0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
NEW JERSEY 2013 LOCAL HEALTH REPORT
2 2
2013 ANNUAL REPORT 0
640 E Wood Street PO Box 1508 VINELAND, NEW JERSEY 08362
856-794-4131 856-691-4111 rdickinson@vinelandcity.org www.vldhealth.org
2013
City of Vineland LEADERSHIP Ruben Bermudez Anthony R. Fanucci Paul F. Spinelli Angela Calakos
Mayor Council President Council Vice President Council Member
Martiza R. Gonzalez
Council Member
BOARD OF HEALTH Anthony R. Fanucci Paul F. Spinelli Angela Calakos Maritza R. Gonzalez
VINELAND HEALTH DEPARTMENT KEY PERSONNEL Dale Jones
Director
Robert M. Dickinson
Health Officer
Jeanne C. Garbarino Emma Lopez Al Lincks Pearl Thompson
Principal REHS Health Educator EMS Chief Public Health Nursing Supervisor
2013
Table Of Contents • Administration • Annual Financial Summary • Emergency Preparedness and Response • Inquiries, Issues, and Complaint Investigations • Staffing and Human Resources Summary
• Animal Care and Management • Animal Bites and Rabies Control • Kennels, Pet Shops, and Shelter/Pound Facilities • Other Animal Control, Licensing, Vaccination, and/or Sheltering Services
• Environmental Stewardship • Childhood Lead Poisoning Control • Onsite Wastewater Disposal System Safety • Potable Wells and Drinking Water Safety
• Health Services and Outreach • Communicable Disease Control • Health Education and Promotion • Individualized Clinical Services • School Immunization Record Audits
• Local Business Supervision and Inspection • Body Art, Tattoo, And Permanent Cosmetics Safety • Retail Food Establishment Safety • Tanning Facility Safety
• Outdoor Facility Supervision and Inspection • Proprietary Campgrounds • Public Campgrounds • Recreational Bathing Facilities • Youth Camps
2013
Meet the City of Vineland What Does Your Health Department Do? The City of Vineland Health Department protects and improves the health and wellbeing of your community, as well as the environmental resources upon which we all depend. Since 1900, the average lifespan of U.S. residents has increased by more than 30 years, with 25 years of this gain attributable to advances in public health, such as: • Vaccination • Motor vehicle safety • Safer workplaces • Control of infectious diseases • Decline in deaths from coronary heart disease and stroke
• Safer and healthier foods • Healthier mothers and babies • Family planning • Fluoridation of drinking water • Recognition of tobacco use as a health hazard
Today, your local, county, regional, and state public health agencies continue to promote health and wellness across New Jersey. Your health department: • Protects you from health threats. We work to prevent disease outbreaks and make sure the water you drink, the food you eat, and the air you breathe are all safe. We are also ready to respond to any health emergency—be it bioterrorism, SARS, West Nile Virus, or a new environmental hazard. • Educates you and your neighbors about health issues. We provide you with information that helps you make healthy decisions, like exercising more, eating right, quitting smoking, and washing your hands to protect yourself from communicable diseases. During a public health emergency, we also provide important alerts and warnings to protect your health. • Provides healthy solutions. We offer the preventive care you need to avoid disease and maintain your health. We provide flu shots for the elderly and help mothers get prenatal care to give their babies a healthy start. We also help provide children with regular check-ups, immunizations, and good nutrition to help them grow and learn. • Advances community health. We take part in developing new policies and standards that address existing and emerging challenges to your community’s health while enforcing a range of laws to help keep you safe. We work through research and staff training to maintain expertise and deliver up-to-date, cutting-edge health programs.
2013
The Vineland Health Department & You – Improving Health Together!
Pictured above: Mayor Ruben Bermudez joins children from Vineland who were part of the NJ Partnership for Healthy Kids It's easier and safer for residents of all ages to bike in downtown Vineland, thanks to two miles of new bike lanes on Wood and Elmer Streets between East and West Avenues. The Vineland Health Department, Vineland Engineering Department & New Jersey Partnership for Healthy Kids, an RWJF statewide program, helped advocate for the bike lanes and continues to raise awareness about the need for safe streets across the City of Vineland.
Public Health Quick Facts • 4504 vaccinations provided • 924 clinic visits provided • 510 inspections conducted • 34 pre-opening retail food inspections • 457 licensed food establishments • 76 environmental health issues investigated • 104 health education classes offered
Public Health, Personal Stories Hundreds of residents participated in the Fourth Friday Family Fun and Fitness Festivals which were ongoing throughout the summer. Families were taught to make healthier food choices, were given cooking demonstrations, and taught lessons on exercising with their families. We are all grateful to the many volunteers who assisted us to make this event possible.
2013
The Vineland Food Safety Council The Vineland Food Safety Council is a unique advisory committee that works with the Vineland Health Department’s Environmental staff in the retail food safety program. The council was established in 2007. Members are managers or owners from various different retail food establishments, Rutgers Food Safety Innovation Center, Health Department Staff, and a member of the general public. The council’s main charge is to promote food safety knowledge amongst food handlers and the public in Vineland. This has been accomplished with such activities as the Food Safety Calendar, periodic contests for food handlers, special trainings, and printed handouts. The council makes recommendations when patterns or problems are observed during routine inspections. Industry and government working together to tackle problems has been very successful. Vineland Food Safety Council Members
Food Safety Calendar Facts • 6 participating grade levels in various food safety categories: Hand washing – Grades 1 – 5 Four foodborne illness categories – Grades 9 – 12 Hot & cold holding temperatures – 6th Grade Cooking temperatures – 7th Grade One winner was selected for each month and each received a $50.00 Visa gift card and public recognition at a City Council Meeting
Public Health Stories The Food Safety Council developed a Serving Safe Food Calendar contest x years ago. Council members and our health inspectors serve as contest judges. Council members donate prizes for the contest. Calendars are designed and distributed to educate food handlers, students, teachers and parents.
