February 16, 2017 - Board of Health Meeting

Minutes

Members Present:

Ms. Maureen Cassidy
Mr. Jesse Helmer (Chair)
Mr. Trevor Hunter
Ms. Tino Kasi
Mr. Marcel Meyer
Mr. Ian Peer
Mr. Kurtis Smith
Ms. Joanne Vanderheyden (Vice-Chair)

Others Present:

Ms. Laura Di Cesare, Secretary-Treasurer
Ms. Elizabeth Milne, Executive Assistant to the Board of Health & Communications (Recorder)
Ms. Shaya Dhinsa, Manager, Sexual Health
Mr. Dan Flaherty, Manager, Communications
Ms. Ellen Lakusiak, Dietitian, Chronic Disease Prevention and Tobacco Control
Ms. Heather Lokko, Manager, Healthy Start
Ms. Kim Loupos, Dietitian, Chronic Disease Prevention and Tobacco Control
Mr. John Millson, Associate Director, Finance
Ms. Jennifer Pastorius, Old East Village, BIA
Ms. Linda Stobo, Manager, Chronic Disease Prevention and Tobacco Control
Mr. Stephen Turner, Director, Environmental Health & Infectious Disease
Mr. Alex Tyml, Online Communications Coordinator
Ms. Suzanne Vandervoort, Director, Healthy Living

Chair Helmer called the meeting to order at 7:02 p.m.

Disclosures of Conflict(s) Of Interest

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

Approval of Agenda

It was moved by Ms. Cassidy seconded by Ms. Vanderheyden that the AGENDA for February 16, 2017 Board of Health meeting be approved. Carried

Approval of Minutes

It was moved by Mr. Smith, seconded by Mr. Peer, that the MINUTES for the January 19, 2017 Board of Health meeting be approved. Carried

Committee Reports

1) Finance and Facilities Committee Meeting Update – January 26 and February 2, 2017 (Report No. 004-17)

Ms. Vanderheyden took over as Chair while Mr. Helmer provided a summary and update from the January 26 and February 2, 2017 Finance and Facilities Committee meetings.

Mr. Helmer reviewed and provided context to the reports outlined below:

2016 Board of Health Remuneration (Report No. 002-17FFC)

It was moved by Mr. Peer, seconded by Mr. Meyer, that the Board of Health receive Report No. 002-17FFC re: 2016 Board of Health Remuneration for information, as recommended by the Finance & Facilities Committee. Carried

2017 Budget – FFC Review (Report No. 001-17FFC)

The Finance & Facilities Committee deferred the decision on this item to the final review of the Budget at its February 2, 2017 meeting.

Finance and Facilities Committee – Reporting Calendar (Report No. 003-17FFC)

It was moved by Mr. Meyer, seconded by Mr. Smith, that the Board of Health receive Report No. 003-17FFC re: Finance and Facilities Committee – Reporting Calendar for information. Carried

2016 Fourth Quarter Budget Variance Report and Factual Certificate (Report No. 004-17FFC)

It was moved by Mr. Meyer, seconded by Mr. Smith, that the Board of Health:
1) Receive Report No 004-17FFC re: 2016 Fourth Quarter Budget Variance Report and Factual Certificate for information; and
2) Fund the 2016 Dental Treatment Program deficit from the general Cost-Shared Program surplus, if required, as recommended by the Finance & Facilities Committee.
Carried

2016 Visa/Vendor Payments (Report No. 005-17FFC)

It was moved by Mr. Meyer, seconded by Mr. Smith, that the Board of Health receive Report No. 005-17FFC re: 2016 Vendor/VISA Payments for information. Carried

Public Sector Salary Disclosure Act – 2016 Record of Employees’ Salaries and Benefits (Report No. 006-17FFC)

It was moved by Mr. Meyer, seconded by Mr. Smith, that Board of Health receive Report No. 006-17FFC re: Public Sector Salary Disclosure Act – 2016 Record of Employees’ Salaries and Benefits for information.
Carried

2017 Proposed Budget (Report No. 007-17FFC)

Discussion ensued about the 1.5% increase in Ministry of Health and Long-Term Care funding and the maintenance of a 0% increase in municipal funding.

Mr. Peer and Ms. Vanderheyden, on behalf of the Finance & Facilities Committee noted the time and effort the Committee put in to reviewing the budget over multiple meetings the past month and thanked staff for the level of detail included in the budget, which contributed to a thorough review process.

It was moved by Mr. Meyer, seconded by Ms. Cassidy, that the Board of Health:
1) Approve the 2017 Operating Budget in the gross amount of $35,405,626 per the appended Report No. 007-17FFC re: 2017 Proposed Budget;
2) Forward Report No. 007-17 to the City of London and the County of Middlesex for information; and
3) Direct staff to submit the 2017 Operating Budget in the various formats required by the different funding agencies.
Carried

Mr. Helmer took over once again as Chair following the summary of the Finance and Facilities Committee reports.

Delegation & Recommendation Reports

2) Supervised Injection Services Feasibility in Middlesex-London (Report No. 005-17)

Dr. Gayane Hovahannisyan introduced this report with a presentation on both the feasibilty of Supervised Injection Services and an update on infections and unsafe injection practices in a local context.

