[00:00:05]
          I'M GOING TO. WE'RE GOING TO CALL TO ORDER. TELL ME WHEN WE'RE UNMUTED. WE'RE UNMUTED. 
          I'M JUST WAITING FOR THEM TO PICK UP THE VIDEO. MY WORD. SO CAN'T START YET. I'M GOING TO START PLAYING BEYONCE. YEAH. SO EVERY TIME. SO? SO I TRULY BELIEVE IT'S ASSOCIATED WITH TECHNOLOGY, YOU KNOW, AND CHILDREN'S MENTAL HEALTH. AND I THINK THERE'S DEFINITELY STUDIES ON IT. THEY FOILED MY PLANS TO START. I KNOW YOU KIND OF HAVE TO WEAN THEM OFF OF IT. YOU FEEL GOOD. THEY'RE TOO ENGULFED IN IT LIKE KIDS THAT LASH OUT THEIR PARENTS. IF YOU TAKE THAT TECHNOLOGY AWAY, IT'S BAD. YEAH. YES WHAT DO YOU THINK? OKAY. READY. OKAY WELCOME TO THE 
          [I. Opening Statement]
TOWNSHIP OF MONTGOMERY BOARD OF HEALTH MEETING. THE MEETING START TIME IS 735. IT IS THE INTENTION OF THE BOARD TO CONCLUDE THIS MEETING BY 9:30 P.M. ANY AGENDA ITEM? NOT CONSIDERED BY 930 WILL BE TABLED UNTIL THE NEXT. REGULARLY SCHEDULED MEETING. ADEQUATE NOTICE OF THE MEETING AS REQUIRED BY SECTIONS THREE D AND FOUR A OF THE OPEN PUBLIC MEETING ACT HAS BEEN PROVIDED TO THE PUBLIC AND FILED WITH THE TOWNSHIP CLERK. NOW WE'LL DO A ROLL CALL. BOARD MEMBER. SARAYA. HERE. DOCTOR GRAYSON. HERE. DOCTOR MCGEARY. HERE. DOCTOR FAISAL IS NOT HERE. DOCTOR SHARMA IS NOT HERE. DOCTOR NEWMAN HERE. DOCTOR MOHAN HERE. 
          JOE BRADY HERE, HEALTH OFFICER PATEL IS ON VACATION. AND FILLING IN FOR HER IS KRISTEN. 
          SERGEANT. THANK YOU. KRISTEN. STAFF SECRETARY JENNIFER FOSTER HERE. TOWNSHIP COMMITTEE LIAISON. DENNIS ON HERE. AND ADVISOR, DOCTOR MANDLEBAUM HERE. OKAY. I DON'T BELIEVE WE HAVE ANY PUBLIC COMMENT UNLESS SOMEBODY IS GOING TO RUN IN RIGHT NOW. NO. OKAY IF SOMEONE 
          [IV. Consent Agenda]
JOINS, WE WILL GO BACK TO THEM. SO THE NEXT ITEM IS THE CONSENT AGENDA. ALL MATTERS LISTED HERE UNDER ARE CONSIDERED ROUTINE IN NATURE AND WILL BE IMPROVED APPROVED IN ONE MOTION. ANY MEMBER MAY REQUEST THAT AN ITEM BE REMOVED FOR SEPARATE CONSIDERATION. SO WE HAVE THREE MONTHLY REPORTS. THE HEALTH DEPARTMENT MONTHLY REPORT FOR MAY 2024. NO. IT'S OKAY. THE COMMUNICABLE DISEASE REPORT FOR MAY 2024. AND THE ANIMAL CONTROL REPORT MAY 2024. AND WE HAVE THE MINUTES FROM THE REGULARLY SCHEDULED MEETING FROM MAY 8TH, FROM 2024. CAN I HAVE A MOTION TO APPROVE AND APPROVE SECOND. THANK YOU. OKAY SO NOW WE HAVE THE, ORDINANCE NUMBER 2020 4-01. 
          [V. PUBLIC HEARING: MONTGOMERY TOWNSHIP BOARD OF HEALTH ORDINANCE NO. 2024-01]
SO THIS IS THE SECOND PUBLIC HEARING. SO AN ORDINANCE ESTABLISHING A COMPREHENSIVE SALARY AND WAGE PLAN FOR THE TOWNSHIP OF MONTGOMERY BOARD OF HEALTH AND TO PROVIDE FOR ITS ADMINISTRATION IN 2024. THIS WAS IN YOUR PACKET FROM MAY, SO IF YOU I'LL OPEN IT FOR DISCUSSION. 
          IF ANYBODY HAS ANY QUESTIONS ABOUT THE SALARY ORDINANCE. OKAY. WE HAD A PRETTY GOOD DISCUSSION ABOUT IT LAST TIME. YES, WE DID. OKAY, BE IT RESOLVED BY THE BOARD OF HEALTH OF THE TOWNSHIP OF MONTGOMERY, THAT THE FOREGOING ORDINANCE ORDINANCE BE HEREBY PASSED ON ITS SECOND AND FINAL READING ON JUNE 12TH, 2024, AND THAT HEREOF THERE BE PUBLISHED IN A OFFICIAL NEWSPAPER, AS REQUIRED BY LAW. CAN I HAVE A MOTION? YES. OKAY WE HAVE ONE MOTION. CAN I HAVE A SECOND? SECOND. ALL RIGHT. I WILL DO THE ROLL CALL. DOCTOR TO APPROVE. DOCTOR NEWMAN. YES. 
          DOCTOR. MOHAN. YES IS THAT ALL THAT CAN VOTE, JEN OR DO I HAVE TO KEEP GOING. I'LL VOTE. WELL, JOE CAN VOTE BECAUSE WE'RE DOWN. OH, HE'S NOT ON HERE. SORRY, JOE? YES YES. OKAY. AND DOCTOR MCGARRY IS A YES. ANYBODY ELSE WANT TO APPROVE? JUST FOR GOOD MEASURE. OKAY. WE HAVE, ALSO THE 
          [VI. PUBLIC HEARING: MONTGOMERY TOWNSHIP BOARD OF HEALTH ORDINANCE NO. 2024-02]
SECOND READING OF THE BODY ART AND LICENSING AND PROCEDURES. I'M SORRY. THE BODY ART 
          [00:05:01]
LICENSING. SO, THE TITLE IS AN ORDINANCE OF MONTGOMERY COUNTY OF SOMERSET, STATE OF NEW JERSEY, ADDING CHAPTER BH20 BODY ART, LICENSING AND PROCEDURES TO THE CODE OF THE TOWNSHIP OF MONTGOMERY. BE IT RESOLVED BY THE BOARD OF HEALTH OF THE TOWNSHIP OF MONTGOMERY, THAT THE FOREGOING ORDINANCE BE HEREBY PASSED ON THE SECOND AND FINAL READING ON JUNE 12TH, 2024, AND THAT THEREOF HEREOF, THE POLISH IN THE OFFICIAL NEWSPAPER, AS REQUIRED BY LAW. CAN I HAVE A MOTION TO APPROVE? SECOND. SECOND. OKAY. DOCTOR SARAYA. YES DOCTOR MCGARRY. YES. DOCTOR. 
