BOF Budget Hearing Agenda & Backup 3/5/25

BOARD OF FINANCE
AGENDA
Waterford Town Hall
Budget Hearing
1 Call to Order
2. Public Comment
3. 10143 - Ethics Commission
4. 10132 ~ Conservation of Health
5. 10133 - Public Health & Nursing
6. 10120 - Miscellaneous Social Grants
7. 10119 ~ Youth and Family Services
8. 10135- Senior Citizens
9. 10137 ~ Recreation & Parks
10. Adjournment
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Wednesday, March 5, 2025
Town Hall, 7:00 p.m.
Glenn Patterson, Chairman

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Notwithstanding provisions herein to the contrary, established internal complaint procedures
of any town board, agency, commission or committee, as such procedures may be amended,
shall take precedence over the procedures established herein as to allegations levied against
any town employee of such board or commission. Complaints which fall under the purview of
an established complaint procedure of an agency shall be referred to that agency for
disposition. The commission may issue subpoenas or subpoenas duces tecum, enforceable
upon application to the superior court, to compel the attendance of persons at hearings and
the production of books, documents, records and papers. The commission shall not initiate
investigations on its own volition.
The financial needs of the commission shall be funded in the same manner as other Town
funded boards and commissions. The commission shall receive no compensation for their
services as such, but shall be reimbursed for their necessary expenses incurred in the
performance of their duties.
Funding for the commission is comprised of clerical services (plus fringe benefits), operating
services, and office supplies.
TOWN OF WATERFORD
FY2026 BUDGET REQUEST
ETHICS COMMISSION (10143)
BUDGET SUMMARY
The total budget request for FY26 is $900. This request represents a 0% increase over FY25.
This allows for no expenses associated with complaints requiring the issuance or filing of any
legal actions, as described above; additional supplies needed to service such complaints; legal
‘services beyond those provided by the Town Attorney; or other unanticipated expenses
associated with such complaints. At present, there are no complaints before the Commission.

($50)
Employer's share of social security and Medicare taxes is paid at the
mandated rate of 7.65% of gross wages.
10143-52030 PROFESSIONAL FEES
($200)
Minor expenses associated with complaints requiring the issuance or filing of any legal actions,
as described above; professional legal services beyond those provided by the Town Attorney; or
other unanticipated expenses associated with such complaints.
10143-61920 OFFICE SUPPLIES
($50)
‘Supplies needed to service complaints or legal actions that may arise from complaints.

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SOCIAL SERVICES GRANT FUNDING REQUEST
ORGANIZATION NAME: Ledge Light Health District
REQUEST DATE (FISCALYEAR): FY26
REQUESTED AMOUNT: $155,062.78
BENEFIT STATEMENT (Describe how these funds will be used)
Ledge Light Health District serves as the Town's local health department. Staff members
supported by these funds fulfil the Town's statuatory requirements to provide a local
director of health and license sanitarian/environmental health specialist, LLHD team members
C enforce the provisions of the Connecticut Public Health Code related to food service, cosmetology,
and other establishments as well as sub-surface sewage disposal and private wells.
Per Town of Waterford Budget Guidelines: please attach a certified audit report of al funds
appropriated during the last completed fiscal year to your funding request.
DECLARATION
|, the requester, understand that | am requesting public funds from the Town of Waterford.
declare that this request does not pose any potential conflict with the Town of Waterford
and | will provide any documentation requested by the Town of Waterford to authorize
funding this request or review the appropriateness of the request.
Ges alshy
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Create PDF files without this message by purchasing novaPDF printer (hitp:/www.novapa.com)

December 5, 2024
‘Town of Waterford
First Selectman Robert Brule
15 Rope Ferry Rd
Waterford, CT 06385
First Selectman Brule:
At their November meeting, the Board of Directors of Ledge Light Health District approved an increase of
3% to the member per capita rate for FY26, raising the per capita charge from $7.59 to $7.82 for next
fiscal year. This Is the first increase to our per capita rate after three years of absorbing contractual and
other costs increases. As a reminder to those reviewing this budget submission, the total is inclusive of
all fringe benefits and all legal, vehicle, human resources and capital improvement expenses.
In addition to the change in the per capita rate, there is an increase of 276 people in the population of
the Town of Waterford reported to us by the Department of Public Health, which we are mandated by
statute to use in calculating each municipality's annual assessment. You might remember that last fiscal
year we were directed to use the same population as the prior year while the State calculated the
‘adjustments from the most recent decennial census, so this increase does reflect two years’ worth of
‘adjustments in addition to any adjustments recorded in the census.
The per capita and population increases bring Waterford’s FY26 contribution to Ledge Light Health
District to $155,062.78.
A detailed draft budget for FY26 is attached for your review. We have also included a report on our
activities and the services offered to Waterford and the most recent editions of our LLHD Hightights
Newsletter.
Please let me know if you have any questions regarding this; | look forward to attending the usual budget
hearings in 2025.
r of Health
CC: LLHD Waterford Board of Directors Representatives Danielle Gelinas and Paul Goldstein

Fv14 $6.88 0.44%
FYIS $6.98 1.45%
Fv16 $7.15 2.44%
Fva7 $7.29 2.00%
Fvi8 $7.37 1.00%
Fv19 $737 0.00%
FY20 $7.37 0.00%
FY21. $7.37 0.00%
Fy22 $7.59 3.00%
Fv23 $7.59 0.00%
Fy24 $7.59 0.00%
Fv25 $7.59 0.00%
FY26 $7.82 3.03%

