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it. I'm going to start the meeting. I'm going to start our board of health meeting. Today's April 28th, 7 o'clock 7:05 now. And so I'm going to call the meeting to order. Some introductions. My name is Caroline
Canella. I am the health director and uh my assistant health director, Emily. Hi, I'm Emily. Mrs. Health and clerk of the health department, Jean, but I see
you and Laura is our chair of the board of health. Laura Richards, Roxanne MTO. Hi, uh, Roxanne Mau. Member and, um,
Mary Stenson. Hi, Mary Stenson, secretary and Lisa Goodnight could not make it tonight, but I do have a statement from her. Um, so next we'll go to uh number two, approval of the meeting minutes for
March 3rd. If the board could take a look at the meeting minutes for March 3rd. You have anything to add or [Applause] I already looked at it. I read them earlier. They looked fine to
me. I did too. I They looked fine. I agree. Um I'll make a motion that we approve the minutes then of uh March 3rd. I'll second. All in favor? Hi. Hi. Just say that there's any more people in the waiting room here.
One. Okay. So, the meeting minutes have been approved. We're going to go on to number three. Citizens speak. Is there anyone that would like to speak at citizen speak? I would just say not today but
soon. Thank you. Okay, we'll move on to uh number four. And number four is the public hearing. So I'm going to start the public hearing at that now
708. And this public hearing is to discuss and vote to approve additional proposed regulation changes to the board of health regulations. Chapter 5, seal of products to minors and chapter six board of health regulations smoking and
workplaces public places and membership association. And I just wanted to say we've been working the board of health and my staff have been working on these regulations for a number of months now. So tonight we're we're planning to vote on these regulations. But before we vote
on the regulations and the regulations are on the town of Milton website, um we have reached out to our tobacco retailers and given them notice. It's been in the um paper twice to let them know also and Carolyn Hoe has chatted
them to let them know that we're having a hearing if they wanted to say anything. And just before I open it up, I do want to say that um Lisa Stevens, good night, who was helping us um and she's been great these past couple of meetings. Um she was unable to at the
last moment. She couldn't make it tonight, but she has a statement that she wanted me to read. So, I'm going to read this statement before I open it up. This is from Le Lisa Stevens Goodn Night. She says, "My name is Lisa Stevens Goodn Night. I am the director
of tobacco control for the Massachusetts Municipal Association, which represents the 351 cities and towns across the Commonwealth. The MMA's tobacco control program is a grant project awarded to the MMA by the state department of
public health and through it I provide technical and legal assistance on tobacco control issues at the municipal level. Commercial tobacco remains the leading cause of preventable disease and death in the United States. Cigarette smoking is responsible for more than
480,000 deaths a year in the United States. Since nearly all tobacco use begins during youth and young adulthood, reducing youth access to nicotine products is of great public health importance. In
2022, 24.8% of middle and high school students reported having used tobacco or nicotine products. In addition, nearly 1 in nine, which is 11.3% middle and high school students reported current tobacco product use.
Among all students who currently used any tobacco product, 31% reported using multiple tobacco products during the past 30 days. Multiple tobacco product use among youth is particularly concerning because it is associated with
nicotine dependence, which increases the likelihood of sustained tobacco use in adulthood. According to a recent report from the campaign for tobaccof free kids, approximately 7,600 kids under 18 will try a cigarette for the first time
this year. The regulations proposed are datadriven policies developed and proven to reduce nicotine initiation among youth. I recommend adopting these measures and commend the board of health for taking this important step forward in protecting and improving the quality
of life for residents in Milton. As I said, she was unable to come tonight and she's apologized and sent that statement for me to read. And now I'll open it up to anyone who wants to say anything. If you can just say your name, I appreciate
it. And if you have anything to say about the tobacco regulations, [Applause] I don't hear anybody. Is anyone trying to see anybody coming in or anything? Someone has raised their hand. Okay, let's see. Amarin Busby.
say something. Sure. My name is Moren Busby. I am the uh regional tobacco program manager for the Mystic Valley region. And um I glanced quickly at the regulations that you're reviewing. And I appreciate that you're updating your
regs and um taking the pre youth prevention um seriously. uh in my some of my communities, in fact, six of seven of my community communities in the past year adopted nicotine-free generation and I I didn't see that in your
regulations and I just wanted to mention it tonight um where it's apparently not being discussed tonight, but I wanted to suggest that maybe at some future time this board would consider this um important public health policy that will
do a great deal to prevent future um addiction of of our young people, which as Lisa mentioned in her statement, continues to be a problem across our state, across our nation. Thanks very much. And um do you need my address for your
record? Uh that's a good question. Jean, do we need U Marin's address? And you're on mute. You're on mute, Jean. I could take it anyway. Yeah, I'll take it because I I can't get a hold of Sure.
