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HomeMy Public PortalAboutAnnual Report 20161 WATERTOWN HEALTH DEPARTMENT ANNUAL REPORT 2016 The mission of the Watertown Health Department is to protect and promote health, prevent disease and disability, and assess and improve the health status of the community. This is accomplished through a number of goals that include ensuring a safe and healthy community through enforcement of environmental health codes, community health programs, animal control programs, and emergency preparedness activities. In an effort to fulfill the goals of the Health Department, the department is staffed with professional environmental, public health, animal control and support staff: a Director, a Chief Environmental Health Officer, two full-time Health Officers, a Public Health Nurse, an Animal Control Officer/Jr. Health Officer, a Head Clerk, and a consulting Veterinarian. In addition to Health Department staffing, three dedicated community members form the Board of Health, appointed for three year terms by the Town Manager - Dr. John Straus, Board Chairman, Dr. Barbara Beck, and Richard Arnold, FNP-BC. The Board deliberates on and establishes public health policy and priorities for the Town, enacts regulations, and provides guidance on policy to the Health Department staff. COMMUNITY HEALTH Seasonal Influenza Clinics In 2016, in an effort to provide the greatest protection available to its residents, the Health Department purchased the more effective quadrivalent influenza vaccine for flu immunizations. The Public Health Nurse, Wil VanDinter, organized and operated eight public seasonal Influenza/Pneumonia clinics in the 2016/17 season. Two clinics held at Watertown Senior Center were designated to address the high risk elder population. Homebound, elderly, and disabled residents received flu shots via home visits by the Public Health Nurse and MRC volunteer nurses. In addition, fourteen clinics were hosted for first responders, Public School staff, and at some of Watertown’s Individuals with Functional and Access Needs locations. Over 750 doses of seasonal influenza vaccine were administered by the Public Health Nurse and dedicated Watertown Medical Reserve Corps volunteers. Communicable Disease In the year of 2016, from the 262 communicable/reportable diseases reported to the Health Department through the Department of Public Health’s disease surveillance and monitoring system “MAVEN”, there were over 200 confirmed, suspect, and probable cases. MAVEN is a database used for surveillance, control, and prevention of reportable communicable diseases 2 under 105 CMR 300.000. Information is obtained through case interviews and then uploaded into the MAVEN database. The following chart shows the total for all confirmed, suspect and probable diseases reported in Watertown in 2016. Health Promotion In 2016, the Health Department organized or presented health related topics for the Watertown community. Some of the topics presented included: “Stroke Awareness” and “Controlling High Blood Pressure.” In addition to these health sessions, the Health Department offered an educational session “Normal Development, Milestones, Challenges, and More” for Watertown’s daycare providers in the Community Training Room at the Watertown Police Station. The Health Department offered ten of the American Heart Association, CPR/AED and First Aid classes. The schedule for the 2017 CPR/AED and First Aid class offering can be found in the Health section of the town’s website. Additionally, to assist with one of the action items on the W.A.T.E.R.town Task Force on Substance Use Disorder’s list, the Public Health Nurse trained a total of 83 Police Officers, 6 2 1 1 3 2 10 17 3 1 3 25 1 5 3 3 1 34 1 4 0 5 10 15 20 25 30 35 40 45 50 Campylobacteriosis Cryptosporidiosis Enterovirus Babesiosis Giardiasis Hepatitis A Hepatitis B Hepatitis C Anaplasmosis Pertussis Influenza Mumps Lyme Disease Malaria Salmonella Shigellosis Streptococcus Pneumoniae TB-Active TB-LTBI Group A Streptococcus Group B Streptococcus Confirmed, Suspect & Probable Communicable Diseases 2016 3 School Nurses and residents on the use of nasal naloxone or Narcan, a medication used to rapidly reverse opioid overdose. Stroke Awareness Education and Ambulance Tour At Senior Center A “Stroke Awareness” educational event, offered at the Senior Center, was made possible by a grant from Mount Auburn Hospital. This event intended to educate the public about the recognition of symptoms and access to immediate medical care which are crucial to the outcome of a stroke. In addition to the presentation, a tour of an ambulance was offered to familiarize residents with its many lifesaving features. Community Health Needs Assessment The Director of Public Health, with input from the Board of Health, undertook the project of conducting a Community Health Needs Assessment Project with assistance from Live Well Watertown. An intern from the Boston University School of Public Health, Mensimah Bentsi- Enchill, worked with the department on identifying sources of relevant health data for Watertown, identifying Key Stakeholders in the community, and began interviewing these community members to determine health needs from