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Reports

​Brant County Board of Health

Wednesday, April 18, 2018, 9:30 a.m., Boardroom
Minutes

Present:

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

Regrets:

  • Councillor David Neumann
  • Ms. Ruby Toor (LOA)

Also Present:

  • Mr. Simon Salole, Chartered Accountant, Millards
  • Ms. Diane Paxton, Chartered Accountant, Millards
  • Ms. Ronda Manning, Manager, Healthy Growth and Development
  • Ms. Christina Rajsic, Director, Program Standards
  • Mr. Brent Richardson, Manager, Human Resources

1. Call to Order

Chair Anderson called the meeting to order at 9:21 am. The In-camera session was held at the end of the regular meeting.

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 (In-camera session was held at the end of the regular meeting.)

Moved by:           Councillor Chambers
Seconded by:      Councillor Sless
“That the meeting move to In-Camera at10:24 am regarding personal matters.” Carried.

The regular Board of Health meeting resumed at 10:54 am.

At the In-camera session the following motion was passed:
Moved:           Ms. Mills
Seconded:      Ms. Mulligan
“That the Board of Health approve the temporary appointment of Mr. Brent Richardson, Manager of Human Resources, to Acting Director of Corporate Services effective as of May 8, 2018 or alternate leave start date, for the duration of the Director of Corporate Services’ medical leave of absence.”     Carried

4. Additions to Agenda

9.1 Correspondence from Hastings Prince Edward Public Health.

5. Approval of Minutes

5.1 Brant County Board of Health Minutes, March 21 and March 28, 2018

Moved by: Councillor Sless
Seconded by: Ms. Mills
“That the Brant County Board of Health Minutes, dated March 21, 2018 and March 28, 2018, be approved as presented.” Carried.

6. Financial Report

6.1 2017 Draft Audited Financial Statement
Mr. Salole and Ms. Paxton presented the draft 2017 Audited Financial Statement for the Brant County Health Unit, as distributed with the agenda. Ms. Paxton reported there were no significant issues. The revenue deferred back to the Province and municipalities was higher than last year. A significant portion of the $409,237 to be returned to the Province was one-time capital funding that was not all needed for the roof replacement, and the entire amount of $175,000 which was not used for a space assessment survey. The Province funded the survey for more than requested and the survey was not pursued due to requirement uncertainties in the incoming Ontario Public Health Standards.

The revenue deferral to the municipalities was comparable to last year and was mainly a result of gapping positions and ensuring the 100%-provincially funded amounts were fully expensed. Healthy Smiles Ontario program was underspent due mainly to renovations at the dental clinic which reduced the number of clients seen during the year. Members noted that unspent amounts represent missed opportunities to provide programs and services. Health Unit staff were briefly excused from the meeting so that the auditors and Board Members had an opportunity for confidential dialogue. Ms. Paxton advised that the Management Letter will come to the Board subsequently, and the final version of the audited Financial Statement will be provided to the Board.

Ms. Paxton and Mr. Salole left the meeting at 9:35 am.

Moved by:          Councillor Bouma
Seconded by:    Councillor Chambers
“That the Board of Health accept with corrections the draft audited Financial Statement for the calendar year ending December 31, 2017, 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 5 Healthy Babies, Healthy Children Program
  • Schedule 6 Healthy Smiles Ontario Program
  • Schedule 7 Infection Prevention and Control Nurse Initiative
  • Schedule 8 Infectious Disease Control Initiative (SARS)
  • Schedule 9 Small Drinking Water Systems Program
  • Schedule 10 Smoke-Free Ontario Programs
  • Schedule 11 Vector Borne Diseases Program
  • Schedule 12 9000 Nurses Initiative
  • Schedule 13 Electronic Cigarettes Act Program.” Carried.

6.2 2018 Q1 Financial Statement ending March 31, 2018
Ms. Kirby presented the 2018 Q1 Financial Statement ending March 31, 2018, as distributed with the agenda. Ms. Kirby noted the adjusted format for clarity and the forecast going forward. There is a year-to-date surplus due to position vacancies that will be filled based on the Annual Service Plan. On April 13, the Ministry of Health announced a 2% increase to health units’ base budgets; that increase is not reflected in this quarterly statement.

