2003 Calls Taken Sunday December 7,2003 2M Monday December 8,2003 SNOW DAY Joanne = 52 Tuesday December 9, 2003 25 Barb = 68 Wednesday December 10, 2003 12 Mary = 139 Thursday December 11, 2003 48 Jose = 14 W,jay December 12, 2003 21 Pablo = 3 rday December 13, 2003 Tracy = 84 Sunday December 14, 2003famp. Ginny = 16 Monday December 15, 2003 32 David = 21 Tuesday December 16, 2003 19 Jeff= 65 Wednesday December 17, 2003 23 Thursday December 18,2003 26 Friday December 19, 2003 14 Saturday December 20,2003 MINUM 35 OFFICE HOURS PER WEEK Sunday December 21, 2003 , 19 WORK DAYS Monday December 22, 2003 7 Tuesday December 23, 2003 9 Monday 8-4 Wednesday December 24, 2003 1 1/2 DAY HOLIDAY Tuesday 8-4 Thursday December 25, 2003 HOLIDAY Wednesday 8-4 Friday December 26,20031 5 Thursday 8-7 Saturday December 27, 2003 Friday 8-noon Sunday December 28,2003 day December 29, 2003 24 Tuesday December 30, 2003 35 Wednesday December 31, 2003 8 1/2 DAY HOLIDAY Total Calls *= 462 co r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH _ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 • ` " TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT November 28, 2003 Ms. Deborah E. Burkinshaw City Clerk City Hall Salem, MA 01970 Dear Ms. Burkinshaw: The Salem Board of Health will hold it's regular meeting on Tuesday, December 16, 2003 at City Hall Annex, 120 Washington Street, 3rd floor conference room at 7:00 P.M. If you have any questions, please contact me at 978-741-1800. Sincerely, FOR THE BOARD OF HEALTH j oanne Scott, Health Agent J S/bas Cc: • Mayor Stanley J. Usovicz, Jr. Christina Harrington, Chairperson of the Board of Health and Members � y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH G 120 WASHINGTON STREET, 4TH FLOOR • ��`, -.. ��p` SALEM, MA 01970 s��gN1NB TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT November 3, 2003 Ms. Deborah E. Burkinshaw City Clerk City Hall Salem, MA 01970 Dear Ms. Burkinshaw: Due to the Holiday, November 11, 2003, the Salem Board of Health, will hold it's • regular meeting, on Tuesday, November 18, 2003 at City Hall Annex, 120 Washington Street, 3`d floor conference room at 7:00 P.M. If you have any questions, please contact me at 978-741-1800. Sincerely, FOR THE BOARD OF HEALTH ganne Scott, Health Agent JS/bas cc: Mayor Stanley J. Usovicz, Jr. Christina Harrington, Chairperson of the Board of Health and Members • co CITY OF SALEM, MASSACHUSETTS Al BOARD OF HEALTH `� 93 120 WASHINGTON STREET, 4TH FLOOR • o' SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report November 2003 Activities Disease Prevention • In touch with North Shore Pulmonary Clinic regarding active cases and cases contacts. • Vaccine inventory maintained and distributed. • Investigated communicable disease cases and reported to the MDPH • Influenza Clinic Preparation throughout the Month of October Meetings and Clinics • Flu Clinic were offered through the month of November. 11/6 Salem Housing Authority Clinic. 234 vaccinated with assistance from Endicott Students, and instructor. 11/13 Pioneer Terrace Clinic. 114 vaccinated with assistance form Endicott College Students, and instructor. 121 City employees were vaccinated throughout the month of November. The Clinics were held at Fire Headquarters, City Hall, Collins Middle School and the Police Station. 10 Home visits in November 50 Office visits for flu shots in November. 20 doses were given to Brookhouse for Aged Women 20 doses were given to Grosvenor Park, With 30 additional doses from the MIP 20 doses were given to.Salem Family Health Center St. Joseph's Immunization Records have been reviewed for grades Pre-K to 8 Phoenix School • Immunization Records have been reviewed for grades K to 8 4 V • Summary of Communicable Diseases for November 2003 E.Coli 01571-17 9 y/o male. Interviewed mother. Child was hospitalized for 2 days. No other family members ill, no foodhandlers. No recent travel. I* Hepatitis C: 2 cases. Salmonella: One case. 2 y/o. Child attends day care in Danvers. Director notified. She followed MDPH protocol and notified parents. Child was excluded until asymptomatic. Danvers BOH notified. Tuberculosis: One case. 27 y/o male. Arrived from India 2 years ago. Site of disease: Bowel. Case is a physician. He is on self administered TB meds. He is being followed by North Shore Pulmonary Clinic. • I MONTHLY REPORT OF COMMUNICABLE DISEASES November 2003 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 0 0 0 0 E.Coli 0157 H7 1 0 1 1 Giardia 0 0 0 0 Hepatitis 2 0 0 2 Listeriosis 0 0 0 0 Salmonella 1 0 1 1 Tuberculosis 0 1 0 0 Reportable Diseases excluded from above have not been identified this month. • V FAX TO: MEDICAL PROVIDERS FROM: SALEM BOARD OF HEALTH RE: CDC FLU ADVISORY Please immediately distribute this latest advisory from the CDC regarding influenza prevention recommendations to all physicians and medical providers in your office. If you have any influenza vaccine that will not be . used in your practice, please notify the Public Health Nurse Tracy Giarla at 978-741-1800. As soon as we receive any information regarding additional vaccine availability from the CDC, we will notify all providers. Thank you Joanne Scott, Health Agent If you have a different or additional e-mail or fax address that you would like us to use please notify us as soon as possible by fax at 978-740-9705. • v CDC Advisory 00169 - CDC Recommendations for Influenza Prevention Page 1 of 2 • Joanne Scott From: Health Alert Network[healthalert@cdc.gov] Sent: Wednesday, December 10, 2003 11:14 PM To: Health Alert Network Subject: CDC Advisory 00169 -CDC Recommendations for Influenza Prevention This is an official CDC Health Advisory Distributed via Health Alert Network December 10, 2003, 23 :00 EST(11:00 PM EST) CDCHAN-00169-03-12-10-ADV-N CDC Recommendations for Influenza Prevention On December 11, 2003, the Centers for Disease Control and Prevention will release an update on influenza activity in the United States for the 2003-04 season in the Morbidity and Mortality Weekly Report(MMWR). • Because of concerns about influenza vaccine shortages, the update will include new recommendations, modified from those appearing in an earlier HAN Update released November 21, 2003. Current recommendations include: Vaccination ■ Emphasis should be placed on targeting trivalent inactivated vaccine to persons at high risk for complications from influenza: healthy children aged 6-23 months, adults aged>65 years, pregnant women in their second or third trimester during influenza season, and persons aged >2 years with underlying chronic conditions. ■ Persons at high risk should be encouraged to search locally for vaccine if their usual health-care provider no longer has vaccine available. ■ All children at high risk, including those aged 6-23 months,who report for vaccination should be vaccinated with a first or second dose, depending on vaccination status. Doses should not be held in reserve to ensure that two doses will be available. ■ Next priority should be given to vaccinating those persons at greatest risk for transmission of disease to persons at high risk, including household contacts and health-care workers. ■ Healthy persons aged 5-49 years should be encouraged to be vaccinated with intranasaliy administered live, attenuated influenza vaccine. • Decisions about vaccinating healthy persons, including adults aged 50-64 years,with inactivated • influenza vaccine should be made on a case-by-case basis, depending on local disease activity, vaccine coverage, feasibility, and supply. • Health departments should work with their health-care providers to reallocate influenza vaccine to CDC Advisory 00169 - CDC Recommendations for Influenza Prevention Page 2 of 2 health-care providers in need when possible. Hygiene ■ Good respiratory hygiene should be encouraged, including cleaning of hands, and staying at home when symptomatic with fever and respiratory illness. Medication ■ Antiviral medications with specific activity against influenza A viruses should be considered either for treatment or chemoprophylaxis for influenza A, especially in persons at high risk for complications from influenza. For further information on influenza, see http://www.cdc.gov/flu/ Categories of Health Alert messages: I • i Health Alert conveys the highest level of importance;warrants immediate action or attention. Health Advisory provides important information for a specific incident or situation;may not require immediate action. Health Update provides updated information regarding an incident or situation; unlikely to require immediate action. P P Pd 9 • ##This Message was distributed to State and local Health Officers, State Public Information Officers, Laboratory Directors, Epidemiologists, and HAN Coordinators, as well as National Organizations## You have received this message based upon the information contained within our emergency notification data base.If you have a different or additional e-mail or fax address that you would like us to use please notify us as soon as possible by e-mail at healthalert@cdc.gov. 12-11-2803 07::35 PM From: To: 978 745 8343 Page 2 v -- The Commonwealth of Massachusetts - Executive Office of Health and Human Services Department of Public Health State Laboratory Institute 305 South Street, Jamaica Plain, MA 02130 MITT ROMNEY GOVERNOR BUREAU OF COMMUNICABLE DISEASE CONTROL KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON 5ECRETARY CHRISTINE C.FERGUSON COMMISSIONER Date: December 11,2003 To: Health Care Providers and Public Health Professionals From: Alfred DeMaria,Jr.,M.D.,Chief Medical Officcr, State Epidemiologist Re: Influenza Clinical Update Background The current influenza season has started earlier and is more severe than previous years. It has received substantial press coverage as influenza activity continues to increase throughout the United States. In Massachusetts,we continue to monitor influenza activity closely. We have had eleven culture-confirmed cases: three from the Holyoke area,six from the Greater Boston area,and one each from the Bridgewater • and Lynn areas. Positive rapid influenza test results continue to be reported from most parts of the state and several clusters of influenza-like illness are being investigated. Currently,the percentage of people visiting Massachusetts sentinel providers with influenza-like illness is 1.351/o,compared to 0.71%last year at this time,and Massachusetts is reporting local influenza activity(based on data from sentinel sites,as well as cases reported to MDPH). r Surveillance and Reporting During this unusual influenza season,there is a need for enhanced influenza surveillance. Therefore,the Massachusetts Department of Public Health requests that the following should be reported immediately by phone to the local board of health and MDPH at(617)983-6800: • All deaths possibly related to influenza,particularly those in children and pregnant women • Unusually severe cases of influenza • Any confirmed or suspect cases of influenza with encephalopathy • Clusters of influenza-like illness in children,pregnant women or adults • All clusters of influenza-like illness in long tern care facilities or other high risk institutional settings Isolated,uncomplicated cases of the flu or positive rapid influenza test results on patients that do not fit the criteria above should be reported to the local board of health and fated to the MDPH Division of Epidemiology and Immunization, Surveillance Program at(617)983-6813. Please note that the Isolation and Quarantine Requirements(105 CMR 300-000)were revised in February 2003 to allow for influenza reporting. • r 12^1f 2883 87:35 PM rrom: To: 378 745 8343 Page 3 J Diagnostic Testing For unusual influenza cases and clusters,MDPH will assist you in obtaining appropriate diagnostic specimens for viral isolation and typing at the State Laboratory Institute,as well as subtyping at the Centers for Disease Control and Prevention. Please call the Division at(617)983-6800 and ask to speak with the influenza epidemiologist,Edward Corkren to arrange for testing. Long term care facilities should also report outbreaks of influenza in their facility to the Division of Health Care Quality at(800)462-5540,ext 38156 (AccidenvIncident line). We have received reports that rapid influenza testing kits may be in short supply. Therefore providers may need to rely on the clinical presentation for diagnosis of influenza. In the setting of increased influenza activity,clinical impression has high predictive value. Inactivated Influenza Vaccine While the supplies of influenza vaccine are limited,providers are now being asked to prioritize any remaining doses of inactivated influenza vaccine to: • persons at high risk for complications from influenza: healthy children aged 6-23 months, adults aged>65 years,pregnant women in their second or third trimester during influenza season, and persons aged>2 years with underlying chronic conditions; • all children at high risk, including those aged 6-23 months, who report for vaccination should be vaccinated with a first or second dose, depending on vaccination status. Doses should not be held in reserve to ensure that two doses will be available; • next priority should be given to vaccinating those persons at greatest risk for transmission of disease to persons at high risk, including household contacts and health-care workers. • healthy persons aged 5-49 years should be encouraged to be vaccinated with intranasally administered live,attenuated influenza vaccine. • More specific guidelines on influenza surveillance,vaccination and prioritization of doses has been published in the Morbidity and Mortality Weekly Report(M!v1WR)from the Centers for Disease Control and Prevention in the December 12,2003 edition. Please consult the following URL: htttp:`iwww.cdc.gov%mmwr Live Attenuated Nasal Vaccine(FluMistO) Currently,adequate supplies of the live attenuated nasal influenza vaccine,F1uMistV,are available. This vaccine is an excellent option for healthy people 5-49 years of age. Nasal influenza vaccine can be ordered from GIV(800-521-7468)or Wyeth(800-358-7443),see:littp://wwwj1umist.com. Antiviral Agents Antiviral agents can be used effectively for prophylaxis and treatment of influenza. If available,they should be considered. However,these medications may also be in short supply at this time and need to be prioritized. Other Infection Control Measures There are other measures that providers can pass on to their patients to avoid transmitting or getting the flu or other respiratory illnesses. These include: • Good hand hygiene: people should wash hands or use alcohol hand rubs or gels after being in public or after contact with anyone with a cold or flu. • Cough etiquette: When coughing,one should turn the head and cough or sneeze into a disposable tissue and promptly dispose of the used tissue;or cough into the inside of the elbow if a tissue is not available. • Avoid taking young children or immunocompromised people into large crowds unnecessarily when flu is in the community • Avoid close contact(holding,kissing)between infants and anyone who has a cold or the flu • 2 12-11-2003 87:35 PM From: To: 978 745 8343 Page 4 • • Do not share things that go into the mouth,such as drinking cups,straws,etc. • If people are experiencing respiratory symptoms with a fever,they should refrain from public activities for at least five days (maximum infectiousness last 3-5 days in adults and up to 7 days in children)to prevent spread of the infection. • If someone has severe or prolonged flu-like illness,they should seek medical attention. An information line on influenza for the public and providers has been established at 866-627-7968. Any questions concerning specific situations may be directed to the Division of Epidemiology and Immunization at(617)983-6800. Thank you for your cooperation and assistance in our efforts to enhance surveillance and reduce morbidity and mortality in Massachusetts. • 3 AGENT'S NEWSLETTER TO THE BOARD • VOLUME 92 November 18, 2003 BOARD NEWS CONGRATULATIONS to LUCY!! On the birth of her new baby boy, Giovanni and to her election as the new Ward One City Councillor! STAFF NEWS Our Chair agreed to expedite the hiring process for a Sanitarian given the unusual decrease in our staffs capacity. I would like to introduce David Greenbaum to the Board as our new Sanitarian. David is an enforcement officer with the North Shore Tobacco Control Program and a graduate of Salem State College. Chris Harrington and Mary Leary interviewed three candidates for this position and choose David because of his extensive experience in conducting inspections and his strong interpersonal skills. David will be at our meeting so that you may meet him. { POWER PLANT The Dust Committee has come to an agreement regarding the handling of coal dust complaints. Both the plant and the Board are asking the same questions if someone calls with a complaint. The Power plant will continue to list their telephone numbers for complaints, although we will also take such a call and fax the resultant form to the Power Plant for follow-up according to the • protocol. Malia Griffin, Community Relations for the Plant, and I will meet monthly as needed to discuss follow-up of the complaints. We are hoping that there will be a small number of coal dust complaints because of the new practices in place to decrease dust releases. EMERGENY PREPAREDENESS We are working with the Police and Fire Departments to complete an extensive, detailed, and time-consuming federal survey regarding our community and the threat of terrorism. We hope that there may be some grant money available because of this effort. WORKPLACE SMOKING BAN REGULATION I have asked Tom Tardiff, representative of many of the private clubs, to attend the December meeting to present his findings regarding the changes to the smoking ban regulation as proposed by the subcommittee. The Board may want to vote on those changes at that meeting so that the regulation will be set for the January implementation date. C HAPPY THANKSGIVING TO THE BOARD OF HEALTH MEMBERS & STAFF! Board of Health Administration Monthly Report Nov. 03 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 490 Burial Permits @ $10.00 $410.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Licenses & Perm its(+copies) $2,650.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $550.00 Measles/Mumps/Rubella= 300 Copies $0.00 Polio IPV= 340 Fines $0.00 Tetanus & Diptheria (adult use)= 400 Total Monies Collected $3,610.00 Tuberculin PPD= 50 H I B Titre= 400 Hepatitis B= 530 PPV 23 155 PCV 7 425 Animal Bites Reported = 0 Annual Budget Expenses Available Balance Salary/Longevity $365,221.00 $217,498.61 Annual Budget Expenses Encumbered Available Balance Non-Personnel $15,600.00 $5,524.35 $2,575.00 $7,500.65 City Of Salem Environmental Health Division --- Inspection Monthly Summary is Month -------------------------------------- Type Jul 03 Aug 03 Sep 03 Oct 03 Nov 03 Count ----- ------ ------ ------ ------ ------ 0 1 0 0 0 1 BP 1 0 0 0 0 1 CFI 91 61 59 42 38 291 CFR 2 3 6 2 6 19 CH 1 3 2 0 1 7 CON 3 5 4 0 2 14 CR 8 7 10 2 2 29 CT 4 6 7 9 1 27 EC 10 13 0 0 3 26 EPR 1 0 0 1 0 2 FC 2 3 1 2 4 12 FRH 0 0 1 0 0 1 FSD 1 9 4 0 6 20 PSI 12 38 21 1 17 69 FSR 7 3 2 1 9 22 GN 3 3 6 7 5 24 HI 6 12 11 7 9 45 HR 2 8 4 3 3 20 LPI 0 1 0 0 0 1 MT 7 7 5 5 7 31 MUP 2 4 2 0 0 8 OG 7 4 3 6 0 20 RFD 0 0 0 0 1 1 OI 4 3 1 1 8 17 R 0 1 0 0 2 3 RO 3 0 4 0 2 9 SB 78 59 0 0 0 137 SC 1 0 1 0 0 2 SM 1 0 6 0 3 10 Sp 1 1 1 0 0 3 TFI 10 12 0 0 1 23 TR 34 37 29 13 16 129 Count 302 284 190 102 146 1024 City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: 0&- _ ni Inspection Types BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret .Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* CON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* Computer Time10* MS - Massage 6* SM - Seminars 36* Oc Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health November Phone Log 2003 Total Answered *Answered Calls Saturday November 1,2003 Barb = 137 Sunday November 2,2003 Mary= 319 Monday November 3,2003 30 Tuesday November 4, 2003 15 Wednesday November 5, 2003 19 Thursday November 6,2003 18 *Calls Taken Friday November 7, 2003 10 Saturday November 8, 2003 Joanne = 103 Sunday November 9, 2003IMIN Jeffrey = 69 Monday November 10,2003 32 Jose = 29 Tuesday November 11, 2003 HOLIDAY Pablo = 11 Wednesday November 12,2003 31 Tracy = 87 • Thursday November 13,2003 38 Ginny = 37 Friday November 14,2003 18 Barb = 50 Saturday November 15,2003 Mary = 66 Sunday November 16,2003 David = 4 Monday November 17, 2003 38 Tuesday November 18, 2003 41 Wednesday November 19, 2003 40 *35 Hour Work Week Thursday November 20, 2003 28 Friday November 21, 2003 1 7 20 work days Saturday November 22,2003 Sunday November 23, 2003 Monday November 24, 2003 33 Tuesday November 25, 2003 33 Monday 8-4 Wednesday November 26, 2003 19 Tuesday 8-4 Thursday November 27, 2003 HOLIDAY Wednesday 8-4 Friday November 28, 2003 6 Thursday 8-7 Saturday November 29, 2003 * Friday 8-12 • Sunday November 30, 2003 Total Calls*= 1 456 CITY OF SALEM, MASSACHUSETTS ."� BOARD OF HEALTH e 120 WASHINGTON STREET, 4TH FLOOR 1 �p SALEM, MA O 1970 • � � TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report October 2003 Activities Disease Prevention • In touch with North Shore Pulmonary Clinic regarding active cases and cases contacts. • Vaccine inventory maintained and distributed. • Investigated communicable disease cases and reported to the MDPH • Influenza Clinic Preparation throughout the Month of October Meetings and Clinics • 10/1 Attended Public Health Forum at Beverly Hospital. Speaker Dr. Bela Maytas discussed current information regarding emerging infectious diseases. • • 10/20-10/21 Attended Northeast TB Training Consortium in Manchester New Hampshire. • 10/23 &10/29 Home Visits throughout Salem. 17 Home visits for October. • 10/29 Council on Aging Clinic, 621 Residents were vaccinated. Dr. Barbara Poremba and students participated in the administration of the vaccines. Also participating were Dr. Miaskiewicz, Joanne Scott, Barbara Sirios, Virginia Moustakis and Jose Diaz. Linda Elworthy and many of her volunteers contributed their time. St. Joseph's Immunization Records have been reviewed for grades Pre-K to 8 Phoenix School Immunization Records have been reviewed for grades K to 8 • k • MONTHLY REPORT OF COMMUNICABLE DISEASES October 2003 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 0 0 0 0 • Ehrlichiosis 1 0 1 1 Giardia 0 0 0 0 Hepatitis 3 0 0 0 Listeriosis 1 0 1 1 Salmonella 0 0 0 0 Tuberculosis 1 0 0 0 Reportable Diseases excluded from above have not been identified this month. • r • Summary of Communicable Diseases for October 2003 Ehrlichiosis: One Case. Bacteria that attack white blood cells cause human Granulocytic Ehrlichiosis. A deer flick spreads the bacteria. This case had traveled to Maine in August. Hepatitis C: 3 cases. Two hospitalized'. Hx of IV drug abuse. Listeriosis: One case. 64 year old female. Husband was interviewed. He stated his wife was in the hospital for another reason and the doctors found that she had Listeria in her blood. She did not have symptoms. Source is unknown. Tuberculosis: One case. 27 y/o male. Arrived from India 2 years ago. Site of disease: Bowel. Case is physician. He is n if a o se 9 pY administered TB meds. He is being followed by North Shore Pulmonary Clinic. AGENT'S NEWSLETTER TO THE BOARD • VOLUME 91 October 14, 2003 BOARD NEWS Dr. Mike had a nice send off at the Lyceum, as he steps down from the Board. We welcome Barbara Paremba as the newest Board member. STAFF NEWS Sharon McCabe has taken the Director of Health position in Saugus. Last Friday was her last day with us. We are so happy for this opportunity for her but will miss her very much. The open position has been advertised within the City, on the MHOA web site, and this weekend will be advertised in the Globe. Mary Page has been out of work for the past month with a broken hip. She will be returning the week of the meeting. Mary was incredibly brave during this ordeal. SMOKING BAN The Smoking Ban Subcommittee, Martin, Mary, Tom Tardiff, and I, met. In the packet is the recommendation of conditions that would permit smoking in the private area of private clubs when a function is being held at the club. In addition, there is a request from Tom for the Board to reconsider the total ban in the function room and allow smoking there if the organizer of the function requests that it be allowed. Tom is circulating the subcommittee's • recommendation to all the private clubs. He hopes to have them "sign off' on p p 9 those conditions so that no one will use the "unlevel playing field" argument. The subcommittee will give an interim report to this effect and recommend that the matter be taken up at the November meeting. CHASE PROPERTY There was significant progress in the Chase case. A survey of the property was completed, a fence was placed along the rear of the property bordering the paper street, and the side fence was moved onto the property line. We hope to have our final court appearance in two weeks to wrap up the final details. YARD WASTE AREA ON SWAMPSCOTT ROAD There are some changes in operation at the private composting location on Swampscott Road. This operation has generated a number of complaints over the past several years caused by the improper composting of yard waste. It appears that the new plan will eliminate those problems. However, when reviewing the plans I noted a potential breeding area for mosquitoes. I asked Northeast Mosquito Control to review the plan. We conducted a site visit and Mosquito Control generated recommendations to control for mosquito breeding. It is enclosed in the packet. • HAUNTED HAPPENINGS The staff will be conducting rhany temporary food inspections this month as the City celebrates Haunted Happenings. With an inspector's position open, this will be a challenge. However, with all our past experience, we are more efficient in handling the applications and issuing the permits. Board of Health Administration Monthly Report Oct-03 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 450 Burial Permits @ $10.00 $770.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Licenses & Permits(+copies) $3,760.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,600.00 Measles/Mumps/Rubella= 200 Copies $0.00 Polio IPV= 420 Fines $50.00 Tetanus & Diptheria (adult use)= 180 Total Monies Collected $6,180.00 Tuberculin PPD= 50 HIB Titre= 390 Hepatitis B= 240 PPV 23 90 PCV 7 410 Animal Bites Reported = 3 Annual Budget Expenses Available Balance Salary/Longevity $365,221.00 $217,498.61 Annual Budget Expenses Encumbered Available Balance Non-Personnel $15,600.00 $5,524.35 $2,575.00 $7,500.65 City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month ------------------------------ Type Jul 03 Aug 03 Sep 03 Oct 03 Count 0 1 0 0 1 BP 1 0 0 0 1 CFI 91 61 59 42 253 CFR 2 3 6 2 13 CH 1 3 2 0 6 CON 3 5 4 0 12 CR 8 7 10 2 27 CT 4 6 7 9 26 EC 10 13 0 0 23 EPR 1 0 0 1 2 FC 2 3 1 r 2 8 FRH 0 0 1 0 1 FSD 1 9 4 0 14 FSI 12 18 21 1 52 FSR 7 3 2 1 13 GN 3 3 6 7 19 HI 6 12 11 7 36 HR 2 8 4 3 17 LPI 0 1 0 0 1 MT 7 7 5 5 24 MUP 2 4 2 0 8 ! OG 7 4 3 6 20 I O0FI 4 3 1 1 9 R 0 1 0 0 1 3 0 4 0 7 SB 78 59 0 0 137 SC 1 0 1 0 2 SM 1 0 6 0 7 SP 1 1 1 0 3 TFI 10 12 0 0 22 TR 34 37 29 13 113 Count 302 284 190 102 878 City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date: Estab Name or Owner Name : Type : Location: Inspector: 0& _ Uy'--il&"77� Inspection Types BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret .Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* C. Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - Mark/Weights SP - Swim- Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health OCTOBER PHONE LOG 2003 Total Answered *Answered Calls Wednesday October 1, 2003 12 Barb = 142 Thursday October 2, 2003 48 Mary= 380 Friday October 3, 2003 12 Saturday October 4, 2003 Sunday October 5, 2003 HEIN Monday October 6, 2003 45 *Calls Taken Tuesday October 7, 2003 31 Wednesday October 8, 2003 28 Joanne = 134 Thursday October 9, 2003 32 Jeffrey = 47 Friday October 10,2003 4 Jose = 36 Saturday October 11, 2003 Pablo = 9 Sunday October 12, 2003 Tracy = 107 Monday October 13,2003 HOLIDAY Barb = 69 • Tuesday October 14, 2003 41 Mary = 56 Wednesday October 15, 2003 26 Sharon = 1 Thursday October 16, 2003 37 Ginny = 63 Friday October 17, 2003 7 Saturday October 18, 2003 Sunday October 19, 2003 *35 Hour Work Week Monday October 20, 2003 44 35 Office hours per week Tuesday October 21, 2003 21 22 work days Wednesday October 22, 2003 12 Thursday October 23, 2003 13 Friday October 24, 2003 12 Saturday October 25, 2003 Monday 8-4 Sunday October 26, 2003 Tuesday 8-4 Monday October 27, 2003 23 Wednesday 8-4 Tuesday October 28, 2003 21 Thursday 8-7 Wednesday October 29,2003 33 Friday 8 - noon Thursday October 30, 2003 16 • Friday October 31, 2003 4 Total Calls*= 522 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • ��` �/Sp SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO MAYOR HEALTH AGENT Public Health Nurse Report September 2003 Activities Disease Prevention • In touch with North Shore Pulmonary Clinic regarding active cases and cases contacts. • Vaccine inventory maintained and distributed. • Investigated communicable disease cases and reported to the MDPH • Hepatitis B series completed for NSCC student • 10-week follow up ppd test for 3 TB contacts. All were negative. • Influenza Clinic preparation throughout the month. Meetings and Clinics • • 9/4 Attended Northeast Regional quarterly TB meeting at NSMC. North Shore Public Health Nurses, MDPH TB Division, MDPH Refugee Health, and The North Shore Pulmonary Staff attended the meeting. Discussion includes recent active cases and contacts. • 9/16 Attended a Medicare B enrollment workshop. Discussed Medicare billing and reimbursement policies. Application for enrollment completed. • 9/24 Attended a Mass Pro workshop to enroll in the program. Discussed HMO billing and reimbursement procedures. Barbara Sirois attended the workshop also. • 9/25 Attended a Regional Tuberculosis Conference at North Shore Medical Center. MDPH TB Control Officer, Dr. John Bernardo discussed prevention guidelines, treatment guidelines, and case presentation. St. Joseph's School Immunization records checked throughout the month. Letters sent to parents regarding immunization documents that were not complete. Phoenix School Immunization records checked throughout the month. Letters sent to parents regarding • immunization records that were not complete. .r • MONTHLY REPORT OF COMMUNICABLE DISEASES September 2003 DISEASE: NEW CARRY OVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 1 0 1 1 • Giardia 1 0 1 1 Hepatitis 2 0 0 0 Meningitis 0 0 0 0 Salmonella 0 0 0 0 Pertussis 0 0 0 0 Tuberculosis 1 0 0 0 Reportable Diseases excluded from above have not been identified this month. • Summary of Communicable Disease for September 2003 � I Campylobacter 43 y/o male. Works in a group home with mentally retarded clients. He sometimes prepares snacks for the residents. Restricted from handling food until second stool obtained. Results were negative. Case notified. Giardia 29 month old female. Does not attend day care. Mother and Father asymptomatic. Doctor suspects that child became ill from relatives dogs. Hepatitis • 2 Known Hepatitis C cases reported from Beverly Hospital. • MA State Department of Heal(l)Fax It.617-983.6913 Page 1 of 1 $12210312..52.37 PM �- The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health State Laboratory Institute 305 South Street, Jamaica Plain, MA 02130 MITT ROMNEY GOVERNOR BUREAU OF COMMUNICABLE DISEASE CONTROL KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON SECRETARY } .p i CHRISTTNE C.FERGUSON COMMISSIONER t To: Boards of Health Vaccine Distributors From: Robert W.Morrison,Vaccine Manager Massachusetts Immunization Program(MIP) Marie O'Donnell,VFC Coordinator Massachusetts Immunization Program(M IP) Date: August 21,2003 • Re: Additional Doses of Influenza Vaccine Available for Adults Seen at Private Provider Offices Because of contributions from health plans in Massachusetts, the Massachusetts Department of Public Health (MDPH) will be able to provide influenza vaccine to both public and private providers this year. The contributions have allowed MDPH to make influenza vaccine available. to private provider offices for their adult patients.All private adult providers will be receiving an adjusted influenza vaccine allocation. The adjusted allocations are based on last year's distribution data and doses administered data reported by the provider sites. MDPH is requesting that if provider sites cannot use all or part of their allocation,that they contact the Vaccine Management Unit at 617-983-6828 as soon as possible. MDPH will be providing vaccine distributors with a list of the enrolled providers in their city or town and their influenza vaccine allocation. The list will be finalized and will be provided to vaccine distributors with the influenza vaccine. Twenty five percent of the total order for influenza vaccine is expected to be delivered to MDPH by the second week in September and the remaining 75%by the second week in October. Please remember these are only estimated delivery dates and amounts. If you have further questions, please call the Vaccine Management Unit at the number above. r � Bassachusetts Department of Public Health ureau of Communicable Disease Division of Tuberculosis Prevention and Control Summary Statistics for the year 2002 2002 Socio-demographics Residence Case- Case- Sex Race/Ethnic Age Place of Birth Number Rate Massachusetts 271 4 .27 M=57% White=22% <1-24=16% Foreign-Born=76% F=43% Black=28% 25-44=43% US-born=24% • Hispanic=19% 45-64=25% Asian=31% 65+=16% 2002 Cases Among High Risk Groups + (N-271) Foremen Children Chronic Excessive Born <15 Yrs. Homeless Care Facility Prison Alcohol 205 (76%) 15 (6%) 11 (4%) 3(1%) 2 (<1%) 18 (7%) Injecting and Non-Injecting Drug Users HIV Positive 11 (4%) 38 (14%) • - Not Mutually Exclusive 2002 Cases by Clinical Presentation (N=271) Site of Disease Cheat X-Ray Results Pulmonary (56%) Cavitary Disease (18%) Extrapulmonary (38%) Non-Cavitary Disease (61%) Both (4%) Normal (20%) 2002 Drug Resistance Cases (N=211) Pattern Cases($) Resistance to at least 1 drug 27(13%) Resistance to at least INH 16(8%) Resistance to at least INH + RIF 2 (<1%) Of the 271 TB cases reported in the year 2002, 211 were bacteriologically confirmed TB cases. Of the 211, 27 (12 .8%) had anti-TB drug resistant disease. Tuberculosis - Massachusetts - 2002 In 2002, 271 cases (case rate 4 .27 per 100,000 population) of TB were reported to and verified by the Massachusetts Department of Public Health, Division of TB Prevention and ontrol . Although this represents a 5% decline of case rate from the year 2000 and a 40% � overall decline of TB cases since 1992, case rates have remained stable since 1996. Note: All case rates are per 100,000 population • Statewide public health nursing case management model for TB control . • Utilization of outreach workers to assess patient 's adherence with treatment and to provide Directly Observed Therapy when necessary. • Effective surveillance system. • Continuation of the statewide network of TB clinics providing free care. • State-supplied, bulk purchased medications. • Nationally recognizied inpatient TB treatment unit at the Shattuck Hospital . • Central reference laboratory in the Mycobacteriology Laboratory at the State Laboratory Institute. Racial/Ethnicity , Persons of color accounted for 78% of the TB cases in 2002. Analyses of case rates of race/ethnicity indicate gradual decline in TB cases for both White and Hispanic between 1992 and 1996, which has stabilized: For blacks, the case rate per 100,000 has declined from a rate of 48 . 13 in 1991 to 22.42 in 2002 . Although Asians continues to have a much higher case rate than any other racial group, there has been a gradual decline of case rates and in the year 2002, the case rate for Asians was 35.28. High Risk Groups Of the 205 foreign-born cases in 2002, persons from India was the largest group with 23 •cases (114) , followed by China - 19 cases (9%) , Vietnam - 18 cases (9%) , Haiti - 16 cases (8%) , Brazil - 11 cases (5%) , Cambodia -- 8 cases (4t) , Uganda — 7 cases (3%) and Dominican Republic - 7 cases (3%) . The remaining 96 cases (47%) were from 50 different countries. in 2002 there were 11 homeless cases (4%) . Of the 11 homeless cases, 6 (55%) were from the _:ty of Boston. in 2002, 15 cases (6%) of TB were among Children (<15 years) . Ten (67%) of the 15 children were children of color. Drug Resistance In 2002, 211 (78%) of the 271 TB cases were bacteriologically confirmed with a positive culture. This is a bacteriologically substantiated incidence rate of 3. 35 per 100, 000. Drug resistance is defined as greater than 1 percent resistance to any concentration of that drug. Multi-drug resistance is defined as being resistance to at least Isoniazid (INH) and Rif.ampin (RIF) . Twenty-seven of the 219 bacteriologically confirmed TB cases had anti-TB drug resistant disease. In 1997, 6 MDR-TB cases were reported, as compared with 1 in 1998, none in 1999, 3 MDR-TB cases in 2000, 5 MDR-TB cases in 2001 and 2 MDR-TB cases in '2002. • . Massachusetts Department of Public Health, Division of Tuberculosis Prevention and Control Annual Number of Tuberculosis Cases Result From Massachusetts 23 Largest Cities, Plus Two Cities at Higher Risk with Five Year Averages Community 2002 2001 2000 1999 1998 5 Year Average Boston 67 75 82 77 89 78 Brockton 5 12 13 13 4 9 Brookline 3 4 7 2 3 4 Cambridge 7 6 8 9 11 Chelsea ' 7 4 8 7 6 8 6 Chicopee 3 2 3 1 0 2 Fall River 2 4 2 6 1 3 Framingham 7 6 3 3 1 4 Haverhill 3 3 0 0 0 1 Lawrence 5 10 7 9 5 7 Lowell 13 17 15 18 15 16 Lynn 8 6 8 8 5 7 Malden 10 4 9 5 4 6 Medford 3 3 2 2 2 New Bedford 5 6 3 2 2 1 Newton 1 1 0 1 3 l Plymouth 2 0 0 0 3 1 Quincy 13 4 8 7 10 8 • Revere ' 6 6 6 3 2 5 Somerville 4 4 8 4 16 7 Springfield 9 8 7 7 8 8 Taunton 1 1 0 1 3 1 Waltham 10 6 7 4 5 6 Weymouth 0 3 0 3 2 2 Worcester 13 9 12 13 8 11 Total 25 Communities 207 204 218 205 208 208 Percent of State TB Morbidity 76% 76% 76% 76% 73% 76% Total 326 Communities 64 66 67 65 75 67 Percent of State TB Morbidity_ 24% 24% 24% 24% 27% 2411/t, Total TB cases in State 271 270 285 270 283 276 Cities <50,000 population, but categorized by the TB Divison to be at Higher Risk for TB • Massachusetts Department of Public Health, Division of Tuberculosis Prevention and Control Annual Case Rates of Tuberculosis Result From Massachusetts 23 Largest Cities, Plus Two Cities at Higher Risk with Five Year Averages Community 2002 2001 2000 1999 1998 5 Year Average Boston 1 l.37 12.73 13.92 13.24 15.78 13.39 Brockton 5.30 12.72 13.79 13.97 4.40 10.07 Brookline 5.25 7.00 12.26 3.35 4.95 6.51 Cambridge 6.91 5.92 7.89 9.42 11.42 8.27 Chelsea ' t 9.95 11.40 22.81 22.34 20.87 19.36 Chicopee 5.49 3.66 5.49 1.82 0.00 3.31 Fall River 2.18 4.35 2.18 6.68 1.12 3.30 Framingham 10.46 8.97 4.48 4.42 1.50 5.97 Haverhill 5.09 5.09 0.00 0.00 0.00 .2.06 Lawrence 6.94 13.88 9.72 12.64 7.11 10.07 Lowell 12.36 16.16 14.26 16.87 14.09 14.75 Lynn 8.98 6.74 8.98 9.40 5.99 8.03 Malden 17.75 7.10 15.97 9.14 7.45 11.54 Medford 5.38 5.38 3.59 3.50 3.45 4.25 New Bedford 5.33 6.40 3.20 2.10 2.11 3.82 Newton 1.19 1.19 0.00 1.09 3.31 1.38 Plymouth 3.87 0.00 0.00 0.00 5.87 1.94 Quincy 14.77 4.54 9.09 8.30 11.49 9.65 • Revere ' 12.69 12.69 12.69 7.57 5.00 10.39 Somerville 5.16 5.16 10.33 5.02 20.48 9.22 Springfield 5.92 5.26 4.60 4.60 5.32 5.14 Taunton 1.79 1.79 0.00 1.84 5.53 2.17 Waltham 16.70 10.02 11.69 6.94 8.45 10.80 Weymouth 0.00 5.56 0.00 5.57 3.73 2.97 Worcester 7.53 5.21 6.95 7.53 4.73 6.43 Case Rates for Massachusetts 4.27 4.25 4.49 4.25 4.50 4.35 Cities of<50,000 population, but categorized by the TB Divison to be at Higher Risk for TB Note: Case rates for 1998 and 1999 are based on estimated population projected for each of those years 2000-2002 case rates were calculated using 2000 census population data All case rates are per 100,000 population • 0 0 UNITED STATES AND MASSACHUSETTS TUBERCULOSIS CASE RATES 1982 - 2002 1$ PER 100s 000 1$ 16 16 14 14 12 12 10 10 8 8 6 6 4 4 2 2 0 0 82 84 86 88 90 92 94 96 98 2000 2002 YEAR — US MA 2000 OBJECTIVE MDPH/DIVISION OF TB • • MASSACHUSETTS VERIFIED TUBERCULOSIS CASES BY COUNTY 2002 (N = 271 ) SUFFOLK 29.5 - OTHER 1.5 ESSEX µ.i.� 7.4 BRISTOL ; . 4•$ HAMPDEN • �� 5.5 NORFOLK WORCESTER 11.1 7.7 PLYMOUTH 3.3 MIDDLESEX 29.2 PERCENT OF CASES MDPH/DIVISION OF TB OTHERINCLUDES;BARNSTABLE<1%BERKSHIRE<1% HAMPSHIRE 0%FRANKLIN<1% DUKE AND NANTUCKET ARE TB FREE. AGENT'S NEWSLETTER TO THE BOARD • VOLUME 91 October 14, 2003 BOARD NEWS Dr. Mike had a nice send off at the Lyceum, as he steps down from the Board. We welcome Barbara Paremba as the newest Board member. STAFF NEWS Sharon McCabe has taken the Director of Health position in Saugus. Last Friday was her last day with us. We are so happy for this opportunity for her but will miss her very much. The open position has been advertised within the City, on the MHOA web site, and this weekend will be advertised in the Globe. Mary Page has been out of work for the past month with a broken hip. She will be returning the week of the meeting. Mary was incredibly brave during this ordeal. SMOKING BAN The Smoking Ban Subcommittee, Martin, Mary, Tom Tardiff, and I, met. In the packet is the recommendation of conditions that would permit smoking in the private area of private clubs when a function is being held at the club. In addition, there is a request from Tom for the Board to reconsider the total ban in the function room and allow smoking there if the organizer of the function • requests that it be allowed. Tom is circulating the subcommittee's recommendation to all the private clubs. He hopes to have them "sign off' on those conditions so that no one will use the "unlevel playing field" argument. The subcommittee will give an interim report to this effect and recommend that the matter be taken up at the November meeting. CHASE PROPERTY There was significant progress in the Chase case. A survey of the property was completed, a fence was placed along the rear of the property bordering the paper street, and the side fence was moved onto the property line. We hope to have our final court appearance in two weeks to wrap up the final details. YARD WASTE AREA ON SWAMPSCOTT ROAD There are some changes in operation at the private composting location on Swampscott Road. This operation has generated a number of complaints over the past several years caused by the improper composting of yard waste. It appears that the new plan will eliminate those problems. However, when reviewing the plans I noted a potential breeding area for mosquitoes. I asked Northeast Mosquito Control to review the plan. We conducted a site visit and Mosquito Control generated recommendations to control for mosquito breeding. It is enclosed in the packet. • HAUNTED HAPPENINGS The staff will be conducting many temporary food inspections this month as the City celebrates Haunted Happenings. With an inspector's position open, this will be a challenge. However, with all our past experience, we are more efficient in handling the applications and issuing the permits. I City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ---------------------- Type Jul 03 Aug 03 Sep 03 Count 0 1 0 1 BP 1 0 0 1 CFI 91 61 59 211 CFR 2 3 6 11 CH 1 3 2 6 CON 3 5 4 12 CR 8 7 10 25 CT 4 6 7 17 EC 10 13 0 23 EPR 1 0 0 1 FC 2 3 1 1 6 FRH 0 0 1 1 FSD 1 9 4 14 FSI 12 18 21 51 FSR 7 3 2 12 GN 3 3 6 12 HI 6 12 11 29 HR 2 8 4 14 LPI 0 1 0 1 MT 7 7 5 19 MUP 2 4 2 8 OG 7 4 3 14 RFI 4 3 1 8 &R 0 1 0 1 0 3 0 4 7 SB 78 59 0 137 SC 1 0 1 2 SM 1 0 6 7 SP 1 1 1 3 TFI 10 12 0 22 TR 34 37 29 100 Count 302 284 190 776 City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: 0& - OV�6�tinf Inspection Types &p, _ BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret .Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* ON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . 'Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health September Phone Log 2003 Total Answered *Answered Calls Monday September 1, 2001 Holiday Barb = 251 Tuesday September 2, 2001 40 Mary = 119 Wednesday September 3, 2001 32 Ginny= 189 Thursday September 4, 2001 35 Friday September 5, 2001 29 Saturday September 6, 2001 *Calls Taken Sunday September 7, 2001 Em Monday September 8, 2001 42 Joanne = 127 Tuesday September 9, 2001 39 Jeffrey = 101 Wednesday September 10, 2001 17 Sharon= 27 Thursday September 11, 2001 23 Jose = 44 Friday September 12, 2001 14 Pablo = 11 Saturday September 13, 2001 Tracy = 106 • Sunday September 14, 2001 Em Ginny = 25 Monday September 15, 2001 23 Barb = 74 Tuesday September 16, 2001 19 Mary = 44 Wednesday September 17, 2001 15 Thursday September 18, 2001 29 Friday September 19, 2001 13 Saturday September 20, 2001 43 Office Hours Per Week Sunday September 21,2001 22 work days Monday September 22, 2001 23 35 Hour Work Week Tuesday September 23, 2001 30 Wednesday September 24,2001 27 Thursday September 25, 2001 40 Monday 8-4 Friday September 26, 2001 1 7 Tuesday 8-4 Saturday September 27, 2001 Wednesday 8-4 Sunday September 28, 2001 NThursday 8-7 Monday September 29, 2001 33 Friday 8-noon Tuesday September 30, 2001 29 • Total = 559 CITY OF SALEM, MASSACHUSETTS yr , BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • ��• � � SALEM, MA O 1970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report August 2003 Activities Disease Prevention • In touch with North Shore Pulmonary Clinic regarding active cases and case contacts. • Vaccine inventory maintained and distributed. •• Investigated communicable disease cases and reported to the MDPH Meetings and Clinics • 8/5 Fire Prevention notified us of an elderly Salem resident who is being evicted from her apartment due to health and fire concems caused by hoarding large amounts of newspaper. North Shore Elder Services has been involved. • 818 Inspected North Shore Shark's Swim Camp based at the YMCA. This is a Beverly Camp that moved to Salem YMCA this season until their pool is opened. The camp complied with all regulations. • 8/11 Inspected MLS Soccer camp held at McGrath Park. Camp compliant with regulations. • Summer vacation August le to September 2"d w�`co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH z :9 120 WASHINGTON STREET, 4TH FLOOR • SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES August 2003 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 1 0 1 1 • Hepatitis 1 0 1 1 Meningitis 0 0 0 0 Salmonella 1 0 0 0 Pertussis 0 0 0 0 Tuberculosis 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. • CITY OF SALEM9, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • � � ten. ! O• SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Summary of Communicable Disease for August 2003 Hepatitis B: One case. Spoke to case. Interviewed case. Household contacts immunized. Wife was tested. Salmonella Case received August 28"'. Case is back on vacation. Pt is 77 y/o female, non •foodhandler. Daughter will have her call me when she gets back. • West*Virus Information Web Site -Bird Page • NO of 3 Masse �! 9- 9 SM Home Page Massachusetts Arbovirus Surveillance--Birds Bird Page Equine Page Last updated: September 4, 2003 Human Data Mosquito Data �G f;K!1�:NAMkub#NI"a-YRif�SN!f3�fi p.8awa ra ,t Click on the map at right to see a larger version: <* � +a+a�auza See the table below for a cumulative list of dead bird reports and arboviral test results. The following points should be considered when viewing this information: Dead Bird Reports and Arboviral Test Results Click on the county name to see the results for your area of interest. Test Results -By County Barnstable Berkshire Bristol Dukes Essex Franklin Hampden Hampshire Middlesex Nantucket Norfolk Plymouth Suffolk Worcester Essex County City or Town Birds Birds Submitted Birds Birds WNV http://westnile.ashtonweb.com/index36.asp?county=Essex 09/04/2003 West*Virus Information Web Site-Bird Page • Pas of 3 Reported for Testing Tested Positive Amesbury 29 5 4 2 Andover 26 1 1 0 Beverly 47 4 3 2 Boxford 15 0 0 0 Danvers 5 1 1 1 Essex 4 0 0 0 Georgetown 5 2 2 2 Gloucester 3 0 0 0 Groveland 9 0 0 0 Hamilton 13 0 0 0 Haverhill 24 1 0 0 Ipswich 20 0 0 0 Lawrence 12 2 1 0 Lynn 24 4 4 3 Lynnfield 4 2 0 0 Manchester 10 0 0 0 Marblehead 36 7 6 1 Merrimac 4 0 0 0 Methuen 39 6 5 2 Newbury 20 1 1 1 Newburyport 13 5 5 3 North Andover 19 3 3 1 Peabody 5 2 2 2 Rockport 5 0 0 0 Rowley 3 0 0 0 Salem 26 4 4 3 Salisbury 13 1 1 0 Saugus 45 5 3 1 Swampscott 15 2 2 2 http://westnile.ashtonweb.com/index36.asp?county=Essex 09/04/2003 West*Virus Information Web Site -Bird Page • Pao of 3 Topsfield 8 1 1 1 Wenham 6 0 0 0 West Newbury 12 2 2 2 ©2002 The Massachusetts Department of Public Health http://westnile.ashtonweb.com/index36.asp?county=Essex 09/04/2003 qVThe Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health State Laboratory Institute MITT ROMNEY 305 South Street, Jamaica Plain, MA 02130 GOVERNOR, BUREAU OF COMMUNICABLE DISEASE Cp T{ �� KERRY HEALEY I ( ?`��' T--a LIEUTENANT GOVERNOR TB PREVENTION AND CONTROL! RONALD PRESTON SECRETARY TEL: (617)983-6970 CHRISTINE C. FERGUSON I '` � 1 �� FAX: (617) 983-6990 AU! COMMISSIONER MEMORANDUM TO: Local Boards of Health Tuberculosis Clinic Providers Division of Tuberculosis Prevention and Control Staff FROM: Sue Etkind, RN, MS, Director Linda Singleton, RN, MPH, Assistant Directoe Division of Tuberculosis Prevention and Control • DATE: August 18, 2003 RE: Repeal of Massachusetts General Law, chapter 71, section 55B We are sending this memorandum to advise you that the law requiring pre-employment tuberculosis screening of school personnel and volunteers (Massachusetts General Law, chapter 71, section 55B) was repealed on July 31, 2003. The repeal is found in Chapter 46 of the Acts of 2003, section 81: http://www.state.ma.us/legis/laws/seslaw03/sIO30046.hti-n The decision to seek legislative action for repeal of this law was based upon recommendations from the federal Centers for Disease Control and Prevention (CDC) to eliminate screening activities in low-risk populations and reserve priority resources for targeted testing and treatment of populations identified as high risk for acquiring tuberculosis. Thank you for your continued support of tuberculosis control and elimination efforts. • M.G.L - Chapter 71, Section 55B Page 1 of 2 GENERAL LAWS OF MASSACHUSETTS PART I. ADMINISTRATION OF THE GOVERNMENT TITLE XII. EDUCATION CHAPTER 71. PUBLIC SCHOOLS SCHOOL COMMITTEES Chapter 71: Section 55B Regulation of communicable tuberculosis; periodic examination of school personnel; sick leave with pay for afflictees Section 55B. No person known to be suffering from tuberculosis in a communicable form, or having evidence of symptoms thereof, shall be employed or continued in employment at any public or private school in the commonwealth, including any college or university, at any special training center for the mentally retarded,or any program for youthful offenders in any capacity which might bring him into direct contact with any student at such school. Immediately prior to his entering into any such employment, each school superintendent,principal,director,teacher,food handler, • custodian, school bus driver, nurse,doctor,or other person whose duties, either official or voluntary,bring him into such direct contact with students, shall file with the superintendent or other persons having charge of such school on forms furnished by the department of public health and approved by the department of education, a report made by a licensed physician or a registered nurse certifying his freedom from tuberculosis in a communicable form and said report shall be kept a part of the records of such school authorities. The report certifying freedom from tuberculosis shall be accompanied by the results of a negative intradermal tuberculin test administered not more than ninety days prior thereto in a manner approved by the commissioner of public health, or in the case of a person whose tuberculin test is positive, by the report of a large X- ray film of the chest taken not more than ninety days prior thereto, and such other laboratory and clinical examinations as may be required for the exclusion of tuberculosis in a communicable form, except that no registered nurse shall file any such report without the results of a negative tuberculin test. The commissioner of public health may order that such examinations be repeated or additional tests made in a department of public health designated tuberculosis clinic in any case where the results may be in dispute. On request,X-ray films shall be submitted for review to the department of public health or its designated tuberculosis clinic and where the X-ray so submitted is for any reason not satisfactory, an X-ray of the employee's chest shall be made by the department or designated clinic. When such X-ray shows a pulmonary lesion which cannot be properly evaluated on a single film, further X-ray examinations shall be made, at such intervals as it may require, and without charge, by said department or designated tuberculosis clinic. Cases in which the question of communicability of tuberculosis arises may, on appeal, be referred to a board of three competent physicians, appointed by the commissioner of public health, and their decision shall be final. A new examination shall not be required for any school employee who transfers employment within the commonwealth and has previously filed a valid certification report under this section. • The commissioner of public health may order the repeat examination and certification of any employee,required to be certified under this section, if such employee is exposed to a patient with http://www.state.ma.us/legis/laws/mgl/71-55b.htm 09/02/2003 M.G.L - Chapter 71, Section 55B Page 2 of 2 tuberculosis, or if such employee lives or is employed in a city or town or section thereof where a • high prevalence of tuberculosis exists,as determined by said commissioner. School personnel certified by approving authorities in other states which have similar laws or regulations which require freedom from tuberculosis in communicable form in their school personnel may submit such certificate to the director of the division of tuberculosis control in the department of public health for his approval. On petition in writing, the provisions of this section may be waived by the director of the division of tuberculosis control when in his opinion over-exposure to radiation would imperil a person's health. Any teacher,other than a teacher in the public schools, or any other employee excluded or removed from employment on account of tuberculosis in a communicable form shall be carried on sick leave with pay for such period as he may be entitled to under regulations of the school committee or other school officers; and any teacher in a public school,or other employee therein whose duties bring him into direct contact with any student thereat, shall, if excluded or removed from employment on account of tuberculosis in a communicable form be carried on sick leave with pay for the entire period of such exclusion or removal, but in no case for more than two years, and for such further additional period as he may be entitled to under the regulations of the school committee or other school officers. No teacher or employee so excluded or removed shall return to employment in a school until properly certified by the department of public health, or a designated tuberculosis clinic, on the basis of X-ray and laboratory examinations, as free from tuberculosis in a communicable form. Facilities for free X-ray service shall be provided by the department of public • health or a designated tuberculosis clinic for all persons who come within the scope of this section. Return to: **Next Section**Previous Section**Chapter Table of Contents**Legislative Home Page • http://www.state.ma.us/legis/laws/mgV71-55b.htm 09/02/2003 AGENT'S NEWSLETTER TO THE BOARD • VOLUME 90 September 9, 2003 SMOKING BAN On the agenda this month is reconsideration of that part of the smoking ban that involves private clubs. I believe the subcommittee visited several clubs this past month in order to gain information regarding this issue. BEACH TESTING Our beach sampling season has ended. At the meeting, I will be presenting the Board with the entire season's sampling results. The additional rain this summer may have caused an increase in some of the bacteria levels as seen on the report. I hope to have more possible interpretations on Tuesday. CHASE PROPERTY We continue our court case against Laine Industries on Highland Avenue, originally begun over one year ago. The Court has approved the use of a receiver for this property. However, instead we have used money set aside by Mr. Chase, to hire a contractor to oversee the required work. More progress on this case has been made over the past two weeks than over the past 18 months. The Board of Health will continue to follow this case until all violations have been corrected. • OBJECTIVES 2003 In The packet is the final quarter report to the Board regarding the FY 2003 Objectives. This report is useful in it's highlighting of areas where we have succeeded in meeting the objectives. There are a couple of areas, namely inspecting offensive substance haulers and massage establishments that need to be addressed. Otherwise, given the decrease in staffing and the unexpected arrival of SARS, overall we met our objectives. DUST COMMITTEE The Dust Management Committee for the Salem Power Plant continues to meet. This past week we finalized several Standard Operating & Maintenance Procedures for the receiving and handling of coal at the plant. We are continuing to work on a system for receiving coal dust complaints. Several resident members of the committee have asked that the Board of Health be the point of initial contact for those wishing to log a dust complaint. The management of the plant is considering that option and we will be meeting again to continue our discussions regarding this point. Of course, this is a policy issue that would need the Board's approval. Thank you for my two weeks vacation. Jeff and the Staff did a superlative job in my absence. • Italy was motto bene! City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month Type Jul 03 Aug 03 Count 0 1 1 BP 1 0 1 CFI 91 61 152 CFR 2 3 5 CH 1 3 4 CON 3 5 8 CR 8 7 15 CT 4 6 10 EC 10 13 23 EPR 1 0 1 FC 2 3 5 FSD 1 9 10 FSI 12 18 30 FSR 7 3 10 GN 3 3 6 HI 6 12 18 HR 2 8 10 LPI 0 1 1 MT 7 7 14 MUP 2 4 6 OG 7 4 11 RFI 4 3 7 R 0 1 1 3 0 3 78 59 137 SC 1 0 1 SM 1 0 1 Sp 1 1 2 TFI 10 12 22 TR 34 37 71 Count 302 2E4 586 City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: 06- _ bv—�I&,,rlf Inspection Types (rR _ �, rr BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* N - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* _ Computer Time10* MS - Massage 6* SM - Seminars 36* EC Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health AUG. 2003 PHONE LOG • Total Answered *Answered Calls Friday August 1, 2003 5 Barb = 276 Saturday August 2, 2003 Mary= 183 Sunday August 3, 2003 Monday August 4, 2003 31 Tuesday August 5, 2003 18 Wednesday August 6,2003 26 *Calls Taken Thursday August 7, 2003 21 Friday August 8, 2003 6 Joanne = 74 Saturday August 9, 2003 Jeffrey = 86 Sunday August 10, 2003 Sharon= 42 Monday August 11, 2003 40 Jose = 41 Tuesday August 12, 2003 16 Pablo = 14 Wednesday August 13, 2003 25 Tracy = 38 Thursday August 14, 2003 22 Barb = 93 Friday August 15, 2003 9 Mary = 71 •Saturday August 16, 2003 Sunday August 17, 2003 Monday August 18, 2003 22 Tuesday August 19, 2003 18 Wednesday August 20, 2003 19 43 Office Hours Per Week Thursday August 21, 2003 23 21 work days Friday August 22, 2003 15 35 Hour Work Week Saturday August 23, 2003 Sunday August 24,2003 Monday August 25, 2003 31 Monday 8-4 Tuesday August 26, 2003 31 Tuesday 8-4 Wednesday August 27, 2003 31 Wednesday 8-4 Thursday August 28, 2003 31 Thursday 8-7 Friday August 29,2003 19 Friday 8-noon Saturday August 30,2003 Sunday August 31, 2003 Total = 459 boo CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 53 120 WASHINGTON STREET, 4TH FLOOR Po SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report July 2003 Activities Disease Prevention • In touch with North Shore Pulmonary Clinic regarding active cases and case contacts. • Vaccine inventory maintained and distributed. Investigated communicable disease cases and reported to the MDPH • • 4 ppd tests for contacts of active case. • Contacted 43 contacts to a confirmed case of Pertussis. Meetinfas and Clinics 7/1 Directly Observed Therapy conducted Monday through Friday for the month of July. 7/2 Purple Scorpion inspection with Jose Diaz. Establishment permitted. 7/7 Attended Bioterrorism Conference in Tewksbury with Joanne Scott. Discussed Incident Command on the Local Level. 7/16 H.O.B.B.E.S. boat camp was inspected with Jose Diaz. An Adult on board needs Lifeguard Certification, Health Care Supervisor needs CORI, CPR Certification. 7/22 Attended Massachusetts Department of Public Health seminar on Bioterrorism Preparedeness at Newton Marriott with Joanne Scott. • MONTHLY REPORT OF COMMUNICABLE DISEASES July 2003 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Amebiasis 1 0 1 1 • Campylobacter 1 0 1 1 Hepatitis 4 0 4 4 Lyme Disease 3 0 3 3 Meningitis 1 0 1 1 Salmonella 2 0 2 2 Pertussis 1 0 1 1 Salmonella 2 0 2 2 Tuberculosis 1 0 1 0 Reportable Diseases excluded from above have not been identified this month. • • Summary of Communicable Disease for July 2003 Amebiasis/E.Dispar 41 y/o non foodhandler. Case was interviewed, but was reluctant to give information. Physician notified, case report sent to physician. Campylobacter: 25 y/o non foodhandler. Suspect food or drink unknown. Stayed at a friends house in Connecticut during incubation period. No one else ill. Hepatitis B: Two Cases. Hepatitis C: Two Cases. Two Hepatitis B cases. Attempted telephone calls, 1 certified letter sent. Lyme Disease: 3 Cases 53 y/o male. Case stated that this is the second time he has had Lyme disease. He has a summer home on Long Island, NY. 48 y/o male. Case was diagnosed early after symptom onset. 33 y/o male. Left telephone message X2. Certified letter sent. Neisseria Meningitidis: 25 y/o female. Was admitted to a Rehab Facility when symptomatic. All contacts at the Rehab were prophylaxed. Boston Medical Center provided the Antibiotics. 9 Salem contacts were prophylaxed. Hospital workers and EMT's were prophylaxed. Pt recovered. CSF culture: Slaters Y. • Pertussis: 17 y/o Salem resident. Attends North Shore Technical High School. This case was linked to two other cases at the school. Student was infectious during Football camp in New York. MDPH notified camp. 43 close contacts were notified. Pertussis Alert was sent to all students at NSTHS. Salmonella: 2 Cases 15 months. No Daycare. Mother was upset that her child has had a diarrheal illness for months, but was told it was a virus. She denies that anyone else is ill. No Foodhandlers in household. Public Health Fact_Sheet sent. 33 y/o Female. Non Food handler. Jose Diaz translated. Pt believes she became ill from chicken cooked at home. No one else ill . Public Health Fact Sheet sent. Tuberculosis: 82 y/o Female. No recent hospitalizations. Seen by M.D. with chronic cough. CTscan neg, CXR neg. Sputum: Smear positive. Pt isolated at home for two weeks. 22 contacts were identified. 2 contacts tested positive and were referred to North Shore Pulmonary Clinic. Contacts consisted of 9 Physicians' office staff, 7 Visiting Nurses and 6 household and family members. Second ppd tests will be conducted in September. Directly Observed therapy will be Monday through Friday. Second Sputum on 7/10, 7/14, 7/15 negative. 9 P 9 • Massachusetts Department of Public Health Massachusetts Immunization Program 305 South Street Jamaica Plain, Ma 02130 • 617-983-6828 2003-2004 Influenza Season Vaccine Allocation SALEM HEALTH DEPARTMENT J�+:; _� ^ 'LOti3 PIN #: 11505 ATTN: TRACY GIARLA, NURSE 120 WASHINGTON ST CI-i.Y Cit- j',;,LEM 4TH FLOOR SALEM, MA 01970-0000 BOARD OF HEALTH For the 2003-2004 influenza season, the Massachusetts Department of Public Health (MDPH) is allocating state-supplied influenza vaccine based on doses administered data reported by your site for the prior influenza season and MDPH's Prioritization of State-Supplied Influenza Vaccine (see enclosed). Below, you will find the amount of influenza vaccine your site has been allocated to receive from MDPH: 2003-2004 INFLUENZA VACCINE ALLOCATION • # OF DOSES= 1220 The MDPH will accept requests for additional doses of influenza vaccine only in the following situations: 1. If your allocation is "0", you may request an initial allocation for your high-risk patients if your site is a: a. public site (i.e. local boards of health, visiting nurse associations, community health centers) b. long-term care facility (for your inpatient population only) c. pediatric provider site (offices and clinics that see children under 19 years of age who may be at high-risk for influenza) 2. A limited amount of state-supplied influenza vaccine, purchased with federal funds, is available to pediatric provider sites to be considered for use in healthy children 6 to 23 months of age and their household contacts when feasible. Pediatric provider sites that have developed plans to ensure the timely administration of these doses must submit their plan along with their request. You may mail your written request, which should include your Pin #, total additional doses requested, and the reason for the request, by July 15, 2003 to: Massachusetts Department of Public Health Vaccine Management Unit 305 South Street Jamaica Plain MA 02130 • Due to funding reductions, the amount of influenza vaccine available through the MDPH for this coming season has been greatly reduced. MDPH is unable to guarantee that any requests for additional doses received will be approved in full. r o a �`. Ct •fi �t t. .:y�5c p.�+�-Ti.. ��>��.��p.'� � 7 41l.of-r yn w, n i Massachusetts Department of Public Health (MDPH) ISuspended Availability of Vaccines for Adults Due to funding reductions, the MDPH will be suspending the availability of most vaccines for adults (including high risk groups and those entering college) beginning July 31, 2003. The vaccines that are affected are: • Hepatitis B (adult formulation) • Pneumococcal polysaccharide (PPV23) AUG 0 4 2003 • Measles, mumps, rubella (MMR) • Varicella p 01-Y Or SALEM u • Hepatitis A (adult formulation) These vaccines will still be available from the MIP for outbreak control purposes for adults. The MDPH will continue to provide state-manufactured tetanus-diphtheria (Td) vaccine • to all providers in Massachusetts. MDPH will continue to be able to distribute hepatitis B and pneumococcal polysaccharide vaccines, but only until current inventories are depleted. It is anticipated that current inventories may last until October 2003. Providers will be able to purchase these vaccines for their adult patients either directly from the manufacturer or a pharmaceutical supplier (See reverse side for information). Pediatric vaccines will continue to be available for all children through 18 years of age. In addition, the amount of influenza vaccine available through the MDPH for this upcoming flu season has been significantly reduced. MDPH will be limiting the distribution of influenza vaccine to public provider sites (primarily local Boards of Health and other public sites and programs), long-term care facilities and pediatric provider sites for the immunization of.Massachusetts residents. Unfortunately, MDPH will not be able to supply influenza vaccine for adult patients of private providers this year unless additional resources are identified. At this time MDPH is requesting that private providers purchase directly from the manufacturers or pharmaceutical suppliers. We will continue to keep you updated on future vaccine availability. Enclosed is the Supplied Maccines and Patient Eligibility Criteria document which provides a detailed description of vaccine availability. If you have any questions regarding vaccine • availability please contact the MDPH Vaccine Management Unit at 617-983-6828. adult vaccines-limited funding July 2003 1Ly$��..Ct Vaccine Manufacturers Listed below are the vaccine manufacturers for those vaccines for adults that will no longer be available through the Massachusetts Department of Public Health (MDPH). Vaccine Manufacturer Phone Number Hepatitis A G1axoSmithKline 1-866-475-8222 Merck 1-800-672-63 72 i Hepatitis B GlaxoSmithKline 1-866-475-8222 Merck 1-800-672-6372 MMR Merck 1-800-672-6372 Pneumococcal Merck 1-800-672-6372 Polysaccharide • Varicella Merck 1-800-672-6372 Influenza* Aventis 1-800-822-2463 General Injectable 1-800-521-7468 and Vaccine * Influenza vaccine is available on a limited basis to local Boards of Health, Visiting Nurse Associations, community health centers, and other public provider sites, as.well as long-term care facilities. adult vaccines-limited funding .July 2003 ®Printed on recyded paper. rA The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health State Laboratory Institute MITT ROMNEY 305 South Street, Jamaica Plain, MA 02130 GOVERNOR KERRY HEALEY BUREAU OF COMMUNICABLE DISEASE CONTROL LIEUTENANT GOVERNOR RONALD PRESTON TB PREVENTION AND CONTROL SECRETARY TEL: (617) 983-6970 CHRISTINE C. FERGUSON FAX: (61 7) 983-6990 COMMISSIONER To: Massachusetts Health Care Providers ` JUL 17 2003 From: John Bernardo, M.D., Tuberculosis Control Officer Li-1Y OF A A' Sue Etkind, R.N., M.S., Director N gp, l (j �,i # 1$ <; TH Subject: Reporting of Latent Tuberculosis Infection (LTBI) Date: July 10, 2003 Ohe Massachusetts Public Health Council recentlyapproved the addition of Latent Tuberculosis Infection (LTBO to the list of diseases that are directly reportable to the Department of Public Health. This addition will allow the Division of Tuberculosis Prevention and Control to target and improve services for high risk-persons, improve communication between health care providers and the Division, and guide future tuberculosis (TB) program initiatives. In compliance with the new regulation (105 CMR 300.180 and 105 CMR 365.500) the TB Division developed a LTBI reporting form (copies attached). By focusing on those persons who have LTBI who are at highest risk of progression to disease and who form our reservoir of future cases of TB (contacts, children 4 years of age or under, etc.), we have attempted to make the reporting form and reporting process as simple as possible. We hope that this action will have minimal impact on your practice, and we hope the channels opened by the reporting process will help us to identify and improve care to the high-risk persons infected with latent tuberculosis. The new regulations define a case of LTBI as a person who is diagnosed by a tuberculin skin test performed with Purified Protein Derivative (PPD) antigen by the Mantoux method, (or by any other diagnostic test approved for this purpose by the FDA), that results in a positive test (according to the most recently published guidelines of the U.S. Centers for Disease Control and Prevention), and who has no accompanying clinical or radiographic evidence of active tuberculosis disease. Persons with LTBI, as defined, should be reported to the MDPH-Division of Tuberculosis Prevention and �ontrol using the enclosed form (mail or confidential fax @ 617-983-6990). -over- In addition, please note that high-risk, infected persons with no evidence of active TB, especially children and 5 years of age, and infected close contacts to a potentially infectious case, should be treated with an approve regimen, generally 9 months of daily isoniazid or 4 months of daily rifampin, unless treatment is contraindicated or refused by the patient. For further guidance, please refer to the CDC/ATS Guidelines, April, 2000 (CDC WEB page — www.cdc.gov/nchstp/tb). Please note that the 2 month regimen of rifampin and pyrazinamide is no longer recommended for treatment of LTBI(CDC, in press). State TB Clinics are sites where high-risk persons with presumed LTBI may be seen for diagnostic evaluation and follow-up care. (see the TB Division web site at state.ma.us/dph/cdc/tb for the current list) If you have any questions or comments or need additional forms, please contact the Division of TB Prevention and Control at 617-983-6970. • • Massachusetts Department of Public Health Division of Tuberculosis Prevention and Control State Laboratory Institute,305 South Street,Jamaica Plain,MA 02130 • Phone: (617) 983-6970 Latent Tuberculosis Infection (LTBI)Reporting Form Name Last: First: Address: D.O.B.: / / Sex: M F City: Zip: Phone: ( ) Country of birth: ❑ U.S. ❑ Other: Date of entry into U.S.: I Mantoux test(TST) administered: / / Results: mm Risk Factors: ❑ Close Contact to a person with active TB disease within the past 2 years ❑ Child 4 years of age or under ❑ Recent arrival (within past 5 years) from TB endemic country ❑ Medical risks for progressing to active TB disease: (See back of part 2) ❑ Other: health care and/or mycobacteria laboratory worker, resident of high risk congregate setting Plan: ❑ Treat ❑ Not treat ❑ Refer for evaluation(where) Reporting Provider: Date: Facility/Agency: Phone: ( ) Reporting Instructions: Use this form for reporting latent tuberculosis infection. (Regulation 105 CMR 300.180 (B) (For reporting active tuberculosis disease, use Form TB07: TB Case/Suspect Reporting Form.) Notify the Division of Tuberculosis Prevention and Co Control of persons with latent tuberculosis infection via: FAX: (617) 983-6990 or Mail: Division of Tuberculosis Prevention and Control State Laboratory Institute 305 South Street Jamaica Plain, MA 02130 • 4/2003 FORM MDPH-TB09 Over: Classification of TST reactions and medical risks ® Part 1-State Copy Part 2-Provider Copy Classification of tuberculin skin test reactions > 5 mm considered positive for: • • Human immunodeficiency virus (HIV)-positive persons • Recent contacts' of tuberculosis (TB) case patients • Fibrotic changes on chest radiograph consistent with prior TB • Patients with organ transplants and other immunosuppressed patients (receiving the equivalent of> 15 mg/d of prednisone for 1 month or more) > 10 mm considered positive for: • Recent immigrants (i.e., within the past 5 years) from high prevalence countries • Injecting drug users • Residents and employees of the following high-risk congregate settings: prisons and jails, nursing homes and other long term care facilities for the elderly, hospitals and other health-care facilities, residential facilities for patients with AIDS and homeless shelters • Mycobacteria laboratory personnel • Persons with the following clinical conditions that place them at high risk: silicosis, diabetes mellitus, chronic renal failure, some hematologic disorders (e.g. leukemias and lymphomas) other specific malignancies (e.g., carcinoma of the head, or neck and lungs), weight loss of> 10% of ideal body weight, gastrectomy,jejunoileal bypass • Children<4 years of age or infants, children and adolescents exposed to adults at high-risk > 15 mm considered positive for: •• Persons with no risk factors for TB TST Conversion: An increase in reaction of>10 mm within 2 years should be considered a TST conversion indicative of recent infection with M. tuberculosis. t Contacts are individuals who have shared air for a prolonged period of time with someone who has infectious M. tb(from hours to months depending on the circumstances). 2 For persons who are ot herwise at low ri sk and are tested at the start of employment a reaction of>15 mm induration is considered positive. Medical risks for progressing from LTBI to active TB disease • Diabetes mellitus • Injecting drug use • Immunosuppression • Pulmonary fibrotic lesions • Chronic renal failure on hemodialysis • Gastrectomy with attendant weight loss and malabsorption • Jejunoileal bypass, renal and cardiac transplantation, carcinoma of the head or neck • Other neoplasms (e.g., lung cancer, leukemias and lymphomas) • Prolonged therapy with corticosteroids and/or other immunosuppressive agents • TNF-blocking agents, such as Remicaide® (infliximab) • Silicosis Reference: American Thoracic Society,Centers for Disease Control. 2000.Targeted Tuberculin Testing and Treatment of Latent Tuberculosis Infection.American Journal of Respiratory Critical Care Medicine. Vol. 161,No.4,Part 2. r4 • 1 FY2003 4th Quarter INSPECTIONAL SERVICES The Board of Health sanitarians and inspectors will: ♦ Provide educational materials for landlords and tenants regarding housing code requirements. Informational packets regarding the State's Lead Law sent to landlords with vacant apartments. ♦ Vigorously enforce trash regulations. 310 inspections (TR) 9 violation tickets 3 Court Hearings Assisted DEP in investigation of illegal dumping of asbestos in Salem. ♦ Provide housing inspections in accordance with the State Sanitary Code. 346 Housing Inspections (HI) 97 Housing Reinspections (HR) • ♦ Provide Certificate of Inspection inspections for vacant apartments in accordance with City Ordinance. 645 Certificate of Fitness Inspections (CFI+CFR) ♦ Inspect rooming units annually. 23 rooming houses inspected Annual inspections completed ♦ Inspect all food establishments at least once every six months, or as necessary, to ensure compliance with state and local codes 377 Food Inspections (FSI+RFI) 170 Reinspections (FSR+RFR) 18 tickets issued for repeat violations of food code, 14 tickets for expired permit. ♦ Inspect bathing beaches, swimming pools,recreational camps and suntanning facilities at least once a year. 192 Bathing Beach Inspections (SB) 8 Suntan Inspection(SC) Investigated possible source of beach contamination causing closure of several beaches. Co-sponsored successful grant application to conduct beach area environmental survey and hired contractor. ♦ Inspect massage establishments at least once a year. 2 massage establishment inspection(MS) ♦ Inspect body art establishments at least once a year. 1 Body Art Establishment Inspections (BP) • ♦ Investigate complaints regarding any permitted facility. 22 Food Establishment Complaints (FC) • ♦ Inspect offensive substance transporters at least once a year. 0 septic hauler inspections (OS) ♦ Inspect and review septic systems (ST) in accordance with Title V. 1 Soil/Septic Inspection ♦ Provide sanitary inspections of neighborhoods when requested in order to limit residents' exposure to disease carrying animals. 55 Environmental Inspections (EC) ♦ Employ the use of a professional pest control operator as a consultant and to control rodents in public areas. 30 rodent complaints (RO) investigated 12 professional exterminations requested MEDICAL SERVICES The Board of Health Nurse will: ♦ Follow the State's guidelines regarding the follow-up of reported contagious diseases. Amebiasis 1 Campylobacter 8 E.Coli 0 Pertussis 5 Giardia 8 Salmonella 4 Meningitis 3 Hepatitis 31 Shigella 3 Encephalitis 0 ococcemia 1 Lyme 6 Tuberculosis 3 Menin g Varicella 3 • ♦ Provide all clinically confirmed or suspect cases of Tuberculosis with direct case management. This will include Directly Observed Therapy for weekly to monthly home visits. All contacts of cases with positive smears will be tested, and followed through 8 12 weeks for follow up testing with referral to North Shore Pulmonary Clinic. 3 Confirmed Tuberculosis cases received case management, and daily DOT home visits. 3 Suspect Tuberculosis cases received case management, and daily DOT until final culture ruled out cases. 