Board of Health: March 22, 2023

Transcript captured from MHTV’s Vimeo auto-captioning. No speaker labels; proper names and dollar figures occasionally misheard. Click any timecode to jump to that moment in the source video.

0:00 What you’ve been doing lately, but for more than 50 years. The Board of Health has been wrong and wonderful supporters of the barbell and Counseling Center. One moment. And we really appreciate that. We appreciate the collaboration that’s gone on over these this half century with it’s pretty amazing. As well as the mental health task force and organizations such as making ends meet, you know Humane Society the Ministerial Association the fair housing committee Council on Aging and then the town’s police fire and School departments, everybody works together with us and we work with them as we can.

0:45 Whenever something arises and on a regular dignity basis. I thought I really appreciate that. Because yeah, I get to work within McDonald and so she’s you know, it’s a joy. It’s a pleasure, you know, it’s it’s a huge benefit to us. Yes, and if the feelings Mutual we’re very very fortunate to have her. And to have her be in two camps so she knows what’s going on with housing and she knows it’s going on at the center and she’s on the tap force and she’s just all over town. All right.

1:22 and so anyway, one of the most recent things we’ve done with you folks is received the identifies

1:32 and I want you to know that they’re making a significant difference already. Right one of the buckets of the three buckets that we talked about was helping us in Personnel matters and

1:46 we have been able to tap into that in the ways that are defined in the

1:54 appropriation or brand whatever the appropriate term is. We have a new business manager. Lisa Collins who is not a marbleheader, but has worked in Marblehead before women on the moves people may know that drop it organization. She worked there. And we recently were after more than a year of searching. We have a terrific senior therapist clinical supervisor. Works now is part of the senior team with and that’s Greg Mulford. Who’s a Marblehead resident? I mean, I was the same he’s full-time. He’s in there almost no eggs in there today.

2:40 I believe he’s already seen clients. He started. only just two weeks ago and Lisa told me this is her fourth week, but it’s been a very busy very busy four weeks. Another bucket is the information systems. We have it. We’re lucky enough to have a board member who is

3:02 has a strong technical background and as owned a couple of Information Systems businesses, and he and he is advising us and we’re working with our technical consultants to continue to upgrade we did a lot of work and invested a lot of products to put in the technology needed to do the Telehealth during covid that continues now, but

3:29 there’s there are Improvement as it could be made that we’re going to be making to to get the system. Work more smoothly and more efficiently. And and also software that will improve the and streamline the intake process. and the last bucket is that Capital Improvements and

3:55 We’ve been in town with it in consultation with the town. Excuse me. About the exterior work. There is a line item that I hadn’t been aware of and we knew about the boiler for the Hobbs building which is the building that on the center is in which the center sounds but there’s also the garage which is the garage so it’s the hot sauce but it’s park and rec storage building. So they’re they’re looking at making some improvements there. But also there’s still a lot of structural improvements that need to be made and also painting So we’re working with them to make sure that we coordinate what the town has appropriated directly for the hottest house and what we have.

4:42 And what we we can use the Arctic funds for to make additional improvements both internally and externally.

4:51 I need questions or anything about Barbara. Remember you it was 14. Thank you. And the boiler it’s is it operating right now or areasley?

5:16 The Buns came through for a new ruler and the I wish if Terry were here she knows everybody. I’m not as good as up to speed as she is on that but they have Been in they did a lot of preliminary work. They’re kind of it’s a big project to take one out and put money in and everything, but and they also needed to wait until There’s a consistent number of mild weather days so they can do the work inside and outside but it is it is moving. Along well and should be we should have my next winter. We should have a brand new whatever system would be great.

6:01 So that was maybe Andrew. This is where I had some confusion with the Opera. Yeah, is that that’s considered. That’s Town Money Town that I over. That’s correct, right. So yeah, like I have to ask it right and then say and same with the The painting is in capital of so that’s not clear that I don’t know. Yes. So there is some Capital work that’s being done to the building. So they want to know they’re gonna work with parks and Recon a town to make sure that there’s no duplication. So if the town it or a lot of money to do painting or say repair the roof of the garage, they’re not going to go out and do that work, you know and spend the arpa money where it

6:48 doesn’t need to be spent. So obviously there needs to be coordination with that that they’re doing. Yeah. I don’t think you’re supposed to stand up. On Capital you can spend our butt on Capital there’s certain things that arpas allowed to do all the such all the when we looked at their arpa requests all those raw loud and expenditures. I didn’t bring a copy that I you know, so you make sure that they they were kicking off the boxes and choosing items that could be spent on our but you know with our performance will it was well done. Yeah. So thank you and a lot of are not alone, but some of the

7:33 The capital is you may recall for renovation inside making room for more staff. And and that time yeah, is that has to do instead? Yeah.

7:48 And with me asking questions about the Telehealth, is that something that’s insistent? Is it is there do you see a lot of changing with more maybe is that static turns that lots of patients are seeing their provider through Telehealth now and is that continuing to be the case? Is it really I don’t offhand? No those the exact numbers with that but we have some that are and I was going to get into some of the statistics around who we serve but it is a hybrid model now a lot of

8:21 The clients come in and see the clinician directly when we have days that are snow days or potential snow days every week ago. If we keep the center open and the weather conditions are great likelihood of someone canceling an appointment is higher than if we close the center and then we don’t have to deal with staff, you know, getting it whatever and in advance like the day before so the clinicians can call their clients and can then have a Telehealth session. So clinician can stay safely at home and the client can stay safely at home, but the session Happens what happens next time that’s great. And I think there are some clients who like

9:08 doing it and some clinicians have been have transitioned to strictly. Don’t well, thank you. When I see the limit, I don’t get affects the counseling center. But did I see what does that insurance is not going to pay? That’s all that I think it’s undetermined at this point. I think is been obviously we’ve been operating under covid and emergency and I think there are some questions about insurance companies continuing to pay for Telehealth. Personally, I think in public health. We see it as a huge tool. We can service more people like through less time a technically, you know, you’re not these people aren’t traveling obviously a doctor can sit there and do one right after

9:54 the note next very quickly transfer over. So we see some huge benefits with it. Obviously, you know patients can stay home and safe during snowstorms or if there’s other emergencies they can do some Telehealth, I think. Insurance companies do see the benefit of it. And will continue on with it but yes, there is a question about how it continues as we exit the covid emergencies status it is that by an insurance company one insurance company and decides they’re not on the insurance world. Yeah, I think it’s gonna depend on insurance company and stuff like that. probably be at the love of common well Actually, I would hope so. I hope the

10:39 Commonwealth says we’re okay with this but I seen the insurance company can say yes. I think I think you’re right. It seems to be that there are. I know there’s a state insurance commissioner and all that but there it seems as though each individual because they each at age. reimburse at different rates You know, so a clinician has to be certified by. and the center has to be certified by a multiple number of insurance companies insurance providers so that we cover all the providers that Appliance confidence and you know that they have but it when it first when covid first hit we didn’t nobody even was thinking about Telehealth especially for mental health. So we went through that whole process and

11:26 then people became comfortable with it as people became comfortable with zoom meetings and and things like that and nothing definitive or as you said nothing definitive is as happened, but I think the prevailing feeling is that continue with me it would be a real. Loss it’d be a real loss and that’s at all a lot of a lot of people on both sides. Yes. so so we are doing the hybrid system. and last year with over 6,000 session hours. We served nearly 500 clients and about 80% of

12:13 those are Marblehead residents of Marblehead Town employees. 80% 80 Millions

12:22 No, that’s not you know my issue.

