City of Passaic Officials

Transcription

1 ANNUAL REPORT

2 City of Passaic Officials ADMINISTRATION Dr. Alex Blanco, Mayor Rick Fernandez, Business Administrator CITY COUNCIL Gary Schaer, City Council President Jose Garcia, City Councilman Terrence L. Love, City Councilman Thania Melo, City Councilwoman Chaim M. Munk, City Councilman Zaida Polanco, City Councilwoman Daniel J. Schwartz, City Councilman

3 DIVISION OF HEALTH STAFF Division of Health Leadership John E. Biegel III., Health Officer Anthony Martone, Chief Registered Environmental Health Specialist Administrative Tonya Hand, Secretarial Assistant Angie Crique, Secretarial Assistant Yadira Monge, Data Entry Operator/Public Health Intern Environmental Health Mark Mora, Environmental Health/REHS Nathalie Ceballos, Environmental Health/REHS Oguchukwu Donnie Ogbudinkpa, Environmental Health/REHS Yokasta Brito, Complaint Investigator Public Health Nursing Joanne Manley Hathaway, Public Health Nurse, Pediatrics Babara Lisanti, Graduate Nurse Deborah Van Eerde, Public Health Nurse Health Education & Promotion Araceli Pintle, CHES Health Educator/Field Representative Animal Control Brian Gunderson, Animal Control Officer Yaxira Lopez, Animal Control Officer Nancy Galambos, Animal Attendant (PT) Danielle Galambos, Animal Attendant (PT) Passaic WIC Program Dana M. Hordyszynski, WIC Program Coordinator

4 TABLE OF CONTENTS TITLE Page# Mission Statement 1 What Does the Local Health Department do for You? 1 Message The Health Officer 2 Description of the Division of Health 3 Administrative Services 4 Staffing and Human Resources Summary 5 Inquiries, Issues, and Complaint Investigations 6 Emergency Preparedness and Response 7 Health Services and Outreach 8-12 Health Education and Promotion 13 Individual Clinical Services Communicable Disease Control 16 School Immunization Record Audits 17 Animal Care and Management 18 Kennels, Pet shops, and Shelter/pound facilities 19 Animal Bites and Rabies Control 20 Animal Control Services 21 Municipal Animal Shelter Operations 22 Pet Licensing 23 Rabies Vaccination Clinics 24 Outdoor Facility supervision and Inspections 25 Youth Camps 26 Recreational Bathing Facilities 27 Local Business Supervision and Inspections 28 Retail Food Establishment Safety 29 Children Lead Poisoning Prevention and Control Women, Infants, and Children (WIC) Program 33 Health Division Directory 34-35

5 City of Passaic division of health Mission statement The mission of the City of Passaic Health Division is to deliver equitable and comprehensive superior public health services that ensure the protection, promotion, and enhancement of the health, wellness, and general welfare of the residents of and all persons who work in or visit the City of Passaic. Your local public health department protects and improves the health and well-being of the community, as well as the environmental resources upon which we all depend on. Since 1900, the average lifespan of U.S. residents has increased by more than 30 years, with 25 years of this gain attributable to advances in public health, such as: Vaccination Control of infections disease Recognition of tobacco use as a health hazard Safer and healthier foods Healthier mothers and babies Family planning Today, your local, county, regional, and state public health agencies continue to promote health and wellness across New Jersey. Your health department: What Does the Local Health Department Do in Your Community? Protects you from health threats. Your health department works to prevent disease outbreaks and makes sure the water you drink, the food you eat, and the air you breathe are all safe. We are also ready to respond to any health emergency be it bioterrorism, SARS, West Nile Virus, or a new environmental hazard. Educates you and your neighbors about health issues. Your health department provides you with information that helps you make healthy decisions, like exercising more, eating right, quite smoking, and washing your hands to protect yourself from communicable diseases. During a public health emergency, we also provide important alerts and warnings to protect your health. Provides healthy solutions. Your health department offers the preventive care you need to avoid disease and maintain your health. We provide flu shots for the elderly and help mothers get prenatal care to give their babies a healthy start. We also help provide children with regular check-ups, immunizations, and good nutrition to help them grow and learn. Advances community health. Your health department takes part in developing new policies and standards that address existing and emerging challenges to your community s health while enforcing a range of laws to help keep you safe. We work through research and staff training to maintain expertise and deliver Page 1

6 Thank you for taking the time to read the City of Passaic Division of Health s Annual Report. This publication highlights the accomplishments of the Health Division throughout The commitment of the staff in the Health Division is reflected in the achievements herein summarized. In 2015, the City of Passaic Division of Health faced another year of exciting public health challenges. The most challenging event occurred in February when the Passaic High School faced a possible exposure to Hepatitis A. As a precaution the Division of Health worked closely with the Board of Education and the NJ Health Department to develop a plan to vaccinate the High School staff. The immunization clinic proceeded on February 12, Prior to the immunization clinic the Division of Health had been trained in large scale exercises similar to this incident and as a result the clinic ran efficiently. A total of 65 staff members were vaccinated within a few hours. The entire Division of Health staff joined together to execute various roles in the clinic and were true professionals throughout the entire incident. Throughout the year the Nursing and Environmental staff continued to implement the Childhood Lead Poisoning Prevention grant from the New Jersey Department of Health and Human Services. The City of Passaic Division of Health also received $159,250 to provide nursing care management and environmental intervention for children with elevated blood lead levels. In 2015, the Division of Health screened a total of 268 children for elevated blood lead levels. Additionally, the Nursing and Health Education staff provided 13 lead screening events for children at schools and libraries, reaching over 172 participants. On Saturday, December 5, 2015, some members of the City of Passaic Division of Health participated with the Passaic County Department of Health (PCDOH) and the Northwest Region Public Health Emergency Preparedness Work Group in an emergency preparedness drill. The drill was held on the grounds of Pompton Lakes Elementary School and involved over 100 public health and public safety personnel and community volunteers. The objective of this drill was to give prophylactic medicine to people as quickly as possible. The drill tested the City of Passaic Division of Health and Passaic County Department of Health on their ability to conduct a Walk-Through Point of Distribution (POD); an operation to medicate a group of individuals exposed to or potentially exposed to anthrax. Ultimately, the drill was designed to educate response entities from the North West Region. The emergency preparedness drill successfully allowed our Health Department staff to sharpen their response skills in the case of a real life emergency. I would like to recognize and applaud the entire staff of the City of Passaic Division of Health for their tireless efforts to achieve so much over the past year. Although the future is always uncertain, I am certain that this department will continue to give their best efforts to continue to provide the highest quality of public health services to our residents as they fulfill their mission statement. It has truly been an honor and a privilege to work with such as dedicated group of individuals and I look forward to leading them through another exciting year! John E. Biegel, III Health Officer Message from the City s health officer Page 2

