HomeMy WebLinkAboutBOH 07/07/2022Town of Mansfield7EC El QED
Board of Health 07 FI"E
i. zuu minutes
Mission Statement: The mission of the Mansfield Board of Health is to protect, preserve and
improve the public health, environment and wellbeing of our citizens through the ent6A4E W1ii u_'
federal, state and local statutes and regulations, education and promotion of sanjir�cliviig 3r�'d T f
working conditions, and protection of the environment from disease and pollution.
Present: Antonia Blinn; cnair, Micnael Healey; Ryan Maxwell; Amy Donovan -Palmer; Health Agent.
Missing Kasia Frenette; Graham Wilson; Clerk.
Guests: Brenna Audette. Steve Cook. Adam Hanev
Motion to approve the consent agenda made by Mr. Healey,
o Passed Unanimously
by Mr. Maxwell.
1. Fresh Catch, represented by Brenna Audette, went through the explanation for high readings
on FOG. She explained that there has been a change, and a licensed service provider is now
providing the services for cleaning out the interior trap.
2. Envision Hotel & Conference Center, represented by Steve Cook went through the explanation
nce for
to
1. Laced Edge Pizza, represented by Adam Haney, went through the explanation as to why the
fees for re -inspections had not been paid.
The Fire Dept. will be handing out Covid test kits on Sunday 7/10/2022 from 8:30am- noon. Limit is 2
per family. Please go to the High School entrance area to receive these kits.
Nursine reports listed in Appendix A.
Amy reviewed the reasoning behind adjusting the timing and fee structure of different food
establishments. In summary, by doing so, our regulations would better fit to the guidelines sent out
by the State, and make more sense based on the type of business being conducted. Amy has asked
that once this has been reviewed by the Board, she would invite comments from the food
establishments in Town. MH requested that Amy provide the Board with the which categories each
food business in Town would be classified under.
Email from
No Update
on this topic dated 6/15/2022 at 3pm listed in Appendix B.
Covid update from web -site dated7/07/2022 listed in Appendix B;
None
Next Meeting is scheduled for 8/4/2022, at 7pm, in the 3A meeting room.
Meeting adjourned @ 8:50pm by Ms. Blinn, Chairperson
, 4::�7�11-0,
Clerk Date
Appendix A
Mansfield Fire Department Public Health Paramedic Report for the Town of Mansfield
Board of Health Report
July 2022 (report covers May & June 2022)
Immunizations-
0 Covid-19 (Total Vaccinated since beginning of Pandemic 1274)
0 at home flu vaccinations in April
Flu vaccinations for adults ages 19 and up that are homebound and need a home visit are
available by appointment by calling Capt. Marc Goyette at 508-851-6469.
Mantoux Testing — none requested.
Mantoux testing requires two visits, one to implant the test and the second visit to read
and evaluate the test results. All positive tests are referred to a physician or public TB clinic
for evaluation. Since 9/1/00 only High Risk individuals can be tested, per DPH advisory.
Lead Level Screening and Education —none requested.
Cholesterol, Blood Pressure, and Blood Sugar —
5/18-COA 11 Persons
5/24- Town Hall 12 Persons
06/14-COA 9 Persons
06/15-Town Hall 10 Persons
Communicable Disease Investigations by CEMS Staff (non-Covid) — New Follow up — 0 (see
detailed rpt)
Investigation and appropriate Control measures required by CEMS, as well as education are
provided on all Reportable Diseases received. Appropriate Reports are completed and filed
with MDPH.
Latent TB Infection— New: 0 Follow up: 0
Latent TB Infection (LTBI) is now a reportable condition, and therefore requires a report to
MDPH. When a report of a positive TB test is received, a referral is made to a TB clinic for a
CXR and evaluation (if this has not already been done). Once active TB is ruled out and the
Dx of LTBI is made, follow up is provided to those who are taking prophylactic medication
through the clinic or private physician (when possible) to encourage and document
completion of therapy. Ongoing follow up provided to family after referral to clinic.
Maternal Child Health - none requested.
Contact can be made to families of newborns referred to HCO by family, physicians, or
hospitals. Education, support, and assessment of needs are provided. A home visit is
provided if needed or requested.
Child Seat Install — 3
We received a grant in 8/21 for spare car seat for when the techs take car seats out of
service. We now have ample stock. The program is shared between both PD & FD.
Appointments can be made both online or via phone.
Vaccine Services:
Flu vaccines are available for adults that are homebound and can not get to a flu clinic or
their PCP. Flu clinics via local pharmacies were scheduled at the open houses at the schools
and went well.
