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Reports

​Brant County Board of Health

Wednesday, May 15, 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
  • Ms. Janice Mills
  • Councillor John Sless
  • Councillor Brian Van Tilborg
  • Dr. M. Lock
  • Dr. J. Tober
  • Ms. L. Johnson (recorder)

Also Present:

  • Ms. Dee Perera, Director, Finance
  • Mr. Brent Richardson, Director, Human Resources
  • Ms. Rabia Tharani, Manager, Environmental Health and Infectious Diseases

1. Call to Order

Chair Anderson called the meeting to order at 9:30 a.m.

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 Bell
Seconded by: Ms. Mills
“That the meeting move to In-Camera at 9:31 a.m. regarding matters of personal information, potential liability, and training.” Carried.

The regular Board of Health meeting resumed at 10:40 a.m.
Dr. Lock re-joined the meeting and Ms. Perera and Mr. Richardson left the meeting at 10:40 a.m.

At the In-Camera session, Members considered financial and human resource implications of the Provincial Budget, received information on Human Resources matters, received financial literacy training, and booked an additional Board meeting for May 27. A motion was passed regarding the selection of a Medical Officer of Health.

4. Additions to Agenda

7.6 Provincial Appointee Re-Appointments (Chair Anderson)

5. Approval of Minutes

5.1 Brant County Board of Health Minutes, April 24, 2019

Moved by: Mayor Davis
Seconded by: Councillor Sless
“That the Brant County Board of Health Minutes, dated April 24, 2019, be approved as presented.” Carried.

6. Financial Report

No report.

7. Business Arising from Previous Minutes

7.1 Report from the Chair

Chair Anderson thanked Ms. Mills for her many years on the Board of Health. (See item 7.6)

7.2 Report from the Medical Officer of Health

Dr. Lock presented an oral Medical Officer of Health Report. There are no outbreaks at present. Two alerts were received recently: there were two cases of travel-related measles confirmed in Toronto; and, also in Toronto, there was a travel-related case of drug-resistant Salmonella of a strain what could lead to Typhoid.

Ms. Tharani joined the meeting at 10:44 a.m.

7.3 Report from the Executive Director

No report.

7.4 Food Safety Disclosure Report

No report

7.5 alPHa Annual General Meeting Resolutions

Dr. Tober presented the List of Resolutions for the Association of Local Public Health Agencies (alPHa) Annual General Meeting, dated May 15, 2019, as provided with the agenda. The lengthy package with backgrounder information was provided to Ms. Mulligan and Ms. Mills who will be attending the conference. Members agreed that conference attendees should vote on the resolutions at their discretion on behalf of the Board of Health.

7.6 Provincial Appointment Re-Appointment

Chair Anderson reported that a letter was received from the Ministry of Health and Long-Term Care thanking Ms. Mills for her service to the Board of Health. This correspondence confirms that Ms. Mills’ submission for reappointment to the Board of Health was not approved. Ms. Mills’ term expires on June 16, 2019.

Moved by: Councillor Chambers
Seconded by: Councillor Sless
“That the Brant County Board of Health 7.1 through 7.6.” Carried.

8. New Business

8.1 Safe Water Program Report

Ms. Tharani presented the Safe Water Program Report, dated May 15, 2019, as included with the agenda. The report outlined statistics and activities from 2018 including inspections, advisories, and community outreach/education as they relate to drinking water and recreational water. Ms. Tharani also noted planning and activities underway in 2019. Ms. Tharani responded to Members’ questions regarding pop-up water test sites in Burford and the frequency of hotel inspections.

8.2 Infectious Diseases Prevention and Control Program Report

Ms. Tharani presented the Infectious Diseases Prevention and Control Program Report, dated May 15, 2019, as distributed with the agenda. Ms. Tharani reported on statistics and activities from 2018 including inspections, case management, outbreaks, and community collaboration. Chlamydia, Gonorrhea, Hepatitis C and influenza were the most-frequently reported infectious diseases in 2018. Ms. Tharani noted that, of the 14 infection prevention and control (IPAC) complaints that were received, only one was identified as an IPAC lapse (risk of transmission of
infectious disease).

Ms. Tharani left the meeting at 10:59 a.m.

8.3 Harm Reduction Motions

Mayor Davis presented the Harm Reduction Motions, dated May 15, 2019, as distributed with the agenda. The draft motion on safe consumption sites was intended to seek evidence-based information from the Health Unit on sites. It was not intended to suggest the Health Unit host a site. There are robust requirements set by federal and provincial governments to operate a facility, usually hosted by an agency that provides treatment services.

Moved by: Councillor Sless
Seconded by: Councillor Chambers
“Whereas the Brant County Health Unit is committed to supporting evidence-based practices that reduce the incidence and impact of substance use in our community;

Whereas Safe Consumption Sites are operated throughout Ontario with the goal of reducing the risk of overdose and other drug-related harms;

Whereas the Brantford-Brant Community Drug Strategy recommends exploring the feasibility of a Safe Consumption Site within our community;

Be it therefore resolved that staff be directed to prepare a report that outlines the following:

i. Current Research on the efficacy of Safe Consumption Sites

ii. Current Research on the impact of Safe Consumption Sites on the host neighbourhoods including reported changes in rates of crime, public drug use, sale of drugs, and other social disorder activities

iii. The process for establishing a Safe Consumption Site, including a description of the new provincial program model

iv. Projected impact of a local Safe Consumption Site including reduction in overdoses, reduction in ambulance calls, reduction in the use of hospital resources, and a reduction in public drug use.” Carried.

