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HomeMy WebLinkAbout1981-12-08-SC-min Page 71 December 8, 1981 A meeting of the Lexington School Committee was held Tuesday, December 8, 1981, at 8:00 p.m. , in the School Administration Building. Present were: Swanson, Beck, Gaudet, Shaw, and Michelman. Also pres- ent were: Dr. Lawson, Pierson, Monderer, Maclnnes, DiGiammarino, and Barnes. It was MINUTES November 19, 1981 VOTED: to accept the minutes of November 19, 1981, as corrected. (Gaudet, Beck, Unanimous) VOTED: to accept the minutes of November 23, 1981, as corrected. November 23, 1981 (Beck, Gaudet, Unanimous) Upon the recommendation of the Superintendent of Schools, it was SCHEDULE OF VOTED: to accept the following schedule of payments as listed on the PAYMENTS attached sheets. (Gaudet, Swanson, Unanimous) The third reading of the proposed amended Policy on Tuberculosis THIRD READING OF was conducted. PROPOSED AMENDED POLICY ON Upon the recommendation of the Superintendent of Schools, it was TUBERCULOSIS VOTED: to accept the amended Policy on Tuberculosis as presented. (Swanson, Beck, Unanimous) (See attached sheets.) A discussion of the Teacher Evaluation Process continued from TEACHER EVALUATION a.prior meeting. Dr. Beck said that he had been reviewing not only PROCESS Lexington's evaluation instrument, but also that of other towns. He felt that an evaluation instrument should not contain a large number of statements or check lists, but should be more open-ended and pro- vide opportunity for narrative comments by the evaluators. He said the present instrument did have problems and suggested that the Need- ham Public Schools' evaluation instrument be reviewed since it did focus on the interpersonal process which was most critical. He stated that Lexington's instrument had too many categories and that check lists seemed to be mechanical. Dr. Lawson stated that the long range projection was to have a new instrument which was of value to the system. He said an instru- ment had been developed cooperatively with teachers and administrators, but had never been accepted by the Lexington Education Association. He urged that this be a priority matter for negotiations which were to be undertaken shortly by the School Coumdttee. Mr. Barnes noted that the "Committee of 1978", consisting of teach- ers and administrators, proposed revisions as Dr. Lawson had noted. Mr. Barnes felt that the proposed instrument was an improvement over the present instrument and hoped that a new instrument of some type would be used in the future. Dr. Beck responded that he felt that it was several years since the instrument had been reviewed, and felt that it deserved another look. Mr. Michelman agreed that the revisions were going in the proper direc- tion, but felt that they did not go far enough. Dr. Beck then suggested Page 72 December 8, 1981 that the Committee reserve their options to revise the instrument by proposing a stipulation to achieve such action in the new contract. Mr. Michelman asked Mir. Barnes, who was working with the negotiations sub-committee, to follow through on this suggestion. It was agreed that this action would put forth the posture of the School Committee for an improved evaluation instrument. Mr. Michelman said that he had received a letter from Dr. Richard SUPERINTENDENT Goodman, Director of the Center of Educational Field Services, Univer- SEARCH CONSULTANT sity of New Hampshire, thanking the School Committee for its interview and outlining his possible role if the School Committee sought to re- tain him as Consultant in the search for the new Superintendent. Mr. Michelman, at this point, said the School Committee had discussed the consultants interviewed, and would welcome a motion to recommend a con- sultant. It was MOVED: that Dr. Richard Goodman be appointed as Consultant to the School Committee in the search for the new Superintendent. (Swanson, Shaw, Unanimous) Mr. Michelman said he would forward a letter to Dr. Goodman inform- ing him of the decision. Mr. Michelman stated that there had been many names suggested and SELECTION OF several persons had volunteered to serve on the Superintendent Screen- SCREENING COM- ing Committee. He expressed the School Committee's appreciation for MITTEE MEMBERS their interest. He noted that the applications had been reviewed by the School Committee, and he appreciated the School Committee's frank- ness and intelligence in working out the final recommended list. At this point, the members of the School Committee complimented Mr. Michel- man for handling the process in the intelligent and sensitive manner that he did. It was MOVED: to appoint the following individuals (residents) to the 1982 Superintendent Search Committee: Robert Cataldo, 121 Marrett Road; Elizabeth Clarke, 29 Moon Hill Road; Richard J. Comings, 43 Valleyfield Street; James Crain, 68 Asbury Street; John McLaughlin, 64 Baskin Road; Donald Weintraub, 33 Locust Avenue; and Linda Wolk, 5 Jeffrey Terrace. Mr. Michelman added that the Screening Committee would examine ap- plications and make recommendations as to the number of