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Miscellaneous - 104 Kingston Street
r.. SENDER: Complete items i and/or 2 for additional services. I also wish to receive the y • Complete items 3, and 4a & b. following services (for an extra 0 • Print your name and address on the reverse of this form so that we canfee): .5 return this card to you. N • Attach this form to the front of the mailpiece, or on the back if space 1. [1Addressee's Address d N does not permit. a1 IEE • Write "Return Receipt Requested" on the mailpiece below the article number. 2. ❑Restricted Delivery a • The Return Receipt will show to whom the article was delivered and the date 0 c delivered. Consult postmaster for fee. 0 -0 3. Article Addressed to: 4a. Article Number a Z115 793 844 .. °L Gino Serreccia 4b. Service Type cc 0 77 Brook Farm Village ❑ Registered ❑ Insured ti Rochester NH 03839 © Certified ❑ COD c W ❑ E6"i 5s�AllailF� Return Receipt for 0 r . n Merchandise 7.' Dafe of D4$ry2 1)5. Signatu resseel 8! AddY2s" e's Ad (Only if requested Y fes! sand fe�is pai 1� 0 � 6. Signature (Agent) E " 0 PS Form 3811, December 1991 trus.wo:1993-352-714 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE Official Business PENALTY FOR PRIVATE USE TO AVOID PAYMENT ' OF POSTAGE, $300 Print your name, address and ZIP Code here U1 1.._. 'I,11 SENDER: 0 y • Complete items 1 and/or 2 for additional services. N • Complete items 3, and 4a & b. 92 • Print your name and address on the reverse of this form so that we can > return this card to you. m • Attach this form to the front of the mailpiece, or on the back if space does not permit. t • Write "Return Receipt Requested" on the mailpiece below the article number. 2. El Restricted Delivery • The Return Receipt will show to whom the article was delivered and the date c delivered. I Consult postmaster for fee. v v 3. Article Addressed to: 4a. Article Number Z 115 793 843 I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address C. E❑ Mr. Robert Tedesco 4b. Service Type 0 Unit 104 Kingston Street Registered y _ `c C North Andover, MA 01845 Certified W c a ❑ Express Mail G7. Date of Deliver C 5. ignature ( ressee) 8. Addressee's Ad 56b/ and fee is paid) —� 6. Sign a 4ftel4f) O —0 El Insured Y El COD c A E] Return Receipt for a Merchandise _ `c C C C s dress (Only if requesxed x c a X -y PS For 1 ec er 1991 *u.s. GPO: 1993-352.714 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE Official s; J PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE, $300 Print your name, address and ZIP Code here i*.. ;,i°. Dov tet+ .... 1 Y Date. 0..l.z .......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... ,,,,,,,, 1.�-;�'t v `!. ....................... ... ....... has permission to perform .... PPC4 �' V �.............. Are wiring in the building of..............t�..M,m................... { ....... at ............... t..��....t. .......�...........................> North Andover, Mass. ............................... Fee. ........ Lic. No7�. 9`2. .................................................................................... ELECTRICAL INSPECTOR Check # 21 t J� 7-1 n� C-olnmor:ceaR o� %�aT�aeh,ese s Ofri ial Use Only _ u. c' � Permit No. I 2"'J'ar!`mel:� o1�7 ire .Yerilicaj Occupancy and Fee Checked y BOARD OF FIRE PREVENTION REGULATIONS I.Rev_1/07] (leave blank) APPL6CAT[DN FOR PERK [11 TO PERFORrvi EL EC MAL VN0(:RK - All work to be performed in accordance with the id255achnseit 'Inc: ce! Code (A/i-r-;C;), 527 C14Tt 12.00 (PLEASE PRINT IN INK OR TYPE , —[L, RNIFORA PION) Date:--- (j f C City oi- Town of: �j _ To 1/1 By this application the undersigned gives notice of his or her intention to perform i:,e electrical •,_, crk described beloi;'. Location (Street. & Number-) i b LA K 5i.C,n S4 - Owner or Tenant -t-lil��1 � b g. ti -mow► -C C)__._ "Telephone No. Is this permit ill conjunction 'Frith a 1)llildim-y permit? (` Igo (Check., r [ i ; ppropriate 5o:) Purpose of Building �',e S ��CA utility Authorization No. Existing Service 100 Amps Volts Overhead .n [jtidorrd�/ New Service -_(00 :A n?psVolts Overhead CJndgrd Number of Feeders and Ampacity Location and Nature of Proposed ✓lectrical Work: r .ire .�-�� �e_I a Ca p ► n c� a5 M e, + U%�"�—�- S1 •e w o� 0 (' 'L .-c f 1 ,+ No, of Recessed Ulm ;naties No. of Luminaire Outlets' No, of Luminaires No. of Receptacle Outlets No. of Ced.-Susp. (Paddie) Fans .No. of Hot Tubs Swimming Pool °ore [_] -- __ °rnd._ No. of Oil Burners No. of Meters N!0. of Dieters e met i.'•e �,'aived ,'o. of Transforiner•S Generators l NO. 01 11mergen nd. Units [No, of Switches INo. of Gas Burners INo, of Ranges No. of Air- Cond. _ Total' Tons INo. of Waste Disposers Iie=t Pump INumber Frons IT . IN'o. r.................. I I, of Dishwashers Space,'..rea heating KAP' Ne. of Dryers Heating .appliances K`: H K\1` Of I' ater� Signs Ballasts --T111 No. Hydromassage Bathtubs IN0-0 f Motors Tot::! HP OTHER: Ti::cl -- i�� .� FIRE• AL.< RNIS jNo. of Zones o. 01 Uetecti0n an initiating Devi ?No. of Alertdng Devices J' !N'o, r,•f::rf-Conkained Detectiori,'AlertinQ Devices Connection -' )- o r"ces cr °lent :iec.o:r :,:�nications wi�ino; — Nn. c'f Devices or EOLJ?'alent fi r?ch aucij. ois rcqu;e: cystimated Value ofE ectrical -gsr 'gLtre(by InllP.iCiDe1 DOlicy.) . aec(or nj l'irJ or k to .Start: 1_ Ins ec.' !O.:s t0 reC'i?eSted i" accordance with MEC Ru1� 10, INSURANCE COVE 7 a::d t,I )n Completion. RAGE: 1. `i'vS5 i�'arVed ` `he Cr,:; er. rL^. p::rrlllt for the peifot7nance of el ctrtcal i=,rock may iSSUe unl_ --s Dro-of of ha'.;tiity insi_'rancC :..CI_ li g _ nOn" COVe.d7 Oi I(S SLiJSi=ntlal e lliVal C.,i. _ at suche .1 for_ -'rid`: - .__ �r-11 ✓� ::7 tae De-:T''t :S�iltn 0,11Ce l!:� �'SI R aTtCE B - O'',17 I ccr;PJ', under I iepins and v, IjaIIIPS' Ci •DClf:.11"1'.:,.._. %' - L"t is (/;�� �'/ta Complete. I� 'r� in orrrruc t . Fri:M NAME: _I �l i C� 0.Q elf e l \ i - _ LI C. NO.: � �! Licensee: - (� A ( —�- �L�Q11gi nature A-, LIC. NO.: apa 7j"c;Drtic r rr r in ! ense O Address: g— � ��(y tri ijus. Tel. No.:9� 'Per i f.0.'... _.: t !_ "_'_.-0—j _ Alt. Tel i'o. ? l�`��`1-Q lop s. 57-6., security w0i:.: quire H.* gent of Public Safct••. L•ic. ;o. OWT`I--'.I:'S i\'SUR-k1NCE 'NAIVERr i -.sure :..:...:: `.ici;rlsee does not i y - T----- insu:anc:e c_m a required by In -I';. By my sig-,zhlre below, ; :::'eby w;: requirement. I gig e) L] Owner/Agent ;crit. Signature , Te: -_ane No. ),FR-1111IT FFI:, S __� _ The Commonwealth of.1V[assaclzusetis Department Of.lndustrial Accidents 1- d 1 Congress Street, Suite .100 .Boston, .AMM 02114-20.17 www. mass.gov/dia 'Workers, Compensation Insurance Affidavit: Builders/COntraC.tors/Electricians/Plrrrbers. n rO BE FILED WITH TIE PI;RIVIITTING AiJTI3OR I'CX. A ]icant Information Name (Business/Orgaiuzation/Individual): Please Print Le ibl Address: ill�C /State/Z p City i 7. Are y an employer? Check the appropriate box: — �. —_ lr_ a J C c 1. I am a employer with Vii` —Type of project (required): employees (full and/or part-time). 