Mr. Babayan and Ms. Kwansah joined the meeting, and Ms. Perera left the meeting, at 10:57 a.m.
7.5 alPHa Annual General Meeting Resolutions
Ms. Mulligan and Dr. Tober reported on the Association of Local Public Health Agencies (alPHa) Annual General Conference. The conference was attended by all 35 public health units/boards. While there was conversation about how to make public heath modernization work, the Ministry of Health representatives did not have specifics to share. Dr. David Williams, Chief Medical Officer of Health, confirmed the Province’s plan for an April 2020 transition to the new 10 regional entities. Ministry consultations are anticipated for July 2019, analysis in August, and legislation and changes to occur in the fall/winter. (See also written report 7.3.)
7.6 Evidence Brief re Safe Consumption Sites
Mr. Babayan presented an Evidence Brief on Safe Consumption Sites, dated June 19, 2019, as requested by Board Members and included with the agenda. This in-depth report provided information on the operation and impact of a safe consumption and treatment site (SCTS). Sites may be effective in reducing the number of deaths, reducing needle sharing, and decreasing the use of drugs in public and the quantity of discarded needles on property within the area of the site. SCTSs do not appear to increase the crime rate, and it is unclear whether they attract drug sales. The
federal government regulates terms and conditions of SCTSs and the Province oversees capacity to provide the service and treatment. Consultations are a key factor in moving forward with an application. From American and Ontario evidence, projected impacts were estimated for one site in Brantford. Mr. Babayan stated that the estimates were conservative, but were based on London, Ontario’s and other published reports. The brief considered several locations and access/usage by suburban population, and anticipated that site patterns would be similar. From a small, informal sample of local drug users, many replied that they would not use a SCTS.
Moved by: Councillor Van Tilborg
Seconded by: Councillor Sless
“That the Brant County Board of Health 7.1 through 7.6.” Carried.
8. New Business
8.1 School Health—Oral Health and Vision Screening Program Report
Ms. Kwansah presented the School Health—Oral Health and Vision Screening Program Report, dated June 19, 2019, as included with the agenda. The report outlined Oral Health activities and statistics for 2018 including fluoride varnish clinics, school screening results, Healthy Smiles Ontario, and the provincial “Brush Up on the Facts” campaign. A gradual decline in the number of elementary students screened needing dental care was noted; future screening will focus on schools with the greatest needs based on data collected. The Ministry has not yet provided detailed information about the new Seniors’ Low Income Dental program; service is expected to commence in the fall of 2019.
Ms. Kwansah reported on the Vision Screening requirement introduced in the 2018 Ontario Pubic Health Standards. The Health Unit started with a pilot project in 10 elementary schools in May 2019. Oral Health staff screened 216 senior kindergarten children from public and Catholic schools across geographically and socio-economically diverse areas to determine how to deliver vision screening most efficiently. This will inform planning for the 2019/2020 school year and beyond. A referral rate of approximately 45% for further vision testing seems high but was consistent across the pilot schools and elsewhere in the Province. Currently, there is no mechanism to track whether parents take their children to an optometrist for additional testing.
Ms. Kwansah and Mr. Babayan left the meeting at 11:26 a.m.
Moved by: Mayor Davis
Seconded by: Ms. Mulligan
“That the Board of Health accept report 8.1 as information.” 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 Peterborough Public Health, dated May 9, 2019, re Bill S-228, Child Health Protection Act.
9.2 Correspondence received from Windsor-Essex County Health Unit, dated May 21, 2019, re modernization of alcohol retail sales in Ontario.
9.3 Correspondence received from Windsor-Essex County Health Unit, dated May 21, 2019, re smoke-free multiunit dwellings.
9.4 Correspondence received from Kingston, Frontenac and Lennox & Addington Public Health, dated May 23, 2019, re health promotion as a core function of public health.
9.5 Correspondence received from Windsor-Essex County Health Unit, dated May 2019, re strengthening the Smoke Free Ontario Act, 2017 to address the promotion of vaping.
9.6 Correspondence received from York Region, dated May 17, 2019, re protecting school children through immunization.
9.7 Correspondence received from Peterborough Public Health, dated May 28, 2019, re public health modernization.
9.8 Correspondence received from Public Health Sudbury & Districts, dated May 28, 2019, re north east public health regional boundaries—modernization of the Ontario Public Health system.
9.9 Correspondence received from Timiskaming Health Unit, dated June 4, 2019, re northeastern regional public health regional boundaries.
9.10 Correspondence received from Grey Bruce Health Unit, dated June 4, 2019, re modernization of Ontario alcohol sales.
9.11 Correspondence received from Grey Bruce Health Unit, dated June 4, 2019, re minimizing harms associated with the announced expansion of the sale of beverage alcohol in Ontario.
9.12 Correspondence received from Grey Bruce Health Unit, dated June 4, 2019, re endorsement of the Children Count Task Force recommendations.
9.13 Correspondence received from Grey Bruce Health Unit, dated June 4, 2019, re modernization of alcohol retail sales in Ontario.
9.14 Correspondence received from Durham Region, dated May 30, 2019, re modernizing Ontario’s health units.
9.15 Correspondence received from Premier of Ontario, date June 3, 2019, response to Board’s letter re implications of the provincial budget on public health.
9.16 Correspondence received from Kingston, Frontenac and Lennox & Addington Public Health, dated June 4, 2019, re reversing retroactive funding cuts to municipal funding.
9.17 Correspondence received from Ministry of Children, Community and Social Services, dated June 6, 2019 re public sector compensation.
9.18 Correspondence received from Hastings Prince Edward Public Health, dated June 6, 2019, re expansion of sale of alcohol beverage in Ontario.
9.19 Correspondence received from Public Health Sudbury & Districts, dated June 7, 2019, re public mental health—parity of esteem position statement.
9.20 Correspondence received from Ministry of Health and Long-Term Care, dated June 7, 2019, re funding for new dental program for low-income seniors.
9.21 Correspondence received from Algoma Public Health, dated June 5, 2019, re changes to public health in Ontario.