Board of Health

t]Ftv v-Glh ft$n -\P./\' - -lt twatvr\ tv \1 v _lF ^ ! /1\c N CTI"I' I}F L(.}WELL MA.S.SACI I T.ISETTS J B{,,ARI) (-}F HEALTH - FEBRUARY 6,2019 A meeting of the Lowell Board of Health was held on Wednesday, Febru^W 6,2019 in the Mayor's Reception Room, City Hatl,375 Merrimack St., Lowell, MA 01852. Chairwoman Jo-Ann Keegan called the meeting to order at 6:04 PM. Present: Jo-Ann Keegan, RN, MSN, Chairperson William Galvin, MD, Board Member Lisa Golden, RN, MSN, Board Member Kathleen Cullen-Lutter, RN, CNM, Board Member Kerran Vigroux, HHS Director Shawn Machado, Sr. Sanitary Code Director 2/612019 - Minutes 1. New Business 1.1. For Acceptance: Minutes Of The January 9, 2019 Meeting Of The Board Of Health. Motion: To accept the minutes of the January 9,2019 Meeting of the Board of Health made by Lisa Golden, seconded by William Galvin. All in favor. 1.||.@TobaccoContro|Month|yReportSubmiftedByCesarPungirum,ProgramDirector. The Board had no questions. Accepted and placed on file. Chairwoman Jo-Ann Keegan suggested that the article in the report on "How to Talk to Your Kids about Vaping" be shared with the School Nursing staff. Health & Human Services Director Kerran Vigroux will speak to Mr. Pungirum about doing that. Board Member William Galvin requested the Board be given a copy of the final product. 1. lll. Monthlv Development Services Report Submitted By Senior Sanitary Code Inspector Shawn Machado. Motion: To take Agenda Articles 1.lV and 1.V out of order made by Lisa Golden, seconded by William Galvin. All in favor. Upon return to order, Sr. Sanitary Code Inspector Shawn Machado reviewed the Monthly Development Services Report with the Board. The Board accepted the report and placed on file. 1. lV. Update: Lowell Public School Repairs. Mr. Paul Georges, President, United Teachers of Lowell, gave the Board an updated list of Needed Repairs per Teacher Reports by Schoolto be placed on the March 6, 2019 agenda.  BOHM020619 PAGE 2 Chairwoman Jo-Ann Keegan verbally reviewed for the members of the public present, the report on School Maintenance and Repair Updates by Christine Clancy, P.E., City Engineer to City Manager Eileen Donoghue and submitted to the Board by City Manager Donoghue. Board Member Galvin inquired on the time frame on repairs to the various school boilers and roofs and if the funding is included in the City's fiscal 2019 budget. City Manager Donoghue was present and addressed the question, noting that the City is aggressively applying for nine MSBA projects. Board Member Galvin inquired if the second boilers in the schools were there for redundancy. City Engineer Christine Clancy confirmed that fact. A number of members of the public were present to speak to the Board. Ms. Faith Salvas-Fregeau of Fulton St., Lowell, addressed the Board regarding her concerns for conditions at Lowell High School, noting the rodent issues and the leaking roof. Chainruoman Keegan noted the ongoing rodent control plans in place. Sr. Sanitary Code lnspector Shawn Machado also noted the frequency of inspections by the contractor Banner Pest Control and the improvement that has been made. Mr. Richard Kelly, owner of Banner Pest Control addressed the Board regarding ongoing pest control efforts and working with the school staff. City Manager Eileen Donoghue spoke regarding the roof repairs. Christine Schultz, United Teachers of Lowell, addressed the Board regarding her concerns and what the Boards position was on the occupancy of the school buildings. Chairwoman Keegan responded that the Board's role is working with the owners of establishments with violations to have them corrected as soon as possible. City Manager Donoghue noted the efforts of the City to make needed repairs and Mr. Rick Underwood, LPS Facilities Manager spoke regarding ongoing maintenance efforts by his staff. Various citizens also addressed the Board regarding their concerns. Chairwoman Keegan addressed the attendees regarding the Board's efforts to work with the City about repairs. Mr. Georges addressed the Board and noted their responsiveness. Mr. Georges also