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`8 <br />He said that if there is only one or two horses on the property, the manure, <br />can be controlled in tins but three or more horses there should be a concrete <br />pit because there is 20 -lbs. of manure per day, per horse. <br />Mr. Smith told the Board that we are getting more applications now to keep <br />chickens. He said some people can be very sloppy with the keeping of chickens <br />and the chicken manure can attract rates. <br />Mr. Smith explained to the Board how the Department sends out cards to the <br />abuttors of property when someone applies for an animal permit and there <br />are more people starting to object because of "rat problems or fly problems" <br />that could happen. <br />Mr. Smith reported to the Board that the E.P.A. on Westview Street had re- <br />quested that the visiting nurses come to their office and give immunizations <br />to those employees that needed to be updated on their shots. Our Department <br />supplies the vaccine for the nurse to do it. <br />Mr. Lambie asked why we had to do this when we don't do it for other companies. <br />Mr. Smith explained that when the E.P.A. came to Lexington we made arrange- <br />ments to keep the employees updated on their immunizations. The nurses from <br />the Tri -Community have done this before. Two or three years ago the employees <br />that needed immunizations came into our office and received them. This year <br />there were more needing to be immunized and we felt it would be easier to <br />have the nurses go there but the visiting nurses seemed a little leery about <br />giving these immunizations. They wanted Dr. Erdos to write a letter stating <br />that they could do this, how much vaccine to give, how to administer adrenalin <br />in case of emergency, etc. Mr. Smith felt that a letter like that was un- <br />necessary as the nurses should know how to do this. <br />Mr. Smith said he just as soon not do it at all where the nurses seem to have <br />a little anxiety about it. He said it would not have been any big deal as <br />all the vaccine is supplied by the State. <br />Dr. Cosgrove and Mr. Lambie said where we don't do it for other places, they <br />do not see why we really had to do it for the E.P.A. <br />Mr. Smith said he would just cancel it out. <br />Mr. Smith read a letter that had been drafted by Terry Hluchyj, R.N. of the <br />Visiting Nurses to send to a person that has contacted a communicable disease. <br />This letter just notifies the person that a visiting nurse will be calling <br />at their house. This is usually for hepatitis, samonella, etc. Social diseases <br />are reported directly to the State and not to the local Boards of Health. <br />The Following permits were signed by the Board: <br />FOOD ESTABLISHMENTS <br />Sheraton -Lexington Motor Inn Temple Emunah <br />727 Marrett Road Piper Road <br />Raytheon Executive Building (vending) Hancock United Church of Christ <br />141 Spring Street 1912 Mass. Avenue <br />1 <br />1 <br />1 <br />