We ran several Covid booster clinics since the boosters were approved. Since then we have
given booster shots to approximately 800 persons
Monthly Public Health Paramedic activities:
5/2022- 3 At home B12 Shots administered
6/2022- 3 At home B12 Shots administered
Upcoming Public Health Paramedic activities:
7/12- AM Health Screening Clinic at COA
7/20- PM Health Screening Clinic at Town Hall
Covid Testing:
We are now offering Covid testing to all town employees at no cost to the person. The
testing site is at the East St Fire Station and is open M-F 8-11:40. No appointment is
necessary and the info can be found here: https://mansfieldfd.com/covidtesting
Covid Contact Tracing:
As of the end of December the State Sponsored yd party Contact Tracing group was shut
down. Like most towns we do not have the extensive resources needed to conduct
widespread contact tracing for each individual case. We do however support the contact
tracing in outbreaks in businesses and daycare centers in Town as well as assist non -school
related sports. The Mansfield school Health Department has also dialed back on widespread
contact tracing as well as their "Test and Stay" program and now only provide testing for
symptomatic students and employees as well as the new send home test program.
Covid related Ambulance calls:
We do not test patients for Covid in the ambulance. They are tested on arrival to the hospital
and we do not get that information returned to us. All of our personnel wear full PPE in the
back of the ambulance and we have not had any patient to EMT/Paramedic transmission the
entire pandemic.
We are not currently in outbreak mode so we are not tracking Covid symptoms via dispatch
at this time.
Regional Epidemiologist
On April 15th the new Regional Epidemiologist started. Her office is located at the Fire Ad min
wing of the Public Safety Building. We will be working with her in the future to develop some
different reports and update the current reports.
,*4Z—fApr"4o
5 722� -""
Pt ,k
Immunizations
0
0
0
0
0
0
0
Mantoux testing
0
0
0
0
0
0
0
n33
Lead level screening
0
0
0
0
0
0
0
Blood pressure
0
18
21
0
0
0
39
Blood sugar screening
0
16
17
0
0
0
AlC Screening
0
0
0
0
0
0
0
Cholesterol
0
17
14
0
0
0
31
Communicable disease investigations
0
0
0
0
0
0
0
Lyme
0
1
3
2
4-
9
19
Influenza
5
1
7
16
10
10
49
Hep C
2
2
0
1
0
0
5
Hep B
0
0
0
0
1
0
1
Varicella
0
0
0
0
0
0
0
Ehrlichiosis
0
0
0
0
0
0
0
Anaplasmosis
0
0
0
0
0
0
0
Active TB
0
0
0
0
0
0
0
zika
0
0
0
0
0
0
0
Legionella
0
0
0
0
0
0
0
Salmonella
0
01
0
0
0
0
0
Babesiosis
0
0
1 0
0
0
1
1
Enterovirus
0
0
0
0
0
0
0
Giardi
0
0
1
0
0
0
1
Campylobacter
0
0
0
0
0
1
1
Pertussis
0
0
0
0
0
0
0
Norovirus
0
0
0
0
0
0
0
Mumps
0
0
0
oi—
0
0
0
Human Granulocytic
Anaplasmosis
0
01
0
01
0
0
0
Borrelia Miyamotoi
0
01
0
0
0
0
0
Enterovirus
0
0
0
0
0
0
0
Malaria
0
0
0
0
0
0
0
Invasive Group A Strep
0
0
0
0
0
0
0
West Nile
0
0
0
0
0
0
0
shiga toxin positive E Coll
0
0
0
0
0
0
0
Covid
387
106
68
139
239
120
1059
Latent TB investigation
1
0
0
0
0
0
1
Maternal Child Health
0
0
0
0
0
Other
0
0
0
0
0
8-12 shots
0
3
3
3
3
TOTAL
395
164
134
161
257
Appendix B
From: Amy Donovan -Palmer <adpalmer@mansfieldma.com>
Sent: Wednesday, June 15, 2022 3:00 PM
To: Health <HealthC@mansfieldma.com>
Subject: Risk based fee schedule for food establishments
Hello BOH members,
I would like to start the discussion about charging a risk based permitting fee for food
establishments. I have it on the agenda for July. After the initial discussion in July, if this is
something the BOH would like to consider implementing, I would like to talk about it at the August
meeting after notifying all the businesses who would be affected for public comments. After that, if
the BOH would still be willing to consider it, I would like to have a vote at the September meeting.
That would allow for us to implement the new fee structure for the 2023 permits.
