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ONTARIO BRANCHNEWS NG 19 / Volume IX Number 2 1988 ISSN Number I 0710 345X

ONTARIO BRANCHNEWS - Emerging, Controversial ... on environmental health that will directly relate to the if not rare occasion at an Ontario Branch Conference. community-and more importantly

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ONTARIO BRANCHNEWSNG 19

/

Volume IX Number 2 1988ISSN Number I 0710 345X

GreatLakes 1

A Biochemical(Canada)LtdWorld-widewatercaretreatmentsince1956.HEADOFFICE:

4630DuflerinStreet,Toronto,OntarioM3H5S4.Telephone(416)736-4555.Fax(416)736-4461. !'_J_,

VICTORIA• VANCOUVER• WINNIPEG• CALGARYPENTICTON• HALIFAX• MONTREAL• TORONTO

_ AmemberoftheLapodeGroupofCompanies.LaporteHoldingsU.K.

ALGIMYCIN400-'THEWORLDS'BESTALGICIDE.

IT'SALLYOUNEEDFOREFFECTIVECONTROLANDPREVENTIONOFALGAE.

€> phiCi o.T.R a A.C..EWS" ., Volume IX Number 2

• SPRING'1988EDITOR ,Klaus Seeger

PRODUCTION & ADVERTISINGJohn Orr . ' FEATURES

ONTARIO BRANCH EXECUTIVEPresident •

Halton'Reg.JaneH.U.Urquharto416-827-2151 Trip to Moscow ....................... '.......... . '...... •.Pg. 38Letter to the Editor ............ ;.... ......... .......... . Pg. 41

PastPresident 48th Annual Conference Financial Statement Pg. 45PeterMoccio " .............Kingston F.L. &A.° 613-549-1232 48th Annual Conference Report ........ :-.... ..... •..... ..,.. Pg. 46

•Sec-Treasurer Down But Not Out .............................. _........ Pg. 46Jacques Nadeau Noise Measurements, Walkman Stereo .................... Pg.51

North Bay H,U. • 705-472-7925%

Councillors1987-88 "JeffChretienCentralArea

,.A.p.A.•_6-965-8s88 REGULARSHenryChongCentralArea

ScarboroughH.D.• 416-396-7431 President's Report- Plan to Participate .................... Pg.38John Orr Coming Events ' Pg. 49

WesternArea Health Unit Happenings ................................ Pg.50Huron County H.U. • 519-482-341_6 EmploymentOpportunities Pg.50

Ed RistanEasternArea :

Hatibu_:ton-Kawartha P.R.H.U.o.613-475-0933

Councillors1988-89 . '

Patricia Powell COMMITTEE REPORTSCentralArea

Toronto H.D. Downtown

' Klaus Seeger MOE Advisory ......................................... Pg. 40WesternArea Public Policy..&Information . ................. '............ Pg. 40

HuronCountyH.U.- 519-482-3,_16 Education Report • .-.... Pg.41MikeMinor Membership & Area Meetings .............. : ............. Pg. 41

SouthwesternArea Secretary-Treasurer Report ............ ".......... • ....... Pg. 42NiagaraReg.H.U.° 416-356-1538 OPHA Report ..... ,.... , .................... ,............ Pg. 44

COMMITTEE CHAIRPERSONS Ontario Branch News ...... ' ............... : ............. Pg.44Resources ........................... •................. Pg.44

RyersonAdvisory. . ...........................Jeff Chretien 1988Ontario Branch Executive Pg.44MOEAdvisory

EdRistan FOR YOUR P.H.i. FILEEducation In-service

Henry ChongPatricia Powell Human Rabies Despite Treatment -- Thailand .............. Pg.55

Membership& AreaMeeting Big Savings from Handheld Computers .................... Pg.56Mike Minor

Public Policy & InformationEd Ristan "

ConferenceLiaisonJane Urquhart Deadline for Summer Issue is May 15, 1988

O.P.H.A.Unified'VoicePeter MoccioJane UrquhartSalarySurvey

John Orr

Resources Published Quarterly by the Canadian Institute of Public Health •Inspectors (ONTARIO BRANCH) INC.John Orr Box 687. CLINTON, ONTARIO. NOM 1L0. Telephone !-519-462-3416. EDITOR. KLAUS SEEGER. The

By-law, Nomination. Opinions expressed herein are those of the authors and are not necessarily those of members of theInstitute of the C.I,P,H.I. ONTARIO BRANCH. Full rights are reserved. Material may be reproduced withJacques Nadeau permission of the Editor and Author. Subscription is $4. per year.

page 38 Ontario Branch News Spring Volume'9 NO: 2:1988

This Issue:Following an information packed 40 page Winter issue, this regard.ing Distance Education. It appears I jumped the gun' in

.issue has a leaner look,although the articles and reports are . claiming that the Distance Education protocol had beenjust as informative, ratified by Ryerson. Apparently appt:oval has not been given.

The Haliburton Conference Committee has submitted its The protocol is being rewritten andis stillawaiting approval- final results in a financial statement and written summary of from Ryerson. Sorry for any inconvenience .thismay have

its success at Pinestone Inn; AI Campbell has written an caused.interesting article regarding P.H.I. survival in tl_e wilderness.A You may know that 1989 is the 50th anniversary of thedetailed commentary by Ed Meyers on his trip to'Moscow is Ontario Branch. The Ontario Branch is sponsoring thea so included in this issue. Education conference that year and Jeff Chretien is the

As usual, committee reports as presented and accepl!ed at conference committee chaif'person. He is requesting allthe recent February Executive meeting are included, members who have public health memorabilia from the last 50

A notice will be mailed to you shortly, regarding a two day years (e.g. grad ;)hotos, equipment, articles, etc.) to submitcomputer inservice course for PHI's at the University .of them to him for display. They will be returned if requested. ForGuelph sponsored by the Ontario Branch. This will be a hands additional information please contact Jeff at 79 17th Street,on course to introduce the PHI to the PC (personal comp.uter) Etobicoke, Ontario M8V 3K5.and how it can be used in public health. ..

Phil Barton,, a well known dedicated involved mernber of theInstitute has retired. We wish Phil an enjoyable andlbusy life

ahead. __

You may notice that the me_nbership application and payroll ' . _i.'/ " -' , _.,_ _deduction form are missing in this issue. We ran out of roomand didn't hav'e enough.additional copy to go another.eight , J " .pages, so please photocopy the forms from the Winter issue ifyou require their use.

A correction from the Winter issue should be noted

President's Report

Plan to Participate=.

oo.. _ ,

by JANE URQUHART

As 1988 begins, we enter the year leading to the Golden Ryerson Polytechnical Instituie in. an- attempt to 3rovideAnniversary of theOntario Branch in 1989. To commemorate extension courses to all regions of this Province. I encouragethis milestone, l amaskingallmembersofthelnstitutetojoin all Public Health Inspectors to avail themselves of thein the celebration and to participate in a very exciting time for" opportunity to further their expertise by participating in theseour profession. ' We are extremely fortunate to have active courses."members that fully remember the day this Branch was born. In January, members of the executive were invited to meetThey did, as we have, and as the students will watch our with Robert MacMillan, Assistant Deputy Minister of Health.profession grow from a handful of Sanitarians to a very large This invitation was the first opportunity our Institute has hadprofession that influences and will continue to influence in meeting with the senior representation Of the Ministry. Weenvironmental health Ofall the residents of Ontario. Our name werealso given the opportunity to convey to him the concernshas changed, our designation has changed, but the concern of our.profession. Extended funding to local health agencies, ,fo{' the well-being of the people of this Province has not and further education of Public Health Inspectors andwill not change, environmental health promotion were topics discussed at this

We are tak-ing a 10ok at ourselves. The strategic planning meeting. We view this meeting as a very positive liaisoncommittee is developing.a paper to assist in determining our between our profession and the Ontario Ministry of Health.future direction, our re-organization and our role in the Health Our upcoming Annual Conference will be held during the.Care System of Ontario. -' week"of September 26, 1988, hosted by the. Halton Regional

Secondly, we haveinitiated a committee to enhance Our role HealthDepartment. The educational program goes beyond ourin Environmental Health Promotion. Environmental Health 'routine activities' and attempts to offer an 'nsight into ourPromotion is not just pamphlets and posters. It is an active future role.

participative role in_the physical environmental lifestyle of The Honourable E. Caplan, Minister of Health has acceptedpeople. This committee will serve as a resource for our our invitation to address Our delegates at a special luncheon.profession in promotion, as well as undertake a-.spe(:ific .As we are well aware, the presence of the Minister is an uniqueproject on environmental health that will directly relate to the if not rare occasion at an Ontario Branch Conference.

community-and more importantly to the individual.- We are moving towards our 50th anniversary. We will do so.Thirdly, Weare well aware;of our need for further krlowledge with great anticipation. Since 1939, our profession has moved

in a fast changing world..This executive ts committed to forward-and we will continue to move foi'ward for the next 50continuing education_ We'will continue our liaison with. years.

,_,.--- Ontario Branch News Spring Volume 9 No. 2 1988 page 39

Trip to Moscow Russia and Yerevan. Armeniain the Union of Soviet Socialist Republics

by ED MEYER CPHI(C)Director, Inspection DivisionNiagara Regional Health Unit

Three members of the Canadian Institute of Public Health Organization's standard. The Medical Officer of Health hopedInspectors, Nell Williams, Foothills Health Unit, Alberta, Nick to have these fox tail plumes of smoke reduced by the end ofHossack, Department of Health and Welfare Canada in 1987. Rabies in wildlife (wolves) and Salmonella foodSaskatchewan, and myself from the Regional Mun!cipality of poisoning were of great concern to him. Added to this was theNiagara, were invited by the Local Industries and Public new AIDS concern. The Medical Officer of Health had workedService Workers' Union of the U.S.S.R. to visit Moscow in in Africa for seven years and realized that communicableRussia and parts of Armenia. This Was a courtesy visit to the disease, especially Salmonella, was of international concern.U.S.S.R. as a result of three Russian delegates being invited to We visited the historical centre of the Armenian Apostolicthe Canadian Institute of Public Health Inspectors' National Church called the "Etchmiadzion", where the Holy See of theConference in 1986.The Canadian Conference was held at the Catholicos of the Patriarch of All Armenians is located. APark Motor Hotel in Niagara Falls and the theme for this monk who acted as an English speaking guide and interpreterconference was "Our Environmental Future". showed us through the church which dates back to 303 A.D.

