2026-09-30 - Board of Health

Summary

  • Minutes of the August 12 meeting were approved unanimously. No written public comment or requests to speak were received.
  • Community water fluoridation: staff updated the board on the planned "state of the science" forum, where experts chosen by each side will address four questions (whether fluoridation is justified for Shrewsbury in 2026, systemic versus topical benefits, possible harms to vulnerable groups, and costs and alternatives). The date was still being set, with early December or early 2027 under consideration. The board would vote on policy at its next regular meeting after the forum. Staff said the water superintendent could stop adding fluoride within about a week of a decision (Community Water Fluoridation Forum).
  • A motion for a temporary moratorium on fluoridation until after the forum and the board's subsequent decision failed 1-2. Two members said they lacked enough evidence to change practice before the forum; one member voted for it, citing a risk-benefit view and good-faith review. Current practice continues.
  • The board voted unanimously, 3-0, to appoint the Massachusetts Health Officers Association as its tobacco agents. The association will run compliance checks, in which an under-21 person tries to buy tobacco without ID, since the town has too few establishments to hire for this itself. Local inspectors will do education checks on ID rules, prohibited products and signage (Tobacco Compliance Check Agents).
  • Director update: strategic planning continues, and an environmental scan based on stakeholder feedback is expected.
  • Regional public health nurse report (read by staff): six case investigations in August, including foodborne illnesses not tied to town restaurants; ticks remain a risk until the first frost; triple E risk low and West Nile risk moderate; influenza and whooping cough cases have already appeared, earlier than usual.
  • Regional public health coordinator: the statewide community health equity survey runs through the end of November, open to Massachusetts residents over 12, and Shrewsbury had about 20 responses. The regional opioid task force marked National Opioid Awareness Day on September 21, runs a parent and caregiver video series (72 registered), and will hold a free overdose response training at the Shrewsbury Library on October 20 at 5:30 p.m. A grant program update is expected (Regional Opioid Task Force and Public Health Updates).
  • Environmental health: 94 inspections in August, including 43 routine food inspections, 14 temporary events, 11 housing and 21 nuisance inspections, and five Title 5 inspections. A permit fee study will bring changes effective next year, not in this renewal cycle, and staff plan to propose local regulations in 2027 to move closer to the new FDA 2026 food code (Massachusetts is on the 2013 code).
  • The next meeting is October 22 at 5:30 p.m., a move to an evening schedule. The meeting adjourned 3-0.

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Transcript

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Transcript

00:05Good morning. I am calling to order the

00:07board of health meeting for the town of

00:09Shrewsbury. Today is September 30th,

00:112026 and the time is

00:158:02.

00:17Our first order of business today is to

00:19review and approve the minutes from the

00:22August 12th board of health meeting. The

00:24minutes of the last meeting were

00:25submitted electronically. Um, if there

00:27are no amendments to the minutes, I'll

00:29uh take a motion to approve the minutes.

00:32>> I'll make a motion to approve the

00:33minutes.

00:35>> Dr. Bidola,

00:37>> uh, a motion to approve as well.

00:39>> Okay. Uh, roll call vote. Miss Walker

00:41>> votes I.

00:42>> Dr. Bidola,

00:43>> I.

00:44>> Uh, Miss Versace votes I. And the

00:46minutes are unanimously approved.

00:50Um, moving on to the agenda. Um our next

00:52item on the agenda is to discuss and

00:54vote on a temporary moratorum on the

00:57community water Floridaation and until

00:59the status of the science forum and a

01:02subsequent board of health decision. I

01:04would ask at this time for um Miss

01:06Garcia if you can provide us a summary

01:08on the status of the discussion please.

01:10>> Yeah definitely. Um so as you all know

01:12the board of health has been working

01:13with a group of residents to design and

01:15execute a state of the science forum on

01:18community water fluidation. During this

01:20forum, experts chosen by each party will

01:23present the current scientific

01:24literature to answer four key questions.