I'm atif 54 West Highland Avenue, Melrose, Mass. West Highland Avenue, Melrose, Mass. Okay. I appreciate you coming on. Thanks very much. Thank you. I see that Zachary Rich has raised his
hand. Hello. Um, my name is Zachary Rich. I'm a pulmonologist and critical care doctor with Boston Medical Center. Um I'm also a a father and I am happy to
have this chance to talk with you and would invite you also to support nicotine-free generation legislation. I think this is some of the most important work that can be done by the board of health. I work in the
intensive care unit where during COVID we filled every single ICU bed with COVID patients and shortly after the vaccine we saw a steep drop off in the number of COVID patients that was filled up with people with tobacco-reated
diseases. I make my living treating tobacco-reated diseases. took care of patients that have lived their whole life with tobacco and um almost all of them regret ever smoking in the first place. Um and they this is something
they feel ashamed about and embarrassed that they can't quit. To me, nicotine-free generation is a truly genius um legislative proposal that has been adopted by 15 towns in Massachusetts. Um, it ensures that
anyone that can currently buy tobacco products will continue to be able to buy tobacco products in your town, but anyone that cannot currently purchase uh tobacco products um will not be able to
and be able to learn from my and previous generations and avoid the truly harmful effects of nicotine and tobacco. Um, and I thank you very much for considering this and and happy to help
with this legislation in any way I can. Thank you. Is there anyone else that would like to speak? Has their hands Jean. Um, does Mr. Rich need to provide his address?
They really don't. Just their titles are are good enough. Great. Thank you. I thought just checking. Uh, I don't see anyone else raising their hand. Wait another minute. I had one or
two people that have come in just recent into the room. So, we're right now in the public hearing. Someone else has raised their hand. Let me see. Katie. Hi, Silb. Yeah. Hi. Um, my name is Kate Silva. Um,
and I'm um I'm a law professor at Boston University and I'm a resident of Brooklyn. And I think a number of people have hopped in uh just to support you guys for adopting the the the rules you're you're about to adopt and and again to kind of offer any support we
can on um future consideration of nicotine free generation. Um I've been working on it for a few years. I've have a number of other people on the call including Mark Gotautle with the public health advocacy institute who's also hopped onto the call. Um and just to say um I hope you guys will look at it and
just to offer any support we can offer. Um I was a co-sponsor in Brooklyn. Um and uh you know we're very optimistic about where this is headed and just would love to have Milton on board. Thank you.
Thank you. Thank you. And I see someone else raising their hand. Hey, Mark. Hi, Mark Godly. Um, executive director of the Public Health Advocacy Institute. I wanted to um echo um Professor Silba's
uh points and and offer specific uh help should you decide to uh learn more or proceed to uh uh think about the nicotine-free generation proposal. Um, my organization um defended the town of Brooklyn uh all the way to the state
supreme court when they um uh enacted this uh this policy and it is now absolutely uh valid uh throughout the Commonwealth in in terms of its legality. However, um as we did with uh
with um with Brooklyn, our organization would stand by any community that adopts this policy and defend them, even if it's all the way to the state supreme court. And I just wanted to mention that as the type of support that uh that we would be delighted to provide, but you
would be unlikely to require because I think all of the uh um the the legal status of this has been well established. Thanks. Thank you. Is there anyone else that would like to speak tonight?
I don't see anyone else that has raised their hand. Know the board has been working on these regulations for a number of months. They're set to finalize them tonight and vote for it. They approve
it. Would any of the board members like to speak or make a motion? I'll move to approve the additional proposed regulation changes to the board of health regulations. Uh, chapter five, sale of tobacco products to minors and chapter six,
board of health regulations, smoking and workplaces, public places, and members of association. I'll second. All in favor? I. When would you like these regulations to begin?
Um, so all the businesses have been notified, Caroline. When were they notified? They were notified probably two or three weeks ago that we're having a meeting went into the papers, right? And so they maybe some of them said they
were um jump on and listen as soon as soon as possible. Are we going to send them the final regulations? What about they have the regulations so they know what what's in the regulations and they're on the the town website. you
know, there may be some um some that may have that nicotine pouch that might be more than six milligrams, and that was something that we did add. They may have an 8 milligram oral nicotine pouch. So, I'm
not sure about that. I don't know if we want to give them three or four weeks, you know, to How about June 1st? That sounds reasonable. Okay. Okay. All right. So, we'll have that uh
June 1st and if you guys can come in and sign the new regulations and then I will send it to all of our um retailers, that'd be great. Okay. Okay. Thank you. Thank you. Any other discussion before I close this public hearing?