Right now, according to the 2013 food code which is what MA goes by, inspection frequency is
based on risk category. This is what the food code suggests and what I currently use when
determining inspection frequency -
RISK
CATEGORY
DESCRIPTION
FREQUENCY
#/YR
Examples include most convenience store operations, hot dog carts, and
coffee shops. Establishments that serve or sell only pre -packaged, non-
time/temperature control for safety (TCS) foods. Establishments that
prepare only non-TCS foods. Establishments that heat only commercially
processed, TCS foods for hot holding. No cooling of TCS foods.
Establishments that would otherwise be grouped in Category 2 but have
shown through historical documentation to have achieved active managerial
1
control of foodborne illness risk factors.
1
Examples may include retail food store operations, schools not serving a
highly susceptible population, and quick service operations. Limited menu.
Most products are prepared/cooked and served immediately. May involve
hot and cold holding of TCS foods after preparation or cooking. Complex
preparation of TCS foods requiring cooking, cooling, and reheating for hot
holding is limited to only a few TCS foods. Establishments that would
otherwise be grouped in Category 3 but have shown through historical
documentation to have achieved active managerial control of foodborne
illness risk factors. Newly permitted establishments that would otherwise be
grouped in Category 1 until history of active managerial control of
2
foodborne illness risk factors is achieved and documented.
2
An example is a full service restaurant. Extensive menu and handling of raw
ingredients. Complex preparation including cooking, cooling, and reheating
for hot holding involves many TCS foods. Variety of processes require hot
and cold holding of TCS food. Establishments that would otherwise be
grouped in Category 4 but have shown through historical documentation to
have achieved active managerial control of foodborne illness risk factors.
Newly permitted establishments that would otherwise be grouped in
Category 2 until history of active managerial control of foodborne illness risk
3 1 factors is achieved and documented. 3
Examples include preschools, hospitals, nursing homes, and establishments
conducting processing at retail. Includes establishments serving a highly
susceptible population or that conduct specialized processes, e.g., smoking
4 and curing; reduced oxygen packaging for extended shelf -life. 4
When this was implemented, there were very few establishments that went up in inspection
frequency but many were reduced. For example, a Dunkin used to have 2 inspections per year, they
now have 1. Willow Crossing (assisted living) used to have 2 inspections, now they have 4 since they
are serving a vulnerable population.
The fee schedule now is based upon how many seats are in the establishment. A large restaurant
that has basic food prep such as Trattoria Romana pays $300 a year but only gets 2 inspections.
Quan's kitchen has 3 inspections because of the complex food prep with cooking, cooling and
reheating and they only pay $175.
I am proposing the following fee schedule:
Risk Category 1- $125
Risk Category 2- $200
Risk Category 3- $250
Risk Category 4- $300
Supermarkets - $400 (they take up a ton of time based on the size)
This is based on the permit processing fee and the inspector fee. The permit fee would still not fully
cover the cost to the department.
We can definitely discuss this in greater detail at the July 7th meeting. Please let me know if you
have any questions.
Amy
Amy Donovan -Palmer, MPH IRS
Health Agent I Health Department
Town of Mansfield I Town Hall 1
6 Park Row I Mansfield, MA 02048
p: 508.261.7366 1 f: 508.261.7425 1
Appendix C
COMMUNITY UPDATE COVID-19
July 7, 2022:
The Town of Mansfield continues its community update on our website with our up to date
information and important tips for the public as it relates to the COVID-19
pandemic. For more complete information, please see the town
coronavirus webpaee. v M
COVID-19 ANTIGEN TEST AVAILABILITY NOTIFICATION
DRIVE -THROUGH EVENT Sunday July, 10, 2022 from 8:30-12:30
nr.
A4
FOR IMMEDIATE RELEASE Name: Kevin Dumas, Mansfield Town Manager
Phone: 508-261-7370
Email: kdumas@mansfieldma.com
COVID-19 ANTIGEN TEST AVAILABILITY NOTIFICATION
[MANSFIELD, MA, June 30, 20221— The .Baker/Polito Administration will be distributing over 2
million 2 million rapid tests for municipalities to provide residents. The Town of Mansfield will be
receiving 4,410 COVID-19 home test kits and each kit contains 2 tests.
Town Manager Kevin Dumas stated that 'Testing remains Important as it relates to minimizing
the spread of the virus to others. We encourage Mansfield residents to take advantage of these
free tests to have at home.
We encourage all Mansfield residents to join us at our drive -through event on Sunday, 7110
from 8:30am to 12:30pm at Mansfield High School at 250East Street to receive your free test
kits. The drive through will be locatedinthe loop driveway at the front entrance of the High
School.
