Health Department

The meeting convened at 2:10 PM. Present were Chairman Louis Fazen, III, Members Nancy A. Sacco and Richard H. Seder, Public Health Director Paul C. Pisinski, Public Health Nurse Leslie Chamberlin, Sanitary Inspector Dennis Costello and Administrative Assistant Barbara M. Luther.

The minutes of the February 13, 2008 meeting were approved with some additions and clarifications.

Vouchers totaling $4,500 were approved for payment from the Region 4A MRC Grant Money.

Members were briefed on the agenda and any scheduled appointments.
At Dr. Fazen’s request Mr. Pisinski updated the board members on what had gone on in the department while he and Dr. Fazen were away.

PETITIONS/PUBLIC HEARINGS
Andrew Gleckel, a Call Firefighter who works with Neil Aspesi on Emergency Preparedness was invited to come to the meeting by Mrs. Sacco and Mrs. Chamberlin. This invitation was the result of discussions at Local Emergency Planning Committee (LEPC) meetings at which the cross training and melding of the Citizen Emergency Response Team (CERT) and the Medical Reserve Corps (MRC) was explored. Because Region 4A is so large, time constrains the amount of assistance that can be given by the Regional Coordinator to any one town. Unfortunately the assistance has been insufficient to develop an Executive Committee and regular training in Southborough; things that are essential to the success of the volunteer program. Mrs. Chamberlin has only 12 hours per week as Public Health Nurse limiting her time available for the MRC. Board Member Mrs. Sacco, who has been the liaison to the MRC would appreciate assistance in establishing and MRC Executive Committee. Mr. Gleckel offered to volunteer as a consultant in coordinating combined training and meetings of the two emergency response groups in Southborough. Mrs. Chamberlin advised that Region 4A has encouraged towns to use the MRC Grant money toward the development of MRC, citing that purchased equipment is of no use without the people and infrastructure to put it to use.
Dr. Fazen asked Mr. Gleckel to tell the members about himself. Mr. Gleckel described his role on the Fire Department by explaining that there are only 20 fulltime firefighter/EMS; just enough to have 24/7 coverage at the station. In case of a large fire or accident, or two incidents occurring at one time a box is sounded which calls “Call Firefighters” to either cover that station or respond to the incident scene. Mr. Gleckel lives in Southborough, is an EMT Basic, and a firefighter who is about to be certified. He has a full-time job working at Crown Trophy with his parents who own the business. Dr. Fazen said that the board members agreed that it is to the mutual interest of the Fire Department and the Board of Health to develop a good core of volunteers. Mr. Gleckel explained the differences in CERT and MRC as he sees them, saying that CERT is more like adult Boy or Girl Scouts with basic search and rescue, first aid, CPR, traffic control, information gathering and organization skills.
Dr. Fazen stated that he feels that hiring Mr. Gleckel as a consultant is better than using him as a volunteer, because the board could have more control over his direction, and because the board is responsible for the accounting of moneys spent in this joint venture. Mrs. Luther advised the Board of her concern about paying an employee as a consultant and will check with the Treasurer and Accountant. Dr. Fazen will speak with Chief Mauro and Neil Aspesi about using Mr. Gleckel as a consultant.

Board of Selectmen Chair, Bonnie Phaneuf - Mrs. Phaneuf attended the meeting to discuss the Board of Health move to Cordaville Hall. Mr. Pisinski said that he can see several positive things in this move, such as it being more secure and having a place for the Board to meet. He advised that he had spoken with Facilities Manager Basilio Dias and was told that the duct work will be moved and replaced with a more efficient, less obtrusive system. Mr. Phaneuf said that she had come to the meeting because she had heard that the carpet was considered unacceptable and she wanted the members to know that if the “punch list” of items related to the move became too big and too expensive the other Board of Selectmen members may very well choose to have the Board of Health remain in its current office. The by-laws allow the Board of Selectmen to decide where a town department is to be housed and the decision to move the Board of Health to Cordaville Hall was not unanimous, therefore it could easily be changed. She advised that the Board of Selectmen intends to go to Town Meeting with a balanced budget so to add anything to one department’s budget will take something from another’s budget. She said that she understood the concern with the stairway and would try to have that addressed. She encouraged the members to address the carpet issue if they could find funds in the BOH budget, but that the money was not available in any other budget. When asked for an opinion regarding the carpet situation in the new Board of Health Office, Dr. Seder indicated his willingness to accept the move as proposed with a quote from Henry Kissinger, who said something to the effect of “..the reason why academic politics are so fiercely fought over is that there is so little at stake…” The portion of the facilities budget, approximately $11,000, is the amount allotted for the move. The budget has two phone lines and Mrs. Luther was asked to research types of systems that would accomplish the boards desire to have three lines available at any one time.
Dr. Fazen stated that sometime over the next year he believes it might be nice to make the Board of Health Office appear more welcoming and open to the public. He would like to consider a “Named Board of Health Location” and will look into this after the move.