2.❑ 1 am a sole proprietor or partnership and have no employees working for me in I• ❑ New constriction any capacity. [No workers' comp. msurance required.] S. EJ Remodeling 3. ❑ lain a homeowner dohrg all work myself [No workers' comp. insurance required.] t 9• n❑ Demolition. 4.❑ I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑ Building ensw e that all contractors either have workers' compensation insurance or are sole n addition Proprietors with no employees. 11. [ F,lectrical repairs or additions 5f] I am a general contractor and I have hired the sub -contractors listed oil the attached sheet. 12. �] Plumbing repairs or additions These sub -contractors have employees and have workers' comp. insurance3 13. Roof repairs 6 ❑ We area corporation and its officers have exercised their right of'exemption per MGL c. 152, §1(4), and we have no, employees. [No workers' comp. insurance required.] 14' Other *Any applicant that checks box 111 must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and ilren hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp, policy mrrnber. I ain an employer that is Providing workers' corrrpeu,sation insurance for my employees. Below i.s thepolicy mrd job ,site information. Insurance Company Policy # or Self -ins. Lie. #: GAJ! C_ �� O _ �� C., —�— ._� DL_ Expiration Date: .Tob Site Address:_ o ` ` 1 Attach a copy of the workers' compens� lion policy declaration ort Baa -- CJty/State/Zip:�f� (7 �� ( �- 1 z,e (showing the policy number and expiration date). V Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to 51,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER. and a fine of up to $250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investig coverage veriations o:Pthe DIA for insurance verification. I do hereby certify un r the sand nnalties o �p � fPeijuiy that the information provided above is true and correct. Si mature: Phone #: official use only..7)o not write in this area, to be completed by cit}— , or torurr nfftcial. City 01 -Town: Perinit/Lirnnen ff issuing Authority (circle one): — -- 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector >. Plumbing Inspector 6. Other Contract Person: Phone #: 07/01/2015 09;21Nei l & Neil Insurance Agency (FAX)14137316629 P,001/001 A CERTIFICATE OF LIABILITY INSURANCE °A07�01�20 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORD90 BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the po{ley(lea) must be endorsed. if SUBROGATION 18 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A Statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement e , FUNFAW PRODUCER NAMKIDavid Jerry Neill & Neill Insurance Agency Inc PHONE (a13} 732-4137 , (413) 731-8629 682 Riverdale Street West Springfield, MA 01089 AODRE • "' INSUREWS) APPORDING COVERAGI• _ NAIC N INSURED micnael hareiii weci 9 Applewood lane Methuen, MA 01 844 ljymaeRa; 5tateAU10 insurance _ ,�usunnen. Acadia Insurance CO; ec\n CIn AI All IRXMOQ— G.VVr.MA4I;Q r11M 1♦V1.IVY,\1 "-' ' --... _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 166UED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS_ SHOWN MAY HAVE BEEN REDUCED BY PAIO'CLAIMS. :NSRDOLISURRI TYPE OF INIURANCE I Town of North Andover POLICY NUAIaER M I M LIMITS LTR A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITYRe�-el CLAIMS -MADE R OCCUR AUTHORIZED REPRES Twrl 'Ke BOP2746517 ' 08/1012016 08/10/2018 EACHOCCURRENCE s 1,OOD,000 b 60,000 MED EXP (Any one orlon 5 5,000 PERSOkAL A ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2.000,000 dENLAddREOATELIMITAPPLIESPER: PRODUCTS. COMp�OP_Add 1 2,000,000 POLICY P LOC I t AUTOMOEILE LIARJU SINGLE LIMITi BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS OS NON-OWNED6 HIRFD AUT08 AUTOS d BODILY INJURY (Per eWdenq i i UMBRELLALIAB OCCUR EACH OCCURRENCE b _ROAT9 s KXCESSLIAN CLAIMS-MADEAd OEb RKTENTION S F B WORKERS COMPENIA11ON AND aMPLOYaRSI LIARIUTY YIN ANY PAOPAIeTOR?ARTNERG:X!CU)•IVE OFFICERIMEMEER EXCLUOEOi �MandateryIn NH) (w describeunder NIA WC -20-70.001461.06 03120/2015 03/20/2016 A U- 'H- 6.L. EACH ACCIDENT S 100,000 E.L. DISEASE • EA EMPLOYEE b 100,000 e,l. DIBCAee POLICY LIMIT b 500,000 OESCRIPTION OF OPERATIONS I LOCATIONS I VEHIOLaS lAttach ACORD 101, Additional aemellle Schedule, H mora apace Is requited) Faxed to! 978.682-1480 ®1988.2010 ACORD CORPORATIOrights reserved. ACORD 28 (2010106) The ACORD name and logo are registered marks of ACORD ._. SHOULD ANY OF THB ABOVE 068CRIBBO POLICIES HE CANCELLED BEFORE I Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1800 Osgood Street, Building 20 ACCORDANCE WI E POLICY PROVISIONS, Suite 2035 AUTHORIZED REPRES Twrl 'Ke North Andover, MA 01845 ®1988.2010 ACORD CORPORATIOrights reserved. ACORD 28 (2010106) The ACORD name and logo are registered marks of ACORD ,y d ft 3,s a �� 1 N tL---% Pa /3,0x Sa C �Vv `-' V//°rte"' � !V/'�_ Gino Serrecchia 77 Brook Farm Village Rochester, NH 03839 April 6, 1996 Susan Ford Community Development Services 146 Main Street North Andover, MA 01845 Dear Madam; Due to an illness with the family living at 104 Kingston Street, I wasn't able to do necessary repairs and therefore am requesting a (30) thirty day extension. I would like to make an appointment with you for an inspection of 104 Kingston Street on May 6, 1996 in the afternoon hours. Thank you for your patience and if you have any questions, please don't hesitate to call. Sincere , Gino Serrecchia Owner of Record 104 Kingston Street North Andover, Ma 01845 CC: Board of Trustees Gino Serrecchia 77 Brook Farm Village Rochester, NH 03839 April 6, 1996 Susan Ford Community Development Services 146 Main Street North Andover, MA 01845 Dear Madam; 'VIA Due to an illness with the family living at 104 Kingston Street, I wasn't able to do necessary repairs and therefore am requesting a (30) thirty day extension. I would like to make an appointment with you for an inspection of 104 Kingston Street on May 6, 1996 in the afternoon hours. Thank you for your patience and if you have any questions, please don't hesitate to call. Sincere , Gino Serrecchia Owner of Record 104 Kingston Street North Andover, Ma 01845 CC: Board of Trustees Grin Serrecchia 77 Brook Farm Village Rochester, NH 03839 April 6, 1996 Susan Ford Community Development Services 146 Main Street North Andover, MA 01845 Dear Madam; Due to an illness with the family living at 104 Kingston Street, I wasn't able to do necessary repairs and therefore am requesting a (30) thirty day extension. I would like to make an appointment with you for an inspection of 104 Kingston Street on May 6, 1996 in the afternoon