Okay. All right. I'm going to close the public hearing at 7:22. Thank you. Thank you everyone. Okay, next up number five is the health director's report. I got a couple things that I wanted to
um tell the board about. Pull all my stuff together here. Um the first is that um Margaret Carell's um resigned on April 17th and she was our um drug-free community um program
director. And so I've um posted uh two positions for 18 hours each for part-time staff and we're currently advertising it. Um so I just want to let you know that. Okay. Uh, another thing is I want to say we did have our drug take back
over the weekend with the police department and it was pouring. So, we did have a couple people that did bring back um some medications but uh the the amount of people um was a was way down compared to last year because I think it
was correl but it wasn't. So, that was from 10 to 2 at the Milton Police Station. It's always good to partner with the police with that. Um, I also wanted to mention that
um Carolyn Hoe and Emily uh Connors um they they applied for National Environmental Health Association, another uh grant award for the US Food and Drug Administration and they received $16,000 for that. So these are to complete some standards. um they
could possibly go to some conferences um or hire a consultant to help them with the standards. So um I think that's great for Carolyn and Emily. We received these funds and then uh Sue and I are going to attend the Mass Association of Public
Health Nurses uh annual conference which is on May 14th and 15th and that's in Wakefield. Emily and Ann is going to be attending the Montana Summer Institute science of the positive and positive community norms framework training the week of
June 17th 5 to9 Thatcher Street. I've been emailing Tara Riddle with the neighborhood renewal division. Um she's had um a death in the family and hopefully we can get in touch later this week, but we've been back and forth talking to her about that. So, I will
continue to reach out to her and hopefully we can connect with her this week about that. Caroline, Caroline, can I ask you a quick question about that one? Um, have you connected with Nick Milano on that as well? This came up somehow when I was talking
with him recently. So, I would like to maybe if you can just let him know what you've been doing with that. Sure. Because I believe he might have had someone that inquired about that or what was going on with that. There was a neighbor Yep. Yeah. So, if you can touch base, that'd be great. Sorry to interrupt. We'll do. We'll do. I'll
touch base with Nick. Thank you. Sure. Um, a Riverside recovery coach has started for our um the opioid abatement money. So, we've been working on this for I would say at least a year to get a recovery coach in place. So now on our
website on the health department um tab um someone can go there and have a Riverside recovery coach help them with any kind of opioid problem that they may have and it's it's for free although they do take insurance but um we finally got that off the ground which is great
great. And then um one of the community health improvement planning strategies that we um identified in our chip was to have more home visiting programs. And I just wanted to let you know that um we've been working with Welssley Health
Department and we've been working with more than Welssley, but it's Welssley and I that have started to take the lead on this um to develop a maternal child and family health program. And we're not really sure exactly what this will look like. We have about 250 to 300 births in
Milton every year. But we're trying to develop a program where we can at least um first step is um touch base with the new moms or new birthing people um and make a connection and help them with
access to any kind of um clinical care that they need. and possibly we could go for a visit like either uh Sue there is supposed to be a regional nurse also that was supposed to kind of take up this mantle and help us with this and
they're going to be rehiring um a regional health nurse. So, this is with in the shared services grant and they were supposed to start um this recently, but um the nurse Kristen, she just um she's she's given her notice, but she
may be able to do part-time, but we're hoping she can continue on through the shared services, but um we are starting conversations with this home visiting program. So, just to let you guys know, Caroline, quick question on that. Are
there anything like um like Newton Welsley has maternity and so forth? Uh and I know you're working with Welssley as well as on this. Do they have any kind of outreach program or anything that could piggyback with something like this? I'm just wondering. Or they have a nurse or something.
