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“First in Revolution”

Board of Health moves to launch five-year wellness plan while residents scramble for basic answers

From a trash-cart injury to beach testing delays, the meeting exposed how spread-out channels leave people guessing where to look next.

The Marblehead Board of Health, which meets at the Mary A. Alley Municipal Building, laid groundwork for a five-year public health strategy on July 28, drawing on input from more than 2,500 residents but facing ongoing challenges in communicating with the public.

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The Marblehead Board of Health spent much of its July 28 meeting laying groundwork for a five-year public health strategy built on a townwide survey of more than 2,500 residents. But members and residents kept circling back to a smaller problem: where to return an unwanted trash cart, or whether it is safe to swim at Grace Oliver Beach right now.

The distinction matters as the board turns its Creating a Healthier Marblehead survey into policy. Dr. Thomas Massaro, the board's chair and a pediatrician, said the town now has data and a board committed to strategic priorities. What it lacks, several people said, is a reliable way to reach residents before something goes wrong, or after. Even routine notices are hard to spread, Massaro conceded, recalling how broadly the town thought it had explained the new trash and recycling rules before residents said otherwise. "It's hard," he said.

Mary McAllister, 77, of 8 Jersey St. offered the clearest example of that gap. She told the board she was moving a neighbor's new trash cart a few feet after collection when it tipped toward her, and she stepped on the open lid, fell in and became trapped with one hand caught between the handle and the container. She suffered a bloody nose and blows to her head, knee and hand, spent about five and a half hours at a hospital where she got a head CT and three X-rays, and still has two black eyes from the fall.

McAllister said she had not known the carts carry a manufacturer's warning against moving them with the lid open, printed in letters too small to notice. She said she was not trying to assign blame.

"The main focus is that we get the word out that these can be dangerous, so this doesn't happen to anybody else," she told the board.

Board members, including Dr. Amanda Ritvo, said they were sorry and discussed posting safety information online.

Smaller carts and an unclear return process

McAllister's accident happened as the town works through roughly 400 requests for smaller trash carts, Public Health Director Andrew Petty said. The department initially received 180 and has issued nearly all, with the rest due within weeks. Residents who requested a swap should have gotten an automated email confirming it, and the department will contact them again once more carts arrive, since the old cart must go back when the smaller one is delivered.

That backlog reflects a strain predating this meeting. The Marblehead Independent reported in June that Petty's waste office, a staff of two, had only weeks to order and deliver the new carts before a July 1 hauling contract took effect, a schedule that in a normal year would have pushed delivery into September. Petty said then that customizing the rollout for roughly 8,000 households was "impossible" with so few people on staff, and that mailing a survey to every home would have cost more than $8,000. The standard 65-gallon trash and 95-gallon recycling carts were sized under the new contract to control what the town pays to dispose of waste, he said, with about 500 smaller 35-gallon carts set aside for downtown, Old Town and residents with mobility limitations.

Petty said residents can arrange a pickup or bring an unwanted cart to the transfer station, but must check in with an attendant so it can be logged, since each cart is tied to an address by a serial number. Several residents said they had not known that option existed. Barbara Roy, who has organized volunteers to redistribute old bins, said she has walked people through the process informally.

"To date, we have rehomed over 2,000 bins, barrels, recycling and then some," she told the board, crediting a Facebook group she started, and said she has fielded hundreds of questions herself.

Who speaks for the Board?

Roy's network has functioned apart from any town channel. The board's own Facebook page has sat idle since 2022, even as Ritvo raised reviving it to steer residents toward state health information; a public health graduate has offered to help. Petty was open to the idea but wary of the cost.

"We are very short-staffed," he said. "At the end of the day, I'm going to take the heat for what was posted there."

Board member Julie Selbst said any post in the board's name must reflect the board as a whole, since under the open meetings law "the only way that can happen is in a meeting." No decision was made on reactivating the page.

Board members drew a firmer line around Regroup, the alert system once called Code Red, saying it should stay reserved for emergencies; overusing it, Board member Tom McMahon warned, would backfire.

"If we mention everything on Code Red, people are going to be pissed and disconnect from Code Red," he said. Petty said the department instead steers residents to the town website's email sign-up, sometimes called a listserv, for routine updates such as tick and mosquito data.

Beach status raised the same tension. One resident asked Petty why a failed water test at Grace Oliver Beach was not followed by a quick update, saying people just want to know if it is open or closed. Petty said a single bacterial exceedance differs from a geometric mean exceedance based on five samples, and results take about 24 hours once a sample reaches the lab. He said the department posts results as soon as it has them, and a beach can stay open even when swimming is discouraged; Grace Oliver's and Gas House Beach see recurring problems after heavy rain.

A five-year plan still needs a way to reach people

The Creating a Healthier Marblehead effort, built with researchers from the University of Massachusetts Boston, drew 2,553 completed surveys on 42 questions covering physical, mental, financial and social wellness. Massaro said roughly three-quarters of respondents younger than 50 named work-life balance as their top stressor, though the underlying count was not given. Board members debated whether youth mental health and substance use should count as one priority or two, favoring separate tracks alongside pedestrian and bike safety, financial fragility and social disconnection.

Massaro proposed a coalition of schools, the Police Department, the YMCA, the library, Park and Recreation and the senior center to tackle youth mental health, drawn from a March grant application. That state fund shrank from an expected $20 million to $4 million once awards were made, Massaro said, and drew 182 applicants; Marblehead was not funded. He pointed to rebuilding the Marblehead Cares website as one answer: residents often ask for services the town already offers but cannot find. The site, dormant for years and not yet complete, is meant to work as a directory, not a new source of content.

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