applicants to be interviewed. He noted that they would use the criteria supplied by the School Committee. He said the Screening Committee would work close- ly with Dr. Goodman, the Consultant. Upon the recommendation of the Superintendent of Schools, it was VOTED: that the bid for football reconditioning be awarded to Sport- FOOTBALL EQUIPMEN bilt, Inc. , as the low bidder meeting specifications as listed RECONDITIONING on the attached sheet. (Swanson, Beck, Unanimous) Page 73 December 8, 1981 Upon the recommendation of the Superintendent of Schools, it was VOTED: to accept the following personnel changes (Classified) as PERSONNEL listed on the attached sheet. (Swanson, Shaw, Unanimous) CHANGES Mr. Michelman stated that Dr. Lawson had unused vacation days, SUPERINTENDENT'S plus current year-earned vacation time, and recommended that the prac- UNUSED VACATION tice of carry-over be permitted in the case of the Superintendent and TIME that Dr. Lawson be compensated for all days remaining, which numbered 27 days. It was the consensus of the School Committee that this was appropriate. It was VOTED: to approve $2,000 additional salary for the period of Jamie- ACTING ry 4, 1982 - June 30, 1982, for Dr. Geoffrey Pierson to assume SUPERINTENDENT the role of Acting Superintendent of Schools. (Swanson, Beck, Unanimous) Dr. Lawson presented the 1982-83 budget to the School Committee 1982-83 BUDGET for its review. He projected the preliminary budget for 1982 at a 3.5% increase over last year. This total, $17,777,332, would be what was needed to maintain a quality program consistent with the guide- lines approved by the School Committee. He said salaries constituted approximately 82% of the budget and were categorized as an uncontrol- lable cost. He noted that 90% of the staff were in the higher salary range of the schedule. He then proceeded to comment on the highlights of the budget that were contributing to increase of costs: 1. collective bargaining 2. fuel and electricity costs 3. transportation and tuition costs for students who didn' t attend local schools He 'noted that enrollment would decline again next year. He also pro- jected about 30 less teaching positions. However, he felt that most of '',staffing needs could be handled through retirements, etc. Dr. Law- son then stated that the process of developing this budget was different from in the past, since each person was not asked to state his or her suggestions for increases in the budget because of financial limitations. There was a reverse procedure in effect this year. The model payroll was used to project staff, savings from reduced staff needs were subtrac- ted, charges due to non-controllables were added, and the resulting range was a 4% to 5% increase. He said the Central Office staff had reviewed the budget carefully, and the packet was presented to the School Committee for its review. He concluded by repeating that the budget as presented with a 3.5% increased allowed Lexington to maintain ratios and services, take care of a range of negotiated settlements, and retain a quality pro- gram. Mr. MacInnes reported that the Lexington Public Schools' staff have UNITED WAY contributed $3,512.00 to the United Way program in Massachusetts this REPORT year. He said that included 15.6% of the staff, which was approximately the same percentage who gave last year, yet the dollar value had increased. Page 74 December 8, 1981 At the request of the School Committee, Dr. Pierson presented SCIENCE STUDY/ a report on the continuance of the science study. He said that the HIGH SCHOOL study of the High School science curriculum had been initiated by himself and would take the form of a review of program goals and ob- jectives. He added that he and the study committee had contacted school systems via questionnaires. The study committee was examining courses and follow-up studies of recent High School graduates. He said that after receiving the data from school systems, recommenda- tions would be developed and presented to the School Committee later in the spring. Committee members expressed pleasure with the progress of the report. Dr. Clune presented the proposed High School Program of Studies PROPOSED HIGH for 1982-84 to the School Committee. A listing of recommended addi- SCHOOL PROGRAM tions and deletions were reviewed by Dr. Clune and Department Heads Or STUDIES who were in attendance. 