Public Health & Clinical Services Department

Thursday, February 15, 2018

PUBLIC HEALTH & CLINICAL SERVICES DEPARTMENT

Update

February 15, 2018

6:30pm

Harvey Room, Town Hall

RE: Public Health and Safety Committee Meeting

Committee Members:

Subcommittee Chair, Councilor Linda Calla, Precinct 6

Councilor Nick LoConte, Precinct 3

Councilor Peter Christopher, Precinct 5

Attendees:

Councilor at Large, Phillip Boncore, Esq.

Fire Chief Paul Flanagan

Acting Director of Public Health and Clinical Services, Deanna Faretra

MRC Coordinator, Jeanne Maggio

Disease Surveillance & Investigation Report

INFLUENZA

28 confirmed cases (January 1, 2018 to February 15, 2018)

In January the town was averaging ONE CASE PER DAY.
The cases for the month of January we more than double the number of cases for January 2017.
Flu Fact Sheets and handouts have been distributed to daycares, preschools, WPS, FKO, Health Dept. FB page and in the managers blog to inform the public on steps to take and resources available.
The Chelsea Public Health Nurse has vaccine remaining – will have a MINI FLU CLINIC at the Senior Center on February 22, 2018 at 1PM.
Vaccine Supply is low and unable to reorder with many Medical Suppliers do to increase in demand.
Vaccine is estimated to only be 10 – 30% effective this flu season due to strain being treated in communities vs. the strains in this year’s vaccine.
VACCINE IS STILL THE BEST COURSE OF PREVENTION and RECOMMENDED BY THE CDC

For the month of January 2018

DISEASE / STATUS / NUM_CASES
Influenza / DISEASE_STATUS_CONFIRMED / 17

*Compared to 8 Influenza cases for the same period in 2017

*Please see FLU HANDOUTS provided to Community, Schools, Daycares, Preschools and shared on Facebook and Town Managers Blog for information on prevention, treatment and resources

Tuberculosis - WINTHROP

Cases from January 2017 – February 2018

34 CASES

DISEASE / STATUS / NUM_CASES
Tuberculosis / DISEASE_STATUS_CONFIRMED / 31
Tuberculosis / DISEASE_STATUS_REVOKED / 1
Tuberculosis / DISEASE_STATUS_SUSPECT / 2

Cases from July 1, 2017 – February 15, 2018

20 CASES

DISEASE / STATUS / NUM_CASES
Tuberculosis / DISEASE_STATUS_CONFIRMED / 19
Tuberculosis / DISEASE_STATUS_SUSPECT / 1

ACTIVE DISEASE MANAGEMENT CASES FROM JULY 1, 2017 – FEBRUARY 2018

98 CASES

DISEASE / STATUS / NUM_CASES
Calicivirus/Norovirus / DISEASE_STATUS_CONFIRMED / 3
Campylobacteriosis / DISEASE_STATUS_CONFIRMED / 2
Cryptosporidiosis / DISEASE_STATUS_CONFIRMED / 1
Hepatitis C / DISEASE_STATUS_CONFIRMED / 6
Hepatitis C / DISEASE_STATUS_PROBABLE / 1
Hepatitis C / DISEASE_STATUS_REVOKED / 5
Human Granulocytic Anaplasmosis / DISEASE_STATUS_REVOKED / 2
Human Granulocytic Anaplasmosis / DISEASE_STATUS_SUSPECT / 1
Influenza / DISEASE_STATUS_CONFIRMED / 38
Legionellosis / DISEASE_STATUS_CONFIRMED / 1
Lyme Disease / DISEASE_STATUS_SUSPECT / 5
Mumps / DISEASE_STATUS_SUSPECT / 3
Pertussis (and other Bordetella species) / DISEASE_STATUS_SUSPECT / 1
Salmonellosis / DISEASE_STATUS_CONFIRMED / 1
Shigellosis / DISEASE_STATUS_CONFIRMED / 1
Streptococcus pneumoniae / DISEASE_STATUS_CONFIRMED / 1
Tuberculosis / DISEASE_STATUS_CONFIRMED / 19
Tuberculosis / DISEASE_STATUS_SUSPECT / 1
Varicella / DISEASE_STATUS_PROBABLE / 1
Varicella / DISEASE_STATUS_SUSPECT / 2
Zika virus infection / DISEASE_STATUS_REVOKED / 2

Board of Health

Monthly meetings to review TOBACCO REGULATIONS

“Vaping” seminar on Maynard on February 1st with company JUUL
Vaping seminar with CASA on March 8th at WHS Auditorium

*(Handout attached)

-Tobacco Training HOSTED by the PUBLIC HEALTH department in January. The Senior Center, Housing Authority, Board of Health, Youth Prevention Coordinator, Peer Recovery Coaches, Social Worker and Acting Director attended.

