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94 <br />Mr. Smith reported that Dr. Gerard and Dr. Parker came out and went to <br />BROWN Clarke Street in regard to the bats that were in that area. They descovered <br />BATS a colony of bats roosting in between 2 floors of a house. The bars get in <br />between - under the roofs - up in the peaks. Lexington has some old type <br />houses that the bats seem to like. <br />Mr. Smith is planning to put a pamphlet together regarding bats. He said <br />there should also be a campaign to get people to vaccinate their cats. <br />Small brown and large brown bats are in this area. <br />Mr. Smith said there is no way to completely eradicate bats but each per- <br />son can have them eradicated off of their property. There can be as many as <br />100 bats in one colony. <br />Vincent Bucca had come into pick up his literature on wood stoves. He <br />WOOD wondered if the Board had come down to check out the smoke of the wood stoves <br />STOVES in his area. I said I only know of Mr. Southard's stove but he claims the <br />next door neighbor has one, also. <br />Dr. Asarkof said they did promise Mr. Bucca that they would go in the <br />fall and check this out so he and Mr. Lambie said they must go down there. <br />Mr. Smith said that the state will not do anything - they don't feel <br />that it is their responsibility. <br />Mr. Smith explained to the Board that a few patients of Lexington Medical <br />REACTION TO have had a reaction to the Td immunization vaccine, given by their nurses. <br />Td VACCINE One patient had been hospitalized for a few days. The vaccine had gone out <br />to other doctors but no other reactions have been reported from other physicians. <br />we have reported this to the state and have supplied them with any in- <br />formation we had. <br />Mr. Smith is going to call Dr. Grady at the State Health Department to <br />discuss this problem with him. <br />Mr. Smith briefly discussed a resident running a clandestine operation - <br />running a commissionary without a license/ermit. He sent a letter out to Leo <br />ILLEGAL O'Connell of 23 Ivan Street and a letter also went out to Mr. O'Connell from <br />FOOD the zoning/Building Departments telling him he must cease this operation. <br />OPERATION <br />VNA <br />The Board did not like the report the VNA sent to them for the month of <br />September. Besides the bill they only reported on 5 patients. Statistics did <br />not come with the bill. <br />Dr. Asarkof did not like two visits to a 24 year-old appendectomy to show <br />how to change a dressing. <br />The Board would like to know "how are they (patients) referred to VNA <br />and How were these cases brought to their attention! do people call them <br />directly? These visits should be prescribed by a doctor. <br />The Board was in agreement that a letter should be written to the Visit- <br />ing Nurses explaining what is required for a patient's visit to be covered <br />under Board of Health payment. <br />Dr. Asarkof said he will draw up a letter in this regard. <br />