Ottawa Board of Health Minutes 14 February 13, 2017 English
Ottawa
Board of Health
MINUTES 14
Monday,
February 13, 2017, 5:00 PM
Champlain Room, 110 Laurier Avenue West
Contact for the Ottawa Board of Health:
Diane Blais, Board
of Health Secretary
613-580-2424 ext. 21544
Diane.Blais@ottawa.ca
Board
Members:
Chair: S. Qadri
Vice-Chair: J. Poirier
Members: D. Chernushenko, M. Fleury, A. Kapur, L. Leikin, C. McKenney, S.
Pinel, M. Qaqish, M. Taylor, P. Tilley
The
Ottawa Board of Health met in the Champlain Room, 110 Laurier Avenue West,
Ottawa, on Monday, February 13, 2017 beginning at 5:00 PM.
The
Chair, Shad Qadri, presided over the meeting.
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ROLL CALL
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Members Chernushenko and Kapur were
absent from the meeting.
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REGRETS
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Members Chernushenko and Kapur sent
regrets.
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COMMUNICATIONS
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Twenty-two communication items have
been received (held
on file with the Board of Health Secretary)
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MOTION TO INTRODUCE REPORTS
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Motion 14/01
Moved by Member Leikin
BE
IT RESOLVED THAT the Confirmation of the Chair and Vice-Chair report; Chair
of the Board of Health Verbal Report; the Medical Officer of Health Verbal
Report; 2014 – 2018 Mid-Term Governance Review – Ottawa Board of Health
report; Advancing Healthy Public Policy - Towards a Culture of Alcohol
Moderation report; 2016 Operating Budget Year-End Results – Board of Health
for the City of Ottawa Health Unit Status Report; Ottawa Board of Health
Public Health Funding and Accountability Agreement 2016 Year-End Results
report; the Attendance at the Association of Local Public Health Agencies’
(alPHa) 2017 Board of Health Winter Symposium report; and the Performance
Appraisal of Medical Officer of Health – In Camera report be received and
considered.
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CARRIED
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1.
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CONFIRMATION
OF THE CHAIR AND VICE-CHAIR
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ACS2017-OPH-SSB-0001
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That the Board of Health
for the City of Ottawa Health Unit:
1.
Confirm
the election of Councillor Shad Qadri as Chair for 2017, to be confirmed at
the first meeting of each year of its term as required by the Health
Protection and Promotion Act; and
2.
Confirm
the election of Member Jo-Anne Poirier as Vice-Chair for 2017, to be
confirmed at the first meeting of each year of its term as required by the Health
Protection and Promotion Act.
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CARRIED
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Pursuant to section 5(2) of the Procedure By-law,
the Board Secretary presided over the first recommendation with respect to
the confirmation of election of the Chair. Upon the carriage of recommendation
one, Chair Qadri, having been confirmed as Chair, presided over the second
recommendation with respect to the confirmation of election of the
Vice-Chair. Vice-Chair Poirier was confirmed as Vice-Chair of the Board.
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2.
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CHAIR
OF THE BOARD OF HEALTH VERBAL REPORT
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ACS2017-OPH-BOH-0001
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That the Board of Health
for the City of Ottawa Health Unit receive this report for information.
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Chair Qadri provided the Board with an update on recent
events. The attached memo includes the Chair of the Board of Health Verbal
Update.
The Chair’s remarks led to a series of questions about
naloxone kits. Andrew Hendriks, Manager of Clinical Programs, and Kira Mandryk,
Supervisor of Harm Reduction Services, talked about the availability and
content of the kits as well as the training and recommendations with respect
to their use and responded to Members’ questions with respect to same. During
these exchanges, three (3) sample kits were circulated amongst Board Members.
This discussion lasted approximately 25 minutes.
The report recommendation was then put to the Board.
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RECEIVED
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3.
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MEDICAL
OFFICER OF HEALTH VERBAL REPORT
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ACS2017-OPH-MOH-0001
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That the Board of Health
for the City of Ottawa Health Unit receive this report for information.
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Dr. Isra Levy, Medical Officer of Health, provided the
Board with an update on recent developments. The attached memo includes the
Medical Officer of Health Verbal Update.
Dr. Levy’s remarks led to a discussion with respect to
the Board’s Healthy Eating, Active Living Strategy, and particularly the
issue of marketing to kids. This discussion lasted approximately 10 minutes. Board
Members then considered Motion 14/02, outlined below.