hours. Thank you for your patience and if you have any questions, please don't hesitate to call. Sincere , r Gino Serrecchia 1 Owner of Record 104 Kingston Street North Andover, Ma 01845 CC: Board of Trustees J Town of North Andover t NORTH OFFICE OF 3?0e•��� COMMUNITY DEVELOPMENT AND SERVICES X p9 � { 146 Main Street ,, , 40,;x; North Andover, Massachusetts 01845 9sSACHUSEt (508) 688-9533 HEALTH DEPARTMENT ORDER Issued under the provisions -of The State Sanitary Code, Chapter II Minimum Standards of Fitness for Human Habitation 105 CMR 410.000 Date: December 15, 1995 To Owner of Record: Gino Serreccia' 77 Brook Farm Village Rochester, NH 03839 Certified No. 2115 793 844 Property Location: 104 Kingston Street North Andover,MA 01845 An authorized inspection was made of your property at the above address by Health Department personnel on December 11, 1995. This inspection revealed violations of certain regulations of the State Sanitary Code, Chapter II, as listed on the attached Violation Form. You are hereby ORDERED to correct these violations within the time allotted on the enclosed form. Failure to comply within the allotted time period may result in a criminal complaint against you in the Lawrence District Court and may result in an assessment of a fine. You have the right to request a hearing before the Board of Health if you feel this order should be modified or withdrawn. This request must be made by you in writing within seven (7) days after this order was served. If you request a hearing, all affected parties will be informed of the date, time and place of the hearing and of their right to inspect and copy all records concerning the matter to be heard. The petitioner has the right to be represented at the hearing. Susa . Ford Health Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D. Robert Nioetta Michael Howard Sandra Starr Kathleen Bradley Colwell • DATE OF ORDER: December 15, 1995 TO: Gino Serrechia Jr. 77 Brook Farm Village Rochester, NH 03839 LOCATION: 104 Kingston Street North Andover, MA 01845 VIOLATIONS TO BE CORRECTED OR PLAN OF ACTION SUBMITTED NO LATER THAN TEN (10) DAYS FROM RECEIPT OF THIS ORDER LETTER. VIOLATION Musty moldy odor detected in the air on first floor and basement level. Musty odor coming from rugs REGULATION CORRECTIVE ACTION 410.045 Source of mold and odor must be identified and eliminated. CC: Robert Tedesco, tenant Fred Kilmartin, Board of Trustees Clean and/or replace rugs to eliminate odor. ;r• • 115 793 844 Receipt for Certified Mail © No Insurance Coverage Provided sTATis Do not use for International Mail (See Reverse) O O O M U) :a Sent to Gino Serreccia Street aad No. _ -- T—'-'- — 77 Brook Farm Village P.O., State and ZIP Code Rochester NH 03839 Postage Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered Return Receipt Showing to Whom, Date, and Addressee's Address TOTAL Postage & Fees Postmark or Date (9aa)2e43JUN`009C kg Gd, _ \(B 2 2 _ 22cp ca o2 \2 k \} ) ■§§ ` \cn � CC ){ «2■ - \\ ■C, CD § E§ /&k }t &I=` )> g - ° \}}\ kk k �� \� :-/# /S k \ {�k8 Em E {- -� ;§) a) ;t,u � a- - -\cc j / C.3�_> �� mI.m _. �� Gino Serrecchia 77 Brook Farm Village Rochester, NH 03839 December 24, 1995 Susan Ford Community Development Services 146 Main Street North Andover, MA 01845 Dear Madam: This letter is in response of your Order dated December 15, 1995. Corrective Action Plan is to have said carpets professionally cleaned within thirty (30) days. If cleaning doesn't take care of musty, moldy odor will have said carpets replaced within ninety (90) days. Sincerely,,, -Ye,��- Gino Serrecchia Owner of Record 104 Kingston Street North Andover, Ma 01845 CC: Board of Trustees O O O Cl) s= 0 U- 2 2 o Z,115 793 843 Receipt for Certified Mail No Insurance Coverage Provided � UMTTDo not use for International Mail A OOSTL STATES SERVICE (See Reverse) Sent to Robert Tedesco Street a+jdNo. Unit 104. Kingston St. P.O., State and ZIP Code No. Andover MA 01845 Postage $ .2.52 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered Return Receipt Showing to Whom, Date, and Addressee's Address TOTAL Postage & Fees 2.52 Postmark or Date Sent 11/24/95 4GJGm& 26614=w`OO ©q 14— \E\45- (a §_■ )j _ ) CD §/§ §a \} $ |§§ \ , jE L) wo E k( E- - \\ \\ \�\ ■ �/ e -k \ \ a ® § \k �C ��# §2 t - c.3 \j}\ \k \ ca - f§ :./£ �o k42 k } 2� Ep ; \E 2 ) - § ��� :®B @e 2 -- cm ME / ;§ / - - / - _ E ci § z){ w5 wT9m �I of 6 Town of North Andover . OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street KENNETH R MAHONY North Andover, Massachusetts 01845 Director (508) 688-9533 November 23, 1995 Robert Tedesco Unit 104 Kingston Street North Andover, MA 01845 Certified # Dear Mr. and Mrs. Tedesco: A complaint was received by the North Andover Board of Health concerning the building housing units 104-106 Kingston Street, Village Green. Since the first week in November unsuccessful attempts have been made to contact you by phone. In addition, on November 17, 1995 a correspondence was left at your residence requesting your immediate response. This letter is being sent to initiate contact with you as the renter of the unit in question. Additional contact has been made with the owner of your residence, Mr. Serrichia. He is now aware of the situation and will cooperate as needed to promote closure to this complaint. Your cooperation is needed to resolve this issue in a timely manner. If you do not respond to this request legal proceedings may be initiated to attain access for the Board of Health to Unit 104. Please call the Board of Health office at 508-688-9540 directly after receipt of this correspondence. Sincer ly, --z � Susan Ford Health Inspector cc: Sandra BOH File BOARD OF APPEALS 688-9541 Julie Parrino Starr, R. S. BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 D. Robert Nicetta Michael Howard Sandra Start Kathleen Bradley Colwell o a A complaint was received by the North Andover Board of Health concerning the building housing units 104-106 Kingston Street, Village Green. Since the first week in November unsuccessful attempts have been made to contact you by phone. In addition, on November 17, 1995 a correspondence was left at your residence requesting your immediate response. This letter is being sent to initiate contact with you as the renter of the unit in question. Additional contact has been made with the owner of your residence, Mr. Serrichia. He is now aware of the situation and will cooperate as needed to promote closure to this complaint. Your cooperation is needed to resolve this issue in a timely manner. If you do not respond to this request legal proceedings may be initiated to attain access for the Board of Health to Unit 104. Please call the Board of Health office at 508-688-9540 directly after receipt of this correspondence. Sincer ly, --z � Susan Ford Health Inspector cc: Sandra BOH File BOARD OF APPEALS 688-9541 Julie Parrino Starr, R. S. BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 D. Robert Nicetta Michael Howard Sandra Start Kathleen Bradley Colwell I 3COMPLAINT NUMBER DDDDDDDDDDDDDDDDDDDDDDDDATE:DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD? 3£39 Nov. 3,1995 3 CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4 3COMPLAINTANT:Board�f Trustees/Village CLOSE DATE: 3 3 1<4 '/. a-.