1982-1984 Mrs. Gaudet expressed some concern with the Basic Computer course provided at the High School. She said the description of how the class would be conducted was misleading. After a brief discussion, Dr. Clune agreed to clarify the language in this course description so that it would be clear to students exactly what approach would be taken and what the expectations for students were. Mrs. Gaudet said she thought that there had been a tentative agree- ment to combining the Experienced Based Program and the Work Study Pro- gram, as well as eliminate the label of Work Study to avoid the stigma that some had associated with the Work Study Program. Dr. Pierson said that he had reviewed the issue and felt that an upgrading of the activi- ties in the Work Study Program would be beneficial. He said he would discuss it with Dr. Clune. Mr. Michelman agreed that there seemed to be a detectable difference in the quality of job placements for those who were paid versus those who volunteered. He said it may be asking a great deal of those who were volunteering rich opportunities to con- sider asking for payment also. He agreed that a review or upgrading of the Work Study activities seemed valid. He agreed and felt that per- haps there would be no need to separate administration of the program and suggested that Dr. Pierson look into combining coordinators. Mr. Michelman asked Mark Splaine to review the Program of Studies with the student committee. He suggested that perhaps if the document were held for one week, the Student Advisory Committee and other stu- dents could make comments. Dr. Lawson suggested that Dr. Clune meet with the Student Advisory Board, and if no significant suggestions were made, to go ahead with the production. However, if there were signi- ficant changes, then it would be appropriate to be discussed with him and the School Committee. It was VOTED: to approve the proposed Program of Studies, 1982-84, subject to discussion with the Student Advisory Board and the sugges- tions of the Superintendent. (Beck, Swanson, Unanimous) The School Committee complimented Dr. Monderer and the committee COLLEGE APPLICA- that worked on the Application to College Guideline Book. TION BOOK Page 75 December 8, 1981 r Mr. Michelman announced that the reception for Dr. Lawson would RECEPTION FOR be held Sunday, December 13, 1981, at the Diamond Junior High School DR. LAWSON and invited all staff and citizens to attend. Mrs. Swanson suggested writing a letter to the Board of Select- TOWN MEETING men which supported the scheduling of a later-than-normal Town Meet- DATE ing date which would assist in the budget development process. It was VOTED: to convene in executive session at 10:29 p.m. to discuss matters pertaining to collective bargaining. The Chairman announced that the School Committee would not be returning to public session. (Yes, Swanson; yes, Gaudet; yes, Shaw; yes, Beck; yes, Michelman) Respec ully submitted, Ric and H. BaSries Recording S6retary /c SCIEDULE OF PAYMENTS The following schedules of payments were available for scrutiny and approval prior to this meeting: SCHOOL DEPARTMENT BUDGETS Personal Services November 20, 1931 Classified Payroll ; 11-C $75,403.96 November 25, 1981 Professional Payroll #11 504,418.01 Expenses November 27, 1981 Bill Schedules #61 6,812.74 November 27, 1981 #82 25,463.72 November 27, 1981 083 4,151,43 November 27, 1981 #84 1,639.51 December 4, 1981 085 1,919. 14 December 4, 1931 #86 1,178.84 December 4, 1981 087 23,151.09 December 4, 1981 #88 371.38 December 4, 1981 #89 1,578.58 Expenses (Carryover) December 4, 1981 Bill Schedule #312 9.43 SPECIAL PROGRAMS - NON-LEXINGTON FUNDS Metco Program November 20, 1981 Classified Payroll 2,429.6.5 November 25, 1981 Professional Payroll 5,866,49 November 27, 1981 Bill Schedule #3 29.% December 4, 1981 #4 46.71 Project Mainstream November 25, 1981 Professional Payroll ' 872.79 Transition to Employment November 20, 1981 Classified Payroll 637.38 November 4,5„ 19p Professional Payroll 902.35 D cem er l48_ Bill Schedule 5 109. 76 Adult Education November 25, 1981 Professional Payroll 1,567.25 Driver Education ' November 25, 1981 Professional Payroll 1,021.95 Project Discover November 25, 1981 Professional Payroll 921. 95 • (Over) Project Assist November 25, 1981 Professional Payroll $1,034,75 Project Enhance November 20, 1981 Classified Payroll 529.90 November 25, 1981 Professional Payroll 629.27 • Vocational Guidance November 27, 1981 Bill Schedule 8 350.22 • • fi LEiliC FUN Policy Change – Freedom gi'cFtp 1C Jack Lawson _from fro*a Tuberculosis Tests — ___ _.. ___ _ � FROM Jack Monderer .__ ..-. `:, ' October 13, 1981 Attached please find a reconnended new pe!icy statement and background information. This responds to a change in ;true requirements with local adaptations made. If adopted, this policy would supersede procedures A-16 and A-16a (see attached). Copy of the new state law, the Public Health Department's position, the Division of TB Control's report are also attached for your information. I'� LEXINGTON PUBLIC SCHOOLS Lexington, Massachusetts POLICY STATEMENT' FREEDOM FROM TUBERCULOSIS REPORT ,—New Personnel The Lexington Public Schools require that new employees submit a : freedom from tuberculosis report. This report should be a negative intradermal (mantoux) tuberculin test administered not more than ninety days prior to employant. If the employee is a positive reactor to the tuberculin test, a chest X-rav will be required to determine freedom from tuberculosis in a comraunicable form. No Berson kno.m t, be suffering from tuberculosis in a communicable form, or loving evidence of symptoms thereof, shall be employed ly the Lexington Eu'.,lic Schools. Current Personnel The Lexington Public Schools require that all personnel have a freedom from tuberculosis report every four