We lefPfrom Pearson International Airport at 8:30 p.m. and He explained the significance of relics and artifacts, amongafter a stopover and transfer in London, England, we arrived in which as legend claims, is a gold cross with a piece of woodMoscow at 4:30 p.m. local time on Friday, August 14, 1987.As from Noah's A[k Which St. Jacob brought back from Mountguests of the U.S.S.R. delegation, we were provided with Ararat in the Fourth Century. From the city of Yerevan, whichaccommodation and meals at the Sputnik Hotel in Moscow. is 32 kilometres from Mount Ararat in the Turkish territor'y, oneWe visited one of Moscow's four drinking water supply can clearly see the mountain with its snow cap.purification plants. Besides the usual gas chlorine, this facility In summary, the visit was an eye opener for me and cleareduses pre.ozonation and post-ozonation in the treatment up a lot of misconceptions I had about this t_'ip to the U.S.S.R.process. Water leaves the plant to be pumped through Realizing that communicable disease, occupational andMoscow's 8,000 kilometre long distribution system with a environmental, health are of international concern was mostchlorine residual of .8 and 1.2 parts per million, revealing. Exchanges such as this, even though very short,

We visited a plastic toy manufacturing plant to look at indicate that co-operative efforts are required to solve some ofindustrial waste, occupational health, and social aspects as the universal problems and concerns.they pertain to the plant employees. We were also provided General .conditions in the U.S.S.R. differ from those inwith the opportunity to view the 1980 Moscow Olympic sports Regional Niagara and one cannot compare the two, howeversite near the Moscow University. At present there are 2,000 the places where I visited were expanding and the buildingAmerican students attending Moscow University. During our industry was flourishing. It was explained to us that thetwo evenings in Moscow we were invited to attend two variety government's goal is to provide adequate housing units for allshows. On Sunday morning, we visited Lenin's Mausoleum on residents by 1990. This goal would be accomplished eitherRed Square. We then walked in the gardens of the Kremlin and through state owned apartments or individually ownedviewed the Cathedrals located in Kremlin Square. In the houses. The state offers people who want to construct theirafternoon, we attended an art exhibition, own home, a 10 year interest free loan of up to 30% of the

Sunday night, we flew some 1,500 kilometres south to building value. I understand that apartment rental prices are, Yerevan in the Republic of Armenia. In Yerevan, we were set at 3% of one's earnings. In the last few years an incentive

housed at the Erebuni Hotel. On. Monday, we travelled by program has been introduced whereby wage earners are beingminibus some 125 kilometres through the Caucasus paid on the merit system. The more units of work produced theMountains to Kierowaka, an industrial city of 180,000 people, higher the earnings and improved chances for promotion.

We attended a reception at City Hall held by the Deputy This exchange has been very valuable and educational. WeMayor, Mr. Frunce Tatevosian. The Deputy Mayor were advised of a 1989 conference on environmental relatedaccompanied us to a spring fed drinking water purification issues, and the Canadian Institute of Public Health Inspectorsplant in the mountains. The chlorine residual of the water may receivea further invitation to send delegates.leaving the plant is .2 parts per million. I would like to mention I.would like to extend my sincere thanks to the Region forthat the climate is very dry. It has only rained twice this year allowing me six working days off the be a part of this cultural 'and daytime temperatures varied from 37°C in the valley to exchange

20°C on the higher elevations. We visited an electrical SummaryWater Purificationappliance manufacturing plant which employs 20,000 people,

of which 2,500 people were professional engineers. The plant I¥1OSCOW, U,S.S.R,produces some 130,000 refrigerators, transformers, and averiety of electronic devices annually. We visited the plant I- HEAD-WATERS:employees' summer retreat high up in the mountains where we MOSCOW is supplied by four main treatment plants gettingwere invited to partake of a four hour dinner and toast to their water from the Volga and the Moscova, rivers on which"Health, Friendship and Long Lasting Peace". large impouding reservoirs have been built at about 200 km

Tuesday, we visited a children's summer camp on Lake from the capital city.Sevan where 350 plant workers' children enjoyed eight weeks 57% of the flow requirements are taken from the V()lgaof programmed, prescheduled, recreational activities. We also (Northern and Eastern Plants) and 43% from the Moscovavisited a cotton weaving plant. We then laid flowers at the (Southern and Western Plants).cenotaph commemorating the 1915 massacre of 1.5 million "THE EASTERN PLANT" treats presently 1.2 million cubicArmenian women and children by Turkish soldiers, meters daily. The raw water, drawn from the canal connecting

In Yerevan, we met with the Chief Medical Officer of HEalth the Volga to the Moscova by the Akoulovo pumping station, isfor the Republic of Armenia, who described in detail the brought to the plant bya. partially covered canal.responsibilities and activities of his office as it pertains to This water is highly coloured and seasonally charged withcommunicable disease control, occupational and multifarious algae.environmental health. The nitrogen dioxide levels in the valley Its temperature ranges from about 0°C in winter to 17°C inmeasure 2.7 times higher than the World Health summer. Continued on next page.

page 40 Ontario Branch News Spring Volume 9 No. 2 1988

II - WATER TREATMENT: m3/day each. 'The raw water flows by gravity into a prechlorination pond, The ozonation at two points of the treatment process,

then is pumped to the top of the treatment works by 11 pump- allows to apply ranges of 3 g O31m_ in preozonation and 1 gsets of 2 m_/s. Oslm3 in postozonation. This process is achieved by bubbling

The treatment process involvesa preoz0nation, followed by up oz0nised air in the water. Ozonised air at higha classical clarification including coagulation, sedimentation concentration has to be produced. That is an air of which part(6 settling tanks of 27,000 m3) and rapid filtration (56 filters of the oxygen has been transformed into ozone (18 g O_/m3air)allowing a filtration rate of 12m3/m=/h).The clarified water then and then.is diffused in the water to obtain a dissolution of theundergoes a fining and sterilisation treatment by a ozone.postonozation. The ozone-water contact is achieved in reinforced concrete

The treated water is discharged into the supply system by a baffled tanks, 18 for preozonation and 2 x 6 for postozo_nationpumping station drawing the drinking water from 10 buffer with respective retention times of 11 and 6 minutes.tanks with a total capacity of 300,000 m3.

IV - OZONATION EQUIPMENTS:

III - OZONATION PROCESS: Each ozonation installation chiefly comprises:The main characteristic of the treatment lies in theflning of 1) Sets of air blowers, roots type, with variable flow,

the water by ozone, achieved for the first time on such a scale L. 2) An air drying equipment by cooling (heat exchangers andin a Moscow plant, refrigeration units) and adsorption on actived alumina. This

THE "EASTERN PLANT" of Moscow is the most important " combined method enables to obtain a dew point betweenone in the whole world treating potable water by the modern _:50°C and -60°C whatever the climatic conditions are,process that is ozonation. 3) TRAILIGAZ multitubular ozonatiors, CHOISY 7500 type, with

At the first stage, the ozonation complex, of 20() kg O31h a unit-output above 8 kg O31hat 50 Hz, .capacity, comprises 24 ozonators, of which 18' are for 4) Equipments for the ozonised air diffusion, made ofpreozonation and 6 for postozonation, numerous tubular elements in porous ceramics,

This plant thus contains the largest number of ozonators of 5) Turbines for recycling the residual ozonised air,such a capacity ever in operation in one Installation. 6) A ventilation system ensuring extraction of the effluent air

This ozonation complex has the peculiarity of having 3 containing ozone traces and its dilution in the atmospherebuildings: in order to respect sanitary standards.

-one main block, for preozonation, treating 1,200,000m3/day, Prechlorination - Floculation - Filtration-two secondary blocks, for postozonation, treating 600,000 Postchlorination Residual .8 - 1.2 ppm

ONTARIO BRANCH EXECUTIVECOMMITTEE REPORTS

ADVISORY M.O.E.: by ED RISTAN, COUNCILLOR

To summarize the meeting of December tl, 1987, I refer this subdivision; whereby developer must set aside money toexecutive committee to the following: deal with any problem should an alternative system be1: Class 7 (Hauled Sewage) Systems Program update required.)

- it is seen as an information gathering process (number of 4. Computerization of Part VII Informationhaulers throughout the province, number of licenses, -a sub-committee has been formed, composed ofvolumes, lagooning, on land disposal practises etc.) representatives from the Association of Supervisors, an

- the Ministry of Environment has contracted with the firm of M.O.E. computer representative chairs this committee. AOliver, Mangione, McCalla and Associates Limited to data base will be established and made available to healthprepare a report respecting the treatment and disposal of units•hauled sewage. 5. Chapber 14. M.O.E. Policy Manual

2. Education The onus is on the developer to provide proof the system will- ground water courses are scheduled for this Spring 1988, work and meet the regulations, not up to the Health Unitto be located in M.O.E. Regional Offices for the Personnel.neighbouring health units (March or April) 6. Contracting Out

3. Regulations " A study is underway by M.O.E. regarding the Part VII .,Section 10A - E.P. Act, grants special powers to a Director, Program being contracted-out to private engineering firms.regarding financial assurance by a developer for on-going The study is warranted as an inferior program hasmaintenance of a system. (ie. Part VII system servicing a developed.