That's a really good question. And you know what? Uh I'm going to show you something that um is happening on the Northshore. It's the Northshore Mother Visiting Partnership. So they started this in the Northshore and this is all the um towns on the Northshore and this
is kind of um mirroring this on the Northshore of what they're doing and one of the foundational public health services now is child maternal health and so um that's a good question. I think they will be connecting in with Newton
Welssley. I just thought because they have maternity that's why I mean we don't have maternity you know I need them or Milton so Right. That's why I was thinking of that. Southshore does, but Right. Right. Um, we'll explore that. I'm going to write that down about
Newton Welsley and um I think that um Amanda, who is is a a retired public health nurse, but she's been brought back on for some hours in Welssley, is kind of um starting up these trainings, and I put it into my notes here about
the training. So, interestingly enough, um there's going to be some trainings and um the good news is that we don't have to pay for it. Welsley's going to pay for it. So, there's four trainings from the Jewish Family Child Services. I think it costs $4,500 for 10 people to
go to these trainings. So, we're kind of piggybacking onto this to find out more about it. Um, but as I said, it's going to be similar to the Northshore Mother Visiting Partnership because this program from the Jewish Family Child Services, they were involved with the
Northshore Mother Visiting Partnership and kind of guided them along in the beginning. So, Sue and I went to attend the trainings and also Ian because you could have a social worker go also. Um, and we'll have to see. You know, I know there's
250 to 300 children that might be born in Milton, but maybe not everybody would want to visit. Maybe they just want some paperwork or they just want to call and say, "We're here if you need need to see us or we can go out and see you." So,
um, this is um in process and I'll have to see how that goes. And then switching gears. Does anybody have any other questions about that? It sounds good. Um I wonder if they have they must have screening
tools um you know um more high-end than what they used to have to hopefully refer them. Um I think they're developing the screening tool right now and when we find out we will I can share the screen
tool with everybody. Great. So, it's it's all being developed, but it probably will, as I said, mirror the Northshore what they're doing on their screening tool. Has anybody got any any other questions about that? I'm going to switch a gear and I'm going
to say that we had some complaints about beavers again. So, we had complaints last year about beavers at Turners and there's also um some flooding going on at Pinereebrook. And originally um Marina who um reached
out and she said we do a sitewalk and she's she's connecting also with uh DCR the office of dam safety and they came out to one of our calls last year but I'm waiting to get a date uh if if we're going to go out and take a look at the
um flooding. Uh I did have one person call the office about Turner Pond and I did walk around Turner Pond. They were concerned about trees that the beavers were eating some of the trees. I was able to go out and I saw possibly three trees that the beaver or beavers had um
shredded. But um this person said they were going to send me more pictures of the damage at Turneris Pond. So it's not flooding anything at Turneris Pond. It's you go to Turneris Pond. It's behind a gray house. She said I didn't see the the Beaver Dam initially. So, I'd have
to go back out. I think it's about the same place it was before, but I didn't I really didn't see it and I was looking for it, but um I will talk to Marina about that and see if we can get um you know a time that we might be able to go
take a look at it or see what's going on there. So, I just wanted to put that on your radar. Was it Harland or Pine Tree Brook? Because I felt like it was I know that when they came out before that was Harland when DCR came out, right? No, I think it was Turner's and then we had
pictures. Remember um it was I think it was Turner's and this time it's I'm reading U Marina's email here. She said, "I was informed that there is a beaver dam located within the flood water storage area of Pine Tree Brook Flood
Control Dam." So, but there's a map and the map on the map you can see Harland Street on it too. Oh, okay. So in Unity Road. So I'm not exactly sure, but it looks like there's a beaver dam that was observed
on April 16th. Okay. Okay. Um to be continued about the beavers and there's some pictures um about what the beavers are building. So I'll connect again back with Marina to find out more information about the
beavers and I'll let you know. Okay. Thank you. Yeah. A couple other things is um we're having a focus group. This is will be our last focus group for the um for the chip and that's on Thursday, May 1st for community partners and service
providers. We have 11 people coming so far to that um focus group discussion. So Sky has done a wonderful job um with these focus groups and reaching out to stakeholders and she's gathering a lot of information. I'm thinking that she will be done with her information
gathering and probably putting reports together of what she found potentially in June. So, um she's coming to the end of um her gathering of information uh around opioid use in Milton and input
from the town uh town members. And we also are still doing the uh opioid survey. So that's on the town website and um we'll continue to get people to take the um the opioid survey. So this me this meeting on
Thursday the 1st um this group discussion um what time is it from and who's invited? So it's 5:30 to 7. It's at the old fire station behind town hall and it's for community partners and service
providers and the lights supper will be provided. So who in protect when you say that? So like who is invited like who's going are you talking like the hospital? Are you talking so yeah the it went out to the hospital it went out to the fire
department and the police department. Um, also Rockland Recovery. I think a couple of people from Rockland Recovery may be coming. So, okay. Okay. I also wanted to mention Mount Motion. There's an a breakfast coming up