01:27Those questions are, is community water

01:29fluidation at 7% a justifiable public

01:32health measurement for Shrewsbury in

01:342026 accounting for all current evidence

01:37on both benefits and risks. What does

01:39the current evidence show about the

01:41relative benefits of systemic fluoride

01:43ingestion versus topical fluoride

01:45application for the prevention of

01:47childhood dental carries including for

01:50vulnerable populations? What does

01:53current evidence show about potential

01:55harm to fetuses, infants, children, and

01:57other vulnerable populations from

01:59fluoride exposure in community water at

02:01the current fluidation levels including

02:03neurodedevelopmental effects? And the

02:06final question, what are the economic,

02:07distributional, and logistical costs and

02:10benefits of continued fluidation in

02:12Shrewsbury compared to alternative

02:14interventions for dental health equity

02:16and/or alternative measures for those

02:18who wish to avoid fluoride, water,

02:21fluoride, and water. Sorry, those were a

02:23lot of words. Um, during that

02:25discussion, after the experts give their

02:28presentations, a panel of residents and

02:30the board of health members will discuss

02:32those questions based on the evidence

02:33provided. And then following the forum

02:36at the next regularly scheduled meeting,

02:38the board of health will vote on a

02:40policy decision regarding community

02:42water fluidation based on the evidence

02:44prevented by both experts and the

02:46subsequent discussions at that fluoride.

02:48Due to some of the scheduling

02:50challenges, it's been difficult to find

02:52a mutually acceptable date for the

02:54forum. Currently, we're looking at early

02:57December

02:58or early 2027 and hope to have a final

03:01forum date in the very near future along

03:04with a backup date for any weather

03:07issues that we may come across in the

03:08winter. In the meantime, it was

03:10requested that the board of health

03:12consider a temporary water flidation

03:14moratorum until the final policy

03:16decision is made following the state of

03:18the science forum. So today we have that

03:20on the agenda for the board of health

03:22members to discuss and decide if you

03:24want to implement that temporary water

03:27flidation moratorum until that final

03:29decision.

03:32>> Do any of the board members have any

03:33questions about that before we take a

03:36vote?

03:37>> Um no the the purpose of the state of

03:39the science is really to just understand

03:41the scientific consensus um and to ask

03:44questions to the experts as well and

03:47then make an informed decision. Correct.

03:49Yeah. So, um during this process, both

03:51parties have brought forward different

03:54primary sources related to um the risks

03:57and benefits of water fluidation. And

04:00so, exactly the purpose of the forum is

04:02really to have a a great discussion and

04:04presentation of that evidence and then

04:07we have two really excellent experts who

04:09can speak in detail to that um

04:11information. So I think it will be a

04:13great opportunity for both the community

04:15and the board of health to really dig

04:16into um all of the most recent recent

04:19research that's out there.

04:22>> One question here. Has there been a

04:23moratorium previously prior to any uh

04:27older discussions on on this topic?

04:29>> Um I don't believe so. I'd have to go

04:32back and check for sure. I believe in

04:342020 there was a short period of time

04:37that the town of Shrewsbury did not

04:39flirtate the water due to um like supply

04:43chain issues that came up.

04:45>> Yeah. But otherwise um I don't believe

04:47there's been any other moratorums but I

04:49will double check and get back with that

04:51positive information after.

04:53>> Um I had a question. So if we were to um

04:57place this moratorum on um fluoride in

05:00the water, how long would it take the

05:02town to you know stop adding it to the

05:05supply so that the residents would know

05:08for sure you know kind of the status?

05:10>> Yeah. So I did speak with the water

05:12superintendent and it it's a pretty

05:13quick turnaround time. they could do it

05:15within a week um to to make sure that

05:18you know it doesn't have a big impact on

05:21any of the other water chemistry that's

05:23in place for water safety. So it could

05:25be a pretty quick switch.

05:27>> Okay.

05:27>> About a week.

05:28>> Okay. And if we were to, you know, take

05:30a vote on that, make that decision and

05:32we, you know, vote on that today either

05:34way, would it be effective just when

05:37they can do it? Like how does that work?