East Lyme 18,928 $148,024.78
Groton 37.878 $298,205.96
Ledyard 15.458 $120,880.38
lyme 2.409 $18,898.38
New London 27,560 $215,519.20
North Stonington 5,165 $40,300.30
‘Old Lyme 7,696 $60,182.72
Stonington 18,431 $144,130.42
Waterford 19,828 $185,082.78
Tota! Population: 153,356
State Per Capita
Environmental Health Fees
Food Service $225,000
Cosmetology ‘$25,000
Pools $7,500
SeptioWell $145,000
Other $2,600
‘Teaining/Consulting/Other Services
Interest
Grants
Public Health Emergency Prepardeness $881,000
Foundation Grants ‘$50,000
DPH Block Grant $75,000
PH Immunization $108,000
PH Violence Prevention $88,000
OPH Workforos Development ‘$225,000
DMHAS GASP ‘$125,000
DMHAS How Can We Help ‘$170,000
Opioid Settlement Funds $40,000
IOPSLL $45,000
GBAFoundation $12,000
PHEP Rt $84,000
PHEP R4 $32,000
$398,726
$408,000
$10,000
$12,000
$1,804,000
$108,000

C
Faciities, Utilities and Vehicles
Usiities
Maintenance
Security
Telephone & telecommunicationt
Data Connection
Vehicle RepairFees
Vehicie Fue!
‘Auto/Mileage Reimbursement
‘Auto Insurance
‘Supplies and Equipment
Office Supplies
IT Supplies and SAS
Program Supplies
Postage, shipping, delivery
Equip rental & maintenance
Professional Services
‘Accounting fees
Legal fees
IT Consulting Fees
Medical Consulting Fees
(Other Professional Service Fees
Insurance Agency Fee
‘Other Administrative Costs
Membership dues - organization
‘Staff development
‘Community Outreach and Engag
General Liability Insurance
Property Insurance
Public Officials Insurance
Employment Practices Insurance
Umbrella Insurance
Processing fees
Meeting expenses
CHIP implementation
Grant Non-Personnel and Subcontracts
$12,000
$2,500
$21,000
$1,700
‘$6,600
$3,500
$7,500
$1,500
$130,600
‘$73,500
‘$55,000
{$70,200
$719,200

Ledge Light Health District (LLHD) serves as the local health department for the municipalities of Waterford,
East Lyme, Groton, Ledyard, Lyme, New London, North Stonington, Old Lyme, and Stonington. The LLHD
team, comprised of experts in administration and finance, environmental health, communicable disease
prevention, and health education and community outreach, work cooperatively to promote healthy commun
and ensure that healthy opportunities are available to everyone. The Director of Health and finance/admin team
support the teams described below and coordinate cross-specialty efforts to improve community service across
the organization.
Environmental Health The 14 members of our Environmental Health Team have a range and depth of
expertise that serve Waterford community members
Regulated Establishments: LLHD inspects food service establishments to ensure they are compliant with the
FDA Food Code and are following good food safety practices. These establishments are inspected based on the
risk associated with their level of food preparation activities. We work with these local businesses to implement
comprehensive food safety practices and provide cost-effective food service education programs. We continue
to support food service establishments and vendors through the changes required due to Connecticut’s transition
to the FDA Food Code. In Waterford there are 99 licensed food service establishments.
We also inspect public pools (6 in Waterford), cosmetology (23 in Waterford), day care (8 in Waterford) and
body art establishments (2 in Waterford) to ensure these entities are taking measures to protect public health.
We also respond to complaints about lodging establishments (6 in Waterford). Our online complaint reporting
system provides residents the opportunity to submit their concems electronically. During the swimming season,
LLHD conducts weekly water sampling at bathing beaches (3 in Waterford) and informs the public regarding
bathing water quality that does not meet EPA/State standards.
Land Use: Out environmental land use staff of Environmental Health Specialists and Environmental
Technicians conduct soil testing and plan reviews for all building lots served by onsite septic systems and/or
wells. On existing properties served by septic systems we review residential and commercial building additions,
lot line changes, the addition of accessory structures (sheds, decks, pools, and detached garages), and changes in
use (residential to commercial, or an increase in the number of bedrooms). All reviews are conducted to ensure
compliance with State of CT regulations 19-13-B100a and 19-13-B103 (there were 21 B100a reviews in
Waterford last fiscal year). Septic installation plans for new septic systems (5 in Waterford during FY24) or
repairs (16 in Waterford in FY24) are reviewed under 19-13-B103 and permitted and inspected by LLHD
personnel. Requested exceptions to the CT Public Health Code are reviewed and referred to CT DPH when
required. LLHD also conducts the site location review, permit approval, site inspection and water test review
for private and public drinking water wells, irrigation wells and geothermal wells, Certain septic systems and
water supply permitting involve DPH or DEEP — our team works closely with both agencies to ensure
compliance with all code requirements.
Healthy Housing: Safe and healthy housing is an important public health topic. LLHD supports community
members in resolving health concerns associated with their housing in a number of ways. We respond to
216 Brood Street + New London, CT 06320 * phone. 860.448.4882 * fox. 860.448.4885 * www.lihd.org