years. The tuberculin skin test will be accepted as an adequate screening for tuberculosis. ( Those persons who have been previously identified as positive reactors will be required to have a diagnostic chest X-ray by a private physician with results submitted to the school system. Ii • 1 BACKGROUND INF0RMATI0N AND PROPOSALS FOR I0DI -2NTATION OF POLICY The Tuberculosis Screening Law has been changed. New employees are • required to have an intradermal tuberculin test for tuberculosis. Rescreening is no longer mandated by State Caw. • The Lexington school physicians agree that clue to the number of refugees entering the United States from countries with a high prevalence of tuberculosis and past experience ;n identification of positive reactors in the system subsequent- to preemployment screening, a tuberculosis screening orograra for school personnel, conducted by 1 the Lexington Public Schools , would be desir- L 'I : . With no State requirements for routine screening, it is proposed that the Lexington Public Schools assume this responsibility. A tuberculin skin test would be the method of choice and the school nurse could offer this service to staff in each school. Those persons who have been previously $ identified as positive reactors would be required to have a diagnostic X-ray • ,by-t3 pr v e y .yAir eri)with results submitted to the school nurse. Cost for this diagnostic X-ray should be submitted to one's health insurance company. It is recommended that the School Committee provide funds for the IB skin test screening program. Currently Tine Test materials average 42c per test. Approximately one-fourth of the staff would need a TB test each year. With approximately 9(10 employees plus volunteers, the estimate of funding this program would he about $100 for the 1981-82 school year. This amount will vary with price changes and the number cf personnel receiving Tine Tests. For new personnel , Middlesex County Hospital will offer (free of charge) the intradermal tuberculin test and diagnostic services and foliowup care s . to the positive reactors. IFxINCTON PUBLIC „m10012 I • 11FXINC.rON, }4LSR.At-0t17115 'f0• ' All New Pcr3onncl and Volunteers Fa It Dr. Jack H. !tndercr Freedom from 1lubarcu' ,s ; s Nrp:rt leAccordance with N'._<•: tCi,uset+ s General laws , t.i.Inter 71, Section 55d CL as a amded by Chapter b7 , Acts :,f 1977, all personnel in the school system crust ptcrvide evidence of t :crd:m from tuberculosis t. ir' in ninety days prior to employment end at lc::: t r\'t t v three years the t • .0 i t er, If is teacher is trans- ferring into the lc>+in:.t; Schlul system °r thio the C,w t.tn:ealth of Massachusetts, the evidence of f, c d m from in' ci nlusis from the previous school system is acccpt.^hle. The recommended and rust reliable test Lir tuhct . ulofis is the Mantou.'t Skin Test. This is the only skin test approved for use with school personnel at present by the Massachusetts Department of Public Wealth. Middlesex County iospital, 775 Trape (u Rood , Waltham (Phone : 894-4600 ) , has a Walk-In Clinic for the purpose of administering, the Mantoux Skin Teat. It is ' available to all school personnel and volunteers. The Clinic hours are as Fellows : Test Reading - 49 hr, later jntdny, Tuesday, Wednesday 2 p.m. - 4 p.m. Thursday and Friday 2 p.m. - 4 p.m. You should plan to have the skin test done on :t:Indny,_.Tuesday or Wednesday as you will need to return to the clinic 48-72 hours later to have the skin tent rued. At that time. , it your test is negative , gnu will be given a card or certificate stating you are tree from tuberculosis . This card should be forwarded to the Chairperson of Nurses, Lexington Public Schools , and should include on the card what school you work at and your status - te.tcher, secretary, volunteer, etc. If you so desire., *°,-+ntnux Skin Test easy he ntilinistered by your private physi- cist, hysi-CLar., and a report ! rwarded to the Chatrpchelit ..I Scl'.Jol f:lurses. Inose persona whn have had a positive tuhercu : in reaction previously will need to have an :c-ray. Appointments can he made a + rh hileeex County Hospital far e free x-ray. Further information is availuidk Etrm the school nurses or the clinic services ni the L spiral. E ' A-16 11 /79 Lexington Public Scnoois . Lexington, Massachusetts CHANGES IN LAW SCGARDINh O'SRTIFItA7S(E to '. PF.P:I _: FF.,4; T1CR(:_LOSCS 1'a A cOrmflrdill,wE 10Th The following is a sumr..arY of sr>F_s mid tJt.cr t: ; Acts of 1977) , and the public Insitl teas-in , s. Employees in training centers for the meataPy t i rd r1 . t.ii or- reo- ders are now included with other school employees utred ie shot: freedom Fru„ _Lberculoeis in a communicable forst. 7ne avendm.en: ;;l =o includes persona per- forming voluntary as well as official duties , b. School employees arc now required to 1x certtt ic ' ;n the t ir_t of a negative tuberculin test rather than having the optin of e.. .