Members noted possible host agencies, locations, and operation costs. Dr. Tober noted the Provincial announcement of $1.4 million for addiction and mental health services in Brant, and a province-wide system for mental health and addictions. Benefits can depend upon population size and available statistics seem to cite cumulative changes. A report will be brought to the June 19 meeting.

Mayor Davis spoke to the draft motion regarding the Brantford-Brant Community Drugs Strategy. The Strategy requires support and a coordinator to move forward and Mayor Davis asked what resources the Health Unit can commit. A Drug Strategy Advocacy Group meeting will be held on May 30 to address some of these needs. Dr.
Tober noted the skill level required for the coordinator position, the $1.4 million in funding allotted to 5 local agencies, and the 10% financial efficiencies that the Health Unit must achieve. Mayor Davis withdrew the motion, will pursue conversations with community agencies, and will meet with Dr. Tober in conjunction with the May 30
meeting.

8.4 2017 Accountability Agreement Indicator Report

Dr. Tober presented the 2017 Accountability Agreement Indicator Report, dated May 15, 2019, as distributed with the agenda. Dr. Tober confirmed that the Ministry of Health posted the 2017 year-end performance indicator results in early May 2019. The Health Unit is meeting or close-to-meeting targets, and results are comparable to 2016.

8.5 Core Program Indicators Report—2018 and 2019 Q1

Dr. Tober presented the Core Program Indicators Report, dated May 15, 2019, as included with the package. Dr. Tober advised that the Ministry of Health did not inform health units of indicators for 2018 until early into 2019. The core indicators provided in the report are navigational and include 2017 and 2019-Q1 for comparison purposes. Dr. Tober reviewed the results, noting some areas where adjustments, increases or decreases to services may offer efficiencies, particularly where a service is readily available from another provider.

Moved by: Councillor Sless
Seconded by: Mayor Davis
“That the Board of Health accept reports 8.1 and 8.2, and reports 8.4 and 8.5 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 Simcoe Muskoka District Health Unit, dated April 17, 2019, re modernization of alcohol retail sales in Ontario.

9.2 Correspondence received from Thunder Bay District Health Unit, dated April 17, 2019, re public health restructuring.

9.3 Correspondence received from Haliburton, Kawartha, Pine Ridge District Health Unit, dated April 18, 2019, re Bill 60, Establishing a Social Assistance Research Commission.

9.4 Correspondence received from Leeds, Grenville & Lanark District Health Unit, dated April 23, 2019, re public health restructuring.

9.5 Correspondence received from Perth District Health Unit, dated April 18, 2019, re public health restructuring.

9.6 Correspondence received from Kingston, Frontenac and Lennox & Addington Public Health, dated April 25, 2019, re endorsement of the Ontario Dietitians in Public Health letter on Bill 60.

9.7 Correspondence received from Kingston, Frontenac and Lennox & Addington Public Health, dated April 25, 2019, re minimizing harms associated with the announced expansion of the sale of beverage alcohol in Ontario.

9.8 Correspondence received from Kingston, Frontenac and Lennox & Addington Public Health, dated April 25, 2019, re endorsement of the Children Count Task Force recommendations.

9.9 Correspondence received from Haliburton, Kawartha, Pine Ridge District Health Unit, dated April 24, 2019, re-modernizing Ontario’s public health units.

9.10 Correspondence received from Hastings Prince Edward Public Health, dated May 1, 2019, public health restructuring.

9.11 Correspondence received from Peterborough Public Health, dated May 1, 2019, re potential health and social harms from the ongoing modernization of alcohol retail sales in Ontario.

9.12 Correspondence received from Peterborough Public Health, dated May 3, 2019, re opioid substitution treatment with Managed Opioid Programs (MOPs).

9.13 Correspondence received from Renfrew County and District Health Unit, dated April 29, 2019, re public health restructuring.

9.14 Correspondence received from Grey Bruce Health Unit, dated May 6, 2019, re Bill 60 and reducing health inequalities.

9.15 Correspondence received from Grey Bruce Health Unit, dated May 6, 2019, re support for alPHa report “Improving and Maintaining the Health of the People”.

9.16 Correspondence received from Grey Bruce Health Unit, dated May 6, 2019, re support for Bill 60 and fiscal responsibility.

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

10. Questions/Announcements

10.1 St. George Community Forum

Councillor Bell reported on the St. George Community Forum on May 14. The Health Unit, paramedics, and police provided a panel discussion regarding the opioid crisis. Although attendance was low, the educational session was recorded and will be posted online for access.

11. Future Agenda Items

12. Next Meeting Date

Monday, May 27, 2019, 8:30 a.m. (extra meeting)

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

13. Adjournment

The meeting was adjourned at 11:58 a.m.