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‘community members who may be experiencing or at risk of experiencing homelessness connect with resources
and supports. Our Breathe Well program — a collaboration with Lawrence and Memorial Yale New Haven
Health, helps families identify asthma triggers in their homes (more information about Breathe Well is ptovided
later in this report). Finally and of particular importance this year, our team responds to cases of elevated
blood lead levels in children under 6. Recently, Connecticut updated the statutes regarding elevated blood lead
levels — recognizing that ‘no lead is good lead? the action level where public health intervention is mandated by
Taw has been lowered over the last few years, leading to a new floor of 3.5 microgram per deciliter in January
2025. This is expected to increase the number of cases where LLHD must conduct a comprehensive lead
inspection in Waterford from 2 to 18.
‘Communicable Disease Prevention There are 3 team members who focus in this area of work
LLHD holds annual free flu vaccination clinics for people aged 6 and up and COVID vaccinations for people
who are un- or under-insured. We educate the public about infectious disease prevention and distribute masks
and COVID test kits at community events and through our community partners. We provide education to the
public and organizations about infection prevention and control practices and investigate reports of
communicable and/or infectious diseases such as tuberculosis or food bome illnesses. These investigations may
C include conducting partner follow-up, delivering direct observed therapy (to ensure patients are taking their
‘medications as required), implementing control measures, and providing general support to the affected
individual and their families.
LLHD provides support to schools and long-term care facilities during reported outbreaks to help prevent the
spread of illness. We also provide yearly educational opportunities for infection control personnel in long term.
care facilities and schools. We meet with Infection Preventionists from area Long Term Care facilities to
provide education and guidance.
Preparedness Activities One team member has primary responsibility for this body of work
LLHD works closely with municipal and regional partners to prepare for and respond to emergency situations.
‘These activities include participation in Drive-Thru Clinics and Millstone exercises, working with local partners
to develop Continuity of Operations and COVID plans. LLHD is the regional lead for emergency preparedness
and manages the contract from the Department of Public Health for all health districts within DMHS Region 4.
This regional effort provides opportunity to align plans and share resources.
Health Education &
Community Outreach There are 10 team members who work on these programs
LLHD engages and supports the communities we serve in health education, health promotion, and health policy
development activities in a variety of ways. These efforts draw on scientific, evidence-based best practices to
ensure that the programmatic processes involved make efficient use of available funding, while achieving
measurable and desired changes in our population’s overall health and resilience. LLHD works diligently to
secure external funding to support these activities and supplement our municipal members’
contributions. LLHD continues to support public health projects initiated by other agencies by serving on a
216 Broad Stree! * New London, CT 06320 * phone. 860.448.4882 * fax, 860.448.4885 * wwwrllhd.org

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Regional Asthma Management Program — Breathe Well-Respira Bien: Asthma \s the most common chronic
disease of childhood and a leading cause of preventable hospital admissions for both children and adults. Asthma rates
in CT are among the highest in the nation; there are approximately 50 deaths from asthma each year in our state. LLHD
has a long history of participating in programs to help reduce the burden of asthma. Although asthma cannot be cured,
‘it can be managed. Understanding medications and their use can prevent emergency situations. Breathe Well is a free
‘program co-sponsored by Lawrence and Memorial Hospital, designed to help children and adults with asthma to
manage their asthma better. A trained asthma educator and public health environmental specialist review medications
and provide an in-home environmental assessment of asthma triggers.
Health Services Block Grant: In 2023, the Connecticut Department of Public Health changed the way Local
Health Departments/Districts can participate in the Preventive Health Services Block Grant program, increasing
the amount of funding available to individual health departments/districts but making it a competitive process.
LLHD was honored to be selected for a sub-award through this opportunity. The new grants supports LLHD’s
Community Health Worker Program. Community Health Workers are public health team members who support
people experiencing barriers to health in accessing healthcare, insurance, social services, transportation,
housing, food and other resources. They draw from their lived experiences and trust relationships with
community members as well as their knowledge of systems of care to help community members achieve their
individual health goals. The LLHD Community Health Workers partner with our colleagues in Waterford
Human Services to connect with community members at the Waterford Food Bank and other locations. We also
serve a number of Waterford residents at The Bodega food pantry at the Place for CommUNITY Wellbeing
each week.
Immunization Action Program (IAP) and Immunization Promotion Programs: The Connecticut Department of
Public Health provides several funding streams to promote immunization across the lifespan and reduce
preventable and sometimes fatal diseases. LLHD provides public education, vaccination clinics and professional
development for healthcare providers, conducting site visits to ensure proper vaccine storage and handling and
promote quality improvement strategies among providers. LLHD reaches out to parents of children who have
missed vaccine doses or need a vaccine provider, conducts community outreach and awareness campaigns, and
enrolis families into CTWiZ. A SECT Immunization Partnership meets twice annually to guide program
activities and assist in the promotion of childhood immunizations.
Overdose Action Team and New London County Coordinated Access, Resources, Engagement and Support
(NLC CARES): The Overdose Action Team continues its coordinated efforts to address the overdose crisis by
increasing no barrier access to care and services, saturating the community with naloxone and reducing stigma
and discrimination against people living with substance use disorder. The team continues to adapt and innovate
in response to new information and changing conditions and to expand partnerships in order to more fully
support people’s needs and improve community conditions that contribute to overdose. We are grateful for the
support of our municipal partners in sharing the science-based information and messaging about overdose
prevention and look to continue that partnership.
216 Broad Street * New London, CT 06320 * phone. 860.448.4882 * fax. 860.448.4885 * wwwillhd.org