and this is their annual breakfast. Lisa Courtney is putting this on and this will be, let's see, April 30th on a Wednesday and 7:30 to 9:30. And this is mass in motion grant. And so it's you can just drop in. There's no
formal presentation. Lisa said, but she just wants to talk. She'll probably talk about the food pantries and what what's going on with them and just to kind of meet everybody from the food pantry um like they did last year, which was great
because I think that we just didn't know who who was who exactly. So, it was nice to nice of them to come and just talk about their needs at the food pantry. And anyone's welcome really to this annual breakfast. So, that's on Wednesday morning
at the old firehouse and you can RSVP if you want to do any dietary restrictions or just drop in. [Music] Another switching of the gear. Um, so after we finish our chip, this is
something for the board to think about in the future after we finish the community health improvement plan and and come up with our strategies of what we're going to be doing. Another thing we may want to think about down the road is applying um to be certified and it's
public health accreditation board certified. It's called FAB. I don't know if you if anyone has ever heard of it, but what it is, it's it's um it's it recognizes health departments. There are a couple health departments in Massachusetts that have applied to be
FAB certified, but it it um it sets our our health department against like national standards. And I know I'm always bothering Emily and Carolyn to say like what's our standard operating procedures like? And what it does is it it has like standard operating
procedures and it makes your health department more efficient um to serve the residents of your community. Um the downside to that is um the cost. So, um, readiness and training fee is
$1,299 and then you submit all your documentation and that takes about a year and then um it costs 5,600 a yearly fee to remain accredited. So, every year it's $5,600 is a lot of
money. But when I turn I talked to the shared service um grants um providers, they were talking about I could contact Bab and I could ask them to decrease that that amount of money because we're a small health department. So I could
potentially get that amount down, but it's kind of like a gold standard. You know, I don't know if I said that to you is that when I when I meet with my shared service other towns that we meet with the seven, no other town has done a community health assessment. No other
town has done the community health improvement planning and then a next step would be be getting this um FAB certification gold standard. But again, it's it has to do with money and um it is a lot of money. you know, I could
contact them and see if they could get that amount down. Um, I also have a PowerPoint because I met with the shared service um, grantee people um, and um, they put together a really nice PowerPoint about exactly what this means and what it um, what it is and I can
share it with the board and we can talk about it further and we can discuss it a little bit more down the road because we haven't done we haven't finished our chip, but it's just something to think about. um and maybe we can afford it or maybe we can even, you know, apply for a grant
or something to to be able to afford it. So, I just wanted to put it on your list of thinking of um getting something like this because, as I said, it's a gold standard to be certified. And I I will send everybody a PowerPoint
so you'll know the costs and and what this really means. And then uh I want to switch another gear and just to say that we did get the letter back from um the commissioner of public health Robbie Goldstein. I know we had a letter that we had sent
out asking for a healthcare capacity assessment immediate healthcare capacity audit and we did get a letter back and I think I shared it with everybody but I just want to mention it again. We can put that on the website too. You know
what they said, but they said they they want to thank our team for ongoing collaboration and commitment to addressing the public health impact of elevated emergency department and impatient capacity in the town of Milton. Well, so Caroline, we brought this up uh at
our last select board meeting and um that's we sent this letter out in January, February and we just got a response to it in April. So, it was quite some time before we got a response. And then the um the considerations of what were in the
letter was a bit of um an issue too because it didn't directly um address bed capacity in the hospitals. Um it was more you talking about community health. um it just didn't really address like the things that they
targeted were completion of a mulst form and they're getting people to sign up for, you know, um long-term care, Medicaid and all this sort of thing. But, you know, the the problem is the bed capacity in the hospital beds and the availability when we're having
people wait in the emergency room for days to get a bed. You know, an emergency room that's um has more more um beds to take to take care of that end of things is fine, but it's not impatient. So, um at the end of the
letter, it did say something about, you know, willing to talk, you know, with the community or whatever. So, um the town administrator had thought that we might do a followup with that Caroline. Okay. Um where he was going to try to reach out to them. Oh, okay. With that
because there is concern like will we have enough beds for people that are here now in the community. Now Roxan and Caroline, I think this there are state regs for that capacity and it's like certificate of need and you would think
that that would be higher with the with Carne closing. So they I think they can formulate some numbers according to that statement. Well, they gave us Yeah, they gave us It was interesting in the letter
there was a oneweek period in March that they gave us what the capacity was, but certainly it wasn't during um some of the really high weeks that we had. It was like 89 or 80. It was in the 80s% um filled basically, but it wasn't I'm sure
it wasn't one of the weeks that you know during that whole period of time um that would have been the weeks upon weeks that I saw the other end of. So, um, you had the letter in front of you, Caroline, right? Yeah, you're right. Yeah, they're all just saying one week.