7 Full-Time Health Officer Animal bites & Rabies Control Body Art, Permanent Cosmetics Childhood Lead Poisoning Control Communicable Disease Control Emergency Prep and Response Health Education and Promotion Individualized Clinical Services Inquiries, Issues, Complaints Kennels, Pet Shops, and Shelters Onsite Wastewater Disposal System Other Animal Control Services Potable Wells/Water Safety Proprietary Campgrounds Public Campgrounds Recreational Bath Facilities Retail Food Establishments Safe School Immunizations Record Audits Tanning Facility Compliance Youth Camps CITY OF PASSAIC DIVISION OF HEALTH SERVICE AREA TOWN NAME CITY * * 3 0* 0* 0* * 7 OF PASSAIC * These services might not be rendered under the City of Passaic Division of Health either the need is not present in the City or another health agency such as the State health Department, County Health Department, our contracted agency might regulate these services/establishments. Page 3

8 ADMINISTRATION DESCRIPTION OF THE DIVISION OF HEALTH Under state statute, all municipalities are required to provide public health services administered through a health department (a local health department, county health department, or regional health commission). The Passaic Division of Health is responsible for providing these local public health services for the City of Passaic. The Division of Health is one of three Divisions under the City of Passaic s Department of Human Services (the other two Divisions being Passaic Municipal Alliance and Women, Infants, and Children (WIC) Program). The Division of Health is supervised by a full-time Health officer. All programs and services provided by the Division of Health are operated in accordance with the N.J. Public Health Practice Standards of Performance for Local Boards of Health (N.J.A.C 8:52). These programs and services include: Administrative Services Environmental Health Communicable Disease Control Public Health Nursing Health Education & Promotion Cancer Control & Prevention Childhood Lead Poisoning Prevention Program Animal Control Women, Infants, & Children (WIC) All Division of Health s programs are funded by a combination of local tax dollars, state funding, and state grants. During 2015, the Division of Health received state funding to support various public health services. In the pages to follow, you will find a description of each Division of Health program along with statistics for all activities performed by the programs during calendar year To learn more about the Division of Health, please call, visit us, or simply go to: Page 4

9 Staffing and Human Resources Summary FISCAL YEAR SUMMARY 2015 DATA Number of Individual Employees 18 Number of Individual Contract Staff 3 Number of Individual Volunteers 0 Number of Contract Organizations 3 Total Number of Full-time Equivalent Human Resources Available 30 FTE s of Individual Employees 11 FTE s of Contract Staff 0 FTE s of Individual Volunteers 0 FTE s of Contract Organizations 0 Employees are individuals who are on the LHD s payroll and paid a set salary or hourly rate. This includes full-time, part -time, and casual/at-will/w-9 staff of the LHD. Contract staff are individual contractors or consultants who are not on the LHD s payroll, but who invoice or bill the LHD for services rendered on behalf of the LHD and are paid directly by the LHD as individuals (rather than as companies/organizations). Contract organizations are organizations that, under the terms of a contract, provide services on behalf of the LHD in exchange for payment, where the LHD pays the organization rather than directly compensating individual staff of the organization for their services. Page 5

10 INQUIRIES, ISSUES, AND COMPLAINT INVESTIGATIONS Public Health Nuisances & Smoke Free Air Act Number of contacts (inquiries, issues, and/or complaints) received by and/or reported 206 Number of unduplicated cases (stemming from complaints and/or issues reported) investigated 390 Number of cases (stemming from complaints and/or issues reported) for which one or more enforcement actions was taken 110 Number of total NOV s issued 118 Number of total summonses issued 110 Number of air pollution nuisances 2 Number of apartment heat nuisances 24 Number of no hot water nuisances 5 Number of noise pollution nuisances 13 Number of nuisances 124 Number of occupational health nuisances 0 Number of rodent/vermin nuisances 62 Number of bed bugs nuisances 41 Number of other insects nuisances 11 Number of solid waste nuisances 10 Number of stagnant water/mosquito breeding nuisances 4 Number of unsanitary interior condition nuisances 8 Number of sewage complaints 8 Number of Smoke-Free Air Act complaint investigations 0 Number of Smoke-Free Air Act total summonses issued 0 Page 6

11 Emergency Preparedness and Response (2015 Ebola Training for Public Health Professionals) In continuation of the March 2014 Ebola Outbreak, on December 4, 2015, the NJ State Health Department provided funding for Ebola Training for Public Health Professionals. The City of Passaic Division of Health received training on General Infection Prevention Principles, PPE Hazard Assessment, Personal Protective Equipment (PPE) principles, Waste Disposal Practices/Precautions, Specific NJ state regulations, and participated in the workshop for Donning and Doffing PPE. On Saturday, December 5, 2015, The Morris, Passaic, and Warren County Health Departments collaborated in an Emergency Preparedness Drill at Pompton lakes. The mock emergency drill took place at Lakeside Middle School 316 Lakeside Avenue, Pompton Lakes, NJ. The mock exercise consisted of health department staff, EMS, Fire Department, Cert/MRC Volunteers, and other volunteers from around the participating counties. This year the focus was on bioterrorism preparedness, the scenario for this exercise indicated that a plane carrying anthrax crashed onto a Lakeside Middle School gymnasium December 2015 neighborhood and the Health Departments had to coordinate quickly in order to dispense medication to those affected. The goal of the exercise was to distribute the medications quickly and to obtain information on how quickly the medications would be distributed within one hour. In addition, the staff trained their incident command, communication, and triage capabilities. Page 7