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prioritized health concerns through the Health Improvement Collaborative of Southeastern CT. At this time
focus groups are being conducted throughout the region and consultants engaged by Yale New Haven Health
System are compiling data from surveys and other sources to produce the 2025 Community Health Assessment.
LLHD
LLHD Strategic and Other Planning — Looking Ahead
In March 2024, the Board of Directors approved and adopted our 2024-2029 Strategic Plan and corresponding
Implementation Plan. Our plan is focused on strengthening some of the “10 Essential Services of Public Health”
as identified by the CDC, the Public Health Accreditation Board and the State of Connecticut. A high level
overview of our goals is provided here, the full plans are available on our website at www.lIhd.org/about-
1us/2024-2020-strategic-plan, We welcome dialogue and feedback about these li
Internal
Extemai
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Reinforce LLHD's cohesive vision
and infrastructure for the next five
years, grounded in our stated
‘operating principles and with equity
at the center
Enhance communication and
collaboration with community
‘members and partners.
1.
‘Enhance strategic decision making
around financing, infrastructure, and
operations to ensure prioritization of
LLHO principles,
‘Strengthen LLHO's infrastructure,
culture and processes to integrate
quality improvement and evaluation
Practioes throughout operations.
‘Strengthen LLHD's infrastructure,
‘culture and processes to reinforce
Cohesiveness. communication and
‘collaboration across organizational
actviles
Enhance workforce development
stralegees.
‘Advance prosctive and intentional
‘strategies for community outreach,
‘education and training prioriies that
‘align with LLHO’s vision and operating
principles.
Deepen and broaden partnerships and
collaborations in alignment with LHD
vision,
documents.
216 Brood Street * New London, CT 06320 * phone. 860.448.4882 * fox. 860.448.4885 * wwwllhd.org

Hello neighbors! What 2 busy few months i's been here atthe health department and in our community. There are
‘$0 many greet events that take place in fal! hope you were able to take a moment to enjoy the changing leaves,
the crisp autumn ar, and maybe the delicious apple cider donuts!
Here at LLHD we've been working hard to connect community members with important vaccinations, help you all
enjoy your holiday meals safely, and looking ahead tothe winter storm season. You'l find information about these
topics and more in the next few pages. Looking for tps on something not covered here? We'd love to know what's.
‘on your mind that we could include in our next edition.
But before you dive in, please know that inthis season of giving thanks | am especially grateful fr the opportunity to
‘work in parnership with so many incredible public health colleagues onthe LLHD team, with our amazing
‘community partners, and with all of you. Public health isa team sport—each of us doing our part to keep our community as safe and healthy 2s
‘possible. Thank you for al the day to day ways you contribute to that effort
On behalf ofthe team,
jr
Jennifer Muggeo, jmuggeo@lihd. ong
LLHD in the Community
INSIDE THIS ISSUE Margaret Lancaster, Senior Health Program Coordinator (second
{rom righ), shared her inspirational story as a STRIVE alumna at
ic] COWD: 19 anc Citar Vaccine Unc the STRIVE program commencement in New London.
¢ Holiday Food Safety Tips Congratulations STRIVE graduates!
+ Pasteurization—What and Why
‘* Local Pediatrician Honored as Connecticut's
Immunization Champion
+ Safe Disposal—Healthy Earth, Healthy People!
+ Staying Well This Fall and Winter
« Staff Anniversaries
Did you miss an issue of LLHO Highlights?
Visit our website at Ihd.org/about-us/newsroom/
LLHD
Ledge Light Health District 216 Broad Street New London , CT 06320 - 860.448.4882 - www.LLHD.org

‘Staying up-to-date on COVID-19 vaccines helps to protact
from serious ilness, hospitalization, and death. Getting an
updated vaccine can help protect against newer variants of
‘COVID-19 and can reduce the risk oflong COVID. There
are curently three COVID-19 vaccines available in the
U.S; Modema, Pfizer, and Novavax. A nasal spray COVID
19 vaccine is curently in development and early trials
found a successful immune response against the COVID-
49 virus, This could be available inthe U.S. as early as
2027. A nasal spray fu vaccine curently exists, and a
nasal RSV vaccine is also being studiad.
{you are uninsured and need help finding a free COVID-
19 vaccine, contact Mary at Ledge Light Health District at
860-448-4882,
© Adults aged 60-74 who are at higher risk for severe RSV
should consult their doctor about whether the RSV vaccine
's appropriate for them.
+ To protect infants from RSV, pregnant mothers can receive
the RSV vaccine, or the baby can get an RSV antibody
shot after brth-most infants do not require both.
'» You can get the fu, COVID-19, and RSV vaccines at the
‘same time, but if you prefer to space them out, there is no
‘need to walt between vaccinations. Additionally, check with
‘your healthcare provider to see if you are due for other
‘vaccines, such as those for pneumonia, shingles or
‘whooping cough.
COVID-19 and Flu
Updated 2024-25 Vaccines
months
Fall and Winter
RSV Immunization
to Protect Babies
RSV Vaccine
for Older Adults
“the o¥ vce one nt nh
People ages 60 and
and older
Pregnant parents
during weeks 32-36 of
pregnancy during RSV
season
a
entering or
born during the RSV gs
season
over at high risk of
severe RSV
Tanp}
Everyone ages 75 and