05:39I guess that was the question.

05:40>> Yeah, definitely. So, I would say that

05:42if you do um plan to if you do vote that

05:45way, I would in your vote set the date.

05:48Um so, you would say effective, let me

05:52just pull up a calendar.

05:57So, oh that's not a calendar.

06:01I'm just looking for like when a week

06:02from today is. So, you could say

06:04effective October 7th,

06:07the moratorum would be in place. And you

06:09know that gives time for the the water

06:10treatment plant to make the change as

06:12well um as notification to go out to the

06:15community.

06:16>> Okay. And then my other one my last

06:17question would be and just so that I

06:18just want to make sure that you know for

06:20the board here for us to make a decision

06:22that we're all on we understand that

06:24whatever decision is made today would be

06:27only until the next board of health

06:30meeting following the state of the

06:31science. So it because it's I I feel

06:33like at this time we can't say the date

06:36because we don't know like when the

06:37state of the science is. It could be

06:39anywhere from December through I think

06:41we said February or March depending on

06:43their their um availability. So that

06:46would be another thing right we would be

06:47stating as a group it would be only

06:49until after the state of the science.

06:52>> Yeah and that can be within the the

06:54motion as well. you would place that

06:56disclaimer to say until the final policy

06:59decision made by the board following the

07:01state of the science forum.

07:04>> Um, Miss Walker, Dr. Badola, any other

07:07questions about that?

07:10>> I do not have any other questions.

07:13>> No other questions that I have at this

07:15time. I would I would just name like if

07:17if we do have a specifically established

07:19process to really examine the state of

07:23the science. Um, you know, I'm I'm

07:26really leaning towards that we shouldn't

07:28make an interim change before really

07:30completing this process. That was this

07:31process was very much informed by

07:33residents. I want to hear residents I

07:36want to hear both experts before really

07:38making a decision. And I'm not sure if

07:39that there's enough for me to make a to

07:43at this time I don't have enough

07:45evidence to say we need to stop right

07:48now. So I would like to really examine

07:49it with during that process at state of

07:52the science.

07:53Okay. So I guess the next step would be

07:56um you know to take a vote you know to

07:59make a motion to take a vote. So um

08:03we would say are we let's talk about

08:06making a vote to place a temporary

08:08moratorum on the

08:12community water flidation. So what would

08:15you like to make a motion on? What what

08:16is your stance miss Walker?

08:18Um

08:19>> I just want to make sure we're I know

08:20what you're saying, but I think we need

08:21to be very clear. Yes. On kind of what

08:23we are um recommending at this time so

08:26we can then take a vote.

08:28>> Um yeah, I I would be recommending that

08:31u we we do not do a temporary moratorum.

08:34So if I I can make a motion to to not

08:37have that or is there I would there

08:40other folks that have different thoughts

08:41on on the matter?

08:42>> Yes. So you could either make a motion

08:44or continue discussion like amongst

08:46yourself on kind of where where you all

08:48stand um and what the rationale is. You

08:50know, I hear what Emily is saying of

08:52like really wanting to go through the

08:54process um and and hear from the experts

08:56before making a decision. So I think

08:58this is a good opportunity as the board

09:01um you know if Dr. or Karen um to kind

09:04of express like why why you're leaning

09:07one way or the other

09:09>> and I think you were pretty clear on

09:11your on your rationale for wanting to um

09:15continue it while we examine the

09:16science. So I'd love to hear from Dr.

09:18Bola on camera. So I had to put my

09:20glasses on to see you.

09:23>> Sure. No problem. I I agree that I don't

09:26believe we have enough review of data to

09:30this point in time to say that we should

09:32have a moratorum. Um and and so without

09:38evidence to support the decision to make

09:40a change, I I would uh instead support

09:44the the idea of leaving things as they

09:47are right now until that formal

09:48discussion is uh had and then we can

09:51decide at that point. So I I would

09:54support the idea of not having a

09:56moratorum.

