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Reports

Brant County Board of Health

Wednesday, September 11, 2019, 9:30 a.m., Boardroom
Minutes

Present:

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

Absent:

  • Councillor Robert Chambers

Also Present:

  • Mr. Alexey Babayan, Director, Foundational Standards
  • Ms. Dee Perera, Director, Finances
  • Mr. Brent Richardson, Director, Human Resources

1. Call to Order

Chair Anderson called the meeting to order at 9:38 a.m. Dr. Urbantke, incoming Acting Medical Officer of Health as of September 27, 2019, was introduced to Members. The annual Board photo was taken prior to the meeting. The in-camera session was moved to the end of the regular meeting.


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 (held at the end of the regular meeting)

Moved by: Councillor Bell
Seconded by: Councillor Sless
“That the meeting move to In-Camera at 10:26 a.m. regarding personal matters about an identifiable individual; risk management/issues; and educating or training Members.” Carried.

The regular Board of Health meeting resumed.
At the In-Camera session, a motion under Item 3.3 was passed.

4. Additions to Agenda

None.

5. Approval of Minutes

5.1 Brant County Board of Health Minutes, June 19, 2019

Moved by: Ms. Mulligan
Seconded by: Councillor Sless
“That the Brant County Board of Health Minutes, dated June 19, 2019, be approved as presented.” Carried.

6. Financial Report

6.1 2019 Financial Position as of July 31, 2019

Ms. Perera presented the Financial Position Report as of July 31, 2019, as distributed with the agenda. The statement reflected a substantial surplus, due mainly to the restrictive spending on planned projects and recruitment while awaiting provincial budget approval for 2019. Many projects are now underway and the Q3 statement should reflect a lower surplus. The Health Unit already has projects underway that will use 2019 funds to implement systems to achieve cost-savings and efficiencies, e.g., through payroll and inventory management. These are planned for full
implementation by year-end.

Moved by: Councillor Bell
Seconded by: Councillor Sless
“That the Brant County Board of Health approve the Statement of Revenue and Expenses as of July 31, 2019, as presented.” Carried.

6.2 2019 Budget Approval from Ministry of Health

Ms. Perera reported that the Ministry of Health approved the Health Unit’s 2019 budget request on August 20, in the full amount. Some one-time funding was also received. Major purchases are proceeding as planned. A balanced budget is anticipated for year-end; however, a more accurate projection will unfold in the remaining months.

6.3 2019 Budget Approval from Ministry of Children, Community & Social Services

Ms. Perera reported the Ministry of Children, Community and Social Services approved the Healthy Babies, Healthy Children program budget submission for 2019 in the full amount requested. This Ministry announced a change to their funding cycle, which will run from April through March in line with the government’s fiscal year.

6.4 2020 Budget—Municipal Portion

Ms. Perera noted that the municipal portion of the public health budget will increase to 30% in 2020 under the 70/30 provincial/municipal funding formula. Funding for some Health Unit programs is cost-shared and others are currently 100%-funded by the Province; it is uncertain how the 70/30 formula may affect these amounts. A teleconference with the Ministry is scheduled for next week to seek more information, so that a clearer projection can be presented to the Board in October.

6.5 Report from the Finance and Audit Committee (including Membership)

Chair Anderson reported that a Finance and Audit Committee meeting was held on August 27, 2019, as well as a brief meeting held on September 11. With an approved budget, the Committee authorized staff to proceed on a number of projects in seeking quotes, issuing RFPs and awarding contracts quickly for completion by year-end. The submitted application for capital funds for renovations to commence the Ontario Seniors’ Dental Care program is awaiting provincial approval before work can begin.

Moved by: Councillor Bell
Seconded by: Councillor Sless
“That the Brant County Board of Health accept Reports 6.2 through 6.5 for information as presented.” Carried.

Ms. Perera left the meeting at 9:45 a.m.