And we were lucky this this this year really with the flu. I mean, right. We were. Yeah. Yeah. So, gave us one week in March. You're right. Yep. So, we're trying to, you know, work on that end of
things. Thanks. Yeah. All right. I'll follow up with Nick about that. Follow up with Nick. Okay. Okie dos. Let me see if there's anything else or is there anything else that
um would like to speak about? Caroline, I was looking at this is in the p this is April 16th paperwork on from the coalition. And I was kind of I was no you have it handy there. It was in our
the Milton Coalition. Yes. Yeah. But I I guess we're just backing up a little bit, but I think maybe um they were going to use a P. They were going to use a cahoot with um it says down here. Let's see which
line was it. They were going to use the cahoot with the um with the with the kids to talk about um emotional distress in you know in any anyone that they thought had a mental
health issue. But the the cahoot game is used in younger grades. It's you usually used up to age 12. And then there's another mid-range kind of a survey game called
Blook it. And that's up to age 18. And then if the kids are older and they prefer to gather information somewhat anonymously, they usually use the Padlet now. So I didn't
know is this I'm looking at I'm looking Sorry for interrupting. I'm looking at this Milton Coalition report. This is Margaret Carell's last report, right? So, I'm just trying to find out what you're talking about on here. I don't know um how it says here it's working uh
let's see there's A and B in the middle of the page. So, this would be B. It's working on a mental health focused cahoot. Oh, I see it. I see it now. So it like I just think we need to drill down and get a little more finite about the age of the students because the
students the younger kids use Cahoot and then like I said the mid-range age group uses Blickett and then the older kids use a Padlet and usually you know you gather your information and you go from there with whatever um crisis counselors
are present or guidance counselors and they know how to um intervene according to the information gathered. gathered with those games, but that that cahoot game wouldn't be for older kids. So, I'm not familiar with that
game. I just wanted you to know it's kind of a um older kids. Okay. It's a it's a curated created game. It's a nice tool for younger children. And then if you look it up yourself to maybe tomorrow look at
it. Um you'll see that it is definitely for younger kids. It's not for all ages. So I didn't know if maybe we could kind of just revise that slightly. So the tools used would be for
the specific age groups. I could ask you can get accurate determinations instead of they wouldn't be as accurate using that older kids. Yep. Okay.
So Margaret has left the position now. I'm just trying to think um I know there is there is a teacher that works with MAK. Uh her first name is Miriam. I have never met her but Ann Gman I think is going to be working with her. She could
ask the question further. Sure. Contact um Miriam. Okay. Because I don't know exactly um anything about that Cahoot. Well, I can make a little note here. I I know all about
Cahoot. So So and the and the look and the Padlet. So So if we we can talk about it further. I just wanted to bring it up tonight. Okie do. All right. Thank you, Mary. Thank
you. Anybody have anything else? Uh what's with the map of Narelloo? Oh, I got that from uh Andy Damato. He sent that into us. Um M um Marbella has not has not um they've submitted their
plan I guess to the planning board but um he was concerned that if you look at the map that there were going to be drinks that were taken from one area to another. Oh carried across carried across that threshold. He had asked if
the Milton Coalition could vote on it and I said it wasn't the Milton Coalition. Um it would be up to the board of health but really more of the select board I believe would be discussing that or the planning board would be discussing that the logistics.
So it was a concern that u Mr. Damato had um and he just said can you please share this map? Mhm. Um, so I'm just I'm not exactly sure how this is all the planning board will have to make more
recommendations about Marbella of what exactly um how how it's all going to look. There's two areas. There's a piece of sandwich area and it looks like a bar. See the stuff in yellow. And then there's the the common space. The
concern was taking a drink from the pizza sandwich area and moving over to the area that has the bar. So, I think the planning board will have to kind of figure out a little bit more about the logistics whether it's a um a
server that might be able to move the alcohol from one area to the other. I'm not sure how that will will work out. Maybe they can't move from one area to the next area. I'm not sure where exactly the alcohol will
be served. Okay. Maybe they just can't bring it across the hallway, you know, maybe, you know, drink it in one area. And so they're going to have to um, you know, work on that. Get some
more um information. I don't know. And Caroline, can you um just give an update on the project that's going on in East Milton? I know you guys were involved in that with the um the
res. Yeah. Yeah. So, we were we were called um we were approached not approached by an email that there was um some activity. Uh they were concerned about rodents with the um demolition at
the site and my staff Emily and Carolyn went out to look to see where the rat traps were placed along the perimeter of the um demolition and there really was not enough um traps that were set. And
so um I don't know if Emily wants to uh or Caroline wants to talk a little bit more because I know that they were both working on that. Caroline, do you want to chime in? I can chime in. Um, so I think the last thing that left off with that is um the
con construction site manager that I was in contact with um Michael Pratt. I don't think he's there anymore or there there was a new contract manager who reached out to me after like a week of trying to get them to add more rat traps and we didn't hear anything. So, he had
um another person had reached out to me and also CCd um Nick Milano on the email saying that um Waltham Pest Control had just visited their construction site again and then added like 12 new traps around the perimeter. So, that was good.
