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Meeting of the Board of Health for the Porcupine Health Unit

Held on April 22, 2016, Timmins Office, Board Room

Present:

  • Gilles Chartrand
  • Rick Lafleur
  • Michel Brière
  • Gil Hébert
  • Michael Shea
  • Marie Leonard
  • Claude Bourassa
  • Sue Perras
  • Andrew Marks
  • Laurier Duciaume
  • André Rhéaume
  • Drago Stefanic
  • André Grzela

Staff:

  • Dr. Lianne Catton
  • Don West
  • Maria Cook
  • Joelle Aubin
  • Chantal Riopel

Recorder: Maria Cook

1) Call to Order

Gilles Chartrand, Chair, 5:00 p.m.

2) Approval of Agenda

Addition:

8)  Resource Committee Report

c) alPHa Board Nominee

MOVED BY: Drago Stefanic
SECONDED BY: André Rheaume

THAT the agenda for this meeting be approved as amended.

Carried

3) Adoption of Minutes of Meeting

MOVED BY: Michel Brière
SECONDED BY: Sue Perras

THAT the minutes of the meeting of the Board of Health for the Porcupine Health Unit held March 18, 2016 be approved.

Carried

4) Business Arising from Minutes

 None.

5) Correspondence

Don West spoke to the following correspondence:

Peterborough County-City  Health Unit

Re: Legislation to Enforce Infection Prevention and Control Practices within Invasive Personal Service Settings (PSS) under the Health Protection and Promotion Act

Copy of letter, dated March 15th, to Premier Wynne, supporting recommendations from Haliburton, Kawartha, Pine Ridge District Health Unit to consider enacting legislation for infection prevention and control requirements for invasive PSS under the Health Protection and Promotion Act with a suitable enforcement program such as short-form wording under the Provincial Offences Act.

Windsor-Essex County-City  Health Unit

Re: Petition to Update Ontario Fluoridation Legislation

Copy of letter, dated March 18th, to Minister Hoskins, advising of their Board's resolution, recommending the Province amend the regulations of the Safe Drinking Water Act to require community water fluoridation for all municipal water systems to prevent dental caries.

Grey Bruce Health Unit

Re: Environmental Health Program Funding

Copy of letter, dated March 24th to Minister Hoskins, supporting North Bay Parry Sound District Health Unit's Board resolution endorsing the following actions to support the Environmental Health program in implementing new provincial public health policy and legislation:

  1. Encourage the MOHLTC to provide dedicated, predictable recurring funding to public health units for the purpose to enhance Environmental Health program field staff and management capacity to implement new provincial public health policy and legislation;
  2. Encourage the MOHLTC to fund an additional 2.0 full-time equivalent (FTE) public health inspectors in the Environmental Health program;
  3. Encourage the MOHLTC to adopt as standard policy for providing of training to public health staff whenever new provincial public health policy and legislation is implemented; and
  4. Encourage the MOHLTC to develop a staffing model for health units to use to determine adequate levels of environmental health staffing which include field staff, supervisory staff and management staff necessary to fully implement provincial environmental health policy and legislation.

Re: Herpes Zoster

Copy of letter, dated March 24th, to Minister Hoskins, supporting recommendations from Peterborough County-City Health Unit to consider adding the herpes zoster vaccine to the list of publicly funded vaccines available to Ontario's adults.

Re: Enactment of Legislation to Enforce Infection Prevention and Control Practices within Invasive Personal Service Settings

Copy of letter, dated March 24th, to Premier Wynne, supporting recommendations from Sudbury & District Health Unit's Board resolution regarding the enactment of legislation to enforce infection prevention and control practices within invasive personal service settings.

Re: Smoke-Free Schools Act

Copy of letter, dated March 24th, to Minister Hoskins, supporting North Bay Parry Sound Health Unit's Board resolution supporting Bill 139: Smoke-Free Schools Act and that legislation for plain and standardized cigarette packaging and higher tobacco taxes be considered by all levels of government.

Premier  Kathleen  Wynne

Re: PHU resolution re: Northern Ontario Evacuations of First Nations Communities

Copy of letter, dated April 4th, from Premier Wynne, thanking us for sharing our Board's resolution regarding the temporary relocation of First nations communities in Northwestern Ontario and the James Bay Coast during environmental and weather related threats, and advising that she and her Cabinet colleagues will take our Board's views into consideration. 

6) Medical Officer of Health and Program Manager Reports

Hepatitis Outbreak

Dr. Lianne Catton, Medical Officer of Health (A), provided an update on recent concerns regarding a Hepatitis outbreak that may affect some of our communities. Due to a Hepatitis A outbreak, the Canadian Food Inspection Agency has issued a recall of a food product sold exclusively at Costco stores in Ontario, Quebec, New Brunswick, Nova Scotia, Newfoundland and Labrador. The recalled product is Costco's Nature's Touch Berry Cherry Blend frozen berry variety and has been linked with Hepatitis A. Costco has utilized their membership list to inform members, who have purchased these berries, to discard and seek medical attention.