spoke about his contacting the Massachusetts Department of Labor Standards which came into severalschools and will be issuing a report. Manager Donoghue spoke regarding the City's concerns and efforts to assure the attendees that the City is working on repairs and funding. Manager Donoghue also expressed her appreciation of the attendees support and being on the same page. Ms. Laura Ortiz, Lawrence St. Lowell MA, had questions for the Board regarding the Sanitary Code/Health Inspectors. Chairwoman Keegan addressed her questions regarding the lnspectors being at the High School and the State's Air Quality Control report and retesting. Mr. Georges addressed the Board regarding his concerns for if a school needs to be shut down for safety or heating issues. Director Kerran Vigroux spoke about how issues should be reported to Development Services where the lnspectors are located. Mr. Undenrvood informed the Board that the bus company has been contacted regarding busing in the case of an emergency where students need to be relocated. Board Member Galvin inquired about the plans if the funding from MSDA is received or not received. Manager Donoghue indicated it would be looked at dependent on what funding is approved. Motion: to return to agenda item 1.lll made by Lisa Golden, seconded by Kathleen Cullen-Lutter. Allin favor. 1. V. For Review: School List of ltems to Repair Submitted By Paul Georges, President, United Teachers of Lowell. Item was reviewed with agenda item 1.1V.  8OHM020619 PAGE 3 1. Vl. For Review: Body Art Apprentice License - New. Body Art Apprentice License Application Jeffrey Riel, 745 Westford St., Lowell, MA 01851 Blaqsheep Ink 564 Dutton St. Julio Pastrana The Board reviewed the submitted application and noted additional Hepatitis B vaccinations are needed. Mr. Riel informed the Board that he is already scheduled to receive the next dose. Motion: To approve the application once Mr. Riel complies with the stipulation that the results of a Hep B titer is positive or if a third shot is needed, it is completed made by William Galvin, seconded by Lisa Golden. All in favor. Motion: To take agenda items 1.Vlll and 2.1 out of order made by William Galvin, seconded by Lisa Golden. All in favor. 1. Vll. Discussion: Medical Consultant Contract - Dr. Peter Connolly, MD. Upon return to the regular agenda, the Board discussed the contract with Medical Consultant Dr. Peter Connolly, MD. Ms. Vigroux recommends renewal of Dr. Connolly's contract and to not change the amount of the Contract. Additionally, Ms. Vigroux suggested a change to the section of the contract pertaining to invoicing. Motion: To approve the renewal of Dr. Connolly's contract made by William Galvin, seconded by Kathleen Cullen-Lutter. All in favor. 1. Vlll. For Review: Trinity EMS, lnc Reports. Review of Trinity EMS, Inc. Monthly Opioid reports and Quarterly report. Mr. Jon Kelley reviewed the reports with the Board. Chairwoman Keegan noted the TEMS Dispatch Enor figures. Member Galvin noted the increase in the number of calls with Trinity EMS maintaining the response time of less than eight minutes, as well as the need to maintain the number of trucks to support the increase in the number of calls. Mr. Kelley noted that the January monthly opioid report has the lowest numbers in quite a while. The submitted Special Opioid Report was discussed and the number of "repeat" clients who overdose. 2. Old Business 2. l. Discussion: Ambulance Contract. Chairwoman Keegan informed the Board that she has spoken to City Manager Donoghue who will direct the Law Department to guide the Board on the next steps. Member Galvin would recommend continuing the contract with Trinity and noted possible changes as well as integrating the addendums into the new contract.  