          SHARMA. YES DOCTOR. NEWMAN. YES. DOCTOR. MOHAN. YES DOCTOR. PROTTI. YES. OKAY I THINK WE'RE 
          [VII. HEALTH OFFICERS COMMENTS]
GOOD NOW. WE'LL GO TO HEALTH OFFICER COMMENTS. AND THAT IS GOING TO BE OFFERED BY KRISTIN SERGEANT. SO DID YOU READ? DID YOU GUYS ALL READ HER MEMO THAT WAS IN THE PACKET? DID YOU. 
          YEAH. DO YOU WANT ME TO, LIKE, READ THAT OR. HOLD ON ONE SECOND. DO YOU HAVE IT FOR ME? NO. OKAY NO NO NO NO. DO YOU HAVE A PRINTED OUT COPY OVER THERE? YEAH. DO YOU WANT IT, YOU DON'T NEED IT THROUGH IT. I DON'T. DOES ANYONE NEED IT? YEAH, I DON'T THINK SHE CAN. 
          OKAY. YEAH. MAYBE YOU SHOULD JUST GIVE US AN OVERVIEW. OKAY. YES. THANKS. SO SHE BASICALLY, DISCUSSED HEALTHIER SOMERSET UPDATES, SHE ATTACHED A COMMUNITY HEALTH NEEDS ASSESSMENT FLIER WITH A LINK TO A SURVEY, THAT SHE'S ASKING ALL OF YOU TO ENCOURAGE YOUR CONTACTS, NEIGHBORS, TO COMPLETE BY JUNE 30TH, 2024, SHE WAS, SHE'S PART OF THE SOMERSET COUNTY ADVISORY BOARD AND STEERING COMMITTEE, THEY COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE KEY CONCERNS RAISED IN THE HEALTH OFFICER'S FOCUS GROUP ARE LACK OF PEDIATRIC PREVENTATIVE SERVICES IN SOMERSET COUNTY FOR UNDER AND UNINSURED HOSPITALS SHOULD FOCUS ON PREVENTION AND PROVIDING NEEDED SERVICES FOR UNINSURED UNDERINSURED FAMILIES, AS THERE ARE NO PREVENTATIVE SERVICES OFFERED THROUGH OUR WJ HEALTH SOMERSET FOR UNINSURED OR UNDERINSURED. SO THE FEDERALLY QUALIFIED HEALTH CENTER IN SOMERVILLE IS OVERWHELMED AND HEALTH DEPARTMENTS STRUGGLE WITH VACCINATING UNINSURED CHILDREN FOR ENTRY TO SCHOOL, MONTGOMERY IS FORTUNATE WE REFER OUR RESIDENTS TO DO FALL IN PLAINSBORO. THE ASSESSMENT SHOULD FOCUS ON PRIORITIZED AVAILABILITY OF MENTAL HEALTH SERVICES AND ACCESS TO CARE FOR UNINSURED AND UNDERSERVED POPULATIONS IN SOMERSET COUNTY. AN UPDATE FROM SOMERSET COUNTY HEALTH DEPARTMENT. THEY ARE PLANNING TO OPEN A VACCINE CLINIC FOR THE UNINSURED AND UNDERINSURED CHILDREN AT THE RICHARD HALL MENTAL HEALTH CENTER IN BRIDGEWATER, THIS IS INDEPENDENT OF ZUFALL, WHICH IS A SATELLITE CLINIC AT THE SAME SITE, WITH THE GOAL TO PROVIDE ALL VACCINES TO UNINSURED AND UNDERINSURED CHILDREN IN SOMERSET COUNTY. THE ANTICIPATE DATE OF THAT IS SOMETIME IN AUGUST, THAT'S WHEN THEY'RE STATING THEY WILL BE OPEN. AND, THE PUBLIC HEALTH NURSES AND HEALTH EDUCATOR ARE WORKING ON UPDATING PROVIDER LISTS AND TOWNS FOR DISEASE SURVEILLANCE, ON THE FOLLOWING TOPICS COMMUNICABLE DISEASE REPORTING REQUIREMENTS, SAFE PRESCHOOL PRACTICES, PEDIATRIC VACCINATION REQUIREMENTS, COVID 19 VACCINE CLINIC INFORMATION, BIRD FLU, OCCUPATIONAL RELATED PRECAUTIONS , INFECTION CONTROL, BEST PRACTICES. THEY HELD THE MENTAL HEALTH AND WELLNESS FAIR ON WEDNESDAY, MAY 29TH HERE AT THE MUNICIPAL BUILDING. OVER 26 VENDORS WERE IN ATTENDANCE, SHE ATTENDED A SOCIAL SERVICES STRATEGIC VISIONING MEETING SET UP BY LORI SAVRE ON THE TOWNSHIP ADMINISTRATOR. SHE PROVIDED RELEVANT INFORMATION AND DATA FROM THE RAPID PUBLIC HEALTH ASSESSMENT THAT WAS SHARED WITH THE BOARD OF HEALTH LAST YEAR. SHE TALKED ABOUT A NEED FOR A DIVISION OF SOCIAL SERVICES. AS THE NEEDS ARE GROWING WITHIN THE TOWNSHIP, AND IT'S PUTTING TREMENDOUS STRAIN ON THE POLICE, 
          [00:10:04]
EMS AND THE HEALTH DEPARTMENT, THE LOCAL HEALTH OUTREACH COORDINATOR ROLE IS CHANGING AS THE COVID RELATED JOB DUTIES NO LONGER APPLY. WE'RE IN THE PROCESS OF REEVALUATING THE ROLE AND DUTIES TO BETTER FIT THE EVOLVING NEEDS OF THE TOWNSHIP. WHILE MEETING NJDOE WORKFORCE STANDARDS, THE PART TIME INFECTIOUS DISEASE PREPAREDNESS GENERALIST ROLE THAT WAS CREATED AS A PAID STUDENT INTERN POSITION IS ENDING JUNE 30TH, NOT BHUPATHI BHUPATHI, A RUTGERS UNDERGRADUATE MAJORING IN DATA SCIENCE AND PUBLIC HEALTH, HAS BEEN INSTRUMENTAL IN HELPING US UPDATE OUR STRATEGIC PLAN. LOCAL HEALTH ANNUAL REPORT, PUBLIC HEALTH ANNEX WEBSITE AND PROVIDING OTHER MUCH NEEDED SUPPORT IN THE OFFICE. HE HAS BEEN AN ASSET TO THE HEALTH DEPARTMENT, HELPING US TO STAY AFLOAT THIS PAST YEAR. I AM TRULY GRATEFUL FOR HIS COMMITMENT AND EFFORTS IN ASSISTING US. THE HEALTH DEPARTMENT WILL CONTINUE TO REEVALUATE WORKFORCE NEEDS AND PROVIDE UPDATES TO THE BOARD REGULARLY. SINCERELY, DEVON PATEL. THANK YOU. NEXT. OKAY. WELL, DEVON ISN'T HERE. IF ANYBODY HAS ANY QUESTIONS, WE WILL BRING THEM BACK TO HER. SHE IS ON VACATION THIS WEEK. DOES ANYONE HAVE SOME QUESTIONS? NO OKAY, I HAVE ONE. I DO THINK THAT FOOD INSECURITY IS, IS A, A LARGER THING THAT'S GOING TO BE COMING UP SOON. I KNOW, PEOPLE DON'T THINK THAT MONTGOMERY HAS FOOD INSECURITIES, BUT WE DO. 