12 HEALTH SERVICES AND OUTREACH In an effort to assure health services and care continue to reach our City of Passaic residents the health division partnered with various community agencies such as the Passaic Public Schools-Parent Liaisons, St. Mary s General Hospital, St Joseph s Hospital, and partners with similar interest in providing and informing our residents of health services and programs. On January 17, 2015, the Health Division collaborated with the Get Covered America nonprofit organization, and the United Passaic Organization by hosting an affordable care act registration event in Dr. Martin Luther King, Jr. School No. 6 (85 Hamilton Avenue, Passaic, NJ 07055) from 10:00am-3:00pm. The event allowed Passaic residents to listen in to guest speakers who would answer all their questions and to register in-person for insurance coverage. The Get Covered America Non-Profit Organization, United Passaic Organization (UPO), and The Health Division collaborated and hosted a get covered event for city residents on January 17, 2015 at Dr. Martin Luther King, Jr. School No. 6 In observance to Heart Health Month and Dental Hygiene Month the health division provided education on Dental and Heart Health for the month of February. Head lice awareness and Childhood Lead Poisoning Prevention were among other topics in which the division presented to Casimir Pulaski School No. 8 and Passaic Head Start (3rd. St.). The health division presented to the WIC program parents on Dental Health in which 17 workshops were held and a total of 196 parents were reached. Heart health was celebrated within the City Hall by the health division hosting a Wear Red Day event in which all employees were requested to wear Red in order to raise awareness on heart disease. A total of 80+ employees participated in this event. In addition to WRD the health division held blood pressure screenings for city residents and employees in the city hall lobby on June 24, For the month of March, the Health Division provided Bloodborne pathogen training for the City s Fire Dept. Under O.S.H.A all employees who are possibly at risk for having contact with blood or other potentially infectious materials (OPIM) must undergo yearly training to prevent exposures and to review city regulations regarding protection and reporting. A total of 72 firefighters were reached for the March training programs. In the months of April and May, the health division provided various foodborne illness, breast health awareness, Poison prevention, West Nile Virus, and Bedbugs/Head lice workshops. On April 14, 2015, Second (2nd) Home Senior Day Care invited the health division to speak with the seniors regarding food safety and foodborne illness. The presentation informed the seniors Page 8

13 HEALTH SERVICES AND OUTREACH CONTINUED... about the different bacteria that could be found in foods, the danger zone, symptoms & complication of illness, and methods of prevention. The FDA (Food and Drug Administration) and USDA (U.S. Department of Agriculture Food Safety and Inspection Service) Booklets To Your Health! Food Safety for Seniors were distributed to all Second (2nd) Home seniors. An estimate of 60+ seniors were reached in this event. The health division was also present in the City of Passaic, WIC program providing foodborne illness awareness. The health division provided a total of 14 workshops and reached a total of 143 WIC parents.. Also, Breast health awareness workshops took place in five schools (Passaic Public Schools No. 3, 9, 10, 17, and 19) and reached a total of 90 parents. In May, West Nile Virus was a topic of interest for the City of Passaic WIC program in which 24 workshops were held and a total of 226 parents were reached with mosquito bite prevention and mosquito control tips. Additionally, in partnership with the Mayor s Wellness Committee, the health division started a Biggest Loser competition for city employees as a means to help improve employee health and motivate healthy lifestyles. The competition started May 13, 2015 and ended July 29, In which a total of 20 employees participated. In the summer months the health division provided education on sun safety, summer safety, nutrition, physical activity, and celebrated June s Men s Health Month & World Breastfeeding Week. Sun safety workshops were provided to Etta Gero Public School No. 9, the Passaic WIC program, and Second (2nd) Home senior facility. A total of 20 workshops were held and an estimated 245+ people were reached. In June 26, 2015 the health division held its Wear Blue Day event and Biggest loser challenge competition activities for city employees. A total of 60 employees celebrated and raised awareness for Men s health Month. (June 26, 2015 Wear Blue Day participants) The Health Division and WIC program provided a total of 34 classes on the benefits of fruits and vegetables and reached a total of 260 parents. The WIC program also provided classes on physical activity, 45 classes were held and 187 parents were reached for July & August. Page 9

14 HEALTH SERVICES AND OUTREACH CONTINUED... As health fair season approached the health division attended and provided information on the following: 1. June 6, 2015, Community Health Fair/Flea Market at William B. Cruise Memorial School No. 11 provided information on the health divisions free lead screenings, toxic (lead) candies, and on summer/sun safety. The health division reached an estimated 70+ people in this event. 2. June 27, 2015, Speer Village Health Fair-provided health services information to City of Passaic residents and safety on summer safety such as sun safety, water safety, nutrition, skin cancer detection, use of sunscreen, and health services resources. Reached an estimated 40+ people. 3. July 28, 2015, Recreation department held a Movies in the Park event, at Memorial Park providing information on sun safety, mosquito bite prevention, & nutrition. The health division reached an estimated 15+ people. On July the Passaic County Health Department reached out to various health departments in the county and the City of Passaic Division of Health in order to host a Diaper Drive to assist St. Mary s General Hospital, Community Health Department and Madre a Madre (Mother to Mother) program. In this event the City of Passaic was able to collect a total of 592 diapers from City of Passaic employees and residents. All diapers were donated to the Madre a Madre program. On August 17, 2015, the WIC program hosted a World Breastfeeding Week Celebration for all pregnant and breastfeeding mothers. The Health Division presented on various topics of child safety which included Shaken Baby Syndrome, coping with a crying baby, Sudden Infant Death Syndrome (SIDS), water safety, car safety, summer safety, and poisoning prevention. The program reached a total of 22 WIC program parents. Other community agencies supported this event and collaborated with the WIC program in order to support breastfeeding moms and new mothers in this beautiful endeavor. The City of Passaic Annual Employee Health Fair hosted by Mayor Dr. Alex D. Blanco, The Mayor s Wellness Committee and the Health Division took place this year on September 23, 2015 at the city courtyard, the Health Division provided flu shots for city employees, sun safety awareness by using the Derma scan to show damage of skin due to the sun, emergency preparedness awareness, and information on employee insurance by inviting various insurance vendors Page 10