- � 3 3ADDRESS:PO Box 506, North Andover PHONE: 687-0000 3 CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4 3OWNER:Gino Serrecchia, Jr. PHONE £: 603 335-6341 3 3ADDRESS:77 Brook Farm Village, Rochester,C�� q 3 CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD D DfjDDDDDDDDDDDDDDDDDDDDDDDDDD4 3INSPECTION DATE: ORDER L DATE: 3 3COMPLAINT:Concerning Unit 104, intermitent smell problem, like garbage. 3 3 Owner of rented unit is aware, was notified on October 12 that the 3 3 Board would need to enter. Renter is Robert Tedesco. Board is 3 CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4 3ACTION: K" 1.5foz Z- 3 ' l '` t - !`mac /3 3 t Db � �+/r ^ l'�� dci U 3 $r' fi 3 3 3 CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4 rT / % % `X-1 /1'1 ✓', �d-e.Sc o r S/(a o +�. c ��1� i ,�. P e�•"So�-� f� I G Zi �r s p -a /a -,2 a.+ t i 1A to 1. �v c- 7'-o d.o -f -, s a Q 4 "I ®� ,�, —7 7Zo s�� l l S i-<_) mss_ NORTH ANDOVER HEALTH DEPARTMENT 120 Main Street • North Andover, MA 01845 Telephone (508) 682-6483, Ext. 32 Complaint Investigation/Inspection Report a OWNER . :7Z)e 'G ADDRESS 149AI. DATE AL V % INSPECTOR ♦ y NORTH ANDOVER HEALTH DEPARTMENT 120 Main Street • North Andover, MA 01845 Telephone (508) 682-6483, Ext. 32 Complaint Investigation/Inspection Report OWNER ADDRESS DATE r / / INSPECTOR J t INSPECTOR NORTH ANDOVER HEALTH DEPARTMENT 120 Main Street * North Andover, MA 01845 Telephone (508) 682-6483, Ext. 32 Housing Inspection Report COMPLAINT # COMPLAINANT ,- 7 t' err LL/�s; ADDRESS OF PREMISES OCCUPANT OWNER P.i� G'G�S f cv� Y OWNER'S ADDRESS �`44 < y DATE OF INSPECTION 1,2 I - 9 HOUR : V -Z> ROOMS/VIOLATION: ar . INSPECTOR Form #HIR -1 Action Press 665-7000 Town of North Andover t ORTFr OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES A 146 Main Street KENNETH R MAHONY North Andover, Massachusetts 01845 9SSACHUSE� Director (508) 688-9533 November 23, 1995 Robert Tedesco Unit 104 Kingston Street North Andover, MA 01845 Certified # Dear Mr. and Mrs. Tedesco: A complaint was received by the North Andover Board of Health concerning the building housing units 104-106 Kingston Street, Village Green. Since the first week in November unsuccessful attempts have been made to contact you by phone. In addition, on November 17, 1995 a correspondence was left at your residence requesting your immediate response. This letter is being sent to initiate contact ,with you as the renter of the unit in question. Additional contact has been made with the owner of your residence, Mr. Serrichia. He is now aware of the situation and will cooperate as needed to promote closure to this complaint. Your cooperation is needed to resolve this issue in a timely manner. If you do not respond to this request legal proceedings may be initiated to attain access for the Board of Health to Unit 104. Please call the Board of Health office at 508-688-9540 directly after receipt of this correspondence. Sincer ly, Susan Ford Health Inspector cc: Sandra BOH File BOARD OF APPEALS 688-9541 Julie Parrino Starr, R. S. BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 D. Robert Nicetta Michael Howard Sandra Stas Kathleen Bradley Colwell �� }g2 � b(3� ca!I/ SSS October 22, 1992 Memorandum ' To: George A. Perna, Director Division of Public Works From: Linda Hmurciak, Assistant Superintendent Water Treatment Plant Re: Ill Children at 104 Kingston St. Village Green Condominium On Monday, October 19, 1992, Allison Conboy of the North Andover Health Department, brought to my attention that she had received a call regarding a child who was quite ill, and her grandmother, Mary Tedisco, claimed it was from the water. She stated at the time that she did not know what the illness was. She said she would keep me informed. On Tuesday, October 20, 1992, I tried to call Allison but she was out. I left a message with Carol Pawelski the Health Department secretary regarding my concern for any new information on the child. On Wednesday, October 21, 1992 Ms. Conboy returned my call stating that the child's grandmother had called again and was extremely upset stating that both her grandchildren, a boy and girl had this disease. ;SLreatment nsinuated that the Board of Health should shut down the Water Plant immediately so that no other children would becoml from the drinking water. W o Apparently she gave Ms.? Conboy the impression that both children were presently at the Mass. General Hospital transferred from the Winchester Hospital and that at least one was on dialysis from kidney failure. At this point she told Ms. Conboy that the disease was call HUS, Hemolytic. Uremia Syndrome. The also had a E coli infectio fr m water that brought on the HUS.L/ r 0 After my conversation with Ms. Conboy, I called Mrs. Pam Greenwood, a friend and nurse. She looked up the disease from me in her nursing book ( 1991 copydate) and said it meant renal (kidney) failure brought on by the red blood cell and the platelet breaking apart and not regenerating. The broken cells and platelet then would travel through the kidney in the blood to be filtered out, but instead would clog the kidney causing renal failure. ACCO, ding to her book, the origin of the disease was unknown and 0 z i,e Page 2. that it mostly occurred in infants. Her opinion was that the form of treatment for HUS was dialysis, blood trans fusion5aZar eventually kidney transplant. Ms. Conboy again called me later that morning to inform me that the grandmother had called still very upset obtained a Boston Lawyer, Simon Cutter, stating the water was the culprit in this case. She also revealed to Mr. Conboy that the sewer had backed up into her son's home, Mr. & Mrs. Tidesco. The back up was through the toilets, tub, sink, and that everything was block. She also claimed that there was a very strong odor in the apartment and water leaks in the ceiling. They had complained to maintenance and were given $100.00 to have the place cleaned. The landlord had the sewer line repaired. We were later told that the back up had occurred about a year ago. Ms. Conboy told me that arrangements were being made to go into the home. I requested to be there. We were allowed into the home at 104 Kingston St., Village Green Condominiums. Upon entrance I was extremely surprised to find the son, his wife and both "sickly" children at home. Ms. Conboy was