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Meeting of the Board of Health for the Porcupine Health Unit

Held on September 16, 2016, Timmins Office, Board Room

Present:

  • Gilles Chartrand
  • Michael Shea
  • Sue Perras
  • André Rhéaume
  • Rick Lafleur
  • Andrew Marks
  • Drago Stefanic
  • Michel Brière
  • Claude Bourassa
  • Pat Bamford
  • André Grzela
  • Gil Hébert

Staff:

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

1) Call to Order

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

2) Approval of Agenda

MOVED BY: Pat Bamford
SECONDED BY: Sue Perras

THAT the agenda for this meeting be approved.

Carried

3) Adoption of Minutes of Meeting

MOVED BY: Gil Hébert
SECONDED BY: Michael Shea

THAT the minutes of the meeting of the Board of Health for the Porcupine Health Unit held June 24, 2016 be approved.

Carried

4) Business Arising from Minutes

None.

5) Correspondence

D. West spoke to the following correspondence:

Re: Legalization of Cannabis in Canada

Wellington Dufferin-Guelph Public Health

Copy of letter, dated June 1st, to Prime Minister Trudeau, advising of their Board’s resolution, requesting consideration of the following recommendations, in the event that the federal government moves forward with the proposed introduction of cannabis legalization/legislation: 1) adopt a public health approach to the proposed legalization of non-medical cannabis that includes strict regulations around production, distribution, promotion and sale; 2) allow sufficient time to develop and build capacity to implement a policy that includes strict regulation; 3) establish baseline data and mechanisms to monitor the local use of cannabis and related health and societal outcomes; and 4) develop evidence-based prevention and harm reduction messaging for broad and continuous dissemination across the country.

County of Lambton

Copy of letter, dated July 14th, to Prime Minister Trudeau, advising of their Board’s resolution supporting correspondence from Simcoe Muskoka District Health Unit’s Board of Health, dated April 20th, regarding a comprehensive public health approach to the regulation and legalization of cannabis in Canada, in the event the government proceeds with cannabis legalization.

Re: Proposed Domestic and Sexual Violence Workplace Leave, Accommodation and Training Act

Windsor-Essex County Health Unit

Copy of letter, dated June 23rd, to the Honourable Peggy Sattler, advising of their Board’s resolution supporting correspondence from Middlesex-London Board of Health and Toronto Public Health regarding the proposed Domestic and Sexual Violence Workplace Leave, Accommodation and Training Act, and that a similar letter of support be sent on behalf of the Windsor-Essex County Board of Health.

Re: Patients First Discussion Paper

County of Lambton

Copy of letter, dated July 14th, to Minister Hoskins, advising of their Board’s resolution supporting recommendations from alPHa, as outlined in their letter dated February 29th, and requesting that the MOHLTC include alPHa’s recommendations in any implementation of the Patient’s First proposal.

Re: Grey Bruce Health Unit Brief in Response to Patients First Discussion Paper

County of Lambton

Copy of letter, dated July 14th, to Linda Stewart, Executive Director, alPHa, advising of their Board’s resolution supporting correspondence from Dr. Hazel Lynn, MOH, Grey Bruce Health Unit, dated March 7th, endorsing the Grey Bruce Health Unit Brief in Response to the Patient’s First Discussion Paper, specifically addressing Section 4, “Stronger Links Between Public Health and other Health Services” and acknowledging the leadership and advocacy provided through alPHa, and many Ontario Boards of Health, on this important public health issue.

Ministry of Health and Long-Term Care

Copy of letter, dated August 16th, from Minister Eric Hoskins, to Gilles Chartrand, PHU Board Chair, advising that Dr. Lianne Catton has met the eligibility requirements specified in section 69(1) of the Heath Protection and Promotion Act (HPPA), to be appointed as an Acting Medical Officer of Health for the period of one year, from October 1, 2016 to September 30, 2017, on the condition that Dr. Catton works under a supervision agreement with a qualified MOH, and works towards the completion of a Masters of Public Health degree.

6) Medical Officer of Health and Program Manager Reports

Dr. Lianne Catton, Medical Officer of Health (A), provided a verbal report with regard to the following items:

Patient’s First Discussion Paper

Dr. Catton and Don West, together with Northern Medical Officers of Health, will participate in a half-day meeting with the North East LHIN, on October 25, in Sudbury.

Blue-Green Algae

A blue-green algal bloom has been detected in the area of the Driftwood River/Black River confluence.

Water sampling has been conducted by the Ministry of the Environment and Climate Change (MOECC) during the week of August 26, 2016. Results indicated that microcystins, the toxin produced by blue-green algae, were present but did not exceed the Ontario Drinking Water Quality Standards or Health Canada’s recreational water guideline. This information has been shared with the affected cottages, posted at the two boat launches and shared with the local municipal offices. Residents were asked to monitor area waters and if an algae bloom is present, to follow precautions as outlined in the posted notices. Our PHU website and Facebook page have been updated in order to provide consistent messaging.

Hollinger Park - Timmins

Repeat sample results from the children’s area of the park and formal report regarding next steps as recommended to the City are not yet available.

