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MONTHLY REPORTS 2004 TO 2008 BOARD OF HEALTH MONTHLY REPORTS 1/2004 TO 11/2008 T, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAZ(978) 745-0343 MAYOR W. J NCINI.@sAi,SIvI.COM I JANET MA.NCINI ACTING HEALTH AGENT Public Health Nurse Report November 2008 Activities Disease Prevention • In contact 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/Clinics 11/6 Conducted Home visits to 15 home bound residents requesting the Flu shot. The following Influenza and Pneumonia Clinics were held in November: 11/12 Council on Aging: 325 residents were vaccinated. 11/13 Federal Street: Group Home, 10 clients vaccinated. 11/18 Salem Housing Authority: 158 residents vaccinated. 11/20 Pioneer Terrace: 114 residents vaccinated. Directly Observed Therapy daily for two Active TB Cases. • f • MONTHLY REPORT OF COMMUNICABLE DISEASES NOVEMBER 2008 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 0 0 O 0 GIARDIA O O O 0 HGE 1 0 1 1 MENINGITIS 1 0 1 1 PERTUSSIS O O O 0 SHIGELLA 2 0 2 2 TUBERCULOSIS 0 2 0 2 VARICELLA O O 0 0 • I 4 • Summary of Communicable Diseases for November 2008 Tuberculosis: Two confirmed active TB cases. I am seeing them for DOT 5-x week. • Meningitis: 36 y/o female. Aseptic Meningitis. patient recovered. Shigella: 9 y/o female. According to the MDPH, this case is identified as a small cluster of shigella.occurring in Boston and Lawrence. A cluster questionnaire will be sent to the MDPH once completed. 5 y/o female. This case attends the Headstart Program. The program was notified. There was no increase in absences noted. The Director was sending a Public Health Fact Sheet to all parents, and staff was to be notified. This case has not been identified as part of the above cluster at this time. m CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET,4"t FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR JDIONNF.,@StU.,F-M.COM JANI T DIONNE AC:I'INC.i HEALn-I AGh,N'r Public Health Nurse Report October 2008 Activities Disease Prevention • In contact 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/Clinics Prepared for the upcoming annual Influenza and Pneumonia Clinics. Distributed Influenza Vaccine to Area Physicians. 10/16 Attended NSMC Speaker Series on Stroke Prevention with Paulette Puleo, and Janet Dionne held at the Kernwood Country Club. 10/29 Attended the NSCAEP monthly meeting at the Peabody DPW. Directly Observed Therapy daily for two Active TB Cases. i CITY OF.SALEM, MASSACHUSETTS M p BOARD OF HEALTH • 120 WASHINGTON STREET,4"`FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAx(978) 745-0343 MAYOR JDIONNI?- SAJ.,F.,M.COM JAN I I'DIONNI_', ACTING;HI?Aixi j.Ac.rN'r I I MONTHLY REPORT OF COMMUNICABLE DISEASES SEPTEMBER 2008 DISEASE NEW CARRY OVER DISCHARGED . REPORTED CAMPYLOBACTER O O O O GIARDIA 0 O O O LYME O O O 0 MENINGITIS 1 O 1 1 PERTUSSIS O O O O SALMONELLA 1 + O 1 1 TUBERCULOSIS O 2 O 2 VARICELLA O O O O i • Summary of Communicable Diseases for October 2008 Tuberculosis: Two confirmed active TB cases. I am seeing them for DOT 5x week. Meningitis: 17 day female. Aseptic Meningitis. Infant recovered. Salmonella: 24 y/o female. Food handler in Peabody. Case was excluded until two negative stool results. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET,4`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR JDIONNr,@SAI,rM.COM JAN1j:,DIONNE, ACTING HEALTH.Ac,.[?NT Public Health Nurse Report September Activities Disease Prevention • In contact 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/Clinics Preparation for the upcoming annual Influenza and Pneumonia Clinics. Attached is the clinic flyer. Sent flyers out to SATV, Council on Aging, Salem.com. The Salem State Nursing Students will make informational Posters for several places in Salem. We recruited 3 Medical Volunteers through NSCAIert website. 9/11 Attended the Medicare B Workshop held in Lowell. 9/18 Attended the Annual TB Prevention and Control seminar"TB in a World without Borders" at Tewksbury Hospital. 9/24 Attended the North Shore Cape Ann Meeting at Peabody DPW. Directly Observed Therapy daily for two Active TB Cases. • J • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET,4114 FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR JDIONNE@SAI,EM.COM JANET DIONNE ACTING HEAL.TI3 AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES SEPTEMBER 2008 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 1 0 1 1 • GIARDIA O O O O HEPATITIS O 0 0 0 LYME 1 0 1 1 MENINGITIS 1 0 1 1 PERTUSSIS O 0 0 0 SALMONELLA O 0 O 0 SHIGELLA O 0 O 0 TUBERCULOSIS 0 2 O 0 VARICELLA 1 0 1 1 • • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET,4 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR JDIONNF..Q@SMI,F,M.COM JANET DI.ONNE ACTING HI.AunI I.AC;;F?NT Summary of Communicable Diseases for September 2008 Tuberculosis: Two confirmed active TB cases. I am seeing them for DOT 5x week. • Lyme: One case was reported from the MDPH. Meningitis: 48 day female. Aseptic Meningitis. Infant recovered. Campylobacter: 42 y/o non foodhandler. She suspects that she had undercooked chicken at home. Varicella: 5 y/o male. Vaccinated in 2001 and 2007. i SAdministration Mont Report Aug-08 Burial Permits @$25.00 $550.00 Permits $1,020.00 Certificates of Fitness$50.00 $1,500.00 Copies $0.00 Fines $0.00 Total Monies Collected = $3,070.00 Animal Bites Reported= Expended Available Balance Salary/Longevity $377,082.00 $54,987.39 $322,094.61 Annual Budget Non-Personnel $21,200.00 $2,316.64 $13,259.18 City of Salem • F1I-1vlxonjiiental. IleaJI'll Divi9i" 'In'9PPcI:I<)n Monthly Summary Month ,Type ITIA, 08 Aug 0 R ('bunt ti 1. CF1 76 911 CPR 4 16 20 CH 4 1. 11 CT 1.0 3 13 EC 0 1 1. EFR 2 2 4 FC 2 0 2 FRE 0 FSL) 1. A. 22 VSR 1.1 11 1.4 (IN 6 9 14 111 11 10 21 HR 4 r, 10 I'M 1, 3 2 MIFF 2 1) 2 MT R 2 10 OD o 9. 2 os o 1.0 10 RC 1. 0 2 RIFT 8 6 14 PR 4 1. 5 B 51. 1.1.2 Sp ST 2 0 2 ,[`PT 0 2 2 TIZ 42 22 64 Count 276 260 536 {--1.. City of Salem, Massachusetts nv i ronme n I'l a I Health. Division Inspection Input Porm Inspect Date : Estab Name or Owner Name : Type : Locat,ion : inspector: winspection Types 1b - Body Piercing FSI Food Serv . Ins . 892* RFD - Ret .Food Disc . G* I - Cert . Fit . 822* FSR Food Serv . Rein. 194* RFI - Ret - Insp, 75* 4 CIVR - Cert . Pit .ReinspI05*GN Gen . Nuisance 41 RFR - Ret . Food Re-L* n34* 14 Court Hearing 93* Hi Housing Insp. 260* .,, RO - Rodent Control 16 ' IN\ Constable Serv.65* 14R Housing Rein:Jp . 135* Sc - Suntan 7* CR ' -- Comliance Rev. 25* LPT Lead Paint Insp . 6* SES - SESD Odor 0* .C11;. Computer Timeio* ms Massage 6* sm - Seminars 36* Envirn. Compl . 51* MW Mark/Weights SP - Swim- Pools 16* 9PR Ext . Paint 95* mup Mobile Food Insp. 11* SB Swim. Beaches 65* FC Food Comp-1 - 17* os Off . Sub. Insp . 6* ST Soil/Septic 8* FRH Food Hearings.15* RC Rec Camps 9* TF1 Temp. Food 112* FSD Food Serv. Disc 53* MT Meetings 65* TR Trash 381* Total • • 11 : ................................... ................................... • 11 : iiiiiiiiiii�iiiiiiii............... i iiiiiiiiiiiiiii ■■■u■uuu■uu■uu■■■■uuuu■ August11 : iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii • • August11 : August11: August 6, 11 : 1 1 August7,200: August8,2008 • ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ August9, 2008 uuuuuu■uuuuou■■■ou■u ■oouuuuou■uuuuuuuu■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ August10,2008 ■oo■■■■■uou■■uuou■u■ou■ • ■uuuuuuuuuuuuu■u■■■u • • 11 : August 12, 11 : • August13,2008 • August14, 2008 August11 : August11 : iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii • 1 ■u■uuuuu■uuuu■uuuuu■ August11 : ■ouu■■■■■uuu■uuuu■uuu■ • August18, 2008 August11 : • • August 1 2008 i August 22, 11 : ................ August1 1 : .............. August ■uuuouu■uou■uu■uuuo■ ■uuoouuuuouuu■o■uuo ■■uuouuuuuuuuouuuo• 11 : August 26, 11: i • , August1 1 :TZTI i • • . ` August11 : ■■uuuouu■uuuuuouuuu ■uuuuu■uwuuu■■uu■u■■u August30,2008 uuouuuuuuuo■uuu■■■u■ uuuuuuuuuuu■uuuu■u■ u uu■uuuuuuuo■uuuuu■ • 1 1 : uuou000■■■■■ouu■o■■■uu ■uuo■uuouuuouuuouu■ I 4 p CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET,4"�FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL F AX(978)745-0343 MAYOR IDIONNE@SAL.EM.COM JANET DI.ONNE SENIOR SANITARIAN Public Health Nurse Report August 2008 Activities, Disease Prevention • In contact 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/Clinics 8/1 Attended North Shore Pulmona_ry_Clinic meeti-ng-to disc-uss-North Sho-re TB_.__—___—____-_. - --- - . _ -- 8/25 Inspected US Sports Institute day camp at Salem Willows with Janet Dionne. The camp was permitted for the 2008 season. Directly Observed Therapy: 2 residents receive Directly Observed Therapy Monday through Friday. • t • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET,4 FLOOR TEL. (978)741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1SCOTI p,SALEM.COM JOANNE SCOTT, HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES AUGUST 2008 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER O 0 O p GIARDIA 0 0 O p LYME 1 0 1 1 MENINGITIS 0 0 0 O PERTUSSIS O 0 O p SALMONELLA O O 0 0 TUBERCULOSIS 0 2 O 2 VARICELLA p 0 0 O • L f CITY CST S I-EM, MASSAC.HUS 1 I 121)\V�.vSIIIyG'L'OyS'I'R1:1"1 4nll.lu)R 'Frl- (978) 741-1800 KIN113FRI.FY IARISCOI•I. I'-A\ (978) 7 F5-0313 L\YOR II)IUN\I S.y.1i\1.r().\I J.\\I:'1'tal()\\I{ Sli\I()R SANITARIAN Summary of Communicable Diseases for August 2008 Tuberculosis: Two confirmed active TB cases. I am seeing them for DOT 5x week. • Lyme One case was reported from the MDPH. r INACTIVATED OINFLUENZAV- -A-CCINE WHAT YOU NEED TO Mow) 2008 -09 Many Vaccine Information Statements are available in Spanish and other languages.See www.immunize.org/vis. 1 Why get vaccinated? 3 Who should get inactivated _ influenza vaccine? Influenza("flu")is a contagious disease. All children 6 months and older and all older adults: It is caused by the influenza virus,which can be spread by coughing,sneezing,or nasal secretions. .All children from 6 months through 18 years of age. Other illnesses can have the same symptoms and are often •Anyone 50 years of age or older. mistaken for influenza. But only an illness caused by the Anyone who is at risk of complications from influenza,or influenza virus is really influenza. more likely to require medical care: Anyone can get influenza,but rates of infection are highest .Women who will be pregnant during influenza season. among children. For most people,it lasts only a few days. • Anyone with long-term health problems with: It can cause: -heart disease -kidney disease -liver disease fever • sore throat chills fatigue -lung disease -metabolic disease,such as diabetes cough •headache muscle aches -asthma -anemia,and other blood disorders Some people get much sicker. Influenza can lead to •Anyone with a weakened immune system due to: pneumonia and can be dangerous for people with heart or - HIV/AIDS or other diseases affecting the immune system breathing conditions. It can cause high fever,diarrhea and - long-term treatment with drugs such as steroids seizures in children. On average,226,000 people are - cancer treatment with x-rays or drugs hospitalized every year because of influenza and 36,000 die— •Anyone with certain muscle or nerve disorders(such mostly elderly. as seizure disorders or cerebral palsy)that can lead to =---- ----- - --. . - - -------- - - --- reathing o T swallowing Influenza vaccine can prevent influenza. b •Anyone 6 months through 18 years of age on long-term __— __—.n.aCtl_V_ated_LC]fl-u.e-IIZa_V-a-CC11ae aspirin treatment(they could develop Reye Syndrome if they got influenza). There are two types of influenza vaccine: •Residents of nursing homes and other chronic-care 1.Inactivated(killed)vaccine,or the"flu shot"is given by facilities. injection into the muscle.2.Live,attenuated(weakened) Anyone who lives with or cares for people at high risk for influenza vaccine is sprayed into the nostrils. This vaccine is influenza-related complications: described in a separate Vaccine Information Statement. •Health care providers. Influenza viruses are always changing.Because of this, •Household contacts and caregivers of children from influenza vaccines are updated every year,and an annual birth up to 5 years of age. vaccination is recommended. •Household contacts and caregivers of Each year scientists try to match the viruses in the vaccine to -people 50 years and older,or those most likely to cause flu that year.When there is a close -anyone with medical conditions that put them at higher match the vaccine protects most people from serious influenza- risk for severe complications from influenza. related illness.But even when the there is not a close match,the vaccine provides some protection.Influenza vaccine will not Health care providers may also recommend a yearly influenza prevent"influenza-like"illnesses caused by other viruses. vaccination for: • People who provide essential community services. It takes up to 2 weeks for protection to develop after the shot.Protection lasts up to a year. • People living in dormitories,correctional facilities,or under other crowded conditions,to prevent outbreaks. Some inactivated influenza vaccine contains a preservative .People at high risk of influenza complications who travel called thimerosal. Some people have suggested that to the Southern hemisphere between April and September, thimerosal may be related to developmental problems in or to the tropics or in organized tourist groups at any time. • children.In 2004 the Institute of Medicine reviewed many studies looking into this theory and concluded that there is Influenza vaccine is also recommended for anyone who wants no evidence of such a relationship.Thimerosal-free influenza to reduce the likelihood of becoming ill with influenza or vaccine is available. spreading influenza to others. When should I get influenza severe problems: 4 _3 • Life-threatening allergic reactions from vaccines are very VBCCIne? rare. If they do occur,it is usually within a few minutes to Plan to get influenza vaccine in October or November if you a few hours after the shot. . can.But getting vaccinated in December,or even later,will still • In 1976,a type of influenza(swine flu)vaccine was be beneficial in most years.You can get the vaccine as soon as associated with Guillain-Barre Syndrome(GBS). Since it is available,and for as long as illness is occurring in your then,flu vaccines have not been clearly linked to GBS. community.Influenza can occur any time from November However,if there is a risk of GBS from current flu through May,but it most often peaks in January or February. vaccines,it would be no more than 1 or 2 cases per million Most people need one dose of influenza vaccine each year. people vaccinated. This is much lower than the risk of Children younger than 9 years of age getting influenza severe influenza,which can be prevented by vaccination. vaccine for the first time-or who got influenza vaccine for the first time last season but got only one dose-should get 2 What if there is a severe doses,at least 4 weeks apart,to be protected. 7 reaction? Influenza vaccine may be given at the same time as other What should I look for? vaccines,including pneumococcal vaccine. • Any unusual condition,such as a high fever or behavior changes. Signs of a serious allergic reaction can include Some people should talk with a difficulty breathing,hoarseness or wheezing,hives, doctor before getting influenza paleness,weakness,a fast heart beat or dizziness.,rj 5 . vaccine What should I do? Some people should not get inactivated influenza vaccine or • Call a doctor,or get the person to a doctor right away. should wait before getting it. • Tell your doctor what happened,the date and time it • Tell your doctor if you have any severe(life-threatening) happened,and when the vaccination was given. allergies. Allergic reactions to influenza vaccine are rare. • Ask your doctor,nurse,or health department to report - Influenza vaccine virus is grown in eggs. People with a the reaction by filing a Vaccine Adverse Event Reporting severe egg allergy should not get the vaccine. System(VAERS)form. - A severe allergy to any vaccine component is also a Or you can file this report through the VAERS web site at -- -- -reason-to--not-get--the-vaccine.------------------------------wwwwaers.-hhs-.gov,-or by-calling 1800=82-2=7967— —•— - If you have had a severe reaction after a previous dose of VAERS does not provide medical advice. i nfluenza-vaccine,-telly-ou"octor. Tell your doctor if you ever had Guillain-Barre Syndrome —Trle�atlOna��/aCClne-In)Ur�/ (a severe paralytic illness,also called GBS). You may be 8 Compensation Program able to get the vaccine,but your doctor should help you make the decision. A federal program exists to help pay for the care of anyone who has a serious reaction to a vaccine. • People who are moderately or severely ill should usually wait until they recover before getting flu vaccine. If you For more information about the National Vaccine Injury are ill,talk to your doctor or nurse about whether to Compensation Program,call 1-800-338-2382 or visit their reschedule the vaccination..People with a mild illness website at www.hrsa.gov/vaccinecompensation. can usually get the vaccine. What are the risks from 9 How can I learn more? 6 inactivated influenza vaccine? • Ask your immunization provider. They can give you the vaccine package insert or suggest other sources of information. A vaccine,like any medicine,could possibly cause serious . Call your local or state health department. problems,such as severe allergic reactions. The risk of a vaccine causing serious harm,or death,is extremely small. • Contact the Centers for Disease Control and Prevention(CDC): Serious problems from influenza vaccine are very rare.The - Call 1-800-232-4636(1-800-CDC-INFO)- Visit CDC's website at www.cdc.gov/flu viruses in inactivated influenza vaccine have been killed,so -you cannot get influenza from the vaccine. Mild problems: • soreness,redness,or swelling where the shot was given • fever • aches `„f If these problems occur,they usually begin soon after the ,� �; • shot and last 1-2 days. Vaccine Information Statement DEPARTMENT OF HEALTH AND HUMAN SERVICES Inactivated Influenza Vaccine(7/24/08) 42 U.S.C.§300aa-26 CENTERS FOR DISEASE CONTROL AND PREVENTION Agent's Newsletter to the Board September 9,2008 ® After Action Report Janet Dionne, Margaret Whittaker,and Tracy Giarla attended an After Action Report meeting regarding the Dearborn Complex fire in Peabody. This After Action Report meeting was sponsored by MEMA and was held at Peabody Town Hall.As you may recall The Salem Board of Health set up a shelter for the residents displaced by this fire. Recreational camps All recreational camps for the 2008 season were inspected throughout the summer. We had great cooperation with this year's camp directors. Tracy Giarla did a great job in getting this years recreational camps permitted. SESD Trucks August was focused on inspections of the offensive substance/septic hauler trucks. Elizabeth Salandrea, Sanitarian for the Board of Health has done an outstanding job in coordinating inspections. The Board of Health has also provided each inspected truck this year with a decal stating that the truck has been inspected by the Salem Board of Health. Joanne Scott's Departure August was both an exciting and sad time for the Board of Health staff. Joanne Scott who dedicated herself to both her staff and residents of Salem accepted the position of Executive Director at the Boys and Girls Club of Salem. We wish Joanne the best of luck!!! • Positive West Nile Virus crow found in Salem A deceased crow that was found in the Willows area of Salem was sent to the state lab for testing. The Salem Board of Health was made aware of the positive West Nile Virus result from this bird on -- -= September 8; 200 8-aVlayor=DnscICndufQtte=Ptile9=gore aofifiedightWay bfesults_flcess _:-__ _ release was also sent to Tom Dalton at The Salem News. The Massachusetts Department of Public Health has instructed the Salem Board of Health that no other birds will be submitted from Salem this season. Northeast Mosquito Control was also notified and Walter Montgomery from Northeast Mosquito Control will be setting up extra trapping areas near the Willows and will let the Board of Health know if any mosquitoes test positive for the West Nile Virus. I spoke with Walter Montgomery yesterday and he stated that they have not found any positive mosquitoes in Salem to date. ICS 100 and 700 Training This is a reminder that all Board of Health members and staff must complete ICS 100 and 700 training. This topic was addresses at the last North Shore Cape-Ann Emergency Preparedness Coalition meeting. You can find more information on-line at the FEMA website. Click on Training and search by Topic. Click on National Incident Management System(NIMS) and that will bring you to the NIMS required training courses. I can try to schedule trainingsif enough members and staff still need to take these courses. Please let me know. Thank you, • Janet Dionne Senior Sanitarian Administration Monthly Report Jul-08 Burial Permits @ $25.00 $1,525.00 Permits $1,430.00 Certificate of Fitness$50.00 $1,550.00 Copies $0.00 Fines $225.00 Total Monies Collected = $4,730.00 Animal Bites Reported= Expended Available Balance Salary/Longevity $377,082.00 $24,804.21 $352,277.79 Annual Budget Non-Personnel $21,200.00 $1,102.70 $14,454.18 ejty of Salem • I;jjV117()nment:a1 Ilea.11-h DiVISi-On jnspPctjon Monthly quinmOXY Mon I:h Type Auq 01:. V01int,' CF1 76 17 3 CPR It 16 20 CH 4 1. 11 CT 1.0 3 13 EC 0 J. 1. CPR 2 2 4 F C 2 0 2 FRE 0 A I PSD .1 :1. 2 F9 1: 9 1.3 22 1 -1 4 �4 II 11 10 21 UR 4 C, 'I() 11PI-) 1. 1 2 MFT 2 11 2 MT 8 2 1.0 OD 2 2 08 0 1.0 to RC 2 0 2 RFT 8 6 1.4 TRF R 4 3. 5 W'qB 61 51 1,1.2 SP 5 3, 6 ST 2 11 2 '.CRT 0 2 2 TR 42 22 64 Cc)ijr)t-- 276 260 536 ++ City of Salem, Massachusetts Environmental Health. Division Inspection input Form Inspect ]Date : Estab_Lon Name or. Owner. Name : Type : Locat : inspector- Inspection Types Body Piercing FST Food Serv . Ins . 892* RFD - Ret . Food Disc . 6* I - Cert . Pit . 822* FSR Food Serv. Rein- 194* RF1 - Ret . Insp. 75* CT R - Cert . Fj-t ,Reinsp105*GN Gen . Nuisance 41.* RFR - Ret - Food Re4 .Ln34 - Court Hearing 93* HI Housing Insp. 260* -- RO - Rodent Control 16. N, Constable Serv.65* HR Housing R.ein:jp . 135* SC - Suntan 7* CIZ Compliance Re-v.25* LPI - Lead Paint Insp . 6* sES - SESD Odor 0* WtCl�.- Computer TimelQ* ms - Massage 6* Sm - Seminars 36* Envirn. Compl . 51* MW - Mark/Weights SP Swim- Pools 16* SPR Ext , Paint 95* mup - Mobile Food Insp. I].* SB Swim. Beaches 65* FC Food Compl . 1.7* os - off . Sub. Insp. 6* ST Soil/Septic 8* FRH Food Hearings15* RC - Rec Camps 9* TFT Temp. Food 112* FSD Food Serv- Disc 53* MT - Meetings 65* TR Trash 381* I Total • ' • • July 1,2008 i July 3,2008July 5, • 1 11 : ■uuuuuu■■■■■■uuouuuuu July 6, 11: ■uoouuuuu■u■■uouuuu■ • July 7, 2008 • July 8, 11 : • , July • 11 : July 1 2008 • • July 11, 11 : July 11: iiiiiiiiiiiiiii:iiiiiiiiiiiiiiiiiii • ■u■•u■•■■■■uu■ouuuuuu■■■ July 13, ■uuu■■■■■■■■uuuu■uuuu■■■ 11 : ii:i:iiiiiiiiiiiiiiiiiiiiiii:i::::: • July 14, 2008 ' July 15, 11 : ; July 16, 11: • 11 :ff Ts • ` 11 : ■■■■uuuuuu■■u■■■uuuu■u■ July ■uu■uu■uu■uuuuuu■■■■u• • 2008 ■uu■uuuu■uuuo■■■■uuuu • • -- ■■■■■■■■■■■■■■■■■■■■■u■■■■■■•■•■■■ i.i.u.uu July ■oo■u■uuuuuuuu■■■■■■■■■■ 1 2008 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ July 22, 11 : July 23, 11 : ' July 24, 11 : July 25, 2008 July 26, • • . ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ 2008 ■■uuuuuouu■uuuuuuuu • . ■uuuuuuu■■■■■■■■■■uuuuu iiiiiiiiiiiii:ii::::i::::iiiiiiiiii July 27, 11 : - • • , ■ouuuuuoou■■■■•O■■■■■1■•■ "n 010TI ` July 28,2008 • , July 29, 2008 • • . •• July 1 2008 ' July 31, 11 : I T CITY OF SALEM, MASSACHUSETTS i BOARD OF HEALTH 120 WASHINGTON STREET,4..FLOOR • TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LSCO'rr SAI..,EM.COM JOANNE SCOTT, HEALTH AGENT Public Health Nurse Report July 2008 Activities Disease Prevention In contact 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/Clinics 7/J 7-_-_Inspe-cted.J-LOB-B.-E..Scamp_with_Janet- ionne--The camplscn_the Mahi_._ ----- ----Mahi-based-at Salem Willows.--T-he-camp-was-permitted for-the2008-season..-- ------- 7/23 Attended the.After Action report meeting sponsored by MEMA at Peabody City Hall for the Peabody Fire and Salem Shelter. Janet Dionne and Margaret Whittaker. 7/28 Meeting with John O'Neill from Salem State College to permit two more Day Camps at Salem State College. Vacation 7/7 to 7/14 Directly Observed Therapy: 2 residents receive Directly Observed Therapy Monday through Friday. • CITY OF SAI-'E I, M1:kSS.�1CHUs1=J'I"Ts • 120 WASI II\G'I'O\ S'1'RI:I.:'1',4u. '1'1tL. ('I7ti) 7-�l-lei(►(► KI\II3I.R1.1 a' 1�RIti(:C)l.l, F.v-\ (978) 745-0343 SI`N,IOR SANITARIAN Summary of Communicable Diseases for July 2008 Tuberculosis: Two confirmed active TB cases. I am seeing them for DOT 5x week. • E. Coli 0157 H7 55 y/o female. Retired. Case had consumed recalled Coleman Ready Made Patties in June. Case was hospitalized. Reported to MDPH. Lyme Two cases were reported from the MDPH. Shigella 28 y/o female. Non foodhandler. Case travelled to Dominican Republic. She believes she got ill from eating and drinking at a street vendor. She became ill on the flight home. A' m CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL F A-Z(978) 745-0343 MAYOR ,SCOTf@SAf..f hs.COM JOANNE ScoTT, HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES JULY 2008 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER O O O 0 E. COLI 0157H7 1 0 1 1 GIARDIA O O O 0 LYME 2 0 2 2 MENINGITIS O 0 O 0 PERTUSSIS O O O 0 SALMONELLA O O O O SHIGELLA 1 1 1 1 TUBERCULOSIS 0 2 0 2 •VARICELLA 0 0 0 0 � i • Administration Monthly Report Jun-08 Burial Permits @$25.00 $955.00 Permits $2,235.00 Certificate of Fitness$75.00 $19425.00 Copies $0.00 Fines $825.00 Total Monies Collected = $5,440.00 Animal Bites Reported= 2 Expended Available Balance Salary/Longevity $345,095.00 $341,143.63 $3,950.93 Annual Budget Non-Personnel $16,650.00 $14,705.79 $1,378.24 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ---------------------------------------------------------------------------------------------- e Jul 07 Aug 07 Sep 07 Oct 07 Nov 07 Dec 07 Jan 08 Feb 08 Mar 08 Apr 08 May 08 Jun 08 Count ---- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ BP 1 0 0 0 0 0 0 0 0 0 0 2 3 BR 0 0 0 0 0 0 0 0 0 0 0 1 1 CFI 86 83 56 63 50 38 46 58 62 19 63 45 669 CFR 6 2 3 6 3 1 0 1 2 1 10 9 44 CH 7 4 2 2 6 5 3 1 6 0 3 1 40 CON 0 0 0 0 1 0 0 0 0 0 0 0 1 CT 5 2 5 10 4 4 5 7 8 8 5 8 71 EC 0 1 0 0 0 0 0 0 0 0 0 0 1 EPR 0 1 2 0 0 0 0 0 0 0 1 0 4 ERP 0 1 0 0 0 0 0 0 0 0 0 0 1 FC 3 1 2 2 1 2 4 2 0 3 2 6 28 FRH 0 0 0 0 0 0 0 0 1 1 0 0 2 FSD 0 0 2 3 0 3 3 3 1 10 3 9 37 FSI 30 17 9 26 15 16 14 13 32 29 21 15 237 FSR 23 7 5 11 13 8 17 1 9 24 13 15 146 GN 13 17 10 3 3 3 7 4 2 3 5 8 78 HI 22 18 15 5 14 11 16 10 10 11 13 14 159 HR 22 14 13 12 10 11 13 8 10 11 3 2 129 LPD 0 0 0 0 0 0 1 0 0 0 1 0 2 MFI 0 0 0 0 0 0 0 0 0 0 0 1 1 MS 1 0 0 0 0 1 0 0 0 0 0 0 2 MT 5 10 8 6 9 4 4 7 11 7 6 5 82 MUP 1 0 0 7 0 0 0 0 0 0 0 0 8 OG 0 0 0 0 0 0 0 0 0 0 0 1 1 OS 0 0 19 4 1 0 0 0 0 0 0 0 24 RC 2 0 0 0 0 0 0 0 0 0 0 7 9 D 0 0 1 1 0 0 1 0 1 1 0 0 5 I 4 2 2 9 5 3 8 0 7 2 7 5 54 RFR 3 2 0 2 3 1 2 0 6 1 5 3 28 RO 9 4 8 2 0 0 1 0 1 6 5 10 46 SB 71 62 0 0 0 0 0 0 0 0 0 37 170 SC 1 1 0 0 0 0 0 3 4 4 5 0 18 SM 2 2 1 1 0 0 0 0 3 1 5 0 15 SP 1 7 0 1 0 0 0 1 0 0 10 2 22 ST 3 2 0 0 0 0 0 0 0 0 0 0 5 TFI 0 0 0 9 0 0 0 0 0 0 0 0 9 TR 32 51 48 47 22 12 28 26 52 47 36 38 439 Count 353 311 211 232 160 123 173 145 228 189 222 244 2591 y +++++ City of Salem, Massachusetts 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* CM - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* C?i 5 Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16� .CON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* I - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* Computer Time10* MS - Massage 6* SM Seminars 36* tC - 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 June-08 • Total Answered *Answered Calls SUNDAY June 1, 2008 Mary = 150 MONDAY June 2, 2008 41 Heather= 181 TUESDAY June 3,2008 28 Dot = 107 WEDNESDAY June 4, 2008 18 THURSDAY June 5, 2008 24 FRIDAY June 6, 2008 13 *Calls Taken : 438 SATURDAY June 7,2008 SUNDAY June 8, 2008 Joanne = 122 MONDAY June 9, 2008 31 Janet = 72 TUESDAY June 10, 2008 28 David = 47 WEDNESDAY June 11,2008 30 Tracy = 60 THURSDAY June 12,2008 17 Margaret = 27 FRIDAY June 13, 2008 6 Mary = 51 SATURDAY June 14, 2008 Heather = 6 • SUNDAY June 15, 2008 JIMLiz = 28 MONDAY June 16,2008 14 Dot = 25 TUESDAY June 17, 2008 15 WEDNESDAY June 18, 2008 25 THURSDAY June 19,2008 6 35 Hour Work Week FRIDAY June 20, 2008 17 SATURDAY June 21, 2008 21 working days SUNDAY June 22, 2008 MONDAY June 23,2008 10 TUESDAY June 24,2008 14 WEDNESDAY June 25, 2008 25 Monday 8-4 THURSDAY June 26, 2008 25 Tuesday 8-4 FRIDAY June 27,2008 17 Wednesday 8-4 SATURDAY June 28, 2008 Thursday 8-7 SUNDAY June 29, 2008 Friday 8-noon MONDAY June 30,2008 34 • TOTAL 1 438 yl • • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4``FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR )sco,i•r@SAI.,r,MI.COM JOANNE SCOTT, HEALTH.A GENT Public Health Nurse Report June 2008 Activities Disease Prevention • In contact 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/Clinics • 6/6 Inspected new Body Art Establishment Witch City Ink with J. Dionne and E. Salandrea. 6/10 Boys and Girls Club Summer Camp was inspected with J. Dionne and E. Salandrea, and permitted for the 2008 season. 6/16 Children's Island was inspected with D. Greenbaum, Building Dept. and Fire Prevention. A follow up inspection was needed for the swimming pool on June 20, 2008. The camp and pool were permitted for the 2008 season. 6/16 Met with Chassea Robinson, the new Public Health Nurse in Peabody to discuss the public health nurse's role at the Board of Health. 6/17 Sacred Harp Body Art Establishment was reinspected with E. Salandrea. The Sacred Harp was permitted for tattoo only at this time 6/17 Follow up inspection of Witch City Ink with J. Scott and J. Dionne. The establishment was permitted, and the owner was permitted for tattoo only at this time. 6/18 Salem YMCA Early Childhood Summer Camp was inspected with D. • Greenbaum. The camp is at the YMCA on Sewell Street. 6/19 Campfire Summer Camp inspected with D. Greenbaum. The camp and pool were inspected and permitted for the 2008 season. 6/19 Salem YMCA Explorer camp at Winter Island was inspected and permitted for the 2008 season. The camp is on the grounds of the Plummer Home. The camp uses porta potties with sanitizer. In addition, they use a hose for hand washing. 6/25 North Shore Cape Ann Emergency met at the Peabody DPW. Also attended a sub committee meeting for the Multi year Training and Exercise Plan. 6/26 Submitted DOT home visit log to North Shore Medical Center. There is leftover money in the Pulmonary Clinic Budget this year. DOT visits will be reimbursed to the city for $20.04/visit. Directly Observed Therapy: • 2 residents receive Directly Observed Therapy Monday through Friday. • • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH .q 52 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • '��M►HBd°� TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Summary of Communicable Diseases for June 2008 Tuberculosis: Two confirmed active TB cases. I am seeing them for DOT 5x week. Gampylobacter: • 15 year old non food handler. ' Source unknown. • 62 y/o male. Non foodhandler. Has not responded to phone calls. Works in construction. Notice sent to state. • MONTHLY REPORT OF COMMUNICABLE DISEASES JUNE 2008 DISEASE NEW CARRY OVER DISCHARGED REPORTED • CAMPYLOBACTER 2 0 2 2 GIARDIA O O O 0 GROUP B STREP O O O 0 MENINGITIS O O 0 0 PERTUSSIS O O O 0 SALMONELLA O 0 0 0 TUBERCULOSIS 0 2 0 2 VARICELLA 0 0 0 0 • • • 1 0 Administration Monthly Report May-08 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 0 Burial Permits @ $25.00 $1,060.00 Diptheria,Tetanus Tox.(under 6 yrs)= 440 Permits $1,930.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,450.00 Measles/Mumps/Rubella= 350 Copies $0.00 Polio= 230 Fines= $100.00 Tetanus &Diptheria (adult use)= 930 Total Monies Collected = $4,540.00 Tuberculin PPD= 20 HIB Titre= 580 Animal Bites Reported= 1 Hepatitis B= 700 PCV7 (Prevnar)= 300 PPV 23= 0 Pediarix= 610 Tdap= 620 Hep A= 110 Influenza= 0 Menactra= 580 HPV= 390 ROTA= 590 Expended Available Balance Salary/Longevity $345,095.00 $308,748.63 $36,345.93 Annual Budget Non-Personnel $16,650.00 $12,819.02 $779.96 City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month -------------------------------------------------------------------------------------- Type Jul 07 Aug 07 Sep 07 Oct 07 Nov 07 Dec 07 Jan 08 Feb 08 Mar 08 Apr 08 May 08 Count BP 1 0 0 0 0 0 0 0 0 0 0 1 CFI 86 63 56 63 50 38 46 58 62 19 63 624 CFR 6 2 3 6 3 1 0 1 2 1 10 35 CH 7 4 2 2 6 5 3 1 6 0 3 39 CON 0 0 0 0 1 0 0 0 0 0 0 1 CT 5 2 5 10 4 4 5 7 8 8 5 63 EC 0 1 0 0 0 0 0 0 0 0 0 1 EPR 0 1 2 0 0 0 0 0 0 0 1 4 ERP 0 1 0 0 0 0 0 0 0 0 0 1 FC 3 1 2 2 1 2 4 2 0 3 2 22 FRH 0 0 0 0 0 0 0 0 1 1 0 2 FSD 0 0 2 3 0 3 3 3 1 10 3 28 FSI 30 17 9 26 15 16 14 13 32 29 21 222 FSR 23 7 5 11 13 8 17 1 9 24 13 131 GN 13 17 10 3 3 3 7 4 2 3 5 70 HI 22 18 15 5 14 11 16 10 10 11 13 145 HR 22 14 13 12 10 11 13 8 10 11 3 127 LPD 0 0 0 0 0 0 1 0 0 0 1 2 MS 1 0 0 0 0 1 0 0 0 0 0 2 MT 5 10 8 6 9 4 4 7 11 7 6 77 MUP 1 0 0 7 0 0 0 0 0 0 0 8 OS 0 0 19 4 1 0 0 0 0 0 0 24 RC 2 0 0 0 0 0 0 0 0 0 0 2 D 0 0 1 1 0 0 1 0 1 1 0 5 Z 4 "e 2 9 5 3 8 0 7 2 7 49 RFR 3 2 0 2 3 1 2 0 6 1 5 25 RO 9 4 8 2 0 0 1 0 1 6 5 36 SB 71 62 0 0 0 0 0 0 0 0 0 133 SC 1 1 0 0 0 0 0 3 4 4 5 18 SM 2 2 1 1 0 0 0 0 3 1 5 15 SP 1 7 0 1 0 0 0 1 0 0 10 20 ST 3 2 0 0 0 0 0 0 0 0 0 5 TFI 0 0 0 9 0 0 0 0 0 0 0 9 TR 32 51 48 47 22 12 28 26 52 47 36 401 Count 353 311 211 232 160 123 173 145 228 189 222 2347 +++++ City of Salem, Massachusetts 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* a.. RO - Rodent Control 16 C - Constable Serv. 65* HR - Housing Rein4p. 135* SC - Suntan 7* C. -' Compliance Rev.25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* CT Computer Time10* MS - Massage 6* SM - Seminars 36* E� - 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 Heari.ngs15* RC - Rec Camps 9* TFI - Temp. Food 112* FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health May 2008 Phone Log • Total Answered *Answered Calls THURSDAY May 1,2008 28 Mary = 117 FRIDAY May 2, 2008 11 Heather= 151 SATURDAY May 3 2008 Dot 117 SUNDAY Ma 4 2008 Y , MONDAY May 5,2008 12 TUESDAY May 6,2008 16 *Calls Taken : 385 WEDNESDAY May 7, 2008 20 THURSDAY May 8, 2008 24 Joanne = 92 FRIDAY May 9,2008 8 Janet = 58 SATURDAY May 10, 2008 David 36 SUNDAY M 11 2 =May o08 Tracy 1 v y 5 MONDAY May 12,2008 23 Margaret = 36 TUESDAY May 13,2008 21 Mary = 43 WEDNESDAY May 14, 2008 17 Heather = 5 •THURSDAY May 15,2008 22 Liz = 34 FRIDAY May 16, 2008 11 Dot = 30 SATURDAY May 17, 2008 SUNDAY May 18,2008 MONDAY May 19,2008 24 35 Hour Work Week TUESDAY May 20, 2008 13 WEDNESDAY May 21,2008 13 22 working days THURSDAY May 22, 2008 17 FRIDAY May 23, 2008 2 SATURDAY May 24, 2008 SUNDAY May 25 2008 Monday y o da 8-4 Y MONDAY May 26; 2008 HOLIDAY Tuesday 8-4 TUESDAY May 27,2008 31 Wednesday 8-4 WEDNESDAY May 28,2008 30 Thursday 8-7 THURSDAY May 29, 2008 32 Friday 8-noon FRIDAY May 30,2008 10 SATURDAY May 31,2008 41TQTAL r ��cowaT�O CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • �� rF9' SALEM, MA 01970 TEL. 978-74 1-1 800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Public Health Nurse Report May 2008 Activities Disease Prevention • In contact 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. • PPD tested a new arrival from Philippines. PPD positive, referred to North • Shore Pulmonary Clinic for MD evaluation. Meetings/Clinics 5/5 5/6 5/12 Attended ICS 300 Training at MA Task Force 1 in Beverly, MA 5/14 Inspected the Sacred Harp Body Art Studio in Salem with Joanne Scott, and Elizabeth Salandreas. This was an initial inspection and a re inspection will be done before a permit will be issued. 5/15 Attended a seminar on MRSA sponsored by the MDPH at Middlesex Community College. 5/28 Attended the Monthly meeting of the North Shore Cape Ann Emergency Preparedness at Peabody DPW Directly Observed Therapy: 2 residents receive Directly Observed Therapy Monday through Friday. Emergency Planning: Memorandum of Understandings were signed by businesses in the community and submitted to the Fire Chief. • • i Summary of Communicable Diseases for May 2008 Tuberculosis: Three confirmed active TB cases. I am seeing two of them for DOT 5x week. One case has returned. to India for the summer where she will complete TB course of therapy in June. Campylobacter: • 21 month old female. Nanny and brother had fever. Both tested. No positive results. • 52 y/o male. Non foodhandler. Was traveling in New York during incubation period. v$,.CONNT��O CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �s '�eq�gop� TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR .JOANNE SCOTT HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES MAY 2008 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 2 0 2 2 GIARDIA 0 O 0 0 GROUP A STREP 0 O 0 0 MENINGITIS 0 O O O PERTUSSIS O O O 0 SALMONELLA 0 O O 0 TUBERCULOSIS 0 3 0 3 VARICELLA O 0 0 0 i Administration Monthly Report Apr-08 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 170 Burial Permits @ $25.00 $1,700.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Permits $2,035.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $850.00 Measles/Mumps/Rubella= 140 Copies $0.00 Polio= 160 Fines= $125.00 Tetanus & Diptheria (adult use)= 760 Total Monies Collected = $2,910.00 Tuberculin PPD= 10 HIB Titre= 285 Animal Bites Reported= Hepatitis B= 150 PCV7 (Prevnar)= 380 PPV 23= 40 Pediarix= 240 Tdap= 170 Hep A= 50 Influenza= 0 Menactra= 150 HPV= 140 ROTA= 320 Annual Budget Expended Available Balance Salary/Longevity $345,095.00 $286,260.73 $58,833.83 Annual Budget Non-Personnel $16,650.00 $12,218.59 $2,356.53 City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ------------------------------------------------------------------------------ Type Jul 07 Aug 07 Sep 07 Oct 07 Nov 07 Dec 07 Jan 08 Feb 08 Mar 08 Apr 08 Count ----- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ BP 1 0 0 0 0 0 0 0 0 0 1 CFI 86 83 56 63 50 38 46 58 62 19 561 CFR 6 2 3 6 3 1 0 1 2 1 25 CH 7 4 2 2 6 y 5 3 1 6 0 36 CON 0 0 0 0 1 0 0 0 0 0 1 CT 5 2 5 10 4 4 5 7 8 8 58 EC 0 1 0 0 0 0 0 0 0 0 1 EPR 0 1 2 0 0 0 0 0 0 0 3 ERP 0 1 0 0 0 0 0 0 0 0 1 FC 3 1 2 2 1 2 4 2 0 3 20 FRH 0 0 0 0 0 0 0 0 1 1 2 FSD 0 0 2 3 0 3 3 3 1 10 25 FSI 30 17 9 26 15 16 14 13 32 29 201 FSR 23 7 5 11 13 8 17 1 9 24 118 GN 13 17 10 3 3 3 7 4 2 3 65 HI 22 lE 15 5 14 11 16 10 10 11 132 HR 22 14 13 12 10 11 13 8 10 11 124 LPD 0 C 0 0 0 0 1 0 0 0 1 MS 1 0 0 0 0 1 0 0 0 0 2 MT 5 10 8 6 9 4 4 7 11 7 71 MUP 1 0 0 7 0 0 0 0 0 0 8 OS 0 0 19 4 1 0 0 0 0 0 24 RC 2 0 0 0 0 0 0 0 0 0 2 D 0 0 1 1 0 0 1 0 1 1 5 .'I 4 2 2 9 5 3 8 0 7 2 42 RFR 3 2 0 2 3 1 2 0 6 1 20 RO 9 4 8 2 0 0 1 0 1 6 31 SB 71 62 0 0 0 0 0 0 0 0 133 SC 1 1 0 0 0 0 0 3 4 4 13 SM 2 2 1 1 0 0 0 0 3 1 10 SP 1 7 0 1 0 0 0 1 0 0 10 ST 3 2 0 0 0 0 0 0 0 0 5 TFI 0 0 0 9 0 0 0 0 0 0 9 TR 32 51 48 47 22 12 28 26 52 47 365 Count 353 311 211 232 160 123 173 145 228 189 2125 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form I.rispect 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* CIM - Cert . Fit.Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Re4n34* H r' Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16� 4RN - 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* PC 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 April-08 • Total Answered *Answered Calls TUESDAY April 1,2008 22 Mary = 197 WEDNESDAY April 2, 2008 21 Heather = 175 THURSDAY April 3,2008 38 Dot = 129 FRIDAY April 4,2008 11 SATURDAY April 5, 2008 SUNDAY April 6, 2008 *Calls Taken : 501 MONDAY April 7, 2008 31 TUESDAY April 8, 2008 18 Joanne = 97 WEDNESDAY April 9, 2008 37 Janet = 69 THURSDAY April 10,2008 32 David = 65 FRIDAY April 11,2008 18 Pablo = 14 SATURDAY April 12, 2008 Tracy = 87 SUNDAY April 13, 2008 Margaret = 37 MONDAY April 14,2008 27 Mary = 62 •TUESDAY April 15,2008 28 Heather = 10 WEDNESDAY April 16, 2008 33 Liz = 41 THURSDAY April 17, 2008 23 Dot = 19 FRIDAY April 18, 2008 10 SATURDAY April 19,2008 35 Hour Work Week SUNDAY April 20,2008 MONDAY April 21,2008 HOLIDAY 27 working days TUESDAY April 22, 2008 16 WEDNESDAY April 23, 2008 22 THURSDAY April 24, 2008 20 FRIDAY April 25,2008 9 Monday 8-4 SATURDAY April 26, 2008 Tuesday 8-4 SUNDAY April 27, 2008 Wednesday 8-4 MONDAY April 28,2008 33 Thursday 8-7 TUESDAY April 29,2008 31 Friday 8-noon WEDNESDAY April 30, 2008 21 TOTAL 1 501 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH z 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • �J' oa: S B��1�` TEL. 978-74 1-1 800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Public Health Nurse Report April 2008 Activities Disease Prevention • In contact 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/Clinics • TB skin testing offered at the Nathanial Bowditch School for 4th and 5tn grade students and staff. 119 students and 9 staff. 118 students tested 2 positive results. They were evaluated at the North Shore Pulmonary Clinic. 9 staff were tested, all were negative. TB testing dates: 4/1, 4/3, 4/8, 4/10, 4/15, 4/17 4/9 Attended the North Shore Pulmonary TB meeting at North Shore Medical Center to discuss TB cases on the North Shore. 423 Attended the North Shore Cape Ann Emergency Preparedness Meeting. 4/28 Attended the MAVEN (Massachusetts Virtual Epidemiologic Network) training for online disease investigation and reporting. Directly Observed Therapy: 2 residents receive Directly Observed Therapy Monday through Friday. Emergency Planning: Memorandum of Understandings were signed by • businesses in the community and submitted to the Fire Chief. y� CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH r' e 120 WASHINGTON STREET, 4TH FLOOR 3 / O' SALEM, MA 01970 TEL. 978-74 1-1 800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR .JOANNE SCOTT HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES APRIL 2008 DISEASE NEW CARRY OVER DISCHARGED REPORTED • CAMPYLOBACTER O O O 0 GIARDIA 0 0 0 0 GROUP A STREP O O O 0 MENINGITIS O O 0 0 PERTUSSIS O O O 0 SALMONELLA 1 0 1 1 TUBERCULOSIS 0 3 0 3 VARICELLA 0 O 0 0 • ,�conlu� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH r.. A� Jae 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 9�� gdp TEL. 978-74 1-1 800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR .JOANNE SCOTT HEALTH AGENT Summary of Communicable Diseases for April 2008 Tuberculosis: Three confirmed active TB cases. I am seeing two of them for DOT 5x week. • One case is receiving DOT at their place of employment by a health care worker. Salmonella: One case. 19 y/o student and waitress. Excluded from Danvers restaurant until one negative stool. The City of Salem, Massachusetts 120 Washington Street • Salem, Massachusetts 01970 Joanne Scott, MPH. RS, CHO Tel: (978) 741-1800 Health Agent EMERGENCY PURCHASING PRIORITY BASIS MEMO OF UNDERSTANDING This Memorandum of Understanding is between the City of Salem and CVS whose address is Z4 6 e E s s,e x Sfi Sa'I e---\ 1tA A and whose telephone number is - 7441-oy g 41 (hereafter referred to as the"Vendor"). The purpose of this agreement is to establish a relationship with the Vendor to provide emergency supplies and priority service during a local or regional disaster. In the event of a local or regional emergency, as declared by the City of Salem, County of Essex or State of Massachusetts, Vendor agrees to provide the City needed materials such as meds, toiletries,paper products and other emergency supplies at a fair market price. To the extent that the food and supplies are reasonably available during an emergency, Vendor agrees,to provide such supplies to the City on a priority basis for the benefit of the public health, safety and welfare along with an Emergency Contact person available • to the City 24/7 during the emergency. This agreement will serve as an open purchase order during the time of emergency crisis. The City agrees to reimburse within 30 days. (Please attach a list and pricing for services and products that your agency can provide during an emergency.) Emergency Contact: Zjic-�oteJ Lino q�,( '/ a-n S{ Agj en I�A Address o�- 4 4LA9 -?&l- 5)-u-S0 S c( Phone This Me orandum of Understanding is entered into on the L7 th day of ►, , 2008. IV VENDOR �/ ) TITLE CITY OF SALEM TITLE • Administration Monthly Report Apr-08 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 80 Burial Permits @ $25.00 $1,585.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Permits $970.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,425.00 Measles/Mumps/Rubella= 160 Copies $0.00 Polio= 240 Fines= $25.00 Tetanus & Diptheria (adult use)= 640 Total Monies Collected = $4,005.00 Tuberculin PPD= 50 HIB Titre= 235 Animal Bites Reported= 0 Hepatitis B= 450 PCV7 (Prevnar)= 320 PPV 23= 0 Pediarix= 210 Tdap= 170 Hep A= 50 Influenza= 0 Menactra= 115 HPV= 120 ROTA= 220 Annual Budget Expended Available Balance Salary/Longevity $345,095.00 $242,770.50 $102,324.06 Annual Budget Non-Personnel $16,650.00 $9,534.82 $3,551.29 Salem Board of Health March-08 • Total Answered *Answered Calls SATURDAY March 1, 2008 Mary = 145 SUNDAY March 2, 2008 Heather = 154 MONDAY March 3, 2008 37 Dot = 142 TUESDAY March 4,2008 19 WEDNESDAY March 5,2008 17 THURSDAY March 6,2008 17 *Calls Taken : 441 FRIDAY March 7, 2008 23 SATURDAY March 8,2008 Joanne = 94 SUNDAY March 9, 2008 Janet -- 55 MONDAY March 10,2008 27 David = 53 TUESDAY March 11,2008 27 Pablo = 20 WEDNESDAY March 12,2008 27 Tracy = 66 THURSDAY March 13,2008 23 Margaret = 41 FRIDAY March 14, 2008 8 Mary = 36 SATURDAY March 15,2008 Heather= 16 SUNDAY March 16,2008 Liz = 34 MONDAY March 17,2008 31 Dot = 26 TUESDAY March 18, 2008 14 WEDNESDAY March 19,2008 19 35 Hour Work Week THURSDAY March 20,2008 35 FRIDAY March 21, 2008 4 21 working days SATURDAY March 22,2008 SUNDAY March 23,2008 MONDAY March 24, 2008 22 TUESDAY March 25,2008 28 Monday 8-4 WEDNESDAY March 26, 2008 15 Tuesday 8-4 THURSDAY March 27,2008 20 Wednesday 8-4 FRIDAY March 28, 2008 6 Thursday 8-7 SATURDAY March 29,2008 Friday 8-noon SUNDAY March 30,2008 MONDAY March 31, 2008 32 • TOTAL 441 + v�..CONN ��o CITY OF SALEM, MASSACHUSETTS gym. BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • ��! o' SALEM, MA 01970 9Bc��6 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Public Health Nurse Report March 2008 Activities Disease Prevention • In contact 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/Clinics T3%27 Attended a meeting with Joanne Scott with a representative from the Center for Disease Control to discuss the Emergency Dispensing Site Plan. 3/13 Attended the North Shore Cape Ann Emergency Preparedness Meeting. Directly Observed Therapy: 2 residents receive Directly Observed Therapy Monday through Friday. Ongoing Meetings with Joanne to revise and update the Emergency Dispensing Site Plan. • i • MONTHLY REPORT OF COMMUNICABLE DISEASES MARCH 2O08 • DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER O O O 0 GIARDIA O O O 0 GROUP A STREP 1 0 1 1 MENINGITIS 1 0 1 1 PERTUSSIS 0 0 0 0 SALMONELLA 0 0 0 0 TUBERCULOSIS 1 2 0 3 VARICELLA 1 0 1 1 • • Summary of Communicable Diseases March 2008 Invasive Group A Strep: 46 y/o female. Type of infection: Peritonitis. Patient recovered. Varicella: 11 y/o female. Reported by school nurse. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT TO: Parents or Guardians FROM: Salem Board of Health DATE: 3/18/08 RE: Possible exposure to Tuberculosis (TB) Dear Parent/Guardian: Recently a person at Nathaniel Bowditch School was diagnosed with tuberculosis (TB). TB is a curable and preventable disease. The possibility of spreading TB infection is low; therefore it is recommended that only those students and staff who ma have ha close contact with this person be tested. Y d Your child has been identified as having had close contact with this person. For your child's safety, it is recommended that your child receive a TB skin test. The TB test will be given on your child's forearm and must be checked in two or three days to find out i your child has TB germs. f The public health nurse will offer TB testing at Nathaniel Bowditch School on April 1, 2008 at 10:00 a.m. You will be notified of the test results. If your child is found to have TB germs, arrangements can be made for a chest x-ray and a doctor's appointment with an expert in TB care for anyone with a positive TB test. Antibiotics can be given to .prevent your child from getting sick. Please complete and sign the attached form, and return it to the school health office by Tuesday, March 25th. If you choose to have your child tested by your own doctor, or if your child has had a positive TB test in the past, please notify the school Purse..You will need to submit the date and result of the TB test, and any follow-up treatment. Si erely, Reply To: Anne Scott Health Agent Trac larla, LPN Public Health Nurse CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - 120 WASHINGTON STREET, 4TH FLOOR �lAa. SALEM, MA 01970 • ' q TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT TO: Parents or Guardians FROM: Salem Board of Health DATE: 3/18/08 RE: Possible exposure to Tuberculosis (TB) Dear Parent/Guardian: Recently someone at Nathaniel Bowditch School was diagnosed with tuberculosis (TB). TB is a curable and preventable disease. The possibility of spreading TB infection is low; therefore it is recommended that only those students and staff who may have had close contact with this person be tested. Your child has not been identified as having had close contact with this person and therefore, does not need a TB test at this time. This is based on recommendations received from the Massachusetts Department of Public Health and the local health department. If you have questions or concerns, please call me at the Salem Board of Health at 1 (978) 741-1800 S' erely, 4racy�� ply To anne Sc iarla, LPN Health Agent Public Health Nurse Salem Board of Health Salem Board of Health AGENT'S NEWSLETTER TO THE BOARD March 11, 2008 • MOSQUITO CONTROL Walter Montgomery of Northeast Mosquito Control &Wetlands Management District will be at the meeting to discuss this year's mosquito control plan. He is proposing to return to Methoprene and discontinue using the biological larvicide Vetrolux. According to Walter, there are no legitimate studies showing any serious adverse reactions to Methoprene. Because there may be some concern, I have notified members of Salem's Alliance for the Environment(SAFE) and Salem Sound Coast Watch of the:meeting. TRANSFER STATION By the time of the meeting I will have information regarding an engineering company to act as out technical review/assistance expert. I will also have some information regarding legal counsel. SOLID WASTE COMMITTEE The final RFP was published on March 25tn with bids due by April 15tn EDS Plan We met with the CDC regarding our EDS Plan. Most of the time was spent reviewing the Technical Assistance Review document that the CDC uses to evaluate these plans. A specific review of our plan was not conducted. The CDC is giving us a couple of weeks to make any additional changes and they will then review our plan and issue a report. CONDEMNATION Please see the two enclosed Housing Condemnation Order in your packet. We will discuss this at the meeting. I hope you will ratify my decision. • COALITION 1 have decided not to be the Host Community and Chairperson for the Coalition after August 30tn. The Coalition is operating extremely well so it is a good time to turn it over to another community. We have been the Host for five years and it would be healthy (!)for the group to have a different perspective. In addition, there are some other initiatives on which I would like to concentrate more time. 9 NORTH STREET We have been asked by Salem Historic Inc to clear Board of Health things out of the basement of our old office. There is some old lab equipment, file cabinets, and records, some of which must be retained. We are moving forward on that project. HOUSEHOLD HAZARDOUS WASTE COLLECTION DAY The Mayor has asked us to go ahead with a HHWCD event this spring. It is scheduled for May 31st from 8 AM to Noon. Volunteers are welcome! ICS 300 In the packet is information regarding an ICS 300 course that will be offered in May. Most Board members have positions in our Incident Command structure for the EDS. ICS 100 and 700 are required for all staff and Board of Health members. In addition, 200 and 300 are suggested for those in leadership roles in the EDS. If you have taken any online or other ICS classes, please give me a copy of your certificate so that we may verify your training with the CDC. • 0 • Administration Monthly Report Feb-08 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 170 Burial Permits @$25.00 $1,450.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Permits $665.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,510.00 Measles/Mumps/Rubella= 200 Copies $0.00 Polio= 150 Fines= $300.00 Tetanus & Diptheria (adult use)= 90 Total Monies Collected = $3,925.00 Tuberculin PPD= 100 HIB Titre= 275 Animal Bites Reported= 2 Hepatitis B= 120 PCV7 (Prevnar)= 280 PPV 23= 25 Pediarix= 310 Tdap= 170 Hep A= 270 Influenza= 0 Menactra= 170 HPV= 70 ROTA= 280 y Annual Budget Expended Available Balance 1 Salary/Longevity $345,095.00 $209,450.51 $135,644.05 Annual Budget Non-Personnel $16,650.00 $9,068.84 $5,905.20 Salem Board of Health February-08 �• Total Answered *Answered Calls FRIDAY February 1, 2008 14 Mary = 121 SATURDAY February 2, 2008 Heather = 140 SUNDAY February 3,2008 Dot = 129 MONDAY February 4,2008 24 TUESDAY February 5,2008 722 7 WEDNESDAY February 6, 2008 21 *Calls Taken : 390 THURSDAY February 7, 2008 30 FRIDAY February 8,2008 1 12 Joanne = 99 SATURDAY February 9,2008 Janet = 60 SUNDAY February 10,2008 David = 39 MONDAY February 11,2008 7147 Pablo = 17 TUESDAY February 12, 2008 Tracy = 64 WEDNESDAY February 13, 2008 16 Margaret = 19 THURSDAY February 14, 2008 24 Mary = 41 FRIDAY February 15, 2008 0 Heather = 11 SATURDAY February 16,2008 Liz = 18 SUNDAY February 17, 2008 Dot = 22 MONDAY February 18,2008 HOLIDAY TUESDAY February 19,2008 24 35 Hour Work Week WEDNESDAY February 20, 2008 33 THURSDAY February 21,2008 36 21 working days FRIDAY February 22,2008 8 SATURDAY February 23,2008 SUNDAY February 24,2008 MONDAY February 25, 2008 29 Monday 8-4 TUESDAY February 26,2008 9 Tuesday 8-4 WEDNESDAY February 27, 2008 20 Wednesday 8-4 THURSDAY February 28,2008 29 Thursday 8-7 FRIDAY February 29,2008 1 Friday 8-noon TOTAL 390 v c CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JCCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Public Health Nurse Report February 2008 Activities Disease Prevention • In contact with North Shore Pulmonary Clinic regarding active cases e case contacts. g g ses and • • Vaccine inventory maintained and distributed. . • Investigated communicable disease cases and reported to the MDPH. Meetings/Clinics 2/4 2/6 2/8 Offered Tuberculin Skin testing at Salem State College Counseling and Health Services for all contacts of an active case at Salem State. • 41 contacts at Salem State • 31 tested 15 students >5mm referred to NSPC for CXR. 15 students were negative. 1 did not return for reading. 10 students have left Salem State College. 2/13 Attended a meeting at Salem State with Joanne Keegan, RN TSA Nurse for MDPH Division of TB Control. This meeting discussed the MDPH Guidelines for Detection and Treatment of Latent Tuberculosis Infection In Massachusetts College and University Students. 2/27 Attended the North Shore Cape Ann Emergency Preparedness • Meeting. • 2/26 6 Household Contacts tested for Pleural TB Case. 1 tested positive and were referred to the NSPC. Directly Observed Therapy: Directly Observed Therapy Monday through Friday. This client is a Lowell resident who works in Salem. Ongoing Meetings with Joanne to revise and update the Emergency Dispensing Site Plan. • • .r J • MONTHLY REPORT OF COMMUNICABLE DISEASES FEBRUARY 2008 •DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 0 O O 0 GIARDIA O O O 0 GROUP A STREP 0 0 O 0 MENINGITIS 1 0 1 1 PERTUSSIS O O O 0 SALMONELLA 0 O 0 0 TUBERCULOSIS 1 2 0 3 • Summary of Communicable Diseases February 2008 Aseptic Meningitis: 50 y/o male. Pt. Recovered. Tuberculosis: 32 y/o female. Started treatment in India. Referred to NSPC. CXR abn. Sputum smear negative. Receiving DOT at a health care facility in Salem, and at NSPC. Tuberculosis: 42 y/o female. Arrived in US in 2004 from Philippines. CXR abn., sputum X3 negative. Pleural tissue+mtb. 5 Household contacts tested. One tested positive and referred to the Pulmonary Clinic. Receiving DOT daily. Tuberculosis: 60 y/o female. Arrived in US 2005. TB meningitis. Hospitalized since December 2007. • • AGENT'S NEWSLETTER TO THE BOARD March 11, 2008 TRANSFER STATION I sent the BU professor a contract for her services in reviewing the air quality information for the modified Transfer Station. To date there has been no filing by the City with MEPA. SOLID WASTE COMMITTEE This committee has been working diligently and released a draft RFP and draft contract today. It was sent by e-mail to approximately 12 vendors who have expressed interest. On Monday, the 101h, we will be holding a Pre-bid meeting with any interested vendors and will publish the final RFP on March 25' with bids due by April 15'h EDS Plan The CDC will be reviewing our Emergency Dispensing Site Plan on March 27th in Brookline. We have been updating it ourselves and have asked the Police, Fire and School Departments to review it next week. In addition, we will be asking for several Memorandums of Understanding (MOU's)with area businesses, such as food stores, pharmacies, etc., so that we may include those in our plan. RAINBOW TERRACE We allowed work to resume last Tuesday at Rainbow Terrace, one week after the Board stopped work at the site because of potential lead and dust contamination. The work includes removing aluminum and old clapboard siding from some parts of the buildings, replacing windows and bathroom vents, installing insulation, and fixing roofs. The Housing Authority was very cooperative in assuring that its contractor would follow good work practices. Some of the • documentation is in the packet. We appreciated the assistance of Mike Feeney, the Indoor Air Quality Chief and Mickey Laskey, Lead Inspector, both with the Massachusetts Department of Public Health. SCOTIA STREET After five years of continual court cases and lack of progress, the Scotia Street property, contaminated with asbestos, has been sold to someone who plans to clean it up quickly. An LSP and engineer have been hired and work to remove the contamination and solve a drainage problem should begin soon. CONDEMNATION Please see the enclosed Housing Condemnation Order in your packet. We will discuss this at the meeting. I hope you will ratify my decision. FLU I missed most of last week because of the flu! The vaccination probably helped to minimize the effects (although it didn't seem it at the time!) but as we know the vaccine missed the strain that is currently circulating. Hand sanitizer has proven effective in preventing the spread throughout the office. • Administration Monthly Report Jan-08 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 170 Burial Permits @ $25.00 $1,095.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Permits $11,525.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,375.00 Measles/Mumps/Rubella= 40 Copies $7.00 witness fee Polio= 150 Fines = $0.00 Tetanus & Diptheria (adult use)= 165 Total Monies Collected = $14,002.00 Tuberculin PPD= 40 HIB Titre= 220 Animal Bites Reported= 0 Hepatitis B= 300 PCV7(Prevnar)= 270 PPV 23= 25 Pediarix= 230 Tdap= 160 Hep A= 70 Influenza= 0 Menactra= 305 HPV= 120 ROTA= 120 Annual Budget Expended Available Balance Salary/Longevity $345,095.00 $179,381.77 $169,712.79 Annual Budget Non-Personnel $16,650.00 $8,426.63 $6,726.31 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------------------------ Type Jul 07 Aug 07 Sep 07 Oct 07 Nov 07 Dec 07 Jan 08 Count BP 1 0 0 0 0 0 0 1 CFI 86 83 56 63 50 38 46 422 CFR 6 2 3 6 3 1 0 21 CH 7 4 2 2 6 5 3 29 CON 0 0 0 0 1 0 0 1 CT 5 2 5 10 4 4 5 35 EC 0 1 0 0 0 0 0 1 EPR 0 1 2 0 0 0 0 3 ERP 0 1 0 0 0 0 0 1 FC 3 1 2 2 1 2 4 15 FSD 0 0 2 3 0 3 3 11 FSI 30 17 9 26 15 16 14 127 FSR 23 7 5 11 13 8 17 84 GN 13 17 10 3 3 3 7 56 HI 22 18 15 5 14 11 16 101 HR 22 14 13 12 10 11 13 95 LPD 0 0 0 0 0 0 1 1 MS 1 0 0 0 0 1 0 2 MT 5 10 8 6 9 4 4 46 MUP 1 0 0 7 0 0 0 8 OS 0 0 19 4 1 0 0 24 RC 2 0 0 0 0 0 0 2 RFD 0 0 1 1 0 0 1 3 RFI 4 2 2 9 5 3 8 33 RFR 3 2 0 2 3 1 2 13 RO 9 4 8 2 0 0 1 24 SB 71 62 0 0 0 0 0 133 SC 1 1 0 0 0 0 0 2 SM 2 2 1 1 0 0 0 6 SP 1 7 0 1 0 0 0 9 ST 3 2 0 0 0 0 0 5 TFI 0 0 0 9 0 0 0 9 TR 32 51 48 47 22 12 28 240 Count 353 311 211 232 160 123 173 1563 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: j Inspection Types BP - BodyPiercing g FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6 CEI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* CH t� Court Hearing 93* HI - HousingIns 260* RFR - Ret . ,Food Rein3 CON - Constable Serv. 65* HR - Housin Reins 135* RO - Rodent Control g P 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 6 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* TotalAnswered ' • January 1, 11 : January 2, 11 : • January 3, 11 : • January 4, 11 : January 5, o uouuu■uuuu■uuu■uuu 2008 u■oouu■uuuuu■uuuu■■n ■■■u o■u■■■■ouuu■u■uuuu■ January • 2008 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ • January 7,2008 January 8, 11 : • : January 9, 11: • January 1 2008 i • January 11, 11 : • • January 12, 11 : ■uouu■uuuuu■uuouu■u■ January 13, ■u■uuu■■■uouu■u■uuuuu u uuuuuuuuuuuoou■■■■■ 11 : iiiiiii:::iiiiiiiii:::iiiiiii:iiiii • • January 14, 2008 ' January 15, 11 : January • 2008 • January 17, 11 : • January 18, 11 : • ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ January ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ' 2008 ■■■■■■uuuu000uu■■uuuu■ • • u u■■■■■■■■o■■■■■■■■■■■■■■■■■■■■■ January 1 2008 ■uuuuuuuuuuuuuuuuu ■■■■■uuuu■■■■uuo■■■■■uuu■ • January 21,2008 • • •. January 22, 11 : January 23, 11 : January 24, 11 : January 25 11 :January 26, • • , 2008 uuuuuuuou■uuuuuuuu • . ■■w■■o■■■■o■■■■uuouu■■■■o■ i iiiiiiiiiiiiiiiiiiiiiiiiiiiiiii ■■■uuuouuuu■■■■■■■■■■u■■u � I I : ■u■uwuu■uu■uuuuuuu■■■ • • . ■uuuuuuuuuuuuuu■u■u RiMelk Mit January 28, 2008 • • . January 29, 11 • • • 1 2008 January 31, 2008 CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH n, 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01 970 TEL. 978-741-1 800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Public Health Nurse Report January 2008 Activities Disease Prevention • In contact 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/Clinics 1/22 2 Contacts of Active case received their 8 week follow up TB test. Both tests were negative. 1/23 Attended the North Shore Cape Ann Emergency Preparedness Meeting. Directly Observed Therapy: Directly Observed Therapy Monday through Friday. This client is a Lowell resident who works in Salem. Meeting with Joanne to revise and update the Emergency Dispensing Site Plan. • N .- CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES JANUARY 2007 DISEASE NEW CARRY OVER DISCHARGED REPORTED • CAMPYLOBACTER O O 0 0 GIARDIA 0 0 0 0 GROUP A STREP 0 O O 0 MENINGITIS 1 0 1 1 PERTUSSIS O O O 0 SALMONELLA 0 0 0 0 TUBERCULOSIS 1 1 0 2 • .�^ c CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH e 120 WASHINGTON STREET, 4TH FLOOR • l o,' SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTTQa SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Summary of Communicable Diseases for January 2008 Meningitis: 13 day old male with +CSF Herpes Simplex Virus (types 1 and 2). Infant recovered. Tuberculosis: One confirmed active TB case. Lowell resident, but working in Salem. I am following him for DOT 5x week. His case manager is the Lowell Health Department nurse, and he is followed by the Lowell Pulmonary Clinic. • AGENT'S NEWSLETTER TO THE BOARD February 12, 2008 TRANSFER STATION I have spoken to a professor at the BU School of Public Health who may be willing to evaluate the air quality impacts if the Transfer Station goes from 100 to 400 tons per day. I mentioned this to Beth Rennard, who said she thought it would be OK as long as we knew she was qualified. I will have more information for the Board on Tuesday. I reviewed the Transfer Station file at the DEP and made copies of some documents that I will bring to the meeting if anyone would like to review them too. NON-PROFIT BAKE SALE The enclosed guidance flyer(in color) has gone out to all the non-profit school, and church groups who received the original memo from me. I send this to the Salem Gazette and Salem News as well. CLIPPERSHIP MOTEL We have received complaints regarding cat odors at this motel. And have done an inspection there. As the Board may remember, we now permit the three motel/hotels in Salem. SOLID WASTE COMMITTEE In the packet you will find the agenda for this committee's first meeting and a timeline for the project. This will be a time consuming task for the next couple of months and involves many department heads, a city councilor, and a DEP consultant. The process will be fair and in the end we should have the best possible result for the City. • SEMINARS I attended a two-day seminar, with Margaret Whittaker, on how to plan and conduct Homeland Security compliant trainings including seminars,workshops, exercises, drills, etc. It is a very logical but complicated process. However, in order to receive Federal money in the future this will be required. I also attended a Solid Waste seminar for municipalities who are in the contracting process. STAFF Because I have been spending time on the above issues, Janet Dionne and David Greenbaum have had to step up and cover some activities that I usually do. We are very lucky to have them and the rest of our staff, who are dedicated and professional in all situations. Liz (Elizabeth Salandrea) is learning the ropes, or should I say codes, quickly. She is a terrific addition to our staff. Pablo Valdez is looking forward to his retirement in April, as is Mary who will be leaving in September. They have been with the BOH so many years that it is difficult to imagine that they won't be here! HAPPY VALENTINE'S DAY! • • • • Administration Monthly Report December-07 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 170 Burial Permits @$10.00 $480.