The report recommendation was then put to the Board.
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RECEIVED, with the
following motion:
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MOTION 14/02
Moved by Member Taylor
WHEREAS on February 1, 2017, the
Heart and Stroke Foundation released its report titled “Report on Health of Canadians – The
Kids Are Not Alright”, which examines how industry is
marketing unhealthy food and beverages directly to our children and youth and
how this affects their preferences and choices, their family relationships
and their health; and
WHEREAS the Heart and Stroke
Foundation’s report includes a list of recommended actions for municipal
governments, including:
·
Conducting
a review of food and beverage marketing in child-focused settings;
·
Reviewing
zoning restrictions close to child-focused settings including schools and
playgrounds;
·
Restricting
food and beverage marketing to children on municipal property, such as
childcare settings, schools, libraries, public transit, recreation centres
and parks;
·
Educating
people about the risks associated with unhealthy food and beverage
consumption through public awareness campaigns; and
·
Reviewing
and limiting sole-sourced contracts with food and beverage companies to
ensure the healthfulness of food and beverage options. This would include the
numbers, content and placement of vending machines
WHEREAS at its meeting of April 20,
2015, the Ottawa Board of Health approved its Strategic Plan for 2015 – 2018, which includes a
priority related to Healthy Eating and Active Living (H.E.A.L.); and
WHEREAS the Board of Health’s
Healthy Eating and Active Living (H.E.A.L.) strategic priority seeks to
increase healthy eating and safe physical activity among people of all ages,
among other things; and
WHEREAS in February 2016, Prime
Minister Justin Trudeau’s mandate letter to the Minister of
Health called for her to promote public health by, among other things,
“introducing new restrictions on the commercial marketing of unhealthy food
and beverages to children, similar to those now in place in Quebec”; and
WHEREAS on October 24th, 2016,
Health Canada released their ‘Vision for a Healthy Canada’, which identified
actions for helping people achieve and maintain good physical and mental
health, including Health Canada’s new Healthy Eating Strategy; and
WHEREAS Health Canada’s Healthy
Eating Strategy aims to help make the healthier choice the easier choice for
Canadians by protecting vulnerable populations, including restricting
the commercial marketing of unhealthy foods and beverages to children; and
WHEREAS in his October 2016 Verbal
Update, the Medical Officer of Health talked about the introduction of Bills
S-228 and C-313, which address the issue of marketing to children and aligned
with the Federal Mandate letter referenced above; and
WHEREAS the Board of Health is in
receipt of a number of Communications on the topics of nutrition and
marketing to children; and
WHEREAS all of the above
developments provide evidence of a growing momentum for introducing real
changes aimed at making it easier for Canadians to make healthier choices
with respect to their diet and nutrition;
THEREFORE BE IT RESOLVED THAT the
Board of Health direct staff to bring forward a report at the next meeting of
the Ottawa Board of Health outlining policy options at the municipal level as
well as a plan for engaging the community and stakeholders with respect to
same.
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CARRIED
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4.
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2014
– 2018 MID-TERM GOVERNANCE REVIEW – OTTAWA BOARD OF HEALTH
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ACS2017-OPH-SSB-0002
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That the Board of Health
for the City of Ottawa Health Unit:
1.
Approve
the amendments to the Procedural By-law of the Board of Health for the City
of Ottawa Health Unit, as outlined in this report and as detailed in Document
1;
2.
Approve
the amendments to the Delegation of Authority By-law of the Board of Health
for the City of Ottawa Health Unit, as outlined in this report and as
detailed in Document 2; and
3.
Direct
staff to liaise with the office of the City Clerk and Solicitor in the next
round of governance discussions on how to better address public health
implications in City of Ottawa reports.
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CARRIED
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6.
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2016
OPERATING BUDGET YEAR-END RESULTS – BOARD OF HEALTH FOR THE CITY OF OTTAWA
HEALTH UNIT STATUS REPORT
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ACS2017-OPH-IQS-0001
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That the Board of Health for the
City of Ottawa Health Unit receive this report for information.
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RECEIVED, as amended by
the following motion:
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Motion 14/03
Moved by Member Leikin
WHEREAS an error was detected at
page 3 of the above-referenced report;
THEREFORE BE IT RESOLVED THAT Table
1 be amended to replace the reference to “11,152” with “11,252” under “Annual
Expenditures” for “Provincially Funded Programs”.
