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Meeting of the Board of Health for the Porcupine Health Unit

Held on March 17, 2017, Timmins Office, Board Room

Present:

  • Gilles Chartrand
  • Michael Shea
  • Laurier Duciaume
  • Veronica Farrell
  • Rick Lafleur
  • Sue Perras
  • Pat Bamford
  • Steve Black
  • Claude Bourassa
  • Michel Brière

Staff:

  • Dr. Lianne Catton
  • Don West
  • Maria Cook
  • Lynn Leggett
  • Chantal Riopel
  • Bob Bell
  • Betty Ann Horbul
  • Joëlle Aubin

Recorder: Maria Cook

1) Call to Order

Gilles Chartrand, Chair, 5:30 p.m.

2) Approval of Agenda

MOVED BY: Michael Shea
SECONDED BY: Claude Bourassa

THAT the agenda for this meeting be approved.

Carried

3) Adoption of Minutes of Meeting

MOVED BY: Pat Bamford
SECONDED BY: Laurier Duciaume

THAT the minutes of the meeting of the Board of Health for the Porcupine Health Unit held January 20, 2017 be approved.

Carried

4) Business Arising from Minutes

None.

5) Correspondence

Don West spoke to the following correspondence:

Wellington-Dufferin-Guelph Public Health

Re:  Requesting Support for Enactment of Legislation under the PPA to allow for the Inspection and Enforcement Activities of Personal Service Settings

Copy of letter, dated January 4th, to Kathleen Wynne, requesting her support of the enactment of legislation for infection protection and control requirements, for all personal service settings, under the HPPA, supported by short-form wording under the Provincial Offenses Act.

Peterborough Public Health

Re: Health Hazards of Gambling

Copy of letter, dated February 2nd, to Minister Hoskins, supporting recommendations outlined in North Bay Parry Sound District Health Unit’s BOH Resolution #2016/11/10, including advocating to local municipalities for a public health strategy to address the anticipated harms that will result from expansion of gaming in their communities, which has been communicated to their local Councils.

Re: Bill 6, Ministry of Community Social Services Amendment Act (Social Assistance Research Commission) 2016

Copy of letter, dated February 2nd, to Peter Tabuns, MPP, Toronto-Danforth, Chair, Standing Committee on Social Policy, urging the Standing Committee on Social Policy to promptly move ahead with hearings on Bill 6, in order to help work towards ensuring that all Ontarians have a decent minimum standard of living; and, eradicating poverty in the Province, which will ultimately help most vulnerable community members by ensuring that local living costs are considered when the province determines social assistance rates.

Re:  Jordan’s Principle

Copy of letter, dated February 2nd, to Councillor Jesse Helmer, Chair, Board of Health, Middlesex London Health Unit, expressing their thanks to their Board for taking the initiative in December 2016 in adopting Jordan’s Principle as a Board of Health policy, to ensure that jurisdictional disputes regarding the payment of services for children do not interfere with the timely provision of services to all First Nations children.

Re:  Opioid Addiction and Overdose

Copy of letter, dated February 2nd, to Dr. Rocco Gerace, Registrar, College of Physicians and Surgeons of Ontario (CPSO), endorsing Middlesex London Health Unit’s BOH motion regarding opioid addiction and overdose, asking CPSO for guidance to enhance counselling around opioid risks and prescription on naloxone to each patient using opioids, and expressing their concern regarding the dangers of these drugs, and requesting assistance with regard to any steps that prescribers can take to reduce the risk of harm to both the patient and their community.

Re:  Provincial Opioid Action Plan

Copy of letter, dated February 2nd, to Dr. David Williams, Chief MOH, MOHLTC, advising of their Board’s endorsement of Middlesex London Health Unit’s BOH motion regarding opioid addiction and overdose, and congratulating him for his leadership on this important issue and requesting access to an updated provincial action plan, with targets, deliverables and timelines, that are supported by regular communication to stakeholders and partners, such as boards of health, in order to turn this opioid crisis around and prevent the suffering and harm being experienced in jurisdictions like BC and elsewhere.

Sudbury & District Health Unit

Re:  Opioid Use in Sudbury & District

Copy of letter, dated February 28th, to Minister Hoskins, advising of their Board’s resolution #12-17, congratulating Minister Hoskins and Dr. Williams, Chief MOH, as the province’s first Provincial Overdose Coordinator, and requesting that the new provincial plan be further developed with targets, deliverables and timelines, that are supported by regular communication to stakeholders and partners such as boards of health; and urge the federal Minister of Health to similarly communicate and promptly implement the federal opioid strategy.