-ray uniens they are known. or found, to be skin positive. Persons who are stir: :7aitivo could, of cont e, u:.,- be requited to have a chest x-rz>. The rrcairener,t at the i _i_1 screenins Le a tuberculin test, rather than an x-ray, is pralc :red for three reasons . First, a positive reaction to a tuberculin test does not nacSssarily mean that 1ha person has tuberculosis , but does indicate that the person has been infected ana should be considered for chemoprophylaxis to prevent tthere - insis . Au initial x-ray alone will not shoe: infection until it has -t es od to the stage of risible disease damage Co the lun,;. 5y :his tire , ±t is too la;-e for pre-ocnti:u therapy. Second, the tuberculin test ir, prefer ,'n1 -ray means of avoidinC over-exposure of in.ui-%i-danl s to radiation . " iir•1 _ the tn' er'cultn toot is considerably lees expansive thin the 7-1ar, 2' ' n terLai , d profeasio ,.._ and administration costs , and, tleretcre , prcfc, n .'. m, vno- of conservin>-. ti;u Lcalth care dollar. c f registered nurse may now submit a report , e titc',n' fieede., from tst'hercuiusis form� individual lint a nc ; i rt t- ilei i,itu Lest . SF the in a communicable s< u uuen an rson lcannot as a positive htn, the urse s t. `ft tc' a tep :rt because t :,--ray is equired: The c! es: x-ray report can o . mrve ly c pi • slcits. d. The tuberculin test must ne anaiiiist Fred in :I n. . ler aporoncd )y the COOCiiiCilur of Public Health. A-164 • • ✓ ' 1'FJ OOL'i%C a�Y'!1 Aiafdf,J�br? •�1�i F .: G fir 1a's?e.T-C6r6'(.L/dd�� i:.Y P r it �� (0-4771111ena�t t if1(kW' .JC�ezz 600 1,1L4 lu re' .i h0'"' Ante L.Fre he ta, & February 3 , 1981 ADVISORY LETTER lF117 TO: BOARDS/DEPARTMENTS OF UDALTli - BOARDE DEF,RT'tE11TS OF EDUCAT ICN SUBJECT: COST-BENEFIT SAVINGS TO CITIES AND r'J'.CNS UNa R SENATE NO. 646 Senate No. 646, An Act Amending the Requirements for Tuberculosis Screen- ing of Educational Personnel, has been sponsored Sy Senator Diver, in coopera- tion with this Department. The purpost: of tho bill is to discontinue, with appropriate safeguards, a measure of public protection which can no longer be demonstrated to be cost-effective; to reduce tune,:cssnry x-ray radiation; and to relieve cities and towns of a costly and . .. Ct:: some Because of the fiscal constraints placec local governments as a result of Proposition 21 and the need to idon .ify re. er : source of possible savings, _ urge you to study the enclosed matLriais carL7ul Ili. Trio Pre as follows : (1) A copy of Senate No. 646 (2) A copy of the Department 's position in Favor of Senate No. 646 (3) A copy of a Study Report, by the Division C. Tuberculosis Control , on the current Massachusetts i.i.: LChap. 71 , Sea . 55B) for the screening of educational employees for tuberculosis. Senate No. 646 has been referred to the C'.aamittee on Health Care, and is scheduled for a public hearing at 11 : 30 a.m. ,on Monday , February 9, 1981 , in Room 427, State House, Boston, Massachusetts. I urge you to make known your views on this bill, in person or in writing, to members of the Joint Committee en Health Care at the State House: SENATE: Edward L. Burke, Chairman; Louis P. Bertonazzi, Vice Chairman; John G. King; Samuel Rotondi; Phillip L. Shea; Peter C. Webber. HOUSE: Theodore J. Aleixo, Jr. , Chairman; Andrew J. Rogers, Jr. , Vice Chair- man; Argeo Cellucci; James T. Harrington; Stephen J. Karol; Thomas K. Lynch; Elizabeth N. Metayer; Walter Silveira, Jr. ; Thomas J. Va.11eiy; A. James 'Whitney. \ 1 f* , ., L rs: - 1'�omas J Kor(rns, Director 't COPuII S'uN;:R , -risior, of Tuberculosis Contnu i Ent • Please share this ler _:er and encloc'lr'e3 with yeer associates and with other local officials. ate, , r •y ' •1119) s • s lw Mr. Olver, a petition fartompanted try ball, Senate, No. 546) of John Oiver tor legislation to amend the minima's-Ms for tuberculosis screen- . cre n- -- - Inc of educational personnel. Health Ca a---- -- • -_- wfxf {,omatmtaraSItf of aumatirstgrthi In the Year One Thousand Nine Hnuadred and Elghtyone. AN ACT ARIENDING THE P.EQUIREMEJTPS FOR TUBERCULOSIS SCREENING OF F.DUCtT1ONAL PERSONNEL, it enacted by the Senate and game of Represcniatives in General Ci-it r t a aser c bird,and by the authority of the same,as follows: Can pter 71 of the General Laws Is hereby amended by 2 striking cut section 55B, as most recently amended by chap- :: ler 67 of the acts of 1977, and inverting In place thereof the I following section: :'ec(i'm Sir. No person known to be sub-tiring from tuber- liC' ') S i1, a cerre 1ni:1<ahie form, or having evidence of s.,n;. 