April 21, 2016 - Board of Health Meeting Minutes

Members Present:

Mr. Jesse Helmer (Chair)
Mr. Trevor Hunter
Ms. Trish Fulton
Mr. Marcel Meyer
Mr. Ian Peer
Ms. Nancy Poole
Mr. Kurtis Smith
Ms. Joanne Vanderheyden (Vice-Chair)

Others Present:

Mr. Mark Studenny
Dr. Christopher Mackie, Medical Officer of Health & CEO
Ms. Elizabeth Milne, Executive Assistant to the Board of Health & Communications (Recorder)
Mr. Magdy Abdou
Ms. Ghada Abu-Ali
Ms. Iman Ahmed
Ms. Zainab Al-Ani
Mr. Bashar Alazzam
Ms. Nesrin Ali
Mr. Anmar Almukhtar
Ms. Intisar Al-Sabbagh
Ms. Eman Arnout
Mr. Jordan Banninga, Manager, Strategic Projects
Ms. Janet Connolly, Public Health Nurse, Vaccine Preventable Disease
Ms. Laura Di Cesare, Director, Corporate Services
Ms. Laura Dueck, Public Health Nurse, Reproductive Health
Mr. Dan Flaherty, Communications Manager
Ms. Tracey Gordon, Manager, Reproductive Health
Mr. Moustafa Haddara
Dr. Gayane Hovhannisyan, Associate Medical Officer of Health
Ms. Alison Locker, Acting Manager, Vaccine Preventable Disease
Ms. Heather Lokko, Director, Healthy Living
Mr. John Millson, Associate Director, Finance
Ms. Rehab Salama
Mr. Ayman Seyam
Ms. Pat Simone, Manager, Emergency Management
Mr. Graham Smith, Public Health Nurse, Vaccine Preventable Disease
Ms. Linda Stobo, Manager, Chronic Disease & Tobacco Control
Mr. Alex Tyml, Online Communications Coordinator
Ms. Lynn VanderVloet, Program Assistant, Emergency Management
Ms. Suzanne Vandervoort, Director, Healthy Living
Ms. Ghada Yahia

Media Outlets

 Mr. Dan Brown, London Free Press

Disclosures of Conflict(s) Of Interest

 Chair Helmer inquired if there were any disclosures of conflict(s) of interest. None were declared.

Approval of Agenda

Chair Helmer requested that item #6 re: Syrian Newcomer Information Update (Report No. 025-16) be discussed and received prior hearing from the delegation.

It was moved by Mr. Smith, seconded by Mr. Meyer that the AGENDA for the April 21, 2016 Board of Health meeting be approved as amended. Carried

Approval of Minutes

It was moved by Ms. Fulton, seconded by Mr. Smith that the MINUTES for the March 10, 2016 Board of Health meeting be approved. Carried

It was moved by Ms. Fulton, seconded by, Mr. Smith that the MINUTES for the January 21, 2016 Governance Committee meeting be received. Carried

It was moved by Ms. Fulton, seconded by Mr. Smith that the draft MINUTES for the April 7, 2016 Finance and Facilities Committee meeting be received. Carried

Delegations

7:05 - 7:15 p.m. Mr. Wally Adams, Director, Environmental Health & Infectious Diseases
re: Item #6 - Recognition of Syrian Newcomer volunteer translators (Report No. 025-16).

7:15 - 7:25 p.m.  Ms. Trish Fulton, Chair, Finance and Facilities Committee re: Item #1 - Finance and Facilities Committee Meeting April 7, 2016 (Report No. 021-16).

7:25 - 7:40 p.m.  Chair–Elect, Governance Committee re: Item #2 – Governance Committee Meeting April 21, 2016.

7:40 – 7:50 p.m.  Ms. Laura Dueck, Public Health Nurse, BFI Lead re: Item # 3 - Baby Friendly Initiative (Report No. 022-16).

1) Syrian Newcomer Summary Information Update (Report No. 025-16)

Mr. Wally Adams, Director, Environmental Health & Infectious Diseases provided context to this report and introduced Ms. Pat Simone, Manager, Emergency Management.

It was moved by Mr. Meyer, seconded by Mr. Hunter, that the Board of Health receive the Syrian Newcomer Summary Information Update for information. Carried

Chair Helmer invited Mr. Adams and Ms. Simone to present certificates and recognize the volunteer translators who assisted with the Health Unit’s Syrian Newcomer efforts.

Committee Reports

2) Finance and Facilities Committee Meeting April 7th (Report No. 021-16)

Ms. Fulton provided a summary of the recommendations from the April 7, 2016 Finance and Facilities Committee (FFC) meeting.