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $37,225.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,125.00 Measles/Mumps/Rubella= 40 Copies $0.00 Polio= 150 Fines= $25.00 Tetanus & Diptheria (adult use)= 165 Total Monies Collected = $38,855.00 Tuberculin PPD= 50 HIB Titre= 220 Animal Bites Reported= Hepatitis B= 280 PCV7 (Prevnar)= 270 PPV 23= 135 Pediarix= 230 Tdap= 40 Hep A= 50 Influenza= 240 Menactra= 155 HPV= 120 ROTA= 120 Annual Budget Expended Available Balance Salary/Longevity $345,095.00 Annual Budget Non-Personnel $16,650.00 City Of Salem Environmental Health Division --- Inspection Monthly Summary i • ----------- ------Month --------- Type Jul 07 Aug 07 Sep 07 Oct 07 Nov 07 Dec 07 Count BP 1 0 0 0 0 0 1 CFI 86 83 56 63 50 38 376 CFR 6 2 3 6 3 1 21 CH 7 4 2 2 6 5 26 CON 0 0 0 0 1 0 1 CT 5 2 5 10 4 4 30 EC 0 1 0 0 0 0 1 EPR 0 1 2 0 0 0 3 ERP 0 1 0 0 0 0 1 FC 3 1 2 2 1 2 11 FSD 0 0 2 3 0 3 8 FSI 30 17 9 26 15 16 113 FSR 23 7 5 11 13 8 67 GN 13 17 10 3 3 3 49 HI 22 18 15 5 14 11 85 HR 22 14 13 12 10 11 82 MS 1 0 0 0 0 1 2 MT 5 10 8 6 9 4 42 MUP 1 0 0 7 0 0 6 OS 0 0 19 4 1 0 24 RC 2 0 0 0 0 0 2 RFD 0 0 1 1 0 0 2 RFI 4 2 2 9 5 3 25 RFR 3 2 0 2 3 1 11 • RO 9 4 8 2 0 0 23 SB 71 62 0 0 0 0 133 SC 1 1 0 0 0 0 2 SM 2 2 1 1 0 0 6 SP 1 7 0 1 0 0 9 ST 3 2 0 0 0 0 5 TFI 0 0 0 9 0 0 9 TR 32 51 48 47 22 12 212 Count 353 311 211 232 160 123 1390 +++++ City of Salem, Massachusetts 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 . CFI - Cert . Fit. 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control • CON - 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 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-07 • Total Answered *Answered Calls SATURDAY December 1,2007 Mary = 98 SUNDAY December 2, 2007 Heather= 127 MONDAY December 3, 2007 24 Dot = 128 TUESDAY December 4, 2007 13 WEDNESDAY December 5, 2007 24 THURSDAY December 6, 2007 37 *Calls Taken : 353 FRIDAY December 7,2007 8 SATURDAY December 8,2007 Joanne = 74 SUNDAY December 9,2007 Janet = 52 MONDAY December 10,2007 34 David = 51 TUESDAY December 11,2007 27 Pablo = 17 WEDNESDAY December 12,2007 23 Tracy = 86 THURSDAY December 13,2007 28 Margaret = 13 FRIDAY December 14, 2007 0 Mary = 23 •SATURDAY December 15,2007 Heather = 17 SUNDAY December 16, 2007 Dot = 20 MONDAY December 17,2007 29 TUESDAY December 18, 2007 19 WEDNESDAY December 19, 2007 26 35 Hour Work Week THURSDAY December 20,2007 18 FRIDAY December 21, 2007 9 22 working days SATURDAY December 22, 2007 SUNDAY December 23,2007 MONDAY December 24,2007 5 TUESDAY December 25,2007 HOLIDAY Monday 8-4 WEDNESDAY December 26, 2007 8 Tuesday 8-4 THURSDAY December 27, 2007 15 Wednesday 8-4 FRIDAY December 28,2007 3 Thursday 8-7 SATURDAY December 29, 2007 Friday 8-noon SUNDAY December 30, 2007 MONDAY December 31, 2007 3 • TOTAL 1 353 w v�.c CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH n 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • �'�9 `'" TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Public Health Nurse Report December 2007 Activities Disease Prevention • In contact 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/Clinics Influenza Clinics 1214 12106 8 Home visits for homebound residents. 12113 4 Office Visits for Influenza Vaccinations. 1 ppd Positive contact of an active case of TB in Lowell referred to North Shore Pulmonary Clinic for M.D. evaluation. 12/20 Attended the North Shore Pulmonary Clinic Quarterly TB meeting to discuss active cases of TB on the North Shore. 12/19 Attended the North Shore Cape Ann Emergency Preparedness Meeting. Directly Observed Therapy: Two cases of active TB are visited Monday through Friday for Directly Observed Therapy. One client is a Lowell resident who works in • Salem. c CITY OF SALEM, MASSACHUSETTS 03' � BOARD OF HEALTH 0 39 120 WASHINGTON STREET, 4TH FLOOR off o. SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JCCOTT@SALEM.COM MAYOR .JOANNE SCOTT HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES DECEMBER 2007 •DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER O O O 0 GIARDIA O O O O GROUP A STREP 0 0 O 0 PERTUSSIS O O O 0 SALMONELLA O 0 O 0 TOXOPLASMOSIS 1 0 0 1 TUBERCULOSIS 1 1 0 2 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �rA 53 120 WASHINGTON STREET, 4TH FLOOR • i o SALEM, MA 01 970 9��MINE W`' TEL. 978-741-1 800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT SUMMARY OF COMMUNICABLE DISEASES FOR DECEMBER TOXOPLASMOSIS: 64 Y/O MALE HOSPITALIZED FOR CANCER TX. LAB NOTE: SUGGESTIVE OF INFECTION AT UNDETERMINED TIME. PATIENT DID NOT HAVE SYMPTOMS, OR RECENT EXPOSURE *TUBERCULOSIS: TB MENINGITIS. 60 Y/O FEMALE. SPUTUM SMEAR NEGATIVE X3 CXR: ABNORMAL. CSF CULTURE POSITIVE FOR M.TUBERCULOSIS. CASE IS HOSPITALIZED. • AGENT'S NEWSLETTER TO THE BOARD January 8, 2008 TRANSFER STATION As you probably know, I have e-mailed maps of the Transfer Station and the area around it, so that you have a reference when the facility is being discussed. Also, in your packet is an EPA document, "Waste Transfer Stations: A Manual for Decision-making"that Paulette found. She hopes that you will be able to read it before the next meeting. In addition, in your packet is the DEP Regulation that governs the siting and modification process. have been in touch with Beth Rennard regarding some of the particulars of the plan and the timetable. I have included some of that correspondence and hope to have more by the meeting. As of now, the MEPA application should be submitted by the City in February, public comment would be accepted until March 11th and MEPA would make its decision by March 21S' In order for the Board to hold a public hearing, I think that we would need time to review the MEPA application before holding a public hearing. Perhaps our public hearing could take place at the end of February? We can discuss this at the meeting. NON-PROFIT BAKE SALE You have probably noted that there has been a lot of press regarding our requiring food at bake sales to be prepared in a permitted kitchen. The Council on Aging, by the way, does have a permitted kitchen. As I told the Board, I have always enforced the code this way with all non-profits when I have been aware of bake sales. In fact, several years ago, I enforced it the same way with the Boys & Girls Club. 2008 Major projects for this coming year include chairing the Solid Waste Contract committee and preparing our Emergency Dispensing Site Plan for review by the Center for Disease Control. 00000000000000000000000000000000 HAPPY NEW YEAR! • i • Administration Monthly Report November-07 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 160 Burial Permits @ $10.00 $390.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $14,455.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,100.00 Measles/Mumps/Rubella= 60 Copies $5.60 Polio= 100 Fines= $25.00 Tetanus & Diptheria (adult use)= 105 Total Monies Collected = $15,975.60 Tuberculin PPD= 50 HIB Titre= 170 Animal Bites Reported= NONE Hepatitis B= 180 PCV7 (Prevnar)= 490 PPV 23= 160 Pediarix= 300 Tdap= 290 Hep A= 280 Influenza= 6510 Menactra= 235 HPV= 90 ROTA= 400 Annual Budget Expended Available Balance Salary/Longevity $339,234.00 $126,889.98 $212,344.02 Annual Budget Non-Personnel $16,650.00 $4,856.78 $9,473.20 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month --------------- ---------- Type Jul 07 Aug 07 Sep 07 Oct 07 Nov 07 Count BP 1 0 0 0 0 1 CFI 86 83 56 63 50 338 CFR 6 2 3 6 3 20 CH 7 4 2 2 6 21 CON 0 0 0 0 1 1 CT 5 2 5 10 4 26 EC 0 1 0 0 0 1 EPR 0 1 2 0 0 3 ERP 0 1 0 0 0 1 FC 3 1 2 2 1 9 FSD 0 0 2 3 0 5 FSI 30 17 9 26 15 97 FSR 23 7 5 11 13 59 GN 13 17 10 3 3 46 HI 22 18 15 5 14 74 HR 22 14 13 12 10 71 MS 1 0 0 0 0 1 MT 5 10 8 6 9 38 MUP 1 0 0 7 0 8 OS 0 0 19 4 1 24 RC 2 0 0 0 0 2 RFD 0 0 1 1 0 2 RFI 4 2 2 9 5 22 RFR 3 2 0 2 3 10 ORO 9 4 8 2 0 23 SB 71 62 0 0 0 133 SC 1 1 0 0 0 2 SM 2 2 1 1 0 6 SP 1 7 0 1 0 9 ST 3 2 0 0 0 5 TFI 0 0 0 9 0 9 TR 32 51 48 47 22 200 Count 353 311 211 232 160 1267 +++++ City of Salem, Massachusetts 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. 7S* CFR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Re n34 CH ti -- Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control lr CON - Constable Serv. 65* HR - Housing Reinsp. 13S* 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 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-07 • Total Answered *Answered Calls THURSDAY November 1,2007 17 Mary = 132 FRIDAY November 2, 2007 8 Heather = 129 SATURDAY November 3,2007 Dot = 92 SUNDAY November 4,2007 MONDAY November 5,2007 27 TUESDAY November 6, 2007 25 *Calls Taken : 353 WEDNESDAY November 7, 2007 25 THURSDAY November 8,2007 29 Joanne = 56 FRIDAY November 9,2007 6 Janet = 63 SATURDAY November 10, 2007 David = 44 SUNDAY November 11, 2007 Pablo = 12 MONDAY November 12,2007 HOLIDAY Tracy = 85 TUESDAY November 13,2007 22 Margaret = 22 WEDNESDAY November 14,2007 36 Mary = 41 •THURSDAY November 15,2007 13 Heather= 14 FRIDAY November 16,2007 10 Dot = 16 SATURDAY November 17,2007 SUNDAY November 18,2007 MONDAY November 19, 2007 26 35 Hour Work Week TUESDAY November 20,2007 14 WEDNESDAY November 21,2007 8 22 working days THURSDAY November 22, 2007 HOLIDAY FRIDAY November 23,2007 1 0 SATURDAY November 24,2007 SUNDAY November 25, 2007 Monday 8-4 MONDAY November 26, 2007 12 Tuesday 8-4 TUESDAY November 27, 2007 15 Wednesday 8-4 WEDNESDAY November 28, 2007 19 Thursday 8-7 THURSDAY November 29,2007 36 Friday 8-noon FRIDAY November 30, 2007 5 • TOTAL 1 353 CITY OF SALEM, MASSACHUSETTS ofv� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR Po SALEM, MA 01970 • ""`-� TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT Public Health Nurse Report November 2007 Activities Disease Prevention • In contact 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/Clinics Influenza Clinics 1111 12 Home visits for homebound residents. 11/8 Council on Aging Influenza Clinic. Salem State College students, Council on Aging staff and Volunteers participated. The clinic was run as an EDS drill using ICS. 430 residents were vaccinated. 11/13 Salem Housing Authority Influenza Clinic, 27 Charter Street. The Endicott College Nursing Students participated. 135 residents were vaccinated. 11/13 Attended a presentation on MRSA by Joanne Scott, to the Salem High Athletic Student families and faculty. 11/15 Pioneer Terrace Clinic. Endicott College Students participated. 108 residents were vaccinated. 11/27 An Influenza Clinic was held at the Salem Mission. The Salem State Students participated in the clinic. Anne Kelley, RN Community • Outreach Nurse participated. 34 were vaccinated. • 11/28 Police and Fire Clinics were held at both stations. 48 Police and Fire employees were vaccinated. 11/28 An evening Influenza Clinic was held at the Salem Board of Health. This clinic was for any employee or any resident who wanted to protect themselves from influenza. 181 people were vaccinated. 11/29 13 Home bound residents were vaccinated. • • t • Summary of Communicable Diseases for November 2007 Brucellosis: One case: 41 year old female. Frequent travel to Greece. Traveled to Greece 2 months before symptoms. Campylobacter: One case. 45 y/o female. Foodhandler at a local grocery. Case wraps raw chicken and packages them. Reported to MDPH by physician. Case was excluded from work and employer was notified. The case returned to work after 1 negative stool. The employer received a letter notifying the employer that the employee can return to foodhandling duties. Giardia: Two cases: 53 y/o female. Traveled during the incubation period to South Bend Indiana. Case attended a wedding. Not aware of anyone else ill. Traveled on United. Non Foodhandler. 47 y/o male. Non Foodhandler. Case did not travel, no known source. No one in the home is ill. Invasive Group A Strep: One case. 89 y/o female. Admitted to the hospital with cellulitis. Discharged to Long term care facility. Patient expired. Cause of death recurrent aspiration. Pertussis: One case. 24 y/o female. One household contact without symptoms. Case was a contact of a 3 month old Lynn l J resident. Case was treated with antibiotics and is no longer infectious. Salmonella: One case. Case is a non-foodhandler, no travel. This case is a part of a small cluster of Salmonella newport in the North Shore area. The symptoms occurred during the second week in October. Emily Harvey from the food protection program will keep us informed if any new developments occur. Trichinosis: One case: Positive by serology, antibody positive. 52 y/o male who was hospitalized with infection of the foot. He was hospitalized for 2 weeks. Spoke with Infectious Disease Doctor who felt he had trichinosis in the past. He was tested because of.eosiniphilia. Tuberculosis: • One suspect active case. 27 y/o male. Born in Brazil. CXR positive, cavitary. 1 smear negative, culture pending. Started meds on 11/2/07. DOT 5x week. He will be followed by NSPC. One confirmed active TB case. Lowell resident, but working in Salem. I am followinghim for DOT 5x week. His case manager is 9 the Lowell Health Department nurse, and he is followed by the Lowell Pulmonary Clinic. �1 Guide to Surveillance,Reporting and Control Massachusetts Department of Public Health,Bureau of Communicable Disease Control • Brucello sis REPORT IMMEDIATEU (Also known as Bangs Disease, Undulant Fever, Malta Fever, and Mediterranean Fever) Section l: ABOUT THE DISEASE A. Etiologic Agent Brucellosis is caused by bacteria of the genus Brucella.The species of BruceUa that may infect humans are B. abortus,B. melitensis,B. suis,and rarely,B. canis. B. Clinical Description Brucellosis is a systemic disease with acute or insidious onset characterized by sustained,intermittent,or irregular fever of variable duration.Symptoms include headache,weakness,chills,profuse sweating,joint aches,depression, weight loss,and generalized aching.Localized and chronic localized infections of organs (including the liver and spleen) can occur. Complications affecting the bones and joints are common (they occur in 20-60%of cases),with sacroiliitis occurring most frequently.Involvement of the genitourinary system,including orchitis and epididymitis, • occurs in up to 20% of cases in males. Neurologic symptoms can occur in up to 5% of cases.The disease may last for days, months,or occasionally longer,if inadequately treated. Most cases recover,but some individuals develop significant disabilities. Relapses,involving part of or all of the original syndrome,are not uncommon.Asymptomatic infections can occur.The case-fatality rate of untreated brucellosis is <2%;however, death may result from endocarditis caused by B. melitensis C. Vectors and Reservoirs Cattle,swine,goats, and sheep are the most common reservoirs. However,brucellosis eradication programs have greatly reduced the prevalence of the disease in livestock in the U.S. Brucellosis was last identified in cattle in Massachusetts in the mid-1980s. Bison,elk,caribou, and some species of deer may also harbor Brucella sp.B. canis is an occasional problem in laboratory dog colonies and kennels;a small percentage of pet dogs and a higher proportion of stray dogs have B. canis antibody titers,and coyotes have been found to be infected as well. D. Modes of Transmission Brucellosis is spread to humans by direct contact with living or dead infected animals and their carcasses or secretions (including their tissues, blood,urine,vaginal discharges, aborted fetuses,and especially, placentas). Infection is transmitted by inoculation through non-intact skin or through direct contact with mucosal surfaces. It may also be spread through ingestion of raw milk and dairy products (e.g.,unpasteurized cheese) from infected animals. Airborne transmission may occur through inhalation of contaminated aerosols (e.g., in laboratory settings). Persons may also be infected through accidental inoculation with live vaccine-strain Brucella used for livestock.Person-to-person spread is extremely rare,although it has been reported to occur through bone marrow transplantation. June 2006 Brucellosis-73 Guide to Surveillance.Reporting and Control Massachusetts Department of Public Health,Bureau of Communicable Disease Control E. Incubation period • ;i The incubation period for brucellosis is highly variable, ranging from 5-60 days; illness most commonly occurs about ' 1 month after exposure. F. Period of Communicability or Infectious Period Person-to-person transmission of brucellosis is extremely rare. G. Epidemiology There is worldwide distribution of brucellosis. It is more common in farmers, ranchers,veterinarians, and other people who work directly with animals. It can also be found in people who work in laboratories and slaughterhouses, or as meat inspectors. Sporadic cases and outbreaks may occur among consumers of raw (unpasteurized) milk and P ) milk products, especially soft cheeses. Less than 10% of reported cases occur in children under 19 years of age. Fewer than 120 cases per year are reported in the U.S. Most cases worldwide may be unrecognized and underreported. H. Bioterrorist Potential Brucella species are listed by the Centers for Disease Control and Prevention (CDC) as Category B bioterrorist agents. If acquired and properly disseminated,Brucella could cause a serious public health challenge. Section 2: REPORTING CRIT ERIA AND LABORATORY TESTING A. What to Report to the Massachusetts Department of Public Health (MDPH) Report any of the following: ♦ Any suspicion of brucellosis called to your attention by a health care provider; ♦ Any positive laboratory result pertaining to brucellosis; and ♦ Any suspected exposure to Brucella that may be bioterrorist in nature. Note:See Section K for information on how to report a case. B. Laboratory Testing Services Available The MDPH State Laboratory Institute (SLI), Bioterrorism Response Laboratory (BRL) provides testing services for clinical specimens of Brucella. Specimens are tested by serology (using serum samples) and/or culture.Acceptable culture specimens include blood cultures, bone marrow, spleen, liver,abscess aspirates, and swabs taken from lesions. Laboratories can also submit isolates for identification, confirmatory testing, and speciation. In addition, the BRL requests submission of all Brucella isolates for further testing for disease surveillance purposes. For more information on testing, call the BRL anytime at (617) 590-6390. The laboratory must be notified prior to specimen submission. June 2006 Brucellosis-74 ✓ Guide to Surveillance,Reporting and Control Massachusetts Department of Public Health,Bureau of Communicable Disease Control Trichinosis (Also known as Trichinellosis) Section 1: ABOUT THE DISEASE A. Etiologic Agent Trichinosis is caused by Trichinella spiralis, a parasitic intestinal roundworm.There are multiple species of Trichinella capable of causing infection in mammals,but T. spiralis is the most common cause of human infection. B. Clinical Description Trichinosis in humans can range from asymptomatic to fatal,depending on the infective dose. Most infections in the U.S. are asymptomatic. In the week following ingestion of infected meat, a patient may experience nausea,vomiting, diarrhea,and abdominal discomfort as the larvae attach to and invade the intestinal mucosa. In symptomatic infection,muscle soreness and pain, fever, edema of the upper eyelid,and urticarial rash (hives) follow at 2-8 weeks after ingestion as larvae migrate into muscle tissue. Eye pain,photophobia,thirst,profuse sweating,chills, weakness,and a rapid increase in eosinophilic granulocytes on blood exam may also occur. Recurring high fever (as high as 104°F) occurs,but usually stops after 1-6 weeks. In the most severe infections,cardiac and neurologic complications may be life-threatening. • C. Vectors and Reservoirs Pigs,dogs, cats,horses, rats,and many wild animals such as bear,wolf,wild boar, fox,and Arctic marine mammals can serve as reservoirs for Trichinella. D. Modes of Transmission Transmission occurs by ingestion of raw or undercooked meats containing Trichinella cysts. Historically,pork and pork products were the most likely source. Beef products,which may become inadvertently adulterated with raw pork during processing, can also be a source. However, since the discontinuation of feeding raw-meat garbage to hogs, the adoption of commercial and home freezing of pork,and public awareness of the danger of eating raw or undercooked pork products,cases in the U.S. are less commonly associated with pork products and are more often associated with eating raw or undercooked wild game meats.There is no person-to-person spread of trichinosis. E. Incubation Period Gastrointestinal symptoms may appear within a few days of exposure. Onset of systemic symptoms ranges ges from —45 days; the usual incubation period is 8-15 days. If large numbers of cysts are ingested, symptoms may occur earlier. F. Period of Communicability or Infectious Period Trichinosis is not transmitted directly from person to person.Animal hosts may remain infective for months, and meat from these animals remains infective until the larvae are killed by sufficient cooking,freezing, or irradiation. June 2006 Trichinosis-859 Guide to Surveillance,Reporting and Control Massachusetts Department of Public Health,Bureau of Communicable Disease Control G. Epidemiology • Trichinosis occurs worldwide and affects people of all ages.Depending on local customs regarding eating pork or undercooked meats, the incidence of disease is variable. H. Bioterrorist Potential This pathogen is not considered to be of risk for use in bioterrorism. Section 2: REPORTING CRITERIA AND LABORATORY TESTING A. What to Report to the Massachusetts Department of Public p p b c Health (MDPH) Report any of the following: ♦ Demonstration of Trichinella larvae in tissue obtained by muscle biopsy; ♦ A positive serologic test for Trichinella; or ♦ Clinical presentation consistent with trichinosis associated with high peripheral eosinophilic granulocyte count and lack of an alternative, more likely, diagnosis. Note:See Section K for information on how to report a case. B. Laboratory.Testing Services Available • The MDPH State Laboratory Institute (SLI) does not provide testing services for Trichinella identification in clinical specimens or implicated food samples. The SLI Reference Laboratory will process sera for serologic testing at the Centers for Disease Control and Prevention (CDC). For more information on submitting specimens, contact the SLI Reference Laboratory at (617) 983-6607. Section 3: REPORTING RESPONSIBILITIES AND CASE INVESTIGATION A. Purpose of Surveillance and Reporting ♦ To identify sources of public health concern (e.g., undercooked Trichinella-infected pork being served at a restaurant, commercial sources of contaminated meat or meat products), and to stop transmission from such sources. ♦ To identify and control outbreaks. • June 2006 Trichinosis-860 AGENT'S NEWSLETTER TO THE BOARD December 11, 2007 • TRANSFER STATION City Solicitor Beth Rennard says that the Transfer Station proposal will be submitted to MEPA prior to our Public Hearing. I will have information on Tuesday regarding "experts" to assist us in reviewing that application. On a similar topic, the Mayor has asked me to chair a committee to put together a Request for Proposals for a new solid waste contract. North Side Carting's current contract expires on June 30, 2008. This committee will consist of the City Solicitor, Finance Director, Purchasing Agent, DPW Director, a city councillor and a municipal coordinator from the DEP. EMERGENCY PREPAREDNESS Enclosed in the packet is the 2008 North Shore-Cape Ann Emergency Preparedness Coalition contract with the MDPH. We are being told that, in the case of anthrax exposure, we will have to dispense medication within 24 hours of notification. The Emergency Dispensing Site Plan we have developed calls for dispensing within 48 hours after a 24 hour ramp-up following notification. So this is a big change. We plan to meet with a number of city agencies in the new year to discuss how they can assist us in dispensing to such a large population in a short time. In other words, how we would give them medication to distribute to their employees and families. The major American cities have been receiving a special stream of funding grants, called City Readiness Initiative (CRI). The Center for Disease Control is coming to Massachusetts in February to evaluate Boston's EDS plan as a follow-up of that funding. The State's Strategic National Stockpile has asked us if we would allow the CDC to evaluate our EDS Plan too, as well as one other Massachusetts community. Of course, this will be time consuming for us but it will also focus our energy into improving the plan. The evaluation will be stringent, so we will also be • given concrete ways to improve the plan. One way the Board can help is to be sure that you take the ICS 100 and 700 courses. I will give you information on where they are being offered in person, or you can take the courses online. I spoke to the Stroke Club at North Shore Medical Center about how each of their members could prepare for an emergency. It was a receptive group. CANCER INCIDENCE In the packet is a comparison of the incidence of cancer in Salem over several reporting periods. Overall, there seems to be an improvement in the incidence, particularly as it relates to breast cancer. This is starting to prove our hypothesis in 2000 that our higher incidence was due to earlier screening. In order to verify that further, I will try to obtain death rates from breast cancer over the past several years. If there is earlier detection we would predict lower death rates. SANITARIAN'S POSITION We will be interviewing two to three candidates for the Sanitarian's position on December 12". This position has been open since August so it will be a relief to have it filled. ROSE MEDALLION Although the owner of the Rose Medallion gave me an application for a Retail Food Permit, she has not made an appointment with me to discuss the application. In addition, it appears that her landlord has locked her out of the space. I will keep the Board informed. 00000000000000000000000000000000 • HAPPY HOLIDAYS! Administration Monthly Report October-07 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= Burial Permits @ $10.00 $720.00 Diptheria,Tetanus Tox.(under 6 yrs)= Permits $4,020.00 Immune Serum Globulin= Certificate of Fitness@$25.00 $1,650.00 Measles/Mumps/Rubella= Copies $0.00 Polio= Fines= $300.00 Tetanus & Diptheria (adult use)= Total Monies Collected = $6,690.00 Tuberculin PPD= HIB Titre= Animal Bites Reported= 0 Hepatitis B= PCV7 (Prevnar)= PPV 23= Pediarix= Tdap= Hep A= Influenza= Menactra= HPV= ROTA= Annual Budget Expended Available Balance Salary/Longevity $339,234.00 $98,975.17 $240,258.83 Annual Budget Non-Personnel $16,650.00 $4,323.32 $10,441.46 $23,337.00 Salaries P/T &$1,000.00 Expenses Transferred to Building Inspectors Department for Sealer of Weights &Measure City Of Salem Environmental Health Division --- Inspection Monthly Summary Month e Jul 07 Aug 07 Sep 07 Oct 07 Count BP 1 0 0 0 1 CFI 86 83 56 63 288 CFR 6 2 3 6 17 CH 7 4 2 2 15 CT 5 2 5 10 22 EC 0 1 0 0 1 EPR 0 1 2 0 3 ERP 0 1 0 0 1 FC 3 1 2 2 8 FSD 0 0 2 3 5 FSI 30 17 9 26 82 FSR 23 7 5 11 46 GN 13 17 10 3 43 HI 22 18 15 5 60 HR 22 14 13 12 61 MS 1 0 0 0 1 MT 5 10 8 6 29 MUP 1 0 0 7 8 OS 0 0 19 4 23 RC 2 0 0 0 2 RFD 0 0 1 1 2 RFI 4 2 2 9 17 RFR 3 2 0 2 7 RO 9 4 8 2 23 SB 71 62 0 0 133 1 1 0 0 2 *'M 2 2 1 1 6 SP 1 7 0 1 9 ST 3 2 0 0 5 TFI 0 0 0 9 9 TR 32 51 48 47 178 Count 353 311 211 232 1107 +++++ City of Salem, Massachusetts 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 . *Ins . 7 p 5 CFR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Re�n34* CH - Court Hearing 93* HI - Housing Insp. 260* - RO - Rodent Control 16 CON - Constable Serv. 65* HR - Housing Reinswp. 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* Envirn. Compl . 51* MW - Mark/Weights SP - SWim. POols 16* - Ext . Paint 95* MUP _ Mobile Food Insp. 11* SB - Swim. Beaches 65* 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-07 • Total Answered *Answered Calls MONDAY October 1, 2007 28 Mary = 176 TUESDAY October 2,2007 29 Heather = 170 WEDNESDAY October 3, 2007 19 Dot = 144 THURSDAY October 4, 2007 35 FRIDAY October 5,2007 8 SATURDAY October 6,2007 *Calls Taken : 490 SUNDAY October 7,2007 MONDAY October 8,2007 HOLIDAY Joanne = 109 TUESDAY October 9,2007 34 Janet = 73 WEDNESDAY October 10,2007 19 David = 49 THURSDAY October 11,2007 26 Pablo = 21 FRIDAY October 12, 2007 13 Tracy = 82 SATURDAY October 13,2007 Margaret = 35 SUNDAY October 14,2007 Mary = 68 • MONDAY October 15, 2007 16 Heather= 12 TUESDAY October 16,2007 15 Dot - 41 WEDNESDAY October 17,2007 15 THURSDAY October 18, 2007 30 FRIDAY October 19,2007 18 35 Hour Work Week SATURDAY October 20,2007 SUNDAY October 21, 2007 23 working days MONDAY October 22, 2007 25 TUESDAY October 23,2007 10 WEDNESDAY October 24,2007 30 THURSDAY October 25,2007 39 Monday 8-4 FRIDAY October 26,2007 4 Tuesday 8-4 SATURDAY October 27,2007 Wednesday 8-4 SUNDAY October 28,2007 Thursday 8-7 MONDAY October 29,2007 28 Friday 8-noon TUESDAY October 30, 2007 20 WEDNESDAY October 31,2007 29 is TOTAL 490 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ---------------------- ,pe Jul 07 Aug 07 Sep 07 Count Bp 1 0 0 1 CFI 86 83 56 225 CFR 6 2 3 11 CH 7 4 2 13 CT 5 2 5 12 EC 0 1 0 1 EPR 0 1 2 3 ERP 0 1 0 1 FC 3 1 2 6 FSD 0 0 2 2 FSI 30 17 9 56 FSR 23 7 5 35 GN 13 17 10 40 HI 22 18 15 55 HR 22 14 13 49 MS 1 0 0 1 MT 5 10 8 23 MUP 1 0 0 1 OS 0 0 19 19 RC 2 0 0 2 RFD 0 0 1 1 RFI 4 2 2 8 RFR 3 2 0 5 RO 9 4 8 21 SB 71 62 0 133 •SC 1 1 0 2 SM 2 2 1 5 Sp 1 7 0 8 ST 3 2 0 5 TR 32 51 48 131 Count 353 311 211 875 +++++ City of Salem, Massachusetts 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* QFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CF`R - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* EH ' - Court Hearing 93* HI Housing Insp. 260* ,.a° 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* a CT Computer Time10* MS - Massage 6* SM - Seminars 36* C - Envirn. Compl . 51* MW Mark/Weights SP - Swim. Pools 16* EPR - Paint 95* Food MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* - Food Comp1 . 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* ■Total . • . • �u000■uuuuuu■uoo■uo■ u■■uuuouu■uu■■uoo■oo■ September nuuuuu■u■■uuuuuo■uo■ • •■■■o■oo■■■o■■■u■■ououuo u0000■u■■uuo■■■■ouuuu ' September 1 I u••uuo■o■uuouuuou■uu - uuoouo■■uuuou■uu■uu■ • September11 • • September 11 September 2007 • • 11 iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii • • • uouuuuouu■uuuuuuou nu■uu000■uuouuuoou■ • • •. ' 1 1 uuou■uo■uu■■uuuueuuo uuuuoau000uou■uuu■■ • • September 10, 2007 • .� September 1 1 ' • • September11 • September 1 1 • ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ • September11 ��■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■_■u■■■■uuuuuuuuuuu■oo nuuuuouou■■u■■ouu■uu • • . 11 iiiiiiiNUMMiiiiiiiiiiiiiiiiiiiiii • • • September • September 11 September 1 2007 September 11 • 1 • • •. September 11 uuuo■■uuuuou■■■ouuoo uouuuuuu■■uuu000■■u■ uuouuuuuuuuu000uu■ September uu■uuuuuu■ouuuuu■uo •■uu■u■■uo■■uo■■uuuo■■■■ September 11 ' • • September . 2007 • • September • • . nuuu�uu■■uuuui■�oouu■ uouuuuuuu■uuuuuouu September uuuuuu■■uuu■■■■■uuuuu • . •• September 1 2007 I • Administration Mon y p thT Report •s August-07 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 220 Burial Permits @ $10.00 $500.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Permits $1,160.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,800.00 Measles%Mumps/Rubella= 300 Copies $7.00 Polio= 200 Fines= $200.00 Tetanus & Diptheria (adult use)= 30 Total Monies Collected = $3,667.00 Tuberculin PPD= 30 HIB Titre= 350 Animal Bites Reported= 0 Hepatitis B= 20 PCV7 (Prevnar)= 290 PPV 23= 10 Pediarix= 260 Tdap= 450 Hep A= 280 Influenza= 0 Menactra= 195 HPV= 180 ROTA= 250 Annual Budget Expended Available Balance Salary/Longevity $401,586.00 $62,964.43 $338,621.57 Annual Budget Non-Personnel $17,650.00 $1,765,72 $13,538.18 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ----------------------------- --------------------------------------- Jul 06 Aug 06 Sep 06 Oct 06 Nov 06 Dec 06 Jan 07 Feb 07 Mar 07 Apr 07 May 07 Jun 07 Count ----- ------ ------ ------ ------ ------ ------ ------ 1 0 1 0 0 0 0 0 0 0 0 1 3 1 0 0 0 0 0 0 0 0 0 0 1 2 BP 74 52 47 72 37 43 39 72 52 60 36 619 CFI 35 8 1 4 44 CFR 2 1 6 q 4 6 6 1 1 2 2 6 0 1 3 6 4 14 4 2 6 50 CH 0 0 3 0 3 0 0 0 0 0 0 0 0 CON 0 p 1 0 0 0 0 0 0 2 0 1 4 3 6 8 4 12 5 7 4 10 10 7 3 79 EC 4 9 1 2 0 1 2 0 1 0 2 4 26 EC 2 2 9 EPR q 0 1 0 0 0 0 0 0 0 q 1 1 3 4 1 2 6 5 2 0 4 33 FC 1 1 3 0 2 0 0 0 9 FRH 0 0 1 1 9 3 10 4 7 2 7 5 2 6 3 1 59 FSD FSI 19 28 53 23 52 23 29 33 26 46 19 43 394 FSR 11 19 33 22 41 14 16 18 25 15 17 15 246 GN 14 5 4 2 8 6 9 2 0 4 6 5 65 - HI 16 21 12 11 13 17 11 16 17 15 19 11 179 HR 18 10 37 16 15 32 17 28 26 24 12 11 246 LPD 1 0 1 0 0 0 0 0 1 0 0 2 5 0 5 LPI 1 1 0 1 0 0 1 0 0 0 1 MFI 0 0 0 0 0 0 0 0 0 0 2 1 3 MS 0 1 0 0 2 1 1 1 0 2 0 0 8 MT 5 4 6 7 12 2 5 4 5 3 2 9 64 OG 0 1 0 0 0 0 0 6 0 0 0 1 0 0 0 0 0 0 7 0 0 0 0 1 0 0 0 0 0 0 0 1 5 1 0 0 0 0 0 0 0 0 0 9 15 RFD 0 0 1 1 1 1 1 0 0 2 0 2 9 RFI 5 6 7 4 20 3 10 8 7 10 10 15 105 RFR 0 1 1 3 9 0 10 3 5 6 2 5 45 RO 0 2 2 3 4 1 8 0 2 - 2 6 2 32 SB 69 60 0 0 0 0 0 0 0 0 0 51 200 SC 0 0 3 0 3 11 2 0 0 0 0 0 19 SM 2 0 1 0 3 0 0 1 0 0 0 3 10 SP 0 0 2 0 1 0 1 0 0 0 9 4 17. TFI 3 1 2 123 1 0 0 0 0 0 0 0 130 TR 64 62 37 28 50 25 55 33 211 54 76 29 724 -MT 0 0 0 0 0 0 0 0 0 0 1 0 1 Count 298 345 290 309 337 193 252 206 432 267 262 280 3471 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: Inspection Types • FSI - Food Serv . Ins . 892* RFD - Ret . Food Disc . 6* BP - Body Piercing CFI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFR - Ret . Food Rein34* k R - Cert . Fit .Reinspl05*GN _ Gen. Nuisance 41** RO - Rodent Control 16 - Codrt Hearing 93* HI - Housing Insp. 260 * 1, - Constable Serv- 65* HR - Housing Reins'Ij. 135* SC - Suntan 7 ' * - Lead Paint Insp. 6* SES - SESD Odor 0* CR -' Compliance Rev- 25* LPI - Seminars 36* CT Computer Time10* MS - Massage 6* Sp - Swim. Pools 16* EC - Envirn. Compl . 51* MW - Mark/Weights * - Swim. Beaches 65' EPR - Ext . Paint 95* MUP - Mobile Food Insp6*11 ST _ Soil/Septic 8* FC - Food Compl .17* OS - Off . Sub. Insp. TFI - Temp. Food 112* IFRH - Food Hearings15* RC - Rec Camps 9* TR - Trash 381* vc„ - Pnr)H gerv. Disc 53* MT - Meetings 65 City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month -------------- Type Jul 07 Aug 07 Count BP 1 0 1 CFI 86 83 169 CFR 6 2 8 CH 7 4 11 CT 5 2 7 EC 0 1 1 EPR 0 1 1 ERP 0 1 1 FC 3 1 4 FSI 30 17 47 FSR 23 7 30 GN 13 17 30 HI 22 18 40 HR 22 14 36 MS 1 0 1 MT 5 10 15 MUP 1 0 1 RC 2 0 2 RFI 4 2 6 RFR 3 2 5 RO 9 4 13 SB 71 62 133 1 1 2 � 2 2 4 5P 1 7 8 ST 3 2 5 TR 32 51 83 Count 353 311 664 +++++ City of Salem, Massachusetts 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* 'FI - 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 - Co6rt Hearing 93* HI - Housing Insp. 260* .;- RO - Rodent Control 16' 0Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* -L - 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 -�Ri * Salem Board of Health August-07 Total Answered *Answered Calls WEDNESDAY August 1, 2007 17 Mary = 242 THURSDAY August 2, 2007 27 Heather= 158 FRIDAY August 3, 2007 4 Dot = 179 SATURDAY August 4,2007 SUNDAY August 5, 2007 MONDAY August 6, 2007 27 *Calls Taken : 579 TUESDAY August 7, 2007 36 WEDNESDAY August 8, 2007 29 Joanne = 151 THURSDAY August 9, 2007 24 Janet = 113 FRIDAY August 10, 2007 7 David = 51 SATURDAY August 11, 2007 Pablo = 10 SUNDAY August 12, 2007 NORMENIM Tracy = 44 MONDAY August 13, 2007 30 Margaret = 50 TUESDAY August 14, 2007 31 Mary = 98 WEDNESDAY August 15, 2007 41 Heather = 17 THURSDAY August 16, 2007 40 John = 15 FRIDAY August 17.2007 15 Dot = 30 SATURDAY August 18, 2007 SUNDAY August 19, 2007 ENEREEM 35 Hour Work Week MONDAY August 20, 2007 23 TUESDAY August 21, 2007 26 23 working days WEDNESDAY August 22, 2007 23 THURSDAY August 23, 2007 22 FRIDAY August 24, 2007 1 5 SATURDAY August 25, 2007 Monday 8-4 ii SUNDAY August 26, 2007 ENEREEM Tuesday 8-4 MONDAY August 27, 2007 33 Wednesday 8-4 TUESDAY August 28, 2007 28 Thursday 8-7 WEDNESDAY August 29, 2007 22 Friday 8-noon THURSDAY August 30, 2007 55 FRIDAY I August 31, 2007 14 4 TOTAL 579 Administration Monthly Report July-07 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 380 Burial Permits @ $10.00 $430.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Permits $1,325.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,475.00 Measles/Mumps/Rubella= 300 Copies $9.00 Polio= 280 Fines= $1,075.00 Tetanus &Diptheria (adult use)= 150 Total Monies Collected = $3,249.75 Tuberculin PPD= 30 HIB Titre= 430 Animal Bites Reported= 2 Hepatitis B= 50 PCV7 (Prevnar)= 100 PPV 23= 50 Pediarix= 390 Tdap= 150 Hep A= 240 Influenza= 0 Menactra= 160 HPV= 100 ROTA= 30 Annual Budget Expended Encumbered Available Balance Salary/Longevity $335,984.00 $20,614.35 $315,369.65 Annual Budget Non-Personnel $17,650.00 $4,061.00 $13,589.00 Salem Board of Health JULY PHONE LOG Total Answered *Answered Calls SUNDAY July 1, 2007 Mary = 114 MONDAY July 2, 2007 28 Heather = 132 TUESDAY July 3, 2007 22 Dot = 159 WEDNESDAY July 4, 2007 HOLIDAY THURSDAY July 5, 2007 31 FRIDAY July 6, 2007 1 13 *Calls Taken : 405 SATURDAY July 7, 2007 SUNDAY July 8,2007 Joanne = 65 MONDAY July 9, 2007 23 Janet = 81 TUESDAY July 10, 2007 7 David = 36 WEDNESDAY July 11, 2007 17 Pablo = 11 THURSDAY July 12, 2007 19 Tracy = 46 FRIDAY July 13, 2007 0 Margaret = 46 SATURDAY July 14, 2007 Mary = 52 0ONDAY July 15, 2007 Heather = 6 NDAY July 16, 2007 19 John = 38 TUESDAY July 17, 2007 20 Dot = 24 WEDNESDAY July 18, 2007 23 THURSDAY July 19, 2007 23 35 Hour Work Week FRIDAY July 20, 2007 17 SATURDAY Jul 21 2007 Y ._. x b �` w , �a � 22 work days �� SUNDAY July 22, 2007 MONDAY July 23, 2007 19 TUESDAY July 24, 2007 27 WEDNESDAY July 25, 2007 28 Monday 8-4 THURSDAY July 26, 2007 23 Tuesday 8-4 FRIDAY July 27, 2007 3 Wednesday 8-4 SATURDAY July 28, 2007 Thursday 8-7 SUNDAY July 29, 2007 Friday 8-noon MONDAY July 30, 2007 28 TUESDAY July 31, 2007 15 iKTAL 405 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 -..- "41� TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report June/J�2007 Activities Disease Prevention • In contact 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/Clinics 6/5 Boys and Girls Club camp inspection. 6/7 Attended a Methamphetamine Conference with Janet Dionne. The Conference was held at Middlesex Community College. 6/11 Attended the North East Regional TB meeting at North Shore Pulmonary Clinic. Topics include current active TB cases on the North Shore. 6/12 6/13 Follow up home visit for family with lice infestation. 6/19 Children's Island Camp inspection with John Geehan. 6/20 YMCA Camp Explorer at Winter Island inspected with David Greenbaum. 6/20 Rebel Shakespeare camp inspected at Winter Island. 6/21 Attended a conference on Hoarding with Joanne Scott and Janet Dionne. 6/22 Salem State College Basketball Camps inspected with Janet Dionne. 6/25 Inspected the Purple Scorpion with John Geehan. 6/26 Camp Pinecrest inspected with Janet Dionne. 6/27 Schooner Camp inspected with John Geehan 6/27 YMCA Camp Bookworm and Art Camp inspected with David Greenbaum. • Vacation June 28th to July gth 7/19 H.O.B.B.E.S Boat camp Inspected with Janet Dionne. • 7/25 Attended the North Shore Cape Ann Coalition meeting held at the Peabody DPW. -. 7/26 N95 Fit Tested Division 3 Salem Fire Department. 7/27 Meeting with John O'Neil from Salem State College to review additional CORI's and SORI's. 7/27 North Shore United Soccer camp inspected. • • • MONTHLY REPORT OF COMMUNICABLE DISEASES JUN/DULY 2007 DISEASE NEW CARRY OVER DISCHARGED REPORTED OAMPYLOBACTER 1 O 1 1 GIARDIA O O O 0 GROUP B STREP 1 0 1 1 HEPATITIS O O O 0 LYM E 1 O 1 1 MENINGITIS O 0 O O PERTUSSIS 2 O 2 2 SALMONELLA 1 0 1 1 SHIGELLA O O O O TUBERCULOSIS O O O O YERSINIA 1 O 1 1 VARICELLA 0 0 0 0 Summary of Communicable Diseases for June/Jul Y 2007 __. Campylobacter: 1 Case. 15 y/o male student. No occupation. His source of infection is unknown. Group B Strep: 1 Case. 3 day old male. A nosocomial infection report was submitted to the MDPH. Infant was recovering. Lyme Disease: 1 Case. Pertussis: 2 Cases. 15 y/o student. Coughing over 1 month before being tested. Ed Corkrum from the MDPH followed up on this case while I was on vacation. • 45 y/o male. Coughing,over 1 month before being tested. Ed Corkrum from the MDPH followed up on this case while I was on vacation. Salmonella: This 32 y/o male will not return calls or letters. There is no physician written on the report. Notified MDPH. Versinia: 18 y/o male student. Went camping and ate Pork on the BBQ. No other family members were ill. Case was hospitalized for 3 days. is AGENT'S NEWSLETTER TO THE BOARD August 14, 2007 • WNV As you know, a mosquito pool tested positive last week for West Nile Virus. We took a number of steps to notify residents about that and about protective measures they could take for themselves and their families. In the-packet is an e-mail to Tom Henry delineating all our activities. By the time of the meeting I will have more information regarding the prevalence of WNV is Salem mosquitoes since this week's testing results will be in. MOTEL/HOTEL REGULATIONS &OUTSIDE CONSULTANT REGULATIONS There will be a Public Hearing at the meeting for input regarding these two regulations under consideration by the Board of Health. In the packet is detailed information regarding these proposed regulations. The Public Hearing has been advertised twice in the Salem News, once last week and once this week. In addition, both hotel owners were notified. TRANSFER STATION The City is selling the land where the Transfer Station is located. This is a complicated process involving the whole trash collection and transfer operation. North Side Carting has won the bid. The Board of Health is very involved because it is its responsibility to"site"transfer stations and other solid waste facilities. The Board did site this property many years ago. However, the reference to the bounds of that siting has been lost. Therefore, this Board needs to make a reasonable determination of what those bounds are. Chris, Paulette and I are meeting there on Monday morning to walk the land and will have more information for the meeting. In addition, a consultant for North Side Carting has put together a packet of information for your • review. North Side Carting is also requesting an increase in daily tonnage. This must be approved or not by the Board, with conditions, if the Board desires. This process requires a public hearing. That hearing could take place at next month's meeting. All these activities are regulated by the Mass Department of Environmental Protection with whom I have been in contact. NS-CA EMERGENCY PREPAREDNESS COALITION The Coalitionhas hired a part time volunteer recruiter/trainer. Our volunteers are now part of the national Medical reserve Corps. Information on upcoming trainings will be available of the web site, NSCALERT.ORG. HOUSEHOLD HAZARDOUS WASTE COLLECTION DAY We will be conducting a Household Hazardous Waste Collection Day on October 6, 2007 at the Salem High School. We are finalizing the time frame and will soon be sending notices to all who have inquired. We will have announcements on SATV and other places as well. Just another reminder that this is scheduled for October 6th. We will be practicing our Incident Command System structure during this event. We will keep ypou posted. HAPPY AUGUST! I Administration Monthly Report June-07 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 250 Burial Permits @ $10.00 $590.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Permits $1,425.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $875.00 Measles/Mumps/Rubella= 350 Copies $0.00 Polio= 150 Fines= $650.00 Tetanus & Diptheria (adult use)= 30 Total Monies Collected = $3,540.00 Tuberculin PPD= 20 HIB Titre= 400 Animal Bites Reported= 2 Hepatitis B= 650 PCV7 (Prevnar)= 500 PPV 23= 20 Pediarix= 400 Tdap= 140 Hep A= 260 Influenza= 0 Menactra= 150 HPv= 110 ROTA= 70 Annual Budget Expended Encumbered Available Balance Salary/Longevity $370,090.00 $365,063.02 $5,026.98 Annual Budget Non-Personnel $17,650.00 $17,099.63 $550.37 Salem Board of Health JUNE PHONE LOG Total Answered *Answered Calls FRIDAY June 1, 2007 5 Mary = 158 ................................... .................................. ................................... SATURDAY June 2, 2007 Heather = 166 SUNDAY June 3, 2007 Dot = 161 MONDAY June 4, 2007 34 TUESDAY June 5, 2007 25 WEDNESDAY June 6, 2007 32 *Calls Taken : 485 THURSDAY June 7, 2007 33 FRIDAY June 8, 2007 13 Joanne = 104 .................................. ...................... ............ SATURDAY June 9, 2007 Janet = 77 SUNDAY June 10, 2007 David = 33 MONDAY June 11, 2007 32 Pablo = 7 TUESDAY June 12, 2007 19 Tracy = 66 WEDNESDAY June 13, 2007 19 Margaret = 46 THURSDAY June 14, 2007 21 Mary = 60 FRIDAY June 15, 2007 9 Heather = 10 ...............I.................. . .................................. ................................... OSATURDAY June 16, 2007 John = 46 SUNDAY June 17, 2007 Dot = 36 MONDAY June 18, 2007 31 TUESDAY June 19, 2007 25 35 Hour Work Week WEDNESDAY June 20, 2007 24 THURSDAY June 21, 2007 28 21 work days FRIDAY June 22, 2007 14 .................................. ................................... .................................. SATURDAY June 23, 2007 SUNDAY June 24, 2007 MONDAY June 25, 2007 39 Monday 8-4 TUESDAY June 26, 2007 26 Tuesday 8-4 WEDNESDAY June 27, 2007 27 Wednesday 8-4 THURSDAY June 28, 2007 26 Thursday 8-7 FRIDAY June 29, 2007 3 Friday 8-noon ................................... .................................. ................................... SATURDAY June 30, 2007 *TOTAL 485 4 i CITY OF SALEM, MASSACHUSETTS o s BOARD OF HEALTH • j 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 --- '�'"g TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report June/July 2007 Activities Disease Prevention • In contact 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/Clinics 6/5 Boys and Girls Club camp inspection. 6/7 Attended a Methamphetamine Conference with Janet Dionne. The Conference was held at Middlesex Community College. 6/11 Attended the North East Regional TB meeting at North Shore Pulmonary Clinic. Topics include current active TB cases on the North Shore. 6/12 6/13 Follow up home visit for family with lice infestation. 6/19 Children's Island Camp inspection with John Geehan. 6/20 YMCA Camp Explorer at Winter Island inspected with David Greenbaum. 6/20 Rebel Shakespeare camp inspected at Winter Island. 6/21 Attended a conference on Hoarding with Joanne Scott and Janet Dionne. 6/22 Salem State College Basketball Camps inspected with Janet Dionne. 6/25 Inspected the Purple Scorpion with John Geehan. 6/26 Camp Pinecrest inspected with Janet Dionne. 6/27 Schooner Camp inspected with John Geehan 6/27 YMCA Camp Bookworm and Art Camp inspected with David Greenbaum. • Vacation June 28th to July 9tn 7/19 H.O.B.B.E.S Boat camp Inspected with Janet Dionne. • 7/25 Attended the North Shore Cape Ann Coalition meeting held at the Peabody DPW. 7/26 N95 Fit Tested Division 3 Salem Fire Department. 7/27 Meeting with John O'Neil from Salem State College to review additional CORI's and SORI's. 7/27 North Shore United Soccer camp inspected. • • • MONTHLY REPORT OF COMMUNICABLE DISEASES JUN/DULY 2007 DISEASE NEW CARRY OVER DISCHARGED REPORTED •CAMPYLOBACTER 1 O 1 1 GIARDIA 0 O O 0 GROUP B STREP 1 O 1 1 HEPATITIS O O O 0 LYM E 1 O 1 1 MENINGITIS O O 0 0 PERTUSSIS 2 O 2 2 SALMONELLA 1 0 1 1 SHIGELLA O O O O TUBERCULOSIS O O O 0 YERSINIA 1 0 1 1 VARICELLA O O 0 0 • r Summary of Communicable Diseases for June/July 2007 Campylobacter: 1 Case. 15 y/o male student. No occupation. His source of infection is unknown. Group B Strep: 1 Case. 3 day old male. A nosocomial infection report was submitted to the MDPH. Infant was recovering. Lyme Disease: 1 Case. Pertussis: 2 Cases. 15 ,y/o student. Coughing over 1 month before being tested. Ed Corkrum from the MDPH followed up on this case while I was on vacation. 45 y/o male. Coughing over 1 month before being tested. Ed Corkrum from the MDPH followed up on this case while I was on vacation. Salmonella: This 32 y/o male will not return calls or letters. There is no physician written on the report. Notified MDPH. Yersinia: 18 y/o male student. Went camping and ate Pork on the BBQ. No other family members were ill. Case was hospitalized for 3 days. • AGENT'S NEWSLETTER TO THE BOARD June 12, 2007 • THE MEETING The C.F.Thompkins' building on Essex Street is before the Board for a site plan review. Salem Tipico Restaurant will come before the Board of Health to request reversing the suspension of that establishment's food permit. Lucy Corchado agreed to assist this establishment in complying with the State Food Code. We will conduct an inspection of the restaurant before the meeting. Sunny Corner has requested a hearing after receiving a fine for selling cigarettes to an underage customer for the third time. Joyce Redford will be at the meeting. I have asked her to update the Board regarding how other communities in our area are addressing the issue of underage tobacco sales in case the Board wants to re-visit our regulation. MOTEL/HOTEL REGULATIONS According to Cheryl Sbarra, Attorney for the Massachusetts Association of Health Boards,we can add "hotels"to the draft regulation regarding motels, etc. because we are promulgating these regulations in accordance with Massachusetts General Law 140 that specifically names motels but also Chapter 111, section 31.that gives broad regulatory authority to Boards of Health. In addition, Chapter 140 is not pre-emptive so that communities may make the law stricter or broader than described in the MGL. Therefore, I have included the latest draft and would suggest that the Board vote to approve them. I have not heard back from Attorney Delaney for the Clipper Ship regarding the regulation or the agreement. We are back in court on Wednesday, June 131h for a continuation of the hearing from last December. RACCOON SITUATION As a result of the story in the Salem News regarding raccoon parts placed on two • business door steps in Salem, Tracy called the MDPH to determine if there was a risk of rabies exposure. The head of this raccoon was sent to the State Lab for testing but there was no brain matter to test. Therefore, we interviewed all those who we knew may have had some contact with that raccoon including police and fire officials, business owners, and a dog owner. The News ran a story and we put a notice on SATV and SALEM.COM, encouraging others may have contacted that raccoon to call us or the state for medical evaluation. Although the risk of exposure is low, the consequences are serious since rabies is a fatal disease. SUMMER INSPECTIONS Beach water analysis will begin on June 13ch. Tracy and the sanitarians will begin our summer camp inspections soon. ROOMING HOUSE INSPECTIONS The Board of Health, Building and Fire Departments, and the Licensing Board, will be conducting the annual rooming house inspections beginning in two weeks. The Licensing Board Chairman has asked the Board of Health to schedule those inspections this year. NS-CA EMERGENCY PREPAREDNESS COALITION Margaret Whittaker, the new Coalition Coordinator, began working full time last week. This is a very busy time to"jump in" because it is the close of the fiscal year for the grant cycle. Our training schedule will be organized soon so I will share that with the Board members. In addition, we will soon be recruiting more volunteers. In addition, the new Commissioner of Public Health, John Auerbach, has sent each of the Coalitions additional money to assist in addressing vector-borne illnesses this summer. This could include WNV, EEE, and Lyme Disease. The Coalition will be determining the best method to do this. i • HOUSEHOLD HAZARDOUS WASTE COLLECTION DAY We will be conducting a Household Hazardous Waste Collection Day on October 6, 2007 at the Salem High School. We are finalizing the time frame and will soon be sending notices to all who have inquired. We will have announcements on SATV and other places as well. UADDV GI IAAAACDI • Administration Monthly Report •May-07 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 80 Burial Permits @ $10.00 $600.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $2,660.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,300.00 Measles/Mumps/Rubella= 60 Copies $0.00 Polio= 60 Fines= $225.00 Tetanus & Diptheria (adult use)= 75 Total Monies Collected = $4,785.00 Tuberculin PPD= 40 HIB Titre= 365 Animal Bites Reported= 0 Hepatitis B= 140 PCV7 (Prevnar)= 450 PPV 23= 30 Pediarix= 400 Tdap= 130 Hep A= 0 Influenza= 0 Menactra= 40 HPV= 120 ROTA= 100 Annual Budget Expended Encumbered Available Balance Salary/Longevity $401,586.00 $354,905.97 $46,680.03 Annual Budget Non-Personnel $17,650.00 $17,799.73 $12,799.73 $5.56 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month - ----------- ----- Jul 06 Aug 06 Sep 06 Oct 06 Nov 06 Dec 06 Jan 07 Feb 07 Mar 07 Apr 07 May 07 Count --- ------ ===== 1 0 1 0 0 0 0 0 0 0 0 2 BP 1 0 0 0 0 0 0 0 0 0 0 1 CFI 35 74 52 47 72 37 43 39 72 52 60 583 CPR 2 1 6 4 4 6 6 1 1 8 1 40 CH 2 2 6 0 1 3 6 4 14 4 2 44 CN 0 0 0 0 0 0 0 0 0 0 3 3 CON 0 0 1 0 0 0 0 0 0 2 0 3 CT 3 6 8 4 12 5 7 4 10 10 7 76 EC 4 9 1 2 0 1 2 0 1 0 2 22 EPR 4 0 1 0 0 0 0 0 0 0 2 7 FC 4 1 1 3 4 1 2 6 5 2 0 29 FRH 0 0 1 1 1 1 3 0 2 0 0 9 FSD 9 3 10 4 7 2 7 5 2 6 3 58 FSI 19 28 53 23 52 23 29 33 26 46 19 351 FSR 11 19 33 22 41 14 16 18 25 15 17 231 GN 14 5 4 2 8 6 9 2 0 4 6 60 HI 16 21 12 11 13 17 11 16 17 15 19 168 HR 18 10 37 16 15 32 17 28 26 24 12 235 LPD 1 0 1 0 0 0 0 0 1 0 0 3 LPI 1 1 0 1 0 0 1 0 0 0 1 5 MFI 0 0 0 0 0 0 0 0. 0 0 2 2 MS 0 1 0 0 2 1 1 1 0 2 p g MT 5 4 6 7 12 2 5 4 5 3 2 55 OG 0 1 0 0 0 0 0 0 0 0 0 1 OS 0 6 0 0 0 1 0 0 0 0 0 7 P' 0 0 0 0 1 0 0 0 0 0 0 1 Re 5 1 0 0 0 0 0 0 0 0 0 6 RFD 0 0 1 1 1 1 1 0 0 2 0 7 RFI 5 6 7 4 20 3 10 8 7 10 10 90 RFR 0 1 1 3 9 0 10 3 5 6 2 40 RO 0 2 2 3 4 1 6 0 2 2 6 30 SB 69 80 0 0 0 0 0 0 0 0 0 149 SC 0 0 3 0 3 11 2 0 0 0 0 19 SM 2 0 1 0 3 0 0 1 0 0 0 7 SP 0 0 2 0 1 0 1 0 0 0 9 13 TFI 3 1 2 123 1 0 0 0 0 0 0 130 TR 64 62 37 28 50 25 55 33 211 54 76 695 -MT 0 0 0 0 0 0 0 0 0 0 1 1 Count 298 345 290 309 337 193 252 206 432 267 262 3191 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location : Inspector: Inspection Types P - 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* 'FR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* 'H - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16 C Constable Serv. 65* HR - Housing Rein5p. 135* SC - Suntan 7* k Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* 'T _ Computer Time10* MS - Massage 6* SM - Seminars 36* :C - Envirn. Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* :PR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* 'C - Food Comp1 . 17* OS - Off . Sub. Insp. 6* ST - Soil/Septic 8* 'RH - Food Hearings15* RC - Rec Camps 9* TFI - Temp . Food 112* 'SD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health May 2007 Phone Log Total Answered *Answered Calls TUESDAY May 1, 2007 18 Mary = 109 WEDNESDAY May 2, 2007 12 Heather = 214 THURSDAY May 3, 2007 22 Dot = 134 FRIDAY May 4, 2007 8 SATURDAY May 5, 2007 SUNDAY May 6, 2007 *Calls Taken : 457 MONDAY May 7, 2007 25 TUESDAY May 8, 2007 17 Joanne = 119 WEDNESDAY May 9, 2007 30 Janet = 61 THURSDAY May 10, 2007 21 David = 53 FRIDAY May 11, 2007 8 Pablo = 19 SATURDAY May 12, 2007 Tracy = 64 SUNDAY May 13, 2007 Margaret = 2 MONDAY May 14, 2007 19 Mary = 42 TUESDAY May 15, 2007 28 Heather = 15 WEDNESDAY May 16, 2007 27 John = 59 THURSDAY May 17, 2007 30 Dot = 23 FRIDAY May 18, 2007 9 SATURDAY May 19, 2007 35 Hour Work Week SUNDAY May 20, 2007 MONDAY May 21, 2007 27 22 work days TUESDAY May 22, 2007 22 WEDNESDAY May 23, 2007 27 THURSDAY May 24, 2007 30 FRIDAY May 25, 2007 14 1 Monday 8-4 SATURDAY May 26, 2007 Tuesday 8-4 SUNDAY May 27, 2007 Wednesday 8-4 MONDAY May 28, 2007 HOLIDAY Thursday 8-7 TUESDAY May 29, 2007 22 Friday 8-noon WEDNESDAY May 30, 2007 12 THURSDAY May 31, 2007 29 S TOTAL 457 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 1 ( 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report May 2007 Activities Disease Prevention • In contact 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/Clinics 5/10 Attended the Annual Public Health Nurse Conference in Marlborough MA. The Conference is sponsored by the Massachusetts Public Health Nurse Association. 5/18 Annual B/P Clinics at the Salem Fire Department Headquarters were Held on 18th to the 23rd for all 4 Groups. 5122 Home Visits upon request of Department of Social Services for a family with reoccurring infestation of pediculosis. Home visits were made on 5/22, 5/24, 5/31. The Salem School nurses have reported that the children in the household are missing many days of school. There are 12 children in the household. 5/23 Annual B/P Clinic at the Salem Police Dept. for all employees. 5/23 Attended North Shore Cape Ann Emergency Preparedness Meeting with Joanne Scott. • 5130 Offered Hepatitis A Vaccine to all Clients at the Salem Mission. 13 Clients were vaccinated. • MONTHLY REPORT OF COMMUNICABLE DISEASES MAY 2007 DISEASE NEW CARRY OVER DISCHARGED REPORTED �AMPYLOBACTER O O O O GIARDIA O O O O HEPATITIS O O O O LYM E 3 O 3 3 MENINGITIS O O O O PERTUSSIS O O O O SALMONELLA 1 O 1 1 SHIGELLA O O O O TUBERCULOSIS O O O O VARICELLA O O O O • • Summary of Communicable Diseases for May 2007 Campylobacter: 93 y/o female. Does not attend Day Care. Source of infection unknown. She lives alone and son provides most meals. Son is not ill. Lyme Disease: 3 Cases. 53 y/o female. No rash. No tick bite. 32 y/o female. Rooming House address. No phone. No response by mail. Will send case report to M.D. 42 y/o male. Diagnosed in 2006. Recurrent disease. Salmonella: S.wandsworth. This case is an 1 l m/o male. Parents and baby eat vegan diets. This is an unusual species of Salmonella for Massachusetts. There are only 3 • reported cases in Massachusetts. The MDPH is working with Pulse Net and developed a survey for common foods that were reported by the parents. • AGENT'S NEWSLETTER TO THE BOARD June 12, 2007 THE MEETING The C.F.Thompkins' building on Essex Street is before the Board for a site plan review. Salem Tipico Restaurant will come before the Board of Health to request reversing the suspension of that establishment's food permit. Lucy Corchado agreed to assist this establishment in complying with the State Food Code. We will conduct an inspection of the restaurant before the meeting. Sunny Corner has requested a hearing after receiving a fine for selling cigarettes to an underage customer for the third time. Joyce Redford will be at the meeting. I have asked her to update the Board regarding how other communities in our area are addressing the issue of underage tobacco sales in case the Board wants to re-visit our regulation. MOTEL/HOTEL REGULATIONS According to Cheryl Sbarra, Attorney for the Massachusetts Association of Health Boards, we can add "hotels"to the draft regulation regarding motels, etc. because we are promulgating these regulations in accordance with Massachusetts General Law 140 that specifically names motels but also Chapter 111, section 31 that gives broad regulatory authority to Boards of Health. In addition, Chapter 140 is not pre-emptive so that communities may make the law stricter or broader than described in the MGL. Therefore, I have included the latest draft and would suggest that the Board vote to approve them. have not heard back from Attorney Delaney for the Clipper Ship regarding the regulation or the agreement. We are back in court on Wednesday, June 13th for a continuation of the hearing from last December. RACCOON SITUATION As a result of the story in the Salem News regarding raccoon parts placed on two • business door steps in Salem, Tracy called the MDPH to determine if there was a risk of rabies exposure. The head of this raccoon was sent to the State Lab for testing but there was no brain matter to test. Therefore, we interviewed all those who we knew may have had some contact with that raccoon including police and fire officials, business owners, and a dog owner. The News ran a story and we put a notice on SATV and SALEM.COM, encouraging others may have contacted that raccoon to call us or the state for medical evaluation. Although the risk of exposure is low, the consequences are serious since rabies is a fatal disease. SUMMER INSPECTIONS Beach water analysis will begin on June 13tn. Tracy and the sanitarians will begin our summer camp inspections soon. ROOMING HOUSE INSPECTIONS The Board of Health, Building and Fire Departments,.and the Licensing Board, will be conducting the annual rooming house inspections beginning in two weeks. The Licensing Board Chairman has asked the Board of Health to schedule those inspections this year. NS-CA EMERGENCY PREPAREDNESS COALITION Margaret Whittaker, the new Coalition Coordinator, began working full time last week. This is a very busy time to"jump in" because it is the close of the fiscal year for the grant cycle. Our training schedule will be organized soon so I will share that with the Board members. In addition, we will soon be recruiting more volunteers. In addition, the new Commissioner of Public Health, John Auerbach, has sent each of the Coalitions additional money to assist in addressing vector-borne illnesses this summer. This could include WNV, EEE, and Lyme Disease. The Coalition will be determining the best method to do this. • HOUSEHOLD HAZARDOUS WASTE COLLECTION DAY We will be conducting a Household Hazardous Waste Collection Day on October 6, 2007 at the Salem High School. We are finalizing the time frame and will soon be sending notices to all who have inquired. We will have announcements on SATV and other places as well. UADDV GI IAAAACDI 0 i Month y Administration y Report April-07 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 10 Burial Permits @ $10.00 $550.00 Diptheria,Tetanus Tox.(under 6 yrs)= 60 Permits $1,390.00 Immune Serum Globulin= 1 Certificate of Fitness@$25.00 $1,450.00 Measles/Mumps/Rubella= 60 Copies $0.00 Polio= 60 Fines= $875.00 Tetanus & Diptheria (adult use)= 45 Total Monies Collected = $4,265.00 Tuberculin PPD= 40 H I B Titre= 65 Animal Bites Reported= 1 Hepatitis B= 50 PCV7 (Prevnar)= 150 PPV 23= 10 Pediarix= 80 Tdap= 100 Hep A= 110 Influenza= Menactra= 40 HPV= 80 ROTA= 100 Annual Budget Expended Encumbered Available Balance Salary/Longevity $401,586.00 $318,920.47 $82,665.53 Annual Budget Non-Personnel $17,650.00 $11,386.38 $4,219.78 City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ------------------------------------------------------------------------------ Type Jul 06 Aug 06 Sep 06 Oct.06 Nov 06 Dec 06 Jan 07 Feb 07 Mar 07 Apr 07 Count 1 0 1 0 0 0 0 0 0 0 2 BP 1 0 0 0 0 0 0 0 0 0 1 CFI 35 74 52 47 72 37 43 39 72 52 523 CFR 2 1 6 4 4 6 6 1 1 8 39 CH 2 2 6 0 1 3 6 4 14 4 42 CON 0 0 1 0 0 0 0 0 0 2 3 CT 3 6 8 4 12 5 7 4 10 10 69 EC 4 9 1 2 0 1 2 0 1 0 20 EPR 4 0 1 0 0 0 0 0 0 0 5 FC 4 1 1 3 4 1 2 6 5 2 29 FRH 0 0 1 1 1 1 3 0 2 0 9 FSD 9 3 10 4 7 2 7 5 2 6 55 FSI 19 28 53 23 52 23 29 33 26 46 332 FSR 11 19 33 22 41 14 16 18 25 15 214 GN 14 5 4 2 8 6 9 2 0 4 54 HI 16 21 12 11 13 17 11 16 17 15 149 HR 18 10 37 16 15 32 17 28 26 24 223 LPD 1 0 1 0 0 0 0 0 1 0 3 LPI 1 1 0 1 0 0 1 0 0 0 4 MS 0 1 0 0 2 1 1 1 0 2 8 MT 5 4 6 7 12 2 5 4 5 3 53 OG 0 1 0 0 0 0 0 0 0 0 1 OS 0 6 0 0 0 1 0 0 0 0 7 0 0 0 0 1 0 0 0 0 0 1 5 1 0 0 0 0 0 0 0 0 6 16—D 0 0 i 1 1 _ 1 0 0 2 7 R71 6 7 20 3 10 8 7 iC „- 1=., 0 2 2 -. 1 0 2 4 24 SP 69 8o 0 0 0 0 0 0 0 _ 149 C 0 0 3 0 3 '_1 2 0 0 19 Ste? 2 0 1 0 3 0 0 1 0 0 7 SP 0 0 2 0 1 0 i 0 0 0 - TP_ 3 1 2 123 1 0 0 0 0 0 13d TR 64 62 37 28 50 25 55 33 211 54 619 ----- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ----- Count 298 :45 290 309 337 193 252 206 432 267 2929 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Iilspec-t Date . Estab Name or Owner Name : Type : Location : Inspector : Inspection Types P - Body Piercing FSI - Food Serv . Ins . 892* RFD - Ret . Food D.isc . 6* 'FI - Cert . Fit . 822* FSR - Food Serv . Rein . 194* RF1: - Ret . Insp . 75* 'FR - Cert . Fit . Reinsp105*GN _ Gen . Nuisance 41* RFR - Ret . Food Re _n - Court Hearing 93* HI - Housing Insp . 260* RO - Rodent Control N - Constable Serv . 65* HR - Housing Reinsp . 1.35* SC - Suntan 7* - Compliance Rev . 25* LPI - Lead Paint Insp . 6* SES - SESD Odor 0* CT Computer Time10* MS - Massage 6* SM - Seminars 361 _ EC lnvirn . Compl . 51-* MW Mark/Weights SY, Swim - Pools l CPR - ExL _ Paint 95* MUP Mobile Food Insp . ] 1 * SB - Swim _ Beaches W), FC - Food Compl. . ]_7* OS - Off . Sub . Insp. G* ST Soil./Septic 8 ' FRH - Food Hearings].5* RC - Rec Camps 9* TF1 'Temp . Food i i .10 F ;1) Foo.J Sr:rv .. Di sr- 53 � MT MeeL i nqs 65,1 1'1' TI-ash �•81 " I Salem Board of Health April 2007 Phone Log Total Answered *Answered Calls SUNDAY April 1, 2007 Mary = 148 MONDAY April 2, 2007 22 Heather = 126 TUESDAY April 3, 2007 19 Dot = 106 WEDNESDAY April 4, 2007 20 THURSDAY April 5, 2007 21 FRIDAY April 6, 2007 3 *Calls Taken : 380 SATURDAY April 7, 2007 SUNDAY April 8, 2007 Joanne = 102 MONDAY April 9, 2007 15 Janet = 58 TUESDAY April 10, 2007 18 David = 45 WEDNESDAY April 11, 2007 16 Pablo = 10 THURSDAY April 12, 2007 23 Tracy = 48 FRIDAY April 13, 2007 3 Neia = 5 SATURDAY April 14, 2007 Mary = 46 SUNDAY April 15, 2007 Heather = 14 MONDAY April 16, 2007 HOLIDAY John = 34 TUESDAY April 17, 2007 15 Dot = 18 WEDNESDAY April 18, 2007 18 THURSDAY April 19, 2007 18 35 Hour Work Week FRIDAY April 20, 2007 4 SATURDAY April 21, 2007 21 work days SUNDAY April 22, 2007 MONDAY April 23, 2007 22 TUESDAY April 24, 2007 27 WEDNESDAY April 25, 2007 32 Monday 8-4 THURSDAY April 26, 2007 35 Tuesday 8-4 FRIDAY April 27, 2007 10 Wednesday 8-4 SATURDAY April 28, 2007 Thursday 8-7 SUNDAY April 29, 2007 Friday 8-noon MONDAY April 30, 2007 39 TOTAL, 380 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • j 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 "QNB TEL. 978-741-1800 FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT Public Health Nurse Report April 2007 Activities Disease Prevention • In contact 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/Clinics DOT daily Monday through Friday for one active case of Tuberculosis. Attended the North Shore Emergency Preparedness Meeting at Peabody DPW. Attending Salem State College Biology 105 class on Tuesday, Wednesday and Thursday. • • MONTHLY REPORT OF COMMUNICABLE DISEASES APRIL 2007 DISEASE NEW CARRY OVER DISCHARGED REPORTED &AMPYLOBACTER O O O 0 GIARDIA O O O O HEPATITIS O O O O LYM E 0 O O O MENINGITIS O O O 0 PERTUSSIS O O O O SALMONELLA 2 O 2 2 SHIGELLA O O O O TUBERCULOSIS O 1 O 1 VARICELLA 1 O 1 1 • ' v Summary of Communicable Disease for April 2007 Group A Strep: Elderly Male. Blood Culture. No recent Surgery. No varicella in the household. Group A Strep: 42 y/o female. Vaginal Culture. Case also had strep throat. 