15 HEALTH SERVICES AND OUTREACH CONTINUED... such as Horizon Blue cross/blue shield, Aetna, Aflac, Delta Dental, and other allied agencies for employee health. Thursday, October 22, 2015-Public School Etta Gero No. 9 Breast Health Awareness event in which a total of 41 parents from Public Schools No. 2, 9, and 17 attended In continued outreach, the health division provided various breast cancer awareness workshops in collaboration with St. Joseph s Hospital, Rainbows of Hope Program. The Rainbows of Hope Program is a county program that offers free cancer screenings (breast cancer, cervical cancer, colorectal cancer, and prostate cancer) for Passaic county residents who have no insurance or who are underinsured. Screenings can be rendered by calling and obtaining an appointment. The Health Division presented and held awareness events for Octobers Breast Health Awareness month in the following locations Passaic WIC program, Passaic City Hall Employees Wear Pink Day, Second (2nd) Home Senior Day Care, and Passaic Public Schools No. 2, 3, 9, 11, 17, and 19. A total of 205 adults were reached for breast health awareness month of which 30 people obtained appointments for cancer screenings from the Rainbows of Hope Program. In addition, the health division held its annual influenza clinics for adults in the months of October-December. Influenza clinics were held in the Passaic City Hall Council Chambers the following dates: 1. Thursday, October 15, :00am-11:30am 2. Wednesday, October 21, :00am-11:30am 3. Tuesday, November 17, :00am-11:30am 4. Monday, November 30, :00 am-11:30am and 5. Tuesday, December 8, :00 am-11:30am The vaccines were offered free of charge to City of Passaic residents 18 years or older. The total vaccines administered for adults years of age totaled 215 and those ages 65+ totaled 32. From November to December the health division continued its flu clinics, offered a bedbug awareness program for parents at Etta Gero School No. 9 reached a total of 34 parents in this event in order to assist residents with information on how to prevent and control bed bug infestations with the help of the health department and home/building owners. Page 11

16 HEALTH SERVICES AND OUTREACH CONTINUED... The City of Passaic Division of health also continued to implement education to the city s first responder personnel on Bloodborne Pathogens. Trainings under the OSHA standard must be provided to those employees who have a high risk and possible risk in coming into contact with blood or other potentially infectious materials (OPIM). A total of 18 classes were held and reached a total of 228 employees for the months of October-December. At the end of the year, the health division started to collaborate with The Vein Center of Clifton, Stacy Diaz. The vein center provided free ultrasound screenings and education on the topic of vein and vascular health for residents who had foot ailments such as pain, swelling, varicose veins, etc. This program offers quick results to clients and follow-up care if required with the Vein Center. On December 15, 2015, the Vein Center provided their services to a total of 22 City of Passaic residents. QUICK HEALTH SERVICES AND OUTREACH NUMBERS 377 Reportable Disease cases investigated. 23 Bloodborne Pathogen education programs conducted. Held educational programs and reached over 4,258 participants Health fairs held on 1/17/15, 2/24/15, 6/6/15, 6/13/15, 6/27/15, 7/28/15, 8/17/15, and 9/23/15 Provide referrals as requested by clients via phone, , or walk-in. Health Information is posted, reviewed, and updated on the LHD website. Share information via a municipal, county, or LHD distribution list. Disseminate information in local print & online newspaper/newsletter. Conduct outreach to local schools, health providers, local business, faith based organizations, childcare providers, and other organizations. Page 12

17 HEALTH EDUCATION AND PROMOTION Health Education & Promotion Number of single-session health education events 370 Number of multi-session health education events 1 Number of Lead Prevention education programs 13 Number of Lead Prevention education program participants 172 Number of new Lead cases with education sent via mail 21 Number of Lead educational training/conferences attended 6 Number of Cancer education programs 46 Number of Cancer education program participants 705+ Number of women receiving Breast Cancer education 257+ Number of referrals for Breast/Cervical Cancer Follow-up 43 Number of referrals for mammograms 43 Number of patients receiving Colorectal Cancer education 0 Number of individuals screened for Skin Cancer 0 Number of referrals for Skin Cancer follow-up 0 Number of Diabetes education programs 0 Number of Diabetes education program participants 0 Number of people screened for Diabetes 13 Number of people referred for medical evaluation for Diabetes 0 Number of Cardiovascular Disease education programs 4 Number of Hypertension screenings for Cardiovascular Disease 134 Number of people referred for medical evaluation for hypertension 18 Number of Cholesterol screenings for Cardiovascular Disease 18 Number of people referred for medical evaluation for cholesterol 18 Number of people screened for Oral Cancer 0 Number of people referred for Oral Cancer 0 Number of Dental Health education programs 18 Number of Dental Health education program participants 204 Number of Bloodborne Pathogens education programs 23 Number of Bloodborne Pathogens education program participants 300 Number of other education programs 58 Number of other education program participants 852 Number of Tobacco Prevention sessions 0 Number of Tobacco Prevention session participants 0 Number of Nutrition sessions 148 Number of total participants for Nutrition sessions Number of Physical Fitness & Exercise sessions 30 Number of total participants for Physical Fitness & Exercise sessions 264+ Number of Drug Abuse sessions (Refered to Passaic Alliance) 0 Page 13

18 INDIVIDUAL CLINICAL SERVICES Activities performed by the Health Division Clinic during 2015 were as follows: Individual Clinic Services Number of Clinic-based medical visits 1986 Number of unduplicated individuals who received clinic-based medical services 1846 Number of home-based nursing visits provided 15 Number of unduplicated individuals who received home-based nursing services 17 Number of clinic-based medical visits and home-based nursing visits that resulted in referral 6 Number of other client contacts that resulted in referral 26 Number of immunizations administered to children age Number of children age 0-4 immunized 61 Number of school age children immunized 914 Number of doses of DTaP administered to infant and preschool ages Number of doses of IPV administered to infant and preschool ages Number of doses of MMR administered to infant and preschool ages Number of doses of Varicella administered to infant and preschool ages Number of doses of Haemophilus B administered to infant and preschool ages Number of doses of Hepatitis B administered to infant and preschool ages Number of doses of Rotavirus administered to infant and preschool ages Number of doses of Influenza administered to infant and preschool ages Number of doses of PCV13 administered to infant and preschool ages Number of doses of Hepatitis A administered to infant and preschool ages Number of preschool audits 26 Number of enforcement actions taken 1 Number of total school-age immunizations and adolescent immunizations conducted 914 Number of adult immunizations administered (18-64 age) 234 Number of adults immunized 234 Number of older adult immunizations administered (age 65+) 33 Number of older adults immunized 33 Number of doses of Tdap administered to school-age children and adolescents 101 Number of doses of DTaP administered to school-age children and adolescents 37 Number of doses of Td administered to school-age children and adolescents 43 Number of doses of IPV administered to school-age children and adolescents 124 Number of doses of MMR administered to school-age children and adolescents 141 Number of doses of Varicella administered to school-age children and adolescents 122 Number of doses of Haemophilus B administered to school-age children and adolescents 5 Page 14