7. Business Arising from Previous Minutes

7.1 Report from the Chair

Chair Anderson noted this will be his last meeting, as the Province did not renew his re-appointment as a Provincial Appointee. The Board now has three vacant Provincial Appointee positions. The Province is not filling these vacancies on health unit boards as well as in most other sectors.

Election:
Moved by: Mayor Davis
Seconded by: Councillor Sless
“THAT Ms. Mulligan be nominated for the position of Chair, for the remainder of this year.” Carried.

Ms. Mulligan accepted the position of Chair, effective October 1, 2019.
Members congratulated Mr. Anderson on serving the Board of Health for the past six years and commended him for his leadership.


7.2 Report from the Medical Officer of Health

Dr. Lock presented the Medical Officer of Health Report, dated September 11, 2019, as distributed with the package. Dr. Lock reported on a debriefing of the Stanley Street fire. Patients involved in a respiratory outbreak in June at a long-term care home were screened by Public Health Ontario for Legionella. No cases showed a presence of Legionella, and the outbreak has been resolved. Provincial mortality statistics indicated 30 opioid-related deaths in 2019. This is a significant increase over 2018. There appears to be greater street availability of carfentanil. The first local case of influenza was reported this week. Influenza numbers in Australia are high and early this season; they are often a predictor for North American influenza activity. All health units are waiting for the provincial go-ahead for receiving and dispensing influenza vaccine and launching campaign messages. A food handler at a neighbouring health unit was confirmed with Hepatitis A. Communication was provided to local healthcare providers with information on immunization for close contacts. Dr. Lock noted the increasing number of severe respiratory illnesses
related to vaping in the United States and elsewhere. Vaping exposes the user to nicotine, metals in the flavourings, and other components. These illnesses are concerning, and there is uncertainty about whether the affects of the illness
will be permanent. Dr. Lock responded to questions about the respiratory outbreak, vaping, and opioid death statistics.

7.3 Report from the Executive Director

Dr. Tober presented the Chief Executive Officer Report, dated September 11, 2019, as distributed with the agenda. The report included key announcements from the Association of Municipalities of Ontario conference; Healthy Babies, Healthy Children program fiscal year changes; and a welcome to Dr. Urbantke.

7.4 Food Safety Disclosure Report

Dr. Tober presented the Food Safety Disclosure Report, dated September 11, 2019, as distributed with the agenda. Maria’s Fish and Chips was convicted of a violation for “food premises maintained in manner permitting health hazard” and fined $575.

Moved by: Councillor Van Tilborg
Seconded by: Councillor Bell
“That the Brant County Board of Health 7.1 through 7.4.” Carried.

8. New Business

8.1 Indicator Status—2019 Mid-Year Report

Dr. Tober presented the Indicator Status—2019 Mid-Year Report, dated September 11, 2019, as included with the agenda. The report outlined statistics for Q1 and Q2 2019, with targets and comparisons to previous years where available. Results were provided for all program areas: Environmental Health; Infectious Diseases; Clinic Services; Healthy Growth and Development; Smoke-Free Ontario Act, Harm Reduction and School Health; and Chronic Disease and Injury Prevention.

Moved by: Councillor Van Tilborg
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 June 17, 2019, re changes to provincial autism supports.

9.2 Correspondence received from City of Hamilton, dated June 14, 2019, re proposed provincial restructuring of local public health agencies.

9.3 Correspondence received from Porcupine Health Unit, dated June 19, 2019, re support for Simcoe-Muskoka District Health Unit and proposed northeastern boundaries.

9.4 Correspondence received from Porcupine Health Unit, dated June 19, 2019, Northeast Public Health Transformation Initiative.

9.5 Error – number skipped in sequence.

9.6 Correspondence received from Haliburton, Kawartha, Pine Ridge District Health Unit, dated June 20, 2019, re health promotion as a core function of public health.

9.7 Correspondence received from Peterborough Public Health, dated June 25, 2019, re support for Children Count Task Force recommendations.