6 and 8 year old children had strep throat. No Varicella in the household. Hepatitis B: 28 y/o Asian male. Letter sent to M.D. Salmonella: 85 year old male. Traveled to California for three weeks. A few days before illness, he ate at Taco Bell in Placentia California. He also handled a pet Turtle in California. No one else was ill. r Salmonella: 44 y/o female. Non Foodhandler. Source of infection unknown. Tuberculosis: Active case left the country in mid April 2007. Reported to MDPH, and Mass General Hospital. Case had completed 7 months of therapy out of 12 months. The MDPH will sent an international notification to the city he has traveled to. Varicella: One case 19 y/o female lives on campus. Assisted College Health Services notified contacts. i Administration Mont y Report March-07 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 170 Burial Permits @ $10.00 $590.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $1,135.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,600.00 Measles/Mumps/Rubella= 30 Copies $0.00 Polio= 30 Fines = $650.00 Tetanus & Diptheria (adult use)= 45 Total Monies Collected = $3,975.00 Tuberculin PPD= 0 HIB Titre= 560 Animal Bites Reported= 1 Hepatitis B= 40 PCV7 (Prevnar)= 355 PPV 23= 40 Pediarix= 530 Tdap= 120 Hep A= 50 Influenza= 0 Menactra= 90 HPV= 250 ROTA= 140 Annual Budget Expended Encumbered Available Balance Salary/Longevity $401,586.00 $251,422.01 $150,163.99 Annual,Budget Non-Personnel $17,650.00 $7,396.70 $7,098.16 City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month ---------------------------------------------------------------------- Type Jul 06 Aug 06 Sep 06 Oct 06 Nov 06 Dec 06 Jan 07 Feb 07 Mar 07 Count 1 0 1 0 0 0 0 0 0 2 BP 1 0 0 0 0 0 0 0 0 1 CFI 35 74 52 47 72 37 43 39 72 471 CFR 2 1 6 4 4 6 6 1 1 31 CH 2 2 6 0 1 3 6 4 14 38 CON 0 0 1 0 0 0 0 0 0 1 CT 3 6 8 4 12 5 7 4 10 59 EC 4 9 1 2 0 1 2 0 1 20 EPR 4 0 1 0 0 0 0 0 0 5 FC 4 1 1 3 4 1 2 6 5 27 FRH 0 0 1 1 1 1 3 0 2 9 FSD 9 3 10 4 7 2 7 5 2 49 FSI 19 28 53 23 52 23 29 33 26 286 FSR 11 19 33 22 41 14 16 18 25 199 . GN 14 5 4 2 8 6 9 2 0 50 HI 16 21 12 11 13 17 11 16 17 134 HR 18 10 37 16 15 32 17 28 26 199 LPD 1 0 1 0 0 0 0 0 1 3 LPI 1 1 0 1 0 0 1 0 0 4 MS 0 1 0 0 2 1 1 1 0 6 MT 5 4 6 7 12 2 5 4 5 50 OG 0 1 0 0 0 0 0 0 0 1 S 0 6 0 0 0 1 0 0 0 7 7 0 0 0 0 1 0 0 0 0 1 RC 5 1 0 0 0 0 0 0 0 6 RFD 0 0 1 1 1 1 1 0 0 5 RFI 5 6 7 4 20 3 10 8 7 70 RFR 0 1 1 3 9 0 10 3 5 32 RO 0 2 2 3 4 1 8 0 2 22 SB 69 80 0 0 0 0 0 0 0 149 SC 0 0 3 0 3 11 2 0 0 19 SM 2 0 1 0 3 0 0 1 0 7 SP 0 0 2 0 1 0 1 0 0 4 TFI 3 1 2 123 1 0 0 0 0 130 TR 64 62 37 28 50 25 55 33 211 565 ---- ------ ------ ------ ------ ------ ------ ------ ------ ------ ----- Count 298 345 290 309 337 193 252 206 432 2662 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector : Inspection Types 3P - Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* 2FI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp . 75* ;-FR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34 , WON - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control ,- 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 Hearings15* RC - Rec Camps 9* TFI - Temp . Food 112* FSD - Food Serv. Disc. 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health March 2007 Phone Log Total Answered *Answered Calls THURSDAY March 1, 2007 29 Mary = 218 FRIDAY March 2, 2007 4 Heather = 153 SATURDAY March 3, 2007 Dot = 100 SUNDAY March 4, 2007 MONDAY March 5, 2007 23 TUESDAY March 6, 2007 26 *Calls Taken : 471 WEDNESDAY March 7, 2007 29 THURSDAY March 8, 2007 11 Joanne = 123 FRIDAY March 9, 2007 8 1 Janet = 74 SATURDAY March 10, 2007 David = 69 SUNDAY March 11, 2007 Pablo = 12 MONDAY March 12, 2007 28 Tracy = 43 TUESDAY March 13, 2007 26 Neia = 12 WEDNESDAY March 14, 2007 14 Mary = 66 THURSDAY March 15, 2007 44 Heather = 11 FRIDAY March 16, 2007 6 John = 42 SATURDAY March 17, 2007 Dot = 19 SUNDAY March 18, 2007 IBM MONDAY March 19, 2007 31 35 Hour Work Week TUESDAY March 20, 2007 29 WEDNESDAY March 21, 2007 15 22 work days THURSDAY March 22, 2007 24 FRIDAY March 23, 2007 1 SATURDAY March 24, 2007 SUNDAY March 25, 2007 Monday 8-4 MONDAY March 26, 2007 22 Tuesday 8-4 TUESDAY March 27, 2007 33 Wednesday 8-4 WEDNESDAY March 28, 2007 30 Thursday 8-7 THURSDAY March 29, 2007 25 Friday 8-noon FRIDAY March 30, 2007 3 SATURDAY March 31, 2007 TOTAL 471 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • j s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report March 2007 Activities Disease Prevention • In contact 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/Clinics DOT daily Monday through Friday for two suspect active cases of Tuberculosis. Attended the North Shore Emergency Preparedness Meeting at Peabody DPW. Attending Salem State College Biology 105 class on Tuesday, Wednesday and Thursday. Attended MDPH North Shore Regional T.B. meeting held at the North Shore Pulmonary Clinic to discuss recent suspect active cases on the North Shore. Attended a training held at Boston University by the Massachusetts Criminal History Systems Board. This training reviewed proper procedure on application and policies for CORI access of potential Board of Health • Volunteers. •r Y it MONTHLY REPORT OF COMMUNICABLE DISEASES MARCH 2O07 DISEASE NEW CARRY OVER DISCHARGED REPORTED SPAMPYLOBACTER 1 0 1 1 GIARDIA O O O O HEPATITIS O O O O LYM E O O O O MENINGITIS 1 O 1 1 PERTUSSIS 1 O 1 1 SALMONELLA O 0 O 0 SHIGELLA O O O O TUBERCULOSIS 0 1 O 0 VARICELLA O O O O • Summary of Communicable Diseases March 2007 Campylobacter: 19 y/o male. Traveled to Morocco. Symptoms began before he returned to the U.S. Place of employment notified. He was restricted from handling food trays. Viral Meningitis: 50 y/o male. Hospitalized. Pt recovered. Pertussis: 4-week-old male. Parents and grandparents received prophylaxis. Infant recovered. Grandmother was coughing for longer than 3 weeks. Tuberculosis: One suspect case ruled out by culture. One active case continues on therapy. i AGENT'S NEWSLETTER TO THE BOARD April 17, 2007 • MOTEL REGULATIONS Draft Motel Regulations have been e-mailed to you. We will be holding a Public Hearing at 7:30, during the meeting, so that the public will have a chance to comment on the proposed regulation. The draft regulation has been mailed to the one motel owner in Salem and her attorney. In addition, a notice of the hearing will appear in the Salem News on Friday and Monday. RAINBOW TERRACE As you may know, the Board of Health has been inspecting and re-inspecting the units at Rainbow Terrace for compliance with the State Housing Code. These comprehensive inspections began about 18 months ago at the request of the tenant association because of mold concerns. It was at the start of these inspections that violations of the State Lead Law were observed and quickly remediated. Janet Dionne, Senior Sanitarian, has been conducting these numerous, tedious, and time-consuming inspections in a professional and conscientious manner. All violations noted at this location have been corrected with the exception of violations in several units related to the weather tightness of windows. The Housing Authority, who operates this housing project, has indicated that these window violations will be corrected beginning next fall when they have a contract in place to modify the"envelope"of the building and replace windows. In order to follow normal procedures, and given the lengthy inspection and re-inspection timeframe, we have filed a criminal complaint in Housing Court related to these outstanding violations. We believe the decision to extend the time for compliance is in the Court's jurisdiction. FOOD INSPECTIONS There has been quite a bit of press coverage regarding the inability of Boards of Health to conduct the required food establishment inspections within their communities, either due to lack of personnel or lack of competence. • David Greenbaum and John Gehan have been staying right on schedule with our food inspections. Both inspectors are extremely thorough and competent and contribute to the overall high quality of sanitation in our establishments. EMERGENCY PREPAREDNESS The Coalition Coordinator, Neia Illingworth is returning to school for a Masters in Nursing degree. The Coalition has hired a new Coordinator, Margaret Whittaker, who will begin full time at the end of May. The Coalition is sponsoring an infectious disease-training seminar specifically geared toward police and other first responders. The seminar will be held on April 18th. Representatives from Salem Police and Fire, and from Salem State College and North Shore Ambulance, will be attending from Salem. I participated in the SATV program for the Salem Commission on Disabilities where we discussed reaching out to those who may be deaf or hard of hearing. The new Connect-CTY program will be utilizing a TTY system soon. However, that system is becoming antiquated so other methods, such as through text messaging on cell phones, are being explored. DERBY STREET NEIGHBORHOOD ASSOCIATION This association requested a presentation regarding infectious disease emergencies and how to prepare for this and any kind of emergency. There was a good turn out and a request for another presentation to the Downtown Neighborhood Association was generated. GINNY'S MEMORIAL We will be sending out a letter to all current and former employees and Board members requesting donations for Ginny's memorial. The staff is excited about this memorial, directly dedicated to Ginny, and indirectly to all dedicated public servants. • • • Administration Monthly Report February-07 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 110 Burial Permits @ $10.00 $600.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Permits $1,030.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,000.00 Measles/Mumps/Rubella= 60 Copies $0.00 Polio= 10 Fines = $975.00 Tetanus & Diptheria (adult use)= 15 Total Monies Collected = $3,605.00 Tuberculin PPD= 0 HIB Titre= 430 Animal Bites Reported= 0 Hepatitis B= 380 PCV7 (Prevnar)= 230 PPV 23= 20 Pediarix= 430 Tdap= 105 Hep A= 50 Influenza= 0 Menactra= 15 HPV= 190 ROTA= 50 Annual Budget Expended Encumbered Available Balance Salary/Longevity $401,586.00 $251,422.01 $180, 321.35 Annual Budget Non-Personnel $17,650.00 $7,396.70 $2,755.14 $7,498.16 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month • ---------------------------- ---------------------------- Type Jul 06 Aug 06 Sep 06 Oct 06 Nov 06 Dec 06 Jan 07 Feb 07 Count ----- ------ ------ ------ ------ ------ ------ ------ ------ 1 0 1 0 0 0 0 0 2 BP 1 0 0 0 0 0 0 0 1 CFI 35 74 52 47 72 37 43 39 399 CFR 2 1 6 4 4 6 6 1 30 CH 2 2 6 0 1 3 6 4 24 CON 0 0 1 0 0 0 0 0 1 CT 3 6 8 4 12 5 7 4 49 EC 4 9 1 2 0 1 2 0 19 EPR 4 0 1 0 0 0 0 0 5 FC 4 1 1 3 4 1 2 6 22 FRH 0 0 1 1 1 1 3 0 7 FSD 9 3 10 4 7 2 7 5 47 PSI 19 28 53 23 52 23 29 33 260 FSR 11 19 33 22 41 14 16 18 174 GN 14 5 4 2 8 6 9 2 50 HI 16 21 12 11 13 17 11 16 117 HR 18 10 37 16 15 32 17 28 173 LPD 1 0 1 0 0 0 0 0 2 LPI 1 1 0 1 0 0 1 0 4 MS 0 1 0 0 2 1 1 1 6 MT 5 4 6 7 12 2 5 4 45 OG 0 1 0 0 0 0 0 0 1 OS 0 6 0 0 0 1 0 0 7 PV 0 0 0 0 1 0 0 0 1 5 1 0 0 0 0 0 0 6 SID 0 0 1 1 1 1 1 0 5 RFI 5 6 7 4 20 3 10 8 63 RFR 0 1 1 3 9 0 10 3 27 RO 0 2 2 3 4 1 8 0 20 SB 69 80 0 0 0 0 0 0 149 SC 0 0 3 0 3 11 2 0 19 SM 2 0 1 0 3 0 0 1 7 SP 0 0 2 0 1 0 1 0 4 TFI 3 1 2 123 1 0 0 0 130 TR 64 62 37 28 50 25 55 33 354 Count 298 345 290 309 337 193 252 206 2230 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location : Inspector: Inspection Types :3P - 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* CFR - Cert . Fit .Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* : H - Court Hearing 93* HI - Housing Insp. 260* - RO - Rodent Control 16 �NI - 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 February 2007 Phone Log Total Answered *Answered Calls THURSDAY February 1, 2007 38 Mary = 197 FRIDAY February 2, 2007 12 Heather = 132 SATURDAY February 3, 2007 Dot = 48 SUNDAY February 4, 2007 Inspectors = MONDAY February 5, 2007 32 TUESDAY February 6, 2007 20 *Calls Taken : 377 WEDNESDAY February 7, 2007 20 THURSDAY February 8, 2007 28 Joanne = 99 FRIDAY February 9, 2007 2 Janet = 64 SATURDAY February 10, 2007 David = 53 SUNDAY February 11, 2007 Pablo = 9 MONDAY February 12, 2007 17 Tracy = 25 TUESDAY February 13, 2007 22 Neia = 5 EWEDNESDAY February 14, 2007 9 Mary = 65 THURSDAY February 15, 2007 20 Heather = 17 FRIDAY February 16, 2007 8 John = 34 SATURDAY February 17, 2007 Dot = 6 SUNDAY February 18, 2007 MONDAY February 19, 2007 HOLIDAY 35 Hour Work Week TUESDAY February 20, 2007 25 WEDNESDAY February 21, 2007 11 20 work days THURSDAY February 22, 2007 16 FRIDAY February 23, 2007 1 12 SATURDAY February 24, 2007 111111111111111 SUNDAY February 25, 2007 Monday 8-4 MONDAY February 26, 2007 35 Tuesday 8-4 TUESDAY February 27, 2007 16 Wednesday 8-4 WEDNESDAY February 28, 2007 34 Thursday 8-7 Friday 8-noon TOTAL 377 I 4. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT Public Health Nurse Report February 2007 Activities Disease Prevention • In contact 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/Clinics DOT daily Monday through Friday for two suspect active cases of Tuberculosis. Attended the North Shore Emergency Preparedness Meeting at Peabody DPW. Attending Salem State College Biology 105 class on Tuesday, Wednesday and Thursday. • it CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH • s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES • FEBRUARY 2007 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER O 0 0 0 GIARDIA O O O O HEPATITIS 0 0 0 0 LYME O O O O MENINGITIS O 0 O 0 PERTUSSIS O O O O SALMONELLA 0 O O O SHIGELLA O O O O TUBERCULOSIS O 2 0 2 *ARICELLA 0 0 0 0 AGENT'S NEWSLETTER TO THE BOARD February 9, 2007 BUDGET The 2008 Board of Health budget from the Mayor is in the packet. Basically, the • Mayor is asking for level funding, other than contractual increases that will be added in later. MEETING FOLLOW-UP The Board had some items for me to investigate after the last meeting, specifically about asbestos abatement prior to demolition; and about protecting areas development areas from water backflow. I had e-mailed the Board members about those topics and have included that information in the packet so that it may be discussed at the meeting. SCHOOL NUTRITION/PHYSICAL ACTIVITY Paulette Puleo gave me some materials regarding this topic. I have included the introduction in the packet. The School Department, especially through the school nursing program, has been engaged in improving the nutrition of students through what is offered on their lunch menu. I will have more information for the meeting, after speaking with the head of the school nurses, Mary Eagan. I would suggest inviting Mary to the next Board meeting. CONNECT-CTY This information system is almost completely in place. We used it last weekend following a large water main break, near the downtown, to notify residents and businesses of the problem. I found it particularly helpful in notifying food establishments who were asking questions about preparing food with the discolored water. . SCOTIA STREET The latest owner of this property, that has asbestos contamination in the soil, met with the DEP. A Consent Order was generated delineating a timetable for cleaning the property. You may recall that we have a court case against this owner for failing to comply with a Board of Health order. This order contains several requirements that would assist the neighborhood with some nuisance issues. The DEP says that those requirements do not interfere with their separate orders such as was alleged by the owner's attorney. We are back before the judge on Tuesday. EMERGENCY COALITION Our Coalition Coordinator, Neia Illingworth, is leaving to seek a Masters in nursing at Salem State College. Therefore, we are seeking her replacement. We have placed job postings in a number of locations including the MHOA, MAPHN, BU & Harvard Schools of Public Health. I have enclosed a job description in the packet. MOTEL REGULATIONS You may remember that we had a Salem motel in court because of a nuisance created by the holding of cats on the motel property. The case was continued until June giving the Board of Health time to pass motel regulations if it thinks that would be prudent. I would recommend a subcommittee to consider the issue. The only community in our immediate area that has such regulations is Saugus. However, their regulations address permitting issues and general sanitation only. I will continue to seek other communities' regulations if that is the wish of the Board. • GINNY"S MEMORIAL The staff of the department requested, from the City Council, the ability to place a memorial on the traffic island in front of 120 Washington Street for Virginia Moustakis. At its last meeting, the Council did approve that idea. We will begin fund raising once we determine the nature of the memorial. Ginny was an amazing woman and city employee. We are so happy to be able to honor her in this way. • Administration MonthRe ort • Y p January-07 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 240 Burial Permits @ $10.00 $700.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $11,145.00 Immune Serum Globulin= 6 vials Certificate of Fitness@$25.00 $850.00 Measles/Mumps/Rubella= 140 Copies Polio= 30 Fines = $1,600.00 Tetanus & Diptheria (adult use)= 465 Total Monies Collected = $14,295.00 Tuberculin PPD= 0 HIB Titre= 400 Animal Bites Reported= 0 Hepatitis B= 370 PCV7 (Prevnar)= 80 PPV 23= 0 Pediarix= 350 Tdap= 130 Hep A= 50 Influenza= 0 Menactra= 15 HPV= 130 ROTA= 50 Annual Budget Expended Encumbered Available Balance Salary/Longevity $401,586.00 $221,264.65 $180, 321.35 Annual Budget Non-Personnel $17,650.00 $6,903.83 $2,221.23 $8,524.94 �tii . ��'(`i ✓';� :-. :: ,� -.C.:.... ',,. d„ •. :,4�p:,r�qx Y....�' .�'vyV.`.' �2c S .._ - +�.+.�'V t �,.at _:,y. ,77�3' city Of Salem Environmental Health Division --- Inspection Monthly Summary • - - Month ------------------ ------------------------ Type Jul 06 Aug 06 Sep 06 Oct 06 Nov 06 Dec 06 Jan 07 Count ----- ----- 1 0 1 0 0 0 0 2 HP 1 0 0 0 0 0 0 1 CFI 35 74 52 47 72 37 43 360 CFR 2 1 6 4 4 6 6 29 CH 2 2 6 0 1 3 6 20 CON 0 0 1 0 0 0 0 1 CT 3 6 8 4 12 5 7 45 EC 4 9 1 2 0 1 2 19 EPR 4 0 1 0 0 0 0 5 FC 4 1 1 3 4 1 2 16 FRH 0 0 1 1 1 1 3 7 FSD 9 3 10 4 7 2 7 42 FSI 19 28 53 23 52 23 29 227 FSR 11 19 33 22 41 14 16 156 GN 14 5 4 2 8 6 9 48 HI 16 21 12 11 13 17 11 101 HR 18 10 37 16 15 32 17 145 LPD 1 0 1 0 0 0 0 2 LPI 1 1 0 1 0 0 1 4 MS 0 1 0 0 2 1 1 5 MT 5 4 6 7 12 2 5 41 OG 0 1 0 0 0 0 0 1 OS 0 6 0 0 0 1 0 7 0 0 0 0 1 0 0 1 5 1 0 0 0 0 0 6 01 0 0 1 1 1 1 1 5 RFI 5 6 7 4 20 3 10 55 RFR 0 1 1 3 9 0 10 24 RO 0 2 2 3 4 1 8 20 SB 69 80 0 0 0 0 0 149 SC 0 0 3 0 3 11 2 19 SM 2 0 1 0 3 0 0 6 SP 0 0 2 0 1 0 1 4 TFI 3 1 2 123 1 0 0 130 TR 64 62 37 28 50 25 55 321 ------ ------ --- Count 298 345 290 309 337 193 252 2024 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector : Inspection Types 3P - 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 Rein34i CH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control Ir *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 65A 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 January 2007 Phone Log Total Answered *Answered Calls MONDAY January 1, 2007 HOLIDAY Mary = 171 TUESDAY January 2, 2007 18 Heather= 157 WEDNESDAY January 3, 2007 15 Dot = 155 THURSDAY January 4, 2007 29 FRIDAY January 5, 2007 8 SATURDAY January 6, 2007 *Calls Taken : 483 SUNDAY January 7, 2007 ME MONDAY January 8, 2007 36 Joanne = 103 TUESDAY January 9, 2007 15 Janet = 67 WEDNESDAY January 10, 2007 25 David = 58 THURSDAY January 11, 2007 36 Pablo = 6 FRIDAY January 12, 2007 7 Tracy = 65 ME SATURDAY January 13, 2007 Neia = 28 SUNDAY January 14, 2007 Mary = 63 JIONDAY January 15, 2007 HOLIDAY Heather = 33 TUESDAY January 16, 2007 23 John = 35 WEDNESDAY January 17, 2007 24 Dot = 25 THURSDAY January 18, 2007 22 FRIDAY January 19, 2007 10 35 Hour Work Week SATURDAY January 20, 2007 SUNDAY January 21, 2007 21 work days MONDAY January 22, 2007 28 TUESDAY January 23, 2007 19 WEDNESDAY January 24, 2007 39 THURSDAY January 25, 2007 39 Monday 8-4 FRIDAY January 26, 2007 13 Tuesday 8-4 SATURDAY January 27, 2007 Wednesday 8-4 SUNDAY January 28, 2007 Thursday 8-7 MONDAY January 29, 2007 28 Friday 8-noon TUESDAY January 30, 2007 25 WEDNESDAY January 31, 2007 24 TOTAL 483 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT Public Health Nurse Report January 2007 Activities Disease Prevention • In contact 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/Clinics DOT daily Monday through Friday for two suspect active cases of Tuberculosis. New suspect case: 58 y/o female. Smear neg. culture pending. Attended the North Shore Emergency Preparedness Meeting at Peabody DPW. Attending Salem State College Biology 105 class on Tuesday Wednesday and Thursday. • CITY OF SALEM, MASSACHUSETTS , m BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES • JANUARY 2007 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER O 0 0 0 GIARDIA O O O 0 HEPATITIS O O O 0 LYM E O O O 0 MENINGITIS 0 O O 0 PERTUSSIS O O O 0 SALMONELLA 0 0 0 0 SHIGELLA O O O O •TUBERCULOSIS 1 0 1 1 VARICELLA 0 0 0 0 To: SALEN BOARD OF HEALTH From: HDPH — ISIS — BROADCAST FAX Date: January 16, 2007 me: W 38 The Commonwealth of Massachusetts ON - Executive otnce of Heann and Human services Department of Public Health - State Laboratory Institute 305 South Street, Jamaica Plain, MA 02130 DEVAL L.PATRICK GOVERNOR TIMOTHY P.MURRAY LIEUTENANT GOVERNOR JUDYANN BIOBY,MD SECRETARY PAUL J.COTE,JR. COMMISSIONER Memorandum To: Healthcare Providers Health Insurers and Health Plans From: Robert W. Morrison, Vaccine Manager Susan M. Lett, MD, MPH, Medical Director Date: January 2007 Subject: Human Papillomavirus (HPV) Vaccine for VFC-Eligible Girls Now .available • On June 87 2006,the L.S. Food and Drug:'Administration licensed a human papillomavirus (HPN') vaccine (Gardasil'�. 'Merck), for immunization oI females 9-26 years of age. advisory Committee on Immunization Practices (A(-:IP)Recoinni ell dations On June 29, 2006. the Advisor\ Committee on immunization Practices (:ACIP)voted on recommendations for the use of HPV vaccine. 'These provisional recommendations of the AC1P are for routine vaccination of females 1 1-12 years of age with 3 doses of HPV vaccine. The Ser'eS can be Stitrted as ear1V its 9 Ve<trs of age. IIi addition. cinch-Up baccnlatlon is reconinlendeli I'or females 13-26 year\ of age. For preliminary Information about indications. contraindications and the schedule li)r HP'k vaccine, please refer to the Massachusetts Department of Public Health (%IDPII) document Pror4sionol Reconurrendations%or- the ( se of'Ouadrivolent HPI'i occine (attached). The \CIP provisional recommendations can be found at the Centers for Disease Control and Pre\cnI1011 (C'DC):'ACIP website.http: y,ww cdc Pov.nip :ACIP.default.htnl and are not considered final until the- are published in CDC-s:Ilorbrdiwanci.11ortaiit� lFeekh,Report jA'. 1[I'R)1 When the final reco 1r11endatloris are published tile\- will also be accessible on the ACIP website. lipv vaccine Supplied by the Massachusetts Depaillnent of Public Health The Vaccines for Children (\"FC) federal elltiticnieni pro-rani has pro\•ided fundim, Io nia;.e HpV \-accine available to all \ I-C-eligible girls 9-1S dears ofa:ge as outlined bell)". 1:11'ecti�e immediately. \IDPH will supply HPV vaccine for this group onk'. To: SALEM BOARD OF HEALTH From: MDPH — ISIS — BROADCAST FAX Date: January 16, 20W� me: 10:38 Y • In order to qualify for this vaccine, a child less than 19 years of age must meet one of the following criteria: • be enrolled in Medicaid; • be without health insurance; • be an American Indian or Alaska Native; or • receive care at a federally qualified community health center. The current procedural tenninology(CPT)code for Gardasilo is 90649. Since providers will need to purchase HPV vaccine privately for the immunization of non-VFC-eligible females 9-18 years of age, and all females 19-26 years of age,this code should be used for reimbursement. Most vaccines can be ordered directly from the vaccine manufacturer or are available from phannuceutical distributors. For inventory management purposes. provider, will need to be able to distinguish between state-supplied vaccine and private purchase vaccine. Private purchase vaccine inventon and doses administered data should not be included on the �IllPli vaccine order and usage forms. State-supplied vaccine can be ordered from your local board of health using the current vaccine order form. The order form can be downloaded from the following site: htt :i/-*t -w.mass. ov/d hlcdc/e ii/imm%itnm.htm#mans ement. Please disseminate this memorandum to appropriate stag. If you have any questions regarding vaccine availability please contact the \IDPH Vaccine Managetnent Unit at 617-983-6828. • • AGENT'S NEWSLETTER TO THE BOARD February 9, 2007 BUDGET The 2008 Board of Health budget from the Mayor is in the packet. Basically, the Mayor is asking for level funding, other than contractual increases that will be added in later. MEETING FOLLOW-UP The Board had some items for me to investigate after the last meeting, specifically about asbestos abatement prior to demolition; and about protecting areas development areas from water backflow. I had e-mailed the Board members about those topics and have included that information in the packet so that it may be discussed at the meeting. SCHOOL NUTRITION/PHYSICAL ACTIVITY Paulette Puleo gave me some materials regarding this topic. I have included the introduction in the packet. The School Department, especially through the school nursing program, has been engaged in improving the nutrition of students through what is offered on their lunch menu. I will have more information for the meeting, after speaking with the head of the school nurses, Mary Eagan. I would suggest inviting Mary to the next Board meeting. CONNECT-CTY This information system is almost completely in place. We used it last weekend following a large water main break, near the downtown, to notify residents and businesses of the problem. I found it particularly helpful in notifying food establishments who were asking questions about preparing food with the discolored water. SCOTIA STREET The latest owner of this property, that has asbestos contamination in the soil, met with the DEP. A Consent Order was generated delineating a timetable for cleaning the property. You may recall that we have a court case against this owner for failing to comply with a Board of Health order. This order contains several requirements that would assist the neighborhood with some nuisance issues. The DEP says that those requirements do not interfere with their separate orders such as was alleged by the owner's attorney. We are back before the judge on Tuesday. EMERGENCY COALITION Our Coalition Coordinator, Neia Illingworth, is leaving to seek a Masters in nursing at Salem State College. Therefore, we are seeking her replacement. We have placed job postings in a number of locations including the MHOA, MAPHN, BU & Harvard Schools of Public Health. I have enclosed a job description in the packet. MOTEL REGULATIONS You may remember that we had a Salem motel in court because of a nuisance created by the holding of cats on the motel property. The case was continued until June giving the Board of Health time to pass motel regulations if it thinks that would be prudent. I would recommend a subcommittee to consider the issue. The only community in our immediate area that has such regulations is Saugus. However, their regulations address permitting issues and general sanitation only. I will continue to seek other communities' regulations if that is the wish of the Board. • GINNY"S MEMORIAL The staff of the department requested, from the City Council, the ability to place a memorial on the traffic island in front of 120 Washington Street for Virginia Moustakis. At its last meeting, the Council did approve that idea. We will begin fund raising once we determine the nature of the memorial. Ginny was an amazing woman and city employee. We are so happy to be able to honor her in this way. tr MonthP Report Administration p January-07 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 240 Burial Permits @ $10.00 $700.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $11,145.00 Immune Serum Globulin= 6 vials Certificate of Fitness@$25.00 $850.00 Measles/Mumps/Rubella= 140 Copies Polio= 30 Fines = $1,600.00 Tetanus & Diptheria (adult use)= 465 Total Monies Collected = $14,295.00 Tuberculin PPD= 0 HIB Titre= 400 Animal Bites Reported= 0 Hepatitis B= 370 PCV7 (Prevnar)= 80 PPV 23= 0 Pediarix= 350 Tdap= 130 Hep A= 50 Influenza= 0 Menactra= 15 HPV= 130 ROTA= 50 Annual Budget Expended Encumbered Available Balance Salary/Longevity $401,586.00 $221,264.65 $180, 321.35 Annual Budget Non-Personnel $17,650.00 $6,903.83 $2,221.23 $8,524.94 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------------------------ e Jul 06 Aug 06 Sep 06 Oct 06 Nov 06 Dec 06 Jan 07 Count 1 0 1 0 0 0 0 2 BP 1 0 0 0 0 0 0 1 CFI 35 74 52 47 72 37 43 360 CFR 2 1 6 4 4 6 6 29 CH 2 2 6 0 1 3 6 20 CON 0 0 1 0 0 0 0 1 CT 3 6 8 4 12 5 7 45 EC 4 9 1 2 0 1 2 19 EPR 4 0 1 0 0 0 0 5 FC 4 1 1 3 4 1 2 16 FRH 0 0 1 1 1 1 3 7 FSD 9 3 10 4 7 2 7 42 FSI 19 28 53 23 52 23 29 227 FSR 11 19 33 22 41 14 16 156 GN 14 5 4 2 8 6 9 48 HI 16 21 12 11 13 17 11 101 HR 18 10 37 16 15 32 17 145 LPD 1 0 1 0 0 0 0 2 LPI 1 1 0 1 0 0 1 4 MS 0 1 0 0 2 1 1 5 MT 5 4 6 7 12 2 5 41 OG 0 1 0 0 0 0 0 1 OS 0 6 0 0 0 1 0 7 PV 0 0 0 0 1 0 0 1 RC 5 1 0 0 0 0 0 6 �D 0 0 1 1 1 1 1 5 I 5 6 7 4 20 3 10 55 RFR 0 1 1 3 9 0 10 24 RO 0 2 2 3 4 1 8 20 SB 69 80 0 0 0 0 0 149 Sc 0 0 3 0 3 11 2 19 SM 2 0 1 0 3 0 0 6 SP 0 0 2 0 1 0 1 4 TFI 3 i 2 123 1 0 0 130 TR 64 62 37 28 50 25 55 321 Count 298 345 290 309 337 193 252 2024 +++++ City of Salem, Massachusetts 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 i CON - Constable Serv. 65* HR - Housing Reinsp . 135* SC - Suntan 7* CR - Compliance Rev. 25* LPI - Lead Paint Insp. 6* SES - SESD Odor 0* T _ Computer Time10* MS - Massage 6* SM - Seminars 36* IV 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* Salem Board of Health January 2007 Phone Log Total Answered *Answered Calls MONDAY January 1, 2007 HOLIDAY Mary = 171 TUESDAY January 2, 2007 18 Heather = 157 WEDNESDAY January 3, 2007 15 Dot = 155 THURSDAY January 4,2007 29 FRIDAY January 5, 2007 8 SATURDAY January 6, 2007 *Calls Taken : 483 SUNDAY January 7, 2007 MONDAY January 8, 2007 36 Joanne = 103 TUESDAY January 9, 2007 15 Janet = 67 WEDNESDAY January 10, 2007 25 David = 58 THURSDAY January 11, 2007 36 Pablo = 6 FRIDAY January 12, 2007 7 Tracy = 65 SATURDAY January 13, 2007 Neia = 28 SUNDAY January 14, 2007 Mary = 63 *2NDAY January 15, 2007 HOLIDAY Heather = 33 TUESDAY January 16, 2007 23 John = 35 WEDNESDAY January 17, 2007 24 Dot = 25 THURSDAY January 18, 2007 22 FRIDAY January 19, 2007 10 35 Hour Work Week SATURDAY January 20, 2007 SUNDAY January 21, 2007 21 work days MONDAY January 22, 2007 28 TUESDAY January 23, 2007 19 WEDNESDAY January 24, 2007 39 THURSDAY January 25, 2007 39 Monday 8-4 FRIDAY January 26, 2007 13 Tuesday 8-4 SATURDAY January 27, 2007 Wednesday 8-4 SUNDAY January 28, 2007 Thursday 8-7 MONDAY January 29, 2007 28 Friday 8-noon TUESDAY January 30, 2007 25 WEDNESDAY January 31, 2007 24 TOTAL 483 CITY OF SALEM, MASSACHUSETTS v BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • SALEM, MA 01970 e TEL. 978-741-1800 FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT Public Health Nurse Report January 2007 Activities Disease Prevention • In contact 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/Clinics DOT daily Monday through Friday for two suspect active cases of Tuberculosis. New suspect case: 58 y/o female. Smear neg. culture pending. Attended the North Shore Emergency Preparedness Meeting at Peabody DPW. Attending Salem State College Biology 105 class on Tuesday Wednesday and Thursday. • r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR • SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 WWW'SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES JANUARY 2007 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 0 0 0 0 GIARDIA O O O 0 HEPATITIS O O O 0 LYM E O O O 0 MENINGITIS 0 0 0 0 PERTUSSIS O O 0 0 SALMONELLA O O O 0 SHIGELLA O O O 0 TUBERCULOSIS 1 0 1 1 OARICELLA 0 0 0 0 Too SALEM BOARD OF HEALTH From: MDPH — ISIS — BROADCAST FAX Date: January 16, 2007 me: 10:38 The Commonwealth of Massachusetts • - Executive once Ot Healtn and Human services Department of Public Health State Laboratory Institute 305 South Street, Jamaica Plain, MA 02130 DEVAL L.PATRICK GOVERNOR TIMOTHY P.MURRAY LIEUTENANT GOVERNOR JUDYANN BIGBY,MD SECRETARY PAUL J.COTE,JR. COMMISSIONER Memorandum 'I'o: Healthcare Providers Health Insurers and Health Plans From: Robert W. Morrison, Vaccine Manager Susan M. Lett, MD, MPH, Medical Director Date: Januan' 2007 Subject: Human Papillomavirus (HPV)Vaccine for VFC-Eligible Girls Now Available On June 8. 2006,the U.S. Food and Drug Administration licensed a human papillomavirus (HPN') vaccine (Gardasil§. Merck), for immunization of females 9-26 teals of age. -ldyisory ('otnnlittee on Immunization Practices (A(-IP)Reconim ell dations On June 29, 2006.the Advisor\, Committee on Immunization Practices (ACIP)voted on recommendations for the use of I-IP\' vaccine. These provisional recommendations of the ACID are for routine vaccination of females 1 1-12 years of age with 3 doses of HP\' vaccine. The series can be stabled its earl\ its 9 years of age. In addition. Callch-lip VdCC]Ilalholi is rc l'UlIi111Jlillelf for fcniAes 13-26 years of. agc. For preIiminar\ iilforination about indications. contraindications and the schedule for I3P\ vaccine; please refer to the Massachusetts Department of Public Ilealth (\IDPI1)document Provisionol Recnrnnlendaliol's%or the t,"se of'Ouodrivolent HPF Foccine (attached). The ACIP provisional recommendations can be found at the Centers for Disease Control and Prevention (CF)C):':\CIP \vebsita http \N°w\v.cdc Gov nip' \CIP:default.htni and are not considered final until they are published in CDC's,1 ol-bicilt?°anc0fortaial J17eei:i;i,Report 111 \\ WIFRl. hen the final recommendations are published the\- \will also be accessible on the ACIP Website. lipv vaccine Supplied by the Massachusetts Depau-tlnent of Public I1rai101 I he \ accincs for Children (�-I'C) federal entitlement program has provided funding to makc lIl'\ vaccine available to all \'I,C-eligible girls 9-1 Is' years of il-C as outlined bclu\a. 1:11'ecti\e Itl medlately. \IDPI-I \will supply HP\' vaccine for this 11 unly. • To: SALEM BOARD OF HEALTH From: MDPH — ISIS — BROADCAST FAX Date: January 16, 2007 me: 10:38 In order to qualify for this vaccine,a child less than 19 years of age must meet one of the i following criteria: • be enrolled in Medicaid; • be without health insurance; • be an American Indian or Alaska Native; or • receive care at a federally qualified community health center. The current procedural terminology(CPT)code for Gardasil*is 90649. Since providers will need to purchase HPV vaccine privately for the immunization of non-VFC-eligible females 9-18 years of age, and all females 19-26 years of age,this code should he used for reimbursement. Most vuc..mee can be ord ered directly from the vaccine manufacturer or are available from phanuaceutical distributors. For inventory management purposes, providers Nvill need to be able to distinguish between state-supplied vaccine and private purchase vaccine. Private purchase vaccine inventory and doses administered data should not be included on the MDPH vaccine order and usage forms. State-supplied vaccine can be ordered from your local board of health using the current vaccine order form. The order form can be downloaded from the following site: ljttp:.//www.mass Qov/dph-cdc/epii/imm%imm.htm##nianap,ement. Please disseminate this memorandum to appropriate staff If you have any questions regarding vaccine availability please contact the yIDPIl Vaccine Management Unit at 617-983-6828. • • AGENT'S NEWSLETTER TO THE BOARD December 12, 2006 . CONNECT-CTY The City has purchased a resident/business, etc notification system called Connect-CTY. Once it is set up,the Mayor or other officials will be able to notify the public about emergencies or situations affecting them. As an example, if there were a water main break, the City Engineer could record a message and select a the geographic area for notification regarding the severity and possible duration of the break. The Board of Health could notify people of an upcoming flu clinic. The possibilities are endless. The Mayor has asked me to coordinate the initiation of this system. It should be rolled out this month. SALEM HIGH SCHOOL AIR QUALITY The City and the MDPH received an anonymous complaint regarding the indoor air quality at Salem High School, alleging an unhealthy situation due to the on-going construction. As you know, the Board of Health was very involved in setting requirements for the construction that was taking place while the building is occupied by students and teachers. I conducted an unannounced inspection. At the time I did not observe any concerns with the air quality in the occupied areas. However, I did note some potential problems that , given the right circumstances, could lead to an air quality issue. My reports on the inspection and the response from the construction supervisor are included in the packet. rc Another unannounced inspection will be conducted to follow-up on this situation. TAFF STARS FOR 2006 Thank you to the Board Members for another year of unselfish service to our ommunity. All who work for you appreciate your time and dedication. In addition, the Board of Health is very fortunate to have the most committed and professional employees in the City. During this holiday season I would like to thank each one and let you know just a bit (I could write pages!) about why they are amazing! *Mary Page for her endless patience, kindness and abilty to focus on the work no matter what. *Heather Lyons for always agreeing to take on any task no matter how complicated or quickly it must be done. *Tracy Giarla for being the best Public Health Nurse in the state as exemplified every day by her depth of knowledge and professional attitude. *Pablo Valdez for his years of dedication and willingness to share his bi-lingual abilities at any time. *Janet Dionne with admiration for her great integrity in addressing every individual and issue. Neia Illingworth for undeterred enthusiasm in keeping the Coalition on track and organized so that we may be better prepared for an emergency. vf�David Greenbaum for always stepping up to handle the most difficult situations. • ;a John Gehan for learning the ropes quickly while always making everyone smile. Dorothy Raczkowski for showing us a conscientious spirit knows no age. You Make the Board of Health Shine! - HAPPY HOLIDAYS:.- .- -. . City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ---------------------------- Type Jul 06 Aug 06 Sep 06 Oct 06 Nov 06 Dec 06 Count ----- -----I ------ ------ ------ ------ ------ 0 1 0 0 0 2 BP 1 0 0 0 0 0 1 CFI 35 74 52 47 72 37 317 CFR 2 1 6 4 4 6 23 CH 2 2 6 0 1 3 14 CON 0 0 1 0 0 0 1 CT 3 6 8 4 12 5 38 EC 4 9 1 2 0 1 17 EPR 4 0 1 0 0 0 5 FC 4 1 1 3 4 1 14 FRH 0 0 1 1 1 1 4 FSD 9 3 10 4 7 2 35 FSI 19 28 53 23 52 23 198 FSR 11 19 33 22 41 14 140 GN 14 5 4 2 8 6 39 HI 16 21 12 11 13 17 90 ,. HR 18 10 37 16 15 32 128 LPD 1 0 1 0 0 0 2 LPI 1 1 0 1 0 0 3 MS 0 1 0 0 2 1 4 MT 5 4 6 7 12 2 36 OG 0 1 0 0 0 0 1 OS 0 6 0 0 0 1 7 PV 0 0 0 0 1 0 1 RC 5 1 0 0 0 0 6 RFD 0 0 1 1 1 1 .4 RFI 5 6 7 4 20 3 45 RFR 0 1 1 3 9 0 14 • RO 0 2 2 3 4 1 12 SB 69 80 0 0 0 0 149 SC 0 0 3 0 3 11 17 SM 2 0 1 0 3 0 6 SP 0 0 2 0 1 0 3 TFI 3 1 2 123 1 0 130 TR 64 62 37 28 50 25 266 Count 298 345 290 309 337 193 1772 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: Inspection Types 13P - 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* CFR - Cert . Fit . Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Re4' n34* "H - 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* CT _ Computer Time10* MS - Massage 6* SM - Seminars 36* *EC Envirn. Compl . 51* MW - Mark/WeightsSP - Swim_ Pools 16* PR - 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, MASSACHUSETTS n BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report December 2006 Activities Disease Prevention • In contact 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. • Daily DOT for a suspect Tuberculosis case. Meetings/Clinics 12/4 Attended the North Shore Pulmonary Clinic meeting to discuss ongoing active T.B. cases on the North Shore. 12/13 Attended the Connect—CTY training held for city employees. This telephone service allows authorized civic leaders to create and rapidly disseminate time-sensitive messages to every telephone number stored in the notification database_ 12/14 Attended a TTX hosted by the MDPH with Joanne Scott. This exercise was based on Continuity of Operations Plans for surrounding communities in the event of Pandemic Influenza. 12/15 Continued meeting at Salem High School with school nurse Gayle Sullivan, R.N. interviewing Pertussis contacts. 12/20 Attended the North Shore Emergency Preparedness Coalition Meeting. • I { J 1�%k CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR iffj'� SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES • DECEMBER 2006 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER O O 0 0 GIARDIA O O O O HEPATITIS 0 0 O 0 LYM E 0 O O O MENINGITIS O O O 0 PERTUSSIS 4 O 4 4 SALMONELLA O O O O SHIGELLA O O O O TUBERCULOSIS 1 0 O O VARICELLA 3 0 0 0 Y, f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • ( � 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Summary of Communicable Diseases for December. 4 Pertussis Cases: 3 Salem High Students. All Contacts notified. A Pertussis Alert Letter was mailed to all students and staff before the vacation break. 1 51 year old female. Day Care worker in Lynn. Epidemiologist Ed Corkrum was notified. Ed notified Day Care, and sent letter for distribution to attendees. Community was notified in the Salem Evening Newspaper. 300 additional doses of Tdap were approved by the Immunization Program to distributed to Salem Pediatric Providers. A Wakefield Resident who lives at the Salem State College dorm was positive for Pertussis. This was reported by Nathalie Hebert,Nurse Practitioner at Counseling and Health Services. Dorm contacts were notified. • • • • Administration Monthly Report December-06 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 140 Burial Permits @ $10.00 $390.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $850.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $22,360.00 Measles/Mumps/Rubella= 1090 Copies $5.00 Polio= 200 Fines= $1,250.00 Tetanus & Diptheria (adult use)= 30 Total Monies Collected = $24,855.00 Tuberculin PPD= 20 H I B Titre= 500 Animal Bites Reported= 3 Hepatitis B= 430 PCV 7 (Prevnar) 180 PPV 23 45 Pediarix 160 Tdap 200 Hep A 20 Influenza 20 Menactra 20 Annual Budget Expended Encumbered Available Balance Salary/Longevity $401,586.00 $191,986.11 $209,599.89 Annual Budget Non-Personnel $17,650.00 $5,297.98 $2,637.59 $9,714.43 Salem Board of Health DECEMBER PHONE LOG Total Answered *Answered Calls FRIDAY December 1, 2006 5 Mary = 152 SATURDAY December 2, 2006 Heather = 139 SUNDAY December 3, 2006 Inspectors = 0 MONDAY December 4, 2006 32 Dot = 126 TUESDAY December 5, 2006 26 WEDNESDAY December 6, 2006 25 THURSDAY December 7, 2006 33 *Calls Taken : 417 FRIDAY December 8, 2006 7 SATURDAY December 9, 2006 Joanne = 61 SUNDAY December 10, 2006 Janet = 44 MONDAY December 11, 2006 32 David = 44 TUESDAY December 12, 2006 40 Pablo = 4 WEDNESDAY December 13, 2006 27 Tracy = 95 THURSDAY December 14, 2006 32 Neia = 28 FRIDAY December 15, 2006 12 Mary = 48 SATURDAY December 16, 2006 Heather = 29 SUNDAY December 17, 2006 John = 33 MONDAY December 18, 2006 26 Dot = 31 TUESDAY December 19, 2006 30 WEDNESDAY December 20, 2006 17 35 Hour Work Week THURSDAY December 21, 2006 21 FRIDAY December 22, 2006 HOLIDAY 22 work days SATURDAY December 23, 2006 SUNDAY December 24, 2006 MONDAY December 25, 2006 HOLIDAY TUESDAY December 26, 2006 16 Monday 8-4 WEDNESDAY December 27, 2006 10 Tuesday 8-4 THURSDAY December 28, 2006 26 Wednesday 8-4 FRIDAY December 29, 2006 HOLIDAY Thursday 8-7 SATURDAY December 30, 2006 Friday 8-noon SUNDAY December 31, 2006 TOTAL 417 Administration Monthly Report November-06 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 280 Burial Permits @ $10.00 $410.00 Diptheria,Tetanus Tox.(under 6 yrs)= 20 Permits $230.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,600.00 Measles/Mumps/Rubella= 280 Copies $0.00 Polio= 240 Fines= $0.00 Tetanus & Diptheria (adult use)-- 685 Total Monies Collected = $2,240.00 Tuberculin PPD= 70 HIB Titre= 225 Animal Bites Reported= 0 Hepatitis B= 430 PCV 7 (Prevnar) 110 PPV 23 340 Pediarix 0 Tdap 190 Hep A 10 Influenza 1350 Menactra 30 Annual Budget Expended Encumbered Available Balance Salary/Longevity $401,586.00 $161,211.67 $240,374.33 Annual Budget Non-Personnel $17,650.00 $4,933.83 $1,321.45 $11,394.72 AGENT'S NEWSLETTER TO THE BOARD November 14, 2006 EMERGENCY PLANNING As many of you know, we conducted our seasonal flu/pneumonia clinic as an Emergency Dispensing Site in order to exercise our EDS Plan. We concentrated on several, but not all, aspects of the plan. Overall, the exercise went very well. However, there are several areas for improvement. Two areas stood out. One is the need to train more about the Incident Command Structure. Many people found it difficult to stay within the "chain-of- command." In addition, it is evident that we need more volunteers. Thank you to our participants. I gave a PowerPoint presentation to the AARP, recently, regarding emergency preparedness. It was well received. I was invited to tape a half-hour radio show about Emergency Preparedness on WBOQ in Beverly. It will air on Saturday morning the 18th at 8:30 on 1450AM and at 9 on 104.9FM, then repeated on Sunday morning at 6 on 1450AM and at 6:30 on 104.917M FY' 06 OBJECTIVES—FINAL REPORT In the packet is the final report for FY' 06 for your review. In addition, this report is being submitted to the Mayor as our Annual Report to the City. I was unable to retrieve the data lost in my Palm program. However, I was able to recreate most of the information. DOT We have a new staff member, Dorothy Raczkowski, part of the Senior Citizen Volunteer Property Tax Work-off Program. Dot is doing a great job for us answering calls, filing and other general office work. We are so happy to have her helping us! • CATS AT A MOTEL The owner of the Clipper Ship Motel takes in stray cats for later placement in shelters. According to her, she has about 10 cats that cannot be placed because they cannot become domestic enough. . We had received complaints in 2003 about the cats there. At that time, the owner agreed to several limitations of cats, particularly in certain areas such as the laundry room. We received additional complaints recently and when we investigated, it was observed that cats were not restricted, as we had requested. We have ordered the owner to have only two "house cats" at the motel, aside from those who may accompany customers (this is a pet-friendly" motel). The owner, again, wants to house additional cats in the basement of one of the buildings and in a couple of motel rooms that will be used exclusively for the cats. Therefore, we have initiated a court complaint against the owner. At the initial hearing last week, the owner's attorney claimed that we had our"own personal reasons for not wanting the cats there," that he "did not believe that David conducted a re- inspection" that he stated he had conducted, and that I "should hit the books" regarding public health law! The Hearing Officer did not restrain these comments until I complained about them. I am glad that I attended the hearing with David Greenbaum because I think it is outrageous for our employees to be treated so unprofessionally by the judiciary system. I am considering filing a complaint against this attorney with the Board of Bar Overseers. The case before the Hearing Officer was continued for a month. I have asked the owner to appear before the Board so that you may have input into how this case is handled. There is paperwork about this issue in the packet. • SUBSTANCE ABUSE TASK FORCE This task force is initiating the Safe Homes project in Salem, where parents are asked to sign a pledge that all youth gatherings at their homes will be supervised and that liquor will not be available. O WE SURVIVED HALLOWEEN &ALL THE FOOD STREET VENDORS!O City Of Salem Environmental Health Division --- Inspection Monthly Summary Month -------------- ---------- e Jul 06 Aug 06 Sep 06 Oct 06 Nov 06 Count 1 0 1 0 0 2 BP 1 0 0 0 0 1 CFI 35 74 52 47 11 219 CFR 2 1 6 4 2 15 CH 2 2 6 0 1 11 CON 0 0 1 0 0 1 CT 3 6 8 4 4 25 EC 4 9 1 2 0 16 EPR 4 0 1 0 0 5 FC 4 1 1 3 1 10 FRH 0 0 1 1 1 3 FSD 9 3 10 4 3 29 FSI 19 28 53 23 15 138 FSR 11 19 33 22 11 96 GN 14 5 4 2 5 30 HI 16 21 12 11 2 62 HR 18 10 37 16 .6 87 LPD 1 0 1 0 0 2 LPI 1 1 0 1 0 3 MS 0 1 0 0 0 1 MT 5 4 6 7 3 25 OG 0 1 0 0 0 1 OS 0 6 0 0 0 6 RC 5 1 0 0 0 6 Pro 0 0 1 1 0 2 5 6 7 4 5 27 R 0 1 1 3 1 6 RO 0 2 2 3 0 7 SB 69 80 0 0 0 149 SC 0 0 3 0 0 3 SM 2 0 1 0 0 3 SP 0 0 2 0 0 2 TFI 3 1 2 123 1 130 TR 64 62. 37 28 15 206 Count 298 345 290 309 87 1329 *Nov 06 entries to be added to Oct 06 for Oct 06 total inspection count. +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: .. Inspection Types 3P - 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* CFR - Cert . Fit .ReinsplO5*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 Rein8p . 135* SC - Suntan 7* - 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 . I1* 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* j v`I CITY OF SALEM, MASSACHUSETTS • a a BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT Public Health Nurse Report November 2006 Activities Disease Prevention • In contact 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. • Daily DOT for a suspect Tuberculosis case. Meetings/Clinics *********************November Influenza and Pneumonia Clinics******************** • 11/8 Council on Aging Clinic. The clinic was run as an Emergency Dispensing Site drill. 510 residents were vaccinated. Endicott College Students and Salem State College Students assisted with vaccinating. 11/14 Salem Housing Authority: 258 residents were vaccinated. Endicott College Students assisted with vaccinations. 11/16 Pioneer Terrace: 162 residents were vaccinated. Endicott College Students assisted with vaccinations. 11/17 Home visits: 10 homebound residents were vaccinated. 11/20 A Clinic was held at the Board of Health for employees from 11-4p.m. 90 employees were vaccinated. 11/21 Home visits: 20 homebound residents were vaccinated. 11/30 Fire Dept. Employee clinic was held at Salem Fire Headquarters: 17 were vaccinated. Police Dept. Employee clinic was held at Salem Police Station: 29 were vaccinated. An evening clinic was held for Salem residents and employees 113 were • vaccinated. i �j iSummary of Communicable Disease for November Pertussis: There have been three confirmed cases of Pertussis at Salem High. All contacts were notified. I have been working with the school nurse Gayle Sullivan, RN interviewing contacts, and notifying parents. I am also working with Ed Corkrum, epidemiologist, at MDPH. Suspect Tuberculosis: I have a suspect non-pulmonary tuberculosis case. I will be following this case with DOT Monday through Friday. • • s CITY OF SALEM, MASSACHUSETTS iBoARo of HEALTH 120 WAStiINGT'ON STREET.4TH FLOOR SALEM, MA 01970 TEL 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT December 6, 2006 Dear Parents/Guardians and Staff- This letter is to let you know that there have been several: confirmed cases of pertussis (whooping cough) at Salem High School. Your child has been identified as being a close contact of this confirmed case. Pertussis is a highly communicable disease that is spread through the air when an infected person sneezes, talks or coughs. Touching a tissue or sharing a cup used by someone with pertussis can also spread the disease. Pertussis is a cough illness whose symptoms can range from mild to severe. The characteristic symptoms, a long series of coughs followed by a whooping noise, are more common in very young children. Older children, teens and adults are more likely to have • an upper respiratory illness that begins with cold symptoms and an irritating cough. The cough becomes increasingly severe over 1-2 week and can be confused with bronchitis. There is generally no fever associated with pertussis. Antibiotic therapy early in the course of the disease may decrease the severity of symptoms and reduce the infectiousness of the ill person. Antibiotics are also recommended for contacts of pertussis cases, regardless of symptoms, to prevent disease and to prevent transmission to others. The following control measures are being implemented to help prevent further spread of pertussis at your child's school: 1. if your child does not have symptoms of pertussis as described above, it is strongly recommended that you dill your health care provider for a course of antlblotics in order to prevent your child from contracting and/or transmitting the disease. 2. If your child develops symptoms ol' pertussis (cold, persistent CMIIJI. ctc.). �OLIY lamilv's health care provider shotim test your child for pertussis and send the shecinlCn to the state. Also, per Massachusetts's requirements. your child must begin antihiotic treatment before returning to school or activities. svrnptomatic students will he excluded fmnl school until they have completed S of the 14 days required fi)r adequate aniihiotic ihcrapv. • W".I\11;iIt'nl Icti cr-;,I Ic I oNCcl MLIi I,rr:I In un Iltic11;u it ilnulii CITY OF SALEM, MASSACHUSETTS • ; BOARD OF HEALTH s 120 WASHINGTON STREET,4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT December 6, 2006 Dear Parents/Guardians: This letter is to let you know that there have been several confirmed cases of pertussis (whooping cough) at the Salem High School. Your child has been identified as being a close contact of the confirmed case. We have been notified that your child has symptoms of pertussis (cold, persistent cough, etc.), and he or she needs to be tested for pertussis by your family's health care provider. Per Massachusetts requirements, your child must begin antibiotic treatment before returning to school. Symptomatic students will be excluded from school until they have completed 5 of the 14 days required for adequate antibiotic therapy. • If your child is confirmed to have pertussis, it will be recommended that all household contacts receive antibiotics to prevent additional infections from occurring. Pertussis is a highly communicable disease that is spread through the air when an infected person sneezes, talks or coughs. Other people nearby can then breathe in the germs. Touching a tissue or sharing a cup used by someone with pertussis can also spread the disease. Pertussis is a cough illness whose symptoms can range from mild to severe. The characteristic symptoms, a long series of coughs followed by a whooping noise, are more common in very young children. Older children, teens and adults are more likely to have an upper respiratory illness that begins with cold symptoms and an irritating cough. The cough becomes increasingly severe over 1-2 weeks and can be confused with bronchitis. There is generally no fever associated with pertussis. Antibiotic therapy early in the course of the disease may decrease the severity of symptoms and reduce the infectiousness of the ill person. Antibiotics are also recommended for close contacts of pertussis cases, regardless of symptoms, to prevent disease and prevent them from transmitting it to others. Please take the enclosed information with you to your health care provider to let them know of these requirements, which are based on guidelines developed by the Massachusetts Department of Public Health, in accordance with the Centers for Disease Control and • Prevention. arentletter-onlyforsyxclosecontacts,recommendantibiotics ,Y Pertussis Advisory his is to advise you that there have been several cases of whooping cough (pertussis) at Salem High School Although your child has not been identified as a close contact,parents and guardians should be aware of the signs and symptoms of pertussis. People who have been identified as close contacts have received a separate letter. What is pertussis? Pertussis(also called whooping cough) is a disease caused by bacteria that spreads from person to person with close contact. Pertussis is often mild in older children and adults, but can cause serious problems in infants. Who gets pertussis? In MA,pertussis is most common among people 10-20 years old who have lost the protection they got from childhood vaccines. Infants are also likely to get the disease since they are often too young to have full protection from the vaccine. What are the symptoms? Pertussis is a cough illness whose symptoms can range from mild to severe. It usually begins with cold-like symptoms,with a runny nose, sneezing and dry cough. The cough lasts for a week or two,then slowly gets worse. The next stage,which may last from four to six weeks, is marked by uncontrollable coughing spells,often followed by vomiting. Between spells,the person may appear to be well and usually there is no fever. These typical symptoms are more common in infants and young children. Vaccinated children,teens and adults may have milder symptoms that can seem like bronchitis. How is pertussis spread? The germs that cause pertussis live in the nose,mouth and throat and are sprayed into the air when an infected person sneezes, coughs or talks. Other people can then inhale the germs in the droplets produced by the person with pertussis. Touching a tissue or sharing a cup used by someone with the disease can also spread the disease. The first symptoms usually appear 7 to 10 days after a person is exposed, although sometimes people do not get sick for up to 21 days after their last exposure. How is pertussis diagnosed? A doctor may think a patient has pertussis based on their symptoms, however, a culture or blood test are the only ways to be sure. The culture is taken by swab from the back of the nose if the patient has been coughing for two weeks or less.In children 11 years and older, the blood test is taken when the cough has persisted for longer than two weeks. How can pertussis Although DTP or DTaP vaccine(diphtheria,tetanus, pertussis)usually provides be prevented? adequate protection against pertussis,the effects of the vaccine wear off over time, leaving most teens and adults at risk of the disease. Antibiotics are given to help prevent further illness and decrease infectiousness. After five days of treatment a case is no longer contagious. What should I do? If your child has any symptoms of pertussis, please contact your health care provider and bring this advisory with you. If you have any questions, please Gayle Sullivan, RN at 978 740-1119 or Tracy Giarla, LPN, Salem Board of Health at 978 741-1800. • 0 Administration Monthly Report October-06 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= Burial Permits @ $10.00 $520.00 Diptheria,Tetanus Tox.(under 6 yrs)= Permits $7,140.00 Immune Serum Globulin= Certificate of Fitness@$25.00 $1,450.00 Measles/Mumps/Rubella= Copies $0.00 Polio= Fines = $1,225.00 Tetanus & Diptheria (adult use)-- Total Monies Collected = $10,335.00 Tuberculin PPD= HIB Titre= Animal Bites Reported= Hepatitis B= PCV 7 (Prevnar) PPV 23 Pediarix Tdap Hep A Influenza Menactra Annual Budget Expended Encumbered Available Balance Salary/Longevity $401,586.00 $123,679.57 $277,906.43 Annual Budget Non-Personnel $17,650.00 $3,231.20 $1,420.79 $12,998.01 i Salem Board of Health NOVEMBER PHONE LOG Total Answered *Answered Calls WEDNESDAY November 1, 2006 24 Mary = 175 THURSDAY November 2, 2006 37 Heather = 184 FRIDAY November 3, 2006 9 Inspectors = 2 SATURDAY November 4, 2006 Dot = 163 SUNDAY November 5, 2006 MONDAY November 6, 2006 30 TUESDAY November 7, 2006 24 *Calls Taken : 524 WEDNESDAY November 8, 2006 34 THURSDAY November 9, 2006 21 Joanne = 78 FRIDAY November 10, 2006 HOLIDAY Janet = 59 SATURDAY November 11, 2006 David = 49 SUNDAY November 12, 2006 &ME Pablo = 23 MONDAY November 13, 2006 38 Tracy = 139 TUESDAY November 14, 2006 20 Neia = 30 • WEDNESDAY November 15, 2006 14 Mary = 69 THURSDAY November 16, 2006 23 Heather = 27 FRIDAY November 17, 2006 17 John = 26 SATURDAY November 18, 2006 Dot = 24 SUNDAY November 19, 2006 MONDAY November 20, 2006 57 35 Hour Work Week TUESDAY November 21, 2006 32 WEDNESDAY November 22, 2006 34 22 work days THURSDAY November 23, 2006 HOLIDAY FRIDAY November 24, 2006 10 SATURDAY November 25, 2006 SUNDAY November 26, 2006 Monday 8-4 MONDAY November 27, 2006 1-9 Tuesday 8-4 TUESDAY November 28, 2006 15 Wednesday 8-4 WEDNESDAY November 29, 2006 19 Thursday 8-7 THURSDAY November 30, 2006 27 Friday 8-noon TOTAL 524 CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR • SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report September/October 2006 Activities Disease Prevention • In contact 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/Clinics 9/1 to 9/9 Vacation. • 9/15 Meeting with Lynn Barrett and Doug Bollen at the Council on Aging to discuss details of the 2006 Council on Aging Clinic. 9/18 Attended the Quarterly Northeast TB Control meeting held at the North Shore Pulmonary Clinic at the NSMC. Public Health Nurses discussed Active Tuberculosis cases on the North Shore. 9/27 Attended the North Shore Emergency Preparedness Meeting in Peabody. 9/28 Attended the Massachusetts Department of Public Health Tuberculosis Seminar held at Tewksbury Hospital. Dr. John Bernardo, TB Control Officer presented new TB control measures, and case studies. 10/3 Attended an inspection of a Salem Restaurant with Janet Dionne to investigate reports of Salmonella cases who ate at the restaurant. This was reported to MDPH Dept. of Epidemiology, and Dr. Miaskiewicz on 9/27/06. 10/19 Attended a presentation on Targeting TB testing for High Risk Patients at Lynn Community Health Center. Joanne Keegan, RN presented to Health Care Workers and Lab Workers. • 10/20 Meeting with Lynne Barrett to discuss details of the Council on Aging Clinic Emergency Dispensing Site Drill. w Summary of Communicable Diseases for September/October 2006 September 2006 Campylobacter: One Case. Adult female. Non Foodhandler. Source unknown. Case was on vacation during incubation period, and ate at many restaurants on Cape Cod and the Islands. Hepatitis B: One Case. Adult female. Chronic Hep B. Pertussis: Two Cases. Adult Male. Coughing greater than one month. Work Contacts notified. Adult Male. Coughing greater than one month. Work Contacts notified. During the week of 9/14 to 9/27 a significant increase in Salmonella was reported to the Salem Board of Health. The Massachusetts Department of Public Health was notified. A commonality of lettuce and tomato was noted. It was also discovered that 4 of the cases ate at the same restaurant. This restaurant was inspected and all foodhandlers were required to submit two stool samples. The restaurant was closed due to staffing issues. Food samples were obtained and sent to the State Laboratory Institute. The foodhandlers who worked at other foodhandling jobs were excluded from those jobs, and their work was notified. All stool results were negative. The food sampled was negative. The Salmonella outbreak was occurring in other states. There were a total of 163 cases linked to the Salmonella Typhimurium Outbreak. 67 cases were from Massachusetts. The FDA and the CDC suspect that • it was caused by Red Round Tomatoes. • MONTHLY REPORT OF COMMUNICABLE DISEASES • SEPTEMBER 2006 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 1 O 1 1 GIARD►A O O O O HEPATITIS O O O 0 LYM E O O O O MENINGITIS O O O O PERTUSSIS 1 O 1 1 SALMONELLA 1 O 1 1 SHIGELLA O O O O TUBERCULOSIS O O O O • J • MONTHLY REPORT OF COMMUNICABLE DISEASES • OCTOBER 2006 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 0 O 0 0 GIARDIA O O O 0 HEPATITIS O O O 0 LYM E O O O O MENINGITIS O 0 O 0 PERTUSSIS 1 O 1 1 SALMONELLA 1 0 1 1 SHIGELLA O O O O TUBERCULOSIS O O O 0 i .e!� C+k"*""'M, ff�''��a`s'v�'f$"+K$t(��:�i��'�- ..� .,. ..: ,"•..`°K}d �.....r4 J,'��5 c'�r xP.uS°i.�.'�'�.'1�.� :f s ^:.: ", `''�'a- .:+e: 4 ....'Yi r.7 ... .a. .4 t f 1Til,." +•4t� Eat +)• y 'dr�^^l''L�'ti +�hL'� > !� City Of'Salem Environmental Health Division --- Inspection Monthly Summary Month 1 -------------------------------------- •Type Jul 06 Aug 06 Sep 06 Oct 06 Nov 06 Count ----- ------ ------ ------ ------ ------ 1 0 1 0 0 2 BP 1 0 0 0 0 1 CFI 35 74 52 47 72 280 CFR 2 1 6 4 4 17 CH 2 2 6 0 1 11 CON 0 0 1 0 0 1 CT 3 6 8 4 12 33 EC 4 9 1 2 0 16 EPR 4 0 1 0 0 5 FC 4 1 1 3 4 13 FRH 0 0 1 1 1 3 FSD 9 3 10 4 7 33 FSI 19 28 53 23 52 175 FSR 11 19 33 22 41 126 GN 14 5 4 2 8 33 HI 16 21 12 11 13 73 HR 18 10 37 16 IS 96 LPD 1 0 1 0 0 2 LPI 1 1 0 1 0 3 MS 0 1 0 0 2 3 MT 5 4 6 7 12 34 OG 0 1 0 0 0 1 OS 0 6 0 0 0 6 PV 0 0 0 0 1 1 RC 5 1 0 0 0 6 RFD 0 0 1 1 1 3 RFI 5 6 7 4 20 42 RFR 0 1 1 3 9 14 RO 0 2 2 3 4 11 SB 69 80 0 0 0 149 SC 0 0 3 0 3 6 SM 2 0 1 0 3 6 SP 0 0 2 0 1 3 TFI 3 1 2 123 1 130 TR 64 62 37 28 50 241 Count 298 345 290 309 337 1S79 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location : Inspector : .. Inspection Types 3P - 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* .'FR - Cert . Fit . Reinsp105*GN _ Gen . Nuisance 41* RFR - Ret . Food Rein34 # -'H - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control l� "ON Constable Serv . 65* HR - Housing Reinsp. 135* SC - Suntan 7* R - Compliance Rev . 25* LPI - Lead Paint Insp . 6* SES - SESD Odor 0* 1 _ Computer Timel-0* MS - Massage 6* SM Seminars 36* C Envirn_ Compl . 