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Reports

​Brant County Board of Health

Tuesday, May 22, 2018, 9:30 a.m., Boardroom
Minutes

Present:

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

Regrets:

  • Councillor Willem Bouma
  • Councillor John Sless
  • Ms. Ruby Toor (LOA)

Also Present:

  • Ms. Kathryn Lickley, Manager, Chronic Disease & Injury Prevention
  • Ms. Joan Millsap, Acting Manager, Substance Use & School Health
  • Ms. Christina Rajsic, Director, Program Standards

1.  Call to Order

Chair Anderson called the meeting to order at 9:27 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. Mills
Seconded by: Ms. Mulligan
"That the meeting move to In-Camera at 9:28 am regarding personal matters."            Carried.

The regular Board of Health meeting resumed at 10:19 am.

4. Additions to Agenda

None.

5. Approval of Minutes

5.1  Brant County Board of Health Minutes, April 18, 2018
Moved by: Councillor Kings
Seconded by: Councillor Chambers
"That the Brant County Board of Health Minutes, dated April 18, 2018, be approved as presented."   Carried. 

6. Financial Report

6.1  Approval of 2018 Budget
Dr. Tober reported that the Ministry of Health approved the 2018 cost-shared budget on May 8, 2018, with a 2% increase to the base budget lines amounting to approximately $125,000. One-time funding was also approved to replace the east-end elevator and the boiler, so the process to move these projects forward will be expedited. The Ministry does not require a revised budget to be submitted for the year.

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's Report, dated May 22, 2018, as distributed at the meeting. There are no active local outbreaks. A meeting of Central-West Medical Officers of Health (MOHs) and program Directors was held to plan vision screening activities under the Child Visual Health and Screening Protocol. The Public Health and Local Health Integration Network (LHIN) Steering Committee is establishing their Terms of Reference. A local Emergency Management Annual Compliance Training and Exercise event is planned for June 25-28, 2018. The key findings of the Chief Coroner o Ontario's Report on Opioid Deaths in 2017 reflect a staggering 1,262 deaths, which is a 46% increase over 2016. Dr. Lock also noted the active Ebola outbreak in the Democratic Republic of the Congo.

Ms. Lickley. Ms. Millsap and Ms. Rajsic joined the meeting at 10:28 am.

7.3  Report from the Executive Director
Dr. Tober presented the Executive Director's Report, dated May 22, 2018, as distributed in the package. The remainder of the protocols and guidelines for the new Ontario Public Health Standards were received from the Ministry of Health on May 2. Quarterly financial and program reports to the Ministry of Health have been merged into one multi-faceted report. The financial template has been released and Q1 is due by May 31. The first 2018 program report will be due on July 31 for Q2, the template is still under development. Public Health Ontario's CEO Dr. Peter Donnelly's visit to the Brant County Health Unit in April was postponed until the fall of 2018 at their request. Dr.  Tober announced that the Health Unit will be a recipient of the City of Brantford's 2018 Accessibility Award. The award will be presented at the City Council on May 29.

7.4   Food Safety Disclosure Report
No Report

7.5  alPHa Annual Conference Resolution Report
Dr. Tober presented the Association of Local Public Health Agencies (alPHa) Annual Conference Resolutions Report, dated May 22, 2018, as distributed in the package. There are 5 resolutions: Sustainable funding for local public health in Ontario; Public health support for a minimum wage that is a living wage; Public health's role in food affordability surveillance; Extending the Ontario pregnancy and breastfeeding nutritional allowance to 24 months; and a Comprehensive approach to infection prevention and control in regulated health professional settings. Member agreed that those attending the alPHa Conference could vote without specific direction from the Board. Councillor Neumann, Dr. Lock and Dr. Tober will be attending the Conference on June 10-12, 2018 in Toronto.

Moved by: Councillor Kings
Seconded by: Ms. Mills
"That the Board of Health accept Reports 7.1 through 7.5 as presented."                       Carried.

