Board of Health: August 4, 2020

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0:01 Alright, so hi Michelle, we see you and before we get started, we want to, as everybody I’m sure knows, we lost a very important member of our town last week and the Selectman had a wonderful memorial Zoom meeting last week, but I just wanted to start our meeting with a moment of silence for Judy Jacobi. She was a town treasure and she’s going to be greatly missed and she really had so much influence in so many parts of how the town runs, the town that she loved. So I’ll just have a quick moment of silence. I have a few words would you like me to say that after the moment? Sure. Alright, thank you. Okay, thank you. So Hylane, please speak. Yes, Judy Jacobi passed away since our last meeting and it was quite interesting. I was meeting with Dr. Bucky, Dr. John Bucky at the time that I got a phone call from my daughter and I said to John, oh that’s okay, that’s my daughter. I’ll get back to her while she was calling to tell me that her neighbor Judy had passed. But Judy was a gracious dedicated public servant serving as a member of the board of Selectman for 20 years. She showed concern and interest to the health and well-being of our community, always staying abreast of our meetings and our decisions. Even though Judy was from New Jersey, she was a true Marblehead-er through and through.

1:31 I would venture to say she was Mrs. Marblehead. Thank you everyone for the moment of silence and for remembering Judy. May her memory be a blessing. Thank you. Well said. So I was planning to start the meeting with a minute so we could put all meetings behind us, but I think that that would be better to just push that towards the end of the meeting. So Andrew, would you go right into your COVID update, please? Sounds good. Good evening, everybody. Andrew Petty, Director of Public Health. So I’m giving the case count for Marblehead for this week. So as of Monday at 4pm, we have a total of 251 positive cases so far. We have a total of, for active cases, we are less than or equal to five cases currently. So we’re doing very well. But we need to remember to be very vigilant about wearing our masks when we are unable to social distance ourselves and follow all the recommendations of the state and other public health guidance. Unfortunately, we’ve had so far 30 confirmed deaths. We will continue to review death receipts and reports, and things may be changing at any time. Across the state, the state continues to, with the initiative, stop the spread of testing by expanding that. So this effort, which provides no cost testing in municipalities with high rates of COVID-19, has added eight communities last week, beginning tomorrow, will open a drive-through testing site in Framingham.

3:08 17 communities now offer stop the spread sites, which are open to all, regardless of where you reside or whether you are not or not you have symptoms. Some sites require appointments. Others offer walk-ups or drive-through services. Hours of operations, site details, and contact information can be found online. For the site, you can go to mass.gov slash stop the spread. As of today, we had a total of 546 new confirmed, improbable, possible cases of COVID-19. We’ve had a total of 119,203 total cases. We’ve had a total of nine reported deaths as of 4 p.m. this afternoon. The average new cases over the last seven days is 432, and the average number of deaths is 15. We are beginning to see an uptick in number of cases, so I need to make sure everybody is aware of that. The seven-day weighted average positive test rate in Massachusetts is up to 2.2%. 354 individuals are hospitalized with COVID-19 statewide, a decrease from 21 from yesterday. We have a hospital capacity as of today of 36% for the Commonwealth. We have 12,400 permanent and temporary hospital beds available for new patients if needed. In our long-term care facilities, we have 376 long-term care facilities with at least one case of COVID-19 and 24,376 staff and residents and facilities who have been tested positive so far.

4:54 So that’s kind of the information on the state. Just kind of talking about the information so far based on that total number. So the total of COVID-19 cases by age group, we’ve had a total of 7,179 cases for ages zero to 19. We’ve had a total of 17,467 cases for ages 20 to 29. We’ve had a total of 18,069 for the ages 30 to 39. We’ve had a total of 16,782 for ages 40 to 49. We’ve had a total of 18,630 cases for the age group 50 to 59, 14,990 for the age group 60 to 69, 9,857 for the age group 70 to 79, and 15,418 for ages 80 and up. Looking at some of our surrounding municipalities at rates over the last couple of days, Beverly has had an increase. So the case count over the last 14 days is 14. The total positive test over the last 14 days is 16. The percent positivity is 1.49%. They’ve had a total of 637 cases so far. And Gloucester, the total case count so far is 270. Over the last 14 days, they’ve had a total of 11 positive cases, and they have a positive percent of 1.49%.

6:39 For Lynn, they’ve had a total of 3,858 cases. This is an increase over the last couple of days. Over the last 14, they’ve had a total of 175 people test positive. The percent positive is 4.3% Excuse me, Andrew. Would you mind if you’re listening in, please mute yourself? Thank you. Sorry, Andrew, go ahead. For Marblehead, we’ve had a total of 8 positive cases in the last 14 days, and our percent positive rate is 1.17. Nahant, with the lowest number in our region, 44 total cases. They’ve had 4 positive cases in the last 14 days. Their percent positive over the last 14 days is 2.9%. Peabody’s had a total of 1,038 cases. The last 14 days has been 32. The percent positive is 1.79%. Revere, which is not in our county but regional town, has a total of 1,927 cases. Over the last 14 days, 103 new cases. The percent positive is 6.25%. Salem has a total case count of 663 cases. They’ve gone up 26 cases in the last 14 days. Their percent positive is 1.97%. Saugust has a total case count of 579. Over the last 14 days is 23 new cases. They have a positive percent of 2.90%.

8:19 Swam Scott, 143 total cases so far. In the last 14 days, 7 new cases. Percent positive is 1.61%. Topsfield, also outside of our county but within our region, is 116 cases. And they’ve had 0 cases in the last 14 days. Just a lot of really important information that everybody needs to remember. We are seeing, you know, trends going in the upward direction at this point. We did push out a code red last week. This was around the new travel advisory for the state of Massachusetts. So effective August 1st, all visitors in Massachusetts residents returning home, including students returning to campuses for the fall semester, must fill out a Massachusetts travel form and quarantine for 14 days unless they are coming from a COVID-19 lower risk state, which include Connecticut, Hawaii, Maine, New Hampshire, New Jersey, New York, Rhode Island and Vermont. Or they can produce a negative COVID-19 test result administered no more than 72 hours prior to arriving in Massachusetts. Or they can include in one of the other limited exemptions. If you took a test prior to your arrival but have not received your negative results, you must quarantine until you receive the negative results. You may obtain a test at your own expense after your arrival in Massachusetts, but you must quarantine until you obtain a negative result.

9:55 The quarantine must continue for a period of 14 days unless the traveler leaves the state sooner. The requirements for quarantine are as follows. Travelers, along with their travel party, must be separate from all other people for 14 days. Travelers must not be in public or otherwise leave the identified quarters. The living quarters must have a separate bathroom facility for each individual or family group. Access to a sink with soap, water and paper towels is necessary. Cleaning supplies, e.g. household cleaning wipes bleach, must be available in the bathroom. Travelers must have a way to self-quarantine from other household members if a fever or symptom develops in a separate room with a door. During the quarantine period, no one else should be in the living quarters other than those in the travel party, including hotel staff or delivery person as applicable. Food must be delivered to the living quarters. Failure to complete travel form or failure to comply with the quarantine if applicable may result in a $500 fine per day. So that’s just the new guidelines sent out by the governor recently that began on August 1st. We also received a reminder about gatherings. We received this from the state on August 1st. Dear local leaders, superintendents, local boards of health. The Commonwealth has issued guidance around holding large gatherings and graduation ceremonies to allow people to celebrate special occasions in a responsible way.