Discussion ensued about the following:
• One-time funding requests submitted to the Ministry of Health and Long-Term Care.
• The responsibilities and requirements of the Finance and Facilities Committee going forward in the Health Unit’s relocation process.

Ms. Fulton drew the Board’s attention to the revised date of the next FFC meeting, to be held on Tuesday May 3rd, 2016.

It was moved by Mr. Helmer, seconded by Mr. Meyer that the Board of Health:
1. Receive Report No. 010-16FFC Re: Middlesex-London Health Unit Relocation for information
2. Receive Appendix B re: one-time funding requests submitted to the Ministry of Health and Long-Term Care and,
3. Approve proposed Middlesex-London Health Unit Relocation Project Plan (revised Appendix A);
as recommended by the Finance and Facilities Committee.
Carried

It was moved by Ms. Fulton, seconded by Mr. Peer, that the Board of Health increase the Board of Health member compensation rate for a half day meeting to $149.25 retroactively to January 1st, 2016. Carried

It was moved by Ms. Fulton, seconded by Ms. Vanderheyden, that the Board of Health receive Report No. 12-16FFC and that the Board of Health approve the revised Terms of Reference, as recommended by the Finance and Facilities Committee. Carried

3) Governance Committee Meeting April 21st (Verbal)

Mr. Hunter provided a summary of the discussions and recommendations from the April 21, 2016 Governance Committee meeting.

Board of Health Self-Assessment Results (Report 07-16GC)

It was moved by Mr. Hunter, seconded by Mr. Peer that the Board of Health receive the findings of the 2016 Board Self-Assessment as outlined in Report No. 07-16GC and direct staff to incorporate the survey results into Board development activity planning for 2016 as recommended by the Governance Committee. Carried

Board of Health Orientation & Development (Report 08-16GC)
It was moved by Mr. Hunter, seconded by Ms. Vanderheyden that the Board of Health receive Report 08-16GC re: Board of Health Orientation and Development and, that Board of Health orientation practices be enhanced with opportunistic exposure to Health Unit programs in operation as recommended by the Governance Committee. Carried

Mr. Hunter flagged Middlesex Municipal Day on Thursday April 28th as an opportunity to see a summary of presentations about Health Unit programs and services.

Strategic Plan Update (Report 09-16GC)
It was moved by Mr. Hunter, seconded by Mr. Smith that the Board of Health receive Report No.09-16GC Strategic Plan Update and Appendix A, the draft 2016 Balanced Scorecard, for information as recommended by the Governance Committee. Carried

Terms of Reference Revisions & Governance Policy Review (Report 010-16GC)
It was moved by Mr. Hunter, seconded by Mr. Meyer, that the the Board of Health:

1) Receive Report No. 010-16GC for information;
2) Approve of the revised Terms of Reference for the Governance Committee attached as Appendix A;
3) Approve the revised Terms of Reference for the Finance and Facilities Committee (FFC) attached as Appendix B; and
4) Recommend that staff review, revise and develop Board of Health Governance Policies based on the proposed model in Appendix C, as recommended by the Governance Committee.
Carried

Nomination and Appointment Process (Report 011-16GC)
Dr. Mackie provided some context to this report, encouraging board members to seek suitable candidates through their networks and Ms. Poole advised that current provincial appointees should be actively participating in recruitment and considering gender, diversity and skillset in this process.

Mr. Hunter advised of the Committee’s decision to have the Board Chair and the Governance Chair sit on the selection committee for new board members.

It was moved by Mr. Hunter, seconded by Ms. Poole that the the Board of Health:
1. Receive Report No. 011-16GC for information;
2. Approve the revised Nomination and Appointment Process;
3. conduct a skills inventory of its members; and
4. Recommend staff begin work with DiverseCity OnBoard to identify potential provincial appointees to the Board of Health, as recommended by the Governance Committee.
Carried

Delegation and Recommendation Reports

4) Baby Friendly Initiative (BFI) (Report No. 022-16)

Ms. Tracey Gordon, Manager, Reproductive Health reviewed the BFI certification process and introduced Ms. Laura Dueck, Public Health Nurse and BFI Lead, who summarized key highlights from the policy.

It was moved by Ms. Poole, seconded by Ms. Fulton, that the Board of Health receive report No. 022-16 re: “Baby Friendly Initiative” for information. Carried

5) Association of Local Public Health Agency Resolution Report (Report No. 023-16)

Dr. Mackie provided context to this report, identifying that this follows on the Board of Health’s policy decision at the April meeting, and summarizing the process to seek provincial advocacy support from alPHa.

