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.