51-* ' MW - Mark/Weights SP - Swim. Pools 161 EPR - Ext . Paint 95* MUP - Mobile Food Insp. 1.1-* SB - Swim . Beaches 65* FC - Food Compl . ]-7* OS - Off . Sub . Insp. 6* S`1' - Soil/Septic 8 * FRIA - Food Hearings15* ° RC - Rec Camps 9* `I'F1 Temp . Food 11.2A FSD - Food Serv . Disc 53* MT - Meetings 65* TR Trash ?81* '�a1 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month • -------- -------- Type Jul 06 Aug 06 Sep 06 Count 1 0 1 2 BP 1 0 0 1 CFI 35 74 52 161 CFR 2 1 6 9 CH 2 2 6 10 CON 0 0 1 1 CT 3 6 8 17 EC 4 9 1 14 EPR 4 0 1 5 FC 4 1 1 6 FRH 0 0 1 1 FSD 9 3 10 22 FSI 19 28 53 100 FSR 11 19 33 63 GN 14 5 4 23 HI 16 21 12 49 HR 18 10 37 65 LPD 1 0 1 2 LPI 1 1 0 2 MS 0 1 0 1 MT 5 4 6 15 OG 0 1 0 1 OS 0 6 0 6 RC 5 1 0 6 1*FD 0 0 1 1 FI 5 6 V 7 18 RFR 0 1 1 2 RO 0 2 2 4 SB 69 80 0 149 SC 0 0 3 3 SM 2 0 1 3 SP 0 0 2 2 TFI 3 1 2 6 TR 64 62 37 163 Count 298 345 290 933 +++++ City of Salem, Massachusetts 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* t RO - Rodent Control 16 CON - Constable. Serv. 65* HR - Housing Reindp. 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* 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* • • • Administration Monthly Report September-06 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 210 Burial Permits @ $10.00 $580.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $510.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,400.00 Measles/Mumps/Rubella= 352 Copies $0.00 Polio= 190 Fines= $25.00 Tetanus & Diptheria (adult use)= 105 Total Monies Collected = $2,515.00 Tuberculin PPD= 40 HIB Titre= 375 Animal Bites Reported= 3 Hepatitis B= 130 PCV 7 (Prevnar) 380 PPV 23 50 Pediarix 190 Tdap 150 Hep A 20 Influenza 660 Menactra 0 Annual Budget Expended Encumbered Available Balance Salary/Longevity $401,586.00 $93,103.67 $308,482.33 Annual Budget Non-Personnel $17,650.00 $2,313.42 $1,979.42 $13,357.16 Salem Board of Health SEPTEMBER PHONE LOG Total Answered *Answered Calls FRIDAY September 1, 2006 10 Mary = 221 SATURDAY September 2, 2006 Heather= 196 SUNDAY September 3, 2006 Inspectors = 58 MONDAY September 4, 2006 HOLIDAY TUESDAY September 5, 2006 34 WEDNESDAY September 6, 2006 26 *Calls Taken : 475 THURSDAY September 7, 2006 22 FRIDAY September 8, 2006 1 16 SATURDAY September 9, 2006 Joanne = 106 SUNDAY September 10, 2006 Janet = 63 --------------- MONDAY September 11, 2006 31 David = 65 TUESDAY September 12, 2006 31 Pablo = 12 WEDNESDAY September 13, 2006 26 Tracy = 61 THURSDAY September 14, 2006 32 Neia = 29 FRIDAY September 15, 2006 13 Mary = 78 SATURDAY September 16, 2006 Heather = 20 SUNDAY September 17, 2006 John = 41 MONDAY September 18, 2006 31 TUESDAY September 19, 2006 20 35 Hour Work Week WEDNESDAY September 20, 2006 28 THURSDAY September 21, 2006 24 20 work days FRIDAY September 22, 2006 16 SATURDAY September 23, 2006 SUNDAY September 24, 2006 MONDAY September 25, 2006 36 Monday 8-4 TUESDAY September 26, 2006 14 Tuesday 8-4 WEDNESDAY September 27, 2006 27 Wednesday 8-4 THURSDAY September 28, 2006 32 Thursday 8-7 FRIDAY September 29, 2006 6 Friday 8-noon SATURDAY September 30, 2006 0 TOTAL 475 Salem Board of Health OCTOBER PHONE LOG Total Answered *Answered Calls SUNDAY October 1, 2006 Mary = 308 MONDAY October 2, 2006 35 Heather = 208 TUESDAY October 3, 2006 44 Inspectors = 82 WEDNESDA October 4, 2006 33 Dot = 71 THURSDAY October 5, 2006 49 FRIDAY October 6, 2006 5 SATURDAY October 7, 2006 MENEEMEENEEM *Calls Taken : 664 SUNDAY October 8, 2006 MENEEMEMEMEEM MONDAY October 9, 2006 HOLIDAY Joanne = 146 TUESDAY October 10, 2006 36 Janet = 66 WEDNESDA October 11, 2006 39 David = 65 THURSDAY October 12, 2006 40 Pablo = 18 FRIDAY October 13, 2006 14 Tracy = 144 SATURDAY October 14, 2006 Neia = 58 SUNDAY October 15, 2006 Mary = 109 MONDAY October 16, 2006 42 Heather = 23 TUESDAY October 17, 2006 33 John = 28 WEDNESDA October 18, 2006 33 Dot L 7 THURSDAY October 19, 2006 37 FRIDAY October 20, 2006 15 35 Hour Work Week SATURDAY October 21, 2006 ENEEMEMEMEMEME SUNDAY October 22, 2006 21 Work days MONDAY October 23, 2006 25 TUESDAY October 24, 2006 24 WEDNESDA October 25, 2006 35 THURSDAY October 26, 2006 39 1 Monday 84 FRIDAY October 27, 2006 5 Tuesday 8-4 SATURDAY October 28, 2006 Wednesday 8-4 SUNDAY October 29, 2006 Thursday 8-7 MONDAY October 30, 2006 57 Friday 8-noon TUESDAY October 31, 2006 24 GL-- TOTAL 664 AGENT'S NEWSLETTER TO THE BOARD August 8, 2006 WELCOME TO OUR NEW BOARD MEMBER! Paulette Puleo has been appointed as a new member to the Salem Board of Health. A letter from the Mayor to the City Council describing Ms. Puleo's health background is included in the packet, as is a letter from me. EMERGENCY PLANNING The North Shore-Cape Anne Emergency Preparedness Coalition has been officially designated as a Federal Medical Reserve Corps (MRC). This is important for several reasons: It allows us to be a notified of medical volunteers who register through the State's "Connect and Serve" web based volunteer recruitment program, www.mass.ciov/connectandserve; it provides funding from the CDC through the MDPH; and it ties us into a national media program promoting the idea of volunteering for one's community in an emergency. There is growing concern among many of the communities, and the Coalitions in which they are members, regarding the funding formula for emergency planning. There are observations that the state is filtering most of the money that the CDC intended to be used at the local level. We are actively working with North Shore Medical Center to have the O'Keefe Center at Salem State College designated as and Influenza Specialty Care Unity, in the event that such a location would be needed. A copy of our • evaluation of the O'Keefe Center as such is included in the packet. Our Coalition Coordinator, Neia Illingworth, has been working with Tracy to develop a flu pandemic plan. I will make a copy available to the Board when it is complete. In the meantime, please visit the Coalition website, NSCALERT.ORG for more emergency preparedness information. The MDPH has conducted two recent drills for a flu pandemic. BEACHES We are continuing our weekly beach water analysis. A copy of the results is enclosed in the packet. We have had closures at Mackey, Pioneer, Ocean Ave, Willow Ave, Willow Pier and on Children's Island. Overall, there are more closures this year than during an average year. SUBSTANCE ABUSE PREVENTION TASK FORCE This committee continues to meet. We are in the process of beginning a "Safe Homes" project. The Board of Health, with other agencies, had begun such a program several years ago. It could not be sustained because of lack of funding. The Task Force is applying for a grant so that will not be a problem again. When a parent enrolls in the Safe Homes program, they pledge not to allow alcohol to be served to those underage. They also pledge to supervise all home parties. I will include more information for the Board as it is developed. 0 v DOC RYAN'S • Because of serious health code violations, we suspended the permit for Doc Ryan's for several days. It is now open. I will make the file available at the meeting. TRASH The Mayor asked for a walk through of the Point area with her recently. A police officer and the Building Commissioner also participated. Several areas of excessive trash were identified. Pablo Valdez has been conducting inspections on Sundays to identify those who place their trash out too early for the Monday collection. Warnings have been issued. If an individual continues the early placement, he or she will be receiving a monetary citation. BRIGGS STREET Enclosed in the packet is a complaint regarding our follow-up of an exterior paint removal project. Although I believe that we addressed the concerns appropriately, it is important for you to be notified of this criticism. REAR FRANKLIN COURT Enclosed in the packet is a letter to the Board from Councillor Prevey regarding a residential property located in close proximity to a number of l businesses. We have conducted several intensive inspections in an attempt to locate the source of the odor. We have not been successful to date but we do • have a couple of more leads to pursue. DERBY LOFTS There is a resident of the condominium building, Derby Lofts, who is creating a problem with cat urine odor emanating from his unit. I have spoken with him, several residents of the building, and a store front business below his unit. The Condo Association has conducted a hearing regarding this problem and has issued an order with deadline dates. After spending some time outside the storefront business and speaking with a woman working there, I could not verify an odor nuisance outside. However, I did note a strong odor inside the condo. I could serve as a witness if court action is sought against the cat owner by the association. VACATION will be taking a vacation during the week of August 20tn ENJOY THE REST OF THE SUMMER! • lj CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 1 j 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report August 2006 Activities • In contact 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 Attended the North Shore Cape Ann Emergency Preparedness Meeting held at the Peabody DPW. Met with Neia Illingworth drafting the Influenza Preparedness plan for the North Shore Cape Ann Coalition. • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 "1N6 TEL. 978-741-1800 Fax 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES AUGUST 2006 DISEASE NEW CARRY OVER DISCHARGED REPORTED • CAMPYLOBACTER 2 0 2 2 GIARDIA 1 0 1 1 HEPATITIS 1 0 1 1 LYME O O O 0 MENINGITIS O O O 0 PERTUSSIS 1 0 1 1 ROCKY MOUNTAIN O O O 0 SALMONELLA O O 0 0 SHIGELLA 0, O O 0 TUBERCULOSIS O 0 O 0 • • Summary of Communicable Diseases for August 2006 Campylobacter 2 cases • 35 y/o female. Non foodhandler. She believes she was ill from undercooked chicken she cooked at home. Friend who also ate the chicken was ill, but not tested. 39 y/o male. He is a flight attendant that was on vacation when he became ill. He is on vacation for 1 month. He has been instructed to have a second stool sample>48 hours after antibiotic ends. I will follow up. Giardia 4 /o male. No Da Care. Child was camping at the Swift River coincides with Y Y p � incubation period. Child has recovered. Pertussis: 13 y/o Student. 14 contacts have been identified and on prophylaxis. One other contact was tested. Two contacts in a Reading Day Care were excluded for 5 days. Tuberculosis: (Suspect) Carry over case. Still awaiting final culture. Followed by North Shore Pulmonary Clinic. • Massachusetts Department of Public Health Immunization Program • Target Groups and Timing of Annual Influenza Vaccination 2006 —2007 Influenza Season As of August, influenza vaccine manufacturers are projecting approximately 95 - 110 million doses of influenza vaccine will be available for this flu season, at least 10%more doses than were available last season. Because of the vaccine manufacturing process, however, distribution delays or vaccine shortages remain possible. To ensure optimal use of available vaccine, providers should: 1. Expand outreach and infrastructure to vaccinate more people than last year, and 2. Develop contingency plans for the timing and prioritization for administerin influenza vaccine, if the supply is delayed or reduced. � V TARGET GROUPS FOR INFLUENZA VACCINATION AUG 3 0 2006 V I. Persons at Increased Risk for Influenza-Related Complications: eul! 1. All children 67 59 months of age (was 6—23 months of age). CITY OF SALEM 2. All persons> 50 years of age. BOARD OF HEALTH 3. Women who will be pregnant during influenza season. 4. Persons 6 months - 18 years of age who are receiving long-term aspirin therapy. 5. Persons> 6 months of age who: • • Have chronic cardiovascular or pulmonary conditions, including asthma. • Have required regular medical follow-up or hospitalization during the preceding year due to chronic metabolic diseases (including diabetes), renal dysfunction, hemoglobinopathies, or immunodeficiency (including immunodeficiency caused by medications or HIV). • Have any condition (e.g., cognitive dysfunction, spinal cord injuries, seizure disorders, or other neuromuscular disorders) that can compromise respiratory function or the handling of respiratory secretions or that can increase the risk of aspiration. 6. Residents of long-term care facilities that house persons of any age with chronic medical conditions. II. Persons Who Can Transmit Influenza to Persons at High Risk: 1. Personnel in hospital and outpatient settings, including emergency response workers. 2. Employees of long-term care facilities who have contact with patients or residents. 3. Employees at assisted living and other residences for persons in high-risk groups. 4. Persons who provide home care to persons in high-risk groups. 5. Household contacts (including children) of persons in high-risk groups. 6. Household contacts and out-of-home caretakers of children 0 - 59 months of age. 111. General Population, depending on vaccine availability: l. Persons who provide essential community services. 2. Students and other persons in institutional scttm,os (e.g., dormitories). 3. Certain travelers. 4. Anyone who wishes to reduce the likelihood of becoming ill with influenza or transmitting influenza to others should they hecome infected. Target Groups and Timin-of/lnnual Inllurnza Vaccination 06.doc Massachusetts.Department of Public Health Immunization Program • L'W/ TIMING OF INFLUENZA VACCINATION Even if vaccine distribution begins in September, distribution may not be completed until December or January. CDC will assess the influenza vaccine supply throughout the season and will make recommendations regarding the need for tiered timing of vaccination of different risk groups in the event of a shortage or significant delays. Updated information on the availability of influenza vaccine and groups eligible for vaccine will be posted on the MDPH website (www.mass.gov/dph/fl In any influenza vaccine supply scenario: Beginning in September, persons at increased risk for serious complications and their household contacts should be vaccinated during routine health care visits or during hospitalization. In addition,previously unvaccinated children 6 months—9 years of age should receive their first dose of vaccine in September so that both doses can be administered before the onset of flu activity. Avoid vaccinating older persons living in institutions (e.g., nursing homes) before October, however, because their antibody levels can begin to decline more rapidly after vaccination. When vaccine supply is adequate: In October and November, vaccination in provider—based settings should start or continue for all • patients, both high-risk and healthy, and should continue throughout the flu season. Large vaccination clinics should not be scheduled before mid-October because the availability of flu vaccine cannot be ensured in early fall. When inactivated vaccine supplies are delayed or inadequate: Pp Y q In October, vaccination with inactivated influenza vaccine should focus on persons > 50 years of age; persons < 50 years of age at risk for influenza-related complications (including children 6 — 59 months); household contacts of persons at high risk (including out-of-home caregivers and household contacts of children aged 0 — 59 months); and healthcare workers. Vaccination with inactivated influenza vaccine of persons not at risk should not begin until November. Vaccination in December and later: Whatever the vaccine situation is early in the season, it is very likely that vaccine will be available later in the season. Everyone is encouraged to have at least one vaccination clinic scheduled for December or later, as long as vaccine supplies last. Providers seeking influenza vaccine in December and later are encouraged to call the MDPH Vaccine Unit at 617-983-6828. Note: There is no recommendation for limiting the timing or prioritization of live, attenuated influenza vaccine (LAIV). Administer LAIV as soon as it is available and throughout the season. Particularly during shortages of inactivated influenza vaccine, use LAIV for all healthy persons 5 —49 years of age (including health care workers) to increase the availability of' inactivated vaccine for groups at high risk. Source: CDC. Prevention and control of`influcnza: recommendations ofthe ACIP. MMWR "_'006:55 (No. RR-10) ( http://\y:vN xdc.(_,oy/m III wriprevic\v:'m ill wrhtill 510a Hit n1) 'Far-et Groups and Timing of Annual IntIuelVB Vaccination 06.doc J 1570 • Massachusetts Department of Public Health Immunization Program 2006-2007 Influenza Season Vaccine Allocation Salem Board Of Health PIN #: 11505 ATTN: Tracy Giarla, Nurse 120 Washington St 4th Fl Salem, MA 01970-3523 2006-2007 Influenza Vaccine Allocation Formulation Number of Doses Multi-doses vial (10 doses/vial),(for use in individuals 1350 > 6 months of age) 0.25 ml preservative-free pre-filled syringes (for use in 0 children 6-35 months of age) The MDPH will accept requests for additional doses of influenza vaccine only in the following situations: 1. Pediatric provider sites (offices and clinics that see children under 19 years of age), seeking additional doses for their high-risk patients. MDPH does not have sufficient amounts of influenza vaccine to cover the expanded ACIP recommendation to vaccinate all healthy children 6 through 59 months of age. Please note: All pediatric provider site have been allocated some preservative-free 0.25ml pre-filled syringes for use in children 6-35 months of age. If you will not be able to use all of these doses, please contact the Vaccine Management Unit at (617) 983-6824. 2. If your allocation is 440", you may request an initial allocation of up to 50 doses for your high-risk patients. If you meet one of the two criteria above and want to request additional doses, please complete the information requested below and fax this form to the Vaccine Management Unit at (617) 983-6924. Requests must be received before September 8, 2006. Formulation Number of Additional Doses Multi-dose vial (10 doses/vial) 0.25 nil preservative-free pre-filled syringes Comments: City Of Salem Environmental Health Division --- Inspection Monthly Summary Month -------------- Type Jul 06 Aug 06 Count ----- ------ ------ 1 0 1 BP 1 0 1 CFI 35 74 109 CFR 2 1 3 CH 2 2 4 CT 3 6 9 EC 4 9 13 EPR 4 0 4 FC 4 1 5 FSD 9 3 12 FSI 19 28 47 FSR 11 19 30 GN 14 5 19 HI 16 21 37 HR 18 10 28 LPD 1 0 1 LPI 1 1 2 MS 0 1 1 MT 5 4 9 OG 0 1 1 OS 0 6 6 RC 5 1 6 RFI 5 6 11 RFR 0 1 1 RO 0 2 2 •S 69 80 14 SM 2 2 0 2 TFI 3 1 4 TR 64 62 126 ----- ------ ------ ----- ----- ------ ------ ----- Count 298 345 643 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location : Inspector : Inspection Types 3P - 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* CPR - 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* �R = 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* PC - 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* Administration Monthly Report August-06 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 200 Burial Permits @ $10.00 $530.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $820.00 Immune Serum Globulin= Certificate of Fitness@$25.00 $1,750.00 Measles/Mumps/Rubella= 340 Copies $0.00 Polio= 190 Fines= $250.00 Tetanus & Diptheria (adult use)= 60 Total Monies Collected = $3,350.00 Tuberculin PPD= 40 HIB Titre= 375 Animal Bites Reported= 3 Hepatitis B= 130 PCV 7 (Prevnar) 380 PPV 23 50 Pediarix 150 Tdap 150 Hep A 20 Influenza 0 Menactra 145 Annual Budget Expended Encumbered Available Balance Salary/Longevity $401,586.00 $62,964.43 $338,621.57 Annual Budget Non-Personnel $17,650.00 $1,765.72 $2,346.10 $13,538.18 Salem Board of Health AUGUST PH, ONE LOG 2006 Total Answered Answered Calls Tuesday August 1, 2006 32 Mary = 320 Wednesday August 2, 2006 21 Heather 172 Thursday August 3, 2006 27 Inspectors = 91 Friday August 4, 2006 11 Saturday August 5, 2006 Sunday August 6, 2006 Calls Taken : 583 Monday August 7, 2006 21 Tuesday August 8, 2006 24 Joanne = 124 Wednesday August 9, 2006 30 Janet = 105 Thursday August 10, 2006 27 David = 57 Friday August 11, 2006 8 Pablo = 13 Saturday August 12, 2006 Tracy = 56 Sunday August 13, 2006 Neia = 42 Monday August 14, 2006 26 Mary = 120 *-sday August 15, 2006 26 Heather = 25 Wednesday August 16, 2006 23 John = 41 Thursday August 17, 2006 33 Friday August 18, 2006 24 Saturday August 19, 2006 35 Hour Work Week Sunday August 20, 2006 am Monday August 21, 2006 24 23 work days Tuesday August 22, 2006 37 Wednesday August 23, 2006 42 Monday 8-4 Thursday August 24, 2006 29 Tuesday 8-4 Friday August 25, 2006 7 Wednesday 8-4 Saturday August 26, 2006 Thursday 8-7 Sunday August 27, 2006 Friday 8-noon Monday August 28, 2006 28 Tuesday August 29, 2006 21 Wednesday August 30, 2006 35 ursday August 31, 2006 27 TOTAL = 583 R i & CITY OF SALEM, MASSACHUSETTS „ k BOARD OF HEALTH j s 120 WASHINGTON STREET, 4TH FLOOR • SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report July 2006 Activities • In contact 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 • Ppd tests administered for two contacts of an active case. Both were negative. 7/10 Attended a TTX at North Shore Community College with the MDPH presenting an emergency preparedness scenario on plague. 7/17 Assisted with Joanne Scott a presentation on "Boards of Health Roles and Responsibilities" to Salem State College Students. 7/24 Attended a TTX at Salem State College with MDPH presenting an emergency preparedness scenario on pandemic influenza. 7/26 A Hepatitis A Clinic was held at Salem Mission. The vaccine was offered to anyone who wanted to protect themselves against Hepatitis A 21 clients were vaccinated. 7/27 United Soccer, Inc. camp was inspected and permitted for 2006. • 7/31 Hobbes, Inc. camp was inspected and permitted for 2006. I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR • SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES JULY 2006 DISEASE NEW CARRY OVER DISCHARGED REPORTED • CAMPYLOBACTER 0 O O 0 GIARDIA O O O 0 HEPATITIS O O O 0 LYM E 0 0 0 O MENINGITIS O 0 O 0 PERTUSSIS 2 0 2 2 ROCKY MOUNTAIN 1 0 1 1 SALMONELLA O O O O SHIGELLA 1 0 1 1 TUBERCULOSIS O O O 0 • r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • . SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Summary of Communicable Disease for July 2006 2 Pertussis Cases: 5m/o male. Up to date on DtaP immunizations. Had received 2 of the 5 in the series. No day care. 10 contacts notified. Although the child was diagnosed first, this child's mother was the index case. Her contacts included a day care worker. Rocky Mountain Spotted Fever: 19 y/o female. Case does not recall tick bite. She had traveled extensively the past 4 months on active duty. • She stated that she had lesions on her brain, and was hospitalized for 3 weeks. Case recovered. n Foodhandler. Wife was not ill Shigella: 46 y/o male. No , and neither had recently traveled. • PUBLIC HEALTH Rocky Mountain � ' • FACT SHEET Spotted Fever Massachusetts Department of Public Health, 305 South Street, Jamaica Plain, MA 02130 What is Rocky Mountain Spotted Fever (RMSF)? Rocky Mountain Spotted Fever(RMSF)is a disease caused by the bacteria,(a type of germ),Rickettsia rickensii. How is RMSF spread? RMSF is spread by the bite of an infected tick,primarily the dog tick in the northeastern part of the country. The tick must attach to the skin and feed on blood for at least 4-6 hours in order for the tick to spread the bacteria. How common is RMSF in Massachusetts? RMSF is not very common in Massachusetts.Between 1990-2000,a total of 34 cases was reported.The disease is most often reported from Cape Cod and the surrounding islands,although some cases have occurred in central Massachusetts. What are the symptoms of Rocky Mountain Spotted Fever? Symptoms usually include a sudden onset of fever,severe headache,deep muscle pain,nausea and vomiting, and less frequently may include stomach pain and cough.Most people develop a rash on their arms and legs. • This rash can spread to the palms,soles,and over the rest of the body. How soon do symptoms appear after a tick bite? Symptoms start to appear between 2 and 14 days after a tick bite,with an average of about one week. Is there treatment for Rocky Mountain Spotted Fever? RMSF can be treated with antibiotics; however, very serious complications including death can occur if the disease is not treated early. What can you do to protect yourself? Dog ticks are most numerous along roadsides,paths,and trails in brushy woodlands or meadows with tall grass or weeds,and marshy areas. Dog ticks are most active during the months of April through September. If you live in or visit an area likely to have dog ticks,take the following precautions: • Wear a long-sleeved shirt and long pants,and tuck your pant legs tightly into your socks. (Light colors will help you spot the ticks on your clothes before they reach your skin.) • Stay to the middle of paths when walking or hiking. • Talk to your veterinarian about the best way to protect your pets against ticks. • Use a repellent on exposed skin that contains the active ingredient DEET(the chemical N-N-diethyl- meta-toluamide). Always follow the directions on the label. DEET can be poisonous if overused. Avoid using repellents with DEET concentrations above 10-15%for children and with concentrations above 30-35% for adults.Do not apply repellents to the hands or faces of young children. Repellents • should never be used on infants. Cream, lotion or stick formulas with low amounts of alcohol are best for use on the skin.The insecticide,permethrin,can also be used to protect against ticks.This chemical,which kills ticks on contact,can only be used on clothing. • • Make the area around your home less attractive to ticks by removing leaf litter and brush,mowing lawns regularly,and trimming low-lying bushes.Keeping woodpiles and birdfeeders off the ground and in sunny areas away from your home can help keep away rodents that may have ticks on them.If you use pesticides around your home,always follow the label instructions and never use pesticides near streams or other bodies of water. • Check yourself,your children,and your pets for ticks every day. Adult dog ticks are reddish brown in color with white markings on the upper body surface.They are about'/< inch in length.Their favorite places to attach are on the legs,in the groin, in the armpits,along the hairline,and in or behind the ears. • Remove any ticks promptly using fine point tweezers. Do not use your bare fingers to remove a tick. Grasp the tick as close to the skin as possible and,without squeezing or twisting,pull the tick straight out with steady pressure.Once removed,disinfect the area with rubbing alcohol. • Know the symptoms of RMSF.If you have been someplace likely to have ticks between April and September and you develop RMSF symptoms,see a doctor right away. Where can 1 get more information? • Your doctor,nurse,or clinic • Your local board of health (listed in the telephone directory under"government") • Massachusetts Department of Public Health,Division of Epidemiology and Immunization(617)983- 6800 or toll-free at(888)658-2850 or on the MDPH website at http://www.mass.gov/dph • Massachusetts Poison Control Center(concerning adverse reactions to insect repellents or other pesticides)(617)232-2120(Boston)or 1-800-682-9211 (other areas in Massachusetts)or 1-888-244- • 5313 (hearing impaired) July 2001 • Administration Monthly Report July-06 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 240 Burial Permits @ $10.00 $380.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $1,080.00 Immune Serum Globulin= 2 Certificate of Fitness@$25.00 $600.00 Measles/Mumps/Rubella= 280 Copies $6.80 Polio= 160 Fines = $100.00 Tetanus & Diptheria (adult use)= 670 Total Monies Collected = $2,066.80 Tuberculin PPD= 10 HIB Titre= 380 Animal Bites Reported= 2 Hepatitis B= 100 PCV 7 (Prevnar) 380 PPV 23 25 Pediarix 80 Tdap 210 Hep A 20 Influenza 0 Menactra 100 Annual Budget Expended Encumbered Available Balance Salary/Longevity $401,586.00 $378,991.41 Annual Budget 9 Non-Personnel $17,650.00 $984.59 . Doi ita6 $2,510.39 $14,155.02 9 b City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month Type Jul 06 Count ----- ------ I 1 BP 1 1 CFI 35 35 CFR 2 2 CH 2 2 CT 3 3 EC 4 4 EPR 4 4 FC 4 4 FSD 9 9 FSI 19 19 FSR 11 11 GN 14 14 HI 16 16 HR 18 18 LPD 1 1 LPI 1 1 MT 5 5 RC 5 5 RFI 5 5 SB 69 69 SM 2 2 TFI 3 3 64 64 t ===298 298 +++++ City of Salem, Massachusetts 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* -FI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* CFR - Cert . Fit . Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* CbCourt 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 . 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 • Total Answered *Answered Calls SATURDAY July 1, 2006 f:�; r Ginny = 24 = SUNDAY July 2, 2006 Mary 190. �. ti, MONDAY July 3, 2006 8 Heather = 137 TUESDAY July 4, 2006 HOLIDAY Inspectors = 50 WEDNESDAY July 5, 2006 18 THURSDAY July 6, 2006 25 *Calls Taken : 401 FRIDAY July 7, 2006 12 SATURDAY July 8, 2006 }:, ti Joanne = 113 {'}"f, �SUNDAY July 9, 2006 ;,-ti'�.,.ti Janet = 63 MONDAY July 10, 2006 33 David = 36 TUESDAY July 11, 2006 13 Pablo = 8 WEDNESDAY July 12, 2006 15 Tracy = 57 THURSDAY July 13, 2006 23 Neia = 21 FRIDAY July 14, 2006 13 Mary = 66 SATURDAY July 15, 2006 Ginny = 0 SUNDAY July 16, 2006 .{; Heather = 15 MONDAY July 17, 2006 19 John= 22 TUESDAY July 18, 2006 8 WEDNESDAY July 19, 2006 19 35 Hour Work Week THURSDAY July 20, 2006 18 FRIDAY July 21, 2006 4 21 work days SATURDAY July 22, 2006 FM SUNDAY July 23, 2006MONDAY July 24, 2006 TUESDAY July 25, 2006 18 Monday 8-4 WEDNESDAY July 26, 2006 24 Tuesday 8-4 THURSDAY July 27, 2006 37 Wednesday 8-4 FRIDAY July 28, 2006 22 Thursday 8-7 SATURDAY July 29, 2006 Friday 8-noon SUNDAY July 30, 2006 MONDAY July 31, 2006 45 TOTAL 401 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------- Type Jul 05 Aug 05 Sep 05 Oct 05 Nov 05 Dec 05 Jan 06 Feb 06 Mar 06 Apr 06 May 06 Jun 06 Count ---- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ----- 1 0 0 0 1 0 0 1 0 0 0 0 3 P 0 0 0 0 0 0 0 0 0 0 0 1 1 CFI 25 77 50 58 49 55 44 58 82 53 59 72 682 CFR 1 2 5 5 1 3 2 3 6 9 6 5 48 CH 3 1 4 3 2 2 1 2 3 3 4 6 34 CON 0 0 0 0 0 0 0 2 0 0 1 0 3 CT 3 5 5 4 8 2 4 7 10 4 4 4 60 EC 0 0 1 0 0 0 0 1 0 1 6 0 9 EPR 0 5 7 0 0 0 0 0 4 0 0 2 18 ERP 0 0 1 0 0 0 0 0 0 0 1 1 3 FC 2 2 1 1 1 2 3 2 3 0 10 3 30 FRH 0 1 1 0 0 0 1 5 0 0 3 0 11 FSD 0 0 8 3 2 0 25 7 1 1 19 12 78 FSI 8 11 35 18 13 5 26 24 24 23 32 21 242 FSR 1 0 16 10 7 8 13 17 18 9 27 15 141 - GN 5 9 7 1 5 0 1 4 2 2 20 13 69 GN/TR 0 1 0 0 0 0 0 0 0 0 0 0 1 HI 4 5 14 30 26 16 4 11 6 10 12 21 159 HR 0 6 3 14 4 11 5 18 18 9 6 17 111 HRI 0 0 0 0 0 0 0 0 1 0 0 0 1 LPD 0 1 0 0 1 1 0 0 0 0 0 0 3 LPI 0 0 0 S 9 0 1 0 1 0 1 0 17 MFI 0 0 0 0 0 0 0 0 0 0 0 1 1 MT 1 2 3 3 1 3 4 3 6 4 4 4 38 MUP 0 0 0 3 0 0 0 0 1 1 0 0 5 OD 0 0 0 1 1 0 0 0 0 0 0 0 2 OG 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 2 0 0 0 3 1 1 1 0 0 8 'I 2 10 14 1 2 1 7 5 9 3 2 5 61 RFR 0 1 4 0 0 0 3 3 2 2 2 4 21 RO 1 2 2 1 0 0 0 2 3 1 5 6 23 SB 70 56 0 0 0 0 0 0 0 0 0 51 177 SC 2 0 2 1 0 0 0 0 0 0 0 0 5 SL 0 1 0 0 0 0 0 0 0 0 0 0 1 SM 2 0 1 0 4 0 0 1 10 7 4 0 29 SP 2 0 0 0 0 0 0 0 0 0 10 5 17 ST 0 0 0 0 1 0 0 0 0 0 0 3 4 TFI 0 0 3 2 0 0 0 1 0 0 0 1 7 TR 2S 19 42 30 20 9 21 32 48 37 58 37 378 'FSR 0 0 0 0- 0 0 0 0 0 0 0 1 1 --- ------ ------ ----- Count 158 217 232 194 158 118 170 210 259 180 296 315 2507 +++++ City of Salem, Massachusetts 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* ;'FI - Cert . Fit . 822* FSR - Food Serv. Rein. 194* RFI - Ret . Insp. 75* 0N" - Cert . Fit .Reinsp105*GN Gen. Nuisance 41* RFR - Ret . Food Rein34* - Court Hearing 93* HI - Housing Insp. ` 2�0* RO - Rodent Control 16- 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 Hearings15* RC - Rec Camps 9* TFI - Temp _ Food 112* i . CITY OF SALEM, MASSACHUSETTS „ BOARD OF HEALTH • j s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR WWW.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report June 2006 Activities Disease Prevention In contact 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/Clinics 6/1-6/2 Attended a workshop for"Setting up an Emergency Dispensing Site in Your Community". Speakers were from the Center for Disease Control and the MDPH. 6/3 A meeting was convened with Market Basket management to discuss setting up a measles clinic for susceptible Market Basket employees who may have been exposed to a customer with Measles. Employees who were in the store on May 28th received the attached letter. Employees who could not be notified this day were notified by phone. 6/5 A Measles Clinic was held at Market Basket for susceptible employees. 114 employees were vaccinated. Public Health Nurses; Rochelle Bartlett from Marblehead, M.J. Duffy Alexander from Lynn, Jessica Vincent from Swampscott, and Health Director Sharon Cameron from Peabody assisted with administration of vaccine and Janet Dionne, David Greenbaum and Neia Illingworth assisted with registration and vaccine forms. 6/8 The Massachusetts Immunization Program conducted an inspection of the vaccines at the Salem Board of Health. This is a yearly inspection to ensure the Boards of Health are maintaining proper vaccine management of MDPH vaccines. r _P • 6/12 Attended the Quarterly meeting at the North Shore Pulmonary Clinic to discuss Tuberculosis cases on the North Shore. Medical Residents were invited to the meeting. Joanne Keegan from MDPH TB Control spoke about the importance of following state protocols when discharging a suspect TB case from the hospital. 6/19 Camp YMCA Explorer camp at the Plummer Home was inspected and permitted for 2006 6/19 Campfire Camp on Cain Rd was inspected and permitted for 2006. 6/20 Boys and Girls Club camp was inspected and permitted for 2006. 6/22 Salem State College Baseball and Basketball Camps were inspected and permitted for 2006. 6/23 Salem Heights Day Camp at Pope St. was inspected and permitted for 2006. 6/26 Shakespeare Camp at Winter Island was inspected and permitted for 2006. 6/27 Camp Lyons was inspected and permitted for 2006. • 6/28 Children's Island was inspected and permitted for 2006. 6/28 Attended the NSCA Emergency Preparedness Meeting at Peabody DPW. 6/29 Purple Scorpion yearly inspection was conducted with Janet Dionne, and John Gehan. • CITY OF SALEM, MASSACHUSETTS • ; BOARD OF HEALTH 120 WASHINGTON STREET,4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT June 3, 2006 Dear Market Basket Employees: Market Basket employees working on Sunday, May 28th, may have been exposed to measles. Measles is a very infectious airborne virus. The symptoms of measles include conjunctivitis, body aches, high fever, and rash. A person may spread measles to others four days before he or she has the rash, and for four days after the rash develops. Many people are already immune to measles including those born in the United States in 1957 or earlier, and those who have received two immunizations for • measles from their medical provider. The Salem Board of Health is conducting a measles immunization clinic at Market Basket on Monday, June 5th from Noon to 4 PM. This clinic is for those employees who worked at the store on Sunday, May 281h. We will have another clinic at the store later for any other employees who may want the measles immunization. The Salem Board of Health is requiring all employees who worked on Sunday, May 28th to provide the following: • Proof that they were born in the United States in 1957 or earlier, or • Written proof from a medical provider that they received two measles (MMR) immunizations, or If the above documentation cannot be provided, the employee must receive the measles immunization at the Monday clinic or that employee will not be allowed to work or go to school until June 191n If you have any questions, please call the Public Health Nurse Tracy Giarla at 978-741-1800, or speak with your Store Manager, David Webber. is Sincerely, Joanne Scott Health Agent • Summary of Communicable Diseases for June 2006 Campylobacter. 36 y/o male. Source of infection unknown. Hepatitis B: 43 y/o male. Unable to contact. Letter to be sent. Measles: 39 y/o U.S. born unvaccinated male. Lives alone. The contacts were notified. MDPH assisted with the investigation. Dr. Miaskiewicz was notified. It was determined by Dr. Susan Lett, at MDPH that the employees at Market Basket would be considered contacts. 200 employees worked on May 281h. Standing Orders were obtained from Dr. Miaskiewicz. 114 employees were vaccinated on June 5tn. The case had attended a BBQ where 8 people were susceptible to measles. These contacts were notified by the MDPH to isolate themselves from the 5th to the 21$t day after exposure. One of these contacts contracted measles. There were no other cases related to this case. Rocky Mountain Spotted Fever. 26 y/o female. This case was at first a suspect measles case. The patient visited the E.R. three times with complaints of fever, rash, headache. The case had also recalled that she had a tick bite. Case was hospitalized. Recovered. Salmonella: 61 y/o Non Foodhandler. Source of infection unknown. Husband was not ill. Tuberculosis: (Suspect) 60 y/o U.S. born female. Pos. Lung tissue smear. Abn CXR. Pt. is being followed at the North Shore Pulmonary Clinic. Food borne Illness Complaint: A resident believed he became ill after eating at Taco Bell. A Food borne Illness Complaint Sheet was completed and sent to the MDPH. An inspection was conducted by the Salem Board of Health and was also sent to the state. • • Administration Monthly Report June-06 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 270 Burial Permits @ $10.00 $510.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Permits $2,610.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $2,225.00 Measles/Mumps/Rubella= 323 Copies $0.00 Polio= 110 Fines= Tetanus & Diptheria (adult use)= 30 Total Monies Collected = $6,045.00 Tuberculin PPD= 0 HIB Titre= 395 Animal Bites Reported=1 3 Hepatitis B= 470 PCV 7 (Prevnar) 400 PPV 23 70 Pediarix 140 Tdap 190 Hep A 20 Influenza 0 Menactra 0 Annual Budget Expended Encumbered Available Balance Salary/Longevity $367,175.00 $358,004.70 $9,170.30 Annual Budget Non-Personnel $16.650.00 $14,987.85 $0.00 $1,662.15 Salem Board of Health JUNE 2006 PHONE LOG • Total Answered *Answered Calls THURSDAY June 1, 2006 60 Ginny = 208 FRIDAY June 2, 2006 24 Mary = 287 SATURDAY June 3, 2006 Heather = 208 SUNDAY June 4, 2006 Inspectors = 27 MONDAY June 5, 2006 26 TUESDAY June 6, 2006 43 *Calls Taken : 730 WEDNESDAY June 7, 2006 97 THURSDAY June 8, 2006 63 Joanne = 160 FRIDAY June 9, 2006 13 Janet = 85 SATURDAY June 10, 2006 David = 65 SUNDAY June 11, 2006 Pablo = 17 MONDAY June 12, 2006 80 Tracy = 129 TUESDAY June 13, 2006 51 Neia = 54 WEDNESDAY June 14, 2006 31 Mary = 149 THURSDAY June 15, 2006 35 Ginny = 0 FRIDAY June 16, 2006 9 Heather = 17 SATURDAY June 17, 2006 John= 54 SUNDAY June 18, 2006 MONDAY June 19, 2006 15 35 Hour Work Week TUESDAY June 20, 2006 14 WEDNESDAY June 21, 2006 9 22 work days THURSDAY June 22, 2006 23 FRIDAY June 23, 2006 5 SATURDAY June 24, 2006 SUNDAY June 25, 2006 Monday 8-4 MONDAY June 26, 2006 40 Tuesday 8-4 TUESDAY June 27, 2006 29 Wednesday 8-4 WEDNESDAY June 28, 2006 21 Thursday 8-7 THURSDAY June 29, 2006 25 Friday 8-noon FRIDAY June 30, 2006 13 TOTAL 730 • • • Administration Monthly Report May-06 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= Burial Permits @ $10.00 $600.00 Diptheria,Tetanus Tox.(under.6 yrs)= Permits $2,545.00 Immune Serum Globulin= Certificate of Fitness@$25.00 $1,125.00 Measles/Mumps/Rubella= Copies $8.00 Polio= Fines = $1,975.00 Tetanus & Diptheria (adult use)= Total Monies Collected = $6,253.00 Tuberculin PPD= HIB Titre= Animal Bites Reported= Hepatitis B= PCV 7 (Prevnar) PPV 23 Pediarix Tdap Hep A Influenza Menactra Annual Budget Expended Available Balance Salary/Longevity $367,175.00 $315,599.02 $51,575.98 Annual Budget Encumbered Non-Personnel $16,650.00 $14,388.05 $1,169.86 $1,092.09 City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month -------------------------------------------------------------------------------------- Type Jul 05 Aug 05 Sep 05 Oct 05 Nov 05 Dec 05 Jan 06 Feb 06 Mar 06 Apr 06 May 06 Count 1 0 0 0 1 0 0 1 0 0 0 3 CFI 25 77 50 58 49 55 44 58 82 53 59 610 CFR 1 2 5 5 1 3 2 3 6 9 6 43 CH 3 1 4 3 2 2 1 2 3 3 4 28 CON 0 0 0 0 0 0 0 2 0 0 1 3 CT 3 5 5 4 8 2 4 7 10 4 4 56 EC 0 0 1 0 0 0 0 1 0 1 6 9 EPR 0 5 7 0 0 0 0 0 4 0 0 16 ERP 0 0 1 0 0 0 0 0 0 0 1 2 FC 2 2 1 1 1 2 3 2 3 0 10 27 FRH 0 1 1 0 0 0 1 5 0 0 3 11 FSD 0 0 8 3 2 0 25 7 1 1 19 66 FSI 8 11 35 18 13 5 28 24 24 23 32 221 FSR 1 0 16 10 7 8 13 17 18 9 27 126 GN 5 9 7 1 5 0 1 4 2 2 20 56 GN/TR 0 1 0 0 0 0 0 0 0 0 0 1 HI 4 5 14 30 26 16 4 11 6 10 12 138 HR 0 6 3 14 4 11 5 18 18 9 6 94 HRI 0 0 0 0 0 0 0 0 1 0 0 1 LPD 0 1 0 0 1 1 0 0 0 0 0 3 LPI 0 0 0 5 9 0 1 0 1 0 1 17 MT 1 2 3 3 1 3 4 3 6 4 4 34 P 0 0 0 3 0 0 0 0 1 1 0 5 0 0 0 1 1 0 0 0 0 0 0 2 G 0 0 1 0 0 0 0 0 0 0 0 1 RFD 0 0 2 0 0 0 3 1 1 1 0 8 RFI 2 10 14 1 2 1 7 5 9 3 2 56 RFR 0 1 4 0 0 0 3 3 2 2 2 17 RO 1 2 2 1 0 0 0 2 3 1 5 17 SB 70 56 0 0 0 0 0 0 0 0 0 126 SC 2 0 2 1 0 0 0 0 0 0 0 5 SL 0 1 0 0 0 0 0 0 0 0 0 1 SM 2 0 1 0 4 0 0 1 10 7 4 29 SP 2 0 0 0 0 0 0 0 0 0 10 12 ST 0 0 0 0 1 0 0 0 0 0 0 1 TFI 0 0 3 2 0 0 0 1 0 0 0 6 TR 25 19 42 30 20 9 21 32 48 37 58 341 Count 158 217 232 194 158 118 170 210 259 180 296 2192 06/08/2006 Salem Board of Health • MAY 2006 PHONE LOG Total Answered *Answered Calls MONDAY May 1, 2006 48 Ginny = 140 TUESDAY May 2, 2006 20 Mary = 236 WEDNESDAY May 3, 2006 24 Heather = 157 THURSDAY May 4, 2006 17 Inspectors= 33 FRIDAY May 5, 2006 7 SATURDAY May 6, 2006 *Calls Taken : 566 SUNDAY May 7, 2006 MONDAY May 8, 2006 30 Joanne = 142 TUESDAY May 9, 2006 30 Janet = 80 WEDNESDAY May 10, 2006 42 David = 68 THURSDAY May 11, 2006 25 Pablo = 9 FRIDAY May 12, 2006 16 Tracy = 75 SATURDAY May 13, 2006 Neia = 47 SUNDAY May 14, 2006 ON Mary = 68 MONDAY May 15, 2006 18 Ginny = 43 TUESDAY May 16, 2006 50 Heather = 5 WEDNESDAY May 17, 2006 23 John= 29 THURSDAY May 18, 2006 20 FRIDAY May 19, 2006 10 35 Hour Work Week SATURDAY May 20, 2006 SUNDAY May 21, 2006:::] 22 work days MONDAY May 22, 2006 27 TUESDAY May 23, 2006 40 WEDNESDAY May 24, 2006 24 THURSDAY May 25, 2006 20 Monday 8-4 FRIDAY May 26, 2006 11 Tuesday 8-4 SATURDAY May 27, 2006 Wednesday 8-4 SUNDAY May 28, 2006 Thursday 8-7 MONDAY May 29, 2006 HOLIDAY Friday 8-noon TUESDAY May 30, 2006 42 WEDNESDAY May 31, 2006 22 TOTAL 566 Administration Monthly Report May-06 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 180 Burial Permits @ $10.00 $450.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Permits $905.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,675.00 Measles/Mumps/Rubella= 290 Copies $0.00 Polio= 190 Fines = $400.00 Tetanus & Diptheria (adult use)= 145 Total Monies Collected = $3,430.00 Tuberculin PPD= 10 H I B Titre= 455 Animal Bites Reported= 0 Hepatitis B= 420 PCV 7 (Prevnar) 420 PPV 23 20 Pediarix 310 TdaP 150 Hep A 30 Influenza 0 Menactra 135 Annual Budget Expended Available Balance Salary/Longevity $367,175.00 $261,125.11 $106,049.89 Annual Budget Encumbered Available Balance Non-Personnel $16,650.00 $11,183.36 $1,141.09 $4,325.55 AGENT'S NEWSLETTER TO THE BOARD May 8, 2006 . EMERGENCY PLANNING We attended an MDPH conference on hospital surge capacity during a pandemic. In addition, we met with Pam Fox of North Shore Medical Center and Paul L'Heureux of the Salem School Department regarding siting a surge unit in one of the Salem schools. At that meeting we decided to investigate the O'Keefe Center at Salem State College as a possible location. We will have more information about that by the Board meeting since we are discussing the possibility today (Friday) with SSC officials. I have given presentations about the avian flu and emergency preparedness at the Neighborhood Alliance and the South Salem Neighborhood Association. I will make a presentation to the St. James Parish on May 8cn The federal government is requiring Incident Command System (ICS) training for all employees and Board members who may be involved in emergency response. This includes levels, ICS 100 and 700. The Salem Fire Chief will be conducting group sessions for those trainings. We will keep the Board informed. The seminar we organized for the funeral directors was well attended. Bela Matyas Chief Epidemiologist for the MDPH gave an excellent presentation regarding protection of funeral personnel from contagious disease during a pandemic and in routine practice. A representative of the Chief Medical Examiner's Office also gave a presentation. • The Coalition has developed a Special Population Plan. It is simple and includes call lists for those organizations already involved with individuals in this group. In addition, we are planning to present information to hospital dischargers and others regarding the 911 Disability Indicator Program. This program allows individuals to register with the phone company so that if they need 911 assistance, their disability will automatically be indicated on the dispatcher's screen. The Coalition has been diligent in its modifying of a Canadian Pandemic Influenza Plan to suit our local communities. It is currently in a draft form but will soon be listed on the NSCALERT.ORG website. REORGANIZATION The City Council has not voted on the Mayor's reorganization plan. The Mayor believes the vote is imminent and expects it to pass. Many departments have enacted the plan already, although the Health & Inspectional Services Division has not. SUBSTANCE ABUSE PREVENTION TASK FORCE This committee continues to meet. It is supporting the District Attorney's "Choose to Refuse" initiative aimed at middle and high school aged children and will be holding a training on May 22nd for youth workers interested in presenting the program to kids. • CONDEMNATION I will ask for the Board's ratification of a condemnation on 177 North Street HAPPY SPRING! City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------ --------------------------- Type Jul 05 Aug 05 Sep 05 Oct 05 Nov 05 Dec 05 Jan 06 Feb 06 Mar 06 Apr 06 Count ----- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ 1 0 0 0 1 0 0 1 0 0 3 CFI 25 77 50 58 49 55 44 58 82 53 551 CFR 1 2 5 5 1 3 2 3 6 9 37 CH 3 1 4 3 2 2 1 2 3 3 24 CON 0 0 0 0 0 0 0 2 0 0 2 CT 3 5 5 4 8 2 4 7 10 4 52 EC 0 0 1 0 0 0 0 1 0 1 3 EPR 0 5 7 0 0 0 0 0 4 0 16 ERP 0 0 1 0 0 0 0 0 0 0 1 FC 2 2 1 1 1 2 3 2 3 0 17 FRH 0 1 1 0 0 0 1 5 0 0 8 FSD 0 0 8 3 2 0 25 7 1 1 47 FSI 8 11 35 18 13 5 28 24 24 23 189 FSR 1 0 16 10 7 8 13 17 18 9 99 GN 5 9 7 1 5 0 1 4 2 2 36 GN/TR 0 1 0 0 0 0 0 0 0 0 1 HI 4 5 14 30 26 16 4 11 6 10 126 HR 0 6 3 14 4 11 5 18 18 9 88 HRI 0 0 0 0 0 0 0 0 1 0 1 LPD 0 1 0 0 1 1 0 0 0 0 3 LPI 0 0 0 5 9 0 1 0 1 0 16 MT 1 2 3 3 1 3 4 3 6 4 30 MUP 0 0 0 3 0 0 0 0 1 1 5 OD 0 0 0 1 1 0 0 0 0 0 2 • 0 0 1 0 0 0 0 0 0 0 1 0 0 2 0 0 0 3 1 1 1 8 RFI 2 10 14 1 2 1 7 5 9 3 54 RFR 0 1 4 0 0 0 3 3 2 2 15 RO 1 2 2 1 0 0 0 2 3 1 12 SB . 70 56 0 0 0 0 0 0 0 0 126 Sc 2 0 2 1 0 0 0 0 0 0 5 SL 0 1 0 0 0 0 0 0 0 0 1 SM 2 0 1 0 4 0 0 1 10 7 25 SP 2 0 0 0 0 0 0 0 0 0 2 ST 0 0 0 0 1 0 0 0 0 0 1 TF1 0 0 3 2 0 0 0 1 0 0 6 TR 25 19 42 30 20 9 21 32 48 37 283 Count 158 217 232 194 158 118 170 210 259 180 1896 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector : Inspection Types 3P - 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* FR - 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* _t. - Compliance Rev. 25* LPI - Lead Paint Insp . 6* SES SESD Odor 0* T _ Computer Time10* MS - Massage 6* SM - Seminars 36* C - Envirn . Compl . 51* MW - Mark/Weights SP - Swim. Pools 16* APR - Ext . Paint 95* MUP - Mobile Food Insp . 11* SB - Swim . Beaches 65* PC - Food Compl . 17* OS - Off _ Sub . Insp . 6* ST - Soil/Septic 8* FRH - Food Hearings15* RC - Rec Camps 9* TFI - Temp . Food 1.11* FSD - Food Serv_ Disc 53* MT - Meetings 65* TR - Trash 381* `v • Public Health Nurse Report April 2006 Activities Disease Prevention • In contact 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/Clinics 04/13/06 Follow up on request from Salem Fire Prevention for a resident who is hoarding paper in her apartment. The apartment was deemed a fire hazard due to accumulation of newspaper and clutter. Upon visiting the home several times with David Greenbaum, the resident has agreed to services from North Shore Elder Services for support. After visiting the resident several times, it is clear that • she needs assistance disposing of collected articles. The resident has agreed to pay for a cleaning service to remove all debris and fire hazards. Follow up will continue in May. 04/13/06 City of Salem Blood Pressure Clinic was held at the Board of Health. One employee was referred to M.D. 04/12/06 Attended a meeting for Special Populations plan with Joanne Scott at the Board of Health with Tom Leckrone, Andrew LaPointe, and Neia Illingworth. Ongoing planning to address the special needs population in Salem. 04/11/06 Attended ,meeting with Joanne Scott and Pam Fox, Infection Control Nurse at North Shore Medical Center. Part of NSMC pandemic preparedness plans will include an Alternate Care Site in Salem. 4/24106 PPD testing on two contacts of an active TB case in Gloucester. The contacts are work contacts in Salem. Both were negative. Follow up PPD's scheduled for July. 4/26/06 Attended the NSCA Coalition meeting in Peabody to discuss ongoing Pandemic Preparedness. • Camp Packets for the 2006 season were sent to all currently permitted Camps. I • Monthly Report of Communicable Diseases April 2006 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 1 O 1 1 GIARDIA O O O O LYM E O O O O OMALARIA 1 O 1 1 MENINGITIS O O O O PERTUSSIS 1 O 1 1 SALMONELLA O O O O SHIGELLA O O O O TUBERCULOSIS O O O O VARICELLA O O O O • Summary of Communicable Diseases for April 2006 Campylobacter: 84 y/o male. Unable to contact by phone. Not in a nursing home. Malaria: 38 y/o male. Traveled to Nigeria from January to April 06. Hospitalized one day. Treated with Quinine and Doxycycline. Pertussis: 45 year old male. Reported after infectious period. No other cases. Wife did not have symptoms, and was not treated. e • • Identify differences between Avian Flu and Pandemic Flu • Review current impact projections of a Region 3 Pandemic Flu for Region 3 • Present community cluster impact projections April 27, 2006 • Review hospital and community planning process for triage and alternate care of flu patients Lisa V. Stone Identify Next Steps Hospital Preparedness Coordinator o s sLfl. ,..,�0;�gCULa �_: • Influenza A • -All originated from birds Incubation period:1-4 days,average 2 days -Seasonal Flu outbreaks Abrupt onset of fever,chills,malaise and muscle aches. -Avian Flu outbreaks Cough,sore throat,headache - Pandemic potential Duration of severe symptoms:3-7 days Influenza B Large amounts of virus in respiratory secretions -Human Influenza virus.Causes seasonal flu every Contagious before symptoms develop and infectivity is few years(small outbreak last year) highest at start of illness Influenza C Virus shed for 2-8 days after onset -Causes the Common Cold - Viral shedding in children can persist for weeks Seasonal flu-36,000 deaths and over 200,000 hospitalizations every year -.�. Recent Aviait Influenia Puttxeaks�ourl the Wpr( ft�th f'ttlmattCafndlCated:.: Animal to Human Transmission - \ -History of close contact with infected animals H7N3' 'H7N2 N7N7"9N1 -. F{@Nt HSNt - History of recent travel to area of outbreak -^ N7Nz Jasrdi `` HSNf r', - Likely rare person-to-person transmission(intimate contact without precautions) - _ --- - H5l Illness starts out as typical influenza-fever, _- myalgia, cough, sore throat, etc Many cases in < 19 yo age group Over 2-5 days evolves into diffuse pneumonia = and ARDS High morbidity and mortality(501%) H N =Bird Disease H N=Human Disease • 1 A 9l� Yenf' s �n 41u, (nassaGhUs<_-tL— Weed 5� n.e.� ds 3 35a yen_& �-(os�P to, t �c�-a k-1 eed l U/:�_:k5= lI569 OEM 8• ".' Attack rate:30% s n i Hospitalization rate:4%of ill . •,ao - .. • Death rate:1%of ill a Duration of epidemic wave:S weeks ............................._..._.....__........._..._.......... • Avg.length of non-ICU stay for flu related illness: 5 days "•" 1 2. 11, ` Avg.length of ICU stay for flu related illness:10 days Avg.length of vent usage for flu related illness:10 days Flu admissions requiring ICU care:50% Flu admissions requiring mechanical ventilation:15% —• Flu deaths assumed to be hospitalized:70% Daily increase of cases compared to previous day:3% bl�" M"MX,vu'�aaF,p:,•xM'01' • Despite operational changes, hospitals • Surge Discharge may become overwhelmed depending on —Cancel elective surgeries usage in communities served —Divert non-acute cases to sub-acute facilities, home Pre-hospital triage will be needed to • Use all possible hospital beds, staffed and relieve pressure on hospital operations non-staffed, and all space Alternate care spaces will need to be • Admission criteria identified to expand hospital capacity —Hospitals will become mainly intensive care facilities fx z e �� Zvi aS fined Capacity x� � ��cce�sQCar � , ..a s.`... ��..,2, 4 ?^fat-` All 6 regions expected to fill 100%of level 3 Home care beds(licensed but unstaffed) - most Private practices and clinks All regions will need to open some level 4 beds - usual Care.including surge response resulting from altered (overflow areas) inpatient threshold Pre-hospital Tnage(Flu Help Cenlrrs and Call Centers) Two regions will exceed their surge capacity — All non-cnucal flu patients (Regions 4AB and 5) 1losp'lals Staffing and supplies required for ALL level 3 - rlon Fit, usual care.will)ane[Wl inpaocnt threshold and 4 beds - Flu Highest acuity(vents.complex mpd managemenl: Equipment, supplies, and staffing needed for Aller"ate!:are sites(lscus) level 4 beds - second highest actin•;flu patients ON/ • ', 3 Region 3 30%Attack Ram,50%of III Need Care,4%of III Hospitalized u.oe, • Widespread public fear • Need to let public know where to go for information when they need it • Need to provide access to care while protecting critical infrastructure of hospitals • Need to prepare public for altered standards of care p lll,No Care NeeCeC❑OVtpatient Care Only■Hospilal¢ationj ��a;i�•��` '�fY��i�� }�„ ��C+u��y"�^�� j \\\��.\��a �, xF ila� ,� � �� "\ ��7\�i • Remains biggest challenge face The time to plan for an effective response to a crisis is gg g BEFORE the crisis,not during. There is little time or • Legal protections are key to recruiting personnel resources available to organize when the crisis has begun. • Large number of non-clinical personnel also needed Everyone wants to help,but often people are turned away or requests are unable to be processed,because Potential Sources of clinical surge personnel: of the overwhelming nature of a large crisis. - Internal Hospital Strategies - MSAR volunteers Volunteers who are pre-registered with a group are more - Medical Reserve Corps that are not included in hospital staff likely to be able to help out than those that just show up - Retired.inactive health professionals - Students(medical,nursing,pharmacy) �� ea� �C�r� rafessio�ais�� `—S. � Nealate Volunteer Inttlatiues Professional qualifications must be checked and verified ahead of time MSAR Volunteers cannot be assigned to take care of patients until their specific knowledge and skills s Medical Reserve Corps Program are understood p 9 It takes time to do this—volunteers who have Connect and Serve not been pre-registered and pre-credentialed may be delayed in receiving an assignment J Salem Board of Health APRIL 2006 PHONE LOG Total Answered *Answered Calls MONDAY April 3, 2006 20 Ginny = 73 TUESDAY April 4, 2006 21 Mary = 272 WEDNESDAY April 5, 2006 20 Heather = 62 THURSDAY April 6, 2006 24 FRIDAY April 7, 2006 12 SATURDAY April 8,2006 *Calls Taken : 407 SUNDAY April 9,2006 Em MONDAY April 10,2006 22 Joanne = 84 TUESDAY April 11, 2006 30 Janet = 46 WEDNESDAY April 12,2006 30 David = 43 THURSDAY April 13, 2006 26 Pablo = 6 FRIDAY April 14, 2006 -- Tracy = 31 SATURDAY April 15, 2006 Neia = 48 SUNDAY April 16,2006 Mary = 114 MONDAY April 17,2006 HOLIDAY Ginny = 16 TUESDAY April 18, 2006 17 Heather = 7 WEDNESDAY April 19,2006 18 John= 12 THURSDAY April 20, 2006 35 FRIDAY April 21,2006 14 35 Hour Work Week SATURDAY April 22, 2006 SUNDAY April 23, 2006 Em 20 work days MONDAY April 24,2006 29 TUESDAY April 25,2006 27 WEDNESDAY April 26, 2006 27 THURSDAY April 27, 2006 28 Monday 8-4 FRIDAY April 28, 2006 7 Tuesday 8-4 Wednesday 8-4 Thursday 8-7 TOTAL 407 Friday 8-noon Administration Monthly Report March-06 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 10 Burial Permits @ $10.00 $570.00 Diptheria,Tetanus Tox.(under 6 yrs)= 310 Permits $940.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $2,375.00 Measles/Mumps/Rubella= 200 Copies $0.00 Polio= 240 Fines= $200.00 Tetanus & Diptheria (adult use)-- 600 Total Monies Collected = $4,085.00 Tuberculin PPD= 20 HIB Titre= 285 Animal Bites Reported= Hepatitis B= 500 PCV 7 (Prevnar) 310 PPV 23 70 Pediarix 300 Tdap 110 Hep A 30 Influenza 0 Menactra 135 Annual Budget Expended Available Balance Salary/Longevity $367,175.00 $261,125.11 $106,049.89 Annual Budget Encumbered Available Balance Non-Personnel $16,650.00 $11,183.36 $1,141.09 $4,325.55 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month -------------------------------------------------- ,o r Jul 05 Aug 05 Sep 05 Oct 05 Nov 05 Dec 05 Jan 06 Feb 06 Mar 06 Count ---- ------ ------ 1 0 0 0 1 0 0 1 0 3 CFI 25 77 50 58 49 55 44 58 82 498 CFR 1 2 5 5 1 3 2 3 6 28 CH 3 1 4 3 2 2 1 2 3 21 CON 0 0 0 0 0 0 0 2 p 2 CT 3 5 5 4 8 2 4 7 10 48 EC 0 0 1 0 0 0 0 1 0 2 EPR 0 5 7 0 0 0 0 0 4 16 ERP 0 0 1 0 0 0 0 0 0 1 FC 2 2 1 1 1 2 3 2 3 17 FRH 0 1 �1 0 0 0 1 5 0 FSD 0 0 8 3 2 0 25 7 1 46 6 FSI 8 11 35 18 13 5 28 24 24 166 FSR 1 0 16 10 7 8 13 17 18 90 GN 5 9 7 1 5 0 1 4 2 34 GN/TR 0 1 0 0 0 0 0 0 0 1 HI 4 5 14 30 26 16 4 11 6 116 HR 0 6 3 14 4 11 5 18 18 79 HRI 0 0 0 0 0 0 0 0 1 1 LPD 0 1 0 0 1 1 0 p 0 3 LPI 0 0 0 5 9 0 1 0 1 16 MT 1 2 3 3 1 3 4 3 6 26 MUP 0 0 0 3 0 0 0 0 1 4 OD 0 0 0 1 1 0 0 0 0 2 OG 0 0 1 0 0 0 0 0 0 1 RFD 0 0 2 0 0 0 3 1 1 7 2 10 14 1 2 1 7 5 9 51 0 1 4 0 0 0 3 3 2 13 RO 1 2 2 1 0 0 0 2 3 11 SB 70 56 0 0 0 0 0 0 0 126 SC 2 0 2 1 0 0 0 0 0 5 SL 0 1 0 0 0 0 0 0 0 1 SM 2 0 1 0 4 0 0 1 10 18 SP 2 0 0 0 0 0 0 0 p 2 ST 0 0 0 0 1 0 0 0 0 TFI 0 0 1 3 2 0 0 0 1 0 6 TR 25 19 42 30 20 9 21 32 48 246 Count 158 217 232 194 158 118 170 210 259 1716 +++++ City of Salem, Massachusetts 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 CON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* C• - 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 Comp1 . 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 MARCH 2O06 PHONE LOG Total Answered *Answered Calls WEDNESDAY March 1, 2006 22 Ginny = 109 THURSDAY March 2, 2006 32 Mary = 262 FRIDAY March 3, 2006 1 Heather = 107 SATURDAY March 4, 2006 SUNDAY March 5, 2006 MONDAY March 6,2006 22 *Calls Taken : 478 TUESDAY March 7, 2006 15 WEDNESDAY March 8, 2006 19 Joanne = 86 THURSDAY March 9, 2006 23 Janet = 68 FRIDAY March 10, 2006 3 David = 48 SATURDAY March 11, 2006 Pablo = 24 SUNDAY March 12, 2006 Tracy = 58 MONDAY March 13, 2006 27 Neia = 50 TUESDAY March 14, 2006 24 Mary = 80 EDNESDAY March 15,2006 17 Ginny = 33 THURSDAY March 16, 2006 16 Heather = 9 FRIDAY March 17, 2006 12 John= 22 SATURDAY March 18, 2006 SUNDAY March 19,2006 35 Hour Work Week MONDAY March 20, 2006 24 TUESDAY March 21, 2006 28 23 work days WEDNESDAY March 22, 2006 17 THURSDAY March 23,2006 25 FRIDAY March 24, 2006 17 SATURDAY March 25, 2006 Monday 8-4 SUNDAY March 26, 2006 Tuesday 8-4 MONDAY March 27, 2006 "29 Wednesday 8-4 TUESDAY March 28, 2006 27 Thursday 8-7 WEDNESDAY March 29, 2006 40 Friday 8-noon THURSDAY March 30,2006 31 FRIDAY March 31, 2006 7 TOTAL 478 CITY OF SALEM, MASSACHUSETTS ar BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WVVW.SALEM.COM Mayor JOANNE SCOTT, MPH, IRS, CHO HEALTH AGENT Public Health Nurse Report March 2006 Activities Disease Prevention • In contact 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/Clinics • 03/01/06 Follow up on request from Salem Fire Department regarding unsanitary conditions in an apartment with small children. Upon visiting the home several times with David Greenbaum, a 51 a report was filed to the Department of Social Services. The Department of Social Services has notified the Board of Health that they have found reasonable cause to support our allegations of neglect. DSS and Early Intervention will be working with the parents. 03/03/06 Attended a Meeting for Special Population Planning at Winter Island. The Meeting was hosted by Joanne and the MDPH. The audience participated In plans that need to be in place to support our special populations in the event of an infectious disease emergency or evacuation. 3/14 through 3/17 The Annual Blood Pressure Clinic for Salem Fire Department employees was held at Fire Headquarters for four mornings. All 4 groups attended. 3/17 Attended Salem Board of Health Seminar for Funeral Directors at Peabody Essex Museum The presenters were: Dr. Bela Maytas, MDPH, and a Representative from the Chief Medical Examiners Office. 12 Funeral Homes along the North Shore participated, as well as the Health Departments. • 3/23 Police Department Blood Pressure Screening was held from 8:00 am. To 10:00 a.m. at the Department. f • Monthly Report of Communicable Diseases March 2006 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 3 O 3 3 GIARDIA O O O O GROUP A STREP 1 O 1 1 HEPATITIS 1 O 1 1 OLYME O O O O MENINGITIS O O O O PERTUSSIS 1 O 1 1 SALMONELLA O O O O SHIGELLA O O O O TUBERCULOSIS O O O O VARICELLA O O O. O • r • Summary of Communicable Diseases in Salem for March 2006 Campylobacter: 2 Cases • 34 Male. Non Foodhandler. Travel to Ecuador during incubation period. Case stated he traveled through mountain areas, and ate at roadside canteens. • 6 y/o child. Traveled with family to Costa Rica. Coincides with incubation period. No other family members were ill. Hepatitis B: One Case. Chronic Rep B. Invasive Group A Strep: One Case. 68 year old male. Lives alone. Type of infection: Bacteremia. Administration Monthly Report February-06 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 390 Burial Permits @ $10.00 $380.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $955.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,275.00 Measles/Mumps/Rubella= 192 Copies $0.00 Polio= 350 Fines = $1,000.00 Tetanus & Diptheria (adult use)= 90 Total Monies Collected = $3,610.00 Tuberculin PPD= 0 HIB Titre= 135 Animal Bites Reported= 1 Hepatitis B= 500 PCV 7 (Prevnar) 250 PPV 23 30 Pediarix 100 Tdap 110 Hep A 0 Influenza 0 Menactra 135 Annual Budget Expended Available Balance Salary/Longevity $367,175.00 $225,439.90 $141,735.10 Annual Budget Encumbered Available Balance Non-Personnel $16,650.00 $8,673.37 $1,911.82 $6,064.81 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ----------------------- -------------- -- --- -- e Jul 05 Aug 05 Sep 05 Oct 05 Nov 05 Dec 05 Jan-06--Feb-06 Count ----- ------ ------ ------ ------ ------ ------ ------ ------ ___== 1 0 0 0 1 0 0 1 3 CFI 25 77 50 58 49 55 44 58 416 CFR 1 2 5 5 1 3 2 3 22 CH 3 1 4 3 2 2 1 2 18 CON 0 0 0 0 0 0 0 2 2 CT 3 5 5 4 8 2 4 7 38 EC 0 0 1 0 0 0 0 1 2 EPR 0 5 7 0 0 0 0 0 12 ERP 0 0 1 0 0 0 0 0 1 FC 2 2 1 1 1 2 3 2 14 FRH 0 1 1 0 0 0 1 5 8 FSD 0 0 8 3 2 0 25 7 45 FSI 8 11 35 18 13 5 28 24 142 FSR 1 0 16 10 7 8 13 17 72 GN 5 9 7 1 5 0 1 4 32 GN/TR 0 1 0 0 0 0 0 0 1 HI 4 5 14 30 26 16 4 11 110 HR 0 6 3 14 4 11 5 18 61 LPD 0 1 0 0 1 1 0 0 3 LPI 0 0 0 5 9 0 1 0 15 MT 1 2 3 3 1 3 4 3 20 MUP 0 0 0 3 0 0 0 0 3 OD 0 0 0 1 1 0 0 0 2 OG 0 0 1 0 0 0 0 0 1 RF 0 0 2 0 0 0 3 1 6 2 10 14 1 2 1 7 5 42 h. 0 1 4 0 0 0 3 3 11 RO 1 2 2 1 0 0 0 2 8 SB 70 56 0 0 0 0 0 0 126 SC 2 0 2 1 0 0 0 0 5 SL 0 1 0 0 0 0 0 0 1 SM 2 0 1 0 4 0 0 1 8 SP 2 0 0 0 0 0 0 0 2 ST 0 0 0 0 1 0 0 0 1 TFI 0 0 3 2 0 0 0 1 6 TR 25 19 42 30 20 9 21 32 198 Count 158 217 232 194 158 118 170 210 1457 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location : Inspector: Inspection Types ,P - 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* -'FR - Cert . Fit . Reinsp105*GN _ Gen. Nuisance 41* RFR - Ret . Food Rein34* .H - 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 1.6* 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 FEBRUARY 2006 PHONE LOG Total Answered *Answered Calls WEDNESDAY February 1, 2006 29 Ginny= 93 THURSDAY February 2, 2006 14 Mary = 119 FRIDAY February 3, 2006 8 Heather = 102 SATURDAY February 4, 2006 1 SUNDAY February 5, 2006 ' MONDAY February 6, 2006 16 *Calls Taken : 314 TUESDAY February 7, 2006 14 WEDNESDAY February 8, 2006 15 Joanne = 73 THURSDAY February 9, 2006 21 Janet = 43 FRIDAY February 10,2006 10 David = 39 SATURDAY February 11, 2006 Pablo = 11 SUNDAY February 12, 2006 Tracy = 27 MONDAY February 13, 2006 17 Neia = 34 TUESDAY February 14, 2006 12 Mary = 38 WEDNESDAY February 15, 2006 10 Ginny = 21 THURSDAY February 16, 2006 16 Heather = 20 FRIDAY February 17, 2006 6 John= 8 SATURDAY February 18, 2006 r SUNDAY February 19, 2006 35 Hour Work Week MONDAY February 20, 2006 HOLIDAY TUESDAY February 21, 2006 26 23 work days WEDNESDAY February 22, 2006 27 THURSDAY February 23,2006 24 FRIDAY February 24, 2006 12 SATURDAY February 25,2006 Monday 8-4 SUNDAY February 26,2006 Tuesday 8-4 MONDAY February 27, 2006 15 Wednesday 8-4 TUESDAY February 28, 2006 21 Thursday 8-7 Friday 8-noon A1111TOTAL 314 !f CITY OF SALEM, MASSACHUSETTS • . ; BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 WWW.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT Public Health Nurse Report February 2006 Activities Disease Prevention • . In contact 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/Clinics 2/7/06 TB case completed 9 months of DOT. Discharged from North Shore Pulmonary Clinic, and will have a final CXR in May. 2/7/06 Attended the NSCA Emergency Preparedness training on Emergency Dispensing sites. The training was held in Saugus. Approximately 75 people attended. 2/22/06 Attended the NSCA monthly meeting at the Peabody DPW. 2/25/06 Met with Funeral Director to discuss setting up employees for online medical evaluation procedures for fit testing with N95 respirators. 0 n r/ 1 • MONTHLY REPORT OF COMMUNICABLE DISEASES FEBRUARY 2006 OEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER O O 0 0 GIARDIA 1 0 1 1 GROUP B STREP 0 O O 0 HEPATITIS 2 0 2 2 LYM E O O O 0 MENINGITIS O O O 0 PERTUSSIS O O O O SALMONELLA O O O O SHIGELLA O O O O STREP PNEUMONIA O O O 0 &BERCULOSIS O 1 O O r RICELLA 0 0 0 0 r' Summary of Communicable Diseases for February 2006 Giardia: 44 year old male. Source of infection unknown. Unemployed. Hepatitis B: 41 year old male. Chronic Hep B since 1999. 25 year old female. Pregnant. Reported to State and followed up with Nurse Midwife. New arrival from Liberia. Tuberculosis case discharged. i Administration Monthly Report January 2006 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 150 Burial Permits @ $10.00 $680.