2013
Local Public Health Officials A Public Health Director organizes plans, directs, and manages public health care programs that are specific to county. They ensure that everyone in their department is following federal and state health laws and regulations, provide administrative support to the city business administrator and report to the local board of health. They may also present and monitor the department's budget and ensure the proper processes and resources are in place to respond to emergencies such as disease outbreaks, safety hazards, and other health-related issues.
The Health Officer coordinates resources of health care institutions, social service agencies, public safety workers, or other organizations to improve the community health; develops or implements interventions to address behavioral causes of diseases and directs or manages prevention programs in specialty areas such occupational health, environmental health and infectious disease. In addition, Mr. Dickinson oversees epidemiological investigations of acute and chronic diseases and provides information about potential health hazards and possible interventions to the media, the public, other health care professionals, and to local, state, and federal health authorities. He also directs public health programs dealing with topics such as preventable diseases, injuries, nutrition, food service sanitation, water supply safety, sewage and waste disposal, insect control, and immunizations.
2013
Staffing & Human Resources Summary Fiscal Year Summary
1
2013 data
Number of Individual Employees
22
Number of Individual Contract Staff
3
Number of Individual Volunteers
0
Number of Contract Organizations
1
Total Number of Full-Time Equivalent Human Resources Available
19
FTEs of Individual Employees
19
FTEs of Individual Contract Staff
0
FTEs of Individual Volunteers
0
Employees are individuals who are on the Vineland Health Department’s payroll and paid a set salary or hourly rate. This includes full-time, part-time, and casual/at-will/W-9 staff of the Vineland Health Department. 1 Contract staff are individual contractors or consultants who are not on the Vineland Health Department’s payroll, but who invoice or bill the Vineland Health Department for services rendered on behalf of the Vineland Health Department and are paid directly by the Vineland Health Department as individuals (rather than as companies/organizations). 1 Contract organizations are organizations that, under the terms of a contract, provide services on behalf of the Vineland Health Department in exchange for payment, where the Vineland Health Department pays the organization rather than directly compensating individual staff of the organization for their services.
2013
Annual Financial Summary The Vineland Health Department’s most recently completed fiscal year began on 01-01-2013 and ended on 12-31-2013.
Fiscal Year Summary Revenue from Municipalities Revenue from Counties
5,347,038.28 46,378.22
Revenue from the State Department of Health
0
Revenue from other State Agencies
0
Revenue from grants (other than State of NJ)
221,797.79
Revenue from service and licensing fees
2,902,238.69
Revenue from fines for health & safety violations
Not Available
Financial donations received
0
In-kind donations
12,900
All other revenue
0
% of revenue from Fees and Fines
0
Total expenditures for T2Q1 through T2Q2
5,568,836.07
Revenue minus Expenditures
2,948,616.91
Budget for next fiscal year
5,568,900
2013
Inquiries, Issues, and Complaint Investigations: Improving Community Quality of Life, Health, and Safety This department assists residents in the resolution of quality of life questions and concerns, as well as conducts investigations to prevent and/or correct (“abate”) conditions or uses of properties that endanger life, health or safety or interfere with the rights of others to enjoy their own properties For more information, contact (856) 794-4131.
Key Facts & Activities Number of contacts handled Number of cases investigated
2013 data Not Reported 224
•
Miscellaneous Animal Complaints
18
•
General Public Health Nuisance Complaints
49
•
Indoor Air/Mold Complaints
10
•
Outdoor Air Complaints
4
•
Mosquito/West Nile Complaints
27
•
Rodent Complaints
20
Number of cases that required enforcement action (including, but not limited to, fines, notices of violation, and court summonses) Percent of cases that required enforcement actions
14 6.25
2013
Emergency Preparedness and Response Our health department monitors the community for infectious or communicable diseases. Public health nurses, health educators and/or inspectors perform case investigations, disease outbreak investigations and prevention and mitigation services. During emergencies our staff, in conjunction with traditional and nontraditional partners in with emergency services, healthcare provision and the community -at-large protect the public by providing the following: education/ risk communication services and post-event clean up/mitigation services related to environmental contamination and/or other natural or manmade disasters. The Vineland Health Department encourages residents to be prepared for disasters by creating emergency kits (instructions for creating one can be found on www.ready.gov). Preparation is further enhanced by knowing the different types of potential emergencies, suitable responses and evacuation procedures. In case of emergencies, residents can visit the Health Department’s website at www.vldhealth.org to receive updates and more information. Residents can also tune in to the Emergency Information Radio station at 1630 AM to receive live updates and other pertinent information. City of Vineland has an updated continuity of operations plan City of Vineland has updated plans to respond to the following types of emergencies that involve: Retail food safety Food-borne disease outbreaks Infectious disease outbreaks Isolation and quarantine to prevent the spread of dangerous illnesses Major natural disasters Potential bioterrorism exposures Radiological release events City of Vineland’s response plans include extra precautions and preparations to protect populations at greatest health risk in emergencies that involve: Food-borne disease outbreaks Major natural disasters
During an emergency, tune into the Emergency Information Radio Station at 1630 AM to receive live updates and other pertinent information and instructions
2013
Health Services and Outreach It is the policy of the Vineland Health Department to collaborate with other agencies in the community to promote the health of all Vineland residents.
Here the Vineland Health Department Public Health Nursing Division is participating in a Health Fair sponsored by the Women, Infant, and Children (WIC) Nutrition Program. The topic promoted was the Division’s Back to School Immunization Program for eligible children. Gift bags containing back to school supplies, coloring books & crayons, snacks, water, and information on vaccines and immunizations, lead poisoning prevention and screening, hand washing, and other topics related to childhood health were distributed.