already there. There was a slight musty order in the apartment but did not appear overwhelming. The woman stated that sometimes the smell is so strong that the neighbors in the adjacent apartments bang on the door and complain. We were taken upstairs to the bathroom where there appeared to be mold growing in the shower head, on the shower door, on the grout, along the walls and floor of the tub and some in the sink, toilet. Ms. Conboy took pictures. cj � We were then taken to the cellar, again slight o—rcte—r. This is where we observed the leaks in the ceiling. None upstairs. She produced a plastic of wet clothes and asked us to smell them. I told her all wet c othes have an odor when contained in a plastic bag. She said she was told to keep evidence. A batch was in the washing machine an had no odor. We observed the sewer pipe which is a common pipe with the other side. It was obvious that two (2) new clamps were on for possible leaks. After a while most of our questions were answered with "Ask my lawyer" The children, Heather, age 3 1/2 and Robert, age 22 months were both present. At first they appeared to me to be quite healthy in fact both on the "chunky" side. But later it came to me that it was possible edema. The girl's lips were almost white. According to their mother most of the last month or so was spent in the hospital. They now have a visiting nurse. I collected a bacterial sample from the bath tub faucet. I 4 Page 3. was questioned on who was goin to run the sample and who was going to read I could tell by ere line of questioning that she felt that I o cover up the resu ts. I tried to reassured her that I was ce tified for my work but she requested that her lawyer or someone lse inspect the plates. I agreed. 3 She also produced the article from the Lawrence Eagle Tribune regarding the "orange slime" going into the lake and hinted at the fact that this is probably why here children were ill. I again tried to reassure her that whatever was going into the lake was well diluted before it reached the plant and if there were anything it would be removed during treatment. She did not believe this. She asked if a bacterial test was taken on the "orange slime". We explained no because bacteria was not the culprit in this instance. She mentioned something about making an issue so no other kids in this town would have to get as sick as her's from the water. After leaving Ms. Conboy and I had a brief discussion. She stated that most of the medical people she talked to said that they Ecol-d-ge i Properly or uncooked meats. The children had a specific strain oh- coli -157. This was found in their stool, in extremely high number. Blood was also found in the stool. Back at my laboratory I ran a total and fecal coliform test on the sample along with a total of the of the Water Treatment Plant finish water. All were negative. I have had no contact with the grandmother and all my knowledge of her accusations are second and third hand information. o r COMPLAINT NUMBER ' DATE: 104 OCTOBER 19, 1992 COMPLAINTANT:MARYANNEDIaaSCO CLOSE DATE: ADDRESS : 104 KINGSTON STREETS PHONE: 682-0621 OWNER: PHONE #: ADDRESS: INSPECTION DATE: ORDER L DATE: COMPLAINT:DAUGHTER-HEATHER MARIE TEDISCO IS IN MASS GENERAL HOSPITAL WITH HEMOLYTIC UREMIA SYNDROME -NO COMMUNICABLE DISEASE REPOT FROM THE STATE. THIS IS NOT A REPOTABLE DISEASE. CALL TO EMILY HARVEY OF ACTION: THE STATE DIVISION OF COMMUNICABLE DISEASE. HUS IS NOT TYPICALLY ASSOCIATED OR ATTRIBUTED TO THE WATER SUPPLY. IT IS AN E -COLI INFECTION. THE GRANDMOTHER STATES THAT THERE IS A VERY STRONG ODOR IN THE BACK YARD AND A TANK COVER. DPW STATES THAT THIS PROPERTY IS PRESENTLY ON SEWER. rt b�mm.6 T�22-366 �� m wd 0ob (A-ij Wtlf2t+hak 2 M* Out A Gwi ada►' kA A�U baNhlb, -t ►z�4�e�1Ow�--�aa�,�, UA qkAV�A� Aw at- coed w u�tcuf. walm, 4wQip �Ue CUdluto� oa,w�p w� b4VA.,4V qt�/ k4e4w. cb vq -*Mi t }I115; �cc�va Nw. am �irrra a:f -► TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 GEORGE PERNA DIRECTOR TELEPHONE 687-7964 Mr. & Mrs. Tedisco 104 Kingston Street Village Green . North Andover, Ma. 01845 October 23, 1992 Dear Mr. & Mrs. Tedisco: rie- ice wFig.(am WATER TREATMENT PLANT 420 GREAT POND ROAD TELEPHONE 687-7557 The bacterial sample that was collected from your bathtub tap on October 21, 1992 was negative for Total and Fecal Coliform. I have enclosed a copy of my lab certification to show you that I am certified by the state of Massachusetts to test for bacteria, and that I have to adhere to all associated laws and regulations pertaining to this certification. I truly hope the children are feeling better. Very truly yours, Linda M. Hmurciak Asst. Super./Lab Director cc: Alison Conboy, Dept. Public Health, No. Andover A: - ----- TBE COMMONWEALTH, OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION Certifies North Andover DPW Lab 420 Great Pond Road No. Andover, MA .01845 for the Microbiological Analysis of Water 'pursuant to 310 CMR 42.00 Laboratory Director: Linda M. Hmurciak Issued: o1/01/92 Laboratory ID #: 21054 Expires: 12/31/92 This certificate supercedes all previous Massachusetts certificates issued to this laboratory. The laboratory is regulated by and shall be responsible for being in compliance with Massachusetts regulations at 310 CMR 42.00. This certificate is valid only when accompanied by the latest dated Certified Parameter List as issued by Massachusetts D.E.P. Certification is no guarantee of the validity of the data. This certification is subject to unannounced laboratory inspections. Acting Director, Division of Environmental Analysis --l�ul�-�ar�¢inQ_k��a�✓ c� GDG DQ Q�^c� �,n �c - I cc�cw=I�ao c�2r, ,q.e. NORTN --KAREN H.P. NELSON Town of 120 Main Street, 01845Director . . BUILDING NORTH ANDOVER (508) 682-6483 enc"use CONSERVATION DIVISION OF PLANNING PLANNING & COMMUNITY DEVELOPMENT Memorandum To: Board of Health From: K Mn -P. Nelson, Director DPCD Date: October 23, 1992 Re: Hemolytic Uremia Syndrome *************************************************************** It has been brought to my attention that you had the impression at your meeting Thursday night that the press release concerning the above was to be sent to the papers. I thought I made it clear to Allison that this "press release" was intended to be submitted to the press under the following conditions: - If a member of the press was present at your meeting when discussing the disease. - If the press was made aware of this situation by some source. - If the Town Manager was contacted directly by the press. In these instances stated, we would all have the up to date facts in front of us for the purpose of talking to the press. If you have any questions concerning this matter, please contact me. Thank you. attachment KAREN'4i.P. NELSONr�` Town Of a _b"ec`°' NORTH ANDOVER BUILDINGlea'''' s �� CONSERVATION DIVISION of PLANNING PLANNING & COMMUNITY DEVELOPMENT MEMORANDUM To: Allison C. Conboy, Health Administrator C44 fU4�1 From: Karen H.P. Nelso Director DPCD Date: October 22, 1992 Re: Hemolytic Uremia Syndrome 120 Main Street, 01845 (508) 682-.6483 eeeeee*eeeeeeeeee��eeeeeeeeee��eeeee�eeeeeeeeee�eeeeee*eeeee*ewe*eee*e This morning I met with George Perna and James Gordon regarding the status of the above mentioned situation. There are some additional items which the Town Manager would like to have by the close of the work day. They are as follows: 1. Report/Update including the results of the water sample that has been tested by the Division of Public Works. It is my understanding that the results were negative. 