          AND, YOU KNOW, WITH THE RISING FOOD COSTS AND HOUSING COSTS, IT'S JUST GOING TO GET WORSE. 
          SO, IT IS SOMETHING INITIATIVE THAT I'VE BEEN REALLY TRYING TO WORK TOWARDS TO, TO GET AND, HOPEFULLY WE DID CREATE A, A MAYOR'S TASK FORCE WITH, YOU KNOW, OUR, OUR, OUR CORE GROUP OF MEMBERS, AND WE'RE TRYING TO FIGURE OUT HOW TO GET THIS INFORMATION OUT TO PEOPLE. 
          EASIER TO BE ABLE TO REACH OUT TO, COMMUNITIES AS, YOU KNOW, HEALTH LEADERS AND EVENTUALLY, ONCE WE HAVE SOME SORT OF, CLEARER MESSAGE FORMAT, WE'RE GOING TO TRY TO USE THAT TO REACH OUT TO THE PUBLIC LEADERS IN OUR TOWN. SO IT IS IMPORTANT THAT WE GET AHEAD OF THIS AND, YOU KNOW, IT IS, IT IS A NEED IN OUR TOWN. AND THEN THE TOWNSHIP COMMITTEE DID ASK FOR A QUESTION. MAYBE THIS IS WHEN DEVON IS BACK. BUT THE TC IS QUESTIONING ON WHAT THE BOARD OF HEALTH CAN DO TO IDENTIFY THE SEPTIC ISSUES OF CERTAIN HOUSES THAT, YOU KNOW, JUST AREN'T ON OUR RADAR. AND THEY ARE, YOU KNOW, IT'S LEACHING INTO THE GROUND. AND YOU KNOW WHAT CAN WE DO? CAN WE IDENTIFY THEM AS THAT WAS THEIR QUESTION? UNLESS WE RECEIVE A COMPLAINT, WE WOULDN'T REALLY BE ABLE TO IDENTIFY ANY MALFUNCTIONING SYSTEMS. BUT JUST BECAUSE THE SYSTEM IS OLD, IF IT'S NOT BREAKING OUT, THERE'S CERTAIN CRITERIA IN THE SEPTIC CODE FOR MALFUNCTION. SO IF IT'S BREAKING OUT ON THE GROUND, WHERE EFFLUENT IS SURFACING, IF IT'S BACKING UP INTO A HOUSE, OR IF IT'S CONTAMINATING A WELL, SO THOSE WOULD BE THE CRITERIA WHERE WE COULD COME IN AND ISSUE A NOTICE OF VIOLATION AND REQUIRE THEM TO REPAIR OR REPLACE THE SEPTIC SYSTEM. OKAY UNFORTUNATELY, LIKE, YES, WE I UNDERSTAND THERE'S PLENTY OF SYSTEMS OUT THERE THAT, YOU KNOW, ARE ONLY 26IN DEEP. THEY'RE NOT MALFUNCTIONING, BUT THEY'RE NOT TREATING THE EFFLUENT UP TO TODAY'S STANDARDS, BUT WE CAN'T TAKE THEY'RE NOT VIABLE. MEETING THE STATE SEPTIC CODE. OKAY. IT WAS JUST A QUESTION THAT. YEAH. NO. UNDER. YEAH I'LL LET THEM KNOW. 
          THANK YOU. YEAH. ONLY WAY TO KNOW IS THAT EITHER THERE IS A COMPLAINT OR IF THAT, THAT CERTIFICATION HAS TO BE TWO YEARS, THEY FAIL THAT THEN THAT WILL BE REPORTED. OTHERWISE. YOU 
          [00:15:06]
KNOW WHAT ELSE WE CAN DO TO FIGURE IT OUT? AS LONG AS THEY ARE WITHIN THE CODE, IRRESPECTIVE OF IT'S ALL ONE 26IN VERSUS WHATEVER NEW ONES. YEAH, I DON'T THINK IT'S WORRIED ABOUT CODE. I THINK IT'S WORRYING ABOUT IF IT'S IF IT'S MALFUNCTIONING AND IF THE TOWN KNOWS ABOUT IT. YEAH. I MEAN WE OBVIOUSLY IF WE HAPPEN TO BE DRIVING AROUND AND WE SEE A PUDDLE OF SEWAGE IN SOMEBODY'S YARD, YOU KNOW, WE WOULD ADDRESS IT OR IF WE GET NOTIFIED. BUT ASIDE FROM THAT, IF, IF SOMEONE THAT LIVES NEARBY DOESN'T CALL US AND TELL US, WE MIGHT NOT FIND OUT ABOUT IT. OKAY BUT I WOULD ENCOURAGE ANYBODY TO CALL US. RIGHT. IF THEY KNOW ABOUT ANY PROBLEMS. OKAY WE DO HAVE. DENNIS. I WAS NOT HERE, SO I'M GOING TO LET, DOCTOR SORAYA AND DOCTOR NEWMAN TALK ABOUT IT. BUT THERE ALSO IS A BURDEN TO THE OLDER RESIDENTS IN MONTGOMERY THAT WE NEED TO CONSIDER BECAUSE WE JUST RAISED THE LICENSING FEES. AND WE'VE BEEN HEARING WE'VE HAD PEOPLE COME TO THE BOARD OF HEALTH TO DISCUSS, YOU CAN YOU GUYS GO? THERE'S NO VALUE FOR THE MONEY, RIGHT, SO WE DID HAVE I THINK IT WAS ABOUT THREE MONTHS AGO. MARCH. IT WAS MARCH, IT WAS ME AND CHRISTINE. YEP. AND I DON'T. WERE YOU THERE, MAYBE IT WAS ONLY TWO OF US, AND, SOMEBODY MIGHT HAVE BEEN THERE. YES. AND OUR GUY WAS THERE. YEAH SOMEBODY FROM OUR TOWNSHIP CAME AND WANTED TO DISCUSS THE SEPTIC ISSUE. SHE LIVED IN AN OLDER HOME AND HAD BEEN HERE. I THINK SHE'S LIVED HERE HER WHOLE LIFE. SO SHE WAS KIND OF, I GUESS, COMPARING AND CONTRASTING HOW SOME OF THE HOMES ARE GRANDFATHERED IN. AND WE HAVE NO WAY OF KNOWING WHO, YOU KNOW, GETS ACTUALLY LICENSED AND RENEWS THEIR CERTIFICATION. AND I GUESS HER OTHER CONCERN WAS THESE FEES THAT WERE CHARGING, WHICH WE KNOW INCREASED. WHERE'S THAT MONEY GOING, SO THAT WAS, I THINK, HER BIG. WHAT DID SHE LEARN? WHAT IS SHE GETTING OUT? WHAT IS SHE GETTING FOR HER MONEY? LIKE SHE PAYS FOR IT, BUT HER NEIGHBOR MIGHT BE UNDER THE RADAR, GRANDFATHERED IN. NOT GETTING SEPTIC, INSPECTED. CHECKED, AS YOU SAY. HOW WOULD YOU KNOW? WE DON'T REALLY KNOW UNTIL THERE'S AN ISSUE, AND SHE WAS KIND OF CONCERNED ABOUT THE FINANCIAL. 