154 contacts of confirmed and suspect T.B. cases received PPD tests, and referred to North Shore Pulmonary Clinic when necessary. ♦ Inspect all Body Art Establishments medical procedures and equipment yearly with Inspectional Staff. Purple Scorpion Body Art Establishment inspected with Jose Diaz, Inspector. ♦ Investigate foodborne illness reports with the inspectional staff. Attended an inspection with Sharon McCabe at the Colonist, Salem High School upon a confirmed case of Shigella in a high school food handler. ♦ Investigate reports of unsanitary conditions related to housing with the inspectional staff. ♦ Obtain immunizations from the State in order to maintain an inventory to be distributed. MMR 6123 DPT 9950 DT 130 Hep B 9073 PCV7 9531 IPV 9590 HIB 7886 IGG 26 Pneumonia 1565 Td 9145 Salem Board of Health immunization management and inventory inspected by at The Massachusetts Immunization Program. Salem was compliant in all areas reviewed. • ♦ Continue as matriculated student in the LPN to RN evening program at Salem State College. • Attending Salem State College Chemistry II course. Attended Health Care Advisory Council Meeting October and December Attended Health Care Advisory Council Meeting in February. Attended Seminar on Flu Pandemic Planning in October. Attended Bioterrorism Seminar in December. Attended MDPH North Shore Quarterly TB Meeting held at Salem Hospital. Attended West Nile Virus Seminar at Tewksbury Hospital ♦ Sponsor annual influenza(and pneumonia) clinics, and make home visits to the City's elderly and at risk residents for the purpose of immunizing against flu and pneumonia. Council On Aging: 712 Salem Housing Authority: 245 Pioneer Terrace: 135 Salem Employees 131 Office Visits: 31 114 Home Visits: 27 ♦ Develop and implement blood pressure clinics for Police, Fire and City personnel, making referrals as needed. Blood Pressure Clinics were offered in March and April at Fire Headquarters, Police Headquarters, Council Chambers. Follow ups were held at Salem Board of Health. ♦ Inspect medical facilities/records of summer camps for compliance with State Codes. Camps Pinecrest, Campfire, Boys and Girls Club, Salem State College, North Shore Sharks, Rebel Shakespeare Co, Children's Island, and MLS Soccer Camps inspected and permitted for 2003 ♦ Conduct hepatitis B clinics for Police, North Shore Ambulance employees and other City employees in conjunction with their contracts. • ♦ Provide clinics for non-contagious diseases as determined by need and feasibility. Disseminated information about West Nile Virus to susceptable population, and educational materials delivered to Salem Public Schools, and throughout the community. ■ Met with Peabody Essex Museum Staff in May to provide guidelines on SARS from the World Health Organization and Center for Disease Control The Board of Health Doctor will: ♦ Supervise the medical activities of the Board and its Nurse, including screening clinics, flu clinics, school child assessments, etc. ♦ Authorize the obtaining and distribution of all vaccines given in Salem. Authorized re-enrollment in the Massachusetts Immunization Program. ♦ Attend the flu clinics. Aging Attended flu clinics at the Counciln o g g on 11/7 and 11/8/2001 Attended Council on Aging Clinics in November ♦ Attend the Board's monthly meetings. Attended monthly meetings. ♦ Consult with the Health Agent and Nurse regarding communicable diseases and other medical issues of concern to the Board. Discussed monthly contagious diseases followed by the Public Health Nurse. Attended MDPH seminar at Salem Police Station regarding anthrax and small pox. • u • ADMINISTRATION The Health Agent will: ♦ Maintain a working relationship with the Point community. Health Agent continued as President of North Shore Family Health, Inc. (Salem Family Health Center)until December. Health Agent continued as Secretary of the Boys & Girls Club of Greater Salem until December and then became President. ♦ Represent the Board in presentations to the Mayor and City Council and communicate to the Board proposals and recommendations by the Mayor and City Council. Met with Mayor regarding elimination of a part time and full time Board of Health staff position. Met with the Mayor and other department heads at weekly development team meetings as allowed by schedule. Attended and gave information at a City Council meeting regarding gasoline ti storage tanks. Attended meetings with Mayor, Police &Fire Chiefs regarding terrorism preparedness Advised Mayor and School Department regarding contaminated fill found during WHES renovations. Coordinated meeting for WHES neighbors with the EPA and DEP regarding • contamination issues at the school property and surrounding neighborhood. ♦ Provide the office staff with the opportunity to attend educational seminars as offered by the state and other public health associations and organizations. Jeffrey Vaughan attended portion of MHOA Annual Seminar. Jeffrey , Pablo Valdez and Jose Diaz attended Housing Seminar. Jeffrey and Jose attended Annual DEP Seminar. Jose and Sharon McCabe attended Foodborne Illness Seminar. Sharon attended SARS Seminar. Jeffrey, Sharon and Joanne attended Beach Water Analysis Seminar. ♦ Be a member of Salem's Local Emergency Planning Committee. Completed formal revision of Salem's Comprehensive Emergency Plan with Police &Fire Chiefs and submitted it to MEMA. ♦ Insure compliance with directives issued during hearings with developers/contractors. Communicated with the City's Clerk of the Works regarding projects under the supervision of the Planning Board. • Insure compliance with tobacco sale and use regulations. Co-sponsored regional meeting with Beverly Board of Health regarding an area- wide approach to smoking in restaurants and other places.. Assisted in development of Clean Air Works-North and North Shore Boards of Health Consensus Statement pledging to commit to smoke free work places by January 1, 2004. This statement signed by most north shore boards. ♦ Assist with Salem High School's tobacco ticketing program. • Sent sanitarian to court with high school administration to correct outstanding • violations for smoking on school property. Provided administrative and clerical support for this program. ♦ Encourage networking among the inspectors and the staff of the Massachusetts Department of Public Health and the Department of Environmental Protection and 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. Attended meetings. ♦ Gather information through public health publications, computer services or any other means and disseminate that information to the staff and Board. Made the American Journal of Public Health and the Journal of the Environmental Health Association available to staff. ♦ Maintain the Board's memberships in related professional organizations. Membership in NACCHO and the Mass Association of Health Boards ♦ Review health status indicators to prioritize possible interventions. Supervised dead bird collection and interpretation of data. Presented information regarding Board of Health activities, particularly about West Nile Virus and SARS to the Salem Rotary. Presented information regarding SARS to the Peabody Essex Museum. Submitted press releases regarding the public's self protection from contact with WNV. ♦ Continue development of a process and procedures book. ♦ Be responsible for and supervise the overall operation of the Board of Health, and • provide quarterly reports on these objectives. Conduct weekly staff meeting to ensure coordination of efforts and positive work environment. Directed conversion of the permit tracking system from an outdated operating platform to a standard form recommended by the City. ♦ Other Joined the Dust Management Committee regarding coal dust control at the power plant. Attended Ward 4/Gallows Hill Neighborhood Group meetings. Continued prosecution in court of Laine Industries' violations of state law and codes. Presented information at a seminar presented by the Salem Alliance For the Environment about pesticides. Met with a senior administrative member of Salem State College regarding the State's Recreation Camp regulations and their relationship to the school's summer camp programs. Investigated mouse problem at SHS. Attended several conferences regarding small pox and bioterrorism. Assisted the EPA in conducting a sanitary survey of several Salem beaches. Presented seminar at Salem Senior Academy regarding Home Sanitation. Chaired monthly meetings of the Health Officers Board. Began steps to determine feasibility of combining CHO and RS Boards. • Chaired Board subcommittee with Board Chair regarding body art regulations • Reviewed the following food establishment plans for new owners, renovations or for violations: Steve's Market, Kitchen Table, Bella Luna, Roosevelt's, Turtle Chocolate, Papa John's, Deb's Diner, O'Neill's Pub, Finz, Mercy Market, Peabody Eseex Museum, Juice Bar, DeLeo's, SSC Business Center, USS Sub, Strega's, Giorgio's, Lucky Store, Kidstop, Catherine's Elder Care, Dodge Street Bar& Grill, Atypica Coffee Shop, Giovanni's, Ghengis, Rockefella's, Rockmore Dry Dock, Colonist Restaurant, Crusty's, Andy's, Papalardo's. Acted as Hearing Officer for housing complaints and food establishments with ongoing repeat violations. Met with representatives of Salem Alliance For the Environment and the Northeast Mosquito Control and Wetlands Management District regarding mosquito control for 2003 season. • • i City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ---------------------------------------------------------------------------------------------- Type Jul 02 Aug 02 Sep 02 Oct 02 Nov 02 Dec 02 Jan 03 Feb 03 Mar 03 Apr 03 May 03 Jun 03 Count ----- --—-- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ 1 0 0 0 0 0 0 0 0 0 0 0 1 BP 1 0 0 0 0 0 0 0 0 0 0 0 1 CFI 79 52 46 57 39 33 42 47 47 35 78 42 597 CFR 2 9 3 3 10 0 1 2 7 4 4 3 48 CH 6 6 7 1 5 4 3 0 2 1 2 0 37 CON 8 7 7 6 0 3 8 0 3 2 4 3 51 CR 7 8 7 4 5 2 0 1 3 2 3 1 43 CT 1 1 6 1 0 2 5 5 4 4 6 8 43 EC 4 13 9 0 2 3 1 1 5 9 4 4 55 EPR 0 2 2 0 0 0 0 0 2 1 0 1 8 FC 1 4 1 3 5 1 0 2 2 2 1 0 22 - FRH 0 0 2 4 3 0 1 0 2 1 1 1 15 - FSD 1 4 4 2 1 2 6 3 0 4 2 1 30 FSI 24 28 23 17 17 33 21 39 18 31 26 25 302 FSR 15 18 20 16 10 12 10 7 10 9 5 12 144 GN 7 5 4 0 2 3 2 3 5 3 4 1 39 HI 7 9 8 10 12 15 13 4 57 126 77 8 346 ' HR 8 7 9 15 8 11 9 10 5 6 5 4 97 LPI 3 2 2 1 1 0 1 0 0 0 2 1 13 MS 0 0 0 0 0 0 0 0 0 0 1 1 2 MT 5 8 10 8 1 6 12 5 5 1 3 6 70 MUP 0 0 0 2 0 0 0 2 0 2 1 3 10 OG 1 3 2 0 0 0 0 0 0 0 2 1 9 ^� C 1 0 0 0, 0 0 0 0 0 0 0 5 6 FI 7 2 4 7 8 4 6 3 5 6 13 10 75 RFR 3 2 2 1 1 1 5 1 4 1 2 3 26 RO 6 2 2 2 1 2 2 0 4 1 8 0 30 SB 75 49 17 0 0 0 0 0 0 0 0 51 192 SC 0 0 1 0 0 0 1 0 6 0 0 0 8 SM 0 0 0 0 1 0 1 1 0 1 3 1 8 SP 4 2 0 0 0 0 0 0 0 0 9 6 21 ST 0 0 0 0 0 0 0 0 0 0 0 1 1 TFI 17 5 0 6 0 0 0 0 0 0 0 0 28 TR 40 22 40 23 14 9 24 28 40 29 24 17 310 Count 334 270 238 189 146 146 174 164 236 281 290 220 2688 r City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name: Type : Location: Inspector: 06- - Ov—�I-&,,,nf Inspection Types BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret .Food Disc . 6* _-FI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* RFR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI Housing Insp. 260* RO - Rodent Control 16* CON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* Computer Time10* MS - Massage 6* SM - Seminars 36* C - Envirn. Compl . 51* MW - Mark/Weights SP - Swim.Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off. Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* City Of Salem Environmental Health Division --- Inspection Monthly Summary isMonth Type Jul 03 Count BP 1 1 CFI 91 91 CFR 2 2 CH 1 1 CON 3 3 CR 8 8 CT 4 4 EC 10 10 EPR 1 1 FC 2 2 FSD 1 1 FSI 12 12 FSR 7 7 GN 3 3 HI 6 6 HR 2 2 MT 7 7 MUP 2 2 OG 7 7 RFI 4 4 RO 3 3 SB 78 78 SC 1 1 SM 1 1 Sp 1 1 TFI 10 10 TR 34 34 ----- ------ ----- ----- ------ ----- Count 302 302 City of Salem, Massachusett. Environmental Health Division Inspection Input Form Inspect Date: Estab Name or Owner Name: Type : Location: Inspector: �� . Inspection Types _ rr, BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI Housing Insp. 260* RO - Rodent Control 16* CON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* tfR - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* Computer Time10* MS - Massage 6* SM - Seminars 36* - Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health JULY PHONE LOG 2003 Total Answered *Answered Calls Tuesday July 1, 2003 30 Barb = 264 Wednesday July 2, 2003 35 Mary= 452 Thursday July 3, 2003 35 Friday July 4,2003 HOLIDAY Saturday July 5, 2003 Sunday July 6,2003 *Calls Taken Monday July 7, 2003 49 Tuesday July 8,2003 36 Joanne = 176 Wednesday July 9,2003 44 Jeffrey = 74 Thursday July 10,2003 34 Sharon= 38 Friday July 11,2003 14 Jose = 15 Saturday July 12, 2003 Pablo = 14 Sunday July 13,201) Em Tracy = 151 Monday July 14, 2003 39 Barb = 80 Tuesday July 15, 2003 32 Mary = 168 Wednesday July 16,2003 25 Thursday July 17,2003 41 Friday July 18,2003 20 Saturday July 19, 2003 35 Hour Work Week Sunday July 20, 2003 #43 Office Hours Per Week Monday July 21, 2003 46 22 work days Tuesday July 22,2003 32 Wednesday July 23,2003 29 Thursday July 24,2003 47 Friday July 25, 2003 1 14 Monday 8-4 Saturday July 26,2003 Tuesday 8-4 Sunday July 27,2003 Wednesday 8-4 Monday July 28,2003 33 Thursday 8-7 Tuesday July 29, 2003 27 Friday 8-noon summer hrs. Wednesday July 30, 2003 22 Thursday July 31,2003 32 • Total Calls*= 716 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH _ 120 WASHINGTON STREET, 4TH FLOOR e SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report June 2003 Activities Disease Prevention In touch with NSPC and following active cases and case contacts. Vaccine inventory maintained and distributed. Investigated communicable disease cases and reported to the MDPH •Meetings and Clinics 6/5 Attended North Shore Regional T.B. meeting at Salem Hospital. Reviewed North Shore T.B. cases with North Shore Pulmonary Clinic, Public Health Nurses, and MDPH T.B. Division. 6/17 Children's Island Summer Camp inspected by Tracy Giarla and Jeff Vaughan. Compliant with Camp regulations. 6/18 Attended introductional meeting with the new North East Regional Health Education Director Betsey Sheahy. North Shore Health Departments met with Ms. Sheahy to discuss emergency preparedness needs for our region. 6/20 Camp Fire Summer Camp inspected With Jeff Vaughan. Camp is compliant with Camp regulations. 6123 Boys and Girls Club Summer Camp inspected with Jeff Vaughan. Camp is compliant with Camp regulations. 6/26 Attended meeting with Joanne Scott to discuss current Body Art Regulations with Judy Murphy and Leo Murphy. They would like to start offering Micropigmentation. 6/27 Camp Pinecrest Summer camp inspected with Jeff Vaughan. Camp is compliant with camp regulations. .en CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH g; 120 WASHINGTON STREET, 4TH FLOOR • � � SALEM, MA 01970 g TEL. 978-741-1 800 / B FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 6/27 Salem State College Summer Camps inspected with Sharon McCabe. Camp is compliant with camp regulations. 6/36 Shakespeare Rebel Theatre camp was inspected. They are a new camp to Salem, previously located in Marblehead. This camp will not have any high-risk activities or swimming. It is held at Winter Island. Camp inspected with Jeff Vaughan. Camp will be re inspected when several medical policies are revised/completed. • CITY OF SALEM, MASSACHUSETTS q, BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 7 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES June 2003 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 1 0 1 1 • Giardia 0 0 0 0 Hepatitis 0 0 0 0 Lyme Disease 1 0 0 0 Meningitis 1 0 1 1 Salmonella 0 0 0 0 Shigella 0 0 0 0 Tuberculosis 1 0 1 0 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. • CITY OF SALEM, MASSACHUSETTS gT" BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 3TANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Dear Physician, June 26, 2003 The Massachusetts Department of Public Health has revised the Reportable Diseases and Isolation and Quarantine Requirements (105 CMR 300.000) effective February 14, 2003. The revisions • include the addition of 17 reportable diseases or conditions to reflect emerging infectious disease threats, changes in nomenclature, and newly recognized disease presentations as well as to clarify some reportable events. There are now three separate lists of reportable conditions: ■ Communicable and Other Infectious Diseases Reportable in Massachusetts through Local Boards of Health • Communicable and Other Infectious Diseases Reportable in Massachusetts by Health Care Providers ■ Laboratory Findings Indicative of Infectious Disease Reportable in Massachusetts by all Laboratories The above listings are enclosed. A detailed summary of the changes to the regulations may be accessed on the MDPH web site at www.state.ma.us/dph. Sincerely, Reply To: oanne Scott Tracy Giarla LPN Health Agent Public Health Nurse • o. COMMUNICABLE :AND OTHER INFECTIOUS DISEASES REPORTABLE' IN MAS SAC HUSETTS BY HEALT.HCARE ,PROVIDERS* s *The list of reportable diseases is not limited to those designated below. This list includes only those which are primarily reportable by of clinical providers. Reports of additional diseases and information may be required by MDPH and local boards of health from time to time. A full list of reportable diseases in Massachusetts is detailed in 105 CMR 300.100. REPORT IMMEDIATELY BY PHONE ! This includes both suspect and confirmed cases. All cases should be reported to your local health department; if unavailable, call the Massachusetts Department of Public Health: Telephone: (617)983-6800 Confidential Fax: (617)983-6813 i Any Case of an Unusual Illness thought to have • Measles public health implications 0 Meningitis, bacterial, community acquired Any Cluster/Outbreak of Illness (including, but • Meningococcal disease, invasive not limited to foodborne illness) (N. meningitidis) • Anthrax • Plague • Botulism • Polio Brucellosis Q Fever Diphtheria Rabies in humans • Encephalitis, any case Rubella • Haemophilus influenzae, invasive • Smallpox • Hemolytic uremic syndrome (also report directly • Tetanus • to MDPH: 617-983-6800) • Tularemia • Hepatitis A(IgM+ only) • Viral hemorrhagic fevers Animal bites should be reported immediately to the designated local authority. }' REPORT PROMPTLY (WITHIN 1-2 BUSINESS DAYS) This includes both suspect and confirmed cases. All cases should be reported to your local health department, if unavailable, call the Massachusetts Department of Public Health: Telephone: (617) 983-6800 Confidential Fax: (617)983-6813 f' l Ehrlichiosis Meningitis, viral (aseptic), and other infectious • Creutzfeldt-Jakob disease (non-bacterial) • Food poisoning and toxicity (includes poisoning • Mumps by ciguatera, scombrotoxin, mushroom toxin, Pertussis (Whooping Cough) J'. tetrodotoxin, paralytic shellfish and amnesic • Psittacosis shellfish) • Reye syndrome Guillain Barre syndrome Rheumatic fever Hansen's disease (leprosy) Rickettsialpox Hantavirus infection Rocky Mountain spotted fever • ; HBsAg+ pregnant women Toxic shock syndrome • Leptospirosis Trichinosis ` F • Lyme disease Varicella (chickenpox) MDPH,its authorized agents,and local boards of health have the authority to collect pertinent information on all reportable diseases, including those not listed above,as part of epidemiological investigations(M.G.L.c.111,s.7). i nc CN4D 100 nnn n,...,.....W, n;—A Ti,tin a i(lnar t;f P,—i--t, FPhn,a ?001. Pane t of 2 COMMUNICABLE AND OTHER INFECTIOUS DISEASES REPORTABLE IN MASSACHUSETTS • "V' � ''/�:r; TO LOCAL BOARDS OF HEALTH y. Note:If these diseases are initially reported to MDPH,local boards of health will be notified. INITIATE INVESTIGATION IMMEDIATELY FOR BOTH SUSPECT AND CONFIRMED CASES AND NOTIFY MDPH! Telephone: (617)983-6800 Confidential Fax: (617)983-6813 f` • Any Case of an Unusual Illness • Measles virus Any Cluster/Outbreak of Illness, including • Meningitis, bacterial, community acquired but not limited to foodborne illness • Meningococcal disease, invasive (Neisseria • Anthrax (Bacillus anthracis) meningitidis) • Botulism (Clostridium botulinum) • Plague (Yersinia pestis) • Brucellosis (Brucella) • Polio • Diphtheria (Corynebacterium diphtheriae) • Rabies in humans 1 • Encephalitis, any case • Rubella virus • Haemophilus influenzae, invasive • Smallpox • Hemolytic uremic syndrome • Tetanus (Clostridium tetani) • Hepatitis A virus (IgM+ only) • Tularemia (Francisella tularensis) • Influenza virus (culture and rapid test) • Viral hemorrhagic fevers Important Note:During outbreaks,MDPH and boards of health may request that other diseases be reportable immediately. INITIATE INVESTIGATION AND COMPLETE CASE REPORT AS SOON AS POSSIBLE. (This may include both suspect and confirmed cases.) Telephone: (617)983-6801 Confidential Fax: (617)983-6813 • Amebiasis (Entamoeba histolytica) Hepatitis—infectious, not otherwise specified • Babesiosis (Babesia microti) Evidence of human prion disease • Caliciviruses 0Legionellosis (Legionella) • Campylobacteriosis Leptospirosis (Leptospira) • Cholera (Vibrio) Listeriosis (Listeria) • Creutzfeldt-Jakob Disease 0Lyme disease (Borrelia burgdorferi) Cryptococcosis (Cryptococcus neformans from CSF • Malaria (Plasmodium falciparum, P. malariae, • or other normally sterile body fluid) P. vivax, P. ovale) • Cryptosporidiosis (Cryptosporidium parvum) 0Meningitis, viral (aseptic), other • Cyclospora (Cyclospora cayetanensis) 0Mumps virus • Dengue fever virus Pertussis (Bordetella per ussis) E. coli 0157:1-17, other shiga-toxin producing E. coli, Psittacosis (Chlamydia psittaci) • and other E. coli if found in CSF 0Q Fever(Coxiella burnetii) • Eastern equine encephalitis virus 0Reye syndrome • Ehrlichiosis (Ehrlichia canis, E. chaffeensis, 0Rheumatic fever E. equi, E. phagocytophila) Rickettsialpox (Rickettsia akari) • Enteroviruses (from CSF) 0Rocky Mountain spotted fever (Rickettsia rickettsia) • Food poisoning and toxicity (includes poisoning by • Salmonellosis(Salmonella) ciguatera, scombrotoxin, mushroom toxin, tetro- Shigellosis (Shigella) dotoxin, paralytic shellfish and amnesic shellfish) 0Shiga-like toxin+ organisms i Giardiasis (Giardia lamblia) 0Streptococcus pneumoniae(from blood, CSF or • Guillain Barrio syndrome other normally sterile body fluid) • Group A streptococcus (from blood, CSF or other 0Toxic shock syndrome normally sterile body fluid) 0Toxoplasmosis (Toxoplasma gondii) • Group B streptococcus (from blood, CSF or other Trichinosis (Trichinella spiralis) ' Varicella virus (chickenpox) normally sterile body fluid) r:, West Nile virus 1.,�x ° • Hansen's disease (leprosy) z Hantavirus infection 0Yellow fever virus r Hepatitis B virus 0Yersiniosis (Yersinia enterocolitica, Y. pseudotuberculosis) ,:1, • Hepatitis C virus nc rA4D Inn nnn o t l n;--—1 icn1 t;nn onri(l--ti—RvnniramPntc Febmary 200.1 ,r } , r IN ACCORDANCE WITH M.G.L. C. IIID, S. 6., EVIDENCE OF INFECTION* DUE TO THE FOLLOWING ORGANISMS IS REPORTABLE IN MASSACHUSETTS BY ALL • s.� .; �4< LABORATORIES, INCLUDING HOSPITAL LABORATORIES,TO THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH FNr.OF ` 'Evidence of infection includes results from culture methods,specific antigen or genomic tests,histology,other microscopy,and clinically- relevant serologic tests. Infection in Massachusetts'residents,ascertained out-of-state,should also be reported. REPORT IMMEDIATELY BY PHONE ! This includes both suspect and confirmed cases. - Telephone: (617) 983-6800 and ask for the Epidemiologist On-Call Bacillus anthracis 0 Hepatitis A virus (IgM+ only) -'':'• Brucella sp. 0 Influenza virus (culture, rapid test) ' Measles virus (IgM+ only) Clostridium tetani (9 Y) • Corynebacterium diphtheriae Neisseria meningitidis(from blood, CSF or other ' '• Coxiella burnetii normally sterile body fluid) • Francisella tularensis Poiiovirus • Haemophilus influenzae (from blood, CSF or other Rubella virus (IgM+ only) normally sterile body fluid) Yersinia pestis y ` REPORTABLE WITHIN 24 HOURS Telephone: (617)983-6801 Confidential Fax: (617)983-6813 ` (Note:arrangements for reporting via fax or electronic data transfer can be made) '{ I d rv:• Babesia sp. Plasmodium falciparum, P. malariae, P. ovale. Bordetella pertussis P. vivax • '• Borrelia burgdorferi • Rickettsia akari Caliciviruses • Rickettsia rickettsii • Campylobacter sp. • Salmonella sp. `'` `• Chlamydia psittaci • Shiga-like toxin+ organisms } ;r Cryptococcus neoformans(from CSF, blood or • Shigella sp. F{A other normally sterile body fluid) • Streptococcus pneumoniae(from blood, CSF or other Cryptosporidium parvum normally sterile body fluid) • Cyclospora cayetanensis • Toxoplasma gondii, Toxoplasma sp. Y ' • Dengue fever virus • Trichinella spiralis A Eastern equine encephalitis virus • Varicella virus (DFA+, viral culture or PCR+) Ehrlichia sp. • Vibrio sp. • Entamoeba histolytica West Nile virus • Enteroviruses (from CSF) Yellow fever virus �' . • Escherichia coli 0157:H7, other Shiga-toxin • Yersinia sp. producing E. coli, and other E. coli, if found in CSF =i Giardia lamblia = 1 Group A streptococcus (from blood, CSF or other AIDS(CD4 counts below 200/ml)(617)983-6560 7 normally sterile body fluid) Sexually transmitted infections: (617)983-6940 • Group B streptococcus (from blood, CSF or other ` normally sterile body fluid) Chlamydia trachomatis(ophthalmic, genital and xY: neonatal infections, lymphogranuloma venereum) • Hantavirus Hepatitis B virus (HBsAg+, IgM Anti-HBc+) Calymmatobacterium(Donovania)granulomatis Haemophilus ducreyi ':• Hepatitis C virus (EIA+, RIBA+ or PCR+) Herpes simplex virus, neonatal infection (onset within • Evidence of human prion disease 30 days after birth) Legionella sp. Human papilloma virus s'.'°": i• Leptospira sp. Neisseria gonorrhoeae • Listeria sp. Treponema pallidum • Mycobacterium leprae Mycobacterium tuberculosis,M. africanum,M. bovis a ,;• Mumps virus (IgM+ only) (617)983-6989 or(1-888)627-7682 MDPH may request additional'laboratory results.indicative of an infectious disease be reported from time to time, These may include evidence of infection y with methicillm resistant Staphylococcus aureus;(MRSA)-vancomycin resistant Staphylococcus aureas and vancomycm resistant enterococci(VRE) •ti4 yGK ",v MDPH and its authorized agents have the authority to collect pertinent information as part of epidemiological investigations(MG.L.c.111,s.6.) qr � sw t«�s"ia r t COMMUNICABLE AND OTHER INFECTIOUS DISEASES REPORTABLE IN MASSACHUSETTS BY HEALTH CARE PROVIDERS • The Board of Health is hereby notified that Age DOB Address Phone# Diseases declared by the Massachusetts Department of Public Health to be dangerous to the public health and reportable under M.G.L. c. 111, s.7 of the General Laws. REPORTABLE TO THE LOCAL BOARD OF HEALTH IMMEDIATELY BY PHONE: 978 741-1800 Please circle below. Any Case of an unusual illness though to have Measles Public health implications_ Meningitis, bacterial ,community AnvCluster/Outbreak of Illness (including but acquired Not limited to foodbome illness Menin ococcal disease, invasive Anthrax N.Menin itidis Botulism Plague Brucellosis Polio Diphtheria Q Fever • Encephalitis, any case Rabies in Humans Haemophilus influenzae, invasive Rubella Hemolytic uremic syndrome also report Smallpox Directly to MDPH: 1 617 983-6800 Hepatitis A I m+ only) Tetanus Viral Hemorra hic Fevers Tularemia Report Promptly within 1-2 Business Days: 120 Washington Street 4th Floor, Salem Please Circle Below Erlichiosis Pertussis (whooping cough) Creutzfeldt-Jakob disease Psittacosis Food Poisoning includes poisoniqq by Ci uatera, Rye Syndrome Scombrotoxin, mushroom toxin, tetrodotoxin, paralytic Rheumatic Fever Shellfish and amnesic shellfish Rickettsia) ox Guilliain Barre Syndrome Rocky Mountain Spotted Fever Hantavirus infection HbsA + pregnant woman Hansen's Disease (leprosy) Toxic Shock Syndrome Le tos irosis Trichinosis • Lyme Disease Varicella Chicken Pox Meningitis (Aseptic) and other infections non-bacterial -mumps . AGENT'S NEWSLETTER TO THE BOARD • VOLUME 90 July 8, 2003 AGENDA This month has a light agenda. The only person coming in is Salem High School principal Mickey Ward to update the Board regarding the school's smoking regulation and the ticketing process. I will have some specific information for you at the meeting. SMOKING BAN Club tours to investigate the effects of smoke from the private club- members-area-only on the function areas should be scheduled for the week of the July 7th. Therefore I would recommend consideration of that part of the smoking regulation be scheduled for the September meeting. The Massachusetts Supreme Judicial Court did rule on the Yarmouth case. According to DJ Wilson of the Mass Municipal Association that ruling applies to smoking in food establishments only and not workplaces. In addition, Yarmouth has a specific definition for food service establishments that says "where food is served to the public" therefore excluding the private areas of clubs. He said that the way our regulation is currently written, we agree with the court in that when the club is private and there are no functions then smoking is allowed, but when food is served to the public then there may be no smoking. DJ also said that there is a current court case dealing with private clubs as it relates to a workplace ban. He didn't think that one would be decided soon. Certainly • food for thought! S.A.F.E. Caroline Nye of Salem Alliance for the Environment and I have worked on an educational flyer regarding pesticide use on home property. I have included my final version in the packet. Caroline may have a slightly different version for the Board to consider. BODY ART REGULATION We are continuing to meet with the owners of the Purple Scorpion regarding proposals for changes to our body art regulation. We should be wrapping up those meeting by early fall and will present potential revisions for the Board's consideration then. ASBESTOS We have had three cases of bags of asbestos material being found that was illegally dumped on the side of the road or in a park. We met with the DEP last week. They are investigating the incidents and hope to bring charges against a suspect. In addition, they are looking into disposing of the material. AUGUST The Board may want to consider canceling the August meeting as it • usually does. In addition, I will be taking a two-week vacation in August from the 4th through the 18th in order to travel to Italy. The Board will be well cared for by our staff in my absence, lead by our Senior Sanitarian Jeff Vaughan. • • • Board of Health Administration Monthly Report Jun-03 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 630 Burial Permits @ $10.00 $500.00 Diptheria,Tetanus Tox.(under 6 yrs)= 20 Licenses & Permits(+copies) $2,580.00 Immune Serum Globulin= 2 Certificate of Fitness@$25.00 $1,050.00 Measles/Mumps/Rubella= 120 Copies Polio IPV= 540 Fines $25.00 Tetanus & Diptheria (adult use)= 585 Total Monies Collected $4,155.00 Tuberculin PPD= 0 HIB Titre= 625 Hepatitis B= 610 PPV 23 15 PCV 7 490 Animal Bites Reported = 1 Annual Budget Expenses Available Balance Salary/Longevity $391,705.00 $345,685.97 $46,019.03 Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200.00 $11,471.92 $2,631.12 $96.96 • SALEM BOARD OF HEALTH Inspection FY Comparison TYPE FY 96 FY97 FY98 FY99 FY2000 FY02 FY03 CERT. FITNESS INSP. 912 891 832 711 817 687 597 CERT. FITNESS REIN. 82 44 74 73 105 13 48 COURT HEARING 51 41 64 143 93 65 37 CONSTABLE 122 137 88 80 65 62 51 COMPL. REVIEW 48 69 29 57 25 61 43 ENVIRON. COMPLAINT 117 88 70 113 51 59 55 EXT. PAINT REMOVAL 11 5 6 15 9 11 8 FOOD COMPLAINT 22 24 13 13 17 29 22 FOOD HEARING 7 5 5 3 15 16 15 FOOD DISCUSSION 19 23 10 17 53 57 30 FOOD SERV. INSP. 252 245 246 262 289 256 302 FOOD SERV. REIN. 177 111 65 110 194 152 144 GEN. NUISANCE 40 44 59 61 41 62 39 HOUSING INSP. 185 1 316 375 242 260 324 346 HOUSING REIN. 117 173 181 153 135 145 97 LEAD PAINT INSP. 15 27 10 6 6 6 13 MASSAGE 4 2 1 8 6 9 2 • MOBILE FOOD 14 15 12 13 11 17 10 OFF. SUB. TRANS. 8 10 12 25 6 1 9 REC. CAMP 14 13 6 7 9 6 6 RETAIL FOOD DISC. 6 0 RETAIL FOOD INSP. 68 64 63 66 75 59 75 RETAIL FOOD REIN. 29 27 18 24 34 . 25 26 RODENT CONTROL 13 21 11 25 16 29 30 SUNTAN INSP. 12 13 12 6 7 4 8 SESD ODOR 19 3 1 7 0 0 SEMINAR/MEETINGS 145 132 88 78 36 10 8 SWIM POOLS 19 27 18 8 16 13 21 SWIM BEACHES 76 111 69 132 65 177 192 SOIL TEST/SEPTIC 11 2 6 6 8 6 1 TEMP. FOOD INSP. 98 65 123 58 112 73 28 TRASH 617 761 743 747 380 402 310 COMPUTER TIME 10 43 GRAFFITTI 12 SEALER 59 MEETINGS 0 70 OVERGROWTH 12 9 TOTAL 3331 3527 3317 3264 3051 1 2929 2695 • City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ---------------------------------------------------------------------------------------------- Type Jul 02 Aug 02 Sep 02 Oct 02 Nov 02 Dec 02 Jan 03 Feb 03 Mar 03 Apr 03 May 03 Jun 03 Count ----- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ 1 0 0 0 0 0 0 0 0 0 0 0 1 BP 1 0 0 0 0 0 0 0 0 0 0 0 1 CFI 79 52 46 57 39 33 42 47 47 35 78 42 597 CFR 2 9 3 3 10 0 1 2 7 4 4 3 48 CH 6 6 7 1 5 4 3 0 2 1 2 0 37 CON 8 7 7 6 0 3 8 0 3 2 4 3 51 CR 7 8 7 4 5 2 0 1 3 2 3 1 43 CT 1 1 6 1 0 2 5 5 4 4 6 8 43 EC 4 13 9 0 2 3 1 1 5 9 4 4 55 EPR 0 2 2 0 0 0 0 0 2 1 0 1 8 FC 1 4 1 3 5 1 0 2 2 2 1 0 22 FRH 0 0 2 4 3 0 1 0 2 1 1 1 15 FSD 1 4 4 2 1 2 6 3 0 4 2 1 30 FSI 24 28 23 17 17 33 21 39 18 31 26 25 302 FSR 15 18 20 16 10 12 10 7 10 9 5 12 144 GN 7 5 4 0 2 3 2 3 5 3 4 1 39 HI 7 9 8 10 12 15 13 4 57 126 77 8 346 HR 8 7 9 15 8 11 9 10 5 6 5 4 97 LPI 3 2 2 1 1 0 1 0 0 0 2 1 13 MS 0 0 0 0 0 0 0 0 0 0 1 1 2 MT 5 8 10 8 1 6 12 5 5 1 3 6 70 MUP 0 0 0 2 0 0 0 2 0 2 1 3 10 OG 1 3 2 0 0 0 0 0 0 0 2 1 9 • RC 1 0 0 0 0 0 0 0 0. 0 0 5 6 RFI 7 2 4 7 8 4 6 3 5 6 13 10 75 RFR 3 2 2 1 1 1 5 1 4 1 2 3 26 RO 6 2 2 2 1 2 2 0 4 1 8 0 30 SB 75 49 17 0 0 0 0 0 0 0 0 51 192 SC 0 0 1 0 0 0 1 0 6 0 0 0 8 SM 0 0 0 0 1 0 1 1 0 1 3 1 8 Sp 4 2 0 0 0 0 0 0 0 0 9 6 21 ST 0 0 0 0 0 0 0 0 0 0 0 1 1 TFI 17 5 0 6 0 0 0 0 0 0 0 0 28 TR 40 22 40 23 14 9 24 28 40 29 24 17 310 Count 334 270 238 189 146 146 174 164 236 281 290 220 2688 r City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: Inspection Types ��` _ ��,�,�.�;• BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI. - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* ON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* epc-T R - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off. Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health Phone Log June 2003 Total Answered *Answered Calls Sunday June 1, 2003 Barb = 248 Monday June 2,2003 51 Mary= 405 Tuesday June 3, 2003 25 Wednesday June 4,2003 20 Thursday June 5, 2003 46 Friday June 6, 2003 29 *Calls Taken Saturday June 7, 2003 Sunday June 8,2003 Joanne = 127 Monday June 9, 2003 24 Jeffrey = 77 Tuesday June 10,2003 26 Sharon = 45 Wednesday June 11, 2003 28 Jose = 32 Thursday June 12, 2003 26 Pablo = 19 Friday June 13,2003 16 Tracy = 105 Saturday June 14, 2003 Barb = 87 Sunday June 15, 2003 U I I I Mary = 157 Monday June 16, 2003 27 Ginny 4 Tuesday June 17,2003 27 Wednesday June 18,2003 51 Thursday June 19, 2003 45 35 Hour Work Week Friday June 20,2003 28 #43 Office Hours Per Week Saturday June 21, 2003 21 work days Sunday June 22, 2003 Monday June 23, 2003 31 Tuesday June 24,2003 37 Wednesday June 25,2003 24 Monday 8-4 Thursday June 26,2003 34 Tuesday 8-4 Friday June 27, 2003 21 Wednesday 8-4 Saturday June 28, 2003 Thursday 8-7 Sunday June 29, 2003 Friday 8-4 Monday June 30,2003 37 • Total Calls"_ 653 v��ca�nrr CITY OF SALEM, MASSACHUSETTS r' BOARD OF HEALTH +. 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • `.p� TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report May 2003 Activities Disease Prevention • In touch with T.B. Clinic and following active cases and case contacts. • Vaccine inventory maintained and distributed. • Investigated communicable disease cases and reported to the M.D.P.H • Meetings and Clinics • Offering daily blood pressure screenings for one city employee. • 4/8/03 Attended the annual Public Health Nursing conference in Millford. Workshops throughout the day. 4/9/03 Attended Biological, Chemical & Radiological Hazards of Terrorism, a conference held at the Newton Marriott with Joanne Scott. Key note speakers, DMORT representatives, OCME Dr. Richard Evans, Medical Examiners. 5/15/03 Annual MDPH immunization program vaccine management inspection at the Salem Board of Health. • 5/16/03 Met with Peabody Essex Museum Chief Of Operations, Paul Goodof. to discuss current SARS guidelines from The World Health Organization, and Center for Disease Control and Prevention. • 5/20/03 Meeting with Laura Wolfe, Director of a new day camp H.O.B.B.E.S. (Hands on Boat Based Education and Science.) to discuss the requirements that must be met before camp opens. • Camp packets sent to all summer camps. Inspections will begin in June. • • Summary of Communicable Diseases June 2003 Giardia: 33 y/o Non Foodhandler. Source of infection unknown. No contacts are ill. Case eats'out frequently, but unable to provide food history. Group A Strep: 47 y/o stated he had shingles, went to hospital on 5/12/03 with fever, rash. Blood culture positive for beta hemolytic group A. Pt recovered. Hepatitis: One Hepatitis B case. Letter sent to M.D. Tuberculosis: 30 y/o Arrived in U.S. May 2001 from Portugal. Smear Negative, CXR LUL cavitation. Lung Bx: Rare.AFB's Culture M.TB. DOT 3 days per week. Wife and Daughter ppd negative. Will be tested again before July. • MONTHLY REPORT OF COMMUNICABLE DISEASES April 2003 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 0 0 0 0 • Giardia 1 0 1 1 Group A Strep 1 0 1 1 Hepatitis 1 3 0 0 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Shigella 0 0 0 0 Tuberculosis 1 0 1 0 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. • HOBBES SVMMER 2003 BROORAMS Come explore the wonders and mysteries of Salem Sound at HOBBES summer camp! Operating out of Hawthorne Cove Marina in Salem, MA aboard the HOBBES vessel Sound, each session runs Monday through Friday, 9:00 to 1:00,and is limited to 15 participants, ensuring an unforgettable experience for each individual. Cost is$295 per week($25 sibling discount) (Theater on the Sound for June 30-July 3 - $240). THEATER ON AIL ROZTWD THE AKW ON THE THE SOZTND SOUND SOZTWD Jane 30-July 3/Entering grades 1-3 July 21-25/Entering grades 1-3 July 28-Aug 1/Entering grades 1-3 August 18-22/Entering grades 4-6 August 11-15/Entering grades 4-6 Aug 4-8/Entering grades 4-6 OR&0 �.:_r�F sue-.. —-- - �..,. b.....' H,t • � +. .:x,: Spend 5 days investigating basic marine In Theater on the Sound kids will find an science concepts as we venture out into Art on the Sound brings kids on board outlet for their dramatic side through the Salem Sound aboard the R/VSound the R/VSound for 5 days of unique en- exciting process oftheater production. While exploring topics from shipwrecks to vironmental art projects. The projects Kids will design costumes using elements coastal invaders, from marine debris to Fsh from the marine world, then rehearse a biology, kids will are designed to let the marine world's rare beauty inspire children's imagina- play about life in the sea,adapted from have so much fun t_ tion and creativity while reinforcing key classic children's literature. Daily boat ex- they won't realize cursions to explore Salem Sound will help =' � how much they are marine conservation concepts. Exploring local islands, creating art from found us get in character. Emphasis will be on j ; learning! objects, making beachcombing sun- cooperative work and on having fun. An informal performance for friends and prints and Fish print T's are just a few of j the fun activities ofthe week. family members using the R/VSound as a stage will conclude the session. AGENT'S NEWSLETTER TO THE BOARD • VOLUME 89 June 10, 2003 AGENDA The Salem Bodywork Cooperative is requesting a variance from the Board so that permitted massage therapists will be allowed to practice chair massage at Museum Place Mall, an unpermitted establishment. In addition they are asking to use a hand sanitizer in place of hand washing between clients. I will provide CDC information regarding hand sanitizing from the CDC. The Board has three projects, before it, for comments to the Planning Board, before it. Two are Special permits and one is a Subdivision. SMOKING BAN In the packet is a letter from a representative of the AOH asking that the Board reconsider its vote on the smoking ban prohibiting smoking in the private club area whenever a function is held in the building. I have enclosed the letter for your consideration. S.A.F.E. Caroline Nye of Salem Alliance for th4e Environment has submitted a packet of information for the Board to consider regarding developing a pesticide information alert whose purpose would be to educate residents regarding the effects of pesticides around the home. The Board could form a subcommittee to investigate this or I could gather information and.present it to the Board at a later meeting. • SHORELINE SURVEY OF SALEM SOUND This survey is funded by a grant of$33, 700, will provide updated, detailed information on chronic bacteria pollution sources to the coastal beaches and shellfish beds of Marblehead, Salem, Beverly, Danvers, and Manchester. We interviewed three applicants and chose Horsley & Whitten, Inc. & Rimer Environmental Consultants because of their outstanding proposal and presentation. BEACH TESTING We begin beach water analysis this week using a laboratory under state contract and payment. As you know, we have been utilizing the services of the Salem/Beverly Water Board who has provided reliable, customized service for many years. However, since the State will be paying for this sampling and because the lab will be doing all the data entry and interpretation, we have decided along with Beverly, to try this new system. The Water Board is allowing us to return to them at any time if this approach does not work for us. We are very grateful to the Water Board for their support and assistance over the years. CHASE PROPERTY We continue our court case against Laine Industries on Highland Avenue, originally begun over one year ago. The Court is deciding on whether to grant our most recent petition to appoint a receiver to take care of the violations at that property. THE COLLABORATIVE The MDPH has committed to funding the Northshore Boards of Health • Tobacco Control program for FY 2004, although is uncertain what the final level of funding will be. There are only 11 collaboratives that will be funded. The City of Beverly, formerly of the Cape Ann Collaborative, is asking to join our collaborative. The Health Agents and Directors have voted to accept them contingent upon approval of each of the Boards of Health. ************************************************** • • • Board of Health Administration Monthly Report May-03 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 450 Burial Permits @ $10.00 $755.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Licenses & Permits(+copies) $1,980.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $2,225.00 Measles/Mumps/Rubella= 173 Copies $0.00 Polio IPV= 450 Fines $75.00 Tetanus & Diptheria (adult use)= 255 Total Monies Collected $5,035.00 Tuberculin PPD= 10 HIB Titre= 410 Hepatitis B= 194 PPV 23 10 PCV 7 370 Animal Bites Reported F 1 Annual Budget Expenses Available Balance Salary/Longevity $391,705.00 $313,048.41 $78,656.59 Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200.00 $8,527.56 $5,575.48 $96.96 City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month -------------------------------------------------------------------------------------- Type Jul 02 Aug 02 Sep 02 Oct 02 Nov 02 Dec 02 Jan 03 Feb 03 Mar 03 Apr 03 May 03 Count 1 0 0 0 0 0 0 0 0 0 0 1 BP 1 0 0 0 0 0 0 0 0 0 0 1 CFI 79 52 46 57 39 33 42 47 47 35 78 555 CFR 2 9 3 3 10 0 1 2 7 4 4 45 CH 6 6 7 1 5 4 3 0 2 1 2 37 CON 8 7 7 6 0 3 8 0 3 2 4 48 CR 7 8 7 4 5 2 0 1 3 2 3 42 CT 1 1 6 1 0 2 5 5 4 4 6 35 EC 4 13 9 0 2 3 1 1 5 9 4 51 EPR 0 2 2 0 0 0 0 0 2 1 0 7 FC 1 4 1 3 5 1 0 2 2 2 1 22 FRH 0 0 2 4 3 0 1 0 2 1 1 14 FSD 1 4 4 2 1 2 6 3 0 4 2 29 FSI 24 28 23 17 17 33 21 39 18 31 26 277 FSR 15 18 20 16 10 12 10 7 10 9 5 132 GN 7 5 4 0 2 3 2 3 5 3 4 38 HI 7 9 8 10 12 15 13 4 57 126 77 338 HR 8 7 9 15 8 11 9 10 5 6 5 93 LPI 3 2 2 1 1 0 1 0 0 0 2 12 MS 0 0 0 0 0 0 0 0 0 0 1 1 MT 5 8 10 8 1 6 12 5 5 1 3 64 MUP 0 0 0 2 0 0 0 2 0 2 1 7 OG 1 3 2 0 0 0 0 0 0 0 2 8 • RC 1 0 0 0 0 0 0 0 0 0 0 1 RFI 7 2 4 7 8 4 6 3 5 6 13 65 RFR 3 2 2 1 1 1 5 1 4 1 2 23 RO 6 2 2 2 1 2 2 0 4 1 8 30 SB 75 49 17 0 0 0 0 0 0 0 0 141 SC 0 0 1 0 0 0 1 0 6 0 0 8 SM 0 0 0 0 1 0 1 1 0 1 3 7 SP 4 2 0 0 0 0 0 0 0 0 9 15 TFI 17 5 0 6 0 0 0 0 0 0 0 28 TR 40 22 40 23 14 9 24 28 40 29 24 293 Count 334 270 238 189 146 146 174 164 236 281 290 2468 + . City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name: Type : Location: Inspector: 0& _ GI/+��/1vtiT7f Inspection Types BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret .Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* CON —Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* WR - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* T Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* i Salem Board of Health • PHONE LOG MAY 2003 Total Answered Answered Calls Thursday May 1, 2003 19 Barb = 286 Friday May 2, 2003 24 Mary = 387 Saturday May 3, 2003 Sunday May 4, 2003 Monday May 5, 2003 45 Tuesday May 6, 2003 35 Calls Taken Wednesday May 7, 2003 45 Thursday May 8, 2003 32 Joanne = 175 Friday May 9, 2003 1 18 1 Jeffrey = 74 Saturday May 10, 2003 mom= Sharon = 41 Sunday May 11, 2003 -MENEMJose = 27 Monday May 12, 2003 34 Pablo = 18 Tuesday May 13, 2003 23 Tracy = 86 Wednesday May 14, 2003 35 Ginny = 3 sday May 15, 2003 30 Barb = 94 Friday May 16, 2003 19 Mary = 155 Saturday May 17, 2003 Sunday May 18, 2003 Monday May 19, 2003 36 Tuesday May 20, 2003 43 43 Office Hours Per Week Wednesday May 21, 2003 34 * =22 Work Days Thursday May 22, 2003 24 Friday May 23, 2003 32 Monday 8-4 Saturday May 24, 2003 Tuesday 8-4 Sunday May 25, 2003 RM Wednesday 8-4 Monday May 26, 2003 Holiday Thursday 8-7 Tuesday May 27, 2003 44 Frid. 8-4 Wednesday May 28, 2003 38 Thursday May 29, 2003 42 Friday May 30, 2003 21 S rday May 31, 2003 Total Calls *_ �oNnrr CITY OF SALEM, MASSACHUSETTS `� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • .y� ^'� TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO MAYOR HEALTH AGENT Public Health Nurse Report April 2003 Activities Disease Prevention ■ In touch with North Shore Pulmonary Clinic with regards to active Tuberculosis cases and contacts. • Vaccine inventory maintained and distributed. ■ Investigated communicable diseases and _reports to the Massachusetts Department of Public Health. ■ 2 Office visits for PPD tests. • One Hepatitis B vaccine administered. ■ Developing a guidelines manual with Joanne for BARS. Information will be from MDPH, CDC and WHO recommendations. Meetifts and Clinics •■ Offering Mood Pressure Screenings Daily for all City employees. ■ 4,/1,/03 Attended Public Health Forum at Tewksbury Hospital to meet the new Commissioner of Public Health Christine Ferguson. ■ 4/04/03 Hosted a meeting for all North Shore Camp Directors to discuss the 2003 camp regulations, and the new CORI guidelines. Jennifer Murphy from the MDPH conducted a power point presentation, and answered questions from the audience. 20 North Shore camp representatives attended. ■ 4/10/03 Attended the MHOA meeting at Cyprian Keys Golf Club in Boylston. MDPH representatives discussed Isolation and Quarantine regulations, Bioterrorism Preparedness, Smallpox update, and information about BARS. ■ 4/16/03 Attended an inspection by Sharon McCabe at the Colonist, Salem High School. Met with Mr. Elsaesser, Salem High School Culinary Arts teacher. ■ 4/17/03 Annual Blood Pressure offered for all City of Salem employees. 