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Reports

Brant County Board of Health

Wednesday, January 30, 2019, 9:30 a.m., Boardroom
Minutes

Present:

  • Mr. Greg Anderson, Chair
  • Ms. Helen Mulligan, Vice-Chair
  • Councillor John Bell (via conference call)
  • Councillor Robert Chambers
  • Mayor Kevin Davis
  • Ms. Janice Mills
  • Councillor John Sless
  • Ms. Ruby Toor
  • Councillor Brian Van Tilborg
  • Dr. M. Lock
  • Dr. J. Tober
  • Ms. L. Johnson (recorder)

Also Present:

  • Ms. Christina Rajsic, Director, Program Standards
  • Mr. Brent Richardson, Acting Director, Corporate Services
  • Ms. Rabia Tharani, Manager, Environmental Health & Infectious Diseases

1. Call to Order

Chair Anderson called the meeting to order at 9:31 am.

2. Conflict of Interest

Chair Anderson reminded Members to declare a conflict of interest, if one so arises, at the time the item is discussed.

3. In-Camera Meeting

Moved by: Ms. Mills
Seconded by: Ms. Toor

“That the meeting move to In-Camera at 9:31 am regarding a personal matter about potential litigation.” Carried.

The regular Board of Health meeting resumed at 9:59 am.

There were no actions or motions resulting from the In-camera session.

4. Additions to Agenda

7.4 Food Safety Disclosure Report (Ms. Rabia Tharani)

5. Approval of Minutes

5.1 Brant County Board of Health Minutes, December 11, 2018

Moved by: Councillor Sless
Seconded by: Ms. Toor
“That the Brant County Board of Health Minutes, dated December 11, 2018, be approved as presented.” Carried.

6. Financial Report

6.1 Appointment of Auditors

Dr. Tober presented a motion for the appointment of Millards to act as financial auditors for the Brant County Health Unit through to December 31, 2019. The Health Unit is legislated to use the same firm as the City of Brantford. Dr. Tober advised that Millards are expected to be on-site in early March to conduct the 2018 financial audit.

Moved by: Ms. Mills
Seconded by: Councillor Bell
“Whereas the Municipal Act requires that boards of health appoint the same auditor as is used by their largest municipal funder, and the City of Brantford currently holds a contract for auditor services with the firm of Millards;
Be it therefore resolved that Millards be re-appointed as the Brant County Board of Health’s auditor for the period January 1, 2019 to December 31, 2019.” Carried.

6.2 Board of Health Finance and Audit Committee Memberships

Ms. Mills requested the appointment of one additional Board Member to complete the complement for the Finance and Audit sub-committee. Current Members include Ms. Mills, Chair Anderson and Ms. Toor.

Moved by: Ms. Mills
Seconded by: Councillor Sless
“That the Brant County Board of Health appoint Ms. Helen Mulligan to the Finance and Audit Committee.” Carried.

7. Business Arising from Previous Minutes

7.1 Report from the Chair

No report.

Ms. Tharani joined the meeting at 10:06 am.

7.2 Report from the Medical Officer of Health

Dr. Lock presented the Medical Officer of Health Report, dated January 30, 2019, as distributed with the agenda. Dr. Lock’s report focused on Bayliascaris procyonis. Rabbits from a local camp died from this parasitic worm, found particularly in raccoons. Children from all over Ontario attended the camp and had exposure to the rabbits which were wrapped in towels when handled. The camp exercised stringent hand-washing procedures. The rabbit food was found to be contaminated by raccoon fecal matter. While it is unlikely there was any transmission of the disease, protocol dictates that that all children must be traced. The Health Unit issued an advisory to the camp to advise the children’s schools, and thereby the children’s families, on December 24. Assistance was provided by Public Health Ontario veterinary staff, the Chief Medical Officer of Health issued an advisory, and there was a lot of follow-up by neighbouring health units. There are no laboratory results back on any of the children yet. Any ingestion of eggs would be low-level and could take months before causing symptoms. Dr. Lock responded to questions: The disease is not transferrable between humans. Early symptoms can be gastro-related and become stroke-like. There is no diagnostic test for the disease and it is difficult to treat. Treatment is not recommended outside of confirmed cases.

As well, Dr. Lock reported that influenza cases are on a downward trend nationally. Cases peaked around December 28. People are still encouraged to get the influenza vaccine as a second peak usually follows the first. There have been several respiratory outbreaks in Brant, with 4 still underway. Two were identified as   Influenza A.

7.3 Report from the Executive Director

Dr. Tober presented the Executive Director’s Report, dated January 30, 2019, as included with the agenda. Dr. Tober reported that the municipal portions of the Health Unit’s 2019 budget were presented to the City of Brantford and the County of Brant on January 23. The Ministry of Health has not provided any communications regarding the 2018 year-end reporting templates nor direction on priorities for 2019.

7.4 Food Safety Disclosure Report

Ms. Tharani presented the Food Safety Disclosure Report, dated January 30, 2019, as distributed at the meeting. The Banh Mi Vietman restaurant was convicted of a violation for “food premises not maintained with food handling room in sanitary condition”. The food premises was fined $150.

Moved by: Councillor Chambers
Seconded by: Mayor Davis
“That the Board of Health accept Reports 7.1 through 7.4 as presented.” Carried.

Ms. Tharani left the meeting at 10:21

8. New Business

8.1 alPHa Winter Symposium—February 21, 2019

Program details for the Association of Local Public Health Agencies’ (alPHa) Winter Symposium on February 21, 2019, in Toronto were emailed to Members. An orientation session for new Board Members is offered in the program. No Members indicated intent to attend.