2013
Health Education and Promotion Health Education occurs throughout all local health department programs, with a focus on providing education and health promotion services that help the public make informed decisions about their health. Health education programs and activities help the community achieve a healthier lifestyle and promote healthy behaviors. For more information, contact Emma Lopez at (856) 794-4000 ext. 4709. The City of Vineland Health Department hosted an adult walking program October – April every Monday, Wednesday, and Thursday at D’Ippolitto Elementary School (weather permitting). Tobacco Cessation and Education programs are available to the public by calling our Health Education Division (856)794-4131or the NJ Quitline at 1-866-NJSTOPS. Programming is available for worksites, community groups, and faith-based organizations. The NJ Partnership for Healthy Kids – Vineland conducted several Family Fun and Fitness Festivals during the summer of 2013. The festivals were conducted in an effort to teach families how to put more play in their day. Hundreds of residents took part in the activities conducted by many Vineland-area organizations.
Key Facts & Activities
2013 data
Number of single-session educational events
104
Number of multi-session educational events
13
Additional Health Education Programs • • • • •
Childhood Obesity Prevention Program Vineland Municipal Alliance Against Drug and Alcohol Abuse Teen Pregnancy and Sexually Transmitted Disease Programs Wipe Out Lead Childhood Lead Poisoning Prevention Program Champions for Health Diabetes Prevention Program
2013
Individual Clinical Services As part of our mission to assure that everyone has access to essential health services, the Vineland Health Department provides a variety of individual, clinical services such as screenings, checkups, medical care referrals, primary medical care and follow-up medical care. For more information, contact (856) 794-4000 ext. 4806
Key Facts & Activities
2013 data
Number of clinic-based medical visits provided
924
Number of individuals (unduplicated) who received care at health department clinics
892
Number of home-based nursing visits provided
2
Number of individuals (unduplicated) who received home nursing care from the health department
2
Number of referrals to medical follow-up, support programs, and/or accessible medical services
103
Number of children immunized to protect them from dangerous and deadly preventable diseases
1,032
Number of adults (age 18 and up) immunized to protect them from dangerous and deadly preventable diseases
842
Total number of immunizations provided by the Health Department
3,230
Total number of health screenings provided by the Health Department
932
Number of individuals screened for cancer
251
Number of children screened for dangerous levels of lead in their blood Number of individuals screened for Sexually Transmitted Infections (other than HIV/AIDS) Number of individuals screened for Cardiovascular Disease Number of individuals screened for Hypertension Number of individuals screened for Diabetes Number of individuals screened for Tuberculosis Number of individuals screened for Vision
0 258 0 304 0 117 2
2013
Communicable Disease Control The Vineland Health Department’s Public Health nurses work to control the spread of contagious diseases in the community through education, counseling, screening, and immunizations. Our nurses help our chronic diseases patients control their diseases through education, monitoring, and counseling. To report an infectious disease or if you have questions about communicable disease, call (856) 7944000 ext. 4806.
Vineland Health Department STD Clinic Staff: Dr. Federici and Public Health Nurses. The clinic is held every Tuesday from 4:00 PM - 5:00 pm on a walk-in basis.
Vineland TB Clinic Staff: Dr. Ahrens and Public Health Nurse Linda Ramos. The TB Clinic is normally held on the 3rd Thursday of each month by referral only.
2013
Communicable Diseases – Reportable Diseases:
Reports from Laboratories, Hospitals, Medical Providers, and Public Health Disease Amoebiasis Babesiosis Botulism – Foodborne Brucellosis Campylobacteriosis Cryptosporidiosis Cyclosporiasis Dengue Fever Ehrlichiosis/Anaplasmosis Anaplasma Phagocytophilum Ehrlichia Chaffeensis Giardiasis Haemophilus Influenzae Hepatitis A Hepatitis B Hepatitis C Influenza Legionellosis Listeriosis Lyme Disease Malaria Measles Mumps Pertussis Psittacosis Q Fever Rocky Mountain Spotted Fever Rubella Salmonellosis – Non-Typhoid Salmonellosis – Typhoid Fever Shiga Toxin-Producing E. Coli (STEC) Shiga Toxin-Producing E. Coli (STEC) – NON O157:H7 Shigellosis Saint Louis Encephalitis Streptococcus Agalactiae (GBS) Streptococcus Pneumoniae Streptococcus Pyogenes (Gas) Streptococcus Pyogenes (Gas) With Toxic Shock Syndrome Streptococcus Pyogenes (Gas) Without Toxic Shock Syndrome Tularemia Unknown Fever/Neurologic Vancomycin Intermediate S. Aureus Varicella Vibriosis Viral Encephalitis West Nile Virus Yersiniosis Total
Confirmed
Probable
Possible
1 11
6
1
1 5 53 7
7
1
17 1
4
6
5
4
7
1 8 2
3
2
1 123
18
13
2013
School Immunization Record Audits To ensure that our community schools are keeping kids healthy and safe from preventable disease, the Vineland Health Department reviews immunization records of children within schools and childcare facilities. For more information, contact Laurie Geremia at (856) 794-4000 ext. 4778 or lgeremia@vinelandcity.org.
Key Facts & Activities
2013 data
Number of Childcare / Pre-K facilities
24
Number of Childcare / Pre-K facilities audited by the health department
24
Number of Kindergarten facilities
13
Number of Kindergarten facilities audited by the health department
13
Number of Grade 1 facilities
14
Number of Grade 1 facilities audited by the health department
14
Number of Grade 6 facilities
11
Number of Grade 6 facilities audited by the health department
11
Number of High School facilities
6
Number of High School facilities whose transfer school records were audited by the health department
6
2013
Animal Care and Management On November 13, 2012, City Council passed an ordinance permitting managed care of feral cats in the city of Vineland. Each feral cat must belong to a registered colony which is managed by a trained care giver. All cats in the colony must be fixed, ear tipped, micro chipped and currently vaccinated against rabies. The care giver is responsible for providing food, water and shelter for the colony cats, providing vet as needed, maintaining medical records and obtaining the permission of the owner of the land on which the cat colony is located. Care givers must also ensure that the once the colony is registered, no additional cats are permitted to join the colony. Each care giver must file a semi-annual report indicating the number and gender of all colony cats, the number of cats that died or left the colony, and the number of cats placed in permanent homes as companion animals. In 2013 this program really took off and we currently 67 colony cats living in 15 registered colonies in the city, Each of the cats in these registered colonies were eligible for free spaying or neutering due to the grant highlighted in the personal stories section below.