chicken, turkey, seafood, and
‘eggs separate from all other foods at
the grocery store and in the
refrigerator. Pravent juices from meat, chicken, turkey, and
‘seafood from dripping or leaking onto other foods by keeping
‘them in containers or sealed plastic bags. Store eggs in their
germs. Uncooked dough and batter made
with flour or eggs can contain harmful germs,
such as E. coll and Salmonella. Ths includes
dough or batter for cookies, cakes, pies, biscuits, pancakes,
totilas, pizza, or crafts. Some companies and stores offer
‘edible cookie dough made with heat-treated flour and
‘orginal carton in the main compartment of the refrigerator.
Cook food thoroughly. Use a food thermometer to make sure
meat, chicken, turkey, seafood, and eggs have been cooked to
«a safe intemal temperature to kill germs.
pasteurized eggs or no eggs. Read the label carefully to make
‘sure the dough is meant fo be eaten without baking or cooking.
Thaw safely. Thaw frozen meat and poultry inthe retigerator,
in a sink of cold water (change the water every 30 minutes), or
in the microwave. Do not thaw foods on the counter. Food must
thaw ata safe temperature to prevent harmful germs from
growing rapidly.
Keep food out of the “danger zone.” Germs can grow rapidly
inthe danger zone between 40°F and 140°F. After food is
prepared, keep hot food hot and cold food cold. Refrigerate or
freeze perishable food like meat, chicken, turkey, seafood, eggs,
‘cut rut, cooked rice, and leftovers within 2 hours (1 hour f food
is exposed to temperatures above 90°F, such as in a hot car),
‘The temperature in your refrigerator should be set at 40°F or
below and the freezer at 0°F or below.
‘Store safely. The best part about holiday meals can be the
leftovers! To enjoy them safely make sure they cool properiy—
‘pu food in shallow containers and get them in the fridge as soon
a possible, Be sure to reheat your leftovers to atleast 165
degrees and—as hard as it can be to do this, throw away things.
that dont get eaten within 3 or4 days.
Use pasteurized eggs for dishes containing raw
‘eggs. Salmonella and other harmful germs can live on both the Source: CDC website
Pasteurization—What and Why!
(Over the last century there have been a number of important public
health advances that have become part of our daily lives—like buck-
ling up when we get in the car. Being able to purchase pasteurized
milk and dairy products is another!
Pasteurization is a process that applies heat in order to destroy
pathogens in food. There are different pasteurization methods, the
‘most common in the United States is High Temperature Short Time,
which heats the milk to 162 degrees for at least 15 seconds and
‘then rapidly cools it. Whichever method is used, pasteurization is
crucial for killing harmful germs and preventing infections of cam-
pylobacter, e col, salmonella and other serious illnesses. The recent
‘outbreaks of HSNz in dairy cows in the western part of the country
are an important reminder of the importance of consuming only
pasteurized products.
Source: CDC and international Dairy Foods Association websites

Control.
Or. Santoro is extremely passionate about vaccine preventable disease prevention, He remembers a time
during the 1960's during his eaty residency, when he had to treat the nesses like meningts because
there wore no vaccines. Over his career, he has seen first-hand the difference that vaocines have made In
the heath and ves of his patents. "Thank goodness many ofthese ilnesses are rare today’, he says.
0. Satro model th emezaon Cha DY. Santor isthe only peiatcian in Southeastem Connecticut
‘ion Bue ndt which reminds stat who slits his infant patents while they ae sil inthe bing
Neca lee ‘center, monitoring their health atthe eartiest stage of life and
‘ensuring that rst important dose of Hep B vaccine is given. When i comes to making sure that al his
patents get their annual fu vaoine, Dr. Santoro stresses the importance and offers flu lncs at his
‘office with evening and weekend appointments available, reducing “access to care* barriers as much
2s possible. n 2023, Dr. Santoro’ rate of HPV vaccine was among the highest in Southesstem
Connecticut. He says that he focuses onthe positives of receiving the HPV vaccine eater in
adolescence - lass doses needed, cancer prevention and efeciveness ofthe vaccine.
tis staff credits Dr. Santoo's suocess in vaccinating s0 many children to his high level of compassion,
working long hours (sometimes well ito the evening) and his personal touch, often caling parents
‘himslf fo encourage them to get thelr chikren vaccinated. Dr. Santoro cred his staff, both curent
‘and those who have retired, who have used strong, consistent and postive messaging aver the years
to engage parents and thei chiiren. Everyone in the office s onboard withthe usa of presumptive
language of vaccine advocacy and because they are a small office, Dr. Santoro says they can Spend @ oy. mn sora, CT's Director of lefeious Dense
\ot of time with their patients. They have developed strong relationships with their patients and thelr and State Epidemiologist, presents Or. Santoro
‘amily, whichis instrumental keeping children on track and up to date on alltheir immunizations, wth mmunation champion Award
LLLHO is grateful forthe efforts of Dr. Santoro an all pediatricians who encourage fais to stay upto data on thelr vaceinatons.
Congratulations and thank you Dr. Santoro!
Safe Disposal—Healthy Earth, Healthy People!
‘Public health, public safety and environmental stewardship all come together in many different ways, Including when thinking about how to ap-
ppropriataly dispose of things we don’t need any more. Throwing certain things away at special ocations/events can prevent people and pets
from getting sick or injured AND help the environment!
‘Hazardous Weste Events: Left overpaint, old batteries and car fds, nal posh remover—we've al got some sor of hazardous waste hanging
round our housest Disposing ofthese safely is important for keeping dangerous chemicals out ofthe reach of chidren and pets and out of our
‘water supply. Most ofthe member towns of LHD are also served by the Southeastem Connecticut Regional Resources Recovery Author.
You can earn more about safe disposal of household hazardous waster on thelr website at hits ww scar,
“Unused Medications: Cleening out the modicne cabinet? Did you know that you can take unused medications to drop boxes in poloe depart
‘ment lobbies throughout LLHO? Prevent Kds from aocidentally ingesting potentially deacly medicine by considering what you have on hand that
you no longer need and taking it to a drop box today!
*SharprSyringes: Used syringes or ‘sharps’ don't have tobe scary Put them in a secure heavy duty plastic container ks an empty laundry
detergent contalner and tape it up marked not for recycing, or drop your sharps in one of the pubic éisposal containers. For mare information
‘contact jmuggeo@nd.org.

