Agenda - May 17, 2018 - Board of Health Meeting

Complete Agenda Package  (PDF 5MB)

Thursday, May 17, 2018 - 7:00 p.m.
399 Ridout Street North
Side Entrance, (Recessed Door)
Board of Health Boardroom

Disclosure(s) of Conflicts of Interest

Approval of Agenda

Approval of Minutes

April 19, 2018 – Board of Health meeting

Receive: May 3, 2018 - Finance & Facilities Committee meeting

Delegations

7:05 – 7:15 p.m.

Ms. Vanessa Ambtman-Smith, Indigenous Health Lead, South West LHIN, Ms. Miranda Campbell, Director of Clinical Services, Southwest Ontario Aboriginal Health Access Centre (SOAHAC), Mr. Joe Antone, Indigenous Drug Strategy Coordinator, SOAHAC, Dr. Steinberg, Physician, SOAHAC re: Item #2 Potential Nurse Practitioner (NP) Secondment (Report No. 030-18).

7:15 - 7:25 p.m.

Mr. Stephen Turner, Director, Environmental Health & Infectious Disease Division re: Item #3 Supervised Consumption Facilities Verbal Update (Report No. 026-18).

7:25 – 7:35 p.m.

Ms. Trish Fulton, Finance & Facilities Committee verbal update re: Item #1 May 3, 2018 Finance & Facilities Committee Meeting (Report No. 025-18).

Other Business

• Next Finance and Facilities Committee Meeting: June 7, 2018 @ 9:00 a.m.
• Next Board of Health Meeting: June 21, 2018 @ 7:00 p.m.
• Next Governance Committee Meeting: June 21, 2018 @ 6:00 p.m.

Correspondence

a) Date: 2018 March 28 [received April 11]

Topic: Dedicated funding for local public health agencies from cannabis sales
From: Hastings Prince Edward Public Health
To: Premier Kathleen Wynne

Background:

At its meeting on March 6, 2018, the Hastings Prince Edward Board of Health passed a motion to urge the provincial government to dedicate a portion of cannabis excise tax revenue from the federal government to local public health agencies in Ontario. The rationale for investing additional resources is based on the importance of investment in the prevention pillar of the comprehensive cannabis control strategy being delivered by public health agencies.

Recommendation: Endorse

b) Date: 2018 April 05 [received April 18]
Topic: Urgent funding needed for national health organizations that specialize in tobacco control
From: Coalition Québécoise pour le Contrôle du Tabac (CQCT)
To: Honourable Ginette Petitpas Taylor, Minister of Health

Background:
At its March 15, 2018 meeting, the Middlesex-London Board of Health endorsed correspondence item e) “Federal Funding for Non-Smoker’s Rights Association and Physicians for a Smoke-Free Canada,” wherein the Coalition Québécoise pour le Contrôle du Tabac (CQCT) requested that public health and tobacco control agencies endorse a letter, which they would submit to the federal Health Minister, all Members of Parliament, and health reporters across the country in an effort to reinstate grant funding to support the work of these important agencies. This is the letter that the Middlesex-London Health Unit added its name to, and which was submitted by CQCT on behalf of the tobacco control/health organizations and experts calling on the federal Health Minister to restore funding to the Non-Smokers’ Rights Association and Physicians for a Smoke-Free Canada.

Recommendation: Receive.

c) Date: 2018 April 19
Topic: Repeal of Section 43 of Criminal Code Refresh, 2017
From: Grey Bruce Health Unit
To: Honourable Jody Wilson-Raybould, Minister of Justice and Attorney General of Canada

Background:

On March 23, 2018, the Grey Bruce Health Unit Board of Health passed a motion supporting the Haliburton, Kawartha, Pine Ridge District Health Unit’s resolution to repeal Section 43 of the Criminal Code of Canada, which justifies the use of physical punishment of children. The Grey Bruce Health Unit Board of Health further endorsed the Joint Statement on Physical Punishment of Children and Youth.