The additional funds will amount to between $126,000 and $160,000, depending upon the Ministry’s inclusion of related programs within the base budget. Requests for capital funding for elevator and boiler replacements were submitted with the provincial budget.
Moved by:            Ms. Mills
Seconded by:       Councillor Bouma
“That the Board of Health accepted the Financial Statement ending March 31, 2018 as presented.”    Carried.

6.3 Report from the Board of Health Finance and Audit Committee
Ms. Mills reported that Ms. Paxton and Mr. Salole of Millards presented the draft audited financial statement to the Finance and Audit Committee prior to presentation to the full Board. The Committee also approved 3-year contracts with NetOptiks and Bell to increase the Health Unit’s internet band width and add a redundancy line to ensure continuous operations.

Information on the quotes for the West Nile Virus Larviciding and Mosquito Identification programs was presented at the Finance and Audit meeting. Ms. Kirby presented the difference in quotes and benefits for a single vendor. As the contracts for both program activities by a single vendor pushed the amount over the $25,000 threshold, Board approval is required. In 2017, $26,000 was spend on West Nile virus contracts. The 2018 budget requested $39,000.
Moved:           Councillor Sless
Seconded:     Councillor Bouma
"That the Board of Health approve the 2018 West Nile Virus program contracts for Larviciding and for Mosquito Identification be awarded to GDG, to a maximum amount of $39,000.”    Carried.

Ms. Kirby left the meeting at 9:44 am.

7. Business Arising from the 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 April 18, 2018, as distributed at the meeting. The report highlighted a steady decrease in influenza cases, and Ministry of Health notification of canine influenza H3N2 virus. Veterinarians have been asked to report cases to Medical Officers of Health (MOH) to gain an understanding of the prevalence. There is no known transmission from dogs or cats to humans. Dr. Lock attended 2 City of Brantford flood debriefings where the City plan and operations were reviewed. Dr. Lock and Dr. Tober have been regularly attending Local Health Integration Network Brant Sub-Region Anchor Table meetings to explore local priorities with local partners. Dr. Lock noted that April 18 is the termination date of the agreement for Acting MOH duties for the Haldimand-Norfolk Health Unit. Central-West MOHs will be meeting to discuss the vision screening requirement in the new Ontario Public Health Standards and how a consistent roll-out across Central-West health units might look. Dental screening is being offered as a comparator; however, a dental screening takes 5 minutes whereas a vision screening would take approximately 20 minutes. The logistics of the same staff doing both screenings at the same clinic in a school would be difficult. The Ministry’s Child Visual Health and Vision Screening Protocol does not detail program rollout, nor outline follow-up responsibilities when vision concerns are identified and not acted upon by the parent.

7.3 Report from the Executive Director
Dr. Tober presented the Executive Director’s Report, dated April 18, 2018, as distributed in the package. Dr. Tober’s report detailed changes to the Health Protection and Promotion Act, the Immunization of School Pupils Act and related regulations. In addition, Dr. Tober reported on the 2% increase to all Ontario public health units’ base budget. There has been no further communication from the Ministry regarding application to related cost-shared programs or direction to update the 2018 Annual Service Plan and Budget. The Ministry released the School Health Guidelines, another support document to the Ontario Public Health Standards. There are 10 guidelines yet to be received. And, on behalf of the Association of Local Public Health Agencies (alPHa), Dr. Tober invited Board Members to participate in the annual alPHa Fitness Challenge on the May Board meeting date.

Ms. Manning and Ms. Rajsic joined the meeting at 9:59 am.

7.4 Food Safety Disclosure Report
No report.

7.5 Ministry of Health Audit of Brant County Health Unit Update
Dr. Tober reported that the Ministry of Health auditors continue on-site testing. The Audit Team Leads met with the Board Chair, Vice-Chair, Dr. Lock and Dr. Tober on April 18. No further meetings have been held and interviews with Board Members have not been requested.

7.6 alPHa Annual Conference—June 10-12, 2018
Dr. Tober referred to the alPHa Annual Conference program that was distributed with the agenda. The conference will be June 10-12, 2018 in Toronto. Dr. Lock and Dr. Tober plan to attend.
Moved by:            Councillor Sless
Seconded by:       Councillor Kings
“That the Board of Health accept Reports 7.1 through 7.6 as presented.”     Carried.