REPORT ON CORE DIRECTIVES
Tobacco Control - Mr. Pisinski reported that there was one violation during the last Tobacco Compliance Check made in Southborough. He advised the members that a fine letter had been sent out and the fine had been paid.

Emergency Preparedness - Mrs. Chamberlin reported that the Emergency Preparation Plan Book was completed and copies would be sent on discs by Consultant Brian Eustis Murphy. Mr. Murphy will also include a “summary version” of the plan, which she suggests be forwarded to Archana Joshi, Region 4A Emergency Preparedness Coordinator to meet the Region 4A Directive of now condensing the comprehensive plan.
Mrs. Chamberlin also shared a Department of Public Health request for towns to hold a Continuity of Operations Plan (COOP) Table Talk Exercise. Mrs. Chamberlin suggested May 29, 2008 for the exercise and will provide Mrs. Luther with the names of people to invite to the exercise such as Police, Fire, Superintendent of Schools, etc. The exercise will be the Public Health Response to a Pandemic Flu outbreak. On the agenda for the next meeting time will be set aside to complete plans for the exercise.
Mrs. Chamberlin also told the members that in anticipation of more grant money being provided to Region 4A towns, she is making an inventory check listing things that are missing from the MRC stockpile such as rubbing alcohol, syringes, benedryl, and “bins” to hold supplies. Neil Aspesi has asked the Board of Health to purchase a dolly capable of moving items in case of an emergency. The cost of the dolly is approximately $70 and Mrs. Chamberlin will have a list with costs of the items she would suggest be purchased for a vote at the next meeting. Mr. Costello advised that in Region 2, which Boylston is a member, they are talking about incinerating sharps. He will report further as he learns more.
Sharps Program – At the next meeting the board will discuss meeting the criteria of providing a place in town to properly dispose of sharps.

Wellness/Obesity/ Working with other Departments
Nancy Sacco – Board of Health, Recreation & Planning Dept. to plan a Walk to School Day. Mrs. Sacco reported that in her discussion with the Southborough Organization of Schools (SOS) they have suggested that the Walk to School Day not be held in May. There are too many other activities going on in May and kids are looking forward to the end of school. She and the group have decided to wait until October, when kids are still excited about the new school year and they will be a part of the International Walk to School Day.
Dr. Fazen asked that the Southborough Board of Health formally recognize all the work that Mrs. Sacco has done for the Board in the area of Wellness and Obesity. Dr. Seder and the staff agreed.