11:29 We know that this time of year is usually filled with celebrations and we are grateful for the many residents of the Commonwealth who have followed the guidance to keep people safe. However, we are increasingly hearing disturbing reports of large gatherings, including high school graduation events where individuals are not wearing a face covering or social distancing. This behavior can dramatically accelerate the spread of COVID-19. The Commonwealth’s current guidance limits indoor gatherings to no more than 25 people and outdoor gatherings to 100 people. Graduation ceremonies can also be under specific guidelines issued by the Department of Elementary and Secondary Education. Please take this opportunity to remind your residents, families and students of these guidelines. The residents of the Commonwealth have worked hard over the last few months to bring down the number of positive cases and slow the spread of the virus. That progress cannot be lost because of the actions of a few and everyone needs to do their part to protect their families, their friends and their neighbors and their communities. We thank you all for your attention to this matter and ongoing collaboration in keeping our communities safe during this time. Sincerely, Mary Lou Sutter, Secretary of Health and Human Services and the COVID-19 Command Center Director, James Pacer, Secretary of Education, Jeffrey C. Riley, Commissioner of Department of Elementary and Secondary Education, and Dr. Monica Borrell, Commissioner of Department of Public Health. And we just want to remind everybody that you need to take care of your emotional health.

13:04 And if you’re having issues, you can always call 211 and choose the call to talk option. And there’s also the disaster distress helpline, 1-800-985-5990. This is open 24-7, 365 days a year. And this also pertains to COVID-19. Last, we received an update from the New England Consortium at a UMass Lowell. And yesterday, the New England Consortium sent out an email to offer virtual course on opening businesses back up during COVID-19. They provided an email so you can sign on and take this free class to get your business up and running again. We have provided this information to the Chamber, and we are expecting them to pass it out to all the businesses in town. I think that’s everything for the COVID update at this point. Helene, Michelle, do you have anything to add or ask? You’re muted, Helene. That’s because I listened to John. Anyhow, two things. The testing, with that 72 hours return to the community, I don’t know that there’s any place that you can get one that’s available in 72 hours. Does the Governor have anything to say about that? No, so that’s really if you’re coming back into the state. They’re expecting you to get tested outside of the state, and it can’t be any older than 72 hours.

14:37 If it’s older than 72 hours, when you come into the state of Massachusetts, you must quarantine, get a new test, but you have to stay quarantined until you get the results. But what about the whole 14-day thing where you can test negative after three days and then positive after 12 days? So this is the Governor’s guidelines. They do not match Department of Public Health guidelines, and we’ve expressed our concern over this with the Governor. You have. Any reply? Any response to that? No, we do not get response often with our complaints and concerns. Well, I just don’t see, even if you take them from out of state, if you’re three days before you return, you’re not going to get them in 72 hours. And obviously, everybody has to remember that when you take a test, it’s a snapshot in time. So it’s good for that very precise moment. As soon as you leave the facility, you can contract the disease by speaking to somebody without a mask on. If you have a conversation with the neighbor for anywhere between 10 to 15 minutes without a mask, and he’s a positive person. So you can become infected right after that anyways. Like I said, it’s a snapshot in time. I don’t think they’re going to be able to get it anyhow, so it doesn’t matter. And then at that point, we’re asking you to quarantine for 14 days. I think that’s the best. Just to be like, there’s this false sense of security if you come home from, say, North Carolina, get a negative test, and then you think you’re clear, and you’re not. So I wish there was more coming around on that decision. You know, I understand your concern.

16:09 We have a selectman employee policy that states, if you go on vacation and you leave the New England state and you return back to work, you have to be out of work for 14 days. In our community, is that what you’re saying? That’s for our community, correct. For the employees under the selectman. So the town employees under the select. Well, so now I’m hearing, because I have a couple of grandchildren in college, that if they go away at the end of the summer after their work, and they go away, they think they can come back three days before they go to school, get a test, and then they’re home free. That’s not the case. So they’re going to miss school. So I think that we need to, like we’re doing now, announce to people that it really has to be 14 days. I don’t think they’ll be able to find anything in 72 hours. And obviously, it does seem like they’re trying to ramp up some testing. Yes, testing has been slow in the recent weeks. And a lot of colleges will be doing their own testing to get, when kids come back to school. Yeah, Todd, that was the comment that I was going to make, and I don’t know if I should raise it now or if we’re going to be talking, you know, specifically about… Can you hear me? Oh, wait, if you’re not speaking, if you’re not me, can you go on mute? Thanks. If we’re going to be talking specifically about schools, if we’re going to be talking specifically at schools, but I know Deanna, we had talked,

17:45 and, you know, it wasn’t the purview of the health and safety subcommittee, but I know that there were discussions on other subcommittees about, you know, making specific announcements about, you know, returning to school and communications about travel, et cetera. And I don’t know what the status of that is, but I know that a similar kind of code red type thing for families prior to returning to back to school, you know, would be an important thing that we at the Board of Health would, you know, would want to advocate, so. Well, you’ve got your superintendent here, and he’s… Yes, I believe Dr. Bucky did put that on the Back Together Again MHD website. I believe I saw that there. Did I not, Dr. Bucky? But I think in addition to that, you know, a robocall type thing that goes out, you know, similar to what Andrew did, because we have all this on our website or our Facebook, but certain things that get elevated to phone call level status, you know, seem to be this is one where I feel like this is one where people are making advance plans. This is like an earlier one that as people are planning ahead, you know, as we’re already into the beginning of August, this is one that I would elevate to the earlier, you know, kind of communication status.

19:16 I had not mentioned it as a robocall, but we certainly could check into that. I don’t know what my…we haven’t discussed this as a board of health. I’m just, you know, I’m suggesting that just because I think as people may like, you know, we just heard, you know, people aren’t necessarily thinking that far ahead, but as they realize like, hmm, you know, maybe we’re…maybe we need to be, you know, planning if we’re bringing older kids back to college or whatever it is, need to really be thinking and planning should they be coming back to school in person. One more question, please, Todd. Yes. Actually, it’s a statement. Thank you for mentioning about the mental health, Andrew, because, you know, it’s a big concern of mine, but I feel that we should mention the Modeled Counseling Center unless you think that they’re an overload that they can always refer us to be able to see town people, town employees, residents. We have a fine counseling center. In fact, our board supports them with a grant every year. So we’re especially concerned that people use the center and use their expertise. Could you give us any update? Phil’s first share is, Laura, can I see you?