8. New Business

8.1 Reproductive Health Program Report
Ms. Manning presented the Reproductive Health Program Report, dated April 18, 2018, as distributed with the agenda. The report highlighted 2017 activities: Prenatal classes are offered in both in-person and online formats. The Canada Prenatal Nutrition Program supports pregnant women and mothers to age 21 through drop-in format and linkages to internal and community programs and services.

8.2 Child Health Program Report
Ms. Manning presented the Child Health Program Report, dated April 18, 2018, as distributed with the agenda. The report highlighted program activities in 2017: Staff in the Healthy Babies, Healthy Children program screen new mothers at the hospital. This offers opportunity for conversation with mothers, introduces them to post-discharge public health services, and forges a good relationship with the hospital. Public Health Nurses initiate, or respond to referrals for, postpartum and/or breastfeeding contacts. The Family Line is open during regular business hours to answer questions related to healthy growth and development, parenting, breastfeeding and nutrition. The Triple P® – Positive Parenting Program expanded in 2017. Public Health Nurses in schools teach Triple P®, several sites on Six Nations are offering the program, and Six Nations will be joining the Triple P® advisory committee. In response to questions, Ms. Manning outlined the process of contact with parent(s) of children through to in-depth involvement where Family Home Visitors may be involved, and reported that while were are fluctuations, the overall birth rate in Brant is static.

Ms. Manning left the meeting at 10:13 am.

8.3 Oral Health Program Report
Ms. Rajsic presented the Oral Health Program Report, dated April 18, 2018, as distributed with the agenda. Ms. Rajsic reported that the Health Unit’s renovated dental suite at the Grand River Community Health Centre is now fully operational for treatments and screening. Screening numbers were down in 2017, but should pick up in 2018. School screening statistics remained constant. Ms. Rajsic referred to the Dental Screening Report for Graham Bell-Victoria School. In 2016-2017, the proportion of children in junior kindergarten with decayed, missing or filled teeth was 63%. Health Unit staff provided some intensive intervention: reduced sugars, parental and student education, and giving out toothbrushes and water. In the 2017-2018 school year, the rate dropped to 13%. The school was chosen as a pilot because it had the highest rate and the principal was receptive to participation. In response to questions, Ms. Rajsic stated that the fluoride varnish used in daycares is a topical product that staff paint onto children’s teeth. It stays in the mouth, unlike fluoridated water that is ingested into the body; therefore, there is no concern about additional fluoride intake for the daycare children.

Ms. Rajsic left the meeting at 10:17 am.

8.4 Human Resources Report
Mr. Richardson presented the Human Resources Report, dated April 18, 2018, as distributed with the package. Mr. Richardson reported on 2017 statistics: There were 3 accidents and 6 incidents reported by employees, as required under the Occupational Health and Safety Act. The turnover rate was 15%, with a variety of reasons for staff leaving. Six vacancies were replaced by year-end. An average of 4.83 sick days used per employee was well below the provincial average of 6.9 days. The Health Unit responded to 254 requests for information under the (Municipal) Freedom of Information and Protection of Privacy Act and the Personal Health Information Protection Act. This was a 36% increase over last year.

Mr. Richardson left the meeting at 10:24 am.

Moved by:             Councillor Bouma
Seconded by:       Councillor Sless
“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 Hastings Prince Edward Public Health, dated March 28, 2018, re funding for public health from cannabis sales taxation revenue.
Moved by:             Councillor Kings
Seconded by:       Ms. Mills
“That the Board of Health receive the correspondence as presented.”   Carried.

10. Questions/Announcements

11. Future Agenda Items

12. Next Meeting Date

Wednesday, May 22, 2018, 9:30 am.

Members discussed necessary changes to several meeting dates to accommodate other commitments by Members and staff. The following was confirmed: May meeting will be held on May 22 at 9:30 am. Regrets were noted from Councillors Sless and Bouma.
September meeting will be held on Thursday, September 6 at 9:30.
December meeting was confirmed for Tuesday, December 11.

14. Adjournment

The meeting was adjourned at 10:59 am.