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Meeting of the Board of Health for the Porcupine Health Unit

Held on September 18, 2015, Timmins Office, Board Room

Approved by Board, October 23, 2015—Steve Black

Present:

  • Steve Black
  • Michael Shea
  • Laurier Duciaume
  • Rick Lafleur
  • Sue Perras
  • Michel Brière
  • Claude Bourassa
  • Pat Bamford
  • Gilles Chartrand
  • Gil Hébert
  • André Rhéaume
  • Drago Stefanic

Staff:

  • Don West
  • Maria Cook
  • Betty Ann Horbul
  • Lynn Leggett
  • Joëlle Aubin  

1) Call to Order

Steve Black, Chair, 5:00 p.m.

2) Additions to/Approval of Agenda

Additions:

8) Resource Committee Report

e) Public Health Funding Review

9) New Business

b) alPHa Update

MOVED BY: Michel Brière
SECONDED BY: Claude Bourassa

THAT the agenda for this meeting be approved as amended.

Carried

3) Adoption of Meeting Minutes

MOVED BY: Pat Bamford
SECONDED BY: Drago Stefanic

THAT the minutes of the meeting of the Board of Health for the Porcupine Health Unit held June 19, 2015 be approved.

Carried

4) Business Arising from Minutes

None.

5) Correspondence

D. West spoke to the following correspondence:

Re:  Ontario Grades 1-12 Health and Physical Education Curriculum “Human Development and Sexual Health” Content

Perth District Health Unit

Copy of letter, dated June19th, to Premier Kathleen Wynne, congratulating her government on releasing the new Ontario Grades 1-12 Health and Physical Education Curriculum, including the updated “Human Development and Sexual Health” content and expressing their thanks for her perseverance in addressing the challenges.

Re: Healthy Babies Healthy Children Program

Sudbury & District Health Unit

Copy of letter, dated June 30th, to Minister Tracy MacCharles, Minister of Children & Youth Services, advising of their Board’s resolution #28-15, advocating to fully fund all program costs related to the Healthy Babies Healthy Children program, including all staffing, operating and administrative costs.

Grey Bruce Health Unit

Copy of letter, dated August 6th, to Minister Tracy MacCharles, Minister of Children & Youth Services, advising of their Board’s resolution #2015-62, supporting Sudbury & District’s resolution, advocating to fully fund all program costs related to the Healthy Babies Healthy Children program.

Re: Enforcement of the Immunization of School Pupils’ Act (ISPA)

Sudbury & District Health Unit

Copy of letter, dated June 30th, to Minister Eric Hoskins, Minister of Health & Long-Term Care, advising of their Board’s resolution #25-15, recommending that amendments to provincial regulations be made requiring health care providers to report to the Medical Officer of Health all immunizations administered to patients under 18 years of age, and also advocate for the integration of all health care provider electronic immunization records onto a common electronic data base to ensure efficient and accurate sharing of immunization records.

Re: Northern Ontario Evacuations of First Nations Communities

Sudbury & District Health Unit

Copy of letter, dated June 30th, to Premier Kathleen Wynne, advising of their Board’s resolution #32-15, in support of Thunder Bay District Health Unit’s resolution dated March 18th, requesting that the provincial government address the ongoing lack of resources and infrastructure to ensure the safe, efficient and effective temporary relocation of First Nations communities in Northwestern Ontario and the James Bay coast when they face environmental and weather related threats in the form of seasonal flooding and forest fires.

Grey Bruce Health Unit

Copy of letter, dated August 6th, to Premier Kathleen Wynne, advising of their Board’s resolution #2015-63, supporting Thunder Bay District Health Unit’s resolution dated March 18th, and Sudbury & District Health Unit’s resolution dated June 18th, regarding Northern Ontario Evacuations of First Nations Communities.

Re: Smoke-Free Multi-Unit Housing

Grey Bruce Health Unit

Copy of letter, dated August 6th, to Minister Eric Hoskins, Minister of Health & Long-Term Care, advising of their Board’s resolution #2015-49, supporting Perth District Health Unit’s resolution dated May 19th, regarding smoke-free multi-unit housing.

Re: Endorsement of the Bruce Grey Food Charter

Grey Bruce Health Unit

Copy of letter, dated August 11th, to Kelly Coulter, CAO, The County of Bruce, advising of their Board’s resolution #2015-54, endorsing the Bruce Grey Food Charter and agreeing to the use of its logo for endorsement purposes.

6) Program Manager Reports

Nutritious Food Basket

Nutrition Services

Betty Ann Horbul, Manager of Nutrition Services

Betty Ann spoke to her written report on the Nutritious Food Basket, noting that the Nutritious Food Basket is a food costing tool used provincially to measure the cost of healthy eating in each Board of Health jurisdiction. Sixty-seven foods, in specific amounts, are priced in six stores. The food basket meets the current nutritional recommendations and consumer food purchase patterns for a reference family of four (man and woman 31-50, boy 14-18 and girl 4-8) for one week. The survey protocol specifies that stores should be chosen to represent the population. Of the 6 stores surveyed in May of each year, Timmins and Moosonee are always included and rotated through Kapuskasing, Hearst, Hornepayne, Matheson, Iroquois Falls, Smooth Rock Falls and Cochrane.

The results for Ontario 2015 are not available. In 2014, Northwestern was the highest at $226.93 and Grey Bruce the lowest at $180.79. In 2015, the Porcupine Health Unit has seen an increase from 2014 of $9.39 a week, almost 5%; a big jump from the 2% increase in 2014 and 18% since 2010. 