20:47 Yeah, thank you, Todd. Helene, I can weigh in on that. We had an employee at the counseling center. We had a staff meeting today, and we do currently have quite a large wait list. It’s at about 293 people. But about 40% of those are Marblehead residents, which sometimes we are able to give, especially because of the town’s allotment for the counseling center. We’re able to give preference. We do have an intern starting who will be doing in-person counseling. I believe she starts next week or the week after, early the week after. So that will hopefully help take some of that load down, as well as be able to see more kids. Because it’s been particularly difficult to connect with children in telehealth. I know that people have a lot of stress over this pandemic. And thank you for the information and for getting this intern. I know that Ben has been trying to get the intern for quite a while. I had one question, though, to Andrew. One more is that okay? That someone wants to speak. No, I have a question, too. But first, you. Andrew, anything about the food opportunities that we’ve seen that we’re satisfying everyone in town? Yes. So we have a – we are continuing to work with Marblehead Food Bank

22:17 and making sure that we can try to satisfy as many people as possible. The governor has put a lot of money towards food insecurities and making sure that everybody is getting fed. But please look to our local pantry. They’re receiving a ton of donations, and they’re working extremely hard to make sure everybody in Marblehead is fed. Did they get the stipend that was offered through the state for the Commonwealth? I do not know if they got received the stipend. And often, many students are also still receiving meals through the school department. Good. I’m sorry. All right, go ahead. I just had a question, Andrew, about when you were listing all the numbers with the upticks. I mean, in the beginning of this, it was mostly nursing home cases. Now the last couple of times you’ve announced it’s been outside cases. What is it now, it seems to be? So now we are seeing a slightly younger population become infected. It tends to be that the group of kids could think that they’re not going to get it. They’re also a group of people that are hanging out in larger gatherings. As we say, taking a little bit more chances than some of us would like. So the care facilities are not rising right now? No, the care facilities are not rising right now. It seems like they do have a good handle on that. We did have an understanding of how it was kind of spreading a little bit more in the long-term care facilities. And I would expect in the near future that the state government

23:49 will actually make some regulations to try to adapt and reduce the chances of COVID spread or other disease spread from long-term care facility to long-term care facility. Thanks. So if you’re all set with your update, Andrew, we’re going to go to our reopening committee update with Helene, who is our representative on the reopening committee. And if you have a report, please. I think we had, it was our fourth meeting. If I’m wrong, Dr. Bucky will correct me. He gave me a thumbs up. I got a thumbs up. How do you like that? Anyhow, we had one this past Monday. We have one every Monday through September scheduled. So I know what I’m doing Monday mornings for the next two months. There’s 27 people on the committee, people from school committee, teachers. Our superintendent is leading it. We have principals, special needs, nurses, custodians, yours truly, parents. I think it met the cross-section of everyone in the community. So I think that a very excellent committee was put together. And the members also sit on subcommittees, and they have been meeting. I think they met all of them at more than one time over the weekend. So we had a very intense meeting this past Monday, because everything has to be in by the 10th next Monday to the commissioner.

25:20 The first round had to be in this past Friday. There had to be three draft plans, which we did satisfy. So those plans were sent to the commissioner, and then our final plan will be given by the end of the week. There were some questions that were given specifically to the Board of Health. Some have been answered, others I could open up to our committee. And either before or after we speak, whichever the chair desires, there are members of the reopening committee that are here, including the superintendent, who’s the chair. DeAnn is here, Scott’s here. Those are the ones that I do know. And I think if they want to be here, oh, and our school committee chairman is here, so I think she’s on the committee. So if they have particular questions after I say a few things, a few additional items, I’d like to ask you, Todd, to let the members of the reopening committee speak. A couple of questions we had that they wanted to know about masks and the break on the masks, they were really looking for direction from the Board of Health. And another thing I think that maybe Andrew might be able to answer, because I’m not sure the board is really up to date on the testing,

26:53 how testing would work in the school system. And I’m sure there’ll be many questions, but these are the two that I had that have been unanswered, because a couple of them have been answered. I’d like to say publicly that if people do have questions for the Board of Health, please ask either Dr. Bucky to get them to me during the week or to ask them at the meeting. I don’t think that individual people should be calling Andrew unless it’s really something very critical. He’s extremely busy. I’m the representative, and I can ask him four questions at one time instead of four different people asking him one question. So I think it would be much more efficient if they go through me, not necessarily that I’m so smart, but I can get it done without multiple people going to the director. So Andrew, do you have any response about testing that might be ongoing in the schools? I don’t know exactly what they meant, whether before entry, at the beginning of the year, if we are going to go to school, whether that means daily, whether it means after somebody has symptoms. So maybe you might want to ask, or answer it all, ask someone or answer them all. Sure. Obviously, one of the concerns with the testing is that it literally is a snapshot in time.

28:26 So it is good for that period. As soon as you leave the facility, you can now potentially become exposed again and continue on. The second concern is the cost. When people go to a facility to get tested, if they say that they have no symptoms, they have to pay for the test. I believe the approximate cost of the test currently is about $180. So if you took 3,500 people roughly, that would be students and teachers. I believe that’s roughly $630,000 for just one round of testing. Yes, colleges are looking at testing to get their kids back to school and will be continuing to testing. Some of them will be doing it weekly, and other schools will be doing it every two days. Obviously, this is a tremendous cost, and they have hired a lab to be right on school property and running all the results and tests there. So that’s our concern about using the test method to get back into school. And, John, would you like to have a discussion about the opinion of the board about masks and the break? Would you like to, Andrew, maybe offer what the State Board of Health is doing? Yes, so obviously, we follow the CDC guidelines and the Department of Public Health. CDC guidelines say anyone over the age of two should be wearing a mask.

29:57 We must have medical reasons to prohibit you from wearing that. Michelle? Michelle? I’m sorry, can you just restate what the questions were from the… The committee, the reopening committee? From the committee, yes. State what the question was. So, two questions. One question was about testing, and I have, in my notes, ongoing. I imagine that it means at different times, whether it’s when someone is symptomatic or comes back to school. So, these are the things that were concerning the Health and Safety Committee. The other question was to talk about the testing, I mean, the breaks about masks, whether it was necessary for people, all students to have the break, and how that would look. And I think that that’s… I think it’s an excellent question. Yeah, so as far as wearing masks in school and taking the breaks, so with these tough questions, it becomes a very long answer. So, when I’m looking at kindergarten all the way through seniors in high school, it’s not the one size fits all answer for all needs. So, I have to kind of break it into several groups. I would break it into the kindergarten first grade group, and then second probably to six. But even in that group, second to six, that’s a pretty big difference in age and ability to wear a mask for four hours. Junior high and all the way through high school, at that point,