BOHM020619 PAGE 4 Items noted by Member Galvin were: Section 2 number 12: Should the section regarding the right to inspect include any subcontractors Trinity may have. Chainaroman Keegan asked if there would be a legal assumption that subcontractors would be included. Section 5 number 4: Should the Board add the opioid crisis reports. Section 7 number 1: ls the worker's compensation figure still appropriate. Section 7 number 3: ls the amount of the bond still appropriate. Dispatch Fee Schedule: ls the percentage going forward an appropriate amount to cover the Dispatch Center appropriate costs. Trinity/Lowell General agreement Letter N: ls the amount still current or does it need to be updated. The Board asked that Trinity EMS forward an updated copy of the agreement. Shawn Dean, Chief Paramedic, Greater Lowell Paramedics-LGH spoke of behalf of Amy Hoey, COO, LGH asking that the language in the Trinity EMS/LGH remain the same. Motion: To recommend to the City Manager the renewal of the Trinity EMS contract with the noted changes made by William Galvin, seconded by Kathleen Cullen-Lutter. All in favor. Motion: To return to agenda item 1.Vll made by Lisa Golden, seconded by William Galvin. All in favor. 2. ll. $g!gQ. Service Zone Plan. Update on the Status of the Service Zone Plan. Ms. Vigroux updated the Board on the ongoing efforts with the Service Zone Plan and is working with Public Health Nurse Manager Colleen da SiMa regarding changes requested by the State. 3. Director's Report 3. l. Update: Divisionaland Department Reports and Updates. Ms. Vigroux updated the Board on two new employees at the Health Department. Lauren Keisling has been hired as the Outreach Health Educator on the PFS Grant and Andres Gonzalez will be starting next week as the Syringe Collection Program Coordinator. Additionally, two school nurses positions have had offer letters sent out, two Substitute Nurses are being hired and interviews for a Public Health Nurse- Clinics are being held. Chainivoman Keegan noted that the School Nurse division has reached 100% vaccination compliance of non-exempt students and wanted to acknowledge their hard work. Motion: To adjourn at 8:16 PM made by William Galvin, seconded by Lisa Golden. All in favor. THE NEXT MEETING OF THE LOWELL BOARD OF HEALTH WILL BE HELD ON MARCH 5,2079 AT 6:00 PM lN THE MAYOR'S RECEPTION ROOM.  *Ed+i City of Lowell Department of Public Works t'-lrr+:)i,, r 1365 Middlesex Street . Lowell, MA 0L852 . F: 978.970.4071 :2. t5 t? Pz 978.67 4.41L1 www.LowellMA.gov Christine Clancy, P.8., City Engineer TO: Eileen Donoghue, City Manager FROM: Christine Clancy, P.E., City Engineer DATE: February 5,2019 RE: School Maintenance and Repair Updates DPW-Lands and Building Division in coordination with the School Department has reviewed the list of school maintenance requests and complaints reported at the fanuary Board of Health meeting. Below please find an update to the repairs that were recently made or continue to be evaluated for each of the schools. The list of repairs primarily focuses on heating, roof, and rodent control requests. Both DPW-Lands and Buildings and the School Department have been working internally and externally with contractor and consultants as needed to repair the aged school infrastructure, of which much of it is a result of years of deferred maintenance. The attached list includes the original age of each of the 27 schools. The average age of HVAC systems and roofs throughout the 27 schools is approximately 25 years. The useful life expectancy for HVAC systems are approximately 15- 20 years for HVAC systems and20-25 years for roofs. Frequent maintenance and repairs are required as a result of the aged infrastructure. Within the last five years, boilers have been replaced at five schools. The City is pursuing replacement of boilers and roofs through an accelerated MSBA program in 9 schools throughout the City. This is an opportunity for the City to receive outside reimbursement for B0% of boiler and roof replacements. As we are currently in the heating season, both DPW and the School Department frequently monitor the HVAC systems and promptly respond to heating and/or leaking concerns. During forecasted cold weather, both and DPW and the School Department provide 24/7 coverage of the heating systems throughout the City. Another critical component of the City's HVAC systems is a remote notification system that alerts the