It was moved by Mr. Meyer, seconded by Mr. Peer, that the Board of Health:
1. Receive report No.023-16 re: Association of Local Public Health Agency (alPHa); and
2. Submit the attached resolutions to go forward to the alPHa Annual General meeting in June 2016.
Carried

6) Comments on the MOHLTC Proposal to Strengthen Ontario’s Smoking and Vaping Laws (Report No. 024-16)

Chair Helmer introduced Ms. Linda Stobo, who answered questions.

Discussion ensued about e-cigarette use on private property and workplace policies that are currently in place to ban e-cigarette use.

It was moved by Ms. Fulton, seconded by Mr. Hunter, that the Board of Health:
1. Endorse Report No. 024-16 re: “Comments on the Ministry of Health and Long-Term Care’s Proposal to Strengthen Ontario’s Smoking and Vaping Laws” and
2. Direct Health Unit staff to submit Appendix B and corresponding references to the Regulatory Registry for Ministry of Health and Long-Term Care consideration.
Carried

Information Reports

 7) Summary Information Report for April 2016 (Report No. 026-16)

It was moved by Mr. Smith, seconded by Ms. Fulton, that the Board of Health receive Report No.026-16 re: Information Summary Report for April 2016 for information. Carried

8) Medical Officer of Health Activity Report – April (Report No. 027-16)

Dr. Mackie flagged an additional activity for this report where he attended a London city council meeting that saw council support the Final Recommendations set out by the Mayor’s Advisory Panel on Poverty. Dr. Mackie outlined some next steps in the implementation process.

It was moved by Mr. Meyer, seconded by Mr. Hunter, that Report No. 027-16 re Medical Officer of Health Activity Report – April be received for information. Carried

Correspondence

Discussion ensued about item b) and i). Dr. Mackie clarified and provided context to these items, flagging a memo received from Minister Hoskins on April 20th, which will be brought to the Board’s attention at the next meeting.

It was moved by Mr. Peer, seconded by Ms. Fulton, that the Board of Health endorse the letter from the Association of Local Public Health Agencies re Patients First discussion paper. Carried

It was moved by Ms. Vanderheyden, seconded by Mr. Meyer, that the Board of Health endorse the letter from Toronto Public Health re Proposed Domestic and Sexual Violence Workplace Leave, Accommodation and Training Act. Carried

Discussion ensued about items d) and f). Dr. Mackie clarified and provided context to these items.

It was moved by Ms. Vanderheyden, seconded by Mr. Hunter, that the Board of Health receive correspondence items a), c) through h) and j) through t). Carried

Other Business

Chair Helmer brought to the attention of the Board an item of correspondence sent from Mr. Turner regarding a temporary leave of absence from the Board of Health, granted by City council.

It was moved by Ms. Fulton, seconded by Ms. Poole that the Board of Health acknowledge Mr. Turner’s correspondence and wish him a prompt return to the Board of Health. Carried

Chair Helmer advised the Board of the completion of Mr. Mark Studenny’s term. Chair Helmer and Dr. Mackie thanked Mr. Studenny for his contributions and dedication to public health over the last 10 years he has served on the Middlesex-London Board of Health.

Upcoming meetings
• Next Finance and Facilities Committee Meeting: Tuesday May 3, 2016 @ 9:00 a.m.
• Next Board of Health Meeting: Thursday, May 19, 2016 @ 7:00 p.m. 

Confidential

At 8:47 p.m. Chair Helmer invited a motion to move in camera to discuss matters concerning an identifiable individual, the security of property held by the Middlesex-London Board of Health and to approve minutes from its March 10, 2016 in camera session regarding a matter of proposed or pending acquisition of land.

Chair Helmer and the Board of Health invited Mr. Mark Studenny to attend the in-camera session.

At 8:47 p.m. it was moved by Mr. Meyer, seconded by Mr. Peer that the Board of Health move in camera to discuss matters concerning an identifiable individual, the security of property held by the Middlesex-London Board of Health and to approve minutes from its March 10, 2016 in camera session regarding a matter of proposed or pending acquisition of land. Carried

At 8:48 p.m. all Health Unit staff, except Dr. Mackie, Ms. Laura Di Cesare, Mr. John Millson, Mr. Wally Adams, Ms. Suzanne Vandervoort, Ms. Heather Lokko, Mr. Mark Studenny, Ms. Elizabeth Milne and Mr. Mark Pryzslupski left the meeting.

At 9:27 p.m. it was moved by Ms. Vanderheyden, seconded by Mr. Smith that the Board of Health rise and return to public session to adjourn the meeting. Carried

At 9:27 p.m. the Board of Health returned to public session.

Adjournment

 At 9:27 p.m., it was moved by Ms. Fulton, seconded by Ms. Vanderheyden that the meeting be adjourned. Carried

JESSE HELMER
Chair

CHRISTOPHER MACKIE
Secretary-Treasurer