Public Health Quick Facts
Public Health, Personal Stories
Please spay and neuter your pets and report unregistered cat colonies to animal control 1) one un-spayed female cat can have up to 3 litters of 3-4 kittens each year. 2) 5 un-spayed female cats can have up to 90 kittens in just one year. 3) If these kittens reach adulthood and are all taken to the SPCA the first year, it will cost City taxpayers $6,300 dollars because the 5 cats were fed and permitted to reproduce 4) Many of these kittens will be un-socialized and unadoptable and will have to be euthanized. All of this can happen because one selfproclaimed animal lover decided to feed a few un-spayed/un-neutered cats!!
One of our caring citizens, Donna Berone was responsible for obtaining a grant through Pet Smart that allows Vineland residents to spay or neuter feral cats at no charge. The cats must belong to a registered cat colony. Donna worked very hard and sacrificed a tremendous amount of personal time to make this happen.
2013
Kennels, Pet Shops, and Shelter / Pound Facilities Our health department inspects kennels, pet shops, shelters, and pounds to ensure that these facilities are operating in compliance with sanitation, safety, and animal welfare rules. For more information, contact Ryan Long at (856) 794-4000 ext. 4124 or rlong@vinelandcity.org.
Key Facts & Activities
2013 data
Number of licensed pet shop facilities
1
Number of licensed kennel facilities
3
Number of licensed shelter/pound facilities
1
Number of pre-operational inspections conducted at Pet Shops
0
Number of pre-operational inspections conducted at Kennels
0
Number of pre-operational inspections conducted at Shelter/Pound facilities
0
Number of routine inspections conducted at Pet Shops
1
Number of routine inspections conducted at Kennels
3
Number of routine inspections conducted at Shelter/Pound facilities
1
Number of routine re-inspections conducted at Pet Shops
0
Number of routine re-inspections conducted at Kennels
4
Number of routine re-inspections conducted at Shelter/Pound facilities
3
Number of non-routine emergency & complaint-related inspections conducted at Pet Shops Number of non-routine emergency & complaint-related inspections conducted at Kennels Number of non-routine emergency & complaint-related inspections conducted at Shelter/Pound facilities
0 5 0
2013
Animal Bites and Rabies Control The goal of this program is to prevent the transmission of rabies in our human and animal populations. We do this by promoting rabies vaccination programs for animals, by investigating animal bites, recommending treatment when warranted, and by confining animals that may have been exposed to rabies. For more information, contact Ryan Long at (856) 794-4000 ext. 4124 or rlong@vinelandcity.org.
Key Facts & Activities
2013 data
Number of incidents where an animal bit a human Number of incidents where a rabid or suspected-rabid animal bit a domestic animal (pet / livestock) Number of unimmunized domestic animals that were confined for rabies observation after biting a person or another animal Number of positive rabies specimens
129 11 54 2
Suspect Rabid Animals
What Should I Do If Bitten • •
•
Immediately wash wound with soap and water Attempt to confine the animal if you can do so without further injury Report the bite to the Vineland Police Department
What Can I Do to Prevent the Spread of Rabies? •
Keep your pets currently vaccinated
•
Report loose or stray domestic animals to animal control
•
Eliminate sources of water, food and harborage that attract wildlife
•
Report ill or strange acing animals to animal control
•
Avoid handling or keeping wildlife as pets
2013
Animal Control Services Although the Health Department is legally responsible for animal control activities, Animal Control is under the administrative control of the Police Department. Animal Control activities include: 1. 2. 3. 4.
Handling rabid animals or animals showing symptoms of rabies, Bats in living areas of residences or in occupied structures, Patrolling for and impounding domestic animals, Public education related to licensing, animal population control, responsible pet ownership, rabies vaccination, etc., and 5. Enforcement of licensing and running at large regulations. Animal Control availability Mondays 8:00 – 4:00 PM Tuesdays – Fridays 8:00 – 9:00 PM Saturdays 1:00 – 9:00 PM
For emergency coverage 24 hours a day, 7 days a week call (856) 696-1212. Emergencies include animal bites, bats in homes, rabid animals, animal attacks, etc. For assistance with non-emergencies call (856) 691-4111 ext. 4058. To locate a missing animal contact the Cumberland County SPCA at (856) 691-1500.
2013
Municipal Animal Shelter Operations The City of Vineland contracts with the Cumberland County SPCA to provide required shelter/pound services at a current cost of approximately $85,000 per year. This cost can be significantly reduced if: 1. Well-intentioned persons stop feeding stray animals without ensuring that they are vaccinated for rabies and unable to reproduce 2. Animal owners keep their pets leashed or confined to their property 3. Animal owners ensure that their pets are spayed/neutered 4. Animal owners ensure that their pets are properly licensed For information on free spay/neuter programs for cats, low cost spay/neuter programs for dogs or to report your pet missing, please contact the Cumberland County SPCA at: 1244 N. Delsea Drive Vineland, NJ 08360 Phone: 856-691-1500 Fax: 856-691-2703
SHELTER HOURS Monday & Wednesday: 1 PM to 6 PM Tuesday, Thursday, and Friday: 11 AM to 4 PM Saturday: 10 AM to 3 PM Sunday: 11 AM to 2 PM Closed for Major Holidays
2013
Pet Licensing Pet licensing is conducted by the Department of Licenses and Inspections. In 2013, L+I issued 3,850 dog licenses and 1,116 cat licenses. Why Should I License My Animals? •
• • •
Dog licensing is required by New Jersey Statutes Annotated 4:19-15.2. Both dog and cat licensing are required by Chapter 224 of the City of Vineland Code. If my pet is lost and has a current license, it will help reunite me with my pet. Licensing ensures that my pets, my family, and the public are protected from rabies. Licensing fees are placed in a special account and may only be used to support programs that protect animals and the public. This helps to keep the tax rate lower.
