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Reports

​Brant County Board of Health

Wednesday, March 20, 2019, 9:00 a.m., Boardroom
Minutes

Present:

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

Regrets:

  • Councillor John Bell
  • Ms. Ruby Toor

Also Present:

  • Ms. Joan Millsap, Manager, Healthy Growth and Development
  • Ms. Dee Perera, Director, Finance
  • Mr. Brent Richardson, Director, Human Resources
  • Ms. Rabia Tharani, Manager, Environmental Health and Infectious Diseases
  • Mr. Simon Salole and Ms. Diane Paxton, Millards Accountants

1. Call to Order

Chair Anderson called the meeting to order at 9:00 am. Items 6.1 through 6.3 were held first.

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. Mulligan
Seconded by: Councillor Sless
“That the meeting move to In-Camera at 9:21 am regarding matters of personnel and potential liability.” Carried.
The regular Board of Health meeting resumed at 10:24 am.
At the In-Camera session, Dr. Malcolm Lock announced his retirement as Medical Officer of Health (MOH) as of September 30, 2019. Recruitment for a successor will commence immediately.

4. Additions to Agenda

6.3 Easement to Brant County Health Unit Property (Mr. Richardson)

Moved by: Councillor Van Tilborg
Seconded by: Councillor Chambers
“That the Brant County Board of Health approve the Agenda as amended. Carried.

5. Approval of Minutes

5.1 Brant County Board of Health Minutes, February 20, 2019

Moved by: Councillor Chambers
Seconded by: Ms. Mulligan
"That the Brant County Board of Health Minutes, dated February 20, 2019, be approved as presented.” Carried.

6. Financial Report

6.1 2018 Audited Financial Statements

Ms. Paxton presented the Draft 2018 Audited Financial Statement, as distributed with the agenda package. Ms. Paxton reported that the overall surplus was $292,844. As the Canada Prenatal Nutrition Program (CPNP), funded by the Public Health Agency of Canada, has a year-end of March 31, the audited statement shows CPNP status
as of December 31, 2018. CPNP will balance to $0 by March 31, 2019. Unspent money from 2017 was returned to funders as required. Most of the 2018 surplus was from mandatory cost shared program funds; amounts were not out of the ordinary. Note 14 outlines funds not spent by December 31, but will be expended by March 31, 2019 as per terms of the one-time funding contract. Millards agreed to add a note to differentiate between deferred revenue and deferred funding for clarity. The Management Letter will reflect that improvement is needed in documentation for the $70,000 adjustment and should be attached to the entry; and will include a recommendation for a policy on formulating salary allocations.

Members inquired about funds to be returned to the Ministry or municipalities. Ms. Paxton stated the surplus resulted mainly from salary gapping and underspending in the Healthy Smiles Ontario program and the Smoke-Free Ontario program legal fee allotment. The $81,370 deferred capital funding was specified for elevator replacement. Members posed questions regarding accounts payable and accrued liabilities, Harm Reduction program funding, and Ministry funding for 2019. Dr. Tober advised that the Health Unit did not receive any Trillium Grant funds for harm
reduction activities. The Health Unit signs an Accountability Agreement annually with the Ministry of Health for the provincial grant. Agreement language is set by the Ministry and can change from year to year. There has been no information from the Ministry regarding the 2019 provincial grant. At this time, the Ministry is flowing 2019 funds based on the 2018 budget approval amount.

Moved by: Ms. Mills
Seconded by: Councillor Sless
“That the Board of Health accept the draft audited Financial Statement for the calendar year ending December 31, 2018, including the general Program-Based Grant programs and specifically-funded programs listed herein:

Schedule 1 Brant County Health Unit Cost-Shared Programs
Schedule 2 Harm Reduction Program Enhancement
Schedule 3 Canada Prenatal Nutrition Program
Schedule 4 Healthy Babies, Healthy Children Program
Schedule 5 Healthy Smiles Ontario Program
Schedule 6 Infection Prevention and Control Nurse Initiative
Schedule 7 Infectious Disease Control Initiative (SARS)
Schedule 8 Small Drinking Water Systems Program
Schedule 9 Smoke-Free Ontario Programs
Schedule 10 Vector Borne Diseases Program
Schedule 11 9000 Nurses Initiative
Schedule 12 Electronic Cigarettes Act Program.” Carried.

Mr. Salole and Ms. Paxton left the meeting at 9:18 am.