appropriate personal when a boiler is not operational. This program, provided by Stellar, was recently upgraded with the necessary software updates so that the appropriate personnel receive a notification by cell when an alarm is triggered. The City continues to assess the open work orders and respond to emergencies required to provide maintenance to the school facilities. There are both budgetary and resource constraints that we face as a City. With the assistance of the MSBA Accelerated Replacement Program and other facility reports such as a recently completed EMG report, which provides maintenance and repair recommendations, the City aims towards improving our aged school infrastructure. Cc: Ralph Snow, DPW Commissioner Kara Keefe Mullin, Assistant City Manager James Green, Director of Lands and Buildings Jeannine Durkin, Acting Superintendent of Lowell Schools rhe City.rLowEtL Atiae. trnique. tnspiring. School Grade Ase of Maintenence and Reoair Uodate (2/4/19) Buildins 3ailey PreK4 1877 (l) Temporary Bypass Valve on compressor removed week of 1/7 to improve distribution of airltemperatures in classroom. (2) DPW will have contractor service second boiler. Primary boiler is functional. (3) Roof replacement proposed in 2019 MSBA Accelerated Renhement Prosrm lartlett PreK-8 1951 ) Mice issues have been addressed. No current pest contol issues. . I .2) Boiler recentlv serviced. 2 boilers reouire maintenmce md servicins lutler )-6 t994 :l) Thermostats installed to improve distribution ofair/temperatures in classrooms in early January .2) Frozen AC coil in penthouse caused leak on l/21. Leak repaired and ceiling tiles and walls replaced. lardinal O'Connell Pre-K '1) Report of no heat I 880 on l/7. Boiler failed moming of l/7 and was restarted in the AM. Rooms took tpDroximatelv a couDle ofhours to reach room temDenture Daley J-a 1956 'l) Boiler repaired in December. 2nd boiler requires maintenance by outside contraotor. '2) Fan switches for air blowers require maintenance. Manual switch of fans by custodians required rntil fan swilches repaired. Air compressor requires maintenance. '3) Leak from coil in teachefs room repaired week of 1/26. '4) Roof and boiler replacements oroDosed in 2019 MSBA Accelerated ReDlacement Prosram. Sreenhalge PreK4 1994 (l)Reportof noheatinbuildingon l2ll0and 12111. Boilerfailedmorningof l2110and l2lll and restarted in the AM. Room took approimately a couple ofhours to reach room temperature. (2) Replaced fan motors in multiple classrooms in December. (3) 2 boilers serviced by outside contractor- 2nd boiler requires additional maintenance by contractor. (4) On l/14, Frozen AC coil caused leak in 3rd floor classroom, leaking to second floor classrooms and first floor classrooms and cafeteria- The leak was repaired and ceiling tiles and walls repaired and replaced. Rugs are being professionally cleaaed. City Building Commissioner and Health Inspector reviewed damaged areas before repairs made. School was canceled on l/14 so that repairs could be made. (5) Week of l/21, frozen water spigot caused leak. Repair made same day as leak discovered. Minimal damage from leak. (6) Roof and boiler replacements proposed in 2019 MSBA Accelerated Replacement Program. -aura Lee K-8 I 890 No heatine issues. Leblanc a 1a 1935 (l) Boiler failed in early January. Loose wiring was repaired to resolve the boiler failure. No current heating issues. Lincoln PreK-4 t994 (1) DPW has been in classrooms repairing valves to improve distribution of airltemperatures. (2) DPW tepaired boilers but additional boiler servicing required. Outside contractor will service boiler. (3) Roof reolacement DroDosed on 2019 MSBA Accelerated Renlmement Prosrm Lowell High School l0-12 I 894 (1) HVAC system in Fieldhouse and Fieldhouse basement, Cobun Hall, Freshmaa Academy, and 1922 (Coburn Building in FY 1 8 and FY 19 - $840,000 in upgrades Hall), 1980. (2) Contractor (Boston Mechanical) provided preliminary assessment to City. Majority of rooms within t922 1922 building require air tubing and thermostats to be able to improve airltemperature disfibution. City is evaluating next steps to bid/procure this work. (3) Contractor (Trane) made repairs to rooftop units in the 1980 buildingon20lT/2018. These rooftop units supply heaVAC to 1980 building. 