The data from the Nutritious Food Basket is shared with community partners and posted to the internet, illustrating the cost for a family, senior and single mother. Income scenarios can be used as teaching tools, assessment for food insecurity, and community action tools. Based on the cost of food and rent, we can look at funds remaining to cover all other expenses such as clothing, transportation, school supplies, hygiene and cleaning products, and perhaps also heat and hydro.

7) Program Committee Report

a) Youth Mental Health and Addiction Champion Project

Meagan Sergerie, Public Health Nurse and Wendy Legros, Youth Engagement Lead

Laurier Duciaume, Vice Chair, thanked Meagan and Wendy for providing an excellent presentation on Youth Mental Health and Addiction Champion Project.

8) Resource Committee Report

a) Staff Changes

MOVED BY: Gil Hébert
SECONDED BY: André Rhéaume

THAT the report of staff changes be received for information.

Carried

b) Revenues and Expenditures – 6 Months Ended June 30, 2014

MOVED BY: Michel Brière
SECONDED BY: Pat Bamford

THAT the report of revenues and expenditures for the Porcupine Health Unit for the six months ended June 30, 2015 be approved.

Carried

c) MOH Appointment

MOVED BY: Pat Bamford
SECONDED BY: Gilles Chartrand

THAT the Board of Health for the Porcupine Health Unit appoint Dr. Alexander Hukowich to the position of Acting Medical Officer of Health, effective October 1, 2015.

Carried

d) Fee-for-Service Rates

 MOVED BY: Drago Stefanic
SECONDED BY: Claude Bourassa

THAT the Board of Health for the Porcupine Health Unit approve the following Physician hourly fees, effective October 1, 2015.

Physician - Specialist  $160.00
Physician - General Practitioner  $150.00

Carried

e) Public Health Funding Review

MOVED BY: Gilles Chartrand
SECONDED BY: Claude Bourassa

WHEREAS, the Ministry of Health and Long-Term Care has, on September 4, 2015, released the 2013 report of the Funding Review Working Group with respect to a public health funding model for Mandatory Programs which it has accepted for the 2015 budget year and beyond; and

WHEREAS, based upon current information, the model indicates that approximately 80% of Public Health Units in the Province of Ontario are overfunded, which in and of itself calls into question, the validity of said model; and

WHEREAS, this funding model will result in an inevitable significant long-term transfer of public health resources to relatively wealthier, and healthier, large urban settings, and will cause reductions in public health services in Northern and rural areas of the Province; and

WHEREAS, in some large centres there is a possibility that these extra public health funds could effectively be consumed by larger municipal budgets and not utilized for additional public health services; and

WHEREAS, under this model, health units who have been identified as being overfunded, may have many years of shrinking public health services, in the face of higher costs, due to having to deal with a flatlined budget allocation; and

WHEREAS, Unorganized Territories funding for public health services will not be allocated in the same manner as the Mandatory Programs funding, it appears that equitable access to public health resources depend on where you live in this Province, and since only Northern health units have Unorganized Territories funding, and the Ministry of Health and Long-Term Care has indicated that there will only be a one-time adjustment to that funding, this model, with its implementation inconsistencies, is particularly detrimental to those health units in Northern Ontario;

NOW THEREFORE BE IT RESOLVED THAT, the Board of Health for the Porcupine Health Unit opposes this new funding model and the radical long-term shifting of public health resources to wealthier urban centres of the Province, at the direct expense of Northern and rural health units in the Province, who are much less able to replace those lost funds than our growing urban centred health units; and

FURTHERMORE THAT, the Ministry of Health and Long-Term Care reverse their decision to support this report, which appears biased against smaller, Northern, and rural health units; and

FURTHERMORE THAT, this resolution be forwarded to FONOM, NEOMA, NOMA, alPHa, local member municipalities, the Minister of Health and Long-Term Care, the Premier of Ontario, Provincial Party leaders, Northern members of Provincial Parliament, ONA, CUPE, and Ontario Boards of Health.

Carried

9) New Business

a) 2016 Schedule of Board Meeting Dates

MOVED BY: Sue Perras
SECONDED BY: Laurier Duciaume

THAT the Board of Health for the Porcupine Health Unit approve the 2016 schedule of Board meeting dates as circulated.

Carried

b) alPHa Meeting Update

Pat Bamford provided an update of items discussed at the alPHa Board of Directors meeting/teleconference held this morning, September 18th.

10) Receipt of Minutes for Information

a) Management Committee Meeting Minutes

MOVED BY: Rick Lafleur
SECONDED BY: Sue Perras

THAT the minutes of the Management Committee meetings held May 20, June 18, July 18 and 30, 2015 be received for information.

Carried

b) Program Committee Meeting Minutes

MOVED BY: Laurier Duciaume
SECONDED BY: Michel Brière

THAT the minutes of the Program Committee meeting held May 22, 2015 be received for information.

Carried

c) Resource Committee Meeting Minutes

MOVED BY: André Rhéaume
SECONDED BY: Gil Hébert

THAT the minutes of the Resource Committee meeting held May 22, 2015 be received for information..

Carried

11) Date of Next Meeting and Adjournment

MOVED BY: Michael Shea
SECONDED BY: Gilles Chartrand

THAT the next meeting of the Board of Health for the Porcupine Health Unit be held on October 23, 2015 at 5:00 p.m. and that this meeting adjourn.

Carried