25 people participated. Held at Council Chambers. ■ 4/24/03 Annual Blood Pressure Clinic held at Salem Police Station. 13 • employees participated. A 0 Providing DOT Monday through Friday for a suspect active T.B. ease. Continuing Education Enrolled at Salem. State College LPN to BSN program. Chemistry II every Tuesday evenings from 4:30 p.m. to 9:00 p.m. i • '1 • MONTHLY REPORT OF COMMUNICABLE DISEASES April 2003 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 0 0 0 0 • G iardia 0 0 0 0 E.Coli 0157H7 0 0 0 0 Hepatitis 1 2 0 0 Lyme Disease 0 0 0 0 Meningitis 0 0 0 0 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Shigella 3 0 3 3 Varicella 2 0 2 2 Reportable Diseases excluded from above have not been identified this month. • SUMMARY OF COMMUNICABLE DISEASES APRIL 2003 Hepatitis C: One new case reported from Center for Addictive Behavior. Hx of IV Drug use. Shigella: 3 cases. Case#1 16 y/o Foodhandler at Market Basket. Excluded from Foodhandling duties. Interviewed case and mother. Management at store notified. (This case handled food in the food and nutrition course at Salem High) Letters to all parent with students in the food and nutrition program were sent public health fact • sheets about Shigella and to be alert of symptoms. Incubation period coinsided with travel to Cancun. Returned to work after two negative stools were obtained. Case#2 17 y/o female. According to school nurse, student has not attended school for one month before symptom onset. This case traveled to Cancun with case#1. Non foodhandler. Case#3 Mother of case#1. Became ill 3 days after daughter was symptomatic. She did not travel. Non foodhandler. These cases were reported to epidemiologist Tracy LaPointe at the Massachusetts Department of Public Health. 3 other travelers to Cancun were interviewed, and were without symptoms. No other cases reported. Variceila: Two cases. One 10 year old attends Bates school. One 9 year old attends Bentley school. • AGENT'S NEWSLETTER TO THE BOARD • VOLUME 88 April 13, 2003 AGENDA Two applications for Special permits are coming before the Board. One is for Derby Lofts, the other for Petsmart. Consideration of the latest draft for the Workplace Smoking Ban is also on the agenda. This draft is in the packet. SHORELINE SURVEY OF SALEM SOUND This survey is funded by a grant of$33, 700, will provide updated, detailed information on chronic bacteria pollution sources to the coastal beaches and shellfish beds of Marblehead, Salem, Beverly, Danvers, and Manchester. Bill Burke of Beverly and I are interviewing three applicants. I will keep the Board apprised of the work. SARS Tracy and I organized a meeting last week regarding handling of potential SARS cases in Salem. We slowly walked through an imaginary scenario where a Salem State College dormitory student was a suspect SARS case. We touched upon SSC's Health Services protocols including masking the student and calling for ground transport by North Shore Ambulance; North Shore Medical Center's procedures for handling this student in the Emergency Department for chest x-rays, etc.; guidelines regarding SARS classifications such as "suspect" and "probable"; • holding of the patient in a negative pressure room; protection of medical contacts; notification of the Mass Dept. of Public Health; follow-up of contacts in the dormitory and classroom through the Board of Health; and handling of contacts who become ill. The group decided that we were thorough in our review and did not need to meet again unless there are new developments. In the meantime we will stay in touch via an e-mail distribution list. We are also drafting a letter for Salem tourist attractions and lodging places explaining Mass Department of Public Health protocols for foreign visitors. It is important that correct information is dispensed and so we are encouraging business owners and residents to call us with questions and concerns. WITCHCRAFT HEIGHTS I toured the Witchcraft Heights neighborhood, as well as the Council on Aging Site on Szetela Lane, with representatives from the Agency for Toxic Substances & Disease Registry, a federal health agency. In the evening a meeting was held by that agency to discuss any health concerns residents may have regarding contamination at these areas. Only a handful of residents attended the meeting. POWER PLANT I continue to meet with the Dust Management Committee regarding the coal dust pile at the power plant. In addition, the site that held contaminated waste from the plant's • operation in a basin on the property has now been designated a "Public Involvement Plan" site by the DEP. I attended a meeting describing the rermediation of this site presented by a Licensed Site Professional in accordance with the PIP process. I will keep the Board informed regarding this location. ************************************************** Board of Health Administration Monthly Report Apr-03 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 450 Burial Permits @ $10.00 $660.00 Diptheria,Tetanus Tox.(under 6 yrs)= 20 Licenses & Perm its(+copies) $2,325.00 Immune Serum Globulin= 5 Certificate of Fitness@$25.00 $825.00 Measles/Mumps/Rubella= 180 Copies $0.00 Polio IPV= 430 Fines $25.00 Tetanus & Diptheria (adult use)= 565 Total Monies Collected $3,835.00 Tuberculin PPD= 0 HIB Titre= 410 Hepatitis B= 574 PPV 23 20 PCV 7 470 Animal Bites Reported = 0 Annual Budget Expenses Available Balance Salary/Longevity $391,705.00 $293,874.54 $97,830.46 Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200.00 $8,527.56 $1,866.12 $3,806.32 City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ------------------------------------------------------------------------------ Type Jul 02 Aug 02 Sep 02 Oct 02 Nov 02 Dec 02 Jan 03 Feb 03 Mar 03 Apr 03 Count 1 0 0 0 0 0 0 0 0 0 1 BP 1 0 0 0 0 0 0 0 0 0 1 CFI 79 52 46 57 39 33 42 47 47 35 477 CFR 2 9 3 3 10 0 1 2 7 4 41 CH 6 6 7 1 5 4 3 0 2 1 35 CON 8 7 7 6 0 3 8 0 3 2 44 CR 7 8 7 4 5 2 0 1 3 2 39 CT 1 1 6 1 0 2 5 5 4 4 29 EC 4 13 9 0 2 3 1 1 5 9 47 EPR 0 2 2 0 0 0 0 0 2 1 7 FC 1 4 1 3 5 1 0 2 2 2 21 FRH 0 0 2 4 3 0 1 0 2 1 13 FSD 1 4 4 2 1 2 6 3 0 4 27 FSI 24 28 23 17 17 33 21 39 18 31 251 FSR 15 18 20 16 10 12 10 7 10 9 127 GN 7 5 4 0 2 3 2 3 5 3 34 HI 7 9 8 10 12 15 13 4 57 126 261 HR 8 7 9 15 8 11 9 10 5 6 88 LPI 3 2 2 1 1 0 1 0 0 0 10 MT 5 8 10 8 1 6 12 5 5 1 61 MUP 0 0 0 2 0 0 0 2 0 2 6 OG 1 3 2 0 0 0 0 0 0 0 6 RC 1 0 0 0 0 0 0 0 0 0 1 • RFI 7 2 4 7 8 4 6 3 5 6 52 RFR 3 2 2 1 1 1 5 1 4 1 21 RO 6 2 2 2 1 2 2 0 4 1 22 SB 75 49 17 0 0 0 0 0 0 0 141 SC 0 0 1 0 0 0 1 0 6 0 8 SM 0 0 0 0 1 0 1 1 0 1 4 SP 4 2 0 0 0 0 0 0 0 0 6 TFI 17 5 0 6 0 0 0 0 0 0 28 TR 40 22 40 23 14 9 24 28 40 29 269 Count 334 270 238 189 146 146 174 164 236 281 2178 + . City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: 06- - Gv-6/z&,,T7f Inspection Types !�2 _ Ca��rc m,• BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret .Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI Housing Insp. 260* RO - Rodent Control 16 CON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* OCT CR - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - Mark/Weights SP - Swim.Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* 2 Salem Board of Health APRIL PHONE LOG 2003 Total Answered *Answered Calls Tuesday April 1,2003 31 Barb = 193 Wednesday April 2, 2003 18 Mary= 353 Thursday April 3, 2003 23 Friday April 4, 2003 12 Saturday April 5, 2003 Sunday April 6, 2003 *Calls Taken Monday April 7,2003 13 Tuesday April 8, 2003 33 Joanne = 132 Wednesday April 9,2003 23 Jeffrey = 90 Thursday April 10,2003 28 Sharon = 33 Friday April 11, 2003 22 Jose = 36 Saturday April 12, 2003 Pablo = 15 Sunday April 13,2003 Tracy = 91 Monday April 14,2003 46 Barb = 45 Tuesday April 15, 2003 39 Mary = 104 • Wednesday April 16, 2003 36 Thursday April 17,2003 33 Friday April 18, 2003 15 (1/2 Day 11:30) Saturday April 19, 2003 35 Hour Work Week Sunday April 20,2003 #43 Office Hours Per Week Monday April 21, 2003 HOLIDAY 21 work days Tuesday April 22, 2003 43 Wednesday April 23, 2003 29 Thursday April 24, 2003 19 Friday April 25,2003 9 Monday 8-4 Saturday April 26,2003 Tuesday 8-4 Sunday April 27,2003 Wednesday 8-4 A ill Monday April 28, 2003 28 Thursday 8-7 Tuesday April 29, 2003 32 Friday 8-4 Wednesday April 30, 2003 14 TOTAL = 546 o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ° 120 WASHINGTON STREET, 4TH FLOOR $ SALEM, MA 01970 • '!.p "'" TEL. 978-741-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report March 2003 Activities Disease Prevention In touch with T.B. Clinic and following active cases and case contacts. e Vaccine inventory maintained and distributed. e Investigated communicable disease cases and reported to the M.D.P.H e 1 Hepatitis B vaccination e PPD test for Salem State Student e PPD test for new arrival from Vietnam. Referred to Pulmonary Clinic for • further evaluation. Meetings and Clinics e Offering daily blood pressure screenings for one city employee. e 3/6/03 Public Health Nurses were invited by the American Red Cross to attend a training course in Disaster Nursing. It is a 4 part course. Ist course was well attended. e 3/12/03 Department of Justice Seminar"Hospital Emergency Preparedness" at Union Hospital. Hospital staff and Boards of Health in the region attended. e 3/18/03 Attended Camp seminar sponsored by the Massachusetts Department of Public Health. New regulations this year concerning CORI's and SORI's. Arranged for the speaker to come to Salem in April for camp directors on the North Shore. 3/19/03 Annual Fire Department Blood Pressure Screenings were held at Salem Fire Headquarters. 10 employees participated. 3/20/03 Attended North Shore Regional TB meeting at Salem Hospital. • Discussion of Active North Shore Cases by Public Health Nurses. Linda Singleton from the MDPH did a presentation on Discharge.Management of an active TB case for the Discharge Planners of NSMC. r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' 120 WASH I NGTON STREET, 4TH FLOOR 3 SALEM, MA 01970 • TEL. 978-74 1-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO. MAYOR HEALTH AGENT • 3/21/03 Fire Dept. B/P clinic at Salem Fire Headquarters. 11 employees screened. • 3/26/03 Fire Dept. B/P clinic at Salem Fire Headquarters. 8 employees 3/28/03 Fire Dept. B/P clinic at Salem Fire Headquarters. 9 employees attended. Continuing Education Enrolled at Salem State College Chemistry II every Tuesday evening from 4:30 P.m. to 9:00 P.M. • • r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • '� SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES March 2003 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 1 0 1 1 • Giardia 0 0 0 0 E.Coli 0157H7 0 0 0 0 Hepatitis 0 2 0 0 Lyme Disease 0 0 0 0 Meningitis 0 0 0 0 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Shigella 0 0 0 0 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. • * CITY OF SALEM, MASSACHUSETTS taco S BOARD OF HEALTH # 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • ,p� ^^ TEL. 978-74 1-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Summary of Communicable Diseases March 2003 Campylobacter 60 year old Peabody Resident. Reported by Peabody Board of Health on March13. Case is a Meat Cutter at Stop and Shop in Salem. Excluded from work until one negative stool result, 48 hours after antibiotic treatment. Inspection of Stop and Shop meat cutting area was conducted by Jeff Vaughan. Follow up stool negative. • • l MA Male Uepanrnef(U HoM taxV v 1l-bl&.w 1,1 ✓ape i UI, .x�„w�.»,0 rn, 9 The Commonwealth of Massachusetts • Executive Office of Health and Human Services Department of Public. Health 250 Washington Street, Boston, MA 02108-4619 MITT ROMNEY GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON . SECRETARY CHRISnNE C.FERGUSON COMMISSIONER TO: Massachusetts Health Care Providers,Health Care Facilities,Local Boards of Health and Local Health Departments FROM: Christine C.Ferguson,Commissioner of Public Health DATE: March 20,2003 RE: Severe Acute Respiratory Syndrome(SARS)Reportable to the Massachusetts Department of Public Health In accordance with 105 CUR 300.1501 and under the authority of Massachusetts General Laws, Chapter 111,section 6 2,the condition currently designated Severe Acute Respiratory Syndrome • (SARS)by the Centers for Disease Control and Prevention(CDC)and the World Health Organization (WHO)is reportable directly to the Massachusetts Department of Public Health(MDPH). Notice of the occurrence of confirmed or suspected cases of this condition shall be given in such manner as the department may deem advisable. M.G.L. Ch. 111,s. 7 3 also authorizes the Department of Public Health to investigate diseases dangerous to the public health and the means of preventing them. Recognizing that the name of this condition and the CDCIWHO case definition may change as new information becomes available,this condition is reportable under any subsequent designation and by ' the most current existing CDC/WHO or MDPH case definition for 12 months from this day..All cases identified since November 1,2002 and during the 12 month temporary reporting period are reportable. r '105 CMR 300.1 SO: Declaring a Disease or Condition immediately Reportable:Temporary Reporting: In addition to the diseases and conditions listed in 105 CMR 300.100,the Commissioner.as necessary to reduce morbidity and mortality in the Commonwealth,shall require the reporting,on a time- limited basis,of confirmed and suspect cases of diseases or conditions which are newly recognized or recently identified as a public health concem. Such reporting shall be required for a period of time not to exceed 12 months. Required reporting for a particular disease or condition beyond this time period shall be continued pursuant to revised regulation under t05 CMR 300.I00 et seq. r M.G.L..Ch.111,s.6:The department shall have the power to define,and shall from time to time define,what diseases shall be deemed to be dangerous to the public health,and shall make such rules and regulations consistent with law for the control and prevention of such diseases as it deems advisable for the protection of the public health.The department shall also have the power to define,and shall from time to time so define,what diseases shall be included within the term venereal diseases in the provisions of the laws relative to public health. 'M_G.L,Ch.111,s-'T If smallpox or any other contagious or infectious disease declared by the department to be dangerous to the public health exists or is likely to exist in any place within the commonwealth,the department shall snake an investigation thereof and of the means of preventing the spread of the disease,and shall consult thereon with the local authorities.It shall have co-ordinate powers as a board of health,in every town,with the board of tr health thereof.it may require the officers in charge of any city or state institution,charitable institution,public or private hospital,dispensary or matemity hospital,or any board of health,or the physicians in any town to give notice of cases of any disease declared by the said department to be dangerous to the public health.Such notice shall be given in such manner as the department may deem advisable.If any such officer,board or physician refuses or neglects to give such notice,he or they shall forfeit not less than fifty nor more than two hundred dollars. • nto.Oductio V es ic .r Welcome to the American Red Cross. Thank you for choosing to be involved in serving people affected by disaster. OVERVIEW • This video-based course will introduce you to disasters, the commu- nity response, and the role of Red Cross Disaster Services. We will give you a behind-the-scenes look at the impact of disasters on people and their communities.You will also meet the people who serve in time of disaster, including Red Cross paid and volunteer staff, and see how they work together to meet the needs of people affected by disasters. OBJECTIVES This course will enable you to— ■ Describe what disasters are and how they affect people and their communities. ■ Identify how the community, including the Red Cross, other voluntary and community organizations, government, business, and labor, works together to prepare for, respond to, and recover from disasters. ■ Identify Red Cross activities in preparing for, responding to, and recovering from disasters. ■ Describe the services the Red Cross provides p to people affected • by disaster. ■ Identify how the Red Cross is organized to provide these services. ■ Describe the roles people perform in Red Cross Disaster Services. ■ Identify the skills and abilities you have that you would like to apply as a volunteer with Disaster Services. i AGENT'S NEWSLETTER TO THE BOARD • VOLUME 87 April 8, 2003 AGENDA There are no individuals coming before the Board with the exception of those that may be present to listen to the discussion regarding the Workplace Smoking Ban and the Mosquito Control Plan. Those two items are on the agenda for the Board's consideration. Enclosed in the packet is an options sheet for each of them. BUDGET Enclosed in the packet is the 2004 Board of Health budget as submitted to the Mayor. With the loss in the last fiscal year of one full time clerk and part time inspector, we reached the reduction of approximately $40, 600. Thank you to Chris and Lucy for your assistance. BODY ART Chris, Tracy and I continue to meet with the owners of the Purple Scorpion in an effort to update our Body Art regulations. One item upon which we are currently focusing is cosmetic tattooing. • WARD 4 NEIGHBORHOOD ASSOCIATION The Licensed Site Professional for the Walgreens site met with the Ward 4 Neighborhood Association. Some residual soil contamination remains in an area on the site. The LSP anticipates finalizing its remedial Action Plan and Remed.ial Implementation Plan by July 2003. SHORELINE SURVEY OF SALEM SOUND Just a reminder...this survey, funded by a grant of$33, 700, will provide updated, detailed information on chronic bacteria pollution sources to the coastal beaches and shellfish beds of Marblehead, Salem, Beverly, Danvers, and Manchester. Five proposals have been submitted for consideration in carrying out this task. Health Directors/Agents from the effected communities are reviewing those proposals. I will keep the Board apprised of the work. ROTARY I was well received by the Salem Rotary for a discussion regarding Bioterrorism Preparedness with an update on West Nile Virus and SARS. It was my first attempt at a PowerPointTM presentation being both a challenging and rewarding exercise. I hope that we can publicize our public health message with that medium again. • *******i�r*********************�Ac***�Aryr*****yt�Ac*ilc�c�Ar*fir** Board of Health Administration Monthly Report Mar-03 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 540 Burial Permits @ $10.00 $640.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Licenses & Permits(+copies) $585.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,575.00 Measles/Mumps/Rubella= 220 Copies $4.00 Polio IPV= 420 Fines $0.00 Tetanus & Diptheria (adult use)= 150 Total Monies Collected $2,804.00 Tuberculin PPD= 0 HIB Titre= 440 Hepatitis B= 258 PPV 23 20 PCV 7 385 Annual Budget Expenses Available Balance Salary/Longevity $391,705.00 $269,894.06 $121,810.94 Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200.00 $7,461.61 $2,626.79 $4,111.60 0 0 is City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ---------------------------------------------------------------------- Type Jul 02 Aug 02 Sep 02 Oct 02 Nov 02 Dec 02 Jan 03 Feb 03 Mar 03 Count 1 0 0 0 0 0 0 0 0 1 BP 1 0 0 0 0 0 0 0 0 1 CFI 79 52 46 57 39 33 42 47 47 442 CFR 2 9 3 3 10 0 1 2 7 37 CH 6 6 7 1 5 4 3 0 2 34 CON 8 7 7 6 0 3 8 0 3 42 CR 7 8 7 4 5 2 0 1 3 37 CT 1 1 6 1 0 2 5 5 4 25 EC 4 13 9 0 2 3 1 1 5 38 EPR 0 2 2 0 0 0 0 0 2 6 FC 1 4 1 3 5 1 0 2 2 19 FRH 0 0 2 4 3 0 1 0 2 12 FSD 1 4 4 2 1 2 6 3 0 23 FSI 24 28 23 17 17 33 21 39 18 220 FSR 15 18 20 16 10 12 10 7 10 118 GN 7 5 4 0 2 3 2 3 5 31 HI 7 9 8 10 12 15 13 4 57 135 HR 8 7 9 15 8 11 9 10 5 82 LPI 3 2 2 1 1 0 1 0 0 10 MT 5 8 10 8 1 6 12 5 5 60 MUP 0 0 0 2 0 0 0 2 0 4 OG 1 3 2 0 0 0 0 0 0 6 RC 1 0 0 0 0 0 0 0 0 1 I 7 2 4 7 8 4 6 3 5 46 2R 3 2 2 1 1 1 5 1 4 20 RO 6 2 2 2 1 2 2 0 4 21 SB 75 49 17 0 0 0 0 0 0 141 SC 0 0 1 0 0 0 1 0 6 8 SM 0 0 0 0 1 0 1 1 0 3 SP 4 2 0 0 0 0 0 0 0 6 TFI 17 5 0 6 0 0 0 0 0 28 TR 40 22 40 23 14 9 24 28 40 240 ----- ------ ------ ------ ------ ------ ------ ------ ------ ------ ----- Count 334 270 238 189 146 146 174 164 236 1897 City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: 0& - !Jy 61v, n� Inspection Types (yR _ 644, l rr, BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret .Food Disc. 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI Housing Insp. 260* RO - Rodent Control 16* CON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* i Salem Board of Health MARCH PHONE LOG 2003 • Total Answered *Answered Calls Saturday March 1, 2003 Barb = 240 Sunday March 2,2003 Mary= 360 Monday March 3, 2003 31 Tuesday March 4, 2003 31 Wednesday March 5, 2003 25 Thursday March 6, 2003 17 *Calls Taken Friday March 7, 2003 20 Saturday March 8, 2003 Joanne = 156 Sunday March 9, 2003 MRA MAR AAAAAAAAAJeffrey = 71 Monday March 10, 2003 25 Sharon 51 Tuesday March 11, 2003 33 Jose = 30 Wednesday March 12, 2003 26 Pablo = 17 Thursday March 13, 2003 21 Tracy = 105 Friday March 14, 2003 9 Ginny = 12 Saturday March 15, 2003 ARRRARR Barb = 62 •Sunday March 16, 2003 Mary = 96 Monday March 17, 2003 50 Tuesday March 18, 2003 26 Wednesday March 19,2003 33 Thursday March 20, 2003 34 43 Office Hours Per Week Friday March 21, 2003 20 21 Work Days Saturday March 22, 2003 35 Hour Work Week Sunday March 23, 2003 Monday March 24, 2003 50 Tuesday March 25, 2003 28 Monday 8-4 Wednesday March 26, 2003 28 Tuesday 8-4 Thursday March 27, 2003 34 Wednesday 8-4 Friday March 28, 2003 1 26 Thursday 8-7 Saturday March 29, 2003 Frid. 8-4 Sunday March 30,2003 Monday I March 31, 2003 33 Total = 600 1 CITY OF SALEM, MASSACi-iUSETTS 4Z BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 7�Jy �Rr TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT eu .li.. T leall i ilTidro� �?AY�� February 2003 Activities l�x'cos�® �v®esmaf4�iare ava ■ 1n touch w;th_ North Shore. Pulmonary Cl_inic yr th regards to active. Tuberculosis eases and contacts, ■ Vaccine nve.ntnry maintained and distribtite.d- • Zrlvestigated (nimed_S -acesld — -toT l tPap — t the. NIaCCacl,17SP.ttS Department of PL?blic Health- ■ 4 office visits fnr PPD tests. ■ One Henatitis B varcine wiministe.re.d= 0 1Ndeetin rg and Clinie±� ■ Offering Blood Pressure Screenings, Daily for all- C%tJ' emnlovees4 ■ 2/3 Met with Mike Rutstein to discuss his plans for a sur-9 er ramp aboard the FAME. Camp regulations reviewed. On vacation vrd wee'A. ■ Second round of T.B. testing offered to Salem State College Students from Pebri ary 24 through PebruEz 27th. 13 Contacts Tested. ■ E mergency Preparedness. Meeting held at Salem Con_f_ererlce Room. ReprPCentnt ves frorrZ Salem Fire- FM53 Police., Wales een's Phiarmaev, Salem 1-losnital, Murphy n-inerslDome; Salem e College Police and Salem Board of L1Pf�.al u�: F'.atti,Pn u1P� ------ Con Ed ation Enrolled at Salem State College LPN to RSN program.. Chemistry 11 every Tuesday •evenings from 4:30 n,m. to 9.00 p.m- v6 corml7��i %-FVY OF SALEM, MASS CHUSE TTS \ BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 9 SALEM, MA 01 970 • �s r TEL. 978-74 1-i 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT --.N A`H -Y RV—PORT nl- f-nMMTTATTC ATtT- - lnT6&-A.Q C February 2003 T%T4QV a QV. VVUF r A 1Dvv ^TM10 YiVi%AA3i/. T%TQf%TX a iviww %L'V"A% REcV'Z rn' CASES: // ccE / p STATE! Campylobacter 0 0 0 0 Giardia 0 0 0 0 • �1; n 157 u7 n n n n 22 V 1 Hepatitis 2 4 0 0 Lyme— Disease 0 0 0 0 Meningitis 0 0 0 0 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Shigella 0 0 0 0 Varicella 0 0 0 0 ReD'ortable Diseases excluded from above. have not been identified this. month. • �cGNnfr CITY OF SALEM, MASSACHUSE TS v� QJ BOARD OF HEALTH r < 120 WASHINGTON STREET, 4TH FLOOR _ - SALEM, MA 01970 • 9�• O TEL. 978-741-1 800 FAX 978-745-0343 STANLEY USOV.ICZ, JR. JOANNE SCOTT, MPH, -RS, CHO MAYOR HEALTH AGENT Siimmant of Ctnmmnnirahlo Dicaacp fnr Fabrnary 7nn3 vw......w. � v. v.u..•w.• vww.v ■vvwvv v• v ww t rvvv Hepatitis R Reported by PAP, Case interviewed, Case arrived from ViPtnam in 2000; information sit to state. • i I • AGENT'S NEWSLETTER TO THE BOARD • VOLUME 86 March 11, 2003 BOARD AGENDA This month has a very full agenda. Walter Montgomery of the Northeast Mosquito Control District will appear before the Board to describe his proposed plan for the upcoming season. There will be members of SAFE and the Friends of Salem Woods, two Salem environmental groups, to listen to the discussion. The Mass Department of Public Health has not come out with new guidelines this year. They are saying that they do not expect them to change very much in comparison to last year's. Those 2003 guidelines are in your packet. A new schooner, FAME, is coming before the Board to apply for a variance to the Recreational Camp Regulations. A letter requesting the variance is enclosed. The Public Health Nurse from Marblehead, who is also a coordinator of the North Shore Wellness Fair, will appear before the Board. Rochelle Bartlett is requesting a variance to our Massage Regulations so that massage therapists permitted in Salem and/or other communities may practice massage at the Wellness Fair although that space is not a permitted facility. Finally, the public hearing for the Board's proposed Workplace Smoking Ban regulations will take place during the meeting. A copy of the draft regulation • is in your packet. This draft has been sent to restaurants and private clubs. A notice of this public hearing was in the News. BUDGET The Mayor has sent the worksheet for our FY'04 Budget. It requires a 10% reduction over FY'03 equaling $40,591. The final proposal must be submitted by March 20, 2003, before our next Board meeting. Therefore, I would request a Board subcommittee to work with me to develop our proposal. GINNY It is now official: Virginia Moustakis is our volunteer inspector. The Board voted for her to be an agent of the Board, as a volunteer, pending approval by the Human Resources Department. Beth Rennard, following the OK of the City Solicitor, gave her approval. Ginny has begun her annual rooming house inspections with the Building and Fire Departments. BODY ART Chris Harrington and I met with the owners of the Purple Scorpion. As a result of the meeting, and in light of the fact that it was written several years ago, Chris will ask the Board to form a subcommittee to review the current regulation. • J • HHWCD The regional contract for HHWC has been awarded to the same company that has been contracted for our more recent events, Safety Clean. We have tentatively set the date for May 10th, although it is not at all clear that the City will have the funding to run the event. I will keep the Board apprised. REGIONAL BOARDS OF HEALTH MEETING Chris Harrington and I attended the regional boards of health meeting where Walter Montgomery made a presentation. In addition, there was information disseminated regarding the Clean Air Works North initiative. Enclosed in the packet is a summary of the communities' actions regarding the workplace smoking ban. MISCELLANEOUS During the last storm City officials met to discuss the possibility of an emergency shelter, more because of the predicted high tides and winds than the snow. Fortunately everyone was able to stay in his or her own home. Our Emergency Planning Group is on hold until the Fire Department reactivates the Local Emergency Planning Committee. The Licensed Site Professional for the Scotia Street asbestos contamination met with neighbors last week to present his clean up plan and • elicit questions. He will be submitting the plan to the DEP for approval. The Power Plant Dust Management Committee continues to meet. The BU School of Public Health has expressed interest in a graduate student field placement so that there will be a review of the data and protocols to date, and those planned, for the monitoring of dust emissions from the coal pile. The Salem Rotary has asked me to speak at one of their luncheon meetings regarding emergency preparedness, etc. I was recently elected Chair of the Board of Registration of Certified Health Officers. • City Of.Salem • Environmental Health Division --- Inspection Moithly Summary Month ---------------- ----------------------------------r---- Type Jul 02 Aug 02 Sep 02 Oct 02 Nov 02 Dec-02 Jan 03 Feb 03 Count 1 0 0 0 0 0 0 0 1 BP 1 0 0 0` 0.. 0 0 0 1 CFI 79 52 46 57 39 33 42 47 395 CPR 2 9 3 3 10 0 1 2 30 CH 6 6 7 1 5: 4 3 0 32 CON 8 7 7 6 0 3 8 0 39 CR 7 8 7 4 5 2 0 1 34 CT 1 1 6 1 0 2 5 1 -5. 21 EC 4 13 9 0 2 3 1 1 33 EPR 0 2 2 0 0 0 0 0 4 PC 1 4 1 3 5 1 0 2 17 FRH 0 0 2 4 3 0 1 0 10 FSD 1 4 4 2 1 2 6 1 3 23 PSI 24 28 23 17 17 33 21 39 202 FSR 15 18 20 16 10 12 - 10 7 108 GN. 7. 5 4; 4 0.. 2 - 3 2¢ a 3: 26 HI 7 9 8 10, 12 . 15, 13. 4. 78 HR 8 7 9 15 8 11 9 10 77 LPI 3 2 2 1 1 0 1 0 10 MT 5 8 10 8 1 6 12 5 55 MUP 0. ._ 0 0 __2 = 0. 0 0 2. z 4 OG 1 3 2 _ 0 0 0 0 6 i R" 1 0 0 - 0 0 0 0 1 *FR 1 7 2 4 7 8 4 6 3 41 3 2 2 1 _ 1 1 5 1 16 RO 6 2 c 2 1 2 2 0 17 SB 75 49. 17 0 0 0 0 - 0 141 SC 0 0 1 0 0 0 1 - - 0 2 SM 0 0 0 0 1 0 1 1 3 SP 4 2 0 0 0 0 0 0 6 TFI 17 5 0 6 0 0 0 0 28 TR 40 22 40 23 14 9 24 28 200. Count 334 270 238 l89 146 146 174 i 164 1661 i i ity of -Salem, Massachusett Environmental ealth Division Inspection Input Form Inspect Date: Estab Name or Owner Name : Type : Location: Inspector: Inspection Types - `9(f ^ GYM-�..ry c,n� 2 - !'r�.�F�•rrf BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* CFI Cert . Fit� 81 .22*-• , FSR -• Food ,Sery ,Rein•.,194-* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* r N - Constable, Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* - Compliance Rev.'25* LPI - Lead -Paint,. Insp. i�6* SES - SESD Odor 0* 1 Computer 'Time10* , ' MS I. Massaged 6* ° '} SM' - Seminars 3 6* ! EC Env: rn. Compl .; 51* <MW _ -, Mark/Weights . ;. . SP - Swim.Pools 16* EPR - Ext'. Paint 91-* MTTD - Mnhi1A Fnn�l TnPn 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS Off . Sub. :_Insp. 6* ST - Soil/Septic 8* FRH '- Food Hearings15* RC `-17 Rec Camps°.9* TFI - Temp. Food. 112* FSD. Food Sery Disc 53* :MT,,� - Meetings 65*d TR, - Trash 381* . Salem Board of Health FEBRUARY PHONE l LOG 2003 Answered Calls Total Answered Saturday February 1, 2003 Barb= 133 Sunday February 2, 2003 Mary= 299 Monday February 3, 2003 25 432 Tuesday February 4, 2003 20 Wednesday February 5, 2003 27 Calls Taken Thursday February 6, 2003 25 Joanne= 121 Friday February 7, 2003 12 Ginny= 34 Saturday February 8, 2003 Jeffrey= 42 Sunday February 9, 2003 "NEWEEMEMEMENSharon = 33 Monday February 10,2003 33 Pablo= 13 Tuesday February 11, 2003 29 Jose= 48 Wednesday February 12, 2003 15 Tracy= 20 Thursday February 13, 2003 23 Barb= 43 Friday February 14, 2003 17 Mary= 78 Saturday February 15, 2003 NEEMEMEMEM Sunday February 16, 2003 Monday February 17, 2003 Holiday * =19 Work Days Tuesday February 18, 2003 0 * =43 Hours Per Week Wednesday February 19, 2003 32 Thursday February 20, 2003 17 Monday 8-4 Friday February 21, 2003 14 Tuesday 8-4 Saturday February 22, 2003 Wednesday 8-4 Sunday February 23, 2003 ME Thursday 8-7 Monday February 24, 2003 24 Friday 8-4*Winter Hours Tuesday February 25, 2003 34 Wednesday February 26,2003 34 Thursday February 27, 2003 33 Friday February 28,2003 18 • Total 432 • • • Board of Health Administration Monthly Report Feb. 2003 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 600 Burial Permits @ $10.00 $710.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Licenses & Perm its(+copies) $1,030.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $900.00 Measles/Mumps/Rubella= 280 Copies $1.60 Polio IPV= 570 Fines $100.00 Tetanus & Diptheria (adult use)= 570 Total Monies Collected $2,741.60 Tuberculin PPD= 80 H I B Titre= 440 Hepatitis B= 270 PPV 23 0 PCV 7 435 Annual Budgetp Expenses Available Balance Salary/Longevity $391,705.00 $142,206.06 $249,498.94 Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200.00 $2,564.95 $2,307.43 $9,327.62 • • • Board of Health Administration Monthly Report Jan. 2003 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 400 Burial Permits @ $10.00 $775.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Licenses & Permits(+copies) $10,065.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $875.00 Measles/Mumps/Rubella= 400 Copies $12.50 Polio IPV= 500 Fines $1,200.00 Tetanus & Diptheria (adult use)= 540 Total Monies Collected $12,927.50 Tuberculin PPD= 0 HIB Titre= 605 Hepatitis B= 552 PPV 23 70 PCV 7 480 Annual Budget Expenses Available Balance Salary/Longevity $391,705.00 $142,206.06 $249,498.94 Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200.00 $2,564.95 $2,307.43 $9,327.62 wo, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH C120 WASHINGTON STREET, 4TH FLOOR • SALEM, MA 01970 TEL. 978-74 1-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report January Activities Disease Prevention • In touch with T.B. Clinic and following active cases and case contacts. e Vaccine inventory maintained and distributed. • Investigated communicable disease cases and reported to the M.D.P:H • 2 Office Visits for Flu Shots for January o Directly Observed Therapy Monday through Friday for a Suspect Active T.B. case. • Meetings and Clinics • Offering daily blood pressure screenings for one city employee: • Home visit at a HAWC shelter to offer Flu shots to residents and staff. 5 flu shots administered. • 1/17 Attended School Nurses meeting at Collins Middle School to discuss smallpox vaccination for volunteer health care workers. Provided updated materials and. videos from. the CDC_ School nurses from the Northeast region attended; as well as Salem State College Health Services: • 1/29 Met with Marblehead Board of Health Inspector Rita Dana to discuss Salem's Body Art regulations; and annual inspections: Continuina Education Enrolled at Salem State College Chemistry 11 every Tuesday evening from 4:30 P.M. to 9:00 P.M. • 9 CITY OF SALEM, MASSACHUSETTS A. BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �3 SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY IJSC'-VICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR. HEALTH AGENT Summary 0f Communicable Disease for January 2003 Campyl®bacter: 29 y/o computer salesman. Travels frequently. Traveled to Japan during incubation period. Case believes he became ill from a raw egg he ate in Japan. Mild symptoms. Treated in the U.S. No household contacts. Hepatitis C: 2 cases reported. One case was already on file. One case was diagnosed in 1999. •Varicella: i One case reported from Saltonstall School Nurse. a grader who was vaccinated in 1996 Tuberculosis: Culture shows tuberculosis. Pt receives DOT 7 days per week. Salem VNA on the weekend. Accepted for Salem.Housing. • WE CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • `!s TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT MONTHLY FEPORT OF COMMLnNICABLEP DISEASES January 2003 DISEASE: NEW CARRYOVER DISCFIARGED REPORT TO CASES: CASES: CASES: STATE: Cyampylobacter 1 0 1 1 • Giardia 0 0 1 0 E.Coli 0157H7 0 0 0 0 Hepatitis 5 0 0 Lyme Disease 0 0 0 0 Meningitis 0 0 0 0 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Shigella 0 0 0 0 Mari cella 1 0 1 1 Reportable Diseases excluded from above have not been identified this month. • I� ..a l AGENT'S NEWSLETTER TO THE BOARD • VOLUME 85 February 11, 2003 BUDGET 2004 The Mayor has cut part time positions within the City, effective March 1, 2003, in order to address a shortfall in projected state aid this year. Therefore, Virginia Moustakis' position has been eliminated. Virginia, with her remarkable work ethic and love of the City, has devoted many years to serving the Board of Health in a manner that we all admire tremendously. True to form, Ginny has asked if she could volunteer her services to the Board. I discussed this with Beth Rennard whose initial reaction was very positive although she is checking into that possibility further. I would strongly urge the Board to approve this volunteer service so that we do not lose one of Salem's most precious resources. One can drive around the City and note the good condition of rooming houses, restaurants, etc., much of which is due to Ginny's dedication. REGIONAL BOARDS OF HEALTH MEETING Chris Harrington and I attended the pesticide seminar sponsored by HealthLink and others. I have enclosed an agenda for your information. Discussions regarding West Nile Virus will take place at the regional meeting in Beverly on February 27, 2003. This meeting is aimed at members of our regions Boards of Health. Since the issue of pesticide use and West Nile Virus is on the • agenda for our March meeting, I would urge Board members to attend to hear arguments on all sides of the issue. CANCER INCIDENCE We have received the latest MDPH report on "Cancer Incidence in Massachusetts." This report covers 1995 through 1999. Individual community incidence is included. I have made a comparison report covering the this and the last three reports received from the MDPH. Incidents of Lung/Bronchus and Oral Cavity/Pharynx cancer remain statistically elevated; as do incidents of cancer of the ovary, prostate, and for the first time cancer of the bladder in males. Breast cancer remains close to the state average, as does female pancreatic cancer, both of which had been elevated previously. Brain and stomach cancers, at one time significantly elevated, are now well below the state average. Cancers that appear elevated, but not statistically significantly, remain esophagus and Hodgkin's in males, and thyroid in males. Overall, the cancer incidence for all sites combined for males and females has remained relatively stable over the four reporting intervals. MASSAGE REGULATIONS The City Solicitor is still reviewing the proposed modifications to our Massage regulations. I am placing this item on the agenda in case his decision m f is received by ee mg time. • WITCHCRAFT HEIGHTS Following our request, the Agency for Toxic Substances and Disease Registry (ATSDR) has agreed to conduct a public health consultation. This is in regard to health concerns because of contamination found at the school location and in some areas of the surrounding neighborhood. I have enclosed the letter from the ATSDR and the explanation sheet regarding the different levels of investigation in which they engage. We had actually requested a public health assessment that is a more detailed report. However, the public health consultation is not as time consuming and could lead to an assessment if its results indicate it is needed. Also enclosed is the EPA summary of what has taken place and what is planned for that neighborhood. EMERGENCY PLANNING We are moving forward with our plan to hold a city-wide emergency planning event in the spring. On the Tuesday of our meeting the planning group for this event is meeting for the first time as a whole. It includes police (from the city and Salem State College), fire, North Shore Ambulance, the administrative director of NSMC ER, a funeral director, and a pharmacist. I will give you more information at the meeting. POWER PLANT PUBLIC HEARING I attended the public hearing regarding the proposed plan to reduce emissions by the power plant that would have replaced the previously approved • plan. There were some significant differences between the two plans with the newly proposed plan carried out by the later date of 2006 instead of 2004. The DEP had given an initial approval to this plan, however, as you know the Governor is adhering to the first plan with its 2004 implementation date. BODY ART Included in the packet is an article from the American Journal of Nursing recommending antibiotic prophylaxis prior to body piercing in at-risk individuals. The Board may want to consider adding this recommendation to the information received by piercing clients and/or in the medical history required prior to the procedure. SENIOR TO SENIOR I was asked to appear on this SATV program to address some issues important to seniors. I touched upon the flu, proper disposal of household syringes, West Nile Virus, housing complaints, etc. • City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------------------------ Type Jul 02 Aug 02 Sep 02 Oct 02 Nov 02 Dec 02 Jan 03 Count ----- ------ ------ ------ ------ ------ ------ ------ 1 0 0 0 0 0 0 1 BP 1 0 0 0 0 0 0 1 CFI 79 52 46 57 39 33 42 348 CFR 2 9 3 3 10 0 1 28 CH 6 6 7 1 5 4 3 32 CON 8 7 7 6 0 3 8 39 CR 7 8 7 4 5 2 0 33 CT 1 1 6 1 0 2 5 16 EC 4 13 9 0 2 3 1 32 EPR 0 2 2 0 0 0 0 4 FC 1 4 1 3 5 1 0 15 FRH 0 0 2 4 3 0 1 10 FSD 1 4 4 2 1 2 6 20 FSI 24 28 23 17 17 33 21 163 FSR 15 18 20 16 10 12 10 101 GN 7 5 4 0 2 3 2 23 HI 7 9 8 10 12 15 13 74 HR 8 7 9 15 8 11 9 67 LPI 3 2 2 1 1 0 1 10 MT 5 8 10 8 1 6 12 50 MUP 0 0 0 2 0 0 0 2 OG 1 3 2 0 0 0 0 6 RC 1 0 0 0 0 0 0 1 FI 7 2 4 7 8 4 6 38 RFR 3 2 2 1 1 1 5 15 RO 6 2 2 2 1 2 2 17 SB 75 49 17 0 0 0 0 141 SC 0 0 1 0 0 0 1 2 SM 0 0 0 0 1 0 1 2 SP 4 2 0 0 0 0 0 6 TFI 17 5 0 6 0 0 0 28 TR 40 22 40 23 14 9 24 172 Count 334 270 238 189 146 146 174 1497 i. . City of Salem, Massachu-sett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: 0& - 0vt-61za-,nf Inspection Types A _ ��4,t,tr,• BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret .Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* CON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* Computer Time10* MS - Massage 6* SM - Seminars 36* _ EC Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* f Salem Board of Health JANUARY PHONE LOG 2003 • Total Answered *Answered Calls Wednesday January 1, 2003 Holiday Barb = 136 Thursday January 2, 2003 22 Mary= 377 Friday January 3, 2003 17 Saturday January 4, 2003 Sunday January 5, 2003 Monday January 6, 2003 27 *Calls Taken Tuesday January 7, 2003 44 Wednesday January 8, 2003 32 Joanne = 123 Thursday January 9, 2003 27 Jeffrey = 69 Friday January 10, 2003 15 Sharon = 51 Saturday January 11, 2003 Jose = 29 Sunday January 12, 2003 Pablo = 7 Monday January 13,2003 42 Tracy = 93 Tuesday January 14, 2003 32 Ginny = 17 Wednesday January 15, 2003 24 Barb = 24 • Thursday January 16, 2003 29 Mary = 98 Friday January 17, 2003 14 Saturday January 18, 2003 Sunday January 19, 2003 35 Hour Work Week Monday January 20, 2003 Holiday #43 Office Hours Per Week Tuesday January 21, 2003 34 21 work days Wednesday January 22, 2003 21 Thursday January 23, 2003 28 Friday January 24, 2003 24 Saturday January 25, 2003 Monday 8-4 Sunday January 26, 2003 Tuesday 8-4 Monday January 27, 2003 30 Wednesday 8-4 Tuesday January 28, 2003 19 Thursday 8-7 Wednesday January 29, 2003 17 Friday 8-4 Thursday January 30, 2003 10 Friday January 31, 2003 • Total Calls - 513 Board of Health Administration Monthly Report Dec-02 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 660 Burial Permits @ $5.00 $425.