09:58>> Okay. So I I I hear what you guys are

10:01saying. Um I've actually been really

10:03involved in the conversations um from

10:05the board side um attending all the

10:07meetings. Um I agree, you know, from and

10:10I've you know done an extensive review

10:12of the literature. Obviously haven't

10:14heard both experts at this time. I I

10:16have you know what is on paper at this

10:18point. Um I feel that um you know for me

10:23I am I'm actually I'm leaning towards

10:24the moratorum um for the reason being

10:27that um I think it you know I don't

10:29think that there's a detrimental effect

10:31of us to stop it but you know I do

10:33understand that there is a benefit to

10:35continuing as well. Um but doing like a

10:37risk benefit analysis on my end um I

10:41think that it would give us time to

10:44analyze the evidence um while also

10:47showing that we are trying to in good

10:49faith really do an a lit review to make

10:51sure it's um what's in the best interest

10:53of the town. So that's just kind of my

10:54stance. But I think as a group we should

10:56um take a vote and decide how we want to

10:59proceed um moving forward if everybody's

11:02comfortable if we have more discussion

11:03we want to have or questions to each

11:05other on kind of where we're standing on

11:07this. I mean I think we've all put a lot

11:08of time in on our own. I know um we've

11:11spent time reviewing literature

11:13>> um and making our own conclusions which

11:16is great but you know I think at this

11:18point it's time just to kind of come to

11:20a decision at least in the interim um

11:23while we kind of move forward with this.

11:24said, "I'm excited to see that we're

11:26going to have a lot of involvement from

11:27the community, the experts. I'm excited

11:29to hear what they have to say. Um, we've

11:31been talking about this for a long time.

11:33So, I think it'll be a good discussion

11:35and, um, a lot of community involvement,

11:37which I'm looking forward to." So,

11:40>> so,

11:42um, would somebody like to make a motion

11:44to take a vote?

11:45>> Sure. Um we could I can make a motion to

11:48vote on a temporary um moratorum on

11:51community water flidation until the

11:53state of the science forum and

11:55subsequent board discussion.

11:56>> Okay.

11:59Would you like to second that? Dr.

12:01Podola.

12:03>> Yes, I I will I will second that motion.

12:05>> Okay. So, we're going to take um a roll

12:07call vote at this point. So what the

12:09board is voting on at this time is we

12:11are voting to place a moratorum on

12:13community water flidation until the

12:15state of the science forum and the

12:17subsequent board of health meeting to

12:19make a decision. So Miss Walker, do you

12:21vote um in favor or against?

12:24>> I vote against a a no.

12:26>> Okay. Dr. Bedola, how do you vote?

12:30>> I I also vote nay or no against the

12:33moratorum.

12:34>> Okay. Um Mr. Asi, I vote in favor of the

12:37moratorium. So at this point there is a

12:392 to1 split. So majority will take

12:41precedent. So at this time we will not

12:43place a moratorum on water flidation. We

12:46will continue um our current practice um

12:50until further discussion.

12:53>> Okay.

12:55So the next item on the agenda is to

12:57vote to appoint the Massachusetts Health

13:00Officers Association as tobacco agents

13:02for the board of health.

13:04>> Yep. So, um, this is very similar to the

13:08agreement that we entered in with the

13:11Massachusetts Health Officers

13:12Association last year to help with some

13:14of our tobacco enforcement. Um, this

13:16year, our local inspectors will be doing

13:18what we call education checks. So, this

13:21is when we go into establishments and

13:23make sure that they understand the IDing

13:25requirements, they're not selling

13:27products that are prohibited in the

13:29state of Massachusetts, they have all

13:31the appropriate signage. Um, but the

13:33other type of inspection that takes

13:35place is called compliance inspections.

