Agenda
June 15, 2017 - Board of Health Meeting

Complete Agenda Package (PDF 2.9MB)

Thursday, June 15, 2017 - 7:00 p.m.
399 Ridout Street North
Side Entrance, (Recessed Door)
Board of Health Boardroom

Disclosure of Conflicts Of Interest

Approval of Agenda

Approval of Minutes

Board of Health meeting - May 18, 2017

Delegations

7:05 – 7:15 p.m.

Mr. John Millson, Associate Director, Finance and Mr. Ian Jeffreys, Partner, KPMG re: Item #3, 2016 Draft Financial Statements

7:15 – 7:25

Mr. Jesse Helmer, Vice-Chair, Finance & Facilities Committee, re: Item #1, FFC meeting update, June 8, 2017.

Receive: May 18, 2017, May 19, 2017 and June 8, 2017 Finance & Facilities Committee meeting minutes

7:25 – 7:35

Mr. Trevor Hunter, Chair, Governance Committee re: Item #2 Governance Committee Meeting, June 15, 2017 (verbal update).

Receive: April 20, 2017 Governance Committee meeting minutes

Other Business

• Next Finance & Facilities Committee meeting: July 6, 2017 @ 9:00 a.m.
• Next Board of Health meeting: July 20, 2017 @ 7:00 p.m.
• Next Governance Committee meeting: September 21, 2017 @ 6:00 p.m.

Correspondence

a) Date: 2017 May 1
Topic: a1) OPHS Modernization
a2) Low-Income Dental Program for Adults and Seniors
From: Porcupine Health Unit
To: The Honourable Dr. Eric Hoskins

Background:
The Porcupine Health Unit passed resolutions regarding Ontario Public Health Standards Modernization and Low-Income Dental Programs for Adults and Seniors.
Board

The Middlesex-London Board of Health approved a motion to submit feedback to the Ministry of Health and Long-Term Care regarding the Ontario Public Health Modernization at its meeting in May.

The Board also passed a motion at the January 2014 meeting to send a letter to the Minister of Health and Long-Term Care and local Members of Provincial Parliament, copied to the Association of Local Public Health Agencies and all Ontario Boards of Health to advocate for a program that provides both publicly-funded dental treatment and prevention to low-income adults, including seniors.

Recommendation:
Receive

b) Date: 2017 May 2
Topic: Tobacco Endgame Strategies
From: Peterborough Public Health
To: The Honourable Dr. Jane Philpott and The Honourable Dr. Eric Hoskins

Background:
Peterborough Public Health endorsed a motion passed by Simcoe Muskoka District Health Unit (SMDHU) to support the federal government’s proposal to have less than 5% of people using tobacco by 2035. This proposal includes approaches that were identified at the 2016 summit, A Tobacco End Game. SMDHU also included a motion to encourage alignment of the Smoke Free Ontario Strategy with federal plans. The tobacco end game approach includes enhance taxation, enhanced smoking cessation, reduction in the production, supply and distribution of tobacco, litigation, and new funding streams for tobacco control.

Recommendation:
Receive

c) Date: 2017 May 2
Topic: Regulations to restrict the sale of caffeinated energy drinks to children and youth
From: Sudbury & District Health Unit
To: The Honourable Jane Philpott

Background:
The Sudbury and District Health Unit passed a resolution urging provincial and federal Ministers of Health to advance regulation prohibiting the sale of caffeinated energy drinks to children and youth under the age of majority in venues where they frequent.

Recommendation:
Receive

d) Date: 2017 May 4
Topic: Enactment of Legislation to Enforce Infection Prevention and Control Practices within Personal Service Settings Under the HPPA
From: Grey Bruce Health Unit
To: The Honourable Kathleen Wynne

Background:
The Grey Bruce Health Unit supports a previous Wellington-Dufferin Guelph recommendation that the Government of Ontario enact legislation to support inspection and enforcement activities within personal services settings.

Recommendation:
Receive

e) Date: 2017 May 5
Topic: Stop Marketing to Kids Coalition’s Ottawa’s Principles and Further Action On Sugary Drinks
From: Peterborough Public Health
To: The Honourable Dr. Jane Philpott

Background:
At the February 2017 Middlesex-London Board of Health meeting, the Board of Health endorsed a motion to 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.

