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<br />Lexington Board of Health, March 8, 2006 <br />Room G-15, 1625 Massachusetts Avenue <br /> <br />Attendees: Wendy Heiger-Bernays, Judith Feldman, Burt Perlmutter, Sharon <br />MacKenzie, Deborah Thompson <br /> <br />Health Dept. Attendees: Derek Fullerton, Susie Moser, Ann Belliveau <br /> <br />Heiger Bernays called the meeting to order at 7:05 p.m. There was no public <br />participation. <br /> <br />MacKenzie stated that on January 2006, the Board had asked for an update on lead <br />exposure to children in Lexington and how the Health Dept would know whether a child <br />presents with elevated blood leads. Fullerton called the childhood lead program at DPH <br />and is awaiting for a call back. Thompson was reviewing the MASSCHIP <br />(Massachusetts Community Health Information Profile ) data to find information. <br /> <br />Heiger-Bernays asked the Board to review the minutes of February 8, 2006. MacKenzie <br />motioned to accept the minutes as amended. Feldman seconded. All approved. <br /> <br />Inspection Tracking – Heiger-Bernays asked how the food establishments with <br />continuing critical violations and multi-reinspections are completed and whether the cost <br />of the reinspection is paid for by the establishment. Fullerton stated that if Fox goes to the <br />establishment to do a reinspection and then needs to go back to the establishment, that the <br />fine issued goes into the general fund. Heiger-Bernays reminded the BOH that this issue <br />had been discussed previously. Heiger-Bernays suggested the fine for the re-reinspection <br />should be much higher to cover the cost of the reinspection. Fullerton will look into other <br />towns to see how they are handling re-reinspections. Perlmutter suggested reviewing the <br />fee and fine schedule to determine the costs. Heiger-Bernays and Fullerton will come up <br />with a schedule of how many red and blue violations constitute a hearing. The objective <br />is to address repeat offenders and provide a consistent policy for enforcement. <br /> <br />Inquiries Tracking – MacKenzie questioned the number of septic inquiries. Fullerton <br />mentioned that most of the septic inquiries are from realtors. MacKenzie did not want to <br />lose track of all of last year’s work in making sure septic systems were pumped within <br />the required timeframe and that the systems requiring pumping this year should be <br />identified & contacted. <br /> <br />Nurses Report – Moser reported 1) 5 cases of varicella in unvaccinated children in the <br />Waldorf School and 2) that at the 11/17/05 flu clinic, about 15% of the documentation <br />does not have the signature of the person administering the vaccine. As a result, we <br />cannot submit these forms for Medicare reimbursement. <br /> <br />Fullerton began a discussion of the Continuity of Operations Plan for the Board of <br />Health/Health Department. Fullerton asked the Board to review and discuss at a later <br />date. This will be included as a section in the Emergency Plan. Fullerton stated that the <br /> <br />