12:27 so just a little statistics a recent analysis of the current clients shows the age breakdown of

12:37 8% or between 9 and 13 years old. 21% for 221 22 to 40 24 percent and then 401 to 70 is 36% and then 11% or over 71. So there’s a real demand and unfortunately an increasing demand for services for young people. It’s a challenge.

13:06 It’s challenged everywhere. It’s it’s there are clinicians who don’t see children. They don’t feel they have the expertise to do it. And there’s also the scheduling issues that students. and fortunate is a lot of communication with the schools about trying to figure out a way to

13:25 work within the school system the guidance department and those kinds of things to not supplant but supplement the services that the guidance department is trying to do to help all these kids. Did you have an adjustment counselor? Anybody going into the schools? Like they didn’t use past not at this time. No, I don’t know. But we’re even then conversations. with the superintendent and so we’re optimistic. It will be able to make that happen. Right now we have a wait list of 20047 about a hundred or from Marblehead. and marble headers Hey president. On the waiting list and obviously the waiting list when

14:13 when we have an intake and someone calls. There’s a whole set of questions that get asked to determine what level of what the situation is and whether it’s you know, really get to the hospital right now go, you know. Your situations sounds like it’s very serious. We’ll be we’ll try to figure out how we can make it happen sooner or here’s another Place where maybe you can go. It’s a real dire need and then others are. Less immediate issues that we’d love to serve immediately, but we just don’t have the capacity. So we’re going waiting list. And we I just was talking to our new business manager today and we receive at least

14:59 five calls a day for a new services. And so that’s about a hundred a month.

15:07 And that’s that’s a lot of people looking. and we have

15:13 and we are we’re trying to serve primary greater Marblehead if you will, but you get we have gotten calls from all over the state and even from States really far away where people just go on the internet and just call and call and call trying to get a Telehealth Services now if you There must be rules with out of state licenses and stuff like that though, right? Yeah, there are and also

15:44 the psychiatrist that is on staff who can provide medication as if a client needs medication, this is doesn’t really want to be

15:58 Dealing with a circumstance in a different part of different parts of state that she’s not familiar with in terms of what the level of care would be. So so Back to my issue. So you have a hundred Marblehead clients waiting to be serviced that they are clients, but waiting to start. So you two out of the two-way service, you’ve got another 100 almost 150 outside of the community. So do you ever get to see those people outside of the community if you’ve got a hundred that are waiting for around? Yes, because

16:37 I don’t know what I was trying to coming over here. I was trying to think what is the analogy to use? What kind of

16:45 Thinking of Tetris. It’s basically

16:51 we serve clients. Really Monday through Saturday the opposite the building is open from Monday through Friday, but some clinicians actually use their clients on on Saturday. They’ll help. and we have clinicians who are full-time. We have clinicians who are part-time and they have their own private practice, perhaps Or just choose to work part-time. And so they have certain hours that they can work. We have client potential clients who have needs that may or may not match up with the available hours. I heard the other day of a situation where we have a We had an intern who was under supervision from the rain due seeing clients and that internship

17:37 ended so we have to move her clients to exist. She’s an existing Club clients. So good to move into a different clinician. And this is the young person shouldn’t even said her back to it. They need certain hours that they can be seen in the available clinician who could potentially see that person is seeing the that person’s sibling and that’s so they can’t see them. So it gets it’s it’s a really that’s when a struggle that opens that for others out of town. So it’s possible that a spot could open up for an out-of-pound person and all that mix. Yeah, but the Marblehead is to

18:23 take priority. and we are

18:30 I think those numbers are prior to the new clinician starting the great moment and we have another part time clinician who’s indicated. He would take additional hours. So he’s been working four days. He’s been working five days. He’s stepped up volunteered to do that. And we had three interns coming in. in May That will also be able to have work with under supervision. So hopefully we can.

19:03 we can make it make this make this work, but every Mental Health institution has a way that’s and so we’ve kind of hit a new error where it’s no longer. We’ve kind of broken the stadium up for mental health. So we are reaching new area. We’re now people are feel more comfortable talking about their mental health and saying that they go see somebody talk about their issues. This is a great, you know, we’ve gotten to a better place. I know it’s hard or you’re not getting the services that you’re looking for the fact that we are all speaking about this openly now, it’s a much better place. And yes, we understand the need we’re trying to get more people hopefully with all the discussion and the openness about that more and more people will go into this field and we’ll try to fix the problem.

19:51 I think it is kind of happening. You know, we also have the mental health has Force we had the police chief hiring and instead of member you have The schools who are looking at and more closely. So other town and departments. You know, this is where Terry is extremely helpful as kind of. Going in and out of those areas and coming back and saying well they’re doing next. So we’re not going to do that that might be covered by the the police so you’re right. It’s now. fashionable for department heads if you will and others it’s not just oh we’re looking for mental health services and you can say that and not be stigmatized but now the institutional Frameworks

20:38 Are are saying yeah, we we could probably do someone use someone and that’s gonna as we build that up. It’s it’s gonna work a little better than it has. That’s the hope and obviously, you know, we’re trying to broaden Horizon’s, you know, look at way. We know attack certain things, you know different way. We approach, you know calls into the police station. I also want to remind people about the Massachusetts Behavioral Health helpline not to take up but you know, Massachusetts does have a behavioral health helpline. I’ll talk a little bit more about during that the mental health piece, but if you need help, you know, eight three three seven seven, three two, four four five. There’s also a text chat or mass relay at 711.

21:26 If you do not speak English or if you’re deaf, they have interpreters and different ways that they communicate with these people. So we recognize that there’s issues the state. Nice that we need to address some of these concerns and everybody is trying to work together to you know, resolve and help solve some of these problems. Don’t forget the veterans. Oh, yeah, everybody get outline. That’s that’s starting to have so the state the local. I mean, it’s it’s starting to really develop into Networks. and and kind of seamless, you know before we were in our own little worlds, and now we’re we’re getting joined and it’s a good thing and these help

22:14 lines are open 24/7, right?