13:37And this is when we send somebody who's

13:38under the age of 21 into a tobacco

13:41establishment to see if they can make a

13:43sale. Um, during these inspections, the

13:46individual under 21 um, they don't have

13:49produce an ID or anything. They just

13:51look to see if the the clerk will sell

13:53them the tobacco without IDing them. Um,

13:56so because we don't have too many

13:58establishments, it's not feasible for us

14:00to really hire somebody locally to do

14:02that. So Massachusetts Health Officers

14:04Association offers this partnership um

14:06where they will actually manage those

14:08compliance checks. So they'll they'll

14:10hire that individual um who's under 21

14:13years of age and go escort them to do

14:15these inspections. So today we're just

14:18asking the board of health to appoint

14:20them as an agent so they can go out and

14:21conduct these inspections.

14:24>> Perfect. Okay. Any questions about that,

14:25Miss Walker? Dr. Bedola?

14:28>> No questions.

14:29>> Okay. Um, I'll make a motion to appoint

14:32the um Massachusetts Health Officers

14:35Association as to agents for the board

14:37of health.

14:40>> Dr.

14:42Thank you. Okay. So, we'll take a roll

14:43call vote. Um, Miss Walker votes I.

14:46>> Dr. Badola

14:48>> votes I.

14:49>> And Mr. Zachi votes I. um unanimously

14:51approved to appoint the Massachusetts

14:53Health Officers Association as our

14:55tobacco agents for the board of health

14:56of Shrewsbury.

14:57>> Awesome. Thank you.

14:58>> All right, the next item on the agenda

15:00is to review and discuss our director

15:02updates. So, Miss Garcia.

15:03>> Yeah. Um I'm going to be honest, like I

15:06don't think I have too many updates.

15:07Most of the other updates come in the

15:09other sections um of our staff. They've

15:11been very very busy. Um we're doing a

15:14lot of our strategic planning work. So,

15:15I appreciate everybody um who provided

15:18input on that. um we're going to be

15:21receiving our environmental scan which

15:22is going to be based off of all of that

15:24stakeholder feedback that um Victoria

15:27collected. So we're excited to really

15:29hear um what our partners are looking

15:31for, how we can improve our coordination

15:34with them um to enhance public health

15:36services. So I'll I'll leave the rest of

15:39the updates to the the other sections.

15:42>> Great. Thank you, Miss Garcia. Any

15:44questions on the board before we move

15:45on?

15:46>> No, not at this time.

15:47>> No.

15:48>> Okay. Um, next we will review and

15:51discuss the regional public health nurse

15:52updates.

15:53>> Yep. So, I will give those. Bridget um

15:55is out working on some cases this

15:58morning. Um, but she did provide me with

16:00updates. So, during the month of August,

16:02she completed six case investigations

16:05um through the Maven system for

16:07Shrewsbury.

16:09Those cases included foodborne

16:10illnesses, but none of those cases were

16:12tied to restaurants in town. There are

16:14also still tickborne diseases coming

16:17through. So that's definitely, you know,

16:19remains a risk up until the first frost.

16:22Um, you can still find ticks even when

16:24it feels pretty chilly. So just a good

16:26reminder, especially when folks are out

16:28enjoying the fall weather to be taking

16:30those precautions of wearing, you know,

16:32long layers, checking for ticks when you

16:34get home and and back inside from the

16:36outdoors. um for arbo virus activity. So

16:40that's um mosquitoborn diseases in

16:43Shrewsbury. Our um triple E risk level

16:46is low. I don't believe I've seen any um

16:49positive cases of triple E yet this

16:51year. Um the West Nile virus risk is

16:54moderate. There have been a handful of

16:56human cases and positive mosquito

16:58samples in town um and surrounding

17:00areas. So when we have a moderate risk

17:03level, we really just remind residents

17:04that they should reduce standing water

17:06around their home. So frequently

17:08emptying buckets, bird baths, tires,

17:10anything that can collect water. Use

17:12insect repellent to help prevent

17:14mosquito bites and reduce the risk of m

17:16mosquito-born disease. Um also limiting

17:19outdoor activities from dust to dawn

17:21whenever possible because that's when um

17:24the diseasebearing mosquitoes tend to be

17:26more active. So you tend to see them

17:28around those times. Um, and then just an

17:31update on respiratory illness season. We

17:33are approaching the fall and winter

17:35months. Um, and we've already started to

17:37see cases of influenza and pertasus or

17:40whooping cough come through. Um, so this

17:42is a little bit early that we're seeing

17:44some of those cases trickle in. So this

17:46is just an important reminder for

17:47residents to stay up to date on

17:49recommended vaccinations, practice good

17:51hand hygiene, cover coughs and sneezes,

17:53and stay home when they're feeling ill

17:55to reduce the spread of respiratory

17:57illnesses. Um,

18:00that's the updates from Bridget.