4 units were not working in Fall 2018. 2 were repaired. 2 units that seruice the LHS library, TV studio, and a computer lab remain to be repaired. City is evaluating next steps to procure this work. (4) Kendall Boiler repaired second boiler in Steam Plant that services the 1922 building and Freshman Academy. 2nd boiler was brought online week of l/21. Steam plant has two operational boilers. (5) Condensation Tank in Steam Plant will require replacement. It is currently operational. City is evaluating next steps to bid/procure this work. (6) Baseboards are being installed week of2l4 in basement ofLHS to provide additional heat to area. (7) DPW completed work in Chorus Room (1922 building) and Little Theatre (1980 building) to adjust heat issues. Adj ustments continue to be made to the Little Theatre. AC compressors in the Little Theatre will be replaced in Spring 2019. (8) Roofreplacement of 1922 building is underway. Next team meeting is 2/15 to discuss when work will start to mobilize. Submittals are underway and materials are being procured. DPW has been on roof to make leak repatrs this Winter. -owell High McDonough 1936 (l)LeakfoundandrepairedinfirstfloorhallwayofFreshmanAcademyon2/1. Schoolwas ireshman Academy temporanly relocated to LHS while heat was tumed olf to make the repair. Damage was isolated to a small section within a hallway. Ceiling tiles have been replaced. Walls will be repaired. (2) DPW continues to provide maintenance to cla.ssrooms to tweak airltemperature. Boston Mechanical is completing assessment ofFreshman Academy to evaluate airltemperature control within each ofthe classrooms. (3) Roofand window replacements are proposed as part ofthe 2019 MSBA Accelerated Replacement Prograrn. School Grade Ase of Maintensnce and Repair Updste (2/4/19) Buildins McAuliffe PreK-4 1993 (l) 2 classroons with heating issues were resolved by DPW in early January. (2) 2nd boiler requires repair by outside contractor. (3) DPW repaired several holes in roofweek of 1/26. (4) Roofand boiler replacements are proposed as part ofthe 2019 MSBA Accelerated Replacement Prooram McAvinnue PreK-4 t994 I ) Classroms with heating issues repaired in December and early January. No current heating issues. 2) Motor on order to reoair 2nd boiler. McHugh 5{ 1900 ,lo cunent heatins issues. Moody K4 r 888 lnd boiler is operational but currently turned off l st boiler is operational and working. No current reatins issues. Morey PreK-4 r 882 (l ) DPW has made several visils to address heating issues in various areas throughout school. Heating confiol system requires evaluation. Until evaluation is made and upgrades installed, heating system requires manual tweaks to optimize airltemperature control throughout classrooms. (2) Report of glycol staining boiler room. Glycol stained concrete floor adjacent to boiler. (3) Repair being made to the 2nd boiler. lst boiler is operational. Murkland PreK-4 1993 I ) Heating concems addressed early January. 2) 2 classrooni fan motors were repaired in early January. Pawtucketville Memorial PreK4 1965 , I ) Heating concems from mid-December have been addressed. '2) 2nd boiler requires repair. 1st boiler is operational. '3) Broken heating coil requires repair. Leak from December 201 8 was isolated to a classroom and a )oiler and promptly addressed. 4) Roofreplacement is proposed as part ofthe 2019 MSBA Accelerated Replacement Program. 