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February 16, 2012 - Minutes

Members Present      

Ms. Viola Poletes Montgomery (Chair)
Mr. David Bolton
Ms. Denise Brown
Ms. Patricia Coderre
Mr. Al Edmondson
Dr. Francine Lortie-Monette
Ms. Doreen McLinchey
Mr. Marcel Meyer (Vice Chair)
Mr. Stephen Orser
Ms. Nancy Poole (via teleconference)
Mr. Mark Studenny

Regrets

None

Others Present          

Dr. Graham Pollett, Medical Officer of Health & Chief Executive Officer, Secretary-Treasurer
Mr. Wally Adams, Director, Environmental Health and Chronic Disease Prevention Services
Ms. Mary Lou Albanese, Manager, Injury Prevention Services
Ms. Jane Berardini, Public Health Nurse, Family Health Services
Ms. Diane Bewick, Director, Family Health Services
Mr. Dan Flaherty, Manager, Communications                                          
Mr. Ross Graham, Manager, Special Projects
Ms. Jennifer Limburg, Public Health Nurse, Family Health Services
Ms. Sarah Maaten, Epidemiologist, Environmental Health
Mr. Jim Madden, Manager, Family Health Services
Ms. Bernadette McCall, Public Health Nurse, Injury Prevention Services
Mr. John Millson, Director, Finance and Operations
Ms. Christine Preece, Manager, Family Health Services
Ms. Melissa Rennison, Public Health Nurse, Injury Prevention Services
Ms. Sherri Sanders, Executive Assistant to the Board of Health (Recorder)
Mr. Rick Shantz, Director, Information Technology Services
Mr. Paul Sharma, Manager, Oral Health Team
Ms. Debbie Shugar, Manager, Family Health Services
Mr. Graham Smith, Public Health Nurse, Family Health Services
Ms. Linda Stobo, Manager, Chronic Disease Prevention and Tobacco Control Team
Ms. Louise Tyler, Director, Human Resources and Labour Relations Services
Mr. Alex Tyml, Online Communications Coordinator
Dr. Bryna Warshawsky, Associate Medical Officer of Health and Director, Oral Health, Communicable Disease & Sexual Health Services                                         

Media Outlets         

106.9 The X
Ms. Viola Poletes Montgomery, Chair of the Board of Health, called the meeting to order at 7:00 p.m.

Disclosures of Conflicts of Interest

Chair Poletes Montgomery inquired if there were any disclosures of conflict of interest to be made. None were declared.

Approval of Minutes

It was moved by Ms. Coderre, seconded by Mr. Orser that the Minutes of the January 19, 2012, Board of Health meeting be approved.

Carried

Approval of Agenda

It was moved by Mr. Bolton, seconded by Mr. Studenny that the February 16, 2012, Agenda be approved with the addition of Information Report No. 033-12 re 2012 Budget Approval Process - Update.

Carried

It was moved by Ms. Coderre, seconded by Mr. Studenny that a verbal update from Ms. Coderre; Mr. Al Edmondson; Mr. Dan Flaherty, Manager, Communications; and Mr. Paul Sharma, Manager, Oral Health Team; about the February 2012 Association of Local Public Health Agencies (alPHa) Symposium be added to the discussion about Report No. 031-12 re 2010 Annual Report of the Chief Medical Officer of Health of Ontario to the Legislative Assembly of Ontario.

Carried

Reports with Delegations

8)   Report No. 020-12 re Parenting Your Teenager Videos 

Ms. Christine Preece, Manager, Young Adult Team, Family Health Studies, introduced Ms. Jane Berardini and Mr. Graham Smith, Public Health Nurses with the Young Adult Team. Ms. Berardini and Mr. Smith assisted Board of Health members with their consideration of this report. A copy of the PowerPoint presentation is filed with the minutes.

1)   Report No. 013-12 re Endorsement of the Toronto Charter for Physical Activity

Ms. Mary Lou Albanese, Manager, Injury Prevention Services, and Ms. Bernadette McCall, Public Health Nurse, assisted Board members with their consideration of this report. A copy of the PowerPoint presentation is filed with the minutes.

In response to a question from the Board about mental health, Ms. Albanese noted that mental health has been integrated into many aspects of the healthy communities’ mandate, including the work of the Physical Activity Policy Action Team.

It was moved by Mr. Orser, seconded by Ms. McLinchey:

1)   That the Board of Health endorse the Toronto Charter for Physical Activity attached as Appendix A to Report No. 013-12; and further

2)   That the Board of Health endorsement be registered on the Global Advocacy for Physical Activity website; and further

3)   That London City Council and the Councils of Middlesex County Municipalities be petitioned to endorse the Toronto Charter for Physical Activity.