How Do I Get a License? •
Applications for initial licenses are available in the Department of Licenses and Inspections or online at www.vinelandcity.org. Applications may be submitted in-person or by mail and must be accompanied by the appropriate fee and documentation. If the application is submitted by mail, the required documents will be returned to you when the license is mailed. Be sure to make copies of all documents before mailing them. For license renewals, you should receive a renewal notice unless you have moved and did not provide the city with your new mailing address. License renewals may also be submitted inperson or through the mail. Be sure to include new rabies vaccination certificates if required.
•
When to License •
•
• •
Both dogs and cats must be licensed by the age of seven months or the presence of secondary teeth, whichever occurs first. All animal licenses expire on December 31st of the licensing year. Animal licenses must be renewed by March 31st of each year. Owners of licensed animals entering Vineland from another state must apply for a Vineland license within 90 days. Owners of unlicensed animals entering Vineland from another state must apply for a Vineland license within 10 days.
License Requirements • •
License applicants must be 18 years of age or have emancipation papers. Animals to be licensed must be current on their rabies shots through October 31st of the year in which the license is issued as per state regulation NJAC 8:23A4.1(a). If the duration of immunity expires before October 31st , the animal must receive a rabies booster before a license can be issued.
What Documentation is Required • •
A rabies certificate with duration of immunity extending through October 31st of the licensing year. If your animal is spayed or neutered bring documentation of same. License fees are cheaper for spayed and neutered pets.
2013
Rabies Vaccination Clinics The City of Vineland Health Department conducts 4 rabies vaccination clinics for dogs and cats each year. Our goal is to ensure that greater than 70% of our dogs and cats are vaccinated and thereby provide an effective buffer between humans and rabid wildlife. Approximately 58% of the dogs and cats involved in response incidents in 2013 were currently vaccinated. For more information, contact Robert M. Dickinson at (856) 794-4000 ext. 4116 or rdickinson@vinelandcity.org.
Key Facts & Activities Number of rabies vaccination clinics conducted by the health department Number of pets vaccinated by the health department
2013 data 4 1,274
The Vineland Health Department had 4 clinics in January and February of 2013 where dogs and cats were administered free rabies vaccinations. It is extremely important to keep your dogs and cats currently vaccinated. If a currently vaccinated pet was known or likely in contact with a suspect rabid animal, the pet will only need a rabies booster and 45 days of observation by the owner. If the exposed animal is not currently vaccinated, euthanasia is the recommended course of action. The other alternative is 6 months of street isolation with no human contact in a specially constructed confinement facility.
2013
Outdoor Facility Supervision and Inspection The Vineland Health Department inspects outdoor facilities that could impact the public’s health. Diseases can be transmitted through all of these activities if not conducted safely. Injuries can also occur. These are facilities such as: • Public pools, spas, and swimming areas o Prevention of diseases such as staph, Yersinia, pseudomonas o Prevention of drowning, near drowning, and spinal injuries • Youth camps o Prevention of injuries from both facilities and environmental conditions o Prevention of foodborne illnesses o Prevention of waterborne illnesses such as giardia o Prevention of communicable diseases such as staph skin infections and fungus • Special events where food is provided o Prevention of foodborne illnesses o Prevention of injuries to the public from burns
Public Health Quick Facts • Public recreational bathing facilities: 22 • Youth camps: 5 • Special events – Retail food vendor inspections: 26
Public Health, Personal Stories This year the Vineland Health Department was a member of the newly formed mobile unit task force. In this capacity, we provided substantial input for developing an application for mobile and/or temporary food vendors that is accepted by seven local health departments in South Jersey. This expedites approval processes for vendor operations in multiple jurisdictions.
2013
Youth Camps Although the State Health Department is responsible for performing operational inspections at youth camps, the Vineland Health Department conducts seasonal pre-opening inspections of youth camps with our jurisdiction and forwards the results to the State Department of Health. During the pre-opening inspection, our inspectors: 1. Verify that required background checks/sex offender checks and criminal history checks have been done for all employees 2. Make sure that the camp and Health Directors have the required experience and certification 3. Verify that the personnel have the required first aid/CPR certification 4. Make sure that emergency school bus evacuation drills are routinely conducted 5. Make sure weekly inspections of recreational equipment are conducted 6. Make sure there is a system for proper documentation of medications, 7. Verify lifeguards have required certifications 8. Verify well water and pool water have passed water analysis tests 9. Verify that the camp is covered by liability insurance In 2013, the Vineland Health Department conducted 5 youth camp pre-operational inspections and made sure that counselor/camper ratios are appropriate. The Vineland Health Department also conducts operational inspections of food services and bathing facilities at all youth camps within our jurisdiction.