NOTIFICATION OF ACTIONS BETWEEN MEETINGS & PENDING ITEMS
Discussion regarding joining National. Assoc. of Local Boards of Health
Because of the tight budget this year, Dr. Fazen moved that the board look at the possibility of joining this organization in next year’s budget. Nancy Sacco seconded the motion and it carried unanimously.
Licenses
Fritz Ray & Caroline Ray's Exxon Food Retail Renewal
Alonso Juan J. Airport John Hauler Renewal
Ziada Shohdy Turnpike Food & Liquor Mart Food Limited Retail Renewal
Strully L. Vincent Jr. New England Center for Children Food Establishment Renewal
Lin Kuo Liang LinFu, Inc. dba Rose Garden Chinese Restaurant Food Establishment Renewal
Roiter Melissa Yummy Mummy Brownies Food Residental Kitchen Renewal
Hernandez, Leneealbert & Gikas, Chris Dunkin Donuts Food Establishment Renewal
Pesoa, Ilana & Gikas, Chris Dunkin Donuts Food Establishment Renewal
Cunningham Carlos SMOC Meals on Wheel Program Food Establishment Renewal
Lavoie Dennis Handy House, Inc. Hauler Renewal
Kalagher Tricia LB Domino's Pizza Food Establishment Renewal
Lewis Dean Fay School Food Service Food Establishment Renewal
Grillo Joe Sodexho EMC Sobo 4 Food Establishment Renewal
Spinner Eric Rte 9 Beer & Wine, Inc. Food Retail Renewal
Prince Tom Tomasso Trattoria, Inc. Food Establishment Renewal
Mullens Fred Panzano Market Food Retail Renewal
Shays Linda Wendy's Old Fashioned Hamburgers Food Establishment Renewal
Patel Tushar N. KCB Sandwich dba Quiznos Subs Food Establishment Renewal
Rao Vinod Danny Corp dba Colony Market Food Retail Renewal
Rao Vinod BKP Inc., dba Fitzgerald's Gen. Store Food Retail Renewal
Gulbankian Carolyn Gulbankian Farms Garden Ctr & Florist Shop Food Limited Retail New
Verrochi Mark Red Barn Coffee Roasters Food Establishment Renewal
Fays Michael Cold Stone Creamery Food Establishment Renewal
Mauro Steven Mauro's Village Café, Inc. Food Establishment Renewal
Mauro Steven Mauro's Market, Inc. Food Retail Renewal
Baltas Kosta EROS Gourmet Pizza & Deli Food Establishment Renewal
Stevens Ben Trask, Inc. Installer Renewal
Lizotte Gary H. Trask, Inc. Installer Renewal
Behn Sarah Sarah Behn Basketball Camp Day Camp New
Katz Bromley Nancy The Chocolate Gift Food Residental Kitchen Renewal
Campiola Syayra Corporate Chefs @ 144 Turnpike Food Establishment Renewal
Merlino Robert J. Jr. The Hot Dog Truck Food Mobile Renewal
Dell'Olis Vincent Compass Group St Mark's School Food Service Food Establishment Renewal
Marchetti Robert Ernest Quigli & Sons, Inc. Installer Renewal
Baltas Christo Southborough House of Pizza Restaurant Food Establishment Renewal
Gill Kevin Owen O'Leary's Restaurant & Pub Food Establishment Renewal
Basile James Hot Corner, LLC dba Subway Food Establishment Renewal
Ciccarrilli Robert P. The Country Courmet Food Establishment Renewal
Locke Terri Woodward School Cafeteria Food Establishment Renewal
Locke Terri Mary Finn School Cafeteria Food Establishment Renewal
Locke Terri Margaret Neary School Cafeteria Food Establishment Renewal
Locke Terri Trottier Middle School Cafeteria Food Establishment Renewal
Patel Kiran B. Laxmi Grocery Food Retail Renewal
Constantino Thomas TBM Deli, Inc. dba Bens Deli Food Establishment Renewal
Tiernan Donna EMC Southboro Bldg. 5 Sodexho Food Establishment Renewal
Terry Rick Aramark - Iron Mountain Café Food Establishment Renewal
Whittman-Consilvi Dale Starbucks Coffee #2950 Food Establishment Renewal
Silveira Carlos & Fabiana Sousa Mama Rosa's Pizza Food Establishment Renewal
Fletcher Neil Bill's Package Store Food Limited Retail Renewal

Septic Systems - No Septic System Plans Approved since last meeting.