31:30 you should be able to wear a mask for four hours, which I think is kind of what you’re looking for, for your hybrid. If you were going for the eight hour full day of school, yes, there would be a period of time where you’d be eating lunch during the day or other breaks. But as far as breaks and taking masks, breaks, we would recommend that mask breaks be done outside. Currently, everybody has to wear a mask inside. So, if you were to take a mask off in a classroom, there is concern about exposure to the whole class, obviously. So, we would recommend that you would take mask breaks a little bit more regularly for kindergartners in first grade. You’d have to try to take a look at guidelines. Would it be every two hours? Can they even go two hours? Would it need to be every hour? But we would recommend that you be doing these mask breaks outside and with extreme social distancing. And using visual barriers to try to allow these kids to have a sense of using circles painted on the ground. This is your circle. And then have the teacher lead them through either a mindfulness exercise, a low intensity yoga class, or just a regular stretching exercise. Something that’s very low intensity, but provides some, you know, it’s kind of like go noodle what they also use in class. But on a different scale. Just trying to get people to kind of work out their kinks,

33:01 get some exercise, take a break, put their mask back on, and then go back into the classroom. When you move to the second, to the sixth graders, obviously a second grader will probably need a break more than a sixth grader. That sixth grader is probably getting through, should be able to get through four hours without taking a mask break. Even when we look at OSHA guidelines for workers that are wearing a respirator, we like to take breaks. Usually when our cartridge runs out, we have to take a break to change the cartridge. Or usually two hours depending on the situation that we’re working in, but definitely every four hours. And you try not, you know, obviously we often work greater than a eight hour day to try to get the job done, but trying not to work greater than 10 hours sometimes. So we’re trying to look at other areas about guidelines that we can bring into the school. So, Helene, is that your portion? Yeah, I think that it would be good if the committee could weigh in. Well, that’s where I wanted to go next, is open this up for discussion. But I want to say that we’re the Board of Health, we’re not the school committee or the school reopening committee. We’d love to have a discussion, a dialogue, but we’re here basically in the public health capacity to recommend our thoughts based on the Department of Public Health, the Board of Health. So we’re not, I don’t want to discuss reopening plans, I don’t want to discuss what our thoughts are about what the school should be doing. I just want to do a public health angled discussion.

34:34 So if you, Dr. Bucky, Sarah, whoever wants to chime in, just raise your hand. And Ty, I think the last piece is that we would like to recommend that you follow the six foot separation rather than the three foot separation. We currently use six feet separation for public health guidelines, and we feel that the school should be doing the same thing. Well, I have to tell you that that’s been a given right from the beginning, from the get go. That’s great, yeah. So if anybody, Tom, your hand is up. But you’re muted. Tom, you’re muted. Yes. I was wondering back to the testing, whether or not, what are the thoughts on, say, group or classroom bulk testing all at once? And then if it’s negative, then you don’t, it’s much, you’re not testing each one, you’re just testing a bulk one. And that might be a more, since fortunately at this point we have a relatively low rate, it might be a much more economical way of doing it. I was wondering if that was a consideration. Yeah, I mean, Tom, obviously that method is used very often. The state actually uses that very often, where they’re actually testing batches of people. So they’ll, you know, even if you and I show up differently, we’ll get thrown into a batch, we’ll test that batch and see if there’s any positives. If there’s a positive, then they’ll start to pull out the individuals

36:06 and retest that. So we would have to speak with the lab. Obviously Quest is one of the large labs that’s doing a lot of testing and see to try to figure out what the costs are and if we can put together a contract with them. Yes. Thank you. Is there anybody else who has any questions, comments, concerns? If I can’t see your face, just do a chat. Sarah, cold? So is the recommendation, just to go back to the masks, the recommendation is also that anyone aged 2 and up should be masked? So I would recommend that the recommendation be that Marvel head public schools follow public health guidelines as outlined by the CDC and Mass Department of Public Health. Thanks, Andrew. And as we know, DESI has different standards than the DPH, and that’s one of the bones of contention, because our stance is that DESI is not strong enough. So, Todd, would you want to ask the committee if they are in agreement with what Andrew was stating, because that’s, maybe we haven’t had an opportunity to discuss it. I’m not sure what you’re… I don’t know. Michelle, would you want to weigh in on what Andrew’s presented? I’m going to ask the feet. As far as the masks?

37:39 Yeah, I think as a board member, I support what Andrew just stated. Yes. Me too. And we can take a vote towards the end of this, about if we have an official statement that we want to support, but I just want to have some more discussion first. And there’s a comment from Candace Sliney, and anybody can participate in this, not just the committee. Awesome. So if you… I don’t see you, but if you have something to ask, you sure can. I just wanted to ask, is it being considered when making the schedules, that when you schedule in the mask break, that you’re not having everyone do the mask break at the same time? That would be correct, because we do not have a large enough facility to support everybody taking a mask break at the same time. So you would have to come up with a schedule. This would have to be very well planned out. Like I suggested, you would probably, depending on the age group, you would probably need actual circles on the ground that the students would stand in to designate that safe area, and so students wouldn’t leave their designated area and go into other areas, trying to create the greatest separation possible. I would suggest probably, yes, you could use a six-foot circle, but keep those circles further apart from each other, but this would have to be well coordinated. And obviously, like I said, with the kindergartners, what’s the time to get them outside, into these areas, unmask,

39:11 do an exercise, then put their mask back on, and get them back into the classroom? All these things have to be figured out, calculated, and put into a schedule. Scott Solberg, you have a question? Yeah. Thank you, Andrew. This is amazing. It’s just such an unprecedented, stressful time, and appreciate all the hard work you’re putting in. I just wanted to kind of go back over the idea of testing. So I’m hearing from you that testing is overrated, then, that because you’re tested and you can walk out and get it again, that it feels like that’s going on, and I’m just curious as to if that was your message. I understand the cost, but it just feels like, and I apologize that it’s an opinion, not a question. Actually, I wanted you to help clarify, because I feel like to tell educators, sorry, it’s not worth it to get testing, that baseline just feels really critical. No, those baselines are always really critical. It gives you an idea of what’s going on in the community, especially when you’re going back to the school. So, yeah, it would be great if we could have everybody tested. And that would include parents, if you’re really to do very extensive testing, you would want to try to capture as many people as possible. Exactly. And then once you know what your outcome is, obviously you’re hoping people that they will take the appropriate precautions, and so you get tested, then you isolate yourself at home, you limit your exposure to anybody else, therefore you’re trying to reduce your potential exposure to other people

40:43 and go forward. Yes, it gives a great picture of what’s going on in town better than what we have today. So now my question, thank you. I want to give you a chance just to clarify that. But my question is, we start school, how many positive cases do you think we’re going to need before we have to shut down and go remote? Is there like a number in terms of we get one, it’s okay, we get two, we get three? What are some of the numbers around those kinds of things? So we asked the state that question today, and we didn’t get any good guidelines back for them. So we are looking for a matrix to say, but I think it’s kind of become obvious to us. So I get a positive in a class. And let’s say, well, I’m going to start at the elementary school class level. So I know I have an isolated group of probably 25 people, maybe less, you know, 25 is kind of that threshold for gathering, maybe less, and they have, you know, it’s the teacher and all the students. I got a positive kid in that class. So they are out and all those contacts will be removed for 14 days if you follow the public health guidelines. And I think that’s the kind of communication that we have to make sure parents understand, right? That it’s a significant thing. And I also just before I jump off, Todd, I want to say, Helene’s been amazing. The feedback, the quick feedback from Andrew in relation to questions from the committee, absolutely amazing. And really appreciate the fact that we can have a community where we can have this kind of dialogue.