19 INDIVIDUAL CLINICAL SERVICES CONTINUED... Number of doses of Hepatitis B administered to school-age children and adolescents Number of doses of Meningococcal administered to school-age children and adolescents Number of doses of Influenza administered to school-age children and adolescents Number of doses of HPV administered to school-age children and adolescents Number of doses of Hepatitis A administered to school-age children and adolescents Number of doses of PCV13 administered to school-age children and adolescents Number of unduplicated individuals screened for: Childhood blood lead 265 Hepatitis B 12 Hypertension/Cardiovascular 268 Tuberculosis 23 All other screenings: WIC Adults & Peds HgB screenings Number of screening tests conducted for: Childhood blood lead 265 Hepatitis B 0 Hypertension/Cardiovascular 266 Tuberculosis 23 All other screening: WIC Adults & Peds HgB screenings 1368 Number of Adult Hemoglobin Tests conducted 614 Number of Pediatric Hemoglobin Tests conducted 944 Number of Adult Capillary Lead Tests conducted 0 Number of unduplicated adults screened for ages Number of total adult immunizations administered for adults ages Number of doses of Seasonal Influenza administered to adults ages Number of doses of Hepatitis B administered to adults ages Number of employees immunized for Hepatitis B ages Number of unduplicated older adults 60+ screened 0 Number of total adult immunizations administered for adults 65+ Number of doses of Seasonal Influenza administered to older adults 65+ Number of employees immunized for Hepatitis B Page 15

20 COMMUNICABLE DISEASE CONTROL Communicable Disease Numbers Number of Reportable Diseases: Total new/reopened cases received 439 Total cases out of jurisdiction 21 Total new/reopened cases investigated 377 Total cases merged/transferred 3 Total cases closed 366 Total non-resident investigations 8 Perinatal Hepatitis B Program: Total HBV Perinatal infants currently managed 6 Total pregnant HBV+ women currently managed 7 Total HBV Perinatal infant cases closed 2 Tuberculosis Control: Total number of confirmed cases 2 Number of contacts identified 5 Number of contacts examined 5 Number of confirmed cases completing therapy 2 Number of cases monitored 2 Number of Mantoux Tests 11 Under N.J.A.C 857 the health division and public health nurse must do the following: Establish rules designed to promote the identification and reporting of specified communicable diseases so that public health officials can take appropriate action to prevent the further spread of those diseases to other persons and thereby preserve, maintain, or improve the public health. A Health Officer or Public Health Nurse performing the investigation 1) shall determine whether a single case or an outbreak of a reportable communicable disease exists, 2) Ascertain the source and spread of the illness, and 3) determine and implement appropriate control measures. Examples of Reportable Communicable Diseases: Anthrax, Botulism, Brucellosis, Diphtheria, Hep A, B, and C, Ebola, Pertussis, Rabies, Lyme Disease, and food borne intoxications, including, but not limited to Campylobacter, Salmonella, Shigella. COMMUNICABLE DISEASE NEWS On February 9, 2015, The City of Passaic Division of Health was notified that a food handler at Passaic High School had been diagnosed with Acute Hepatitis A. As defined by the Centers of Disease Control and Prevention (CDC), Hepatitis A is a liver infection caused by the Hepatitis A virus (HAV). It is highly contagious and usually transmitted by the fecal-oral route, either through person to person contact or consumption of contaminated food or water. Due to this information, the Health Officer, Public Health Nurses, Registered Environmental Health Specialist (REHS), and staff conducted multiple conference calls with the New Jersey Department of Health (NJDOH) Medical Doctors and disease experts, as well as Passaic Superintendent of Schools and administrators. As the patient only prepared and served food in the Staff Cafeteria, it was determined that no students had contact with patient or food that they had prepared. The Health Officer and Public Health Nurses educated administrators on Hepatitis A disease, transmission, prevention, and of the need to offer education and prophylaxis to all affected faculty and staff. On February 10, 2015, the health officer sent a letter informing all faculty and staff, as well as parents of all students about the situation. By February 12, 2015, a prophylaxis clinic was held at the Passaic High School for all faculty and staff who had eaten in the Faculty Cafeteria during the period of concern. A total of 65 staff/faculty members were immunized, 47 with Hepatitis A Immune Globulin, and 18 with Hepatitis A vaccine. As required by our communicable disease management our public health nurse continued to follow the patient s health and recovery until the patient was cleared to return to work. Page 16

21 SCHOOL IMMUNIZATION RECORD AUDITS Activities performed by the Public Health Nursing Program during 2015 were as follows: School Immunization Record Audits Number of Childcare/Pre-K facilities operating 27 Number of Childcare/Pre-K facilities that were audited 29 Number of Kindergarten facilities operating 19 Number of Kindergarten facilities that were audited 19 Number of Grade 1 facilities operating 16 Number of Grade 6 facilities operating 15 Number of Grade 6 facilities that were audited 16 Number of High School facilities operating 6 Number of High School facilities that were audited 0 Chapter 14 of the New Jersey State Sanitary Code for the Immunization of Pupils in Schools N. J. A.C. 8: to 8: Immunization of pupils applies to all children attending any public or private school, childcare center, nursery school, preschool, or kindergarten in N.J., and shall maintain an official state of New Jersey School Immunization Record for every pupil. This record shall include the date of each immunization and shall be separated from the child s other medical records for purposes of immunization record audits. A principal, director or other person in charge of a school, preschool, or child care facility shall not knowingly admit or retain any child whose parent or guardian has not submitted acceptable evidence of the child s immunizations, according to the schedules. A child shall not be required to have any specific immunizations which are medically contraindicated based upon valid medical reasons as enumerated by the Advisory Committee on Immunization Practices of the United States Public Health Service or the American Academy of Pediatric Guidelines. Page 17

22 ANIMAL CARE AND MANAGEMENT The Division of Health is responsible for overseeing the daily operations of the City of Passaic Animal Control Program and Shelter. The animal control program is responsible for providing comprehensive services for the preservation of the public s health, public s safety, and the humane treatment of animals. The program is staffed by our Animal Control Officers, Animal Attendants, and a contracted Veterinarian. THE PASSAIC ANIMAL CONTROL PROGRAM AND SHELTER Ever consider adopting a cat or a dog? Why not visit the City of Passaic Animal Shelter? Whether you want a kitten, a puppy, a cat, or a dog, the City Animal Shelter has a variety of animals that need a loving home. Despite local shelters having many adoptable animals, most people visit pet stores or animal breeders when looking for a pet. For a small fee you may be able to find the perfect pet at the City Animal Shelter. Visit the City of Passaic Animal Shelter and consider adopting a pet today! The Animal Shelter is located at 13 Benson Court, Passaic, NJ If you have any questions, please call (973) Animal Shelter Public Adoption Hours Weekdays: Monday to Friday 8:30am-9:30am 3:00pm-4:00pm Evening Hours: Monday 6:00pm-8:00pm Weekend Hours: Saturday 12:00pm-2:00pm *Please note that the Passaic Animal Shelter will not be open for public business hours during legal holidays. Page 18