2. Involve Dr. Mac Millan in order to gain a better understanding of the situation from a physician's experience and knowledge regarding this infection. (Particularly if it is going to be discussed at tonight's Health meeting) 3. Prepare a "Press Release" that should consist of a statement of the facts concerning the complaint, what has been done, and additional action, if determined necessary. This release should be reviewed by George Perna and ■e prior to submission to the Town Manager. Since the Board of Health is meeting this evening,. I would recommend that you provide them with the facts of the situation and give them a copy of the press release as well. I believe you should be the contact person to discuss this issue with .the press. If the press contacts you, provide them with the statement of facts on the matter. It is vitally important that you inform me of any additional developments regarding this case. If I an unavailable I want you to go directly to the Manager. If you have any questions, let me know. KAREN H.P. NELSON Director BUILDING CONSERVATION PLANNING NORryy a Town of NORTH ANDOVER °Q�c�u$ES DIVISION OF PLANNING & COMMUNITY DEVELOPMENT MEMORANDUM To: Allison C. Conboy, Yealth Administrator From: Karen H.P. Nelso4 Director DPCD Date: October 22, 1992 Re: Hemolytic Uremia Syndrome 120 Main Street, 01845 (508) 682-6483 reg-IY • 126 eeexeee�xxexe��xeeeeeexeeeee�+�x*eeeeee+�eeeeeeeeeeeeex*ee*�xeee*+�eeeeex This morning I met with George Perna and James Gordon regarding the status of the above mentioned situation. There are some additional items which the Town Manager would like to have by the close of the work day. They are as follows: 1. Report/Update including the results of the water sample that has been tested by the Division of Public Works. It is my understanding that the results were negative. 2. Involve Dr. MacMillan in order to gain a better understanding of the situation from a physician's experience and knowledge regarding this infection. (Particularly if it is going to be discussed at tonight's Health meeting) 3. Prepare a "Press Release" that should consist of a statement of the facts concerning the complaint, what has been done, and additional action, if determined necessary. This release should be reviewed by George Perna and me prior to submission to the Town Manager. Since the Board of Health is meeting this evening, I would recommend that you provide them with the facts of the situation and give them a copy of the press release as well. I believe you should be the contact person to discuss this issue with the press. If the press contacts you, provide them with the statement of facts on the matter. It is vitally important that you inform me of any additional developments regarding this case. If I an unavailable I want you to go directly to the Manager. If you have any questions, let me know. BOARD OF HEALTH 120 MAIN STREET TEL. 682-6483 NORTH ANDOVER, MASS. 01845 Ext. 32 M E M O R A N D U M TO: Karen Nelson, Director of Planning & Comm.��Dev. Lip / FROM: Allison Conboy, Health Administratori-� RE: Hemolytic Uremia Syndrome DATE: October 21, 1992 In response to your request for an update on the above mentioned situation, I received a phone call on October 19, 1992 from Mrs. Mary Tedisco, grandmother of Heather Tedisco, who was diagnosed with HUS at Winchester Hospital and subsequently sent to Massachusetts General Hospital. The grandmother was concerned that the disease was contracted from the water supply. Upon further discussion with Mrs. Tedisco (grandmother), I discover that the patient resides at 104 Kingston Street and there are offensive odors in the unit and possible plumbing problems. I assured Mrs. Tedisco that it is highly unlikely that the disease was contracted from the water supply. I requested that Mrs. Tedisco have her daughter Maryann Tedisco contact me with more complete information as soon as possible. I immediately contacted Emily Harvey of the State Division of Communicable Diseases. I was informed that HUS is an E -Coli infection which is typically contracted from contaminated food most often a poorly cooked beef and raw milk. HUS is not a reportable disease by law, however, hospitals do notify the State when a case is diagnosed. I was not contacted by Maryann Tedisco on October 21, 1992, however, I directed Bob Leyland, an intern, to do a site inspection of the exterior of the property and determine the source of any possible odors. No odors existed at the time of the inspection, and Bob did not have access to the interior of the unit. I contacted Maryann Tedisco on October 21, 1992, at which time she revealed that her doctor had contacted the State Division of Communicable Disease and he felt the HUS could be a result of the water supply. She further stated that her lawyer Page 2 HUS October 21, 1992 advised her not to provide the Town with any information but to refer them to him. I discussed possible means in which the disease may have been contracted and advised Mrs. Tedisco that we would further investigate the plumbing/sewer line problems within her unit. On October 19th and the 21st, I discussed the situation with Linda Hmurciak. On October 21st, I spoke once again with Pat Kludt of the State Division of Communicable Diseases. She stated that the disease was most probably contracted from a food source although nothing can actually be ruled out as a source and the plumbing within the unit could have served as a vehicle for cross contamination to the son who has also been diagnosed. Confirmation of the infectious agent, EHEC serotype 0157, in standing water inside pipes currently within the unit, will not necessarily prove that the plumbing was responsible for the original occurrence of the disease in Heather. I am about to conduct an inspection along with Linda Hmurciak and will notify you of the results immediately. ACC/cj p N OCT 22 192 15:38 LCDC ���cut�c� r� 5�ealt� arae Y { Willem F. Weldy��U7 Governor �. David K Forsberg $8=11ary ��**�� �``ttr'�, ��j��,// 305 Lfoa6/ c1t/w4 Zoom XW 02130-3597 David H. Mulligan 617.522-; , FaX 617-522-$735 Cammibeiexier To: Health Care Providers Boards of Health Hospitals SfAL, From: Susan M. Lett, M.D., M.P..., Director Division of Epidemiology Date: November 29, 1991 Re: Hemolytic Uremic Syndrome (HUS) and Enteric Illness Due to E. coli 0157:H7 PAGE .02 • Bureau of CommunWble Dlssese control A clutter of cases of enteric illness as well as HUS due to F.LL coli 0157; H7 hi a been reported in your area. This may be an ongoing and representatives from the federal Centers for Disease �ro:l- (CDC) are here to assist the Massachusetts Department of is Health (MDPH) with its investigation,. In c -�r to help us . case findings and identification, plr request .:ool cultures for E coli 0157:H7 on all patients severe cramping and diarrhea or bloody diarrhea. Please MDPH of all positi-i cultures for E. coli. 0157:H7 from Dece, .