7 toms thereof, shall be employed or continued in employment • S at ar.v public: or private sohoot in the commonwealth, Inc:Jud- i: mg any roily'^i' or university, at any special training tion e TO Mr the mentally tetarticd, or are' program for yout3.,all of- dc s Ia any capacity ~%loch might brnic nim into dirt rt 12 contact with any student at such school. Irnmeliately prior to kis entering into any such employment, each school s._r:r-_ reindeer ' ,)r y,l dire'-tetteacher, feed handler, ipttrl bus driver, curse, doctor, or otherperson whose duties, eit':er official or voluntary, bring hiin Into such direct contact 17 witti students, shill! file with the superintc Ment or other 13 sons having charge of such school on forms furnished by tie • • 10 department of public health and approved by the department • • • 20 of education, a report made by a licensed physician or aprove• d istered nurse certifying his freedom from tuberculosis in a • • 22 communicable form and said report shall be kept a part of the 1 records of such school. authorities. The rt?port certifying free- , 2.1 dam from tuberculosis shall be accompanied by the results 25 o, a negative intradermal tuberculin test administered not :'6 more than ninety days prior thereto in a manner approved by f;5 states which have similar laws or regulations owhich require , 27 the commissioner of public health, or in the case of a person 66 freedom from tuberculosis in communicable form in theft :? whose tuberculin test is positive, by the report of a large h7 school personae', may submit such certificate to the :iln•c,c„ i 2' X-r:ry film of the chest taken not more than ninety days prior 18 of the division of Iubercut xis control in tb ' department of i 20 thereto, and such other laboratory and clinical examinations 69 public health for his approval. Ei as may he required :or the exclusion of tuberculosis in a con- 70 On clition in writing, the provisionof this section may he ::2 municable form. except that no registered nurse shall file 71 waived by the director of the division of filbert-desk control, • S any such report without the results of a negative tuberculin 72 when in his opinion over exposure to radiation would imperil :4 test. The commissioner of public health may order that such - 73 a person's health. `;5 examinations be reneated or additional tests made in a de- 71 ny teacher, other than a teacher in the public schools, er "r liortrr'nr er o'ih!i' b 'alt! designated tuberculosis cliii in 7.-, anis other rm;io;:e' each1'lcd ct• re:ant-c�-0 (ciao c'mpl;>yn:er." an_: case 'a here tilt iY" ,uks m.'_ be i, dispute. On request, ;li . account u) c tui erculosi. Ina communicable form shall h •: Xray films shall be submitted for review to the ocpariment 77 carried on nick leave with pay for such period as he mak' be , 'ej of public health or ,noted tuiharrui sis clinic and .•eh^•.. entitled ttaut r regn ;,�U•�m of the school committee- or t. h--• - '.ft the X-ray so submitted :s for any raison not stoisfactorv, an 79 school �.IT'.e: : and : ';t 'GCbC. .n a (�.1t:11C :taboo!,1. or mho X-ray of the employee's nc�<t shah bemade by the depart- 81 erni,loee tiierran whose tllie bring him m,�. direct cantor'l 2 mcntordesignatedclinic.. When suchX-mvshowsapulmonary 51 + }: ar;v student the rest, shall, if excluded or removed fror -J ies ion' nich cannot be rip• -Iv evobrated on a single firn. ) '!os P R' condos merit on account of iiiherettlenis in a eommt'ni.ie: ;4 further }'-, cicir.i „ . o,,,, ri i e. rim a, L,L n1en ❑,tervaLs -...1 10(1.. c^ cJr: mcd on sick leave with pay for tae rn ice. �; • -` as it may require, and win-tout charge, b y saiddepartmenti NaCl' V('I,sion or rE - n'. 1 ]± n Flu e f- . } c , _ > or . . CC designated tuberculosis clinic. Cases in which the question of i13 years, and for such Midler additinnar period as he may e en communicability of tuberculosis arises may, on appeal, be re- try tit{ d to under the regulations of the school committee o: 43 fenced to a hoard of three competent physicians, appointed b� 47 other school OM. or. No teacher or employes- tin iaciuner til 49 the commissioner of public health, and their decision shall he rr�' removed s11811 return to employment int s' hrmi until properly i:ii final. Notwithstanding any examination required under para- b9 certified by the department of public heath, or a designate t -1 graph two glow, a new examination shall not be required for tuberculosis clinic, on tire basis of X-ray and laboratory ex- 2 any school employee who transfers employment within time 91 aminatioas, a, free from tu`erculosis in a communicable form. * Commonwealth and has previously flied a valid certification 92 Facilities for f,ee 't-ray service shall be providedby the de- } report under this section. 93 partment of public health or a designated tuberculosis clinic 55 The commissioner of public health may order the repeat 94 for all persons euro come within the scope of this section. r.6 examination and certification of any employee, required to be 57.certi•fied under this section, if such employee is exposed to a 58 patient with tuberculosis, or if such employee lives or is em- u9 ployed in an area where a high prevalence of tuberculosis ex • - 60 ists. The c nrnissioner of public health shall determine if the 61 prevalence of tuberculosis in any city or- town or section there- 62 of is sufficient to require such repeat examination and certi- • 63 Eleatic-in. 64 School personnel (Tr?i tiCtl by apprnviii; aci:Lwn.., a 'a. 0:'AA. • - j /� -2 fi y /i� Vv sitifi �it7d�E� �.6¢4'.iff e es— •.,iii '�daicti`$�E.