PUBLICPOLICYAND INFORMATIONby EDRISTAN, COUNCILLOR

The demand for the institute's existing pamphlets on Food should become a national project in a glossy, eye catchingFitness, Water Safety, and the fact sheets on Gia_diasis, manner..Salmonellosis, Shigellosis, and Campylobacter necessitated " The Business Card/Key Pouches were ordered ,_ndreceivedthe reprinting of our supplies, in December 1987. The order of 1000 will be a two year supply" I refer you to the last executive meeting report of November for.our existing membership, and each applicant will receive7, 1987, and feel the pamplllet for the Public Health Inspe_ctor one pouch along with their 1988 membership verification.

Ontario Branch News Spring Volume 9 No. 2 1988 I_age41

EDUCATION REPORTby PATRIClA POWELL, HENRY CHONG, COUNCILLORS

The Education Committee had prepared an informative and (Perth District Health Unit), Gary Lodge (University of Guelph),timely In-Service Program, which was to be held atUniversity Tim Sly (Ryerson Polytechnical Institute) and all thoseof Guelph on May 9-13, 1988. In late November, it became contacts who gave us their time and encouragement. Weapparent that the Institute was also involved with the Ontario apologize for this unfortunate delay and hope all those whoFood Protection Association's "H.A.C.C.P." course, to be held expressed interest in participating or attending the course willat the U. of Guelph the same week in May. In view of the continue to support us. With this additional time, we will bepotential conflict the Ohtario Branch President opted to able to fully develop the "Law and the P.H.I." program for May,cancel the In-Service "Law and the P.H.I.". A notice of this 1989.decision appeared in the Winter 1987 issue of the Ontario It has come to our attention that there are various educationBranch News. activities occurring in affiliation with the Ontario Branch. To

Much time and energy went into developing the In-service repeat the view expressed in the Education Committee'stheme and contacting potential paFticipants. The response to Annual Report, 1987, we recommend the Education role of thethe session was very positive. For these reasons we still intend Branch become co-ordinated under one committee to ensureto present this Program in the future, the best programmes and communications to our members

The Education Committee extends thanks to Donna Taylor and to avoid future conflicts of sessions.

Letter to the Editor:.The last edition of the Ontario Branch Newsletter carried a departure from Ryerson's promotion criteria, and a decision by

descriptior) of the "PROTOCOL FOR ADVANCED ENTRY INTO the Standards Committee has been deemed necessary.THE DEGREE PROGRAM"• This was misleading, as the Once approved by this body, the School should be in aprotocol had not at that time received final approval. Since position to notify public health inspectors from coast to coastthen, approval has been withheld, much to the disappointment of the procedures, and of the possibilities and options. I hopeof all who worked on the committee, that we can accomplish this final step with a minimum of

The exact status of those who await an opportunity to delay.complete their degree studies is still uncertain. The course ofaction now is to submit an expanded version of the protocol to Tim Slythe Standards Committee of Academic Council. It has been Director, School of Environmental Health,determined that the proposal involves several points of Ryerson

i

MEMBERSHIP AND AREA MEETINGSby MIKE MINOR, COUNCILLOR

A - AREA MEETINGS any luck, I will be able to compile stats .for the Province andMinutes from the following area meetings have been possibly start a little competitive membership building

received: Western Area - London, October 21, 1987 - Lisa between health units within the six areas and also between theWasyleka, Secretary; Northwestern Area-Dryden, Oct. 22&23, different areas within the Province. For example,1987 - Mike Reed, Recorder; Northern Area - Sudbury, Nov. 4 & Northwestern area has already replied as follows: Thunder5, 1987 - Ray Alatalo, Recording Secretary. To date, no Bay and District Health Unit - 10 staff, 10 members; Northcorrespondence has been received from Eastern, Central, Western Health Unit - 8 Staff, 3 members; and within a shortSouthwestern or Ryerson (ie minutes of Area meetings), time the 5 non-members will become members via the payroll

deduction method.B-MEMBERSHIP This shows the type of competitiveness within the two

A memo has been sent ot he six area chairmen and/or health units that make up the Northwestern area and alsomembership co-ordinators requesting membership numbers of shows the other five areas that Northwestern now has 100%health units in their areas. People take pride in seeing their / membership. Good Luck to any other area trying to achievename, or in this case, their health unit's name, in print. With this same status.

SUPPORTTHE ONLYORGANIZATIONTHAT SPEAKSFOR P.H.I.'S ON PUBLIC HEALTH ISSUES.GET A

NON-MEMBERTO JOIN THE C.I.P.H.I.

page' 42 Ontario Branch News Spring Volume 9 No. 2 1988'

REPORT OF THEby JACQUES NADEAU

The following financial statement, has been prepared to year end statistics for the 1987 fiscal year along with the 1987show the Executive the Branch's financial activities from Budget Guidelines.November 1, 1987 to December 31, 1987. Also shown .are the As indicated, our 1987 surplus is $132.75 on December 31.

Oi_eningLedl_er}].ul;llll:',.' 580.98

INCOME

Account Actual Year to Date 1987 Budget

Membership 513.OO 15031.00 14320.00Education 2200.OO 11896.51 O.OONewsletter 36.OO _O.OO ,20.OOConferenco-N i_'_jr{ra O.OO 10775.OO 5000.OOMiscellaneous 193.64 1781.74 _- 500.00Interest 0.00 0.00 0.00Donations 0.00 0.00 0.00Licensing & Re_,istration 0.00 O.O0 0.O0Resource Committee 1129.50 1129.50 iOOO.OO

TOTALS &O70.14 h0653.75 20840.00

EXPENSES

Account Actual Year to Date 1987 Budget

Newsletter 1292.28 6655.91 5000.00-,• Branch Conference 1275.97 701"O.67 4500.00President's Expc]ises O.OO 1116.60 500.00Sec.-Treasurer's Expenses 200.00 12OO.OO 12OO.OOExecutive Meetings 1032.96 3362.06 4000.go

CO_4ITTEE EXPENSES

a Advisory Committee: M.O.E. 0.00 0.00b Advisory Committee: Ryerson " O.OO O.OOc Conference Committee O.OO 263.85d Conference Liaison O.OO O.OOe Constituent Society O.P.H A. 326.10 2645.35[ Education $9.76 10230.69g Liaison Comm. M.O.H.(A.S.P.H.I.O.) O.OO O.OOh Licensing & Registration O.OO O.OOi Membership A Area Meetings 384.75 563.33

, j Newsletter 4.0_ $.04k Nominations & By-Laws O.00 375.91] Projects 771.85 771.85m' Proxies O.OO O.OOn) Public Policy & Information 968.55 1594.98o) Resolutions O.O0 O.00

p)Resources 37.50 37.5Oq)Salary Survey 0.00 0.00

TOTAL 2542.55 16487.50 6500.00

NationalExpenses (Meetings etc.) O.00 451.10 500.00National Conference O.00 2028.03 1500.00Awards Ryerson O.OO 200.00 200.00}{_storianExpenses O.OO O.OO 1OO.OOBatikGharges 14.42 ]5.72 50.QOPostage .. 61.58 330.67 500.00Miscellaneous 80.25 725.33 500.00Environmental Health Review - 0.00 0.00 75.00Office Equip. & Supplies 6.96 1498.39 1500.OONational Expenses (Supplies etc.) O.OO O.OO O.O0

/

TOTALS 6506.96 41101.98 26625.00

Ontario Branch News Spring Volume 9 No. 2 1988 page 43

SECRETARY-TREASURER

CLOSING LEDGER BALANCE (December 31, 1987) AUDITOR'S CERTIFICATE1986 SURPLUS 580.98

1987 INCOME _0653 •75 We have examined the accounts of the Canadian Institute ofPublic Health Inspectors (ONTARIO BRANCH) Inc. for the

&1234.73 period January 1, 1987 to December 31, 1987 and report that in1987 EXPENSES /+1101.98 our opinion, the financial statements as Shown to us are1987 SURPLUS 132.75 correct to the best of our information and the explanation

given to us and as shown in the General Ledger.

Oated in North Bay this 8th day of January, 1988.

Signed

Bailey Powell Gilles St. Pierre

1988 BUDGET GUIDELINES

INCOME

Membership 20000.00Education 0.00_Jews±et_er 20.00Branch Conference 6500.00Miscellaneous 800.00Interest 0.00Donations 0.00Licensing& Registration 0.00Rsource Committee I000.00

TOTAL 28320.00

EXPENSES

Newsletter 6000.00Branch Conference 6000.00

President's Expenses 600.00Sec.-Treasurer's Expenses 1200.00

Executive Meetings &O00.O0Total Committee Expenses 7000.00National Expenses (Meetings etc.) 500.00National Conference 2500.00Awards Ryerson 200.00Historian Expenses I00.00Bank Charges 50.00Postage 500.00Miscellaneous ' 700.00Environmental Health Review.• \ 75.00Office Equipment & Supplies 700.00National Expenses (Supplies etc.) 0.00

TOTAL 30125.00

"'.' • . ...... _.... '.. -. ".,.,..' _'. _i ._,.._ _ .:.-" ,,.... .[ . ; _ . .. .

page 44 Ontari O Branch News Spring Volume 9 No. 2 1988 - -

O.P.H,A. REPORT ONTARIO BRANCHby PETER MOCClO, PAST,PRESIDENT

Meetings of the Ontario Public Health Association were NEWSheld on January 28 and 29, 1988.All committees, di_,isions andconstituent societies were represented.