Windsor-Essex County Public Health

Re:  Opioid Addiction and Overdose

Copy of letter, dated February 3rd, to Minister Hoskins, supporting recommendations from Middlesex-London BOH, to better inform Canadians regarding the risks of opioids, improve prescribing practices, reduce easy access to unnecessary opioids, support better treatment options and improve national evidence base; and also commending the Ontario Government on their decision to develop a comprehensive strategy to address opioid misuse and addictions; and agrees with the stance from Middlesex-London that engagement of physicians through CPSO represents a reasonable staring point to address the issue from the prescription and overdose prevention perspectives; noting that this approach, together with improved access to naloxone, will ensure that all opioid users have access to the education and lifesaving medication they require to prevent unnecessary death.

Re:  Marijuana controls under Bill 178, Smoke-Free Ontario Amendment Act, 2016

Copy of letter, dated February 3rd, to Minister Hoskins, supporting the position of Simcoe Muskoka District Health Unit BOH, recommending the enactment of the Smoke-Free Ontario Amendment Act, as well as their suggestion to include medicinal and recreational marijuana as a prescribed substance with the regulations; and also recommend that these protections are expanded into the Electronic Cigarettes Act, where the prohibitions related to use in public spaces have yet to be enacted.

Grey Bruce Health Unit

Re:  Marijuana controls under Bill 178, Smoke-Free Ontario Amendment Act, 2016

Copy of letter, dated February 7th, to Minister Hoskins, advising of their Board’s resolution #2017-3, supporting recommendations from Simcoe Muskoka District Health Unit regarding the inclusion of marijuana (medicinal and recreational) as a prescribed product under Bill 178, Smoke-Free Ontario Amendment Act, and as such, prohibit the smoking of all marijuana in all places where the smoking of tobacco is prohibited.

6) Medical Officer of Health and Program Manager Reports

Dr. Lianne Catton, Medical Officer of Health (A), provided an update on the following items:

Naloxone Program

Opioid overdose continues to be a major public health concern. Naloxone reverses the effects of an opioid overdose and saves lives. We have completed training of staff in all our offices regarding the distribution of naloxone kits which includes client education and counselling. Distribution of the kits has begun in Timmins, and will be implemented in all Porcupine Health Unit communities shortly. This initiative was reviewed and welcomed by community partners at a recent Timmins and Area Drug Strategy meeting.

Locally Driven Collaborative Projects (LDCP)

This is a project funded by Public Health Ontario, in collaboration with several health units, First Nations partners and led by Sudbury and District Health Unit. The goal is to determine “what mutually beneficial, respectful and effective principles and practices of engagement between First Nation Communities and public health units in Northeastern Ontario can be identified, as an important step in working toward improved opportunities for health for all”. This project provides an important opportunity to learn, share and develop relationships with First Nations partners and communities.

Weeneebayko Public Health Working Group

Dr. Catton and Lynn Leggett participated in a consultation meeting, organized by Weeneebayko Area Health Authority (WAHA), in Timmins, in February, to review WAHA’s proposed Public Health model. This included representatives from WAHA, James Bay coastal communities, Ministry of Health & Long-Term Care and Health Canada. This was an excellent opportunity to further develop relationships with First Nations Community members and WAHA, with a focus on improved health and well-being for all James Bay coast communities.

Public Health Standards

Dr. Catton advised that Sudbury & District Health Unit will be hosting the Ministry’s consultation meeting for the North East Region on March 27thThe purpose of this meeting is to seek clarification on the draft standards, and to provide feedback on anticipated operational considerations.

The Porcupine Health Unit management team has been reviewing the new standards and met on March 9th to discuss. Several Porcupine Health Unit representatives will attend the Ministry consultation.

Provincial Auditor General

This year’s provincial audit includes public health and will include a small number of local public health units. The audit will assess whether Boards of Health have effective systems and processes in place to oversee, coordinate, and deliver chronic disease prevention programs in an equitable and cost effective manner, and measure and report on the effectiveness of programs and services in reducing the cost burden in the health system. These value-for-money audits are expected to be conducted in 4 Health Units; Toronto, 1 Northern, 1 Rural and 1 other, with possible inclusion of all Health Units via surveys of Board and/or staff.