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Licenses & Permits(+copies) $22,400.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $720.00 Measles/Mumps/Rubella= 350 Copies $0.00 Polio IPV= 470 Fines $25.00 Tetanus & Diptheria (adult use)= 525 Total Monies Collected $23,570.00 Tuberculin PPD= 80 HIB Titre= 505 Hepatitis B= 532 PPV 23 70 PCV 7 465 Annual Budget Expenses Available Balance Salary/Longevity $391,705.00 $142,206.06 $249,498.94 Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200.00 $2,564.95 $2,307.43 $9,327.62 ��allorr CITY OF SALEM, MASSACHUSETTS "$ BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 lp� TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO MAYOR HEALTH AGENT Public Health Nurse Report December 2002 Activities Disease Prevention • In touch with T.B. Clinic and following active cases and case contacts. • Vaccine inventory maintained and distributed. • Investigated communicable disease cases and reported to the M.D.P.H • 3 Office Visits for Flu Shots for December • 2 Home visits for December • Directly Observed Therapy Monday through Friday for a Suspect Active T.B. • case. Meetings and Clinics • Offering daily blood pressure screenings for one city employee. • Meeting on Wednesdays with Salem State College Student to discuss Public Health Nurse Activities, and Bioterrorism Preparedness. • TB testing offered for all 84 Salem State College Contacts. The Clinics were held on 12/10 from 1 p.m. to 6 p.m., and 12/11 from 8 a.m. to 10 a.m., Office visits at the Board of Health were arranged. Contacts were sent letters on December 2, 2002 • 41 tested. • 32 tested at Salem Board of Health Clinic held at Salem State College Health Services. • 10 provided documentation from m private physician. ne ative � 9 ) • 4 did not return for ppd reading. • 1 past positive provided documentation from M.D. • 2 new positive readings were referred and provided appointment dates to North Shore Pulmonary Clinic. • MDPH TB control contacted students that had not responded to letters. • Will continue follow up with another letter_ ��con�rT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 • �� TEL. 978-74 1-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH. RS, CHO MAYOR HEALTH AGENT o Two 10-week follow up ppds for active case were negative. Reported to State. • Attended Beverly Hospital Public Health Forum on "Immunization and Travel' Speaker: Kathleen Tremblay, FNP-C, Travel Clinic in Danvers. • Pioneer Terrace Flu and Pneumonia Clinic held from 8-11 a.m. 135 residents were vaccinated. • 11/14 Attended Meeting at Beverly Library. MDPH meeting to discuss staffing patterns with regional emergency coordinators. • • 11/21 Office Clinic for Flu vaccinations held 8-11 a.m. and 3 p.m. to 7 p-m. 31 residents participated. i • • MONTHLY REPORT OF COMMUNICABLE DISEASES December 2002 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 0 0 0 0 • Giardia 0 0 0 0 E.Coli 0157H7 0 0 0 0 Hepatitis 3 5 0 0 Lyme Disease 0 0 0 0 Meningitis 0 0 0 0 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Shigella 0 0 0 0 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. • V, J • Summary of Communicable Disease for December 2002 3 Hepatitis C reports. Have not followed up on yet. Suspect TB case#1 24y/o male. Admitted to NSMC on 10.10. Meds Started on 10/14. D/C from hospital on November 7 h. Smear positive, CXR=ABn, cavitary. 8 household contacts tested. 8y/o referred to NSPC for evaluation. DOT initiated on November 8th Pt. was re admitted on November Ie. Severely immunocompromised. UPDATE: Patient remains in hospital as of January 8"'. Culture is showing MTB. Contact letters sent out to 8 household contacts. 2 appointments made for Jan. 16cn • Suspect Case#2 32 y/o unemployed R.N. from Philippines. Hx of Pulmonary T.B. dx in Philippines, and was being treated with meds. Came to NSPC Go symptoms. CXR=changes. Household contact referred to NSPC. UPDATE: DOT continues. IM Streptomycin was d/c after 41 doses. CXR=improved, but culture shows atypical bacteria. Wife has started INH prophylaxis. • Suspect Case#3 Non-Resident who attends Salem State College. Smear Positive. CXR ABn, non-cavitary. 84 contacts identified and noted of exposure. Case arrived in March 2001. UPDATE: See Public Health Nurse Report. • Reports of Gastro intestinal illness in Salem High Stude nts. On 12/10 a Salem High School parent called Salem Board of Health to report that 30 students who attended the dance, and an outing to the Ground Round on 1217 were ill with G/I symptoms. Interviews were conducted with several students, the High School Nurse, and the Manager of the Ground Round. This was reported to the MDPH epidemiologist. An inspection was conducted at the Ground Round (attached). The school nurse provided all students who had complained of G/I illnesses to her, and absentee records for all students were obtained. Employee records of absenteeism before 12/7 were obtained. Manager interviewed ill staff and provided information to us. Information obtained by Board of Health was reviewed with Epidemiologists at State Lab. According to the High School Nurses log, it was noted that the complaints of nausea, vomiting and fever that last 2-3 days had started to show.1 week prior to the dance. It was also being reported in all grades. A telephone call was made to Collins Middle School Nurse. She reported a noticeable increase in students coming to her office with g/I illness complaints. This information was reported to MDPH. They ruled out a foodborne illness from the nurse's logs. They did not have any positive stool cultures in the database from Salem students. Jose Diaz interviewed food manager at High School. Joanne discussed the importance of improved bathroom access, and Maintenance was informed to maintain bathrooms with soap and paper towels. In addition surfaces were to be cleaned with bleach solution. It was recommended to increase ventilation during school vacation. An announcement was made by the school nurse for the important need for handwashing. 3-4 weeks later the Salem High Nurse reported that the incidences of G/I illness are noticeably lower, but not gone. • 4 y • Report of Gastro intestinal illness at Grosvenor Park On December 4, 2002 the infection control nurse at Grosvenor Park reported to the Board of Health of a Gastro intestinal illness at the facility. During the interview it was noted that out of177 employees, 27 have been ill with the first case of illness on 11/22. None of the ill staff members were kitchen workers. 50 residents have been ill from all units. MDPH was notified. Non stool samples were obtained. Epidemiologist believed it was not foodbome. Plan was to isolate sick residents, keep ill staff home, no floating staff. Visitors were made aware of illness before entering, strict handwashing was emphasized. Two weeks after being notified, a call was made to Grosvenor Park. The Infection Control nurse reported that no one was ill at this time. • • j THE COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM Address: 120 Washington Street, 4th Floor BOARD OF HEALTH Salem, MA 01970-3523 fAOD ESTABLISHMENT INSPECTION REPORT Tel: (978) 741-1800 Fax: (978)745-0343 Name J Date Tyneoe of Oration(s) Type of Insoection c d G/l7 Q/ l;'ood Service El Routine Address Risk ❑ Retail ❑ Re-inspection /I'll Level ❑ Residential Kitchen Previous Inspection Telephone h��// L/ IN ❑ Mobile Date: Owner / 7/' '_ HACCP Y/N ❑ Temporary ❑ Pre-operation ❑ Caterer 01suspect Illness Person in Charge(PIC) Time:34) ❑ Bed&Breakfast ❑ General Complaint In: ❑ HACCP Inspector -T /C Out: Permit Permit No. ❑ Other Each violation checked requires an explanation on the narrative page(s) and a citation of specific provision(s) violated. Non-compliance with: Violations Related to Foodborne Illness Interventions and Risk Factors (Red Items) Anti-Choking Tobacco Violations marked may pose an imminent health hazard and require immediate corrective 590.009(E) ❑ 590.009(F) ❑ action as determined by the Board of Health. Local Law ❑ FOOD PROTECTION MANAGEMENT ❑ 12. Prevention of Contamination from Hands ❑ 1. PIC Assigned/Knowledgeable/Duties V13. Handwash Facilities EMPLOYEE HEALTH PROTECTION FROM CHEMICALS [12. Reporting of Diseases b Food Employee and PIC P 9 Y El3. Personnel with Infections Restricted/Excluded El 14. Approved Food or Color Additives El 15. Toxic Chemicals FOOD FROM APPROVED SOURCE TIME/,TEMPERATURE CONTROLS(Potentially Hazardous Foods) 4. Food and Water from Approved Source 16. Cooking Temperatures �]II 5. Receiving/Condition ❑ 17. Reheating ❑ 6. Tags/ Records/Accuracy of Ingredient Statements ❑ 18. Cooling ❑ 7. Conformance with Approved Procedures/HACCP Plans ❑ 19. Hot and Cold Holding PROTECTION FROM CONTAMINATION El 20. Time as a Public Health Control Vd a. Separation/Segregation/Protection ,_,/ REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) II & 9. Food Contact Surfaces Cleaning and Sanitizing ❑ 21. Food and Food Preparation for HSP II ❑ 10. Proper Adequate Handwashing CONSUMER ADVISORY ❑ 11. Good Hygienic Practices ❑ 22. Posting of Consumer Advisories Violations Related to Good Retail Practices (Blue Number of Violated Provisions Related Items) Critical (C) violations marked must be corrected To Foodborne Illnesses Interventions immediately or within 10 days as determined by the Board and Risk Factors (Red Items 1-22): El of Health. Non-critical (N) violations must be corrected Official Order for Correction: Based on an inspection immediately or within 90 days as determined by the Board today, the items checked indicate violations of 105 CMR of Health. 590.000/Federal Food Code.This report, when signed below C N by a Board of Health member or its agent constitutes an 23. Management and Personnel (FC-2)(590.003) order of the Board of Health. Failure to correct violations 4. Food and Food Protection (FC-3)(590.004) cited in this report may result in suspension or revocation of 25. Equipment and Utensils (FC-4)(590.005) the food establishment permit and cessation of food 26. Water, Plumbing and Waste (FC-5)(590.006) establishment operations. If aggrieved by this order, you 27. Physical Facility . (FC-6)(590.007) have a right to a hearing.Your request must be in writing 28. Poisonous or Toxic Materials (FC-7)(590.008) and submitted to the Board of Health at the above address 29. Special Requirements (590.009) within 10 days of receipt of this order. 30. Other DATE OF RE-INSPECTION: Inspector's Signature: Print: PIC's Signature: - Print: Page of3Pages • CITY C•SALEM • BOARD OF HEALTH ,� �/ i�z l��l�-z _ 3 • Establishment Name: / �e o r � � ,,, a�... Date: Page: of )tem Code C—''Critical tem DESCRIPTION OFVIOLATION/PLAN OF CORRECTION Date No Reference R—:'Red Item Rlrrr LC RLY xv�rlfled I/ ale 1 01 .1 d L y , ; ?Ze z . c i i /�.- J / i L Discussion With Person in Charge: Corrective:Action Required ❑ No ❑Yes I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance ❑ Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to comply Exclusion with all mandates of the Mass/Federal Food Code. I understand that noncompliance may ❑ Re-inspection Scheduled ❑ Emergency Suspension result in daily fines of twenty-five dollars or suspension/revocation of your food permit. ❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other FORM 7348 HOBBS &WARREN - BOSTON • CITY C•SALEM • ` BOARD OF HEALTH Establishment Name: e of af..r�/ r�/>1J,� �� _Date: Page _'-� of Item Code C :`:Critical Item DESCRIPTION OFVIOLATION/PLAN OF CORRECTION Date No; Reference: R Red Item PAs PRiNT l EARLV Yerlfted s ;. i } c zj Olt �i Ae �. r � i I Discussion With Person in Charge: Corrective Action Required: O No O Yes I have read this report, have had the opportunity to ask questions and agree to correct all O Voluntary Compliance ❑ Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to comply Exclusion ❑ Re.inspection Scheduled ❑ Emergency Suspension with all mandates of the Mass/Federal Food Code. I understand that noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of your food permit. ❑ Embargo ❑ Emergency Closure J O Voluntary Disposal 0 Other ripen 'iaeq HORRS R WARREN - BOSTON -- • CITY C•SALEM • BOARD OF HEALTH Page: of Establishment Name: �/,p �ral4l? o� 4Ij Date: -.. rltical tem DESCRIPTION OF.VIOLATION/ PLAN OF CORRECTION Date Item Code C C Not Reference: R '::Red Item ! P eRiNr '�eAR�r ' ` Yerlfled e 2zell r zat, 7— v i 7 5' All VC �z - / pJ /'/Z i C c Z_ .� ., a A Discussion With Person in Charge: Corrective Action Required: ❑ No; OYes t I have read this report, have had the opportunity to ask questions and agree to correct all 0 voluntary Compliance ❑ Employee Restriction/ Exclusion violations before the next inspection, to observe all conditions as described, and to comply ❑ Re-inspection Scheduled ❑ Emergency Suspension with all mandates of the Mass/Federal Food Code. I understand that noncompliance may i result in daily fines of twenty-five dollars or suspension/revocation of your food permit. ' ❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other s FORM 734B HOBBS &WARREN BOSTON y THE COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM Address: 120 Washington Street, 4th Floor BOARD OF HEALTH Salem, MA 01970-3523 SOD ESTABLISHMENT INSPECTION REPORT Tel: (978) 741-1800 Fax: (978)745-0343 Name Date Type of Operatlon(sl Tvoe of Ins tion VFood Service ❑ Routine Address ry Rik ❑ Retail VRe-inspection Level El Residential Kitchen Previous Inspection Telephone y ; c/ ❑ Mobile Date: 7 ❑ Temporary ❑ Pre-operation Owner 7- �/ /' % � / ' J HACCP Y/N ❑ Caterer y ❑ Suspect Illness n ./ Person In Charge(PIC) Time ❑ Bed&Breakfast ❑ General Complaint Inspector---�- --- In: ❑ HACCP -;r - Out: Permit No. ❑ Other Each violation checked requires an explanation on the narrative page(s) and a citation of specific provision(s) violated. Non-compliance with: Violations Related to Foodborne Illness Interventions and Risk Factors (Red ItemsI Anti-Choking Tobacco Violations marked may pose an imminent health hazard and require immediate corrective 590.009(E) ❑ 590.009(F) ❑ action as determined by the Board of Health. Local Law ❑ FOOD PROTECTION MANAGEMENT ❑ 12. Prevention of Contamination from Hands ❑ 1. PIC Assigned/Knowledgeable/ Duties ❑ 13. Handwash Facilities EMPLOYEE HEALTH ❑ 2. Reporting of Diseases by Food Employee and PIC PROTECTION FROM CHEMICALS El3. Personnel with Infections Restricted/Excluded ❑ 14. Approved Food or Color Additives ❑ 15. Toxic Chemicals FOOD FROM APPROVED SOURCE 4. Food and Water from Approved Source TIME/TEMPERATURE CONTROLS(Potentially Hazardous Foods) 5. Receiving/Condition ❑ 16. Cooking Temperatures ❑ 17. Reheating ❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 18. Cooling ❑ 7. Conformance with Approved Procedures/HACCP Plans ❑ 19. Hot and Cold Holding PROTECTION FROM CONTAMINATION ❑ 20. Time as a Public Health Control ❑ 8. Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) ❑ 9. Food Contact Surfaces Cleaning and Sanitizing ❑ 21. Food and Food Preparation for HSP ❑ 10. Proper Adequate Handwashing CONSUMER ADVISORY ❑ 11. Good Hygienic Practices ❑ 22. Posting of Consumer Advisories Violations Related to Good Retail Practices (Blue Number of Violated Provisions Related Items) Critical (C) violations marked must be corrected To Foodborne Illnesses Interventions immediately or within 10 days as determined by the Board and Risk Factors (Red Items 1-22): of Health. Non-critical (N) violations must be corrected Official Order for Correction: Based on an inspection immediately or within 90 days as determined by the Board today, the items checked indicate violations of 105 CMR of Health. 590.000/Federal Food Code.This report, when signed below c N by a Board of Health member or its agent constitutes an 23. Management and Personnel (FC-2)(590.003) order of the Board of Health. Failure to correct violations 24. Food and Food Protection (FC-3)(590.004) cited in this report may result in suspension or revocation of 25. Equipment and Utensils (FC-4)(590.005) the food establishment permit and cessation of food 26. Water, Plumbing and Waste (FC-5)(590.006) establishment operations. If aggrieved by this order, you 27. Physical Facility (FC-6)(590.007) have a right to a hearing.Your request must be in writing 28. Poisonous or Toxic Materials (FC-7)(590.008) and submitted to the Board of Health at the above address 29. Special Requirements (590.009) within 10 days of receipt of this order. 30. Other DATE OF RE-INSPECTION: Inspector's Signature: Print: PIC's Signature: Print: C OTI' fi/I u i 1 Page�of Pages V • CITY C•SALEM • BOARD OF HEALTH Establishment Name: T(r ram,; ,%�� ,17 C� Date: Page: of Item Code C Critical Item DESCRIPTION OF VIOLATION 1 PLAN OF CORRECTION Date No Reference R=Red Item E RfN7 CLEARLY Verified P �J Discussion With Person in Charge: Corrective Action Required: ❑ No ❑Yes I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance ❑ Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to comply Exclusion with all mandates of the Mass/Federal Food Code. I understand that noncompliance may ❑ Re-inspection Scheduled ❑ Emergency Suspension result in daily fines of twenty-five dollars or suspension/revocation of your food permit. ❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other FORM 734E HOBBS &WARREN - BOSTON • CITY o(VALEM • BOARD OF HEALTH Date: Page: of Establishment Name: ��p �ov��i+`i � A411dcz Item Code C-Critical Item DESCRIPTION OF VIOLATION/ PLAN OF CORRECTION Date' .. No. Reference; R Red Item PLEASE:PRINT CLEARLY Verified /' Pr � es c � Discussion With Person in Charge: Corrective Action Required:. ❑ No U Yes I have read this report, have had the opportunity to ask questions and agree to correct all ❑ voluntary Compliance ❑ Employee Restriction/ violations before the next inspection, to observe all conditions as described, and to comply Exclusion with all mandates of the Mass/Federal Food Code. I understand that noncompliance may ❑ Re-inspection Scheduled ❑ Emergency Suspension result in daily fines of twenty-five dollars or suspension/revocation of your food permit. ❑ Embargo ❑ Emergency Closure ❑ voluntary Disposal ❑ Other FORM 734B HOBBS &WARREN - BOST_ON AGENT'S NEWSLETTER TO THE BOARD • VOLUME 84 January 14, 2003 FOLLOW-UP FROM DECEMBER MEETING In the packet is a colored comparison of our current versus proposed smoking ban as prepared by Joyce Redford of Tobacco Control. The recommended modifications to our Massage Regulation have been forwarded to the City Solicitor. NORTH SHORE MEDICAL CENTER Margaret Oakes, Director of Community Benefits of the North Shore Medical Center and formerly of Partners, met with Mayor Usovicz, Tom Philbin, Tracy and I, to discuss the hospital's potential contributions to the City. Of course I was hoping for direct monetary contributions to support our budget but that wasn't what she had in mind! There is growing concern, statewide, from trash collectors regarding the presence of hypodermic needles in household trash from diabetics, etc. The MDPH has warned us that there may be language in trash contracts with municipalities stating that such items may not be placed out for collection. I will speak with Margaret about the hospital assisting in the collection of these needles. I would appreciate any other ideas for potential collaboration. I am meeting with Margaret next Wednesday. • BUDGET 2004 The Mayor has not made any specific comments regarding our new budget. However, in his State of the City Address there were many references to the dire financial situation facing the City. City Councillor, Laura DeToma, Chair of the Finance Subcommittee, has asked to meet with me next Friday to discuss possible ramifications of significant cuts to our budget. This may be a challenge since I really do not know how deep these cuts will be. I will keep you informed. REGIONAL BOARDS OF HEALTH MEETING Originally, the regional Boards of Health meeting for January was to focus on pesticide use. However, Dr. Block an BOH member from Swampscott and Chief of Cardiology at Union Hospital, is speaking at a seminar regarding pesticides on January 23, 2003 from 7-9PM at Salem Hospital. A flyer is enclosed in the packet. Therefore, this will take the place of the regional meeting. Discussions regarding West Nile Virus will take place at the regional meeting in Beverly in February. STAFF I took some vacation time during the holidays. I want to thank Jeff for doing a wonderful job covering for me. Several staff members continue their pursuit of higher education. Jose in • enrolled in Biology, Tracy in Chemistry 2, and Sharon in Criminal Justice 2. We all wish them well in their studies. ************************************************** AGENT'S NEWSLETTER TO THE BOARD ADDENDUM VOLUME 84 January 14, 2003 i GLOUCESTER BOARD OF HEALTH PROPPOSED DREDGING REGULATION . A member of the Gloucester Board of Health, Judy Ganeen, sent for your review the enclosed proposed regulations regarding harbor dredging. I i i • s i ` Salem Board of Health December Phone Log 2002 • Total Answered *Answered Calls Sunday December 1, 2002 Barb = 223 Monday December 2, 2002 56 Mary= 325 Tuesday December 3, 2002 40 Wednesday December 4, 2002 38 Thursday December 5, 2002 35 Friday December 6, 2002 22 *Calls Taken Saturday December 7, 2002 Sunday December 8, 2002 Joanne = 113 ---------------- Monday December 9, 2002 17 Jeffrey = 42 Tuesday December 10, 2002 33 Sharon= 53 Wednesday December 11, 2002 38 Jose = 33 Thursday December 12, 2002 29 Pablo = 3 Friday December 13, 2002 20 Tracy = 151 Saturday December 14, 2002 Ginny = 11 Sunday December 15, 2002 Barb = 52 • Monday December 16, 2002 40 Mary = 90 Tuesday December 17, 2002 33 Wednesday December 18, 2002 23 Thursday December 19, 2002 23 Friday December 20, 2002 11 43 Office Hours Per Week Saturday December 21, 2002 20 working days Sunday December 22, 2002 MARMARA35 Hour Work Week Monday December 23, 2002 25 Tuesday December 24, 2002 10 (*1/2 Day) Wednesday December 25, 2002 Holiday Monday 8-4 Thursday December 26, 2002 8 Tuesday 8-4 Friday December 27, 2002 1 5 Wednesday 8-4 Saturday December 28, 2002 Thursday 8-7 Sunday December 29, 2002 Frid. 8-4 Monday December 30, 2002 7 (*112 1 Tuesday December 31, 2002 Day) 0 Total = 548 Board ofHealth Administration Monthly Report Dec-02 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 660 Burial Permits @ $5.00 $425.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Licenses & Perm its(+copies) $22,400.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $720.00 Measles/Mumps/Rubella= 350 Copies $0.00 Polio IPV= 470 Fines $25.00 Tetanus & Diptheria (adult use)= 525 Total Monies Collected $23,570.00 Tuberculin PPD= 80 HIB Titre= 505 Hepatitis B= 532 PPV 23 70 PCV 7 465 Annual Budget Expenses Available Balance Salary/Longevity $391,705.00 $142,206.06 $249,498.94 Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200.00 $2,564.95 $2,307.43 $9,327.62 City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ---------------------------------------------- Type Jul 02 Aug 02 Sep 02 Oct 02 Nov 02 Dec 02 Count 1 0 0 0 0 0 1 BP 1 0 0 0 0 0 1 CFI 79 52 46 57 39 33 306 CFR 2 9 3 3 10 0 27 CH 6 6 7 1 5 4 29 CON 8 7 7 6 0 3 31 CR 7 8 7 4 5 2 33 CT 1 1 6 1 0 2 11 EC 4 13 9 0 2 3 31 EPR 0 2 2 0 0 0 4 FC 1 4 1 3 5 1 15 FRH 0 2 4 3 0 9 FSD 1 4 4 2 1 2 14 FSI 24 28 23 17 17 33 142 FSR 15 18 20 16 10 12 91 GN 7 5 4 0 2 3 21 HI 7 9 8 10 12 15 61 HR 8 7 9 15 8 11 58 LPI 3 2 2 1 1 0 9 MT 5 8 10 8 1 6 38 MUP 0 0 0 2 0 0 2 OG 1 3 2 0 0 0 6 RC 1 0 0 0 0 0 1 0 RFI 7 2 4 7 8 4 32 RFR 3 2 2 1 1 1 10 RO 6 2 2 2 1 2 15 SB 75 49 17 0 0 0 141 SC 0 0 1 0 0 0 1 SM 0 0 0 0 1 0 1 SP 4 2 0 0 0 0 6 TFI 17 5 0 6 0 0 28 TR 40 22 40 23 14 9 148 Count 334 270 238 189 146 146 1323 r - r City of Salem, Massachusett, Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: 06 _ OV-„,ALT7 Inspection Types _ BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI Housing Insp. 260* RO - Rodent Control 16' CON - Constable Serv- 65* HR - Housing Reinsp. 135* SC - Suntan 7* - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn . Compl . 51* MW - Mark/Weights SP - Swim- Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. . 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* 5 �� ,�coNnrr CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 • .y� ""' TEL. 978-74 1-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report November 2002 Activities Disease Prevention • In touch with T.B. Clinic and following active cases and case contacts. Vaccine inventory maintained and distributed. Investigated communicable disease cases and reported to the M.D.P.H • 11/1& 11/22 22 Homebound residents received Flu vaccinations_ • Directly Observed Therapy Monday through Friday for a Suspect Active T.B. • case. Meetings and Clinics • Offering daily blood pressure screenings for one city employee. • 11/7 Salem Housing Authority Clinic: 245 Residents were vaccinated. Chairperson Christine Harrington participated with her students from Endicott College. • 11/8 Office Visits for Flu Shots from 8-12 p.m. for high risk residents 19 vaccinated. • Pioneer Terrace Flu and Pneumonia Clinic held from 8-11 a.m. 135 residents were vaccinated. • 11/14 Attended Meeting at Beverly Library. MDPH meeting to discuss staffing patterns with regional emergency coordinators. • 11/21 Office Clinic for Flu vaccinations held 8-II a.m. and 3 p.m. to 7 p.m. 31 residents participated. CITY OF SALEM, MASSACHUSETTS .� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • °^� TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES November 2002 DISEASE: NEW CARRY OVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 0 0 0 0 • Giardia 1 0 1 0 E.Coli 0157H7 0 0 0 0 Hepatitis 3 5 0 0 Lyme Disease 0 1 0 0 Meningitis 10 0 0 0 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Shigella 0 0 0 0 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. • • Summary of Communicable Disease for November 2002 Hepatitis C No report on this case at this time. Will report next month. Lyme Disease: No report on this case at this time. Will report next month. Tuberculosis: Suspect Case #1 24 y/o male. Admitted to NSMC on 10/10. Meds started on 10/14. d/c from hospital on November 7t". Smear positive, CXR=Abn, cavitary. 8 household contacts tested. 8y/o household contact referred to NSPC for evaluation. DOT initiated on November 8t". Will receive DOT 5xweek. Severely immunocompromised. UPDATE: Pt was hospitalized on November 10t". Remains in hospital. Plan to re test household contacts in December. 8y/o CXR neg. Started on INH. Osuspect Case #2 32 y/o unemployed male R.N. from Phillipines. Hx of Pulmonary T.B. dx in Phillipines, being treated with meds. Came to NSPC c/o symptoms. CXR=changes. ?MDR T.B. Household contact referred to NSPC. UPDATE: DOT continues. Household contact CXR neg at NSPC. Will start INH after she finishes nursing newborn. Suspect Case #3 22 y/o Non -Resident who attends Salem State College. Smear Positive. CXR abnormal non-cavitary. 84 contacts identified and notified of exposure. Case arrived in U.S. in March 2001 . AGENT'S NEWSLETTER TO THE BOARD • VOLUME 83 December 10, 2002 FOLLOW-UP FROM OCTOBER MEETING In the packet is a comparison of our current versus proposed smoking ban as prepared by Joyce Redford of Tobacco Control. Also in the packet is a recommendation regarding our Massage Regulation as it related to Reiki. POWER PLANT In response to Lucy Corchado's request I am now a member of the Coal Dust Committee. This committee was formed to address concerns initially voiced by the Derby Street Neighborhood Association regarding contamination of the neighborhood by the coal dust pile at the Power Plant. I attended my first meeting this week. The Power Plant has hired an environmental consultant to sample different areas to determine the amount of coal dust being distributed. The initial phase, already begun, is sampling for PM 10, that constituent of the dust or "particulate matter" that is 10 microns or smaller. This is the fraction of the dust that could make its way deep into the lungs and potentially cause an adverse health effect. The committee is also considering collecting total particulate matter to determine potential nuisance effects of the coal dust. This matter was discussed briefly at a recent City Council subcommittee • meeting, as was the plan for the oil storage containers at the site. MASS CASUALTY SEMINAR Chris Harrington, Frank Murphy of Murphy Funeral Home, a Salem State nursing student, Tracy, and I, are planning a day-long seminar in Salem, probably in February. This seminar would be for first responders, nurses, board of health personnel, funeral directors, hospital staff, etc. regarding response to a mass casualty incident. We are in the initial planning stage for this event that could include small pox immunization training, incident command training, triage techniques, etc. TOBACCO CONTROL The Acting Governor is considering cutting the remaining $5.8M from the State's Tobacco Program. This program has received progressive cuts from its original $48M budget. The MDPH has asked key mayors to petition her finance administrator to reconsider the idea. HAPPY HOLIDAYS MERRY CHRISTMAS PEACEFUL NEW YEAR • 0 • Board of Health Administration Monthly Report NOV. 2002 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 690 Burial Permits @ $5.00 $265.00 Diptheria,Tetanus Tox.(under 6 yrs)= 20 Licenses & Permits(+copies) $145.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,125.00 Measles/Mumps/Rubella= 330 Copies $15.60 Polio IPV= 430 Fines $150.00 Tetanus & Diptheria (adult use)= 635 Total Monies Collected $1,700.60 Tuberculin PPD= 70 HIB Titre= 501 Hepatitis B= 465 PPV 23 200 PCV 7 540 Annual Budget Expenses Available Balance Salary/Longevity $391,705.00 $142,206.06 $249,498.94 Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200.00 $2,564.95 $2,307.43 $9,327.62 City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month -------------------------------------- Type Jul 02 Aug 02 Sep 02 Oct 02 Nov 02 Count 1 0 0 0 0 1 BP 1 0 0 0 0 1 CFI 79 52 46 57 39 273 CFR 2 9 3 3 10 27 CH 6 6 7 1 5 25 CON 8 7 7 6 0 28 CR 7 8 7 4 5 31 CT 1 i 6 1 0 9 EC 4 13 9 0 2 28 EPR 0 2 2 0 0 4 FC 1 4 1 3 5 14 FRH 0 0 2 4 3 9 FSD 1 4 4 2 1 12 FSI 24 28 23 17 17 109 FSR 15 18 20 16 10 79 GN 7 5 4 0 2 18 HI 7 9 8 10 12 46 HR 8 7 9 15 8 47 LPI 3 2 2 1 1 9 MT 5 8 10 8 1 32 MUP 0 0 0 2 0 2 OG 1 3 2 0 0 6 RC 1 0 0 0 0 1 7 2 4 7 8 28 is 3 2 2 1 1 9 RO 6 2 2 2 1 13 SB 75 49 17 0 0 141 SC 0 0 1 0 0 1 SM 0 0 0 0 1 1 SP 4 2 0 0 0 6 TFI 17 5 0 6 0 28 TR 40 22 40 23 14 139 Count 334 270 238 189 146 1177 City of Salem, Massachusett, Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: Inspection Types 17 BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI Housing Insp. 260* RO - Rodent Control 16* CON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* ('D - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* _ Computer Time10* MS - Massage 6* SM - Seminars 36* Envirn. Compl . 51* MW - Mark/Weights SP - Swim.Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* i Salem Board of Health November (Phone Log 2002 Total Answered Answered Calls Friday November 1, 2002 20 Barb = 231 Saturday November 2, 2002 k `? Mary = 261 Sunday November 3, 2002 Monday November 4, 2002 43 Tuesday November 5, 2002 31 Wednesday November 6, 2002 31 Calls Taken Thursday November 7, 2002 9 Friday November 8, 2002 30 Joanne = 122 Saturday November 9, 2002 Jeffrey = 25 Sunday November 10, 2002 Sharon= 37 Monday November 11,2002 Holiday Jose = 43 Tuesday November 12, 2002 43 Pablo = 10 IkInesday November 13,2002 26 Tracy = 120 Thursday November 14,2002 26 Ginny = 5 Friday November 15, 2002 10 Barb = 50 Saturday November 16,2002 Mary = 80 Sunday November 17,2002 Monday November 18,2002 22 Tuesday November 19,2002 31 Wednesday November 20,2002 30 43 Office Hours Per Week Thursday November 21,2002 39 19 WORK DAYS Friday November 22, 2002 14 Saturday November 23,2002 Monday 8-4 Sunday November 24,2002 == Tuesday 8-4 Monday November 25,2002 44 Wednesday 8-4 Tuesday November 26,2002 25 Thursday 8-7 Wednesday November 27,2002 11 Frid. 8-4 Thursday November 28,2002 HOLIDAY y November 29,2002 7 "Skeleton" Full Day Saturday November 30,2002 Tota1 Calls *= 492 • • • Board of Health Administration Monthly Report OCT. 2002 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 460 Burial Permits @ $5.00 $285.00 Diptheria,Tetanus Tox.(under 6 yrs)= 20 Licenses & Permits(+copies) $640.00 Immune Serum Globulin= 2 Certificate of Fitness@$25.00 $1,225.00 Measles/Mumps/Rubella= 430 Copies $0.00 Polio IPV= 540 Fines $200.00 Tetanus & Diptheria (adult use)= 555 Total Monies Collected $2,350.00 Tuberculin PPD= 10 HIB Titre= 350 Hepatitis B= 120 PPV 23 150 PCV 7 75 Annual Budget Expenses Available Balance Salary/Longevity $391,705.00 $115,251.64 $276,453.36 Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200.00 $2,387.92 $2,087.80 $9,724.28 � �oHnr� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH # 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 • �.y� TEL. 978-74 1-1 800 FAX 978-745-0343 STANLEY USCVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report October 2002 Activities Disease Prevention • in touch with T.B. Clinic and following active cases and case contacts. • vaccine inventory maintained and distributed. • investigated communicable disease cases and reported to the ivi.D.RK • Directly Observed Therapy for suspect T.B. resident daily, Monday through Friday. DOT completed on October 30, 2002 • • 10/15 ppd testing for 8 Household Contacts of a Suspect Active T.B. case. results negative. 3 yio referred to North Shore Pulmonary Clinic for M.D. evaluation. • i vi i 8 & i ui25 29 Homebound residents received Flu vaccinations. • Directly Observed Therapy Monday through Friday for a Suspect Active T.B. case. Meetings and Clinics • Offering dairy blood pressure screenings for two city employees. One for the month of September and one for the month of October. • i viy Meeting with Doug Boilen, Superintendant of Park and Rec. Dept. Discussed requirements for recreabonai camps. • i ui23 Attended Health Care Advisory Council Meeting at Salem High School. I.111AI The Council A�• • -10/31 1 he `,ouncil on Aging Flu and Pneumonia Clinic was held from 9-1 z noon. 712 residents were vaccinated. Assisting at the Clinic were Dr. Barbara Poremba and Salem State College Nursing Students, Dr. Miaskiewicz, Joanne Scott, Barbara Sirois, Linda ciworthy and several COA staff members. • • Summary of Communicable Disease for October 2002 Cryptosporidium 72 y/o retired female. Symptom Onset: October 1, 2002 Traveled to Pennsylvania 9/25-9/30. Traveled with group to Amish s Country. to several Farms. Drank apple cider at rY pP farm. No other complaints from tour group. Husband was not ill. Hepatitis C No report on this case at this time. Will report next month. Lyme Disease: No report on this case at this time. Will report next month. Tuberculosis: Suspect Case #1 55 y/o female. 7/09/02- smear positive, CXR=Abnormal Cavitary. 21 contacts ppd tested. Started meds 7/14/02 DOT 5xweek. Final Culture: M. Xenopi. DOT stopped. Pt. referred by NSPC to Dr. Greenbaum. Will not count as a case. Suspect Case #2 24 y/o male. Admitted to NSMC on 10/10. Meds stared on 10/14. d/c from hospital on November 7t". Smear positive, CXR=Abn, cavitary. 8 household contacts tested. 8y/o household contact referred to NSPC for evaluation. DOT initiated on November 8t". Will receive DOT 5xweek. Severely immunocompromised. Suspect Case ##3 32 y/o unemployed male R.N. from Phillipines. Hx of Pulmonary T.B. dx in Phillipines, being treated with meds. Came to NSPC c/o symptoms. CXR=chap es. ?MDR T.B. Household contact referred to 9 NSPC. AGENT'S NEWSLETTER TO THE BOARD • VOLUME 81 November 12, 2002 HALLOWEEN We permitted multiple temporary food vendors, during Haunted Happenings. This process involves review of the application, consultation over the phone with the vendor regarding safe food handling practices, issuance of the permit, and conducting several inspections throughout the celebration. We require that all potentially hazardous foods be prepared in permanent, permitted facilities. For example, raw hamburg is not allowed to be prepared at a temporary food booth and sausages must arrive at the booth pre-cooked. CLEAN AIR WORKS NORTH Clean Air Works North met once again in October. Different Boards reported on their progress toward the smoking ban in all workplaces. The presiding Chair of this group, the Chair of the Beverly Board of Health, is encouraging continuing communication between Boards of Health on issues, in addition to smoking, that Boards may be addressing. So Dr. Block of the Swampscott Board of Health presented information about health issues related to pesticides and there was some discussion regarding West Nile Virus. Therefore, this group will meet again on January 16th to discuss the use of pesticides related to West Nile Virus and again on February 27th regarding pesticide use in general. Of course all Board members are encouraged to attend. CONFERENCES I attended the first day of the MHOA conference in Hyannis attending seminars on Cemeteries & Crematoriums and Nail Salons, in addition to meeting with the MHOA representative to the MDPH regarding bioterrorism planning and with members of the Certified Health Officers Board. Jeff attended the second and third days of the conference. NON-PROFITS We published the increase of fees in the News and sent a written notice to everyone who was permitted for anything in 2002. We have received questions from several non-profits and others. EMERGENCY PLAN The City's Comprehensive Emergency Management Plan is still being revised! We hope to return the revision to the State within the month. In the meantime, we began conversations with a HAM radio operator (Barbara's husband!), with one of our funeral directors, and others, as we begin to plan for a potential health event. FOLLOW-UP FROM LAST MEETING In the packet is a comparison of our current versus proposed smoking ban as prepared by Joyce Redford of Tobacco Control. Also in the packet is a recommendation regarding our Massage Regulation as it related to Reiki. An update of the Boards Objectives for July, August and September will be distributed at the meeting. City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ------------------------------ Type Jul 02 Aug 02 Sep 02 Oct 02 Count ----- ------ ------ ------ ------ 1 0 0 0 1 BP 1 0 0 0 1 CFI 79 52 46 57 234 CFR 2 9 3 3 17 CH 6 6 7 1 20 CON 8 7 7 6 28 CR 7 8 7 4 26 CT 1 1 6 1 9 EC 4 13 9 0 26 EPR 0 2 2 0 4 FC 1 4 1 3 9 FRH 0 0 2 4 6 FSD 1 4 4 2 11 FSI 24 28 23 17 92 FSR 15 18 20 16 69 GN 7 5 4 0 16 HI 7 9 8 10 34 HR 8 7 9 15 39 LPI 3 2 2 1 8 MT 5 8 10 8 31 MUP 0 0 0 2 2 OG 1 2 1 3 2 0 6 RC 1 0 0 0 1 7 2 20 3 2 2 1 8 RO 6 2 2 2 12 SB 75 49 17 0 141 SC 0 0 1 0 1 SP 4 2 0 0 6 TFI 17 5 0 6 128 TR 40 22 40 23 125 Count 334 270 238 189 1031 City of Salem, Massachusett. Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: 06- _ Inspection Types ors BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* CH —Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* CON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* CR - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* Computer Time10* MS - Massage 6* SM - Seminars 36* - Envirn.. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* E R - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health OCTOBER PHONE LOG 2002 • Total Answered *Answered Calls Tuesday October 1, 2002 45 Barb = 366 Wednesday October 2, 2002 32 Mary= 354 Thursday October 3, 2002 29 Office = Friday October 4, 2002 17 Saturday October 5, 2002 Sunday October 6, 2002 *Calls Taken Monday October 7, 2002 37 Tuesday October 8, 2002 49 Joanne = 156 Wednesday October 9, 2002 21 Jeffrey = 88 Thursday October 10, 2002 36 Sharon 20 Friday October 11, 2002 14 Jose = 50 Saturday October 12, 2002 ARMARMAR Pablo = 14 Sunday October 13, 20020��Rgg Tracy = 156 Monday October 14, 2002 HOLIDAY Ginny = 10 Tuesday October 15, 2002 55 Barb = 107 Wednesday October 16, 2002 37 Mary = 119 Thursday October 17, 2002 34 Friday October 18, 2002 28 Saturday October 19, 2002 Sunday October 20, 2002 43 Office Hours Per Week Monday October 21, 2002 38 22 work days Tuesday October 22, 2002 1!26 35 Hour Work Week Wednesday October 23, 2002 35 Thursday October 24, 2002 39 Friday October 25, 2002 19 Monday 8-4 Saturday October 26, 2002 Tuesday 8-4 Sunday October 27, 2002 Wednesday 8-4 Monday October 28, 2002 30 Thursday 8-7 Tuesday October 29, 2002 44 Frid. 8-4 Wednesday October 30, 2002 22 Thursday October 31, 2002 1 33 Total = 720 Board of Health Administration Monthly Report SEPT. 02 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 460 Burial Permits @ $5.00 $310.00 Diptheria,Tetanus Tox.(under 6 yrs)= 20 Licenses & Permits(+copies) $370.00 Immune Serum Globulin= 2 Certificate of Fitness@$25.00 $1,900.00 Measles/Mumps/Rubella= 430 Copies $0.00 Polio IPV= 540 Fines $75.00 Tetanus & Diptheria (adult use)= 555 Total Monies Collected $2,655.00 Tuberculin PPD= 10 HIB Titre= 350 Animal Bites Reported= 2 Hepatitis B= 120 PPV 23 150 PCV 7 75 Annual Budget Expenses Available Balance Sal ary/Longevity $391,705.00 $81,788.56 $309,916.44 Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200.00 $1,776.87 $2,143.81 $10,279.32 i �coND CITY OF SALEM, MASSACHUSETTS A BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR . - SALEM, MA O1970 • � ^°R� TEL. 978-741-1800 FAX 978-745-0.343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Pi ehlic Hanith Nurse Report September 2002 Activities Disease Prevention e In touch With T.B. Clinic and following active cases and case contacts. • Vaccine inventory maintained and distributed. • Investigated communicable disease cases- and reported to the M.D.P.H. Meetings and Clinics • E 9/5 Attended North East Regional Tuberculosis Meeting g at the.e North Shore Pulmonary Clinic. 9/13 Attended North Shore Public Health Nurse Meeting at Tewksbury Hospital. Medicaid Reimbursement for Flu vaccine discussed. e 9/25 Attended New England Environmental Health Association annual seminar. Bioterrorism preparedness discussed. 9 9/26 Attended Meeting at State Lab Institute to discuss emergency preparedness plans for Local Boards of Health. 