_Future reports on OPHA activities shall mainly consist of by KLAUS SEEGER, couNCILLORpublishing the minutes of Board meetings. All Board membersthought that the publication of these minutes would prove The ninth year of publishing the Ontario Branch News beganinformative to constituent societ.y members, with the recent winter issue. It was 40 pages in length.• Items discUssed at these meetings are listed below: With John Orr's efforts, as seen by his Resource Committee-job description and terms of reference for all Board positions, report, advertising revenue to offset printing costs will help for

- including constituent society representatives _ the next few issues.-goals and ot)jectives for divisions, committees, workgroups, Following are the major costs incurred for'the winter issue.

etc. signal Star Publishing-role of constituer_t societies, respective reporting/liaisonmechanisms Printing , $379.07-priority setting for OPHA; i.e. identifying priority issues for Negatives 80.00OPHA to take to government, the Ministry or to the Board of Binding 114.00Directors; (eg. ane major of great importance to all members of Envelopes & Labour 91.04OPHA is the proposal of 100% provincial funding of local Postage 233.69official health agencies). - Sub total $ 897.80

Many other issues and reports were dealt, with and suchwill be reflected in the minutes; i.e. literacy and health, Goderich Print Shop

-strengthening Community Health, evaluation of teaching Typesetting-25 hrs. @ $28/h'r $700.00health units, the 1988 and 1989 conferences, the 1988 budget, 1 box wax 5.50public policy and resolutions, etc. "12 halftones 42.50

The next meeting of the OPHA is February 18, 1988, while, _;ub total $ 748.00the Board of Directors meet March 24 and 25, 1988. TOTAL $1,645.80

1988 RESOURCE •/

Ontario Branch COMMITTEEby JOHN ORR, COUNCILLOR

Executive Since being given the chairmanship of this c0mmittee, Ihave had considerable success in collecting the outstandingaccounts for advertisements already run in the Ontario Branch

• News and also in selling two new full page ads.I have collected six subscription fees at $4.00 each to the

President ................................. Jane Urquhart Ontario Branch News.The total income amount is $1,870.00.

COMMITTEES A new contract has been completed with'the Moyer DiebelAdvisory M.O.E................. : .............. Ed Ristan Company that will be included in the spring '88 edition; thatAdvisory Ryerson ........................... Jeff Chretien revenue will be reported when received.Conference Liaison ........................ Jane UrquhartEducation ................... Henry Chong, Patri¢ia PowellUnified Voice O.P.H.A ........... Peter Moccio, Jane Urquhart

Membership & Area Meetings .................. Mike Minor - mlb

Newsletter(Ontario Branch News) ............. KlausSeeger ARE YOU MOVINGNominations & By-laws.. _................ Jacques NadeauProxies ........... ....... : ................ Jane UrquhartPublic Policy & Information ...................... Ed RistanResolutions ................................ Peter Moccio If you have or intend tO move and change yourSalarySurvey.............................. .... John Orr name or address make sure you let the InstituteResources(Ways&Means)........................ John Orr know. Contact Elan Associates, P.O. Box 5367,

Station F, OTTAWA, Ont. K2C 3M1; JacquesSPECIAL COMMITTEES Nadeau, Ontario Branch Sec-Treas, 21

Budget -M.O.H ................ Peter Moccio, Peter WillmottDistance Education ......................... Jeff Chretien Tweedsmuir Dr., North Bay, Ont. PIA 2V3; Editor,Liaison- M.O.H ....................... Jim Stone, J. Mobley Ontario Branch News, Box 687, Clinton, Ont. N0MHome Food-M.O.H ........................... Linda Raud 1L0. Note: the change of address cards can beAd Hoc- Future role ............... Peter Willmott, Chairman obtained at your post office, and the only'cost to' Bill Straughan, Brian Hatton

Jim Stone,MikeGravel yOU is a postage stamp. If you want all the infoBranchHistorian........................... BillO'Donnell and publications from your Institute keep the

, Projects (Health Care Facility Inspection._...... Robert Frattini above informed.Bill Vaughan

Ontario Branch News Spring Volume 9 No. 2 1988 page 45

48th Annual ConferenceReport1987 Haliburton

Editor's Note: Following is a letter from Ron Chartrand, kept on file for seven (7) years unless you have a specificConference Chair. Summary Reports on the various aspects of requirement. Should you have any questions concerning thethe conference are also included, financial statement or need more information, please feel free

to ask.

Dear Jacques, It was a pleasurable experience to host the Conference inIt is my pleasure as Conference Treasurer to send you a our area and I thank the Executive for giving us that

cheque for $9779.27. There is a possibility that an additional opportunity. Lots of work involved, but the satisfaction of$250 will be collected, making the total profit $10,029.27. having accomplished this mammoth task and doing

The main reasons for the larger-than-anticipated profit are: something for the good of our Institute is well worth it.1. Most of the registration fee was retained for the spouse

•subsidy system. Fewer spouses than anticipated attended, Enclosures: 1) Financial Statementtherefore, less financial support was needed. 2) Registration Breakdown

2. The number of daily registrants was more than expected. 3) General Report on the Conference3. Hard work by the "Conference Program". Committee

Members in soliciting ads. Yours truly,4. The generous support received from Our Board of Health R.G. Chartrand, C.P.H.I.(C), Director

and the Ministry of Health. Public Health Inspection ServicesMy books have been reviewed by two other Committee

Members, namely Henry Rood and Rob Nickol. These will be

1987 C.I.P.H.I. CONFERENCE -- HALIBURTONFINANCIAL STATEMENT

REGISTRATIONS " EXPENDITURES

1987 1986PRODUCTION OF PROMOTIONAL

FULL TIME REGISTRANTS 68 117THREE DAY REGISTRANTS 1 -- VIDEOTAPE $ 214.00TWODAYREGISTRANTS 8 -- BANK CHARGES $ 8.05ONE DAY REGISTRANTS 61 29 DR. SNYDER'S EXPENSES $ 1,113.25FULL TIME STUDENT REGISTRANT 0 1ONE DAY STUDENT REGISTRANT 1 32 ACCOMMODATION AND MEALS -

139 179 . PRESIDENT MOCCIO $ 585.04PROGRAM PRINTING COSTS $ 4,338.55

FULL TIME SPOUSESIGUESTS 15 32 ADMINISTRATION COSTSONE DAY SPOUSEIGUESTS 1 0LOCAL HEALTH UNIT STAFF (not staying (name tagslcourierletc.) $ 339.72

at Pinestone), 15 24 COMMITTEE EXPENSES $ 211.86174 235 SPEAKER EXPENSES $ 760.75

SPEAKERS 8 GIFTS/MUGS/TROPHIES $ 815.56EXHIBITORS (11 exhibits) 14 PHOTOGRAPHY $ 195.47EXHIBITORS'SPOUSES/GUESTS 3 SPOUSES' SUBSIDY $ 2,400.00GUESTS 2 FIELD TRIP $ 943.22GOLF TOURNAMENT ONLY 3PCOHOSPITALITY 3 SPOUSES' PROGRAM $ 255.00

PCO HOSPITALITY NIGHTS $ 197.1.9INCOME $31,081.35 ACCOMMODATION COSTS-

_, EXPENSES $21,302.08 COMMITTEE MEMBERS $ 1,190.76PROFIT $ 9,779.27 NUTRITION BREAKS $ 1,664.16

r BREAKFASTS AND LUNCHES

i INCOME (daily registrants) $ 1,293.09BOARDOFHEALTH $ 1,500.00 DINNER TICKETS (attendants notMINISTRY OF HEALTH $ 1,109.74 staying at Pinestone) $ 1,257.83BEHANCONCRETE $ 200.00 . WINE AND CHEESE PARTY

• SALE OF MEAL TICKETS $ 748.00CONFERENCEPROGRAMADS $ 7,845.00' (liquor tax - 5% additional) $ 168.95EXHIBITORS $ 2,709.80 DINNER THEATRE $ 1,793.88CONFERENCEREGISTRATIONS PRESIDENT'S BALL $ 1,212.24

a) Full Registrations $11,960.00b) Daily Registrations $ 4,275.00 POST CONFERENCE COMMITTEEc) Spouse Registrations $ 675.00 MEETING $ 343.51

INTEREST $ 58.81 TOTAL $21,302.08TOTAL $31,081.35

•page 46 Ontario Branch News Spring Volume 9 No. 2 1988

Ontario Branch

48th ANNUAL EDUCATIONAL.CONFERENCEREPORT

by ROBERT D,NICKOL CPHI(C),Conference •Secretary

Holding a Conference of this rfiagnitude, in the rustic' Rain and Its Impact on Our Env!ronment" helped toHaliburton Highlands far from the usual urbanareas, was a successfully round uut and achieve-our overall goal ofnew and challenging experience for all concerned. Needless to providing an interesting educational conference.say, the Conference Committee approached the job of . "l'he final morning of the Conference gave a chance for us,organizing a successful Conference in this setting with some as Public Health Inspectors, to look at ourselves and ourapprehension. Added to our difficulties was the fact that the future. The discussion by the four panelists of the morning'sbeautiful five star Pinestone Inn was noticeably more costly topic "The Future Role of the Public Health Inspector"than previous conference settings. . • resulted in an overall unity to the Conference and helped us

• Regardless of the above, the Conference Committee realize that the Conference had indeed achieved its goal asadopted an early positive feeling for the success of this expressed by the Conference motto "A Need for Change -- AConference and actively began to take steps to ensure that it Desire for Growth".would indeed be successful• We believed the most important We were concerned that the soc!aievents surrounding theaspect of the Conference was the educational content as as Educational Conference be of such a nature that everyone atsuch we proceeded to find a main speaker who would:present the Conference would be encouraged to partic!pate. Oura topic of interest and current educational value to all reason for this concern was that the isolated location of theparticipants. We did not want a review of something of which Pinestone Inn did not provide for much of an alternative to the.we were already aware, activities planned. We were fortunate to have the Theatre_

