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New regional health director outlines staffing, permitting reforms and recommends independent board of health

Advisory Board of Health · March 12, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Ryan Paxton, the new health director for Eastern Hampden Shared Public Health Services, described staff roles, a need for an additional health agent, plans to streamline permitting and enforcement practices, and recommended Wilbraham consider an independent board of health.

Ryan Paxton, health director for Eastern Hampden Shared Public Health Services (EHSPHS), briefed the Wilbraham Advisory Board of Health on March 12 on operational priorities since joining EHSPHS in December, listing current staff and emphasizing Title 5 inspections and administrative improvements.

Paxton said current staff include Heather Bissonette (administrative duties, grant reporting and data tracking), Annette Gordon (public health nurse, communicable disease tracking and outreach) and Lily Juda (health inspector). He told the board he has prioritized improving administrator oversight, implementing efficiencies, and revising permitting forms and application packets to streamline initial food‑service and facility permit processing. Paxton said EHSPHS performs required inspections while local boards of health retain permit approval authority.

On tobacco enforcement, Paxton described twice‑yearly compliance checks that use underage purchasers and cited the State CMR fine schedule referenced in the meeting: $1,000 for a first violation, $3,000 for a second and $5,000 for a third; he noted suspension is within the local board of health’s purview. He said he favors a coaching model when working with businesses and that he has sample local tobacco regulations available for review.

Paxton identified a need for an additional health agent but said there is no current funding stream to support another hire; EHSPHS has one more fiscal year of grant funding that covers full‑time staff and mileage, and Longmeadow currently pays 80% of the shared health director’s salary to avoid supplanting grant funds.

Asked about governance, Paxton recommended an independent board of health if Wilbraham pursues that option, noting independent boards require elected members and carry hearing and oversight responsibilities; he cited Longmeadow as an example that uses an independent BOH. The board did not vote on governance changes at the March meeting.