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $5,375.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,325.00 Measles/Mumps/Rubella= 230 Copies $9.40 Polio= 110 Fines = $800.00 Tetanus & Diptheria (adult use)= 360 Total Monies Collected = $8,189.40 Tuberculin PPD= 0 HIB Titre= 535 Animal Bites Reported= 0 Hepatitis B= 100 PCV 7 (Prevnar) 520 PPV 23 45 Pediarix 200 Tdap 110 Hep A 0 Influenza 0 Menactra 135 Annual Budget Expended Available Balance Salary/Longevity $367,175.00 $197,831.42 $169,343.58 Annual Budget Encumbered Available Balance Non-Personnel $16,650.00 $7,595.86 $2,774.22 $6,279.92 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------- ------------------ e Jul 05 Aug 05 Sep 05 Oct 05 Nov 05 Dec 05 Jan 06 Count ----- ------ ------ ------ ------ ------ ------ ------ ----- 1 0 0 0 1 0 0 2 CFI 25 77 50 58 49 55 44 358 CFR 1 2 5 5 1 3 2 19 CH 3 1 4 3 2 2 1 16 CT 3 5 5 4 8 2 4 31 EC 0 0 1 0 0 0 0 1 EPR 0 5 7 0 0 0 0 12 ERP 0 0 1 0 0 0 0 1 FC 2 2 1 1 1 2 3 12 FRH 0 1 1 0 0 0 1 3 FSD 0 0 8 3 2 0 25 38 PSI 8 11 35 18 13 5 28 118 FSR 1 0 16 10 7 8 13 55 GN 5 9 7 1 5 0 1 28 GN/TR 0 1 0 0 0 0 0 1 HI 4 5 14 30 26 16 4 99 HR 0 6 3 14 4 11 5 43 LPD 0 1 0 0 1 1 0 3 LPI 0 0 0 5 9 0 1 15 MT 1 2 3 3 1 3 4 17 MUP 0 0 0 3 0 0 0 3 OD 0 0 0 1 1 0 0 2 OG 0 0 1 0 0 0 0 1 RFD 0 0 2 0 0 0 3 5 R 2 10 14 1 2 1 7 37 '16 0 1 4 0 0 0 3 8 RI 1 2 2 1 0 0 0 6 SB 70 56 0 0 0 0 0 126 SC 2 0 2 1 0 0 0 5 SL 0 1 0 0 0 0 0 1 SM 2 0 1 0 4 0 0 7 SP 2 0 0 0 0 0 0 2 ST 0 0 0 0 1 0 0 1 TFI 0 0 3 2 0 0 0 5 TR 25 19 42 30 20 9 21 166 Count 158 217 232 194 158 118 170 1247 +++++ City of Salem, Massachusetts 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* C'H - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16' f'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 JANUARY 2006 PHONE LOG Total Answered *Answered Calls MONDAY January 2, 2006 HOLIDAY Ginny = 56 TUESDAY January 3,2006 19 Mary = 204 WEDNESDAY January 4, 2006 12 Heather = 109 THURSDAY January 5, 2006 16 FRIDAY January 6,2006 9 SATURDAY January 7,2006 *Calls Taken : 369 SUNDAY January 8, 2006 MONDAY January 9, 2006 19 Joanne = 115 TUESDAY January 10, 2006 33 Janet = 42 ; WEDNESDAY January 11, 2006 17 David = 28 THURSDAY January 12,2006 20 Pablo = 8 FRIDAY January 13, 2006 16 Tracy = 41 SATURDAY January 14,2006 Neia = 49 SUNDAY January 15, 2006 MM Mary = 63 OMONDAY January 16, 2006 HOLIDAY Ginny = 9 TUESDAY January 17, 2006 32 Heather = 8 WEDNESDAY January 18, 2006 15 John= 6 THURSDAY January 19, 2006 19 FRIDAY January 20, 2006 9 35 Hour Work Week SATURDAY January 21,2006 SUNDAY January 22, 2006 22 work days MONDAY January 23, 2006 20 TUESDAY January 24, 2006 24 WEDNESDAY January 25, 2006 18 THURSDAY January 26, 2006 13 Monday 8-4 FRIDAY January 27, 2006 14 Tuesday 8-4 SATURDAY January 28, 2006 Wednesday 8-4 SUNDAY January 29, 2006 Thursday 8-7 MONDAY January 30,2006 19 Friday 8-noon TUESDAY January 31, 2006 25 TOTAL 369 CITY OF SALEM, MASSACHUSETTS �v BOARD OF HEALTH 3 f' j 120 WASHINGTON STREET, 4TH FLOOR • „. SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report January 2006 Activities Disease Prevention • In contact 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/Clinics 1/11/06 Attended the MDPH training on Personal Protective Equipment use in the community setting held at North Shore Community College in Danvers. 1/18/06 Attended the Health Care Advisory Council Meeting at Salem High School. 1/18/06 Attended the North Shore Cape Ann Volunteer Training on Avian Influenza at Salem Police Station. Over 70 people attended the training. 1/31/06 Attended a meeting at Salem State College to discuss Salem State College Basketball Camps for 2006 Season. Directly Observed Therapy for Salem Resident Monday and Thursday for the month of January. • a � MONTHLY REPORT OF COMMUNICABLE DISEASES JANUARY 2006 DISEASE NEW CARRY OVER DISCHARGED REPORTED • CAMPYLOBACTER 2 0 2 2 GIARDIA O 0 0 0 GROUP B STREP 1 0 1 1 HEPATITIS O O O 0 LYM E 0 0 0 0 MENINGITIS 2 0 2 2 PERTUSSIS 0 O O 0 SALMONELLA 1 0 1 1 SHIGELLA O O O 0 STREP PNEUMONIA 0 0 O 0 TUBERCULOSIS 0 1 O 0 OVARICELLA 0 0 0 0 • Summary of Communicable Diseases for January 2006 Campylobacter: 1.5 year old male. Information obtained through translator. Mother does not work. Child does not attend day care. Mother states that the child does not eat chicken or beef. No travel. Campylobacter: 29 year old male. Non foodhandler. Source of infection unknown. No recent travel. Case has two dogs and two cats. Salmonella: 60 year old male. Went to a Pot Luck Christmas Dinner with friends one night before mild symptoms. No one else had symptoms. Non foodhandler. Viral Meningitis: 59 year old female. Hospitalized for 1 week. Viral Meningitis: 16 year old female student. Student recovered. Tuberculosis: Carry over case. Continues DOT until February 7th. CXR in December was Normal. Illness Complaint: The resident called in to the Food Protection Program. Mother believes two of her • children and a friend became ill after eating at Sun Garden Restaurant. Mother was strongly encouraged to take children to a physician for stool samples. Inspector notified, and proper procedures were followed up and sent in to state. I have not received any positive results from these residents. Illness Complaint: Salem State College Nurse Practitioner notified the Board of Health of two students who believed their symptoms were the result of chicken sandwiches eaten at Kentucky Fried Chicken. No stool samples were obtained. Inspector was notified, and proper procedures for follow up were taken. The reports were sent to the Food Protection Program. • • • • Administration Monthly Report DECEMBER 0,5' Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 150 Burial Permits @ $10.00 $790.00 Diptheria,Tetanus Tox.(under 6 yrs)= 20 Permits $28,850.00 Immune Serum Globulin= 4 Certificate of Fitness@$25.00 $1,450.00 Measles/Mumps/Rubella= 160 Copies $0.00 Polio= 200 Fines= $750.00 Tetanus & Diptheria (adult use)= 630 Total Monies Collected = $31,840.00 Tuberculin PPD= 30 HIB Titre= 500 Animal Bites Reported= 0 Hepatitis B= 100 PCV 7 (Prevnar) 500 PPV 23 45 Pediarix 350 Tdap Hep A Influenza Annual Budget Expended Available Balance Salary/Longevity $367,175.00 $173,211.07 $193,963.93 Annual Budget Encumbered Available Balance Non-Personnel $16,650.00 $6,986.50 $1,642.22 $8,021.28 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month is Jul 05 Aug 05 Sep 05 Oct 05 Nov 05 Dec 05 Count 1 0 0 0 1 0 2 CFI 25 77 50 58 49 55 314 CPR 1 2 5 5 1 3 17 CH 3 1 4 3 2 2 15 CT 3 5 5 4 8 2 27 EC 0 0 1 0 0 0 1 EPR 0 5 7 0 0 0 12 ERP 0 0 1 0 0 0 1 PC 2 2 1 1 1 2 9 FRH 0 1 1 0 0 0 2 FSD 0 0 8 3 2 0 13 FSI 8 11 35 18 13 5 90 FSR 1 0 16 10 7 8 42 GN 5 9 7 1 5 0 27 GN/TR 0 1 0 0 0 0 1 HI 4 5 14 30 26 16 95 HR 0 6 3 14 4 11 38 LPD 0 1 0 0 1 1 3 LPI 0 0 0 5 9 0 14 MT 1 2 3 3 1 3 13 MUP 0 0 0 3 0 0 3 OD 0 0 0 1 1 0 2 OG 0 0 1 0 0 0 1 RFD 0 0 2 0 0 0 2 RFI 2 10 14 1 2 1 30 0 1 4 0 0 0 5 Is 1 2 2 1 0 0 6 SB 70 56 0 0 0 0 126 SC 2 0 2 1 0 0 5 SL 0 1 0 0 0 0 1 SM 2 0 1 0 4 0 7 SP 2 0 0 0 0 0 2 ST 0 0 0 0 1 0 1 TFI 0 0 3 2 0 0 5 TR 25 19 42 30 20 9 145 Count 158 217 232 194 158 118 1077 +++++ City of Salem, Massachusetts 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` 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* E� - 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 PHONE LOG Total Answered *Answered Calls THURSDAY December 1,2005 26 Ginny = 165 FRIDAY December 2, 2005 1 Mary = 112 SATURDAY December 3, 2005 Heather = 64 SUNDAY December 4, 2005 oft MONDAY December 5, 2005 21 TUESDAY December 6, 2005 18 *Calls Taken : 341 WEDNESDAY December 7,2005 21 THURSDAY December 8, 2005 21 Joanne = 60 FRIDAY December 9, 2005 2 Janet = 40 SATURDAY December 10, 2005 EliDavid = 55 SUNDAY December 11, 2005 Pablo = 1 MONDAY December 12,2005 18 Tracy = 56 TUESDAY December 13, 2005 34 Neia = 15 WEDNESDAY December 14, 2005 21 Mary = 44 4JTHURSDAY December 15, 2005 18 Ginny = 57 FRIDAY December 16, 2005 5 Heather = 8 SATURDAY December 17, 2005 John= 5 i SUNDAY December 18, 2005 MONDAY December 19, 2005 22 35 Hour Work Week TUESDAY December 20,2005 23 WEDNESDAY December 21,2005 21 22 work days THURSDAY December 22, 2005 16 FRIDAY December 23,2005 0 SATURDAY December 24, 2005 SUNDAY December 25,2005 Monday 8-4 MONDAY December 26, 2005 NJ Tuesday 8-4 TUESDAY December 27,2005 18 Wednesday 8-4 WEDNESDAY December 28, 2005 22 Thursday 8-7 THURSDAY December 29, 2005 13 Friday 8-noon FRIDAY December 30, 2005 0 SATURDAY December 31, 2005 TOTAL 341 `v CITY OF SALEM, MASSACHUSETTS • ; BOARD OF HEALTH s 120 WASHINGTON STREET,4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report December 2005 Activities Disease Prevention • In contact with North Shore Pulmonary Clinic regarding active cases and case contacts. • Vaccine inventory maintained and distributed. 6,850 doses of Influenza vaccine was distributed to area Providers. 1350 doses were administered by The Salem Board of Health Clinics for 2005 season. • Investigated communicable disease cases and reported to the MDPH Meetings/Clinics 12/7 Attended North Shore Cape Ann Coalition Seminar on Avian Influenza. Speaker Mary Conant, Infectious Disease Nurse from the MDPH presented information on Avian Influenza. The meeting was held in Hamilton. 12/8 Investigated a report of an elder at risk. Several home visits were conducted, and North Shore Elder Services was referred. North Shore Elder Services accepted the case, and the resident will receive services. 12/13 A Home visit was conducted at a Group Home for Mentally Challenged Adults. 5 residents vaccinated, 3 Staff members vaccinated against Influenza. 12/19-12/20 Two Home Visits for Homebound Residents who requested Influenza Vaccinations. 12/21 Attended the North Shore Cape Anne Emergency Planning Meeting held at the • Peabody DPW. Monday and Thursday DOT continues for Tuberculosis case. DOT will be extended by two weeks to make up for two missed appointments. CITY OF SALEM, MASSACHUSETTS • . ; BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 WWW.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES DECEMBER 2005 APISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER O O O 0 GIARDIA O O O O GROUP B STREP 1 0 1 1 HEPATITIS O O O O LYME O O O O MENINGITIS O O O 0 PERTUSSIS O O O O SALMONELLA O O O O SHIGELLA 1 0 1 1 STREP PNEUMONIA 1 0 1 1 •TUBERCULOSIS 0 1 O 1 VARICELLA 0 0 0 0 Summary of Communicable Diseases for December 2005 Group B Strep: One Case. 70 y/0 female. Pt Expired. Shigella: One Case. 10 month old infant. Family are new arrivals to the U.S from Somalia. Information obtained through M.D. No Foodhandlers in • the household, and infant is not in day care. Family members deny any symptoms. All will be followed by M.D. Strep Pneumonia: Once Case. 81 y/o male. Patient recovered. Tuberculosis: Ongoing case. Patient DOT will continue and extended by two weeks due to missing two appointments. Administration Monthly Report NOVEMBER US Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 300 Burial Permits @ $10.00 $510.00 Diptheria,Tetanus Tox.(under 6 yrs)= 30 Permits $4,980.00 Immune Serum Globulin= 4 Certificate of Fitness@$25.00 $1,525.00 Measles/Mumps/Rubella= 360 Copies $0.00 Polio= 110 Fines= $500.00 = 180 = 1 Tetanus & Diptheria (adult use) Total Monies Collected $7,5 5.00 Tuberculin PPD= 50 HIB Titre= 500 Animal Bites Reported=1 1 1 Hepatitis B= 540 PCV 7 (Prevnar) 430 PPV 23 305 Pediarix 350 Tdap Hep A Influenza Annual Budget Expended Available Balance Salary/Longevity $367,175.00 $136,270.29 $230,904.71 Annual Budget Encumbered Available Balance Non-Personnel $16,650.00 $4,276.18 $2,757.66 $9,616.16 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------ ---------- e Jul 05 Aug 05 Sep 05 Oct 05 Nov 05 Count 1 0 0 0 1 2 CFI 25 77 50 58 49 259 CFR 1 2 5 5 1 14 CH 3 1 4 3 2 13 CT 3 5 5 4 8 25 EC 0 0 1 0 0 1 EPR 0 5 7 0 0 12 ERP 0 0 1 0 0 1 FC 2 2 1 1 1 7 FRH 0 1 1 0 0 2 FSD 0 0 8 3 2 13 FSI 8 11 35 18 13 85 FSR 1 0 16 10 7 34 GN 5 9 7 1 5 27 GN/TR 0 1 0 0 0 1 HI 4 5 14 30 26 79 HR 0 6 3 14 4 27 LPD 0 1 0 0 1 2 LPI 0 0 0 5 9 14 MT 1 2 3 3 1 10 MUP 0 0 0 3 0 3 OD 0 0 0 1 1 2 OG 0 0 1 0 0 1 RFD 0 0 2 0 0 2 I 2 10 14 1 2 29 R 0 1 4 0 0 5 RO 1 2 2 1 0 6 SB 70 56 0 0 0 126 SC 2 0 2 1 0 5 SL 0 1 0 0 0 1 SM 2 0 1 0 4 7 SP 2 0 0 0 0 2 ST 0 0 0 0 1 1 TFI 0 0 3 2 0 5 TR 25 19 42 30 20 136 ----- ------ ------ ------ ------ ------ ----- Count 158 217 232 194 158 959 +++++ City of Salem, Massachusetts 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 CON - Constable Serv. 65* HR - Housing Reinsp. 135* SC - Suntan 7* 0 - 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 NOVEMBER PHONE LOG Total Answered *Answered Calls TUESDAY November 1, 2005 60 Ginny = 116 WEDNESDAY November 2, 2005 39 Mary = 305 THURSDAY November 3,2005 24 Heather = 119 FRIDAY November 4, 2005 6 SATURDAY November 5, 2005 SUNDAY November 6, 2005 *Calls Taken : 540 MONDAY November 7, 2005 47 TUESDAY November 8, 2005 45 Joanne = 106 WEDNESDAY November 9, 2005 37 Janet = 70 THURSDAY November 10, 2005 13 David = 55 FRIDAY November 11, 2005 HOLIDAY Pablo = 4 SATURDAY November 12, 2005 Tracy = 128 SUNDAY November 13, 2005 Neia = 27 MONDAY November 14,2005 35 Mary = 108 TUESDAY November 15, 2005 22 Ginny = 37 WEDNESDAY November 16, 2005 23 Heather = 5 THURSDAY November 17,2005 26 FRIDAY November 18, 2005 18 SATURDAY November 19, 2005 35 Hour Work Week SUNDAY November 20, 2005 MONDAY November 21, 2005 30 20 work days TUESDAY November 22, 2005 30 WEDNESDAY November 23, 2005 17 THURSDAY November 24, 2005 HOLIDAY FRIDAY November 25, 2005 0 Monday 8-4 SATURDAY November 26, 2005 Tuesday 8-4 SUNDAY November 27, 2005 Wednesday 8-4 MONDAY November 28, 2005 24 Thursday 8-7 TUESDAY November 29,2005 32 Friday 8-noon WEDNESDAY November 30, 2005 14 TOTAL 540 'r U CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH j 120 WASHINGTON STREET, 4TH FLOOR • m SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR WWWSALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report November 2005 Activities Disease Prevention • In contact 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/Clinics 11/03 Attended the MHOA Conference in Hyannis, MA with Health Dept. Staff. Influenza and Pneumonia Clinics 11/10 The Council on Aging clinic was held from 9 a.m. to 1 p.m. at the Senior Center. 711 residents were vaccinated with Influenza Vaccine. 78 residents were vaccinated with Pneumonia Vaccine. Assisting at the Clinic were; Dr. Barbara Poremba and Salem State Nursing Students, Mary Madore R.N., and Health Department Staff. 11115 Salem Housing Authority, 27 Charter Street Flu and Pneumonia Clinic was held from 9 a.m. to 12 Noon. Assisted by Christine Harrington and the Endicott Community College Students. 278 Residents vaccinated. 37 residents vaccinated with Pneumonia Vaccine. 11/17 Pioneer Terrace Influenza and Pneumonia Clinic was held from 8 a.m.to 11 a.m. 123 residents were vaccinated with Influenza Vaccine, and 23 Pneumonia Vaccinations. 11/17 The remaining 238 doses of Influenza Vaccine was administered to Office Visits, Home Visits,Police,Fire and Salem Employees who requested vaccination. • 'j CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH *� f 120 WASHINGTON STREET, 4TH FLOOR • .n. SALEM, MA 01970 �ci3OQ TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR WWW.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES • NOVEMBER 2005 DISEASE NEW CARRY OVER DISCHARGED REPORTED f CAMPYLOBACTER O 0 0 0 GIARDIA 1 O 1 1 HEPATITIS O O O 0 LYME 3 O 3 3 MENINGITIS 1 0 1 1 PERTUSSIS O O O 0 SALMONELLA O 0 O I O STREP PNEUMONIA 2 0 2 2 TUBERCULOSIS O 1 0 1 *VARICELLA 0 0 0 0 a � I Summary of Communicable Diseases for Novemberl2005 Giardia: 25 y/o male. Non Food handler. Case went white water rafting in late August, and was symptomatic for 6 weeks before physician visit. Hepatitis B: One Chronic case reported. Meningitis: (unconfirmed, awaiting response from M.D.) Tuberculosis: Case continues with DOT on Monday and Thursdays. Case missed two appointments and this was reported to North Shore Pulmonary Clinic. Medications to be discontinued in January. I Administration Monthly Report OCTOBERd� Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= Burial Permits @ $10.00 $440.00 Diptheria,Tetanus Tox.(under 6 yrs)= Permits $3,125.00 Immune Serum Globulin= Certificate of Fitness@$25.00 $1,600.00 Measles/Mumps/Rubella= Copies $9.00 Polio= Fines = $1,400.00 Tetanus & Diptheria (adult use)= Total Monies Collected = $6,574.00 Tuberculin PPD= HIB Titre= Animal Bites Reported= Hepatitis B= PCV 7 (Prevnar) PPV 23 Pediarix - - -- - - - - --- --- - -- _- - -— - Annual Budget Expended Available Balance Salary/Longevity $367,175.00 $109,272.18 $257,902.82 Annual Budget Encumbered Available Balance Non-Personnel $16,650.00 $4,128.15 $1,359.13 $11,162.72 Salem Board of Health OCTOBER PHONE LOG • Total Answered *Answered Calls SATURDAY October 1, 2005 Ginny = 151 SUNDAY October 2, 2005 Mary = 279 MONDAY October 3, 2005 41 Heather = 94 TUESDAY October 4, 2005 18 WEDNESDAY October 5, 2005 14 THURSDAY October 6, 2005 24 *Calls Taken : 524 FRIDAY October 7, 2005 6 SATURDAY October 8, 2005 Joanne = 98 SUNDAY October 9, 2005 Janet = 81 MONDAY October 10, 2005 HOLIDAY David = 50 TUESDAY October 11, 2005 37 Pablo = 5 WEDNESDAY October 12, 2005 39 Tracy = 119 THURSDAY October 13,2005 18 Neia = 6 FRIDAY October 14,2005 3 Mary = 115 AM SATURDAY October 15,2005 Ginny = 44 SUNDAY October 16,2005 Heather = 6 MONDAY October 17, 2005 49 TUESDAY October 18, 2005 24 WEDNESDAY October 19,2005 21 35 Hour Work Week THURSDAY October 20, 2005 28 FRIDAY October 21,2005 14 21 work days SATURDAY October 22, 2005 SUNDAY October 23, 2005 MONDAY October 24, 2005 40 TUESDAY October 25,2005 29 Monday 8-4 WEDNESDAY October 26, 2005 35 Tuesday 8-4 THURSDAY October 27,2005 31 Wednesday 8-4 FRIDAY October 28, 2005 11 Thursday 8-7 SATURDAY October 29, 2005 Friday 8-noon SUNDAY October 30, 2005 MONDAY October 31, 2005 42 TOTAL 524 l City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------------------ Type Jul 05 Aug 05 Sep 05 Oct 05 Count 1 0 0 0 1 CFI 25 77 50 58 210 CFR 1 2 5 5 13 CH 3 1 4 3 11 CT 3 5 5 4 17 EC 0 0 1 0 1 EPR 0 5 7 0 12 ERP 0 0 1 0 1 FC 2 2 1 1 6 FRH 0 1 1 0 2 FSD 0 0 8 3 11 FSI 8 11 35 18 72 FSR 1 0 16 10 27 GN 5 9 7 1 22 GN/TR 0 1 0— 0 1 HI 4 5 14 30 53 HR 0 6 3 14 23 LPD 0 1 0 0 1 LPI 0 0 0 5 5 MT 1 2 3 3 9 MUP 0 0 0 3 3 OD 0 0 0 1 1 0F G 0 0 1 0 1 D 0 0 2 0 2 I 2 10 14 1 27 RFR 0 1 4 0 5 RO 1 2 2 1 6 SB 70 56 0 0 126 SC 2 0 2 1 5 SL 0 1 0 0 1 SM 2 0 1 0 3 Sp 2 0 0 0 2 TFI 0 0 3 2 5 TR 25 19 42 30 116 Count 158 217 232 194 801 +++++ City of Salem, Massachusetts 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* OH - Court Hearing 93* HI - Housing Insp. 260* RO - Rodent Control 16 0-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 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 107 November 15, 2005 RAINBOW TERRACE We have been very involved with Rainbow Terrace over the past several weeks. When we conducted our original inspections we were very surprised to observe serious lead paint issues. That was brought to the attention of several political leaders causing a meeting at Senator Berry's office with John Keenan, and representatives from the Salem Housing Authority and the Massachusetts Department of Housing & Community Development. As a result of that meeting the overhangs of each unit are being removed because of their extreme peeling of lead paint. In addition, we have conducted at least a dozen lead paint determinations at the request of tenants living there with children under six. The EPA has become involved because of the lead paint concerns. Fortunately, we have no indication of lead poisoning in the children living at this complex. SANITARIANS POSITION We have offered the Sanitarian's position to John Gehan of Peabody. John's resume is enclosed in the packet. We were fortunate to have three or four good candidates from which to choose. John will begin on iDecember 1 St EMERGENCY PLANNING We have received another grant from the CDC through the state to continue with our regional emergency preparedness activities. This includes $158,336 for November 2005 through June 30, 2006 and $31,668 for July 2006 through August 2006. This money will be used in part to pay for our staff person, Neia Illingworth. The Coalition will determine how the remainder will be spent, minus Salem's administrative fee for hosting the Coalition. A brochure explaining our Coalition website, WWW.NSCALERT.ORG, will be included in Salem water bills in November, December and January. Our first training of volunteers will be on the evening of December 7th. The topic will be the Avian Flu with a brief introduction to the Coalition. I will let the Board know the details of place and time. COMMITTEE ON SUBSTANCE ABUSE PREVENTION This committee kicked off its "Sticker Shock" campaign this week with a press event at a package store on Bridge Street where several middle and high school students placed warning stickers on six packs of beer. These stickers explain that it is illegal to provide alcohol to anyone under 21 years of age. There should be coverage of this event in the Salem News soon. MHOA CONFERENCE Tracy, Janet, David, Neia and I were able to attend at least one day at the Annual Massachusetts Health Officers Association Conference in Hyannis. It is a • good opportunity to network and catch up on some timely topics. THANK YOU My sincere appreciation to Janet and all our staff for covering for me recently when my Father-in-Law passed away. The work of the Board was conducted with great competence and professionalism. Administration Monthly Report SEPTEMBER 01::) Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 340 Burial Permits @ $10.00 $550.00 Diptheria,Tetanus Tox.(under 6 yrs)= 20 Permits $3,305.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,425.00 Measles/Mumps/Rubella= 140 Copies $0.00 Polio= 260 Fines = $925.00 Tetanus & Diptheria (adult use)= 104 Total Monies Collected = $6,205.00 Tuberculin PPD= 0 HIB Titre= 285 Animal Bites Reported= 2 490 Hepatitis B= PCV 7 (Prevnar) 430 PPV 23 45 I Pediarix 80 Annual Budget Expended Available Balance Salary/Longevity $367,175.00 $82,133.20 $285,041.80 Annual Budget Encumbered Available Balance Non-Personnel $16,650.00 $3,615.52 $1,446.02 $11,588.46 Salem Board of Health SEPTEMBER PHONE LOG Total Answered *Answered Calls THURSDAY September 1, 2005 20 Ginny = 124 FRIDAY September 2,2005 9 Mary = 250 SATURDAY September 3, 2005 Heather = 94 SUNDAY September 4, 2005 MONDAY , September 5 2005 HOLIDAY p TUESDAY September 6,2005 28 *Calls Taken : 468 WEDNESDAY September 7,2005 30 THURSDAY September 8, 2005 29 Joanne = 131 FRIDAY September 9, 2005 14 Janet = 65 SATURDAY September 10, 2005 David = 56 SUNDAY September 11,2005 Pablo = 10 MONDAY September 12, 2005 27 Tracy = 57 TUESDAY September 13, 2005 29 Neia = 19 WEDNESDAY September 14,2005 33 Mary = 91 THURSDAY September 15, 2005 19 Ginny = 33 FRIDAY September 16, 2005 5 Heather = 6 SATURDAY September 17, 2005 SUNDAY September 18, 2005 MONDAY September 19,2005 30 35 Hour Work Week TUESDAY September 20, 2005 27 WEDNESDAY September 21, 2005 24 22 work days 1 THURSDAY September 22, 2005 24 FRIDAY September 23, 2005 8 SATURDAY September 24, 2005 SUNDAY September 25, 2005 Monday 8-4 MONDAY September 26,2005 25 Tuesday 8-4 TUESDAY September 27, 2005 19 Wednesday 8-4 WEDNESDAY September 28, 2005 22 Thursday 8-7 THURSDAY September 29,2005 34 Friday 8-noon FRIDAY September 30, 2005 12 TOTAL 468 A CITY OF SALEM, MASSACHUSETTS' • s 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 September 2005 Activities Disease Prevention • • In contact 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/Clinics 9/8 Hepatitis A vaccination clinic for 10 employees at Mandarin Buffet. 6 employees vaccinated. 9/12 '5 Salem High Students tested for T.B. follow up of active case contacts. Final Report sent to state. 9/15 Hepatitis A vaccinations administered to 11 clients. 4 completed their second series. 9/21 Attended Beverly Hospital Table Top Exercise on Surge Capacity during an emergency. 9/22 Attended MDPH Division of TB Control seminar held at Tewksbury Hospital. 9/26 Attended a Medicare Roster Billing Seminar with Heather Lyons to dicuss new changes to Roster Billing for 2005 season. 9/28 Attended the North Shore Emergency Coalition meeting in Salem. • w CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Summary of Communicable Diseases for September 2005 Babesiosis: 45 y/o male. Recovered. Tick bite unknown. Cryptosporidiosis: 42 y/o female. Stayed at a cottage in Maine during the incubation period. Drank well water. Non foodhandler. Cryptosporidiosis: 27 y/o female. No recent travel. Works as a Day Care Teacher. Director was notified. Fact Sheet will be sent home to parents. No other staff or child recently ill. Teacher cannot handle food, or feed children until second stool is negative. Malaria: 37 y/o female. Arrived in the United States in May. Lived in the Congo, and had traveled through Camaroon for three months. Aseptic Meningitis: Herpes Simplex Virus. 36 y/o unemployed female. Symptoms included stiff neck with low grade fever. Strep Pnemonia: 70 y/o female. Case recovered. Tuberculosis: 20 y/o male. DOT observed Monday and Thursday. Missed one appointment this month. • Jo;, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1 800 �0 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT MONTHLY REPORT OF COMMUNICABLE DISEASES SEPTEMBER 2005 DISEASE NEW CARRY OVER DISCHARGED REPORTED O-AMPYLOBACTER 0 O 0 0 BABESIOSIS 1 0 1 1 I CRYPTOSPORIDIOSfS 2 0 2 2 GIARDIA O O O O HEPATITIS O O O 0 LYM E O O O 0 MALARIA 1 0 1 1 MENINGITIS 1 0 1 1 PERTUSSIS O O O O SALMONELLA O O O O STREP PNEUMONIA 1 O 1 1 TUBERCULOSIS O 1 0 1 18VARICELLA 0 0 0 0 . • • Administration Monthly Report AUGUST C6' Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 420 . Burial Permits @ $10.00 $580.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $1,015.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,950.00 Measles/Mumps/Rubella= 270 Copies Polio= 290 Fines= $200.00 Tetanus & Diptheria (adult use)-- 773 Total Monies Collected = $3,745.00 Tuberculin PPD= 100 HIB Titre= 350 Animal Bites Reported= 0 Hepatitis B= 490 PCV 7 (Prevnar) 440 PPV 23 30 Pediarix 80 Annual Budget Expended Available Balance Salary/Longevity $367,175.00 $48,596.27 $318,578.73 Annual Budget Encumbered Non-Personnel $16,650.00 $1,651.11 $2,978.59 $12,020.30 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------------------------ ---------------------------------------------- Aug 04 Sep 04 Oct 04 Nov 04 Dec 04 Jan 05 Feb 05 Mar 05 Apr 05 May 05 Jun 05 Jul 05 jAug 05M Count --- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ 1------ 1 0 0 0 0 0 0 0 1 1 0 1 0 4 CFI 33 51 42 42 30 61 60 82 62 74 76 25 77 715 CFR 1 1 3 2 0 2 2 4 0 0 0 1 2 18 CH 6 4 0 1 1 0 1 1 0 1 5 3 1 24 CON 1 1 0 0 1 0 0 0 0 0 0 0 0 3 CT 5 5 7 3 3 3 8 10 5 7 4 3 5 68 EC 0 1 0 1 0 0 1 2 1 0 0 0 0 6 EPR 3 3 4 2 0 0 0 1 6 1 0 0 5 25 FC 3 1 1 1 2 2 2 2 1 0 1 2 2 20 FRH 0 1 2 3 2 1 1 1 0 2 0 0 1 14 FSD 8 5 10 9 4 5 3 3 0 1 0 0 0 48 FSH 0 0 1 0 0 0 0 0 0 0 0 0 0 1 FSI 24 24 36 34 11 31 38 31 30 19 14 8 11 311 FSI/RFI 0 0 0 0 0 1 0 0 0 0 0 0 0 1 FSR 24 9 21 11 11 12 16 15 13 15 7 1 0 155 GN 14 4 3 4 2 4 5 0 1 5 8 5 9 64 GN/TR 0 0 0 0 0 0 0 0 0 0 0 0 1 1 HHWD 0 0 0 0 0 0 0 0 0 0 1 0 0 1 HI 6 10 5 6 19 14 7 14 11 14 20 4 5 135 HR 5 7 8 0 1 1 4 6 5 6 4 0 6 53 LPD 0 0 0 0 0 0 0 0 0 0 0 0 1 1 LPI 0 0 0 0 0 2 0 1 0 2 1 0 0 6 MS 0 0 0 0 0 0 0 1 0 0 0 0 0 1 MT 10 6 9 1 5 6 7 6 7 4 3 1 2 67 MUP 1 0 5 0 0 0 0 1 1 1 0 0 0 9 RFD 2 0 4 0 2 0 1 0 0 0 0 0 0 9 6 2 7 8 4 9 9 2 5 1 5 2 10 70 3 0 2 5 0 0 2 0 2 0 1 0 1 16 RFR/ FSR 0 0 0 0 0 1 0 0 0 0 0 0 0 1 RO 0 1 3 2 3 3 1 1 2 3 3 1 2 25 SB 60 28 0 0 0 0 0 0 0 0 31 70 56 245 SC 0 0 0 0 0 0 0 0 0 0 0 2 0 2 SL 0 0 0 0 0 0 0 0 0 0 0 0 1 1 SM 0 4 1 6 3 2 4 2 1 2 5 2 0 32 SP 0 1 0 1 1 0 0 0 0 7 3 2 0 15 ST 0 0 0 0 1 0 1 1 2 0 0 0 0 5 TFI 4 0 0 0 0 0 0 0 0 1 0 0 0 5 TR 29 35 34 23 21 12 15 25 46 27 21 25 19 332 TRASH 0 0 0 0 1 0 0 0 0 0 0 0 0 1 Count 249 204 208 165 128 172 188 212 202 194 213 158 217 2510 +++++ City of Salem, Massachusetts 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* OT l - 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 . 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* Salem Board of Health AUGUST PHONE LOG Total Answered *Answered Calls MONDAY August 1, 2005 39 Ginny = 116 TUESDAY August 2, 2005 32 Mary = 270 WEDNESDAY August 3, 2005 19 Heather = 99 THURSDAY August 4, 2005 16 FRIDAY August 5, 2005 8 SATURDAY August 6, 2005 *Calls Taken : 485 SUNDAY August 7, 2005 MONDAY August 8, 2005 29 Joanne = 147 TUESDAY August 9,2005 24 Janet = 55 WEDNESDAY August 10,2005 26 David = 69 THURSDAY August 11,2005 21 Pablo = 7 FRIDAY August 12, 2005 11 Tracy = 50 SATURDAY August 13, 2005 Neia = 33 SUNDAY August 14,2005 Mary = 79 MONDAY August 15, 2005 39 Ginny = 39 TUESDAY August 16, 2005 18 Heather = 6 WEDNESDAY August 17, 2005 15 THURSDAY August 18,2005 15 35 Hour Work Week FRIDAY August 19, 2005 10 SATURDAY August 20,2005 23 working days SUNDAY August 21,2005 MONDAY August 22, 2005 17 TUESDAY August 23,2005 19 WEDNESDAY August 24, 2005 19 Monday 8-4 THURSDAY August 25,2005 20 Tuesday 8-4 FRIDAY August 26, 2005 9 Wednesday 8-4 SATURDAY August 27,2005 Thursday 8-7 SUNDAY August 28, 2005 Friday 8-noon MONDAY August 29, 2005 24 TUESDAY August 30,2005 28 WEDNESDAY August 31, 2005 27 TOTAL 485 A CITY OF SALEM, MASSACHUSETTS of � BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR MRw 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 August Activities Disease Prevention • In contact 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 8/5 to 8/16 Vacation. DOT continues for active TB case. DOT schedule changed to Monday and Thursday at Salem Board of Health. Office visit for 5 y/o with Latent TB. NSPC notified that family is moving to Minnesota. • 4 c CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR C SALEM, MA 01970 • 9e� 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 AUGUST 2005 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER O O 0 0 IRCOL10157H7 O O O 0 GIARDIA 1 .0 1 1 HEPATITIS 1 0 1 1 LYM E 2 0 2 2 LEGIONELLA 1 0 1 1 MENINGITIS 1 0 1 1 PERTUSSIS O O O 0 SALMONELLA 1 0 1 1 TUBERCULOSIS 0 1 0 1 VARICELLA O O O 0 • Y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 53 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • " " TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Summary of Communicable Diseases for August • Giardia. 31 y/o male. Non Foodhandler. Source Unknown. Case eats out frequently. Symptoms lasted three weeks. • One Chronic Hepatitis B case reported. • • Le ionella: 46 /o female. Case has hx g y of chronic illness. No recent travel. • Lyme: 2 cases. • Meningitis. 29 y/o female. CSF negative. Pt recovered. 34 y/o male. Case stated he never had symptoms. Treated with 3 week course of antibiotics. 20 y/o male. Signs and symptoms included Erythema migrans. Case was treated With 30 days of IV antibiotics. • Salmonella: 3 y/o male. No Day Care. Father had symptoms after traveling in the last weeks of July. He was not tested and is no longer symptomatic. • Tuberculosis: 20 y/o male continues with DOT Monday and Thursday. Case continues to comply with prophylaxis and clinic appointments. • i City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ------------------------------ Type Jul 05 Aug 05 Sep 05�Oct 05 Count ----- ------ ------ ------ ------ 1 0 0 0 1 CFI 25 77 50 58 210 CFR 1 2 5 5 13 CH 3 1 4 3 11 CT 3 5 5 4 17 EC 0 0 1 0 1 EPR 0 5 7 0 12 ERP 0 0 1 0 1 FC 2 2 1 1 6 FRH 0 1 1 0 2 FSD 0 0 8 3 11 FSI 8 11 35 18 72 FSR 1 0 16 10 27 GN 5 9 7 1 22 GN/TR 0 1 0— 0 1 HI 4 5 14 30 53 HR 0 6 3 14 23 LPD 0 1 0 0 1 LPI 0 0 0 5 5 MT 1 2 3 3 9 MUP 0 0 0 3 3 OD 0 0 0 1 1 OG 0 0 1 0 1 0,D 0 0 2 0 2 RFI 2 10 14 1 27 RFR 0 1 4 0 5 RO 1 2 2 1 6 i SB 70 56 0 0 126 SC 2 0 2 1 5 SL 0 1 0 0 1 SM 2 0 1 0 3 SP 2 0 0 0 2 TFI 0 0 3 2 5 TR 25 19 42 30 116 Count 158 217 , 232 194 801 +++++ City of Salem, Massachusetts 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* H - Court Hearing 93* HI Housing Insp. 260* RO - Rodent Control 16 *_- ON - 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* 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 • AGENT'S NEWSLETTER TO THE BOARD VOLUME 106 September 13, 2005 RAINBOW TERRACE Residents have asked to speak to the Board regarding chronic mold issues in their units at Rainbow Terrace. I have invited them, as well as the Salem Housing Authority and the Massachusetts Department of Housing and Community Development to our meeting. In addition, I have spoken with Mike Feeney who is in charge of indoor air quality for the MDPH. He directed me to the EPA website for additional information related to mold. In your packets is one of those documents, "Mold in Your Home." I will also have several copies at the meeting of a much longer document," Mold Remediation in Schools and Commercial Buildings." SANITARIANS POSITION Jose Diaz has resigned his position as Sanitarian with the Board of i Health. Human Resources has posted the opening throughout city departments and placed an add in the Salem News. In order to fulfill our obligations to our mission, we hope to fill this job quickly. A small hiring committee will be formed • including Chris Harrington, another Board member and me. Please let me know if you are interested in serving in that capacity. EMERGENCY PLANNING The CDC is requiring a certain level of Incident Command System training for all Board of Health staff and for others who may be participating in an infectious disease emergency response. You may remember that we have requested that several Board members assume leadership roles within the Incident Command structure should we have an Emergency Dispensing Site drill. I will be giving you more information regarding training opportunities, in person and on the web, at the meeting. COMMITTEE ON SUBSTANCE ABUSE PREVENTION As a reminder, this committee is made up of staff from the mayor's office, police, health, interfaith council, DA's office, substance abuse service providers, teachers and parents., to determine the current level of drug problems in Salem and to devise strategies to reduce that problem. The committee will be continuing Sticker Shock, a project begun in Salem by the Charter School. Bright orange stickers are placed on cases of beer and packages of alcoholic beverages warning that consumers that providing alcohol to underage individuals may result in considerable fines and the threat of • incarceration. a • • Beach Bacteria Analysi!is 2005 Enterococci Standard of beach closure following sampling of 104 colonies per 100 ml of sam le;or geometric mean of 35 colonies per 100 ml of the five n DATE Pickman Mackey Osgood Pioneer Ocean AveCollins Winter Is Wil.Pier I Mem Dr Juniper Pt FIR Point 6/22/05 85 44 100 56 166 4 12 38 4 67 13 6/23/05 82 6/29/05 49 18 10 6 34 6 7 15 8 4 16 07/06/05' 5000 290 440 75 5200 460 8 134 2 2000 14 7/7/05 57 31 8 31 8 12 8 eomean 149.47 07/13/2005 7/14/05 210 2 8 8 12 6 5 2 8 13 4 eomean 88.38281 13.95861 17.89115 35.41927 7/15/05 eomean 190.2549 26.95895 30.89773 7/20/05 12 2 5 10 28 4 108# 26 460# 6 8 geomean 128.614 14.52842 16.97151 18.23468 71.29132 13.95861 16.5835 21.86024 7/22/05 7 15 eomean 6.653712 6.619502 7/27/05 14 2 5 8 1 1 1 12 8 4 1 eomean 100.1094 35.21607 8/3/05 8 1 1 2 13 120 12 8 4 4 2 eomean 27.62477 10.625 On 7-26-05, Peabody BOH reported sewer break on 7-11-05 at Brooksby Village. Sewage pumped into storm drain instead of sewer. This goes ii #not posted lost recent samples. Will.Ave I Steps Naumkea Tractor Back Whalley Dock 79 1 74 5 20 8 1 7 4 2 760 24 2 12 92 28 8 66 1 1 1 1 cont. leak 1 1 28.7999 12 1 1 1 1 1 19.75612 2 8 2 1 1 2 2 1 1 2 1 1 nto Proctor Brook to North River.North River empties near Memorial Drive • • • Administration Monthly Report_ JULYO� Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 240 Burial Permits @ $10.00 $520.00 Diptheria,Tetanus Tox.(under 6 yrs)= 20 Permits $870.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,150.00 Measles/Mumps/Rubella= 310 Copies $8.40 Polio= 240 Fines= $1,000.00 Tetanus & Diptheria (adult use)-- 702 Total Monies Collected = $3,548.40 Tuberculin PPD= 100 HIB Titre= 355 Animal Bites Reported= 2 Hepatitis B= 480 PCV 7 (Prevnar) 420 PPV 23 50 Pediarix 100 Annual Budget Expended Available Balance Salary/Longevity $367,175.00 $21,420.44 $345,754.56 Annual Budget Expended Encumbered Available Balance Non-Personnel $16,650.00 $2,400.00 $2,400.00 $14,250.00 .city Of,Salem.: - xrt••"sC?� n�-•�.;.:w�,-µ..•--..t+r. r .rs`. .r+.-.-._ »r �.r .;p«..i&:sa!:.�+.+-..*c.,..;..,..—...n;arrt.,...n�+F,,.R„G, Environmental Health Division --- Inspection'Monthly Summary Month --------------------------------------------: Jul 04 Aug 04 Sep 04 Oct 04 Nov 04 Dec 04 Jan 05 Feb 05 Mar 05 Apr 05 May 05 Jun 05 Jul 5 Count ------- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ 1 1 0 0 0 0 0 0 0 1 1 0 1 5 BP 1 0 0 0 0 0 0 0 0 0 0 0 0 1 CFI 66 33 51 42 42 30 61 60 82 62 74 76 25 704 CFR 0 1 1 3 2 0 2 2 4 0 0 0 1 16 CH 1 6 4 0 1 1 0 1 1 0 1 5 3 24 CON 1 1 1 0 0 1 0 0 0 0 0 0 0 4 CT 12 5 5 7 3 3 3 8 10 5 7 4 3 75 EC 2 0 1 0 1 0 0 1 2 1 0 0 0 8 EPR 4 3 3 4 2 0 0 0 1 6 1 0 0 24 FC 2 3 1 1 1 2 2 2 2 1 0 1 2 20 FRH 1 0 1 2 3 2 1 1 1 0 2 0 0 14 FSD 6 8 5 10 9 4 5 3 3 0 1 0 0 54 FSH 0 0 0 1 -0 0 0 0 0 0 0 0 0 1 FSI 15 24 24 36 34 11 31 38 31 30 19 14 8 315 FSI/RFI 0 0 0 0 0 0 1 0 0 0 0 0 0 1 FSR 12 24 9 21 11 11 12 16 15 13 15 7 1 167 GN 8 14 4 3 4 2 4 5 0 1 5 8 5 63 HHWD 0 0 0 0 0 0 0 0 0 0 0 1 0 1 HI 6 6 10 5 6 19 14 7 14 11 14 20 4 136 HR 2 5 7 8 0 1 1 4 6 5 6 4 0 49 LPI 0 0 0 0 0 0 2 0 1 0 2 1 0 6 MS 0 0 0 0 0 0 0 0 1 0 0 0 0 1 MT 7 10 6 9 1 5 6 7 6 7 4 3 1 72 MUP 0 1 0 5 0 0 0 0 1 1 1 0 0 9 RC 1 0 0 0 0 0 0 0 0 0 0 0 0 1 RFD 0 2 0 4 0 2 0 1 0 RFI 1 6 2 7 8 4 9 9 2 5 1 5 2 61 .RFR 0 3 0 2 5 0 0 2 0 2 0 1 0 15 RFR/ FSR 0 0 0 0 0 0 1 0 0 0 0 0 0 1 RO 7 0 1 3 2 3 3 1 1 2 3 3 1 30 Sg 59 60 28 0 0 0 0 0 0 0 0 31 70 248 SC 0 0 0 0 0 0 0 0 0 0 0 0 2 2 SM 0 0 4 1 6 3 2 4 2 1 2 5 2 32 SP 4 0 1 0 1 1 0 0 0 0 7 3 2 19 ST 0 0 0 0 0 1 0 1 1 2 0 0 0 5 TFI 0 4 0 0 0 0 0 0 0 0 1 0 0 5 TR 21 29 35 34 23 21 12 15 25 46 27 21 25 334 TRASH 0 0 0 0 0 1 0 0 0 0 0 0 0 1 ------ ------ ------ ------ ------ Count 240 249 204 208 165 128 172 188 212 202 194 213 158 2533 City of Salem, Massachusetts +++++ EnviInspectiHInput slon on Form Inspect Date : Estab Name or Owner Name: Location: Type : Inspector: Inspection Types Food Serv. Ins . 892* RFD - Ret .Food Disc - 6* Bp - Body Piercing FSI RFI Ins 75* Food Serv. Rein. 194* - Ret • Food Rein34* CFI - Cert . Fit . 822* *FSR Gen. Nuisance 41* RFR - Ret . CFR - Cert . Fit .Reinsp105 HI = Housing Insp• 260* RO - Rodent Control 16 CH - Court Hearing 93* HR _ Housing Reinsp. 135* SC - Suntan 7* CON - Constable Serv . 65* - Lead Paint Insp. 6* SES - SESD Odor 0* CR Compliance Rev- 25* LP SM - Seminars 36* * MS - Massage 6* Sp _ Swim. Pools 16* CT _ Computer Time10 _ Mark/weights EC - Envirn. Compl . 51* Mw M - Mobile Food Insp- 11* SB - Swim. Beaches 65* * ST - Soil/Septic 8* EPR - Ext . Paint 95* S - Off . Sub. Insp • 6 TFI - Temp . Food 112* FC - Food Compl . l7* * °C - Rec Camps 9* TR _ Trash 381* FRH - Food Hearings15 * _ Meetings 65* L-cn - Food Serv. Disc 53 MT i Salem Board of Health JULY PHONE LOG Total Answered *Answered Calls FRIDAY July 1,2005 6 Ginny = 109 SATURDAY July 2,2005 Mary = 119 SUNDAY July 3, 2005 Heather = 83 MONDAY July 4,2005 HOLIDAY TUESDAY July 5,2005 27 WEDNESDAY July 6, 2005 23 *Calls Taken : 311 THURSDAY July 7, 2005 14 FRIDAY July 8,2005 4 Joanne = 73 SATURDAY July 9, 2005 Janet = 44 SUNDAY July 10,2005 David = 47 MONDAY July 11, 2005 19 Jose = O TUESDAY July 12,2005 19 Pablo = 6 WEDNESDAY July 13, 2005 15 Tracy = 32 THURSDAY July 14, 2005 18 Neia = 10 FRIDAY July 15,2005 4 Mary = 40 SATURDAY July 16, 2005 Ginny = 39 SUNDAY July 17, 2005 EM Heather = 20 MONDAY July 18,2005 10 TUESDAY July 19, 2005 5 35 Hour Work Week WEDNESDAY July 20, 2005 18 THURSDAY July 21, 2005 13 21 work days FRIDAY July 22, 2005 3 SATURDAY July 23,2005 SUNDAY July 24, 2005 MONDAY July 25, 2005 27 Monday 8-4 TUESDAY July 26, 2005 31 Tuesday 8-4 WEDNESDAY July 27, 2005 24 Wednesday 8-4 THURSDAY July 28, 2005 23 Thursday 8-7 FRIDAY July 29,2005 8 Friday 8-noon SATURDAY July 30,2005 TOTAL 311 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 • K. TEL. 978-741-1800 �n►B FAX 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report July 2005 Activities Disease Prevention • In touch with North Shore Pulmonary Clinic regarding active cases and case contacts. • Vaccine Inventory maintained and distributed to Salem Health Care Providers. • Investigated Communicable Diseases and reported to the MDPH. • DOT Monday through Friday for a suspect active pulmonary TB case. Meetings/Clinics i • 7/1 Inspected Rebel Shakespeare Camp at Winter Island. Camp was permitted for the 2005 season. • 7/6 through 7/8 Attended the Public Health Homeland Security Summit in Arlington Virginia with Joanne Scott. The Summit was held at the Public Health Institute. • 7/3 Inspected Salem State College Basketball Camps at Salem State College with Virginia Moustakis. Camp was permitted for 2005. • Participated in the N95 fit testing for The North Shore Cape Ann Coalition at Beverly Airport. The fit testing was provided by Industrial Protection Equipment. The Coalition purchase 7 fit testing hoods. • • • 7/19— 7/21 Follow up 8-12 ppd testing for contacts of active TB case. 5 contacts tested negative. • 7/26 — 7/28 Follow up 8-12 ppd testing for contacts of active TB case. 17 contacts tested negative. • • J • MONTHLY REPORT OF COMMUNICABLE DISEASES JULY 2005 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 1 0 1 1 • E.COL10157H7 1 0 1 1 GIARDIA O O O 0 HEPATITIS 1 0 1 1 LEGIONELLA 1 0 1 1 MENINGITIS 1 0 1 1 PERTUSSIS 0 O O 0 SALMONELLA 1 0 1 1 TUBERCULOSIS 0 1 0 1 VARICELLA O O O 0 • Summary of Communicable Diseases for July 2005 Campylobacter: 25 y/o male. Non-Foodhandler. Eats out on a daily basis, and cannot pinpoint source of infection. Household asymptomatic. E.Coli 0157H7: 4.5 y/o female. Mother believes child became ill from eating a hamburger at her grandmother's house. Child was hospitalized at Beverly Hospital, and Children's in Boston. Child recovered. Attends Day Care at Kinder Care in Beverly. Day car notified. Director sent alert letter to all parents from the MDPH Child care manual. An Epidemiologist from the MDPH is following up on a case in Revere with a possible connection to this case. Will report if more information becomes available. Legionella: 74 y/o male. Admitted to Beverly Hospital with Pneumonia. Interview conducted with wife. Husband had a stroke a few years ago, and • is in poor health. Pt is homebound. Wife states husband is on daily doses of Prednisone. Meningitis: Aseptic Meningitis. 10 week female. Admitted to NSMC Children's Hospital for 2 days. Phone number disconnected. Letter sent. Salmonella: 16 y/o female. No occupation. Interviewed mother. No one else in the home was ill. Source of infection unknown. • AGENT'S NEWSLETTER TO THE BOARD VOLUME 105 August 9, 2005 OLD BUSINESS These are three items on the agenda under Old Business that were discussed at the June meeting. However, we did not have a quorum at that meeting so I am requesting a vote on those, which includes 50 Palmer Street, the Mosquito Control Plan, and 219 Highland Avenue. Information regarding these is in the packet for your review. PUBLIC HEALTH HOMELAND SECURITY SUMMIT Tracy and I attended this pertinent two -day seminar in Arlington Virginia. There were many interesting presentations and items for us to consider. A couple of examples would having legal representation in our Incident Command System (ICS)and to incorporate ICS in our normal activities. Police and Fire Departments have practiced Incident Command for years. Now that Public Health must interact with these and other agencies, it is important that we have a thorough understanding of Incident Command and how it works. A speaker at the seminar said that Public Health is "the threat tying together other public safety agencies." SALEM HIGH SCHOOL BUILDING COMMITTEE Paul L'Heureux, School Buildings & Grounds Director asked me to attend some School Building Committee meetings because of renovations planned at • the High School while it is occupied. There is a concern regarding air quality during the renovations. I was able to locate a Department of Education code stating that all Requests for Proposals must include specific "Indoor Air Quality Guidelines for Occupied Buildings Under Construction." CITY COUNCIL I appeared before the City Council regarding beach water quality. j The presentation included the Engineering Department's consultant discussion of possible sources of contamination of beach water at several locations. DUST COMMITTEE The Power Plant Dust Committee met recently to finalize Standard Operating Procedures aimed at reducing the level of coal dust migrating into the neighborhoods. These standards were required by the DEP. SCOTIA STREET We have begun a court complaint against owners of the Scotia Street lot that had been contaminated with asbestos. The owner wanted to build four houses on this land but it is zoned for two. The City has not granted a variance for the four. The owner is involved in legal action with the DEP as well. Our original order was aimed at mitigating the nuisance factors on this lot while the DEP addresses the asbestos contamination. The summons for the complaint has issued and I am waiting for a date to go before the judge. NORTH SHORE-CAPE ANN EMERGENCY PREPAREDNESS COALITION The Coalition has received grant money for July and August and is • purchasing vests and other items for each community to use at an Emergency Dispensing Site. We expect the next round of grant funds for 2006 to arrive in September. We will be given specific "deliverables" that must be met as a condition of receiving the grant. These deliverables will probably include more drills and exercises. • • • Administration Monthly Report JUNE a,5' Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 250 Burial Permits @ $10.00 $550.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $3,235.00 Immune Serum Globulin= 6 Certificate of Fitness@$25.00 $1,300.00 Measles/Mumps/Rubella= 170 Copies Polio= 70 Fines = $1,425.00 Tetanus & Diptheria (adult use)-- 728 Total Monies Collected = $6,510.00 Tuberculin PPD= 100 HIB Titre= 390 Animal Bites Reported= 1 Hepatitis B= 450 PCV 7 (Prevnar) 440 PPV 23 50 Pediarix 100 Annual Budget Expended Available Balance Salary/Longevity $354,929.41 $324,891.91 $30,037.50 Annual Budget Expended Encumbered Available Balance Non-Personnel $371,579.41 $338,882.91 $0.00 $32,696.50 sm k. _ Environmental HeHealthDivte#os '--- iuspecticn Moult y Summary, Month -------`------------------#----- Jul 04 Aug 04 Sep 04 Oct D4 ..Nov 04 Bec,04..Jan.05 Feb, 05 M& 05 ApX X ` 0. Jul OS Count- ------ ------ ------ We --- ------ ------ ---"j ..tea=.. ------ 0 0 0 0. B- 0 L 1. 0 1 1 0 1 BP 1 0 0 0 0 0 0 - 0 Q Q .. 0 0 0._ 66 3-0- 6-1- 6-0 82 Cz2 74 76 2�' 704 33 51 42 42 CFI CFR 0 1 1 3 2 @ e 1 1 0 1 5 3... 24 CH 1 6 4 0 I .. . 1 1 1 0 o- 0 Q. 0. 0 0 0 0... .� CON g.- 10 5 7 4 3... 75_ CT 12 5 5 7- 3 3 3 0.- 8. EC 2 0 1 0-' .. 0 1 6 1 .0 Q. 84 EPR 4 3 3 4- Z` Q- � 2Q 2 2 1 ..0 ..1 2-. PC 2 3 1 1 ' 1 2 2. 1 0 2 0 0 14. FRH 1 0 1 2 3 2 1 1 5 3 3, 0 1 0 0 5,4 FSD 6 8 5 10 9- . 4. 0 1. Q 0 1 . .. 0 0 0.... .. . 4 Q 0.... FSH 0 0 0 a- 315 11 31 38 -31��- 30�� 19 T4 FSI 15 24 24- 36_ 34 . FSI/RFI 0 0 0 Q. 0 FSR 12 24 9 21 11 ii 12... 16... 15.. 13. 15 7 1 1,67... 2 1 5 & S 63- GN 8 14 4- 3 4 0.. 0 0 1 0 1.. HHWD 0 0 Q- 0 0 0* 0.._ 0... HI 6 6 10 5 6 19. 14- 7... 14 11 14 20 4 . 13&... 4... 6 S 6 4 0 49.... HR 2 5 7 8 -0 1}_ LPI 0 0 0 0 0 0 0 1 0 2 0 1- 0 0 0 Q 1._ MS 0 0 -0 .0 0 0 0 7. 4 3 1, 72. MT 7 10 6 9 1 5 6 7 6 0 0 1 1 1 0 0 9... MUP 0 1 0 5 0 0 0. . 0 . 0 0 1. 0 0 0 0 0 0 0-RC r Q_ 0 . Q 0 o 1 . 9. RFD 0 2 0 4 o z o g 2 s , 1 5 2... -0 • RFI 1 6 2 7 RFR 0 3 0 2 0 0 0 & 0 a 1 0- a RFR/ FSR 0 0 0 0 1 1 2 .3 .3 1 3-0- RO 7 0 1 3 2 3- . 3 . Q 0 0 0 31 7-0. 248 SB 59 60 28 0 0- 0- Q 0 - 0 0 0 0 2 2 SC 0 0 0 D 0 a- _2 5 3Z 2 1 2 SM 0 0 4 I ' 6 3 4 0 0 .7 3 2 b9. 1_ . L . Q o SP 4 0 1 0 0 0.".. 0. L Q. . 1 1 ? -0 ST 0 0 0 0 0 0 0 1 Q _ 0 TFI 0 4 0 0 . Q . Q.. TR 21 29 35 34_ 2:3 21 12 15 25-' 4b- 22 21 25 334 10 0-' 0.. .Q 0 0 TRASH 1 0 0 0 Q 0 1 0 _ ===4== --_-- ______ 213 1"`erg- 2 533 Count 240 249 204 2Q@ 165 128 Y72 IB8- 212.. 2Q2_.. 194 Cit Gr Salem,.:. Massacliu eft s +++++ -geal tb..IIivi s ion Iripe� Hn�iroapegti Input. Form Estab.idame._'&r Owner e- Inspect Date: UQcation-t Type s . Inspector: �nsp�ction �' - Ret-.Food' I1 � - Eood serv. Ins-$.`Z * RFD - et. FSI RFC R Food Rein. BP - Body Piercing - Rooei Se-ru. Rein• 194* _ fit., CFI - Cert . Fit_ & . L FSR10S*GIB _ Can-. Nu-is �7* �g - Red�nt 'CQnC Cert . Fit -Rea. it .Rei.LISP �p- 260 R� . 7* CFR - 93* HI I�otrs-ing .._ *_ S.:C` - Suntan CH - Court Hearing R.. - Housing- Reknsp 135 5ESD- QdOr- �# CON - Constable Serv-65* Rj'p- - bead paint ITTsp.._ . 6-* SE . gemi_inars 3-�*. CR Compliance Rev.25 - Mass-age *. gp - Sw m.-Foo-1 s lb CT _ Computer Timel4* LDS Mar *. P - Swim• Beaches Envirn. Compl . 51* N - EC - Food. Insp.-�l �T _ Steil f 5egti,� $ . Mob Ll� EPR - Ext . Pa i-IL 9 5* PAP C}€ Insp..... I I _ Temp_ oocl_.11 ©S-_ Salem Board of Health JUNE PHONE LOG Total Answered Answered Calls WEDNESDAY June 1, 2005 28 Ginny = 84 THURSDAY June 2, 2005 38 Mary = 280 FRIDAY June 3,2005 20 Heather = 106 SATURDAY June 4, 2005 SUNDAY June 5,2005 MONDAY June 6,2005 13 *Calls Taken : 470 TUESDAY June 7,2005 29 WEDNESDAY June 8,2005 18 Joanne = 99 THURSDAY June 9,2005 24 Janet = 76 FRIDAY June 10, 2005 7 David = 65 SATURDAY June 11,2005 Jose = 0 SUNDAY June 12, 2005 Pablo = 10 MONDAY June 13,2005 11 Tracy = 67 TUESDAY June 14, 2005 15 Neia = 31 WEDNESDAY June 15, 2005 8 Mary = 91 THURSDAY June 16,2005 29 Ginny = 18 FRIDAY June 17,2005 12 Heather = 13 SATURDAY June 18, 2005 SUNDAY June 19, 2005 JIM 35 Hour Work Week MONDAY June 20,2005 21 TUESDAY June 21, 2005 28 22 work days WEDNESDAY June 22, 2005 17 THURSDAY June 23, 2005 24 FRIDAY June 24,2005 15 SATURDAY June 25, 2005 Monday 8-4 SUNDAY June 26, 2005 Tuesday 8-4 MONDAY June 27,2005 22 Wednesday 8-4 TUESDAY June 28, 2005 30 Thursday 8-7 WEDNESDAY June 29, 2005 39 Friday 8-noon THURSDAY June 30,2005 22 TOTAL 470 a �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR o' SALEM, MA 01 970 9�G1 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 2005 Activities Disease Prevention • In touch with North Shore Pulmonary Clinic regarding active cases and case contacts. • Vaccine Inventory maintained and distributed to Salem Health Care Providers. • Investigated Communicable Diseases and reported to the MDPH.. • DOT Monday through Friday for a suspect active pulmonary TB case. • Meetings • 6/1 Office visits for 5 y/o with Latent T.B. • 6/7 Attended NSMC Decontamination Unit Drill at the NSMC. The mock accident was an explosion of chlorine in Lynn, and some of the victims were diverted to NSMC ER. Salem Fire Department participated in setting up the decon unit. • 5/19 Attended North East Tuberculosis Quarterly meeting at North Shore Pulmonary Clinic to discuss active T.B. cases on the North Shore. • 6/9 Inspected United Soccer Inc., at Palmer Cove Baseball Field. Camp was permitted for 2005. • 6/15 Attended the North Shore Cape Ann Coalition Meeting at the Peabody DPW. • 4 • • 6/16 Attended a seminar at Vinny Testa's in Shrewsbury on Avian Influenza with Joanne Scott. • 6/20 Inspected Tides Adventure Camp at Phoenix School with Virginia Moustakis. This is the first year, and the camp is compliant with all camp regulations. Camp was permitted for 2005. • 6/20 Inspected Boys and Girls Club summer camp with Virginia Moustakis. Camp is permitted for 2005. • 6/20 Inspected Schooner Fame Camp with Virginia Moustakis. Camp was permitted for 2005. • • 6/27 Inspected Explorer's Camp at Winter Island, sponsored by the YMCA. Camp was inspected and permitted with Virginia Moustakis. • 6/27 Inspected Children's Island Summer Camp with Janet Dionne. Camp was permitted for 2005. • 6/29 Reviewed camp regulations with representatives from Salem State College Basketball Camps. • 6/30 Inspected Camp Pinecrest with Virginia Moustakis. Camp was permitted for 2005. Massachusetts Immunization Program inspected the Salem Board of Health vaccine management. No violations for 2005. • 6/30 2"d series of Hepatitis A Vaccine administered to Edgewater Cafe employees. • w I MONTHLY REPORT OF COMMUNICABLE DISEASES JUNE 2005 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 2 O 2 2 • GIARDIA 1 O 1 1 HEPATITIS 1 O 1 1 MENINGITIS 1 O 1 1 PERTUSSIS O O O O SALMONELLA 1 0 1 1 TUBERCULOSIS 1 O O O VARICELLA O 0 O O • • Summary of Communicable Diseases 2005 • Campylobacter: 1.5 y/o male. No day care, or recent travel. No restaurants. Mother complained of infestation of mice as the problem. Sanitarian was notified. Apartment was exterminated. No one else was ill. No foodhandlers in the home. • Chronic Hep B case. Had already been reported in 1998. • Lyme Disease. 33 y/o mate. Unable to contact. Spoke with patients doctor. Diagnosis confirmed. Patient was treated with Doxycycline for 3 weeks. • Giardia: 9 y/o female. Mother stated child has had gastrointestinal • upset for months. No foodhandlers in the household. • Tuberculosis: 20'y/o male. Carry over case from April. DOT continues daily, Monday through Friday. No adverse effects from medications. Treatment will continue until January 2006. • Connecticut family called to complain that two people became ill after eating Wahoo at a Pig's Eye in Salem. Foodborne Illness Complaint Sheet was sent to state. Inspection conducted by Janet Dionne. No violations noted. Stool samples were negative. • Administration Monthly Report O� Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 250 Burial Permits @ $10.00 $310.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $1,830.00 Immune Serum Globulin= 6 Certificate of Fitness@$25.00 $1,250.00 Measles/Mumps/Rubella= 170 Copies Polio= 70 Fines = $300.00 Tetanus & Diptheria (adult use)= 728 Total Monies Collected = $3,690.00 Tuberculin PPD= 100 H I B Titre= 390 Animal Bites Reported= 1 Hepatitis B= 450 PCV 7 (Prevnar) 440 PPV 23 50 Pediarix 100 Annual Budget Expended Available Balance Salary/Longevity $354,929.41 $286,921.62 $68,007.79 Annual Budget Expended Encumbered Available Balance Non-Personnel $371,579.41 $297,074.41 $5,626.58 $68,878.42 City Of Salem Environmental Health Division --- Inspection Monthly Summary - ------ Month ---- ------------------------------ ---------------------------------- Type Jul 04 Aug 04 Sep 04 Oct 04 Nov 04 Dec 04 Jan 05 Feb 05 Mar 05 Apr 05 May 05 Count 1 1 0 0 0 0 0 0 0 1 1 4 BP 1 0 0 0 0 0 0 0 0 0 0 1 CFI 66 33 51 42 42 30 61 60 82 62 74 603 CFR 0 1 1 3 2 0 2 2 4 0 0 15 CH 1 6 4 0 1 1 0 1 1 0 1 16 CON 1 1 1 0 0 1 0 0 0 0 0 4 CT 12 5 5 7 3 3 3 8 10 5 7 68 EC 2 0 1 0 1 0 0 1 2 1 0 8 EPR 4 3 3 4 2 0 0 0 1 6 1 24 FC 2 3 1 1 1 2 2 2 2 1 0 17 FRH 1 0 1 2 3 2 1 1 1 0 2 14 FSD 6 8 5 10 9 4 5 3 3 0 1 54 FSH 0 0 0 1 0 0 0 0 0 0 0 1 FSI 15 24 24 36 34 11 31 38 31 30 19 293 FSI/RFI 0 0 0 0 0 0 1 0 0 0 0 '%"71 FSR 12 24 9 21 11 11 12 16 15 13 15 159 GN 8 14 4 3 4 2 4 5 0 1 5 50 HI 6 6 10 5 6 19 14 7 14 11 14 112 HR 2 5 7 8 0 1 1 4 6 5 6 45 LPI 0 0 0 0 0 0 2 0 1 0 2 5 MS 0 0 0 0 0 0 0 0 1 0 0 1 MT 7 10 6 9 1 5 6 7 6 7 4 68 MUP 0 1 0 5 0 0 0 0 1 1 1 9 RC 1 0 0 0 0 0 0 0 0 0 0 1 RFD 0 2 0 4 0 2 0 1 0 0 0 9 0FI 1 6 2 7 8 4 9 9 2 5 1 54 RFR 0 3 0 2 5 0 0 2 0 2 0 14 RFR/ FSR 0 0 0 0 0 0 1 0 0 0 0 1 RO 7 0 1 3 2 3 3 1 1 2 3 26 SB 59 60 28 0 0 0 0 0 0 0 0 147 SM 0 0 4 1 6 3 2 4 2 1 2 25 SP 4 0 1 0 1 1 0 0 0 0 7 14 ST 0 0 0 0 0 1 0 1 1 2 0 5 TFI 0 4 0 0 0 0 0 0 0 0 1 5 TR 21 29 35 34 23 21 12 15 25 46 27 288 TRASH 0 0 0 0 0 1 0 0 0 0 0 1 ---- ------ ------ ----- Count 240 249 204 208 165 128 172 188 212 202 194 2162 +++++ City of Salem, Massachusetts 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* ,-FI - 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* R - 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* Salem Board of Health MAY PHONE LOG Total Answered *Answered Calls SUNDAY May 1, 2005 Ginny = 196 MONDAY May 2, 2005 33 Mary = 229 TUESDAY May 3, 2005 23 Heather = 76 WEDNESDAY May 4, 2005 17 THURSDAY May 5, 2005 17 FRIDAY May 6, 2005 13 *Calls Taken SATURDAY May 7, 2005 SUNDAY May 8, 2005 Joanne = 94 MONDAY May 9, 2005 31 Janet = 62 TUESDAY May 10, 2005 18 David = 55 WEDNESDAY May 11,2005 23 Jose = 0 THURSDAY May 12, 2005 33 Pablo = 5 FRIDAY May 13, 2005 5 Tracy = 80 SATURDAY May 14, 2005 Neia = 37 SUNDAY May 15,2005 EM Mary = 81 MONDAY May 16,2005 25 Ginny = 66 TUESDAY May 17, 2005 19 Heather = 21 WEDNESDAY May 18, 2005 18 THURSDAY May 19,2005 25 35 Hour Work Week FRIDAY May 20, 2005 9 SATURDAY May 21, 2005 22 work days SUNDAY May 22, 2005 MONDAY May 23,2005 20 TUESDAY May 24, 2005 31 WEDNESDAY May 25, 2005 37 Monday 8-4 THURSDAY May 26, 2005 27 Tuesday 8-4 FRIDAY May 27, 2005 8 Wednesday 8-4 SATURDAY May 28,2005 Thursday 8-7 SUNDAY May 29, 2005 Friday 8-noon MONDAY May 30, 2005 HOLIDAY 46 TUESDAY May 31, 2005 69 TOTAL 501 ,1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • SALEM, MA 01970 fto TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR WV VW.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Public Health Nurse Report May 2005 Activities Disease Prevention • In touch with North Shore Pulmonary Clinic regarding active cases and case contacts. • Vaccine Inventory maintained and distributed to Salem Health Care Providers. • Investigated Communicable Diseases and reported to the MDPH.. • DOT Monday through Friday for a suspect active pulmonary TB case. • 4 Contacts of active case tested. Results were negative. Meetings • Attended Salem Board of Health Table top exercise held at the Peabody Essex Museum from 8-4. • 5/27 Office visit for 5 y/o with Latent T.B. • 5/19 Attended North East Tuberculosis Quarterly meeting at North Shore Pulmonary Clinic to discuss active T.B. cases on the North Shore. • 5/18 Attended NSCA Emergency Planning Meeting at Peabody DPW. • Attended the Lynn and Saugus Board of Health Table Top Exercise held at Lynn City Hall. • Meeting held at Salem Board of Health with a representative of United Soccer Inc. to discuss MDPH camp regulations. • CITY OF SALEM, MASSACHUSETTS o ; BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • '"°"'s TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR WWW.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Summary of Communicable Diseases for May 2005 Hepatitis: One Case of Chronic Hepatitis B. Diagnosed in 1999. Salmonella: One Case 49 y/o female. Case believed she became ill from eating at a restaurant in Peabody. Peabody Health Dept. notified. • Tuberculosis: One case. Culture positive for M.Tuberculosis. DOT: Monday through Friday. Client misses one Clinic appt., and walked out on the follow up appointment. Physician at NSPC has documented that if patient continues non-compliance to consider admission to Lemuel Shattuck Hospital. The patient has been informed about compulsory hospitalization regulations. He has been compliant with DOT. • l' .f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • '°"� TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR WWW.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT i MONTHLY REPORT OF COMMUNICABLE DISEASES MAY 2005 DISEASE NEW CARRY OVER DISCHARGED REPORTED . CAMPYLOBACTER 0 0 O O GIARDIA O O O O HEPATITIS 1 0 1 1 PERTUSSIS O O O 0 SALMONELLA 1 0 1 1 TUBERCULOSIS 1 O O O VARICELLA 1 0 1 1 Administration Monthly Report APRIL ©`5 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 140 Burial Permits @ $10.00 $580.00 Diptheria,Tetanus Tox.(under 6 yrs)= 20 Permits $1,455.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,650.00 Measles/Mumps/Rubella= 335 Copies Polio= 530 Fines = $325.00 Tetanus & Diptheria (adult use)= 26 Total Monies Collected = $4,010.00 Tuberculin PPD= 30 HIB Titre= 435 Animal Bites Reported= Hepatitis B= 100 PCV 7 (Prevnar) 410 PPV 23 20 Pediarix 330 Annual Budget Expended Available Balance Salary/Longevity $354,929.41 $261,638.91 $93,290.50 Annual Budget Expended Encumbered Available Balance Non-Personnel $371,579.41 $270,603.71 $1,832.01 $99,143.69 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------ ----------------------------- Type Jul 04 Aug 04 Sep 04 Oct 04 Nov 04 Dec 04 Jan 05 Feb 05 Mar 05 Apr 05 Count 1 1 0 0 0 0 0 0 0 1 3 BP 1 0 0 0 0 0 0 0 0 0 1 CFI 66 33 51 42 42 30 61 60 82 62 529 CFR 0 1 1 3 2 0 2 2 4 0 15 CH 1 6 4 0 1 1 0 1 1 0 15 CON 1 1 1 0 0 1 0 0 0 0 4 CT 12 5 5 7 3 3 3 8 10 5 61 EC 2 0 1 0 1 0 0 1 2 1 8 EPR 4 3 3 4 2 0 0 0 1 6 23 FC 2 3 1 1 1 2 2 2 2 1 17 FRH 1 0 1 2 3 2 1 1 1 0 12 FSD 6 8 5 10 9 4 5 3 3 0 53 FSH 0 0 0 1 0 0 0 0 0 0 1 FSI 15 24 24 36 34 11 31 38 31 30 274 -.14 FSI/RFI 0 0 0 0 0 0 1 0 0 0 1 FSR 12 24 9 21 11 11 12 16 15 13 144 GN 8 14 4 3 4 2 4 5 0 1 45 HI 6 6 10 5 6 19 14 7 14 11 98 HR 2 5 7 8 0 1 1 4 6 5 39 LPI 0 0 0 0 0 0 2 0 1 0 3 MS 0 0 0 0 0 0 0 0 1 0 1 MT 7 10 6 9 1 5 6 7 6 7 64 MUP 0 1 0 5 0 0 0 0 1 1 8 RC 1 0 0 0 0 0 0 0 0 0 1 D 0 2 0 4 0 2 0 1 0 0 9 .FI 1 6 2 7 8 4 9 9 2 5 53 RFR 0 3 0 2 5 0 0 2 0 2 14 RFR/ FSR. 0 0 0 0 0 0 1 0 0 0 1 RO 7 0 1 3 2 3 3 1 1 2 23 SB 59 60 2B 0 0 0 0 0 0 0 147 SM 0 0 4 1 6 3 2 4 2 1 23 SP 4 0 1 0 1 1 0 0 0 0 7 ST 0 0 0 0 0 1 0 1 1 2 5 TFI 0 4 0 0 0 0 0 0 0 0 4 TR 21 29 35 34 23 21 12 15 25 46 261 TRASH 0 0 0 0 0 1 0 0 0 0 1 Count 240 249 204 208 165 128 172 188 212 202 1968 +++++ City of Salem, Massachusetts 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* ---FI - 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* 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* Salem Board of Health APRIL PHONE LOG • Total.Answered *Answered Calls FRIDAY April 1, 2005 17 Ginny = 144 .. ...................... ......................... A = S TURDAY April 2005 Ma ry 232 p SUNDAY April 3 2005 Heather 94 MONDAY April 4, 2005 24 TUESDAY April 5, 2005 31 WEDNESDA April 6, 2005 33 *Calls Taken THURSDAY April 7, 2005 26 FRIDAY April 8, 2005 10 Joanne = 104 ................................................ . ................ SATURDAY April 2005 .............................................. Jane t 58 SUNDAY =SU Y Aril 10 2005 David p a d 43 MONDAY April 11, 2005 26 Pablo = 8 TUESDAY April 12, 2005 21 Tracy = 96 WEDNESDA April 13, 2005 19 Neia = 39 THURSDAY April 14, 2005 30 Mary = 80 FRIDAY April 15, 2005 17 Ginny = 36 SATURDAY A _ p ri 116 20 05 Heather 6 SUNDAY April ril 17 2005 MONDAY April 18, 2005 HOLIDAY TUESDAY April 19, 2005 26 35 Hour Work Week WEDNESDA April 20, 2005 31 THURSDAY April 21, 2005 37 20 Work Days FRIDAY April 22, 2005 2 ........................................................ ........................................................ ........................................................ ........................................................ SATURDAY April 23 2005 SUNDAY April 24, 20 05 MONDAY April 25, 2005 34 Monday 8-4 TUESDAY April 26, 2005 31 Tuesday 8-4 WEDNESDA April 27, 2005 17 Wednesday 8-4 THURSDAY April 28, 2005 24 Thursday 8-7 FRIDAY April 29, 2005 14 Friday 8-noon TOTAL 470 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR c 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 April 2005 Activities Disease Prevention • In touch with North Shore Pulmonary Clinic regarding active cases and case contacts. • Vaccine Inventory maintained and distributed to Salem Health Care Providers. • Investigated Communicable Diseases and reported to the MDPH.. • • DOT Monday through Friday for a suspect active pulmonary TB case. • 40 Contacts tested in April for TB Contact follow up. 4 contacts were referred to the North Shore Pulmonary Clinic. I Meetings • Attended Infectious Disease updated by the MDPH with Janet Dionne in Tyngsboro. • 4/11 Office visit for 5 y/o with Latent T.B. • 4/13 Attended Health Care Advisory Council meeting at the Black Cat Cafe with Joanne Scott. • 4/21 Attended NSCA Emergency Planning Meeting at Peabody DPW. • f . . SUMMARY OF COMMUNICABLE DISEASES APRIL 2005 Campylobacter: 62 y/o male. Traveled to Venezuela. No food handlers in his household. Hepatitis B: One Case. 44y/0 female. Letter sent to M.D. Suspect Active Tuberculosis: 20 y/o student at Salem high school. Abnormal Cavitary CT Scan of the Chest. ? tb ileum. Smear negative, culture positive. Isolation ended on 5/10/05 • 27 high school student contacts • 24 students tested on 4/25 and read on 4/27 • 2 students tested at private m.d. • 1 student refused testing. He was tested on 4/29 but did not return for reading. Out of the 27 students, 4 students had positive skin tests. All 4 received cxr at nspc. They will continue to be followed at the clinic. 4 Staff 3 Teachers were tested. All results were negative. 