9.8 Correspondence received from Peterborough Public Health, dated June 24, 2019, re follow-up to resolution at the Association of Local Public Health Agencies (alPHa) Annual General Meeting.

9.9 Correspondence received from Simcoe Muskoka District Health Unit, dated June 27, 2019, re public health modernization.

9.10 Correspondence received from Leeds, Grenville & Lanark District Health Unit, dated July 4, 2019, re Seniors’ Low Income Dental program.

9.11 Correspondence received from York Region, dated June 21, 2019, re position and mandate of a restructured York Region Public Health.

9.12 Correspondence received from Windsor-Essex County Health Unit, dated July 2, 2019, re health promotion as a core function of public health.

9.13 Correspondence received from Windsor-Essex County Health Unit, dated July 2, 2019, re smoke-free—smoke/vape-free outdoor spaces.

9.14 Correspondence received from Windsor-Essex County Health Unit, dated July 2, 2019, re immunization for school children—seamless immunization registry.

9.15 Correspondence received from North Bay Parry Sound District Health Unit, dated July 5, 2019, re public health transformation initiative in northeastern Ontario.

9.16 Correspondence received from Southwestern Public Health, dated July 8, 2019, re future delivery of health promotion programs and services in Ontario by public health units.

9.17 Correspondence received from Peterborough Public Health, dated July 19, 2019, re National School Food program.

9.18 Correspondence received from Peterborough Public Health, dated July 17, 2019, re funding cancelled for Leave the Pack Behind (tobacco).

9.19 Correspondence received from Niagara Region, dated July 19, 2019, re proposed provincial restructuring of local public health agencies.

9.20 Correspondence received from Ministry of Health, dated July 25, 2019, re completion of provincial appointment term for Mr. Greg Anderson.

9.21 Correspondence received from City of Hamilton March 27, 2019 meeting, re correspondence items endorsed (3).

9.22 Correspondence received from City of Hamilton April 14, 2019 meeting, re correspondence items received (2).

9.23 Correspondence received from City of Hamilton April 24, 2019 meeting, re correspondence items received (1) and endorsed (1).

9.24 Correspondence received from City of Hamilton May 22, 2019 meeting, re correspondence items received (13).

9.25 Correspondence received from City of Hamilton May 22, 2019 meeting, re correspondence items endorsed (2).

9.26 Correspondence received from City of Hamilton July 12, 2019 meeting, re correspondence items received (3).

9.27 Correspondence received from City of Hamilton June 26, 2019 meeting, re correspondence items endorsed (1).

9.28 Correspondence received from City of Hamilton July 12, 2019 meeting, re correspondence items endorsed (3).

9.29 Correspondence received from Kinston, Frontenac and Lennox & Addington Public Health, dated August 6, 2019, re restructuring local public health in Ontario.

9.30 Correspondence received from Middlesex-London Health Unit, dated July 19, 2019, re strong local public health.

9.31 Correspondence received from Grey Bruce Health Unit, dated August 27, 2019, re smoke/vape-free outdoor spaces.

9.32 Correspondence received from Grey Bruce Health Unit, dated August 27, 2019, re childhood immunization.

9.33 Correspondence received from Grey Bruce Health Unit, dated August 27, 2019, re smoke-free multi-unit dwellings.

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


10. Questions/Announcements

10.1 Retirement Party for Dr. Malcolm Lock

Dr. Tober invited Board Members to the Retirement Coffee Party for Dr. Malcolm Lock on September 26, 2019.

10.2 alPHa Fall Symposium and Section Meetings

Dr. Tober advised Members of the Association of Local Public Health Agencies’ 2019 Fall Symposium and Section Meetings on November 6-7, 2019. Members wishing to attend should contact the Board secretary to arrange registration.

11. Future Agenda Items

12. Next Meeting Date

Wednesday, October 16, 2019, 9:30 a.m.

13. Adjournment

The meeting was adjourned at 11:30 a.m.