8.2 Provincial Appointee Re-Appointments

Dr. Tober advised that the provincial appointment for Ms. Toor will be expiring on April 9, 2019, and Ms. Mills’ appointment will expire on June 16, 2019. Ms. Toor and Ms. Mills have both indicated their intent to apply for reappointment to the Board. The Board approved letters of support to accompany both re-appointment submissions.

Moved by: Councillor Sless
Seconded by: Ms. Mulligan
“That the Brant County Board of Health provide letters of support for the provincial re-appointment of Ms. Ruby Toor and Ms. Janice Mills to this Board.” Carried.

Ms. Rajsic joined the meeting at 10:30 am.

8.3 Board of Health Policies and Procedures Update

Dr. Tober presented the Board of Health Policies and Procedures Update, dated January 30, 2019, as included with the agenda. Dr. Tober explained that rationale for the changes presented in the following policies and procedures:

III-021 Board of Health – Code of Conduct and Confidentiality
III-022 Board of Health – Conflict of Interest
III-032 Board of Health – Sub-Committees
III-074 Recruitment & Selection—MOH/AMOH and Executive Director
III-075 Remuneration—MOH/AMOH
III-076 Performance Appraisals—MOH/AMOH and Executive Director
III-078 Delegation of MOH Duties during Short Absences
III-030(a) Principles and Bylaws of Board of Health to Regular the Proceedings.

Members discussed the Conflict of Interest policy and the reasoning for non-pecuniary language, and requested that clarification be sought on this issue to ensure the policy satisfies their criteria. The Conflict of Interest policy will be excluded from the motion below and returned for consideration at a future meeting.
Board Member attendance was discussed and the existing policy updated such that if any Member misses 3 consecutive meetings without notice, the Chair will follow up with written notice to the appointing body. Dr. Tober reported that there a numerous other Health Unit policies and procedures that are being revised or created in response to the Ministry Auditors’ draft recommendations.

Moved by: Councillor Chambers
Seconded by: Ms. Toor
“That the Brant County Board of Health approve the changes and additions to the policies and procedures as presented, excluding “Board of Health—Conflict of Interest”.” Carried.

Mr. Richardson left the meeting at 10:41 am.

8.4 Program Standards Overview—Part I

Ms. Rajsic presented the Program Standards Overview—Part I, dated January 30, 2019, as included with the agenda. There are 22 programs under the Program Standards section of the Ontario Public Health Standards. Within this Health Unit, they are divided among 5 program managers. The report provided a high-level overview of the following areas: Healthy Growth and Development, Clinic Services, and Environmental Health and Infectious
Diseases. It also serves as an orientation to new incoming Members. More detailed program reports will be presented individually throughout the year. Ms. Rajsic confirmed the Health Unit purchased vision screening equipment according to Ministry of Health specifications; the screening equipment is standard across Ontario.

Ms. Rajsic left the meeting at 10:49 am.

Moved by: Councillor Sless
Seconded by: Ms. Mills
“That the Board of Health accept Report 8.4 as presented.” Carried.

9. CORRESPONDENCE (Board members may request a copy of items that are not attached from Board of Health Secretary)

9.1 Correspondence received from Kingston, Frontenac and Lennox & Addington Public Health, dated December 5, 2018, re cannabis retail locations.
9.2 Correspondence received from Timiskaming Health Unit, dated December 10, 2018, re Making Ontario Open for Business Act.
9.3 Correspondence received from Sunbury & Districts Public Health, dated December 7, 2018, re oral health program for low income adults and seniors.
9.4 Correspondence received from alPHa Update to Board of Health Members, dated December 19, 2018.
9.5 Correspondence received from Sudbury & Districts Public Health, dated December 21, 2018, re 2019 cost shared operating budget.
9.6 Correspondence received from Peterborough Public Health, dated January 7, 2019, re opioid crisis.
9.7 Correspondence received from City of Brantford, dated December 21, 2108, re appointment of City representatives to the Board of Health.

Moved by: Ms. Toor
Seconded by: Ms. Mulligan
“That the Board of Health receive the correspondence as listed.” Carried.

10. Questions/Announcements

11. Future Agenda Items

12. Elections

Chair Anderson vacated the Chair and handed the floor to Dr. Tober. All positions were declared vacant.

12.1 Chair

Dr. Tober declared that nominations were open for the position of Chair of the Brant County Board of Health for 2019.

Moved by: Councillor Sless
Seconded by: Councillor Chambers
“That Mr. Anderson be nominated for the position of Chair of the Brant County Board of Health for 2019.”

Moved by: Councillor Chambers
Seconded by: Ms. Toor
“That nominations be closed.” Carried.

Mr. Anderson accepted the position of Chair.

12.2 Vice-Chair

Chair Anderson declared that nominations were open for the position of Vice-Chair of the Brant County Board of Health for 2019.

Moved by: Ms. Mills
Seconded by: Councillor Chambers
“That Ms. Mulligan be nominated for the position of Vice-Chair of the Brant County Board of Health for 2019.” Carried.

Moved by: Councillor Sless
Seconded by: Mayor Davis
“That nominations be closed.” Carried.

Ms. Mulligan accepted the position of Vice-Chair. This concluded the elections.

12.3 Signing Officers

Dr. Tober explained the renewal motion for signing offices of the Brant County Health Unit.

Moved by: Councillor Sless
Seconded by: Councillor Bell
“That the Medical Officer of Health, Executive Director, Director of Finance, Director of Human Resources, Chair, and Vice-Chair be appointed signing officers for the Brant County Health Unit;
and that two appointees be authorized signing officers for cheques with a value greater than $1,000.00.” Carried.

13. Next Meeting Date

Wednesday, February 20, 2019, 9:30 am. Finance and Audit Committee Meeting on Wednesday, February 20, 2019 at 8:45 am.

14. Adjournment

The meeting was adjourned at 10:53 am.