"An Introduction to HACCP" became our educational Group which provided a one of a kind dinner theatre "AIcornerstone around which we built the remainder of the Capone's Birthday Party". We felt this would be a change fromConference. Dr. Oscar P. Snyder, Jr. graciously consented to other Conference evenings and appeared to lend itself to thepresent his one day HACCP seminar. This seminar turned out dniq'ueSetting of the Pinestone.to be a very large drawing card for the Conference and All of the evening activites, including the Texas Barbequecontributed gr.eatly to its financial success• and the President's Ball were designed to use most of the

Since we,-as the hosting Health Unit, are a rural Health Unit, evening so that the Conference participants would socializethe thinking was that some aspects of Land Control as a group. The PCO Hospitality Suite being open for twoinformation should be.presented. We were very fortunate to ' nights, in a relaxed party room setting, helped to keep ourhave William Balfour and Brian Cooper of the Ministry of the group together and encouraged socializing, jEnvironment accept our invitation to attend a half day The Spouses' Program had some activities not related to theinformation seminar, rest of the group such as, a scenic boat ride and a bus trip to

Bill Balfour talked about the future of the Environmental the Haliburton Rail's End Gallery, but had quite a bit of activity• Protection Act, Part VII and shed new light on some impend ng _ • blended with our Conference attendants:areas of concern to all Health Units participating in the It was a big challenge for a little rural Health Unit to make ap.rogram. Brian Cooper's presentation entitled "Review and success of this Conference. In retrospect, it certainly appears

Design of Large Sub-Surface Sewage Disposal Systems" was from the positive statements of the attendants, and thea brand new look at a very old topic. The future for large sub- educational information and materials taken away by al of ussurface sewage disposal systems is indeed about to change that the 48th Annual Educational Conference was indeed aand become far more technically involved for all concerned, success, both educationally and financially as can be-" The mid-Conference bus trip to the Leslie Frost Resource , demonstrated by the Treasurer's Report.Centre in Dorset and the Acid Rain Facility at Point Lake Respectfully Submitted• on Behalf of the Conferenceprovided an interesting aside from the Conference setting Committee,itself. The topics "Veterinary Aspects of Rabies" ano -_cm _,_

DOWN BUT'NOT OUT!.... by A. L. CAMPBELL, CPHI(C)

-t1

The ThUnderBay'District Health Unit area consistsof a vast an abrupt emergency landing in dense bush. The pilot spots.aterritoryof varying terrain and climatic conditions. It extends clearing and manages to navigate the aircraft down with noas far north as the Hudson Bay and includes the most loss of life or injuries but severe damage to the plane. :northerly community in Ontario, Fort Severn. ' The weather begins to change for the worse as it begins to

Many of the premises, are extremely remote causing snow in sub-below freezing temperatures. Calling 911 isinspectors to use trucks, float planes, helicopters and boats useless! How does one manage to survive in these conditions;?as means of transportation in oider to serve the Northwest. If weather permits it will be at least 8-12 hours before th_

'Suppose' an inspector is on flight to a hunting lodge near National Department of Defence begins its grid search. You'rethe Hudson Bay, several hundred miles from home base, when "down but not out!suddenly the engine coughs and stalls in the single engine Sound Fictitious! - Not On Your-Life....plane.The pilot has seconds to make a few quick decisions as In January, 1988, Public Health Inspectors and two Public:the plane begins to descend. Thepassengers then prepare for Health Nurses attended a two day survival course at The.

Ontario Branch News Spring Volume 9 No. 2 1988 page 47

HEALTH UNIT COMMANDOS ON EXERCISE

From left to right: Sgt. Barbini, Allan-Campbell, Warrant Trainin¢l Officer Donald Watson, Set.BerQlund (snow hut in background).

LIGHTWEIGHTPOLYETHYLENESEPTICTANKIS EASYTOINSTALL

A NewTypeof SepticTank.isbeingmanufacturedin Canada

"'Becausethe Wedcopolyethyleneseptictank is

......... muchlighterthanconcretetanks,noheavyliftingequipmentis requiredfordeliveryand installation.

Approved by CanadianStandard AssociationCAN3-B66-79and QuebecBNQ3680-901&505.AlsomeetsrequirementsofOntarioMinistryOfTheEnvironment.

Manufacturedby WED_O ,.ou_T,,=sLT..1289 Newton,Souchervllle,Qua..CanadaJ4B5H2

Telephone:(514)655-7220 Telex:05-25882THEINNOVATORSIN CONTAINERS

AVAILABLEAT DISTRIBUTORSIN MOSTAREASIN ONTARIO

page 48 Ontario Branch News Spridg Volume 9 No. 2 1988Down But Not Out cont'd .,

t

Standing left to back: Stan Stokaluk, Mike Morrison, Eeva Mike Reid, Gall Kross (si_ow hut in-background). Missi'ng InKraft. Standing righttoback:Allan Campbell, Arlene Simpson, Action: Dr. S. Graham, Don Everson, Avo Bunger, ElwinBetty Sullivan. Sitting left to right: Sgt. Barbini, Sgt. Berglund, Romaniu+k,Jack Scott.

i

Thunder Bay District Health Unit. The course consisted of a

day each of Theory and Practical Instruction. - _._ _1'1: '

The unit was fortunate in obtaining the services of Warrant -I.._r..Training Officer Donald Watson of the Lake Superior Scottish Northwestern AreaRegiment. Officer Watson covered such subjects as trippreparation and organization, survival kits, winter driving, coldweather injuries, prolonged survival, snow and tree shelters, ' ,"_ ,proper clothing, and summer survival. , .-._

4

The practical portion was held near a remote lake on the ,/

Armstrong Road. Officer Watson had several different types of . -_,_J ,"leanto's and a snow.hut built the day before in order tO ""Udemonstrateto the group the construction format of each. ,Wewere then told we had just crashed and were to choose a

rleader, construct a'double leanto complete with fire pit in a " -- ,.time limit of two hours. We took approximately one hour and ""." BIK Trout Lk.forty-five minutes. The exercise was taken very seriously by ,-the group who enjoyed Watsons instructural abilities and r" THu,o_R_Twilderness expertise. This was then followed by a map and. + -, ,

compass lesson. . .DtST',tCTNORTHWESTERN HEALTH UNIT

Warrant Officer Donald Watson _ ._,,TH ,

Officer Donald "Whipper' Watson served with the Canadian

Guards, The Royal Canadian Regiment and the Canadian _ u,_trAirborne Regiment. He holds many qualifications inclu_ling i

First A!d Instructor, Parachutist, Winter Survival Instructor _,t_'_ . . ._,-._--_t,and Advanced Winter Warfare Instructor.

Once wh.en training with the Airborne Regiment, Watson _" " :,p<and 55 other parachutists were dropped near Coral Bay in the _,_ _o,,._@e• "_ _r_zt on

Arctic with minimum equipment to reach a target 80 miles - _ It.,=,,_,_..(.?_ _ _t1away. Their enemy was extreme cold, high winds and polar -----'_,_.... \ z 'bears. Only Watson and three others managed to complete o., . _oo,o.,_..._J'_ ""-...this ultimate test. ' ' ' "J"t_' " ""

Officer Watson, we believe is without question, the best in . j _,k_u,.._ ""-.. _ \

the business when it con_es to the subject of Survival Training i _Techniques. Betty, Gall, Eeva and Arlene are disappointed that • " ""Watson is not part of the Thunder Bay District Health Unit!sSurviva! Kit.

Ontario Branch News Spring .Volume 9 No. 2 1988 page 49

Coming EventsApril 6 1988 May 18, 19, 20, 1988 ,Air Force Jack Anderson Retirement PartY Symposium on Current Issues in Environmental

Wednesday April 6, !988 and Occupational HealthCocktails - horsd'ouevres: 4:30 - 6:00 p.m. Park Plaza Hotel, Toronto

Speeches: 6:00 - 6:30Hot & Cold Bullet Dinner: 6:30 p.m.

Location: Hog Town Diner

120FrontSt.E. June 1 - 2, 1988Toronto

Municipal Parking across st'reet "Cash Bar Ontario Branch Inservice Course

Cost - $20. - includes gilt and dinner Practical Applications of Computer Technology.by the P.H.I.April111.l:zo13. 1988 Moreinfotofollowinthemail.

I.A•P.A. Annual Health & Safety Conference, Metro Toronto .... JulyConvention Centre and Royal York Hotel, Toronto. Phone 1 5"1 6n 1 988

416-965-8888 for more information. ' ----- ...--.,t ,,-w_CJ Illll Ilill I_ii_ "eRR : PLAY BALLMay 8 - 13, 1988 14th Annual Inspectors' Slow-Pitch Tournament

54th Annual Educational Conference (National} Peterborough, OntarioCanadian Institute of Public Health Inspectors Entry Fee: $250.00 ($150.00/team + 100 tickets at $1.00 each)

Forward all entries(cheque for $250.00)Vancouver. British Columbia no later than March 18th, 1988The education theme is "Acute Epidemiology . Risk to

Appraisal and Analysis o! Environmental Health Issues". The Mike Strachansession_ will consist of lectures followed by group workshops 475 Thompson Avenueinvolving discussion and application of lecture materials to Peterborough, Ont.case histories. Dr. Rick Mathias, well known epidemiologist K9J 6J2from U.B.C. has agreed to co-ordinate the program.

A limited number of room sh,avebeen set aside at the Holiday

Program Review Inn, until April 1, 1988• Alternate accommodation has beenarranged at Stel Hotel (Formerly Red Oak) 705-743-7272.When

A HealthGoalsFrameworkfor Mandatory bookingpleasemention tournament.