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7.
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OTTAWA
BOARD OF HEALTH PUBLIC HEALTH FUNDING AND ACCOUNTABILITY AGREEMENT 2016
YEAR-END RESULTS
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ACS2017-OPH-IQS-0002
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That the Board of Health for the
City of Ottawa Health Unit:
1.
Receive
for information 2016 year-end results, as outlined in Document 1;
2.
Approve
that 2016 Performance Reports be sent to the Ministry of Health and Long-Term
Care, if requested by the Ministry, for the following indicators:
a. % of suspected rabies
exposures reported with investigation initiated within one day of public
health notification
b. % of salmonellosis cases
where one or more risk factor(s) other than "Unknown" was entered
into iPHIS
3.
Direct
Ottawa Public Health staff to submit the 2016 year-end results report and
supporting documents, as needed, to the Ministry of Health and Long-Term
Care.
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CARRIED
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MOTION TO ADOPT REPORTS
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Motion 14/04
Moved by Member Leikin
BE IT RESOLVED THAT the Confirmation
of the Chair and Vice-Chair report; Chair of the Board of Health Verbal
Report; the Medical Officer of Health Verbal Report; 2014 – 2018 Mid-Term Governance
Review – Ottawa Board of Health report; Advancing Healthy Public Policy -
Towards a Culture of Alcohol Moderation report; 2016 Operating Budget
Year-End Results – Board of Health for the City of Ottawa Health Unit Status
Report; Ottawa Board of Health Public Health Funding and Accountability
Agreement 2016 Year-End Results report, as amended; the Attendance at the
Association of Local Public Health Agencies’ (alPHa) 2017 Board of Health
Winter Symposium report; and the Performance Appraisal of Medical Officer of
Health – In Camera report be received and adopted.
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CARRIED
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CONFIRMATION BY-LAW
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Motion 14/05
Moved by Member Leikin
BE IT RESOLVED THAT Confirmation
By-law no. 2017-1, a by-law of the Board of Health for the City of Ottawa
Health Unit to confirm the proceedings of the Ottawa Board of Health at its
meeting of February 13, 2017, be read and passed.
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CARRIED
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ADJOURNMENT
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The Board adjourned the meeting at 6:08
p.m.
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NEXT MEETING
Regular Meeting
Monday, April 3, 2017 - 5:00 PM, Champlain Room
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“Original
signed by”
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“Original
signed by”
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BOARD SECRETARY
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BOARD CHAIR
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M E M O / N O T E D E S E R V I C E
TO: Board of Health for the
City of Ottawa Health Unit
DESTINATAIRE : Conseil de santé de la
circonscription sanitaire de la ville d’Ottawa
FROM: Councillor Shad Qadri
Contact:
Councillor Shad Qadri
Chair, Ottawa Board of Health
613-580-2424 ext. 23681
shad.qadri@ottawa.ca
EXPÉDITEUR : Conseiller Shad Qadri
Personne
ressource :
Conseiller Shad Qadri
Président, Conseil de santé d’Ottawa
613-580-2424, poste 23681
shad.qadri@ottawa.ca
DATE: February 13, 2017
13
février 2017
FILE NUMBER: ACS2017-OPH-BOH-0001
SUBJECT: CHAIR OF THE BOARD OF HEALTH VERBAL REPORT
OBJET : RAPPORT VERBAL
DU PRÉSIDENT DU CONSEIL DE SANTÉ
Check upon delivery
Hello everyone, bonjour à
tous,
Thank you very much for
being here this evening. I am glad you were all able to join us for the first
Board of Health meeting of 2017!
I have just a few items,
which I would like to highlight as part of my verbal update this evening.
I would like to begin by
highlighting the recent launch of Ottawa Public Health’s Good Food Corner
Stores initiative.
You may have read about this
in the Ottawa Citizen last month or seen signs about it in your community. The
initiative aims to help corner stores improve the availability of fresh produce and other good
foods in neighbourhoods where residents have barriers to accessing food because there is no
grocery store nearby. To
date this year,
OPH has supported three stores
in Ottawa in becoming Good Food Corner Stores. So far, Food Frenz on Carling
Avenue, Preston Food Market on Preston Street, and Lauzon Meats and Grocery on
Guigues have all become Good Food Corner Stores.