Carried

17)  Report No. 029-12 re Healthy Smiles Ontario Promotional Campaign

Dr. Bryna Warshawsky, Associate Medical Officer of Health and Director, Oral Health, Communicable Disease & Sexual Health Services, introduced Mr. Paul Sharma, Manager, Oral Health Team, who assisted Board members with their consideration of this report. A copy of the PowerPoint presentation is filed with the minutes.  

In response to a question from the Board about staff complement, it was reported that the Healthy Smiles Ontario (HSO) program funds a 0.15 full-time equivalent (FTE) dentist and 3.8 FTE dental hygienists/dental assistants.  A large portion of the operating funding is used to pay outside dentists for treatment. In 2011, 900 children received treatment as part of the HSO program. This program is funded 100% by the Ministry ofHealth and Long-Term Care (MOHLTC).

Action Reports

2)    Report No.  014-12 re London Children and Youth Network: Engage for Change II

Ms. Debbie Shugar, Manager, Family Health Services, assisted Board members with their consideration of this report.

In response to a question from the Board about how the London Children and Youth Network (CYN) is reaching the Muslim and Jewish Communities, Ms. Shugar reported that the information will be available at the March 22nd Board of Health meeting.

Ms. Shugar invited Board of Health members to the March 22, 2012, session for Board Members and Executive Directors/Chief Executive Officers at 6:30 p.m. as it is an opportunity to interact with community partners. It was noted that because the date conflicts with the March Board of Health meeting, staff members will provide an update of the event at a future Board of Health meeting.

It was moved by Mr. Studenny, seconded by Ms. Coderre that Report No. 014-12 re London Children and Youth Network: Engage for Change II be forwarded for information to the City of London Community Services Committee.

Carried        

3)    Report No. 015-12 re Healthy Living Champion Awards for 2010-2011

Ms. Diane Bewick, Director, Family Health Services, assisted Board of Health members with their consideration of this report.

In response to a question from the Board about how to schools get involved with the program, Ms. Bewick explained that principals and teachers make the decision as to whether or not a particular school becomes involved with the Healthy Living Champion Awards.

It was moved by Mr. Studenny, seconded by Mr. Edmondson that Report No. 015-12 re Healthy Living Champions Awards For 2010-2011 be forwarded to the Thames Valley District School Board, the London and District Catholic School Board, the Conseil Scolaire de District du Centre-Sud-Ouest and participating private schools.

Carried

4)    Report No. 016-12 re Covent Garden Market Local Calendar 2012

Ms. Linda Stobo, Manager, Chronic Disease Prevention and Tobacco Control Team, assisted Board members with their consideration of this report. Ms. Stobo reported that the calendars were distributed mainly by Market staff, and that Health Unit and Market staff members are exploring the option of having the recipes available online.

It was moved by Mr. Bolton, seconded by Mr. Edmondson that Report No. 016-12 re Covent Garden Market Local Foods Calendar 2012 be forwarded for information to London City Council and Middlesex County Council.

Carried

5)    Report No. 017-12 re The Board of Health Self-Assessment Tool and Process – Proposed Revisions

Ms. Sarah Maaten, Epidemiologist, Environmental Health and Chronic Disease Prevention Services, and Mr. Ross Graham, Manager, Special Projects, highlighted the proposed changes to the Board of Health Self-Assessment Tool and Process.

Dr. Graham Pollett, Medical Officer of Health & CEO, reported that the Health Unit Solicitor is currently reviewing the issue of whether or not the Board can deal with the Board Self Assessment process in camera.

It was moved by Mr. Studenny, seconded by Ms. McLinchey that Report No. 017-12 re The Board of Health Self-Assessment Tool and Process – Proposed Revisions be tabled until the March 22, 2012, Board of Healthmeeting.

Carried

Information Reports

6)    Report No. 018-12 re Reappointments to the Board of Health

7)    Report No. 019-12 re Medical Officer of Health Activity Report – February

Dr. Pollett reported that Report No. 103-11 re Smoke-Free Public Outdoor Spaces – Technical Report and Recommended Policy Option was discussed by the City of London’s Community Services Committee on February 13, 2012. The Committee did not endorse the entire Board of Health recommendation; however, Committee members did support expanding the existing by-law to include parks and recreation areas. This will now go to City Council for consideration.

In response to questions from Board members, Ms. Linda Stobo clarified that entrances to workplaces and public building are not currently covered by existing bylaws or legislation; only long-term care facilities and hospitals have legislation that states one cannot smoke within 9 metres of the entrance. In addition, provincial legislation states that day care facilities and schools must be 100% smoke free. However, for example, the entrances to London Public Library locations or malls are not covered by current legislation. Ms. Stobo explained that enforcement of an expanded smoking bylaw would be covered by the existing 3.6 FTE Tobacco Enforcement Officers and there would be no additional cost to municipalities.  Staff will attend the City Council meeting on February 21, 2012, when Council deals with the Smoke-Free Public Outdoor Spaces recommendation of the Community Services Committee.