22:20 And you have office space for more static again? Oh, that’s one of the things that we’re using some of the arbor money thought or to reconfigure. Our new business manager is come in and and has recognized that there’s a more effective way to

22:38 to house the the administrative staff. The her office is upstairs and a woman who does all the insurance billing Sharon Solomon and and they intake folks that the two both of the reception desk here on Carol our downstairs and there’s a constant need to go up and down and talk to each other and you know, you can’t just start yelling. Hey what’s going on with so and so there’s lots of privacy concerns of what have you? So we’re looking at redoing a bit of the first floor and that would open up please listen current office and the old reception area. That was

23:23 when you came up the back stairs and well the best thing that happened to bring them reception and density is thanks. Yes the movie next year. I don’t use those. So there’s a lot of things and also the situation with with the the Telecommunications infrastructure

23:42 When someone was doing something at home, and the client doesn’t have a computer at their house they come into the office and they take up a space and then there’s another space for the clinician dialing in and we’re fixing all that with. Some new cloud-based software. That’ll make a lot of what’s gonna happen to the kitchens. Well, you know anybody who needs a giant basket iron? Oh, you just have my own oil take cut up on Monday and take it out of my house. It’s switched my heating system and I have I trying to figure out if I can find those folks or somebody who it may have. I think it’s gonna have to be cut up and scrap

24:27 metal. But if we get that out of there this some former bird member donated a really nice table. It’s in there, but you can’t get around the The stove to really use it, but that’s where we’re envisioning having a place to have staff meetings and board meetings and things. So take up the old linoleum, too. But I wanted to ask about that. I

24:56 so Speaking of coordinating and everything and in the and speaking of Terry who was the social services coordinator the Marblehead females Humane Society has been kind of fund a position. for an additional person who does a lot who does a lot of the direct Social Services police whose last name is escaping me. I apologize. and right now the covid related support that included things like addiction and utility moratorium that during covid those have ended so we had increased referrals for legal assistance Housing search guidance fuel

25:42 assistance and more. For example, we had an elderly client who was had to leave their situate their housing situation and so Terry coordinated with the housing authority and the find a spot for that individual. and we have a business historically what we’ve done is fuel assistance and those kinds of things and does making ends meet up doing that very much so very very much. So and we assisted 78 households and worked with the making ends meet adopted family program. Which is over the holidays.

26:29 In fact, I’ve learned when I came on the board what I didn’t know that I knew about making ends meet and a person female Humane Society, but I didn’t realize that basically. They are sources of support or the number of things in town. But because the Counseling Center is set up for confidentiality because of the the cells did not mental health different rules.

26:56 We get the information from the police or the schools or it’s our own clients of who is in need and then Terry coordinates with making ends meet and paying down Humane Society. To who come up with? Whatever the particular need is to support it and so that the confidence so that those different organizations aren’t dealing with. You know there isn’t. An anonymity in the process. That’s how we work together.

27:32 so in addition to the support from The town the board here, we’re grateful for the generous financial support. We receive through our annual friends campaign and from so many local organizations and businesses including the Gary five which

27:53 last year approached us and in the fall and said, you know, we we didn’t realize a lot of people in town know the center and they know it’s been around forever. But a lot of people didn’t understand some of the financial pressures that we faced with the increasing costs of everything and all of those issues that you know to very well. And so they had a fundraiser. The over Thanksgiving weekend and that is now going to be an annual fundraiser. So Saturday of Thanksgiving weekend, you know, we’re will be at the Gary five and very generous. and and then of course, we have the select board as a golf tournament Tedesco gives the select board a day and traditionally Counseling

28:42 Center has done the golf tournament. I think the select boards voting on our on the request. As we speak probably. And that is scheduled for May 15. So appreciate all the community support that we get. And thank you again. All right. So one piece that I want to talk about while they’re here, is that budget or a 2024? So the town that is in some unstable Financial Times and we were asked to have a reduction budget for both the health and the waste budget. We were asked to cut 4% from our health department budget and unfortunately the 4% needs to come we can’t catch Staffing or you know, no staff or staff.

29:31 Expenses or any of that stuff salaries. We’re leaving all that alone unable to cut any of my staff because we all have agreements with the state over a grant funding by cutting any staff or granted funding. I will lose or if I cut any staff I will lose great funding but unfortunately where we have to find the four percent is in the mental health contract. So there is a proposed reduction of 10,000 400 dollars that we would not be able to funds for FYI 24. But could we discuss that like, I mean you can but there’s no other place for the money to come. What about heart? There you can if you would chose to take it off, you know from Ark that’s something that we could discuss but obviously there’s only $4,000

30:19 in the park. We have more upper phones, right? Yes. So we do have more our performance we could together using because it’s mental health. That is correct. Very similar that over to make up the difference in status. Correct? It’s Italian to better Financial Straits. Yep. You could do that. That’s a good idea. Yeah. I think that makes a lot of sense that that’s what I would suggest. Yeah. I mean obviously Joanne, you know, the mental health passports has a request but I believe between the two requests we can make the Counseling Center whole and fun money for the mental health passwords. I just look at that conversation before you let the table I wasn’t talking about it later and you come back and say and that’s at the current.

31:06 60 minus Yeah, I’d say the current 60 minus yet. 10,800. Yeah. Okay. Yes because we do realize it in many years ago. It was double there right? We haven’t forgotten and I know you our support for you is doing we’ve always done always been important to us. So I mean we are very lucky to have a service in town. It is a direct benefit taking tax dollars in a you know, benefiting Marblehead residents.

31:39 And if there’s anyone on the outside of here on the zoom called just to make sure everybody understands that the money that comes to the center from the town. I mean folks stays in the town. It does not go that’s talking about people who don’t live in we’re working on that, but they don’t for example, we had a client recently who needed some help. and

32:02 lives in another town and Terry operative contact. I think it was a housing issue contact the housing person in that community and see what they could do for them. We can’t and you’d be that very clear that it’s intended for residents and Marblehead employees.

32:21 How would that proceed with in terms of this budget? We wait until so in terms of this budget. So obviously we need to get through town meeting. So this would be the proposed budget and obviously we have about we’ll talk about the proposed budget later on in my directories report. But you know, this would be the proposed budget. Depending on obviously and then the level Services budget would be the override number. So obviously that would need to go to the poll and depending on what happens with the override we might have a whole. Contracts but if that does not happen, we will know very quickly that we would need to make another allocation you are.

33:06 What with the whole contract would that be 60,000 dollars if we know so it’s an override? No, so you’re you’re gonna fund 49,600 through the budget. You’re just cutting 10,400. Yeah. And if there’s an override that makes it the difference, they’ll make up. Thank you. clarify that So in other words, we won’t know for a couple months. Yeah, but I mean obviously the idea is that we will make you all.

33:36 Right. That’s the next question is if if you if there isn’t override and if it passes and they get the full 60,000 would we still be willing to give the money because that’s a discussion then you yeah. So they’re still going to be additional difference. And the desert there’s no when do we have this but there is a time limit unless it’s 2026. But let me double check on what the time it is for the heart performance. Yeah, there’s a big they’re here. There’s a data which they have to be allocated and said it I think maybe allocated by the 2024. No, no spent or Yeah, let me double check here. It’s also a calendar not this year, but there’s a calendar

34:24 and out of the school year. I think that’s good.

34:31 Thank you very much. Thank you. So right at least the weather cooperated tonight. Oh, yeah. Sure. You always still. But thank you again. Yeah.

