September 21, 2017 - Meeting Minutes - Board of Health

Members Present:

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

Others Present:

Dr. Christopher Mackie, Secretary-Treasurer
Ms. Elizabeth Milne, Executive Assistant to the Board of Health and Communications (Recorder)
Ms. Mary Lou Albanese, Manager, Infectious Diseases
Mr. Chris Blain, Acting Online Communications Coordinator
Ms. Rhonda Brittan, Manager, Healthy Communities and Injury Prevention
Ms. Lisa Clayton, Human Resources Manager
Ms. Laura Di Cesare, Director, Corporate Services
Mr. Dan Flaherty, Communications Manager
Dr. Gayane Hovhannisyan, Associate Medical Officer of Health
Ms. Heather Lokko, Director, Healthy Start
Mr. John Millson, Senior Financial Business Administrator, City of London
Ms. Marlene Price, Manager, Vaccine Preventable Diseases
Mr. Stephen Turner, Director, Environmental Health and Infectious Disease
Ms. Linda Stobo, Manager, Chronic Disease and Tobacco Control
Ms. Suzanne Vandervoort, Director, Healthy Living

Chair Helmer called the meeting to order at 7:01 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

It was moved by Ms. Vanderheyden, seconded by Ms. Cassidy, that the AGENDA for the September 21, 2017 Board of Health meeting be approved. Carried

Approval of Minutes

It was moved by Mr. Peer, seconded by Mr. Hunter, that the MINUTES of the July 20, 2017 Board of Health meeting be approved as amended. Carried

It was moved by Ms. Fulton, seconded by Ms. Vanderheyden, that the Board of Health receive the September 7, 2017 Finance & Facilities Committee meeting minutes. Carried

Delegation & Recommendation Reports

Ms. Rhonda Brittan presented to and invited the Board of Health to participate in the in motionTM community challenge for the month of October.

It was moved by Ms. Vanderheyden, seconded by Mr. Peer, that the Board of Health receive Ms. Brittan’s presentation regarding the inmotion^TM community challenge. Carried

Finance & Facilities Committee meeting, September 7, 2017 (Report No. 045-17)

Proposed 2018 PBMA Process, Criteria and Weighting (Report No. 029-17FFC)

It was moved by Ms. Fulton, seconded by Mr. Meyer, that the Board of Health approve the 2018 PBMA process, criteria and weighting as proposed in Report No. 029-17FFC, Appendix A. Carried

Middlesex-London Health Unit – March 31 Draft Financial Statements (Report No. 030-17FFC)

It was moved by Ms. Fulton, seconded by Ms. Cassidy, that the Board of Health approve the audited Consolidated Financial Statements for the Middlesex-London Health Unit, March 31, 2017, as appended to Report No. 030-17FFC (Appendix A). Carried

Chair Helmer noted that Mr. Millson is in attendance, thanked him for his advice and expertise over the years, and wished him the best of luck at the City of London going forward.

Canada Health Infoway Inc. Agreement (Report No. 031-17FFC)

It was moved by Ms. Fulton, seconded by Mr. Clarke, that the Board of Health:
1) Receive Report No. 031-17FFC for information; and
2) Authorize the Board Chair to sign the funding agreement (Appendix A) between the Middlesex-London Health Unit and Canada Health Infoway Inc.
Carried

Health Unit Contribution to London’s Healthy Kids Community Challenge (HKCC) Sugary Drink Campaign (Report No. 032-17 FFC)

Ms. Fulton noted that no motion was required for this report, as the Finance & Facilities Committee had received it for information.

Governance Committee meeting, September 21, 2017 – Verbal Update

It was moved by Mr. Hunter, seconded by Mr. Peer, that the Board of Health receive the minutes of the June 15, 2017 Governance Committee meeting. Carried

Mr. Hunter noted that the Committee had reviewed several policies, all of which will be sent back to staff for further revisions and expert review.

The next meeting of the Committee will be Thursday October 19, 2017.

Expert Panel on Public Health: Information Session Update (Report No. 050-17)

Dr. Mackie introduced the report and provided context, requesting direction and feedback from the Board from a policy perspective.