18:02>> Great. Those are some excellent updates.

18:04Thank you. Um, our next item on the

18:07agenda is to review and discuss the

18:09regional pulse public health coordinator

18:11updates.

18:14>> I don't know. Alison, Alison, are you

18:15on? Oh, great. Allison's here. Thank

18:17you, Alison.

18:18>> Good morning. Hi, everybody. Um, just a

18:21couple updates to complement what

18:22Annette has already shared. Um, first

18:25and foremost, we are in the midst of the

18:27community health equity survey. So, I

18:29know we've shared a little bit of

18:31information about this before, but just

18:32as a reminder, this is a DPH le

18:34initiative which is really focused on um

18:37the root causes of health inequities

18:39across our communities. So, it is a

18:41statewide effort. Excuse me. Um, and it

18:44will it's a survey that's open through

18:46the end of November. It only takes about

18:4810 minutes to complete and it's actually

18:50available to anyone uh who's a

18:52Massachusetts resident above the age of

18:5312. We're really putting out a concerted

18:56effort to increase the response rates in

18:58our communities because it will give us

19:00really valuable data to collect to um

19:03complement some of the other efforts

19:05that we've been doing in terms of the

19:06health profiles and other um evidence

19:09gathering for our community. So, we just

19:11really appreciate your support in

19:13helping to spread the word. Um Carrie

19:16put out a news flashash yesterday, so

19:17hopefully you've all seen that. It

19:19includes a flyer, talking points, and uh

19:21some graphics that you can use for your

19:23social media. And if you do need access

19:26to any of those, please feel free to to

19:27follow up with me. Um the other update I

19:31wanted to share is just um on behalf of

19:34the regional opioid task force. So we've

19:36been really busy in that group as well.

19:38Um September 21st was National Opioid

19:41Awareness Day and so we launched a a

19:43comprehensive um prevention and

19:45awareness campaign in recognition of

19:48that day. This included um ongoing uh uh

19:52announcements on the town website and

19:55our social media account. Um we also had

19:57an awareness message uh on the sign in

20:00front of the town hall on the 21st. And

20:03I wanted to flag two upcoming events um

20:06that are that might be of interest to to

20:08you all and uh your community. First is

20:10that we have a a parent and caregiver

20:12video series which is um going to be a

20:15curated email that goes out each day

20:17next week uh to those who have decided

20:20to to register for this series. And so

20:22it's um using resources from the

20:25addiction policy forum highlighting some

20:27great educational materials that they

20:29have specifically targeted to to parents

20:31and caregivers. Uh we're really excited.

20:34We have more than 70 people who have

20:35signed up so far. Um have been working

20:38really closely with the Shrewsbury

20:39public schools on this. So really

20:40excited about that. And then the second

20:43is that we'll be offering an overdose

20:44response training at the Shrewsbury

20:46Library on October 20th at 5:30 p.m. Um,

20:51this is also free and open to the

20:52public. Um, will be open to all of our

20:54communities. And then in the next

20:56meeting, um, we look forward to

20:59providing you updates on the grant

21:01program that we've launched as well as

21:02the community advisory member who will

21:04be joining that group. I think that's

21:06it, but happy to to take any questions.

21:10How many Shrewsbury residents have

21:11completed the survey for the um I think

21:15it's a community health equity

21:16initiative at this point.

21:18>> That is a great I actually did get an

21:20update yesterday so just give me one

21:21second.