34:51 So the next side of the Tobacco Control discussion you continue what George Rutherford. I don’t know if you have these pretty very

35:04 and that was very So this is drowning capacity, okay. You the same time. Thank you. so we had discussed with whether or not we want to have a hearing to regulations specifically pertaining to be able to nine Delta a and paid mom and see if we want to have local regulations enacted in addition to those State ones that already are in place and my understanding is that because internet we’re talking about this. What is what is the reasoning to do this when the states already done it why would want to do it again? And I think that my understanding is it has to do with them enforcement. So if we have it on our town regulations, then

35:51 they can be better enforced if somebody in time selling these products you mean if it’s a commonwealth regulation, we can’t invoice. I I believe that it’s a different. Way to go about it. So I think the way that it works with Choice Redford with Tobacco Control is that under her guidelines for the grant they operate under a grant that will received for Tobacco Control. They do not enforce state regulations. They enforce the local regulations. So this is not so the the Kratom the Delta 8 Delta 9 is not something that they enforce they enforce all the you know, the tobacco 21 the flavor restrictions all the stuff that we have locally. So by adopting these they would be able to do inspections for the Kratom the wave 9 so

36:37 what’s the purpose of the Commonwealth having these restrictions if they can’t be enforced so that this Commonwealth of Massachusetts through the Department of Agriculture can enforce them. They’re not out there conducting inspections. So these products are regulated these products are outlawed, but there is not a you know group of people go in around establishment to establishment to see these products are on the show if there’s a fine structure associated with them. And these are the products that were clearly marketed towards young people looking like the candies and the no these are these are some of the newer products. So these are like synthetics.

37:24 You know, obviously the idea is that you’d want to take a look at these. Read this whole document so you can understand it. Ask as many questions as you want we can dive into what is Kratom but these are the regulations that way that regulate these products. The items that they kind of the flavored tobacco is kind of the items that they target kids with, you know, the bubblegum rapper, you know flavors some of that stuff that you know that they make into Jewel or blunt wrappers. Those are kind of the items that they target with kids now some of these products can be probably targeted. With flavors as well. Um, you know, we haven’t so generally what Joyce will do is that she will come to one our Coalition meetings. She will bring all these products with their vape pens, you know, the gums

38:11 everything and so we get to put our hands on we have not done that for freedom and deltas. So we can continue to talk to her about that and kind of bringing products to us so we can take a look at this stuff so we can understand exactly looking at I mean, obviously you can go online a little bit and do something investigation work but these are the regulations that she would propose now what we do is that we take these regulations. We pass this off to Our Town Council. They look at it based on our local dialogue regulations and they obviously burns them together coming up with a set of regulations that kind of match or we’ll be able to slide into fit with our local biological regulations. And of course that cost money. Yes, and then of

38:57 course that goes so The lawyer doesn’t always yeah, we better legal line. So it you’re legal line is Tiny. I mean, yeah, so you’re legal line is 1200 dollars. So obviously that’s something that we’re looking to increase for next year. But you know, we’re spending legal money all the time to deal with, you know issues opinions and all this stuff. So it says here that but yes if this is something that the board would like to do, I suggest you take a look at this we can slowly, you know, we can pass this off to the attorneys and we can slowly begin the process too regulate these products Associated. The Cannabis is legal in Massachusetts, which we know that synthetically direct canopy can’t avoids are not. So yeah, that’s correct.

39:44 So it’s a synthetic so and yes, like I said before the Department of Agriculture has already regulated these products, but by us regulated them locally means that we can have our tobacco inspectors going in. For these products and issuing fines making sure they’re off but they have already been regulated in the state of Massachusetts. But if anybody whether it’s a citizen or one of a US sees that is the synthetic cannaboys in in a place of business. We can be bought it. Yeah, you can report it to I believe to the police department and obviously to the use Department of Veterans. Do you know that being in this town? No, I do not know that being in this town, but I’m not going looking for this product to tell you the truth. I’m

40:30 not going in buying tobacco. So I’m not looking around in those areas to say, you know, do you have this stuff? Even our food inspector is not going into establishments looking for these items. Well, and also people can write in other places and so I’ve seen like, you know recently I saw some of the stuff for sale up in Maine. So I believe you can buy kratom and I’m not sure about the Delta’s up in Maine but yes, but obviously there’s a concern the state is regulated these and so, you know, that’s the idea behind it. Okay, so you wanted to take some time with it? Yeah, you should definitely take some time with it. Read it over. Ask your questions. I can talk to Joyce about possibly doing the show and tell like she usually does with us or at least you know, sometimes he’ll just provide the product to

41:17 me. I can bring them in we can kind of make ourselves know what we’re talking about or know what we’re looking at if we go into a store and then we can you know, create these regulations. She showed us photographs. I think yes. Yeah packaging is Barbers like yeah. Yeah. I thought Joyce was extremely compelling and her position that you know, this is a wise thing to do. help would like to know how expensive it would be if we could get an idea perhaps what the attorney starts with the because I think that she made some very impressive points that as a community. And as a board of health, we can help protect growth. I’m thinking more young people that it’s all ages. Always. Yeah.

42:02 proactive proactive instead of reactive things that yeah so some more information find out what the cost would be. I think would be really valuable and maybe

42:16 Just any other materials Joyce has that she presented to us that we could you know, look at this with would be helpful for me to understand. Obviously bigger pictures so generally when we look at tobacco regulations, we’re looking at them for the the North Shore. So obviously we’re you know through Todd’s group with all the other chairs and my group through the public Excellence committee or Coalition. We will recommend that the other surrounding towns and communities do the same thing. And so the idea is that we all essentially enact these new rules and regulations on our home base so we can conduct these inspections. We all use choice we all use in our inspectors that just makes a Little Bit Stronger timing issues.

43:01 That’s what he the chairs and problem the north Shoreham. Well.

43:10 So yeah, that’s right. Our next step would be to hear more division at another meeting and there. Yeah, so obviously I’ll get a you know and cost estimate for legal for putting everything together and then we can go from there. It’s great. You want to get this done? If you want to do it. It’s also not like emergency, right? It is already regulated about our state of Massachusetts. We would just like to go to local inspections make sure it is not on the show. Right, let’s be continued. You know, that doesn’t help. It’s whether people are users whether it’s on a shelves in our community. I mean, we still have you can buy this product out of state.

43:49 But we can do it. Unfortunately we can do we can do yeah, it’s quarity. So so if a regulations they’re talking tom. Sorry, no questions. I’m sorry. Yeah.

44:07 Okay. So next is your digital in? Okay. Well, there’s some exciting things happening at the task force. We’ve got healthy kids day coming up and we’ve got a committee that’s working to pull together a mental health healthy Kids Day at the fair that’s going to be held in the YMCA and we’ve got a really strong Community working on bringing together Marblehead Counseling Center Elliott Emergency Services children children’s friends and family services private practitioners in the community to ask if they would like to have a representative at the table and we’re gonna have brochures in information. We also plan on having some quick assessments, which I think is really exciting to be

44:53 offered by some of these practitioners with respect to stress anxiety depression for participants to complete and Melissa volunteer to contact some folks to see if they’re available to provide kids and parent. With an activity like a mindfulness exercise of our exercise yoga art music therapy, and we’re asking people to provide approximately 20 to 30 minute activity and we are going to be reporting back on the center next task force meeting and we also have a meeting that got pushed back due to that inclement weather. That wasn’t For our meeting with Will doubt at the Marblehead currents because they’ve invited us to have a monthly contribution to the

45:40 paper and it’s going to be focusing on Mental Health Awareness. So we’ve got Susan stelk and Mark Levin and Melissa couple which will all be meeting with Will to make sure we can bed out. What kind of content would be most valuable to produce for this column monthly and let’s see. What’s that about healthy kids doing that. I believe April 26th. I was looking for my phone, but I turned it up a little bit the calendar. All right. Well, so yes, I will absolutely share that out and hopefully we’ll have it shared out in the current very soon too. Once we start doing some some marketing of that and with respect to the request for

