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563 <br />November 24, 1987 <br />Mr. Richard White, the new Town Manager, came in'as the meeting was New Town <br />about to resume. Dr. Roemer welcomed him and introduced him to Manager <br />everyone. She then explained to him that the board was working its <br />way through the health functions from the Guidebook of Massachusetts <br />Board of Health and two other important issues - drafting new smoking <br />regulations for the town and undertaking to find a way for the board <br />and school committee to have a better working relationship. <br />Mr. White said, in a few weeks., when the board was ready, he would be <br />glad to sit with the board or Mr. Smith and Dr. Roemer and go over the <br />issues. After a brief discussion of some of his plans and what he has <br />been doing since his arrival, he adjourned. The board thanked him and <br />wished him well on his new position. <br />The board then went on to the health functions; Dr. Finkelstein began Maternal and <br />with his subject of Maternal and Child Health stating that the boards Child Health <br />responsibilities basically, have to do with premature births, receiv- <br />ing information on them and doing various things such as transporting <br />people to the hospital when there is a premature birth, paying hospital <br />costs if the person has no other funding or unable to pay. The State <br />would then reimburse the Board of Health 50% for the expenses utilized. <br />The rest of the responsibilities under Maternal Health were recommended <br />activities and whatever we want to do, certainly anything educational. <br />Dr. Finkelstein said, on his review of Dental Health that there was not <br />a clear division of responsibility between the School and Board of <br />Health involvement. Mostly, what the Board of Health could do was pro- <br />vide, support, or implement, along with the School Committee, various <br />things relating to correction of oral disease expense. School based in- <br />tervention on menus was mostly discussed, such as foods rich in sugar <br />causing tooth decay and regulating what goes into vending machines - <br />schools cannot sell junk food. The Board of Health is also responsible <br />for a mandate on issues related to fluoridation of water. Some boards <br />run dental clinics for people with children that cannot afford to pay for <br />dental work. <br />At the commencement of Dr. Finkelstein's report, Dr. Goldmann spoke on Communicable <br />Communicable Diseases noting that it was up to the Board to investi- Diseases <br />gate and control the spread of communicalbe diseases in the town and <br />report to the State Board any major problems, including suspected food <br />poisoning, illnesses on dairy farms, influenza, venereal diseases and <br />are suppose to screen for tuberculosis and see that people get booster <br />shots. They should also ensure access to necessary care and treatment <br />of those diseased, infected or exposed to infection, providing neces- <br />sary care and treatment of those diseased, infected or exposed to <br />infection, providing necessary resources or contact services for the <br />protection of the public against the spread of tuberculosis. <br />Dr. Goldmann said, on Immunizations and Vaccinations the Board of Health Immuniza- <br />can investigate school and disease records to determine if a clinic should tions <br />be initiated or assist parents in obtaining immunizations of their and Vac - <br />children, if the individual cannot afford to pay for them the board of cination: <br />health or school committee should provide them service without charge <br />or arrange for a health facility to do so. <br />