varying perspectives. Stephanie Venizelos continued the research after Ms. Bentsi-Enchill’s internship. Additional tasks include compilation of the stakeholder interviews and development of a survey to supplement data and information obtained. Watertown Task Force (on Hoarding and Clutter Support) The Health Department assisted residents who needed help in resolving housing and public health/medical related issues. The Health Department’s inter-departmental task force continued to address the needs of residents in crisis. The task force’s unique collaboration includes members from the Police Department, Fire Department, School Department, Health Department, Housing Authority, Council on Aging, Food Pantry, Veterans Office, Riverside Community Center, Advocates Inc., Mt. Auburn Hospital and, Springwell Social Services, and provides much needed services for Watertown residents. 4 In the year 2016 the Health Department continued with the implementation of the “Compassionate Connections V” and “Lee Manillo” grants from the Marshall Home Fund and Mass Housing. With these grants, the Health Department was able to provide needed social work and clean-up services for residents who find themselves in an extreme clutter situation with excessive amounts of materials in their homes. These grants also funded a monthly support group for friends and family members of people with significant clutter concerns, led by Karin Lehr and Patty Underwood, experienced licensed social workers from Riverside Community Center. Live Well Watertown In keeping with the 2011 Wellness Report for the Town, the Health Department has supported and fostered healthy living and wellness initiatives by partnering with Live Well Watertown. The Health Department has served on the Steering Committee, advocated for grant funding, and provided support to its Coordinator, Stephanie Venizelos, in an effort to support LWW’s mission to “create a network of diverse individuals and organizations who promote wellness for everyone that lives, works, and plays in Watertown…by fostering collaboration, influencing policy, and developing programs that promote the health of the community.” Wellness Programs In 2016, LWW offered five free Eat Well Watertown programs, (in partnership with the Watertown Library) featuring healthy ethnic cuisine, taught by community chefs. Eat Well Watertown Indian Cuisine Demonstration Chefs Elizabeth and Haynes Feature Portuguese Cuisine In the summer, LWW kicked off a new wellness spotlight program with Watertown Cable and the Chamber of Commerce (COC), which features wellness activities offered through local organizations and businesses. 5 In the fall, LWW partnered with the Watertown Bike and Pedestrian Committee to organize a community event called Watertown Moves, celebrating the completion of the Charles River renovation project in and beyond Watertown. Live Well Watertown acknowledges the generosity of the Solomon Foundation, as well as Watertown Community Foundation, for their financial support and Riverfront grant for this event. A second annual event is being planned for mid-2017, which will kick off a “movement for health” campaign. Youth Wellness Champions Project LWW also initiated a new program with the Watertown Public Schools and Wayside Youth and Family Support Network called Youth Wellness Champions, with grant funding from the Watertown Community Foundation. A group of HS students are co-developing a support program for 8th graders in efforts to ease the transition year to 9th grade (the YRBS has shown a significant increase in high risk behaviors from 8th to 9th grade). The Health Department helped support coordination and planning efforts for wellness programming through grant funding from the Mt. Auburn Hospital and the Town budget. Strategic Planning The LWW Steering Committee embarked on a strategic and sustainability planning process in late spring and summer, with a goal of deciding on a structure for support of a permanent coordinator, or wellness program manager. Community Health Needs Assessment Also, during the summer and through the fall, the LWW Coordinator assisted with the supervision of a Health Department intern who compiled a data report on the health of Watertown residents, conducted research on community health assessment models, and began to conduct stakeholder interviews, which the LWW Coordinator is continuing to do. Watertown Social Services Resource Specialist (SSRS) Throughout 2016, the SSRS program was administered by Wayside Youth and Family Support Network located in Watertown, and has continued to develop and serve the community of Watertown. As of December 2016, SSRS has worked with 344 individuals, 840 total residents of Watertown. From January 2016 through June 2016, the program was providing 24 hours of service per week. Beginning in July 2016, the hours were increased to 40 hours per week. This has increased the number of individual meetings available and phone availability as well as increase outreach efforts to other parts of the community. 