Peterborough Public Health endorsed correspondence from the Middlesex-London Health Unit regarding the Marketing to Kids Coalition’s Ottawa Principles, and Further Action on Sugary Drinks

Recommendation:
Receive

f) Date: 2017 May 3 – rec’d May 5, 2017
Topic: Human Papillomavirus (HPV) Catch-up for Boys
From: Wellington Dufferin Guelph Public Health
To: The Honourable Dr. Eric Hoskins

Background:
Wellington Dufferin Guelph Public Health submitted correspondence to the Ontario Minister of Health to implement a publicly-funded human papillomavirus (HPV) immunization program for boys. The program was most recently expanded to Grade 8 boys beginning in the 2016-17 school year.

Recommendation:
Receive

g) Date: 2017 May 3 – rec’d may 5, 2017
Topic: Provincial Alcohol Strategy
From: Wellington Dufferin Guelph Public Health
To: The Honourable Dr. Eric Hoskins

Background:
Wellington Dufferin Guelph Public Health submitted correspondence to the Ontario Minister of Health to develop a comprehensive, province-wide strategy to support the safe consumption of alcohol.

At the July 2016 Middlesex-London Board of Health meeting, the Board received a report regarding the Middlesex-London Community Drug and Alcohol Strategy which also addressed this issue.

Recommendation:
Receive

h) Date: May 10, 2017
Topic: Report - Alcohol in Our Communities: A Report on Alcohol Use in Northwestern Ontario
From: Northwestern Health Unit
To: Boards of Health, MOH and Senior PH Directors and Managers

Background:
The Northwest Health Unit approved a resolution to receive the report, titled Alcohol in Our Communities: A Report on Alcohol Use in Northwestern Ontario and that it be shared with regional and local agencies, and provincial and federal ministries in order to allow for informed decision making and planning. The report suggests the need to focus on healthy public policy, education and skills development and creating supportive environments.

Recommendation:
Receive

i) Date: May 3, 2017 (rec’d May 5)
Topic: Fluoride Varnish Programs for Children at Risk for Dental Caries
From: Wellington-Dufferin-Guelph Public Health
To: alPHa and Board of Health Chairs

Background:
Wellington Dufferin Guelph Public Health passed a motion to ask the Association of Local Public Health Agencies (alPHa) to petition the Ontario Government to provide funding for fluoride varnish programs through Healthy Smiles Ontario for implementation in school and community-based programs and to urge other Boards of Health to conduct this treatment if not already underway.

The Middlesex-London Health Unit currently provides fluoride varnish on our community.

Recommendation:
Receive

j) Date: May 3, 2017
Topic: HBHC Program Targets and Funding
From: Wellington-Dufferin-Guelph Public Health
To: The Honourable Michael Coteau

Background:
Wellington Dufferin Guelph Public Health passed a motion to advocate to the Ministry of Children and Youth Services to commit to aligning program service delivery expectations for Healthy Babies Healthy Children with the annual budget and that it be fully funded for all program costs, including staffing, operation, administration and annual increases in costs to deliver services.

Recommendation:
Receive

k) Date: May 5, 2017
Topic: Local Poverty Reduction Fund
From: alPHa
To: all Health Units
Background:
alPHa offered congratulation to the Middlesex-London Health Unit and Sudbury and District Health Unit for previous successful applications to the Local Poverty Reduction Fund and announced the next round of funding. Funding is available for projects that tackle food security, homelessness, and indigenous-led projects. Other announcements included the development of Ontario’s first Food Security Strategy, Basic Income Pilot and the 2016 Annual Report.

Recommendation:
Receive.

l) Date: May 2, 2017 (rec’d May 16, 2017)
Topic: Opioid Strategies
From: Algoma Public Health
To: Minister Dr. Eric Hoskins

Background:
Algoma Public Health passed a resolution regarding the provincial and federal opioid strategies. This endorsed a previous resolution from the Sudbury & District Health Unit. The resolution congratulates the Ontario Minister of Health and Long-Term Care and Chief Medical Officer on signing a joint statement of action committing to address the burden of opioid-related harms and the provincial opioid strategy. It also requested that plans be developed with targets, deliverables and timelines that are communicated to stakeholders such as Board of Health. They further requested that the Federal Minister of Heath to communicate and promptly implement the federal opioid strategy.

