December 14, 2017 - Board of Health Meeting Minutes

Members Present:

Ms. Maureen Cassidy (6:24)
Ms. Patricia Fulton
Mr. Jesse Helmer (Chair)
Mr. Trevor Hunter
Mr. Marcel Meyer
Mr. Ian Peer
Mr. Kurtis Smith
Ms. Joanne Vanderheyden (Vice-Chair)
Ms. Tino Kasi
Mr. Michael Clarke

Others Present:

Dr. Christopher Mackie, Secretary-Treasurer
Ms. Lynn Guy, Executive Assistant to the Medical Officer of Health (Recorder)
Ms. Laura Di Cesare, Director, Corporate Services
Dr. Gayane Hovhannisyan, Associate Medical Officer of Health
Ms. Heather Lokko, Director, Healthy Start
Mr. Stephen Turner, Director, Environmental Health and Infectious Disease
Mr. Alex Tyml, Online Communications Coordinator
Ms. Suzanne Vandervoort, Director, Healthy Living
Ms. Linda Stobo, Manager, Chronic Disease Prevention and Tobacco Control
Ms. Misty Denning, Manager, Oral Health
Ms. Bernie McCall, Public Health Nurse
Mr. Brian Glasspoole, Manager, Finance
Ms. Shaya Dhinsa, Manager, Sexual Health
Ms. Molly Campbell, Public Health Dietitian
Ms. Rhonda Brittan, Manager, Healthy Communities & Injury Prevention

Media:
Mr. Dan Brown, London Free Press
Mr. Marek Sutherland, CTV London News

Chair Helmer called the meeting to order at 5:31 p.m.

Disclosures of Conflict(s) of Interest

Chair Helmer inquired if there were any disclosures of conflicts of interest. None were declared.

Approval of Agenda

It was moved by Ms. Vanderheyden, seconded by Mr. Clarke, that the amended AGENDA for the December 14, 2017 Board of Health meeting be approved. Carried

Approval of Minutes

It was moved by Ms. Fulton, seconded by Mr. Peer, that the MINUTES of the November 16, 2017 Board of Health meeting be approved. Carried

Committee Reports

Finance and Facilities Committee meeting, December (Report 058-17)

Ms. Fulton advised that any members would answer any questions about the meeting, and that minutes would be available at the next Board meeting.

It was moved by Mr. Peer., seconded by Ms. Vanderheyden., that the Board of Health approve the revised Screening, Assessment and Intervention Team budget. Carried

Ms. Fulton noted that there was discussion at the December 7, 2017 FFC meeting regarding the investment for a program evaluator and policy staff. FFC asked staff to get more information regarding current and future projects, what will be moving forward and prioritized projects. There was a discussion regarding the position as well as the additional data that was presented. The Board asked that in the future proposals include information that would help identify them as programmatic versus operational. Dr. Mackie committed to bringing a report to the Board in the new year regarding project management.

It was moved by Ms. Fulton., seconded by Mr. Hunter, that the Board of Health approve Report No. 044-17FFC PBMA Final Approval. Carried

Delegation and Recommendation Reports

Invasive Group A Streptococcal (iGAS) Update (Report 059-17)

Dr. Hovhannisyan was in attendance and provided a PowerPoint presentation to the Board in regards to this report. She noted that she gave this presentation initially a PHO conference in November.

The floor was opened to questions and Dr. Hovhannisyan provided additional information to Board members. She noted that there are partnering organizations working towards and supporting the training of outreach staff, staff who provide wound care and ensuring shelters are using proper cleaning processes.
Mr. Helmer asked if there were questions.

It was moved by Mr. Clarke., seconded by Ms. Vanderheyden., that the Board of Health receive Report No. 059-17 re: Invasive Group A Streptococcal (iGAS) Update for information. Carried

Income Security: A Roadmap for Change (Report 060-17)

Ms. Linda Stobo was present to answer any questions regarding this Board report. Ms. Stobo noted that a basic income will assist in building up people’s resources to enable them to enter into the productive society. Safe housing, childcare, clothing suitable for a workplace all help to provide some of the necessary items for them to compete with market sector roles.
There was some discussion about whether the recommendations of the Roadmap could be operationalized within the time noted. There was also discussion about where the money would come from, how it would be spent, and that the approach seemed reactive rather than preventative.

It was moved by Ms. Kasi, seconded by Mr. Smith that the Board of Health:
1. Endorse the recommendations in the report “Income Security: A Roadmap for Change”; and
2. Call on the Ministry of Community and Social Services to implement the report’s recommendations for reforming Ontario’s income security system, including social assistance reform.
Carried

Information Reports

Summary Information Report, December 2017 (Report No. 061-17)

It was moved by Mr. Meyer, seconded by Mr. Peer., that the Board of Health receive Report No. 061-17 re: Summary Information Report, December 2017 for information.
Carried

Medical Officer of Health / CEO Activity Report, December 2017 (Report No. 062-17)

It was moved by Mr. Meyer, seconded by Mr. Peer, that the Board of Health receive Report No. 062-17 re: Medical Officer of Health Activity Report, December 2017 for information.
Carried

Report No. 076-17 Expanding Opioid Response as Crisis Grows

Dr. Mackie spoke to this report and advised the Board that there is a webinar next Tuesday with the Ministry that should answer some questions. Dr. Mackie noted that discussions with partners to date identified that any Opioid Prevention Site (OPS) operated by these partners would be a professionally run facility, integrated as much as possible with other relevant services.

Discussion ensued about whether there is a need for this type of service in Middlesex County, and it was clarified that the need is much lower, and much more dispersed, and hence the OPS model would not be well suited.

It was noted that an OPS does not require any public consultation, however that the data from the public consultation for supervised consumption facilities (SCF) would be used insofar as it is applicable.

Mr. Helmer noted that it would be important to tell the community that this is a temporary fix and will be replaced with a permanent site.

It was moved by Mr. Fulton, seconded by Mr. Peer, that the Board of Health;
1) Receive report No. 076-17 re: Expanding Opioid Response as Crisis Grows; and
2) Direct Health Unit staff to apply to the Ministry of Health and Long-Term Care and direct Health Unit staff to consider bringing necessary resources to ensure public health and safety for an Opioid Prevention Site (OPS) in London in response to the public health emergency here and across the Province.
Carried

Other Business

Mr. Helmer reviewed the next meeting dates for the Board of Health and its sub-committees:
• Next Governance Committee meeting: January 18, 2018 @ 6:00 p.m.
• Next Board of Health meeting: January 18, 2017 @ 7:00 p.m.
• Next Finance & Facilities Committee meeting: February 1, 2018 @ 9:00 a.m.

Correspondence

It was moved by Mr. Smith, seconded by Ms. Kasi, that the Board of Health receive items a), through k). Carried

Confidential

At 6:48 p.m., it was moved by Mr. Hunter, seconded by Ms. Vanderheyden, that the Board of Health move in-camera to discuss matters regarding identifiable individuals, labour relations, and a proposed or pending acquisition of land by the Middlesex-London Board of Health. Carried

At 7:43 p.m., it was moved by Ms. Fulton, seconded by Ms. Cassidy, that the Board of Health rise and return to public session. Carried

At 7:43 p.m., the Board of Health returned to public session.

Adjournment

At 7:45p.m., it was moved by Mr. Peer, seconded by Mr. Meyer., that the meeting be adjourned. Carried

Jesse Helmer
Chair

Christopher Mackie
Secretary-Treasurer