Shingles Vaccine

Beginning September 15, 2016, Ontario will offer the shingles vaccine free of charge to seniors between the ages of 65 and 70, as part of its publicly funded immunization program. Those eligible can receive the vaccine from their primary care provider or the health unit.

Shingles, also known as herpes zoster, is an infection that can be very serious. The virus causes a painful skin rash with blisters on one side of the body, often in a strip. It can cause complications like loss of vision if the rash is on the face, and debilitating nerve pain. Shingles is caused by the reactivation of the varicella zoster virus, the same virus that causes chickenpox.

Family Health

Child Health – Positive Parenting

Chantal Riopel, Manager of Family Health

Chantal Riopel spoke to her written report on Positive Parenting, noting that the primary goal for child health is to enable all children to attain and sustain optimal health and developmental potential. The quality of parenting has a significant impact on the healthy growth and development of children. Sensitive and responsive parenting and higher knowledge of child development are linked to positive outcomes.

Children born to young mothers are at higher risk of poor growth and development. Young mothers are also more likely to live in poverty, have low education and be single, which further influences the quality of parenting.

In the Porcupine Health Unit District:

  • Approximately 25% of the population is children aged 1-19 years.
  • 32.8% of mothers are under the age of 25 years compared to 14.3% in Ontario.
  • 6.7% of mothers are 14-19 years of age compared to 2.4% in Ontario.
  • Almost 15% of families are lone parent families.
  • 17.9% of children are in families that are under the age the low income cut-off versus 14.8% for Ontario.
  • 16.4% of mothers experience or have experienced a mental health concern.
  • 4.8% of newborns have been exposed to drug and substance during pregnancy versus 1.9% for the province.

Promotion strategies as well as various programs and services are delivered throughout the Porcupine Health Unit District to increase awareness of positive parenting and the influence on child development, and to support caregivers in their parenting role. Parenting programs and services include Triple P; Me, My Baby, Our World (MMBOW); Healthy Babies Healthy Children (HBHC); and telephone support.

Infectious Disease and Clinical Services

2015-2016 Influenza Surveillance Report

Lynn Leggett, Manager of Infectious Diseases and Clinical Services

Lynn Leggett spoke to her written report noting the following:

The first influenza case was reported in January 2016. A total of 95 cases were reported within the Porcupine Health Unit area, which includes all cases diagnosed in the community, Long-Term Care facilities and First Nations communities.

With regard to influenza vaccine, 3,799 doses were administered by Porcupine Health Unit nurses; 14,639 doses were distributed to health care providers who participated in the Universal Influenza Immunization Program (UIIP); and 4,680 doses of the influenza vaccine were distributed to pharmacies who participated in the UIIP.

In 2015-2016, the provincial Health Care Worker (HCW) immunization coverage rate for hospitals was 53% this season, compared to 60% last season.

With regard to surveillance within the Porcupine Health Unit area, the Acute Care Enhanced Surveillance (ACES) system indicated an increase in patients presenting to emergency departments with influenza like illnesses between February 17 and March 29, 2016. Reports of absenteeism from schools and daycares for respiratory symptoms were few this season.

7) Program Committee Report

a) Low Risk Alcohol Drinking Guidelines

Angie Royal, Public Health Nurse

Sue Perras thanked Angie Royal for providing an informative presentation on Canada’s Low Risk Alcohol Drinking Guidelines.

b) Branch Office Services Review

Lynn Leggett, Chantal Riopel and Joëlle Aubin, Program Managers

Sue Perras thanked Lynn Leggett, Chantal Riopel and Joëlle Aubin for providing an excellent presentation to the Program Committee on the review of branch office services.

8) Resource Committee Report

a) Staff Changes

MOVED BY: Claude Bourassa
SECONDED BY: Michel Brière

THAT the report of staff changes be received for information.

Carried

b)  Revenues and Expenditures – 6 Months Ended June 30, 2016

MOVED BY: Gil Hébert
SECONDED BY: Pat Bamford

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

Carried

9) New Business

a) 2017 Schedule of Board Meeting Dates

MOVED BY: André Rhéaume
SECONDED BY: Andrew Marks

THAT the Board of Health for the Porcupine Health Unit approve the 2017 schedule of Board meeting dates as circulated.

Carried

10) Receipt of Minutes for Information

a) Management Committee Meeting Minutes

MOVED BY: Michael Shea 
SECONDED BY: Drago Stefanic

THAT the minutes of the Management Committee meetings held June 9, 23, July 14 and August 4, 2016 be received for information.

Carried

b) Program Committee Meeting Minutes

MOVED BY: Andrew Marks 
SECONDED BY: Sue Perras

THAT the minutes of the Program Committee meeting held May 27, 2016 be received for information.

Carried

c) Resource Committee Meeting Minutes

MOVED BY: Claude Bourassa
SECONDED BY: André Grzela

THAT the minutes of the Resource Committee meeting held May 27, 2016 be received for information.

Carried

11)  Date of Next Meeting and Adjournment

MOVED BY: Rick Lafleur
SECONDED BY: André Grzela

THAT the next meeting of the Board of Health for the Porcupine Health Unit be held on October 21, 2016 at 5:00 pm and that this meeting adjourn.

Carried