-31, 1991. Pres ent,t io E tali 0157:H7 has an incubation period ranging from several hours to , -Tht days. It can result in a broad spectrum of illness. Most .ommonly, patients will present with severe abdominal cramping and non -blue 'y diarrhea or diarrhea with blood streaks/gross blood in the stogy Infection may be asymptomatic (rare) or result in mild diarrh Vomiting occurs in about 50% of patients. Fever is usually absent or low grade. Most symptoms resolve in 6-8 days. Sour ce/Tranam E coli has a bovine reservoir and outbreaks have been associated with urclercooked beef, hamburger, unpasteurized milk and other items v cross -contamination. The primary mode of transmission is foodbor 3. Person-to-person transmission via the fecal -oral route occurs z famil and is the dominant mode of transmission in day care (-a),ters lex institutional settings. Patients are most infer. ous d the first week after their onset of diarrhea. Rarely, patik ay be infectious for 2-4 weeks after onset. OCT 22 19E 15:39 LC:DC PAGE.03 HUS HUS can be associated with -a variety of-factors/organisms. In the United States, E. coli 0157:H7 appears to be the principal cause of HUS preceded by diarrhea. HUS may occur as a complication in 2-7% of patients with L_, coli 0157:H7. It is thought to be caused by the Shiga -like toxins, elaborated by the organism. HUS usually occurs one week or more after onset of diarrheal illness. It is characterized by: microangiopathic hemolytic anemia, thrombo- cytopenia and renal failure. Central nervous system symptoms also may be present. Fever is rare. The mortality rate is 5-20%. The risk factors for the development of HUS include: age (r5 years - of -age or elderly), recent antibiotic treatment, anti -motility agents, gastrectomy and mental retardation. Other Complications other complications of . gross anal dilatation. purpura (TTP) have been in presentation to HUs, involvement, and fever Diagnosis ,. coli 0157:H7 include: intussusception and A few cases of thrombotic thrombocytopenic reported in adults. TTP, which is,simil.ar may involve more severe renal failure, CNS may be present. The organism is not easily identified by routine enteric culture techniques. Stool cultures should be plated on media such as sorbitol MacConkey agar to select for the organism. A direct agglutination test with 0157 anti -sera is necessary for confirmation. other diagnostic techn'gues, not commercially available, include: identification of shiga-like toxin, DNA probes and serologic assays for antibodies to the lipopolysaccharide capsule. Treatment Treatment is supportive, involving usually resolves in 5-8 scars without strains of E-, coli 0157:H7 are trimethoprim-sulfamethoxazole. -THE THAT TREATMENT WITH AN'TYSIOTICS IS H IT MAY INCREASE THE RISK Or DEVELOP may also exacerbate disease and Erythromycin and metronidazole shou Coli 0157:H7, as they may increase normal competing bowel flora. prevention fluid replacement. Diarrhea any specific treatment. Most sensitive to ampicillin and RE IS NO EVIDENCE TO SUGGEST ELPFUL AND SOME DATA TO SUGGEST INO BUS. Anti --motility agents risk for developing HUS. Id never be used to treat disease symptoms by killing Thorough cooking of all meat, particularly beef, is important. Handwashi.ng is essential to prevent person-to-person spread in households, day cares and other institutional, settings. OC:T 22 192 15:39 LCDC PAGE . 04 In Summary 1. Suspect E coli 0157:H7 in all patients presenting with bloody diarrhea or diarrhea with severe cramping. 2. Because of the difficulty indistinguishing this organism from other E. Boli in the stool, please request that the laboratory specifically attempt to identify E. coli 0157:H7. The most common procedure is to use sorbital MacConkey agar. If laboratories have any questions, they can call MDPH at (617) 522-3700, X122, 123 for ass'stance. During this outbreak, please send all cultures to the Bacteriology Laboratory at the state Laboratory Institute, .305 South Street, Jamaica Plain, MA, 02130 for confirmation. �. In order to attempt to identify a source of Z. coli 0157:H7, case finding and interviewing by MDPH is critical. Please report all suspect or confirmed cases of E. coli 0157:H7 seen since October 31, 1991 to the Division of Epidemiology at (617) 522-3700, X420. 4. surveillance for E. coli 0157:H7 and HUS should continue until January 1, 1992. References 1. Griffin PM, Ostroff SM, Tauxe RV, et. al., Illness Associated with Escherichia coli 0157.H7 Infections, A Broad Clinical Spectrum, Annals Int Med 1988;109. 2. Martin DL, MacDonald KL, White KE, The Epidemiology and Clinical Aspects of the Hemolytic Uremic Syndrome in Minnesota, HEMI 1990;323. 3. Martin ML, et. al. , Isolation of Z.ti coli 0157:H7 from d,-' ry Cattle Associated With two Cases of haemolytic Urarz.-Lc Syndrome, Lancet 1986. 4. American Academy of Pediatrics. Report of the Committee on Infectious Diseases (The Red Book) 1991. *:,v TOTAL PAGE . 04 ** ♦ Two North Andover, children survived bouts .:.. 