9 Continued Directly Observed Therapy Monday through Friday for suspect active T.B. client. St. Joseph's O Hearing and vision screenings Will begin October 15tn Phoenix school 9 Hearing and vision screenings Will begin in November r r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 C FAX 978-745-0.343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR. HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DI&RAR-P-Q September 2002 aIAT0 10 �1 ev C A 1�Ry Oe'11+P a�scte��a�va gage aiav _"_. av"vv s &a v ay � a & araaaGED • f`aampjlobacter. 0. 0 0 •uiar cat,is i 0 1 1 1 .Coli 0157H7 0 0 0 0 Hepatitis 5 1 0 0 Lyme Disease 0 0 0 0 Meningitis.��s 0 0 0 0 Pertussis 0 0 0 0 Salmonella 1 0 1 1 Shigella 0 0 0 0 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this y month. r O ND CITY OF SALEM, MASSACHUSET'TS BOARD OF HEALTH ¢ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0.343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR. HEALTH AGENT r Summary Of Communicable Disease for September 2002 2 Home!Visits. Followed up on 2 Contacts of a suspect case of T.B. in Haverhill, MA. 2 PPD's administered, both negative. Will recheck PPD's in 8-12 weeks. • 1 Oiardia 19 y/o food handler. This man Was tested for pre-employment by Lahey Clinic Employee Health. The worker was treated With antibiotics and re tested per protocol. He started work after negative stool results. 5 Hepatitis C reported from MDPH. Will follow up with M.D. Suspect active T.B. case. Awaiting final culture. Client continues DOT ?E5dayslweek. AGENT'S NEWSLETTER TO THE BOARD VOLUME 80 October 8, 2002 BODY ART & MASSAGE REGULATIONS • The Board may want to form a subcommittee to consider John Keenan's remarks last month regarding the Body Art Regulations, as well as the comments from the Reiki supporters. One meeting would probably be enough to draw up recommendations for the full Board's consideration next month. SAFE PESTICIDE MEETING I was ,asked to attend a meeting for the Salem Alliance For the Environment (SAFE) regarding the use of pesticides in our community. Tom Philbin and Rick Rennard also represented the City. SpeaVers from Marblehead, Swampscott, and an environmental advocacy group, presented their opinions regarding the use and dangers of pesticides. The major concern-presented regarded the use of fertilizers and other lawn enhancers, with organic techniques being recommended. I informed the group that the Board considers its yearly Mosquito Control Plan in the early spring and said I would inform them so that they could present their views regarding pesticide use to control West Nile Virus. SCOTIA STREET Another meeting was held regarding the hazardous materials, namely asbestos, found at a building site on Scotia Street. The Licensed Site Professional reviewed his findings and recommendations to the neighbors. He will be forwarding this information to the DEP for approval. In summary, he suggests doing soil analysis in an area under a large dirt pile that wasn't included previously, and removing any asbestos contamination that has been found. Another meeting is planned for October 15cn • WITCHCRAFT HEIGHTS SITE We have had additional meetings with the EPA and DEP regarding the contamination found at the WHES and surrounding area. The DEP is analyzing the considerable amount of data generated and formulating a risk assessment for each residence tested. To date the EPA will remediate the yards of two neighbors, and has set aside funds for additional properties if necessary. UPDATE ON MY EXTRACURRICULAR ACTIVITES Several years ago the Board and the Mayor gave me permission to join two organizations, North Shore Community Health, Inc and the Boys & Girls Club of Greater Salem, both of whom have missions to serve the most needy of our community in alignment with the Board's mission to improve public health. I served for several years on the Board of the Health Center, the past few as its president. I have been the secretary for the Boys & Girls Club and recently was asked to become the president. This is an exciting time for the Club because we are actively working to find a location to site a new building. In consideration of the increased responsibilities at the Board of Health because of the threat of bioterrorism, the current fine leadership of the Health Center, and the time needed to devote to the B&G Club, I have resigned from the Health Center. It is my deep respect for the Health Center that prevents me from becoming "dead wood" and not contributing my fair share to its goals. In addition, I have resigned as Co-chair of the Salem-Ota Club thus freeing more evening time to devote to the B&G Club. There will be some business time spent on the B&G Club • activities, but I will keep this to a minimum and, in total, no more than was previously spent on both the Club and the Health Center. I am enclosing a letter sent several years ago to Stephen O'Grady describing my commitment, as Health Agent, to the Club in hopes of persuading you to continue to permit my involvement with the Club. it � I Mna 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 r September 9, 1998 Stephen M. O'Grady Executive Director Boys & Girls Club of greater Salem 13 Hawthorne Boulevard Salem, MA 01970 Dear Steve: You had asked me for the names of companies which supply pre-made: pre- packaged sandwiches. I'm including three which furnish mobile food trucks in Salem. Before listing the names, however, I wanted to tell you that last week I was reminded of how essential the Boys & Girls Club is to our community. My public health nurse and I were called to do an emergency inspection. A Bell Telephone employee had observed horrific conditions in an apartment occupied by a mother and two children. In the course of our careers, we have seen people living in unsanitary and inhumane conditions, but this apartment was truly shocking. The mother told us that her nine year old daughter went to the Boys & Girls Club after school every day. As you know, my son attends the Club after school. For me the services of the club are a great relief and convenience. But for that little girl, the Boys & Girls Club is so much more...a haven or respite from a world we could barely imagine and of which she would probably never speak. i am at once humbled and proud to be on the Board of the Club and promise to improve my attendance record. My thanks to you, Amy, Marshall, and the staff for the wonderful and vital work that you do. Sincerely yours, Joanne Scott t i City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ---------------------- Type Jul 02 Aug 02 Sep 02 Count 1 0 0 1 BP 1 0 0 1 CFI 79 52 46 177 CFR 2 9 3 14 CH 6 6 7 19 CON 8 7 7 22 CR 7 8 7 22 CT 1 1 6 8 EC 4 13 9 26 EPR 0 2 2 4 FC 1 4 1 6 FRH 0 0 2 2 FSD 1 4 4 9 FSI 24 28 23 75 FSR 15 18 20 53 GN 7 5 4 16 HI 7 9 8 24 HR 8 7 9 24 LPI 3 2 2 7 MT 5 8 10 23 OG 1 3 2 6 RC 1 0 0 1 RFI 7 2 4 13 10FR 3 2 2 7 0 6 2 2 10 SB 75 49 17 141 SC 0 0 1 1 SP 4 2 0 6 TFI 17 5 0 22 TR 40 22 40 102 Count 334 270 238 842 Tr++ City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: Inspection Types L9fr - Gy��tiT7f R BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret .Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* Constable Serv. 65* HR - Housing Reinsp. 135* SC _ Suntan 7* ` Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES SESD Odor 0* CT _ Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . -taint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 5--;* MT - Meetings 65* TR - Trash 381* i Salem Board of Health SEPTEMBER PHONE LOG 2002 • Total Answered *Answered Calls Sunday September 1, 2002 0 Barb = 301 Monday September 2, 2002 HOLIDAY Mary= 424 Tuesday September 3,2002 42 Office = 48 Wednesday September 4, 2002 43 Thursday September 5, 2002 34 Friday September 6, 2002 1 33 *Calls Taken Saturday September 7, 2002 Sunday September 8, 2002 Joanne = 177 Monday September 9,2002 54 Jeffrey = 139 Tuesday September 10, 2002 49 Sharon 33 Wednesday September 11,2002 37 Jose = 54 Thursday September 12, 2002 43 Pablo = 15 Friday September 13, 2002 30 Tracy = 115 Saturday September 14, 2002 Ginny = 2 Sunday September 15, 2002 Em Barb = 71 Monday September 16,2002 38 Mary = 167 _l Tuesday September 17, 2002 46 Wednesday September 18, 2002 43 Thursday September 19, 2002 44 Friday September 20, 2002 22 43 Office Hours Per Week Saturday September 21, 2002 20 work days Sunday September 22, 2002 35 Hour Work Week Monday September 23, 2002 43 Tuesday September 24, 2002 42 Wednesday September 25,2002 38 Monday 84 Thursday September 26, 2002 26 Tuesday 8-4 Friday September 27, 2002 1 22 1 Wednesday 8-4 Saturday September 28, 2002 Thursday 8-7 Sunday September 29,2002 Frid. 8-4 Monday September 30, 2002 44 It j Total = 773 Board of Health Administration Monthly Report Aug-02 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 490 Burial Permits @ $5.00 $275.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Licenses & Perm its(+copies) $585.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $725.00 Measles/Mumps/Rubella= 120 Copies $10.00 Polio IPV= 430 Fines $75.00 Tetanus & Diptheria (adult use)= 400 Total Monies Collected $1,670.00 Tuberculin PPD= 60 HIB Titre= 420 Animal Bites Reported= 1 Hepatitis B= 460 PPV 23 0 PCV 7 300 Annual Budget Expenses Available Balance Salary/Longevity $391,705.00 $54,623.21 $337,081.79 I., Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200'N $327.16 $102.80 $13,770.04 Z CITY OF SALEM, MASSACHUSETTS ,�ootawr BOARD OF HEALTH ` 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 • J,p�p TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT PUBLIC HEALTH NURSE REPORT AUGUST 2002 ACTIVITIES DISEASE PREVENTION • • IN TOUCH WITH T.B. CLINIC AND FOLLOWING ACTIVE CASES AND CASE CONTACTS. e VACCINE INVENTORY MAINTAINED AND DISTRIBUTED. • INVESTIGATED COMMUNICABLE DISEASE CASES AND REPORTED TO THE M.D.P.H. MEETINGS AND CLINICS • ATTENDED ORIENTATION WORKSHOP FOR S.A.T.U.R.N. MEETING WITH JOANNE SCOTT. • MAJOR LEAGUE SOCCER CAMP WAS INSPECTED AND PERMITTED FOR SUMMER 2002. • SUMMER VACATION 7/25 TO 8/2 ST. JOSEPH'S • LETTERS MAILED TO ALL NEW STUDENTS, AND STUDENTS ENTERING KINDERGARTEN, AND SEVENTH FOR IMMUNIZATION UPDATE. PHOENIX SCHOOL • • Summary of Communicable Diseases August 2002 Campylobacter: 22 female Peabody resident. Foodhandler at Crosby's. Removed from foodhandling. Follow up stool obtained was negative. She has returned to work. ' Reported to Jeff Vaughan. Giardia: 8 year old immigrant from Albania. I interviewed the child's Y 9 sponsor. The child arrived in February 2002. Child did not have symptoms, but it is recommended by the CDC that new arrivals from Albania have stool cultures due to high risk of parasites. Suspect T.B. Case: Case continues to receive DOT 5 days per • week. She has been seen by the Doctors at North Shore Pulmonary Clinic. West Nile Virus Update for Salem: As of September 6, 2002, the Salem Board of Health has received 61 reported dead birds in Salem. 14 crows and 2 bluejays have been submitted. 10 were tested, and out of the 10, 6 birds tested positive. We have received a large number of dead crows from the North Salem area. • MONTHLY REPORT OF COMMUNICABLE DISEASES August 2002 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: • Campylobacter 1 0 1 1 Giardia 1 0 1 1 E.Coli 0157H7 0 0 0 0 Hepatitis 0 0 0 0 Lyme Disease 0 0 0 0 Meningitis 0 0 0 0 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Shigella 0 0 0 0 Varicella 0 0 0 0 • Reportable Diseases excluded from above have not been identified this month. The Commonwealth o Massachusetts -- f Executive Office of Public Safety 0 One Ashburton Place c Boston, Massachusetts 02108 Jane swift zvww.mass mass. 'rel: (617)727-7775 Governor "1'TY Tel: (617) 727-6611 Fax: (617) 727-4764 James P.Jajuga July 22,2002 Secretary To All SATURN Orientation Session Attendees: Thank you all for your participation in today's meeting of the Statewide Anti-Terrorism Unified Response Network(SATURN), and for your commitment to playing an essential role in the Commonwealth's first line of defense against terrorism. In the aftermath of the tragic events of September 11 ffi, we are all required to play a more significant role in safeguarding our communities. The old way of doing business no longer applies. A new domestic preparedness paradigm is needed - one that places all local first responder assets on the top of the information chain. Each of us must work within our professional discipline and assist to mobilize our respective jurisdictions to prevent,prepare for, and respond to acts of terrorism. As a multi-faceted effort by the Executive Office of Public Safety, SATURN is intended to enhance • existing preparedness efforts in Massachusetts by mobilizing Red, White and Blue Teams in each community in the Commonwealth. These teams—Red for fire and emergency medical services, White for emergency management, hospitals and public health officials, and Blue for law enforcement, campus& university police, and corrections &parole officers—consist of specially selected representatives who will act as points of contact to state and federal counterparts, coordinate anti-terrorism training for colleagues, facilitate the active exchange of information and intelligence between all parties,respond to citizen concerns, and act as resources to educate the public about the Commonwealth's anti-terrorism efforts. I congratulate you for being selected to be a part of the SATURN program and hope that we may count on your participation In the future. You will be contacted shortly regarding upcoming SATURN training opportunities that will further assist us in building this intelligence, information-sharing, and first-responder network. Thank you, once again, for attending this SATURN orientation today and for your support of this important initiative. Sincerely, l • James P. Jajuga Secretary of Public Safety Massachusetts Department of Public Health - Main Page Page 1 of 2 i The Massachusetts Department of Public Health Helping People Lead Healthy Lives In Healthy Communk es' WNV Home ......................................................... Privy„cy„Pol,i,cy. 2002 West Nile Virus Update Welcome! Welcome to the Massachusetts Department of Public Health West Nile Virus Update for 2002. Below you will find links to current statistics concerning dead bird reports and WNV test results for birds, mosquito pools, horses and humans. For 2001 data, please return to the WNV Home Page (see link at upper left) and scroll down the page to "2001 Information." To report a dead bird or speak to someone about West Nile Virus, call 1-866-MASS-WNV (1-866-627-7968). WNV Summary Statistics: • January 1, 2002 through September 05, 2002 Dead Birds Reported 1 7320 Birds Submitted for Testing IF 743 Birds Tested 607 Birds WNV Positive 363 Mosquito Pools WNV Positive 31 Horses WNV Positive 0 Humans WNV Positive 2* Other WNV Positive Species 1 (Llama) *One Massachusetts resident's WNV infection is believed to have been acquired outside of Massachusetts. Eastern Equine Encephalitis Virus (EEEV) Summary Statistics: • January 1, 2002 through September 05 2002 IF— lhttn•//ilh ctata ma nc/,1n1iAxrni1a/ Ifa Massachusetts Department of Public Health - Main Page Page 2 of 2 N (Mosquito Pools EEEV Positive �I 1 • Horses EEEV Positive 0 Humans EEEV Positive 0 Positive Birds Statewide [Daily] Positive Mosquito Pools rDailyl Positive Birds Statewide rTotall Positive Mosquito Pools rTotall • • htt„•//rlh data ma ne/rinh/a nilP/ 09/06/2002 AGENT'S NEWSLETTER TO THE BOARD VOLUME 79 September 10, 2002 BODY ART REGULATIONS John Keenan has asked to meet with the Board in Executive Session regarding our Body Art Regulation. Information about this is in the packets of the Board members and Physician only. We have scheduled him on the agenda for 7:15 PM. OBJECTIVES The final, 4tn quarter update on the Board's Objectives for FY02 is enclosed in the packet for your review TOBACCO CONTROL The Tobacco Control Program has been downsized considerably with the new State budget. There will continue toi be two full time and one part time employees. The office will be moving to smaller space. LAINE INDUSTRIES We have set a pre-trial conference date in early October for our complaint against Lane Industries. The owner has made progress but the waste material has not been completely removed. • BEACH We were notified that a company named Tetratech was awarded the grant money to conduct studies on the Massachusetts Flagship beaches. Of course this is a disappointment. Apparently the State wanted one contractor to conduct the studies on all three beaches. We have been asked if we are interested in engaging in some subcontracting arrangement with this company. A meeting with the company, the State, Salem State College and us is being considered. I will keep you updated. SCOTIA STREET We organized a meeting with Scotia Street neighbors and a Licensed Site Professional hired after asbestos material was found at property on this street. This was discovered during the initial development of the property for two single family homes. The Licensed Site Professional is developing a plan to assess the extent and nature of the contamination, and then the remediation. A follow-up meeting with the neighbors is scheduled for September 19tn BACK FROM VACATION I had a wonderful vacation while Jeff and the staff did an exemplary job in my absence. Immediately upon my return we faced a problem with a human WNV case on the Peabody/Salem line, and an anthrax scare at the Police • Station! Salem Board of Health PHONE LOG AUGUST 2002 • Total Answered *Answered Calls Thursday August 1, 2002 47 Barb = 165 Friday August 2, 2002 14 Mary= 191 Saturday August 3,2002 Office = 194 Sunday August 4,2002 Monday August 5, 2002 28 Tuesday August 6, 2002 22 *Calls Taken Wednesday August 7,2002 28 Thursday August 8, 2002 35 Joanne = 79 Friday August 9, 2002 14 Jeffrey = 170 Saturday August 10, 2002 Sharon= 37 Sunday August 11, 2002 Jose = 40 Monday August 12, 2002 39 Pablo = 24 Tuesday August 13, 2002 29 Tracy = 74 Wednesday August 14, 2002 19 Ginny = 5 Thursday August 15, 2002 26 Barb = 49 Friday August 16, 2002 14 Mary = 72 Saturday Austust 17, 2002 Immmmmmm Sunday August 18, 2002 Monday August 19,2002 31 Tuesday August 20, 2002 21 43 Office Hours Per Week Wednesday Austust 21, 2002 27 22 =work days Thursday August 22, 2002 1 22 1 35 Hour Work Week Friday August 23, 2002 1 4 Saturday August 24,2002 Sunday August 25,2002 Monday, 8-4 Monday August 26, 2002 42 Tuesday 8-4 Tuesday August 27, 2002 31 Wednesday 8-4 Wednesday August 28, 2002 23 Thursday 8-7 Thursday August 29, 2002 21 Frid. 8-4 Friday August 30,2002 13 Saturday August 31, 2002 It Total = 550 Board of Health Administration Monthly Report Jul-02 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 480 Burial Permits @ $5.00 $300.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Licenses & Perm its(+copies) $1,165.00 Immune Serum Globulin= 1 Certificate of Fitness@$25.00 $1,875.00 Measles/Mumps/Rubella= 410 Copies $8.80 Polio IPV= 410 Fines $600.00 Tetanus & Diptheria (adult use)= 240 Total Monies Collected $3,948.80 Tuberculin PPD= 10 HIB Titre= 435 Animal Bites Reported= 3 Hepatitis 6= 310 PPV 23 0 PCV 7 295 Annual Budget Expenses Available Balance Salary/Longevity $391,705.00 $0.00 $391,705.00 Annual Budget Expenses Encumbered Available Balance Non-Personnel $14,200.00 $0.00 $0.00 $14,200.00 e CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 0 TEL. 978-74 1-1 800 C/ FAx 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report July 2002 Disease Prevention ■ In touch with TB Clinic and following active cases and case contacts. Vaccine inventory maintained and distributed. • ■ Investigate communicable disease cases and reported to the MDPH. Meetings and Clinics ■ 7/3 Purple Scorpion inspected with Jose Diaz,and Christine Harrington,Chairperson.. ■ 7/3 Salem State College Basketball Camps inspection. Camp not in compliance with State Regulations. ■ 7/S Salem State College Camp Reinspecti.on. Camp will not be permitted this year. ■ 7/26 Directly Observed Therapy Monday through Friday for a suspect T.B. case. ■ 7/22 7/25 Mantoux testing for 24 close contacts of suspect T.B. case. St. Joseph's Summer vacation Phoenix School Summer vacation • r coNurr CITY OF SALEM, MASSACHUSETTS � � BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR t a �= SALEM, MA 01970 • 7�.p� ^ TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR. HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES July 2002 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 0 0 0 0 • Giardia 0 0 0 0 E.Coli 0157H7 0 0 0 0 Hepatitis 1 1 1 1 Lyme Disease 1 0 1 1 Meningitis 0 0 0 0 Pertussis 0 0 0 0 Salmonella 1 0 1 1 Shigella 0 0 0 0 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. • 'f Summary of Communicable Diseases July 2002 Suspect Active T.B. 55y/o unemployed. female. Admitted to Salem Hospital in July. Smear positive, culture pending. 24 contacts tested. Case was isolated at home for 2 weeks with Directly Observed Therapy at home. She has been compliant with.clinic appointments and DOT. Final culture due September 24th. Hepatitis B (Chronic Carrier) Pt was interviewed. She has known she had Hepatitis B >10 years. She had it when she lived in the Dominican Republic. Lyme Disease 39 y/o female. She stated that she feels she has had Lyme Disease Symptoms for years. Case was diagnosed positive by Western Blot test. Salmonella 57 year old male who believes he became ill from improperly cooked chicken he ate at a friends BBQ. He is presently disabled. Household contacts are not.ill • • i AGENT'S NEWSLETTER TO THE BOARD VOLUME 78 July 9, 2002 HHWCD We had a very successful Household Hazardous Waste Collection Day again this year. The weather was very warm but not stifling like last year. The traffic was steady with no major slow downs at the chemical collection area. We had 544 cars go completely through the line and an additional 100 cars dropping off propane, tires, tv's, but not continuing to the chemical drop-off area. We collected 470 tires, 488 propane tanks, and 456 tv's and computer monitors! Thanks to our staff and family members who assisted that day including Ryan & Derek Giarla and Paul McCabe. Special thanks to our Chair, Chris Harrington and her husband Dick for another year of enthusiastic physical support! The event was completely over by 4PM...a record finish time! Hats off to Senior Sanitarian, Jeff Vaughan, for his outstanding planning and attention to details. WITCHCRAFT HEIGHTS ELEMENTARY SCHOOL Additional sampling of soil at WHES has revealed more contamination with arsenic. It appears that fill material brought onto the site years ago was • already contaminated. At that time there was not the level of concern or testing that we have in place now. This problem may extend beyond the school property. I will keep the Board informed. LAINE INDUSTRIES We conducted a reinspection last week at Laine Industries on Highland Avenue following our order to remove unclean fill. The fill was not completely removed so we have filed a complaint in Housing Court citing the owner as creating an illegal landfill, in addition to other violations. The hearing will be held on July 11tn FLAGSHIP BEACH Salem area beaches, in particular Willows Pier Beach, have been designated by the EPA as a "Flagship Beach." There are two others in Massachusetts; one in Quincy and another down the Cape. Such a designation will allow a greater focus of time and resources, through grant money, to be directed to our beaches. The Department of Public Health is putting out a "Request for Proposals" to which a collaboration including the Salem, Beverly, and Marblehead Boards of Health, and Salem State College Marine Lab, will apply. We hope to study in great detail the many parameters that might affect swimming water quality, including tide height, air temperature, wind direction, etc. • MASSAGE REGULATIONS In your packet is a revised version of our Massage Regulations reflecting changes recommended by the Board's Subcommittee. On a separate page is a summary of those proposed changes. HAPPY SUMMER! • I, FY2002 4th Quarter Update INSPECTIONAL SERVICES The Board of Health sanitarians and inspectors will: ♦ Provide educational materials for landlords and tenants regarding housing code requirements. 524 informational packets regarding the State's Lead Law sent to landlords. ♦ Vigorously enforce trash regulations. 586 inspections (TR) 38 violation tickets 23 Court Hearings Health Agent met with Director of the Salem CDC regarding chronic dumpster problems. Informational letter regarding trash concerns updated in English and Spanish and distributed to selected apartment buildings in the Point and on Boston Street. • Health Agent met with representatives of the Salem Chamber of Commerce, Main Streets Program, regarding trash problems in the downtown area. Sanitarian translated street sweeping information into Spanish for Point businesses and city schools. ♦ Provide housing inspections in accordance with the State Sanitary Code. 327 Housing Inspections (HI) 103 Housing Reinspections (HR) ♦ Provide Certificate of Inspection inspections for vacant apartments in accordance with City Ordinance. 590 Certificate of Fitness Inspections (CFI+CFR) ♦ Inspect rooming units annually. 23 rooming houses inspected Annual inspections completed ♦ Inspect all food establishments at least once every six months, or as necessary, to ensure compliance with state and local codes 400 Food Inspections (FSI+RFI) 251 Reinspections (FSR+RFR) 21 tickets issued for repeat violations of food code, 15 tickets for expired permit. ♦ Inspect bathing beaches, swimming pools, recreational camps and suntanning facilities at least once a year. 188 Bathing Beach Inspections (SB) 10 Suntan Inspection(SC) Investigated possible source of beach contamination causing closure of several beaches. Co-sponsored successful grant application to conduct beach area environmental • survey. ♦ Inspect massage establishments at least once a year. • 6 massage establishment inspection(MS) Opening inspections at 2 establishments p gns p ♦ Inspect body art establishments at least once a year. 2 Body Art Establishment Inspections (BP) ♦ Investigate complaints regarding any permitted facility. 26 Food Establishment Complaints (FC) ♦ Inspect offensive substance transporters at least once a year. 13 septic hauler inspections ♦ Inspect and review septic systems (ST) in accordance with Title V. 3 Soil/Septic Inspection ♦ Provide sanitary inspections of neighborhoods when requested in order to limit residents' exposure to disease carrying animals. 68 Environmental Inspections (EC) Conducted meeting, attended by 60-70 residents, with three wildlife biologists from the Dept. of Fisheries & Wildlife regarding increased sightings of fox and coyote in neighborhood areas. ♦ Employ the use of a professional pest control operator as a consultant and to control rodents in public areas. 36 rodent complaints (RO) investigated 9 professional exterminations requested ♦ Senior Sanitarian planned and executed Household Hazardous Waste Collection Day with • the assistance of BOH staff. MEDICAL SERVICES The Board of Health Nurse will: ♦ Follow the State's guidelines regarding the follow-up of reported contagious diseases. Campylobacter 4 E.Coli 0 Pertussis 4 Giardia 4 Salmonella 0 Meningitis 1 Hepatitis 17 Shigella 0 Encephalitis 0 Lyme 1 Tuberculosis 0 Meningococcemia 1 ♦ Investigate foodborne illness reports with the inspectional staff. ♦ Investigate reports of unsanitary conditions related to housing with the inspectional staff. ♦ Obtain immunizations from the State in order to maintain an inventory to be distributed. MMR 2250 DPT 4270 DT 30 Hep B 5012 PCV7 3610 IPV 4320 HIB 3695 IGG 10 Pneumonia 880 Td 4260 Salem Board of Health immunization management and inventory inspected by Kim Grant at The Massachusetts Immunization Program. Salem was compliant in all areas reviewed. ♦ Provide nursing services 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. • Immunization records reviewed. Letters sent to all Pre-K, Kindergarten and Seventh grade. Hearing and Vision completed on grades Pre-K to 8' grade. 20 vision 5 hearing referrals sent. Hearing and Vision completed on grades K to 8. 10 vision and 0 hearing referral letters sent. Continue as matriculated student in the LPN to RN evening program at Salem State College. Attending Literature II course at Salem State on Saturday Mornings. Attended Health Care Advisory Council Meeting October and December Attended Health Care Advisory Council Meeting in February. Attended Local Emergency Planning Committee Meeting November Attended Seminar on Flu Pandemic Planning in October. Attended Bioterrorism Seminar in December. Attended MDPH North Shore Regional TB Meeting held at Salem Hospital. Attended West Nile Virus Seminar at Tewksbury Hospital ♦ Sponsor annual influenza(and pneumonia) clinics, and make home visits to the City's elderly and at risk residents for the purpose of immunizing against flu and pneumonia. Council On Aging: 1049 Salem Housing Authority: 139 Pioneer Terrace: 102 Salem Employees 131 Office Visits: 114 Home Visits: 29 VOCES: 82 • 250 doses distributed to Salem Physicians who requested more vaccine. ♦ Develop and implement blood pressure clinics for Police, Fire and City personnel, making referrals as needed. Blood Pressure Clinics were offered in March and April at Fire Headquarters, Police Headquarters, Council Chambers. Follow ups were held at Salem Board of Health. ♦ Inspect medical facilities/records of summer camps for compliance with State Codes. ♦ Conduct hepatitis B clinics for Police,North Shore Ambulance employees and other City employees in conjunction with their contracts. Ongoing Hepatitis B vaccinations administered to North Shore Ambulance employees October November and December. Hepatitis B Clinics continue from February to March. ♦ Provide clinics for non-contagious diseases as determined by need and feasibility. Disseminated information about West Nile Virus to susceptable population, and educational materials delivered to Salem Public Schools, and throughout the community. Sponsored Public Health Forum to educate First Responders about Anthrax. Held at Salem Police Station. The Board of Health Doctor will: ♦ Supervise the medical activities of the Board and its Nurse, including screening clinics, flu clinics, school child assessments, etc. ♦ Authorize the obtaining and distribution of all vaccines given in Salem. Authorized re-enrollment in the Massachusetts Immunization Program. • ♦ Attend the flu clinics. Attended flu clinics at the Council on Aging on 11/7 and 11/8/2001 • Attended Council on Aging Clinics in November ♦ Attend the Board's monthly meetings. Attended monthly meetings. ♦ Consult with the Health Agent and Nurse regarding communicable diseases and other medical issues of concern to the Board. Discussed monthly contagious diseases followed by the Public Health Nurse. Attended MDPH seminar at Salem Police Station regarding anthrax and small pox. ADMINISTRATION The Health Agent will: ♦ Maintain a working relationship with the Point community by regularly attending community events. Health Agent continued as President of North Shore Family Health, Inc. (Salem Family Health Center), taking part in preliminary collaboration meeting with staff from North Shore Medical Center. Jose Diaz continued as Treasurer. Health Agent continued as Secretary of the Boys & Girls Club of Greater Salem. Assisted at BOH Flu Clinic for Point residents at Salem Family Health Center ♦ Represent the Board in presentations to the Mayor and City Council and communicate to the Board proposals and recommendations by the Mayor and City Council. Met with the Mayor and other department heads at weekly development team meetings as allowed by schedule. • Attended and gave information at a City Council meeting regarding swimming water quality. Attended daily meetings with Mayor, Police &Fire Chiefs, and DPW Director regarding terrorism threats throughout October. Attended City Council meetings regarding the Transfer Station and Broadway complaints. Attended Mayor's Strategic Planning Seminars. Ensured attendance of all staff at sexual harassment seminar. Advised Mayor and School Department regarding contaminated fill found during WHES renovations. Coordinated meeting for WHES neighbors with the EPA and DEP regarding contamination issues at the school property and surrounding neighborhood. Participated in Student Government Day. ♦ Provide the office staff with the opportunity to attend educational seminars as offered by the state and other public health associations and organizations. Jeffrey Vaughan and Tracy Giarla attended seminar on Infectious Diseases. Joanne Scott and inspectors attended a Conflict of Interest Seminar. Jeffrey Vaughan, Tacy Giarla, and Joanne Scott attended a Massachusetts Emergency Management Seminar. Jeffrey Vaughan attended one day at the MHOA Annual Seminar. Joanne Scott, Jeffrey Vaughan, Tracy Giarla, Jose Diaz, Sharon McCabe attended a bioterrorism seminar. • Jeffrey Vaughan and Sharon McCabe attended DEP/MHOA seminar regarding terrorism, Title V, Beach regs, water protection, floor drains. i Joanne Scott, Jeffrey Vaughan, and Tracy Giarla attended WNV seminar. Tracy attended Emergency Preparedness meeting at Beverly Hospital. Tracy attended TB meeting. ♦ Be a member of Salem's Local Emergency Planning Committee. The LEPC became reactivated following September 11`h Supervised evacuation and follow-up of anthrax threat at Salem District Court. Investigated anthrax threats/scares at Salem State College, Salem Hospital, Salem Council on Aging. Worked with Police &Fire Chief and Terrorism Police Officer writing and rewriting protocols for handling anthrax threats/scares. Appeared with Tracy Giarla on WESX radio discussing flu clinics and anthrax threats. Presented seminar with Terrorism Police Officer regarding anthrax and other threats to the Derby Street Neighborhood Association. Organized presentation by State Epidemiologist regarding anthrax and small pox to City's first responders and medical personnel. Attended regional emergency preparedness meeting at North Shore Medical Center. Continued formal revision of Salem's Comprehensive Emergency Plan with Police &Fire Chiefs. Disseminated information to City departments regarding the recommended • handling of mail during the anthrax threat. ♦ Insure compliance with directives issued during hearings with developers/contractors. Communicated with the City's Clerk of the Works regarding projects under the supervision of the Planning Board. This includes the JPI site on Bridge Street, the condominium development on Highland Avenue, and the storage facility on Highland Avenue. ♦ Insure compliance with tobacco sale and use regulations. 13 fines issued for selling cigarettes to minors 9 fines issued to restaurants for allowing smoking Acted as hearing officer three times regarding fine letters for establishments allowing smoking. Co-sponsored regional meeting with Beverly Board of Health regarding the possibility of an area-wide approach to smoking in restaurants and other places. Assisted in development of Clean Air Works-North and North Shore Boards of Health Consensus Statement pledging to commit to smoke free work places by January 1, 2004. This statement signed by most north shore boards. Requested support of State Senate President Birmingham for a statewide ban. Sent latest scientific information regarding the increased risk of sudden cardiac death from second hand smoke to Rep. Michael Cahill in support of his statewide ban legislation. • ♦ Reassess Salem High School's tobacco ticketing program. Sent sanitarian to court with high school administration to correct outstanding i violations for smoking on school property. Provided administrative and clerical support for this program. ♦ Encourage networking among the inspectors and the staff of the Massachusetts Department of Public Health and the Department of Environmental Protection and 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. Attended monthly meetings. ♦ Assist in development of plan for dental screening. Supported North Shore Community Health, Inc. in setting up a dental clinic. Regularly forward dental health information obtained through health web sites and journals to the Health Center dentist. ♦ Gather information through public health publications, computer services or any other means and disseminate that information to the staff and Board. Made the American Journal of Public Health and the Journal of the Environmental Health Association available to staff. ♦ Maintain the Board's memberships in related professional organizations. Membership in NACCHO and the Mass Association of Health Boards ♦ Review health status indicators to prioritize possible interventions. Assisted in planning of 2002 Health Fair. ♦ Continue development of a process and procedures book. ♦ Be responsible for and supervise the overall operation of the Board of Health, and provide quarterly reports on these objectives. Submitted V , 2"d° and Yd quarter reports to the Board. Conduct weekly staff meeting to ensure coordination of efforts and positive work environment. ♦ Other Attended Ward 4/Gallows Hill Neighborhood Group meeting in July and September, October and November. Conducted intense surveillance of dumpster at Tri-City Sales. Wrote order regarding violations of Health, Building and Fire Codes at Laine Industries. Began prosecution of violations, at this location, in court. Presented seminar at Salem Senior Academy regarding Home Sanitation (and handling mail after the anthrax threat.) Attended September,November, December,February and March and May meetings of the Health Officers. Board. Chaired meeting of subcommittee on viability of this Board. Updated Massage Regulations for Board of Health review. Condemned two properties for critical violations of the State Sanitary Code for Housing. Reviewed the following food establishment plans for new owners or for renovations: Knight of Cups, College Roast Beef, Cilantro, Chicken Coop, Bowditch School, Mario's Pizza, Salem Diner, Willows Variety, Aquatine Martini Bar, Dunkin Donuts-Washington Street, Lafayette Market,Niko's Roast • Beef, Asahi Restaurant, K-Mart, Sidelines, Maria's Sweet Somethings, Market Basket, Sun Garden, Kabob Factory, Brothers Mini-Mart, Hong Kong King, i • Peabody Essex Museum, Colonial Hall, Carlton School, Biscotti Cucina, Yellow Dog Cafe, Dunkin Donuts-Highland Avenue, KingsII, Smart Cookie, McSwiggins Pub, DeLeo's, Baybridge, Designer Show House, Sea Lion Mini- Mart, Troisi's, Chocolates by Janeen, Last Chance, Roosevelt's, Store 24, Sandwiches,Nino's Pizza, White Hen, Captain Dusty's, Mandarin Super Buffet. Closed an establishment for critical violations of the Food Code. Acted as Hearing Officer for two housing complaints and for a food establishment with ongoing repeat violations. Wrote procedure for city collection of computers and televisions and forwarded to DPW. Met with representative of the Northeast Mosquito Control and Wetlands Management District regarding mosquito control for 2002 season. • • { Y 0.- ----------- FY2 2 a 003 ? INSPECTIONAL SERVICES The Board of Health sanitarians and inspectors will: ♦ Provide educational materials for landlords and tenants regarding housing code requirements. ♦ Vigorously enforce trash regulations. ♦ Provide housing inspections in accordance with the State Sanitary Code. ♦ Provide Certificate of Inspection inspections for vacant apartments in accordance with City Ordinance. ♦ Inspect rooming units annually. ♦ Inspect all food establishments at least once every six months, or as necessary, to ensure that establishments are in compliance with the Food Manager Certification requirement. ♦ Inspect bathing beaches, swimming pools, recreational camps and suntanning facilities at • least once a year. ♦ Inspect massage establishments at least once a year. ♦ Inspect body art establishments at least once a year. ♦ Investigate complaints regarding any permitted facility. ♦ Inspect offensive substance transporters at least once a year. ♦ Inspect and review septic systems in accordance with Title V. ♦ Provide sanitary inspections of neighborhoods when requested in order to limit residents' exposure to disease carrying animals. p riY g ♦ Employ the use of a professional pest control operator as a consultant and to control rodents in public areas. MEDICAL SERVICES The Board of Health Nurse will: ♦ Follow the State's guidelines regarding the follow-up of reported contagious diseases. ♦ Investigate foodborne illnesses reports with the inspectional staff. ♦ Investigate reports of unsanitary conditions related to housing with the inspectional staff. ♦ Obtain immunizations from the State in order to maintain an inventory to be distributed to the City's primary care providers. ♦ Provide nursing services 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 I • needed. ♦ Continue as matriculated student in the LPN to RN evening program at Salem State College. ♦ Sponsor an annual influenza(and pneumonia) clinics, and make home visits to the City's elderly and at risk residents for the purpose of immunizing against flu and pneumonia. ♦ Develop and implement blood pressure clinics for Police, Fire and City personnel, making referrals as needed. ♦ Inspect medical facilities/records of summer camps for compliance with State Codes. ♦ Conduct hepatitis B clinics for Police,North Shore Ambulance employees and other City employees in conjunction with their contracts. ♦ Provide clinics for non-contagious diseases as determined by need and feasibility. The Board of Health Doctor will: ♦ Supervise the medical activities of the Board and its Nurse, including screening clinics, flu clinics, school child assessments, etc. ♦ Authorize the obtaining and distribution of all vaccines given in Salem. ♦ Attend the flu clinics. ♦ Attend the Board's monthly meetings. ♦ Consult with the Health Agent and Nurse regarding communicable diseases and other medical issues of concern to the Board. • ADMINISTRATION The Health Agent will: ♦ Maintain a working relationship with the Point community by regularly attending community events. ♦ Represent the Board in presentations to the Mayor and City Council and communicate to the Board proposals and recommendations by the Mayor and City Council. ♦ Provide the office staff with the opportunity to attend educational seminars as offered by the state and other public health associations and organizations. ♦ Be a member of Salem's Local Emergency Planning Committee. ♦ Insure compliance with directives issued during hearings with developers/contractors. ♦ Insure compliance with tobacco sale and use regulations. ♦ Reassess Salem High School's tobacco ticketing program. ♦ Encourage networking among the inspectors and the staff of the Massachusetts Department of Public Health and the Department of Environmental Protection and 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. ♦ Assist in development of plan for dental screening. ♦ Gather information through public health publications, computer services or any other • means and disseminate that information to the staff and Board. ♦ Maintain the Board's memberships in related professional organizations. ♦ Review health status indicators to prioritize possible interventions. ♦ Continue development of a process and procedures book. ♦ Be responsible for and supervise the overall operation of the Board of Health, and provide quarterly reports on these objectives. • • i Salem Board of Health i JULY PHONE LOG 2002 • Monday July 1,2002 47 *Answered Calls Tuesday July 2, 2002 46 Barb = 344 Wednesday July 3, 2002 60 Mary = 300 Thursday July 4, 2002 HOLIDAY Office = 105 Friday July 5, 2002 9 Saturday July 6, 2002 Sunday July 7, 2002 *Calls Taken Monday July 8, 2002 35 Tuesday July 9, 2002 36 Joanne = 194 Wednesday July 10,2002 33 Jeffrey = 120 Thursday July 11, 2002 50 Sharon = 71 Friday July 12,2002 23 Jose = 52 Saturday July 13, 2002 Pablo = 33 Sunday July 14, 2002 Tracy = 77 Monday July 15, 2002 36 Ginny = 11 Tuesday July 16, 2002 35 Barb = 94 • Wednesday July 17,2002 27 Mary = 97 Thursday July 18, 2002 42 Friday July 19,2002 13 Saturday July 20,2002 Sunday July 21, 2002 43 Office Hours Per Week Monday July 22,2002 41 *=22 Work Days Tuesday July 23, 2002 32 35 Hour Work Week Wednesday July 24, 2002 39 Thursday July 25,2002 40 Friday July 26,2002 11 . Monday 8-4 Saturday July 27, 2002 Tuesday 8-4 Sunday July 28,2002 Wednesday 8-4 Monday July 29,2002 35 Thursday 8-7 Tuesday July 30,2002 40 Frid. 8-4 Wednesday July 31, 2002 19 Total 749 Board of Health Administration Monthly Report Jun-02 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 450 Burial Permits @ $5.00 $330.00 Diptheria,Tetanus Tox.