23 KENNELS, PET SHOPS, AND SHELTER/POUND FACILITIES Facilities in operation during 2015: Kennels, Pet Shops, and Shelter/Pound Facilities Number of licensed pet shop facilities operating Number of licensed shelters/pound facilities operating 2 1 Number of routine inspections conducted in pet shops 2 Number of routine inspections conducted in shelters/pound facilities 1 Communicable Disease Service Infectious and Zoonotic Disease Program N.J.A.C. Chapter 8:23A Kennels, pet shops, shelters and pounds shall comply with the provisions of the rules in the maintenance and care of all animals subject to rabies and other diseases of dogs, as well as rules, regulations and ordinances enacted by the appropriate agency or governing body of the municipality wherein they are located. A certificate of inspection, issued for the current licensing year by the local health authority shall be on the certificate. Facilities shall show evidence of satisfactory inspection on a yearly basis by local fine officials. Housing facilities for animals shall be maintained in good repair, to protect the animals from injury, to contain the animals, to restrict the entrance of other animals, and location, construction, arrangement and operation shall not constitute a nuisance. Animals showing signs of contagious illness shall be removed from rooms and enclosures containing healthy animals and housed in a separate isolation room. Page 19

24 ANIMAL BITES AND RABIES CONTROL Animal Bites and Rabies Control Number of animal-bites-human incidents reported Number of rabid/suspected-rabid animal-bites-domestic-animal incidents reported Number of currently unimmunized domestic animals placed under confinement Communicable Disease Service Infectious and Zoonotic Disease Program N.J.A.C. Chapter 8:23A Sick, diseased, injured or lame animals shall be provided with at least prompt, basic veterinary care (that is to alleviate pain and suffering) or euthanize, unless such action is inconsistent with the purposes for which the animal was obtained and is being held; provided, however, that this provision shall not affect compliance with N. J. C. A. 4: , which requires all stray animals to be held for 7 days. Euthanized animals that have bitten a human with 10 days previous to euthanasia shall be examined for rabies at the Public Health & Environmental Lab of the Department. Any animal under confinement for, or with signs of, a communicable disease shall be separated from other healthy animals and placed in an isolation area in order to minimize dissemination of such disease. If a surrendered animal has bitten a human being with in the 10 days preceding the surrender and the facility euthanizes the animal, the facility shall notify the local health agency and shall deliver the appropriate specimen to the laboratory. If a surrendered animal has bitten a human being with in the 10 days preceding the surrender and the facility does not euthanize the animal, the facility shall notify the local health agency and shall confine the animal for rabies observation for 10 days from the date of the bite. Page 12 Page 20

25 ANIMAL CONTROL SERVICES Animal Control Services Number of dogs impounded 152 Number of cats impounded 226 Number of other animals impounded 3 Number of dogs adopted 23 Number of cats adopted 25 Number of dogs sent to rescue 35 Number of cats sent to rescue 119 Number of other animals adopted 2 Number of other animals sent to rescue 0 Number of dogs reclaimed 58 Number of cats reclaimed 0 Number of dogs spayed 6 Number of dogs neutered 7 Number of cats spayed 3 Number of cats neutered 4 Number of cats euthanized 68 Number of dogs euthanized 36 Number of other animals euthanized 1 Number of stray dogs complaints investigated 138 Number of stray cats complaints investigated 52 Number of sick & injured dog complaints investigated 4 Number of sick & injured cat complaints investigated 33 Number of sick & injured wildlife complaints investigated 44 Number of dead animals 141 Number of wildlife nuisance inspections 60 Number of wildlife nuisance re-inspections 0 Number of barking dogs initial inspections 0 Number of animal neglect/cruelty inspection 28 Number of cat nuisance initial inspections 16 Number of cat nuisance re-inspections 6 Number of lost animals 32 Number of notices of violations issued 1 Number of summons issued 53 Page 13 Page 21

26 MUNICIPAL ANIMAL SHELTER OPERATIONS Municipal Animal Shelter Operations Does the LHD currently operate an animal impoundment facility (pound) in this municipality? Name of the organization that is currently providing impoundment services Address of the organization that is currently providing impoundment services Contact person for this organization that is currently providing impoundment services Phone number for the organization that is currently providing impoundment services Yes City of Passaic Animal Shelter 13 Benson Court, Passaic NJ Brian Gunderson, ACO Only Certified Animal Control Officers who have completed an Animal Cruelty Investigator Course of Study can be authorized by the municipal governing body to investigate and sign complaints, arrest violators, and otherwise act as an officer for detection, apprehension & arrest of offenders against the animal cruelty laws of the state & ordinances of the municipality. An Animal Cruelty Investigator who has completed the training shall not have the authority to act unless authorized by the governing body which is employing the officer or contracting for the officer s services. Page 12 Page 22

27 PET LICENSING Pet Licensing Number of dogs licenses issued 147 Number of cat licenses issued 10 There are many benefits for licensing your pet. The City of Passaic Division of Health and Animal Shelter encourages all dog and cat owners to license their pets within the city. This is the law, and compliance brings benefits to you, your pet, and the community. In the City of Passaic, all dogs six (6) months and older are required to be licensed. The Office of City Clerk offers the licenses for cats and dogs. For more information regarding this matter please call Remember, in order to obtain a license you will need a valid proof of a rabies vaccination. Page 13 Page 23

28 RABIES VACCINATION CLINICS Rabies Vaccination Clinics Number of rabies vaccination clinics conducted 3 Number of dogs and cats vaccinated against rabies at vaccination clinics 237 During year 2015, the Animal Shelter located at 13 Benson court, Passaic, NJ held three (3) free rabies clinics for all pet owners in the city. As a result of this, a total of 201 dogs and 36 cats received their rabies vaccines. The clinic dates were as follow: Thursday, June 11, 2015 from 6:00pm-8:00pm Saturday, June 13, 2015 from 10:00am-12:00pm &, Saturday, October 17, 2015 from 10:00am-12:00pm Page 12 Page 24

