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Dalton Board of Health Navigates Infectious Disease Protocols for Green Burial

By Sabrina DammsiBerkshires Staff
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DALTON, Mass. — The Board of Health continued to chip away on how it wants to word the "Green Burials" guidelines during its meeting on Wednesday. 
 
One of the things that complicates green burials is diseases. The Board of Health is working with the cemetery trustees to clarify measures to prevent their spread. 
 
The cemetery trustees are still very early on in the process of establishing green burials. This excludes someone who wants to be buried in their yard, which would be a separate process. 
 
Town counsel informed the trustees during a previous meeting that establishing green burials will be a dual effort between them and the Board of Health to come up with guidelines. 
 
The Board of Health will be responsible for the "water table, settling water, decaying bodies, depth of graves, proximity to abutting properties," the meeting minutes said. 
 
The board's main concern, which it has been navigating during its last couple of meetings, is the proper procedures for circumstances involving communicable diseases, such as ebola. 
 
During the previous meeting, board members requested clarification on what a green burial is so that they can have a better idea of how to word the guidelines. 
 
On Wednesday, Town Agent Agnes Witkowski said the state defines green burial or natural burial as "a method of a final disposition of the body with fewer environmental impacts than traditional burial burial," she said 
 
"Generally, a green burial means that the body is not embalmed, no metal or hardware are used to make the casket, no gravel liner or vaults are used and a low profile grave marker issues or no market at all."
 
The cemetery trustees intend on using a similar definition of green burials as the state but plans on adding that vaults with no bottoms may be used. 
 
"I think [the definition] helps us determine if there's any consideration of infectious disease to the point where the body would not even be embalmed because it needs to be in like two layers of plastic in order to protect anybody from that communicable disease," board member Amanda Staples-Opperman said. 
 
As long as the burial is happening within a cemetery there isn't a problem because cemeteries have to go through certain designations to prevent groundwater from running off into waterways, Staples-Opperman said. 
 
The town will also have to adhere to state Department of Environmental Protections requirements, Witkowski said. 
 
With some communicable diseases, such as ebola, the body needs to be in two layers of leak proof plastic and then in a hermetically sealed casket, she said. 
 
The board could consider adopting similar language as the state which stipulates that prior to the green burial additional considerations by the local Board of Health are required in cases involving serious pathogenic disease, Witkowski said. 
 
She proposed that the guideline says that  "in the event of a highly infectious disease," the green burial will need to be cleared by the Board of Health. 
 
Staples-Opperman also requested that they add "cases involving ebola will not be approved."
 
Board members asked what the best procedure is to review cases involving infectious diseases as waiting till the monthly meeting may not be timely enough. 
 
Witkowski will ask the town's legal counsel whether approving or denying cases can be done via email. 
 
In other news, a Narcan training and education event is in development thanks to a collaboration with the Loaves and Fishes Pantry's Food Distribution Center, Witkowski said. 
 
The collaboration with the food pantry, located at Dalton United Methodist Church, is still in its early stages of organizing. The event would include the distribution of free Narcan kits, training, and education. 
 
Having an event like this is one of her short-term goals but Witkowski hopes to do a second one in town later this year. 

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Possible Measles Exposure at Boston, Logan

BOSTON — The Massachusetts Department of Public Health confirmed Wednesday that an out-of-state adult visitor who spent time in Boston and Westborough earlier this month was diagnosed with measles and was present in a number of locations.
 
This could have resulted in other people being exposed to measles virus.
 
The visitor arrived at Logan International Airport on American Airlines flight 2384 from Dallas-Fort Worth, Texas, on Dec. 11 at 2:39 p.m. They stayed at the DoubleTree by Hilton Hotel Boston-Westborough in Westborough and departed the state on Dec. 12 via Logan at 9:19 p.m. on JetBlue flight 117 to Las Vegas.
 
DPH is working with the U.S. Centers for Disease Control and Prevention and local partners to identify and notify those who may have been exposed to measles from this individual.
 
"Measles is a highly contagious, airborne disease, which has increased significantly in the United States because of the unfortunate decrease in vaccination rates. It is also a preventable disease," said Public Health Commissioner Dr. Robbie Goldstein. "This current situation serves as an important reminder of the critical role vaccination plays in protecting our communities. While Massachusetts has not had a measles case this year, 2025 saw the highest number of nationwide cases in more than a decade — nearly 2,000 in 44 jurisdictions, and sadly, three deaths. 
 
"Fifteen years ago, measles had been considered eliminated in the United States, but that tremendous progress is at risk. Vaccines are one of the most important public health interventions ever — they are safe, effective, and lifesaving."
 
Measles is very contagious. However, the risk to most people in Massachusetts is low because the vaccination rate in the state is high. People who are not immune and visited any of the locations on the following dates and times may be at risk for developing measles.
 
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