          DEFINITELY ACCOUNTABILITY OF THESE FEES THAT WE'RE CHARGING. WHERE IS THE MONEY GOING? WE CANNOT ANSWER THAT BECAUSE OBVIOUSLY WE'RE BOARD OF HEALTH, BUT WE DID TELL HER TO ATTEND THE TOWNSHIP COUNCIL MEETING. SO I'M NOT SURE IF SHE EVER ATTENDED, I DON'T THINK SHE DID ATTEND. I THINK SHE DID SHE ATTEND? I DON'T THINK SHE I DON'T REMEMBER HER BEING THERE. 
          YEAH. SHE HAD A LENGTHY LETTER. LIKE SHE HAD A WHOLE STATEMENT PREPARED AND EVERYTHING. SO SHE LISTENED TO HER FOR AN HOUR TALKING ABOUT SEPTIC. SHE WAS VERY PASSIONATE. SHE WAS VERY PASSIONATE. YES I BELIEVE WE DID SEE A LETTER COMING INTO THE TC. OKAY. IN THE PAST ON ON THE SEPTICS, YOU KNOW, IT'S A IT'S A SENSITIVE TOPIC BECAUSE IT'S, RAISING THE FEES IS, IS A CONCERN. I JUST WANT TO MENTION, THOUGH, WE DID NOT RAISE THOSE FEES, THE SEPTIC LICENSING FEES, THEY WEREN'T ONE OF THE FEES. WE RECENTLY SHE FEELS LIKE SHE'S BEING TAXED FOR. NO, NO, I UNDERSTAND I JUST WANT YOU TO RAISE THEM. I DON'T REMEMBER THAT PART, BUT. OKAY. YEAH, THAT. THANK YOU. KRISTIN. YEAH. BECAUSE WE KNOW PEOPLE DON'T. WE KNOW IT'S AN ISSUE. SO WE DID NOT TOUCH THAT. SO THAT IT'S JUST WHATEVER THE FEE IS, IS. AND SHE KNOWS THAT IT'S NOT A LOT, BUT IT'S THE PRINCIPLE. YEAH I UNDERSTAND YEAH. THANK YOU I MEAN THERE'S OUR WORDS. 
          IT'S LIKE SOME, SOME TOWN SOME HOUSES, ARE ON THE RADAR AND THEY GET AN ANNUAL, ANNUAL FEE. 
          RIGHT. YEAH. SO THE PEOPLE ANNUALLY, THEY PAY $25 A YEAR, THE OTHER PEOPLE THAT ARE ON THE THREE YEAR PROGRAM PAY $60, BUT THAT TECHNICALLY IS BROKEN DOWN BY BASICALLY TO $20 A YEAR. SO IN ESSENCE, IT'S KIND OF SIMILAR. YEAH. YOU KNOW, BUT THEN THERE'S SOME THERE'S SOME RESIDENTS THAT THE TOWN DOESN'T KNOW ABOUT THAT HAVE SEPTICS THAT, YOU KNOW, THAT THEY DON'T PAY ANYTHING. SO I THINK THAT WAS A CONCERN. I THINK SHE MAY HAVE BEEN THE ONE THAT DIDN'T PAY ANYTHING. AND NOW ALL OF A SUDDEN SHE'S GETTING A, AN INVOICE, I MEAN, IS IT OUR JOB TO IDENTIFY EVERY SINGLE PERSON WHO HAS A SEPTIC SYSTEM, OR DO WE NOT KNOW EVERY PERSON WHO HAS A SEPTIC SYSTEM? NO, THAT WAS HER COMPLAINT. WE KNOW THAT I DID AN EXTENSIVE OF DELVE INTO THIS, AND THERE'S ABOUT EIGHT. YEAH, WE WENT SEVEN. EIGHT. YEAH. 7 TO 800 HOUSES THAT ARE NOT PART OF OUR PROGRAM ON SEPTIC. THAT'S AMAZING. OKAY. BUT IT WOULD BE NEARLY IMPOSSIBLE. AND QUITE HONESTLY, I DON'T THINK WORTH THE TIME TO FIGURE OUT WHAT HOUSES THEY ARE. 
          YEAH, RIGHT. YEAH EVERY MONTH WE'RE ADDING, WHAT, FIVE, TEN MORE HOUSES INTO THE PROGRAM BECAUSE THEY COME IN FOR A REPAIR PERMIT AND THEN THEY'RE ADDED IN FOR SALE WHEN THEY GET A SALE. SO OKAY. YEAH. SO WAY BACK THERE, LIKE THERE WAS NOT PERMITS. SO I'M ASSUMING THESE 
          [00:20:02]
ARE OLD SYSTEMS. THERE HAVE A CERTAIN AGE AND THERE WERE NOT THEY WERE NOT PERMITTED WHEN THEY WERE PUT IN OR THE. SO THEY'RE FROM BEFORE 1990. YEAH. AND THEY HAVEN'T BEEN REPAIRED OR REPLACED. SO SOME COULD BE FROM 1985 AND SOME COULD BE FROM 1945. YEAH. AND AS THESE HOUSES ARE SOLD, THEY COME IN FOR REPAIR PERMITS TO GET THE SEPTIC. THE HOUSE, THE HOUSE. 
          BUT WHAT IF THE HOUSE IS SOLD AND THERE'S NO REPAIR? THEY STILL THEY'RE STILL A RECORD OF THAT, LIKE MY OWN HOUSE I BOUGHT IN. YEAH IN 2001. AND THE SEPTIC WAS PUT IN IN 85, AND IT DIDN'T FAIL. I MEAN, IT'S PAST, BUT SO IS THERE JUST A RECORD WHEN A HOUSE IS SOLD? BECAUSE I'M ON THIS, I'M ON THE INSPECTION THING. LIKE I SEE THAT. YEAH. NO, I MEAN, TO BE HONEST, I DON'T THINK THAT THERE'S A NOT ONE COMPONENT OF THE SEPTIC FROM 1985 THAT WOULDN'T NEED TO BE ALL OF THEM WOULDN'T BE REPLACED. YES, THAT'S RIGHT. THEY ALL NEED TO BE REPAIRED. 
          IT'S FINE. THERE'S NO NO. BUT LIKE USUALLY BY THAT POINT, LIKE THE DISTRIBUTION BOX IS DETERIORATED. YEAH. ONE OF YOUR BAFFLES HAS FALLEN OFF OR AND NOT ALL THE TIME. NOT ALL THE TIME. BUT THAT'S WHAT WE USUALLY FIND. YEAH. AND THE ONES FROM THE 60S AND 70S PEOPLE JUST THEY'RE NOT GOING TO TAKE THAT, THAT RISK OF. RIGHT. YOU KNOW BECAUSE NOBODY WANTS TO GET STUCK WITH IT'S BASICALLY LIKE $60,000 NOW TO PUT A NEW LIVING IN FEAR OF THAT HAPPENING. YES. 