1 Teacher is a past positive. His CXR was negative. Household: 7 Contacts. Friends: 2 Contacts 6 Household contacts tested negative. One year old was to have Chest Xray. 1 Household contact was a past positive ppd. She did not show for her appointment for a chest Xray on 4/27. She has an appointment scheduled for 5/11 2 friends were tested. One was negative; the other failed to return for the reading. He has an appointment to be retested on Wednesday May 12tn. • MONTHLY REPORT OF COMMUNICABLE DISEASES APRIL 2005 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 1 0 1 1 GIARDIA O O O O HEPATITIS 1 O 1 �` 1 r PERTUSSIS O 0 O O SALMONELLA O O O O STREP. PNEUMO O 0 0 0 SUSPECT TB 1 O O O VARICELLA O O O O • • AGENT'S NEWSLETTER TO THE BOARD • VOLUME 103 May 10, 2005 EMERGENCY DISPENSING SITE PLAN & DRILL The tabletop drill, exercising our Emergency Dispensing Site, took place at the Peabody Essex Museum on May 2"d. It went very well. The state officials were most impressed with the level of cooperation between the city departments and agencies involved in the plan, including health, police, fire, EMS, Council on Aging, and the schools. Many details of the plan were explored. We now have many suggestions to improve the plan and be that much more capable of handling an infectious disease emergency. The most important areas for additional consideration are communications, transportation and volunteer recruitment. The plan as presented is in your packet. The museum was a great venue for this event. The staff were extremely helpful and cordial. A thank you to the museum is also in the packet. EMERGENCY PLANNING: MOU'S A grant "deliverable" required by the MDPH and originating with the CDC, of the communities in the Coalition and all coalitions, is an Memorandum of Understanding among the coalition members regarding mutual assistance in an infectious disease emergency and during the planning of such an emergency. The original idea was to have agreements between Boards of Health similar to those between different police and fire departments. It was discovered, however, • that the enabling legislation for such a definitive agreement does not exist as it does for the other departments. The MDPH is beginning to lay the groundwork for that legislation. In the meantime, a less extensive MOU is being considered in order to meet the deliverable. This MOU is enclosed. Basically it says that coalition members will work together and assist each other when possible. The assisting community is responsible for any liability that may arise. Beth Rennard, Assistant City Solicitor, has reviewed the document and thinks that it is appropriate. Therefore, I request that the Board vote to approve the Memorandum. The final step would be to ask the Mayor to sign it. The Memorandum is enclosed in the packet. MOSQUITO CONTROL Enclosed in the packet is this year's proposal from Northeast Mosquito Control & Wetlands Management regarding mosquito control. Last year, none of the mosquitoes tested from Salem were positive for WNV. There are increasing concerns regarding other mosquito vectors that are beginning to establish themselves in our area. These other vectors may be very capable disease vectors. Eastern Equine Encephalitis had not been a concern in our area. However, last year there were bird cases in Haverhill and the virus was found in mosquitioes and a horse in Wilmington and in a horse in Hamilton. I request a vote to approve the enclosed plan. • HOUSEHOLD HAZARDOUS WASTE COLLECTION DAY Another reminder: Saturday, June 4th from 8 am to 1 pm. Notices are being sent to elementary school children for their parents, to area businesses, and to residents who may have called for information. We will also place a notice on SATV and at the Riley Plaza Rotary and advertise in the NEWS. nnnnnnnnnnnnnnnnnnnnnnn�nn�nnn�nnnnnn��n��000OQ00Q00000 • • • Board of Health Administration Monthly Report MARCH O-5' Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 140 Burial Permits @ $10.00 $590.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $1,325.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $2,050.00 Measles/Mumps/Rubella= 335 Copies Polio= 190 Fines= $100.00 Tetanus & Diptheria (adult use)= 393 Total Monies Collected = $4,065.00 Tuberculin PPD= 0 HIB Titre= 455 Animal Bites Reported= Hepatitis B= 500 PCV 7 (Prevnar) 410 PPV 23 20 Pediarix 430 Annual Budget Expended Available Balance Salary/Longevity $354,929.41 $236,301.12 $118,628.29 Annual Budget Expended Encumbered Available Balance Non-Personnel $371,579.41 $243,738.32 $1,838.25 $126,002.84 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month • -------------------------------- -------------------------------- Type Jul 04 Aug 04 Sep 04 Oct 04 Nov 04 Dec 04 Jan 05 Feb 05 Mar 05 Count 1 1 C 0 0 0 0 0 0 2 BP 1 0 0 0 0 0 0 0 0 1 CFI 66 33 51 42 42 30 61 60 82 467 CFR 0 1 1 3 2 0 2 2 4 15 CH 1 6 4 0 1 1 0 1 1 15 CON 1 1 1 0 0 1 0 0 0 4 CT 12 5 5 7 3 3 3 8 10 56 EC 2 0 1 0 1 0 0 1 2 7 EPR 4 3 3 4 2 0 0 0 1 17 FC 2 3 1 1 1 2 2 2 2 16 FRH 1 0 1 2 3 2 1 1 1 12 FSD 6 8 5 10 9 4 5 3 3 53 FSH 0 0 0 1 0 0 0 0 0 1 FSI 15 24 24 36 34 11 31 38 31 244 FSI/RFI 0 0 0 0 0 0 1 0 0 1 FSR 12 24 9 21 11 11 12 16 15 131 GN 8 14 4 3 4 2 4 5 0 44 HI 6 6 10 5 6 19 14 7 14 87 HR 2 5 7 8 0 1 1 4 6 34 LPI 0 0 0 0 0 0 2 0 1 3 MS 0 0 0 0 0 0 0 0 1 1 MT 7 10 6 9 1 5 6 7 6 57 MUP 0 1 0 5 0 0 0 0 1 7 RC 1 0 0 0 0 0 0 0 0 1 �D 0 2 0 4 0 2 0 1 0 9 I 1 6 2 7 8 4 9 9 2 48 RFR 0 3 0 2 5 0 0 2 0 12 RFR/ FSR 0 0 0 0 0 0 1 0 0 1 RO 7 0 1 3 2 3 3 1 1 21 SB 59 60 28 0 0 0 0 0 0 147 SM 0 0 4 1 6 3 2 4 2 22 SP 4 0 1 0 1 1 0 0 0 7 ST 0 0 0 0 0 1 0 1 1 3 TFI 0 4 0 0 0 0 0 0 0 4 TR 21 29 35 34 23 21 12 15 25 215 TRASH 0 0 0 0 0 1 0 0 0 1 Count 240 249 204 208 165 128 172 188 212 1766 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector : Inspection Types 3P - 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* 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 MARCH PHONE LOG • Total Answered *Answered Calls Tuesday March 1, 2005 19 Ginny = 59 Wednesday March 2, 2005 16 Mary = 265 Thursday March 3, 2005 14 Heather = 120 Friday March 4, 2005 2 Saturday March 5, 2005 Sunday March 6, 2005 *Calls Taken Monday March 7, 2005 17 Tuesday March 8, 2005 25 Joanne = 96 Wednesday March 9, 2005 16 Janet = 82 Thursday March 10, 2005 30 David = 50 Friday March 11, 2005 22 1 Jose = 0 Saturday March 12, 2005 Pablo = 9 Sunday March 13, 2005 Em Tracy = 56 Monday March 14, 2005 39 Neia = 35 • Tuesday March 15, 2005 19 Mary = 81 Wednesday March 16, 2005 14 Ginny = 15 Thursday March 17, 2005 17 Heather = 19 Friday March 18, 2005 8 Sheila= 1 Saturday March 19, 2005 Sunday March 20, 2005 35 Hour Work Week Monday March 21, 2005 19 Tuesday March 22, 2005 21 23 Work Days Wednesday March 23, 2005 13 Thursday March 24, 2005 24 Friday March 25, 2005 12 Monday 8-4 Saturday March 26, 2005 Tuesday 8-4 Sunday March 27, 2005 Wednesday 8-4 Monday March 28, 2005 15 Thursday 8-7 Tuesday March 29, 2005 23 Friday 8-noon Wednesday March 30, 2005 22 • Thursday March 31, 2005 37 TOTAL 444 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH :9 120 WASHINGTON STREET, 4TH FLOOR a 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 March Activities Disease Prevention • In touch with North Shore Pulmonary Clinic regarding active cases and case contacts. • Vaccine Inventory maintained and distributed to Salem Health Care Providers. • Investigated Communicable Diseases and reported to the MDPH. • Three pp tests administered. Results were negative. Meetings • 3/10/05 Meeting at Salem State College Athletic Department with Wendy Rogers to discuss upcoming camp requirements needed for Summer Camp in June. • NSPC home visit for 5 y/o with Latent T.B. • 3/16/05 Emergency Planning Meeting at Peabody DPW. • 3/24/05 Attended Dracut Board of Health Table Top Exercise for Emergency Dispensing Site Operations. The Exercise was hosted by the Statewide Strategic National Stockpile. • 3/29/05 Meeting at the Salem Board of Health with the MDPH to discuss Salem's Table Top Exercise for Emergency Dispensing Site Operations. 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 MONTHLY REPORT OF COMMUNICABLE DISEASES MARCH 2005 • DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 2 O 2 2 GIARDIA 1 O 1 1 HEPATITIS 1 O 1 1 PERTUSSIS O O O O SALMONELLA 1 O 1 1 STREP. PNEUMO O O O O VAR ICELLA O O O O • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Summary of Communicable Diseases March 2005 • Campylobacter: 36 y/o female. Travel to New York and Rhode Island 5 days before symptoms. Non food handler. Husband traveled to New York also, but was not ill. • 50 y/o male. Traveled to Israel for two weeks. Symptomatic in Israel. Nonfood handler. Household contacts were not ill. • Giardia: 37 y/o male. Traveled to New York City 3 days before symptoms started. No one in household ill. No Food handlers. • Salmonella: Male. 22 months. Traveled to the Dominican for 1 month. Child was hospitalized in the Dominican for 4 days before returning home. Child was diagnosed after returning to the U.S. AGENT'S NEWSLETTER TO THE BOARD VOLUME 102 April 12, 2005 EMERGENCY DISPENSING SITE PLAN & DRILL We have been actively developing our written EDS Plan, working out details and assigning roles. I have enclosed a draft of that Plan in Board members' packets. We will meet with Police, Fire, School officials and others over the next two weeks in order to finalize the Plan. The Massachusetts Emergency Management Agency and the Massachusetts Department of Public Health will be conducting a Tabletop Drill of this Plan on Monday, May 2"d from 8 am to 3 pm. Board members will be invited to observe the exercise. We are allowed a limited number of attendees. More details regarding the location will be available at the meeting. Several Board members have been given supervisory roles at the EDS and we will provide more details regarding those roles. We would appreciate any comments you have regarding the Plan. SALEM SOUND COASTWATCH Salem Sound Coastwatch has asked the Salem Board of Health to support a bill before the Massachusetts Legislature giving specific authority to harbormasters and environmental police officers to enforce an existing federal • No Discharge Area (NDA) regulation. This regulation imposes a fine for discharge of sewage into a NDA. Several years ago, many Salem beaches were closed for a prolonged period of time due to elevated bacteria counts. Although the definitive cause of that elevation was not absolutely determined, one area of concern was the discharge of sewage from boats in the harbor. Therefore, I would recommend that the Board support this legislation. HOUSEHOLD HAZARDOUS WASTE COLLECTION DAY The City's Finance Director has told us to go ahead and plan this year's Household Hazardous Waste Collection Day. It is scheduled for Saturday, June 4th from 8 am to 1 pm. Board members are welcome to volunteer! HEALTH & WELLNESS FAIRS David Greenbaum represented us at the Saltonstall Health Fair. David presented information regarding the importance of hand washing. This included a glow in the dark powder and black light box. The kids washed their hands after they were sprinkled with the powder. Then they checked their hand washing efficiency by looking for remaining powder under the black light. The kids and parents thoroughly enjoyed this exercise. Tracy and David will represent the Board of Health at this year's Wellness Fair at Salem State College on April 101h. Information regarding senior health and disease prevention will be presented. In addition, volunteers for our • Emergency Dispensing Site will be elicited. HAPPY U HEALTHY SPRING • • • Board of Health Administration Monthly Report FEBRUARYp,5 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis= 130 Burial Permits @ $10.00 $640.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $920.00 Immune Serum Globulin= 1 Certificate of Fitness@$25.00 $1,900.00 Measles/Mumps/Rubella= 240 Copies Polio= 330 Fines = $400.00 Tetanus & Diptheria (adult use)= 286 Total Monies Collected = $3,860.00 Tuberculin PPD= 30 HIB Titre= 115 Animal Bites Reported= Hepatitis B= 130 PCV 7 (Prevnar) 275 I PPV 23 35 Pediarix 170 Annual Budget Expended Available Balance Salary/Longevity $354,929.41 Annual Budget Expended Encumbered Available Balance Non-Personnel $371,579.41 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month -------------------------------------------------------------- e Jul 04 Aug 04 Sep 04 Oct 04 Nov 04 Dec 04 Jan 05 Feb 05 Count -_ 1 1 0 0 0 0 0 0 2 BP 1 0 0 0 0 0 0 0 1 CFI 66 33 51 42 42 30 61 60 385 CPR 0 1 1 3 2 0 2 2 11 CH 1 6 4 0 1 1 0 1 14 CON 1 1 1 0 0 1 0 0 4 CT 12 5 5 7 3 3 3 8 46 EC 2 0 1 0 1 0 0 1 5 EPR 4 3 3 4 2 0 0 0 16 PC 2 3 1 1 1 2 2 2 14 FRH 1 0 1 2 3 2 1 1 11 FSD 6 8 5 10 9 4 5 3 50 FSH 0 0 0 1 0 0 0 0 1 FSI 15 24 24 36 34 11 31 38 213 FSI/RFI 0 0 0 0 0 0 1 0 1 FSR 12 24 9 21 11 11 12 16 116 GN 8 14 4 3 4 2 4 5 44 HI 6 6 10 5 6 19 14 7 73 HR 2 5 7 8 0 1 1 4 28 LPI 0 0 0 0 0 0 2 0 2 MT 7 10 6 9 1 5 6 7 51 MUP 0 1 0 5 0 0 0 0 6 RC 1 0 0 0 0 0 0 0 1 RFD 0 2 0 4 0 2 0 1 9 RFI 1 6 2 7 8 4 9 9 46 •RFR 0 3 0 2 5 0 0 2 12 RFR/ FSR 0 0 0 0 0 0 1 0 1 RO 7 0 1 3 2 3 3 1 20 SB 59 60 28 0 0 0 0 0 147 SM 0 0 4 1 6 3 2 4 20 SP 4 0 1 0 1 1 0 0 7 ST 0 0 0 0 0 1 0 1 2 TFI 0 4 0 0 0 0 0 0 4 TR 21 29 35 34 23 21 12 15 190 TRASH 0 0 0 0 0 1 0 0 1 Count 240 249 204 208 165 128 172 188 1554 +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: Inspection Types 113P - 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* 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* •CT _ Computer Time10* MS - Massage 6* SM - Seminars 36* Sp - Swim. Pools 16* EC - Envirn. Compl . 51* MW - Mark/weights 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 FEBRUARY PHONE LOG • Total Answered *Answered Calls TUESDAY February 1, 2005 27 Ginny = 137 WEDNESDAY February 2,2005 22 Mary = 157 THURSDAY February 3,2005 16 Heather = 82 FRIDAY February 4,2005 3 SATURDAY February 5, 2005 SUNDAY February 6,2005 *Calls Taken : 376 MONDAY February 7,2005 26 TUESDAY February 8, 2005 21 Joanne = 88 WEDNESDAY February 9, 2005 18 Janet = 51 THURSDAY February 10,2005 20 David = 34 FRIDAY February 11,2005 5 Jose = SATURDAY February 12, 2005 Pablo = 12 SUNDAY February 13, 2005 Tracy = 64 MONDAY February 14, 2005 29 Neia = 16 • TUESDAY February 15, 2005 28 Mary = 52 WEDNESDAY February 16, 2005 14 Ginny = 45 THURSDAY February 17, 2005 31 Heather = 14 FRIDAY February 18, 2005 11 SATURDAY February 19, 2005 35 Hour Work Week SUNDAY February 20, 2005 MONDAY February 21, 2005 HOLIDAY 19 work days TUESDAY February 22,2005 41 III WEDNESDAY February 23, 2005 10 THURSDAY February 24, 2005 17 FRIDAY February 25, 2005 9 Monday 8-4 SATURDAY February 26, 2005 Tuesday 8-4 SUNDAY February 27, 2005 Wednesday 8-4 MONDAY February 28, 2005 28 Thursday 8-7 Friday 8-noon • TOTAL 376 S J j CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • �a 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 February Activities Disease Prevention • In touch with North Shore Pulmonary Clinic regarding active cases and case contacts. • Vaccine Inventory maintained and distributed to Salem Health Care Providers. • Investigated Communicable Diseases and reported to the MDPH. • One Flu Shot Administered in Office. • • One ppd administered. Results were negative. Meetings • North Shore Cape Ann Coalition Meeting at Peabody DPW. • Attended The Behavioral Health Response to Major Disasters at Bentley College. • Completed Medical Ethics Course at Salem State College. • Attended Medical Reserve Corps meeting at Beverly Airport. . • MONTHLY REPORT OF COMMUNICABLE DISEASES FEBRUARY 2005 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 0 O O 0 GIARDIA 1 O 1 1 • HEPATITIS 1 O 1 1 PERTUSSIS O O O O SALMONELLA 1 O 1 1 i STREP. PNEUMO O O O O VARICELLA O O O O Summary of Communicable Diseases February 2005 Giardia: One Case. 5 y/o male. Arrived in United States from Liberia in October. No Day Care. Child is being followed at NSPC for Latent TB. Hepatitis A: One Case. 29 y/o Homosexual male. Non foodhandler. 3 Contacts referred for IGG. Reported to Epidemiologist. Board of Health Administration Monthly Report JANUARY d5 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 530 Burial Permits @ $10.00 $680.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Permits $3,155.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,425.00 Measles/Mumps/Rubella= 300 Copies Polio= 410 Fines = $325.00 Tetanus & Diptheria (adult use)= 195 Total Monies Collected = $5,585.00 Tuberculin PPD= 0 H I B Titre= 515 Animal Bites Reported= Hepatitis B= 130 PCV 7 (Prevnar) 625 PPV 23 10 Pediarix 170 Annual Budget Expended Available Balance Salary/Longevity $354,929.41 $178,619.83 $176,309.58 Annual Budget Expended Encumbered Available Balance Non-Personnel $371,579.41 $183,738.71 $1,500.68 $186,340.02 Board of Health Administration Monthly Report DECEMBER ' Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 380 Burial Permits @ $10.00 $865.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Permits $19,940.00 Immune Serum Globulin= 1 Certificate of Fitness@$25.00 $625.00 Measles/Mumps/Rubella= 270 Copies $3.60 Polio= 300 Fines = $25.00 Tetanus & Diptheria (adult use)= 559 Total Monies Collected = $21,458,60 Tuberculin PPD= 0 HIB Titre= 420 Animal Bites Reported= Hepatitis B= 220 PCV 7 (Prevnar) 590 PPV 23 90 Pediarix 120 Annual Budget Expended Available Balance Salary/Longevity $351,339.00 $155,548.34 $195,790.66 Annual Budget Expended Encumbered Available Balance Non-Personnel $367,989.00 $160,065.26 $1,648.81 $206,274.93 0 • Board of Health Administration Monthly Report November Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = Burial Permits @ $10.00 $590.00 Diptheria,Tetanus Tox.(under 6 yrs)= Permits $10,570.00 Immune Serum Globulin= Certificate of Fitness@$25.00 $1,300.00 Measles/Mumps/Rubella= Copies Polio= Fines= $300.00 Tetanus & Diptheria (adult use)= Total Monies Collected = $12,760.00 Tuberculin PPD= HIB Titre= Animal Bites Reported= l-- Hepatitis B= PCV 7 (Prevnar) PPV 23 Pediarix Annual Budget Expended Available Balance Salary/Longevity $351.339.00 $101,388.19 $249,750.81 Annual Budget Expended Encumbered Available Balance Non-Personnel $367,989.00 $103,361.48 $2,503.69 $262,123.83 0 0 0 CITY OF SALEM, MASSACHUSETTS o3v BOARD OF HEALTH :9 120 WASHINGTON STREET, 4TH FLOOR 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 Public Health Nurse Report November 2004 Disease Prevention In Contact with North Shore Pulmonary regarding active cases and case contacts. Vaccine Inventory Maintained and Distributed. Investigated Communicable Disease Cases and reported to the MDPH. 11/8 Home Visits were conducted for Homebound Salem Residents. 20 Residents • received Flu Vaccinations 11/10 A Flu Clinic was held at Salem Police Station for ages 75 or older. Residents with chronic illness and under 75 years could participate with a letter from their physician. 83 residents were vaccinated. 11115 A Flu Clinic was held at Salem Police Station with above requirements still in effect. 82 residents were vaccinated. 11/17 A Flu Clinic was held at Salem Police Station with above requirements still in effect. Endicott College Students assisted at the Clinic with their Instructor. 133 Residents were vaccinated. 11/23 Home Visits were conducted for Homebound Salem Residents. 10 Residents received Flu Vaccinations. • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 5I 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 December 8, 2004 Philip R. Shea, Owner Major Magleashe's Pub 268 Washington Street Salem, MA 01970 Dear Mr. Shea: The Salem Board of Health requests your presence at the next Board of Health meeting to discuss chronic violations of the Board of Health Smoking Regulation. The meeting • will be held Tuesday, December 14, 2004 at City Hall Annex, 120 Washington Street 3 rd floor conference room at 7:30 P.M. If you have any questions, contact me at 978-741-1800. i Sincerely, For the Board of/Health Joanne Scott, Health Agent JJS/mp CC: Christina Harrington, Chairperson of the Board of Health and Members • City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month -------------------------------------- Type Jul 04 Aug 04 Sep 04 Oct 04 Nov 04 Count 1 1 0 0 0 2 BP 1 0 0 0 0 1 CFI 66 33 51 42 42 234 CFR 0 1 1 3 2 7 CH 1 6 4 0 1 12 CON 1 1 1 0 0 3 CT 12 5 5 7 3 32 EC 2 0 1 0 1 4 EPR 4 3 3 4 2 16I FC 2 3 1 1 1 8 FRH 1 0 1 2 3 7 FSD 6 8 5 10 9 38 FSH 0 0 0 1 0 1 FSI 15 24 24 36 34 133 FSR 12 24 9 21 11 77 GN 8 14 4 3 4 33 HI 6 6 10 5 6 33 HR 2 5 7 8 0 22 MT 7 10 6 9 1 33 MUP 0 1 0 5 0 6 RC 1 0 0 0 0 1 RFD 0 2 0 4 0 6 RFI 1 6 2 7 8 24 �RFR 0 3 0 2 5 10 0 7 0 1 3 2 13 SB 59 60 28 0 0 147 SM 0 0 4 1 6 11 SP 4 0 1 0 1 6 TFI 0 4 0 0 0 4 TR 21 29 35 34 23 142 Count 240 249 204 208 165 1066 +++++ City of Salem, Massachusetts 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 CON - Constable Serv. 65* HR - Housing Reinsp . 135* SC - Suntan 7* 19"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* 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 • Total Answered *Answered Calls MONDAY November 1,2004 53 Ginny = 156 TUESDAY November 2,2004 35 Mary = 348 WEDNESDAY November 3,2004 44 Heather = 257 THURSDAY November 4,2004 164 FRIDAY November 5,2004 j 7 SATURDAY November 6,2004 *Calls Taken SUNDAY November 7,2004 Em MONDAY November 8,2004 71 Joanne = 83 TUESDAY November 9,2004 43 Janet = 32 WEDNESDAY November 10,2004 32 David = 41 THURSDAY November 11,2004 0 Jose = 0 FRIDAY November 12,2004 21 Pablo = 6 SATURDAY November 13, 2004 Tracy = 281 SUNDAY November 14, 2004 Neia = 29 • MONDAY November 15,2004 49 Mary = 156 TUESDAY November 16,2004 20 Ginny = 55 WEDNESDAY November 17,2004 35 Heather = 78 THURSDAY November 18,2004 25 FRIDAY November 19,2004 15 35 Hour Work Week SATURDAY November 20,2004 SUNDAY November 21,2004NEEM 22 work days MONDAY November 22,2004 38 TUESDAY November 23,2004 18 WEDNESDAY November 24,2004 23 THURSDAY November 25, 2004 0 Monday 8-4 FRIDAY November 26,2004 3 Tuesday 8-4 SATURDAY November 27, 2004 Wednesday 8-4 SUNDAY November 28, 2004 Thursday 8-7 MONDAY November 29, 2004 38 Friday 8-noon TUESDAY November 30, 2004 27 Total Calls = 761 AGENT'S NEWSLETTER TO THE BOARD VOLUME 99 December 14, 2004 ANNUAL MEETING The Board may conduct its Annual Meeting this month in preparation for 2005. On the agenda you will note that the Board will be appointing its Chair, Health Agent and Clerk. NORTH SHORE & CAPE ANN EMERGENCY COALITION The 15 communities in our Coalition continue to meet on a regular basis as we work toward completing the "deliverables" required by the Massachusetts Department of Public Health as a condition of our funding. I have enclosed in your packets a copy of our reconciliation of the FY '04 money, a copy of our proposed FY '05 spending plan, and a copy of the contract for '05. The Coalition staff person, Neia Illingworth, who works in our office, is working on these deliverables. Major deliverables include completion of an Infectious Disease Emergency Plan for each community; enactment of MOU's or memorandums of understanding, between each community enabling us to assist each other in an emergency; participation in an exercise or drill; and participation in the state's Homeland Alert Network. • WATER STREET The developer for this project came before the Board of Health in September. The Planning Board has approved this development. However, I am in touch with the DEP regarding some questions I have regarding the environmental report. I will keep the Board informed about this location. SCOTIA STREET As you may remember, there has been an ongoing concern regarding a lot of land at the end of Scotia Street. A prior owner apparently dumped chimney debris for many years at this site and asbestos has been detected. A Licensed Site Professional had been working on the site in accordance with DEP requirements. However, it has been about a year since that LSP has left the job. The DEP and the Board of Health have written to the owners regarding outstanding issues. Recently, the owner and his attorney did appear before the DEP and did get in touch with me. It is our understanding that all outstanding problems will be resolved by the Spring. We will keep you informed. STAFF David Greenbaum and Janet Dionne are completing their training to become Licensed Lead Determinators. Pablo Valdez is currently licensed. An inspector from the MDPH came to Salem to conduct some training regarding enforcement of the Skating Rink Regulations. A joint inspection of the Salem State College skating rink was conducted by the state inspector, Janet • and David. The pool there was checked as well. Both were in compliance with the codes. HAPPY HOLIDAYS! i Board of Health Administration Monthly Report October 2004 B ologics Distributed " Amount in Doses J; cry. Tetanus Per ussis = Burial Permits@ $5.00 $ 700.00 Permits $4,720.00 D c "; s e'anus Tox.tunder 6 yrs)= Immu Serum Globulin= Certificate of Fitness@$25.00 $ 925.00 %,leas Mumps/Rubella= Copies Fines = $ 25.00 Polk= Teta 8 Dipther a (adult use) Total Monies Collected = $6,370.00 Tuber n PPD= NIB Animal Bites Reported= E::� PCV ZIrevnar) PPV Annual Budget Expended Available Balance Sale y/Longevity $367,989.00 $103,361.48 $262,123.83 Annu;il Budget Expended Encumbered Available Balance Non personnel $16,650.00 $1 ,773.29 $2,503.69 $12,373.02 o CITY OF SALEM, MASSACHUSETTS gT BOARD OF HEALTH 53 120 WASHINGTON STREET, 4TH FLOOR • o SALEM, MA 01970 9� TEL. 978-741-1800 _ FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report September and October 2004 September 9/7 Follow up PPD testing at Church for 10 week follow up on contacts of a Peabody TB case. Two members converted to positive PPD's. Both contacts were To NSPC. One of the positive contacts is being followed as a suspect case. 9/9 Attended NSPC quarterly T.B. meeting to discuss current cases on the North North Shore. 9/13 Home Visit with David Greenbaum upon request of Salem Fire Prevention. 9/13 Attended Emergency Planning Meeting at Peabody DPW with Joanne Scott. 9/14 Attended the Health Alert Network Training at the State Lab. • 9/21-9/23 Attended WMD 3 day seminar sponsored by the Salem Fire Dept. Office of Domestic Preparedness presented information and table top exercises on Terrorism and Community Preparedness. 9/30 Attend the Emergency Dispensing Site Drill meeting. October 10/7 Hepatitis A Vaccinations were administered to 10 Edgewater Cafe Employees. The vaccinations were purchased by the owner. The second series will be administered in April 2005 10/12 Hepatitis A Vaccinations were administered to 28 Salem Mission Residents, And two food handlers. The Clinic was assisted by Salem State College Students, and Dr. Poremba The vaccines were provided by the MDPH Immunization program. A second series will be administered in April 2005. 10/14 Hepatitis A Vaccinations were administered to 10 Mandarin Buffet Employees. The vaccinations were purchased by the owner. The second series will be administered in April 2005 10/18 Attended the Emergency Dispensing Site Drill Meeting at Salem High School. Dr. Bob Paone, SNS Coordinator informed the Planning Committee that the Drill Will be cancelled due to the Influenza Vaccine Shortage. • 10/27 Attended an EPC meeting at the DPW in Peabody. r f.:wwj ww? i Cm v _ t"1'oR� foathly .r t --at iF r y.}3 rt'T �. d _ __�—��+� .s+ �:.s;tr t .' ,- �'�s-t'P4 .��.-3,-.ed^ +, .�... ' 'Z..i." �z.T�„Z- �•12 ibC�.` Jul 04 Aug 04 'Sep 04 Oct 04 Count W--- ------ ------ ------ ------ ----- 1 1 0 0 2 BP 1 0 0 0 1 CFI 66 33 51 42 192 CFR 0 1 1 3 5 CH 1 6 4 0 11 CON 1 1 1 0 3 CT 12 5 5 7 29 EC 2 0 1 0 3 EPR 4 3 3 4 14 FC 2 3 1 1 7 FRH 1 0 1 2 4 FSD 6 8 5 10 29 FSH 0 0 0 1 1 FSI 15 24 24 36 99 FSR 12 24 9 21 66 GN 8 14 4 3 29 HI 6 6 10 5 27 HR 2 5 7 8 22 MT 7 10 6 9 32 MUP 0 1 0 5 6 RC 1 0 0 0 1 RFD 0 2 0 4 6 RFI 1 6 2 7 16 RFR 0 3 0 2 5 RO 7 0 1 3 11 SB 59 60 28 0 147 0 0 4 1 5 4 0 1 0 5 TFI 0 4 0 0 4 TR 21 29 35 34 119 ----- ------ ------ ------ ------ ----- Count 240 249 204 208 901 +++++ City of Salem, Massachusetts 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 CON - Constable Serv . 65* HR - Housing Reinsp. 135* Sc - Suntan 7* - Compliance Rev. 25* LPI - Lead Paint Insp . 6* SES _ SESDn Odor 36* CR P * SM Sem �T _ Computer Time10* MS - Massage 6 Mark/Weights Sp - Swim. Pools 16* C - Envirn. Compl . 51* MW - EPR - Ext . Paint 95* MUP - Mobile Food Insp . 11* SB - Swim- Beaches 6 ST - Soil/Septic 8* FC - Food Compl . 17* OS - Off . Sub. Insp. 6* TFI - Temp . Food 112* FRH - Food Hearings15* RC - Rec Camps 9* TR - Trash 381* FSD - Food Serv. Disc 53* MT - Meetings 65 Salem Board of Health OCTOBER PHONE LOG 2004 Total Answered *Answered Calls FRIDAY 10/01/2004 12 Ginny = 228 SATURDAY 10/02/2004 Mary= 266 SUNDAY 10/03/2004 HEATHER = 157 MONDAY 10/04/2004 18 TUESDAY 10/05/2004 27 WEDNESDAY 10/06/2004 17 *Calls Taken THURSDAY 10/07/2004 16 FRIDAY 10/08/2004 7 Joanne = 114 SATURDAY 10/09/2004 Janet = 66 SUNDAY 10/10/2004 David = 42 MONDAY 10/11/2004 HOLIDAY Jose = 0 TUESDAY 10/12/2004 48 Pablo = 14 WEDNESDAY 10/13/2004 55 Tracy = 140 THURSDAY 10/14/2004 71 Neia = 19 • FRIDAY 10/15/2004 15 Mary = 137 SATURDAY 10/16/2004 G i n ny - 64 SUNDAY 10/17/2004 Heather = 55 MONDAY 10/18/2004 84 TUESDAY 10/19/2004 27 35 Hour Work Week WEDNESDAY 10/20/2004 24 THURSDAY 10/21/2004 28 20 work days FRIDAY 10/22/2004 16 SATURDAY 10/23/2004 SUNDAY 10/24/2004 MONDAY 10/25/2004 45 Monday 8-4 TUESDAY 10/26/2004 39 Tuesday 8-4 WEDNESDAY 10/27/2004 45 Wednesday 8-4 THURSDAY 10/28/2004 39 Thursday 8-7 FRIDAY 10/29/2004 18 Friday 8-noon ail'i!:Ilr:.;!�;!! I!: SATURDAY 10/30/2004 t y'!� !;I E I : ILA P!I ,;I!:�:: • SUNDAY 10/31/2004 Total Calls 651 - AGENT'S NEWSLETTER TO THE BOARD VOLUME 87 November 9, 2004 NEW BOARD MEMBER& STAFF Welcome to our newest Board member, Carol Rainville. Dr. Rainville's resume is in the packet. Heather Lyons has accepted the position of Senior Clerk with our department. Heather worked here as an intern several years ago so she is familiar with our operation. It is a pleasure to work with her again. Mary Page has become Principal Clerk. Mary is excelling in her new role, gracefully handling an increasing workload and added responsibilities. Mary also hopes to be appointed as Clerk to the Board. FLU VACCINE Our Emergency Dispensing Site Drill and Flu Clinic for November 21St was cancelled due to the flu vaccine shortage. We were far along in our planning process for the clinic, even making a presentation to the Salem Rotary. We had set up a special fund for deposit of our Medicare reimbursement from last year's flu clinic and for some donations. We received a $1000 donation from Walmart and about $3300 from North Shore Medical Center. Both donors have asked us to keep the money and use it for preparation of a possible emergency clinic. Some of the money was used to develop a web site for registration of volunteers and vaccinees, as well as the purchase of an ID badge machine. We anxiously awaited word from the MDPH regarding our City's allocation of flu vaccine. We received it this week for distribution to our medical providers. Each provider received about 45% of his or her 2003 allocation. We will have a small quantity ourselves to vaccinate those individuals who qualify under the state's more stringent requirements for vaccination but who are either homebound or without a doctor. MASS HEALTH OFFICERS' CONFERENCE Our Senior Sanitarian, Janet Dionne, was able to use Coalition money to attend the full three-day conference. I hope to attend the conference on Thursday and Friday. COMPUTERIZED INSPECTIONS We have received three handheld computers and training in their use in preparation of our computerized inspection program. Thank you to Sanitarian David Greenbaum for his careful planning for this transition. BOARD AGENDA We have a request for a hearing before the Board regarding a noise violation I have observed. There is information regarding this violation in the packet. Two newly hired Deans at the High School are coming before the Board asking to be appointed as Special Agents to the Board for the purpose of enforcing the High School smoking regulation. That regulation is enclosed. Finally, we have asked a restaurant to appear before the Board regarding chronic violations of the Smoking Ban regulation. Information regarding these violations is in the packet. 1.1/\ F-)n / /\I ITI I�ANI • • • Board of Health Administration Monthly Report September 2004 Biologics Distributed * Amount in Doses Dipthena. Tetanus & Pertussis = Burial Permits@ $5.00 $ 320.00 Dipthe =.Tetanus Tox.(under 6 yrs)= Permits $ 305.00 Immur Serum Globulin= Certificate of Fitness@$25.00 $ 525.00 Measles/Mumps/Rubella= Copies ----------- Polio= Fines= $ 125.00 Tetarn. & Diptheria (adult use)= Total Monies Collected = $1,275.00 Tubers-Ain PPD= HIB Tr e= Animal Bites Reported= Hepam:s B= PCV = Prevnar) I PPV Annual Budget Expended Available Balance SalLi y/Longevity ;'07 ,989.00 $ 80,740.52 $284,030.45 Annual Bud et Ex ended Encumbered Available Balance Non Personnel $ 16,650.00 $1,521.11 $3,218.13 $11,910.86 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR �Sq SALEM, MA 01970 • �9�g1�` TEL. 978-741-1800 FAX 978-745-0343 _ STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report September and October 2004 September 9/7 Follow up PPD testing at Church for 10 week follow up on contacts of a Peabody TB case. Two members converted to positive PPD's. Both contacts were To NSPC. One of the positive contacts is being followed as a suspect case. 9/9 Attended NSPC quarterly T.B. meeting to discuss current cases on the North North Shore. 9/13 Home Visit with David Greenbaum upon request of Salem Fire Prevention. 9/13 Attended Emergency Planning Meeting at Peabody DPW with Joanne Scott. 9/14 Attended the Health Alert Network Training at the State Lab. • 9/21-9/23 Attended WMD 3 day seminar sponsored by the Salem Fire Dept. Office of Domestic Preparedness presented information and table top exercises on Terrorism and Community Preparedness. 9/30 Attend the Emergency Dispensing Site Drill meeting. October 10/7 Hepatitis A Vaccinations were administered to 10 Edgewater Cafe Employees. The vaccinations were purchased by the owner. The second series will be administered in April 2005 10/12 Hepatitis A Vaccinations were administered to 28 Salem Mission Residents, And two food handlers. The Clinic was assisted by Salem State College Students, and Dr. Poremba The vaccines were provided by the MDPH Immunization program. A second series will be administered in April 2005. 10/14 Hepatitis A Vaccinations were administered to 10 Mandarin Buffet Employees. The vaccinations were purchased by the owner. The second series will be administered in April 2005 10/18 Attended the Emergency Dispensing Site Drill Meeting at Salem High School. Dr. Bob Paone, SNS Coordinator informed the Planning Committee that the Drill Will be cancelled due to the Influenza Vaccine Shortage. • 10/27 Attended an EPC meeting at the DPW in Peabody. City Of Salem Environmental Health Division --- Inspection Monthly Summary OType Month Jul 04 Aug 09 Sep 04 Count ----- ------ ------ ------ I 1 0 2 BP 1 0 0 1 CFI 66 33 51 150 CFR 0 1 1 2 CH 1 6 4 11 CON 1 1 1 3 CT 12 5 E. 22 EC 2 0 1 3 EPR 4 3 3 10 FC 2 3 1 6 FRH 1 0 1 2 FSD 6 8 5 19 FSI 15 24 24 63 FSR 12 24 9 45 GN 8 14 4 26 HI 6 6 10 22 HR 2 5 7 14 MT 7 10 6 23 MUP 0 1 0 1 RC 1 0 0 1 RFD 0 2 0 2 RFI 1 6 2 9 RFR 0 3 0 3 RO 7 0 1 8 SB 59 60 28 147 0S m 0 0 4 4 P 4 0 1 5 TFI 0 4 0 4 TR 21 29 35 85 Count 240 249 204 693 +++++ City of Salem, Massachusetts 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 . (,* CFI - Cert . Fit . 822* FSR - Food Serv . Rein . 194 * RFT - Ret . Insp . 75* CFR - Cert . Fit . Reinspl-05*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* I' Computer Time10* MS - Massage 6* SM Seminars 36* EC Envirn . Compl . 51-* MW - Mark/Weights SP - Swim. Pools 1-6" EPR - Ext . Paint 95* MUP - Mobile Food Insp . 11 * SB - Swim . Beaches 61-i* FC - Food Compl . 1-7* OS - Off . Sub . Insp . 6* ST Soil/Septic 8A FRH - Food Hearings 15* RC - Rec Camps 9* `I'F I - Temp . Food 1 1.:% # F',D Food Serv - Disc 53 * MT - Meetings 65* TP TI-;)Sh 381 * Salem Board of Health SEPTEMBER PHONE LOG 2004 • Total Answered *Answered Calls Wednesday September 1, 2004 24 Ginny = 102 Thursday September 2, 2004 23 Mary = 289 Friday September 3, 2004 7 Neia = 207 Saturday September 4, 2004 Sunday September 5, 2004 Monday September 6, 2004 HOLIDAY *Calls Taken Tuesday September tember 7 2004 31 Wednesday September 8, 2004 24 Joanne = 154 Thursday September 9, 2004 41 Janet = 63 Friday September 10, 2004 9 David = 67 Saturday September 11, 2004 Jose = 5 Sunday September 12,2004 Pablo = 11 Monday September 13, 2004 46 Tracy = 119 Tuesday September 14,2004 29 Barb = 11 • Wednesday September 15, 2004 19 Mary = 98 Thursday September 16, 2004 43 Ginny = 5 Friday September 17, 2004 20 Neia = 65 Saturday September 18, 2004 Sunday September 19, 2004 _ - __ 35 Hour Work Week Monday September 20, 2004 34 Tuesday September 21, 2004 31 22 work days Wednesday September 22, 2004 26 Thursday September 23, 2004 47 Friday September 24, 2004 14 Saturday September 25, 2004 ;u; �i �G? ;;i Monday 8-4 Sunday September 26, 2004 ::,,,;1;i�111111iu,,;,; . :_.:_., , !, Tuesday 8 4 ....... ... ......... .__.. Monday September 27, 2004 36 Wednesday 8-4 Tuesday September 28, 2004 19 Thursday 8-7 Wednesday September 29, 2004 32 Friday 8-noon Thursday September 30, 2004 43 • Total Calls = 598 �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • .➢�� TEL. 978-741-1 800 mNB FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO MAYOR HEALTH AGENT BOARD OF HEALTH MEMBERS 2004 MARTIN FAIR JOANNE SCOTT 44 STATION ROAD HEALTH AGENT SALEM, MA 01970 29 WINTER ISLAND ROAD 978-741-0519 W-978-664-6042 SALEM, MA 01970 TERM EXPIRES— FEBRUARY 2002 978-741-4068 W-978-741-1800 FAX-978-745-0343 CHRISTINA HARRINGTON, CHAIRPERSON 19 WINTER STREET MARY F. PAGE SALEM, MA 01970 CLERK OF THE BOARD 978-744-5070 W-978-232-2320 20 WINTER ISLAND ROAD TERM EXPIRES— FEBRUARY 2002 SALEM, MA 01970 978-744-9465 W-978-741-1800 IRVING INGRAHAM 115 FEDERAL STREET SALEM, MA 01970 JOSEPH J. MIASKIEWICZ • 978-744-6471 W-978-532-6111 PHYSICIAN FOR THE BOARD TERM EXPIRES— FEBRUARY 2004 12 VISTA AVENUE SALEM, MA 01970 MARY LEARY 978-744-1293 W-978-744-8600 25 '/z BROAD STREET FAX- 978-741-3150 SALEM, MA 01970 978-745-6694 W-617-426-2225 COUNCILLOR MICHAEL BENCAL TERM EXPIRES—FEBRUARY 2002 CHAIRPERSON OF PUBLIC HEALTH, SAFETY & ENVIRONMENTAL COMM. MARY MADORE 26 OAKLAND STREET, P.O. BOX 525 31 FORRESTER STREET SALEM, MA 01970 SALEM, MA 01970 978-744-5946 978-744-6649 W-978-542-0203 TERM EXPIRES-FEBRUARY 2004 COUNCILLOR LUCY CORCHADO DR. BARBARA POREMBA LIASON TO THE BOARD OF HEALTH 22 SUNSET ROAD 38 PEABODY STREET, 3-1 SALEM, MA 01970 SALEM, MA 01970 978-744-0061 W-978-542-6672 978-741-3653 W-978-542-6401 TERM EXPIRES-FEBRUARY 2007 FAX 978-542-7064 DR. CAROL RAINVILLE MAYOR STANLEY J. USOVICZ, JR 8 NAPLES ROAD CITY HALL SALEM, MA 01970 SALEM, MA 01970 W-617-699-0812 978-744-3182 W-978-745-9595 TERM EXPIRES-FEBRUARY 2007 FAX 978-744-9327 • Oct 08 04 10:48a P. _c n '�am,vx� CITY OF SALEM, MASSACHUSETTS STANLEY J-USOVICZ, JR- MAYOR September 23, 20Q4 To the City Council City Hall Salem, Massachusetts Ladies and Gentlemen of the Council: I appoint, subject to Council confirmation, Carol A. Rainville to serve as a • member of the Board of Health. She will serve the remainder of Amy Luttinger's unexpired term. Ms. Luttinger resigned on July 16, 2004. With the exception of the years she spent in medical school, Ms. Rainville is a lifelong resident of Salem and resides at 8 Naples Road. She received her Bachelor of Science in Biology at the University of Massachusetts, Boston. She then attended Bastyr University in Kewnore, Washington where she earned her Doctor of Naturopathic Medicine. Since 1999, Ms. Rainville has maintained a Naturopathic Medicine private practice, and she is also employed as a Paramedical Examiner at Exam One in Needham. Prior to her current employment, Ms. Rainville served as a 'reaching assistant and Adjunct Faculty member at Bastyr University. She was also employed as a Research Assistant at Marine Biological Laboratory in Woods Hole, Massachusetts. Ms. Rainville's memberships and activities are numerous. She serves as President of the Massachusetts Society of Naturopathic Doctors (MSND), and is a member of the American Association of Naturopathic Physicians (AANP) and the Alliance Advisory Conunittee of the AANP. She also serves as the Volunteer Coordinator for the Pan Massachusetts Challenge and the Transition Area Captain for the Reach the Beach Relay. • SALEM CITY HAL'-• 93 WASHINGTON STREET • SALEM,,v,ASSACHUSETTS 01970 3592 .978!745 9595-FAX 978i744-9327 " Oct 00 04 10: 48a p.3 I am very pleased that Ms. Rainville is willing to give of her time and expertise. Her extensive background and experience in the field of health will serve to complement the Board of Health, and I am pleased to recommend confirmation of her appointment Very truly yours, :ST!ANLEY J. USOVICZ, JR. Mayor SJU/lmm » Oct 08 04 10:49a p. 4 CAROL A. RAINVILLE, N.D. 8 Naples Road,Salem,MA 01970, 617-699-0812 rain crr ahoo.c Tom EDUCATION Doctor of Naturopathic Medicine,Bastyr University, Kenmore, WA, 1998 Bachelor of Science in Biology,University of Massachusetts,Boston, MA, 1989 PROFESSIONAL EXPERIENCE Paramedical Examiner,Exam One,Needham,MA and Cranston,Rl,2002-present Naturopathic Medicine Private Practice, 1999-present Locum Tenens in the practice of Suzanne C.Adams,ND,Olympia,WA, 1999 TEACHING EXPERIENCE • Massage Therapy Institute,Cambridge,MA, Adjunct Faculty, Pathology,2000-2001 Bastyr University,Kenmore, WA Adjunct Faculty,Anatomy and Physiology Lecture, 1998- 1999 Teaching Assistant for Clinic Entry I,Clinical Lab Diagnosis,and Naturopathic Philosophy 1, 1997- 1998 Adjunct Faculty, Medical Terminology for ND students, 1995- 1996 RESEARCH EXPERIENCE Marine Biological Laboratory, Woods Hole,MA, 1990- 1992 Research Assistant,Laboratory of Dr.Raquel Sussman Research Assistant,Laboratory of Neuroendocrinology PRESENTATIONS Naturopathic Medicine,Boston University School of Public Health,Alternative and February Complementary Health Care course, eb ary 2000 Biological, Health,Physical Sciences Workshop;Naturopathic Medicine,GRE Forum, Boston,MA,September 2000 Page 1 of?. • I z 'd 088S-SbL-8L6 'Q 'N 'alTlAuled 'y 10ue0 e8S :L0 b0 TT gnu CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH `� 53 120 WASHINGTON STREET, 4TH FLOOR • y f p SALEM, MA O 1970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT November 4, 2004 William F. Quinn, Trustee Brown Realty Trust 222 Essex Street Salem, MA 01970 Dear Attorney Quinn: The Salem Board of Health requests your presence at the next Board of Health meeting • to discuss a noise complaint. The meeting will be held Tuesday, November 9, 2004 at City Hall Annex, 120 Washington Street 3�d floor conference room at 8:00 P.M. If you have any questions, contact me at 978-741-1800. Sincerely, or the Board of Uealth Joanne Scott, Health Agent JS/mp CC: Christina Harrington, Chairperson of the Board of Health and Members George Megaloudis, 99 Washington Street Unit#42, Salem, MA 01970 • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR p SALEM, MA 01970 • .y�� TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT November 4, 2004 Mr. Scedoni, Vice Principal Salem High School 77 Wilson Street Salem, MA 01970 Dear Mr. Scedoni: The Salem Board of Health requests your presence at the next Board of Health meeting • to request appointments of Sean Gallagher and Frank Kowalski as Special Agents to the Board of Health for the purpose of enforcing the Board of Health Smoking Regulation. The meeting will be held Tuesday, November 9, 2004 at City Hall Annex, 120 Washington Street 3rd floor conference room at 8:30 P.M. If you have any questions, contact me at 978-741-1800. Sincerely, For the Board of H alth r Joanne Scott, Health gent JS/mp CC: Christina Harrington, Chairperson of the Board of Health and Members • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR N SALEM, MA 01970 • i�m� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT November 9, 2004 Frank Kowalski Dean of Students Salem High School 77 Willson Street Salem, MA 01970 Dear Mr. Kowalski: At its meeting on November 9, 2004, the Salem Board of Health voted to appoint you as • a Special Agent to the Board for the purpose of enforcing its Regulation 28, "Rules & Regulations affecting the Use or Possession of Tobacco Products on School Property." Please present this letter to the City Clerk so that you may be sworn in as a Special Agent. If you have any questions, please call me at 978-741-1800. Thank you. Sincerely, �oanne Scott Health Agent fi a^vvv CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • 1a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Memorandum Date: 11-9-04 To: Salem High School Principal, Vice-principal, Deans of Students Joanne Scot �ealth From. Jo t Agent� Re: Tobacco Violation Ticketing Described here is information to assist you in enforcing the Board of Health regulation #28, "Rules & Regulations affecting the Use or Possession of Tobacco Products on School Property." • Ticket books had been assigned previously to Mr. Reynolds (Al 726-A1750) and to Dr. Sorrentino (A2776-A2800). This books should be reassigned to the new Deans of Students. A careful record of each ticket is required for potential auditing purposes. • Each ticket has four copies. The card copy goes to the violator; the white copy should be sent to the Board of Health, 120 Washington Street, Salem, MA 1970; the yellow and pink copies are for your record keeping. Perhaps one copy could go to the parents. • A reminder letter should be sent at the end of the 21 days, allowing an additional 5 days for payment before a criminal complaint is sought. • Fines must be paid to you and sent to the City Clerk, with a • copy of the check to the Board of Health. All payments must be by check, not cash. A • If the fine is not paid, you must request a court hearing. • Applications for Complaint for Juvenile Court were given previously to the high School. Please let me know if you still have these. This application must be used for court requests when the student is under 17 years old. • Applications for Complaint for Salem District Court were also given to the High School. This application must be used for court requests when the student is 17 years old or older. A social security number should be included on this application. • It is easier to "stockpile" a few complaints so that you do not need to make as many trips to court to file. • The application must be brought to the Juvenile or District Court where a clerk will assign a date, tell you, and inform the student/parent. • You must notify the Board of Health of the hearing date and time so that an employee may accompany you to court. • Please do not hesitate to call me if you have any questions regarding this procedure. 1 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH n 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • y�i41 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT November 9, 2004 Sean Gallagher Dean of Students Salem High School 77 Willson Street Salem, MA 01970 Dear Mr. Gallagher: At its meeting on November 9, 2004, the Salem Board of Health voted to appoint you as • a Special Agent to the Board for the purpose of enforcing its Regulation 28, "Rules & Regulations affecting the Use or Possession of Tobacco Products on School Property." Please present this letter to the City Clerk so that you may be sworn in as a Special Agent. If you have any questions, please call me at 978-741-1800. Thank you. Sincerely, ,/Joanne Scott Health Agent • a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH zv 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01 970 • 9�g"'" TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Memorandum Date: 11-9-04 To: Salem High School Principal, Vice-principal, Deans of Students From: Joanne ScotfAealth Agent Re: Tobacco Violation Ticketing Described here is information to assist you in enforcing the Board of Health regulation #28, "Rules & Regulations affecting the Use or Possession of Tobacco Products on School Property." • Ticket books had been assigned previously to Mr. Reynolds (Al 726-A1750) and to Dr. Sorrentino (A2776-A2800). This books should be reassigned to the new Deans of Students. A careful record of each ticket is required for potential auditing purposes. • Each ticket has four copies. The card copy goes to the violator; the white copy should be sent to the Board of Health, 120 Washington Street, Salem, MA 1970; the yellow and pink copies are for your record keeping. Perhaps one copy could go to the parents. • A reminder letter should be sent at the end of the 21 days, allowing an additional 5 days for payment before a criminal complaint is sought. • Fines must be paid to you and sent to the City Clerk, with a copy of the check to the Board of Health. All payments must be by check, not cash. y • If the fine is not paid, you must request a court hearing. • Applications for Complaint for Juvenile Court were given previously to the high School. Please let me know if you still have these. This application must be used for court requests when the student is under 17 years old. • Applications for Complaint for Salem District Court were also given to the High School. This application must be used for court requests when the student is 17 years old or older. A social security number should be included on this application. • It is easier to "stockpile" a few complaints so that you do not need to make as many trips to court to file. • The application must be brought to the Juvenile or District Court where a clerk will assign a date, tell you, and inform the student/parent. • You must notify the Board of Health of the hearing date and time so that an employee may accompany you to court. Please do not hesitate to call me if you have any questions regarding • this procedure. w • City of Salem Board of Health Regulation #28 Rules and Regulations affecting the Use or Possession Of Tobacco Products on School Property Section I Statement of Purpose Tobacco use causes cancer, respiratory disease, various cardiac diseases, negative birth outcomes, allergies, and irritations to the eyes, nose, and throat of the smoker and non- smoker exposed to secondhand smoke; more than 80% of all smokers begin smoking before the age of 18; and more than 3,000 people begin smoking every day in the United States. In addition, the United States Department of Health and Human Services concludes that nicotine is as addictive as cocaine or heroin. As a result, the City of Salem recognizes the need to curtail the use of tobacco products by minors, and therefore, enacts the following. Section II Authority The City of Salem,pursuant to the authority granted under Massachusetts General Laws Chapter 111, Section 31, hereby adopts the following regulation to protect the public health of the community. Section III Definitions Designated Agents Salem High School Principal and Vice Principals must be confirmed by the Board as its agents for the sole purpose of enforcing this regulation Possession Having on one's person, or to be in possession of, any tobacco product. Tobacco Products Cigarettes, cigars, bidis, chewing tobacco, snuff, or any other form of tobacco. Use Smoking, inhaling, chewing, burning, carrying or • possessing a lighted tobacco product. Section IV Interdepartmental Management The Designated Agents for this regulation will be responsible to the Board of Health for all activities associated with this regulation. These individuals must be interviewed and appointed by the Board of Health and sworn in as special agents of the Board by the City Clerk. The Board of Health will review this regulation annually at its July meeting. The School Department must submit statistics to the Board, for this meeting, regarding the number of violations at each level, tickets issued, court appearances requested, and students who have attended and successfully completed the Tobacco Cessation Program. Based upon this annual review, the Board of Health will vote to uphold or rescind this regulation. Section V Student Possession Prohibited No student may be in possession of or use a tobacco product on Salem High School property or at a Salem High School sponsored event. Section VI Penalties The designated agents (Principal and Vice Principals) shall address violations of Section IV in the following manner: A. Violations for use: 1. Is' Offense: a. Notify the violator's parent(s) and b. Urge the violator to participate in and complete a Tobacco Cessation Program, or, if the violator does not choose this option, C. Issue the violator a ticket for $25.00, payable to the City of Salem within 21 calendar days. 2. 2"d offense: a. Notify the violator's parent(s), b. Issue the violator a ticket for$50.00 payable to the City of Salem within 21 days, and C. Urge the violator to participate in a Tobacco Cessation Program. 3. 3"' and subsequent offenses: • a. Notify the violator's parent(s), • b. Issue the violator a ticket for$75.00 payable to the City of Salem within I days. and C. Urge the violator to participate in a Tobacco Cessation Program. B. Violations for possession: 1. I"Offense Notify the violator's parent(s) and urge the violator to participate in a Tobacco Cessation Program. 2 2"d or subsequent offenses a. Notify the violator's parent(s) and b. Issue the violator a ticket for$25.00,payable to the City of Salem within 21 calendar days. This fine will be waived one time if the violator chooses to enroll in and successfully completes the Tobacco Cessation Program. Section VII Method of Disposition Whoever violates any provision of this regulation, the violation of which is subject to a specific penalty, may be penalized by the non-criminal method of disposition as provided in Massachusetts General Laws, Chapter 40, Section 211), or by the filing of a criminal complaint in the appropriate jurisdiction and venue. Section VIII Enforcement Salem High School Principal and Vice Principals, having been designated by the Salem Board of Health to be its agents for this purpose, shall be responsible for the enforcement of this regulation. Section IX Severability If any section, paragraph, sentence, clause, phrase, or word of this regulation is declared invalid for any reason, that decision will not be applicable to the remaining portions of these regulations. • • Section X Effective Date [-his regulation shall take effect on September 1, 2000. City of Salem Board of Health 9 North Strreet Salem, MA 01970 Joanne Scott Health Agent Miroslaw Kantorosinski Leonard J.Milaszewski, Chairman Mary Leary Martin Fair Marion Winfrey Christina Harrington Barbara Sirois, Clerk of the Board Irving Ingraham, M.D. Published in the Salem Evening News on - O - • affirmative, 1 absent the Chairman abstaining according to vote of the Board 5 affirm g g After a , custom except to break a tie, Signe e nard . Milasz ski, Chairman • • Procedures for Handling Violations of the Regulation 1. Monitor/teacher observes the student smoking or in possession of tobacco paraphernalia on school property_ 2. Monitor/teacher reports the violation to the Principal or one of the two Assistant Principals. 3. The Principal or Assistant Principal checks school records regarding any possible previous violations. 4. If this is the I"offense the Principal or Assistant Principal speaks with the student and allows the student to choose to participate in the Tobacco Cessation Program instead of receiving a ticket with a fine attached. Subsequent offenses require ticketing and paying the fine.The student is urged to participate in the Tobacco Cessation with each violation. S. The Principal or Assistant Principal notifies the parent(s). 6. The Principal or Assistant Principal will send a copy of any ticket that is • issued to the Board of Health. ` 7. The student will pay a fine to the Principal or Assistant Principal who will send a copy of the check to the BOH and forward the check itself to the City Clerk. 8. If the student fails to pay the ticket within 21 days the Principal or Assistant /ern4 Principal will notify the BOH. he Principal or Assistant Principal files the complaint and requests a hearing before the Clerk Magistrate in District Court . or Juvenile Court, depending on the age of the student. The BOH is notified of the court date. 9. The Health Agent or a BOH staff member as well as the Principal or Assistant Principal will be present at all hearings before the clerk magistrate. `1�CKQ �S • y . CITY OF SALEM, MASSACHUSETTS �v BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR ` p SALEM, MA 01970 TEL. 978-741-1800 • ' FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT November 4, 2004 Philip R. Shea, Owner Major Magleashe's Pub 268 Washington Street Salem, MA 01970 Dear Mr. Shea: The Salem Board of Health requests your presence at the next Board of Health meeting to discuss chronic violations of the Board of Health Smoking Regulation. The meeting • will be held Tuesday, November 9, 2004 at City Hall Annex, 120 Washington Street 3rd floor conference room at 9:00 P.M. If you have any questions, contact me at 978-741-1800. Sincerely, or the Board of ealth Joanne Scott, Helilth Agent JS/mp CC: Christina Harrington, Chairperson of the Board of Health and Members • • • • Board of Health Administration Monthly Report Aug-04 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 410 Burial Permits @ $10.00 $580.00 Diptheria,Tetanus Tox.(under 6 yrs)= 2 Licenses & Permits(+copies) $1,175.00 Immune Serum Globulin= 1 Certificate of Fitness@$25.00 $1,625.00 Measles/Mumps/Rubella= 260 Copies Polio IPV= 300 Fines $100.00 Tetanus & Diptheria (adult use)= 675 Total Monies Collected $3,482.60 Tuberculin PPD= 50 HIB Titre= 405 Hepatitis B= 540 PPV 23 25 PCV 7 170 Animal Bites Reported = 1 Annual Budget Expenses Available Balance Salary/Longevity $351,339.00 $48,833.31 $302,505.69 Annual Budget Expenses Encumbered Available Balance Non-Personnel $16,650.00 $1,132.10 $3,458.18 $12,059.72 Public Health Nurse Report August Activities Disease Prevention In contact 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 PPD test administered to new arrival to U.S. Results were positive. This person was referred to the NSPC, and is being followed by M.D. Participated at the Hepatitis A Vaccine Clinic for Foodhandlers at the Red Rock • Bistro in Swampscott. Worked with Marblehead and Swampscott Public Health Nurses vaccinating 57 employees at the Restaurant. Attended a presentation that was offered to all restaurant owners about Hepatitis A Vaccine. This meeting was sponsored by Glaxo Smith Kline. It offered restaurant owners information about the benefits of vaccinating their food handling staff against Hepatitis A. Attended the Planning Team for the Emergency Dispensing Site Drill. This was the first gathering of the Planning Team. It was determined that the clinic will be held on November 21, 2004 at Salem High School. The team members gave their ideas about the drill plans. MLS Soccer camp was inspected and permitted for 2004 season. This camp was based at the Memorial Drive Park this year. Follow up on the household contacts of the active case of T.B. was administered to two contacts. Both were negative. DOT continues Monday through Friday for active T.B. case. The case will have meds d/c'd on November 11, 2004 Attended a Roster Billing for Medicare B training with Mary Page. The Salem Board of Health received $6,375.00 Medicare reimbursement for the 2003 Influenza Clinics. Attended the North Shore and Cape Ann Emergency Planning meeting in Gloucester. The coalition agreed to give the Salem Board of Health $5,000.00 to spend towards the Emergency Dispensing Site Drill. • Attended the second Planning Team Meeting for the EDSD. The team was invited to a walkthrough at Salem High School. Dr. Paone, Statewide Strategic National Stockpile Coordinator, and Graham Campbell from the MDPH attended the meeting. • • A. Summary of Communicable Disease for August 2004 Lyme Disease. 3 cases. 57 y/o male previously tested positive in 2003. He was vaccinated with Lymrix vaccine in 1993. He .has is a land surveyor. 32 y/o male. He found removed a tick while vacationing on Martha's Vineyard. 64 y/o female. Unable to contact. Sent report to state. Viral Meningitis. One case. 10 week old female. Mother states infant became feverish and cranky 24 after receiving 4 immunizations. She brought child to emergency room three times. Infant was admitted and tested. • Salmonella 2 Cases. 41 y/o female. Non Foodhandler. Mother believes she became ill because she has a defective oven that does not cook food thoroughly. She was going to report this to her landlord. She will call back if the landlord does not respond to her complaint. 3-y/o daughter became ill one week after the mother. She attends a Daycare in Danvers. Danvers Daycare Director was notified. She will follow the MDPH Day Care Manual and send letters out to the other clients. The child was excluded from day care until she No longer had diarrhea. Monthly Report of Communicable Diseases August 2004 Disease: New: Carni Over: Discharged: Reported: Campylobacter 0 0 0 0 rviardia 0 0 0 0 Hepatitis 2 0 0 0 • Lyme 3 0 3 3 Meningitis 1 1 1 1 Pertussis 0 0 0 0 Salmonella 2 0 2 2 Shigella 0 0 0 0 Tuberculosis 0 1 0 0 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. • CITY OF SAMMI MASSACHUSETTS - - BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 r: jjx �\ TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Dr. Nancy Harrington President Salem State College 352 Lafayette Street Salem MA 01970 August 26, 2004 Dear Dr. Harrington, This letter is to inform you that the Salem Board of Health did not permit the Salem State Sports Camps for the 2004 season. The Camp was found to be in compliance with portions of the camp regulations. However, it was noted that several critical standards of 105 CMR 430.000 were not met. Please call if you have any questions. For the Board of Health, Reply To: -Joanne Scott Tracy Giaria, LPN Health Agent Public Health Nurse CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH _ 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RESTAURANT OWNERS ARE INVITED TO ATTEND AN INFORMATIONAL MEETING PREVENTING THE SPREAD OF HEPATITIS A PROTECTING YOURSELF, YOUR EMPLOYEES & THE PUBLIC MONDAY, AUGUST 9TH RED ROCK BISTRO & BAR 141 HUMPHREY STREET SWAMPSCOTT 6PM PRESENTED BY GLAXO-SMITH-KLINE MAKERS OF THE VACCINE HAVRIX A REPRESENTATIVES WILL EXPLAIN AN IMMUNIZATION PROGRAM AVAILABLE THROUGH THE SALEM BOARD OF HEALTH LIMITED SEATING TO RESERVE A SEAT CALL THE SALEM BOARD OF HEALTH BY FRIDAY AUGUST 6TH 978-741-1800 COMPLIMENTARY FOOD & BEVERAGES • MA SIAO Depmtmera d HeeXi Fex It.W-983-W13 Page 1 of 3 7104 1 .31:13 AM 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 MrrT ROMNEY (617)983-6800 GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON SECRETARY C MSTINE C.FERGUSON COMMISSIONER TO: Massachusetts Restaurants Massachusetts Restaurant Association FROM: Alfred DeMaria,Jr., M.D. Chief Medical Officer, State Epidemiologist Bureau of Communicable Disease control RE: Hepatitis A Surveillance DATE: July 7,2004 • During the last few months the number of reported cases of hepatitis A in Massachusetts has increased over previous experience. Several foodhandling employees with hepatitis A have been identified this year, leading to public notification and immune globulin(IG)administration to restaurant patrons. Hepatitis A is a viral disease spread mainly through the fecal-oral route(person-to-person or foodborne). The incubation period,or time from when a person is infected with the virus to when he/she shows symptoms of illness,ranges from 15 to 50 days with an average of 25-30 days. Persons are most infectious and most likely to spread the virus to other people for the two weeks prior to symptom onset through one week after symptom onset.The classic symptoms of hepatitis A include fever, fatigue,loss of appetite,nausea,and jaundice. The signs of jaundice include dark brown urine,pale stools(feces),and the whites of the eyes turning yellow(the skin of light-skinned people may also turn yellow). Diarrhea may or may not be present. A blood test is needed to confirm a diagnosis of hepatitis A. The best way to prevent the spread of hepatitis A virus(HAV) is good personal hand hygiene (hand washing)and full and consistent compliance with the Food Code. A foodhandler infected with hepatitis A is of particular concern because of the potential spread to many other individuals through poor hygiene and foodhandling practices. According to 105 CMR 300.000 Department of Public Health, Reportable Diseases, Surveillance, and Isolation and Quarantine Requirements, if hepatitis A is identified in a food worker,that person must be excluded from foodhandling activities until one week after the onset of symptoms or until the case no longer has a fever, whichever is later. In addition, all other foodhandling employees in the facility must • MA Stale Departmam d Heft Fax a 617.993-W 3 Page 2 of 3 718f04 10.32.12 AM ' • receive IG within 2 weeks of exposure. If IG is not received within 2 weeks of exposure and the foodhandling employee does not provide documentation of HAV vaccination or documentation proving immunity to HAV by a serologic test, she/he must be excluded from work for 28 days. The same exclusion criteria apply to any foodhandling"contact"of any confirmed case of hepatitis A. In addition, if public health officials determine that restaurant patrons were put at risk by an infected foodhandler,public notification and IG for patrons may be required. A vaccine to prevent against infection with HAV is available and recommended for some populations(see attached Hepatitis A Fact Sheet). Public supply of this vaccine is very limited and doses are being targeted to the populations at highest risk of infection in an attempt to disrupt chains of transmission. This vaccine is however,widely available for private purchase. Individuals may receive vaccine through their primary care provider and restaurant owners may consider assisting their employees in obtaining hepatitis A vaccine. Given the increase in hepatitis A cases throughout the state,MDPH recommends that restaurants take the opportunity to reinforce handwashing and hygiene with their employees. According to 105 CMR 590.0031)State Sanitary Code Chapter X—Minimum Sanitation Standards for Food Esiahlishmenis, foodhandlers with gastrointestinal symptoms must not perform foodhandling activities. In addition,foodhandling facilities should ensure that there is no bare hand contact with food that will not be cooked prior to consumption. A Hepatitis A Fact Sheet,a foodborne illness prevention checklist,and handwashing poster are included for your use.Please feel free to duplicate and distribute as you wish. Additional copies may be obtained by calling(617)983- • 6800. See"Infected Food Worker Policy"in the Massachusetts Foodbome Illness Investigation and Control Reference Manual at: http:/hvkvw.mass.gov/dph/pdf/appenxa.t)df.. For information about hepatitis A,please contact your local board of health or the Massachusetts Department of Health Epidemiologist On-Call at(617)983-6800. • MA State DepaNnent a HeatM Fax a.617.9836813 Page 3 013 7M/04 1032si AM • Help Prevent the Spread of Foodborne Illness Prevent the spread of foodborne illnesses, such as hepatitis A, in your food service establishment b implementing y p g these simple procedures: ✓ Do not allow bare hand contact with ready-to-eat foods. ✓ Employees must wear gloves or use utensils when preparing or serving ready-to-eat foods. ✓ Gloves must be changed frequently and hands washed in between glove changes. • ✓ Employees must wash their hands frequently. Handwashing facilities must be conveniently located and must be supplied with soap, hot water and paper towels or electric hand dryer at all times. ✓ Employees experiencing gastrointestinal symptoms such as vomiting or diarrhea must be excluded from foodhandling activities. ✓ Consider hepatitis A vaccine for your employees. For more information about hepatitis A or other foodborne illnesses, contact your local Board of Health or the Massachusetts Department of Public Health,Division of rVlU etriIology and Immunization at (6 i 7) 983-6800. For information on safe foodhandling practices, contact the Massachusetts Department of Public Health Food Protection Program at (617) 983-6712. For information about obtaining hepatitis A vaccine call: Merck & Co., Inc. at (800) 672-6372 or Glaxo SmithKline Beecham at (866) 475-8222. • DPH Division of Epidemiology and Immunization July 2004 Prom:COmmonweaQn or MaesaChUeette 617-883-6770 To,Salem Data 7/15/2004 Time:11-4322 PM Page 1 of 2 ...... 