July 20, 2017 - Meeting Minutes - Board of Health

Members Present:

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

Media:

Chris Ensing, CBC London

Others Present:

Dr. Christopher Mackie, Secretary-Treasurer
Ms. Elizabeth Milne, Executive Assistant to the Board of Health and Communications (Recorder)
Mr. Jordan Banninga, Manager, Strategic Projects
Ms. Rhonda Brittan, Manager, Healthy Communities & Injury Prevention
Ms. Laura Di Cesare, Director, Corporate Services
Ms. Shaya Dhinsa, Manager, Sexual Health
Ms. Bernadette Garrity, Public Health Nurse
Ms. Heather Lokko, Manager, Healthy Start
Mr. John Millson, Associate Director, Finance
Ms. Debbie Shugar, Manager, Screening Assessment & Intervention
Ms. Linda Stobo, Acting Manager, Oral Health & Manager, Chronic Disease & 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 7:00 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

Chair Helmer reviewed the proposed changes to the evening’s Agenda which include:
1) The first matter of the evening now being a Confidential walk-on report regarding identifiable individuals, moved to the top of the agenda to accommodate a guest.
2) Dr. Mackie doing a presentation regarding the Public Health Integration Expert Panel Report

It was moved by Ms. Vanderheyden, seconded by Mr. Clarke, that the AGENDA for the July 20, 2017 Board of Health meeting be approved, as amended. Carried

Approval of Minutes

It was moved by Ms. Fulton seconded by Mr. Meyer, that the MINUTES of the June 15, 2017 Board of Health meeting be approved.
Carried

Confidential

At 7:02 p.m., it was moved by Ms. Vanderheyden, seconded by Ms. Fulton, that the Board of Health move in-camera to discuss matters regarding identifiable individuals. Carried

Chair Helmer requested that all guests in attendance but the Board of Health, Ms. Elizabeth Milne, Dr. Mackie, Ms. Di Cesare, Ms. Vandervoort, Mr. Millson, Ms. Lokko, Mr. Turner, and Ms. Stobo leave the meeting.

At 8:21 p.m., it was moved by Mr. Peer, seconded by Ms. Vanderheyden, that the Board of Health rise and return to public session.
Carried
At 8:21 p.m. the Board of Health returned to public session.

It was moved by Ms. Cassidy, seconded by Ms. Vanderheyden, that the Board of Health to take a five-minute recess. Carried

Chair Helmer called the meeting back to order at 8:28 pm.

Delegations and Recommendation Reports

July Program Funding Update (Report No. 038-17)

Ms. Shaya Dhinsa, introduced the HIV Initiatives Update presentation which summarized current work being done, recent successes, current priorities and the Health Unit’s latest funding request, which was send to Dr. Eric Hoskins, with the support of Deputy Premier Deb Matthews, to request Financial support to enhance outreach nursing capacity and harm reduction in the amount of $525,000.

It was moved by Ms. Cassidy, seconded by Mr. Hunter, that the Board of Health to receive the presentation on HIV Initiatives Update. Carried

Discussion ensued about the following items:
• How the street-level outreach team can help to re-engage clients who no longer seek care.
• How consent may be a barrier to care and which could affect the work of the outreach team.
• How the resources have been reallocated through the PBMA process have assisted in addressing the HIV crisis, which allowed for more funding to work with clients at the street level.
• How the tracking of the strains of HIV can help to target public health interventions as part of the outreach work.

It was moved by Ms. Cassidy, seconded by Mr. Hunter, that the Board of Health:
1) Authorize the Chair to sign the amending agreement associated with the new $250,000 opioid response funding, pending staff review of the terms of this agreement; and
2) That Report No: 038-17 re: July Program Funding Update be received for information.
Carried

Infant Hearing Program Amending Agreement (Report No. 041-17)

It was moved by Ms. Fulton, seconded by Mr. Meyer, that the Board of Health:
1) Receive Report No. 041-17 Re: “Infant Hearing Program Increased Base Budget Funding;
2) Approve the revised Screening, Assessment, and Intervention Team budget; and
3) Authorize the Board Chair sign the Amending Agreement with the Ministry of Children and Youth Services.
Carried

Information Reports

Q2 Financial Update & Factual Certificate (Report No. 042-17)

Chair Helmer advised that this report was brought directly to the Board since there is likely not be another Finance & Facilities Committee meeting until September.

It was moved by Ms. Fulton, seconded by Mr. Meyer, that the Board of Health receive Report No. 042-17 re: “Q2 Financial Update & Factual Certificate” and appendices for information. Carried

Summary Information Report, July 2017 (Report No. 039-17)

It was moved by Mr. Peer seconded by Mr. Smith, that the Board of Health receive Report No. 039-17 re: Summary Information Report for July 2017 for information. Carried

Medical Officer of Health Activity Report, July (Report No. 040-17)

Chair Helmer advised that Dr. Mackie also participated in a round table at Western with the federal Minister of Health regarding opioids and the Minister seemed to understand the problem very well. Chair Helmer also attended as an observer.

Mr. Hunter advised that he is proud to be serving as a Board member for an organization that tackles such important issues.

It was moved by Mr. Peer, seconded by Mr. Smith that the Board of Health receive Report No. 040-17 re: Medical Officer of Health Activity Report – July for information. Carried

Other Business

It was moved by Ms. Cassidy, seconded by Ms. Kasi, that the Board of Health cancel its August Finance and Facilities Committee meeting and Board of Health meeting. Carried

Next Meeting

As discussed previously, the August FFC and Board of Health meetings are not required.
Staff recommend cancellation of these meetings. If this is approved, future meetings are as follows:

• Next Finance & Facilities Committee meeting: September 7, 2017 @ 9:00 a.m.
• Next Board of Health meeting: September 21, 2017 @ 7:00 p.m.
• Next Governance Committee meeting: September 21, 2017 @ 6:00 p.m.

Presentation and Report regarding the Public Health Integration Expert Panel Report (Verbal)

Dr. Mackie introduced the proposal that came from the Minister’s Expert Panel on Public Health earlier today, which recommends that Ontario establish 14 regional public health entities.

Discussion ensued about the following:
• How the Board of Health and reporting structure would look should the region be established into regional public health entities.
• That there is currently no commitment to implementing the proposal; the legislative barriers to cross before the implementation; and the next steps, which will include consultations with health units.
• That a regional set up may reduce the autonomy of Medical Officers of Health and Boards to advocate for their municipalities and work on behalf of their communities.
• That the discussion on this matter is far from over, with further information expected at the next Board of Health meeting in September, where the Board will further consider the proposal and its implications.

It was moved by Ms. Fulton seconded by Mr. Peer, that the Board of Health receive the Report regarding the Public Health Integration Expert Panel. Carried

Correspondence

It was moved by Mr. Ian Peer, seconded by Ms. Maureen Cassidy, that the Board of Health receive items a), c), d) and f) through p). Carried

It was moved by Mr. Ian Peer, seconded by Ms. Maureen Cassidy, that the Board of Health endorse item e) Carried

It was moved by Mr. Ian Peer, seconded by Ms. Maureen Cassidy, that the Board of Health endorse item b). Carried

Adjournment

At 9:33 p.m., it was moved by Ms. Vanderheyden, seconded by Mr. Meyer, that the meeting be adjourned. Carried

JESSE HELMER

Chair

CHRISTOPHER MACKIE
Secretary-Treasurer