          OKAY. INTERESTING. COULD YOU ASK THEM TO VOLUNTARILY TELL YOU AND SAY LIKE CAN YOU CAN YOU SEND A MESSAGE TO THE TOWN AND SAY, WE'RE GIVING YOU A TIME PERIOD? PLEASE LET US KNOW. AND IF YOU DON'T, LET US KNOW IN YOUR GRANDFATHERED IN, AFTER A CERTAIN POINT, THE FEES ARE MUCH HIGHER. SO THERE'S A CARROT TO LETTING YOU KNOW. NOW AND A STICK FOR SAYING, YOU KNOW, IF YOU'RE GRANDFATHERED IN AND YOU DON'T TELL US AND WE FIND OUT IN 2025, IT'S A SO WE'D HAVE TO CHANGE THE ORDINANCE. I MEAN, AN ORDINANCE WOULD HAVE TO BE WRITTEN TO REFLECT THAT KIND OF, LANGUAGE. AND, I MEAN, AND EVEN IF I JUST ALSO WANT TO ADD, EVEN IF IT IS THE DEPARTMENT OF HEALTH IS NOT STAFFED OR FUNDED TO TAKE CARE OF THIS ISSUE. AND THE CURRENT TIME. OH YEAH. IF WE GOT 800. STAFF OR FUNDED TO TAKE CARE OF THIS ISSUE AT THE PRESENT TIME? IT'S TRUE. WE DO STRUGGLE TO KEEP UP WITH THE ONES THAT WE DO HAVE. WHAT DO WE HAVE LIKE CLOSE TO 2000 OF THE PROBABLY LIKE 2300 OR SO IN OUR SYSTEM. SOME ARE EVERY YEAR, SOME EVERY THREE YEARS. SO IT'S A LOT, A LOT. RICHARD. YEAH, I HAVE ONE QUESTION, YOU SAID IF YOU FEEL THE WELL WATER IS CONTAMINATED, THEN YOU MIGHT GO AND INSPECT. IS THERE ANY PROTOCOL OR LIKE, YOU KNOW, HOW OFTEN DO YOU CHECK LIKE. WELL WATER. WELL, SO IF YOU SELL A PROPERTY ON A WELL, THERE'S A STATE REGULATION THAT THE WELL HAS TO BE TESTED. SO IT'S ONLY WHEN IT'S BEING SOLD. IT'S NOT LIKE THAT EVERY YEARLY BASIS OR ANYTHING. YEAH. IF YOU'RE NOT SELLING YOUR HOUSE THERE'S NO REGULATIONS ON TESTING IT. I MEAN WE RECOMMEND IT, BUT I MEAN, HONESTLY, FOR $25 AN 800 HOUSES, I THINK IT'S AND TO FIND ALL THE 800 HOUSES IS NOT WORTH IT, YOU KNOW, I DON'T FEEL LIKE IT IS. I MEAN, I JUST DON'T KNOW HOW WE WOULD DO IT. WE TALK TO THE GIS PERSON, RIGHT? WE TRY TO COME UP WITH A LIST, AND IT JUST WOULD BE REALLY, REALLY LABOR INTENSIVE. RIGHT. BUT I THINK IT'S I JUST WANT TO CLARIFY FOR THE PEOPLE ON THE TC WHO HAD A QUESTION ON IT, YOU KNOW, I THINK IT WAS IT WAS A NICE CLARIFICATION TO SAY, HEY, LOOK, YOU KNOW, WE KNOW WE UNDERSTAND THERE'S 800, BUT, YOU KNOW, $25 A YEAR FOR 800 TO INVEST IN, YOU KNOW, THE BOARD OF HEALTH. TIME TO SEARCH. AND, YOU KNOW, IT JUST I LIKE THE METHOD WHERE WE'RE. IF THEY SELL THE HOUSE OR IF THEY COME FOR AN INSPECTION, NOW, THEY'RE ON THE LIST AUTOMATICALLY. SO I THINK IT'S FINE. SELF-SUSTAINABLE YOU GRADUATE. I AM CURIOUS, DENNIS. IS THIS THE TOP ISSUE FROM THE TC, NOT THE TOP ISSUE. I THINK IT WAS THE IT WAS IT WAS, WELL, FOR THE BOARD OF HEALTH, I THINK IT WAS IN A QUESTION THAT I WAS ASKED TO ASK, WE'RE FINDING SHOULD BE MORE IMPORTANT. WELL, YEAH, 100% MORE FUNDING. BUT I THINK THAT'S FOR EVERY DEPARTMENT IN EVERY TOWN IN, IN, IN, WELL, IN OUR TOWNSHIP. SO YEAH, FROM THE DATA THAT WE HAVE ON, ON FROM EMS AND OTHER SOCIAL SERVICE NEEDS IN THE TOWN, I WOULD HOPE THAT THAT WOULD BE A TOP PRIORITY FOR TC. YEAH I MEAN, THERE'S A LOT OF TOP PRIORITIES FOR SURE. YOU KNOW, ONCE AGAIN, FUNDING IS ALWAYS A 
          [00:25:07]
QUESTION AND WHERE TO GET IT AND HOW TO GET IT IS ALWAYS A DEBATE, SO, YOU KNOW, I UNDERSTAND MY STANCE, BUT YOU KNOW, SOME THERE'S MULTIPLE VIEWS. SO I APPRECIATE I APPRECIATE EVERYBODY'S VIEWS. I DO TOO, THANK YOU. OKAY. ANY OTHER NEW BUSINESS. I JUST HAVE 
          [VIII. NEW BUSINESS]
A. GOOD. WHO WANTS TO GO FIRST? WE GOT LOTS OF NEW BUSINESS. OKAY I WAS AT THE TOWNSHIP COMMITTEE MEETING AND THEY MADE MENTION THAT NEXT MEETING, I THINK I FORGET I BROUGHT THE AGENDA. THEY'RE GOING TO DISCUSS THE ANIMAL CONTROL SOLUTIONS CONTRACT. RIGHT. OKAY, SO I ASKED JEN TO SEND ME A COPY OF THE CONTRACT BECAUSE I WAS INTERESTED IN IT. I JUST HAVE A COUPLE QUESTIONS. DO THEY SEND A MONTHLY REPORT TO YOU? YES. THEY DO. IS THERE ANY WAY WE CAN SEE THOSE. OR. NO, IT ALWAYS COMES AFTER BOARD OF HEALTH. OKAY. SO I MEAN, I COULD START DOING IT. 
          YOU'RE JUST GOING TO SEE IT A MONTH BEHIND. THAT'S THAT'S OKAY. BUT WE ARE GETTING THOSE. 
          YES, YES. ALL RIGHT, AND THEN I JUST. SORRY LOOKING THROUGH THIS CONTRACT, I JUST, I DON'T KNOW IF WHAT THE TOWNSHIP COMMITTEE IS. ARE THEY THE ONES WHO APPROVE CONTRACT OR DOES THE HEALTH DEPARTMENT DO THE CONTRACT OR HEALTH DEPARTMENT? DOES IT. THE HEALTH DEPARTMENT IS IN CHARGE OF THAT. OKAY. SO AND THEN THE CONTRACTS THROUGH THE END OF 2025, IT WAS A TWO YEAR CONTRACT, THAT'S WHAT THIS SAYS I WAS YEAH. SO THAT WAS GOING TO SAY THE DATES ON THERE. 