Recommendation: Receive.

d) Date: 2018 April 19
Topic: Tobacco and smoke-free campuses
From: Grey Bruce Health Unit
To: Dr. MaryLynn West-Moynes, CEO, Georgian College

Background:

On March 23, 2018, the Grey Bruce Health Unit Board of Health passed a motion to endorse Public Health Sudbury & Districts’ resolution regarding tobacco and smoke-free campuses. Details of the correspondence received from Public Health Sudbury & Districts on February 27, 2018, can be referenced in the Board of Health meeting agenda for April 19, 2018.

Recommendation: Receive.

e) Date: 2018 April 19
Topic: Annual Service Plan and 2018 Budget
From: Grey Bruce Health Unit
To: Honourable Helena Jaczek, MPP (Oak Ridges—Markham)

Background:

On March 23, 2018, the Grey Bruce Health Unit Board of Health passed a motion to endorse Haliburton, Kawartha, Pine Ridge District Health Unit’s letter to the Minister of Health and Long-Term Care urging the Minister to reconsider the decision to implement a four-year budget freeze for public health units. Details of the correspondence received from Haliburton, Kawartha, Pine Ridge District Health Unit, dated March 13, 2018, can be referenced in the Board of Health meeting agenda for April 19, 2018.

Recommendation: Receive.

f) Date: 2018 April 19
Topic: Oxford County and Elgin St. Thomas announce new health unit board, name, and logo
From: Southwestern Public Health Oxford–Elgin–St. Thomas
To: Boards of Health

Background:

On May 1, 2018, Elgin St. Thomas Public Health and Oxford County Public Health will merge to form the new Southwestern Public Health Oxford–Elgin–St. Thomas. The two health units will continue to work through the process of integrating their operations during the remainder of 2018, and will continue to operate services at their existing locations in Woodstock and St. Thomas. The new logo will appear on public health materials after May 1, 2018.

Recommendation: Receive.

g) Date: 2018 April 19
Topic: Oral Health Report update
From: Windsor-Essex County Health Unit and Board of Health
To: Boards of Health

Background:

In 2013, Windsor-Essex County Health Unit (WECHU) began looking at its oral health data for a five-year period and agreed to issue a report on the community’s oral health in 2018. The Oral Health (2018) Report provides six years of school screening data and compares with Ontario averages to determine trends for oral health outcomes across Windsor-Essex. The report’s recommendations are summarized as follows: reintroducing fluoridation in the water system for both the City of Windsor and Essex County, ongoing support for oral health education and awareness, improved access to oral health services, and advocacy for improved funding to support the expansion of public dental programs such as Healthy Smiles Ontario.

Recommendation: Receive.

h) Date: 2018 April 25
Topic: Ontario Public Health Standards: Requirements for Programs, Services and Accountability
From: Roselle Martino, ADM, Population and Public Health Division, Ministry of Health and Long-Term Care
To: Medical Officers of Health, Board of Health Chairs

Background:

On April 25, 2018, the Ministry of Health and Long-Term Care released the fifth installment of the Ontario Public Health Standards: Requirements for Programs, Services and Accountability, which includes four additional guidelines for 2018: the Chronic Disease Prevention Guideline, the Healthy Growth and Development Guideline, the Injury Prevention Guideline, and the Management of Potential Rabies Exposures Guideline. The expectation is that implementation of the requirements outlined in these guidelines shall begin as of the date of the guideline’s release, or at the beginning of the next school year for those programs and services delivered in schools. Documents can be accessed on the Ministry’s website at: http://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/protocolsguidelines.aspx

Recommendation: Receive.

i) Date: 2018 April 30
Topic: Mandatory food literacy curricula in Ontario schools
From: Kingston, Frontenac and Lennox & Addington (KFL&A) Public Health
To: Honourable Indira Naidoo-Harris, Minister of Education

Background:

In Ontario, food literacy education and training was removed from primary school education several decades ago, while food literacy curriculum remains elective to secondary school students. With food literacy on the decline, there has been an increase in ready-to-consume foods, with marketing of unhealthy foods and beverages leading to greater risk of diet-related chronic conditions. On April 25, 2018, the KFL&A Board of Health passed a motion to endorse provincial policy action recommended in the Food-EPI Canada 2017 report. This report issues a broad recommendation that the provincial government evaluate current school curricula with respect to food literacy and food skills training, and make these subjects a mandatory component of primary and secondary school education.