And then I had them send photos in just to make sure. And um I had let them know to also keep us updated on whenever they come to visit to like reload the tracks and to send us the invoices for that. Good. Yeah. Know I think that's great.
There's a whole plan for that. So there was a whole plan. Um and did you guys hear an echo? Yeah. Yeah. I'm hearing an echo. I don't know. Um and anyway, so they there's a plan for that. So, the construction management company was
supposed to do the traps every so many feet and so forth. And so, that's why this gentleman reached out and um I'm glad you guys have been right on top of it. So, that's great. That's it for me. I'm just
Do you carry with me too? Yeah. I don't know. I'm gonna couple people mute. See if I can get rid of that. Is it better now? Okay. Okay. All
right. Any other questions um regarding u my health director's report? I'll move on to uh amending our health fee schedule to reflect private wastewater septic system plan review. We'll have a variable fee depending on the complexity of the septic system
discussion and vote to approve. So I have this schedule of fees in front of me and I just wanted to let you know that right now this is for our septic systems. Right now, our septic system plan review is $100. And our septic system, if there's
any revisions, it's $50. And so, the amount that we were collecting for our septic system plan reviews um wasn't covering the cost of our consultant, Bob Brogna. So depending on how complex the system is or if it's to go back and get and do some
revisions, we want to capture um the amount of money it costs um so it would be paid in full. So we have a permitized system and um we would figure out with Paul Grogna how much time he spent on
the plan and then at the end charge the fee. And the new language would say private wastewater septic system review will have a variable fee depending on the complexity of the septic system. And
I did reach out to Cheryl Sabara and she said and she's and I said it in my notes here that um she's from MAHB that she said the board of health has the authority to change the fees and it doesn't have to be approved by town
council because you're an elected board or go through um the select board. She said that you guys have the authority to change the the regulation. So I was um to capture the amount of money that it's costing um to
have the septic plan reviewed and to to get that money. Previously we had budgeted so in the health department bud budget we had an $8,000 for professional services and that was for our consultant Paul Bragna. But after speaking with um the town
administrator Nick Milano, he is decreasing everybody's budget and he wanted to um you know he need to find the money. Um there was cuts and so by doing this we would um like absorb that
8,000. We wouldn't have to pay the 8,000. The residents who have septic systems would be paying it according to the complexity of their septic systems. So it would um what we taken from um whatever Paul we pay Paul Bragna is how much we're going to charge for the
septic system plan review. So we we would eliminate this professional um services fee for the consultant. So next year our budget would be $8,000 lower. So I have a question Caroline on this. Um two things. one, I'm wondering if we
should do a revolving fund that's specifically for this um professional services kind of revolving fund. That's the first thing. And um also would like to see what the schedule is like in some of these other towns with this kind of
stuff because I certainly wouldn't want to be overpaying overcharging residents either. You know what I mean? So, um, but I'm wondering if we should start to establish some kind of a fund like that and then, you know, it would make more sense. It would go into that fund and it
would pay for the consultant. So, I'll talk to um Amy Dexter and I have sent her an email, called her twice about it, and she is looking into this. I guess the question is right now the permits these um septic plan permitting
fees they all go to the general fund. So, if we if we did uh do a revolving I guess that's the question for Amy, would they still be able to be put into the general fund? And I don't know if that's
true. I don't know. More of like what's the easiest way to do this? I'll I'll I'll loop back with Amy again and say what's the easiest way that we can do this. I Yeah. And I think also to see what some
of the other towns are charging for their consultant fees on these things. You know, are we talking, you know,$100 to $300? Are we talking upwards of 800? I don't know. You know what I mean? So, I mean, obviously, if it's a bigger system, you know, and more complex, it's
going to be more, but you know, I' I'd want to be fair, too. So, I see. Um, in Plymouth it's $750 for septic system plan review. Um, we can take a look around and see um what other towns are charging and put a
list together. Yeah, that would be helpful. I remember Yeah, like last month. Yeah, last month Caroline had me look at all like the surrounding towns near us just to see what they were charging per septic like application, like their perk test, their plan
reviews. It does seem like we're charging way lower than all the other towns. Um I think like yeah like a drastic amount lower just for what we're doing. So that would make a big difference I think. Yeah. Yeah. It's probably you know probably true. It
would just be nice to see some kind of a graphic that had that so that we could look at it. Okay. Thank you. So, I'll follow up again with Amy and uh Carolyn, if you can put together um
surrounding towns what they're paying for the specifically for the plan reviews, that'd be great. So, I'll keep this on the uh agenda for next. one more meeting next to see if we can
um vote for it. Hopefully, we'll see. We'll get some time before the end of June. Okie do. Anybody else have any questions about the fee? Okie do. All right, I'm going to
move on to number seven. Uh opioid abatement funding spending and community outreach. I think I already touched on that just saying that we work with Sky actively. We have meetings with her every two weeks um to review
um the focus groups and getting people to go to the focus groups and stakeholder interviews. So, we've been working with Sky for that. Does anybody have any questions? and the
recovery coach. I like to keep it on the agenda. No. And number eight's the community health improvement planning um document. I don't know if you had a chance to take a look at that.