* neg N oe
‘You can reduce the impact of respiratory viruses on your
family by taking a few simple precautions. Stay upto date on
your vaccinations—remember there is a updated version of
the Flu and COVID vaccines that everyone should get to
renew their immunity and be protected agalnst new strains
ofthe viruses. Other layers of personal protection include
hand washing, wearing masks, and staying away from
‘others who are already ll. If you're not feeling well, stay
home if you can and wear a mask if you have to be around
other people. It's important to do that no matter what virus
you have, but you might want to test o see if you have
COVID because accessing anti-viral medication isolating
yoursalf and geting alt of rest is especially important.
LLLHD has free rapid tests for community memibers—contact
Saeed BE TICK
SMART
REPEL + INSPECT = REMOVE
a
Finally, we're thinking alot about mental health as we head into the holiday season. For many, this joyous’ time of year can be
especially hard—between grieving family members who are no longer here to
celebrate, being worried about what the next year will bring, or being impacted by the
cold and darkness, some of us may be ‘puting on a happy face’ but really struggling.
Please remember that help is avalable—if you or a loved one are facing mental
health struggles, emotional dstress or just need someone to talk to, you can contact
the 988 Lifeline by phone, text or website chat at 98fline.orp. The conversations
are always free and always confidential,
The LLHD Community Health Workers and NLC CARES Navigators are also here to
support you in accessing care, connecting with support fr substance use disorder, or
addressing if stressors that may be inceasing feelings of anxiety. These teem
members know how hard ican be to get help with insurance, housing, food or
{transportation and how that can Impact your health. They are hereto help you ently
‘and reach your individual gals—in Englsh, Spanish or Haitian Creole. Email
cchw@ihd.org or call us at 860.448.4882.
“akan rom CTOPHs Respiratory Disease Survelance Dashboard at ios
‘wacalst ovlioVnfectun-dncese/rd estar ve ease ete
Even though we are thinking about ‘winter’ viruses we cant forget ticks! Ticks are active
above 40 degrees which makes tick prevention a year round activity. You can prevent
ticks from transmitting disease by covering your skin and hair when hiking or working in
the yard, using tick repellents and showering and checking for whenever you leave a
‘potential tick habitat. If you find a tick attached to your skin, remove it with tweezers as
‘soon as possible and clean area with an antiboticantisaptic product. Engorged deer
ticks that have been found on people can be sent to the Connecticut Agricultural
Experiment Station for testing. You can lear more, and download a tick submission
form, on our website,
REASONS TO
CALL, TEXT,
y AND CHAT 988
@ rovghts of wide
@ dvinking too mech or dug ve
© Feeling depressed or onxovs
|

partners to promote healthy communities, EXCITED ABOUT a 200 WHEEENO TWO OLYS ARE THE SAME?
October
‘Amparo Bustamante, 2 years
| Dawn DeStefano, 4 years,
November verveey inva on0/ 08
| Patti Myers, 8 years
Nisha Patel, 6 years
Charlene Swink, 8 yesrs Looking for a rewarding job that doesn't require a college degree’?
Join our team as an Environmental Technician!
htos /tiny Jind orafiobs
C ‘What do you want to know about? Got an idea for a topic our next
newsletter should cover? Email Estelle Harrison at eharrison@llhd.org!
National Influenza Immunization
Awareness Week Begins December 2
Ledge Light Health District serves as the local health
Coe ee Groton, Syren
London, North Stonington, Old ington,
‘and Waterford, ‘Connoctous Asa heath dist, fermcd
under Connecticut General Statutes Section 19-241,
LLHD is a special unit of government, allowing member
municipalities to provide comprehensive public health
‘services to residents in a more efficient manner by
consolidating the services within one organization,
Join our Community Email List
Get our newsletter and important updates sent directly
to your inbox.
Email Estelle Harison at eharison@lihd.org.
Hoon

‘Well we blinked and summer came and went! How lucky are we to live inthis beautiful place? | hope you were able to enjoy your
{favorite summer activities—from the water to the farmers’ markets to the festivals there were so many options!
‘The LLHD team has been hard at work trying to keep all those activities as safe and healthy as possible! As you might have read.
in the last edition, every week we sample the water at more than 40 swimming areas to monitor the presence of bacteria. We've
«also been conducting inspections ofall the wonderful temporary food service set-ups atthe various flrs
‘and events and visting all the public pools to make sure they are ready for your visi. As we head into fall
‘here are sill many of these activites and beautful weather, for us to enjoy. Of course, we might have
‘pesky company ftom mosquitoes—check out our aticle on mosquito pravention and contol to leam
‘more about how you can be part of preventing mosquito-bome ilness in our community.
‘This special three-month edition, covering July through September, spans the beginning of our fiscal year
‘and the Annual Meeting of our Board of Directors. Check out some of our stats for Fiscal Year 2024
which ended in June in the LLHD By the Numbers article and then team more about the amazing
volunteers who provide oversight and support by serving on our Board of Directors.
‘As always, itis my honor to share this newsletter with you and connect you all with the robust and wide-
‘anging work of your local health depertment. Got questions about anyihing you see here? Want to
connect with us to brainstorm about public health concems? I'd ove to talk with yout
(On behalf ofthe tan,
qigs
Jennifer Muggeo, jmuggeo@lihd.org
INSIDE THIS ISSUE Congratulations!
sis Magnussen, RN, LLHD Public Health Nurse was recognized at
+ Board of Directors Annual Meeting the Infection Control Nurses of Connectout annual meeting. She
+ Climate Change Grant ‘was presented wth a plaque, honering her for 32 years of service
+ Food to People at The Bodega improving the practice of
« Ledyard Prevention Coalition Update infection control nursing.
« LLHD By the Numbers Kesha mony yeas of
‘¢ Mosquito Prevention and Control
+ New COVID-19 Variant FLIRT
« Staff Anniversaries
Did you miss an issue of LLHD Highights?
Visit our website at lihd.org/about-us/newsroom/
LLHD
Ledge light Health District
experience as an infection
preventionist and Is a
leader and a resource in
infection control,
‘Congratulations Kris!
26 Broad Street New London , CT 06320 - 860.448.4882 - www.LLHD.org