21:21>> Okay, great. Yeah, I know that there was

21:24lower numbers and I know initially and

21:26the you know I've really seen the health

21:28department really put out initiatives to

21:30include um just as recent as yesterday.

21:32So curious as to where we're currently

21:35at with some time but before November,

21:38the end of November.

21:40>> Yeah, they're steadily increasing. We're

21:41we're up to 20 responses now for

21:43Shrewsbury. So not not as high as we

21:45would like. Um but we have been uh

21:48tableabling at some recent events. We

21:49actually have plans uh coming up to do

21:52more tableabling in partnership with the

21:54library at some of their events. And so

21:55trying to think creatively about other

21:58opportunities like that where we might

21:59be able to to catch a good uh number of

22:01people.

22:02>> Great. Thank you.

22:04>> Um just a couple of questions for you,

22:05Alison. So you talked about the video

22:07series that's going to start next week.

22:09How again could residents gain access to

22:12that? I think you said you had to

22:13register.

22:15>> Yeah, exactly. So we put out flyers. Um

22:18excuse me. And there's a a QR code and a

22:20link where you can sign up. It's just a

22:22quick Google form. Um, so I can I can

22:25share that via email again um following

22:27this meeting if that's easiest for

22:29folks. But yeah, registration's still

22:30open. We'll keep it open next week as

22:32well. And then just to say we're

22:34actually going to be using um the

22:36Substack platform for that email. And

22:39one nice benefit of that is that we can

22:41then um basically publicly post the

22:44emails that go out. So if somebody

22:45misses the series and is interested in

22:48accessing those resources later, they

22:50will be available later as well.

22:51>> Oh, that's great. And then my other

22:53question is um in terms of like the

22:55opioid training that is being provided

22:58um you know if residents are looking to

23:00get Narcan you know to have for them or

23:02a loved one what are the resources

23:04currently in Shrewsbury if somebody's

23:05looking for um Narcan.

23:09>> Yeah exactly. So we actually do have um

23:12a form that residents can fill out to to

23:15be able to access that. it does require

23:17short um you know training with our

23:19staff and so that's you know definitely

23:21something that um you know folks will be

23:24able to access you know if they are if

23:26they attend this training for example um

23:29but that if there's interest in you know

23:31doing a one-off training or or even just

23:33a quick um session with our staff we can

23:35certainly facilitate that outside of the

23:37the training on the 20th. No, that's

23:40great.

23:41>> And I know the the video series um from

23:44participation with the um the opioid

23:46task force, there's a a pretty good

23:49number of folks that have registered for

23:51that. So that's wonderful. What are we

23:53up to now? I think it was like in the

23:5470s maybe um last I had

23:58>> Yeah. Yep. You're exactly right. I think

24:00it's 72 now. So it's leveled off a

24:02little bit, but definitely very very

24:03encouraging to see that.

24:04>> Yes. That's wonderful.

24:07And can you please also reshare the

24:08Substack link as well? I think that

24:10would be good to follow.

24:12>> Yes, definitely once it goes live.

24:14>> Oh, thank you.

24:15>> We're we're still working behind the

24:17scenes, but we'll definitely share all

24:18of that. Thanks so much.

24:21>> No, it sounds like the committee is

24:22doing a lot of really great work and

24:23thank you to Emily for um being our

24:25representative on that. I know you're

24:27doing great work and um it's really

24:30needed in our communities now. So, thank

24:32you for that. All right. Any other if um

24:34there's no other questions, we could

24:35move on to um our next agenda item,

24:38which is to review and discuss the

24:40regional environmental health specialist

24:41updates.

24:42>> Yeah, I'm happy to provide that. Um so,

24:44our inspectors were super busy. Um in

24:47the month of August, they completed 94

24:50total inspections. Um so that was 43

24:53routine food inspections. There were 14

24:55temporary events. We had two um

24:58pre-renal inspections. We do these for

25:00various um Massachusetts rental voucher

25:03programs. We go and conduct uh

25:05inspections before the tenant moves in.