6 Areas of Need and Referrals: The top areas of need continue to be around affordable housing, heat and utilities, and mental health referrals, and each need has different, unique referrals. As the cost of rent and housing in Watertown continue to rise, access to affordable housing continues to be incredibly limited for most families and individuals. We assist individuals with applying for housing as well as other programs offered through the state. We collaborate with the Watertown Housing Authority to ensure individuals understand the process for applying for housing and the realities of low income housing availability. We also connect residents with organizations that work on affordable housing such as the Metrowest Collaborative Development, and work with individuals to assess if there are other areas we can help them in reducing costs in order to help them such as assistance for utilities, food, Cable TV, or heat. There have been times when residents are unable to sustain their current housing and have even become homeless. We have worked with them to assess if they are eligible for emergency housing such as shelters and supporting them through this process. We have also worked with organizations such as the Brookline Center that have access to grants that work to prevent homelessness. For the third year, we have been able to offer help with fuel assistance. This year we had three individuals (two staff and one intern), trained through Community Teamwork in Lowell, to be able to complete fuel assistance applications. This allows individuals to be able to apply in Watertown instead of having to go to Lowell to complete their initial fuel assistance application. For utilities that are not the source of heat, we have also helped residents who are having difficulty due to low income or loss of income because of illness or job loss. Mental health services continue to be another one of the top items of need. Though this is a high need, there are often significantly long wait lists that make it challenging for people in need of counseling services. It also is a challenge in terms of matching services with insurance, and also modality. We attempt to not just find a therapist but ensure that it is a successful referral. Regardless of the initial need that led a resident to reach out for help, we assess if there are other areas where they may need assistance. For each individual or family, we make on average five different referrals. Initiatives and Partnerships: In May 2016, the SSRS program partnered with Watertown Savings Bank to offer two workshops around financial literacy. The workshops focused on helping individuals to learn about and develop a budget, understand the impact of credit on their financial health, and on introducing them to resources that may help them financially. The target population was for individuals 55 years and older thanks to a small grant from the Marshall Home Fund. Because of the increase in hours, we have been able to offer more evening appointments. In order to reach out to more individuals, beginning in November 2016, we partnered with Watertown Public Library to offer consultation hours two times per month at the library. This has been very successful and individuals have consistently been utilizing meeting times at the 7 library. We are working with Watertown Housing Authority to begin offering similar consultation hours in each of the housing developments. The SSRS has been active on the W.A.T.E.R.town Task Force for Substance Use Disorder, participating in task force meetings, connecting with other resources and organizations in the community working on treatment for substance misuse, and helping to plan events for the community in order to reduce stigma and increase awareness of opioid/heroin use and addiction. We have collaborated with the Watertown Senior Center to ensure that residents over 60 are able to be connected with resources through them. Also, through this partnership the SSRS program has agreed to complete the applications for the Town Emergency Fund for residents under 60. For the holidays, we partnered with the Sacred Heart Church and Descar Jewelers. Thanks to their generosity, we were able to give to over forty families - toys, books, coats, clothes, and gift cards for the holiday season, helping to have a happy holiday. The Health Department is appreciative of the support of Town Council and Town Manager Michael Driscoll to increase the funding for 40 hours of Social Service Resource Specialist hours to help connect our at-risk residents with services, and to the Wayside Youth and Family Support Network for their services. W.A.T.E.R.town (Watertown Access to Treatment, Education and Resources) Task Force on Substance Use Disorder The W.A.T.E.R.town (Watertown Access to Treatment, Education and Resources) Task Force on Substance Use Disorder was created in 2015 in response to a request from the Town Council Committee on Human Services to address the growing opioid crisis in Watertown. Input was provided by a dedicated group of task force members including elected officials, Town departments, physicians, service providers, social service agencies, clergy, parents, young people and individuals in recovery. The goals within the action plan include enhancing prevention and education activities on substance use disorder, supporting intervention strategies, and enhancing treatment and recovery support. Erasing the stigma of substance use disorder and approaching this issue with compassion and thoughtfulness are key strategies. 