Separate from this event, the Council on Aging at 255 Hope Street will have tests available
while supplies last for those Mansfield residents age 60 and older.
If you would like more information about this topic, please call Town Manager Kevin Dumas
at (508) 261-7370.
• As of today, please seethe below chart that represents our communities COVID-19 relates
cases:
New COVID-19 cases per week*
March 7, 2020 - July 2, 2022
450
400
350
300
m 250
Ul
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3
z 200
150
100
so
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a-1
N N N N N N N N N N N
O O O O O O O O O O O
N N N N N N N N N N N
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\ \ \ \ \ \ \ \ \ \ \
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Vaccine Distribution in Mansfield -data through June 30, 2022
■ Population ■ Individuals with booster doses ® Fully vaccinated individual, no booster ■ Partially vaccinated individuals
5647 5693
5-11 Years 12-15 Years 16-19 Years 20-29 Years 30-49 Years SO-64 Years 65-74 Years 0-4 Years
All data obtained from Massachusetts CQVID-19 vaccination data and Updates I Mass,guy
COVID-19 Vaccine Update: Everyone 6 months and older should get vaccinated against COVID-19.
Getting vaccinated can help protect you from severe disease, hospitalization, and death from
COVID-19. Learn more: https://bit.ly/3CJmeOv. Find a Vaccine Location, including boosters:
www.vaxfinder.mass.gov
A Safe and
effective vaccine
to protect against
COVID,19 is now
available.
www.cdc.gav
• Get Vaccinated and Boosted Against COVID-19 for individuals ages 6 months+
The CDC recommends COVID-19 vaccines for everyone 6 months and older and boosters for
everyone 5 years and older, if eligible.
Americans should stay "up to date" with COVID-19 vaccines, rather than be "fully vaccinated." Up
to date means a person has received all recommended COVID-19 vaccines, including any booster
dose(s) when eligible. Fully vaccinated means a person has received their primary series of COVID-
19 vaccines.
Who is eligible to get a booster?
CDC recommends everyone ages 5 years and older receive a COVID-19 vaccine booster after
completing their primary COVID-19 vaccination series. Some people can receive two boosters. The
CDC new interactive tool helps users identify whether they (or someone else) need to receive a
booster dose of COVID-19 vaccine.
1st booster
Everyone age 5 and older can get a booster after they have had their primary vaccine series:
• At least 5 months after completion of an mRNA (Pfizer or Moderna) vaccine primary series
• At least 2 months after completion of a Janssen/J&J primary dose.
2nd booster
• Anyone age 50 and older may get a 2nd booster at least 4 months after their 1st booster
• All people aged 12 years and older who are moderately or severely immunocompromised
• Anyone age 18-49 years who are not moderately or severely immunocompromised and
who received Janssen/J&J COVID-19 Vaccine as both their primary series dose and their
booster dose, at least 4 months after the first Janssen booster dose
Important Links for Vaccination:
• MA COVID-19 Vaccine Information: www mass.gov/info-details/massachusetts-covid-19-
vaccine-information
• Find a Vaccine Location, including boosters: www.vaxfinder.mass.gov
• COVID-19 Vaccine frequently asked questions: www.mass.gov/info-details/covid-19-vaccine-
frequently-asked-questions
• COVID-19 vaccine booster shots, ages 12+: www.cdc.gov/coronavirus/2019-
ncov/vaccines/booster-shot.html
• COVID-19 booster frequently asked questions: www.mass.gov/info-details/covid-19-booster-
frequently-asked-questions
• Generate a COVID-19 digital vaccine card: www.mass.gov/massachusetts-vaccination-
records
• Request a copy of your vaccine record: www.mass.gov/info-details/requesting-a-copy-of-
you r-covid-19-vaccination-record
• Bristol County COVID-19 Community Level is identified as LOW
COVID-19 Community Levels are a tool to help communities decide what prevention steps to take
based on the latest data. Levels can be low, medium, or high and are determined by looking at
hospital beds being used, hospital admissions, and the total number of new COVID-19 cases in an
area. Take precautions to protect yourself and others from COVID-19 based on the COVID-
19 Community Level in your area.
In Bristol County, community level is LOW
• Stay up to date with COVID-19 vaccines.
• Get tested if you have symptoms. Wear a mask if you have
symptoms, a positive test, or exposure to someone with
COVID-19.
Wear a mask on public transportation. You may choose to wear a mask at any time as an
additional precaution to protect yourself and others.
COVID-19 Community Level designations throughout Massachusetts today:
Hampshire
Low
Middlesex
Low
Nantucket
Low
Norfolk
Low
Plymouth
Low
Suffolk
Low
Worcester
Low
What Prevention Steps Should You Take Based on Your COVID-19 Community Level?