42:14 Andrew, thank you so much. Yeah, so let me talk a little bit about junior high and high school. And that’s where we struggle with kind of coming up with matrix and stuff like that. If I have everybody walking the halls, changing classes, A, is that a gathering over 100 people that we have concerns about? And then their exposure, you know, I’m not sure how many classes you’ll be taking in a day if you’re taking seven, and that’s 20 kids per class. Now you’re talking about, you know, 165 people that are now removed from the school all on, you know, quarantine for 14 days. So those are two very different situations that we would have to take a look at. And then do we have another exposure after that and how many exposures are potential positive cases outside of these bubbles? And do we think that we need to take a pause and start setting everybody home for a period of time? Deanna? So to clarify this with you, Andrew, is that a student goes home with possible symptoms or doesn’t come to school as a possible symptoms. They get tested and we get their result, and then we tell everyone that they’re in quarantine. It is not that a child comes down to the nurse’s office and says, I don’t feel well. We dismiss them possibly thinking they have it. We have to have a result back, which then there’s these days built into how long does it take us to get that result

43:45 while all these other potential cases could be brewing in the building because we’re not sending people home until we actually have a positive. I just want to clarify that because I think there’s going to be some confusion unless we spell it out really clearly. Yeah, that is the difficult part. So yes, because it’s school and because it’s algae season and all these things, you’re going to have kids on day one that have a cough, a sneeze, a headache. If you look at the symptoms for COVID, they’re the same symptoms that you get for allergies, for flu, for all these other issues too. So it’s very hard to say, all right, you have symptoms, you have symptoms, all right, all those classes are removed now. You would have to wait for that test result and then make, just like we do today, you have symptoms, please isolate yourself, get tested. Once I have the results, we do contact tracing. We talk to that individual and because it’s a minor, it becomes even more difficult. So we have to talk to their parent. The parent has to gather the information and then hopefully provide it to us. And then we contact all those people and those people are now quarantined for 14 days and also getting tested. So obviously, you know, Diana, you understand the matrix of it and how large it can grow very quickly, especially in these large public settings. One question I would have about that then is if an entire class was told to quarantine, how do you enforce that? How do you know that the kids aren’t going out and playing? You’re like, there’s no way to…

45:17 It’s the same way that we’re doing it now. Yeah, I mean… It’s the honor system. Yeah. They’ve got to look themselves in the mirror when they get up in the morning and brush their teeth. Because the parents would not, unless their child, the children in the quarantine classroom, the parents would not have to quarantine unless that child turned positive. That’s correct. Because it’s the degrees of separation. That’s correct. I mean, Andrew, actually, I mean, from… We did seek some information from town council about what our ability to, you know, handle quarantine versus contact tracing. And the town does have some legal ability to try and, you know, take some action over quarantine. But, you know, it’s a very touchy situation. And I can’t imagine that, you know, that’s going to be the role of the Board of Health to be, you know, running around town and trying to, you know, take legal action over quarantine. So largely we’re kind of operating in the kind of public commons here where we’re going to have to be trusting people just like we do now to, you know, to do the right thing and use our ability to educate and communicate and use our communication tools to hope that people will do the right thing.

46:47 Yeah, and obviously we’ll make sure people understand the story of Type 4 Mary. I have two questions pending, one from Joan Miller and then after her Marisa Hunt-Palmeray. So first, Joan, please. Hi, thank you. Andrew, the governor today mentioned rapid testing for… making rapid testing available for schools. Is that realistic? I mean, is that available? Sounds like testing takes, you know, days. Is there a rapid test? So there is a rapid test in the state of Massachusetts. It tends to be about 45 minutes to get the results. It just depends on how many rapid tests are available. Are they accurate? The rapid test has, I believe, has a 30% fault to it. Both positive and negative. And then Marisa Hunt-Palmeray? Can I piggyback on that really quick, Andrew? Sure. Is there any information that you have on some of the very rapid spit tests that are starting to come out that would be done on a daily basis? So I’m not aware of the rapid spit test that can be done on a daily basis. So we’d have to consult with, you know, a company like Quest to see what’s available, what the accuracy is. The concern that we have with that, you know, that quick test

48:18 where you have a 30% chance of it being wrong, that’s just not good enough for us right now. I called Quest last week on that because it was a question that was brought up last week at the reopening committee. They knew nothing about it. There is, you know, discussion about an at-home test too, which is a nasal swab. And most likely people will not provide or administer the test to themselves properly. They’re not going to go deep enough in the nasal cavity. Well, I’ve also heard talk about some of the trying to develop almost like a home pregnancy test. Yeah, so a lot of times the home pregnancy test has been used for a lot of different tests because it’s readily available. All the components are readily available. And then you just change the chemicals that are inside to detect what you’re trying to detect. But same thing, these things take time, money, and testing. Okay, Marissa, I’m all right. We kept you waiting. Hi, thank you. I guess I have more of a statement, and it’s going back to this idea of the honor system. As a teacher at the middle school, I often see students that are being sent to school ill. And I just want to state that I have a family of my own, which includes elderly parents and grandparents and a young son. And it makes me very uncomfortable to have to rely on the honor system because I’ve seen what happens when we rely on the honor system, but the consequences are much more dire in this case.

49:48 That’s correct. And you can use Children’s Island as the example. Do you want to elaborate, Andrew? So a child was sent to Children’s Island, and they were waiting results of a test. And unfortunately, that test came back positive. And so it’s, you know, worse than your concerns about a lot of times kids are sent with that fever or not feeling well, oh, you’ll feel better. Just go along, you know. And unfortunately, in these situations, they could have dire consequences. Is there anybody else raising a hand or going in the chat? It doesn’t seem to be. Dr. Bucky, do you have anything to add? No, I just the purpose for me being here this evening is to show that we’re working in conjunction with the Board of Health and we’re in contact. We have wonderful representation on our reopening committee. And I don’t want to commandeer your meeting as a forum to adjudicate the potential reopening scenarios that we’re looking at, but that, you know, we’re following CDC and MPH. But in addition to that, we’re working close with Marblehead information and Marblehead data. And sometimes that will be more stringent than what’s coming out of Dessy. So I just appreciate the collaborative spirit between the schools and the Board of Health. And just wanted to be here at your meeting. Thanks. Can I just add one thing, Todd? Absolutely. No, I really appreciate your being here and the work that you’ve done.