Discussion ensued on the following items:
• That the Board take some time outside of the meeting cycle to further discuss the link between best practices in governance and the proposed new public health structure.
• The implications of the large proposed boundaries and how this could affect service delivery.
• Recognition of the intended objectives and outcomes of the Expert Panel report.
• The importance of providing comments and feedback that reflect the Health Unit’s and municipal government’s concerns while ensuring that the Board is engaged in the process constructively, working with, not against the Province to provide constructive feedback.
• Possible implementation timelines, and the earliest possible date for implementation.
• Where the proposed functions and responsibilities may fall, and the potential advantages or disadvantages of streamlining some of these functions and responsibilities.

Mr. Millson also noted that MLHU currently participates in a joint purchasing group, which helps with qualifying for discounted procurement. MLHU also led a joint procurement of contraceptives on behalf of all health units.

It was moved by Mr. Clarke, seconded by Ms. Cassidy, that the Board of Health:
1. Receive Report No. 050-17 for information, and
2. Direct staff to work with local municipalities on a joint submission to the current consultations.
Carried

Information Reports

2017 Legislative and Regulatory Amendments Under the Immunization of School Pupils Act (Report No. 049-17)

Discussion ensued on the following items:
• The conscientious objective form, legislative requirements and the suspension process for children who are not immunized.
• Options for parents to access vaccination records for their children to ensure compliance.
• That requests for exemptions have increased only slightly over the last eight years.
• Where the education sessions will be offered.

Ms. Marlene Price answered questions regarding parent education sessions, immunization records and the suspension process.

It was moved by Ms. Fulton, seconded by Ms. Vanderheyden, that the Board of Health receive Report No. 049-17 re: 2017 Legislative and Regulatory Amendments under the Immunization of School Pupils Act for information. Carried

2016–17 Influenza Season in Middlesex-London – Final Report (Report No. 046-17)

Discussion ensued on estimating the impact that the influenza vaccine campaign may have had on the number of cases reported and the variability of influenza across the province.

It was moved by Ms. Cassidy, seconded by Mr. Meyer, that the Board of Health receive Report No. 046-17 re: 2016-2017 Influenza Season in Middlesex-London – Final Report for information. Carried

Summary Information Report, September 2017 (Report No. 047-17)

It was moved by Mr. Clarke, seconded by Ms. Cassidy, that the Board of Health receive Report No. 047-17 re: Summary Information Report for September 2017 for information. Carried

Medical Officer of Health / CEO Activity Report, September 2017 (Report No. 048-17)

It was moved by Ms. Cassidy, seconded by Mr. Peer, that the Board of Health receive Report No. 048-17 re: Medical Officer of Health Activity Report, September 2017 for information. Carried

Other Business

Chair Helmer reviewed the next meeting dates for the Board of Health and its sub-committees:
• Next Finance & Facilities Committee meeting: October 5, 2017 @ 9:00 a.m.
• Next Board of Health meeting: October 19, 2017 @ 7:00 p.m.
• Next Governance Committee meeting: October 19, 2017 @ 6:00 p.m.

Correspondence

It was moved by Mr. Hunter, seconded by Ms. Cassidy, that the Board of Health receive items a), b) and d) through h).
Carried

It was moved by Mr. Hunter, seconded by Ms. Cassidy, that the Board of Health endorse item c).
Carried

Confidential

At 7:56 p.m., it was moved by Ms. Cassidy, seconded by Mr. Hunter, that the Board of Health move in-camera to discuss matters regarding identifiable individuals, labour relations, or a proposed or pending acquisition of land by the Middlesex-London Board of Health, and to consider confidential minutes of the July 20 Board of Health meeting and the September 7 Finance & Facilities Committee meeting. Carried

Chair Helmer requested that all in attendance except the Board of Health, Ms. Milne, Dr. Mackie, Ms. Di Cesare, Ms. Clayton, Ms. Albanese, Ms. Vandervoort, Mr. Millson, Ms. Lokko, Mr. Turner and Dr. Hovhannisyan leave the meeting.

At 8:30 p.m., it was moved by Ms. Cassidy, seconded by Ms. Fulton, that the Board of Health rise and return to public session.
Carried

At 8:30 p.m., the Board of Health returned to public session.

Dr. Mackie invited the Board of Health to “Save the Date” for MLHU’s Annual Staff Appreciation Breakfast on Thursday, November 30, 2017, at 8:30 a.m.

Ms. Milne will send the invitation to Board members in October.

Adjournment

At 8:30 p.m., it was moved by Mr. Smith, seconded by Ms. Cassidy, that the meeting be adjourned. Carried

JESSE HELMER
Chair

CHRISTOPHER MACKIE
Secretary-Treasurer