          OKAY YEAH. BECAUSE I JUST LIKE IN REAL LIFE, I DON'T KNOW IF THE TOWNSHIP COMMITTEE IS GOING TO HAVE THAT AS PART OF THE PUBLIC MEETING NEXT TIME, OR YOU'RE GOING TO DO IT AFTER THE MEETING, I MEAN, I MEAN, I CAN BRING MY COMMENTS THERE, I THINK, YES, DURING THE PUBLIC MEETING, I THINK IT'S IMPORTANT TO HEAR YOUR COMMENTS ON ANIMAL CONTROL, OKAY. YOU KNOW, THERE ARE CONCERNS, OBVIOUSLY. YES. AND, YOU KNOW, CONCERNS ARE ARE OUR DOLLARS GOING PROPERLY TO WHAT OUR TOWN IS SERVING? YOU KNOW, SO THOSE ARE VERY VALID CONCERNS. BUT THEN ALSO ALSO THERE'S ALSO A CONCERN OF, THE FUNDING ONCE AGAIN, TO HIRE, ANIMAL CONTROL OFFICER. RIGHT. I JUST FEEL LIKE LOOKING THROUGH HERE THAT, I MEAN, I DON'T KNOW WHAT OTHER PEOPLE'S EXPERIENCES MY FEW EXPERIENCES HAVE NOT BEEN GREAT, AND I'M NOT SURE THE TOWN IS BEING WELL SERVED, SO I'D BE INTERESTED IN THOSE REPORTS, AND THEN THERE'S JUST SOME STUFF IN THIS CONTRACT THAT I'M JUST LIKE, WHO WROTE THIS, THERE'S ONE WITH THE RABIES QUARANTINE, AND THEY'RE TALKING ABOUT BITING DOGS. IT SAYS IF RABIES TESTING IS REQUIRED, ANIMAL CONTROL SOLUTIONS SHALL TRANSPORT THE BITING ANIMAL TO A LOCAL VETERINARIAN TO BE PREPARED FOR TESTING. DO WE KNOW WHAT THAT MEANS? I MEAN, I KNOW WHAT THAT MEANS. YOU CAN'T TEST A LIVE ANIMAL FOR RABIES. SO, LIKE, WHAT IS THAT SENTENCE THAT'S UPSETTING TO ME THAT THAT SHOWS A LACK OF KNOWLEDGE OF WHAT THEY'RE TALKING ABOUT. BECAUSE I DON'T REALLY WANT TO GET INTO IT, BUT YOU NEED TO HAVE THE BRAIN EXAMINED. YES MY CONCERN WITH WITH ANIMAL CONTROL IS THAT , THAT THEY DON'T HANDLE WILDLIFE AT ALL AT ALL EITHER. RIGHT. SO. WELL, ACTUALLY, I JUST WANT NOW I'M NOT LIKE A STICKING UP FOR ANYBODY, BUT I THIS LAST REPORT I JUST LOOKED AT, WE GOT LIKE TWO DAYS AGO, THEY DID HAVE 20, I THINK 20 WILDLIFE ANIMALS TAKEN TO MERCER WILDLIFE. AND SO ARE THEY SAY IN HERE THEY WON'T DO IT RIGHT. AND THERE IT IS. I THINK IF IT'S INJURED MAYBE ARE THEY CHARGING EXTRA FOR THAT. NO, NO OKAY. THAT'S PART OF THE CONTRACT. BUT BUT JUST SO I JUST THINK IT'S IMPORTANT TO NOTE TOO, THE CHALLENGES WITH FINDING THE FULL TIME OFFICER AND THEN THE PROBLEM WE HAD WHILE THE WHY THE LAST ONE LEFT IS BECAUSE WE COULDN'T FIND A PART TIME AND NOBODY'S GOING TO BE ON CALL 24 SEVEN 365, RIGHT. AND THAT WAS THE WHOLE REASON. EVERYTHING FELL APART. RIGHT? COULD WE DO A SHARED SERVICES WITH THE SURROUNDING TOWN WHO HAS LIKE TWO OFFICERS AND THEN LIKE, YOU KNOW, WE'LL WELL WE TRY WE DID THAT A LITTLE WITH PRINCETON. 
          BUT MOST OF THE TOWNS ONLY HAVE ONE PERSON. AND THEN I WASN'T PERSONALLY INVOLVED IN IT. I JUST KNOW THAT, THAT IT WAS A CHALLENGE BECAUSE IF YOU DON'T HAVE A PART TIME PERSON AND WE COULDN'T FIND A PART TIME PERSON BECAUSE WE'RE NOT, THERE'S NO BENEFITS. AND SO ANYBODY THAT CAME FOR AN INTERVIEW WAS NOT INTERESTED BECAUSE THERE WAS NO OFFENSE, BUT YEAH, YEAH, YEAH. 
          SO IT IS DIFFICULT TO FIND SOMEBODY, TO DO THIS TYPE OF WORK, I KNOW THERE IS IN BERGEN 
          [00:30:05]
COUNTY, I THINK BERGEN COUNTY COMMUNITY COLLEGE HAS A COURSE ON, CREATING ANIMAL CONTROL OFFICERS. SO MAYBE IT'S WE COULD REACH OUT TO THEM AND ASK THEM. HEY, YEAH. I MEAN, WE TALKED ABOUT HIRING, LIKE, TWO, TRYING TO HIRE TWO, FIND A WHOLE BUNCH OF DIFFERENT THINGS WITH, LIKE, ALL WAITING SCHEDULES. AND THAT DIDN'T GO ANYWHERE, SO WE DID LOOK DEEWANGI DID REALLY LOOK INTO IT AND HONESTLY, DID ANIMAL CONTROL SOLUTIONS WAS NOT HER FIRST CHOICE. I DON'T THINK NO, I DON'T THINK IT'S ANYBODY'S. BUT JUST SO WE KNOW THAT THE CONTRACT FOR THIS YEAR IS 63,006 48, WHICH I KNOW WE HAD A DISCUSSION ABOUT WHAT WE WERE PAYING OUR ANIMAL CONTROL OFFICERS. AND THEN FOR NEXT YEAR, 2025, IT'S 66 192 66,000. SO THAT IS WHAT WE ARE CURRENTLY PAYING, WHICH I DON'T THINK YOU CAN GET TWO ANIMAL CONTROL OFFICERS FOR THAT. WELL, NO. 
          PLUS THEIR BENEFITS AND OBVIOUSLY ONE, WHY THAT DIDN'T GO ANYWHERE. BECAUSE THAT'S RIGHT. BUT I MEAN, I THINK THERE'S DEFINITELY A NEED. AND LIKE WE HAVE A STRAY CAT ISSUE AND THAT DIDN'T GET HANDLED WELL. SO YEAH BUT I WILL I'LL BE AT THE NEXT TOWNSHIP COMMITTEE MEETING. I HAD I HAVE A I HAVE A CAT THAT'S INDOOR OUTDOOR. SO HE GOES OUT DURING THE DAY AND THEN COMES BACK AT NIGHT. AND RECENTLY HE'S BEEN THERE'S A NEW FERAL CAT IN TOWN AND HE'S BEEN BULLIED EVERYWHERE. SO NOW, LIKE, IF WE DON'T, IF WE DON'T BRING HIM IN ON A CERTAIN TIME, HE'S ON THE ROOF OF MY HOUSE AND HE'S LIKE STANDING UP THERE. SO, YOU KNOW, WE KNOW TO GO ON OUR DECK AND BRING HIM DOWN. OH MY GOSH. YOU KNOW. BUT I SAW THE FERAL CAT. HE'S HE'S HE'S A BIG BOY, YOU KNOW. WERE YOU SCARED OF HIM TOO. YEAH. NO I HAVE A PICTURE OF HIM AND, AND DEFINITELY IS A IS A MALE CAT. MY, MY CAT'S A MALE CAT. SO, YOU KNOW, TERRITORIAL WISE. YEAH HE'S, HE'S GOTTEN BITTEN A LOT. A FEW TIMES, SO. YEAH, IT'S GOING TO KEEP HAPPENING. YEAH. 