2013
Recreational Bathing Facilities The Vineland Health Department conducts safety and sanitation inspections of public recreational bathing facilities (including swimming pools, lakes, rivers, streams, tidal bays, and ocean swimming facilities) to reduce the spread of communicable diseases and protect consumers who use these facilities from avoidable harm and danger. Each recreational bathing facility is inspected twice a year. The seasonal facilities are inspected before they open and once (unannounced) while operating. All facilities are checked for the following: • Pool chemistry and water turnover – important for controlling bacterial growth and protecting skin • Lifeguard certification – ensures lifeguards are properly trained and qualified to rescue swimmers who are in trouble or injured. They must have all of the required certificates. • Safety equipment – from rescue equipment and first-aid kits to the equipment that prevents entrapment into the drains For more information, contact: 1. Carolyn Fisher at (856) 794-4000 ext. 4283 or cfisher@vinelandcity.org 2. Chris Gross at (856) 794-4000 ext. 4122 or cgross@vinelandcity.org
Key Facts & Activities
2013 data
Number of licensed public recreational bathing facilities Number of licensed year-round facilities
12
Number of licensed seasonal facilities
19
Number of public recreational bathing features of each type: Swimming / wading pools
29
Hot tubs / spas
5
Spray parks
0
Aquatic recreation facilities
0
Bathing beaches - Bays / oceans
0
Bathing beaches - Rivers
0
Bathing beach - Lake
0
Number of pre-operational inspections of bathing facilities of: Year-round facilities
17
Seasonal facilities
34
Number of routine inspections of bathing facilities of: Year-round facilities
11
Seasonal facilities
19
Number of routine re-inspections of bathing facilities of: Year-round facilities
6
Seasonal facilities
7
Number of non-routine emergency & complaint-related inspections of: Year-round facilities
5
Seasonal facilities
0
2013
Recreational Bathing Facilities (Cont.) Key Facts & Activities
2013 data
Number of individual features closed for health and safety violations, by type: Swimming / wading pools
17
Hot tubs / spas
11
Spray parks
0
Aquatic recreation facilities
0
Bathing beaches - Bays / oceans
0
Bathing beaches - Rivers
0
Bathing beaches - Lakes
0
Number of public recreational bathing facilities closed for health and safety violations: Year-round facilities
9
Seasonal facilities
3
Number of Cooperative Coastal Monitoring Program (CCMP) sites
0
Number of sanitary surveys conducted by the Health Department at: Bathing beaches - Bays / oceans
0
Bathing beaches - Rivers
0
Bathing beaches - Lakes
0
2013
Local Business Supervision and Inspection This department inspects other businesses that could impact public health. They are: •
Tanning salons (5) o Prevention of skin cancer and communicable diseases
•
Four body art facilities (tattoo and piercing facilities), two of which have licensed piercers o Prevention of Hepatitis A, HIV, and other bloodborne pathogens
•
Adult book stores (3) o Ensure proper sanitation
2013
Body Art, Tattoo, and Permanent Cosmetics Safety The Vineland Health Department inspects and regulates tattoo parlors, body piercing establishments and permanent cosmetic establishments to ensure compliance with safety and sanitation rules. The Vineland Health Department also investigates and controls disease outbreaks linked to body art establishments and/or unlicensed establishments or practitioners. For more information, contact Ryan Long at (856) 794-4000 ext. 4124 or rlong@vinelandcity.org.
Key Facts & Activities
2013 data
Number of licensed body art establishments operating in service area:
7
Number of pre-operational inspections of body art facilities conducted by Vineland Health Department this year Number of routine inspections of licensed body art facilities conducted by the Health Department this year Number of routine re-inspections of licensed body art facilities conducted by the Health Department this year Number of non-routine emergency and complaint related inspections of body art facilities conducted by the Health Department in this reporting year The number of unlicensed body art operations identified by the Health Department in this service area this year
13
The number of body art related infections/injuries reported to Health Department in this service area this year
0
2 6
2 1
In 2013, Vineland licensed four body art establishments: 1. Ever After Ink – tattooing only 2. Sinful Art – tattooing and body piercing 3. Alter Art – tattooing and body piercing 4. Firehouse Tattoo – tattooing only In addition to licensing body art establishments, the Vineland Health Department also licenses artists and practitioners. In order to minimize the likelihood of infection and transmission of bloodborne pathogens such as HIV and the hepatitis B virus, obtain all tattoo and piercings in a licensed and inspected body art establishment and make sure they are performed by a licensed body art practitioner.
2013
Tanning Facility Safety The Vineland Health Department enforces safety and sanitation standards for the operation of tanning facilities in order to protect the health and safety of consumers who patronize tanning facilities. During an inspection, the inspector will: 1. Verify that the equipment conforms to FDA performance standard 2. Make sure that the physical facility conforms to local and state laws 3. Ensure that the equipment is sanitary, well-maintained, and disinfected between uses 4. Verify that a warning sign is conspicuously displayed and of a specific size 5. Make sure that consumers are given a warning statement prior to their initial session and annually afterwards 6. Determine that protective eyewear is available, is FDA compliant, and, if reusable, is cleaned and disinfected properly by personnel 7. Verify that a trained operator is present on site at all times 8. Make sure that minors under the age of 14 are prohibited from tanning and those ages 14-18 have written authorization by parents or legal guardians 9. Ascertain that the Warning Statements and Tanning Authorizations are signed by parents or legal guardians of those 14-18 years of age in the presence of the facility operator 10. Make sure that operators provide individualized skin phototype evaluation, instruct consumers about maximum exposure time, and provide the location of the emergency shut-off switch 11. Ensure that all facility personnel comply with the rules and regulations of the tanning facility are provided personal protective equipment, and protected from unnecessary UV radiation 12. Verify that all personnel are trained using an approved curriculum and have documentation of operator training 13. Determine that all records are kept onsite for three years and available for review by the Health Department For more information, contact Rick Bracaliello at (856) 794-4000 ext. 4126 or rbracaliello@vinelandcity.org.
Key Facts & Activities
2013 data
Number of unregistered tanning facilities identified by the health department
2
Number of pre-operational inspections of tanning facilities
0
Number of routine inspections of tanning facilities
6
Number of routine re-inspections of tanning facilities Number of non-routine emergency & complaint-related inspections of tanning facilities Number of tanning facilities on which the health department had to take one or more enforcement actions
7 0 0
In 2013, the following licensed tanning salons were inspected by the Vineland Health Department: 1. Cocoa Bay – 3470 S. Delsea Dr. 2. The Tanning Spa – 301 S. Main Rd. 3. Tantastic Tan – 1760 S. Lincoln Ave. 4. Heat Wave Endless Summer – 205 S. Delsea Dr. 5. Cinnamon Bay – 3272 E. Landis Ave. 6. Heatwave – 205 S. Delsea Dr.