'with the deadly E.coli li4h tiacteria,'the same type of . ' ET. food poisoning that, inr prompted a national scare 1,:-. when two children died ku because of it in Seattle. suffer By Diana. Brown tions. Eagle -Tribune Writer,,-, . eat. ( w sustai Heather', Tedesco squealed The "whee" as 'she dashed over to and. c eat crackers and peanut butter organ in her grandmother's dining infect room. chang Just. seeing the pretty 31/2- Mrs.' year-old ;, North Andover girl . • . Hez smile shows how far she has ' -' limite come. .. and p( Heather and her brother, '` food i. Robert, 2, spent two months in� 'Pizza the' hospital, vomiting, fighting "Any diarrhea,' , gasping for air,, said n becoming pale and weak from eat m, anemia -and. fending off "I've dehydration..' , : Your i Heather's kidneys failed at" Afte one point and are only partially � .'dren i working now. She nearly died. .the V Her, brother fared better North because the infection did not stoppe enter his blood.. ' check Like th� two children who still h died . and; 500 who became Heath seriously ill after coming into ney di contact with the bacteria spread life. from Jack-in-the-Box hamburg- The ers in Seattle, the Tedesco chil- Julie dren had. the E.coli 0157:117 kidney infection; which ` is mostly setts caused by undercooked ground ' 'Heatt beef and raw milk.! becau: One child died after eating a sis an nere ♦ Two North Andover heyre talking j children survived bouts ,: " about ;the ;West. `PPeo with the deadly E.coli k bacteria, the same type of ..ple need to'know'it's food poisoning that �jn prompted a national scare FM Tedesco;{i h when two children died. because of it, in Seattle. suffered from respiratory infec- By Diana Brown = tions. For days, they could not Eagle -Tribune' Writer eat. Only an - intravenous line sustained them...: Heather ', Tedesco squealed Their health status went up "whee" as ,she dashed over to and down every hour. Every eat crackers and peanut butter organ was at risk of becoming in her grandmother's dining infected. "They can drastically room, change in a matter of minutes," Just, seeing the pretty 3112- Mrs. Tedesco said., year-oldl. lshows NorthAndover haas and Robert are smile ow. far. she h limited to the amount of protein come. and potassium they can eat. Fast Heather and _ her . brother, food is totally out of their diets. Robert, 2, spent two months in` 'Pizza is the only, -exception. the hospital, vomiting, fightingAny beef, I stay away from," said diarrhea, gasping for air, Mrs. Tedesco, adding they t becoming pale and weak from eat more pasta, pork and lamb. anemia - and fending off "I've learned how -to, re -cook. dehydration. ; ' Your whole life changes." Heather's kidneys failed at' After two months, the - chil- ':;; one point and are only partially dren returned to their home in working now. She nearly died. the Village Green complex in Her brother . fared better North Andover. A visiting nurse because the infection did not stopped in for three weeks to enter his blood:: check for. any problems. They like thg two children who still have checkups in Boston. died and; ' 500 who became Heather still risks getting kid - seriously ill after coming into ney disease or diabetes later in contact with the bacteria spread life. from Jack-in-the-Box hamburg- The •children's doctor, Dr. ers in Seattle, the Tedesco chit- Julie Ingelfmger, a children's ry dren had. the E.coli 0157:H7 kidney specialist at Massachu- infection, : which' is mostly setts General Hospital, said , caused by undercooked ground Heather's case was --mild. � ; beef and raw milk.: because she did not need dialy-. One child died after eating a sis and,her other organs were tainted hamburger in Seattle. not affected. Now, she said,"she The second child is thoughtto seems perfectly well." .,,. ��,., ►.,.._�,-Ltz TedPssn nulled._Hther__�_.'. [ teria from an infected child in . out of nursery school at the DekW fair. For Children's Dental day care. . YMCA .in Andover, where she Wities About :20,000, cases of the. . , enjoyed swimming lessons. "I today from 10 a.m. to 1 p:m. at deadly disease' have been don't have them around chil- Church 1i Gras reported to the federal Centers dren at all — or adults," she and dental for Disease Control and Preven- said. vening tion in Atlanta. Children under S Emotionally, the illness has and the elderly are mostly at . affected the children, too. Heat- risk for the disease, which was, , her would cry, scream and only discovered 10 years ago. , punch things. She still suffers Mary Ann Tedesco believes, from nightmares about the nee - her children were infected by,'. dles in the hospital... . water or' tainted hamburger _ - "It throws their whole dispo-. meat: `But she`is'not surer The' sition off," *Mrs. Tedesco said. North Andover Board of Health- For a month, she ' sent every, tested their -water and sewer, family member to therapy to but found nothing wrong. work through the psychological "You trace everything. I can't -. trauma tell you what you put yourself '. She said the stress on her through. � sat night after night, marriage to the children's thinking, crying, blaming father, Robert Sr., has also been myself," Mrs. Tedesco said. "I overwhelming. "It's more fear prayed every day, every than anything else," Mrs. Tedes= night," she said. "There's noth- co said. .., a. a: ing else to do." Mrs. Tedesco and the chit- But it seems her prayers have p y dren's, grandmother, Mary been. answered. Her children Tedesco, also of North Andover, have steadily recovered since worry that New Englanders are September, when Heather first taking the E.coli scare too light - screamed with stomach pains. It ly. Eagle -Tribune started with what seemed to be a bad flu. "They're talking about the case of the But after . West. People need to know it's seeing blood in Heather's vomit in the East. It's here. It's a reali- and diarrhea, i her parents ty, and it could be the neighbor rushed her to Winchester Hos- next door. Who knows?" Mrs. pital, where she was treated for Tedesco said. one week. She was then trans- - "Around here, we have never � ' ferred to Massachusetts Gener- . heard of it," said Mary Tedesco. al Hospital's intensive care unit. "We want people to know." "She survived! by 4S min- "It doesn't have to be poverty. utes," Mrs. Tedesco said the I keep them well fed and clean. doctors told her. That has nothing to do with it," The infection had led to the Mrs. Tedesco said: more serious stage of hemolytic Mrs. Tedesco said she never uremic syndrome. Four days later, , her little questioned why the illness "Things ,. brother was struck down by the struck her family. hap - pen for a reason. It's pulled the same illness, but not as severely. 'family closer together and '. Bothchildren had blood drawn several times a day- allowed us to go one step. Heather had a catheter because beyond. You say you love some - her kidngys did not work. Both :I . one more easily. All you have to . depend on is love. VIMUNI.TY • CALENDAR ninisce for children. Holly- DekW fair. For Children's Dental Health month, The Dentists Collab- Wities orative is holding, a dental fair today from 10 a.m. to 1 p:m. at l Methuen Mall. The program includes a` ; video on dental care, Church 1i Gras brushing demonstration, compli- mentary toothbrush Parish and dental ;, Law- . screening.,,. Swim: The Hampstead PTA is 'a vening sponsoringrecreational swim at featuring 80 photos taken during the depression years by photogra- phers commissioned by five gov- ernment relief agencies will run through Feb. 26. Admission is free. Contact the gallery office at North- ern Essex Community College, Elliott Way, Haverhill, for exhibit times.