-Offered for FREE through DPH to provide training, skills and resources when serving communities and populations affected by Tobacco Use.

North Suffolk Public Health Collaborative

Last Board meeting in early January. Reviewed collaborative goals and upcoming events.
NSPHRC – coordinated an event with the Chambers of Winthrop, Revere and Chelsea. The event was well attended and had the Key Note speaker – MaryLou Sudders.

(*handout attached)

Meeting in March to discuss Community Health Needs Assessments. Invited are local providers and community leadership to discuss how we can partner to best serve our communities and gain data and insight into the health issues facing our communities.

SAPC

Youth Prevention Coordinator, Ryan Barry has joined our region – beginning in November 2017. He is funded by a regional grant with Winthrop, Revere, Saugus and Chelsea.
He has engaged local stakeholders and the schools to use existing data and programs to increase access to resources in Winthrop.
Attended CADCA - February 5 – 8th in Washington DC
A group with the GRANT attended – including Deanna Faretra and LeighAnn Eruzione from Winthrop
The conference was focused on Substance Use and Primary Prevention
We met Senator Markey and spoke about the importance of the work on a local level and received positive feedback and support from his office.

CASA

Moving to a NEW SPACE in the EB Newton – 2nd floor
FUNDING ENDS in September 2018
Having a fundraising campaign to support programming

CLEAR

Working on a federal SAMSHA GRANT application with Sgt Gergerian to expand our program.
Submitted a DMH grant to expand out existing programming in December 2017

*DMH has not made awards and is still reviewing the proposals

The Winthrop existing CIT GRANT with DMH is eligible for renewal at the end of our existing contract through FY19
CONTINUE TO EXPLORE ADDITIONAL FUNDING SOURCES to support programming
Continue to transition the program to the town structure with the Peer Recovery Coaches
DROP IN has MOVED from CASA’s offices on Bartlett Rd to EB NEWTON – effective January 25, 2018 (*handout attached)
DPH Intern proposal has been submitted to continue the work of data collection that our intern started last year.
Social Worker continues to receive referrals through the PD
Approximately 80 referrals have been made since August 2017
Attends drop in bi-weekly
Has begun a social worker group for all of the CIT social workers within the area to meet monthly and build resources and relationships with other departments.
Has created mental health resources handouts for the PD, Peer Recovery Coaches, the community and drop-in for there to be a current list of available resources
Collaborates with ISD on community cases and provides support and resources to additional individuals in the community

Winthrop - DPH DEATH OVERDOSE DATA

20122013201420152016

72375

Suffolk County has seen more than 1,800 DEATHS since the year 2000 from opioids The state has had more than 18,000 DEATHS since 2000 from opioids *data from DPH

CLEAR DATA 2017

•400+ individuals identified by the Winthrop Police department

•200+ Peer Recovery Coaches have engaged people in 2017

•80+ referrals to the Social Worker from the Police Department in 90 days

•18* DEATHS related to Substance Use this year of Winthrop residents

*includes pending that are being reviewed by the medical examiner

Winthrop Death Record Data – from death certificates

2016 – 11 deaths r/t SUDS

2017 – 18 deaths r/t SUDS

2018 – 1 death to date r/t SUDS

Department Operations

FY19 Budget has been submitted to finance
Includes the MRC/PHEP Coordinator
Includes the NSPHRC Position supported by the town
Includes Contract Services to allow for continues support of existing work
Includes BOH financial support for office supplies, trainings & memberships
The new space at the EB Newton is working out very well. Everyone has a workspace.
We are currently operating with “Town Hall Hours” – closed Friday