29 OUTDOOR FACILITY SUPERVISION AND INSPECTIONS The Division of Health Environmental Health Program is responsible for protecting and promoting the public s health through the provision of various inspection, educational, regulatory, and enforcement services. All environmental health program staff are licensed as Registered Environmental Health Specialists (REHS) and hold college degrees in science and/or health-related fields, and have completed specialized training. RESPONSIBILITIES OF THE ENVIRONMENTAL HEALTH PROGRAM The Environmental Health Program is responsible for: Enforcing public health and sanitary laws Investigating reports of foodborne illness Conducting unannounced and routine inspections at all places that sell or serve food or beverages to the public including restaurants, luncheonettes, grocery stores, supermarkets, cafeterias, bars/taverns, convenience stores, delicatessens, poultry markets, wholesale establishments, and mobile food establishments (catering trucks, pushcarts, ice cream trucks, etc.) Inspecting pet shops, kennels, and the municipal animal shelter Inspecting food, snack, or beverage vending machines Investigating public health nuisance com-plaints Performing childhood lead poisoning investigations Inspecting institutions, youth camps, and public swimming pools Providing food handling training courses Reviewing and approving plans for various establishments requiring licenses Responding to public health emergencies including hazardous materials spills Page 13 Page 25

30 YOUTH CAMPS Youth Camps Number of youth camps operating 7 Number of routine inspections of summer youth camp facilities conducted Total number of inspections 7 Total number of inspections for: 7 7 Satisfactory Inspections Conditional Inspections Satisfactory upon re-inspection N. J. A. C 8:25 Youth Camp or Camp, means any parcel or parcels of land having the general characteristics and features of a camp as the term is generally understood, used wholly or in part for recreational or educational purposes that accommodates 5 or more children under 18 yrs. of age, other than counselors or lifeguards, for a period of, or portions of, two days or more within the same week and include a site that is operated as a day camp or as a resident camp. Youth Camp or Camp does not include a day program, which offers: only a minimal recreational component, if the recreational component included in the day program involves no high risk activity. A day camp is a youth camp that operates during the day but may occasionally allow an overnight stay for no more than one night a week. A resident camp is a youth camp that as a matter of its business has the campers stay overnight on a regular basis. Page 12 Page 26

31 RECREATIONAL BATHING FACILITIES Recreational Bathing Facilities Number of licensed public recreational bathing facilities operating: 7 Year-round facilities 3 Seasonal facilities 4 Number of public recreational bathing features of each type 2 operating: 0 Swimming/wading pool 0 Number of pre-operational inspections of public recreational bathing facilities: 4 Seasonal facilities 4 Number of routine inspections of public recreational bathing facilities: 3 Year-round facilities 3 Seasonal facilities 0 Number of routine re-inspections of public recreational bathing facilities: 3 Year-round facilities 1 Seasonal facilities 2 Number of non-routine emergency & complaint-related inspections of public recreational bathing facilities conducted: 1 Year-round facilities 1 Number of recreational bathing complaint investigations 1 N. J. A. C 8:26 All public swimming pools, wading pools, hot tubs, spa or bathing beaches shall be operated in compliance with the provisions of N.J.A.C 8:26 The health authority may require a public recreational bathing place to correct or eliminate any specific condition not described in the rules, but which is deemed necessary for proper sanitation, safety, or fire protection. Dressing rooms and sanitary facilities shall be provided at all public recreational bathing places unless dressing rooms and sanitary facilities are provided in close proximity to the swimming pool, wading pool, hot tubs, or spa and are of adequate capacity and number. Page 13 Page 27

32 LOCAL BUSINESS SUPERVISION AND INSPECTIONS The health division health inspectors annually inspect the city s 784 local food establishments. In addition to this, the health division is also responsible in routine re-inspections, temporary and mobile inspections and licensing, vending machine inspections and licensing, providing food handling courses, non-routine investigations (emergency or nonemergency), necessary enforcement actions, and assisting new business owners when it comes reviewing and approving plans of new establishments. Disregarding the need of additional personnel, the health division has continued satisfactorily assisting and complying with the health division needs. QUICK NUMBERS ENVIRONMENTAL DIVISION 784 Food establishments licensed 22 Mobile vendor inspections 67 food conferences conducted 206 public health nuisance complaints investigated 9 plan reviews N. J. C. A 8:24 8:24-3.1: Food shall be Safe & Unadulterated 8:24-3.2: Food in a retail food establishment shall be obtained from a source which is in compliance with applicable state and local laws and regulations. Food prepared in a private home shall not be used or offered for human consumption in a retail food establishment. Fish that is intended for consumption in their raw form may be offered for sale or service only if they are obtained from a supplier that freezes the fish as specified under N. J. A. C 8:24-3.4(d)., or frozen on the premises as specified under the same provision and records are retained as specified under N. J. A. C 8:24-3.4(e). Meat and poultry that is not a ready-to-eat food and is in a packaged form when it is offered for sale or otherwise offered for consumption, shall be labeled to include safe handling instructions as specified under 9 CFR&317.2(I), incorporated herein by reference, as amended and supplemented, and 9 CFR& (b), incorporated herein by reference, as amended and supplemented. Food in a hermetically sealed container shall be obtained from a food processing plant that is regulated by the food regulation agency that has jurisdiction of the plant. Fluid milk and milk products shall met applicable state and local laws and regulations. 4 Types of Risk Food Establishments Type 1: Serves & Sells only pre-packaged, non-potentially hazardous foods. Type 2: Has a limited menu; prepares, cook, & serves most products immediately. Type 3: Has an extensive menu that requires the handling of raw materials; & its involved in the complex preparation that includes cooking, cooling, and reheating of at least 3 or more potent hazardous foods. Type 4: Conducts specialized processes as smoking, curing, canning, bottling, acidification designed to control pathogen proliferation or any reduced oxygen packaging intended for extended shelf-life where such activities may require the assistance of a trained food technologist. Page 12 Page 28