8. New Business

8.1  Prevention of Chronic Disease and Injuries Program Report
Ms. Lickley presented the Prevention of Chronic Disease and Injuries Program Report, dated May 22, 2018, as distributed with the agenda. The report highlighted 2017 activities and statistics in Healthy Weights, Healthy Easting, Physical Activity, Early Detection of Cancer and Cancer Prevention, Falls and Safety, and Healthy Schools. Under the new Standards effective in 2018, the mandated focus shifts to Health Equity, Mental Health including Suicide Prevention, Health Eating, Active living and Healthy Aging including Falls and Concussions. The Grand River Healthy Communities initiative fits well with the new Standards and supports what the community has asked for in terms of involvement and collaboration. Ms. Rajsic responded to a Board inquiry: the Health Unit works with the Children's Safety Village to encourage healthy relationships as well as physical safety.

8.2  Prevention of Substance Use and Injuries Program Report
Ms. Millsap presented the Prevention of Substance Use and Injuries Program Report, dated May 22, 2018, as distributed with the agenda. The report highlighted activities and outcomes for 2017 for Comprehensive Tobacco Control and Substance Misuse. Program activities are targeted toward youth and vulnerable populations to focus efforts on the highest users. E-cigarettes are a big concern with the schools and with the Health Educators Reaching Other Students (HERO) youth group. Attention to cannabis has expanding as the date of legalization draws closer. In 2018, the revised Smoke Free Ontario Act will include e-cigarettes and greater efforts can be focused on this area. In late 2017, the Ministry provided Harm Reduction Enhancement Program funding. In Partnerships with the City and other community agencies and clinics, activities of awareness, needle exchange, Naloxone training and kits, and data surveillance have accelerated. Members discussed with Ms. Millsap e-cigarettes vs vaping, vaping cannabis, heat not burn, n the unknown role of e-cigarettes/vaping in cessation as there is no research available yet. Proximity to contraband cigarettes was noted in considering local smoking rates. Literature links smoking in movies with smoking starts; therefore, there is a push for movie ratings to clearly disclaim when there is smoking in a movie.

8.3  Cannabis Legalization Report
Ms. Rajsic presented the Cannabis Legalization Report, dated May 22, 2018, as distributed with the agenda. The report provided background information on cannabis and an overview of prevalence of use in Brant, health impacts, and the public health approach to activities on the legalization and regulation of recreational cannabis usage. Discussion between the two levels of government continues regarding jurisdiction and approach to enforcement. Any public use of cannabis (except medical) will be illegal, as is the sale to or use of cannabis by anyone under the age of 19 years. Public health will focus on awareness messaging and minimizing the use/impact on youth, pregnant women, and driving under the influence. Materials from the Ministry of Health will be beneficial in presenting a coordinated and consistent message province-wide by all 35 health units.

Ms. Lickley, Ms. Millsap and Ms. Rajsic left the meeting at 10:52 am.

8.4  Brant County Health Unit 2017 Annual Report

Dr. Tober presented the 2017 Annual Report for the Brant County Health Unit, as distributed in the package.
Moved by: Councillor Kings
Seconded by: Ms. Mills
"That the Board of Health accept Reports 8.1 through 8.4 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 Grey Bruce Health Unit, dated April 19, 2018, re repeal of Section 43 of the Criminal Code Refresh 2017.

9.2  Correspondence received from Grey Bruce Health Unit, dated April 19, 2018, re tobacco and smoke-free campuses.

9.3  Correspondence received from Grey Bruce Health Unit, dated April 19, 2018, re Annual Service Plan and Budget.

9.4  Correspondence received from Windsor-Essex County Health Unit, dated April 19, 2018, re Oral Health Report.

9.5  Correspondence received from Kingston, Frontenac and Lennox & Addington Health Unit, dated April 26, 2018, re food literacy in school curricula.

9.6  Correspondence received from City of Kawartha Lakes, dated April 18, 2018, re 2018 Annual Service Plan.

9.7  Correspondence received from Peterborough Health Unit, dated April 23, 2018, re repeal of Section 42 of the Criminal Code of Canada.

9.8  Correspondence received from Peterborough Health Unit, dated May 3, 2018, re youth exposure to smoking in movies.

9.9  Correspondence received from Ministry of Health, dated May 7, 2018, re additional base funding and one-time funding approvals for 2018.

Councillor Kings left the meeting at 10:53 am.  
Moved by: Councillor Chambers
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, June 20, 2018, 9:30 am.

14. Adjournment

The meeting was adjourned at 10:55 am.