ASHBY ANNUAL REPORT 1999
Nashoba Associated Boards of Health continues to serve the local Board of Health in meeting the challenges of environmental and public health needs in Ashby. In 1999 particular efforts were made to improve service in the Environmental Division while adjusting to changes in the Nursing Division created by national trends in health care. We look forward to continuing our work with Ashby's Board of Health. Included in highlights of 1999 are the following:
By the Ashby Board of Healths continued participation in the Association you can shape your future local public health programs and share in the benefits of quality service at a reasonable cost!
Town of Ashby
Environmental Health Department
Ashby Office (days) 95
The Nashoba sanitarian is available for the public twice a week at the Ashby Board of Health Office.
Nashoba Office 12
Food Service Licenses 11
Nashoba annually mails out and receives application from both restaurants and retail food businesses. Licenses are renewed for existing facilities. Plans are submitted and reviewed prior to initial licensing.
Food Service Inspections 18
Beach/Camp/School Inspections 6
Camps are inspected at least annually at opening for compliance with State Sanitary Code, Chapter IV, 105CMR430.00. Public swimming beaches are sampled for water quality every other week during the summer and more often if a problem is suspected.
Housing & Nuisance Investigations 4
Nashoba, as agent for the local Board of Health, inspects dwellings for conformance with State Sanitary Code, 105 CMR 410.00, issues orders for correction, and reinspect for compliance. Similarly, complaints from residents concerning unsanitary conditions or pollution events are investigated.
Septic System Test Applications 51
Applications from residents proposing to build or upgrade a septic system are accepted, a file created, and testing dates are coordinated with the applicant's engineer.
Septic System Lot Tests 209
Nashoba sanitarian witnesses soil evaluations, deep hole tests, and, usually on a separate date, percolation tests conducted by the applicant's engineer which serve as the basis of the design of the septic system.
Septic System Plan Applications 26
Septic System Plan Reviews 83
Septic System Permit Applications 43
Septic System Inspections 103
Nashoba Sanitarian is called to construction site at various phases of construction to witness & verify that system is built according to plans.
Septic System Consultations 19
During all phases of application, design, and construction the `Nashoba Sanitarian is called upon for legal details and interpretation.
Well Permits 37
Private wells are regulated solely by local Board of Health regulations, The Nashoba Sanitarian assist the BOH by reviewing well plans, securing well water samples, and interpreting water quality test results.
Rabies Clinics - Animals Immunized 24
Nashoba arranges for local clinics with cooperating veterinarians, arranging for dates and location, placing ads in local newspapers, and sending home flyers through local schools. In addition, since the recent raccoon rabies epizootic Nashoba has arranged for delivery of over 500 animal specimens to the State lab in Boston for analysis and has counseled possible exposure victims to seek medical assistance.
Nashoba Nursing Service
Nashoba's Certified Home Health Registered Nurses visit patients at home under their physician's orders to provide an assessment of physical, psychological, and nutritional needs. Skills include teaching/supervision of medications, wound care, ostomy care, IV therapy on a 24-hour basis, catheter care, case management and referral to other services as needed.
Physical Therapy Visits 38
Occupational Therapy Visits 18
Nashoba Therapists provide skilled therapeutic interventions through assessment, treatment and education. Their integration of client, caregiver, and medical outcomes aims at attaining maximum functional independence.
Medical Social Service Visits 6
Nashoba Social Workers provide short-term assistance to patients at home for counseling and referral to community resources.
Home Health Aide Visits 246
Nashoba's Certified Home Care Aides provide assistance with bathing dressing, exercises and meal preparation.
Local Well Adult, Support Groups, & Other Clinic
Dental Health Department
Nashoba Program (Historically Funded Through Environmental Assessment)
Examination, Cleaning & Fluoride - Grades K, 2 & 4
Students Participating 222
Referred to Dentist 22
Nashoba's Certified Hygienists also provide classroom instruction of cleaning and maintaining health teeth to all children in these grades.
Students Participating 360
Fluoride Rinse Grant Program (State Supplied Materials, Nashoba Administered, Local Volunteers)