33 RETAIL FOOD ESTABLISHMENT SAFETY Retail Food Establishment Safety Number of licensed establishments of each type operating: 784 Permanent fixed Risk Level Permanent fixed Risk Level Permanent fixed Risk Level Mobile 28 Temporary 102 Number of specialized processes overseen 8 Number of routine inspections conducted of each of the following 776 types of retail food establishments: Permanent fixed Risk Level Permanent fixed Risk Level Permanent fixed Risk Level Permanent fixed Risk Level 4 9 Mobile 22 Temporary 41 Number of routine re-inspections conducted at each of the following 82 types of retail food establishments: Permanent fixed Risk Level 1 1 Permanent fixed Risk Level 2 60 Permanent fixed Risk Level 3 20 Permanent fixed Risk Level 4 0 Number of non-routine emergency & complaint-related investigations/inspections 13 of retail food establishments conducted: Non-routine investigations 0 Number of retail food establishments on which one or more enforcement 35 actions was taken Number of wholesale food establishments inspections 25 Number of vending machine inspections 5 Number of mobile vendor inspections 22 Number of retail food establishment complaint investigations 43 Number of retail food establishment enforcement actions 72 Number of retail food establishment total fines collected $14,976 Number of food conferences conducted 67 Number of Food Handlers Trainings conducted 0 Page 13 Page 29

34 Lead poisoning is the greatest environmental health hazard facing children in the City of Passaic. The Childhood Lead Poisoning Prevention Services Program is responsible for investigating cases of childhood poisoning, ensuring abatement of childhood lead hazards, screening of children and pregnant women for lead, providing pediatric case management for lead poisoning, and increasing community awareness of lead poisoning hazards. The Division of Health was awarded funds from the New Jersey Department of Health & Senior Services in 2015 to support childhood lead poisoning prevention programmatic services. Lead Education Program Activities: Childhood Lead Poisoning Prevention and Control 1. February 10, 2015, Childhood Lead Poisoning Prevention-Passaic Head Start in 3rd St. 8 parents reacheddistributed toxic candies flyer, ceramic plates, health division recall binder was shown to all parents, pregnant mom received information on lead & pregnancy, and health division lead screening clinic flyer also distributed. 2. March 10, 2015, Childhood lead poisoning prevention Passaic head start Highland Ave. 14 parents reached. 3. April 16, 2015, a poison prevention workshop was held at Theodore Roosevelt School No. 10 in which topics of home poisoning and lead poisoning prevention was discussed to a total of 19 parents. 4. April 28, 2015, the health division worked with Casimir Pulaski School No. 8 Parent Liaison, Ms. Marta Febres in which parents received Childhood lead poisoning screenings and children from the school received screening. The health division provided education to 21 parents and screened a total of 36 school children. 5. Housing Authority Speer Village Health fair 40+ people-educational materials on nutrition (WIC), lead materials, dental hygiene, etc. 6. July 14, 2015, the health division was in the regional lead coalition meeting in Clifton Library. 7. November 4, 2015, provided education session on prevention for lead poisoning in children to WIC parents 9 workshops 76 parents reached. 8. November 20, 2015, the health division was invited by Urban Crisis Day Care to present on various topics including lead prevention. Reached 53 parents. 9. Flu clinics provided information on lead poisoning prevention. Public health nurses providing Childhood Lead Poisoning Screenings to children at Casimir Pulaski Public School No. 8 on April 28, Continued lead screenings take place weekly, every Thursday at our health division clinic located at 333 Passaic St., Passaic, NJ, for children ages 6 months to 6 years of age and all pregnant women. Childhood Lead poisoning screenings are provided to residents of the City of Clifton, Little falls, and City of Passaic. Page 30

35 Environmental: Childhood Lead Poisoning Prevention and Control Childhood Lead Poisoning Prevention & Control Number of new cases identified 11 Number of new cases identified requiring inspection 11 Number of new cases actually inspected 11 Number of new cases inspected requiring abatement 11 Number of new cases actually abated 6 Number of cases reinspected 11 Number of cases inspected that are secondary or re-location addresses 5 Number of notices of violation issued 19 Number of court appearances 5 Number of cases closed 10 Nursing: Number of risk assessments conducted 265 Number of children screen for EBL 265 Number of new cases opened with initial lead levels > 15 ug/dl 18 Number of new cases opened with 2 consecutive levels between 10 and 14 ug/ dl 3 Number of new pending cases with 1 Level between 10 and 14 ug/dl 20 Number of new cases with education sent via mail 21 Number of cases discharged 29 Number of cases received from another jurisdiction 2 Number of cases referred out of jurisdiction 6 Number of new cases opened visited jointly by Case Manager & Inspector 18 Number of cases screened by Capillary Stick (Medtox/Leadcare II) 268 Health Education: Number of lead educational training/conferences attended 6 Number of lead prevention educational programs 13 Number of lead prevention education program participants 172 The City of Passaic Division of Health provides lead poisoning prevention/education, inspections, investigations, and nursing case management counseling for lead burdened children through the NJDHSS CLPP grant. Page 31

36 Childhood Lead Poisoning Prevention and Control Lead Care II Machine in the Health Division Clinic QUICK HEALTH DIVISION LEAD NUMBERS Amount of residents screened by capillary stick (Medtox/Leadcare II Machine)- 268 screened New cases opened for 2015 with initial lead levels >15 ug/dl- 18 cases New cases opened with two (2) consecutive levels between 10 and 14 ug/dl- 3 new cases Environmental Lead cases for cases Environmental Lead inspections by inspectors- 11 inspections New cases actually requiring abatement for required abatements FREE! Lead Screening for Children between 6 months - 6 years of age and Pregnant Women TIME: 9:00AM - 11:30AM LOCATION: 333 Passaic St., Passaic NJ, For more information, call: The Passaic City Health Division Clinic will be providing free lead screenings for children and pregnant women who meet the following criteria: City of Passaic Residents, Pregnant women, Children must be 6 months - 6 years old, Underinsured or Uninsured. Even small amounts of lead can cause severe and lasting harm to children and pregnant women fetuses. It is easier to prevent lead poisoning than to treat it. Because the symptoms are not obvious, it is important to get children and pregnant women tested and know how to lower risks! Page 32

37 CITY OF PASSAIC WOMEN, INFANTS, & CHILDREN (WIC) PROGRAM The Passaic WIC Program operates under the auspices of the Department of Human Services, Division of Health. The WIC Program s office is located at 333 Passaic St, Passaic, NJ. The Program is staffed by clerical personnel, dieticians, a health aide, and social service assistants. WIC is the Special Supplemental Nutrition Program for Women, Infants and Children. Eligibility is based on income and nutritional need. Applicants to the program must reside in New Jersey. In 2015, the program had approximately 6,900 clients. The program also offered 9 nutrition classes per week in English and Spanish on topics such as infant feeding, physical activity, food safety, fruits and vegetables, sugar in the diet, iron, heart health and calcium. The Program also offered 5 breastfeeding classes weekly in English and Spanish on various topics including prenatal breastfeeding education and postpartum breastfeeding support. Page 33