8 In 2016, the Task Force continued with its efforts to provide education and support in the community by featuring several forums in various venues to reach a diverse population: an event with St. James Armenian Church in September featuring noted Addictions Counselors from Boston Medical Center and St. Mary’s Center for Women and Children, as well as our own Dr. Laura Kehoe from Mass. General Hospital and Peter Airasian from Watertown Overcoming Addiction; a Movie Night featuring “Heroin: A Cape Cod Documentary” at the Watertown Library, and a November event at the Middle School featuring U.S. Representative Katherine Clark, Dr. Laura Kehoe, Rhonda Lotti, and Former NFL Player Jeff Hatch. Other outreach included a presentation at the High School Athletic Meeting to educate high school athletes on the potential impacts of opioid pain medication and the potential for addiction following sports injuries; support of the Candlelight Vigil at St. Patrick’s Church sponsored by Watertown Overcoming Addiction; and informational tables at Town Hall and various fairs and events. The Task Force appreciates the support of Town Council, the Town Manager and all of its partners for their efforts on substance use prevention. Thanks to Chief Michael Lawn and Lt. Dan Unsworth of the Police Department for their support of and leadership on the Task Force, for supporting the Drug Take Back collection and Sharps collection at the Police Station, and for the provision of Jail Diversion Clinician services to connect residents with services. ENVIRONMENTAL HEALTH Led by Kristel Bennett, the Chief Environmental Health Officer, the Environmental Health team of the Health Department conducted numerous mandated inspections throughout the year according to local and state mandates. These inspections include, but are not limited to, food establishments, mobile food vehicles, farmer’s market vendors, and temporary food events; housing; indoor air quality at skating rinks; swimming pools and whirlpools; group homes; and hotels/motels. Wil van Dinter, Public Health Nurse, provided oversight on Body Art and Tanning Establishments, as well as Recreational Day Camp for Children inspections. Environmental Health Inspections: 2016 Housing Complaint Inspections 62 Nuisance Complaint Inspections 158 Food Complaint Inspections 26 Food Establishment Inspections 441 Mobile Food Vehicle Inspections 52 Temporary Food Inspections 18 Farmer’s Market Inspections 48 Swimming Pool/Whirlpool Inspections 37 Tobacco Establishment Inspections 40 Tobacco Compliance Checks 80 Body Art Establishment Inspections 4 9 Recreational Camps for Children Inspections 5 Tanning Establishment Inspections 2 Hotel/Motel Inspections 2 Indoor Air Quality Inspection 1 Total Inspections 976 Another portion of the Health Department’s work involves complaint investigation including, but not limited to, solid waste, dust, odors, noise, rodents, nuisances, food establishments, food-borne illnesses, tobacco, and housing. In 2016, the Health Department responded to 273 complaints and issued 57 administrative orders as a result of violations noted during the complaint investigations. Five of these complaints were heard before the Board of Health and three of these complaints resulted in filings at Waltham District Court and show cause hearings before the Clerk Magistrate. In conjunction with inspectional work, the Health Department issues numerous permits. Before a permit can be issued, the permit holder/applicant submits a completed plan review application. The Health Department reviews plans for all new and renovated food establishments, hazardous materials establishments, tanning establishments, body art establishments, swimming pools, and Community Development and Planning projects. In 2016, the Health Department reviewed 19 food establishment plan review applications for new and renovated food establishments; three variance requests for acidification of sushi rice; and two swimming pool plan review applications for new swimming pools. Total Environmental Permits: 2016 Moderate Risk Food Establishments 133 Body Art Establishments 4 Low Risk Food Establishments 82 Body Art Practitioners 6 Farmer’s Market Vendors 16 Swimming Pools/Whirlpools 22 Mobile Food Vehicles 21 Tanning Establishments 1 Residential Kitchen 4 Funeral Directors 14 Temporary Food Events 230 Hotels/Motels 2 Tobacco & Nicotine Delivery Products Establishments 42 Hazardous Materials Establishments 150 Recreational Camps for Children 5 Health Officers Achieve Registered Environmental Health Specialist Credential Health Officers Padraig Martin and Vivian Zeng were congratulated for their accomplishment in achieving Registered Environmental Health Specialist credentialing through the National Environmental Health Association. The REHS/RS credential, per NEHA, indicates that Mr. Martin and Ms. Zeng have “mastered a body of knowledge and acquired practical experience to perform relevant work responsibilities” around basic environmental topics such as air and water quality, safe food and housing, and swimming area sanitation, as well as “managing other 10 Kristel Bennett, Chief