6.2 Board of Health Finance and Audit Committee Report

Ms. Mills reported that Ms. Paxton of Millards presented the draft 2018 Audited Financial Statement. The Committee received the Statement and recommended it for presentation to and approval by the full Board. As well, the Committee approved the Health Unit request to proceed with the purchase and installation of a replacement boiler to a maximum of $149,000.

Moved by: Ms. Mills
Seconded by: Ms. Mulligan
"That the Board of Health accept the report from the Finance and Audit Committee.” Carried.

6.3 Easement to Brant County Health Unit Property

Mr. Richardson reported on a Consent Application through the City of Brantford Committee of Adjustment. The Application is for a change to the Easement at the rear of the 194 Terrace Hill Street property. In 1988, the Brant Community Healthcare System (Brantford General Hospital) transferred the property to the Brant County Health Unit with an easement to the City of Brantford Public Utilities Commission (PUC) to accommodate equipment on the property. The current Easement Application would see the easement rights move from the PUC to the Hospital and City for the water line. The portion of property in question is a steep hill that is not used. There is no cost to the Health Unit in this process and no action is required of the Board.

Ms. Perera and Mr. Richardson left the meeting at 9:21 am.

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 confirmed his intention to retire at the end of September 2019.

7.3 Report from the Executive Director

No report.

7.4 Food Safety Disclosure Report

No report.

7.5 Board of Health Policies and Procedures Update

Dr. Tober presented the Board of Health Policies and Procedures Update, dated March 20, 2019, as included with the agenda. The procedure was updated to encompass risk management/issues that pose potential liability for the organization in the in-camera criteria.

Moved by: Ms. Mills
Seconded by: Councillor Chambers
“That the Brant County Board of Health approve the addition to the procedure: Principles and Bylaws of Brant County Board of Health to Regulate the Proceedings of the Board of Health as presented”.” Carried.

Ms. Millsap and Ms. Tharani joined the meeting at 10:27 am.

8. New Business

8.1 Healthy Growth and Development Program Report

Ms. Millsap presented the Healthy Growth and Development Program Report, dated March 20, 2019, as included with the agenda. The report highlighted activities regarding healthy pregnancies including prenatal classes and Canada Prenatal Nutrition Program; Healthy Growth and Development; Healthy Babies, Healthy Children program; and positive parenting. Ms. Millsap responded to questions about cannabis and pregnancy: it is known that cannabis affects pregnant women and their babies. The research on cannabis and breastmilk and impact on infant development is unclear. The overall recommendation and Health Unit staff approach is to talk with clients on a case-by-case basis regarding cannabis use post-pregnancy.

8.2 Food Safety Program Report

Ms. Tharani presented the Food Safety Program Report, dated March 20, 2019, as distributed with the agenda. Ms. Tharani reported on mandated Food Safety activity statistics for 2018. Inspection completion rates for high, medium and low-risk food premises were 94.4%, 98.5% and 98.7% respectively, plus complaint-based inspections. Education and audits on Hazard Analysis Critical Control Point were conducted with high-risk food premises operators. In their enforcement work, Public Health Inspectors educate operators on voluntary compliance and proceed from there as needed. There were 485 safe food handler certifications issued in 2018. Ms. Tharani responded to questions: Food premises categories are based on several criteria including the type of food preparation, the number of certified food handlers on staff, and the premises’ history of infractions.

8.3 Healthy Environments Program Report

Ms. Tharani presented the Healthy Environments Program Report, dated March 20, 2019, as distributed with the agenda. In 2018, there were 68 health hazard complaints investigated, double the 2017 number. No single reason is known for the increase, but it may have been affected by increased community awareness, some joint inspections with City Property Standards staff, and responding to calls regarding used needle pick-up on private property.

Ms. Millsap and Ms. Tharani left the meeting at 10:42 am.

Moved by: Ms. Mulligan
Seconded by: Councillor Chambers
“That the Board of Health accept Reports 8.1 and 8.2 as presented.” Carried.

8.4 Position Title Change—Chief Executive Officer Report

Chair Anderson presented the Position Title Change—Chief Executive Officer (CEO) Report, dated March 20, 2019, as distributed with the agenda. The change in title is in response to a recommendation from the Ministry of Health auditors to recognize the Executive Director’s position as the Chief Executive Officer. Other than a title change, there is no change to any portion or responsibility of the position.