46:27 the best task force. budgets we’ve got we did hear back from Pete schelk who has been working out. He helped us design our website and our goal is to get that, you know to have a monthly update to that and we have an estimate. And an invoice here that’s looking at. Helping build up that website and making it more robust and then having a monthly update to it, maybe 15 minutes when there’s some updates to add and he gave a very reasonable rate to help support that also attend by 10 branded craft tent which looks like it would be available for

47:14 like when we’re doing marketing out Marblehead cares to the community and hopefully doing so at different events the Christmas walk the summer, excuse me, the Arts Festival the farmers market and having some of our our best course staff attend and just try and connect more and more people to some of the resources that are available through Marblehead cares. We’ve also got Marblehead cares magnets that we want to be able to give out. So working with the female humane society which made some beautiful magnets for the community to have on their fridge to help, you know,

47:53 Raise awareness for what what’s out there what services and resources are out there for patients for residents and their families. We also are excited to build out a trifold a brochure. We’re kind of keeping it smaller, I think because Cost we want to get these in the people’s hands that have interests. They something they can take home and learn more about what’s available and it looks like the total ask for all of these including the website and the year ahead getting having a professional managed. The website would be 2,650. So I know that we that the website you had shared with me like Joanna you’re under estimating that cost and I was but I think it’s a very reasonable about what we

48:41 talked about. Yes, and he said, you know, if there’s not a lot to update each month, it could be as long as fifteen dollars because he would divide up the month. If you went into the website and say added or change something it could be, you know, that’s great. 15 minutes would be yeah 15 dollars. So I think I think that it would be getting a bargain. Yes, I think so. I think he’s he designed and built our website for no charge. It was just very generous undertaking and so United amazing estimate and I have this and then I have my I do I have the costs but it’s not we’re not clear exactly on how many hours it would be built. So there may be

49:28 some flexibility but according to all of these Custard 2,650. So what if it was for three thousand dollars, so terrible? No, that would not be terrible. In fact because this is money that can be sent over more than three year ahead. It could be this could that could last two years because most of these things for example, the rack cards that we were talking about for a thousand. It’s two hundred and forty nine dollars first 2,500. It’s 2000. Excuse me. 279 so for thirty dollars more you get you know, 1500 more cards to be available. So we have those that last one in the current. So yes, he’s helping us with that. So And and we also have some really

50:15 talented people with graphic design on the task force who are amazing results. So that is where we are with that and I was grateful that I know Peter wasn’t feeling well for a while. So it was really nice to be able to get it right when he got back to feeling better and to help us build this up. Thank you very much. I will I will and so yeah, I just want to mention this Behavioral Health helpline. So the state of Massachusetts has put together a behavioral health helpline. So what is the behavioral health helpline the behavioral health helpline connects individuals and families the full range of treatment services for mental health and substance use offered in Massachusetts, including outpatient urgent and immediate Crisis Care call

51:01 for real-time support initial client assessment and connection to the right evaluation and treatment. The bhhl is available 24 hours a day 365 days a year by phone. So call and text 833-773-2445 and there’s an online chat at masshealthwine.com. Um train clinicians and certified peer Specialists are there to support every color’s needs. Obviously. Everybody is welcome to use this. So I just, you know, we will post this on our web page or on the town web page, but I just want to make sure everybody’s aware of this. What’s the date of that better?

51:47 This is pretty new. I just got this the other day. Yeah, but we’re getting it right up. Yep. Man, and with respect to that, I know we’re working with Will doubt to get information out into the community. Is that something we could reach out? Before we have official meeting with him to make sure the community understands this resource of Commonwealth. Yeah, perhaps just a short article would be valuable your product. Yeah, I mean as far as your monthly or would you say weekly articles monthly? Yeah. I mean that’s you know, just definitely something you could do. We can definitely talk now and there’s more stuff. Obviously. This is good. I can kind of breaking tradition with mental health these days we’ve broken stigma with this and so

52:33 I think there’s gonna be a lot of discussion with this and moving forward. So what are we know that we have your proposal? Yeah. We that are the next meeting you okay?

52:46 That she also with the presentation that she has and she had yeah the official with I mean, is there anything I don’t know I join and I can work to make sure that it’s everything that we need. Okay. I just didn’t want it to be delayed and thank you. Thank you. Where we closer to our meeting that we were like so no event. That is one. She came with whatever she came that piece of paper, but then she stole it needs to go home. I think this if we can if we can vote at our next meeting we could get some resources to have about the next event. It’s going to be the Healthy Kids Day the YMCA. So I’m sure we wrote on it. It does pass and we can put some Mortenson. There’s a big turn around. It’s nice. Yes. So I

53:32 mean if you mean, you know spending girls probably just and therefore extroversialism I think I think so. Is there a place Andrew where I could potentially store some mental health task force items like some of these items that we’re going to be. Yeah, we can figure that out. Yeah. Good. Yeah. Thank you. You’re interested in Andrew, please. All right. So I did Jerry and I had a meeting with Dana actually today. We have a draft schedule for permitting. So this takes us from today all the way out to where we were potentially or you know award the

54:18 projects. So, you know final revisions. We’re waiting for stuff from some of the engineers and then all through the permitting process. So DP local permits any of that stuff all the way to essentially project reward. It’s a little bit longer than we had anticipated. So we you know, we did have a meeting with Dana today and it’s kind of discussed that what are the longer items that there’s potential long length to is dep permitting it can take up as much as four months to get permanence from dep now Ray is going to go there and the next week or so to talk to them and see if there’s a way that we could apply for a modification purpose that we have that to see that this isn’t a

55:05 full permit. This is a model application to the permits that we have ongoing. So hopefully that can reduce some of the timeline so raise the engineer that is subcontracted by Winter Street architects. so yeah, April the engineers to submit drawings and submittals to dep and may we be looking at estimators May 15th internal review by Time by town for estimators and and costs but and then finally we would have final estimates somewhere around July and then at the end of July, they would have a compile bid set. So the documents that would be going out the bid August

55:51 at this point. They’re seeing anticipated anticipated the EP approval August end of August advertised projects in central register September 27th bids do September 29th project awarded. One of the other pieces that we are working on to obviously as part of the project is the replacement of the compactor. It’s a 12-yard compactor and we are working with our regular repair company that we use East Coast compactor to take a look at these items and make sure that we’re getting a product that is equivalent to what we have now or better essentially what we wanted to make sure that we didn’t have happen is that if we did this product out and we ask for an or equivalent our

56:40 Our rep from East Coast compactor said you’re not going to get an equal. There is no equal except for this unit. You need to buy this unit. Through procurement through solid waste we can procure this item. Now this way it will match our building schedule. So it’s a 30 potentially a 30 week lead time item for the compactor. So the total compactor costs is 257,000 and 610 no sense and the recommendation is to have the boat or vote to approve this. You know buying of this unit, we can purchase this unit our you know, and then have it built and this will match our construction schedule at this point. Is this the one that you’ve been showing us