o t s.
s yea
e a e e c ted to
e co
e you a to
eet a d t a
you
oa d ep ese tat es at ou
augu a S o case!
Please join us on Thursday, September 121
LLHD Showcase
and Annual
Meeting
LLHD
A special thank you to our current Board Officers and Members:
Chair Danialle Steward Gelinas, representing the Town of Waterford since 2007
Vice-Chair John Kiker, representing the Town of Lyme since 2018,
Secretary Susan Vincent, representing the Town of Groton since 2011
‘Treasurer Ken Nogacek, representing the Town of Ledyard since 2013
Stove Buttermore, representing the Town of Ledyard since 2023,
‘Stave Carlow, representing the Town of Groton for since 2004
Kendra Clark, representing the City of New London since 2024
Brian Clinton, representing the City of Groton since 2022
‘Candace Devenditis, representing he Cty of New London since 2011
Paul Goldstein, representing the Town of Waterford since 2022
‘Tom Gotowsa, representing the Town of Old Lyme since 2018
Susan Graham, representing the Town of East Lyme since 2016
Ryan McCammon, representing the Town of Stonington since 2023
Nichelle Petrucel representing the Borough of Stonington since 2024
Eugene Preifr, representing the Town of Stonington since 2024
‘Nicole Porter, representing the Town of North Stonington since 2022
‘Tracee Reiser, representing the City of New London since 2017
Kent Sistare, representing the Town of East Lyme since 2008

questions about some of the things not
included here, please ask!
HEALTH
|WORKERS
REGULATED ESTABLISHMENTS—1,362
We inspect 18 body art establishments, 221
cosmetology establishments, 49 daycares,
90 lodging factties, 78 public pools and
906 food service establishments/vendors
or compliance with State and LLHD
Statutes and Regulations to protect the
heath and safety of our neighbors.
DOCUMENTED COMPLAINTS —485
From housing to food to lodging and more,
LLHO Environmental Health Professionals are
ready to follow-up on concems reported by our
[community members,
VACCINATIONS ADMINISTERED- 357
(Our Public Heath Nurses are inthe
community and at homes, stepping into the
92 to make sure everyone has access to
Important vaccinations.
‘SEPTIC AND WELL PERMITS—017
[New construction, repairs, addiions—# your property has a well and/or
subsurface sewage disposal system, we take a fook at your plans to make sure
yOu, your neighbors andthe environment can enjoy your finished project safely!
NALOXONE DISTRIBUTED-768 KITS
Akay part of our averdose prevention work is
to saturate our community with naloxone. We
‘want everyone to have easy access to this fe
‘saving medication.
COMMUNICABLE DISEASE PREVENTION
AND CONTROL
Not quantified as State Statutes prohibit us
from releasing information releted to
cutbreek investigations, our team is ready in
the event ofa tuberculosis case, a foodbome
iiness, Mpox cases, measles outbreaks or
cases of other infectious diseases.

‘accounted for 25% of COVID-19 infections and KP.2 accounts for nearly 33% of new
COVID-19 cases by early June. Symptoms ofthe FLIRT variant remain consistent
with other COVID-19 strains, including sore throat, body aches, cough, and runny
‘ose, Despite its increased transmissibiity,curent evidence suggests it does not
cause more severe iness than previous variants, East Lyme
Mendy Oetaber Bt
‘actly strc
Vaccination is an essential tool in fighting COVID, including the FLIRT variant. Even
though the current vaccines were not specfcaly designed for this variant, they stil
provide signticant protection against severe illness and hospitalization. Itis crucial to
stay up-to-date with COVID-18 vaccinations, especially for high-sk groups like the
elderly and immunocompromised individuals,
‘This fall, LHD will be helping community members aceass COVID and other
vaccinations in muliple ways. You can registar for an appointment at ona of two largo
‘vaccination events in October where a partner pharmacy wil offer fu, COVID, RSV and Pneumococcal vaccinations. Please bring
your insurance card to these events! We will also be offering fee vaccinations every Friday at The Place for CommUNITY
Welling at 74 Garfeid Ave in New London, as wal as at pop-up events around the District. Please check our website and social
‘media for more information as we firm up delais.
In addition to vaccination, itis important to wear masks in crowded indoor settings, practice hand hygiene, and use antiviral
‘seatment if you test positive for COVID-19 and consult your healthcare provider. Please contact Ledge Light Heath Distctf you
need assistance, test kts, or mors information related to COVID-19 vaccines.
‘Maria Muner Gonzslez, mmunargonzelez@jthd.org
Mosquito Prevention and Control
Each summer, the Connecticut Agricultural Experiment Station (CAES) colects and tests mosquitoes trapped at locations
‘across the stale—including throughout LLHD, to identify the presence of disease including West Nile Virus (WNV) and Eastern
Equine Encephalitis (EEE). in recent weeks, mosquito activty—es well a positive mosquito pools, have increesed and 80 far
this season we have had WNV positive mosquitoes in East Lyme, Groton, North Stonington and Stonington and EEE positive
‘mosquitoes in Ledyard, Lyme, North Stonington and Stonington
‘Although mosquito bome illness is rare It can be serious and even fatal, and so i's important for us all to take action! Avoiding
annoying itchy bites AND serious iliness—what could be better?
‘To reduce mosquitoes on your property the best tp is: reduce standing water. Even a litte bit of standing water that might
-accumutate inthe saucer ofa plant pot after a rainstorm can be an active breeding ground for mosquitoes. Other places that
‘could be good mosquito breeding grounds include discarded tres; rain barrels; buckets; abandoned boats; clogged roof gutters;
bird baths; abandoned or untreated swimming pools; wading pools; ceramic pos; empty
cans; wheelbarrows...anywhere water can collect!
To prevent mosquito bites minimize time outdoors at dusk and dawn when mosquitoes are
most active and use mosquito repellent and protective clothing when you do have to be
g] outside. Don't forget the babies—coverstrolars and baby carriers with mosquito netting!
For more information and tip, please visit our website: hitps:flhd.org/heathy-
‘communites/nurturing-heathy-environments/mosquito-bomne-diseasel