Moved by: Councillor Van Tilborg
Seconded by: Ms. Mulligan
Wheras the Board of Health, at the November 27, 2002 regular Board meeting, endorsed the organizational structure and job description for a Director of Public Health Programs and Services which position was created in intent to act in a Chief Executive Officer capacity;

And wheras the Board of Health, at the October 16, 2003 regular Board meeting, approved the job description title change to that of Executive Director with unbroken and continued intent to act in a Chief Executive Officer capacity;

Therefore it be resolved that the Brant County Board of Health approve the change in position title from Executive Director to Chief Executive Officer, effective immediately, with the incumbent acting in an unbroken and continuous manner;

And that the Board of Health recognize that transition from one position title to the other will occur over a period of time in all the requisite documentation sites and signing authorities, so that both titles be acceptable during the transition.” Carried.

8.5 alPHa Annual Conference—June 9-11, 2019

Dr. Tober reminded Members of the Annual Conference for the Association of Local Public Health Agencies (alPHa) that will be held in Kingston from June 9-11, 2019. Information on the draft program and accommodations was emailed to Members on March 14. Ms. Mulligan and Ms. Mills expressed interest in attending.

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

9.1 Correspondence received from Ministry of Health and Long-Term Care, dated February 21, 2019, re one-time capital funding approval for 2018-2019.

9.2 Correspondence received from Haliburton, Kawartha, Pine Ridge District Health Unit, dated February 14, 2019, re support for provincial oral health program for low-income adults and seniors.

9.3 Correspondence received from Windsor-Essex County Health Unit, dated February 11, 2019, re Smoke-Free Ontario Act 2017 and cannabis legislation.

9.4 Correspondence received from Windsor-Essex County Health Unit, dated February 11, 2019, re mandatory food literacy curricula in schools.

9.5 Correspondence received from Windsor-Essex County Health Unit, dated February 11, 2019, re Healthy Babies, Healthy Children program funding.

9.6 Correspondence received from Windsor-Essex County Health Unit, dated February 11, 2019, re basic income pilot.

9.7 Correspondence received from Windsor-Essex County Health Unit, dated February 11, 2019, re national cost shared universal healthy school food program.

9.8 Correspondence received from Simcoe Muskoka District Health Unit, dated February 20, 2019, re implications of Bill 66, Restoring Ontario’s Competitiveness Act, 2018.

9.9 Correspondence received from Association of Local Public Health Agencies (alPHa), dated March 5, 2019, re HIV case management resolution.

9.10 Correspondence received from Renfrew County and District Health Unit, dated March 4, 2019, re strengthening the Smoke-Free Ontario Act, 2017 to address vaping.

9.11 Correspondence received from Renfrew County and District Health Unit, dated March 4, 2019, re support for provincial oral health program for low-income adults and seniors.

9.12 Correspondence received from North Bay Parry Sound District Health Unit, dated February 27, 2019, re health inequities including food insecurity.

9.13 Correspondence received from Peterborough Public Health, dated February 27, 2019, re oral health programs for low-income adults and seniors.

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

10. Questions/Announcements

10.1 Harm Reduction

Mayor Davis asked how the Health Unit is moving forward and taking the lead with the Drug Strategy. Dr. Lock indicated that some of the Drug Strategy activities are not within the Public Health mandate and that the Steering Committee would explore priorities. Reference was made to an earlier Drug Strategy meeting, with yet-unapproved minutes. Mayor Davis noted that the Health Unit provided administrative support and some past leadership to the Drug Strategy. There are many frontline agency people on the committee to develop a community strategy. A coordinating committee would oversee activities. An advocacy committee would lobby government and become involved in any difficulties between participating agencies. It was agreed that many agencies working together will result in an effective strategy. Mayor Davis requested the Drug Strategy leadership and administrative support be clearly defined so there can be intentional progress. The Health Unit can provide education and input from a health perspective. In 2018, the Health Unit purchased needle collection bins; six bins are awaiting placement approval from the City.

A point of order was made. Members requested the discussion be moved out of the Board forum to seek resolution. Mayor Davis proposed a motion regarding Drug Strategy activities and role clarification. Chair Anderson agreed to broker information between Mayor Davis and the Health Unit. The item will be placed on the agenda for the Board of Health meeting called for April 2, 2019 with further information to inform a potential motion.

11. Future Agenda Items

12. Next Meeting Date

Tuesday, April 2, 2019, 9:30 am. (extra meeting, which was subsequently cancelled)
Wednesday, April 24, 2019, 9:30 am.

13. Adjournment

The meeting was adjourned at 11:06 am.