Branch offices, hospitals, clinics, medical providers and media have all been notified. An urgent supply of vaccine has been obtained, should the need arise. At this time, we have had no reported cases nor suspected cases of Hepatitis A in the Porcupine Health Unit area.

Healthy Babies Healthy Children Program

Chantal Riopel, Manager of Family Health/Chief Nursing Officer

Chantal Riopel, Program Manager, spoke to her written report, noting births for the Cochrane District and the main components of the activities of the HBHC Program as outlined in the HBHC Guidance Document released in late 2012. Chantal also reviewed the Breastfeeding Committee for Canada Baby-Friendly Initiative (BFI) designation requirements.

Infectious Diseases Status Report—2009-2014

Lynn Leggett, Manager of Infectious Diseases & Clinical Services

Lynn Leggett spoke to the PHU Infectious Diseases Status Report, a copy of which was circulated in Board meeting packages. In March 2016, the Porcupine Health Unit released its second comprehensive infectious disease report: Porcupine Health Unit: Infectious Disease Status Report 2009-2014. The report presents rates of reportable diseases for a seven year period for the Porcupine Health Unit area, provides a provincial comparison of rates, and includes a brief interpretation of trends in disease rate. Between 2009 and 2016, there were a total of 3,914 reported cases of infectious diseases in the Porcupine Health Unit area. The top three diseases reported are chlamydia, influenza and gonorrhea accounting for 87.1% of all cases. Chlamydia, by far, accounted for the largest proportion of cases at 66.4%, followed by influenza at 12.7% and gonorrhea at 8%.

7) Program Committee Report

Small Drinking Water Systems

Tanya Musgrave, Program Coordinator

Sue Perras thanked Tanya for providing a very informative presentation on small drinking water  systems.

Water Fluoridation

MOVED BY: Rick Lafleur
SECONDED BY: Drago Stefanic

WHEREAS, the relationship between poor oral health and poor physical and mental health is clear; and
WHEREAS, the relationship between poor oral health and risks associated with childhood development are known; and
WHEREAS, individuals in the community of lower socio-economic status suffer a more significant burden of poor health; and
WHEREAS, providing fluoride via community water offers the positive benefits equally for everyone in the community; and
WHEREAS, global health experts and evidence support community water fluoridation to prevent tooth decay;
THEREFORE BE IT RESOLVED THAT, the Porcupine Health Unit recommends that the Province of Ontario amend the regulations of the Safe Drinking Water Act to require community water fluoridation for all municipal water systems (when source-water levels are below the Health Canada-recommended level of 0.7 mg/L) to prevent dental caries; and
FURTHER THAT, the Province provide the funding and technical support to municipalities to implement community water fluoridation.

Carried

8) Resource Committee Report

a) Staff Changes

MOVED BY: Claude Bourassa
SECONDED BY: Gil Hébert

THAT the report of staff changes be received for information.

Carried

b) Revenues & Expenditures—Year Ended December 31, 2015

MOVED BY: Michel Brière
SECONDED BY: Claude Bourassa

THAT the report of revenues and expenditures for the Porcupine Health Unit for the nine months ended December 31, 2015 be approved.

Carried

c) alPHa Board Nominee

MOVED BY: Gilbert Hébert
SECONDED BY: Claude Bourassa

THAT the Board of Health for the Porcupine Health Unit nominate Gilles Chartrand to stand as a candidate for election to the Association of Local Public Health Agencies Board of Directors at alPHa's 2016 annual meeting.

Carried

9) New Business

None.

10) Receipt of Minutes for Information

a) Management Committee Meeting Minutes

MOVED BY: Drago Stefanic
SECONDED BY: Gil Hébert

THAT the minutes of the Management Committee meeting held February 18, 2016, 2016 be received for information.

Carried

b) Program Committee Meeting Minutes

MOVED BY: Drago Stefanic
SECONDED BY: Rick Lafleur

THAT the minutes of the Program Committee meeting held October 23, 2015 be received for information.

Carried

c) Resource Committee Meeting Minutes

MOVED BY: Michael Shea
SECONDED BY: Claude Bourassa

THAT the minutes of the Resource Committee meeting held October 23, 2015 be received for information.

Carried

11) Date of Next Meeting and Adjournment

MOVED BY: Laurier Duciaume
SECONDED BY: Gil Hébert

THAT the next meeting of the Board of Health for the Porcupine Health Unit be held on May 27, 2016 at 5:00 p.m. and that this meeting adjourn.

Carried