Environmental Health Officer, at an HHP Collection Day in Lexington critical functions such as emergency response, vector control, sewage sanitation, hazardous material handling and more.” Household Hazardous Waste and Medical Waste Collection Watertown residents disposed of various types of household hazardous waste, including oil based paints, pesticides, cleaning solvents and other materials, at the Minuteman Regional Household Products Facility (MRHPF) in Lexington. The facility operates one day per month from April through November, staffed on each day by one of the eight participating communities, and accepts a wide variety of household hazardous waste. In 2016, 156 Watertown residents visited the facility to dispose of household hazardous waste, resulting in the collection of 146 “full-car” loads. Household Sharps Collections were held quarterly in 2016 at the Administration Building parking lot. A total of 72 residents brought needles, syringes, and lancets in sharps and puncture proof containers for sanitary disposal. Eliminating these materials from the municipal waste stream reduces the potential for accidental needle sticks and blood borne pathogens. In addition to the quarterly collections, the Health Department obtained grant funding from the Mass. Department of Public Health to provide for the installation of sharps containers in eight public restrooms in Town Buildings. A total of 480 pounds of sharps was collected from all sources. Mosquito Control The Board of Health worked in conjunction with the East Middlesex Mosquito Control Commission (EMMCP) in planning larvicide, adulticide and surveillance activities throughout the town. The EMMCP applied larvicide to 3,400 catch basins in order to control the emergence of vector mosquitoes. Even so, West Nile Virus (WNV) continued to pose a consistent threat in 2016 as in previous years, and resulted in the positive identification of WNV in mosquitoes that were trapped in the entire region. Numerous notices were issued to the public alerting to the increasing threat and providing recommendations for preventing the breeding of mosquitoes as well as personal protection measures. As a result of a positive human case of WNV, the EMMCP re-applied larvicide to relevant neighborhood catch basins in order to control for the emergence of vector mosquitoes. The Health Department and EMMCP continually monitor for the presence of these viruses and adjust plans accordingly to maintain comprehensive intervention, education and surveillance programs. 11 Tobacco Control Program The Health Department continued its tobacco compliance program to help reduce youth access to tobacco and nicotine delivery products through a regional collaborative based in Brookline. In 2016 there were 42 tobacco retailers permitted by the Health Department. Compliance checks conducted by the Brookline collaborative were conducted with trained minors attempting to purchase tobacco products. The unannounced compliance checks conducted in 2016 indicated no illegal sales to a minor. The Board of Health amended its “Regulation Regarding Smoking and the Sale and Use of Tobacco Products” to expand the definition for tobacco products to include products that rely on vaporization and to ban smoking and electronic cigarette use in "smoking bars" (cigar bars, hookah bars) and "retail tobacco stores" (tobacconists, vape shops) that have not been in operation before April 1, 2016. The changes also included incorporation of the state's Attorney General regulations on the sale and distribution of cigarettes, smokeless tobacco products and electronic smoking devices as well as requiring that all e-cigarette solutions be sold in child- resistant packaging. ANIMAL CONTROL Karen O’Reilly, the Animal Control Officer (ACO), responded to and investigated 459 animal calls which included dog bites and their State mandated rabies quarantines, aggressive animals, animal welfare/cruelty calls, nuisance barking complaints, sick/injured animals, lost/found pets, among others. The ACO performed the mandated kennel inspections for the two licensed businesses in Watertown. The Town hosted its annual rabies/ microchip clinic in April as well as two clinics at Watertown Housing Authority (WHA) residential areas. Puppy taken from Framingham and found in Watertown Feline Friend awaiting rabies vaccination at annual clinic 12 The ACO hosted a “Living With Coyotes” seminar to educate residents on the biology and behavior of the animal as well as to alert them to tips on how to co-exist. Ms. O’Reilly also participated in the Watertown Family Network’s (WFN) “Touch the Trucks” Event which was a highlight for many residents who were educated on the features of the new Animal Control van and many professional tools of the trade. The Health Department thanks the Administration, DPW and others for their support with acquiring the new vehicle. WFN “Touch the Trucks” Event Some of the projects the ACO took the lead on were composing the Watertown Dog Park Rules, drafting and proposing new, updated language for the Animal Control Ordinance, and completing the project of scanning old closed complaints into electric format. The ACO continues to maintain the Watertown Animal Control Facebook page to