57:27 all along? Yeah. This is the one we’ve been talking about all along. This is the one that are you know, Jim from East Coast compactor says you have to have What’s happened? So Jim’s been in a similar projects a couple years ago. They said or equal they got an equal and it was not an equal. So they bought this $400,000 compactor and it was installed it ran for a period a short period of time and it had to be replaced. It was 250. This one’s 20057,000. Which is part of our and we have this is yeah, so we we had actually an estimated that this was going to be upwards of 385. 475. Yeah, and so it’s coming in a little bit lower but this you know, so, you

58:12 know, we’re recommending that you vote to award or you know procure this product at this time to match our construction schedule. Makes perfect sense. Yes. So yeah now why is it cheaper than when there isn’t that was just a budget? No, so there’s there’s a good chance that when we looked at this item during covid that the price had gone up and now because of where we are again today. No, we’re not in covid times. Not a lot of units are being built. They’re kind of a cost decrease in your standard contract reason. Yeah, we will sign the contract for the 257 and then it’ll be ready when we’re ready to yeah. and and he is also Supply us with a coat a different company that’s going to do all the

58:59 steel work inside. And because all that stuff the shoot and all that stuff. It’s got to go away not going to get any more and and it’s old and so we don’t know what that’s gonna cost but then solves a huge problem for us because otherwise you’re gonna go find somebody and he’s hooking up with a guy that he uses. So the guy’s gonna be confident. He’ll do a good job. And of course we are able to do this without any no. So this new unit’s called. It’s a funny name. So just bear with me. So it’s called a crime a lot model number Co 12. So it’s a 12 yard heavy industrial compactor with the equipped with the 50 horsepower power

59:44 unit. I move that we allow Android to write Rochester Waters. Yeah, right a purchase or whatever but 257,000 plus dollars. Money fifty Seven six ten to 57 6 10 which we expect to be available 30 weeks from today. It’s gonna be a little bit more than that. But as soon as we place the order, yeah, it should be 30 weeks. It will fit in with a construction. Yeah, it will fit within the Construction Seattle. Well, it’s going to be sooner than if we don’t vote on it, correct, right. So well, we we need to do it because if somebody comes along his mom says Asian money to come back here. Right. Yeah, I mean, he’s a friend of Andrews.

1:00:30 He’s from the town a long time, but you know, somebody comes in hand some money. You got to get on the schedule. But yeah, this is the compactor that we want. And yes, Jim doesn’t you know Jim’s gonna go out and buy it from the company, but Jim is the person that we buy it through and so what’s his eyes it’s the same size. Yes. The Wonder Woman. Yeah, so everybody knows that use it. It’s not gonna yes, so obviously it’s gonna come with a new control panel because we need to replace the control panel that we have. Yeah, you know, it’s an updated version then what we have ours are sold. So we have a more this is the recommendation from the guy that works. You yeah, we have an emotion potion and I said in the motion. Yeah. So

1:01:17 motion to approve the cream a lot model number ceo-12. It’s a 12 yard heavy heavy industrial compactory for with a 50 horsepower power unit. So only the motion joy and secondary. All right, boys, miscellaneously in favor Miss Joanne Miller in favor, Dr. Donald paper, um with that though the other so Jerry has been working on we’re trying to get look at the gate system where he needs to power the Green Street entrance gate. So the gates in place, we’re looking to power that we’re also looking to get prices for the installation and any other gay parts that we need for the front gate. We own the front gate. It’s on site, but we needed to be installed.

1:02:02 It needs some screening on the gate. We don’t have every piece to have it installed. But the main piece of the gate is on the site. So we’re also working on that. We’re looking at this contracts anything that we can pull out that we’re able to do that and bid separately. Would potentially have some cost savings for us. We’re not going to have this under a contractor that’s able to submit it or you know, go to another contractor and then charge us a premium or a percentage for that product. So there is some cost savings that we’re looking at obviously for the compactor. We need to do that for timing, you know, obviously for the shoot work that’s for the compactor. That’s also something that will be looking at.

1:02:48 Navigate is to the entry you’re talking about. So the motorization is for the it’s going to be called the main entrance gate for the residents. So that’s on Green Street. Right? And so that yeah that gate needs to be motorized. We went, you know, obviously we want to have key fobs. So the tractor trailer that comes in the morning can keep on that gate. He doesn’t have to stop it negate opens itself. He drives through so reducing and idling that occurs Town trucks like myself or the loader need to have a key fob for that and the field to get through. So yeah that that gate was always intended to be motorized. We just haven’t you know? Finish that at this point, but we’re working on that. They’re also being a

1:03:35 A little keypad that you can get into it for emergency vehicles and stuff like that. But yes, we’re looking at everything to see if there’s anything that we can pull out from the large contract that we can potentially bid now to get it done now or potentially for some students.

1:03:56 That the qualitative now. Yeah, I think that’s it any other well, okay. I just don’t need to vote. No, I yeah, I’m not I don’t go vote for you for the motorization yet. We’re looking to put the motorization of the bid and that’s running about $20,000 with all the parts for that gate, but we’ll come back with all that information. necessary during we haven’t what we’re doing is what he had that big motorized and you talk we can relieve all the nonsense. At the current most of the nonsense it’s currently going on scale. Yeah, the idea is going out. They won’t be coming. Yeah, and Thomas will be going up to the

1:04:42 back and doing their thing and they have to go out. Over the current the national current scale and so we get to in and when that the we may be able to do the deal. We don’t want to we don’t have to do the scale on the compact at the same time. So depending on how things go we might be able to do this deal. And get that all done and then because it’s back to the intact replacement of the compact or vice versa right timing is a huge piece conference. Completely separate operations if it didn’t happen down at the bottom of the compactor and

1:05:27 up to the voting dock. That’s one. completely separate operation from the new scale house and the changes in the traffic. Controls and all that. That’s a different. thing that depending on out the work the world shakes out.

1:05:51 When we might be able to do one or the other. with you know in advance of So yes, I’m done quicker. The biggest thing with this project is timing, you know, obviously anytime the scale is down or the compactor down. The main portion of the transfer station is down or I would have to start to, you know, direct trash directly to Resco residential trash directly to rest going and stuff like that. So that’s the biggest piece that we want to, you know, reduce those number of days as much as possible. There has to be great coordination between the architect the town and the contractor during construction to make sure the number of days that we’re down are as minimum as possible. Do you think this so will be completed before the snowflies that is you know, obviously, you

1:06:38 know if the schedule and they can happen, you know, it’s a bit commend. Yeah text on yes, but everything comes the way it’s supposed to yeah, we’ll be so if we get these snow ever anymore, but that’s because it’s very little work that’s impacted by that. This is really simple job. You know when I’m being a big giant huge deep Foundation, right? We’re just removing some ledge Paving Putting you know, putting some under the ground utilities for the buildings. Cameras backed up and then the buildings but basically be stick those on site. And they’re not extremely complicated areas.