health impacts of cimate change in Connecticut. LLHD was
honored to receive one of two pilot grants to local health
departments and join OPH, CDC and our colleagues from the City
of Bridgeport as we launch our year-long effort to develop local
heat and air quelty preparedness and response plans.
In preparation forthe grant, LLHD has invited researchers from the
University of Florida and Keane College to do workshops with
‘community members to leam how they understand what a ‘resin
New London looks ike to them. "Resilience" revolves around climate
‘change and adaptation, but as community members have discussed,
‘other lopics came up too, like advocacy, communal support, and
hhousing. The workshops use the CCD Method (Community Concept
‘Drawing, which involves group conversation about the topic and then
<rawing thoughts onto paper. So far, 3 groups have completed the
workshop, and several more are planned forthe summer. Corona
Zhang, czhang@ihd.org
Ledyard Prevention Coalition Update
‘The Ledyard Prevention Coaiton (LPC) kicked off the summer with several fun
prevention and educational activities with Youth Coordinator, Kat Jennings and the
LPC youth group. First, we marched in the Ledyard Memorial Day Parade which is
sponsored by the Ledyard Lion's Club. Ths is always a great event for families. The
LPC youth group was represented and had fun throwing siress balls into the crowd
with the message, “Have A Ball Without Alcohol’. Next, we had a great leadership
treining at Waterford Country Schoo!’ ropes course. Twenty-six students from the
6% and 7® grades at Ledyard Middle School attended the training. This was our 4®
‘year offering this program to students!
So eae We also wrapped up production of our vaping awareness video. This project was quite a feat
that included about 20 students from Ledyard Middle Schoo all who have busy schedules and
uiiple actives but with support from Ledyard Middle Schoo principal Mr. Early, and
expertise from ReelE Media the video was completed! Look for iton the LLHD website and
LPC social media soon!
Finaly, as part of Ledyar's oploid settoment funds, the LPC purchased
Narcan for the Ledyard Police Department and now all patrol oficers are
‘equipped with Narcan. This summer we are planning to attend community
‘events fo provide Narcan training and getting ready for a busy back to school season!
‘Kerensa Mansfield, manstield@lhd. ong

the Ledge Ligh Krghtsis an ntogral prof our FRESH New London, the Cy. )aaiuee ian :
team working wit exch other and community oe Lon, en ed 4
rartece hist Realny Cote 30
: = many ofer organizations and
une volunteers to distribute food on
Lupita Santos, 3 years « woekiy basis to people rom
throughout the Disc. With the move to The Bodega we have
July been able to increase accessibility by being open 4 fimes each
George Cakins, 18 years week and being setup as a grocery store syle fll choice panty
Kis Magnussen, 16 years We ar honared tobe part of this collaborative effort to address
food insecurty in our community and to have the opportunity to
igs czar 0 may comunity mbes wih ce snes tho
same me, incluting blood pressure serenings, vaccinations
Kim Hamiey, 6 years Se
Soptomber ‘The Bodoga is curently open Tuesday 11-1, Thursday noon-2,
Kato Baldwin, 16 years and Friday 9-11 and 4:30-6:30. There sno pro-egistaion or
Helen Adap, 3 years ena gto od a va
fangs Baers Ifyou ae interested in volunteering at The Bodega, please
2 yon contact Stophanye Clarke at sclarke@bind.org.
‘What do you want to know about? Got an idea for a topic our next newsletter
should cover? Email Estelle Harrison at eharrison@llhd.org!
You can decrease your risk of CATCHING a respiratory virus or SPREADING a
virus to others by wearing a mask, getting vaccinated against COVID-19 and
Flu, avoiding crowds, and remembering hand hygiene!
Buf %
RENEW YOUR IMMUNITY! FIND A COVID-19 VACCINE CLINIC NEAR YOU
‘VISIT OUR WEBSITE LLHD.ORG
Join our Community Email List
—w_ernee HOE

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LEDGE LIGHT
HEALTH DISTRICT
SERVING THE FOLLOWING TOWNS IN
SOUTHEASTERN CONNECTICUT:
GROTON, EAST LYME, LEDYARD, LYME,
NORTH STONINGTON, OLD LYME,
STONINGTON, WATERFORD; THE CITIES
OF GROTON AND NEW LONDON; AND THE
BOROUGH OF STONINGTON
BASIC FINANCIAL STATEMENTS
AS OF JUNE 30, 2023
TOGETHER WITH
INDEPENDENT AUDITORS’ REPORT,
REQUIRED SUPPLEMENTARY
INFORMATION,
OTHER SUPPLEMENTARY INFORMATION,
FEDERAL SINGLE AUDIT REPORTS AND
STATE SINGLE AUDIT REPORTS
HOYT
FILIPPETTI &
ill] MALAGHAN LLC
CERTIFIED PUBLIC ACCOUNTANTS

MANAGEMENT'S DISCUSSION AND ANALYSIS 47
BASIC FINANCIAL STATEMENTS
Government-Wide Financial Statements
Statement of Net Position 8
Statement of Activities 9
Fund Financial Statements
Balance Sheet ~ Governmental Fund 10
Reconciliation of Governme