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Meeting of the Board of Health for the Porcupine Health Unit

Held on October 27, 2017, Timmins Office, Board Room

Present:

  • Gilles Chartrand
  • Michael Shea
  • Sue Perras
  • Laurier Duciame
  • Veronica Farrell
  • Kevin Osborne
  • Michel Brière
  • Claude Bourassa
  • Pat Bamford
  • Steve Black
  • Andrew Marks
  • André Rhéaume

Staff:

  • Dr. Lianne Catton
  • Don West
  • Maria Cook
  • Anna Gauthier
  • Chantal Riopel
  • Bob Bell
  • Lynn Leggett

Recorder: Maria Cook

1) Call to Order

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

2) Approval of Agenda

MOVED BY: Michael Shea
SECONDED BY: Kevin Osborne

THAT the agenda for this meeting be approved as amended.

Carried

3) Adoption of Minutes of Meeting

MOVED BY: Andrew Marks
SECONDED BY: Claude Bourassa

THAT the minutes of the meeting of the Board of Health for the Porcupine Health Unit held September 15, 2017 be approved.

Carried

4) Business Arising from Minutes

None.

5) Correspondence

Don West spoke to the following correspondence:

Peterborough Public Health

Re: Ontario’s safe and sensible framework to manage federal legalization of cannabis

  • Copy of letter, dated September 14th, to Yasir Naqvi, Attorney General, requesting that the provincial regulations include the adoption of plain packaging; prohibit the production and sale of products that are attractive to youth; require that all cannabis products be sold in a child resistant container marked with a universal symbol indication that container holds cannabis; and avoid all forms of cannabis product promotion, including sponsorship, endorsement, branding and point-of-sale advertising.

Ministry of Health and Long-Term Care

Re: CHCP Application to build a new office in Timmins, Ontario

  • Copy of letter, from Roselle Martino, Assistant Deputy Minister, endorsing the Community Health Capital Program (CHCP) application for the building of a new office in Timmins.

Re:  Appointment of Dr. Lianne Catton as Acting MOH

  • Copy of letter, dated October 17th, from Minister Hoskins and Dr. David Williams, CMOH, approving the appointment of Dr. Catton as the Acting MOH, until September 30, 2018.

6) Medical Officer of Health and Program Manager Reports

Dr. Catton provided an update to the Board of Health regarding the ongoing assessment of the modernized standards released earlier this year. This is timely with the strategic planning process underway. With the new standards and current resource and budget limitations, there are capacity concerns in order to ensure effective public health programs and services in all our communities. The Porcupine Health Unit management team will be looking at efficiencies and planning to ensure priority areas are determined going forward.

Dr. Catton announced she will complete her Masters of Public Health within the next year.

Public Health Inspection

Inspection Services Report - Bob Bell, Manager of Public Health Inspection

Bob Bell spoke to his written report regarding Public Health Inspection department statistics, from January 1 to September 30, 2017.

Preschool Speech & Language Program

Cochrane District Preschool Language Program - Anna Gauthier, Program Manager

Anna Gauthier spoke to her written report on the Cochrane District Preschool Language Program, noting that the Speech and Language Program staff continue to provide specialized quality speech assessments and therapy across the Porcupine Health Unit catchment area. During the 2016-2017 fiscal year, staff have seen 579 clients, which is an increase of 25% in the past five years.  A total of 2,089 assessment and therapy sessions were provided in our district.  Clients wait an average of 23 weeks for their initial assessments and 7 weeks for their first intervention. Staff also provided the Infant Hearing Program to 424 infants in our district, and referred 61 of them for further testing with an Audiologist.

7) Program Committee Report

a) Cannabis Legalization and Regulation in Canada - Jennifer Bisson, Public Health Nurse

Sue Perras thanked Jennifer for providing a presentation, to the Program Committee, regarding Cannabis legalization and regulation in Canada.

b) Strategic Plan Update

Sue Perras thanked Dr. Catton for providing an update with respect to the Porcupine Health Unit’s Strategic Plan.

