Ottawa
Board of Health
MINUTES 15
Monday,
April 3, 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, April 3, 2017 beginning at 5:00 PM.
The
Chair, Shad Qadri, presided over the meeting.
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ROLL CALL
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Vice-Chair Poirier was absent from the meeting.
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REGRETS
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Vice-Chair Poirier sent regrets.
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COMMUNICATIONS
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Eleven 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 15/01
Moved by Member Pinel
BE IT RESOLVED THAT the Chair of the
Board of Health Verbal report; the Medical Officer of Health Verbal report;
Ottawa Public Health’s 2016 Annual report; Healthy Eating, Active Living:
Protecting Vulnerable Populations Through Restrictions in Marketing of Foods
and Beverages report; Quality Improvement Plan for
2017-2020 report; Ottawa Public Health Emergency Preparedness and
Response report; and Delegation of Authority – Contracts Awarded for the
Period of July 1 to December 31, 2016 report be received and considered, and
BE IT FURTHER RESOLVED THAT the
Rules of Procedure be suspended to consider the following additional item due
to the timelines associated with same:
·
Report
from the Medical Officer of Health titled Update on Opioids and the Risk
of Unintentional Overdoses in Ottawa, due to timelines associated with
this item
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CARRIED
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Following a ‘Consent Agenda’ process, the Board
considered the held Items in the following order: Items 1, 2, 3, 4, and 8.
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1.
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CHAIR
OF THE BOARD OF HEALTH VERBAL REPORT
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ACS2017-OPH-BOH-0002
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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.
Following the discussion, the report recommendation was
put to the Board.
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RECEIVED
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2.
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MEDICAL
OFFICER OF HEALTH VERBAL REPORT
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ACS2017-OPH-MOH-0002
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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 events and took questions from Board Members.
This discussion lasted approximately 20 minutes. The attached memo includes
the Medical Officer of Health Verbal Update.
Following the discussion, the report recommendation was
put to the Board.
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RECEIVED
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3.
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OTTAWA
PUBLIC HEALTH’S 2016 ANNUAL REPORT
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ACS2017-OPH-SSB-0005
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That the Board of Health for the
City of Ottawa Health Unit:
1.
Receive
Ottawa Public Health’s 2016 Annual Report; and
2.
Approve
that it be forwarded to Ottawa City Council for information, in accordance
with the City of Ottawa Act, 1999.
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Dr. Isra Levy, Medical Officer of Health, introduced Ottawa Public
Health’s 2016 Annual Report and spoke to a PowerPoint
presentation, which served to provide the Board with some context on this
report. A copy of the presentation is held on file with the Board of Health
Secretary.
The report recommendations were then put to the Board.
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CARRIED
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4.
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HEALTHY
EATING, ACTIVE LIVING: PROTECTING VULNERABLE POPULATIONS THROUGH RESTRICTIONS
IN MARKETING OF FOODS AND BEVERAGES
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ACS2017-OPH-HPDP-0003
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That the Board of Health for the
City of Ottawa Health Unit:
1.
Receive
for information the list of policy options at the municipal level in the area
of marketing to children and youth, as outlined in Document 1;
2.
Approve
the consultation plan, as outlined in the report; and
3.
Approve
that the Chair of the Board of Health write a letter to Minister Philpott and
Senator Greene Raine in support of Bills S-228 and C-313.
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Ms. Gillian Connelly, Manager, Health Promotion Disease
Prevention, and Ms. Sonia Jean-Philippe, Public Health Nutritionist,
Ottawa Public Health, spoke to a PowerPoint presentation, which served to
provide the Board with some context on this report. A copy of the
presentation is held on file with the Board of Health Secretary.
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At 6:48 p.m., Member Pinel moved a motion to extend the
meeting.
MOTION 15/02
Moved by Member Pinel
BE IT RESOLVED THAT the Board of
Health approve that the meeting time be extended past 7:00 p.m. pursuant to
Subsection 8.(1)(c) of the Procedural By-law.
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CARRIED
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The following delegations addressed the Board on the Healthy
Eating, Active Living: Protecting Vulnerable Populations Through Restrictions
in Marketing of Foods and Beverages report. Those persons whose names are
marked with an asterisk (*) provided written statements, copies of which are
held on file with the Board of Health Secretary.