          TRYING TO KEEP HIM INDOORS AS MUCH AS POSSIBLE, TOO. YEAH, YEAH, YEAH, BUT HE JUST WANTS TO GO OUTSIDE. HE'S JUST LIKE LECKTOR'S. I'LL TAKE THE BIRDS. OKAY. I THINK WE HAVE ANOTHER. 
          DID YOU SOMEBODY ELSE HAVE NEW BUSINESS? AND THEN I'M GOING TO ASK JOE TO INTRODUCE HIMSELF AGAIN FOR FOLKS WHO WEREN'T HERE LAST TIME, DO YOU HAVE A GO AHEAD? SO I JUST HAD A SORRY, GUYS, QUESTION ABOUT THE MEASLES CASE, AND I WAS JUST WONDERING, SORRY, GUYS, REGARDING, LIKE, ARE THE SCHOOL NURSES AWARE AND HOW HAS THE INFORMATION BEEN DISSEMINATED THROUGH OUR TOWNSHIP? I KNOW SHE WAS TALKING ABOUT A NIXLE ALERT. IF PEOPLE SIGNED UP, BUT I DON'T KNOW HOW MANY PEOPLE IN PUBLIC REALLY ARE AWARE. MAYBE DOCTOR MANDELBAUM CAN COMMENT. YEAH I DON'T KNOW. 
          FROM THE SCHOOL PERSPECTIVE, I DON'T KNOW THAT ANY SPECIFIC INFORMATION WAS SENT TO THE SCHOOL. THE, THE MEASLES CASE WAS, INFANT WITH AND SO WITH AN OLDER SIBLING WHO WAS VACCINATED , WHO WAS NOT IN SCHOOL. AND SO, RIGHT. YEAH, THERE WAS NO ISSUE. THERE WAS NO NEED. OKAY. GOTCHA THANK YOU. YEAH. THANK YOU. I KNOW EMS WAS MADE AWARE AS WELL. SO WE'RE, THE WHOLE SQUAD HAS BEEN MADE AWARE TO KEEP AN EYE OUT IN CASE IF WE SEE ANY SIMILAR CASES OF THE SORT. YEAH, I THINK THE ISSUE, I MEAN, JUST TO TOUCH ON THE MEASLES CASES, IT WAS INTERNATIONAL TRAVEL, AND THE RATES OF MEASLES INTERNATIONALLY, WHEN YOU LOOK AT, LIKE, THE MIDDLE EAST OR LIKE SOUTHEAST EUROPE, THE CASES ARE LIKE IN THE LAST SIX MONTHS, 10 TO 30,000 DOCUMENTED CASES OF MEASLES IN EACH COUNTRY, NOT LIKE TOTAL. YEAH. YOU KNOW, IF YOU. YEAH. SO, YEAH. YOU KNOW, SO WHEN YOU'RE LOOKING IT'S NOT ONE AREA. THESE ARE IF YOU LIKE THE TOP TEN COUNTRIES PER THE CDC, IN A SIX MONTH TIME PERIOD, IT'S I THINK LIKE 28,000 CASES IN SIX MONTHS, 18,000 CASES. AND THOSE ARE DOCUMENTED CASES. SO WHO KNOWS WHAT'S HAPPENING. SO SO, WHAT WE HAVE SEEN, LIKE IN THE CASES THAT STARTED AT CHOP IN SIX IN FEBRUARY WAS ANOTHER INTERNATIONAL CASE. SO FOR THE MOST PART, BECAUSE WHEN PEOPLE ARE VACCINATED, WE'RE NOT SEEING IT SPREAD. WHEN IT'S NOT VACCINATED, WE ARE SEEING IT, SO UNLESS THERE'S POCKETS OF UNVACCINATED PEOPLE, IT'S BEEN CONTAINED. AND SO I THINK LIKE THERE'S NOT MUCH TO LEARN FROM THIS CASE. THERE'S NOT MUCH SPREAD IN MEASLES IN MONTGOMERY. THERE'S NOTHING. YEAH. MORE INHERENT TO MONTGOMERY THAN ANYONE ELSE. IT JUST SO HAPPENS THIS WAS A VISITOR. WHAT IS IMPORTANT IS THAT PEOPLE ARE TRAVELING NONSTOP INTERNATIONALLY, AND THIS WILL CONTINUE TO HAPPEN. AND SO WHEN 
          [00:35:05]
YOU START TO LOOK AT TRIAGING AND SAYING, LIKE, I SEND SOMETHING OUT TO THE AT THE HOSPITAL, LIKE JUST BECAUSE THIS, THIS PATIENT ENDED UP IN THE HOSPITAL IN THE E.R. AND THROUGH THAT THERE WERE TWO MORE EXPOSURES. NOW, MOST ALMOST EVERYONE WAS VACCINATED RIGHT. 
