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November 15, 2018 - Board of Health - Meeting Minutes

Members Present:

Ms. Trish Fulton, Vice-Chair
Mr. Michael Clarke
Ms. Maureen Cassidy
Mr. Ian Peer
Ms. Tino Kasi
Mr. Jesse Helmer
Mr. Trevor Hunter
Mr. Marcel Meyer

Regrets:

Mr. Kurtis Smith
Ms. Joanne Vanderheyden

Others Present:

Dr. Christopher Mackie, Secretary-Treasurer
Dr. Alexander Summers, Associate Medical Officer of Health
Ms. Elizabeth Milne, Executive Assistant to the Board of Health and Communications Coordinator (Recorder)
Ms. Laura Di Cesare, Director, Healthy Organization
Ms. Cynthia Bos, Human Resources Manager
Mr. Dan Flaherty, Communications Manager
Ms. Heather Lokko, Director, Healthy Start
Ms. Kendra Ramer, Manager, Strategic Projects
Ms. Maureen Rowlands, Director, Healthy Living
Mr. Stephen Turner, Director, Environmental Health and Infectious Diseases
Mr. Alex Tyml, Online Communications Coordinator
Mr. Jordan Banninga, Manager, Program Planning and Evaluation
Ms. Nicole Gauthier, Manager, Privacy, Risk and Governance
Mr. Joe Belancic, Manager, Procurement and Operations
Ms. Mary Lou Albanese, Manager, Infectious Diseases Control
Ms. Marilyn Atkin, Outreach Team Lead
Ms. Nick Scrivo, Outreach Worker
Ms. Linda Stobo, Manager, Tobacco Control

Vice-Chair Fulton called the meeting to order at 7:03 p.m.

Disclosures of Conflict(s) of Interest

Vice-Chair Fulton inquired if there were any disclosures of conflicts of interest to be declared. None were declared.

Approval of Agenda

It was moved by Mr. Hunter, seconded by Mr. Clarke, that the AGENDA for the November 15, 2018 Board of Health meeting be approved as amended.

Carried

Vice-Chair Fulton noted that recognition of MLHU’s Outreach Team, which recently received the 2018 St. Joseph’s Health Care London President’s Award for Community Partner of Distinction, will be moved to the top of the agenda.

Dr. Mackie and Mr. Turner invited the Outreach Team, represented by Ms. Atkin and Mr. Scrivo, to the front of the room to acknowledge their work and recent award.

Mr. Turner called upon Ms. Atkin to provide some context, both for the award and for the work of the Outreach Team. Ms. Atkin highlighted the Team’s many collaborations and relationships, built up over the course of its work on harm reduction efforts in the community. She also mentioned names of Team members who were very proud to receive this award but were unable to attend the meeting: Ms. Miriam Rivera, Ms. Natalie Meade, and Mr. Josh Poynter.

Approval of Minutes

It was moved by Mr. Helmer, seconded by Mr. Peer, that the MINUTES of the October 18, 2018 Board of Health meeting be approved.

Carried

Delegations and Committee Reports

Governance Committee meeting – November 15, 2018

Mr. Hunter introduced and provided context to the following reports considered at the Governance Committee meeting:

It was moved by Mr. Hunter, seconded by Mr. Helmer, that the Board of Health receive the September 20, 2018 Governance Committee meeting minutes as amended.

Carried

2018–20 Strategic Planning Update (Report No. 011-18GC)

On behalf of the Committee, Mr. Hunter noted that this report exemplifies an excellent strategic planning process, and credited the team and the leadership behind the plan.

Ms. Cassidy arrived at 7:10 p.m.

It was moved by Mr. Hunter, seconded by Mr. Peer, that the Board of Health receive Report No. 011-18GC re: “2018–20 Strategic Planning Update” for information.

Carried

Accreditation and Continuous Quality Improvement (Report No. 012-18GC)

It was moved by Mr. Hunter, seconded by Mr. Meyer, that the Board of Health:
1) Receive Report No. 012-18GC for information;
2) Not pursue accreditation at this time; and
3) Request an additional report in 2020 to reconsider the costs and benefits of pursuing accreditation with an external body.

Carried

Alignment of Programs with the Ontario Public Health Standards and MLHU Planning and Budgeting Processes (Report No. 013-18GC)

It was moved by Mr. Hunter, seconded by Mr. Clarke, that the Board of Health receive Report 013-18GC for information.