8) Resource Committee Report

a) New Timmins Office Update

Sue Perras thanked Georges Quirion, Executive Director, J.L. Richards and Associates, for providing an update with regard to the status and next steps regarding the new health unit office in Timmins.

b) Report of the Expert Panel on Public Health

MOVED BY: Pat Bamford
SECONDED BY:  Andrew Marks

WHEREAS the Ministry of Health and Long-Term Care has released the Report of the Minister’s Expert Panel on Public Health, entitled Public Health within an Integrated Health System, on July 20 2017, which advocates for regional Boards of Health,  that mirror the geographic boundaries of the current Local Health Integration Networks in the Province of Ontario; and

WHEREAS part of the rationale of this proposal is to integrate Public Health within the broader healthcare system, along with addressing capacity issues of some smaller Boards of Health; and

WHEREAS the capacity limitations of smaller health units has been exacerbated by the Ministry’s imposition of a per capita funding model on Public Health; and

WHEREAS there is no clear evidence to justify such a change, nor any indication that less disruptive alternatives were considered by the Panel; and

WHEREAS regionalization into larger Public Health entities will result in reduced local municipal connections which are so integral to Public Health; and

WHEREAS weakening municipal representation on Boards of Health reduces the local voice, which is critical in recognizing unique local needs, resulting in greater gaps in health equity in smaller, Northern communities; and

WHEREAS the majority of the work of Public Health occurs outside the health care system, with these strong municipal and local connections; and embedding Public Health within the health care system risks the responsiveness and autonomy of Public Health to protect and promote the health of our communities; and

WHEREAS the costs of such a major restructuring will be substantial, in terms of both funds and staff resources, which may negatively impact the provision of Public Health programs and services;

NOW THEREFORE BE IT RESOLVED THAT the Board of Health for the Porcupine Health Unit has significant concerns regarding the recommendations of the Expert Panel Report and urges the Province to clearly identify the concerns it is trying to address, and consider alternative courses of action to address those concerns and further strengthen the Public Health system in Ontario; and

FURTHER THAT the Board of Health for the Porcupine Health Unit supports the Association of Local Public Health Agencies, and the Association of Municipalities of Ontario’s responses to the Expert Panel Report; and

FURTHERMORE THAT this resolution be circulated to Boards of Health in Ontario, the Association of Local Public Health Agencies, Member Municipalities of the Porcupine Health Unit, MPP’s representing the Porcupine Health Unit area, the Minister of Health and Long-Term Care, and the Premier of Ontario.

Carried

c) Staff Changes

MOVED BY: Claude Bourassa
SECONDED BY: Pat Bamford

THAT the report of staff changes be received for information.

Carried

d) 2018 Budget and Per Capita Rate

MOVED BY: Claude Bourassa
SECONDED BY: Pat Bamford

THAT the Board of Health for the Porcupine Health Unit establish its net budget for the year 2018 at $14,625,919.  This budget covers both cost shared and 100% funded programs.

Carried

MOVED BY: Steve Black
SECONDED BY: André Rhéaume

THAT the Board of Health for the Porcupine Health Unit establish its 2018 per capita rate at $36.91, based on a population of 64,597 for the purposes of assessing its obligated municipalities for the year 2018.

Carried

e) Sewage Systems Bylaws

MOVED BY: Andrew Marks
SECONDED BY: André Rhéaume

 THAT the Board of Health for the Porcupine Health Unit approve the Sewage System Bylaws, numbered 17-01 and 17-02, as circulated.
                                                                                                                                                                                                                                                  Carried

9) New Business

None

10) Receipt of Minutes for Information

a) Program Committee Meeting Minutes

MOVED BY: Laurier Duciaume
SECONDED BY: Kevin Osbourne

THAT the minutes of the Program Committee meeting held June 23, 2017 be received for information.

Carried

b) Resource Committee Meeting Minutes

MOVED BY: Claude Bourassa
SECONDED BY: Pat Bamford

THAT the minutes of the Resource Committee meeting held June 23, 2017 be received for information.

Carried

c) Management Committee Meeting Minutes

MOVED BY: Sue Perras
SECONDED BY: Michael Shea

THAT the minutes of the Management Committee meeting held August 24, September 7 and October 4, 2017 be received for information.

Carried

11) Date of Next Meeting and Adjournment

MOVED BY: Andrew Marks
SECONDED BY: Steve Black

THAT the next meeting of the Board of Health for the Porcupine Health Unit be held on December 1, 2017 at 5:00 pm and that this meeting adjourn.

Carried