Lori um and Emily and Ann, we all kind of worked on this, mostly Lori, but we've been actively working on the chip. And um we have a partnership for healthy Milton meeting on Wednesday
um to get some more community buy in on this um community health improvement plan because we do need to get buy in from the community. Like we had our community advisory group and a lot of the people
from the partnership are from the community advisory group. But did anything stand out to you guys? If you go to the last page where we have our all our strategies and you know we have to get
buy in too. We had um to figure out who's going to be responsible. I think that's the biggest challenge. Who who's going to take it on and um no, the health department can't do it all. We are we are listed in a lot of
them, but we have to get some buy in from from other entities or departments that we've reached out to. You can um think about this. You can email me about this if you have any suggestions
or something that you see that you would like to change. Um I was just going to say I think that the food insecurity was wasn't that like the number one thing that came out of the health. So we have that on there food in Yeah, I see that. Yeah, I'm just saying that
that was a big one. And the other thing I was going to say is there was one further back um towards the beginning um health and human services consortium um and with me with BID Milton. I think
that might be a good thing too because they have to do some community benefits, right? So that could when you can bring them into something that we are doing, I think that's always a win because that is part of what they need to do is is
being in the community. Uh and so we we could look at some of these a little closer and see if there are things that they could help um with because they do have community benefits that they must do. So that would just be my thought. Mhm.
Anything else that you think partnership for healthy Milton is taking on the data dashboard inter townation they're they're working on that or the age friendly Milton designation. And some of this too, I'm just looking
like the community health programming and education. Um, the hospital does some of this too for the community. So again, I think those kind of partnerships where you can partner with things that are already going on are always helpful too.
So agreed. Anything else that anybody sees? You can email me if you're have a chance to look at it again and comment if we're going to be working um bring this Wednesday the partnership
meeting finalize it in the next probably two to three weeks hopefully if it's something else that you and then when we finalize it we'll bring it back to the board. the board can do a final vote on it. So,
it's up to the board to um vote on this. So, get a chance to look at it. Let me know if you see anything. That' be great. Okay. If I don't hear anything, we can
move on to future meeting date. My We'll see what you guys are thinking next meeting. Oh, I know I I talked to you Roxan. Now that I'm I'm thinking of um the next meeting.
Were we thinking on Thursday for the next meeting because we have to reorganize? Well, I think you, like I said, I think you have um up to seven days to reorganize. So, um that's that's why, you know, Thursday if it worked for other
people, you know, just you could do a quick meeting just to reorganize the board and then and then do a regular meeting whenever, you know. That would be my thought. But yeah, that makes because otherwise it runs into town meeting. Yeah, that's what we usually do is just a quick
Yeah. Uh All right. Do you want to do it then? Thursday. What time is good for everybody? Seven or anytime works to me. Mary, you're on mute earlier. 6:30.
6 early for you, Roxanne, on Thursday. No, that's fine for me. Okay. Six for me. Does that work for everybody else? Okay. And that'll be a Zoom, right? Yes. Yeah. And what's the date on that one?
The 28th. May 1st. May it'll be May 1st. May 1st. Yep. Okay. So, uh, Thursday, 6 PM May 1st. Reorganization of the board. Is that enough time? Do you have to post that? I
can post it tomorrow. Tomorrow. Okay. Okay. All right. Shall we adjourn? Sounds good. Thank you. Thank you. Thank you. Have a good night, everybody. Have a good night. Good night. [Music]
and [Music] boy. Rip it.