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Reports

Brant County Board of Health

Wednesday, June 19, 2019, 9:30 a.m., Boardroom

Minutes

Present:

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

Also Present:

  • Mr. Alexey Babayan, Director, Foundational Standards
  • Ms. Janet Kwansah, Interim Manager, Clinic Services
  • Ms. Dee Perera, Director, Finance
  • Mr. Brent Richardson, Director, Human Resources

1. Call to Order

Chair Anderson called the meeting to order at 9:30 a.m. It was confirmed that Ms. Mills’ provincial appointment to the Board of Health was not renewed by the Province.

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: Councillor Sless
Seconded by: Councillor Bell
“That the meeting move to In-Camera at 9:30 a.m. regarding matters of personal matters about an identifiable individual; risk management/issues; and educating or training Members.” Carried.

The regular Board of Health meeting resumed at 10:35 a.m., and Ms. Perera and Mr. Richardson left the meeting. At the In-Camera session, motions under Item 3.1 were passed.

4. Additions to Agenda

None.

5. Approval of Minutes

5.1 Brant County Board of Health Minutes, May 27, 2019

Moved by: Councillor Bell
Seconded by: Ms. Mulligan
“That the Brant County Board of Health Minutes, dated May 27, 2019, be approved as presented. ”Carried.

6. Financial Report

No report.

7. Business Arising from Previous Minutes

7.1 Report from the Chair

No report.

7.2 Report from the Medical Officer of Health

Dr. Lock presented the Medical Officer of Health Report, dated June 19, 2019, as distributed with the package. Dr. Lock summarized activities and information to date on the industrial fire at North West Rubber on June 9. Subsequent reports from the Ministry of the Environment, Conservation and Parks indicated that air quality readings were within the safe range. Members discussed wind direction, voluntary evacuation, duration and sensitivities to smoke, as well as communication among Emergency Operations organizations. Dr. Lock reported on key points from
the Opioid Mortality Surveillance Report: Analysis of Opioid-Related Deaths in Ontario July 2017—June 2018. Members discussed opioid usage fluctuations, quantity of Naloxone kits distributed and distribution points, and the importance of treatment as part of the solution.

7.3 Report from the Executive Director

Dr. Tober presented the Chief Executive Officer Report, dated June 19, 2019, as distributed with the agenda. The report included information on public sector compensation from the Ministry of Children, Community and Social Services which funds the Healthy Babies, Healthy Children program, and completion of the 2018 Annual Reconciliation Financial Report and Program Activity Reports for submission to the Ministry of Health by June 28. Dr. Tober reported on the 2019/2020 funding for the new Seniors’ Low Income Dental program. The program will initiate different services, for example restorative treatment and denture work, and renovations will be required in the dental suites to accommodate the new programs.

7.4 Food Safety Disclosure Report

No report

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.

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

10. Questions/Announcements

11. Future Agenda Items

12. Next Meeting Date

Wednesday, July 17, 2019, 9:30 a.m. (at the Call of the Chair)
Wednesday, August 21, 2019, 9:30 a.m. (at the Call of the Chair)

13. Adjournment

The meeting was adjourned at 11:27 a.m.