share relevant animal information with Watertown residents as well as post information on lost or found pets. The ACO participated in one dangerous dog hearing that was heard by the Board of Health who acts as the hearing authority for such matters. She attended all relevant court dates in reference to unpaid citations, violations of the hearing authority orders, and criminal cases. She attended meetings that pertained to the dog park and the new updated animal control ordinance. The ACO serves on the Animal Control Officer Subcommittee for the Massachusetts Animal Fund which is administered by the MA Department of Agriculture. She also acts as the liaison for the Fund’s spay/neuter initiative and obtained vouchers to spay/neuter animals both homeless and belonging to low income residents. The ACO works to maintain professional relationships with private kennels to house dogs. She works with local rescues, including Buddy Dog Humane Society, MSPCA and Animal Rescue League to place animals. 13 Stray Cat Spayed through MA Animal Fund and homed Stray Cat to Transferred to Rescue Organization In 2016 the Board of Health amended the Regulation Governing the Keeping of Animals and adopted the Regulation Governing the Keeping of Hens and Honey Bees; this allows residents to apply for a permit to keep chickens and/or honeybees in Watertown and requires the application to be heard before the Board of Health. The ACO serves as the Watertown Animal Inspector and inspects all chickens and their housing that have permits within Watertown. Seasonal Hen-Keeping in Watertown The ACO attended several trainings including the new State mandated animal control training, investigating animal complaints, bite stick/ OC certification training, and a law class that included updates on animal laws within the Massachusetts General Laws. The ACO also completed a graduate certificate program in the University of Florida/ ASPCA’s Veterinary Forensics program. The ACO lobbied for new animal welfare laws including attending hearings, public educational demonstrations, and bill signing at the State house. Animal Control Officer at August 2016 State House Signing of Act Preventing Animal Suffering and Death 14 EMERGENCY PREPAREDNESS Watertown is one of twenty-seven cities and towns that comprise Region 4b of the Massachusetts Department of Public Health (MDPH) emergency preparedness district. There are fifteen statewide coalitions in all. Through Watertown’s participation in Region 4b, Watertown continuously improves on an emergency preparedness plan that includes, but is not limited to, an Infectious Diseases Plan, Emergency Dispensing Site (EDS) Plan, Animal Disaster Plan, Individuals with Functional and Access Needs, Radiological Response Plan, Isolation and Quarantine Plan, a Risk Communication Plan, a Continuity of Operation Plan (CoOP), and a Mutual Aid Agreement (MAA). In 2016, the Health Department received a total of $8,769.57 in Public Health Emergency Preparedness (PHEP) grant funding that funded primarily supplies and programming, with EP mandates being fulfilled with existing Health Department staffing. In 2016 the Health Department continued to expand the coalition with VinFen and Beaverbrook Steps, to further develop the sections addressing Individuals with Functional and Access Needs in the EDS and Emergency Shelter plans. The Health Department completed the Centers for Communicable Disease and Prevention’s (CDC) Emergency Preparedness deliverables for 2016. The Watertown Health Department continues to recruit and train a volunteer Medical Reserve Corps (MRC). In 2016 the MRC Region 4b offered CPR/AED First Aid and Basic Life Support for healthcare provider classes for MRC volunteers. The Watertown Health Dept. also hosted the OSHA “Bloodborne Pathogens and FIT testing” seminar for Watertown’s MRC volunteers presented by Penny Allison Clark, RN at the Watertown Police Station. ________________________________________________________________________ TOTAL REVENUE RECEIVED IN 2016 January $ 3,655.00 February $ 545.00 March $ 2,700.00 April $ 3,905.00 May $ 6,295.00 June $ 3,350.00 July $ 1,195.00 August $ 1,815.00 September $ 1,660.00 October $ 8,435.00 November $16,765.00 December $18,690.00 Total $69,010.00 15 Total Seasonal Influenza Reimbursement $12,552.09 Total Emergency Preparedness Grants $ 8,769.51 Total Community Health Grants * $22,000.00 Total $112,331.60 *Detail on 2016 Grants: Watertown Community Foundation $ 2,000 Marshall Home Fund $ 6,000 Stroke Prevention – Mt. Auburn Hospital $ 1,000 Mt. Auburn Hospital $10,000 Lee Manillo – Hoarding Case Management $ 3,000 Total $22,000 ________________________________________________________________ Prepared by: Deborah M. Rosati, MS, RS, Director of Public Health; Kristel Bennett, Chief Environmental Health Officer; Wil vanDinter, MSN, RN, Public Health Nurse; Karen O’Reilly, Animal Control Officer/Jr. Health Officer; and Marie Chiavelli, Head Clerk. Thanks to Health Officers Padraig Martin, REHS and Vivian Zeng, REHS; Stephanie Venizelos, Coordinator-Live Well Watertown and W.A.T.E.R.town Task Force on Substance Use Disorder; and Danielle DeMoss, LICSW, Social Services Resource Specialist of Wayside Youth and Family Support Network.