Public Health Programs See you in Peterborough!!! !!Program Committees

1. Healthy Environment2. General Communicable Diseases _•,, Employment Opportunity3. Food-borne, Water-borne Diseases, Zoonoses

Anyone wishing to comment on the review of mandatory Haliburton, Kawarthae Pine Ridgeprograms -- additions, deletions, etc• -- please torward District Health Unitcomments to: Jane Urquhart, President

•Ontario Branch Office Location - Lindsayclo Halton Regional Health Dept. Type of Work Generalized program when replacing1151 BronteRd. Inspectors on holidays. Assisting district:Oakville L6J6E1 Inspectors in monitoring public water

supplies, bathing beaches, inspection ofEmployment Opportunity summer resorts, trailer parks, etc.

Duration of • April 1st to November 30th, 1988. DependentBritish Columbia Contract on workload, position will be available each

following year.The Ministry of Health, Province of British Work Hours -8:30a.m. to4:30p.m, on Mondays, Tuesdays,Columbia has several vacancies in Northern Wednesdaysand Thursdays (4dayweek)British Columbia for Public Health Inspectors. Salary - Based on an annual salary of $28,858 to

$33,253Eligible candidates must have a certificate in Travel • $90.001month,plus twenty cents (20¢) per kmPublic Health Inspection (Canada) and preferably Allowance for the first 2250 kmlmonth. Over 2250 km,

have at least two years of field experience, total travel is paid at a rate of twenty-fourInterested candidates should forward their cents(24¢)per km.

resumes to: Human Resources Division, North Please apply in writing and enclose a resume with references,

Attention: Regional PersonnelOfficer to:Mr. R. G. Chartrand, Director

Ministry of Health Public Health Inspection Services1444 Edmonton Street Haliburton, Kawartha, Pine Ridge

Prince George, B.C. District Health UnitP.O. Box 565, Lindsay, Ontario

V2M 6W5 K9V4S5

page 50 Ontario Branch News Spring Volume 9 NO. 2 1988

Health Unit Happenings

Ottawa-Carleton Region , City of Toronto H.U..Oi_ January 29 198.8 #hilip(Ph!i)Barton,.officially retired as _ .Winston Miller who was with the City for 13 years, 11 of

Director Of inspection at the Ottawa-Carleton Regional Health which he was a Senior Inspector, recently departed from our- Department. After 32 yearsof service in the public health field, health department to assume the position of Director of the

Phil still foresees much promise for future health inspectors. Public Health Inspection Inspection Service of the.York CityWith Phil's departure, he leaves us with these thoughts .... ' Health Unit. We wish him all the best!

Fred Ruf has been in our environment health division sinceMay 1, 1969. Re rapidly rose from inspector to senior tosupervisor to manager. In January of this year he was

TAKE TIME TO DREAM appointed Manager of the AIDS Unit in our health department.This i_resents a milestone for Environmental Health on

One of the responsibilities of being around for a long time is account of a health inspector being placed in charge ofthat others expect you to impart some sort of Wisdom before overseeing a multi-million dollar budget and providingyou finally leave., directionfor a multi-disciplinary group. There are 32 people in

Everyone has his or her own way of leaving some mark the AIDS Unit. Most are public health nurses; there are alsowhich indicates where they have been; but Public Health health educators, researchers, a physician, a communityInspectors belong in that elite group., of individuals who can worker and a health planner. Fred's appointment is for a twotruly say: "we do make a difference". There iS no need for me year tenure during which time operational de'tails are to beto detail how each of us does this every day. We know what we . modulated.do. . _ Rise Kogon.joined us in 1974. 4 years later she became a

Yes, we know what. we do, but often, knowing is not enough, senior inspector. In January 1988, Rise was the successfulwe need a.lsototell _,hat we d(_.For if there is anything that I candidate for the position of Environmental Health Manager.have learned over the years, it is that we must do a lot more As far as we know, Rise is the first woman to achieve thisabout telling our story, position in Ontario or perhaps even in Canada. (A Manager is

So, find ways of'letting the pe0pie of your community know equivalent to a Chief or Director.) Rise has assumed her duties'about the great myriad of "routine'_ things you do every day -- in the Northern Health Area of Toronto.things that make a difference, and beyond your community, We can boast that in Environmental Health, 30% of thereach out into the world and offer this knowledge. Recognize Supervisory level staff are female!that the methods learned over the years, now routine for us, Jack Anderson will be retiring in April, 1988. Jack startedmay be marvelous solutions for others. International Health is with.the Public Health Department on August 4, 1942, as a labjust beginning in our Institute and this is our*forum for sharing, technician after graduating from Western Technical School.

And, above all, take time to dream. Most of the great Four months later, he took a leave of absence to serve as a tailadvances in Public Health began with somebody's dream, gunner with the Royal Canadian Air Force flying 32 missions

"Don't sit inside and stare at the walls. Go outside and look over Gerrnany. After his return, he took an inspectionat the stars", certificate course and then worked a 51/2day week for $44.00.

Jack fondly remembers climbing the rickety old woodenPhil Barton, CPHI(C), B.A.A. (Env. Health) stairs of the Old City Hall Clock Tower to obtain pollen countsDirector of Inspection, Retired. in 1947. The wind was strong, and the clock struck the hour

making himfeel like the Hunchback of Notre Dame. In 1954 inthe aftermath of Hurricane Hazel, Jack used a rowboat to gain

Correspondent: Audrey Downer, access to people's homes to assess water damage. Jack hascertainly seen it all.

In, Apri .Jack will be retiring after 451/2 years in theDepartment of Public Health. He will be kept busy during hisretirement as he is an executive member of the City of TorontoWar Veterans Asociation and their Honour Guard; an active

•" _'"rCu'4kur" & District Health Unit member of the 442 Wing Royal Canadian Air ForceAssociation; a Director of the Canadian Council of WarVeterans arranging summer vacations for Underprivileged

Roger Mark' and his wife Mou Foon welcomed their new children: a member of the Royal Canadian Legion Branch 213baby girl on January 13, 1988. This makes 2 girls for them. and; a Grotto member providing support to Sunnyview P.S.'andCongratulations. Bloorview Children's Hospital for handicapped children.

In the "Forgot to mention" department ... Ron Hartnett left Jack bowls and curls weekly in the winter and golfs in theour employ in .May 1987. He is now employed with Oxford summer. .County Board of Health. A retirement reception in honour of Jack Anderson will take

Bud O'Donnell and his Coniston Curling Club rink went to place ,_t the Hogtown Diner, 120 Front Street East, Toronto, onElliott Lake for the Association playdowns. Unfortunately, he Wednesday, April 6, 1988. Hors d'oeuvres served at 4:30 p.m.did not make it out of there. Better luck next year. Good Dinner at 6:30 p.m., followed by 50's swing music. Tickets:Curling. $20.00/person including dinner and gift. Tickets available from

Bill Pasichnyk has been officially appointed Director of Derek Sim, N.H.A., 64 Merton Street, 392-0969. Gift donationsPublic Health Inspection. He was Acting Director for a while, welcomes - please call Darlene Lumley or Les Nicholson,Unfortunately, Bill has been on sick leave since January. Get 392-0969. See you there! Yours truly,well soon.

Correspondent: Linda Raud /Correspondent:Heather Bartram

• f\

Ontario Branch News Spring Volume 9 No. 2 1988 page 51

Editor's Note: Following is an article which was first published, cassette type playe/', or know Someone who has, this articlein the 'New Zealand Journal of Environmental Health', Volume should be of interest to everyone who enjoys music.10, Number 2, 1987. Since many people have.a Walkman

Noise MeasurementsWalkman Stereo Cassette Player

by P. E. PERRYSENIOR HEALTH PROTECTION OFFICER(INVERCARGILL)

1. INTRODUCTION --B & K 4153 Artificial Ear with Microphone type 4134In this survey, the stereo headphone music played on a (Appendix 1)portable stereo cassette player was measured. This was done --B & K 4230 Sound Level Calibratorto determine the level of noise a listener receives in the ear --B & K 2312 Alphanumeric Printerwhen listening to this music. The B & K 4153 Artificial Ear was used to measure the sound

output from the headphone. The output from the artificial ear2. DESCRIPTION OF CASSETTE PLAYER was fed to the B & K 4426 Noise Level Analyser. The B & KA Sony Auto Reverse Walkman Stereo Cassette Player WM7 Noise Level Analyser was set as follows:was used in this survey. "Walkman" is a trademark of the Sony. Sample Period: 0.1 second (10 samples per second)corporation. The word "walkman" has become synonymous R.M.S. Detector: "Fast" and "Instant Level"with portable headphone stereo cassette players. 'The B & K 2312 Alphanumeric Printer was set to give a printoutThe specifications of the Sony Walkman used in this survey at the end of each 15 minutes. Each volume control setting onfollow:- the walkman was measured for 15 minutes.Tape Track 4-track 2.channel stereo The information obtained was the Leq, being the equivalentFrequency response (Dolby NR OFF) continuous noise level for the preceding 15 minutes.

40-15,000Hz (with the tape selector set to The instruments were calibrated before measurements wereCrO=or Metal) commenced by means of the B & K 4230 Calibrator. A40-15,000 Hz !with the tape selector set to calibration check was also made at the conclusion of theNorm). survey.

Power Output 25 mw x 2 (max)20 mw x 2 (at 10% harmonic distortion) at 4. CASSETTE TAPESdc operation The headphone sound from two pre-recorded cassette tapes

Output Headphone jack (stereo mini jack was measured. The following titles were used:... 1 load impedance 8-2000 ohms 1. Born in the USA m Bruce Springstein

This tape was one of the largest selling pre-recorded tapes3. EQUIPMENT in New Zealand in 1985.The programme is best described asThe stereo headphone music sound levels were measured contemporary rockmusic and contains a selection of "fast"using the following Bruel & Kjaer (B & K) instruments: and "slow" songs.--Artificial Head to Lucas Design (Appendix 1) 2. She's the Boss -- Mick Jagger--B & K 4426 Noise Level Analyser This is another high seller also of contemporary rock music.