(under 6 yrs)= 20 Licenses & Perm its(+copies) $1,245.00 Immune Serum Globulin= 6 Certificate of Fitness@$25.00 $1,125.00 Measles/Mumps/Rubella= 240 Copies $1.60 Polio IPV= 530 Fines $75.00 Tetanus & Diptheria (adult use)-- 150 Total Monies Collected $2,701.60 Tuberculin PPD= 0 HIB Titre= 530 Animal Bites Reported= 1 Hepatitis B= 400 PPV 23 5 PCV 7 195 Annual Budget Expenses Available Balance Salary/Longevity $360,621.00 $329,830.65 $47,199.35 Annual Budget Expenses Encumbered Available Balance Non-Personnel $15,100.00 $13,044.32 $3,455.95 $432.73 r CITY OF SALEM, MASSACHUSETTS coworr BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • J,p� TEL. 978-74 1-1 800 C FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO . MAYOR HEALTH AGENT Public Health Nurse Repor± May 2002 Disease Prevention • ■ In touch with TS Clinic and following active cases and case contacts. ■ Vaccine inventory maintained and distributed. Investigate communicable disease cases and reported to the MDPH. Continuing Completed World Literature II class at Salem State College. St. Joseph's School Postural Screenings were held at St. Joseph's for grades 5 through 8. 3 letters were sent to M.D.'s for follow up. Phoenix School Postural Screenings will take place on June 5th at the school. Letters will be sent home to parents informing them of the date. MONTHLY g-Ep^RT OF COMMUNICABLE DISEASRS MAY 2002 DISEASE: NEW CARRYOVER DISCHARI GED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 0 0 0 0 • Giardia 0 0 0 0 Group B Strep 0 0 0 0 Hepatitis 0 0 0 0 Lyme Disease 0 0 0 0 Meningitis 0 0 0 0 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Shigella 0 0 0 0 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. i . City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ---------------------------------------------------------------------------------------------- e Jul 01 Aug 01 Sep 01 Oct 01 Nov 01 Dec 01 Jan 02 Feb 02 Mar 02 Apr 02 May 02 Jun 02 Count ---- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ --=== 0 0 0 1 0 0 0 0 0 1 0 0 2 BB 0 1 0 0 0 0 0 0 0 0 0 0 1 BP 0 2 0 0 0 0 0 0 0 0 0 0 2 CFI 49 46 40 55 55 11 50 51 67 59 70 14 567 CFR 0 0 0 1 4 0 2 6 0 0 6 4 23 CH 9 9 12 20 6 10 5 4 5 2 2 1 85 CON 10 10 3 5 2 3 5 1 4 0 7 10 60 CR 0 8 2 4 3 4 3 5 5 3 6 3 46 CT 0 3 3 5 1 3 3 2 4 9 5 2 40 EC 8 21 10 9 2 2 1 3 0 4 5 3 68 EPR 0 0 1 0 0 0 0 0 0 0 2 2 5 FC 1 1 2 4 1 1 4 2 3 4 3 0 26 FRH 1 1 1 1 1 1 2 0 0 0 2 0 10 FRI 0 0 0 0 0 0 0 0 0 0 2 0 2 FSD 3 6 6 9 1 3 7 10 3 3 5 4 60 FSI 16 23 26 32 18 18 40 33 34 32 23 26 321 FSR 9 30 23 29 16 13 22 14 13 10 11 16 206 GN 5 4 7 2 1 5 1 4 2 3 0 2 36 HI 13 6 12 8 10 7 16 49 71 119 9 7 327 HR 10 33 9 8 6 5 9 8 2 5 3 5 103 LPI 0 2 0 1 1 0 0 0 1 0 0 2 7 MS 0 0 0 1 0 0 2 0 2 0 1 0 6 MT 5 10 7 12 7 4 7 7 11 8 7 6 91 MUP 1 0 0 1 0 0 0 2 0 3 1 0 8 OG 11 6 1 6 0 0 0 0 0 0 1 3 28 OS 0 0 0 0 0 0 0 0 0 13 0 0 13 RC 0 0 0 0 0 0 0 0 0 0 0 4 4 OrD 0 1 1 1 0 0 4 0 0 0 0 0 7 FI 5 6 13 4 5 10 5 4 8 6 4 9 79 RFR 1 6 4 3 5 6 5 2 2 3 2 6 45 RO 5 2 0 2 4 1 0 5 3 11 1 2 36 SB 71 56 12 0 0 0 0 0 0 0 0 49 188 SC 0 1 0 1 0 0 0 0 6 0 2 0 10 SM 0 1 2 1 1 1 0 1 3 2 0 4 1.6 SP 0 0 0 0 0 0 1 0 0 0 9 3 13 ST 0 1 0 0 0 0 0 0 0 2 0 0 3 TFI 1 21 7 10 0 0 0 0 0 17 2 0 58 TR 85 109 89 47 29 24 65 33 15 22 18 50 586 VFI 0 0 0 1 0 0 0 0 0 0 0 0 1 Count 319 426 293 284 179 132 259 246 264 341 209 237 3189 Tfi++ City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: 0& - OV-61&-,771 Inspection Types 2 - C24 f�(-,.rr,. BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* 41 N - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* CT _Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - Mark/Weights SP - Swim.Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* J 19CE U%qc Salem High School . - JUL, 3 -200Z Smoking Policy Impact Report - Tune 2002 ci r Y of sA0EM 2 BOARD OF HEALTH Infraction School Year 00-01 01-02 Smoking infractions 47 33 Fines - 20 17 ' Outstanding citations 9 6 Possession of tobacco 47 17 Smoking Cessation Program 13 8 Suspensions 29 15 i J t 7 i Y AGENT'S NEWSLETTER TO THE BOARD VOLUME 78 July 9, 2002 HHWCD We had a very successful Household Hazardous Waste Collection Day again this year. The weather was very warm but not stifling like last year. The traffic was steady with no major slow downs at the chemical collection area. We had 544 cars go completely through the line and an additional 100 cars dropping off propane, tires, tv's, but not continuing to the chemical drop-off area. We collected 470 tires, 488 propane tanks, and 456 tv's and computer monitors! Thanks to our staff and family members who assisted that day including Ryan & Derek Giarla and Paul McCabe. Special thanks to our Chair, Chris Harrington and her husband Dick for another year of enthusiastic physical support! The event was completely over by 4PM...a record finish time! Hats off to Senior Sanitarian, Jeff Vaughan, for his outstanding planning and attention to details. WITCHCRAFT HEIGHTS ELEMENTARY SCHOOL Additional sampling of soil at WHES has revealed more contamination with arsenic. It appears that fill material brought onto the site years ago was • already contaminated. At that time there was not the level of concern or testing that we have in place now. This problem may extend beyond the school property. I will keep the Board informed. LAINE INDUSTRIES We conducted a reinspection last week at Laine Industries on Highland Avenue following our order to remove unclean fill. The fill was not completely removed so we have filed a complaint in Housing Court citing the owner as creating an illegal landfill, in addition to other violations. The hearing will be held on July 11tn FLAGSHIP BEACH Salem area beaches, in particular Willows Pier Beach, have been designated by the EPA as a "Flagship Beach." There are two others in Massachusetts; one in Quincy and another down the Cape. Such a designation will allow a greater focus of time and resources, through grant money, to be directed to our beaches. The Department of Public Health is putting out a "Request for Proposals" to which a collaboration including the Salem, Beverly, and Marblehead Boards of Health, and Salem State College Marine Lab, will apply. We hope to study in great detail the many parameters that might affect swimming water quality, including tide height, air temperature, wind direction, etc. • MASSAGE REGULATIONS In your packet is a revised version of our Massage Regulations reflecting changes recommended by the Board's Subcommittee. On a separate page is a summary of those proposed changes. HAPPY SUMMER! Salem Board of Health • Phone Log June 2002 Total Answered Answered Calls Saturday June 1, 2002 Bloom Barb = 382 Sunday June 2, 2002 Mary = 416 Monday June 3, 2002 37 Office = 66 Tuesday June 4, 2002 38 Wednesday June 5, 2002 57 Thursday June 6, 2002 42 Calls Taken Friday June 7, 2002 28 Saturday June 8, 2002 Joanne = 218 Sunday June 9, 2002 Jeffrey = 125 Monday June 10, 2002 47 Sharon = 88 Tuesday June 11, 2002 43 Jose = 23 Wednesday June 12, 2002 30 Pablo = 11 Thursday June 13, 2002 42 Tracy = 113 Friday June 14, 2002 50 Ginny = 7 rday June 15, 2002 Barb = 135 Sunday June 16, 2002 Mary = 144 Monday June 17, 2002 47 Tuesday June 18, 2002 45 Wednesday June 19, 2002 64 Thursday June 20, 2002 40 43 Office Hours Per Week Friday June 21, 2002 36 20 work days Saturday June 22, 2002 Sunday June 23, 2002 OEM= Monday 8-4 Monday June 24, 2002 66 Tuesday 8-4 Tuesday June 25, 2002 30 Wednesday 8-4 Wednesday June 26, 2002 49 Thursday 8-7 Thursday June 27, 2002 52 Friday 8-4 Friday June 28, 2002 21 Saturday June 29, 2002 Sunday June 30, 2002 i I Total Calls *_ 86 • • • Board of Health Administration Monthly Report May-02 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 460 Burial Permits @ $5.00 $310.00 Diptheria,Tetanus Tox.(under 6 yrs)= 20 Licenses & Permits(+copies) $670.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,225.00 Measles/Mumps/Rubella= 180 Copies $0.00 Polio IPV= 570 Fines $600.00 Tetanus & Diptheria (adult use)= 420 Total Monies Collected $2,805.00 Tuberculin PPD= 150 HIB Titre= 130 Animal Bites Reported= 3 Hepatitis B= 520 PPV 23 5 PCV 7 265 Annual Budget Expenses Available Balance Salary/Longevity $360,621.00 $329,830.65 $47,199.35 Annual Budget Expenses Encumbered Available Balance Non-Personnel $15,100.00 $13,044.32 $3,455.95 $432.73 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 3 SALEM, MA 01970 • ,p� TEL. 978-741-1800 C Fax 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO MAYOR HEALTH AGENT Public Health Nurse Report May 2002 Disease Prevention • ■ In touch with TB "Clinic and following active cases and case contacts. ■ Vaccine inventory maintained and distributed. a Investigate communicable disease cases and reported to the M®PH. Continuing Education Completed World Literature 11 class at Salem State College. St. Joseph's School Postural Screenings were held at St. Joseph's for grades 5 through 3. 3 letters were sent to M.D.'s for follow up. Phoenix School Postural Screenings will take place on June 5tn at the school. Letters will be sent home to parents informing them of the date. • I r� • MONTHLY IREPOR d' OF CO?AMTTNTCAIMLE DISEASEIS MAY 2002 DISEASE: NEW CARRY OVER DESCRARGED REPORT TO CASES: CASES: CASKS: STATE: Camp ylobacter 0 0 0 0 i Guardia 0 0 0 0 Group B Strep 0 0 0 0 Hepatitis 0 0 0 0 Lyme Disease 0 0 0 0 Meningitis 0 0 0 0 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Shigella 0 0 0 0 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. • City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ---------- -- -- ------ ----- -------------- --- ------------- ----- eype Jul 01 Aug 01 Sep-01--Oct 01 Nov 01 Dec 01 Jan 02 Feb 02 Mar-02 Apr 02 May 02 Count 0 0 0 1 0 0 0 0 0 1 0 2 BB 0 1 0 0 0 0 0 0 0 0 0 1 BP 0 2 0 0 0 0 0 0 0 0 0 2 CFI 49 46 40 55 55 11 50 51 67 59 70 553 CFR 0 0 0 1 4 0 2 6 0 0 6 19 CH 9 9 12 20 6 10 5 4 5 2 2 84 CON 10 10 3 5 2 3 5 1 4 0 7 50 CR 0 8 2 4 3 4 3 5 5 3 6 43 CT 0 3 3 5 1 3 3 2 4 9 5 38 EC 8 21 10 9 2 2 1 3 0 4 5 65 EPR 0 0 1 0 0 0 0 0 0 0 2 3 FC 1 1 2 4 1 1 4 2 3 4 3 26 FRH 1 1 1 1 1 1 2 0 0 0 2 10 FRI 0 0 0 0 0 0 0 0 0 0 2 2 FSD 3 6 6 9 1 3 7 10 3 3 5 56 FSI 16 23 26 32 18 18 40 33 34 32 23 295 FSR 9 30 23 29 16 13 22 14 13 10 11 190 GN 5 4 7 2 1 5 1 4 2 3 0 34 HI 13 6 12 8 10 7 16 49 71 119 9 320 HR 10 33 9 8 6 5 9 8 2 5 3 98 LPI 0 2 0 1 1 0 0 0 1 0 0 5 MS 0 0 0 1 0 0 2 0 2 0 1 6 MT 5 10 7 12 7 4 7 7 11 8 7 85 MUP 1 0 0 1 0 0 0 2 0 3 1 8 OG 11 6 1 6 0 0 0 0 0 0 1 25 isS 0 0 0 0 0 0 0 0 0 13 0 13 FD 0 1 1 1 0 0 4 0 0 0 0 7 RFI 5 6 13 4 5 10 5 4 8 6 4 70 RFR 1 6 4 3 5 6 5 2 2 3 2 39 RO 5 2 0 2 4 1 0 5 3 11 1 34 SB 71 56 12 0 0 0 0 0 0 0 0 139 SC 0 1 0 1 0 0 0 0 6 0 2 10 SM 0 1 2 1 1 1 0 1 3 2 0 12 Sp 0 0 0 0 0 0 1 0 0 0 9 10 ST 0 1 0 0 0 0 0 0 0 2 0 3 TFI 1 21 7 10 0 0 0 0 0 17 2 58 TR 85 109 89 47 29 24 65 33 15 22 18 536 VFI 0 0 0 1 0 0 0 0 -0 0 0 1 Count 319 426 293 284 179 132 259 246 264 341 209 2952 T .r++ City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: 0& _ OVt--�11*1-77J Inspection Types n - 64 m�• BP - Body Fiercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* I - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* ON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* CR - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* CT _ Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearingsl5* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* • AGENT'S NEWSLETTER TO THE BOARD VOLUME 77 June 11, 2002 REGIONAL MEETING The regionalmeeting was held on Thursday, June 6th. We heard from Clean Air Works (the Boston-Cambridge regional group poised to enact a 100% workplace ban) and considered and approved the wording of the Consensus Statement that says those that sign it will work toward implementing a total smoking ban in the workplace. In addition, we decided to call our regional group "Clean Air Works North." At the meeting, Danvers and Peabody Board members indicated that they are seriously considering signing the Statement, Saugus and Beverly did sign it and are planning public hearing on the ban within the next few months. There were many North Shore communities at the meeting, including Salem, Beverly, Marblehead, Swampscott, Manchester, Ipswich, Danvers, Peabody, and Wakefield, as well as DJ Wilson from the Mass Municipal Association and Cheryl Sbara from the Mass Association of Health Boards. The Consensus Statement is on the agenda for the Board's consideration. Several communities signed the Statement last night while others are bringing back to their Boards for consideration. FOOD MANAGER CERTIFICATION The first Board of Health Food Manager Certification class was held last Monday. Sharon is using "Power Point" to present the information. There was a good turnout of 22 students. LANE INDUSTRIES We, as well as several other departments, were asked to attend a City Council subcommittee meeting regarding properties on the corner of Highland Avenue and Marlborough Road. We have been strictly enforcing trash regulations in that area. In addition, we are filing a court complaint against Lane Industries for operating a landfill without proper approval. SUMMER The Annual Saindon Board of Health Cook Out has been temporarily suspended just for this year. I am planning a family reunion on the day of the Heritage Days fireworks display. The BOH cook-out will resume next summer. • Salem Board of Health • May Phone Logs 2002 Total Answered Answered Calls Wednesday May 1, 2002 18 Barb = 236 Thursday May 2, 2002 24 Mary = 269 Friday May 3, 2002 27 Office = 110 i Saturday May 4, 2002 Sunday May 5, 2002 Monday May 6, 2002 46 Calls Taken Tuesday May 7, 2002 31 Wednesday May 8, 2002 38 Joanne = 143 Thursday May 9, 2002 35 Jeffrey = 123 Friday May 10, 2002 18 Sharon = 50 Saturday May 11, 2002 KENN= Jose = 51 Sunday May 12, 2002 Pablo = 11 Monday May 13, 2002 33 Tracy = 53 Tuesday May 14, 2002 43 Ginny = 11 nesday May 15, 2002 30 Barb = 79 Thursday May 16, 2002 41 1 Mary = 94 Friday May 17, 2002 24 Saturday May 18, 2002 Sunday May 19, 2002 Monday May 20, 2002 33 43 Office Hours Per Week Tuesday May 21, 2002 28 * =22 Work Days Wednesday May 22, 2002 28 Thursday May 23, 2002 33 Monday 8-4 Friday May 24, 2002 18 Tuesday 8-4 Saturday May 25, 2002 Wednesday 8-4 Sunday May 26, 2002 Thursday 8-7 Monday May 27, 2002 HOLIDAY Frid. 8-4 Tuesday May 28, 2002 20 Wednesday May 29, 2002 15 Thursday May 30, 2002 20 jfX:tday I May 31, 2002 12 Total Calls *_ 615 • • • Board of Health Administration Monthly Report Apr-02 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 310 Burial Permits @ $5.00 $335.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Licenses & Perm its(+copies) $945.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,425.00 Measles/Mumps/Rubella= 110 Copies 177 $16.80 Polio IPV= 430 Fines $225.00 Tetanus & Diptheria (adult use)= 360 Total Monies Collected $2,946.80 Tuberculin PPD= 0 HIB Titre= 525 Animal Bites Reported= 3 Hepatitis B= 390 PPV 23 5 PCV 7 350 Annual Budget Expenses Available Balance Salary/Longevity $360,621.00 $297,397.42 $79,632.58 Annual Budget Expenses Encumbered Available Balance Non-Personnel $15,100.00 $12,352.17 $633.23 $3,947.60 _ �o„H CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 • ly�� TEL. 978-74 1-1 800 FAX 978-745-C343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report April 2002 Disease Prevention ■ In touch with TB Clinic and following active cases and case contacts. ■ Vaccine inventory maintained and distributed. ■ Investigate communicable disease cases and reported to the MDPH. Meetinos and Clinics 4/4 Employee Blood Pressure Clinic held at Council Chambers, City Hall. 26 employees participated. • 4/8 Hepatitis B vaccine for 4 employees. Third series. 4/10 Health Care Advisory Meeting at Salem High School. 4/11 Salem Police Blood Pressure Clinic held at Salem Police Station. 15 employees participated. 4/16 Attended Public Health Forum at Beverly Hospital: "Emergency Preparedness". Speaker, Mary Sheryl Horine, Bioterrorism Coordinator, MDPH. 428 The North Shore Wellness Fair was a great success on Sunday. The fair was well attended throughout the day by exhibitors and North Shore Residents. St. Joseph's School Postural Screenings will take place on Monday May 20th and May 21st at school for students grades 5-8. Letters will be sent home to parents informing them of the date.. Phoenix School • Postural Screenings will take place on June 5th at the school. Letters will be sent home to parents informing them of the date. �oNnrr CITY OF SALEM, MASSACHUSETTS A � � BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • �Rd TEL. 978-741-1 800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES April 2002 E DISEASE• NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Campylobacter 0 0 0 0 • Giardia 1 0 1 1 Group B Strep 1 0 1 1 Hepatitis 2 4 0 0 Lyme Disease 0 0 0 0 Meningitis 0 0 0 0 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Shigella 0 0 0 0 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. • Ica CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH + 120 WASHINGTON STREET, 4TH FLOOR M. SALEM, MA 01 970 lye TEL. 978-741-1800 C FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Summary of Communicable Disease April 2002 Giardia 48 y/o male. non-foodhandler. source of illness unknown. Household contacts non foodhandlers, asymptomatic. Group B Strep Blood culture isolate. Case has hx of Renal Transplant, long term steroid therapy. Hepatitis C 2 cases of Hepatitis C Letters sent to M.D. City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------------------------------------------------ Type Jul 01 Aug 01 Sep 01 Oct 01 Nov 01 Dec 01 Jan 02 Feb 02 Mar 02 Apr 02 Count 0 0 0 1 0 0 0 0 0 1 2 BB 0 1 0 0 0 0 0 0 0 0 1 BP 0 2 0 0 0 0 0 0 0 0 2 CFI 49 46 40 55 55 11 50 51 67 59 483 CFR 0 0 0 1 4 0 2 6 ^ 0 13 CH 9 9 12 20 6 10 5 4 5 2 82 CON 10 10 3 5 2 3 5 1 4 0 43 CR 0 8 2 4 3 4 3 5 5 3 37 CT 0 3 3 S 1 3 3 2 4 9 33 EC 8 21 10 9 2 2 1 3 0 4 60 EPR p 0 1 0 0 0 0 0 0 0 1 FC 1 1 2 4 1 1 4 2 3 4 23 FRH 1 1 1 1 1 1 2 0 0 0 8 FSD 3 6 6 9 1 3 7 10 3 3 51 FSI 16 23 26 32 18 18 40 33 34 32 272 FSR 9 30 29 16 13 22 14 13 10 179 GN 5 4 7 2 1 5 1 4 2 3 34 HI 13 6 12 8 10 7 16 49 71 119 311 HR 10 33 9 8 6 5 9 8 2 5 95 LPI 0 2 0 1 1 0 0 0 1 0 5 MS 0 0 0 1 0 0 2 0 2 0 5 MT i0 7 i2 4 7 ll 9 78 MUP 1 0 0 1 0 0 0 2 0 3 7 OG 11 6 1 6 0 0 0 0 0 0 24 �S 0 0 0 0 0 0 0 0 0 13 13 FD 0 1 1 1 0 0 4 0 0 0 7 RFI 5 6 13 4 5 10 5 4 8 6 66 RFR 1 6 4 3 5 6 5 2 2 3 37 RO 5 2 0 2 4 1 0 5 3 11 33 SB 71 56 12 0 0 0 0 0 0 0 139 Sc 0 1 0 1 0 0 0 0 6 0 8 SM 0 1 2 1 1 1 0 1 3 2 12 SP 0 0 0 0 0 0 1 0 0 0 1 ST 0 1 0 0 0 0 0 0 0 2 3 TFI 1 21 7 10 0 0 0 0 0 17 56 TR 85 109 89 47 29 24 65 33 15 22 518 VFI 0 0 0 1 0 0 0 0 0 0 1 Count 319 426 293 284 179 132 259 246 264 341 2743 r + City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: Inspection Types /L AFC:fir, BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* N - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* ,,-R - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* CT _ Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - !Mark/Weights SP - Swim. Pools 16* i EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* AGENT'S NEWSLETTER TO THE BOARD VOLUME 75 April 9, 2002 MOSQUITO CONTROL Walter Montgomery of the Northeast Mosquito Control and Wetlands Management District is attending our meeting to discuss this year's Mosquito Control Plan. BUDGET I met with Bruce Guy regarding our budget. Bruce explained that the Mayor is not backfilling vacancies so that we have lost the third clerk's position. There was discussion regarding further cuts to our budget, although those were not made. The only concession is to increase the part time inspector's position to 18 hours. BEACHES I spoke with Howard Wensley of the MDPH regarding funding the State has received to improve compliance with the national Beaches Act. I will be meeting with the Beverly Board of Health and the Salem Beverly Water Board so that we can put together a proposal for more in depth beach testing next summer paid for with this funding. PUBLIC HEALTH WEEK Two City Councillors accepted our invitation to accompany a sanitarian on an inspection of a restaurant of their choice. Councillor O'Keefe went with Jeff Vaughan to inspect Fantasy Island, and Councillor Bencal went with Sharon McCabe to Finz. Both inspectors were enthusiastic about the experience. I hope to report the Councillors' reaction to you at the meeting. Sharon McCabe was a guest on George Ahmed's Show discussing public health activities including the Wellness Fair and Household Hazardous Waste Day. Jose gave information to.Johnny Grullon who has a show in Spanish on SATV. He will incorporate that information and probably invite us to appear in the near future. I will be on the Senior-to-Senior Show with Al Needham. Finally, Jeff is preparing.a visual presentation for the SATV Community Bulletin Board describing Board of Health.activities, TOBACCOCOMPLIANCE' In a recent compliance check, three establishments sold cigarettes to minors. Two of those, CVS and Mr. Mike's have paid the fines. The third, Hess on Derby Street, called about six weeks ago to say they were processing the payment but we have not received it. The time period for payment has passed. Hess is coming before the Board for Site Plan Review. Major Magleashe's Pub and Rockmore Dry Dock were not in compliance with the smoking ban during a recent check. They have been sent fine letters. Martin, Christina and Mary attended the regional meeting on smoking regulations. Beverly and Saugus are planning to implement imminently 100% bans of smoking in work places including bars, restaurants and private clubs. The Cities of Boston and Cambridge are quickly moving in that direction, as well, with an effort to include 12 other communities contiguous to them. LEN It was with a heavy heart that I heard of Len's resignation from the Board. He was a wonderful leader during the most challenging of times for the Board. I will miss his wise advice and guidance. Let's plan a fun night out in his honor. AGENT'S NEWSLETTER TO THE BOARD • VOLUME 74 March 12, 2002 BUDGET FY 2003 Enclosed in your packet is a revised budget. I had submitted the budget as discussed at the last meeting. However, Bruce Guy sent it back requiring a level funded budget (not including personnel) be resubmitted. I spoke to him in person and he said, although he was requiring it to be level funded, I could argue my case for an increase when I meet with him. FOLLOW-UP OF PREVIOUS MEETING I have placed the High School Tobacco Regulation on the agenda for July. The agreement presented to the Board last month by Attorney Kevin Daly regarding the septic issue at Harborview Terrace has been modified. This was done after consultation with City Solicitor John Keenan. John did not think it was necessary to record the agreement on the deed to the property. The combined meeting with Beverly will take place on March 7th as you know. Elaine Walsh came before the Board requesting a variance of our massage regulation requiring a hand washing sink in or immediately adjacent to the massage room. She called to tell me her landlord was investigating the possibility of installing a hand sink in the message room. She said she would get back to me about it. HOUSEHOLD HAZARDOUS WASTE DAY We have a date tentatively set for Saturday, June 22, 2002. This is • contingent upon approval of the Board and Mayor, and funding. The Mayor asked me to investigate more frequent disposal options for televisions and computer monitors. It is illegal to throw them into municipal trash so many are being stockpiled or dumped. We are also investigating the possibility of a regional approach where it would be possible to drop off waste monthly in Peabody. This would be much more convenient for our residents particularly those who may be moving or cleaning the home of a deceased relative. MOSQUITO CONTROL In your packet is this year's Mosquito Control Plan submitted by the Northeast Mosquito Control and Wetlands Management District. There is also information regarding Methoprene, the larvicide used in the storm drains. The Board has the option of accepting the plan this month, reviewing it and acting on it next month, or requesting that Walter Montgomery attend next month and present the plan in person. Last year we had a public hearing before the Board t the Ian. Unfortunate) few if an people attended that meeting. voted t� accept e N y, Y N N � Last year three of the Salem birds submitted and tested by the State were found positive for West Nile Virus. Three elderly people became ill with WNV in Massachusetts, the closest in Woburn, and at least one of those three died as a result. However,this was occurring during the Anthrax scare and it did not receive much press. PUBLIC HEALTH WEEK • The first week in April is Public Health Week. I would like to try something different this year to promote the activities of the Board of Health. Perhaps we could ask the Mayor and other elected officials if they would like to accompany us on a restaurant inspection. We would ask the establishment ahead of time. We might be able to have some press coverage and also push many of the other activities'of the Board at that time. 5 et • y 1 \a FY2002 3rd Quarter Update INSPECTIONAL SERVICES The Board of Health sanitarians and inspectors will: ♦ Provide educational materials for landlords and tenants regarding housing code requirements. 391 informational packets regarding the State's Lead Law sent to landlords. ♦ Vigorously enforce trash regulations. 496 inspections (TR) 34 violation tickets 23 Court Hearings Health Agent met with Director of the Salem CDC regarding chronic dumpster problems. Informational letter regarding trash concerns updated in English and Spanish and distributed to selected apartment buildings in the Point and on Boston Street. • Health Agent met with representatives of the Salem Chamber of Commerce, Main Streets Program, regarding trash problems in the downtown area. ♦ Provide housing inspections in accordance with the State Sanitary Code. 192 Housing Inspections (HI) 90 Housing Reinspections (HR) ♦ Provide Certificate of Inspection inspections for vacant apartments in accordance with City Ordinance. 437 Certificate of Fitness Inspections (CFI+CFR) ♦ Inspect rooming units annually. Annual inspections begun. ♦ Inspect all food establishments at least once every six months, or as necessary, to ensure that establishments are in compliance with the Food Manager Certification requirement. 300 Food Inspections (FSI+RFI) 203 Reinspections (FSR+RFR) 3 tickets issued for repeat violations of food code, 15 tickets for expired permit. ♦ Inspect bathing beaches, swimming pools, recreational camps and suntanning facilities at least once a year. 139 Bathing Beach Inspections (SB) 8 Suntan Inspection(SC) Investigated possible source of beach contamination causing closure of several beaches. Co-sponsored successful grant application to conduct beach area environmental survey. ♦ Inspect massage establishments at least once a year. 5 massage establishment inspection(MS) • Opening inspections at 2 establishments • ♦ Inspect body art establishments at least once a year. 2 Body Art Establishment Inspections (BP) ♦ Investigate complaints regarding any permitted facility. 19 Food Establishment Complaints (FC) ♦ Inspect offensive substance transporters at least once a year. ♦ Inspect and review septic systems (ST) in accordance with Title V. 1 Soil/Septic Inspection ♦ Provide sanitary inspections of neighborhoods when requested in order to limit residents' exposure to disease carrying animals. 56 Environmental Inspections (EC) Conducted meeting, attended by 60-70 residents, with three wildlife biologists from the Dept. of Fisheries & Wildlife regarding increased sightings of fox and coyote in neighborhood areas. ♦ Employ the use of a professional pest control operator as a consultant and to control rodents in public areas. 22 rodent complaints (RO) investigated 9 professional exterminations requested MEDICAL SERVICES The Board of Health Nurse will: • ♦ Follow the State's guidelines regarding the follow-up of reported contagious diseases. Campylobacter 4 E.Coli 0 Pertussis 4 Giardia 4 Salmonella 0 Meningitis 1 Hepatitis 17 Shigella 0 Encephalitis 0 Lyme 1 Tuberculosis 0 Meningococcemia 1 ♦ Investigate foodborne illness reports with the inspectional staff. ♦ Investigate reports of unsanitary conditions related to housing with the inspectional staff. ♦ Obtain immunizations from the State in order to maintain an inventory to be distributed. MMR 2250 DPT 4270 DT 30 Hep B 5012 PCV7 3610 IPV 4320 HIB 3695 IGG 10 Pneumonia 880 Td 4260 Salem Board of Health immunization management and inventory inspected by Kim Grant at The Massachusetts Immunization Program. Salem was compliant in all areas reviewed. ♦ Provide nursing services 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. Immunization records reviewed. Letters sent to all Pre-K, Kindergarten and Seventh grade. Hearing and Vision completed on grades Pre-K to 8'h grade. 20 vision 5 hearing referrals sent. • Hearing and Vision completed on grades K to 8. 10 vision and 0 hearing referral letters sent. s i • Continue as matriculated student in the LPN to RN evening program at Salem State College. Attending Literature II course at Salem State on Saturday Mornings. Attended Health Care Advisory Council Meeting October and December Attended Health Care Advisory Council Meeting in February. Attended Local Emergency Planning Committee Meeting November Attended Seminar on Flu Pandemic Planning in October. Attended Bioterrorism Seminar in December. Attended MDPH North Shore Regional TB Meeting held at Salem Hospital. Attended West Nile Virus Seminar at Tewksbury Hospital ♦ Sponsor annual influenza(and pneumonia) clinics, and make home visits to the City's elderly and at risk residents for the purpose of immunizing against flu and pneumonia. Council On Aging: 1049 Salem Housing Authority: 139 Pioneer Terrace: 102 Salem Employees 131 Office Visits: 114 Home Visits: 29 VOCES: 82 250 doses distributed to Salem Physicians who requested more vaccine. ♦ Develop and implement blood pressure clinics for Police, Fire and City personnel, making referrals as needed. Blood Pressure Clinics were offered in March and April at Fire Headquarters, Police Headquarters, Council Chambers. Follow ups were held at Salem Board of Health. ♦ Inspect medical facilities/records of summer camps for compliance with State Codes. ♦ Conduct hepatitis B clinics for Police,North Shore Ambulance employees and other City • employees in conjunction with their contracts. Ongoing Hepatitis B vaccinations administered to North Shore Ambulance employees October November and December. Hepaitis B Clinics continue from February to March. ♦ Provide clinics for non-contagious diseases as determined by need and feasibility. Disseminated information about West Nile Virus to susceptible population, and educational materials delivered to Salem Public Schools, and throughout the community. Sponsored Public Health Forum to educate First Responders about Anthrax. Held at Salem Police Station. The Board of Health Doctor will: ♦ Supervise the medical activities of the Board and its Nurse, including screening clinics, flu clinics, school child assessments, etc. ♦ Authorize the obtaining and distribution of all vaccines given in Salem. Authorized re-enrollment in the Massachusetts Immunization Program. ♦ Attend the flu clinics. Attended flu clinics at the Council on Aging on 11/7 and 11/8/2001 Attended Council on Aging Clinics in November ♦ Attend the Board's monthly meetings. Attended monthly meetings. ♦ Consult with the Health Agent and Nurse regarding communicable diseases and other • medical issues of concern to the Board. Discussed monthly contagious diseases followed by the Public Health Nurse. e Attended MDPH seminar at Salem Police Station regarding anthrax and small pox. ADMINISTRATION The Health Agent will: ♦ Maintain a working relationship with the Point community by regularly attending community events. Health Agent continued as President of North Shore Family Health, Inc. (Salem Family Health Center). Jose Diaz continued as Treasurer. Health Agent continued as Secretary of the Boys & Girls Club of Greater Salem. Assisted at BOH Flu Clinic for Point residents at Salem Family Health Center ♦ Represent the Board in presentations to the Mayor and City Council and communicate to the Board proposals and recommendations by the Mayor and City Council. Met with the Mayor and other department heads at weekly development team meetings as allowed by schedule. Attended and gave information at a City Council meeting regarding swimming water quality. Attended daily meetings with Mayor, Police &Fire Chiefs, and DPW Director regarding terrorism threats throughout October. Attended City Council meetings regarding the Transfer Station and Broadway complaints. Attended Mayor's Strategic Planning Seminars. • Ensured attendance of all staff at sexual harassment seminar. Advised Mayor and School Department regarding contaminated fill found during WHES renovations. ♦ Provide the office staff with the opportunity to attend educational seminars as offered by the state and other public health associations and organizations. Jeffrey Vaughan and Tracy Giarla attended seminar on Infectious Diseases. Joanne Scott and inspectors attended a Conflict of Interest Seminar. Jeffrey Vaughan, Tacy Giarla, and Joanne Scott attended a Massachusetts Emergency Management Seminar. Jeffrey Vaughan attended one day at the MHOA Annual Seminar. Joanne Scott, Jeffrey Vaughan, Tracy Giarla, Jose Diaz, Sharon McCabe attended a bioterrorism seminar. Jeffrey Vaughan and Sharon McCabe attended DEP/MHOA seminar regarding terrorism, Title V, Beach regs, water protection, floor drains. Joanne Scott, Jeffrey Vaughan, and Tracy Giarla attended WNV seminar ♦ Be a member of Salem's Local Emergency Planning Committee. The LEPC became reactivated following September 11"'. Supervised evacuation and follow-up of anthrax threat at Salem District Court. Investigated anthrax threats/scares at Salem State College, Salem Hospital, Salem Council on Aging. Worked with Police &Fire Chief and Terrorism Police Officer writing and • rewriting protocols for handling anthrax threats/scares. Appeared with Tracy Giarla on WESX radio discussing flu clinics and anthrax threats. Presented seminar with Terrorism Police Officer regarding anthrax and other threats to the Derby Street Neighborhood Association. Organized presentation by State Epidemiologist regarding anthrax and small pox to City's first responders and medical personnel. Attended regional emergency preparedness meeting at North Shore Medical Center. Continued formal revision of Salem's Comprehensive Emergency Plan with Police &Fire Chiefs. Disseminated information to City departments regarding the recommended handling of mail during the anthrax threat. ♦ Insure compliance with directives issued during hearings with developers/contractors. Communicated with the City's Clerk of the Works regarding projects under the supervision of the Planning Board. This includes the JPI site on Bridge Street, the condominium development on Highland Avenue, and the storage facility on Highland Avenue. ♦ Insure compliance with tobacco sale and use regulations. 12 fines issued for selling cigarettes to minors 7 fines issued to restaurants for allowing smoking Acted as hearing officer three times regarding fine letters for establishments • allowing smoking. Co-sponsored regional meeting with Beverly Board of Health regarding the possibility of an area-wide approach to smoking in restaurants and other places. Requested support of State Senate President Birmingham for a statewide ban. Sent latest scientific information regarding the increased risk of sudden cardiac death from second hand smoke to Rep. Michael Cahill in support of his statewide ban legislation. ♦ Reassess Salem High School's tobacco ticketing program. Sent sanitarian to court with high school administration to correct outstanding violations for smoking on school property. Provided administrative and clerical support for this program. ♦ Encourage networking among the inspectors and the staff of the Massachusetts Department of Public Health and the Department of Environmental Protection and 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. Attended monthly meetings. ♦ Assist in development of plan for dental screening. Supported North Shore Community Health, Inc. in setting up a dental clinic. Regularly forward dental health information obtained through health web sites and journals to the Health Center dentist. ♦ Gather information through public health publications, computer services or any other • means and disseminate that information to the staff and Board. Made the American Journal of Public Health and the Journal of the Environmental t • Health Association available to staff. ♦ Maintain the Board's memberships in related professional organizations. Membership in NACCHO and the Mass Association of Health Boards ♦ Review health status indicators to prioritize possible interventions. Assisted in planning of 2002 Health Fair. ♦ Continue development of a process and procedures book. ♦ Be responsible for and supervise the overall operation of the Board of Health, and provide quarterly reports on these objectives. Submitted V and 2nd quarter reports to the Board. ♦ Other Attended Ward 4/Gallows Hill Neighborhood Group meeting in July and September, October and November. Conducted intense surveillance of dumpster at Tri-City Sales. Wrote order regarding violations of Health, Building and Fire Codes at Laine Industries. Presented seminar at Salem Senior Academy regarding Home Sanitation(and handling mail after the anthrax threat.) Attended September,November, December, February and March meetings of the • Health Officers. Board. Chaired meeting of subcommittee on viability of this Board. Reviewed the following food establishment plans for new owners or for renovations: Knight of Cups, College Roast Beef, Cilantro, Chicken Coop, Bowditch School, Mario's Pizza, Salem Diner, Willows Variety, Aquatine Martini Bar, Dunkin Donuts-Washington Street, Lafayette Market,Niko's Roast Beef, Asahi Restaurant, K-Mart, Sidelines, Maria's Sweet Somethings, Market Basket, Sun Garden, Kabob Factory, Brothers Mini-Mart, Hong Kong King, Peabody Essex Museum, Colonial Hall, Carlton School, Biscotti Cucina, Yellow Dog Cafe, Dunkin Donuts-Highland Avenue, KingsII, Smart Cookie, McSwiggins Pub, DeLeo's, Baybridge, Designer Show House, Sea Lion Mini- Mart, Troisi's, Chocolates by Janeen, Last Chance. Acted as Hearing Officer for housing complaint. Wrote procedure for city collection of computers and televisions and forwarded to DPW. Met with representative of the Northeast Mosquito Control and Wetlands Management District regarding mosquito control for 2002 season. is Salem Board of Health April Phone Log 2002 • Total Answered *Answered Calls Monday April 1,2002 36 Barb = 228 Tuesday April 2, 2002 50 Mary= 389 Wednesday April 3, 2002 24 Office 56 Thursday April 4, 2002 45 Friday April 5, 2002 25 Saturday April 6, 2002 *Calls Taken Sunday April 7, 2002 Monday April 8, 2002 35 Joanne = 153 Tuesday April 9, 2002 37 Jeffrey = 102 Wednesday April 10, 2002 34 Sharon 52 Thursday April 11, 2002 41 Jose = 31 Friday April 12, 2002 15 Pablo = 15 Saturday April 13, 2002 Tracy = 86 Sunday April 14, 2002 Ginny = 14 Monday April 15, 2002 Holiday Barb = 73 Tuesday April 16, 2002 38 Mary = 147 Wednesday April 17, 2002 33 Thursday April 18, 2002 29 Friday April 19, 2002 8 Saturday April 20,2002 43 Office Hours Per Week Sunday April 21, 2002 * =22 Work Days Monday April 22, 2002 30 35 Hour Work Week Tuesday April 23, 2002 45 Wednesday April 24,2002 24 Thursday April 25,2002 36 Monday 8-4 Friday April 26,2002 24 Tuesday 8-4 Saturday April 27, 2002 Wednesday 8-4 Sunday April 28, 2002 Thursday 8-7 Monday April 29, 2002 26 Frid. 8-4 Tuesday April 30,2002 37 Total = 6737 • • • Board of Health Administration Monthly Report Mar-02 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 190 Burial Permits @ $5.00 $220.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Licenses & Permits(+copies) $320.