          BUT JUST REMEMBERING FOR MEASLES, IT'S AEROSOLIZED AND IT WILL STAY FOR TWO HOURS IN THE ROOM. SO THIS IS NOT LIKE COVID WHERE WE WERE LIKE, HEY, IT'S MOSTLY DROPLETS. AND THIS IS AND SO IF YOU'RE IN THE SAME EMERGENCY WAITING ROOM WITHIN TWO HOURS AFTER A MEASLES CASE, YOU'RE CONSIDERED EXPOSED. YEAH AND THE INFECTION RATE IS AROUND 90. DID A GREAT JOB IF YOU'RE EXPOSED AND NOT VACCINATED. AND THE QUARANTINE RATE IS BECAUSE THE INCUBATION PERIOD IS 7 TO 10 DAYS ON AVERAGE. BUT THE QUARANTINE, IT CAN BE UP TO 21 DAYS. SO IF YOU'RE HIT LIKE AS WE'RE DOING THIS, WE'RE TELLING PEOPLE YOU'RE QUARANTINED FROM DAY FIVE OF EXPOSURE TO DAY 21, RIGHT. AND SO IT'S JUST A MESS. SO THE QUESTION IS, HOW DO YOU BETTER IDENTIFY IT AND THE AND THE SYMPTOMS OF MEASLES BEFORE THE RASH ARE TYPICAL VIRAL SYMPTOMS OF RUNNY NOSE AND COUGH AND FEVER THAT COULD LOOK LIKE ANYTHING. YES. RIGHT. AND SO IT COULD LOOK LIKE ANY OTHER VIRAL ISSUE. SO IF YOU DON'T HAVE KNOWN EXPOSURE OR TRAVEL. SO REALLY THE HIGHLIGHT IS TRYING TO IDENTIFY WHY IF YOU'RE SICK WITH VIRAL SYMPTOMS AND YOU HAVE HAD INTERNATIONAL TRAVEL, WE SHOULD CONSIDER THAT AS LIKE YOU HAVE TO HAVE A HIGH SUSPICION OF MEASLES. SO WHAT WE'RE TRYING TO THEN SAY IS WHEN THOSE CALLS COME IN AND, YOU KNOW, THIS IS INTERESTING FOR EMS BECAUSE AS JUST AS A TRIAGE, WHAT WE'RE TRYING TO TELL PEOPLE IS WHEN TO PHYSICIANS OFFICES, TEACHER STAFF, YOU CAN'T TRIAGE EVERY PERSON. AND SAY HAVE YOU TRAVELED? BUT OR I MEAN, YOU CAN'T. YOU CAN AT LEAST YOU COULD TRY TO SAY, DID YOU TRAVEL IN THE LAST YOU KNOW, TWO WEEKS TO AN INTERNATIONAL COUNTRY? AND IF YOU HAVE THAT AND FEVER SYMPTOMS AND YOU HAVE TO HAVE A HIGHER LEVEL OF CAUTION AND SAY, ARE WE GOING TO BRING YOU IN CAREFULLY TO NOT EXPOSE ANYONE HERE, ARE WE NOT GOING TO SEND YOU TO THE E.R. FOR ER FOR SENDING TO THE ER? WE'RE TRYING TO COMMUNICATE AHEAD OF TIME SO THAT THERE'S NOT A WAITING ROOM THAT THERE'S KEPT OUTSIDE, AND THEY CAN BE BROUGHT INTO A NEGATIVE PRESSURE ROOM, THAT ONCE THEY WERE IN THE HOSPITAL, THIS PATIENT, THEY WERE IT WAS ABOUT AN HOUR IN THE WAITING ROOM, AND THEN THEY WERE IDENTIFIED AND PUT INTO A, KIND OF REVERSE ISOLATION OR AIR ISOLATION ROOM, AND THEN FROM THERE, THERE WERE NO EXPOSURES. RIGHT. BUT FROM SITTING IN THE WAITING ROOM, IN THE WAITING ROOM AND SOMEONE SEES THEM. YEAH. YEAH. SO IT'S, THERE'S NOTHING I THINK THERE'S, THERE'S NO INHERENT RISK TO MONTGOMERY. I THINK THAT THIS IS DONE. BUT YEAH. IT'S AN ONGOING RISK. SO GUYS PLAN TO GET, YOU KNOW A VACCINATION CLINIC IN SOMERSET. YES OKAY. THAT'S RIGHT, IS THERE LIKE A SOP THAT YOU GUYS CAN DO AT EMS AND ASKING THAT QUESTION IF THEY HAVE TRAVELED, SO NOW THAT THAT WAS MENTIONED, I ACTUALLY THINK IT WOULD BE A GOOD IDEA FOR US TO INCLUDE IN OUR LIST OF QUESTIONS THAT WE ASK OUR PATIENTS WHEN WE START TO SEE THOSE SYMPTOMS, TO ASK, HAVE YOU TRAVELED? AND OKAY, IF YOU HAVE, THEN KIND OF GO DOWN A FLOWCHART AND BE LIKE, ALL RIGHT, WELL, THIS NOW IS MORE AT RISK AND TAKE THE ADDED PRECAUTIONS. WE DO CALL THE HOSPITALS AHEAD ON ALL OF OUR CALLS, BUT IF WE HAVE THAT, INSIGHT AHEAD OF TIME, THAT WOULD BE GREAT. GREATLY BENEFICIAL BOTH TO PATIENT AND TO THE REST OF THE PEOPLE IN THE ER AND THE SURROUNDING AREA AND OUR EMS AS WELL. AND YES, RIGHT. AND FOR YOU, THE IDENTIFICATION IS N95S. RIGHT, RIGHT. SO LIKE, I MEAN EVERYONE'S VACCINATED BUT THAT IS, ASSUMING EVERY EVERYONE SHOULD BE VACCINATED BECAUSE IT DOES PUT THE HEALTH CARE PERSONNEL AT RISK, NOT ONLY IF YOU'RE NOT VACCINATED AND YOU'RE EXPOSED, THAT PERSON'S HEALTH IS LIKE, CAN'T GO TO WORK. AND SO, VACCINATED PEOPLE DO NOT NEED TO DO ANYTHING DIFFERENTLY. OTHER THAN MONITOR, BUT IT'S N95. SO THE TWO QUESTIONS THEY ASK ARE, HAVE YOU HAD ANY RECENT MEASLES EXPOSURE? AND YOU HAVE YOU HAD ANY INTERNATIONAL TRAVEL AND THOSE TWO CAN COME IF THE IF IT'S KIND OF VIRAL SYMPTOMS OF FEVER, YOU KNOW, CONJUNCTIVITIS AND COUGH LIKE SO YOU COULD IN THE ABSENCE OF THAT I DON'T THINK YOU HAVE TO ASK THE QUESTIONS. BUT IF YOU COULD STRATIFY THAT, IT COULD PROTECT YOU, PUT N95 ON AND THEN YOU COULD JUST SAY, I'M BRINGING SOMEONE SICK WITH FEVER WITH INTERNATIONAL TRAVEL THAT COULD ALLOW THE HOSPITAL TO TRACK THEM RIGHT? RIGHT OKAY. WE'LL BE BRINGING THAT UP. THANK YOU. THANKS, JOE. ANY OTHER NEW BUSINESS? NOW THAT YOU'VE KIND 
          [00:40:06]
OF IDENTIFIED THAT YOU'RE PART OF EMS, DO YOU WANT TO SAY A LITTLE BIT MORE? ALL RIGHT. 
          WELL, HI, MY NAME IS, DOCTOR JOSEPH PARADY, YES, I AM WITH THE. I HAVE BEEN SERVING WITH EMS MONTGOMERY EMS NOW FOR. I THINK IT'S EIGHT YEARS, OUTSIDE OF MY VOLUNTEER SERVICE, I WORK IN MEDICAL DEVICE R&D, WITH, DEGREES IN CHEMICAL ENGINEERING, BIOENGINEERING AND MATERIAL ENGINEERING, AND, YEAH, I'M VERY EXCITED TO BE ABLE TO OFFER MY ASSISTANCE HERE AT THE, BOARD OF HEALTH AND, LOOK FORWARD TO, WORKING WITH ALL THESE FINE FOLKS. WELCOME. THANKS FOR BEING HERE. THANK YOU. THANKS FOR JOINING. THANKS FOR THE TC FOR THE QUICK, REPLACEMENT PERSON AS WELL. WE'RE STILL, WE NEED ONE MORE ALTERNATE, AND WE HAVE SOME PEOPLE IDENTIFIED FOR THAT AS WELL. BUT IF YOU HAVE, THE MORE NAMES WE HAVE FOR PEOPLE WHO ARE INTERESTED IN THE BOARD OF HEALTH, THE BETTER. SO WE CAN ALWAYS CONSIDER OTHER OPPORTUNITIES AS WELL. OKAY SO HAVING NO FURTHER BUSINESS TO DISCUSS THE MEETING WILL NOW ADJOURN AT 815. MOTION TO ADJOURN. DOCTOR SHARMA AND SECOND. SECOND. A SECOND FROM DOCTOR MOHAN. OKAY. READY WE'RE READY.
* This transcript was compiled from uncorrected Closed Captioning.