Carried

Governance Policy Review (Report No. 014-18GC)

Mr. Hunter noted that the bylaws require no changes and noted the new policy on occupational health and safety.

It was moved by Mr. Hunter, seconded by Mr. Helmer, that the Board of Health:
1. Receive Report No. 014-18GC;
2. Approve renewal of the governance policies outlined in this report; and
3. Approve the new governance policy on Occupational Health and Safety (Appendix B).

Carried

Mr. Hunter thanked staff for undertaking such an extensive policy review, and noted the few remaining policies left to approve.

Finance & Facilities Committee Meeting – November 1, 2018 (Report No. 067-18)

Ms. Fulton introduced and provided context for the following reports, which were considered at the November 1, 2018 Finance & Facilities Committee meeting:

Q3 Financial Update and Factual Certificate (Report No. 038-18FFC)

It was moved by Mr. Helmer, seconded by Mr. Hunter, that the Board of Health receive Report No. 038-18FFC re: “Q3 Financial Update and Factual Certificate” for information.

Carried

It was moved by Mr. Clarke, seconded by Ms. Cassidy, that the Board of Health approve the allocation of surplus funds to mitigate costs related to Location Project expenses and the Electronic Client Records project.

Carried

Cyber Insurance (Report No. 039-18FFC)

It was moved by Mr. Helmer, seconded by Mr. Meyer, that the Board of Health receive Report No. 039-18FFC re: “Cyber Insurance” for information.

Carried

Location Project – Source of Financing (Report No. 040-18FFC)

It was moved by Ms. Cassidy, seconded by Mr. Meyer, that the Board of Health:
1) Receive Report No. 040-18FFC re: “Location Project – Source of Financing” for information; and
2) Approve the selection of the City of London as the funder for office fit-up.

Carried

Mobile Device Services Contract Extension (Report No. 042-18FFC)

It was moved by Mr. Helmer, seconded by Mr. Peer, that the Board of Health receive Report No. 042-18FFC re: “Mobile Device Services Contract Extension” for information.

Carried

Middlesex-London Health Unit Be Well Program Update (Report No. 043-18FFC)

It was moved by Mr. Meyer, seconded by Mr. Clarke, that the Board of Health receive Report No. 043-18FFC re: “Middlesex-London Health Unit Be Well Program Update” for information.

Carried

Proposed Resource Reallocation for the 2019 Budget (Report No. 044-18FFC)

It was moved by Mr. Hunter, seconded by Ms. Cassidy, that the Board of Health receive Report No. 044-18FFC re: “Proposed Resource Reallocation for the 2019 Budget.” for information.

Carried

Great-West Life Benefits Renewal Update (Report No. 045-18FFC)

It was moved by Mr. Helmer, seconded by Ms. Cassidy, that the Board of Health extend the current renewal period of the group insurance rates administered by Great-West Life as described in Report No. 045-18FFC re: “Great-West Life Benefits – Renewal Update.”

Carried

Enterprise Resource Planning – Human Capital Management Update (Report No. 046-18FFC)

It was moved by Ms. Cassidy, seconded by Mr. Hunter, that the Board of Health:
1) Receive Report No. 046-18FFC re: “Enterprise Resource Planning – Update” for information;
2) Approve the outsourcing of payroll services; and
3) Approve the implementation of a comprehensive Human Resource Capital Management System within the financial parameters identified herein.

Carried

Information Reports

The Smoke-Free Ontario Act, 2017 – Changes to Cannabis, Vaping, and Smoking Laws in Ontario (Report No. 068-18)

Dr. Mackie invited Ms. Stobo to come forward to introduce the report. Ms. Stobo provided some context, outlining the current changes to the cannabis, vaping, and smoking laws in Ontario and the rules surrounding the sale of vaping products and how they fit within the Smoke Free Ontario Act.

Discussion ensued on the following items:

  • Sale, restriction, and access of vaping products to youth
  • That the sale of cannabis is being governed separately from the Smoke Free Ontario Act
  • Penalties and fines associated with vaping and the consumption of vaping products
  • How much room exists for municipalities to enact bylaws to help regulate vaping products and cannabis consumption
  • Whether or not the new government has given any indication of zoning regulations around the retail sale of cannabis and vaping products
  • That cannabis stores would be licensed provincially
  • That the Board wishes to be kept apprised and updated regularly on this subject in order to remain proactive. Staff will aim to bring a monthly report by default, except when there is nothing to report.