Recommendation: Receive.

j) Date: 2018 April 30
Topic: 2018 election policy priorities from alPHa
From: Association of Local Public Health Agencies (alPHa)
To: All Board of Health members

Background:

The Association of Local Public Health Agencies (alPHa) provided an update and reminder to all Boards of Health regarding election policy priorities and key messages to be shared with local electoral candidates and current Members of Provincial Parliament (MPP). Refer to Correspondence item c) in the Board of Health meeting agenda for January 18, 2018. Boards of Health are encouraged to customize the templates provided in preparation for meetings with local electoral candidates and incumbents to discuss priorities in advance of the 2018 provincial election.

Recommendation: Receive.

k) Date: 2018 April 16 [received April 27]
Topic: Assessor under Section 82 of the Health Protection and Promotion Act (HPPA)
From: Roselle Martino, ADM, Population and Public Health Division, Ministry of Health and Long-Term Care
To: Bill Rayburn, CAO, Middlesex County

Background:

On April 16, 2018, the Ministry of Health and Long-Term Care responded to a letter from Mr. Rayburn dated March 6, 2018, denying his request to have an assessor appointed to conduct an assessment of the Board of Health for the Middlesex-London Health Unit (MLHU).

Recommendation: Receive.

l) Date: 2018 May 07
Topic: Board of Health for the Middlesex-London Health Unit - 2018-19 Public Health Funding Allocations
From: Dr. Helena Jaczek, Minister of Health
To: Ms. Joanne Vanderheyden, Chair, Board of Health

Background:

On May 7, 2018 the Ministry of Health and Long-Term Care advised the Board of Health for the Middlesex-London Health Unit that up to $484,000 in additional base funding and up to $40,000 in one-time funding for the 2018-19 funding year will be provided to support the provision of public health programs and services in Middlesex-London.

Recommendation: Receive

m) Topic: alPHa Resolutions for Consideration at June 2018 Annual General Meeting
From: Association of Local Public Health Agencies 
To: Chairs and Members of Boards of Health, Medical Officers of Health

Background:

The Association of Local Public Health Agencies (alPHa) will hold its Annual General Meeting- Resolutions Session on June 11, 2018. The alPHa Resolutions for Consideration package was circulated to health units on May 10, 2018. These resolutions have been reviewed and recommended by the alPHa Executive Committee to go forward for discussion at the AGM. Resolutions for consideration include:
• Sustainable Funding for Local Public Health in Ontario [Peterborough Public Health]
• Public Health Support for a Minimum Wage that is a Living Wage [Peterborough Public Health]
• Public Health’s Role in Food Affordability Surveillance [Ontario Dietitians in Public Health]
• Extending the Ontario Pregnancy and Breastfeeding Nutritional Allowance to 24 Months [Elgin St. Thomas Public Health]
• A Comprehensive Approach to Infection Prevention and Control (IPAC) in Regulated Health Professional Settings [Simcoe Muskoka District Health Unit]

alPHa members will have an opportunity to vote on resolutions at the Resolutions Session June 11, and must register to vote as a delegate on behalf of the Middlesex-London Board of Health.

Recommendation: Endorse.

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

Confidential

The Board of Health will move in-camera to consider matters regarding identifiable individuals, a proposed or pending acquisition of land by the Middlesex-London Board of Health, to consider confidential minutes from the April 19 Board of Health meeting and to receive confidential minutes from the May 3, 2018 Finance & Facilities Committee meeting.

Adjournment