2013
Retail Food Establishment Supervision and Inspection
The FDA standards program requires that our inspectors are very well-educated on food safety. Our inspectors undergo an extensive training and a rigorous standardization process so that inspections and reports are all done in a similar manner using the latest food safety information and laws. Consistency, knowledge, and accuracy are all critical issues. The NACCHO grant allowed us to send inspectors to some excellent training programs, which will further enhance our ability to protect and serve the public. Like the ground crew of an airport, our inspectors are out there every day protecting the public. We primarily serve as food safety educators, but will become enforcement officers if necessary. In 2012 we met all nine standards becoming the first standardized local health department in the nation. The standards are a means to excellence in that area. Grant monies are received almost every year to help us achieve and maintain these standards.
Public Health Quick Facts • Number of licensed retail food establishments: 429 • Number of licensed establishments inspected 2x per year: 102 • Number of temporary food establishments: 17
2013
Retail Food Establishment Safety Our health department inspects and regulates restaurants, grocery stores, and other retail food facilities to ensure compliance with safety and sanitation rules. In addition, we investigate and control disease outbreaks linked to retail food facilities. For more information contact: 1) Jeanne Garbarino at (856) 794-4000 ext. 4236 or jgarbarino@vinelandcity.org 2) Carolyn Fisher at (856) 794- 4000 ext. 4283 of cfisher@vinelandcity.org
Key Facts & Activities Number of licensed food establishments: Risk Level 1 - Establishments that conduct minimal food preparation and minimal handling of potentially hazardous foods Risk Level 2 - Establishments that conduct limited food preparation and heat/cool potentially hazardous foods Risk Level 3 - Establishments that conduct complex food preparation and heat/cool potentially hazardous foods Mobile food establishments Temporary- Establishments operating for no more than 14 consecutive days in conjunction with a single event or celebration Other- Establishments that conduct ONLY specialized Number of specialized processes overseen by the health department Number of retail food establishment plan reviews conducted Number of pre-operational retail food establishment inspections conducted Number of routine inspections for the following types of retail food establishments: Risk Level 1 - Establishments that conduct minimal food preparation and minimal handling of potentially hazardous foods Risk Level 2 - Establishments that conduct limited food preparation and heat/cool potentially hazardous foods Risk Level 3 - Establishments that conduct complex food preparation and heat/cool potentially hazardous foods mobile food establishments Temporary- Establishments operating for no more than 14 consecutive days in conjunction with a single event or celebration. Other - Establishments that conduct ONLY specialized processes such as canning Number of routine re-inspections for the following types of establishments: Risk Level 1 - Establishments that conduct minimal food preparation and minimal handling of potentially hazardous foods Risk Level 2 - Establishments that conduct limited food preparation and heat/cool potentially hazardous foods Risk Level 3 - Establishments that conduct complex food preparation and heat/cool potentially hazardous foods Mobile food establishments Temporary- Establishments operating for no more than 14 consecutive days in conjunction with a single event or celebration Other- Establishments that conduct ONLY specialized processes such as canning. Number of non-routine emergency & complaint-related investigations/inspections: Investigations/Complaints Inspections (other than routine inspections) Number of establishments on which the health department had to take one or more enforcement actions Number of licensed food establishments: Risk Level 1 - Establishments that conduct minimal food preparation and minimal handling of potentially hazardous foods Risk Level 2 - Establishments that conduct limited food preparation and heat/cool potentially hazardous foods Risk Level 3 - Establishments that conduct complex food preparation and heat/cool potentially hazardous foods Mobile food establishments
2013 data 78 200 102 49 25 0 3 44 34 80 203 179 31 17 0 29 186 219 20 1 0 167 0 39
78 200 102 49
2013
Environmental Stewardship Taking care of the environment is everyone’s responsibility. A properly designed septic system is an effective way to treat wastewater, prevent pollution and protect your investment. Through education and accessibility, the City of Vineland Department of Health is committed to providing residents with accurate up to date information on current regulations and technologies to help them make informed choices when installing, repairing, or altering an onsite septic system or potable well. Our experienced staff provides residents with unbiased and objective answers to all of their septic and well questions. Quick Facts: •
Pumping your septic tank periodically is not only required under the current standards, it is an important part of routine maintenance for extending the life of your septic system. Spending $250 to $300 every 3-4 years is a bargain compared to the cost of a new system which may run as much as $6000 to $15,000 or more. The frequency of pumping depends on household size, total wastewater generated and septic tank size.
•
Effluent filters can be installed in existing systems and are an economical way to trap suspended solids before the discharge to the drain field. They have been required in all systems installed after 2012.
•
Studies show that additives have no significant effect on the bacterial population in septic tanks. Your septic tank already contains the microbes it needs for the effective breakdown of household wastewater pollutants. Periodic pumping is the only true way to ensure that septic systems work properly and provide many years of service.
•
The average indoor water use for a typical family home is 70 gallons per day per person.
•
Fix leaks right away. A single leaking toilet can add as much as 200 gallons per day to your septic system. A small leak at the faucet can add as much as 36 gallons per day.
•
Conserve water. Spread laundry throughout the week. Doing all of your laundry in one day doesn’t allow your septic tank enough time to adequately treat waste and could potentially flood your drain field. Consider a front loading or Energy Star clothes washer which uses 35% less energy and 55% less water. Visit EPA’s WaterSense program at www.epa.gov/watersense for additional information.
•
Toilets aren’t trash cans. Don’t flush anything but human waste and toilet paper.
•
Your septic system contains living organisms that digest and treat household waste. Disposing of household chemicals, paints, solvents, oil, gasoline, antifreeze, etc. in the system can kill these organisms, effectively shutting down the drain field resulting in system failure.
•
Never pour cooking oil or grease down the drain.
•
Garbage disposals and sewage ejector/grinder pumps are not recommended for used with septic systems. They add a significant amount of solids which stay suspended in the tank and are eventually carried out to your drain field clogging the field and causing premature system failure.