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,995.00 Measles/Mumps/Rubella= 280 Copies $8.40 Polio IPV= 380 Fines $500.00 Tetanus & Diptheria (adult use)= 210 Total Monies Collected $3,043.40 Tuberculin PPD= 0 HIB Titre= 360 Animal Bites Reported= 3 Hepatitis B= 710 PPV 23 0 PCV 7 370 Annual Budget Expenses Available Balance Salary/Longevity $360,621.00 $271,494.95 $105,535.05 Annual Budget Expenses Encumbered Available Balance Non-Personnel $15,100.00 $11,319.48 $2,351.80 $1,428.72 i • Board of Health Administration Monthly Report �ocn c 1 Biologics Distributed Amount in Doses Diptheria, Tetanus & Pertussis = 630 Burial Permits @ $5.00 $310.00 Diptheria,Tetanus Tox.(under 6 yrs)= 30 Licenses & Permits(+copies) $607.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00��%i ,075.00 Measles/Mumps/Rubella= 320 Sealer Weights/Measures= 0.00 Polio= 420 Fines $800.00 Tetanus & Diptheria (adult use)= 670 Total Monies Collected $2,802.00 Tubeirculin PPD= 120 Total Monies Year to Date 36,684.80 HIB Titre= 496 Animal Bites Reported= 1 Hepatitis B= 480 PPV 23 20 PCV 7 850 Annual Budget Expenses Available Balance Sala ry/Longevity $354,033.00 $258,724.70 $95,308.30 Annual Budget Expenses Encumbered Available Balance Non-Personnel $20,023.00 $12,900.51 $1,128.90 $5,993.59 o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR . SALEM, MA 01970 TEL. 978-74 1-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO MAYOR HEALTH AGENT Public Health Nurse Report March 2002 Activities Disease Prevention • In touch with TB Clinic and following active cases and case contacts. • Vaccine inventory maintained and distributed. • Investigated communicable disease cases and reported to the M.D.P.H. Meetings and Clinics 4/5 Health Fair meeting to discuss upcoming exhibitor meeting. • • M.D.P.H. Northeast Regional meeting with Nancy Taylor Flynn, R.N. Tuberculosis Surveillance Nurse. To discuss current cases with North Shore Public Health Nurses. • 3/14 Exhibitor meeting at Okeefe Center for Salem Wellness Fair. • 3/18 -3/20 Three home visits to a 9 y/o female who had been out of school for 21 days due to a lice infestation. Mother had difficulty with vision. All nits were removed and child returned to school on 3/22. • 3/19 Attended West Nile Virus Seminar at Tewksbury State Hospital. • 3/19 Annual Blood Pressure Clinic: Fire Headquarters. • 3/20 Annual Blood Pressure Clinic: Fire Headquarters. 1 follow up needed. • 3/21 Annual Blood Pressure Clinic: Fire Headquarters. • 3/22 Annual Blood Pressure Clinic: Fire Headquarters. • 3/29 Office visit for a follow up blood pressure. St. Josephs Phoenix School • ti o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • ► 120 WASHINGTON STREET, 4TH FLOOR 3 SALEM, MA 01970 .�. TEL. 978-741-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES MARCH 2O02 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: CAMPYLOBACTER O O O O CRYPTOSPORIDIUM O O O O GIARDIA 0 0 0 0 HEPATITIS 5 1 0 O LYME DISEASE O O O O MENINGITIS 1 0 1 1 PERTUSSIS O O O 0 SALMONELLA 0 0 0 0 SHIGELLA O O O O VARICELLA 1 O 1 1 • REPORTABLE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED THIS MONTH. y CITY OF SALEM, MASSACHUSETTS ITIL,N o BOARD OF HEALTH . 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-74 1-1 800 A FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT I . Hepatitis C 5 Hepatitis C antibody positive were reported from Salem Hospital. Letters sent to M.D. Meninnococcemia One Case. N. Meningitidis serogroup W-135 94 y/o female. Lived at John Bertram House. Was admitted to Salem Hospital. Infection Control Nurse identified 35 Hospital Contacts. 2 contacts at John Bertram House, and One friend were prophylaxed with Cipro. • City Of Salem Environmenta-' --- Inspection Monthly Summary • Month ------------------------------------ Type Jul 01 Aug 01 Sep 01 Oct 01 Nov 01 Dec 01 Jan 02 Feb 02 Mar 02 Count - ----- ------ ------ ------ ------ ------ ------ ------ ------ ------ 0 0 0 1 0 0 0 0 0 1 BB 0 1 0 0 0 0 0 0 0 1 BP 0 2 0 0 0 0 0 0 0 2 CFI 49 46 40 55 55 11 50 51 67 424 CFR 0 0 0 1 4 0 2 6 0 13 CH 9 9 12 20 6 10 5 4 5 80 CON 10 10 3 5 2 3 5 1 4 43 CR 0 8 2 4 3 4 3 5 5 34 CT 0 3 3 5 1 3 3 2 4 24 EC 8 21 10 9 2 2 1 3 0 56 EPR 0 0 1 0 0 0 0 0, 0 1 FC 1 1 2 4 1 1 4 2 3 19 FRH 1 1 1 1 1 1 2 0 0 8 FSD 3 6 6 9 1 3 7 10 3 48 FSI 16 23 26 32 18 18 40 33 34 240 FSR 9 30 23 29 16 13 22 14 13 169 GN 5 4 7 2 1 5 1 4 2 31 HI 13 6 12 8 10 7 16 49 71 192 HR 10 33 9 8 6 5 9 8 2 90 LPI 0 2 0 1 1 0 0 0 1 5 MS 0 0 0 1 0 0 2 0 2 5 MT 5 10 7 12 7 4 7 7 11 70 MUP 1 0 0 1 0 0 0 2 0 4 �G 11 6 1 6 0 0 0 0 0 24 FD 0 1 1 1 0 0 4 0 0 7 RFI 5 6 13 4 5 10 5 4 8 60 RFR 1 6 4 3 5 6 5 2 2 34 RO 5 2 0 2 4 1 0 5 3 22 SB 71 56 12 0 0 0 0 0 0 139 SC 0 1 0 1 0 0 0 0 6 8 SM 0 1 2 1 1 1 0 1 3 10 SP 0 0 0 0 0 0 1 0 0 1 ST 0 1 0 0 0 0 0 0 0 1 TFI 1 21 7 10 0 0 0 0 0 39 TR 85 109 89 47 29 24 65 33 15 496 VFI 0 0 0 1 0 0 0 0 0 1 Count 319 426 293 284 -179� 132 259 246`^ 264 2402 rr++ City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: Inspection Types BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* Court Hearing 93* HI Housing Insp. 260* RO - Rodent Control 16* 0 N - Constable .Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* CT _ Computer Time10* MS Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - Mark/Weights SP - Swim.Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* AGENT'S NEWSLETTER TO THE BOARD VOLUME 75 April 9, 2002 • MOSQUITO CONTROL Walter Montgomery of the Northeast Mosquito Control and Wetlands Management District is attending our meeting to discuss this year's Mosquito Control Plan. BUDGET I met with Bruce Guy regarding our budget. Bruce explained that the Mayor is not backfilling vacancies so that we have lost the third clerk's position. There was discussion regarding further cuts to our budget, although those were not made. The only concession is to increase the part time inspector's position to 18 hours. BEACHES I spoke with Howard Wensley of the MDPH regarding funding the State has received to improve compliance with the national Beaches Act. I will be meeting with the Beverly Board of Health and the Salem Beverly Water Board so that we can put together a proposal for more in depth beach testing next summer paid for with this funding. PUBLIC HEALTH WEEK Two City Councillors accepted our invitation to accompany a sanitarian on an inspection of a restaurant of their choice. Councillor O'Keefe went with Jeff Vaughan to inspect Fantasy Island, and Councillor Bencal went with Sharon McCabe to Finz. Both inspectors were enthusiastic about the experience. I hope to report the Councillors' reaction to you at the meeting. • Sharon McCabe was a guest on George Ahmed's Show discussing public health activities including the Wellness Fair and Household Hazardous Waste Day. Jose gave information to. Johnny Grullon who has a show in Spanish on SATV. He will incorporate that information and probably invite us to appear in the near future. I will be on the Senior-to-Senior Show with Al Needham. Finally, Jeff is preparing.a visual presentation for the SATV Community Bulletin Board describing Board of Health activities., TOBACCO``COMPLIANCE•' In a recent compliance check, three establishments sold cigarettes to minors. Two of those, CVS and Mr. Mike's have paid the fines. The third, Hess on Derby Street, called about six weeks ago to say they were processing the payment but we have not received it. The time period for payment has passed. Hess is coming before the Board for Site Plan Review. Major Magleashe's Pub and Rockmore Dry Dock were not in compliance with the smokingban during a,recent check. The have been sent fine letters. 9 Y Martin, Christina and Mary attended the regional meeting on smoking regulations. Beverly and Saugus are planning to implement imminently 100% bans of smoking in work places including bars, restaurants and private clubs. The Cities of Boston and Cambridge are quickly moving in that direction, as well, with an effort to include 12 other communities contiguous to them. LEN It was with a heavy heart that I heard of Len's resignation from the Board. • He was a wonderful leader during the most challenging of times for the Board. I will miss his wise advice and guidance. Let's plan a fun night out in his honor. Salem Board of Health March 2002 Total Answered *Answered Calls Friday March 1,2002 27 Barb = .212 Saturday . March 2,2002 Mary= 377 Sunday March 3, 2002 Sue= 60 Monday March 4, 2002 46 Tuesday March 5,2002 36 Wednesday March 6,2002 28 *Calls Taken Thursday March 7,2002 1 27 Friday March 8,2002 19 Joanne = 179 Saturday March 9, 2002 Jeffrey = 77 Sunday March 10, 2002 Sharon 54 Monday March 11,2002 46 Jose = 44 Tuesday March 12,2002 23 Pablo = 4 Wednesday March 13, 2002 34 Tracy = 101 Thursday March 14,2002 1 30 Ginny= 8 Friday March 15,2002 26 Barb 55 Saturday March 16, 2002 Sunday March 17, 2002 Sue = 16 Monday March 18, 2002 23 Tuesday March 19,2002- 38 Wednesday March 20,2002 45 43 Office Hours Per Week Thursday March 21, 2002 35 *=20112 Work Days Friday March 22, 2002 22 35 Hour Work Week Saturday March 23, 2002 Sunday March 24, 2002 Monday March 25,2002 45 Monday 8-4 Tuesda y March 26, 2002 35 Tuesday 8-4 Wednesday March 27, 2002 35 Wednesday 8-4 Thursday March 28, 2002 27 Thursday 8-7 Friday March 29,2002 2 1/2 Day Frid. 8-4 Saturday March 30, 2002 Sunday March 31, 2002 Total = 649 OND CITY OF SALEM, MASSACHUSETTS � BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR ` s SALEM, MA 01970 • ! °^� TEL. 978-741-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report February 2002 Disease Prevention: ♦ In touch with T.B. Clinic and following active cases and case contacts. ♦ Vaccine inventory maintained and distributed. ♦ Investigated communicable disease cases and reported to the M.D.P.H. Meetings and Clinics: ♦ Health Care Advisory Council meeting held at Salem High School. • Discussion included current health programs for Salem School students. ♦ North Shore Ambulance Employee Hepatitis B Clinics continue. Continuinq Education: ♦ Literature 11 Class continues on Saturdays from 8-10:30 a.m. at Salem State College. St. Joseph's School: ♦ Referral letters for hearing and vision sent to all parents. Phoenix School ♦ Referral letter for hearing and vision sent to all parents. Registered Nurses Living in Salem ♦ Attached is a letter that was mailed to the 585 Registered Nurses living in Salem asking them if they would agree to be placed on an emergency list as • part of revising our Emergency Management Plan. As of March 7th we have received over 50 positive responses. • �,��oNn CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR `f `3 _ SALEM, MA 01970 • `!y� TEL. 978-741-1800 CAM FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES FEBRUARY 2002 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: • CAMPYLOBACTER O O 0 0 CRYPTOSPORIDIUM O O O 0 GIARDIA 0 0 0 0 HEPATITIS 1 1 O 0 LYME DISEASE O 0 0 0 MENINGITIS O 0 O 0 PERTUSSIS 0 O 0 0 SALMONELLA 0 O 0 0 SHIGELLA O O O 0 VARICELLA 0 0 0 0 REPORTABLE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN IDENTIFIED THIS MONTH. 0 • �,��oNnrr CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • 7��.p� °R TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH., IRS, CHO MAYOR HEALTH AGENT SUMMARY OF COMMUNICABLE DISEASE FOR FEBRUARY Hepatitis C: 1 Chronic case • • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ! 3 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Memorandum Date: February 25, 2002 To: Registered Nurses Living in Salem From: Joanne Scott RE: Emergency Planning As part of revising Salem's Comprehensive Emergency Management Plan, the Salem Board of Health is contacting each Registered Nurse living in Salem to ask if • he or she would be willing to be placed on a contact list in case of an extreme emergency. Compensation for service in such an emergency would be determined at that time. If you are interested please fill out the bottom part of this page and return it to: Joanne Scott Salem Board of Health 120 Washington Street Salem, MA 01970 Please call if you have any questions. Thank you for your consideration in this matter. Name: Address: Telephone Number(s): E-mail: Specialty: • I` AGENT'S NEWSLETTER TO THE BOARD VOLUME 74 March 12, 2002 • BUDGET FY 2003 Enclosed in your packet is a revised budget. I had submitted the budget as discussed at the last meeting. However, Bruce Guy sent it back requiring a level funded budget (not including personnel) be resubmitted. I spoke to him in person and he said, although he was requiring it to be level funded, I could argue my case for an increase when I meet with him. FOLLOW-UP OF PREVIOUS MEETING I have placed the High School Tobacco Regulation on the agenda for July. The agreement presented to the Board last month by Attorney Kevin Daly regarding the septic issue at Harborview Terrace has been modified. This was done after consultation with City Solicitor John Keenan. John did not think it was necessary to record the agreement on the deed to the property. The combined meeting with Beverly will take place on March 7th as you know. Elaine Walsh came before the Board requesting a variance of our massage regulation requiring a hand washing sink in or immediately adjacent to the massage room. She called to tell me her landlord was investigating the possibility of installing a hand sink in the message room. She said she would get back to me about it. HOUSEHOLD HAZARDOUS WASTE DAY We have a date tentatively set for Saturday, June 22, 2002. This is contingent upon approval of the Board and Mayor, and funding. • The Mayor asked me to investigate more frequent disposal options for televisions and computer monitors. It is illegal to throw them into municipal trash so many are being stockpiled or dumped. We are also investigating the possibility of a regional approach where it would be possible to drop off waste monthly in Peabody. This would be much more convenient for our residents particularly those who may be moving or cleaning the home of a deceased relative. MOSQUITO CONTROL In your packet is this year's Mosquito Control Plan submitted by the Northeast Mosquito Control and Wetlands Management District. There is also information regarding Methoprene, the larvicide used in the storm drains. The Board has the option of accepting the plan this month, reviewing it and acting on it next month, or requesting that Walter Montgomery attend next month and present the plan in person. Last year we had a public hearing before the Board voted to accept the plan. Unfortunately, few if any people attended that meeting. Last year three of the Salem birds submitted and tested by the State were found positive for West Nile Virus. Three elderly people became ill with WNV in Massachusetts, the closest in Woburn, and at least one of those three died as a result. However, this was occurring during the Anthrax scare and it did not receive much press. PUBLIC HEALTH WEEK The first week in April is Public Health Week. I would like to try something different this year to promote the activities of the Board of Health. Perhaps we could ask the Mayor and other elected officials if they would like to accompany us on a restaurant inspection. We would ask the establishment ahead of time. We might be able to have some press coverage and also push many of the other activities of the Board at that time. Board of Health Administration Monthly Report FEB. 02 Biologics Distributed " Amount in Doses Diptheria, Tetanus& Pertussis = 430 Burial Permits @$5.00 $391.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Licenses& Permits(+copies) $465.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,300.00 Measles/Mumps/Rubella= 280 Copies $0.00 Polio IPV= 460 Fines $625.00 Tetanus&Diptheria(adult use)= 240 Total Monies Collected $Z681.00 Tuberculin PPD= 50 HIB Titre= 430 Animal Bites Reported= 1 Hepatitis B= 670 PPV 23 144 PCV 7 426 Annual Budget Expenses Available Balance Salary/Longevity $360,621.00 $232,535.90 $128,085.10 Annual Budget Expenses Encumbered Available Balance Non-Personnel $15,100.00 $10,083.45 $2,402.29 $2,614.26 0 • • 7- City Of Salem Environmental Health Division --- Inspection Monthly Summary Month -------------------------------------------------------------- Type Jul 01 Aug 01 Sep 01 Oct 01 Nov 01 Dec 01 Jan 02 Feb 02 Count ----- ------ ------ ------ ------ ------ ------ ------ ------ 0 0 0 1 0 0 0 0 1 BB 0 1 0 0 0 0 0 0 1 BP 0 2 0 0 0 0 0 0 2 CFI 49 46 40 55 55 11 50 51 357 CFR 0 0 0 1 4 0 2 6 13 CH 9 9 12 20 6 10 5 4 75 CON 10 10 3 5 2 3 5 1 39 CR 0 8 2 4 3 4 3 5 29 CT 0 3 3 5 1 3 3 2 20 EC 8 21 10 9 2 2 1 3 56 EPR 0 0 1 0 0 0 0 0 1 FC 1 1 2 4 1 1 4 2 16 FRH 1 1 1 1 1 1 2 0 8 FSD 3 6 6 9 1 3 7 10 45 FSI 16 23 26 32 18 18 40 33 206 FSR 9 30 23 29 16 13 22 14 156 GN 5 4 7 2 1 5 1 4 29 HI 13 6 12 8 10 7 16 49 121 HR 10 33 9 8 6 5 9 8 88 LPI 0 2 0 1 1 0 0 0 4 MS 0 0 0 1 0 0 2 0 3 MT 5 10 7 12 7 4 7 7 59 MUP 1 0 0 1 0 0 0 2 4 OG 11 6 1 6 0 0 0 0 24 D 0 1 1 1 0 0 4 0 7 0FI 5 6 13 4 5 10 5 4 52 RFR 1 6 4 3 5 6 5 2 32 RO 5 2 0 2 4 1 0 5 19 SB 71 56 12 0 0 0 0 0 139 SC 0 1 0 1 0 0 0 0 2 SM 0 1 2 1 1 1 0 1 7 SP 0 0 0 0 0 0 1 0 1 ST 0 1 0 0 0 0 0 0 1 TFI 1 21 7 10 0 0 0 0 39 TR 85 109 89 47 29 24 65 33 481 VFI 0 0 0 1 0 0 0 0 1 Count 319 426 293 284 179 132 259 246 2138 Tr++ City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: Inspection, Types P YP (y2 - G�AF�:r,•, BP - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* ON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* CT _ Computer Time10* MS - Massage 6* SM - Seminars 36* EC Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SE - Swim. Beaches 65* FC - Food Compl . 17* OS - Off. Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health February Phone Log 2002 Total Answered *Answered Calls Friday February 1, 2002 35 Barb = 147 Saturday February 2, 2002 Mary= 246 Sunday February 3, 2002 Sue= 218 Monday February 4,2002 28 Tuesday February 5, 2002 40 Wednesday February 6,2002 26 *Calls Taken Thursday February 7, 2002 25 Friday February 8, 2002 22 Joanne = 146 Saturday February 9, 2002 Jeffrey = 76 Sunday February 10, 2002 0 Sharon 46 Monday February 11,2002 34 Jose = 35 Tuesday February 12, 2002 37 Pablo = 8 Wednesday February 13, 2002 28 Tracy = 60 • Thursday February 14,2002 49 Ginny = 12 Friday February 15, 2002 21 Barb = 60 Saturday February 16, 2002 Mary = 97 Sunday February 17, 2002 Sue = 71 Monday February 18, 2002 Holiday Tuesday February 19,2002 30 *35 Hour Work Week Wednesday February 20,2002 34 #43 Office Hours Per Week Thursday February 21,2002 26 *=19 Work Days Friday February 22, 2002 37 Saturday February 23, 2002 Sunday February 24, 2002 Monday February 25, 2002 41 Monday 8-4 Tuesday February 26,2002 33 Tuesday 8-4 Wednesday February 27, 2002 33 Wednesday 8-4 Thursday February 28, 2002 1 32 Thursday 8-7 Friday 8-4 • Total Calls*= -T 611 S CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • _ = SALEM, MA 01970 TEL. 978-74 1-1 800 c FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report January 2002 Activities Disease Prevention In touch with T.B. Clinic and following active cases and case contacts. e Vaccine inventory maintained and distributed. Investigated communicable disease cases and reported to the M.D.P.H. e 100 Influenza vaccine distributed to health care providers requesting vaccine. • Meetings and Clinics e 1/2 North Shore Ambulance Hepatitis B Clinic. First series of three. e 1/4 St. Joseph's Hepatitis B clinic#2. 2 students participated. 0 1/7 Collins Middle School Hepatitis B Clinic. • 1/8 North Shore Wellness Fair Exhibitor Meeting held at Salem State College. 9 Continuing Education: Attending Salem State College Literature II course on Saturday mornings. St.Joseph's School e Hearing and Vision Screenings completed on grades pre-k through 8. 20 vision and 5 hearing referrals to be sent. PHOENIX SCHOOL Nearing and Vision Screenings completed on grades K through 8. 10 vision and 0 hearing referrals to be sent. • Of CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES JANUARY 2002 DISEASE: NEW CARRYOVER DISCHARGED REPORTTO CASES: CASES: CASES: STATE: • CAMPYLOBACTER 0 0 O O CRYPTOSPORIDIUM 1 O 1 1 GIARDIA 0 0 0 0 HEPATITIS 1 1 5 LYME DISEASE O O O 0 MENINGITIS O O O 0 PERT USSIS 2 O 2 2 SALMONELLA 0 0 O O SHIGELLA O O O O VARICELLA O O 0 O REPORTABLE DISEASES EXCLUDED FROM ABOVE HAVE NOT BEEN • IDENTIFIED THIS MONTH. r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • e 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO MAYOR HEALTH AGENT Suilm u y of co 11 m u1 Lic i le LJiseases for J anugEy • C; ptosporidium: 18 m J o male. Child was symptomatic with diarrhea. Not travel, or untreated water. Child was playing with a orphan who just arrived from the Ukraine. Child was diagnosed with Giardia. (Marblehead resident). 1 cat at home. (Child was getting into used cat litter.) hepatitis B: 1 case. 16 yjo. or king with Salem Nigh School teen center Nurse Practitioner to interview case. Pertussis: 2 cases reported by Elissa Leighton, Epidemiologist at Massachusetts Department of Public Health. Troth cases were adult females that were symptomatic in September, and were not diagnosed until end of December. No follow up needed. • Board of Health Administration Monthly Report Jan-02 Biologics Distributed * Amount in Doses Diptheria, Tetanus&Pertussis= 470 Burial Permits @$5.00 $360.00 Diptheria,Tetanus tox.(under 6 yrs)= 0 Licenses& Permits(+copies) $2,420.00 Immune Serum Globulin= 1 VIAL Certificate of Fitness@$25.00 $1,200.00 Measles/Mumps/Rubella-- 133 Copies $4.40 Polio IPV= 220 Fines $1,550.00 'tetanus& Diptheria(adult use)= 210 Total Monies Collected $6,534.40 Tuberculin PPD= 50 HIB Titre= 120 Animal Bites Reported=F 0 Hepatitis B= 104 PPV 23 206 PCV 7 290 Annual Budget Expenses Available Balance Salary/Longevity $360,621.00 $205,458.12 $155,162.88 Annual Budget Expenses Encumbered Available Balance Non-Personnel $15,100.00 $8,704.15 $3,274.37 $3,121.48 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------------------------ Type Jul 01 Aug 01 Sep 01 Oct Nov 01 Dec 01 Jan 02 Count ----- ------ ------ ------ ------ ------ ------ ------ ----= 0 0 0 1 0 0 0 1 BB 0 1 0 0 0 0 0 1 BP 0 2 0 0 0 0 0 2 CFI 49 46 40 55 55 11 50 306I CFR 0 0 0 1 - 4 0 2 7 CH 9 9 12 20 6 10 5 71 CON 10 10 3 5 2 3 5 38 CR 0 8 2 4 3 4 3 24 CT 0 3 3 5 1 3 3 18 EC 8 21 10 9 2 2 1 53 EPR 0 0 1 0 0 0 0 1 FC 1 1 2 4 1 1 4 14 FRH 1 1 1 1 1 1 2 8 .. FSD 3 6 6 9 1 3 7 35 FSI 16 23 26 32 18 18 39 172 FSR 9 30 23 29 16 13 22 142 GN 5 4 7 2 1 5 1 25 HI 13 6 12 8 10 7 15 71 HR 10 33 9 8 6 5 9 80 LPI 0 2 0 1 1 0 0 4 MS 0 0 0 1 0 0 2 3 MT 5 10 7 12 7 4 7 52 MUP 1 0 0 1 0 0 0 2 •G 11 6 1 6 0 0 0 24 RFD 0 1 1 1 0 0 4 7 RFI 5 6 13 4 5 10 5 48 RFR 1 6 4 3 5 6 5 30 RO 5 2 0 2 4 1 0 14 SB 71 56 12 0 0 0 0 139 SC 0 1 0 1 0 0 0 2 SM 0 1 2 1 1 1 0 6 SP 0 0 0 0 0 0 1 1 ST 0 1 0 0 0 0 0 1 TFI 1 21 7 10 0 0 0 39 TR 85 109 89 47 29 24 63 446 VFI 0 0 0 1 r 0 0 0 1 ----- ------ ------ ------ ------ ------ ------ ------ ----- Count 319 426 293 284 179 132 255 1888 r++ City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: Inspection Types BP - Body Piercing FSI - Food Serv. Ins .892* RFD - Ret .Food Disc. 6* CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16* - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* CR - .Compl.iance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* CT _ Computer Time10* MS - Massage 6* SM - Seminars 36* EC - Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* EPR - Ext . Paint 95* MUP - Mobile Food 'Insp. 11* SB -Swim. Beaches 65* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* AGENT'S NEWSLETTER TO THE BOARD VOLUME 73 February 12, 2002 BUDGET FY 2003 Enclosed in your packet is the outline of our budget. The Mayor is requesting that we keep the expense line items level funded. I will be submitting to you at the meeting my proposed budget fro your review before submitting the Board's Budget by next Thursday. The Goals & Objectives for this submission will be modified to include the work and training necessary for emergency preparedness. EMERGENCY PREPAREDNESS Enclosed in your packet is a letter for our State and Federal representatives requesting that they remember local boards of health when considering funding options. The availability of funding and other emergency related issues were discussed at a meeting at Salem Hospital. Our community plan is still in the revision process. It should be ready to • send to the State within the month. Once that is complete we will begin regular meetings of the Local Emergency Planning Committee and consider engaging in local and regional drills. WITCHCRAFT HEIGHTS ELEMENTARY SCHOOL Contaminated soil was found while doing preparation work for renovations of the Witchcraft Heights Elementary School. A Licensed Site Professional has been hired, testing has been conducted, and the areas of contamination have been determined. I will have more information for the Board after attending a meeting regarding this site. SMOKING REGULATION AT SALEM HIGH SCHOOL Mickey Ward, Principal of Salem High School is attending the meeting to update the Board regarding the impact of the High School smoking regulation. There is information in your packet regarding this. BOH OBJECTIVES The second quarter update for the Board's Objectives are in the packet. Having Sharon on board (pardon the pun) has helped us come closer to reaching our objectives. In fact during the month of January we inspected every food establishment on our schedule of inspections, during the month. This is the first time we have been able to do that in quite a while. All indications are that we will continue to accomplish that objective. We are planning a small celebration of that! J' AGENT'S NEWSLETTER TO THE BOARD VOLUME 73 February 12, 2002 ADDENDUM PERMIT FEES Looking at permit fees in other communities, it is apparent that Salem's fees are among the lowest, if not the lowest in most instances. I would recommend to the Board that there be a review of our fee schedule with consideration of raising them for the 2003 calendar year. I have enclosed several sets of fee schedules and will locate others. CANCER INCIDENCE Enclosed in the packet is the Cancer Incidence Report for Salem, 1994-1998. There are some very interesting findings. Several previously elevated cancers are no longer statistically significantly elevated. These include Total Brain; Female &Total Breast,;Female Leukemia; Male • Lung/Bronchus; Female &Total Pancreas; and Female Stomach. Female &Total Lung/Bronchus; Male, Female &Total All Sites; remain elevated. Male & Total Oral Cavity/Pharynx; Ovary; and Prostate; Male &Total Esophagus; have become elevated in this report. An interesting note on this report is that when we did our Community Health Assessment, we theorized that the elevated breast cancer rate in Salem was due to elevated screenings in Salem compared to the State. This was further validated when we asked the State for detailed information regarding the stages of breast cancer upon diagnosis and Salem had earlier stages of breast cancer at diagnosis when compared to the State. It was our theory that the elevation was a blip due to the increased awareness because of the widely publicized Breast Cancer Walk and the readily available screenings. This theory will be further proven if the incidence rate actually falls below the state average. • CANCER INCIDENCE IN SALEM COMPARISON: 1987-1994 with 1990-1995 • TYPE 1987-1994 1990-1995 94-98 SIR SIR SIR Brain Total 153# 149# Breast Female 112 117# Total 111 116# Leukemia Female 132 185# Lung/Bronchus Male 119# 145A Female 137# 140- 146A Total 127# 143A 132A Male 180- Oral Cavity/ Female 147 179# 200# Pharynx Total 187A Esophagus Male 196# Total 197- • Pancreas Female 162# 120 Total 146# 128 Stomach Female 123 183# All Sites Male 108# 112- 120A Female 118# 120A 114- Total 113# 116A 116A Ovary 169- Prostate 132A SIR The "Standardized Incidence Ratio" is numerical term describing how a city's experience with a disease compares to the state as a whole, while adjusting for age and sex. An SIR of 100 indicates that the city's experience is equal to that expected based on statewide average age- specific incidence rates. An SIR of more than 100 indicates that the city's incidence is higher than what is expected based on the statewide incidence. And an SIR below 100 indicates that the city's incidence of that particular disease is lower than what is expected based on the statewide incidence rate. Symbols • Indicate "p" value, or the test of statistical significance. It is an estimate of the probability that th difference between the observed and expected case count is due to chance alone. # indicates p<-0.05, or that there is a 1 in 20 chance that the difference between an SIR of 100 and that observed is due to chance alone. indicates p<_0.01, or that the difference has a 1 in 100 chance of being due to chance alone. ^ indicates p<_0.001, or that the difference has a 1 in 1000 chance of being due to chance alone J I Salem Expected and Observed Case Counts,with Standardized Incidence Ratios,1994-1998 EEx Obs SIR EX-P Obs SIR Bladder,Urinary Melanoma of Skin Male 23.44 32 137 Male 14.61 11 75 Female 10.75 3 NC* Female 12.96 14 108 Total 34.20 35 102 Total 27.57 25 91 Brain and Other Central Nervous System Multiple Myeloma Male 7.61 7 92 Male 4.34 1 NC* Female 6.81 6 88 Female 4.59 5 109 Total 14.42 13 90 Total 8.93 6 67 Breast Non-Hodgkin's Lymphoma Male 1.47 1 NC* Male 18.76 22 117 Female 160.30 168 105 Female 19.41 18 93 Total 161.77 169 104 Total 38.17 40 105 Cervix Uteri ✓Oral Cavity and:Pharvmc Male 14.47 26 180-+ Female 9.98 10 100 remaie 8.01 16 200#+ .Total 22-49 42 187 A+ Colon I Rectum ✓Ova t Male 58.64 58 99 Female 67.86 72 106 .,Female 18.89 32 169-+ Total 126.50 130 103 / Esophagus Pancreas • J Male' 8.17 16 196#+- Male 9.07 11 121 Female 3.49 7 200 Female 11.64 12 103 ✓total 11.67 23 197-+ Total 20.71 23 111 Hodgkin's Disease ✓Prostate Male 3.96 7 177 Male. 136.10 180 132 A+ Female 3.52 6 170 Total 7.48 13 174 Kidney and Renal Pelvis Stomach Male 13.20 15 114 Male 9.88 8 81 Female 9.54 12 126 Female 7.37 6 81 Total 22.73 27 119 Total 17.25 14 81 Larynx Testis Male 7.45 5 67 Male 6.34 7 110 Female 2.26 3 NC* Total 9.71 8 82 Leukemia Thyroid Male 10.19 12 118 Male 3.04 4 NC* Female 9.19 12 131 Female 9.11 7 77 Total 19.38 24 124 Total 12.15 11 91 Liver and Intrahepatic Bile Ducts Uteri,Corpus and Uterus.NOS Male 4.86 6 123 Female 2.43 0 NC* Female 30.24 38 126 T,)tal 7.30 6 82 Lung and Bronchus All Sites I Types Male 72.89 87 119 Male 460.94 551 120 A+ Female 65.72 96 146 A+ Female 512.76 583 114-+ j Total 138.61 183 132 A+ Total 973-70 1134 116 A+ Note: Explanation of all symbols is on page 364. 270 • mi ! FY2002 2nd Quarter Update INSPECTIONAL SERVICES The Board of Health sanitarians and inspectors will: ♦ Provide educational materials for landlords and tenants regarding housing code requirements. 235 informational packets regarding the State's Lead Law sent to landlords. ♦ Vigorously enforce trash regulations. 383 inspections (TR) 29 violation tickets 23 Court Hearings Health Agent met with Director of the Salem CDC regarding chronic dumpster problems. Informational letter regarding trash concerns updated in English and Spanish and • distributed to selected apartment buildings in the Point and on Boston Street. Health Agent met with representatives of the Salem Chamber of Commerce,Main Streets Program,regarding trash problems in the downtown area. ♦ Provide housing inspections in accordance with the State Sanitary Code. 56 Housing Inspections (HI) 71 Housing Reinspections (HR) ♦ Provide Certificate of Inspection inspections for vacant apartments in accordance with City Ordinance. 261 Certificate of Fitness Inspections (CFI+CFR) ♦ Inspect rooming units annually. ♦ Inspect all food establishments at least once every six months, or as necessary,to ensure that establishments are in compliance with the Food Manager Certification requirement. 176 Food Inspections (FSI+RFI) 145 Reinspections (FSR+RFR) 2 tickets issued for repeat violations of food code. ♦ Inspect bathing beaches, swimming pools,recreational camps and suntanning facilities at least once a year. 139 Bathing Beach Inspections (SB) 2 Suntan Inspection (SC) Investigated possible source of beach contamination causing closure of several beaches. ♦ Inspect massage establishments at least once a year. 1 massage establishment inspection(MS) Opening inspections at 2 establishments ♦ Inspect body art establishments at least once a year. • 2 Body Art Establishment Inspections (BP) ♦ Investigate complaints regarding any permitted facility. 10 Food Establishment Complaints (FC) • ♦ Inspect offensive substance transporters at least once a year. ♦ Inspect and review septic systems in accordance with Title V. 1 Soil/Septic Inspection ♦ Provide sanitary inspections of neighborhoods when requested in order to limit residents' exposure to disease carrying animals. 52 Environmental Inspections (EC) Conducted meeting, attended by 60-70 residents,with three wildlife biologists from the Dept. of Fisheries & Wildlife regarding increased sightings of fox and coyote in neighborhood areas. ♦ Employ the use of a professional pest control operator as a consultant and to control rodents in public areas. 14 rodent complaints investigated 4 professional exterminations requested MEDICAL SERVICES The Board of Health Nurse will: ♦ Follow the State's guidelines regarding the follow-up of reported contagious diseases. Campylobacter 0 E.Coli 0 Pertussis 3 Giardia 2 Salmonella 0 Meningitis 1 • Hepatitis 3 Shigella 0 Encephalitis 0 Lyme 1 Tuberculosis 0 ♦ Investigate foodborne illness reports with the inspectional staff. ♦ Investigate reports of unsanitary conditions related to housing with the inspectional staff. ♦ Obtain immunizations from the State in order to maintain an inventory to be distributed. MMR 1050 DPT 1440 DT 20 Hep B 1570 PCV7 1255 IPV 1700 HIB 1430 IGG 4 Pnuemonia 50 Td 2595 ♦ Provide nursing services 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. Immunization records reviewed. Letters sent to all Pre-K, Kindergarten and Seventh grade. Continue as matriculated student in the LPN to RN evening program at Salem State College. ♦ Sponsor an annual influenza(and pneumonia) clinics, and make home visits to the City's elderly and at risk residents for the purpose of immunizing against flu and pneumonia. ♦ Develop and implement blood pressure clinics for Police, Fire and City personnel, making referrals as needed. • • ♦ Inspect medical facilities/records of summer camps for compliance with State Codes. ♦ Conduct hepatitis B clinics for Police,North Shore Ambulance employees and other City employees in conjunction with their contracts. Ongoing Hepatitis B vaccinations administered to North Shore Ambulance employees ♦ Provide clinics for non-contagious diseases as determined by need and feasibility. Disseminated information about West Nile Virus to susceptable population, and educational materials delivered to Salem Public Schools, and throughout the community. The Board of Health Doctor will: ♦ Supervise the medical activities of the Board and its Nurse, including screening clinics, flu clinics, school child assessments, etc. ♦ Authorize the obtaining and distribution of all vaccines given in Salem. ♦ Attend the flu clinics. ♦ Attend the Board's monthly meetings. ♦ Consult with the Health Agent and Nurse regarding communicable diseases and other medical issues of concern to the Board. ADMINISTRATION The Health Agent will: • ♦ Maintain a working relationship with the Point community by regularly attending community events. Health Agent continued as President of North Shore Family Health, Inc. (Salem Family Health Center). Jose Diaz continued as Treasurer. Health Agent continued as Secretary of the Boys & Girls Club of Greater Salem. Assisted at BOH Flu Clinic for Point residents at Salem Family Health Center ♦ Represent the Board in presentations to the Mayor and City Council and communicate to the Board proposals and recommendations by the Mayor and City Council. Met with the Mayor and other department heads at weekly development team meetings as allowed by schedule. Attended and gave information at a City Council meeting regarding swimming water quality. Attended daily meetings with Mayor, Police&Fire Chiefs, and DPW Director regarding terrorism threats throughout October. Attended City Council meetings regarding the Transfer Station and Broadway complaints. ♦ Provide the office staff with the opportunity to attend educational seminars as offered by the state and other public health associations and organizations. Jeffrey Vaughan and Tracy Giarla attended seminar on Infectious Diseases. Joanne Scott and inspectors attended a Conflict of Interest Seminar. Jeffrey Vaughan, Tacy Giarla, and Joanne Scott attended-a Massachusetts • Emergency Management Seminar. Jeffrey Vaughan attended one day at the MHOA Annual Seminar. Joanne Scott, Jeffrey Vaughan, Tracy Giarla, Jose Diaz, Sharon McCabe attended J' • a bioterrorism seminar. ♦ Be a member of Salem's Local Emergency Planning Committee. The LEPC became reactivated following September 1 Vh Supervised evacuation and follow-up of anthrax threat at Salem District Court. Investigated anthrax threats/scares at Salem State College, Salem Hospital, Salem Council on Aging. Worked with Police & Fire Chief and Terrorism Police Officer writing and rewriting protocols for handling anthrax threats/scares. Appeared with Tracy Giarla on WESX radio discussing flu clinics and anthrax threats. Presented seminar with Terrorism Police Officer regarding anthrax and other threats to the Derby Street Neighborhood Association. Organized presentation by State Epidemiologist regarding anthrax and small pox to City's first responders and medical personnel. Attended regional emergency preparedness meeting at North Shore Medical Center. Began formal revision of Salem's Comprehensive Emergency Plan with Police& Fire Chiefs. Disseminated information to City departments regarding the recommended handling of mail during the anthrax threat. • ♦ Insure compliance with directives issued during hearings with developers/contractors. Communicated with the City's Clerk of the Works regarding projects under the supervision of the Planning Board. This includes the JPI site on Bridge Street,the condominium development on Highland Avenue, and the storage facility on Highland Avenue. ♦ Insure compliance with tobacco sale and use regulations. 9 fines issued for selling cigarettes to minors 5 fines issued to restaurants for allowing smoking Acted as hearing officer twice regarding fine letters for establishments allowing smoking. Requested meeting with Beverly Board of Health regarding the possibility of a similar regulation in Beverly. Requested support of State Senate President Birmingham for a statewide ban. Sent latest scientific information regarding the increased risk of sudden cardiac death from second hand smoke to Rep. Michael Cahill in support of his statewide ban legislation. ♦ Reassess Salem High School's tobacco ticketing program. Sent sanitarian to court with high school administration to correct outstanding violations for smoking on school property. Provided administrative and clerical support for this program. ♦ Encourage networking among the inspectors and the staff of the Massachusetts Department of Public Health and the Department of Environmental Protection and other. • health professionals. ♦ Maintain membership in the North Shore Boards of Health Collaborative for the purpose a r • of administering its tobacco control grant, as well as for information sharing. Attended monthly meetings. ♦ Assist in development of plan for dental screening. Supported North Shore Community Health, Inc. in setting up a dental clinic. ♦ Gather information through public health publications, computer services or any other means and disseminate that information to the staff and Board. Made the American Journal of Public Health and the Journal of the Environmental Health Association available to staff. ♦ Maintain the Board's memberships in related professional organizations. Membership in NACCHO and the Mass Association of Health Boards ♦ Review health status indicators to prioritize possible interventions. Assisted in planning of 2002 Health Fair. ♦ Continue development of a process and procedures book. ♦ Be responsible for and supervise the overall operation of the Board of Health, and provide quarterly reports on these objectives. Submitted I"quarter report to the Board. ♦ Other Attended Ward 4/Gallows Hill Neighborhood Group meeting in July and September, October and November. Conducted intense surveillance of dum ster p P at Tri-City Sales. Presented seminar at Salem Senior Academy regarding Home Sanitation(and • handling mail after the anthrax threat.) Attended September, November and December meetings of the Health Officers. Board. Chaired meeting of subcommittee on viability of this Board. Reviewed the following food establishment plans for new owners or for renovations: Knight of Cups, College Roast Beef, Cilantro, Chicken Coop, Bowditch School, Mario's Pizza, Salem Diner, Willows Variety, Aquatine Martini Bar, Dunkin Donuts-Washington Street, Lafayette Market,Niko's Roast Beef, Asahi Restaurant, K-Mart, Sidelines,Mario's Sweet Somethings, Market Basket, Sun Garden, Kabob Factory, Brothers Mini-Mart, Hong Kong King, Peabody Essex Museum, Colonial Hall, Carlton School, Biscotti Cugina, Yellow Dog Cafe, Dunkin Donuts-Highland Avenue, KingsII, Smart Cookie, McSwiggins Pub, DeLeo's. If • Salem Board of Health January Phone Log 2002 Total Answered *Answered Calls Tuesday January 1, 2002 Holiday Barb = 112 Wednesday January 2,2002 34 Mary= 293 Thursday January 3,2002 1 45 1 Sue= 307 Friday January 4,2002 30 Saturday January 5, 2002 Sunday January 6, 2002 *Calls Taken : Monday January 7,2002 36 Tuesday January 8,2002 26 Joanne = 212 Wednesday January 9,2002 41 Jeffrey = 78 Thursday January 10,2002 34 Sharon= 48 Friday January 11,2002 24 Jose = 32 Saturday January 12, 2002 Pablo = 16 • Sunday January 13, 2002 Tracy = 109 Monday January 14, 2002 40 Ginny = 12 Tuesday January 15,2002 26 Barb = 36 Wednesday January 16,2002 31 Mary = 81 Thursday January 17,2002 29 Sue = 88 Friday January 18,2002 15 Saturday January 19,2002 January 20 2002 *35 Hour Work Week Sunday ry iHolidayPer Week Monday January 21, 2002 #43 Office Hours Tuesday January 22,2002 35 *=21 Work Days Wednesday. January 23,2002 45 Thursday January 24, 2002 39 Friday January 25,2002 24 Monday 8-4 Saturday January 26, 2002 ISMIMNINEM Tuesday 8-4 Sunday January 27, 2002 Wednesday 8-4 Monday January 28,2002 43 Thursday 8-7 Tuesday January 29, 2002 41 Friday 8-4 Wednesday January 30,2002 24 • Thursday January 31,2002 50 i Total Calls*= 712