Discussion ensued about the following items:
• Local infection rate due to unsafe injection practices, the drug use behaviours in Middlesex-London and the type of drugs being used.
• Next steps, which will include; gathering and consulting key stakeholders, local partners, and other Health Units, addressing the legislative requirements, assisting with the application for exemption under the Controlled Drugs and Substances Act, presenting findings to the Community Drug and Alcohol Strategy Steering Committee, drawing on the Ministry for support and working with the Ontario HIV Treatment Network to leverage additional resources.
• Additional solutions to incorporate into the harm reduction strategy such as providing addiction services, withdrawl management, counselling and treatment.
• How other models of care can be integrated into supervised injection services, how the sites will be integrated with other services and how the services will be accessed by PWID.
• The positive benefits of implementing supervised injection services, which include seeing an increase in those seeking treatment, increase in safe injection behaviours, reduction in syringe sharing and reduction in public disorder.
• The Supervised Injection Services Feasibility Study results and the limitations of the study.
• The rates of aboriginal PWID and the importance of engaging aboriginal communities and local stakeholders through the community consultation process. Need to further identify the gaps in service and continue to build links to these communities to addiction services etc.

Dr. Hovhannisyan clarified that the Community Drug and Alcohol Strategy Steering Committee will not be taking the lead on the community consultations, but rather will be consulted for feedback and that the wording for location was only included in the recommendation as it will be a parameter included in the community consultations going forward. Staff will bring updates as more information comes through the consultation process.

It was moved by Mr. Smith, seconded by Ms. Cassidy that the Board of Health:
1. Receive Report No. 005-17 re: “Supervised Injection Services (SISs) Feasibility in Middlesex-London” for information;
2. Endorse recommendation number 1 from the Ontario Integrated Supervised Injection Services (SIS) Feasibility Study for London, Ontario; and
3. Direct staff to explore the next steps in assessing the feasibility of the integrated SIS model in London and potential locations.
Carried

3) City of London Beverage Vending Machine Review and Opportunity for Further Action on Sugary Drinks (Report No. 006-17)

It was moved by Mr. Peer, seconded by Ms. Cassidy that the Board of Health:
1. Receive Report No. 006-17 re: City of London Beverage Vending Review and Opportunity for Further Action on Sugary Drinks;
2. Support the receipt of $15,000 from the Healthy Kids Community Challenge fund from the City of London’s Child and Youth Network to implement a community education campaign on the health risks associated with sugary drinks and the benefits of water;
3. Direct staff to complete the online endorsement of the Stop Marketing to Kids Coalition’s (Stop M2K) Ottawa Principles to communicate its support to restrict food and beverage marketing to children and youth 16 years of age and younger; and
4. Communicate support for STOP M2K’s Ottawa Principles by sending Report No. 006-17 re: City of London Beverage Vending Review and Opportunity for Further Action on Sugary Drinks, and its appendices to other Boards of Health in Ontario.
Carried

Information Reports

4) Summary Information Report, February 2017 (Report No. 007-17)

It was moved by Ms. Cassidy seconded by Mr. Meyer that the Board of Health receive Report No. 007-17 re: Summary Information Report for February 2017 for information. Carried

5) Acting Medical Officer of Health / Acting Chief Executive Officer Activity Report, February 2017 (Report No. 008-17)

It was moved by Ms. Cassidy seconded by Ms. Vanderheyden that the Board of Health receive Report No. 008-17 re: Acting Medical Officer of Health / Acting Chief Executive Officer Activity Report, February 2017.
Carried

Other Business

Mr. Meyer provided an update on his position with the Middlesex-London Food Policy Council and advised the Board that he was nominated to Chair the Executive Committee. This would likely increase the number of meetings by one to two additional meetings per month however the cost would be shared by both nominating bodies, the County of Middlesex and the Middlesex-London Board of Health.

It was moved by Ms. Cassidy, seconded by Mr. Peer that Mr. Meyer let his name stand for Chair of the Middlesex-London Food Policy Council Executive Committee. Carried

Next meetings:
• Next Finance and Facilities Committee Meeting: Thursday, March 2, 2017 at 9:00 a.m.
• Next Governance Committee Meeting: Thursday, March 16, 2017 at 6:00 p.m.
• Next Board of Health Meeting: Thursday March 16, 2017 at 7:00 p.m.
Ms. Vanderheyden and Ms. Cassidy advised they are unable to attend the March 16 Board of Health and Governance Committee meetings.

Correspondence

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

Confidential

At 8:22 p.m., Chair Helmer invited a motion to move in camera to discuss matters regarding identifiable individuals, a proposed or pending acquisition of land by the Middlesex-London Board of Health and to review confidential minutes from its January 19, 2017 meeting and February 2, 2017 Finance & Facilities Committee meeting.

At 8:22 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, a proposed or pending acquisition of land by the Middlesex-London Board of Health and to review confidential minutes from its January 19, 2017 Board of Health meeting and February 2, 2017 Finance & Facilities Committee meeting.Carried

At 8:23 p.m. all visitors and Health Unit staff, except Ms. Laura Di Cesare, Dr. Gayane Hovhannisyan and Ms. Elizabeth Milne left the meeting.

At 8:35 p.m. it was moved by Mr. Hunter, seconded by Mr. Meyer that the Board of Health rise and return to public session. Carried
At 8:35 p.m. the Board of Health returned to public session.

It was moved by Mr. Meyer, seconded by Ms. Vanderheyden that the Board of Health receive the January 26, 2017 Finance and Facilities Committee meeting minutes. Carried

It was moved by Mr. Meyer, seconded by Ms. Vanderheyden that the Board of Health receive the February 2, 2017 Finance and Facilities Committee meeting minutes. Carried

It was moved by Mr. Peer, seconded by Mr. Meyer that the Board of Health approve the lease extension for the leased space at Sherwood Forest Mall. Carried

Adjournment

 At 8:36 p.m., it was moved by Ms. Vanderheyden seconded by Mr. Meyer that the meeting be adjourned. Carried

JESSE HELMER
Chair

LAURA DI CESARE
Secretary-Treasurer