OPH will also recognize
stores that are already
selling fresh foods as Good Food Corner Stores and support community partners,
such as the University of Ottawa downtown and Deep Roots Food Hub in West
Carleton, who are interested in this sort of initiative. The program aligns with the
Board’s Healthy Eating and Active Living Strategy and I am pleased to see it
come to life in Ottawa. Congratulations to OPH’s Health Protection and
Promotion team on this initial success. I encourage colleagues and residents to
check out all the good, fresh food these stores have to offer.
At the same time, I would
also like to acknowledge OPH’s effort in other areas, such as the swift
response to an increase in opioids in Ottawa. In the last part of 2016, Ottawa
Public Health launched a campaign to create more awareness about the dangers of
fentanyl in our community. In collaboration with the
Ottawa Hospital, the Royal, Ottawa Paramedic Service, Ottawa Police Service,
the Ottawa-Carleton Pharmacists Association and Respect Pharmacy, the public
health unit raised concerns about illicit fentanyl, which has recently been
found in Ottawa, both alone or mixed into other drugs. As I’m sure most of you
know, the presence of
illicit fentanyl significantly increases the risk of overdose.
In advance of New Year’s
Eve celebrations, as Chair of the Board, I shared my concerns publically and
submitted my opinion to the Ottawa Citizen. I continue to encourage our
community to stay safe and reduce the risk of a fatal overdose. That risk can
be reduced by avoiding using drugs alone, by not mixing drugs and by carrying
naloxone - a medication that can temporarily reverse the effects of an overdose
as you wait for emergency medical assistance to arrive.
Since
then, the Federation of Canadian Municipalities' Big City Mayors' Caucus has
also launched a task force to tackle the epidemic of fentanyl overdose deaths
in urban centres. This is promising news. I am encouraged by this movement to
protect the health of residents and am grateful to Dr. Levy for speaking to the
Senate Committee last week about this important matter.
I would like to
share some news with Board Members. Siobhan Kearns, Manager of Environment and
Health Protection and Outbreak Management, and Senior Public Health Inspector,
has announced that she will be leaving OPH next month to pursue a new challenge
as the Environmental Health Director for Niagara.
Siobhan
has been an exceptional contributor to public health in Ottawa – having started
her career in public health over 28 years ago with the Ottawa-Carleton Regional
Health Department. Her outstanding ability to work with city partners and other
stakeholders has resulted in Siobhan being the face of OPH at many
cross-departmental and multi-stakeholder tables.
Please join me
in collectively wishing Siobhan the best as she starts this new chapter in her
career and recognizing her many accomplishments during her years with OPH.
Finally, I would like to
invite you all to participate in an upcoming health event in Stittsville. With
2017 now upon us we are heading into a year of celebration, not only of 150
years of our history, but of the ever growing communities in which we live.
More and more people are coming to Ottawa to live, work and play.
In my capacity as Chair of
the Board of Health, I am working in conjunction with Ottawa Public Health to
hold an event that will celebrate our many community partners who support a
common mandate - working with and supporting our residents to live healthier,
more balanced lives.
On March 4th I
invite you to join me, along with Ottawa Public Health and our various
partners, as we hold a health and wellbeing fair entitled “March 4th
into a Healthy 2017”. This event will showcase to the residents some of the
many supports and health resources available for them.
In addition to OPH, there
will be booths featuring the Western Ottawa Community Resource Centre, the
Distress Centre of Ottawa, the Queensway-Carleton Hospital Foundation, and
Heart and Stroke, just to name a few.
That concludes my update this evening. I would be happy
to take any questions from members of the Board. Thank you, merci.
M E M O / N O T E D E S E R V I C E
TO: Board of Health for the City of Ottawa Health Unit
DESTINATAIRE : Conseil de santé de la circonscription sanitaire de la ville d’Ottawa
FROM: Dr. Isra Levy
Ottawa Public Health
Contact:
Dr. Isra Levy
Medical Officer of Health
Ottawa Public Health
613-580-2424 ext. 23681
isra.levy@ottawa.ca
EXPÉDITEUR : Dr
Isra Levy
Santé publique Ottawa
Personne ressource :
Dr Isra Levy
Médecin chef en santé publique
Santé publique Ottawa
613-580-2424, poste 23681
isra.levy@ottawa.ca
DATE: February 13, 2017
13
février 2017
FILE NUMBER: ACS2017-OPH-MOH-0001
SUBJECT: MEDICAL
OFFICER OF HEALTH VERBAL REPORT
OBJET : RAPPORT VERBAL DU MÉDECIN
CHEF EN SANTÉ PUBLIQUE
Check upon delivery
Good evening, bonjour à tous,
Tonight I will touch briefly on a recent report from the
Heart and Stroke Foundation of Canada, two recent presentations by OPH that
will be of interest, and an update on developments at the provincial level with
regard to health system transformation and the revision of the Ontario Public
Health Standards.
