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Reports

Brant County Board of Health

Wednesday, June 20, 2018, 9:30 a.m., Boardroom
Minutes

Present:

  • Mr. Greg Anderson, Chair
  • Ms. Helen Mulligan, Vice-Chair
  • Councillor Larry Kings
  • Ms. Janice Mills
  • Councillor David Neumann
  • Councillor John Sless
  • Dr. M. Lock
  • Dr. J. Tober
  • Ms. L. Johnson (recorder)

Regrets:

  • Councillor Willem Bouma
  • Councillor Robert Chambers
  • Ms. Ruby Toor (LOA)

Also Present:

  • Mr. Jeff Kowal, Manager, Environmental Health and Infectious Diseases
  • Mr. Brent Richardson, Acting Director, Corporate Services

1. Call to Order

Chair Anderson called the meeting to order at 9:28 am.

2. Conflict of Interest

Board members were reminded to declare a conflict of interest, if one so arises, at the time the item is discussed.

3. In-Camera Meeting

Moved by: Ms. Mulligan
Seconded by: Ms. Mills
“That the meeting move to In-Camera at 9:28 am regarding personal and risk management matters.” Carried.

4. Additions To Agenda

9.1 Correspondence from Perth District Health Unit (Dr. Tober)
6.3 Report from the Board of Health Finance and Audit Committee (Ms. Mills)

5. Approval of Minutes

5.1 Brant County Board of Health Minutes, May 22, 2018
Moved by: Councillor Kings
Seconded by: Councillor Neumann
"That the Brant County Board of Health Minutes, dated May 22, 2018, be approved as presented." Carried.

6. Financial Report

6.1 Financial Statement ending May 31, 2018
Mr. Richardson presented the Financial Statement ending May 31, 2018, as distributed with the agenda. The statement showed a surplus to date. Gapping in positions will be decreased as new hires come on board. The over-expense for building maintenance and operations is due to a number of facilities contracts that were renewed early in the year.

6.2 Financial Auditors' Report Letter to the Members of the Board
Dr. Tober presented the Report Letter to the Members from Millards financial auditors. The letter indicates the Millards will be "issuing a report to the board that will highlight various matters discovered during the course of our audit". Inquiries have been made of Millards regarding this additional letter, without response. Members suggested that Millards be requested to attend a future board meeting for clarification of this matter.
Moved by: Ms. Mills
Seconded by: Councillor Kings
"That the Brant County Board of Health request Millards financial auditors to attend a future Board of Health meeting to explain the report mentioned in the Report to the Members presented."     Carried.

6.3 Update from Board of Health Finance and Audit Committee
Ms. Mills reported that the Finance and Audit Committee met on June 20 prior to the regular Board meeting. Committee approval awarding the elevator replacement project to Alcor; approved the purchase of a data protection and disaster recovery information and technology solution; approved the upgrade to Unified Endpoint Management for smartphone access and security; approved the purchase of phase one of Microsoft Office 365; and authorized the contracting of a consult with regard to assessment of the boiler and/or other HVAC components for potential replacement.
Moved by: Councillor Sless
Seconded by: Councillor Kings
"That the Brant County Board of Health approve the Financial Statement ending May 31, 2018; and receive for information the Financial Auditors' Report Letter to the Members of the Board of Health and the Update Report from the Finance and Audit Committee, as presented."     Carried.

7. Business Arising From Previous Minutes

7.1 Report from the Chair
No Report

Mr. Richardson left the meeting at 10:45 am and Mr. Kowal joined the meeting at 10:47 am.

7.2 Report from the Medical Officer of Health
Dr. Lock presented the Medical Officer of Health's Report, dated June 20, 2018, as distributed with the agenda. The report included the following: To date, there have been 422 cases of rabid raccoons and foxes in Ontario. The City of Brantford brought the new permanent fluoride delivery system on line April 25, 2018; the system has not shown a daily average of fluoride concentration below 0.5 ppm since April 26. Dr. Lock also reported on adverse water results reported by the City at the McDonald's Restaurant on King George Road on June 15. Coliforms were detected in an internal water tap. The water had been shut off to fix a previous problem and the contractor arranged for an alternate supply of portable water from a water truck. t was uncertain whether the contamination came from the water source or within the food premise. Following a meeting with the City, the Health Unit issues a boil water advisory. At the time of this report, the advisory remained in place. When 2 clear water sample results come back, the order can be rescinded. Dr. Lock distributed a map showing the City water lines in the area.

7.3 Report from the Executive Director
Dr. Tober presented the Executive Director's Report, dated June 20, 2018, as distributed in the package. The report included the Ministry of Health's new system for reporting on financial and program activities, and ongoing implementation of the Ontario Public Health Standards into program and service delivery.

Councillor Sless left the meeting at 10:55 am.