BUDGET
Advisory Committee Meeting Report and March 18th Joint Meeting of Board of Selectmen and Advisory Committee
Mrs. Sacco explained that she, Dr. Seder and Mrs. Luther attended the Advisory Committee meeting and reported that the committee voted to accept the Board of Health budget with the $6,000 cut made by the Selectmen. Dr. Fazen, Mrs. Sacco and Paul Pisinski attended the meeting last evening where they were advised that a total Board of Health budget of $136,450 would be supported by both the Selectmen and the Advisory Committee. There was some discussion because of confusion that Mrs. Luther had gained at a Department Head Meeting that she attended for Mr. Pisinski, believing that some moneys had been restored to the board’s budget. However, Mr. Pisinski explained the figure Mrs. Luther saw was actually money, which is part of the SEIU contract which will be retro-active in FY08 and added to the FY09 budget. When asked if he wanted to add anything about the Advisory Committee Meeting, Dr. Seder said that he felt Mrs. Luther presented very well for the Board of Health.

NEW BUSINESS
Pharmaceuticals in the water – Mr. Costello reported that he has spoken with other Health Agents, and all are suggesting the towns develop information to assist the public in disposal of their pharmaceutical waste. As community assistance a copy of the guidelines could also be placed on the website. Mr. Costello said that New England Center for Children came to mind as he was researching this issue, because the children there often have their medications change and the leftovers need to be disposed of somehow. Dr. Fazen thought that it would be a good presence in the community for the Board of Health to provide such guidelines. Mrs. Sacco said that the hospitals dispose of medications in the bio-hazard waste or with the sharps. Mr. Pisinski advised that on the Cape they have tested the water and found that pharmaceuticals appear only in small parts per billion. However, this is affecting the amphibians and it is thought that they, like the canaries in a mine, are evidence that something is about to happen so maybe this should be looked into. Mr. Costello will do some research on information for developing guidelines. Dr. Seder asked if the pharmaceuticals have only been found in well water or have they been found in public water sources. Mr. Pisinski said that the MWRA has checked and there are no traces in their water supply, yet.

Rabies Clinic – As an “FYI” Mrs. Luther advised the board members that she has scheduled a Rabies Clinic with Southborough Veterinary Hospital as the sponsor and the vaccine administrator for April 12, 2007 at the DPW Building, 147 Cordaville Rd. Notice of the clinic has been placed on the web site, in the newspapers and posted at the Town House. Mr. Pisinski will post flyers in other areas around town.

Report on Regional Board of Health Planning meeting attended by Mr. Costello, Mrs. Chamberlin and Mrs. Sacco
Mrs. Sacco advised that the “Regionalization Report” will be copied and mailed to all the members. Regionalization is being presented as voluntary. Mr. Costello said that he believes it is a double edged sword, and not as easy to implement as some may have thought. The State is talking about a regional system of Public Health Nurses, Environmental Health, Food Inspections and Housing Inspections. If a town has the budget and the staff they are all set, but if you have a half staff regional support is metered out in a “cherry sheet” type of distribution. The State expect to enact a “place holder law” in this session of the legislature, but regulations will not be written until later. The system looks good until you get down to how to pay for it. Some of the people on the Regional Working Group Committee are Representatives Steve Leduc and Pam Resor, Kerry Dunnell, Local Governor’s Liaison and State Senator David John.

Mr. Pisinski reported on Northeast Onsite Wastewater Treatment Seminar. He shared that the three day seminar was very, very informative with continuous 30 minute seminars throughout the whole 3 days as well as a field trip. The upshot of the seminar seems to be that the Title 5 Code will have to be revised again. Systems are being installed too deep.
Mr. Pisinski also attended a symposium on phosphorus recovery. Phosphorus is getting into the water and causing problems, but it is a valuable commodity and will become more valuable because it cannot be recreated and will be gone by 2048. Mr. Pisinski will receive a disc copy of the conference and will provide a copy to each of the Board Members.

Adjourn to Cordaville Hall to inspect new office space. Dr. Fazen, Mrs. Sacco, Mr. Pisinski, Mr. Costello, Mrs. Chamberlin and Mrs. Luther went to the 9 Cordaville Rd. location for the new Board of Health office, because there are concerns about the carpet and whether it is a health issue. During the time at the new office several resolutions were reviewed including matting to cover stains that were determined not to be mold. Mrs. Luther will look into colors and pricing of mats for the workstation and the “meeting area”.

The meeting adjourned at 5:15 PM

Respectfully submitted by: Barbara M. Luther, Office Administrator