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BOARD OF PUBLIC WELFARE <br />license and permits required by the general laws and local regulations, be familiar with <br />and demonstrate an understanding of the public health reasons for these regulations in their <br />particular area of concern. This procedure will reduce the number of violations and com- <br />plaints and motivate those involved to provide the leadership and training that their asso- <br />ciates and employees expect. <br />In addition to their duties as members of the board, supervising the operation of the <br />health department, each member represents the board on other various health boards and <br />committees in town. Mr. McQuillan is a member of the Lexington Visiting Nurse Associa- <br />tion Board, the Air Pollution Committee and Senior Citizens Club. Dr. William L. Cosgrove <br />supervisor of the dental clinic is responsible for hiring the personnel to operate the clinic <br />and establishing policies for the dental health program. Dr. Charles G. Colburn is the rep- <br />resentative to the Mystic Valley Mental Health Association and the director has been desig- <br />nated to meet with the school health services and other regular meetings of the school <br />physicians and nurses. Board members and staff have attended meetings and conferences <br />of their respective professional associations related to public health. <br />Local boards of health have continued to show concern and seek information on the <br />vast amount of legislation enacted and proposed on the federal and state level as it affects <br />local boards of health and the public. Recent legislation has classified the major rivers, <br />streams and tributories affecting public water supplies and has established regulations and <br />procedures to be followed as to their use and alterations by private or public agencies. <br />Mental health districts have been designated throughout the commonwealth to provide co- <br />ordinated facilities and services on a regional basis. Medicare and Medicaid programs <br />continue to be amended on an expanded level to include more services and greater allowances <br />for services provided. <br />The state health department has revised their mandatory immunization regulation <br />which previously required only smallpox vaccination for admittance to schools to include <br />diphtheria, pertussis, tetanus, measles and poliomyelitis immunization, unless excused for <br />religious or health reasons certified by proper authorities. <br />Our existing policies and programs have to be reviewed on a continuing basis to <br />avoid duplication by other agencies and to evaluate the need for public health service on the <br />community level and to assure that the objectives of the board of health are achieved. <br />Board of Public Welfare <br />The Lexington Public Welfare Agency administers five categories of assistance, <br />namely: medical assistance, old age assistance, disability assistance, aid to families with <br />dependent children and general relief. The first four categories are commonly known as <br />"federal" programs of assistance inasmuch as the federal government provides a major <br />share of the expense of these federal programs. <br />Of the total caseload, 98 percent receive assistance under one of these programs. <br />Five Year Trends in Public Welfare Administrative Expenses <br />1963 1964 1965 1966 1967 <br />Personal Services 8,028.00 8,121.00 8,500.00 8,781.00 12,497.00 <br />Expenses 740.44 564.80 625.00 625.00 625.00 <br />Staff as of Dec. 31 4 4 4 4 4 <br />30 <br />