5) No current mice issues. PreK-8 'I 2nd boiler has a cracked section that requires repair by an outside contractor. Will consider boiler ]neArts 1965 ) 'eplacement in future MSBA Accelerated Replacement hogram. K4 1959 ) Heatins coil reoaired in Vice Princinal's office in eadv Januarv. No current heatins issues. {obinson 5-8 t969 I ) DPW has been in classrooms prodding continual maintenance to improve airltemperatures in the rlassroom. Continual nraintenance is required. '2) 2nd boiler reouires servicins bv outside contractor. (ogers 1963 ' I ) 2nd boiler requires servicing by outside contractor. '2) Roofrepaired week of l/21. Roofreplacement is proposed as part ofthe 2019 MSBA Accelerated leDlacement Prosram. ihaughnessy PreK4 195'/ No current heatins issues ' itoklosa 5-8 2005 I ) DPW has been in classrooms providing continual maintenance to improve airltemperatues in the :lassroom. Continual maintenance is required. A motor requires replacement in one classroom. i2) Motor for 2nd boiler is being repaired. iullivan 5-8 t992 .l) 2nd boiler requires servicing by outside contractor. l2) Thermostats installed in some classrooms. i3) Roofand boiler replacement are proposed as part ofthe 2019 MSBA Accelerated Replacement Proqram ffane 5-8 1992 2 classroom fm motors md themostat renlmed in erlv Jmun to address heatins issues. Weshinqtnn PreK4 1905 1) Kendall Boiler renaired 2nd boiler. Both boilers ae ooerational  3D$ vb1T il I 80 70 60 Female, v) ttbler 3T 38 '12 and U ( 40 Mah,29 F6hale, Priority 1 23 30 20 il_1' i u-rs ( Priority 2 8 10 I 15-17 ( 11 i 18-21 l Avg Red are weekends (below) 22 1 Mon 3 0.8 7 23( Tue 9 1.8 6 ) 24 1 Wed 6 L.2 4 25i Thu Fri Sat Sun 4 5 8 6 0.8 1.5 2.0 1.5 3 ilnr 2 4 s 5 7 3 ,lll l,-, llt l,lrllll E 9 10111213141516171819202L22232425262728293031 26t 27 28: 293 1 30( 31 1 322 16 LowellFD 9LowellPD 2 2mg-6 33 1 Trinity Al5 0 Trinity BLS 6 4mg-9 34( t7 LGH ALS 2 Other I 6mg-1 35C lnstitutuion 8mg-5 36c Acre-8 BackCentral-4 Centralville-5 Downtown - 14 Highlands - 4 372 Lwr Belv - 2 Lwr Hghlnds - 3 Sacred Heart - 2 382 -4 Dorchester - 1, Dracut - 1 Haverhlll - 1, Lawrence - 2, ewksbury - 2, 39 I - l, Unknown - 3 40C 41 t 42c 43C 442 4sC 46c 47 I 483 49c Q3 Q4 Yr avg Ql Q2 Q4 Yravg 50 2 2013 0.9 2013 0.3 03 0.2 0.3 51-55 e 201f 1.3 2014 0.3 0.7 s6-50 t 2015 1.6 2015 0.8 51-65 c 2016 1.9 2016 1.0 66-70 c 20t7 2.2 20t7 1.3 Unk t 2018 2.2 2018 1.3 2019 2019  /fr (TRTNTTY \ crErofxcY n Eot cAL aEBvtc E Overdose Report: 19-tan Lowell, MA Overdoses: s6 or 2.8 per day 12andU 1 13-15 1 Day of the week: L6-17 0 t8-2t 2 Day Mon Tue Wed Thu Fri Sat Sun 22 1 Count 6 16 L4 11 7 L7 15 23 1 Average 1.5 3.2 2.8 2.2 1.8 4.3 3.8 24 1 254 Day of the month: Note:Red columns are Saturdays and Sundays 264 14 273 72 284 10 294 302 :ll I 31 4 323 jl l l l r ,-r J , , r , , 3l , . t r r l L 2 3 4 5 5 7 8 9 1011121314151617181920212223242526272829303L r l l lr l , , 340 333 350 35 1 Hour of the day: 372 383 0 1 2 4 5 6 I 9 10 11 L2 13 t4 15 16 L7 18 19 2C 2l 22 23 392 2 2 3 1 c € 2 L 2 2 6 47 3 7 2 5 a 4 6 1C7 400 q 86 4L2 Section of the city: Proflle of patlent 420 433 Neighborhood Count lex Count Avg Agt Range 444 Acre 13 Female 26 39 18-55 450 Back Central 10 Male 55 37 2-63 46 1 Belvidere 0 Unk 4t2 Centralville 13 6% 484 Downtown 20 493 Highlands 9 502 [ower Belvidere 4 51-55 11 Lower Highlands 9 56-60 3 Pawtucketville 3 51-65 L Female Sacred Heart 4 30% Mafe 66-to o South Lowell 1 il% 71and up 0 85 Unk 4 Month 1&Feb 18-Mar lg-Apr 18-May 18-Jun 18-Jul 18-Aug 18-Sep 18€ct 18-Nov l&Dec 19-Jan Total 149 101 tZ6 139 148 ztt t4t 150 151 140 12s 86 Per 5.3 3 4.2 4.5 4.9 5.8 4.5 5.3 5.2 4.7 4.0 2.8  /t' (,TRTNTTY \IJCIOCflry NEO'CI3 SEBYTCE The following data is from Trinity EMS electronic Patient Care Reports. This data is from calls in afl 13 communities Trinity provides service for. Only data from Jan 2Ol9 opioid related calls are included Trinity EMS Inc provides EMS servlces for the following communities in MA: Boxford, Chelmsford, Dunstable, Groveland, Haverhill, Lowell, and Dracut. In NH: Atkinson, Danville, Hampstead, Newton, Plaistow, and Sandown. only opiate overdoses that Tranity EMS inc responded to are included. lf someone from one of the communities listed above overdosed ln another community not listed, it will not be represented in this data set. System wide, Trinlty treated 61 patients with an opioid related issue in Jan 2019. Ros Lebclt CountofDab LOWELL 25 HAVERHILL 11 (blank) 4 BILLERICA 4 DRACUT 3 TEWKSBURY 2 LAWRENCE 2 WAKEFIELD 1 NORTH 1 BILLERICA MEDFORD 1 WOBURN 1 DORCHESTER 1 CHELMSFORD 1 BRADFORD 1 BIDDEFORD 1 ANDOVER 1 KEENE 1 Grrnd Total 6f