Isolation and Quarantine Guidance for the General Public
Important Links for Isolation and Quarantine:
• Mansfield COVID information: www.mansfieldma.com/601/Covid-Information
• COVID-19 Isolation and Quarantine Guidance for the General Public: www.mass.gov/info-
details/covid-19-isolation-and-quarantine-guidance-for-the-general-public
• Children in Child Care, K-12, Out -of -School Time and Rec Camp/Program Settings:
https://www.mass.gov/info-details/covid-19-isolation-and-quarantine-guidance-for-
ch ildren-in-child-ca re-k-12-out-of-school-ti me-ost-and-recreationa I-campprogram-settings
• How To Talk To Your Close Contacts: www.cdc.gov/coronavirus/2019-ncov/daily-life-
co p i ng/tel I -you r-contacts. htm I
• Enable MassNotify on your smartphone: www.mass.gov/info-details/enable-massnotify-on-
your-smartphone
The CDC has a new COVID-19 Quarantine and Isolation (Q&I) Calculator which offers customized
information to address each unique situation. It takes the stress out of figuring when, and for how
long, people with COVID-19 and close contacts need to stay home, get tested, and wear a well -
fitting mask. The calculator provides important information about what precautions people with
COVID-19 and their close contacts can take to protect loved ones and prevent COVID-19 in their
communities. This online, mobile -friendly calculator provides a simple, easy -to -use way to help
people follow CDC's Quarantine and Isolation guidance and get customized information that applies
to their unique situation.
To use the tool:
• People with COVID-19 who do not have symptoms need to know the date they were tested for
COVID-19
• People with COVID-19 who have symptoms need to know the date their symptoms began
• Close contacts need to know the date they last came into close contact with someone with
COVID-19
• Treatments for COVID-19
Treatment is available for people who are at increased risk of severe disease, test positive for
COVID-19 and have any symptoms, even mild ones (such as runny nose or cough). The sooner you
start treatment, the better.
• Call your doctor right away to learn about your treatment options, OR
• Call (508) 213-1380 to speak with a Gothams representative. If you're eligible for COVID-19
treatment, they can schedule an infusion appointment for you at one of their 7 sites in
Massachusetts. Gothams COVID-19 Self -Referral Treatment Line is open Monday —Saturday
from 8 a.m. to 6 p.m.
• Public Health Advisory regarding COVID-19 Testing
The Massachusetts Department of Public Health advises all residents towa� „
seek COVID-19 tests when exhibiting COVID symptoms, or five days
following a known close contact with someone diagnosed with COVID = *"` ••
pursuant to MA DPH quarantine and isolation protocols, updated in
accordance with the new CDC guidance
Important Links for Testing:
• CDC's online COVID-19 Viral Testing Tool: https://bit.ly/covid-testing-tool
• MA DPH COVID-19 Testing information: https://www.mass.gov/covid-19-testing
• Find a COVID-19 Test: https://www.mass.gov/info-details/find-a-covid-19-test
• Using a COVID-19 Self -Test: https://www.mass.gov/info-details/using-a-covid-19-self-test
• CDC COVID-19 Testing: https://www.cdc.gov/coronavirus/2019-ncov/testing/index.html
• Order free At -Home COVID-19 Tests: https://special.usps.com/testkits
• COVID-19 Mask Requirements
Free N95 Respirators
The Strategic National Stockpile has distributed N95 respirators
to pharmacy distribution centers throughout the country. Click
here to find free masks (N95 respirators) at a participating
location near you. For information about how to use your N95
correctly, see How to Use Your N95 Respirator.
Important Links for Masks and Respirators:
• COVID-19 Mask Information: www.mass.gov/info-
details/covid-19-mask-information
details/covid-19-mask-information
• Types of Masks and Respirators: www.cdc.gov/coronavirus/2019-ncov/prevent-getting-
sick/types-of-masks.html
• Your Guide to Masks: www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/about-face-
coverings.html
• Improve How Your Mask Protects You: www.cdc.gov/coronavirus/2019-ncov/your-
health/effective-masks.html
• Types of Masks and Respirators: www.cdc.gov/coronavirus/2019-ncov/prevent-getting-
sick/types-of-masks.html
• Find Free Masks (N95 Respirators): www.cdc.gov/coronavirus/2019-ncov/vour-health/free-
masks.html
• Mansfield Public School COVID information and dashboard
For information about the schools and COVID, please see their School Health and COVID
Information webpage: https://sites.google.com/mansfieldschools.com/covid-19/home