�.fa„e .i �,� ? may 14115. '"-3Ar r 6(0 i �i�satreyl<vr, ._ ';x7e A .ej 1.Fr3,cilrme.M.D.,IN P.H. tilt/Ma et fi..'2/ SENATE NO. 646 - AN ACT AMENDING THE REQCIR£IIINtS cOR TUBERCULOSIS SCREENING OF EDUCATIONAL PERSONNEL RECOM? DATION - The. Deparure.,t of Pu.'ti' .. dealtb. _.._ ;;amends .hat S-646 be p:Csed. Senate 646 was submitcoati by decatur Jots W. Oliver, __l CO peration the Department of Public Health. The bill w, n,S discontinue the routine screening of educational employees, 'a-cry t rep : _ars , for tiberculosis. Repeat screening and certification 'a'lz be 7,---11: • • by ;h - C-cnissioner Jf Public Health under this amendment, however , H, my employe._ e.tposed to tuberculosis, or if the employee live ; or war'.._, an area !-.. :ing a nigh Incidence of tuberculosis. The pre-eupio)r1cr_ a motion and certification of educational employees. required by Chapt, rSection 55 of the GeneralLaws, to show freedom from tuberculosis, wool C:,�:•.tlaue . The purpose of the bill is cc diacontin ;e , ;ith appropriate safeguards, a measure of public protection which can no lon;;er be demonstrated to be cost- effective; to reduce unnecessary x-ray radiation, and to relieve cities and tcuns of a costly and burdensome task. '.., Tuberculosis continues to _' an important public health proble-:, and any • proposal to lessen protection of our susoect;.ble young population must be given careful consideration. The matter was presented to a Statewide meeting of chest physicians (see attached report) and the consensus of this croup 1.73S to discontinue the routine three-year screening for tuberculosis, and to sive support to the proposed amendment of Chap. Sec, 55a. The recommendations of the Department's Tuberculosis Ned! _nl Advisory Committee were consistent with the final draft of Senate 646, 'the cost of the current screcnimd for tuberculosis red tired by Chop. 71 , Sec. 5`5 is estimated to be about $250,000 (-'.,5 ,-300 tuberculin skin 'tests rQ $4.00 and 4000 chest x-rays @ $25.0D) . In addition to the screening costs, there are clerical and record keeping; costs, to local school departments and boards of health, but prc'ha'bly significant, amount. Some of an undetermined, portion of the skin testing and chest, x-ray examinations are done privately, but the numbers are small. dost of t'I.le skit coning ..: : o by nurses in :cool school departments and boards of health; whi l':?est ..-rays, for the cast part . are provided in _.:ate-ccntreeted tone cu'_OS, _ . _halos. -_ Passage of this bill, and ch.. rk!suitaut .•itmiaacic : repeat skin :est- ' ing, should reduce city and tdwr. 7 ,ing, . . . . . a1 , _ CC u7] keeping costs. The elimination of he tatee-year ractine .-_duce Scare '.. expenditures . The estimated savir:,,; are a.: AGGREGATE ANNUAL SAVINGS TCS CITIES LND 701,TD IN REDUCED NURSING, CLERICAL, AND RECO i' } i."INC T1i'E" Sint ,oGO ANNUAL SAVINGS TO THE COPTS:NWEAL1'R IN REDUCED X-RAY COSTS AND TUEEER000IN ikaf:6G SCP:''.i.ES Sie'J,000 i , ® h_s amount may be significantl:, Ligher. Jen,-nding on _ .Trent costs co chool departments for record keeping , o<'tage, telephone, and ocher costs of enforcing this law among empiovi:es_ A STUDY OF LIE SCREENING oz' 5; 1131. EMLl £S S . iErtusLOSiS UNDER CHAPTER 71 , SECTION 553 l"i TEE MAS ACi1USETT9 !.E1:fiKcii. i3,ws • • The Division of Tuberculosis Con'-=o1 in Hass.::. ,...,_ -t5 of Public Health initiated a study of the cut rout Masstrhesetts law (Chap. 71, Sec. 55B) requiring the certification of school employees to show freedom from tuberculosis. The purpose of the study was to determin., if the law was necessary, in view of the low--_rin", prevalence of tuberculosis. or if the law should he amended or revoked. Chapter 71 , Section 558 require, that all employees of public and private schools, colleges, and other educational institutions and programs be examined before beginning employment, and every three years thereafter, to show freedom from tuberculosis. Fisch such employee must be certified, by a physician or nurse, on the basis of a negative tuberculin rest; cr such test is positive, by a report of a physician on the basis of a negative chest x-ray, Those examinations and certifications arc generally provided by tuberculosis clinics supported by the Department and by local boards of I health and school nurses, free of charge. Toose services are also provided by private practitioners for a fee. The number of empieyecs required to be certified by this law is in excess cf 150,000, with an average of more than 50,000 persons requiring screening each year. The cost of this screening !a probably in the neighborhood of $280,000. '00 :annually. by ;,:r rough esti.- mate st1-mate (4000 x-rays @ $25.00, plus 46,060 tuberculin tests @ $4.00) . The purpose of the law is for the protection of the vulnerable student population against infection with tuberculosis by school . -^ioyc:es who ; have the disease. This law was firar passed in 1950, and has been a-..c.r.ded on five occasions since that time; :he last being in 1377 . In 1950 the Massachusetts new tuberculosis case rate was 53.0 per 100,0013 population , ',, and there were :2 93 cases reported. Ey 197u the Massachusetts case rate had declined to 8. 