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 b LIEUTENANT OOV ERNOR RONALD PRESTON n SECRETARY I CHRISTINE C.FERGUSON JU �i COMMISSIONER � � � �ooA MEMORANDUM C��, `t BARD OFSA�EM TO: Local Boards of Health yEALTy FROM: Suzanne K Condon,Associate Commissioner Center for Environmental Health DATE: July 15, 2004 RE: Enforcement of Department of Public Health Regulations(105 CMR 590.004) Concerning No Bare Hand Contact with Ready-to-Eat (RTE)Foods and Suspension of "Alternate Bare Hand Contact Procedures" • The purpose of this memorandum is to remind all local health officials of Massachusetts regulations regarding enforcement of Department of Public Health Regulations(105 CMR 590.004) concerning no bare hand contact with ready-to-eat foods and suspensions of"Alternate Bare Hand Contact Procedures". The most effective control measure to minimize any potential exposure to hepatitis A in food establishments (and in turn prevent a food related hepatitis A outbreak) is strict compliance with the provisions of 105 CMR 590.000 (.Minimum Sanitation Standards for Food Establishments). The regulations require employee health reporting and removal, no bare hand contact of ready- to-eat foods and proper hand washing procedures. Such action to protect the public health also offers the public reassurance of the safety of food establishments and reduces the need for clinics offering hepatitis A immune globulin (IG) following potential exposure of customers. Boards of health should be distributing the Department's Hepatitis A Fact Sheet and Guidelines for Preventing the Spread of Hepatitis A in Food to all food establishment operations, including restaurants, supermarkets, caterers. temporary event coordinators, mobile food operators, institutional food operations and any other retail food establishment licensed by the board of health. In addition, effective immediately, the Department is suspending the Alternative Bare Hand Contact Procedures policy referenced in 105 CMR 590.004(E). This policy previously allowed.. in limited circumstances, altemati%e contact procedures with ready-to-eat foods (i.e., • From-Commorwmakh of Maeeaehusatta 017-AA3-6770 To*Salem Data,7/15/2004 Time 11.43.22 PM Page 2 of 2 • sandwiches, salads, ice, bread). Given the elevated incidence rate of hepatitis A in the Commonwealth,bare hand contact—except when washing fruits and vegetables in accordance with section 3-302.15 of the 1999 Food Code- now is prohibited. The Department is requesting that boards of health immediately notify any food establishments in their jurisdiction currently operating under a written alternative bare hand contact procedure to immediately suspend such procedure and to employ preventative measures, such as use of utensils, disposable gloves and single-use paper when handling ready-to-eat foods, until further notice. Investigating A Case of Hepatitis A In a Food Employee The investigation of food employees and their practices should be initiated immediately upon receipt of a report of a suspect hepatitis A case. Notify the MDPH Division of Epidemiology and Immunization at(617) 983-6800 as soon as you hear of a suspect/confirmed hepatitis A case to a food employee. Control measures can be implemented immediately if laboratory confirmation is received. The local health agent should conduct an environmental investigation of the food establishment to ensure that the food employee is excluded from work until one week after the onset of symptoms or until the case no longer has fever, whichever is later. In addition, the health agent should evaluate the establishment and make a determination, in coordination with the Division of Epidemiology and Immunization; about the advisability of offering immune globulin(IG)to the public; using the guidance provided in Appendix A: "Infected Food Worker Policy"of the MDPH Foodborne Illness Investigation and Control Reference Manual at • http://vw-n-w.mass.gov/dph/pdf`/appenxa.pdf. In addition to excluding infected food employees and offering IG to the public, other corrective actions that may be appropriate include: 1. Administration of IG to other food handling employees from the workplace, in accordance with the Infected Food Worker Policy 2. Order for correction to address any violations 3. Modifications in food employee and food handling procedures, particularly if bare hand contact with ready-to-eat foods is observed (bartenders, wait staff) 4. Voluntary disposal or embargo of potentially contaminated ready-to-eat foods 5. Emergency suspension of business or closure of the establishment 6. Person-in-charge and food employee training 7. Press release and news alerts recalls 8. Equipment, physical and sanitary facilities modified or upgraded. If you have any questions regarding the environmental investigation. please contact the Food Protection Program of-the Massachusetts Department of Public I lealth, at 617-983-6712. • Massachusetts Department of Public Health(MDPH) TM Massachusetts Immunization Program • Pediarix (DTaP-HepB-IPV) Combination Vaccine Clinical Advisory July 2004 The Massachusetts Department of Public Health . Children who have received DTaP- (MDPH) Immunization Program announces the HepB-IPV can also receive TriHIBit° availability of PediarixTM (DTaP-HepB-IPV) (DTaP-Hib) to complete the 41h dose of vaccine beginning in July 2004. Each dose of the DTaP and Haemophilus influenzae PediarixTM contains diphtheria, tetanus and type b (Hib) series -- as long as it is the acellular pertussis (DTaP), hepatitis B (Hep B) final dose in the Hib series, and the child and inactivated polio (IPV) vaccines. It is has received at least one prior dose of approved for the primary series of these Hib vaccine. antigens and has the potential to reduce, by up to 5, the number of vaccine injections a child • DTaP-HepB-IPV can be administered may receive by the age of 2 years. simultaneously with other vaccines given at separate injection sites, Indications including Hib and pneumococcal DTaP-HepB-IPV can be used for the primary conjugate (PCV7) vaccines. Please refer series of DTaP, Hep B and IPV in children 6 to the section below on Adverse Events • weeks through 6 years of age. It is not approved for additional information. for the 41h or 5th dose of the DTaP series or the 41h dose of the IPV series. 2. Minimum Ages and Intervals • The recommended minimum age and Schedule interval for each dose are equivalent to 1. Routine Use the oldest age or longest interval • DTaP-HepB-IPV is approved for the recommended for any of the individual primary series routinely given at 2, 4 and components for that dose. For example, 6 months of age. The recommended the minimum age for dose 1 is 6 weeks interval between doses is 6 to 8 weeks (the same as DTaP and IPV), while the (preferably 8 weeks). minimum age for the 3`d dose is 24 weeks (the same as Hep B). • DTaP-HepB-IPV is approved for use through 6 years of age. A child who is • If an accelerated schedule is used, the behind schedule can still receive DTaP- minimum interval between the I" and HepB-IPV as long as it is given for 2�d doses is 4 weeks; and between the 2"d doses 1, 2 or 3 of the series and the child and 3`d doses is 8 weeks, but the 3`d dose is less than 7 years of age. should not be given before age 24 weeks. Please refer to the table below. • DTaP-HepB-IPV can be used to complete the primary series in infants Minimum who have begun with p Dose Minimum Age the separate Interval from � Previous Dose vaccines. I 6 weeks 2 10 weeks 4 weeks 3 24 weeks 8 weeks* * And not before 24 weeks of age 3. Inadvertent administration of DTaP- Schedule #2: 2-Dose PediarixTM Schedule HepB-IPV at the wrong age or dose in • series Birth 2 months 4 months 6 months • DTaP-HepB-IPV cannot be used in a Hep B PediarixTM _ DTaP _Pediar_ixTM child less than 6 weeks of age. If _ IPV inadvertently administered to a child _ Hib _ Hib _ Hib _ <6 weeks of age, the DTaP and IPV PCV7 PCV7 PCV7 doses should be repeated. The hepatitis B component does not need to be This option includes the use of PediarixTM while maintaining the 3-dose schedule of Hep B. With this option,the total repeated• number of vaccinations given by 6 months is 11. • DTaP-HepB-IPV cannot be used in a child 7 years of age or older. However, if it is inadvertently administered to a Schedule #3: 2-Dose PediarixTM Schedule child in this age group, those doses Birth 2 months 4 months 6 months should be counted and do not need to be ----------- ---------- -----.-. -TM-_ repeated. _ Hep B DTaP Pediarix M-- -- Pediarix • DTaP-HepB-IPV cannot be used for the IPV to th to dose of Hib Hib Hib 4 or 5 dose of the DTaP or 4 _._._._....._............__..........__....._.__.. ..................__..____....____..__..__ the IPV series. However, if it is PCV7 PCV7 PCV7___ inadvertently administered for these This option includes the use of PediarixTM while maintaining doses in the series, they should be the 3-dose schedule of Hep B. With this option,the total number of vaccinations given by 6 months is 11. counted and do not need to be repeated. Options for Use DTaP-HepB-IPV and Hepatitis B • When making decisions about the introduction Vaccine and integration of DTaP-HepB-IPV into their 1. Birth dose of Hep B Vaccine practice, providers need to consider the The Advisory Committee on Immunization following: Practices (ACIP), the American Academy of 1. Age cohort(s) to target. Pediatrics (AAP) and the MDPH recommend Providers may choose to use DTaP-HepB-IPV: that all infants should continue to receive the 1st • for all infants, including those who have dose of Hep B at birth. We believe this is an begun with the separate vaccines; OR extremely important public health measure and • only for infants presenting at 2 months of must continue, even when an infant might age for their first doses of the series. receive DTaP-HepB-IPV for all three doses of 2. Number of Doses in the Series. the primary series. Although this will result in a Providers can decide to use DTaP-HepB-IPV 41h dose of Hep B vaccine, data show this to be for some or all doses of the primary series. safe and it is considered acceptable by the The schedules outlined below may be used for ACID, AAP and MDPH. children birth through 6 months of age and may 2. Use of DTaP-HepB-IPV in infants born to assist providers when making decisions about hepatitis B surface antigen (HBsAg)— schedule choices. positive women Schedule #1: 3-Dose PediarixTM Schedule The ACIP states that DTaP-HepB-IPV may be used in infants born to HBsAg-positive women Birth 2 months 4 months 6 months or in infants whose mother's HBsAg status is Hep B Pediarix Pediarix I ediarix unknown). These infants must receive the I st _H_ib Hib_ Hib dose of Hep B vaccine at birth, which can then • PCV7 PCV7 PCV7 --- 7 - --- be followed by P DTaP-He B-IPV at 2, 4, and 6 This schedule adds a 41h dose or l lcp 11. With this option, months of age. The 1st dose of DTaP-HepB- the total number of vaccinations given by 6 months is 10. IPV may be used beginning at 6-8 weeks of age. Ped1arixClinicalAdvisory07-04 Vaccine Administration Vaccine Usage , Documentation Unfortunately, our current Vaccine Usage Combination vaccines must be recorded Report(bubble sheet) does not have a column carefully on the Vaccine Administration Record for the DTaP-HepB-IPV combination vaccine. in the patient's chart or in an electronic medical For any doses of DTaP-HepB-IPV administered, record. For combination vaccines, indicate the providers should mark the corresponding vaccine type (e.g., DTaP-HepB-IPV) and all individual vaccine components (DTaP, Hep B, other information for each individual vaccine IPV) as if you had administered three separate comprising the combination. The MDPH injections. When the new updated versions of Vaccine Administration Record has been revised the Vaccine Usage Report are available, copies to facilitate the recording of combination will be sent to your office. vaccines. For DTaP-HepB-IPV, there is only 1 lot number; but, remember to record the 3 Additional Questions different Vaccine Information Statement(VIS) If you have any general questions concerning dates. In contrast, for DTaP-Hib there are 2 recommendations about the schedule and use of different lot numbers and 2 VIS dates. Please DTaP-HepB-IPV vaccine, please contact the refer to the enclosed sample Vaccine MDPH Immunization Program at 617-983-6800 Administration Record for examples on how to (or 888-658-2850). record these 2 different combination vaccines If you have specific questions about DTaP- correctly. HepB-IPV vaccine ordering, storage, or Vaccine Ordering accountability,please contact the Vaccine PediarixTM is available through your local Management Unit directly at 617-983-6828 (or • vaccine distributor and can be ordered by 888-658-2850). selecting the DTaP-HepB-IPV vaccine (4th References row) on the new Vaccine Order Form CDC.Notice to readers: FDA Licensure of Diphtheria and (enclosed.). Providers who choose to use DTaP- Tetanus Toxoids and Acellular Pertussis Adsorbed,Hepatitis HepB-IPV should order a two-month supply B(Recombinant)and Polio Vaccine Combined(PediarixTM) for Use in Infants.MMWR 2003;52:203-204. [Clarification. initially, but then only order as many doses as MMWR 2003;52:379.] you administered the previous month. Providers T"�Vaccine. URL:CDC. FAs on Pediarix using DTaP-HepB-IPV should reduce the Q amount of individual component DTaP, www.cdc. og v/nip/vaccine/pediarix/pediarix-fags-hcphtm ; hepatitis B, and IPV vaccines that are ordered. last updated 8/20/03.) PediarixT" [Diphtheria and Tetanus Toxoids and Acellular Inventories of DTaP and IPV vaccines will still Pertussis Vaccine Adsorbed,Hepatitis B (Recombinant)and Inactivated Polio Vaccines Combined] Prescribing be needed to complete the series (doses 4 and 5 Information SmithKline Beecham Biologicals,Rixensart, of DTaP series and dose 4 of the IPV series). In Belgium,December 2002. addition, providers will need a small inventory of hepatitis B vaccine in order to vaccinate those Pichichero M. Impact of a birth dose of hepatitis B vaccine on the reactoeenticity and immunogenicity of diphtheria- children and adolescents who have not tetanus-acellular pertussis-hepatitis B-inactivated poliovirus- completed the hepatitis B series. Providers that Haemophilus influenzae type b combination vaccine in choose not to use DTaP-1-IepB-IPV can continue infants. Pediatr Infect Dis J 2002:21:854-858. to order the individual components for the entire Yeh S. Safety immunogenicity of a pentavalent diphtheria, series. Additionally, birth hospitals should tetanus, pertussis,hepatitis B and polio vaccine in infants. maintain their same inventories of hepatitis B Pediatr Infect Dis J 2001;20:973-980 • vaccine to continue to administer the birth dose. Zepp F. Safety and reactogenticity of a novel DTPa-HB V- I PV combined antigen vaccine given along with commercial Hib vaccines in comparison with separate concomitant administration of DTPa, Hib and OPV vaccines in infants. Pediatrics 2002;109:e58:1-8. PediarixClinicalAdvisory07-04 4 The 3`d dose of DTaP-HepB-IPV should be Final coadministration safety data is not yet , admadministered>_ 16 weeks after the 1" >dose and_ available for all doses to the primary series • 8 weeks after the 2"d dose, but not before 24 when DTaP-HepB-IPV, Hib and PCV7 are weeks of age. given at the same time. Some preliminary, unpublished data show low-grade fever Contraindications and Precautions continues to be present and to increase after The contraindications and precautions for doses 2 and 3. However, most fever episodes DTaP-HepB-IPV are the same as they would be resolve within 1-2 days. for any of its individual component vaccines. Please refer to the package insert for a complete Immunogenicity list of contraindications and precautions. The immunogenicity of DTaP-HepB-IPV combination vaccine is similar to its 3 Adverse Events component vaccines given separately. Except for fever, the rates of most solicited local and systemic adverse events following DTaP- Interchangeability HepB-IPV are comparable to rates observed DTaP-HepB-IPV may be used interchangeably following the separate administration of the with other pertussis-containing or Hep B component vaccines. In an ongoing study, vaccines. Although the ACIP prefers the use of infants who received the I" dose of DTaP- the same brand of DTaP for all doses of the HepB-IPV with Hib and PCV7 had higher rates series if possible, mixing formulations is of fever< 103.1°and medically attended events. permissible. The Hep B vaccine formulations However, there was no significant difference in are interchangeable. There is currently only one the number children with fever>103.1°F. Most formulation of IPV available in the U.S. After of these fevers resolved within a few days. reviewing the available data and cost issues, the • Massachusetts Chapter of the American Academy of Pediatrics (MCAAP) Committee coadministration with PCV7 and Hib Safety on Vaccine Purchasing recommended that Study: Incidence of Fever within 4 Days of MDPH continue to distribute Tripedia®, one of Dose 1 at 2 Months of Age Aventis' formulations of DTaP, and Recombivaxo, Merck's formulation of Hep B, PEDIARIXTM, ENGERIX-®B®, Vaccine Group p IN , Separate for use when the individual components are ERIX- Hib&PCV7 IPV,Hib& Minus indicated. (N=667) PCV7 Combination (N=333) Vaccine Group Thimerosal and Latex DTaP-HepB-IPV is considered preservative- Fever % % Difference free. However, a trace amount of thimerosal (rectal) (95% Cl) (<0.1 mcg/0.5mL) is present. While the single >_I00.4°F 27.9 19.8 -8.07* (-13.54,-2.60) dose vial is latex-free, the tip, cap and rubber >101.3°F 7.0 4.5 -2.54* plunger of the needle-less, pre-filled syringes (-5.50, 0.41) contains dry natural rubber latex. (MDPH is not >102.2°F 2.2 0.3 -1.95* currently supplying the pre-filled syringes.) (-3.22, -0.68) >103.1°F 0.4 0.0 -0.45 Vaccine Information Statements Medically 1.2 0.0 -1.20* There is not a specific Vaccine Information attended visit (_2.03, -0.37) Statement (VIS) for Pediarix"m. When * Statistically significant administering a combination vaccine, the VISs • rho for the individual component vaccines must be (Source: Pediarix Prescribing Information, 2002.) supplied. PediarixClinicalAdvisory07-04 3 • City Of Salem Environmental Health Division --- Inspection Monthly Summary Month -------------- Type Jul 04 Aug 04 Count ----- ------ ------ 1 2 BP 1 0 1 CFI 66 33 99 CFR 0 1 1 CH 1 6 7 CON 1 1 2 CT 12 5 17 EC 2 0 2 EPR 4 3 7 FC 2 3 5 FRH 1 0 1 FSD 6 8 14 FSI is 24 39 FSR 12 24 36 GN 8 14 22 HI 6 6 12 HR 2 5 7 MT 7 10 17 MUP 0 1 1 RC 1 0 1 RFD 0 2 2 1 6 7 0 3 3 RO 7 0 7 SB 59 60 119 SP 4 0 4 TFI 0 4 4 TR 21 29 50 Count 240 249 489 ..... City of Salem, Massachusetts 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* 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* OPR - 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 AUGUST 2004 PHONE LOG • Total Answered *Answered Calls Sunday August 1,2004 Barb = 64 Monday August 2,2004 40 Mary = 263 Tuesday August 3, 2004 34 Neia = 406 Wednesday August 4,2004 42 Thursday August 5, 2004 31 Friday August 6,2004 1 22 *Calls Taken Saturday August 7,2004 Sunday August 8,2004 Joanne = 165 Monday August 9,2004 38 Janet = 99 Tuesday August 10,2004 52 David = 85 Wednesday August 11,2004 33 Jose = 15 Thursday August 12, 2004 42 Pablo = 32 Friday August 13, 2004 13 Tracy = 119 Saturday August 14, 2004 Barb = 57 Sunday August 15, 2004 Mary = 82 Monday August 16,2004 29 Ginny = 24 Tuesday August 17, 2004 22 Neia = 64 Wednesday August 18, 2004 29 Thursday August 19, 2004 34 Friday August 20,2004 11 Saturday August 21, 2004 22 work days Sunday August 22,2004 35 Hour Work Week Monday August 23, 2004 43 Tuesday August 24,2004 46 Wednesday August 25, 2004 30 Monday 8-4 ThursdayAugust 26 2004 64 Tuesday 8-4 g Y Friday August 27, 2004 19 Wednesday 8-4 Saturday August 28,2004 Thursday 8-7 Sunday August 29, 2004 Friday 8-noon Monday August 30,2004 28 Tuesday August 31,2004 31 Total = 733 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • p SALEM, MA 01970 .yeg TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, IRS, CHO MAYOR HEALTH AGENT July 21 , 2004 Mrs. Cheryl LaPointe City Clerk City Hall Salem, MA 01970 Dear Mrs. LaPointe The Board of Health monthly meeting for August is cancelled. Sincerely, FOR THE BOARD OF HEALTH J anne Scott, Health Agent JS/bas cc: Mayor Stanley J. Usovicz, Jr. Christina Harrington, Chairperson of the Board of Health and Members • • • • Board of Health Administration Monthly Report Jul-04 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 320 Burial Permits @ $10.00 $360.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Licenses & Perm its(+copies) $2,130.00 Immune Serum Globulin= 1 vial Certificate of Fitness@$25.00 $1,425.00 Measles/Mumps/Rubella= 270 Copies $0.00 Polio IPV= 430 Fines $0.00 Tetanus & Diptheria (adult use)= 165 Total Monies Collected $3,915.00 Tuberculin PPD= 0 HIB Titre= 345 Hepatitis B= 290 PPV 23 10 PCV 7 150 Animal Bites Reported = 0 Annual Budget Expenses Available Balance Salary/Longevity $351,339.00 $22,418.14 $328,920.86 Annual Budget Expenses Encumbered Available Balance $16,650.00 5 5.78 374.00 15 740.22 Non Personnel $ 3 $ $ , .. .-... .e..JN K+ .w;.,t+:y"^C'=. .: ,.a3.rY:ty:,y�. ....'_'Mt .'T �"wi w;'•a'�' �--`i:R:rsc.c"r.�"w _. .... -...y..e. ...�_.n..0 i.^ -. . ..�.,-..a. _....:r .J.. ..... .w sT.wr=.....�..>..:.,v.r•.,..w+..-rmnw.... :+�+.+�......ws.�....w. - - .. - w Public Health Nurse Report July Activities Disease Prevention In contact 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 PPD Testing administered to 5 contacts of an active TB case in Peabody. The Contacts were exposed at a local chapel. • 7/13 Attended North Shore Cape Ann Coalition meeting at Peabody DPW. 7/21 Attended North Shore Cape Ann Coalition meeting at Peabody DPW. 7/13 Inspection conducted for Salem State College Sports Camps at the O'Keefe Center with Janet Dionne. The camp was missing requirements of 105 CMR 430.000. A permit was not issued. 7/27 Attended a Presentation from Glaxo Smith Kline at the Swampscott Board of Health regarding Hepatitis A Vaccine. Attended a meeting at Salem State College with Joanne Scott and Janet Dionne to discuss the Sports Camps deficiencies in the state camp regulations. An inspection was conducted at a new camp that was to open at Palmer Cove Soccer Field. North Shore United Soccer was denied a permit to open. The camp did not have restrooms. The camp director did not submit CORI's or SORI's. Memorandum from the MDPH sent to all Restaurants and Food Establishments regarding Hepatitis A, and suspension of Alternative Bare Hand Contact Procedures. • Invitations sent to all Restaurant Owners to attend an informational meeting on Preventing the Spread of Hepatitis A. t • Continuing work on the Emergency Dispensing Site Drill. • • .1 Summary of Communicable Diseases for July 2004 Salmonella 2 Cases. 26 y/o female. Non Food Handler. She believes she became ill after eating at Baha Fresh in Beverly: Stated that the person she ate with also had chicken dish and became ill, but was not tested. Beverly Health Agent notified. 29 y/o female. Non Food Handler. Case was hospitalized. She suspects she became ill from eating a Chicken Sandwich at a Peabody McDonalds. The Health Agent in Peabody was notified. Shigella 49 y/o male. Unemployed. Source of illness unknown. Wife returned from Dominican Republic. Denies that wife was ill. • • Monthly Report of Communicable Diseases .duly 2004 Disease: New: Carry Over: Discharged: Reported: Campylobacter 0 0 0 0 Giardia 0 0 0 0 Hepatitis 2 0 0 0 Pertussis 0 0 0 0 • Salmonella 2 0 2 2 Shigella 1 0 1 1 Tuberculosis 0 1 0 0 Varicella 0 0 0 0 Reportable Diseases excluded from above have not ,been identified this month. • � <. +,a 4: t. : s. 't3 ar= +ate+• s. s. s o-�. .a .. r'" 77 City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month ------------------------------------------------------------------------------------------------------ Type Jul 03 Aug 03 Sep 03 Oct 03 Nov 03 Dec 03 Jan 04 Feb 04 Mar 04 Apr 04 May 04 Jun 04 Jul 04 Count --------- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ----- 0 1 0 0 0 0 0 0 0 1 0 0 1 3 BP 1 0 0 0 0 0 0 0 0 0 0 0 1 2 CFI 91 61 59 42 38 21 22 40 24 50 9 65 66 588 CFR 2 3 6 2 6 4 1 2 1 0 2 2 0 31 CH 1 3 2 0 1 1 3 8 1 4 1 1 1 27 CON 3 5 4 0 2 1 4 0 3 0 2 0 1 25 CR 8 7 10 2 2 0 1 0 0 0 0 0 '/ 30 CT 4 6 7 9 1 2 3 6 1 0 0 5 12 56 DG 0 0 0 0 0 0 0 0 0 0 0 1 0 1 DG/VM 0 0 0 0 0 0 1 0 0 0 0 0 0 1 EC 10 13 0 0 3 2 2 1 1 1 0 1 2 36 EPR 1 0 0 1 0 0 0 0 0 1 0 3 4 10 FC 2 3 1 2 4 0 0 1 1 1 0 2 2 19 FRH 0 0 1 0 0 1 0 0 0 0 0 0 1 3 FSD 1 9 4 0 6 11 13 8 8 8 4 8 6 86 PSI 12 18 21 1 17 15 58 47 41 49 20 23 15 337 FSI DG/VM 0 0 0 0 0 0 1 0 0 0 0 0 0 1 FSR 7 3 2 1 9 16 16 20 24 17 7 16 12 150 GN 3 3 6 7 5 2 0 2 2 0 3 11 8 52 HHWD 0 0 0 0 0 0 0 0 0 0 22 5 0 27 HI 6 12 11 7 9 8 17 11 11 15 4 2 6 119 HR 2 8 4 3 3 2 5 6 4 1 0 0 2 40 HRI 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 2 0 0 2 0 0 0 0 5 0 0 0 0 0 1 0 0 0 0 0 0 0 1 MT 7 7 5 5 7 1 4 6 4 3 3 2 7 61 MUP 2 4 2 0 0 0 0 1 0 2 0 3 0 14 OG 7 4 3 6 0 0 0 0 0 0 0 0 0 20 PV 0 0 0 0 0 0 0 0 0 1 0 0 0 1 RC 0 0 0 0 0 0 0 0 0 0 0 4 1 5 RFD 0 0 0 0 1 0 0 1 0 4 0 3 0 9 RFI 4 3 1 1 8 10 4 4 6 16 6 14 1 78 RFR 0 1 0 0 2 2 1 1 2 7 0 4 0 20 RFS 0 0 0 0 0 0 1 0 0 0 0 0 0 1 RO 3 0 4 0 2 0 0 0 0 3 3 2 7 24 RSI 0 0 0 0 0 0 0 1 0 0 0 0 0 1 SB 78 59 0 0 0 0 0 0 0 0 0 39 59 235 Sc 1 0 1 0 0 0 0 0 0 0 2 5 0 9 SM 1 0 6 0 3 0 0 1 4 2 0 2 0 19 SP 1 1 1 0 0 0 0 0 0 1 10 4 4 22 ST 0 0 0 0 0 0 0 0 0 1 0 1 0 2 TFI 10 12 0 0 1 0 0 0 0 0 0 0 0 23 TR 34 37 29 13 16 14 15 14 34 35 4 51 21 317 Count 302 284 190 102 146 116 172 181 175 223 102 279 240 2512 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* 0 - 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* 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* Salem Board of Health JULY 2004 PHONE LOG • Total Answered *Answered Calls Thursday July 1,2004 28 Barb = 85 Friday July 2, 2004 13 Mary= 307 Saturday July 3,2004 Neia Sunday July 4,2004 Monday July 5,2004 HOLIDAY Tuesday July 6, 2004 12 *Calls Taken Wednesday July 7,2004 21 Thursday July 8, 2004 17 Joanne = 94 Friday July 9, 2004 2 Janet = 24 Saturday July 10, 2004 David = 32 Sunday July 11, 2004 Jose = 47 Monday July 12, 2004 32 Pablo = 2 Tuesday July 13,2004 33 Tracy = 55 Wednesday July 14, 2004 14 Barb = 32 Thursday July 15, 2004 22 Mary = 73 AM,Friday July 16, 2004 8 Ginny = 15 Saturday July 17, 2004 Neia = 18 Sunday July 18,2004 Monday July 19,2004 22 35 Hour Work Week Tuesday July 20,2004 10 Wednesday July 21, 2004 28 1 21 work days Thursday July 22,2004 0 Friday July 23,2004 8 Saturday July 24,2004 Sunday July 25,2004 Monday 8-4 Monday July 26,2004 10 Tuesday 8-4 Tuesday July 27, 2004 32 Wednesday 8-4 Wednesday July 28,2004 24 Thursday 8-7 Thursday July 29, 2004 24 Friday 8-noon Friday July 30,2004 12 Saturday July 31, 2004 Total Calls*= 392 I •.x'i-' a: r .-.. i•.+_ •i-` .e.- n'_.A ''�n�3n. �'+!�" �ZF` ie.Yst .M.�.->:N+-.fY^ -�..•.r -�. � E rw-a2 i1 �a ,Y ' �.� .. , i`^1yfY,M1f"-^�+Mr*+�+r..�+tt�awwW�Mv++m+�v.Twrr ..-•.r..w•+.ru �-�,..ayei ski, y�.+. �. CITY OF'SALEM, MASSACHUSETTS BOARD OF HEALTH 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 June 4, 2004 Mrs. Cheryl LaPointe Acting City Clerk City Hall Salem, MA 01970 Dear Mrs. LaPointe The Board of Health monthly meeting to be held Tuesday, June 8, • 2004 at 7:00 P.M., has been cancelled. Sincerely, FOR THE BOARD OF HEALTH (--c- oanne Scott, Health Agent JS/bas cc: Mayor Stanley J. Usovicz, Jr. Christina Harrington, Chairperson of the Board of Health and Members i �co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH n 120 WASHINGTON STREET, 4TH FLOOR • � �o' SALEM, MA 01970 gM�guF� TEL. 978-74 1-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Healthy, Nurse Se Report ,hme Arteae anc Disease Prevention in contact with North Shore ruimonary Clinic regarding active cases and cases contacts. vaccine inventory maintained ana distributed. investigated communicable disease cases ana reported to the MDFH Meetings and Clinics 6i2 Attended North Shore Cape Ann Coalition meeting at Peabody DPW. • 6/3 Attended IMPH"Legal Nuts and Bolts" of isolation and Quarantine Regulations held at Tewksbury Hospital. 6%17-6/23 Vacation 6/24 Annual XMPH immunization inspected was conducted at my otlice. No violations were found_ inspection report attached. 6/24 Boy'sand Girl's club camp inspection conducted with David Greenbaum. Camp is permitted for 2004 6/24 Schooner Lamp inspection was conducted with David Greenbaum. Camp is permitted for 2004. This is the first season for Schooner Fame. Children sail on the 62' schooner for three hours per day. Children learn about maritime history and sailing. 6/25 Camp Fire Camp inspection was conducted with David Greenbaum and Janet Dionne. Camp is permitted for 2004 6/28 Salem Explorer's YivICA Camp inspection was conducted at 37 Winter Island Rd. This is a new camp for 2004. The Children are dropped off and picked up. The camp is set up on the Plummer Home Grounds. 3 Forta Potties are on site. The children use the beach, and are staffed with three lifeguards. David Greenbaum also inspected the camp.. • e • 6/30 Children's Island Da Cam inspection was conducted with Janet Dionne. Cam Y P p p was permitted for 2004. 6/30 H.O.B.B.E.S Camp (Hands on Boat Based Educational Science)was inspected with Virginia Moustakis. This camp is located at Hawthorne Cove Marina. The campers travel by boat and learn about marine science. The boat has been inspected by the Coast Guard. The camp passed inspection from the Board of Health. They will apply for a variance regarding toilet facilities. • • 1� • Summary of Communicable diseases for June 2004 Campylobacter: 35 y/o male. Cannot remember foods eaten during incubation period. He is not a foodhandler. • Cyclospora: 41 y/o female. Traveled to Bhutan Thailand, camping for a few days during incubation period. Non food handler. Boyfriend was not ill. Hepatitis A: 26 y/o male. Hx of IVDA. Incarcerated during most of infectious period in a New York Jail. Physician at Jail notified by phone. 2 Household contacts received IGG. Hepatitis B: 62 y/o male. No Risk Factors. Wife made appointment to be tested. Tuberculosis: 25 y/o female. DOT continues 5 days a week. 2 months of meds completed, with 4 months remaining. Varicella: 2 Cases. Both children received the varivax vaccine years earlier. • • Monthlu Report of Communicable Diseases June 2004 Disease: New: Carnq Over: Discharged: Reported: Campylobacter 1 0 1 1 • CrJ,clospora 1 0 1 1 Giardia 0 0 0 0 Hepatitis 2 0 2 2 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Tuberculosis 0 1 1 1 Varicella 2 0 2 2 Reportable Diseases excluded from above have not been identified this month. • AGENT'S NEWSLETTER TO THE BOARD VOLUME 96 July 13, 2004 EMERGENCY COALITION We have just completed the first year of funding for the North Shore-Cape Ann Emergency Coalition. The funding included individual grants to each community. Salem's share totaled approximately $12,000. This money was used to purchase equipment and services to allow the BOH and other departments to use a GIS based inspection program. This program will link departments such as Health, Building, Electrical, Planning and Assessors so that all activities at a particular location will be centrally tracked and available for review by other departments. In addition, because Salem is the host community, 5% of the grant is allocated to the City. This money is spent on administrative costs associated with the grant such as rent, processing of purchases, benefits for any full time Coalition staff, etc. We were able to use some of this money to partially pay for Virginia Moustakis' salary. We plan to pay Ginny again out of this fund. Joyce Redford will be working full time for the Coalition some time in the fall, while working part time for the Tobacco Collaborative. In addition, we have a graduate student from the BU School of Public Health, Neia Illingworth, working as an intern. • FY 05 BUDGET The Board of Health has been finalized. As I write this I have not seen the final version, although the clerical position that was to be eliminated was reinstated. This is great news for us, meaning that we will not loose any positions. MASS VACCINATION Dr. Paone of the Statewide Strategic National Stockpile has notified us that he will be receiving flu vaccine from the CDC so that we may begin planning our mass immunization clinic. This clinic will take place probably in November. We anticipate having approximately 7,000 doses. Tracy and I are reviewing the planning document sent by Dr. Paone and will be convening a planning team shortly. 2004 MOSQUITO CONTROL PLAN I have enclosed this year's Mosquito Control Plan for your review and possible adoption. This year, with Chris Harrington's approval, we are recording the location of dead birds but not collecting them for testing. We report the locations of those birds to the state. HHWCD Household Hazardous Waste Day was a success. Approximately 600 cars came through with material to be handled by Clean Harbors and the other vendors, and another 150 cars came through with tires, computers, propane tanks but not items for Clean Harbors. Congratulations to Jose for organizing the event this year. Special thanks • to our Chair Chris Harrington, her husband Dick, and a couple of Moriarty's who contributed brain and brawn to our efforts! WEB PAGE Janet Dionne has been working on the Board of Health's portion of the city's web page. We will let you know when it is online. Have a wonderful summer! Board of Health Administration Monthly Report Jun-04 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 420 Burial Permits @ $10.00 $600.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Licenses & Permits(+copies) $3,215.00 Immune Serum Globulin= 8 Certificate of Fitness@$25.00 $1,275.00 Measles/Mumps/Rubella= 120 Copies $8.00 Polio IPV= 380 Fines $300.00 Tetanus & Diptheria (adult use)= 105 Total Monies Collected $5,398.00 Tuberculin PPD= 100 HIB Titre= 405 Hepatitis B= 270 PPV 23 40 PCV 7 320 Animal Bites Reported = 3 Annual Budget Expenses Available Balance Salary/Longevity $365,221.00 $361,835.76 $4,400.45 Annual Budget Expenses Encumbered Non-Personnel $15,600.00 $12,855.05 $2,744.95 City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month ---------------------------------------------------------------------------------------------- Type Jul 03 Aug 03 Sep 03 Oct 03 Nov 03 Dec 03 Jan 04 Feb 04 Mar 04 Apr 04 May 04 Jun 04 Count 0 1 0 0 0 0 0 0 0 1 0 0 2 BP 1 0 0 0 0 0 0 0 0 0 0 0 1 CFI 91 61 59 42 38 21 22 40 24 50 9 65 522 CFR 2 3 6 2 6 4 1 2 1 0 2 2 31 CH 1 3 2 0 1 1 3 8 1 4 1 1 26 CON 3 5 4 0 2 1 4 0 3 0 2 0 24 CR 8 7 10 2 2 0 1 0 0 0 0 0 30 CT 4 6 7 9 1 2 3 6 1 0 0 5 44 DG 0 0 0 0 0 0 0 0 0 0 0 1 1 DG/VM 0 0 0 0 0 0 1 0 0 0 0 0 1 EC 10 13 0 0 3 2 2 1 1 1 0 1 34 EPR 1 0 0 1 0 0 0 0 0 1 0 3 6 FC 2 3 1 2 4 0 0 1 1 1 0 2 17 FRH 0 0 1 0 0 1 0 0 0 0 0 0 2 FSD 1 9 4 0 6 11 13 8 8 8 4 8 80 FSI 12 18 21 1 17 15 58 47 41 49 20 23 322 FSI DG/VM 0 0 0 0 0 0 1 0 0 0 0 0 1 FSR 7 3 2 1 9 16 16 20 24 17 7 16 138 GN 3 3 6 7 5 2 0 2 2 0 3 11 44 HHWD 0 0 0 0 0 0 0 0 0 0 22 5 27 HI 6 12 11 7 9 8 17 11 11 15 4 2 113 HR 2 8 4 3 3 2 5 6 4 1 0 0 38 I 0 0 0 0 0 0 0 0 1 0 0 0 1 I 0 1 0 0 0 2 0 0 2 0 0 0 5 MS 0 0 0 0 0 1 0 0 0 0 0 0 1 MT 7 7 5 5 7 1 4 6 4 3 3 2 54 MUP 2 4 2 0 0 0 0 1 0 2 0 3 14 OG 7 4 3 6 0 0 0 0 0 0 0 0 20 PV 0 0 0 0 0 0 0 0 0 1 0 0 1 RC 0 0 0 0 0 0 0 0 0 0 0 4 4 RFD 0 0 0 0 1 0 0 1 0 4 0 3 9 RFI 4 3 1 1 8 10 4 4 6 16 6 14 77 RFR 0 1 0 0 2 2 1 1 2 7 0 4 20 RFS 0 0 0 0 0 0 1 0 0 0 0 0 1 RO 3 0 4 0 2 0 0 0 0 3 3 2 17 RSI 0 0 0 0 0 0 0 1 0 0 0 0 1 SB 78 59 0 0 0 0 0 0 0 0 0 39 176 SC 1 0 1 0 0 0 0 0 0 0 2 5 9 SM 1 0 6 0 3 0 0 1 4 2 0 2 19 SP 1 1 1 0 0 0 0 0 0 1 10 4 18 ST 0 0 0 0 0 0 0 0 0 1 0 1 2 TFI 10 12 0 0 1 0 0 0 0 0 0 0 23 TR 34 37 29 13 16 14 15 14 34 35 4 51 296 Count 302 284 190 102 146 116 172 181 175 223 102 279 2272 • 07/09/2004 Salem Board of Health JUNE PHONE LOG 2004 • Total Answered *Answered Calls Tuesday June 1, 2004 30 Barb = 214 Wednesday June 2, 2004 42 Mary= 495 Thursday June 3,2004 84 Friday June 4, 2004 54 Saturday June 5, 2004 Sunday June 6,2004 *Calls Taken Monday June 7, 2004 33 Tuesday June 8, 2004 28 Joanne = 201 Wednesday June 9,2004 18 Janet = 17 Thursday June 10,2004 35 David = 49 Friday June 11,2004 15 Jose = 87 Saturday June 12,2004 Pablo = 0 Sunday June 13, 2004 . Tracy = 60 Monday June 14, 2004 47 Barb = 81 Tuesday June 15,2004 29 Mary = 199 • Wednesday June 16,2004 23 Ginny =1 15 Thursday June 17, 2004 29 Friday June 18,2004 20 Saturday June 19, 2004 35 Hour Work Week Sunday June 20,2004 Monday June 21,2004 26 22 work days Tuesday June 22, 2004 19 Wednesday June 23,2004 24 Thursday June 24, 2004 43 Friday June 25,2004 22 Monday 8-4 Saturday June 26, 2004 Tuesday 8-4 Sunday June 27, 2004 Wednesday 8-4 Monday June 28, 2004 31 Thursday 8-7 Tuesday June 29, 2004 34 Friday 8-noon Wednesday June 30, 2004 23 • Total Calls*= 709 �¢o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' 120 WASHINGTON STREET, 4TH FLOOR a � a SALEM, MA 01970 0 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public health Nurse Report May 2004 Activities Disease Prevention ■ In contact 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 • 5/3 DOT five days per week for an active TB case. 5/4 PPD testing for 2 household contacts 5/5 DOT five days per week for a suspect TB case. Contacts negative. 5/10 PPD testing for 7 household contacts of above case. All contacts were negative. 5/11. Home visit conducted upon request of the school nurse. There is concern the family has been infested with lice eleven times since September. Educational materials provided, and housekeeping issues were addressed. Social Services will determine if they need to be involved. 5/13 Attended North Shore and Cape Ann Coalition Meeting. Discussion of grant spending. 5/14 Attended the First Annual New England Public Health Nursing Conference in Western Mass. Public Health Nurses from all over New England Attended. The main topic this year was Environmental Health. • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' 120 WASHINGTON STREET, 4TH FLOOR al a SALEM, MA 01970 • .p� "` TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Summary of Communicable Diseases for May 2004 ■ Campylobacter: 58 y/o female. Non-Foodhandler. Source of infection unknown. She was not notified by M.D. ■ Hepatitis: 2 Hepatitis C Cases. • ■ Salmonella: 2 Cases. 39 y/o female. Non-Foodhandler. Source of infection unknown. Case ate out at several restaurants and attended a party during incubation period. No one in household is ill. 9 y/o male. Mother believed child became ill from eating Chicken Fingers at Sandwiches Pizza and More at Vinnin Square. David Greenbaum notified, and conducted an inspection. However, the source of infection could also be a pet iguana. Salmonella and Reptiles Fact Sheet sent to home. ■ Tuberculosis: 1 Suspect and 1 Active Case. 25 y/o female. Born in Puerto Rico. Smear Neg, Lymph node bx positive culture Identified as M. T.B. CXR abnormal. DOT 5 days per week. Household contacts negative. 41 y/o female. U.S. Born. Negative PPD, CXR: abn., cavitary. Smear negative. Culture positive for AFB. DOT administered 5 days a week. Culture identified as M. Gordonae. Case d/c'd from Pulmonary Clinic. • r r �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • p SALEM, MA 01 970 Aug 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 May 2004 Disease: New: Carry Over: Discharged: Reported: Campylobacter 1 0 1 1 Giardia 0 0 0 0 Group B Strep 1 0 1 1 Hepatitis 2 0 0 0 rertussis 0 0 0 0 Salmonella 2 0 2 2 Tuberculosis 1 0 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 95 May 11, 2004 FY 05 BUDGET I had originally submitted a level funded budget proposal to the Mayor even though he had requested a 5% reduction. However, when I met with the Mayor he required me to show another budget with the 5% reduction equaling a subtraction of$18,261. All our expense lines together equal $15, 600! The only way to address such a large amount was with the elimination of a position. At that meeting the Mayor did indicate that there was a small chance that the City would receive more money from the Sate than expected and so that decision was not final. However, I received an e-mail from Finance this week stating that the budget, as discussed, was being forwarded to the City Council Therefore, I let Barbara Sirois know that the Principal Clerk's position was being eliminated due to budget reductions. This is a very difficult situation because Barbara has been with the Board of Health for 18 years. In addition, we recently lost a clerk's position and a part time inspector's position. MASS VACCINATION I had a conversation with the Statewide Strategic National Stockpile • Coordinator, Dr. Robert Paone. The SSNS is planning to have several vaccination clinics, such as the one we are considering in Salem. Those are planned for the Cape region, Boston, Springfield, and Worcester. He said that he will include Salem in that planning. The expense for this clinic is, of course, the cost of the flu vaccine. If we plan a clinic for 7,000 residents, we anticipate a budget of$70,000. Dr. Paone will supply that vaccine if the CDC approves using Bioterrorism funding for that purpose. He has requested it and has received conflicting opinions from them. Therefore, we are anxiously awaiting the CDC's final opinion regarding this. If the SSNS will supply the vaccine, we will definitely move ahead with the planning. Dr. Paone expects a decision soon and promised to let me know as soon as he hears. SNEAK PEEK VIDEO We have continued to gather more information regarding non-medical fetal ultrasounds. I am waiting to hear from an Ultrasound expert in Boston and hope to report her opinions at the Board meeting. HHWCD We will be making a concerted effort to reduce the amount of latex paint taken at the event. Latex paint is not hazardous, may be disposed of in municipal trash if dry, and is very expensive to process through Clean Harbors. • a � • EMERGENCY PREPAREDNESS Joyce Redford of Tobacco Control has been selected by the Coalition to be its Staff Person. This position is analogous to the Tobacco Control Coordinator. Joyce will be working for 15 communities coordinating each of their bioterroism plans and then coordinating a regional response. FLOOD CONTAMINATION I met with the City Council subcommittee on Health and Safety regarding disseminating information regarding flood water contamination and clean-up. The City is updating its website and we will include a link to the CDC, regarding flood water, from the Board of Health page. The CDC has a large amount of information that will help residents in the clean-up process following a flood. ******************************************************************************************** • • i t rt. North Shore & Cape Ann Emergency Preparedness Coalition Principles of Operation Massachusetts Public Health Emergency Preparedness Region 3 Adopted: January 22, 2004 The following document sets forth the principles of operation including the governing structure adopted by the North Shore and Cape Ann Emergency Preparedness Coalition in the Massachusetts Department of Public Health Emergency Preparedness Region 3. The members are the local health directors or other agent of the local public health authority for the 15 cities and towns that make-up this public health sub-regional coalition. For the purpose of this document, the term"Coalition" shall refer to this North Shore and Cape Ann Emergency • Preparedness Coalition, consisting of the member municipalities of Rockport, Gloucester, Essex, Manchester by the Sea, Hamilton, Wenham, Beverly, Danvers, Peabody, Salem,Marblehead, Lynn, Swampscott,Nahant, and Saugus. 1. Purpose & Duties The members of this public health coalition in Region 3 agree to work collaboratively to enhance communities' collective capacity to share resources and respond to public health threats and emergencies, including terrorism and outbreaks of infectious diseases. Specifically, coalition members will work collaboratively to: l. Assess and monitor regional emergency planning and response needs; 2. Make funding decisions to enhance regional emergency planning and response capacity; 3. Submit plans, needs, and requests to the Massachusetts Department of Public Health, Center for Emergency Preparedness, as directed by MDPH or Coalition • vote. 4. Be accountable and responsible for the use of CDC funding; 1 • 5. Coordinate with other sub-regional coalitions (if applicable) to ensure that all municipalities in the Region are represented in a coalition and to enhance overall preparedness throughout the Region; 6. Share knowledge, lessons learned, and best practices throughout the Commonwealth by participating in regional and statewide meetings; 7. Coordinate efforts to further emergency preparedness with other existing regional or local plans (e.g., MEMA); and 8. Meet the other goals associated with the Massachusetts Department of Public Health Emergency Preparedness initiatives as well as other regional public health efforts. 2. Membership Membership of this coalition shall consist of a member or designee of the local public health authority from each member community in good standing. This designee shall be the Health Agent or Director of Health, or his/her representative, unless otherwise petitioned in writing by • the authorized Board of Health. Members in good standing shall be communities currently in compliance with all DPH and Coalition requirements. Each member community in good standing shall have one(1) vote, for a maximum total of 15 votes for this coalition. 3. Administration A. Host Agency The Host Agency serves as the fiscal and administrative agent/conduit for this public health coalition. • 2 ' c • Coalition Staff Person: The Coalition staff person, under the supervision of the Host Agency, and at the direction of the Coalition through its officers, shall be responsible for assuring that the coalition's records are maintained, tracking income and distribution of monies and expenses, coordinating activities including sending out meeting announcements and agendas, finalizing meeting location and logistics, distributing meeting minutes, completing required DPH fiscal and programmatic reports and paperwork, and other related duties as may be determined by the Coalition. Annual Report & Other Reporting Requirements: Each year, the Hest Agency for this i coalition shall prepare or cause to be prepared in August, or other time as required by the Massachusetts Department of Public Health, a report of finances,program and personnel, and other matters of interest for the preceding fiscal year. These reports shall be distributed to all members. The fiscal year for this report and all financial matters will begin on July 1. In addition, the Host Agency shall complete or cause to be completed other contract, financial, and program reports as required by the Massachusetts Department of Public Health on a quarterly or • bi-annual basis. B. Officers Each June the Coalition shall elect officers through a nomination and majority election procedure for the following offices—Chair, Vice-Chair and Secretary. Each member shall submit one vote for each office. Votes shall be by sealed ballot sent to the current Coalition Chair, and shall be opened and counted during a regular meeting. The office shall be held by the individual,rather than the community represented. Term of office shall be for the next fiscal year. Any vacancy may be voted upon and filled through the remainder of the fiscal year, if such action is voted upon by a majority of members at a regular meeting. The Chair delegates day-to-day administrative responsibilities to a staff person employed and supervised by the host agency,but who works at the direction of the Coalition. • 3 . A a r y • Executive Committee: The elected officers will act as the Executive Committee in the event of an emergency prohibiting a timely meeting of the Coalition. As such, they are authorized to take emergency action on behalf of the Coalition. When acting as the Executive Committee, each officer shall have one vote. Terms: Officers will serve one-year terms,but are eligible for re-election for up to five years. Duties & Responsibilities of the Chairperson: The Chairperson schedules regular and special meetings of the Coalition,presides at all meetings, appoints and dissolves subcommittees, working groups, and leaders of same, and serves as the official public spokesperson of the Coalition. Duties & Responsibilities of the Vice-Chair. The Vice Chair shall act as Chair in his/her absence. • Duties & Responsibilities of the Secretary: The Secretary will be responsible for taking minutes at all meetings. C. Meetings Quorum: A majority of the members in good standing of the coalition shall constitute a quorum. A quorum is necessary for the purposes of transacting business. In the event of an even number of member in good standing communities, a quorum shall consist of 50%or more. The coalition may act by a simple majority of members in good standing present and voting. The Executive Committee may act by a simple majority of members voting unless otherwise provided in these principles. Meeting Schedule: The coalition shall meet at least semi-annually, at an agreed place and time. re frequently 1 as necessary. Notices of meetings must be posted in Meetings maybe scheduled more q y ry g compliance with all applicable laws. • 4 r. • Committees: The Coalition or Chair may create committees and working groups as needed. Members of the region may form committees or work groups among themselves to consider matters of interest. Proposals or projects developed by committees or work groups are subject to review and ratification by the Coalition. Voting: Each member in good standing of the coalition shall have one (1) vote. The member shall be responsible for briefing his/her respective board of health or other legally designated health authority about actions pending and taken by the coalition. Notice: Notice of each meeting e shall b given to each member by email not less than three(3) days before the meeting. Notice for emergency meetings will be given as much advance notice as possible. 4. Amendments • These principles may be amended by a two-thirds majority vote of the members in good standing of this coalition. A proposal to amend the principles may be initiated by any member. The proposed amendment shall be submitted in writing to the Chairperson of the Coalition or the Host Agency staff person at least 30 days prior to the next regularly scheduled meeting so that it may be distributed to all coalition members in advance of the next regularly scheduled meeting, at which time the proposed amendment will be considered. • 5 • Region 3-D North Shore Ft Cape Ann Emergency Preparedness Coalition Plan for Using MDPH Funding To Support Emergency Preparedness Activities Background Region 3-D, comprised of 15 communities, is scheduled to receive $223,534 (plus $30,000 for a computer for each community) from the Massachusetts Department of Public Health (MDPH) to be used to enhance the region's capacity to respond to public health threats and emergencies, including bioterrorism and other outbreaks of infectious disease. The Region has designated a host agency (Salem Board of Health) and has adopted a set of governing principles (copy attached). As of February 25, 2004, all 15 communities had completed their MDPH and Office of Domestic Preparedness • needs assessments and submitted required Letters of Intent At its meeting on April 1, 2004, Region 3-D approved a plan for the use of MDPH dollars within the region and voted to submit that plan to the Center for Emergency Preparedness at MDPH. The Plan identifies a variety of needs for the Region, and describes how the Region proposes to use funds allocated through the MDPH to begin addressing these needs. A proposed initial budget is included. The Plan 1. Funding for local health departments $97,764.14 (plus $2,000 for a computer) will be distributed through the host agency to local public health agencies (LPHAs). Amounts (not including the $2,000 for the computers) will range from $872.28 to $23,776.35 per community in the region, according to a sliding scale formula based on • population as determined by the 2000 federal census. Proposed Plan for MDPH Region 3-3 05/07/2004 Page 1 of 1 I • This money will be used by the LPHAs on a discretionary basis for public health emergency preparedness needs including, but not limited to: • Costs associated with or generated by completion of the MDPH and ODP needs assessment surveys; • Obtaining the services of back-up support personnel to assist with local public health duties (e.g., food inspections) so that LPHA staff can participate in regional public health emergency preparedness planning and related activities during.funding year 1; • Purchase of equipment needed by the LPHA to meet emergency response needs not addressed by regional expenditures for equipment as described in section (2) (B) below in accordance with the accepted list of purchases as delineated by Region 4-B or pre-approved by the MDPH; and • • Other local emergency preparedness needs as approved by the governing body of Region 3-D in accordance with MDPH guidelines. To facilitate the effective use of these funds by LPHAs, the Region adopts the MDPH approved list of purchases delineated by Region 4-B requiring the submission of minimal documentation to the host agency, subject to MDPH guidelines. 2. Funding for Regional Needs We anticipate that there will be approximately $92,247.78 available for regional expenditures. [This is the sum remaining after subtracting the $97,764.14 in distributions to LPHAs, $33,522.08 (approximately 15%) for overhead expenses to be allocated to the host agency under the RFR, and the $30,000 for a computer for each community.] Region 3-D has identified a number of emergency preparedness needs that it would address through • Proposed Plan for MDPH Region 3-3 05/07/2004 Page 2 of 2 v • regionally-based expenditures, to the extent that funds are available. These needs include, but are not necessarily limited to: • Ability to communicate, in an emergency, inter and intra-community. Ability to safely approach emergency situation, other than those in hot or warm zones. Ability to safely evaluate and/or treat individuals suspected of exposure to a contagious disease. • Use of consultant(s) or employees to implement the Template for Local Infectious Disease Emergency response Planning and Response to include in each community's Comprehensive Emergency Management Plan Purchase of standard reference materials, public education materials, and other printed materials; and Funding to be used to support emergency preparedness training for LPHA staff across the region. • The following sections describe how Region 3-D proposes to use the funds distributed by MDPH to address regional needs. (A) Identify and hire consultants or employees to provide assistance in developing regional plans or models that might include but are not limited to: (i) Completion of each community's infectious disease module of the emergency management plan. (ii) Evaluation of regional communication needs and assets, and development of a plan to build regional communications infrastructure that ensures interoperability so that LPHAs can communicate effectively in an emergency among themselves and with public safety agencies, state health officials, health care providers, and other partners. I Proposed Plan for MDPH Region 3-3 05/07/2004 Page 3 of 3 0 y • (iii) Develop a local template and regional risk communication plan that will be compatible/coordinated with the MDPH risk communication plan (iv) Devise a model for regional coordination of reserve medical corps volunteers that builds on existing local efforts and identifies availability across the region of individuals appropriate to respond in public health emergencies; (v) Develop as necessary model Memoranda of Understanding or other mutual aid documents for use by members of the Region. (vi) Ensure compliance with DPH reporting requirements. (6) Establish an education and training fund to help LPHAs in the Region cover the costs, particularly travel expenses, of • appropriate staff training related to bioterrorism, and other public health emergencies (C) Purchase equipment including cell phones and radios so that public health personnel may communicate with authorities within their own community and those in other communities, particularly during an emergency. (D) Purchase of N95 masks, including the ability to fit test these masks, so that public health nurses and first responders may be protected against contagious diseases to which they may be exposed. (E) Identify a standard set of equipment for health inspectors, compatible across communities that each LPHA should have on hand in order to effectively respond to public health emergencies, and provide funding for bulk purchases of the equipment to achieve efficiency and standardization of • resources. This equipment might include but is not limited Proposed Plan for MDPH Region 3-3 05/07/2004 Page 4 of 4 y • � L T T � J • to Chemical overboots, gloves, goggles, flashlight, raincoat, UV light, etc. (F) Identify and purchase in bulk basic emergency preparedness resource texts, manuals, and other printed materials, including but not limited to materials developed to educate the general public about bioterrorism and public health emergency preparedness. (G) Identify a standard set of equipment for nurses, compatible across communities that each LPHA should have on hand in order to effectively respond to public health emergencies, and provide funding for bulk purchases of the equipment to achieve efficiency and standardization of resources. This equipment might include but is not limited to resource books, stethoscopes, masks, carry bags, etc. • Proposed Initial Budget Allocations For Region 3-D MDPH Budget Dollar Amount Explanation Category 201 $13,108.78 Use of consultants/employees to develop (direct care consultants) & adapt templates, support local communities to draft plans, develop MOU templates, etc 204 $4,926 To support training for LPHA staff staff training) 206 $97,764.14 Separate grants to 15 communities,based (subcontracted direct on population counts, from $872 to care) $23,000. BEVERLY $10,643.15 DANVERS $6731.60 ESSEX $872.28 • GLOUCESTER $8082.89 HAMILTON $2220.10 Proposed Plan for MDPH Region 3-3 05/07/2004 Page 5 of 5 Z � • LYNN $23776.35 MANCHESTER $1395.87 MARBLEHEAD $5440.65 NAHANT $969.74 PEABODY $12850.44 ROCK-PORT $1996.11 SALEM $10788.66 SAUGUS $6962.82 SWAMPSCOTT $3848.00 WENHAM $1185.48 215 $104,213 Bulk purchase of compatible emergency (Program supplies, preparedness equipment &materials for materials&expendable regional use, $30,000 of which is items of equipment& dedicated to each community's purchase furnishings) of a$2,000 computer 410 (agency and program $33,522.08 Approximately 15% admin overhead(per administration) 1FR Total=$253,534 • Line Item Description Of Budget Allocations • Proposed Plan for MDPH Region 3-3 05/07/2004 Page 6 of 6 201 Part or full time $900 ^ Y k u Coalition Staff Person. The amount may vary depending on date. of hire. Supplies for Coalition $3,508.78 staff person including, but not limited to, desk supplies, paper, copying expenses, etc. 204 Cost of travel to training $4,926.00 sites for Board of Health directors, nurses, inspectors 206 15 separate partially $97,764.14 discretionary grants, based on population and • ranging from $872 to $23,000. 215 Nextel cell phones, 2 per $12010 community, and a 14 month service contract for each phone. Motorola radios, I per $32,000 community, and transmitting system. Masks and fit- $3,200 testing/training 15 Equipment bags for $2000 each community, each to hold the items below. • N95 masks $210 Chemical Overboots $900 Pro or 1POIDPI1 I Region 3 3 Pag 7 of 7 Chemical gloves 1 S aid kit $750 L 'r iA • Absorbent Pads for $60 spills Flashlight $1,300 Raingear to protect $4,300 inspector from water spray or in flooding situations UV light $1,200 Anemometer $5,700 Resource materials, $4,000 as listed in the 4-B accepted list of • purchases Nursing Equipment, as $5,429 listed in the 4-B accepted list of purchases 410 Process purchases $10,000 Payment for office use $13,522.08 Administer grant $10,000 • Proposed Plan for MDPH Region 3-3 05/07/2004 Page 8 of 8 • • Proposed Plan for MDPH Region 3-3 05/07/2004 Page 9 of 9 Board of Health Administration Monthly Report May-04 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 420 Burial Permits @ $10.00 $580.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Licenses & Permits(+copies) $1,515.00 Immune Serum Globulin= 8 Certificate of Fitness@$25.00 $2,025.00 i Measles/Mumps/Rubella= 40 Copies $2.00 Polio IPV= 410 Fines $500.00 Tetanus & Diptheria (adult use)= 600 Total Monies Collected $4,622.00 Tuberculin PPD= 50 HIB Titre= 380 Hepatitis B= 430 PPV 23 0 PCV 7 240 Animal Bites Reported = 1 Annual Budget Expenses Available Balance Salary/Longevity $365,221.00 $331,701.19 $30,539.30 Annual Budget Expenses Encumbered Non-Personnel $15,600.00 $11,427.06 $3,995.72 $177.22 City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month -------------------------------------------------------------------------------------- Type Jul 03 Aug 03 Sep 03 Oct 03 Nov 03 Dec 03 Jan 04 Feb 04 Mar 04 Apr 04 May 04 Count --------- ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ ----- 0 1 0 0 0 0 0 0 0 1 0 2 BP 1 0 0 0 0 0 0 0 0 0 0 1 CFI 91 61 59 42 38 21 22 40 24 50 9 457 CFR 2 3 6 2 6 4 1 2 1 0 2 29 CH 1 3 2 0 1 1 3 8 1 4 1 25 CON 3 5 4 0 2 1 4 0 3 0 2 24 CR 8 7 10 2 2 0 1 0 0 0 0 30 CT 4 6 7 9 1 2 3 6 1 0 0 39 DG/VM 0 0 0 0 0 0 1 0 0 0 0 1 EC 10 13 0 0 3 2 2 1 1 1 0 33 EPR 1 0 0 1 0 0 0 0 0 1 0 3 FC 2 3 1 2 4 0 0 1 1 1 0 15 FRH 0 0 1 0 0 1 0 0 0 0 0 2 FSD 1 9 4 0 6 11 13 8 8 8 4 72 FSI 12 18 21 1 17 15 58 47 41 49 20 299 FSI DG/VM 0 0 0 0 0 0 1 0 0 0 0 1 FSR 7 3 2 1 9 16 16 20 24 17 7 122 GN 3 3 6 7 5 2 0 2 2 0 3 33 HHWD 0 0 0 0 0 0 0 0 0 0 22 22 HI 6 12 11 7 9 8 17 11 11 15 4 111 HR 2 8 4 3 3 2 5 6 4 1 0 38 HRI 0 0 0 0 0 0 0 0 1 0 0 1 I 0 1 0 0 0 2 0 0 2 0 0 5 0 0 0 0 0 1 0 0 0 0 0 1 OT 7 7 5 5 7 1 4 6 4 3 3 52 MUP 2 4 2 0 0 0 0 1 0 2 0 11 OG 7 4 3 6 0 0 0 0 0 0 0 20 PV 0 0 0 0 0 0 0 0 0 1 0 1 RFD 0 0 0 0 1 0 0 1 0 4 0 6 RFI 4 3 1 1 8 10 4 4 6 16 6 63 RFR 0 1 0 0 2 2 1 1 2 7 0 16 RFS 0 0 0 0 0 0 1 0 0 0 0 1 RO 3 0 4 0 2 0 0 0 0 3 3 15 RSI 0 0 0 0 0 0 0 1 0 0 0 1 SB 78 59 0 0 0 0 0 0 0 0 0 137 SC 1 0 1 0 0 0 0 0 0 0 2 4 SM 1 0 6 0 3 0 0 1 4 2 0 17 SP 1 1 1 0 0 0 0 0 0 1 10 14 ST 0 0 0 0 0 0 0 0 0 1 0 1 TFI 10 12 0 0 1 0 0 0 0 0 0 23 TR 34 37 29 13 16 14 15 14 34 35 4 245 Count 302 284 190 102 146 116 172 181 175 223 102 1993 • 07/09/2004 Salem Board of Health • MAY PHONE LOG 2004 Total Answered Answered Calls Saturday May 1, 2004EMEEM Barb = 164 Sunday May 2, 2004 Mary = 353 Monday May 3, 2004 17 Tuesday May 4, 2004 8 Wednesday May 5, 2004 14 Thursday May 6, 2004 16 Calls Taken Friday May 7, 2004 21 Saturday May 8, 2004 Joanne = 126 Sunday May 9, 2004 Janet = 2 Monday May 10, 2004 30 David = 47 Tuesday May 11, 2004 22 Jose = 64 Wednesday May 12, 2004 18 Pablo = 6 Thursday May 13, 2004 31 Tracy = 76 Friday May 14, 2004 7 Ginny = 21 urday May 15, 2004 OEM= Barb = 52 Sunday May 16, 2004 Mary = 123 Monday May 17, 2004 47 Tuesday May 18, 2004 42 Wednesday May 19, 2004 24 Thursday May 20, 2004 37 Friday May 21, 2004 20 Work Days Saturday May 22, 2004 Sunday May 23, 2004 22 Monday 8-4 Monday May 24, 2004 36 Tuesday 8-4 Tuesday May 25, 2004 38 Wednesday 8-4 Wednesday May 26, 2004 23 Thursday 8-7 Thursday May 27, 2004 51 Friday 8-noon Friday May 28, 2004 13 Saturday May 29, 2004 Sunday May 30, 2004 Vday May 31, 2004 HOLIDAY Total Calls *= 517 boo s CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR p SALEM, MA 01970 • ��s Mr' 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 April 2004 Activities Disease Prevention ■ In contact 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 4/22 Attended North Shore and Cape Ann Coalition Meeting at Peabody DPW with Joanne Scott 4/22 Blood Pressure Screenings were conducted at the Salem Police Station from 8:30 a.m. to 9:30 a.m. 4/23 Blood Pressure Screenings were conducted at the Salem Fire Headquarters from 9:00 a.m. to 10:30 a.m. Group #1 4/26 Blood Pressure Screenings were conducted at the Salem Fire Headquarters from 9:00 a.m. to 10:30 a.m. Group #2 4/27 Blood Pressure Screenings were conducted at the Salem Fire Headquarters from 9:00 a.m. to 10:30 a.m. Group #3 4/28 Blood Pressure Screenings were conducted at the Salem Fire Headquarters from 9:00 a.m. to 10:30 a.m. Group #4 4/29 Blood Pressure Screenings were conducted at the City Council Chambers from 11:00 • a.m. to 1 p.m. for City of Salem Employees. c 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 Monthly Report of Communicable Diseases April 2004 Disease: New: Carry Over: Discharged: Reported: Campylobacter 1 0 1 1 Giardia 1 0 1 1 Hepatitis 5 0 0 0 Pertussis 1 0 1 1 Salmonella 0 0 0 0 Tuberculosis 0 0 1 1 Varicella 0 0 0 0 • Reportable Diseases excluded from above have not been identified this month CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �s 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 April 2004 ■ Campylobacter: 50 y/o female. Case suspects she became ill from cleaning up contaminated water in basement during flood. Two children were not ill. Her husband died the week before, and many people prepared food and brought it to her home. She is a non-food handier. • Giardia: 29 y/p female. Case had symptoms for 2 months and a 20#weight loss before seeing M.D. She works as a lab Technician at a Waste Water Treatment Plant. ■ Hepatitis B: Two Cases. 27 y/o pregnant female. Arrived from Africa four months ago. Her Obstetrician is aware. Notified state. Husband also from Africa scheduled to be tested. 28 y/o pregnant female. No response to letter and two phone calls. Notified Dr. Murray's nurse. She will speak to case at next visit. ■ Hepatitis C: Three Chronic cases. • Pertussis: 31 y/o male. Cough onset: End of February. Wife is pregnant, and had been treated in March. 