It was moved by Mr. Clarke, seconded by Mr. Meyer, that the Board of Health receive Report No. 068-18 re: “The Smoke-Free Ontario Act, 2017 – Changes to Cannabis, Vaping, and Smoking Laws in Ontario” for information.

Carried

2017-18 Influenza Season in Middlesex-London – Final Report (Report No. 069-18)

Dr. Mackie introduced the report, and Ms. Albanese answered questions. Discussion ensued on the following items:

  • Of the cases reported, how many were actually given the flu shot and if there is a correlation
  • Analysis of vaccine effectiveness is conducted each year at the provincial and federal levels, which can help to understand and explain influenza rates and whether the vaccine has been effective in preventing flu
  • Whether these numbers are comparable to the provincial, national, and continental data
  • Whether the quadrivalent vaccine being used this year will help reduce influenza cases
  • That predicting vaccine strain match is a helpful indicator for predicting influenza rates
  • The high-dose trivalent vaccine, a new vaccine publicly available for those 65 or older, or for those at high risk—its benefits and cost.

It was moved by Mr. Helmer, seconded by Ms. Cassidy, that the Board of Health receive Report No. 069-18 re: “2017–18 Influenza Season in Middlesex-London – Final Report” for information.

Carried

Summary Information Report for November (Report No. 070-18)

Dr. Mackie introduced and provided context for the report. Mr. Clarke commended the work of staff members, who put together the recommendations for the federal consultation on advertising of unhealthy food to children.

It was moved by Ms. Cassidy, seconded by Mr. Clarke, that the Board of Health receive Report No. 070-18 re: “Summary Information Report for November” for information.

Carried

Medical Officer of Health/Chief Executive Officer Activity Report for November (Report No. 071-18)

It was moved by Mr. Helmer, seconded by Mr. Meyer, that the Board of Health receive Report No. 071-18 re: “Medical Officer of Health Activity Report for November” for information.

Carried

Correspondence

It was moved by Mr. Peer, seconded by Mr. Helmer, that the Board of Health receive correspondence items a) through j).
Carried

There was a question about the Ontario Federation of Indigenous Friendship Centres, followed by a clarification as to its identity and role.

It was moved by Mr. Hunter, seconded by Mr. Helmer, that the Board of Health endorse and refer correspondence item k) to staff.
Carried

It was moved by Mr. Clarke, seconded by Mr. Helmer, that the Board of Health endorse correspondence item l).
Carried

Dr. Mackie noted that the terms of each the Board’s three City of London representatives—Ms. Maureen Cassidy, Mr. Jesse Helmer, and Mr. Trevor Hunter—will expire at the end of this month. He thanked each of them for their involvement and dedication, and for their substantial contributions to the Board of Health.

Vice-Chair Fulton echoed Dr. Mackie’s sentiments and acknowledged the committed members of the Board of Health, thanking each member for their effort and dedication.

Confidential

It was moved by Mr. Helmer, seconded by Ms. Cassidy, that the Board of Health move in-camera to consider matters regarding identifiable individuals, the security of the property of the Middlesex-London Board of Health, and to receive the confidential minutes of the November 1, 2018 Finance & Facilities Committee meeting.
Carried

At 8:43 p.m., it was moved by Mr. Peer, seconded by Mr. Helmer, that the Board of Health rise and return to public session.
Carried

Dr. Mackie advised Board members that without sufficient agenda items to justify a December meeting of the Finance & Facilities Committee, staff have recommended that the December meeting be cancelled. The Board agreed that the December 6 Finance & Facilities Committee be cancelled.

Other Business

Vice-Chair Fulton reviewed the upcoming meetings:

  • Next Relocation Advisory Committee meeting: December 12, 2018 @ 4:30 p.m.
  • Next Board of Health meeting: December 12, 2018 @ 5:30 p.m.
  • Next Governance Committee meeting: March 21, 2019

Adjournment


TRISH FULTON
Vice-Chair

CHRISTOPHER MACKIE
Secretary-Treasurer

 
Date of creation: November 19, 2018
Last modified on: January 3, 2019