2 per 100,000, with 470 reported cases. The redaction in tuberculosis cases during this period raises the question of the need for the continuation of this kind -,f irotectic-n. School employees, as a ;,roup, are not considered at high risk of developing tubetcuiosis. On the I other hand, , tubereulosis can be devastating r.. vulnerable yueng peeple in contact with an infected person. What must b. weighed in the balance is the declining risk of young people becoming :r.fectod with a serious, albeit treatable disease , against the inconvenience and possible excessive x-ray radiation exposure to persons whose risk status, as individuals and as a group, is probably also declining. • The Division was not able to identify school employees with diagnosed tuberculosis who were discovered as a result of routine screrniag under this lsw. However, staff members can recall not a,,re than _ half dozen school employees, out of the hundreds of thousands ecnc,ined over LLe past ten years, who were found to have t' bercu1 -, s a ; a Teen c cif the co._ tine screening process. The reported } 'old from rpca.- a ears to be !;t in other states. ' F • • The need for the routine eaam.:nbticn of school employees was presented to the Mcdicu; l Advisory :nmmlttee of the Division of Tuberculosis Control on July 23, 143^, a,ri the matter was referred to a sub-committee for report back by Ocrtber 1 . 11130. Tho sub-committee recom- mended that screening and certification Co show freedom fon tuberculosis be limited to new employees and thost living, and working high prevalence areas. The three year follow-up eair !natio, recertification wool '. b.- discontinued for all others. • On October 13, 1930. tae tec•..:wcaciation -t the uh- ncmr-i Glee' was presented to a meeting of physici:c,t, ' tom ) ! ' ta tl r_c. osis clic ., throughout the State . This group of physic irOPtio over thh. cy in number, treats the majority cf the repos d tuberculosis •as a husec . There was a strong feeling among the „roup Hat the 1-1,,y Ln search fur tuberculosis among school employes, for ri:.. ,rctecti 'n. of _ tudentst „ . i existed. They felt chat the pre-enialoyfl:ent tiOrerc t . it tesr . and x-ray nr positive reactors, was a valid Sue-cine pr r .u: t . ;; so felt Li;it the likelihood of discovering a, nt'v cntie of t s: . an Pmployet' • as a result of repeating the rouLin _ sCreeni: 0 in three ivcato, was cn i� oly in most cases. it was felt , however , that r!�•toe e.npleye.• i.ving or Ct'rk- ing in areas where the prevalence oftrbetcui a is high , might he an exception. The group wanted to con: lnue rho protection afforded by t} • examination and recertification ai these to,.tit7ects every three years. The group recommended the following: 1 (1) That the pre-employment examination and ecititicatbon of employees in schools, colleges, and other .ducaticnal institutions and pro.,cram-s to show freedom from tuberculosis;, he continued . (7) That the repeat examination and -rertif.ic;: , ion of such employees every three years he discontinued, excopt for !hose employees who live or work in an area determined to hove a hitt'+, prevalence of tuberculosis. :','NCL,. i1d5 The Dcpartccnt cbcc•m.•enoi. tU..: e Massachusetts General Laws to onrnocd rb c1 i .. ..._ - gear exami- nation and recertIfica•ti .1 . r, rnin1 : .,-_,tt :hose liv .. , or working in area. determ;:t• ., !n . . 'tf. . rt high lence of tuberculosis, • BIDS - 1981 FOOTBALL EQUIPMENT RECONDITIONING On November 6, 1981, requests for bids for reconditioning of football equipment were invited from two companies. The bid was also advertised in the November 12, 1981 issue of the Lexington Minute-Man. Specifications were drawn for the repair and reconditioning of nine items with a per item price for additional charges for specific parts if their replacement is a needed. The approximate quantities were based on previous experience. Two sealed bids were received and opened at a public reading at 2:00 p.m. on Monday, November 23, 1981. A recap of the bid is as follows: Last Year's Phil Murray Co. .Inc. Sportbilt, Inc. Bid Price Unit Total Unit Total 1. Riddell Helmets 7.75 542.00 6.75 472.50 5,50 Recondition 2. Max-Pro Helmets Clean 7.75 542.00 6.75 472.50 5.50 Sterilize 3. Bike. Helmets 7.75 46.00 6.75 40.50 5.50 Specific replacement of parts NC (11 items) 10.00 600.00 l0c - 644.50 50c - 4.00 $4.00 ESTIMATED SUB TOTAL ITEMS 1-3 1730.00 1630.00 4. Shoulder Pads - Repair, clean 7,00 1050.00 5.95 892.50 4.75 and sterilize 5. Thigh Guards - Clean only .25 75.00 .15 45.00 .15 6: Knee Pads - Clean only .20 40.00 .15 30.00 .15 7. Girdle Pads & Inserts - Clean only .20 37.50 1.25 187.50 .90 8. HandForearm, Elbow Pads - Clean only .10 5.00 .50 25.00 .50 9. Pants '- Repair and clean 6.00 300.00 3.00 150.00 3.00 ESTIMATED SUB TOTAL ITEMS 4-9 1507.50 1330,00 ESTIMATED SUB TOTAL ALL ITEMS 3237.50 2960.00 Sportbilt Inc. has served us in the past and performed satisfactorily. •The budget for this service is $3500. The above totals $2960.00. This is an approximate total and will increase or decrease with the actual number of pieces to be cleaned or reconditioned. In the event that we do exceed the budgeted amount, the difference will be transferred from other accounts within the athletic budget.