7.4 Food Safety Disclosure Report
Mr. Kowal presented the Food Safety Disclosure Report, dated June 20, 2018, as distributed with the agenda. The Dun Building was convicted of a violation for storing hazardous foods at an internal temperature between 5*C and 60*C. The food premise was fined $460.

7.5 alPHa Annual Conference Resolutions Report
Councillor Neumann, Dr. Lock, and Dr. Tober attended the Association of the Local Public Health Agencies (alPHa) Annual Conference and Annual General Meeting on June10-12, 2018. The subsequent disposition of resolutions was emailed to Board Members on June 15. Councillor Neumann reported that the conference was informative, citing the Association of Municipalities of Ontario (AMO) representative who spoke on preparations for change in the provincial government, and a Medical Officer of Health who gave a good presentation on marijuana use and the differences among vaping applications. Dr. Tober reported that the Brant Count Board of Health received an award in recognition for the 100% participation in the alPHa Fitness Challenge specifically for boards of health.
Moved by: Ms. Mills
Seconded by: Councillor Kings
"That the Board of Health accept Reports 7.1 through 7.5 as presented."   Carried.

8. New Business

8.1 Rabies Prevention and Control Program Report
Mr. Kowal presented the Rabies Prevention and Control Program Report, dated June 20, 2018, as distributed with the agenda. The report highlighted 2017 activities and statistics: There were 456 biting incidents investigated, with 7 animals destroyed. None of the animals tested positive for rabies. Rabies vaccine was distributed to 21 individuals. Public health staff continue promotion of rabies prevention through schools, to the public and through veterinary clinics and the Society for the Prevention of Cruelty to Animals. Since December 2015, 6 animals in Brant were tested and found to be infected with the raccoon rabies strain.

8.2 Vector-Borne Diseases Prevention Program Report
Mr. Kowal presented the Vector-Borne Diseases Prevention Program Report, dated June 20, 2018, as distributed with the agenda. Mr. Kowel reported there were no human cases of West Nile virus (WNv) in Brant in 2017. Catch basins were treated twice, and surveillance from May to August at 11 sites identified 2 positive pools of mosquitoes. WNv program activities for 2018 will mirror those of last year. In 2017, 25 of the 251 ticks submitted for testing for Lyme disease returned positive results. There continues to be an increase in public awareness and submission of ticks for testing. Public health staff encourage personal protection as the best method of preventing tick bites.

8.3 Health Hazard Prevention and Management Program Report
Mr. Kowel presented the Health Hazard Prevention and Management Program Report, dated June 20, 2018, as distributed with the agenda. The report highlighted 2017 activities and statistics: Public Health Inspectors responded to 204 complaints, with the main categories being food safety, infection control, WNv standing water and environmental safety. Mr. Kowal noted the decrease in total complaints over the past 2 years and stated that the fluctuations over a period of years is not unusual.

8.4 Emergency Preparedness Program Report
Mr. Kowel presented the Emergency Preparedness Program report, dated June 20, 2018, as distributed with the agenda. Mr. Kowal reported that the Health Unit participated in a 2-day County of Brant Emergency Management Training and Exercise event in 2017. During the February 2018 flood, the Health Unit activated its Emergency Response Plan. Dr. Lock and other management were on-site at the Emergency Operations Centre and Dr. Lock participated in the post-event debriefing. Public Health Inspectors visited 350 homes during and post-flood to disseminate information on safety and clean-up.

8.5 Community Water Fluoridation Report        See Item 7.5

Mr. Kowal left the meeting at 11:11 am.

8.6 Strategic Plan Update
Dr. Tober presented the Strategic Plan Update, dated June 20, 2018, as distributed with the agenda. Dr. Tober reported that the updates reflect progress made under the 2016-2026 Strategic Plan, noting the use of the Health Equity Impact Assessment tool as part of planning, and activities underway to move forward with each of the strategic objectives in the plan. Social determinants of health were built in to the 2018 Annual Service Plan and will continue for 2019 and beyond. In October 2017, the Health Unit hosted a presentation and training on cultural humility to which community partners were invited, it was well received, and the presenter will be invited back for additional sessions. A number of management and staff, mainly those working with partners and clients, are pursuing Indigenous training through a variety of venues. Dr. Tober advised that a full review and refresh of the Strategic Plan will occur at the 5-year point in 2021. This could be moved forward if needed.
Moved by: Ms. Mills
Seconded by: Councillor Kings
"That the Board of Health accept Reports 8.1 through 8.6 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 Perth District Health Unit, dated June 14, 2018, re repeal of Section 43 of the Criminal Code.
Moved by: Councillor Kings
Seconded by: Ms. Mulligan
"That the Board of Health receive the correspondence as presented."    Carried.

10. Questions/Announcements

11. Future Agenda Items

12. Next Meeting Date

Wednesday, July 18, 2018, 9:30 am at the Call of the Chair.
Wednesday, August 15, 2018, 9:30 am at the Call of the Chair.

14. Adjournment

The meeting was adjourned at 10:18 am.