October 15, 2015 - Minutes

Members Present:

Mr. Ian Peer (Chair)
Mr. Jesse Helmer (Vice Chair)
Ms. Trish Fulton
Dr. Trevor Hunter
Mr. Marcel Meyer
Ms. Viola Poletes Montgomery
Ms. Nancy Poole
Mr. Kurtis Smith
Mr. Mark Studenny
Mr. Stephen Turner
Ms. Joanne Vanderheyden

Others Present:

Dr. Christopher Mackie, Medical Officer of Health & CEO (Secretary Treasurer of the Board)
Ms. Sherri Sanders, Executive Assistant to the Board of Health (Recorder)
Mr. Wally Adams, Director, Environmental Health and Chronic Disease Prevention Services
Ms. Mary Lou Albanese, Manager, Healthy Communities and Injury Prevention
Ms. Brook Clark, Public Health Nurse
Ms. Laura Di Cesare, Director, Human Resources and Corporate Strategy
Ms. Laura Dueck, Public Health Nurse
Mr. Dan Flaherty, Manager, Communications
Dr. Gayane Hovhannisyan, Associate Medical Officer of Health
Ms. Heather Lokko, Associate Director, Oral Health, Communicable Disease & Sexual Health Services
Ms. Brenda Marchuk, Acting Chief Nursing Officer
Ms. Bernie McCall, Public Health Nurse
Mr. John Millson, Director, Finance and Operations
Ms. Marlene Price, Manager Vaccine Preventable Disease
Ms. Deb Shugar, Manager, Screening, Assessment and Intervention
Mr. Alex Tyml, Online Communications Coordinator
Ms. Suzanne Vandervoort, Acting Director, Family Health Services

Media Outlets:

None

Board of Health Chair, Mr. Ian Peer, called the meeting to order at 7:00 p.m.

Disclosures of Conflict(S) Of Interest

Mr. Peer inquired if there were any disclosures of conflict of interest to be declared. None were declared.

Approval of Agenda

It was moved by Ms. Fulton, seconded by Ms. Vanderheyden that the AGENDA for the October 15, 2015 Board of Health meeting be approved. Carried

Approval of Minutes

It was moved by Mr. Turner, seconded by Mr. Helmer that the MINUTES of the September 17, 2015 Board of Health meeting be approved with the correction on Page #5 to Mr. Smith. Carried

Delegations and Committee Reports

Finance and Facilities Committee Meeting – October (Report 59-15)

Chair of the Finance and Facilities Committee, Ms. Trish Fulton, reported on the outcomes of the Finance and Facilities Committee.

2016 Budget Parameters (Report 23-15FFC)

It was moved by Ms. Fulton, seconded by Mr. Meyer that the Board of Health recommend an assumption of a 2% provincial increase on cost-shared funding and a 0% change to the municipal request for the 2016 Board of Health budget. Carried

2015 Budget Adjustments (Report 24-15FFC)

It was moved by Ms. Fulton, seconded by Ms. Poletes Montgomery that the Board of Health approve $201,000 in additional 2015 expenditures as outlined in Appendix A to Report No. 24-15FFC. Carried

It was moved by Ms. Fulton, seconded by Ms. Vanderheyden that the draft minutes of the October 1, 2015 Finance and Facilities Committee be received. Carried

Recommendation Reports

City of London Cycling Master Plan (Report 60-15)

In response to a question about the status of the cycling master plan for Middlesex County, Ms. Mary Lou Albanese, Manager, Healthy Communities and Injury Prevention, responded that Mr. Chris Traini, Middlesex County Engineer, is engaged with the City to ensure that a Middlesex plan would merge with City plans. Ms. Vanderheyden reported that County Council approved to conduct a study for the stretch of road from the Thames River to Komoka.

In response to a question about safe cycling facilities versus multi-use, Ms. Bernie McCall, Public Health Nurse, reported that City Engineers are looking at various types of cycling facilities, as the type depends on traffic flow and traffic use. Ms. McCall explained that the Health Unit staff deal with continuity and safety; however, City Engineers are more qualified to determine the best type of cycling facilities for each traffic situation.

The London Bikes website was forwarded to Board of Health members on October 20, 2015 via email.