51:20 And I’ve appreciated being able to work with Deanna on her committee. And, you know, we all know as we’ve been living with this pandemic for the past five months that things change and evolve minute by minute, day by day. And I just wouldn’t hesitate as you are learning new information, working with your reopening committees and subcommittees, and as new information comes out and you’re learning new things or you come to us and we’re learning new things, to be open to whatever pivots are needed as you hear from the community or as you hear from public health professionals, medical professionals, you know, we all know and we’re all becoming way too comfortable with this need to be nimble in all of this and work together to do what is the safest, most precautionary way of approaching this pandemic and doing what’s best for our kids. So we’re here for you to help answer questions and be whatever resource we can be. But, you know, we just all have to be open to whatever pivots we need to make because it does seem to be an ever-changing landscape, unfortunately. John, one thing, if you don’t mind. Sure. I’d just like to thank John for his leadership

52:51 and for really jumping in feet first to this position and thank all the faculty and other people that are on all the committees because they’ve given up their summer for this and they’ve had a very tough go of it since March and it’s not over. So thank you to everyone. We live in a wonderful community. And Dr. Bucky, you can call Andrew Tepetti anytime you want. He’s directed to director anytime. Unfortunately, with the number of cases that we’re seeing right now, there’s a lot of communities that are asking the state, we need to go back to phase two. So we need to reduce what our outdoor activities are. We’re having too many people become positive. At what point do we go from three back to level two? So there’s a lot of discussion. We have meetings with the state twice a week, every Tuesday and every Friday. And that was a big question today. We’ve got too many cases. How do we go backwards? Hi there. Can you hear me? This is Jessica Waters. I’m sorry. Yes. Go ahead, Jessica. Hi. So I called in. I’m a parent, a Glover parent, and also a local nurse practitioner. I work for the Lincoln Community Health Center. And I am curious if the board has, you know, in terms of some data or interesting information that’s come out with them,

54:25 school reopening ideas. I sort of was curious about tonight’s meeting with the superintendent being here. The global, the Harvard Global Health Institute, just sort of kind of put out some thoughts on resilient school reopening kind of in like a phase approach. And I didn’t know if that was something that the board of health has seen or even considering in collaboration with the various sub-committees. And if you’re unaware of what I’m referring to, I think it was out in July, the path to zero in school, achieving like pandemic resilient teaching and learning spaces. It was really a good article. So I just wasn’t sure if that’s something that’s on anyone’s radar since it was within our state. Andrew, do you have? I am not familiar with the path to zero. So there are some other ideas out there about teachers going into schools and teaching remotely from the school, being able to use all their items in the classroom that also actually enabled them if they had their own child that needed to come with them. That could be possible also. But there’s a lot of things that the school will have to do that’s going to be possible. Michelle? Yeah. Yes, I’m familiar with that. That was based on the color-coded approach to reentry into a kind of a

56:02 red, yellow, orange, green, red, yellow, green maybe. And I guess it would be like Massachusetts being in the yellow phase, in the yellow area with where our cases are. We would be in the yellow phase. And so based on where we are, this report done by epidemiologists at Harvard, they would suggest a phased opening focused on the very youngest, then moving in and special needs, then moving into older ages and then older ages. Like at the green level, everybody can go back to school. And it’s like it’s really based on how and they wouldn’t argue for a hybrid approach. They would argue with more of a phased approach and really focused on the younger kids. I think, you know, I think Deanna and the Health and Safety Subcommittee have seen this report. It is to the person who called in. It is an interesting and important way of looking at things because I think it’s more like kind of an evidence-based way of looking at how you can serve not everybody in the community in person, but really think about a way of staging the in-person learning for the kids who need that in-person learning more and

57:39 maybe are the ones that, based on whatever limited evidence we have yet, are maybe the ones to least likely transmit the virus. So anyway, I’m happy to share it with the superintendent and others on the committee for what it’s worth. And they have other pieces on reopening as well. So as we know, there’s lots of information out there and that’s just one other piece of the puzzle that’s interesting and will continue to be interesting and helpful as we move on. Thank you. Todd, can I ask one more question? Who’s that? Yeah. Andrew, can you say anything about some of the information coming out about how some masks are not quite up to par, such as the gators, and then some of the ones with the respirator-type thing on the side? So in a perfect world, we would all be wearing N95s. Because we have to save them for our medical personnel, that’s where we had to come into the idea of a face covering. So it’s not a mask, it’s a face covering. So it would be really hard to try to come up with a new description of what the mask should be. Yes, some areas. So masks that have the valve on it, there’s a concern about using those

59:12 because the valve actually opens and saliva can come out and that’s obviously where the transmission can occur. Some of the other facial coverings are a single ply, so just a single piece of material. But unfortunately, we cannot get everyone the best mask so we have come up with the regulations for facial coverings. So it becomes very difficult to say you have to have this or that. If you’re going to get into that, you might end up having to provide that to them. Thank you. Tom? Go ahead. Back to this whole idea of using two versus one, for example, using the facial shields along with the masks. Wouldn’t that provide even with the insufficiency of a true N95 mask, it would provide much more help than just say a… And the ones are very clear and I have some and they’re very easy to wear. What about the response? Yes, so that would add added protection because you would be controlling your saliva in the mask with the mouth mask. But that shield, if it went down low enough, would also provide protection if saliva was coming out through that and hit that drop and go down. Obviously, they’re still saying that this is droplet spread and not airborne

1:00:46 spread. There is a little bit of concern that it’s airborne spread a little bit also. So I think that we’ve had a good discussion. I do want to make a statement that the three of us can vote on just about what we support. Again, not about the schools themselves, but just that we support public health recommendations or guidelines as far as the kind of school you would go. Do either of you, Helene and Rachelle, have any verbiage that you’d like to put forth or do you have a statement that you were thinking we could adopt? Yeah, I would recommend that you vote to recommend that Marblehead Public Schools follow public health guidelines as outlined by the CDC and the Mass Department of Public Health. I think that’s to the point. I’ll second that for discussion. Okay, go for it. I don’t know what those guidelines are. I haven’t read them. I’m sure they’re changing every day. So I’m not sure that I could vote on that today. So, I mean, unfortunately, if you choose not to vote on that today, I mean, you could stick to a couple of them. So for the most part, the guidelines aren’t really changing. The guidelines are essentially stating that, yes, there’s some new things that come in,

1:02:16 but you have to then go through all those guidelines and pick out what you want to pick and choose, and we could be here all night. Elaine, I’m comfortable. I’m comfortable as we have been following the guidelines that we have been following. It’s different than us saying that we’re following the DEFC guidelines, which clearly we haven’t been quite comfortable. They haven’t gone as far as we’ve wanted to. We’re not comfortable following the three feet, et cetera. We have been comfortable following the public health guidelines and the CDC guidelines. That’s what we’ve been comfortable with all along. So this is just a kind of general kind of vote of confidence and exerting our, you know, kind of reaffirming our confidence in this line of public health approach. So I personally would feel comfortable because I agree with Andrew that we’re not going to be sifting through line by line, and every time there’s a change, mincing it, I think that Andrew and his colleagues of 19 other 20-plus communities on the North Shore are meeting regularly and kind of seeing where those changes are coming, and I have confidence that they’ll keep us apprised of that. So that’s where I feel like. Well, I would like to put an addendum on to that, unless any special marblehead

1:03:47 circumstance arise. So what would a marblehead circumstance arise that you would want to… I don’t know. I think that if something happens and the Department of Public Health says all of a sudden that everybody needs to stop walking dogs or something like that, like something that we think is outlandish, that I think we have the right to go back to our vote and then to then. But like even the mask break, I don’t even know if that’s something that appears in the guidelines or not. I think the guidelines are more that people need to be wearing masks rather than specifics about reopening. I agree with Michelle that I’m comfortable, because we’ve been following the public health guidelines all along, I’m comfortable saying that we support that and we recommend the schools follow that as well. It’s a recommendation on our behalf. It’s not telling the schools what to do. It’s just saying where we come from, which is from a place of public health and from the highest authorities of public health. Yeah, it’s never to get down to a granular level. Like it’s never… This is not about us saying, we’re going to close the causeway or we’re going to do X, Y, and Z, right? This is an overall statement. It’s never going to get down to the weeds of how we’re managing the town. That’s what you’re concerned about, homie. It’s not about our actions. This is about our overall public health approach.