Chronic Disease Prevention

Joëlle Aubin, Manager of Chronic Disease & Injury Prevention

Joëlle Aubin spoke to her written report regarding Comprehensive Tobacco Control noting that our tobacco lead continues to offer support to Porcupine Health Unit staff in 7 program areas on the 5 A’s (Ask, Assess, Advise, Assist, and Arrange) of Brief Contact Intervention (BCI) with an internal workgroup. This work supports our internal policy on the universal use of BCI for personnel who have direct one-on-one contact with clients.

Smoking rates in the Porcupine Health Unit region remains high and our staff continue their work to support other agencies in developing cessation clinics, Brief Contact Intervention (BCI), and connecting with the lead agency, Canadian Mental Health and Addiction (CMHA).

A regional collaborative continues to develop with ongoing recruitment of new members to discuss BCI, proper referral, support best practice and facilitate and increase access opportunities to those who want to stop smoking. A BCI template with referral pathways has been developed for each community, at the member’s request.

7) Program Committee Report

a) Low –Income Dental Program for Adults and Seniors

MOVED BY: Steve Black
SECONDED BY: Claude Bourassa

WHEREAS, the Board of Health for the Porcupine Health Unit recognizes the importance of dental health in the overall health and well-being in our population; and

WHEREAS, the Porcupine Health Unit has identified that oral health concerns lead to greater emergency department and day surgery visit rates in our area, than the Provincial average; and

WHEREAS, a 2015 Porcupine Health Unit Study demonstrated that more than a third of emergency department visits for dental concerns are repeat visits, and the highest proportion of repeat visits are in the 19-44 year age group; and

WHEREAS, there is a great cost to both acute health care services and the individual patient from a lack of dental care. Pain, low self-esteem, complications from antibiotic treatment, and infections which may be serious and progress rapidly are all common complications of a lack of dental services; and

WHEREAS, the majority of these acute dental complications are avoidable with proper dental treatment, and the lack of treatment is largely due to an inability to pay for dental services;

NOW THEREFORE BE IT RESOLVED THAT, the Board of Health for the Porcupine Health Unit appreciates the Ministry of Health and Long-Term Care’s plan to address this important public health issue, but encourages consideration for more urgent implementation of expanded public dental programs for those living on low incomes; and

FURTHERMORE BE IT RESOLVED THAT, a copy of this resolution be forwarded to the Honourable Dr. Eric Hoskins, Minister of Health and Long-Term Care, Dr. David Williams, Chief Medical Officer of Health for the Ministry of Health and Long-Term Care, the Association of Local Public Health Agencies, Ontario Boards of Health, and Gilles Bisson, MPP, Timmins - James Bay.

Carried

b) Public Health Standards

Sue Perras thanked Dr. Catton for providing a very informative presentation on the Public Health Standards.

10) Resource Committee Report

a) Staff Changes

MOVED BY: Claude Bourassa
SECONDED BY: Pat Bamford

THAT the report of staff changes be received for information.

Carried

b) Revenues & Expenditures – 9 months ended September 30, 2016

MOVED BY: Steve Black
SECONDED BY: Pat Bamford

THAT the report of revenues and expenditures for the Porcupine Health Unit for the nine months ended September 30, 2016 be approved.

Carried

c) 2016 Financial Controls Checklist

MOVED BY: Steve Black
SECONDED BY: Claude Bourassa

THAT the Board of Health for the Porcupine Health Unit receive the Financial Controls Checklist, for their information.

Carried

d) CAO Job Description

MOVED BY: Pat Bamford
SECONDED BY: Steve Black

THAT the Board of Health for the Porcupine Health Unit approve the CAO job description, as circulated.

Carried

9) New Business

None.

10) Receipt of Minutes for Information

a) Management Committee Meeting Minutes

MOVED BY: Laurier Duciaume 
SECONDED BY: Rick Lafleur

THAT the minutes of the Management Committee meetings held January 12 and February 16, 2017 be received for information.

Carried

12)  Date of Next Meeting and Adjournment

MOVED BY: Pat Bamford
SECONDED BY: Laurier Duciaume

THAT the next meeting of the Board of Health for the Porcupine Health Unit be held on April 21, 2017 at 5:00 pm and that this meeting adjourn.

Carried