First, earlier this month the Heart and Stroke Foundation
released a report titled “Report on Health
of Canadians – The Kids Are Not Alright”. The document examines how industry
is marketing unhealthy food and beverages directly to children and youth in
Canada, and how this affects their food and beverage preferences and choices,
and hence their health. The Foundation’s report includes a list of recommended
actions for various entities, including municipal governments. And they align
with the Board’s Strategic Direction to Inspire and Support Healthy Eating
and Active Living. Recommendations include, among others, reviewing zoning restrictions close to
child-focused settings like schools and playgrounds, and restricting food and
beverage marketing to children on municipal property such as in childcare
settings, libraries, public transit, recreation centres and parks. We are
reviewing these recommendations closely to see how they align with work we are
already doing in this area.
I also want to advise that we continue to build on our
various partnerships with the Champlain Local Health Integration Network. In
January, our Associate MOH, Dr. Robin Taylor, was asked to present to the LHIN
Board of Directors on the subject of health system impact and planning
implications relating to the seasonal influenza pattern in the community. Our
surveillance work is useful to the LHIN, as we are able, every year, to advise
them with forecasting predictions of the severity and of the timing of the peak
activity of flu in the community.
Another presentation I want to mention is the one I made
to the Senate of Canada’s Standing Committee on Legal and Constitutional
Affairs in support of Bill C-224 – The Good Samaritan Drug Overdose Act.
The Bill proposes amendments to the Controlled Drugs and Substances Act
to provide an exemption from possession of substance charges for Canadians
seeking medical or law enforcement assistance when a person is suffering from
an overdose.
As you know, the issue of unintentional overdoses is
galvanizing attention at all levels of government in Canada at this time.
Statistics, especially from western provinces, are showing an increasing number
of overdoses, and even here in Ontario there is cause for concern. Many
overdoses occur in the presence of another person, yet less than half of those
who witness an overdose call 911. There are a lot of barriers to calling for
help after an opioid overdose, including fear of being arrested or of being
found in breach of probation or parole. Since the inception of our local Opioid
Peer Overdose Prevention Program in Ottawa, over 4 years ago, less than one
third of the trained peers who reported using their naloxone kit also called
911, which is – of course – something we strongly urge them to do. So I welcomed
the opportunity to share our frontline perspective on this issue, and it was
clearly appreciated.
The IPD circulated recently and in the agenda package
tonight outlines what we are doing about this issue here in Ottawa. In
addition, since that information was provided to you, we have become aware that
the Federation of Canadian Municipalities has created a task force on the
opioid crisis to focus on issues from a local government point of view. We will
be closely monitoring the work of that task force too.
Finally, as you know, we are closely monitoring progress
on the province’s health system transformation agenda. I expect that a draft
set of revised Ontario Public Health Standards will be released for
consultations this month, and we will certainly ensure that our frontline staff
have their say on the proposed new standards, as well that you have the
opportunity to see what is being contemplated, and will likely be imposed, by
the Ministry. Also, as you know, last month the Minister announced the establishment
of a Public Health Expert Panel to advise him on structural, governance and
organizational factors aimed at improving the integration of population and
public health into the health system. We know that the panel is actively at
work, and I would expect that its recommendations, whenever they are put
forward, will be of interest to local Boards and Health Units.
In closing, I want to echo Chair Qadri's remarks about
Siobhan Kearns. I know Board Members have appreciated her diligent and thorough
work on your behalf, and I want to publicly recognize her on behalf of our
staff here tonight too. I know that, as a colleague, I have appreciated her
ability to connect with co-workers and her jovial, “glass half-full”
personality. Certainly, her leadership and wisdom will be missed by all at OPH
and we wish much success as she embarks on this new challenge
Merci beaucoup. That concludes my report for this
evening.