1:05:17 And this isn’t going to guide our particular actions. And we always can go backwards. We always can change our… That statement about the causeway, you know, was something that was unique with our community. So those are things that… Right, right. But this isn’t going to guide our particular decisions in the community. We still have… Andrew, correct me if I’m wrong, right? We have the decision to make any particular decisions as a board of health around the pandemic that we need to make as a community to protect the community. That’s not what this is about. Yeah, if we found that this is no longer droplet spread, but it’s, you know, in the air also, so aerosolized, and we need to come back and say, you know, take these regulations even further, you would have the right to do that. But at this point, you’re making a recommendation that they follow, you know, DC guidelines, Mass Department of Public Health guidelines, rather than DESI guidelines of three feet. You only need to be out for four to five days, you know, and then have a negative test. Things that we’re not following currently with public health because we don’t believe in that stuff. We believe that you have to take it a little bit further. And this is what we’ve always had a concern with the state and the DESI when we have our meetings twice a week to say, we don’t… Why are you doing this? Why are you putting us against DESI at this point? Why isn’t DESI adopting Department of Public Health guidelines and moving forward? Well, I would certainly… And obviously, it has become politics and not science. I would certainly vote to accept the public health guidelines over DESI.

1:06:50 I’ll certainly tell you that, but you don’t think an addendum would be appropriate unless something is unique to marbled head? You can always come back and do an addendum if you would like and make it something more strict and say, hey, we need to move it to six feet. You always have the right to do that. But currently, you’re saying that today we are recommending that you follow the Department of Public Health or Mass Department of Public Health guidelines and CDC guidelines. It’s just a philosophy, a statement of philosophy. That’s all it is. Would you be willing to add the addendum now? I honestly don’t think it’s necessary because we can go back any time. We can call an emergency meeting and post it, and three days later, we can change anything. I think at this point, we should be as succinct as possible. Can you give us some wording, Helene, that you… I just did. Unless there was a situation unique to marbled head. Are you making a motion for that addendum? Yes. I don’t know how that works. We have a motion on the table that I second for discussion. So I guess I think we have to vote the motion on the down, and I have to make a motion. You don’t have to vote it up or down. You can just move on to your addendum motion and see if it gets second

1:08:23 and move forward. Otherwise, you go back to the first motion. Without a motion? Without that motion? All right. I make the motion that I stated. Andrew, can you read that back to me? I’ve said it twice. You need to have any more discussion? Todd or you know, I knew. No, I’m good. I said what I want to say. So, Andrew, the statement… If you don’t mind reading the statement you had made with Helene… So the statement would be, you know, Marblehead Board of Health recommends that Marblehead Public Schools follow public health guidelines as proposed by CDC and Mass Department of Public Health. Unless there is something… Unless something comes up that we need to change. Oh, there’s unique to Marblehead. That you need to Marblehead. I don’t think to change. Unless an issue comes up, not something. An issue that comes up that you need to Marblehead. So, Michelle, do you second the extra verbiage?

1:09:33 If you do, then we vote on it with all the words. If you don’t, then we go back to the original statement. I prefer not to second it because I find it confusing. But I can live with it, I guess. But I feel like it’s confusing to me. So I would prefer to use the original one. Read it back to me with the Marblehead piece. And let me see if I can live with this. So the Marblehead Board of Health recommends that the Marblehead Public Schools follow the public health guidelines as outlined by the CDC and Mass. Department of Public Health. Unless we need to revive… Helene, what’s the exact… There is an issue unique to Marblehead. You need to Marblehead. I mean, you can always come back and change… I mean, whatever. I think it’s going to be confusing. If this is… I presume we’re being very transparent in this process. I don’t want to take up people’s time and be nuts about this. But we’re being transparent in this process. Everything’s going to come out in the Marblehead… Back to Marblehead, whatever. And this is going to be put out there. And I think this is just going to look confusing. And people are going to say, what does that mean, unique to Marblehead? Isn’t everything about Marblehead… This is all about how we’re doing things in Marblehead.

1:11:03 So I understand what you’re saying, Helene. But I think this language is confusing. And I think what we’re saying is… With everything we’re doing in Marblehead, we’re supporting this public health approach. This is the philosophy that we’re taking. If something comes up… We will address it. We will address it. And I hear what you’re saying. We don’t want anything to come up that we can’t address. But I don’t want to dilute this and make it confusing. And so I think let’s keep the language clean. And then if we need to deal with it, we deal with it. Again, this is just a recommendation of what we think the school should be doing. It’s not about the causeway. It’s not about basketball courts and schedules. It’s just about what we think the schools should be doing. So I think that’s all we should be saying. Every other Marblehead issue we’ve been dealing with since March. I mean, so I would say… Personally, I think we should have it as succinct as possible, because we don’t want to muddy it up. And I agree with Michelle that the less confusing, the better. What if we said we adopt the overall concepts in the beginning? Would that be any… What do you mean? If Marblehead would have helped adopt in concept B. Well, we’re not adopting it. All I’m proposing with this statement is just a recommendation to the schools. That’s it. It doesn’t hold any weight.

1:12:34 And I think that’s making a vote on what our policy is. And we wish the schools would listen to that from a public health perspective. And what are the first words? Andrew, please. So the Marblehead Board of Health recommends that the Marblehead Public Schools follow the public health guidelines as outlined by CDC, Mass Department of Public Health for COVID-19, obviously. All right, you’re going to make the motion. You’re going to second the motion, Michelle? I second the motion. Who’s making the motion? I make the… So moved. So you make a motion to approve that recommendation statement? Correct. Elaine, do you second? Yes. Okay. All in favor, poll vote, please. Ms. Aisley. Yes. Ms. Scott-Leane. Favor. Dr. Belf-Becker. Yes. Okay. So let’s move on with our meeting. Thank you, everybody. I’m sure you don’t want to hear us approving our minutes and doing facility ticket rebates. But everybody who’s here, we appreciate all of you coming. And we hope that you will be… You’re welcome to come back to any meeting. And it always has very informative COVID reports whenever we meet. And I’m sure we’re going to be talking about the schools again. Maybe we should… And if you ever want to get them, if they all have their facility sticker, because this is a chance to promote that.

