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Home My WebLink About2017-12-14 Board of Health Supplemental Materials MONTHLY REPORT from the Public Health Director December 2017 I MEETINGS: • Interviewed Region 3B Emergency Dispensing Site Candidates • Meeting with IT on Viewpoint permitting software • Second meeting with IT on software TRAININGS: • In process of getting Mass Immunization Info System training INSPECTIONS: • Food: 1 McDonalds Construction Inspection • Septic: 3 REVIEWS: • Building Permit Applications: 47 • 'Title S reports: 1 Administration: • Revolving accounts fixture planning • Reviewing Budget for FX 1.9 • General Customer Service • General Animal Control • Planning Board application review, East Mill Correspondence: • Respond to resident emails (food, septic,housing,etc.) • Created new form letter for residents not maintaining their I/A septic system operation and maintenance plans required per approvals • Septic Approvals,Denials, Garbage disposal removals MISC. • Very few phone calls with the Chairman • Discussed Fellowship Intern programs with Merrimack College and additional intern projects. • Reviewing Sharps collection policy and program • 'Toy Safety Press Release • Thanksgiving Holiday • Vacation Happy Holidays!!! RN Monthly Report : December 2017 Influenza: 68 Quadrivalent doses& 124 Stote doses remaining ■ Office clinic held the Tuesday before Thanksgiving: 23 people seen ■ Walk in flu shots ■ Data entry/inventory, pre-order for next year, influenza webinar Meetings: ■ Coalition ■ New timecard training ■ Running Series/Eric Projects: ■ Library Lecture Series-collaboration with Library for flyer o Local nutritionist planned for January 10th @ 6p at Stevens Memorial Library • Planning for February topic/speaker ■ Running Series-initiating paperwork, extending deadline, meeting with Brian and Eric, coordination with youth center and current running programs t ,I ■ Blood Drive-possibly in March at the Senior Center ■ Cholesterol Screening-distribution of flyers to Senior Housing, coordinating appointments o Testing planned for second and fourth Wednesdays @ Senior Center from 10-11:30 ■ Sharps policy/medication disposal—spoke with FD regarding their policy,what they accept, etc. o Updating our policy and flyer for general understanding and resources ■ Pneumonia Vaccine o Looking into ordering both Prevnar13 and Pneumovax23 this month ■ New Shingles Vaccine (Shingrix)-see next page for more information o Looking into general recommendations,vaccine availability and costs, and potential reimbursement o Timeline for NA Health Department availability is still being worked out MAVEN: ■ Case work-calls to providers, state representatives, patients and families ■ Currently working on three potential TB/LTBI cases ■ Past: Shiga toxin, Hep C, Hep B, Hib,Salmonella, Campylobacteroisis MISC: ■ Receiving/packaging resident sharps ■ Delivering unused/unopened medications to NAPD i ■ Cholesterol Flyer distribution to Senior Housing ■ Walk in office visits from residents ■ Resident medical supplies donation ■ 2018 Provider Re-enrollment for MDPH Immunization Program/Vaccines for Children Program Herpes Zoster Subunit (HZ/su) Shin : manufactured byEGK(G|axoSmhhK|inePharmaceuticals) Timeline: ° October 2D, 2817/Approved bythe FDA ° October 2S, 2017: ACIP (Advisory Committee on Immunization Practices)voted on vaccination recommendations. • Recommended for the prevention of herpes zoster and related complications for immunocompetent adults aged 5Oand older. n Recommended for the prevention of herpes zoster and related complications for immunocompetent adults who previously received zoster vaccine live. o Preferred over Zoster Vaccine Live (ZVL)for the prevention of herpes zoster and related complications, General information: n HZ/xuisorecombinant, adjuvanLedvaccine � It is not live virus " Approved for SOand older " Two doses intramuscularly are given 2,6 months apart " In clinical trials: o Side effects: most common was mild tumoderate pain where the shot was given. Other side effects ` were pain, redness,swelling atinjection site.Also muscle pain,fatigue,fever, nausea,vomiting, diarrhea, headache and shivering. Side effects lasted 1-Zdays. * 979& protection against shingles in adults S0-69years old m 91y& protection inadults 7Oand older u 91% protection against PHN (post-herpetic neuropathy) in adults 50 and older * Protection of86%orabove was maintained for 4years after vaccination " Once approved by CDC,the shingles vaccination recommendations will be published in the MMWR (Morbidity and Mortality Weekly Report), at which time the recommendations will become official CDC policy. Cost: ° Approximately $140/dose ° Not reimbursable otthis time Monthly Report—December Michele Septic Inspections: SEPTIC, Bottom of the Bed, Final Grades, Tank inspection and re-inspections Pipe inspections -- 3 t D-Box inspections-4 Bottom of the Bed - 3 Salem St— 6 As-Built— 5 i COC's - 6 Royal Crest Meetings and Inspection Meetings - Inspection - 1 HOUSING Commonwealth Housing 2— Issued LOC Pleasant st -1 Order Written Order Letter or letters - 7 Meetings--9 TRASH TRUCK PERMITTING December Plan Review and Meetings Howling Wolfe Pre-opening Inspections Jade Babbas - 2 TRAINING Munis Veiwpoint Royal Crest— New Program Offal Hauler Inspections 2 FOOD McDonalds inspections — I Thanksgiving