16 m/o son was coughing and tested negative. He was also treated. M-�ftate DepanmeM of 1/eaW,F&a 611983-6813 Page 1 of 3 4/3M4 12 54 22 PM s �- 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 KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON SECRETARY CHRISTINE C.FERGUSON COMMISSIONER April 29, 2004 Dear Local Board of Health: The Massachusetts State Laboratory Institute(SLI)would like to thank your health department for your continued cooperation in response planning for events associated with terrorism. As part of our state biological and chemical terrorism laboratory preparedness planning, SLI is providing all local emergency responders(i.e. local fire departments,local police departments and HazMat teams)with the attached copy of our triage recommendations to assist in responding to suspect packages and/or"white powder"events. • In addition, SLI is providing all local fire departments with a sample of our specimen submission kit. SLI will provide these specimen submission kits to all Massachusetts' local fire departments during: (1)a biological or chemical terrorism attack,or(2)a heightened level of public anxiety such as we experienced in the anthrax scares of 2001. Sample submission forms and instructions are also available for your convenience on the Internet at hM://www.state.ma.us/dphlbls/bls.htm. Please feel free to contact Mariah Grazioplene or Ciranna Bird at the Laboratory Preparedness office by e-mail or phone if you have any questions. 617-983-6367: mariah.Qrazioplene@,state.ma.us 617-983-6216: ciranna.bird(a),dph.state.ma.us We look forward to our continued collaboration with your department.Thank you. Sincerely, G� Ralph Timperi,MPH Assistant Commissioner • Department of Public Health Director,State Laboratory Institute Ma,&ate DepanmeN d Hearo1 Fax tl 617-963-6813 Pape 2 of 3 430104 Q55.05 PM • MDPH STATE LABORATORY INSTITUTE Triage Recommendations and Test Algorithms for Suspicious Environmental Specimens No Apparent Risk/ Do Not Submit Specimen 1. Specimens of this category include presence of powder, particulate matter or liquid material found in a likely location with an obvious explanation(ie white powder in a coffee shop, powder on floors or in books,etc.). 2. Public safety officials(fire and/or police according to local protocols)should be the first point of contact for individuals who report finding suspicious materials. 3. Testing is not recommended. You may dispose of the specimen in the regular trash in a plastic bag if you choose. Low Risk/Call Lab to Consult on Testing Options 1. Specimens of this category include unusual powders,particulate matter or liquid materials found in a location with no obvious explanation,but no known threat. 2_ Public safety officials(fire and/or police according to local protocols)should be the first point of contact for individuals who report finding suspicious materials. Hazardous Materials • Teams should be notified according to local protocols. Local public health officials should also be notified according to local protocols. Assessment of risk should be made by responding fire/Hazmatlpolice officials,who should consult with laboratory staff before transporting specimens. 3. Sample submission to the State Laboratory Institute is generally recommended in these instances. a. Follow all'Instructions for using the BT/CT Specimen Submission Kit' to package the sample and fill out the"BiologicaVChemical Threat Specimen Form' [the instructions and form are posted at the following website: http:/iwww.state.ma.us/dph/bis/bls-htm). b. Transport specimen to the Specimen Receiving Department located at the front entrance of the State Laboratory Institute_ DPH does not routinely provide transport of Low Risk specimens. 4. Testing of routine specimens(low risk)submitted to the laboratory Monday-Friday 8am-5pm will begin no later than an hour following receipt. Testing of routine specimens submitted to the laboratory during evening or weekend hours will begin on the next business day. 5. Test results will be mailed to the submitter noted on the"Biological/Chemical Specimen Form"48 hours after initialization of testing. 1 _= _= Risk/Call Lab to Consult and Transport Specimen Immediately to Lab 1. Specimens of this category include any substance or object associated with a(1)written or verbal threat, (2)an unusual event that is determined by public safety andlo - officials to be of high risk or(3)human illness. 2. Public safety officials(fire and/or police according to local protocols)should be the first who report finding suspicious materials. Hazardous Materials Teams and the FBI should be notified according to local protocols. ; ___`: • This document is posted at the following website http://www.state.ma.us/dptVbLvbls.htm 4/26/2004 Mn,-lale UEtpaameN of liealt� SiF a 617.983-6813 Pepe 3 013 4/30fU4 12 55 58 PM i i i c • officials should also be notified according to local protocols. Assessment of risk should be made by responding fire/Hazmat/police officials,who should consult with laboratory staff. 3. Priority sample submission to the State Laboratory Institute is required in these cases. a. Notify the Laboratory prior to submission of the sample. b. Follow all"Instructions for using the BT/CT Specimen Submission Kit"to package the sample and fill out the"BiologicaUChemical Threat Specimen Form"[the instructions and form are posted at the following website: http:ltwww.state.ma.us/dphibls/bls.htm]. c. Transport specimen to the Specimen Receiving Department located at the front entrance of the State Laboratory institute immediately. DPH will arrange for transport of High Risk specimens if necessary. 9. Testing of High Risk specimens submitted to the laboratory at any time will begin imn;e:'r= upon receipt. 10. Preliminary test results will be called out to the submitter noted on the"Biological/Chemical - -- - --:F_gm"within 24 hours and final test results will be called out after 48 hours followed by a written report by mail. [State Laboratory Institute Contacts Bio/Chemical Terrorism Laboratory on-call(24/7): 617-590-6390 • Epidemiologist on call(2417): 617-983-6800 -- -- - - -- -:-'===--eory Institute,305 South St.Jamaica Plain, MA 02130 can be found at: http://*,ww.state.ma.us/dph/bis/dir/dirmain.htm Current Issues Ricin Testing: Environmental samples,e.g.powders,can be tested at the State Laboratory Institute for ricin. Consult with the State Laboratory Institute Bioterrorism/Chemical Laboratory on call 24/7 staff before submitting specimens. DO NOT COLLECT SPECIMENS IN GLASS CONTAINERS. USE PLASTIC CONTAINERS OR ZIPLOCK BAGS. Comments and questions about this form can be forwarded to: Mariah Grazioplene,MPH 305 South Street Laboratory Preparedness Coordinator Jamaica Plain,MA 02130 Massachusetts State Laboratory Institute 617-983-6367 ma rish.grazioplene@state.ma.us _._ument is posted at the following website: w http://Ww.state.ma.us/dph/bls/bls.htm 4/26/2004 AGENT'S NEWSLETTER TO THE BOARD I VOLUME 94 Apri113, 2004 FY 05 BUDGET The Mayor continues to require a 5% reduction in our budget. However, he did say that there is a small chance that the City will receive more funds than anticipated from the State. In that case we would be able to have a•level-funded budget. SANITARIAN Chris Harrington, Martin Fair, and I interviewed three candidates for the t that all three had strong science backgrounds. open position. We were fortunate e p p 9 9 I will keep the Board informed. MASS VACCINATION Tracy and I attended a CDC satellite broadcast regarding mass vaccination. This would be the scenario if there were an unexpected outbreak of a contagious disease. We are beginning to explore the possibility of having an extremely large flu clinic in the fall simulating such a mass vaccination. I am contacting the Strategic National Stockpile coordinator for the State to determine • if they have an interest in participating. I would ask for the Board's approval of this. If there is a consensus, then we would request funding, for the large quantities of flu vaccine, from a number of sources. SNEAK PEEK VIDEO We have become aware of a company in Salem, across from the hospital, that offers moving 3D images of a woman's fetus. It is a package concept offering videotape online for friends and family to view. This company is using an ultrasound-imaging machine. We have been in contact with the FDA who says that it is an unapproved use this medical devise. We have contacted a Salem obstetrician who has concerns about this practice. I would recommend that the Board form a subcommittee to investigate this issue. HHWCD Save the date: June 5th. After skipping 2003, we will be conducting this event again this year at Salem High School. A flyer is enclosed in the packet. COMPUTERS We are beginning the process of computerizing our inspections in the field. This is an exciting proposition for us that we are confident will allow for greater efficiency and targeted follow-up. • NEIGHBORHOOD MEETINGS The Mayor is holding forums for neighborhood groups. We have met with the Gallows Hill/Ward 4/Federal Street Neighborhood Group and the Alliance of Salem Neighborhood Associations. Areas of interest for the Board of Health include keeping the lines of communication open, trash, and housing inspections. • • • Board of Health Administration Monthly Report Apr-04 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 470 Burial Permits @ $10.00 $620.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Licenses & Perm its(+copies) $1,715.00 Immune Serum Globulin= 8 Certificate of Fitness@$25.00 $700.00 Measles/Mumps/Rubella= 100 Copies $9.20 Polio IPV= 350 Fines $1,000.00 Tetanus & Diptheria (adult use)= 570 Total Monies Collected $4,044.20 Tuberculin PPD= 0 HIB Titre= 310 Hepatitis B= 650 PPV 23 5 PCV 7 205 Animal Bites Reported = 0 Annual Budget Expenses Available Balance Salary/Longevity $365,221.00 $298,859.19 $64,016.61 Annual Budget Expenses Encumbered Non-Personnel $15,600.00 $7,985.35 $3,360.41 $4,254.24 City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------------------------------------------------ Type Jul 03 Aug 03 Sep 03 Oct 03 Nov 03 Dec 03 Jan 04 Feb 04 Mar 04 Apr 04 Count 0 1 0 0 0 0 0 0 0 1 2 BP 1 0 0 0 0 0 0 0 0 0 1 CFI 91 61 59 42 38 21 22 40 24 50 448 CFR 2 3 6 2 6 4 1 2 1 0 27 CH 1 3 2 0 1 1 3 8 1 4 24 CON 3 5 4 0 2 1 4 0 3 0 22 CR 8 7 10 2 2 0 1 0 0 0 30 CT 4 6 7 9 1 2 3 6 1 0 39 DG/VM 0 0 0 0 0 0 1 0 0 0 1 EC 10 13 0 0 3 2 2 1 1 1 33 EPR 1 0 0 1 0 0 0 0 0 1 3 FC 2 3 1 2 4 0 0 1 1 1 15 FRH 0 0 1 0 0 1 0 0 0 0 2 FSD 1 9 4 0 6 11 13 8 8 8 68 FSI 12 18 21 1 17 15 58 47 41 49 279 �I DG/VM 0 0 0 0 0 0 1 0 0 0 1 R 7 3 2 1 9 16 16 20 24 17 115 GN 3 3 6 7 5 2 0 2 2 0 30 HI 6 12 11 7 9 8 17 11 11 15 107 HR 2 8 4 3 3 2 5 6 4 1 38 HRI 0 0 0 0 0 0 0 0 1 0 1 LPI 0 1 0 0 0 2 0 0 2 0 5 MS 0 0 0 0 0 1 0 0 0 0 1 MT 7 7 5 5 7 1 4 6 4 3 49 MUP 2 4 2 0 0 0 0 1 0 2 11 OG 7 4 3 6 0 0 0 0 0 0 20 PV 0 0 0 0 0 0 0 0 0 1 1 RFD 0 0 0 0 1 0 0 1 0 4 6 RFI 4 3 1 1 8 10 4 4 6 16 57 RFR 0 1 0 0 2 2 1 1 2 7 16 RFS 0 0 0 0 0 0 1 0 0 0 1 RO 3 0 4 0 2 0 0 0 0 3 12 RSI 0 0 0 0 0 0 0 1 0 0 1 SB 78 59 0 0 0 0 0 0 0 0 137 SC 1 0 1 0 0 0 0 0 0 0 2 SM 1 0 6 0 3 0 0 1 4 2 17 Sp 1 1 1 0 0 0 0 0 0 1 4 ST 0 0 0 0 0 0 0 0 0 1 1 TFI 10 12 0 0 1 0 0 0 0 0 23 TR 34 37 29 13 16 14 15 14 34 35 241 Count 302 284 190 102 146 116 172 181 175 223 1891 • +++++ City of Salem, Massachusetts Environmental Health Division Inspection Input Fo.--m Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: Inspection Types Body Piercing FSI - Food Serv. Ins . 892* RFD - Ret . Food Disc . 6* 0211 - 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* 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* i Salem Board of Health APRIL PHONE LOG 2004 Total Answered *Answered Calls Thursday April 1,2004 28 Barb = 124 Friday April 2, 2004 9 Mary = 418 Saturday April 3, 2004 Sunday April 4,2004 Monday April 5,2004 27 Tuesday April 6, 2004 19 *Calls Taken : Wednesday April 7, 2004 20 Thursday April 8,2004 27 Joanne = 152 Friday April 9, 2004 1 7 Barb = 48 Saturday April 10,200400 M David = 49 Sunday April 11,2004 Jose = 48 Monday April 12,2004 34 Pablo = 8 Tuesday April 13, 2004 38 Tracy = 82 Wednesday April 14,2004 46 Ginny = 25 Thursday April 15,2004 24 1 Mary = 1 130 Friday April 16, 2004 17 Saturday April 17,2004 Sunday April 18, 2004 Monday April 19,2004 HOLIDAY Tuesday April 20,2004 36 Wednesday April 21, 2004 17 21 work days Thursday April 22,2004 34 35 Hour Work Week Friday April 23,2004 1 Saturday April 24, 2004 Sunday April 25,2004 Monday 8-4 Monday April 26, 2004 36 Tuesday 8-4 Tuesday April 27,2004 36 Wednesday 8-4 Wednesday April 28, 2004 31 Thursday 8-7 Thursday April 29,2004 33 Friday 8-noon Friday April 30,2004 13 Total = 542 N co CITY OF SALEM9, MASSACHUSETTS yZ"$ BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 T -EL. 978 741-1800 ��MINB Fax 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Report March 2004 Activities Disease Prevention ■ In contact 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 03/04 Attended North Shore Pulmonary Clinic Quarterly TB meeting at North Shore Wedical Center. Discussion of Active TB cases on the North Shore. 03/11 A home visit was conducted upon request of Salem School Nurse for three siblings with scabies. Educational Materials discussed with mom regarding household prevention. A vacuum was donated from the Rotary Club. 03/18 Attended the Satellite Broadcast at the State Lab for Mass Vaccination Clinics with Joanne. Broadcast from the California Department of Health and Human Services. Reviewed different approaches to mass clinics held in California. 03/23 Meeting at Salem State College Health Services with Nathalie Hebert, Coordinator of Health Services. Reviewed Active TB case from December 2002. Salem Board of Health and Salem State Health Services will send a final letter to all students that did not follow up on second TB test offered. 03/25 Attended an Educational Seminar at North Shore Medical Center for Incident Command. MDPH and area firefighters reviewed the Hospitals Incident Command Plan. 03/30 Attended a Live Satellite Broadcast at The North Shore Community College on Isolation and Quarantine sponsored by the Massachusetts Department of Public Health and he Harvard School of Public Health. This included a Summary of Laws and Regulations that apply to Isolation and Quarantine. Monthly Report of Communicable Diseases March 2004 Disease: New: CarrLI Over: Discharged: Reported: Campylobacter 0 0 0 0 Giardia 0 0 0 0 4DInv.Group A Strep 1 0 1 1 Hepatitis 0 0 0 0 Pertussis 1 0 1 1 Salmonella 1 0 1 1 Tuberculosis 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 March 2004 ■ Invasive Group A Strep. 54 y/o male Hospitalized with Lower leg Cellulitis. Stubbed toe prior to admission. Pt recovered. ■ Hepatitis B: 27 y/o Russian born female. Hbsag + At prenatal exam. State Notified. Husband has appt. With M.D. • ■ Pertussis: 7 week old male. Cough onset 1/ 17/04. Dx with nasopharyngeal culture. This case was investigated by Epidemiologist Jill Sheets, MDPH. Mother was the suspected source of infection. Mother refused to be tested. ■ Salmonella: 16 y/o male. Resides at Plummer Home, and Foster Home. Hospitalized >2 weeks. During incubation period, case ate at many restaraunts, foster home, and plummer home. Town of Saugus, Natick, and Beverly Health Depts. Notified. An inspection was conducted at Plummer Home. Foster family notified. No one else was ill. High School nurse notified for surveillance. tM OF • �� MASSACHUSETTS DEPARTMENT OF a� PUBLIC. HEALTH PRESENTS TheLegalB • • Isolation and Quarantine SAVE A DATE IN YOUR EMERGENCY The goal of this program is to prepare PERAREDNESS participants to respond to infectious REGION disease emergencies by understanding, cl ' implementing and enforcing isolation Region 1 May 7 9am-1pm and quarantine.This program will nn Region 2 May 12 12pm 4pm explain the model legal documents ---� Region 3 June 3 12pm-4pm Region 4A May 1812pm4pm presented in the isolation and Region 4B May 2512pm4pm quarantine satellite broadcast on March Region 4C TBA 30. Attendance at the broadcast is not • a pre-requisite to attend this program. Region 5 May 17 12pm-4pm p q P gram. 4-HOUR PROGRAM FORMAT Target Audience • Legal basics (optional for • Town Counsel legal professionals) • Law Enforcement • New legal document . Local Board of Health Members and Staff(Agents and Nurses) overview 0 Elected Officials or Select Board Members • Interactive scenarios • Questions and Answers Program Objectives SPEAKERS • Participants will be able to identify the basic legal information required to implement quarantine with compliant and noncompliant Priscilla Fox, Esquire i isolation and ndividuals. Attorney with MDPH . Participants will be able to identify and utilize resources to help in the Judy Zeprun Kalman process of implementing isolation and quarantine measures. Senior Counsel,Office of the . Participants will be able to describe the tools and documents they need to Attorney General of Massachusetts enforce isolation and quarantine measures. REGISTRATION Name Title There is no charge for this program however pre-registration is required. Please call Catherine McKenna at Affiliation Phone 617-983-6856 with any questions. To register please forward this form Fax E-mail to Catherine McKenna at: In which Emergency Preparedness Region do you work? . Fax(617)-983-6868 E-mail cathedne.rnckenna@state.ma us Which date would you like to attend? March 29,2004 Updated February 2004 ,,4or� COMMUNICABLE AND OTHER INFECTIOUS v/ \V DISEASE REPORTABLE S IN MASSACHUSETTS TO LOCAL BOARDS OF HEALTH Ftir c 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 • Any Case of an Unusual Illness • Meningitis, bacterial, community acquired • Any Cluster/Outbreak of Illness, including but not • Meningococcal disease, invasive (Neisseria meningitidis) limited to foodborne illness • Monkeypox and infection with any other orthopox virus • Anthrax(Bacillus anthracis) • Plague(Yersinia pestis) • Botulism (Clostridium botulinum) • Polio • Brucellosis (Brucella) • Q Fever(Coxiella burnetii) • Diphtheria (Corynebacterium diphtheriae) • Rabies in humans • Encephalitis, any case • Rubella virus • Haemophilus influenzae, invasive • Severe Acute Respiratory Syndrome (SARS) • Hemolytic uremic syndrome • Smallpox • Hepatitis A virus(IgM+ only) • Tetanus(Clostridium tetani) • Influenza virus(culture and rapid test) • Tularemia (Francisella tularensis) • Measles virus • Viral hemorrhagic fevers Important Note:During outbreaks,MDPH and local 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 C virus • Babesiosis (Babesia microti) 0Hepatitis—infectious, not otherwise specified • Caliciviruses 0Evidence of human prion disease • Campylobacteriosis (Campylobacter) Legionellosis (Legionella) • Cholera (Vibrio) Leptospirosis (Leptospira) • Creutzfeldt-Jakob Disease Listeriosis(Listeria) • Cryptococcosis (Cryptococcus neformans from CSF Lyme disease (Borrelia burgdorferi) or other normally sterile body fluid) Malaria (Plasmodium falciparum, P. malariae, • Cryptosporidiosis (Cryptosporidium parvum) P. vivax, P. ovale) • Cyclospora (Cyclospora cayetanensis) Meningitis,viral (aseptic), other • Dengue fever virus Mumps virus • E. coli 015TH7, other Shiga-toxin producing E. Pertussis (Bordetella pertussis) coli, and other E. coli if found in CSF Psittacosis(Chlamydia psittaci) • Eastern equine encephalitis virus Reye syndrome • Ehrlichiosis (Ehrlichia canis, E. chaffeensis, Rheumatic 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-toxin+organisms • 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 Toxic shock syndrome normally sterile body fluid) 0Toxoplasmosis (Toxoplasma gondii) • • Group B streptococcus (from blood, CSF or other 0Trichinosis (Trichinella spiralis) normally sterile body fluid) 0Varicella virus(chickenpox) • Hansen's disease (leprosy) 0West Nile virus • Hantavirus infection • , Yellow fever virus • Hepatitis B virus 0Yersiniosis(Yersinia enterocolitica, Y. pseudotuberculosis) 105 CMR 300.000 Reportable Diseases,Surveillance,and Isolation and Quarantine Requirements,February 2004 N Updated February 2004 °� COMMUNICABLE AND OTHER INFECTIOUS DISEASES � ;. RE i V PORTABLE IN MASSACHUSETTS • U �� BY HEALTHCARE PROVIDERS* *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 board of health; if unavailable, call the Massachusetts Department of Public Health: Telephone: 617 983-6800 Confidential Fax: 617)983-6813 • Any Case of an Unusual Illness thought to have . Meningococcal disease, invasive public health implications (N. meningitidis) • Any Cluster/Outbreak of Illness (including, but • Monkeypox and infection with any other not limited to foodborne illness) orthopox virus • Anthrax • Plague • Botulism . Polio • Brucellosis • Q Fever • Diphtheria • Rabies in humans • Encephalitis, any case Rubella • Haemophilus influenzae, invasive Severe Acute Respiratory Syndrome (SARS) • Hemolytic uremic syndrome (also report directly . Smallpox to MDPH: 617-983-6800) . Tetanus • Hepatitis A (IgM+ only) . Tularemia • Measles • Viral hemorrhagic fevers • Meningitis, bacterial, community acquired Animal bites should be reported immediately to the designated local authority. i REPORT PROMPTLY (WITHIN 1-2 BUSINESS DAYS) This includes both suspect and confirmed cases. All cases should be reported to your local board of health; Y` if unavailable, call the Massachusetts Department of Public Health: Telephone: (617) 983-6800 Confidential Fax: (617)983-6813 i 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) tetrodotoxin, paralytic shellfish and amnesic • Psittacosis shellfish) Reye syndrome • Guillain Barrio syndrome • Rheumatic fever • Hansen's disease (leprosy) • Rickettsialpox • Hantavirus infection • Rocky Mountain spotted fever • HBsAg+ pregnant women • Toxic shock syndrome • Leptospirosis • Trichinosis • 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). .�.µ 105 CMR 300.000 Reportable Diseases,Surveillance,and Isolation and Quarantine Requirements,February 2004,Page 1 of 2 Updated February 2004 or COMMUNICABLE AND OTHER INFECTIOUS DISEASES REPORTABLE IN MASSACHUSETTS •4� `` � BY HEALTHCARE PROVIDERS* l� *The list of reportable diseases is not limited to those designated below. This list includes only those which are primarily reportable by en?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 Directly to the Massachusetts Department of Public Health • HIV infection and AIDS (617)983-6560 • Sexually Transmitted Diseases (617) 983-6940 Chancroid Ophthalmia neonatorum: Chlamydial infections (genital) a. Gonoccocal Genital Warts b. Other agents Gonorrhea Pelvic Inflammatory disease Granuloma inguinale a. Gonococcal Herpes, neonatal (onset within 30 days after birth) b. Other agents Lymphogranuloma venereum Syphilis • Tuberculosis suspect and confirmed cases: Report within 24 hours to (617) 983-6989 or Toll Free (1-888) MASS-MTB (627-7682) or Confidential Fax (617) 983-6990 • Latent tuberculosis infection: Confidential Fax (617) 983-6990 or • Mail report to: Massachusetts Department of Public Health Division of Tuberculosis Prevention and Control 305 South Street, Jamaica Plain, MA 02130 Reportable Diseases Primarily Ascertained Through Laboratory Reporting of Evidence of Infection Please work with the laboratories you utilize for diagnostic testing to assure complete reporting. • Amebiasis 0 Hepatitis— infectious, not otherwise • Babesiosis specified • Calicivirus infection 0 Evidence of human prion disease • Campylobacteriosis 0 Influenza • Cholera Legionellosis • Cryptococcosis 0 Listeriosis • Cryptosporidiosis 0 Malaria • Cyclosporiasis 0 Salmonellosis • Dengue fever virus 0 Shiga toxin-producing organisms • Eastern equine encephalitis virus 0 Shigellosis • E. coli 0157:H7 0 Streptococcus pneumoniae, invasive • Enteroviruses (from CSF) infection • Giardiasis 0 Toxoplasmosis Group A streptococcus, invasive infection • West Nile virus Group B streptococcus, invasive infection Yellow fever virus Hepatitis B 0 Yersiniosis ';r 105 CMR 300.000 Reportable Diseases,Surveillance,and Isolation and Quarantine Requirements,February 2004,Page 2 of 2 _ Updated February 2004 °F"4 ` IN ACCORDANCE WITH M.G.L.c. IIID, s. 6., C �� _' EVIDENCE OF INFECTION* DUE TO THE FOLLOWING ORGANISMS v IS REPORTABLE IN MASSACHUSETTS BY ALL • � V LABORATORIES. INCLUDING HOSPITAL LABORATORIES,TO THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH OF t *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 Measles virus(IgM+only) Brucella sp. 0 Monkeypox and evidence of infection with any other Clostridium tetani orthopox virus Corynebacterium diphtheriae 0 Neisseria meningitidis(from blood, CSF or other • Coxiella burnetii normally sterile body fluid) Francisella tularensis Poliovirus • Haemophilus influenzae(from blood,CSF or other normally . Rubella virus(IgM+only) sterile body fluid) SARS-associated coronavirus • Hepatitis A virus (IgM+ only) • Yersinia pestis • Influenza virus (culture, rapid test) 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) • 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-toxin+ organisms • Cryptococcus neoformans(from CSF, blood or • Shigella sp. other normally sterile body fluid) • Streptococcus pneumoniae(from blood, CSF or other • Cryptosporidium parvum normally sterile body fluid) • Cyclospora cayetanensis • Toxoplasma gondii, Toxoplasma sp. • Dengue fever virus • Trichinella spiralis • 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 • Giardia lamblia • Group A streptococcus (from blood, CSF or other AIDS(CD4 counts below 200/ml)(617)983-6560 normally sterile body fluid) Sexually transmitted infections: (617)983-6940 • Group B streptococcus (from blood, CSF or other normally sterile body fluid) 0 Chlamydia trachomatis(ophthalmic,genital and • Hantavirus neonatal infections, lymphogranuloma venereum) • Hepatitis B virus (HBsAg+, IgM Anti-HBc+) Calymmatobacterium (Donovania)granulomatis• Hepatitis C virus (EIA+, RIBA+ or PCR+) Haemophilus ducreyi• Evidence of human prion disease Herpes simplex virus, neonatal infection (onset within 30 days after birth) • Legionella sp. 0 Human papilloma virus • Leptospira sp. 0 Neisseria gonorrhoeae • Listeria sp. 0 Treponema pallidum • 0 Mycobacterium leprae • Mumps virus (IgM+ only) Mycobacterium tuberculosis,M. africanum,M. bovis (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 with methicillin-resistant Staphylococcus aureus(MRSA),vancomycin-resistant Staphylococcus aureus,and vancomycin-resistant enterococci(VRE). MDPH,its authorized agents and local boards of health have the authority to collect pertinent information as part of epidemiological investigations(M.G.L.c.I 11,s.6.) 105 CMR 300.000 Reportable Diseases,Surveillance,and Isolation and Quarantine Requirements,February 2004 MA.gate Department of Health fax u,617.983-6813 Page 1 of 2 3pl0412:10I5 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 (617) 983-6800 GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON SECRETARY CHRISfINE C.FERGUSON COMMISSIONER TO: Local Boards of Health FROM: Alfred DeMaria,Jr.,M.D. Chief Medical Officer, State Epidemiologist Bureau of Communicable Disease Control RE: Hepatitis A Surveillance Alert DATE: March 1,2004 • During the last few months the number of reported cases of hepatitis A in Massachusetts has increased over previous experience. The increase in cases was initially observed in Hampden and Suffolk counties;however,increases in reported cases in other parts of the state have now been identified. Risk correlates among cases include unemployment,homelessness,recent incarceration,and injection or other drug use.All cases of laboratory confirmed hepatitis A should be reported to the Massachusetts Department of Public Health immediately[(617)983- 6800]. In order to characterize the population at risk and better implement control efforts,we are asking your assistance in collecting the following information on all cases of laboratory-confirmed hepatitis A(IgM-positive results).For the 6 weeks prior to onset through 1 week after symptom onset,was the case: I. Employed? 2. In a residential facility(e.g.,halfway house,mental health facility,residential substance abuse program,please provide facility name.) 3. Homeless? 4. Residing in a shelter? (Please provide shelter name.) 5. Incarcerated? (Please provide facility name.) 6. Injecting drugs? (Please name drugs.) 7. 'Using other drugs?(Please name.) 8. Residing in a detox facility? (Please name facility.) 9. Also,is the case currently known to be infected with hepatitis B and/or hepatitis C virus? • MA«ate Department or Health Fay k 617.983-6813 Page 2 of 2 3J2104 12:10.57 PM l • Hepatitis A is a viral disease spread mainly through the fecal-oral r _ person, o foodborne). The incubation period ranges from 10 50 days with an average of25-30 days.r Persons are most infectious for the two weeks prior to symptom onset through one week after symptom onset. Symptoms may include fever,malaise,jaundice,anorexia and nausea.Diarrhea may or may not be present.Laboratory testing for hepatitis A may include total anti-HAV(IgG and IgM),anti-HAV IgG,and/or anti-HAV 19M. Anti-HAV without anti-HAV IgM indicates past infection or vaccination and immunity.An anti-HAV IgM positive test result indicates current infection and public health measures must be initiated for each case. Public Health Measures: The major method of primary prevention of hepatitis A virus(HAV)is improved personal hygiene(hand hygiene). However,close contacts of a case of IgM-confirmed hepatitis A case should receive immune globulin(IG)within 2 weeks of exposure to the case.Close contacts include all household contacts, sexual contacts,persons sharing food/beverages or eating utensils with the case,or persons sharing drug paraphernalia with the case. If a case of hepatitis A is identified in a food worker,all other foodhandling employees in the facility must receive IG within 2 weeks of exposure. If IG is not received within 2 weeks and the foodhandling employee does not provide documentation of HAV vaccination or documentation proving immunity to HAV by serologic test,she/he must be excluded from work for 28 days.The same exclusion criteria apply to any foodhandling"contact'of any confirmed case of hepatitis A. Contacts of a case should be monitored for 50 days(one incubation period)from the last date of exposure for symptoms compatible with hepatitis A. • Hepatitis A vaccine is being provided to various community, correctional and public health organizations. Supply of this vaccine is limited and doses are being targeted to the populations at highest risk of infection in an attempt to disrupt chains of transmission. Additional education and vaccination initiatives are forthcoming. Your assistance in surveillance and case follow-up is greatly appreciated and will assist us in more fully understanding the current situation in Massachusetts.For assistance in following up a case of hepatitis A in your community or general information about hepatitis A,please contact the Epidemiologist On-Call at(617)983-6800. • AGENT'S NEWSLETTER TO THE BOARD VOLUME 94 March 9, 2004 EMERGENY PREPAREDENESS The 15 community Coalition has outlined its plan for expending the $223,000 it will receive. We are awaiting a contract from the State and then the money should begin to be delivered to Salem as the host agency. One proposal is to hire a staff person part time for the remainder of this fiscal year and then full time in FY05. The position would be similar to North Shore Tobacco Control program Director. That is a time-tested model that has worked very well for our Tobacco Collaborative. WESX radio interviewed me, about this grant, on the air on February 16th. It was a holiday and I don't think many people were listening at 7:30 am! FY 05 BUDGET In your packet is our proposed Board of Health budget for FY05. I have downgraded the Senior Sanitarian position to Sanitarian and cut some expense line items resulting in a budget that is basically level funded. I will be meeting with the Mayor and Finance Director within the next week or two to determine if • the Mayor would agree with this budget and submit it for City Council approval. SANITARIAN Human Resources has received about 20 resumes for the position of Senior Sanitarian because that was the position advertised in the Boston Globe. However, Beth Rennard said that we can review these resumes and if there is someone we want to interview we could inform them of the change in the position and he or she could decide to continue with the process or not. PROBLEM PROPERTIES The Mayor has re-instated the working group addressing problem properties at a meeting once per month. Anyone can come to the meeting with a property of concern and ask the group to address problems identified. BOYS & GIRLS CLUB As you have read the Boys & Girls Club has been without an Executive Director for two months and has recently hired Tom Philbin as the new director. The existing staff and board members have been addressing the concerns and problems of the club in the meantime. As president, I have spent more time than usual on the business of the club, sometimes during work hours. However, I have tried to make up for this during non-business hours. Now that Tom is coming on board my time commitment to the club should return back to normal. • The Board and the Mayor have supported the belief that the mission of the club coincides with the mission of the Board of Health and public health in general; giving kids a safe, healthy environment so that they may reach their full potential. ******************************************************************************************** • • • Board of Health Administration Monthly Report Mar-04 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 420 Burial Permits @ $10.00 $760.00 Diptheria,Tetanus Tox.(under 6 yrs)= 10 Licenses & Permits(+copies) $925.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $1,750.00 Measles/Mumps/Rubella= 170 Copies $0.00 Polio IPV= 320 Fines $750.00 Tetanus & Diptheria (adult use)= 475 Total Monies Collected $4,185.00 Tuberculin PPD= 0 HIB Titre= 290 Hepatitis B= 570 PPV 23 40 PCV 7 315 Animal Bites Reported = 2 Annual Budget Expenses Available Balance Salary/Longevity $365,221.00 $245,643.58 $103,977.42 Annual Budget Expenses Encumbered Available Balance Non-Personnel $15,600.00 $7,484.67 $772.76 $7,342.57 City Of Salem • Environmental Health Division --- Inspection Monthly Summary Month ---------------------------------------------------------------------- Type Jul 03 Aug 03 Sep 03 Oct 03 Nov 03 Dec 03 Jan 04 Feb 04 Mar 04 Count --------- ------ ------ ------ ------ ------ ------ ------ ------ ------ ----_ 0 1 0 0 0 0 0 0 0 1 BP 1 0 0 0 0 0 0 0 0 1 CFI 91 61 59 42 36 21 22 40 24 398 CFR 2 3 6 2 6 4 1 2 1 27 CH 1 3 2 0 1 1 3 8 1 20 CON 3 5 4 0 2 1 4 0 3 22 CR 8 7 10 2 2 0 1 0 0 30 CT 4 6 7 9 1 2 3 6 1 39 DG/VM 0 0 0 0 0 0 1 0 0 1 EC 10 13 0 0 3 2 2 1 1 32 EPR 1 0 0 1 0 0 0 0 0 2 FC 2 3 1 2 4 0 0 1 1 14 FRH 0 0 1 0 0 1 0 0 0 2 FSD 1 9 4 0 6 11 13 8 8 60 FSI 12 18 21 1 17 15 58 47 41 230 FSI DG/VM 0 0 0 0 0 0 1 0 0 1 FSR 7 3 2 1 9 16 16 20 24 98 GN 3 3 6 7 5 2 0 2 2 30 HI 6 12 11 7 9 8 17 11 11 92 HR 2 8 4 3 3 2 5 6 4 37 HRI 0 0 0 0 0 0 0 0 1 1 LPI 0 1 0 0 0 2 0 0 2 5 0 0 0 0 0 1 0 0 0 1 4w 7 7 5 5 7 1 4 6 4 46 MUP 2 4 2 0 0 0 0 1 0 9 OG 7 4 3 6 0 0 0 0 0 20 RFD 0 0 0 0 1 0 0 1 0 2 RFI 4 3 1 1 8 10 4 4 6 41 RFR 0 1 0 0 2 2 1 1 2 9 RFS 0 0 0 0 0 0 1 0 0 1 RO 3 0 4 0 2 0 0 0 0 9 RSI 0 0 0 0 0 0 0 1 0 1 SB 78 59 0 0 0 0 0 0 0 137 SC 1 0 1 0 0 0 0 0 0 2 SM 1 0 6 0 3 0 0 1 4 15 SP 1 1 1 0 0 0 0 0 0 3 TFI 10 12 0 0 1 0 0 0 0 23 TR 34 37 29 13 16 14 15 14 34 206 Count 302 284 190 102 146 116 172 181 175 1668 • 04/08/2004 Salem Board of Health. March Phone Log 2004 Total Answered *Answered Calls Monday March 1, 2004 47 Barb = 252 Tuesday March 2, 2004 25 Mary = 267 Wednesday March 3, 2004 27 Thursday March 4, 2004 11 Friday March 5, 2004 1 6 Saturday March 6, 2004 Calls taken Sunday March 7, 2004 Monday March 8, 2004 28 Joanne = 168 Tuesday March 9, 2004 20 Barb = 73 Wednesday March 10, 2004 41 David = 33 Thursday March 11, 2004 20 Jose = 43 Friday March 12, 2004 1 13 Pablo = 5 Saturday March 13, 2004 RARRRRRRRRRRTracy = 85 • Sunday March 14, 2004 Ginny = 40 Monday March 15, 2004 26 Mary = 72 Tuesday March 16, 2004 1!8 Wednesday March 17, 2004 19 Thursday March 18, 2004 13 Friday March 19, 2004 2 Saturday March 20, 2004 Sunday March 21, 2004 Em 21 work days Monday March 22, 2004 28 35 Hour Work Week Tuesday March 23, 2004 24 Wednesday March 24, 2004 31 Thursday March 25, 2004 1 26 1 Monday 8-4 Friday March 26, 2004 9 Tuesday 8-4 Saturday March 27, 2004 Wednesday 8-4 Sunday March 28, 2004 Thursday 8-7 Monday March 29, 2004 41 Friday 8-noon Tuesday March 30, 2004 25 • Wednesday March 31, 2004 29 Total Calls = 519 i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH t B 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 • �91 TEL. 978-741-1800 M►HB FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Public Health Nurse Deport February 2004 Activities Disease Prevention C In touch With North Shore Pulmonary Clinic regarding active cases and cases contacts. ® Vaccine inventory maintained and distributed. G Investigated communicable disease cases and reported to the MDPH 6 1 ppd test in office. results negative. •a Medicare reimbursement forms! Meetings and Clinics 2/4 Attended North Shore and Cape Ann collaborative meeting to discuss grant funds. 2/12 DOT Monday through Friday for suspect active TS case. DOT administered until 2/24 2/1 8 Attended North Shore and Cape Ann collaborative meeting to discuss grant budget. 2/26 Met With new Camp Director for Salem State College, Steve Ercoliner. Discussed 2004 camp regulations, materials provided with application. St. Josea�h's 1/29 Pediculosis screenings were performed for Pre-K class. One child was sent home. 2/12 Follow up screenings for Pre-K. No need for exclusions. Phoenix School •This nurse will also work at Phoenix school to begin health screenings. �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • ! c SALEM, MA 01 970 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 February 2004 DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE; Campylobacter 1 0 1 1 • Giardia 0 0 0 0 Hepatitis 3 0 3 3 Pertussis 0 0 0 0 Salmonella 0 0 0 0 Strep.Pneumo 1 0 1 1 Tuberculosis 1 1 1 1 Varicella 0 0 0 0 Reportable Diseases excluded from above have not been identified this month. • �¢o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ! $; 120 WASHINGTON STREET, 4TH FLOOR • �a• SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT SummgrT of Communioaabte incase for aebmarY 4, 2 • Campylobacter: One Case. 83 y/o female. She lives With her sister, and her daughter. Interviewed daughter Who is a nurse. She stated her mother never eats out or takes out. Her mother is the primary cook in the household. No one else became ill. Case is hospitalized due to a fall. • Two Chronic Hepatitis C Cases. • Strep. Pnuemo. One Case- 99 y/o female. Sx onset January 7n'. Pt- expired on January 9n'. Reported to Salem on January 2e. • Tuberculosis: One Suspect Case. 53 y/o male. CXR abnormal, non cavitary. PPD negative. sputum smear neg. Cultured positive AFR, then identified as M.Cordonae. • MA'91e Department of HeaNI Fax It.617-9816813 Page I of 2 3f2/04 12:1 Q 15 PM s� • U — 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 Mrrr ROMNEY (61 7) 983-6800 GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON SECRETARY CHUMNE C.FERGUSON COMMISSIONER TO: Local Boards of Health FROM: Alfred DeMaria,Jr.,M.D. Chief Medical Officer,State Epidemiologist Bureau of Communicable Disease Control RE: Hepatitis A Surveillance Alert DATE: March 1,2004 • During the last few months the number of reported cases of hepatitis A in Massachusetts has increased over previous experience. The increase in cases was initially observed in Hampden and Suffolk counties;however, increases in reported cases in other parts of the state have now been identified. Risk correlates among cases include unemployment,homelessness,recent incarceration,and injection or other drug use.All cases of laboratory confirmed hepatitis A should be reported to the Massachusetts Department of Public Health immediately[(617)983- 68001. In order to characterize the population at risk and better implement control efforts,we are asking your assistance in collecting the following information on all cases of laboratory-confirmed hepatitis A(IgM-positive results).For the 6 weeks prior to onset through 1 week after symptom onset, was the case: i. Employed? 2. In a residential facility(e.g.,halfway house, mental health facility,residential substance abuse program,please provide facility name.) 3. Homeless? 4. Residing in a shelter? (Please provide shelter name.) 5. Incarcerated? (Please provide facility name.) 6. Injecting drugs? (Please name drugs.) 7. Using other drugs?(Please name.) 8. Residing in a detox facility? (Please name facility.) 9. Also,is the case currently known to be infected with hepatitis B and/or hepatitis C.virus? • MA JWO Depanmem d HealM Fax fk 617.983-6813 Pace 2 of 2 M104 12:10:57 PM • Hepatitis A is a viral diseases read main] th p Yrow gh the fecal-oral route(person-to-person, or foodborne). The incubation period ranges from 15 to 50 days with an average of 25-30 days. Persons are most infectious for the two weeks prior to symptom onset through one week after symptom onset. Symptoms may include fever,malaise,jaundice,anorexia and nausea.Diarrhea may or may not be present. Laboratory testing for hepatitis A may include total anti-HAV (IgG and IgM),anti-HAV IgG,and/or anti-HAV IgM. Anti-HAV without anti-HAV IgM indicates past infection or vaccination and immunity.An anti-HAV 19M positive test result indicates current infection and public health measures must be initiated for each case. Public Health Measures: The major method of primary prevention of hepatitis A virus(HAV)is improved personal hygiene (hand hygiene). However, close contacts of a case of IgM-confirmed hepatitis A case should receive immune globulin(IG)within 2 weeks of exposure to the case. Close contacts include all household contacts, sexual contacts,persons sharing food/beverages or eating utensils with the case,or persons sharing drug paraphernalia with the case. If a case of hepatitis A is identified in a food worker,all other foodhandling employees in the facility must receive IG within 2 weeks of exposure. If 16 is not received within 2 weeks and the foodhandling employee does not provide documentation of HAV vaccination or documentation proving immunity to HAV by serologic test,she/he must be excluded from work for 28 days.The same exclusion criteria apply to any foodhandling"contact"of any confirmed case of hepatitis A. Contacts of a case should be monitored for 50 days (one incubation period)from the last date of exposure for Symptoms compatible with hepatitis A. • Hepatitis A vaccine is being provided to various community, correctional and public health organizations. Supply of this vaccine is limited and doses are being targeted to the populations at highest risk of infection in an attempt to disrupt chains of transmission. Additional education and vaccination initiatives are forthcoming. Your assistance in surveillance and case follow-up is greatly appreciated and will assist us in more fully understanding the current situation in Massachusetts.For assistance in following up a case of hepatitis A in your community or general information about hepatitis A,please contact the Epidemiologist On-Call at(617) 983-6800. • I �7 AGENTS NEWSLETTER TO THE BOARD VOLUME 93 February 10, 2004 EMERGENY PREPAREDENESS We now have an official coalition, The North Shore & Cape Ann Emergency Preparedness Coalition. The budget for this group is $223,534 for fiscal year 2004. Enclosed in your packet is the Plan for spending this funding and the Principles of Operation. We should be receiving the first segment of the funding soon. We will be purchasing radios and Nextel phones for each community. The state will be providing additional money to upgrade computers. HOUSING CODE ACTIVITY We condemned two dwellings and will need Board ratification for that action. I will give the Board more detail at the meeting. OBJECTIVES UPDATE FOR 2ND QUARTER FY 04 The Board will be given the FY 04 2nd Quarter update for the Objectives of the Board. FY 05 BUDGET • We just received our Budget Package for FY 05. The preliminary indication is that we will need to reduce our present budget by 5%. 1 will keep the Board informed. SENIOR SANITARIAN Our illustrious and wonderful Senior Sanitarian, Jeffrey Vaughan, has left to become the Health Director in Swampscott. We miss Jeff and wish him tons of success in his new position. It is nice for me because Swampscott is part of the Tobacco Collaborative and the Emergency Preparedness Coalition so I will continue to see him at those meetings. Saugus is also in those groups so Sharon McCabe is also my colleague. I have posted the position on the MHOA website and the City has or will publish it in the Globe. ******************************************************************************************** • • • • Board of Health Administration Monthly Report FEB. 2004 Biologics Distributed * Amount in Doses Diptheria, Tetanus & Pertussis = 360 Burial Permits @ $10.00 $360.00 Diptheria,Tetanus Tox.(under 6 yrs)= 0 Licenses & Permits(+copies) $185.00 Immune Serum Globulin= 0 Certificate of Fitness@$25.00 $550.00 Measles/Mumps/Rubella= 340 Copies $0.00 Polio IPV= 400 Fines $0.00 Tetanus & Diptheria (adult use)= 540 Total Monies Collected $1,095.00 Tuberculin PPD= 0 HIB Titre= 450 Hepatitis B= 380 PPV 23 0 PCV 7 435 Animal Bites Reported = 1 Annual Budget Expenses Available Balance Salary/Longevity $365,221.00 $245,643.58 $103,977.42 Annual Budget Expenses Encumbered Available Balance Non-Personnel $15,600.00 $7,484.67 $772.76 $7,342.57 City Of Salem Environmental Health Division --- Inspection Monthly Summary • Month -------------------------------------------------------------- Type Jul 03 Aug 03 Sep 03 Oct 03 Nov 03 Dec 03 Jan 04 Feb 04 Count --------- ------ ------ ------ ------ ------ ------ ------ ------ ----- 0 1 0 0 0 0 0 0 1 BP 1 0 0 0 0 0 0 0 1 CFI 91 61 59 42 38 21 22 40 374 CFR 2 3 6 2 6 4 1 2 26 CH 1 3 2 0 1 1 3 8 19 CON 3 5 4 0 2 1 4 0 19 CR 8 7 10 2 2 0 1 0 30 CT 4 6 7 9 1 2 3 6 38 DG/VM 0 0 0 0 0 0 1 0 1 EC 10 13 0 0 3 2 2 1 31 EPR 1 0 0 1 0 0 0 0 2 FC 2 3 1 2 4 0 0 1 13 FRH 0 0 1 0 0 1 0 0 2 FSD 1 9 4 0 6 11 13 8 52 FSI 12 18 21 1 17 15 58 46 188 FSI DG/VM 0 0 0 0 0 0 1 0 1 FSR 7 3 2 1 9 16 16 20 74 GN 3 3 6 7 5 2 0 2 28 HI 6 12 11 7 9 8 17 11 81 HR 2 8 4 3 3 2 5 6 33 LPI 0 1 0 0 0 2 0 0 3 MS 0 0 0 0 0 1 0 0 1 MT 7 7 5 5 7 1 4 6 42 0G P 2 4 2 0 0 0 0 1 9 7 4 3 6 0 0 0 0 20 RFD 0 0 0 0 1 0 0 1 2 RFI 4 3 1 1 8 10 4 4 35 RFR 0 1 0 0 2 2 1 1 7 RFS 0 0 0 0 0 0 1 0 1 RO 3 0 4 0 2 0 0 0 9 RSI 0 0 0 0 0 0 0 1 1 SB 78 59 0 0 0 0 0 0 137 SC 1 0 1 0 0 0 0 0 2 SM 1 0 6 0 3 0 0 1 11 SP 1 1 1 0 0 - 0 0 0 3 TFI 10 12 0 0 1 0 0 0 23 TR 34 37 29 13 16 14 15 13 171 --------- ------ ------ ------ ------ ------ ------ ------ ------ ----- Count 302 284 190 102 146 116 172 179 1491 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* 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* 01" PR - Ext . Paint 95* MUP - Mobile Food Insp. 11* SB - Swim. Beaches 65* C - 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 2004 Total Answered *Answered Calls Sunday February 1,2004 Barb = 103 Monday February 2, 2004 21 Mary= 358 Tuesday February 3, 2004 14 Wednesday February 4, 2004 27 Thursday February 5,2004 34 Friday February 6,2004 10 *Calls Taken Saturday February 7, 2004 Sunday February 8, 2004 Joanne = 146 Monday February 9, 2004 29 Barb = 31 Tuesday February 10, 2004 38 Mary = 93 Wednesday February 11, 2004 29 Jose = 33 Thursday February 12, 2004 40 Pablo = 5 Friday February 13,2004 6 Tracy = 81 Saturday February 14, 2004 Ginny = 26 • Sunday February 15, 2004 David = 46 Monday February 16,2004 0 Tuesday February 17, 2004 28 Wednesday February 18,2004 20 Thursday February 19, 2004 40 *35 Hour Work Week Friday February 20, 2004 15 19 work days Saturday February 21, 2004 I'll HIII Sunday February 22, 2004 Monday February 23, 2004 10 Tuesday February 24, 2004 25 Wednesday February 25, 2004 39 Monday 8-4 Thursday February 26, 2004 16 Tuesday 8-4 Friday February 27, 2004 20 1 Wednesday 8-4 Saturday February 28, 2004 Thursday 8-7 Sunday February 29,2004 Friday 8-noon • Total Calls 1 461 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • �• �c SALEM, MA 01970 TEL. 978-741-1 800 AMA FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT January 8, 2004 Ms. Deborah E. Burkinshaw City Clerk City Hall Salem, MA 01970 Dear Ms. Burkinshaw: The Salem Board of Health, will cancel it's regular meeting, on Tuesday, January • 13, 2004 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 garl Scott, Health Agent JS/bas cc: Mayor Stanley J. Usovicz, Jr. Christina Harrington, Chairperson of the Board of Health and Members • �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR • �Ps SALEM, MA 01970 7� 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 January 2004 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 • 150 doses of pediatric formulation influenza vaccine distributed to providers. Meetings and Clinics • 1/8 Attended North Shore and Cape Ann collaborative meeting to discuss grant funds. 1/9 Attended Smallpox Vaccination Team Training in Tewksbury. This 4-hour training included video from the CDC; educational materials, samples of smallpox clinic supplies, and we demonstrated smallpox vaccination technique before being certified. 1/22 Attended North Shore and Cape Ann collaberative meeting to discuss budgeting of grant. St. Joseph's Salem Public School has hired a nurse with the Non Public School Health Grant. This RN will work two hours per week at the school and will begin screenings. Phoenix School This nurse will also work at Phoenix school to s.begin health screenings.9 • w o� �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR spa SALEM, MA 01970 • TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT I MONTHLY REPORT OF COMMUNICABLE DISEASES 7 nnr►A 0anuary GVV`r DISEASE: NEW CARRYOVER DISCHARGED REPORT TO CASES: CASES: CASES: STATE: Camp_ylobacter 0 0 0 0 • rri is Gia_�_._ 0 0 0 Hepatitis 2 0 0 0 Influenza A 5 0 5 5 Pertussis 1 0 1 1 Salmonella 0 0 0 0 Tuberculosis 1 1 1 1 I Varicella 2 0 2 2 Reportable Diseases excluded from above have not been identified this month, A CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH � 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �s TEL. 978-741-1 800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Summary of Communicable Diseases for January 2004 Hepatitis C: 2 chronic cases 0 influenza A: 5 cases reported Pertussis: One case. Period of Communicablility: 11/23-12/28 Reported by state epidemiologist on 1/20/04 13 y/o attends Marblehead school. Alert letters sent home to all parents. Household was prophylaxed. Tuberculosis: Carry over case from December. Pt returned to Dominican Republic January 15'. Varicelia: Two cases. Reported by school nurse. One child was vaccinated with varivax. The other child had physician documentation of disease two years ago. MA Slate C?epartMN of HealM Fax a.617-989.6813 Pape 1 o13 ► 2AW 3.26.12 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 Miff ROMNEY iw GOVERNOR BUREAU OF COMMUNICABLE DISEASE CONTROL KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON SECRETARY CHRISTINE C.FERGUSON COMMISSIONER To: Health Care Providers,Public Health Professionals,Hospital Epidemiologists,Chiefs of Emergency Medicine,and Influenza Sentinel Providers From: Alfred DeMaria,Jr.,M. D.,Chief Medical Officer,State Epidemiologist Date; February 3,2004 Re: Enhanced Surveillance for InfluenzaN 1 and A(HS )a Severe Acute Respiratory Syndrome Recent Developments Influenza • Recently,fourteen human cases of influenza A(H5N1)and 11 deaths have been confirmed in Vietnam and Thailand. This H5 subtype is usually found in birds and infections in poultry are being reported in several Asian countries.The human outbreak,while limited in number,has generated concern. In Vietnam,4 of the 10 cases have been identified in a single family,with 2 deaths in this cluster. Currently,investigation is underway to determine if the family was infected from a common source(i.e.infected chickens)or whether the illness spread within the family from person-to-person. Documentation of person-to-person spread would increase concern. Additionally,reassortment of genetic material between the currently circulating human influenza A(H1N1)or A(H3N2)viruses and avian influenza A(H5N1)virus could lead to the emergence of a virus with greater infectiousness and a propensity for efficient person-to-person spread. Severe Acute Respiratory Syndrome(SARS) Since December 16,2003, four cases of SARS have been reported from Guangdong Province, China(3 laboratory confirmed and 1 probable). Cases include: Aee( rs) Gender Onset Date Location Occupation 40 Male 01!07/2004 Guangdong Province,China Physician/hospital Director 20 Female 12/25/2003 Guangdong Province,China Waitress 32 Male 12/16/2003 Guangdong Province,China TV journalist 35 Male 12/31/2003 Guangdong Province,China Business man All SARS patients have recovered and been discharged from the hospital. No secondary cases of SARS have been identified as a result of these reported cases.The source of infection in these • individuals has not been identified. t4 State Depsnm rg of Heattn Fax#617-983-6813 Pepe 3 of 3 214/O4 317:52 PM • 2. Laboratory Confirmation A throat swab or nasopharyngeal swab can be used for influenza testing; kits may be obtained by calling the MDPH Immunization Program. For SARS testing,see http://ww-w.cdc.gov/ncidod/sars/izuidance/F/index.him regarding specimen collection. Please contact MDPH at(617)983-6800 for further instructions for collection and submission of specimens for both agents. 3. Infection Control Precautions All patients who present to a health-care setting with fever and respiratory symptoms should be: 1. managed according to recommendations for respiratory hygiene and cough etiquette (http://www.ede.gov/tlu/professionals/infectioncontroUresphygiene htm)and 2. questioned regarding their recent travel history. If the patient meets the above criteria for SARS or influenza A(H5N1),isolation precautions identical to those recommended for SARS should be implemented for all patients diagnosed with or under evaluation for influenza A(H5N 1)as follows: Standard Precautions Pay careful attention to hand hygiene before and after all patient contact Contact Precautions Use gloves and gown for all patient contact Eye protection • Wear when within 3 feet of the patient Airborne Precautions Place the patient in an airborne isolation room (i.e.,monitored negative air pressure in relation to the surrounding areas with 6 to 12 air changes per hour). If such a facility is not available,place the patient in a private room and keep the door closed at all times,except when patient or staff must enter or exit. Use a fit-tested respirator,at least as protective as a NIOSH-approved N-95 filtering facepiece respirator,when entering the room. For additional information regarding these and other health-care isolation precautions,see the Guidelines for Isolation Precautions in Hospitals (http://kv-*vw.ede-gov/flu/pros'essionals/infectioncontrol/resphYgiene htm). Contact MDPH for the latest recommendations. If you have questions regarding MDPH's enhanced surveillance, please contact the Division of Epidemiology and Immunization at 617-983-6800 for assistance with this matter. • MA..3tete Depatmert d HOOM Fox It,617.983.N13 Pape 2 of 3 24U 3:27:01 PM Y� • Enhanced Surveillance for Influenza A(H5N1)and SARS In order to identify any imported cases of influenza A(H5N1)and SARS into the United States from Asia,the Centers for Disease Control and Prevention(CDC)has requested enhanced surveillance. The Massachusetts Department of Public Health(MDPH)is requesting your help in this effort. We recommend the following: 1. Case Identification Please immediately notify MDPH(617-983-6800)and the local board of health of any patients who meet all of the following criteria listed below: Symptoms Travel History Recommended Testing priority (within 10 days of testing symptom onset Hospitalized with radiographically confirmed Guangdong SARS and Immediate.Contact pneumonia or acute respiratory distress syndrome Province,China Influenza MDPH at (ARDS)for which an alternative diagnosis has not (617)983-6900 been established prior to specimen Cambodia, Influenza submission Indonesia,Japan, Korea,Laos, Thailand,Vietnam, Hong Kong SAR, Taiwan,China 18 years or older',hospitalized with fever>38eC Hong Kong,China, SARS Consider.Consult . (>100.4°F)and radiographically confirmed Taiwan with MDPH at 617 983-6800 pneumonia or ARDS without identifiable etiology ( ) AND one of the following risk factors within 10 prior to specimen days of symptom onset: submission 1. Travel to locations in indicated in the travel history column or contact with an ill person with history of travel to these areas,OR 2. High-risk occupation(healthcare worker with direct patient care or worker in lab containing SARS-CoV.OR 3. Part of a cluster of atypical pneumonia with unknown etiology Hospitalized or ambulatory patients with; Cambodia, Influenza Consider.Consult 1. documented temperature of>38°C Indonesia,Japan, with MDPH at (>100.4°F),AND Korea,Laos, (611)983-6800 2. one or more of the following: cough,sore Thailand,Vietnam, prior to specimen throat,shortness of breath,AND Hong Kong SAR, submission Taiwan China with domestic poultry , 3. history of contact p �Y (e.g. visited a poultry farm,household raising poultry,or bird market)OR a known or suspected human case of influenza A(H5N 1)in an H5N i affected country(see travel history column)within 10 days of onset For an up-to-date listing of influenza A(H5N 1)-affected countries see ht!p://www.oic.int/ong/en index.htm(for animal case information)or htt9://www.who.intlen/(for human case infonnation).For an up-to-date listing of SARS-affected countries see litip:/!www.who.int/csr/sars,/areas,/en/- • 'Highly suspicious cases in patients less than 18 years of age will be considered on a case-by-case basis upon consultation with MDPH. x'; 'x zr�•�' r p3e -r.ryu .s ni" Y..,y'_,�'r7�� . 6 ,'rt •� � � ��j�`�"�. �/ y, l ywr • .Y y a. cate o rainin Ce rtifz T i • Is issued to : For Successful Completion of Smallpox Vaccination Team Training �a . . ....... . ._.,. ..._ Susan M. Lett, MD, MPH Dace Medical Director, Immunization Program Massachusetts Department of Public Health ,�H OF A44%4 Off/ \yG N Smallpox Vaccine Administration Ul Non-Vaccine Administration Team Member FtiT OF PU A Isolation and Quarantine : • A Massachusetts Satellite Training Broadcast Sponsored by the Massachusetts Department of Public Health (MDPH) and the Harvard School of Public Health Center for Public Health Preparedness Tuesday, March 30, 2004 1.2:30 - 3:30pm PURPOSE: To prepare participants to respond to infectious disease cases and emergencies by understanding, implementing, and enforcing isolation and quarantine measures. THESE QUESTIONS AND MORE WILL BE ANSWERED DURING THE BROADCAST: • What do isolation and quarantine mean? • When are isolation and quarantine used? • What happens when someone refuses a quarantine? • Can police detain someone who is quarantined? • What is the role of local health in isolation and quarantine? LOCATIONS: The broadcast will be downlinked at 16 sites across Massachusetts (see attached list). Local facilitators will be present at each site. WHO SHOULD ATTEND: • All municipalities are encouraged to send representatives of the following groups: Police, Fire, and EMS (chiefs, training officers, or other appropriate representation); Local Board of Health staff and board members; Attorneys (municipal, public health, and other); School nurses, physicians, and administrators; LEPC members; and Elected Officials or select board members. • Additionally, Community Healthcare providers, Mental Health and Substance Abuse providers, and Hospital staff and administrators are encouraged to attend. CONTINUING EDUCATION CREDITS will be offered for: Nurses, EMTs, Physicians, Certified Health Officers,, Veterinarians, and Registered Sanitarians. The broadcast is free, but pre-registration is required. Please fill out • the attached form and send or fax it to Cathy McKenna (see below). i Isolation and Quarantine. A Massachusetts Satellite Broadcast Registration Form Please print clearly and do not use acronyms. Name: Title: Affiliation: Address: City: State: Zip: Phone Number: Fax Number: E-Mail: • In which Emergency Preparedness Region do you work'? *If you are not sure, a list is available at: www.state.ma.us/dph/bioterrorism/advisorygrps/charts.htm (click on List of Cities and Towns). Which site do you want to attend (see list below)? Please share a few words about your experience with Isolation and Quarantine: THE BROADCAST IS FREE, BUT PRE-REGISTRA TION IS REQUIRED. Please return this form to Cathy McKenna by fax (617-983-6868) or send an e- mail with ALL of the above information to: Catherine.McKenna@state.ma,us. If you have questions about registration, please call Cathy McKenna at 617-983- 6856. You will receive a confirmation by e-mail or fax. Boston - Boston Public Health Commission Holyoke- Holyoke Community College Boston - DelValle Institute(at Boston EMS) Lowell-Lowell General Hospital • Boston - State Laboratory Institute(Jamaica Plain) Lynn -North Shore Community College Easton - Stonehill College North Adams -MA College of Liberal Arts Framingham - MEMA Headquarters Pittsfield - Berkshire Community College Gardner- Mt. Wachusett Community College Springfield - Springfield Technical Community College r'.ros n-FInlA CrOL-(rP TT&AF___ I X_J:.--I cl.-t t The Massachusetts Department of Public Health,in collaboration with the Harvard Center for Public Health Preparedness, is developing another in a series of satellite broadcasts to train the public health workforce in aspects of bioterrorism preparedness and response. Building upon concepts of emergency preparedness and connectivity*, this broadcast will provide dynamic discussions and hands-on activities focused on the application of isolation and quarantine in a modern legal and human rights context and other strategies to control the spread of infectious disease. The facilitated exercises will provide an opportunity for public safety, public health, school department, municipal, and other officials to learn about their respective roles in enforcing isolation laws and regulations. *Connectivity is an integrated approach to problem solving, conflict resolution and negotiation designed to enhance preparedness planning and management. GOAL; The goal of the broadcast is to prepare participants to respond to infectious disease emergencies by understanding, implementing, and enforcing isolation and quarantine. • OBJECTIVES. Upon completion of the broadcast, participants will be able to; 1. Define and differentiate between isolation and quarantine. 2. Describe the infectious disease reporting requirements, and legal authority, as defined in the Massachusetts General Laws and in 105 Code of Massachusetts Regulation 300.000. 3. Describe the state and local public health role, including enforcement, in isolation and quarantine. 4. Explain isolation and quarantine strategies, and how they may differ depending on the disease. Explain application of"least restrictive measures" in the context of modern human rights. 5. Identify potential adverse consequences and critical services to consider when implementing and enforcing isolation and quarantine. 6. Define the role of public safety, and define authority of local law enforcement to enforce isolation and quarantine. 7. Identify appropriate infection control measures, including personal protective equipment, to minimize the risk of occupational exposure. 8. Identify the support systems in their local community necessary to carry out isolation and quarantine. • 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 collaborative 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. 99 • HAPPY HOLIDAYS TO THE BOARD OF HEALTH MEMBERS & STAFF! City Of Salem Environmental Health Division --- Inspection Monthly Summary Month ------------------------------------------------------ �pe Jul 03 Aug 03 Sep 03 Oct 03 Nov 03 Dec 03 Jan 04 Count 0 1 0 0 0 0 0 1 BP 1 0 0 0 0 0 0 1 CFI 91 61 59 42 38 21 22 334 CFR 2 3 6 2 6 4 1 24 CH 1 3 2 0 1 1 3 11 CON 3 5 4 0 2 1 4 19 CR 8 7 10 2 2 0 1 30 CT 4 6 7 9 1 2 3 32 DG/VM 0 0 0 0 0 0 1 1 EC 10 13 0 0 3 2 2 30 EPR 1 0 0 1 0 0 0 2 FC 2 3 1 2 4 0 0 12 FRH 0 0 1 0 0 1 0 2 FSD 1 9 4 0 6 11 13 44 FSI 12 18 21 1 17 15 58 142 FSI DG/VM 0 0 0 0 0 0 1 1 FSR 7 3 2 1 9 16 16 54 GN 3 3 6 7 5 2 0 26 HI 6 12 11 7 9 8 17 70 HR 2 8 4 3 3 2 5 27 LPI 0 1 0 0 0 2 0 3 MS 0 0 0 0 0 1 0 1 MT 7 7 5 5 7 1 4 36 MUP 2 4 2 0 0 0 0 8 OG 7 4 3 6 0 0 0 20 RFD 0 0 0 0 1 0 0 1 .ZFI 4 3 1 1 8 10 4 31 ?FR 0 1 0 0 2 2 1 6 RFS 0 0 0 0 0 0 1 1 RO 3 0 4 0 2 0 0 9 SB 78 59 0 0 0 0 0 137 SC 1 0 1 0 0 0 0 2 SM 1 0 6 0 3 0 0 10 Sp 1 1 1 0 0 0 0 3 i FI 10 12 0 0 1 0 0 23 TR 34 37 29 13 16 14 15 158 Count 302 284 190 102 146 116 172 1312 City of Salem, Massachusett Environmental Health Division Inspection Input Form Inspect Date : Estab Name or Owner Name : Type : Location: Inspector: OV—�/ktiT7f Inspection Types &f4 _ 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* 0C6 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 Hearingsl5 RC Rec Camps 9 TFI Temp. Food 112 FSD - Food Serv. Disc 53* MT - Meetings 65* TR - Trash 381* Salem Board of Health January phone log 2004 .10 Total Answered *Answered Calls Thursday January 1,2004 HOLIDAY Barb = 225 Friday January 2, 2004 12 Mary= 320 Saturday January 3, 2004 Sunday January 4, 2004 Monday January 5,2004 48 Tuesday January 6,2004 27 *Calls Taken Wednesday January 7, 2004 17 Thursday January 8, 2004 27 Joanne = 164 Friday January 9, 2004 1 1 Barb = 60 Saturday January 10, 2004 Jose = 32 Sunday January 11, 2004 Pablo = 2 Monday January 12, 2004 46 Tracy = 57 Tuesday January 13,2004 35 Ginny = 19 • Wednesday January 14, 2004 37 Mary = 102 Thursday January 15,2004 28 David = 54 Friday January 16, 2004 12 Jeff= 55 Saturday January 17, 2004 Sunday January 18, 2004 Monday January 19,2004 HOLIDAY *35 Hour Work Week Tuesday January 20, 2004 46 Wednesday January 21, 2004 37 20 work days Thursday January 22,2004 33 Friday January 23, 2004 28 Saturday January 24, 2004 Sunday January 25, 2004 Monday 8-4 Monday January 26,2004 17 Tuesday 8-4 Tuesday January 27, 2004 26 Wednesday 8-4 Wednesday January 28,2004 19 Thursday 8-7 Thursday January 29, 2004 25 Friday 8 - noon Friday January 30, 2004 13 • Saturday January 31,2004 Total Calls*= 545