The Lucas Adjustable Artificial HeadAPPENDIX 1: (Simplified Sketch) VELCRO SI"RIP

(From Lucas Engineering Review Vol 7 No. 3 October 1978 (Hair-piece Location). "Towards an Objective Test for Earmuffs": Russell and May_ J

HAIR-PIECESECURED TOHEAD WITH VELCRO

. /

ORIFICE

I

•,.- _ I ERT:CLOSED

l NEOPRENEFOAMHEAD WIDTHADJUSTMENT

page 52 Ontario Branch News Spring Volume 9 No. 2 1988.... " - .

Walkman cont'd Bruel & Kjaer Artificial Ear Type 4153

The sound levels from these two pre-recorded tapes were done Table 4: "Born In The USA" -- Equivalent Continuous Soundwith the walkman tape selector set to Norm and the Dolby NR Level (8 hour) Corrected for 30 minutes listening time.switch set to the on position• - Thistabie _,howsthe Leq's corrected for 30 minutes listening

' time to .compare with current Department of Health Criteria.l5. METHODThe stereo headset sound levels were measured in the Tabie 5i ;'Born In The USA"--Equivalent Continuous Soundfollowing manner: Level (8 hour) Corrected for I hour listening time.5.1 Artificial Head This table shows the Leq's corrected for 1 hour'listening timeThe artificial ear was placed under the insert on the artificial to compare with current Department of Health Criteria.head. The headphone was placed over the microphone orificeand the output of the artificial ear fed to the B & K 4426 Noise Table 6: "She's The Boss" -- Maximum Permissible Low RiskLevel Analyser. The use of the artificial head was the best Exposure.'means available for determining real ear dosage. The closed This table gives the exposure times sufficient to damage

• Neoprene foaminsert and the medium hairpiece were chosen hearing under current Department of Health Criteria.to best represent the side of the human-face. _5.2 Noise Level Analyser . Table 7: "She's The Boss" -- Equivalent Continuous SoundThe Bruel & Kjaer Level Analyser is basically a sound Idvel Level (8 hour) Corrected for 30 minutes dally listening.meter with the ability to sample and store information. The - This table shows the Leq's corrected for 30 minutes listeninginformation required (15 minute Leqs) is stored in the analyser time to compare with current Department of Health Criteria.and fed into the Bruel & Kjaer 2312 Alphanumeric Printer at theend of each 15 minutes of measurement. This provided hard Table 8: "She's The Boss" -- Equivalent Continuous Soundcopy of the results. The volume control setting of the walkman Level (8 hour) Corrected for 1 hour listening time.was changed at the end of each 15 minute period of This table shows the Leq's corrected for 1 hour listening timemeasurement. The "volume control settings are arbitrary, to compare with current Department•of Health Criteria.Tables 1 & 2 of Appendix 2 give the 15 minute Leq for the rangeof settings of between 1 & 10. 7. DISCUSSION JThe sampling rate was.10 samples per second (36 x 10= per Listening to the pre-recorded tapes (tested in this report)hour).The number of samples per 15minute Leq is 9000. In this played at volume settings of 1-4 would be unlikely to causeway all noise is converted into an equivalent 15 minute n'oise noise exposure that exceeds the current Damage RiskCriterialevel, of the Department of Health (Appendix 3)3. Listening to the

tapes at volume settings of 5 or more may cause noise6. RESULTS exposure which exceeds the criteria. This would depend on theThe results obtained are shown in Appendix 2 (Tables 1-6)and volume level and length of listening time. The safe listeningare as follows: times for the range of volume settings for the two tapes are

presented in Tables 3 and 4. To enable comparison of soundTable 1: "Born In The USA"--Headset Sound Levels. levels •with the criteria, the sound levels for the range ofThis table shows the Leq 15 minutes obtained when playing volume settings have been corrected for 30 minutes and 1 hour

" "Born In The USA". and are shown inTables 5-8. It is likely that most people wouldfind volume settings in the 1-3 range comfortable. Some

Table 2: "She's The Boss" -- Headset Sound Levels. people may prefer to listen at control settings of 4-6 which mayThis table shows the Leq 15 minutes obtained when playing still be comfortable. A smaller number of people may choose"She's The Boss". • to listen to music volume levels of 6 or more. 1.

Another factor which may affect volume settings is Temporary• Table3: "Born' In The USA" -- Maximum Permissible Low Risk Tlveshold shift of hearing. 2. This is a complex subject and its

Exposure effect, if any, on listening levels is not studied in this report.• This table gives the exposure times sufficient to damage There is a variety of equipment used on the farm, around the

hearing under current Department of Health Criteria (Appendix continued on page 55: 3).

Walkman cont'd Ontario Branch News Spring Volume 9 No 2 1988 page 53

APPENDIX 2:

I: -- "Born In The USA" Table4: -- '"Born In The USA"Headset Sound Levels EquivalentContinuousSoundLevel(8 hour)CorrectedFor

30 Minutes Daily Listening.Volume Control Leq 15 Minutes r

Settings de(A) Volume Control Leq 15 minutes Daily Exposu,-e I,eq 8 hoursSettings de(A) Time dBA

I 67 I 67 30 minutes 55

2 79; 7 30 minutes 682 79.73 83.9 30 minutes 72

3 83.94 87.5 30 minutes 76

4 87.55 9_ I JU i,,_i,utes 84

5 95.1 6 99 2 30 minutes 88

6 99 •2 7 102 5 30 minutes 91

7 102 .5 8 108 1 30 In'inures 97

8 I08.I 9 109 4 30 minutes 98 '

9 109.4 i0 II0 3 30 minutes 99

I0 110.3

2: -- "She's The Boss" Table 5: "Born In The USA"HeadsetSound Levels EquivalentContinuousSoundLevel(8 hour)CorrectedFor

1 Hour Daily Listening.Volume Control Leq 15 Minutes

Settings dB(A) Volume Control Leg 15 Minutes Daily Exposure Leq 8 hoursSet tings dB (A ) Time dBA

1 66.5 ' '1 67 I hour 58

2 75.5 2 79.7 1 hour 71

3 84 .8 3 83.9 I hour 75

4 '91.0 4 87.5 1 hour 79

5 .95.0 5 95.1 1 hour 876 99.2 1 hour 91

6 99.07 102.5 1 hour 94

7 103 • 8 8 i08.1 1 hour 100

8 106 9 109.4 1 hour 101

9 109.1 10 110.3 1 hour 102

10 110.2

3: -- "Born In The USA" Table 6: "She's The Boss"

Maximum Permissible Low Risk Exposure Maximum Permissible Low Risk Exposure

Volume Control Leg 15 minutes Maximum Permissible Volume Control Leg 15 Minutes Maximum PermissibleSettings dB(A) Low Risk Exposure Settings dB(A) Low Risk Exposure

l 67 Below Criteria ! 67 Below Crlterla

2 80 Below Criteria 2 76 Below Criteria

3 84 Below Criteria 3 , 85 8"hours

4 88 4hours 4 91 2 hours\

5 96 35 minutes 5 95 45 minutes ,

6 100 15 minutes 6 99 19 minutes

7 103 8 minutes 7 104 6 minutes

8 109 2 minutes 8 106 4 minutes

9 110 1_ minutes 9 110 1_ _£nutes:

10 111 1 minute 10 111 1 minute.

News Spring Volume 9 No. 2.1988

"She's The Boss"Continuous Sound Level (8 hour) Corrected For 30 Minutes Daily Listening, "

Control Leq 15 Minute-_;' Daily Exposure Leq 8 hour

Setting dB( A ) Time dBA

1 ' 67 ,30 minutes 55

2 79.7 30 m_nutes 68

3 83.9 30 minutes 72

4 87.5 30 minutes 76

5 95.1 30 minutes 84

6 99.2 30 minutes 88

7 102.'5 : 30 minutes 91

8 108.1 30 minutes 97

9 109.4 30 minutes 98

i0 ii0.3 30 minutes 99

"She's The Boss" _"Continous Sound Level (8 hour) Corrected For 1 Hour Daily Listening.

Control Leq 15 Hinutes Daily Exposure Leq 8 hourSettings dB( A ) Time dBA

1 67 ,1 hour 58

2 79.7 1 hour 71

3 83.9 1 hour' 72

4 87.5 1 hour 79

5 95.1 1 hour 87

99.2 1 }]our 91

7 102.5, 1 hour 94

8 108.1 i ]]our i00

9 109.4 1 hour I01

I0 110.3 1 hour 102

Table 1: The Maximum Permissible Daily Noise Exposure

Duration per day Maximum Noise Level

Criteria 8 hours 85 dBAprovide a means by which the risl_ ofresulting from noise exposure can be 4 llours ,88 'dBA

determined in relation to a low riskdefined as exposure to a noise level of 85 2 ..,._..-,:-_ -,

period occurring on any day during a 1 hour " 94 dBAworking week.

calculation of whether or not the noise 30 minutes 97 dBAdamage risk criteria, the limiting values

for individuals not wearing pe'rsonal 15 minu'tes 100 dBAShown in table 1.

wearing an approved hearing proiection 8 minutes 103 dBA'exposed to a noise level exceeding 115

time. 4 minutes 106 dBA

2 minutes 109 dBA(Eq0ivalent,Continuous Sound Level)

vary from second to second often by 1 niinute 1 12 dBALeq is the level of steady noise which

amount of sound energy as the varying 30 seconds 115 dBAmeasuring.interval.

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Ontario Branch News Spring Volume 9 No. 2 1988 page 55Walkman cont'd

home, or in spare-time activities which is often noisy enough 9. RECOMMENDATIONSto damage hearingeven for short exposure times. Some of this People are recommended tOavoid listening to music played onequipment is likely to result in higher noise exposures than _'walkmans" at high volumes and for prolonged lengths of timelistening to a "walkman". to avoid the risk of damaging hearing.