25:07Um they had 11 housing inspections, 21

25:11nuisance inspections, and two other

25:13inspections. Um so that was related to

25:16some beaver activity in town. Um and

25:21it looks like the other one was an issue

25:23at Dunkin Donuts, not related to the

25:25food, but um related to consum some

25:27construction there. Um, for title five,

25:30there have been five title five

25:31inspections completed by a combination

25:34of Phil, McKenzie, and Michael. So,

25:36they've been very busy out in the

25:38community. Um, as we're heading into the

25:41end of this year, um, Carrie's going to

25:43be start starting renewal soon. So,

25:46we'll be working with all of our annual

25:47permites, and by we, I mean Carrie, um,

25:50because she does an amazing job, you

25:52know, getting them all uh, having their

25:54renewals completed. So, that's

25:55definitely a very busy season for us.

25:58Um, we're also going to be bringing

26:00forward some items for the board to

26:02discuss. So, we're currently doing a fee

26:04study to look at all of our permit fees

26:06um to make sure they're in line with the

26:08actual cost of what what it takes to

26:11have inspectors and our our um office

26:14staff kind of process those applications

26:16and go into inspections. So, we'll be

26:18presenting that and it will be effective

26:20next year. So, our our businesses won't

26:23see any change to their fees during this

26:25renewal cycle. it will be next year. Um,

26:28so it gives them lots of time to really

26:29look if there are some changes.

26:31Initially, there's only a handful of

26:33categories that we're really seeing

26:35changes in. I think most of them are

26:37pretty um in line with with what the

26:40actual cost of going out to do these

26:42inspections are. Um, so just something

26:44to keep in mind. Um, also the FDA just

26:47released their 2026 food code. The state

26:50of Massachusetts is currently on the

26:522013 food code. Um, so something that

26:56we're looking to do is adopt some local

26:58food regulations to bring us up closer

27:00to that 2026

27:03um, food code that was just released.

27:04So, next year we'll be bringing forward

27:07some of those um, local regulations for

27:09consideration from the board. Um, and

27:11we'll really go through like what those

27:13major pieces are that are changing and

27:15how they may affect businesses. Um, and

27:17we're really being thoughtful to think

27:19through like how we can support our

27:20businesses in the transition because

27:22some of the items have um, actual

27:24impacts on their operations. Um, but

27:27just another thing to kind of have in

27:28the back of your mind that'll be coming

27:30up again um, in 2027 to discuss,

27:35but happy to answer any questions.

27:37>> I don't have any questions. Do either of

27:39you have any questions?

27:39>> Nope,

27:41>> I do not.

27:42>> Okay, great. All right. So, the next

27:44item will be to review our meeting

27:46schedule. So, our next meeting for the

27:48board of health will take place on

27:49October 22nd. Um, we're going to be

27:52moving to an evening schedule. So, we'll

27:54be meeting at 5:30 p.m. right here in

27:56the border select um room. So, if

27:59there's no other items, I'll take a

28:01motion to um adjourn the meeting.

28:03>> Um Karen is going to go back to number

28:05two because we skipped over the re

28:08approval of the minutes. I think

28:10>> I think we did do that. We did approve

28:12the minutes unanimously.

28:13>> I think we did, but we did skip over

28:15public comment. So, I don't know if you

28:17just want to acknowledge that.

28:19>> Okay. Sorry. My apologies.

28:20>> That's okay. So, we didn't receive any

28:23um written public comment or requests

28:25for public comment for this this meeting

28:27>> for this meeting. Okay.

28:28>> Thank you.

28:29>> Thank you. Okay. So, now I will take a

28:32motion to close the meeting.

28:35>> Sure.

28:35>> Um I'll make a motion uh to adjurnn.

28:38>> I'll second that motion.

28:40>> Great. So, a roll call vote. Miss Walker

28:42votes I. Dr. Padola

28:44>> I.

28:45>> Um and Miss Race votes I. The meeting is

28:47now adjourned. Thank you.

28:49>> Thank you.

28:50>> Thank you.

28:51>> Thank you.