•
The NJ Code that governs design, construction and operation of your septic system is NJAC 7:9a- The Standards for the Construction of Individual Onsite Sewage Disposal Systems.
Adding, altering or repairing a septic system requires a permit and approval from the City of Vineland Health Department. A copy of the permit application and other documents can be found at www.vldhealth.org or by contacting the Vineland Health Department at (856) 794-4131.
2013
Onsite Wastewater Disposal Systems Safety The Vineland Health Department conducts education, permitting, and inspections of low-volume residential and commercial onsite wastewater treatment systems (e.g., septic systems) to ensure that systems are designed, constructed, and maintained properly, thus improving New Jersey’s water quality and protecting human health and the environment. For more information, contact Gary Lugiano at (856) 794-4000 ext. 4125 or glugiano@vinelandcity.org.
Key Facts & Activities
2013 data
Number of system construction permits issued for final authorization to proceed with installations of new systems
12
Number of system construction permits issued for final authorization to proceed with repairs to existing system
14
Number of system construction permits issued for final authorization to proceed with alterations to existing systems that don’t expand the capacity of the system
0
Number of system construction permits issued for final authorization to proceed with alterations to existing systems to expand the capacity of the system
29
Number of system construction permits issued for installation, repair, or alteration of advanced wastewater pretreatment systems Number of system construction permits issued for installation, repair or alteration of commercial facility systems
0 2
Number of systems in this municipality
Are required system construction inspections performed by the health department (or other government partner)?
The health department performs some of these inspections. Third-party certifiers also perform some of these inspections.
Number of unduplicated noncompliant systems identified
10
Number of reality transfer system inspection reports reviewed
21
Number of systems identified as noncompliant as a result of review of reality transfer system inspection reports
10
Does the health department have a septic management program No towns are covered by septic in place? management program Number of septic management program inspection reports reviewed by the health department Number of system investigations conducted by the department
31
Number of system-related summonses issued to appear in court
5
2013
Potable Wells and Drinking Water Safety The City of Vineland Health Department conducts permitting and inspections of potable well installations for residential and commercial properties to ensure that these systems are properly designed and constructed by NJDEP licensed contractors, thus maintaining and protecting the aquifers of New Jersey and ensuring safe drinking water to consumers. For more information, contact Gary Lugiano at (856) 794-4000 ext. 4125 or glugiano@vinelandcity.org.
Key Facts & Activities
2013 data
Number of potable well inspections conducted
45
Number of unduplicated potable wells inspected
24
Number of potable well certificates of compliance issued
0
Number of potable well investigations conducted
21
Number of potable well investigations where the health department determined well water to be hazardous to humans
58
Number of public water system complaints received
2
Well/potable water complaints
6
e
2013
Childhood Lead Poisoning Prevention and Control City of Vineland Public Health Nurses conduct pre-case intervention home visits when children are identified as having blood lead levels between 10 to 14 mcg/dL. The current case definition for a lead poisoned child requires a blood lead level of 15 mcg/dL. This early intervention is important in trying to prevent an actual lead poisoning case and to immediately identify sources of exposure that may increase the amount of lead entering the child’s body. This is of great significance because any amount of lead in the body has a detrimental impact on the health and development of a child. During the pre-case home visit the Public Health Nurse looks for possible sources of exposure including cracked, peeling, or chipping paint, recent evidence of renovations, evidence of teeth marks on chewable painted surfaces, glazed pottery used for cooking or drinking, dust-filled window wells, and lead paint on friction surfaces and painted toys, especially imported toys. Other sources of exposure may be related to hobbies such as making fishing line sinkers, reloading ammunition, or working with stained glass. The Public Health Nurse will also discuss proper nutrition with the child’s parents. Proper nutrition helps to limit the amount of lead absorbed in the bones. Finally, the nurse will discuss cleaning methods that can help to limit the amount of exposure to lead dust. In addition to the above, when children that are actual lead poisoning cases, those having blood lead levels of 15 mcg/dL or higher, one of our licensed lead paint inspectors/risk assessors will take lead level readings of all painted surfaces in residencies where the child spends more than 10 hours per week. If these readings are equal to or greater than 1.0 mcg/cm 2 and the paint is chipping, peeling, cracking, or located on a friction or chewable surface, the hazard must be abated by a New Jersey licensed lead abatement company. In addition, our lead paint inspectors also take lead dust samples at various locations to identify sources of exposure to lead dust. Dust samples are also taken to verify that postabatement cleanings are adequately performed.
Key Facts & Activities
2013 data
Pre-case Home Intervention Visits
13
Lead Paint Inspections Conducted
1
The Fiscal Year 2013 Annual Report for Childhood Lead Poisoning in New Jersey can be accessed at the following link: http://www.nj.gov/health/fhs/documents/childhoodlead2013.pdf The table of contents is reproduced below to illustrate the type of information contained in the report. Glossary of Terms and Acronyms……………………………………………………………….…………4 List of Figures and Tables……………………………………………………………………………….…..5 Executive Summary………………………………………………………………………….…………...….7 Chapter 1: Testing Children for Lead Poisoning……………..………………………………………......9 Chapter 2: Profile of Blood Lead Tests Performed & Prevalence of Childhood Lead Poisoning.....13 Chapter 3: Spotlight on the City of Newark………………………………………………………………27 Chapter 4: Environmental Investigations by Local Boards of Health……………………………….…31 Chapter 5: Addressing Childhood Lead Poisoning in New Jersey……………………………….……37
2013
Other Inspections Conducted • • • • • • • •
Rodent Pre-Demolition Inspections 4 Food Safety Classes Taught 5 Adult Bookstore Inspections 3 Witness Septic Test Pits 13 Piggery Inspections 1 Tax Seizures 1 FDA Standardization Inspections 4 Vending Machine Inspections (Potentially Hazardous Foods 31, NonPotentially Hazardous Foods 68)