1. Michael Cambridge, Director December 18, 2012

2. Center for Environmental Health We moved August 2012: Same phone number and email New Address: Empire State Plaza Corning Tower, Room Albany, New York 12237

3. CEH Updates Capital Area Environmental Health Program Formerly part of the Capital District Regional Office (CDRO) Environmental Health Staff Consolidated with CEH Environmental Health Program Oversight of DOs & LHDs Information Systems & Technology Unit CEH IT Staff Transferred to NYS Office of Information of Technology Services (ITS) Effective 11/22/12 CEH IT Staff Still Housed in Tower and Supporting CEH Technology Needs Center Directory Updated CEH Directory printed for distribution 12/18/12

5. Training Updates Fall 2012 Basic Environmental Health Program (BEHP) Preparedness Module Rescheduled for January 9, 2013 BEHP Certificates to be Distributed Upon Course Completion Sanitary Survey (SS) Courses Ground Water SS Course Rescheduled for March 18 & 19, 2013 Surface Water SS Course Rescheduled for March 20 & 21, 2013 Reconvene the BEHP Advisory Committee Work with CEHD Training Committee Discuss BEHP Course Delivery, Training Needs & Emerging Issues Training Needs Survey Targeted for 2013

6. DEC Brochure “Be Green in the Great Lakes” A Great Lakes Restoration Project funded by EPA Addresses Land Care & Pest Management Practices Targets those New York Counties bordering and within drainage basins for Great Lakes Local Health Departments in target areas are invited to order additional copies for availability at their offices Back of brochure includes information for ordering additional copies through the NYS DEC

8. Program Updates Tobacco Enforcement Indoor Tanning Body Art – Body Piercing and Tattooing Lead Poisoning Prevention Electronic Inspections

9. Year 14 Highlights 20, 232 registered retailers Over 46,000 compliance investigations 1808 sales to minors Retailer Non-compliance rate 4.99% $1.52 million in fines assessed 274 DTF Suspensions 91 lottery license suspensions

10. Number of tobacco retailers registered with the New York State Department of Taxation and Finance

12. Slide on Synar – state vs national

13. Facility Type** Number of Compliance Checks with MinorNumber of Sales to Minor Sale to Minor Violation Rate by Facility Type Grocery Supermarket97157387.6% Convenience Gas72441992.7% Convenience Store60292203.6% Delicatessen43562786.4% Pharmacy36721323.6% Gas Station1124474.2% Stationary Store962181.9% Tobacco Retail844607.1% Stand572508.7% Liquor/Beverage Store475132.7% Discount Store420153.6% Other344174.9% Restaurant322247.5% Bar/Lounge10621.9% Temporary Residence1600.0% Totals3620118135.0% * Vending machines are not included ** Facility types as identified by local health departments. New York State Tobacco Retailers* Sale to Minor Violation Rate by Facility Type 10/1/10 – 3/31/12

14. On September 5, 2012 Governor Cuomo signed Chapter 448 of the Laws of 2012 amending Article 13-F of the Public Health Law, also known as the Adolescent Tobacco use Prevention Act. Effective January 1, 2013, the amendment prohibits the sale of electronic cigarettes to individuals less than 18 years of age. The amendment defines “electronic cigarette” or “e- cigarette” as a battery-operated device that contains cartridges filled with a combination of nicotine, flavor and chemicals that are turned into vapor which is inhaled by the user. The amendment also specifies the addition of “electronic cigarette” to current required signage.

17. Indoor Tanning Program On July 16, 2012, Governor Cuomo signed Chapter 105 of the Laws of 2012 amending Public Health Law Article 35-A: Ultraviolet Radiation Devices. Effective August 15, 2012, the amendment prohibits the use of indoor tanning facilities by children less than 17 years of age and requires individuals between 17-18 years of age to obtain parental consent. The law previously prohibited indoor tanning for individuals under 14, and required parental consent for individuals 14-18 years of age.

20. Health Risk Awareness Consent Requirements Studio Information Parent / Guardian Consent Details Owner / Artist Signature

22. Primary Prevention Program

23. Lead Testing 2010

24. State Camp Safety Advisory Council Meeting October 23, 2012

25. 2012 Camp Season’s Preliminary Overview Impact of Revised Day Camp Definition: 49 new indoor camps 96 new outdoor camps 31 camps are no longer regulated because they didn’t have an activity with a significant risk of injury 76 camps modified activities to avoid regulation

26. 2012 Camp Season’s Preliminary Overview Incidents No camper or staff fatalities Increase in GI Outbreaks

27. Legislation Licensed Professionals at Camps Green Cleaning Products and Pesticides - Schools vs Camps

28. Use of Sunscreen at Camps – Revised SED Policy Written orders are not required for campers to carry and use sunscreen when: used to protect against overexposure to the sun; sunscreen is approved by the FDA for over-the- counter use; and written permission from parent or guardian.

29.  NYSDOH is launching an internet service for collecting and submitting electronic inspection forms (eForms) using remote devices in the field.  LHDs will now have more options for submitting inspection information: Scannable forms eHIPS data entry eForms batch data files Standardization, Evaluation and Reporting

30.  The MobiTask client runs on most internet-capable devices (e.g., iPads, Android tablets, laptops, smartphones) Facility and operation information stored on the device Inspection forms completed and saved on the device Connection to the internet (“connectivity”) is not required until data are synchronized Device synchronizes to NYSDOH using WiFi, cellular services, or wired connections Simultaneously submits inspection data and receives updated forms and facility/operation information Standardization, Evaluation and Reporting 30

31.  The device can also be used to: Store reference documents Obtain internet access Record GPS coordinates Take photos Send/receive email Use word processing/spreadsheet applications  Device and software are secure Password-protected device HCS credentials needed to access forms and synchronize data Standardization, Evaluation and Reporting 31

32.  Saves time: Eliminates faxing, scanning, and data entry Automatically generates inspection report summary Eliminates error reports  Improves data quality: Business rules and edit checks embedded in the eForm Eliminates handwriting and scanning errors  Increases amount of information that can be collected  Increases flexibility: DOH can add fields to eForms as needed (e.g., to collect information on an outbreak) Standardization, Evaluation and Reporting 32

33. Standardization, Evaluation and Reporting

35. Select operation and service types from drop down lists.

36. Standardization, Evaluation and Reporting

37. Add comments, collect signatures, record duration of inspection, and submit.

38. Standardization, Evaluation and Reporting An inspection summary report will be emailed to the operator, the LHD, the inspector, and one additional email address, if email addresses are entered into eHIPS.

39. Standardization, Evaluation and Reporting Obtain feedback from inspectors regarding the technology and workflow. Continue to improve content and look of inspection eForms and summary reports. Continue to improve and streamline the eFrom process.  Participating LHDs are volunteers and must be eHIPS users.  Training will be via Webinars for participating LHDs.  LHDs interested in participating should contact John Bintz at 518-402-7474 or send an email to cehweb@ health.state.ny.us