1:14:09 Or if you ever want to get chicken, this is where you come. Your foul permit as well. So this is your one-stop shopping. Yes. So again, thank you everybody for attending. You’re welcome to stay on for the rest of the meeting. And if you don’t want to, we understand because the meat of the meeting is over. Oh, wait. There was one comment that… I’m sorry. Candace Laini, we didn’t answer. There was a question about math, which I think we did answer. But she also wanted to know with regard to contact tracing. Did you see that question, Todd? Let me go back to the chat. For contact tracing, which aspects… She might have already hung up. But which… Okay. Which aspects of the school day will be monitored? Meaning will students route throughout the school be mapped out? Or how will we know during passing time who has been around whom? I think that came up… I think Andrew mentioned that. So I’ll talk about that again. So we can handle elementary school kids very easily. I know exactly who they’re with, that classroom, that teacher. That’s the group. They’re pod, as we call it. It becomes very difficult in junior high and high school when they’re changing classrooms, their number of exposures grows exponentially depending on the number of classes. Then we have to try to take into account hallway activity. And what does hallway activity look like? And how long have you spent in the hallway?

1:15:40 And it does become more complicated. But we would be beginning to look at the exact classes that you were in with those teachers. But if you went to four classes, you would take the number of the students for all those classes and they would be part of that contact. Okay. Okay. Thank you, everyone. And I’ve seen all the comments about chickens. If you do want to get chickens, it’s very easy to go through the process. It’s called the Health Department. They’ll be happy to do a non-COVID question. All right. So we do have a facility sticker rebate, 7th and Main Street. And I’m just loading that up. So it’s pretty straightforward. Do you both have – does everybody have the statement that was emailed, the request? Yes. I’ll hand you that. Could you read that to us, Andrew? So I don’t have it in front of me. But essentially what it is, the person purchased the facility. They have not put it on their car. They’re not going to use it. They would like to return it. And so we have brought that before you. Can they return it? Usually with the – They have to return it. Andrew has the sticker. It has never been put on a car. So yeah, you usually reduce rebates when it relates to somebody buying an extra one by accident.

1:17:11 But this one, it was just bought and never used. So since it wasn’t on the car, I don’t have a problem giving a rebate. Either do I. I move to rebate the money. Yeah, I’ll second that. Okay. All in favor? Or you need a call. If she pulls vote. Oh yeah, pull – Miss Hazley? I favor. Miss Gottlieb? In favor. Dr. Belf Becker? In favor. And then the minutes, I hope that we’ve had a chance. We have four sets of minutes. So we’re catching up. Andrea’s done a lot of hard work to get these to us. So does anybody have a comment about – She would have more opportunity if she didn’t have to forward all the calls to Andrew. So let’s help her out. So I’ll start with April 30th. Wait a minute. I had questions on two of them. Yes. Andrea did make a correction. Can you read the corrections on that, Andrea, that I asked? I asked you to add the Marblehead Statistics and that, because that was probably the first meeting that we had, and we didn’t have the statistics that Andrew gives out every – Yeah. Every meeting. So it was 157 cases in Marblehead and 17 in Guff. Okay, I didn’t get what they were. I just wanted them to be in the minutes, but thank you. Okay. So motion to approve the minutes of April 30th is corrected.

1:18:43 I’ll make a motion to approve. Second. All in favor, Andrea? Yep. Miss Gottlieb? In favor. Miss Hazley? In favor. Dr. Belf Becker? Yes. In favor. Dr. Belf Becker? In favor. May 7th, please. I make a motion to approve the minutes received. I’ll second. Andrew, pull vote. Miss Gottlieb? In favor. Miss Hazley? In favor. Dr. Belf Becker? In favor. May 14th. I’ll make a motion to approve as amended. Second. Miss Hazley? In favor. Miss Gottlieb? In favor. Dr. Belf Becker? In favor. And that’s the last, Judy Jacobi was in our attendance at that meeting, it concedes. So, got a little pang when I saw that. And then finally, May 21st. I had a correction on that, or an addition. I asked the senior clerk to add that the director, Andrew Petty, and Chair Helene Hazlett will be representing the Board of Health on the Selectments Reopening Committee. And that was the meeting we talked about, then that’s fine. If it wasn’t in the minutes that we were representing. Then motion to approve as amended, as corrected. I’ll make a motion to approve as amended.

1:20:16 Second. Miss Hazley? In favor. Miss Gottlieb? In favor. Dr. Belf Becker? In favor. Do we want to go back to meeting in a week, or is the two weeks working for everybody? No, I think the week is very important with these meetings of the school. Yes, I agree. And then I have two other little things tied, too. Oh, sure. So, the Marblehead Transfer Station staff would really like to thank Helene Hazlett for the fine gift of coffee and muffins. I actually have a thank you card here for you, Helene. It wasn’t Helene Hazlett, it was from the Board of Health. Okay, so to all the board, but we have a thank you card to you guys. You can read it and then put it in the chat. It’s a sealed envelope. I’ll wait for you. Or I might not get it until the COVID is over. And then, unfortunately, we have had our first Tripoli positive case in Plymouth County for the season. As we all know, unfortunately, we are expecting another high season compared to last year. Last year was one of the highest seasons on history. But, you know, unfortunately, Tripoli goes in these cycles, and this will be another upcycle year. So, that’s just the announcement. Obviously, we’ll be doing, we continue to do mosquito surveillance, and we’ll update the board with any new information.

1:21:47 Which town in Plymouth County? I want to say it was Haverhill, but I often get it to you, Todd. It was Middleborough. It wasn’t Haverhill, it was Middleborough or something. Yeah, I’ll get that to you, Todd, but it was in Plymouth County. Can we get back to the, just to the transfer station people? Yeah. I have to say that we all agree, the three of us, to acknowledge all the wonderful work that the transfer station people are doing. I think that there’s been a lot more things delivered there. People have been cleaning their houses out. If not only was it COVID, then it was summertime. And I just thought we wanted to show our appreciation. No, it’s really appreciated. Most definitely, it’s from the three of us. So, I will make sure that, you know, they all recognize that, but they really appreciate it, to be remembered. They are working day in, day out. It has been busy. At times, tempers are high up there. And so they have done a wonderful job. So I’d like to thank them also. Okay, so our next meeting will be next Tuesday, the 11th, 7.30. Before we adjourn, I see that Pam Roberts is still on. Do you think that she wants to speak or come to a meeting to give a report? Pam? I’m not this chair. Are you, do you have a comment or concern,

1:23:21 or are you just wanting to see what we’re doing tonight? I’d just like to stay in the loop, so to speak. We are doing pretty well at beech planning and all that. And I have to say thatina and Racham’s doing pretty well, too. They have a little system now. They have the wall art that goes around. So quite often we see a very, probably a clean beach. That’s very nice. nice and I think that’s about it. For all the work you do at the beaches it’s important. Thank you. On that note, we have a motion to adjourn. No motion. Okay second. I’ll second that. Alright, Miss Gottlieb. In favor. Miss Daislet. Yes. Dr. Belfbecker. In favor. Good night everybody.