1:07:24 so once he was the contractors awarded in September We shouldn’t have any problem. You see like two months now. So we at that time the contractor’s gonna have to give us a schedule for the duration of the project and that’s where the coordination pieces critical that the architect the town and the contractor work to put together a schedule that’s amenable to everybody. But we but they don’t even understand the schedule, you know, perform. Right, but there’s you know, yeah. What can what can we on the town do to support that is there anything that anything that we can figure out and obviously, you know are there if there are things that we can help to support that we need to you know, obviously we can bring them here discuss them and

1:08:10 do those things, but we just need to try to make sure that we’re looking at the whole situation and like I said, the critical pieces are the scale the compactor the lower truck area, you know with it the trash trailers back into the compactor. Those are the critical areas the other critical pieces getting obviously residents can come in Green Street, but they need to exit would fit Terrace. So we need to make that see other critical piece to make sure that they have a Driveline to get them out of the facility. And are obviously this is a residential facility that we want to make sure we’re open to the residents as much as possible. Do not want any demades. Obviously there’s it’s going to happen and obviously, you know, that that’s what happens with construction, but we want to try to have that to a minimum.

1:08:58 Good. Thank you. For right budget, so this is kind of a big piece obviously.

1:09:29 There’s that there are two pages of each one. When you pass it over in mind.

1:09:41 and then help one page there’s

1:09:48 now this is the biggest budget. So this is both it says both on here. So we’ll take a look at the health one first. This is the one page. Up in the left-hand Corner, you’ll see. Oh one General one five one one Health. So this is the health budget. You’ll see going across you’ll see account description fy22 expended fy23 budgeted fy24 level service budget. Fy23 to level change and fy24 reduced budget. You’ve already approved the fy24 level service budget will do that again tonight just for you know, we’ll adopt this whole thing. But what we really wanted to talk or what I really wanted to talk about tonight is the fy24 reduced

1:10:36 budget again, no decreases to employees or salaries or any of that all the increases in pay that a contractual will be honored. That is I just want to make sure everybody’s clear on that one. There is no reduction in services to employees or you know Staffing. I’m going down. Just some minor. some minor changes

1:11:08 and some of the numbers were just done so we could hit the exact full percent. So we have in the level Services Under.

1:11:20 You know, the only difference is the legal. We had asked for 3500 dollars for a level Services. We currently have a budget of 1200 dollar for Legal Services again. We spend money on legal for opinions to deal with issues to take a look at tobacco. We want to make sure that we had an ample supply of money. We have been overspending over the last couple years. We’re trying to put together a budget that’s reflective of actually more spending. So we had pushed that up and they’re asking us to keep that the same at 1200 dollars. So the level to reduce that was twenty three hundred dollars. They ask you to keep that particular line. Yeah, they asked me to keep that particular line. You can see it right under the reduced and the level reduce and then

1:12:06 the next thing after that. there’s also a

1:12:13 And then really the next thing after that is that 10,400.

1:12:24 You don’t have that in the reduced change. Yeah, it’s all the way down the bottom. Okay. Yeah.

1:12:31 So the reduced Health budget is 303,879 dollars. There’s a little so they you know, we split the difference with the repairing me. It’s computers. We brought that up a little bit. It had been very low we had asked for 500 dollars. We actually increase that a little bit more just because it made the numbers equal and stuff like that. But those are the big changes so that the total budget the total reduced budget for fy24 for the help is 303 879 So I need a motion to put this forward to the finance. So. Right, man. Yep. Should I make a motion for discussion?

1:13:17 Any emotion discussion, but you can speak emotion. And I wanted to ask a question. Yes. If we’re having the money in the Opera, but could we add the legal he’s illegal at the no so you can’t you have to prevent a budget that’s gonna meet what the town has for fy24. You can’t think about arpa remember? Can we make a 12,000 dollar cut and counseling? Center as opposed to the 10,000 you want to cut more from the counseling. So we’ve got them up at every two I’ve said it. No, I don’t recommend that, you know.

1:13:58 Well, I mean you’re cutting a total of 12,662 dollars period because we need it in the legalism the you’re saying because legal is not covering our pencil is right. So what I’m gonna yeah, what we’ll do with the legal if I’m over on legal, I push it to the you know to the Town Administrator and say I’m over on legal. I need some help with this. It’s always gonna be pain. As long as I’m having Communications with the television, they’re doing a budget I guess a budget of the budget. Yeah at some place. But if you that’s the only suggestion I have if you feel I mean we know that the legal has just increased, you know. Right double yeah, no, I I would leave it as proposed here. Okay, so do we have a motion? Yes, that’s right. When I’m gonna

1:14:44 make that motion is proposed based on the answer. That’s right. Basis, right for the 2024 Health but the 2020. And I second. Ah, miscellaneously in favor, Ms. Joy Miller in favor, Dr. Tomball your favorite.

1:15:06 with the waste budget

1:15:12 Same thing, you know all employee contractual Agreements are going to be honored no reduction in employee time. All increases will be honored. So none of the anything from that top up on employee pay on, you know waste collection salaries will be honored. Moving down though. We have we had asked for an increase in repair and maintenance to non-highway Vehicles. I’d ask to go from 10,000 to 20,000 to ask him to keep that at 10,000. I’d ask for an increase. From on the repair and maintenance of hauling equipment from 4500 up to 10,000. They’re asking me to keep that at the 4500.

1:15:59 And then the last one is landfill maintenance supplies. We had been in a thousand I asked to go up to 1500. They’re asking me to keep that a thousand. So it’s a total of 16,000 in reductions. I am able to increase obviously have contractual obligations to increase we have been spending quite a bit of money on other disposal so that budget that’s going up a little bit obviously, you know, so the trash collection contracts Grinding Services grinding compost removal goes up a little bit. So there’s a reduction of 16,000. so for the

1:16:40 Fy24 reduced budget or the wastes Department. The total budget is two million. 625,84

1:16:53 really any questions And like I said, you have already approved that level service budget. We have a motion to improve the reduce budget To make a motion to approve.

1:17:09 Your certain second Mr. William Miller invador. Miscellaneously in favor, Dr. Condo. I interviewed. Thank you. All this hard work. Yeah, so you that’s so many iterations. You know, I knew I was worn that there was gonna happen to be multiple iterations. So I was prepared for that. So yeah, it is some more work but it’s something that we have to do. We have to present a budget that can be fun. So and then the last piece with that is that there’s been we have our finance committee meeting on April 3rd or presenting our budgets. We are not going to have a quorum presence. So I will present the budget for the department. So She said that I could be on Zoom. You can be

1:17:56 on Zoom. I just will not have a quorum present. It’s just leave technically is the requirement because like we had our great meetings and Dr. Philip is on. That’s correct, but we had a quorum present in them. I see. Yeah, so do you want to have you check there that’s been ruining in the past now you can be on zoom and can watch it and I will post the meeting. That the board will be in attendance to the finance committee meeting. But I do not believe that constitutes an accordion at present. So you can find that out. Yeah, I can find Joanna. You’ve already come in person. Yeah, so Joanne when I will be there good and I know available, right? Um, so do we need to go to authorize you to yeah, let’s

1:18:41 have a vote that authorize me to go before that in common present the budget. I think that would be funny. Yeah, so that’s it. Yeah, that’s emotion. And that’s yeah. Okay. So Mr. Miller and doctor

1:19:01 So you guys enjoyable and I will go there will present the budget like we always do. Yeah, I don’t know if it’s here. It’s gonna be up in town and I have at all. I think this in Commerce we meet in there, but we don’t and what we’re on Zoom currently, but I just that they just move that over there and we’re not fully integrated this morning.