8. CONCLUSIONS References1. Listening to music played on a "walkman" 1. Protect Yourself Against Noise -- Consumer Number 237

(a) at sufficiently high volume April 1986. Consumer's Institute of New Zealand.(b) or for a sufficient length of time 2. Handbook of Noise Cont_'oled C.M. Harris McGraw-Hill Inc.(c) or a combination of (a) and (b) New York.may cause the listener to be exposed to sound which 3. Department of Health: Damage Risk Criteria and Hearingexceeds current Department of Health Damage Risk Protection Grades for Continuous and Intermittent Noise:Criteria. 1982 -'

2. The riskof exceeding the damage riskcriteria from listening Acknowledgementsto a "walkman" should not be overstated. Enjoying music 1. The approval of the Director General of Health to publishplayed on a "walkman" is but one of a number of leisure this.report is gratefully acknowledged.activities which may expose people to sound capable of 2. The help and assistance of Mr. J. R. Twinn, Regional Noisedamaging hearing. There are other spare-time activities Engineer in editing this report is gratefully acknowledged.which are a greater risk to hearing than listening to a"walkman".

For PHI File

HUMAN RABIES DESPITETREATMENT WITH RABIES IMMUNE GLOBULINAND HUMAN DIPLOID CELLRABIES VACCINE- THAILAND

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Editor's Note: Following is a reprint in full from Volume 9 No. 3issue 1988 of the Ontario Disease Surveillance Report.

On March 6, 1987, a rabid dog severely bita ten-year-old Thai bitten elsewhere (5). Inoculation of rabies virus near or into theboy on the left calf and forehead and on the right eyelid peripheral nerves might bypass the protection conferred bythrough to the bulbar conjunctiva. The wounds were rabies immune globulin and vaccine, both of which areimmediately flushed with saline alone and sutured at a local ineffective after the virus invades the nervous system.hospital. Tetanus toxoid and suckling mouse rabies vaccine Evidence did not indicate immune deficiency in these patientswere given intramuscularly (IM). The following day, 21 hours or decreased immunogenicity of the vaccine lots. Also, HDCVafter exposure, the patient received 1 mL human diploid cell has been shown to be'stable even when exposed to highrabies vaccine (HDCV) IM in the gluteal area and 20 IU/kg of ambient temperatures for up to 11 weeks'(6).human rabies immune globulin (HRIG) IM in the opposite Approximately 18,000 persons receive rabies postexposuregluteal area. Subsequent 1 mL injections of HDCV were given prophylaxis in the United States per year (CDC, unpublishedIM in the gluteal area on days 2, 6, and 13. Twenty.one days data); Severe attacks by rabid wild animals and dogs likeafter exposure, the patient developed fever, headache, that suffered by the Thai patient are rare in developedlethargy, vomiting and progressive paralysis of all extremities, countries. No treatment failures have been reported when theThe patient died 15 days later, 36 days after exposure. His recommended postexposure prophylaxis regimen of woundbrain tissue was positive for rabies virus by direct fluorescent cleaning, HRIG, and 5 doses of HDCV have been strictlyantibody, observed (2). Although the reasons these two patients

developed rabies are unkn0wn_ proper wound managementEDITORIAL NOTE BYMMWR: . and proper administration of HRIG nand HDCV might have'

This is the .second laboratory-confirmed case of rabies prevented disease. Wounds inflicted by animals suspected orreported to have occurred despite administration of HDCV and confirmed to be rabid should be immediate!y and thoroughlYHRIG within 24 hours of exposure. The previous case involved cleaned with soap and water. If anatomically possible, up toa 20-year-old South African male who received HRIG 13 hours half of the HRIG dose should be infiltrated around the woundafter a rabid mbngoose bit his finger. One milliliter of HRIG and the rest given IM in the gluteal area or lateral thigh. Forwas infiltrated around the wound, and the remainder of the postexposure prophylaxis, adults and children should alwaysdosage was given IM in the deltoid (1). All injections of HDCV receive HDCV IM in the deltoid. Infants can be given the(days 0, 3, 7, and 14)were given IM in the gluteal area. On day vaccine in the anterolateral upper thigh.21, the patient developed paresthesia of the bitten arm. Hedied of rabies 16 days later. REFERENCES:

There are several possible explanations for the observed 1. Shill M. Baynes RD, Miller SD. Fatal rabies encephalitisfailure of HDCV and HRIG to protect against rabies in these despite appropriate post-exposure prophylaxis. N Engl Jcases. Although the timing of vaccine administration was Med 1987; 316:1257-8.similar to the recommended schedule in both cases (2), 2. immunization Practices Advisory Committee Rabiesvaccine was given in the gluteal area. A reduced antibody prevention - United States, 1984. MMWR 1984; 33;393-402,response has been shown when hepatitis B vaccine is 407-8.

administered in the gluteal area instead of the deltoid (3). 3. ShawFEJr, et al. The effect of anatomic injection site andPresumably, subcutaneous fat in the gluteal area may other host factors on the immunogenicity-of hepatitis Binterfere with the immunogenicity of HDCV. Moreover, only vacCine, in: Program and abstracts of the 26th Intersciencesaline solution was used to flush the Thai patient's wounds. Conference on Antimicrobial Agents add Chemotherapy.Cleaning bite wounds with saline alone has been shown to be Washington, DC: American Society for Microbiology,less effective in decreasing the risk of rabies than cleaning 1986:155.with anti-viral solutions, such as soap and water (4). Finally, - 4. Dean DJ, Baer GM, Thompson WR. Studies on the localpersons with severe bites to the headand digits, sites of rich .treatment of rabies-infected wounds. Bull WHOinnervation, are more likely to develop rabies than persons 1963;28:477-86.

ForPHI FileForPHIFile ForPHIFileForPHIFileForPI-ilFile ForPHIFile ForPHIFileForPHI FileForPHIFileForPHIFileForPHIF e ForPHIFileFor

page 56 Ontario Branch News Spring Volume 9 No. 2 1988

5. McKendrick AG. Ninth.analytical review of reports from rabies treatment which consists of Rabies Immune Globulin,• Pasteur Institutes on results of anti-rabies treatment• Bull Human (RICH) and Human Diploid Cell Vaccine (HDCV) for

Hlth Organ, League of Nations 1940;9:31-78• unimmunized individuals; 'and HDCV alone for those6. Nicholson KG et al. Stability of human diploid-cell-strain previously immunized. The schedule 'of treatment remains

rabies vaccine, at high ambient temperatures. Lancet unchanged. However, it is emphasized that the route of1983;1:9:16-8. vaccine administration should be intramuscular (deltoid areas

in children and adults and lateral aspect of the thigh inSOURCE: infants)• Unimmunized patients receiving RIGH, should have

Reprinted in-full from MMWR 1987; 36(46):759-760,765. half of the total amount infiltrated around the bite wound andthe remaining half injected in the glqteal area. Care should be

COMMENT BY ODSR: taken to ensure that separate syringes are used when injectingDespite adequate post exposure ra_biestherapy, occasional HDCV and RICH. Adequate wound toilet should be undertaken

treatment failures have been reported. The failure may be in every case.related to the inoculation of virus directly into the peripheralnerves, in areas with rict_ nerve supply (fingers) or areas "CONTACT:situated.at a short distance from the brain (face, neck). Full. M. Tischler, MD, Senior MedicalConsultant, and C• Leber,wound toilet using soap and water was not car.ried out.!n this DVM, Senior Veterinary Consultant, Disease Control andcase. Epidemiology Service, Public Health-Branch Ontario Ministry

The Ontario Ministry of Health offers free post exposure of Health.

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ReleaseNews HULTNOHAH COUNTY HASBIG SAVINGS4

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Art Bloom, Environmental Health Director for Multnomah improvements is cdnstr_cting a new inspections computerCounty (Portland, OR), has just completed an evaluation of 12 database, using the Report WritR environmental healthhandheld computers his county purchased in 1986, and is re- database, Which is designed to receive inspection dataporting an estimated 1987 savings in the food inspections pro- electronically from the handheld computers. This greatlygram of $38,000, or approximately 13 percent, reduces the manual data entry time needed to maintain a con-

Late in 1986, Art budgeted his 12tiny Field WritR computers ventional database. Art is looking forward to having the abilitywith the expectation that they'd increase inspector produc- to evaluate his food inspections program and get the "bigtivity. His Health Commission made him prove it, approving picture" on health and management trends. Art observes:the purchase on the condition he would reassign one of his "That's the next area where I see the potential for big gains."inspection staff members to a new environment'al health The Field'WritR is part of an integrated computerized in-program they felt was needed, speciio, n system developed by Oregon Digital Systems, Inc_of

Art was really put to the test. In the Spring, the state ' Corvallis, OR (503) 752-0448. The system is bein'g adopted byadopted a drastically revised set of inspection rules for food, local governments nationwide, in 1987, Benton County, ORwhich meant a big increase in training and inspection report received a National Association of Counties Award for itswriting time for all his staff. By mid-1987, he was already . . pioneering work in field.testing the handheld computers infacing a three-month inspections backlog. Summer brought restaurant inspections. .-'with it a much higher than normal load of seasonal !nspec- Art, at .Multnomah County, is happy to discuss his expe-tions. All this, and Art had one less FTE to work with! How riences with anyone who calls with questions about hiscould he and.his staff do it all? computers. YOu can reach I_im at (503) 248-3400•

"It was the Field WritR that was mostly responsible," saysArt: "1 never anticipated that we'd see such dramatic Release Date: January 26, 1988productivity improvement so soon, even though I was sold onthe idea from the start. My department is more caught up on Contact for more information:its workload than it has been in years." Dick Swenson, R.S.

It's true. The inspection backlog has disappeared, and his Inspections Division Managerdepartment is making program improvements ,that it never .Oregon Digital Systems, Inc.would have had time to implement before. One of those (503) 752-0448 :

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