8)    Report No. 020-12 re Parenting Your Teenager Videos        

9)    Report No. 021-12 re Physical Activity and Healthy Eating Resources for After-School Program

       and Day Care Providers

10)  Report No. 022-12 re Institutional Outbreaks in Middlesex-London September 2011 to January 2012

11)  Report No. 023-12 re Fluoride Public Participation Meeting- January 25, 2012

Mr. Paul Sharma reported that 55 speakers presented at the January 25th meeting, and that the meeting was recorded.  City of London staff members are working with Health Unit staff to prepare a report to summarize the public meeting and make recommendations for the City’s Civic Works Committee.

12)  Report No. 024-12 re Interagency Protocol for Family Service Coordination in the Region of Thames          

       Valley

13)  Report No. 025-12 re Board of Health Strategic Plan: Moving Forward on the Vision and Strategic

       Directions

14)  Report No. 026-12 re Shining the Light on Woman Abuse

15)  Report No. 027-12 re Student Education Program

16)  Report No. 028-12 re Smoking Cessation for Clients in the Home Visiting Program

17)  Report No. 029-12 re Healthy Smiles Ontario Promotional Campaign

18)  Report No. 030-12 re Results of the 2011 Accreditation Site Visit

19)  Report No. 031-12 re 2010 Annual Report of the Chief Medical Officer of Health of Ontario to the

       Legislative Assembly of Ontario

Ms. Coderre reported that the following people also attended the alPHa Symposium on February 9-10 in Toronto: Mr. Al Edmondson, Board member and member of the alPHa Board of Directors; Mr. Dan Flaherty, Manager, Communications; and Mr. Paul Sharma, Manager, Oral Health Team and member of the alPHa Board of Directors, representing the Ontario Association of Public Health Dentistry.

Ms. Coderre reported on the presentation given by Dr. Arlene King, Chief Medical Officer of Health of Ontario. As highlighted in her Annual Report, Dr. King reported that everything is a public health issue and that there must be a change in perspective from policy makers from healthcare to health. Ms. Coderre also reported that the Performance Targets under the Public Health Accountability Agreement (PHAA) will be finalized in the near future. All 36 health units have now signed PHAAs.

Mr. Flaherty referred to a presentation at the Symposium on a public health marketing program in the United States. Information about the program can be found at http://www.naccho.org/advocacy/marketing/. This link will be forwarded to Board members via email.

It was also discussed that there is a need to be able to measure success to the public’s buy into public health programs. Mr. Edmondson referred to a successful program in this regard in a Nova Scotia school concerning the health of students. Mr. Edmondson has sent information about this program to the MOHLTC.

It was moved by Ms. Brown, seconded by Mr. Orser that Reports listed as Items # 6 through 19 be received for information.

              Carried

Other Business

21) Report No. 033-12 re 2012 Budget Update

Dr. Pollett summarized events since the last Board meeting regarding City Council’s consideration of the Board of Health approved revised 2012 budget. Lengthy discussion ensued, during which a motion was made to re-open the approved revised 2012 budget. However, upon receiving clarifying information from Mr. John Millson, Director, Finance and Operations, both the mover (Mr. Marcel Meyer) and seconder (Ms. Denise Brown) agreed to the withdrawal of the motion.

It was then moved by Mr. Studenny, seconded by Mr. Orser that Report No. 033-12 re 2012 Budget Approval Process – Update be received for information.

Carried

Correspondence

There were no questions re correspondence.

In Camera

20) Confidential Report

At 9:30 p.m., it was moved by Dr. Lortie-Monette, seconded by Ms. Coderre that the Board of Health move in camera for the purpose of considering a matter concerning personal matters about an identifiable individual, including Board employees.

Carried 

At 9:56 p.m., it was moved by Mr. Orser, seconded by Mr. Studenny that the Board of Health return to public session and report that the Board of Health endorsed sending a letter to the Public Appointments Secretariat with a copy to the Minister of Health and Long-Term Care to endorse the reappointment of Ms. Doreen McLinchey to the Middlesex-London Board of Health.

Carried 

Next Board of Health Meeting – Thursday, March 22, 2012, at 7:00 p.m.

Adjournement

At 9:58 p.m., it was moved by Dr. Lortie-Monette, seconded by Mr. Bolton that the meeting be adjourned.

Carried

VIOLA POLETES MONTGOMERY                                            
Chair

GRAHAM L. POLLETT
Secretary-Treasurer

 
Date of creation: February 16, 2012
Last modified on: February 14, 2013