1:19:23 Moving on covid obviously, you know, we still have a lot of test kits, you know, we don’t ask any questions. They’re up at the health department. You can grab as many as you want. Obviously we understand if a single person’s coming in, they’re grabbing more for their family friends. Please take with what they need. We really recommend that you test and know that either you have covidia, you don’t and you can make the best Church in McCall and also take precautions for yourself the community all your friends. And so yes, we will continue to push out test gets as long as they’re available right here the testing because the hospitals are overloaded. Sick people and they don’t need you know, people that think they’re gonna go with me. Yes, the last one that you know, some of that latest reports from the state is that covid numbers are going down. The death rates

1:20:11 from covid are going down percent positive is going down. So we’ve seen some good Trends the best way that we are really getting our data right now is to Wastewater. And I think weeks what our data is going to become a big piece in the future and we hope that we continue to monitor Wastewater for any emerging surveillance diseases.

1:20:33 Coupons Wastewater examination is that state level? So I think the state’s doing it because they do have it is posted on their website. So I think they’re finding some of it so, you know, obviously they have bile bot is being used at selfies as such so that allows us to take a look at numbers from Salem now, that’s not Marvel head. That’s still giving us a good picture of what’s in this area as well. As you know, that one Peabody and some other areas in the North Shore. So it’s giving us a good idea of what’s around you really listen to. Yeah, it’s your Island. Does it too for Boston? There’s a bunch of different sites in Massachusetts that they’re pulling data from that is all on the master Department of which I think that we are mass talk of covid

1:21:18 and then Wastewater and local ones too. So not like local would be scsd. Yep, but Andrews included sdsd right now, so well, there it is. But so our Mind goes directly into sdsd across this way. I believe they’re looking at the line that’s actually coming into Salem is where the bio bud is. Look, that’s a little bit. They’re not I don’t believe they’re taking it from the Cyrus. Thank you. Um Springleaf collection is coming up. So we have one week during the following months. So we have leaf collection during the week of April 24th. the week of May 15th and the week of June 5th. now

1:22:04 this will occur during that week. JRM has always been short trucks. I can’t guarantee that. If you are a Monday trash recycling collection that you’re leaf and grass will be picked up on Monday. They have been having some issues with Staffing and trucks. And so that doesn’t always happen. Sometimes it tends to occur towards the end of the week. We will guarantee that. Your material is removed from your property, you know. when a reasonable amount of time

1:22:37 household hazardous waste collection We were supposed to have an event in March. It was to be collected by ACB. We had been running this model where ACV would go directly to your home and pick up. It was a pay service. ACV got bought out. They’re no longer honoring household hazardous waste contracts for at home pickup. So we’re in the process of finding another vendor to do household. Hazardous waste collection. The collection will be back at the transfer station on a Saturday. But these things book out early early in advance. So I’m behind. I’m trying to work with either lean Harbor or my own vent or you know, and another company that but I only have a very like

1:23:25 two options. To try to bring them in we’re trying to have the event sometime during the summer. As soon as I have information. We you know, as soon as I have a contract with these companies, we’ll post it will be a drug book. That will be a drop-off event. Yep. We are running. So April is National trial of use prevention month and recognition of this. We are sponsoring a diaper drive and this is occurring on all of the North Shore. So please help consider those in need with the donation. You can drop off Diapers at the Marblehead Health Department upstairs. These are new and unopened diaper packages only all sizes needed newborn to size six size five

1:24:11 and six are a great greater need and baby wipes. The collection dates are April 3rd to April 28th. And yes, you can drop them off at the Marblehead board Health Department. Seven widget through Mary alley during regular business hours.

1:24:30 Textiles obviously we’ve gone through the band of textiles being thrown away your trash stream. We are now working with the new company called cmrk. I put the transfer station. We have new Bins that are actually labeled as Marblehead. So there’s a much larger pin. So we’re doing clothing. We’re doing textiles we’re doing bikes we are doing some household items that are able to be dropped off the transfer station, but CMR keys cmrks off also offering free home pickup. so if you’re doing You know if you had a relative that passed away and you have a large amount of clothing, you can set it up to have cmrk come directly to your home and pick up this material. It can be, you know, you know if

1:25:18 you have smaller quantities in that too, but we will post this on our website. So now they offer a pickup at your home a collection. I hope my husband’s not listening.

1:25:32 Oh just one of the piece, um, just one other piece with going back to the budget. We talked about accredited Health departments during our liaison meeting. You know, we have an accredited Police Department in town. I’m sure we were going to credited fire department. We’ve looked at that creditation through our Coalition and unfortunately because the way we’re fun number of staff that we have we can’t meet accreditation. So to have accredited Health Department. You would need 17.9 full-time equivalent employees the size of our community. Well the size of our community. Yeah, and that’s the offer average services. Which is you know, the dead middle. So that would be 1.6 FTE expected

1:26:18 in assessment and surveillance. 1.3 FTE expected an emergency preparedness and response 6 for others which includes capabilities, you know, organizational competencies policy development support accountability and Performance Management Communications Foundation. There is no chronic disease and injury prevention 2.5 full-time equivalents communicable disease control 1.3 full-time equivalence environmental Public Health, three point one full-time equivalent expected material Child and Family Health 1.4 in clinical care access and linkage point seven. So we that was just a point of discussion. I will share this with the finance Community. I think

1:27:05 that’s very important. Yeah, you are very important that

1:27:13 very importantly bring that to the famous. Yeah. And that’s it all I have. Thank you. This is just waste do not have an angel voice. time for the public common period And I will recognize people other this but from the audience here then online if you’re seeing buddy, there are new laws in between about public comment and the amount of time people can speak and so the amount that people are allowed to speak is a quote reasonable amount of time which we’ve determine should be four minutes. So maybe it’s going to speak your informants to speak. We will not be having a back and forth. No questions answered and that’s not either anybody in one reason there is not okay.

1:28:01 Well, we had a question from did you? Okay, ask a quarter occasion. Um just a note many of their reports are so rapid fire that I would actually question some of you if you’ve got all that information. So my my point is that I’m just bringing it up just so I can clarify what it said because it’s as you have to direct it there and it’s also directed toward that part. So we’re not I’m not hearing this either but it’s part of it is the rapid fire sometimes so that’s why I raise my hand earlier. I’m sorry. That was the reason but if I if you can’t if there’s no back and forth,

1:28:49 how can I get a clarification? What was given?

1:28:55 We I will talk to you later because we’re having we’re not answering questions. Okay? Yeah the same. Yeah, but he asked his questions. Maybe we can remember what he has to you have a question. We’re not we’re not having a question. Yeah. Oh not having a back before so you can answer the question. Okay. Okay, can you talk to him? No, I mean after the meeting always.

1:29:16 It was very very. Okay, so our our next meeting is Tuesday the 11th.

1:29:29 And some interesting this is I can do. Know good holidays decide the only person so we’re going to be a motion of the journey soon seconded obviously in Easley. Yes, Mr. Wayne Miller in favor, Dr. Chicago. Are you favor?