Recommendation:
Receive.

m) Date: May 15, 2017 (rec’d May 19)
Topic: Marijuana controls under Bill 178, Smoke-Free Ontario Act, 2016
From: Elgin St. Thomas Public Health
To: The Honourable Dr. Eric Hoskins

Background:
Elgin St. Thomas Public Health drafted correspondence to the Ontario Minister of Health regarding the inclusion of marijuana under Bill 178, Smoke-Free Ontario Act and supports the positions of Simcoe Muskoka District and Windsor-Essex County Health Units recommending an amendment to include marijuana as a prescribed substance.

Recommendation:
Receive

n) Date: May 24, 2017
Topic: South West CCAC and South West LHIN amalgamation
From: Michael Barrette, CEO South West LHIN
To: Health Service Provider Board Chairs, CEOs/EDs and System Partners
Background:
As of May 24, the South West Community Care Access Centre and the Souh West Local Health Integration Network are now one organization: the South West LHIN. This communication included a Q&A document, appropriate contacts and next steps to occur in the transition.

Recommendation:
Receive. 

o) Date: May 15, 2017
Topic: Next Steps, Modernization of OPH Standards
From: Roselle Martino, Assistant Deputy Minister, MOHLTC
To: Board Chairs, Medical Officers of Health, and Chief Executive Officers

Background:
The Ministry of Health and Long-Term Care sent correspondence regarding the next steps in the Ontario Public Health Standards Modernization process. They are now reviewing the submissions from Boards of Health and will be working on protocols, guidelines and indicators, establishing a Standards Implementation Task Force, reviewing an Accountability Framework and draft proposed organizational requirements, establishing an Accountability Implementation Task Force and lastly, holding a series of summits in Toronto.

The Accountability Framework, draft organizational requirements and a summary of the feedback received at the consultations sessions were also attached.

Recommendation:
Receive.

p) Date: May 29, 2017
Topic: Association of Local Public Health Agencies current and incoming presidents
From: Association of Local Public Health Agencies
To: Board of Health Members

Background:
The alPHa Board of Directors announced Linda Stewart, Executive Director of alPHa, will be retiring effective November 4, 2017. Looking ahead, a search committee has been established for the purposes of finding a successor before Linda retires.

Recommendation:
Receive.

q) Date: May 30, 2017
Topic: Energy Drinks
From: Association of Local Public Health Agencies
To: Board of Health, Medical Officer of Health & Chair of the Board of Health

Background:
Correspondence was submitted to alPHa by Jim Shepherd, a father who lost his son due to an unexplained arrhythmic event which followed the consumption of an energy drink. A report was submitted with this correspondence detailing measures that boards of health can take to mitigate risks to children. These include banning sale to those under the age of 19, regulations of advertising to minors, and fostering awareness and education programs.

Recommendation:
Receive. 

r) Date: June 1, 2017
Topic: Municipal Levy
From: Leeds, Grenville, Lanark District Health Unit
To: The Honourable Eric Hoskins, all Health Units

Background:
The Health Protection and Promotion Act stipulates that municipalities must decide how to apportion the municipal component of the expenses of the Board of Health among obligated municipalities. All of the obligated municipalities will have to agree with this change before it can be implemented according to the Health Protection and Promotion Act, and Ontario Regulation 489/97. The Leeds, Grenville & Lanark District Health Unit is seeking guidance from the Ministry of Health and Long-Term Care on whether to use Municipal Property Assessment Corporations Ontario Population Report or the most recent census data from Statistics Canada.

Recommendation:
Receive.

Copies of all correspondence are available for perusal from the Secretary-Treasurer.

Confidential

The Board of Health will move in-camera to discuss matters regarding identifiable individuals, employee negotiations, a proposed or pending acquisition of land by the Middlesex-London Board of Health and to consider minutes from the May 18, 19, and June 8, 2017 Finance and Facilities Committee meeting and its May 18, 2017 Board of Health meeting.

Adjournment