HomeMy WebLinkAbout2018-2-15Minutes for February 15, 2018, adopted Mar. 22 r
BOARD OF HEALTH"' T U L � ;
Meeting T OV! N C
Town of Nantucket 2016�R 23 p4,
3 East Chestnut Street
Nantucket, Massachusetts 02554
www.nantucket-ma.gov
Commissioners: Malcolm MacNab, MD, PHD (chair), Stephen Visco (Vice chair) , James Cooper, Helene Weld, RN, Jim Kelly
Staff: Roberto Santamaria, Axtell Crowley, Kathy LaFavre, Anne Barrett, Hank Ross
-- MINUTES --
Thursday, February 15, 2018
4 Fairgrounds Road, Community Room — 4:00 pm
Called to order at 4:00 p.m.
Staff in attendance: R. Santamaria, Health Director; K. LaFavre, Health Inspector; T. Norton, Town Minutes
Taker
Attending Members: Malcolm MacNab, MD, PHD; Stephen Visco; James Cooper; Helene Weld, RN; Jim
Kelly, Board of Selectmen
Absent Members:
=ere r
None
unanimous consent
APPROVAL OF
1. January 18,2018: Motion to Approve. (made by: Weld) (seconded by: Cooper) Carried unanimously
BOH APPLICATIONSREVIEW
1. Administrative Consent Order (AC) Name Change: 4 South Cambridge Street (59.4-11)
Sitting MacNab, Visco, Cooper, Weld, Kelly
Documentation Supporting documents and plans, staff recommendations.
Discussion Santamaria — Property is changing ownership before the ACO has been recorded on the deed;
the ACO must have the current owner's name.
Action Motion to Approve. (made by: Kelly) (seconded by: Cooper)
Vote Carried unanimously
2. Betterment Loan: 34 Arkansas Avenue (59.4-145)
Sitting MacNab, Visco, Cooper, Weld, Kelly
Documentation Supporting documents and plans, staff recommendations.
Discussion Santamaria — The property transferred contingent on the loan. The department has the
application and no objections.
Action Motion to Approve. (made by: Kelly) (seconded by: Cooper)
Vote Carried unanimously
3. Sideline Setback: 10 Washington Avenue (60.2.1-23)
Sitting MacNab, Visco, Cooper, Weld, Kelly
Documentation Supporting documents and plans, staff recommendations.
Discussion Santamaria — The lot is small and the full system must go into the setback to meet maximum
compliance. The system will be I/A.
Action Motion to Grant the variance. (made by: Kelly) (seconded by: Visco)
Vote Carried unanimously
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Minutes for February 15, 2018, adopted Mar. 22
4. Tight Tank: 4 Ames Avenue (60-135)
Sitting
MacNab, Cooper, Weld, Kelly
Documentatior
Supporting documents and plans, staff recommendations.
Discussion
Santamaria — This request for a tight tank meets maximum feasible compliance. The existing
system has been removed.
Kelly — Would like to ensure the previous septic was removed.
LaFavre — Removal was accomplished. In the past we've required a pumping contract for tight
tanks; that is part of the department's application.
MacNab — Suggested that in the future the application include the pumping contract.
Action
Motion to Approve with the stipulation that there be a pumping contract. (made by: Kelly)
(seconded by: Cooper)
Vote
Carried 4-0//Visco recused
5. Condemna
on: 10 Mary Ann Drive Unit 1 Basement (68-442.1)
Sitting
MacNab, Visco, Cooper, Weld, Kelly
Documentatio
Supporting documents and plans, staff recommendations.
Discussion
Santamaria — They did find people living there; this will never be habitable. This is ratification of
an emergency condemnation. They inspected after receiving a complaint.
LaFavre — The residents were moved to the upstairs until they can find alternative housing. It's
the same one as addressed in December; this was a follow up.
Kelly — Asked if other units owned by this person warrant inspection.
Santamaria — They have to have cause to inspect other properties.
Cooper — Asked if there is authority to inspect every six months.
Santamaria — Only through a court order. Once we condemn the property a second time, if they
re -inhabit it, we can file a criminal complaint in court.
Cooper — Asked if there is a way to have the insurance inspectors work with the department.
Santamaria — He will ask.
Action
Motion to Ratify the condemnation of the basement unit. (made by: Visco) (seconded by:
Cooper)
Vote
Carried unanimously
1. Tick-borne Diseases update: Santamaria — He provided the members with a breakdown of probable, suspected,
and confirmed tick-borne diseases found in the State over the past 12 years. This is all epidemiologic information.
Nantucket is in good shape in regards to some diseases: Anaplasmosis has small increase in incidents; lone -star
ticks have been found on Tuckernuck; Babiosis has shown a steady decrease; have not seen any STARI (Southern
Tick -associated rash illness). Due to lack of rain in the summer, there has been an downturn in Lyme disease cases;
if we have a wet summer, that could go up again. Anecdotally, the people who are still getting confirmed cases of
Lyme disease are non-native English speakers; we have information in Spanish but don't have it in Bulgarian or
Vietnamese or other languages spoken in the schools. Over the course of the school year, he has spoken at the
high school to reach the Spanish speakers and has been reaching out to St. Mary's church; St Mary's is willing to
put informa .on out. The more severe the winter, the greater the tick die -off; we did have a very cold snap but it
has been we and warm since.
2. Director's Rmort
a. The Di Sion of Wildlife and Fisheries will be holding hearing for public comments on a 2 -week extension of
the 2018 archery season. Asked the Board permission to write a letter of support for that extension. The open
hearing is scheduled March 7 with written comments closing two weeks later. Archery season would open eight
we
p for to Thanksgiving instead of six weeks prior.
b. He wen to Washington DC for the Nation Association of County and City Health Officials (NACCHO)
meeting on community health. He learned that Nantucket is in good shape; only Needham and Nantucket
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Minutes for February 15, 2018, adopted Mar. 22
represented Massachusetts. NACCHO is looking at ways to make local work and accreditations fit and to
lower the cost of accreditation.
c. The Health Department will be merging with Human Services to become Health and Human Services (HHS).
He will be reviewing the plan to include that merger. Noted that this merger would not include Our Island
Home (OIH). In January he received word that instead of the Community Health Officer, Human Services will
be moved into the department; this will create a Community Health division staffed with several people. OIH
will become its own division and new administrator and Rachel Day will move into HHS. This merger allows
more community partnerships that qualify the department for more grants; we can create a larger prevention
program. Right now there will be two offices with the Human Services portion remaining in the Saltmarsh
Center under the direction of Ms Day and he will be Director of Health. We are looking to get Ms Day trained
in public health. It's a huge step to take over the preventive side of health.
d. He's looking into policy updates. Some of the things that have come before the Board and challenges
presented to the Board are due to lack of a policy.
e. Using the cameras in the Sewers, they found the major break across from Cooks Cycle on South Beach Street
They have also found five compromised location in the sewer force main. Repair of the breaks will be able to
be done in place with no above ground work. There have been rumors of an overland bypass; that will not
happen.
f. He has two interns planned for the summer; Sky Flegg will be back.
3. McNab — He won't be available for the March 15 or April 18 meetings; asked if one meeting could be moved
forward a week. No one has an objection to moving both the meetings to March 22 and April 25.
4. Kelly — We've invited the mice research folks to speak to the Board of Selectmen on March 21.
VI. ADJOURN
Adjourned by unanimous consent at 4:43 p.m.
Submitted by:
Terry L. Norton
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