It was recommended by City of London representatives on the Board, Mr. Turner and Mr. Helmer, that the following information be added to the letter on page 2:

• Provides separate cycling facilities, particularly protected bike lanes, as much as possible
• Provides year round maintenance of cycling facilities, including the Thames Valley Parkway

It was moved by Mr. Helmer, seconded by Mr. Studenny that the Board of Health:

1. Endorse Report No. 60-15 re City of London Cycling Master Plan, and
2. Submit the attached letter of support and recommendations to the City of London for consideration in the development of the Cycling Master Plan (Appendix A) subject to additions to the letter concerning supporting year round maintenance and encouragement to use separated cycling lanes whenever possible.

Carried

Information Reports

Internal Scan of Programs and Services Offered to Local First Nations Communities (Report 61-15)

Ms. Brenda Marchuk, Acting Chief Nursing Officer, and Ms. Brook Clark, Public Health Nurse, assisted Board members with their understanding of this report. To clarify the wording in Appendix A to the Report, Ms. Clark explained that the administration of the First Nations Community determines whether it wants the health unit or Health Canada to provide public health services in its jurisdiction.

It was also clarified that each First Nations Community would have its own Memorandum of Understanding with different criteria as requested by the Community Administration.

In response to a question about timeline for discussions, Dr. Mackie explained that each First Nations Community has different infrastructures; therefore, timelines will vary due to readiness. Board members expressed gratitude to Health Unit staff for dealing with this issue as soon as possible.

It was moved by Mr. Turner, seconded by Mr. Meyer that Report No. 61-15 re Internal Scan of Programs and Services Offered to Local First Nations Communities be received for information. Carried

Influenza: 2014/2015 Season Report and 2015/2016 Season Plans (Report 62-15)

Middlesex London 2014/2015 School-Based Dental Screening Results (Report 63-15)

It was moved by Dr. Hunter, seconded by Mr. Smith that Report No. 62-15 re Influenza: 2014/2015 Season Report and 2015/2016 Season Plans and Report No. 63-15 re Middlesex London 2014/2015 School-Based Dental Screening Results be received for information. Carried

In response to a question about how the influenza rates and dental screening results compare to similar sized communities, Dr. Mackie responded the influenza vaccine rate is higher. Ms. Heather Lokko, Associate Director, Oral Health, Communicable Disease & Sexual Health Services, explained that because one of the school boards requires signed parental consent to participate in the dental screening program, Middlesex-London does have lower rates of screening than similar areas of the province.

Summary Information Report for October (Report 64-15)

Dr. Mackie reported that external assessors for the Baby-Friendly Initiative will be visiting the Health Unit October 28 to 30, 2015.

Dr. Mackie also clarified that the additional funding from the Ministry of Health and Long-Term Care outlined in Report 64-15 will be used to make a part-time position full-time to deal with the Electronic Cigarettes Act, 2015.

It was moved by Mr. Studenny, seconded by Ms. Poletes Montgomery that Report No. 64-15 re Summary Information Report for October be received for information. Carried

Medical Officer of Health Activity Report – October (Report 65-15)

Dr. Hunter represented the Health Unit at the World Homeless Action Day on October 7, 2015, organized by London Homeless Coalition. Dr. Hunter explained his experiences when visiting the various stops, such as the London Coffee House on Hamilton Rd and the London InterCommunity Health Centre. He reported that it was a very worthwhile and educational event.

It was moved by Mr. Meyer, seconded by Mr. Turner that Report 65-15 re Medical Officer of Health Activity Report – October be received for information. Carried

Confidential

At 7:55 p.m. it was moved by Mr. Turner, seconded by Mr. Meyer that the Board of Health move in camera to discuss matters concerning identifiable individuals. Carried

At 8:20 p.m. it was moved by Mr. Meyer, seconded by Mr. Smith that the Board of Health rise and return to public session to report that progress was made in matters concerning identifiable individuals. Carried

Correspondence

It was moved by Ms. Fulton, seconded by Mr. Studenny that correspondence items a) through e) be received for information. Carried.

Other Business

Upcoming meetings:

a) Finance and Facilities Committee – Thursday, November 5, 2015 @ 9:00 a.m.
b) Board of Health Education Session re Governance – Thursday, November 19 @ 4:30 p.m.

Adjournment

At 8:25 p.m., it was moved by Mr. Meyer, seconded by Mr. Studenny that the meeting be adjourned. Carried.

IAN PEER
Chair

CHRISTOPHER MACKIE
Secretary-Treasurer