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Ms.
Seema Nagpal, Epidemiologist & Senior Leader, Diabetes Canada- (agreed
with report recommendations)
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Ms.
Monique Potvin Kent*, Faculty of Medicine, University of Ottawa, (agreed with
report recommendations)
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Ms.
Marie-Christine Monchalin*, Manager, Public Issues, Canadian Cancer Society,
(agreed with report recommendations)
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Mr. Manuel
Arango*, Director, Health Policy, Heart & Stroke Foundation, (agreed with
report recommendations)
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Mr. Alex
Munter, President & CEO, Children’s Hospital of Eastern Ontario (CHEO)
(agreed with report recommendations)
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Dr.
Annick Buchholz, Lead Psychologist, CHEO’s Centre for Healthy Active Living
(agreed with report recommendations)
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Ms.
Carolyne Mondoux and Ms. Margaret Hughes, Dietitians of Canada (agreed with
report recommendations)
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Mr.
Jim Shepherd*, parent (agreed with report recommendations)
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Mr.
Bill Jeffery*, Executive Director, Centre for Health Science and Law (agreed
with report recommendations)
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Ms. Gillian
Dawson, Chair, Ottawa Food Policy Council (agreed with report
recommendations)
After hearing from the delegations, Ottawa Public
Health staff took questions from Board members. This discussion lasted
approximately 145 minutes. Following the discussion, the report
recommendations were put to the Board.
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CARRIED
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8.
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UPDATE
ON OPIOIDS AND THE RISK OF UNINTENTIONAL OVERDOSES IN OTTAWA
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ACS2017-OPH-CP-0001
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That the Board of Health for the
City of Ottawa Health Unit:
1.
Receive
for information the updates outlined in this report with respect to Ottawa
Public Health actions related to opioids and the risk of unintentional
overdoses in Ottawa; and
2.
Approve
that the Chair of the Board of Health and the Medical Officer of Health send
a joint letter to the federal government in support of Bill C 224, the Good
Samaritan Drug Overdose Act.
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Mr. Andrew Hendriks, Manager, Clinical Programs, and
Dr. Vera Etches, Deputy Medical Officer of Health, spoke to a PowerPoint
presentation, which served to provide the Board with some context on this
report. A copy of this presentation is held on file with the Board of Health
Secretary.
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The following delegation addressed the Board on this
item.
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Mr. Sean
O’Leary, representative of We the Parents
After hearing from the delegation, Dr. Etches and Mr.
Hendriks took questions from Board members. This discussion lasted
approximately 35 minutes.
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CARRIED
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MOTION TO ADOPT REPORTS
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Motion 15/03
Moved by Member Pinel
BE IT RESOLVED THAT the Chair of the
Board of Health Verbal Report; the Medical Officer of Health Verbal Report;
Ottawa Public Health’s 2016 Annual report; Healthy Eating, Active Living:
Protecting Vulnerable Populations Through Restrictions in Marketing of Foods
and Beverages report; Quality Improvement Plan for 2017-2020 report; Ottawa
Public Health Emergency Preparedness and Response report; and Delegation of
Authority – Contracts Awarded for the Period of July 1 to December 31, 2016
report; and Update on Opioids and the Risk of Unintentional Overdoses in
Ottawa report be received and adopted.
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CARRIED
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CONFIRMATION BY-LAW
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Motion 15/04
Moved by Member Pinel
BE IT RESOLVED THAT Confirmation
By-law no. 2017-2, 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 April 3, 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 8:40 p.m.
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NEXT MEETING
Regular Meeting
Monday, June 19, 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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DATE: April 3, 2017
3 avril 2017
FILE NUMBER: ACS2017-OPH-BOH-0002
SUBJECT: CHAIR
OF THE BOARD OF HEALTH VERBAL REPORT
OBJET : RAPPORT VERBAL DU PRÉSIDENT
DU CONSEIL DE SANTÉ
Check upon delivery
Good evening and thank you
very much for joining us.
Tonight, I would like to
begin by sincerely thanking all Ottawa Public Health employees, particularly
those involved in the response to the opioid issue in our community. The world
of public health is unpredictable and it often requires that OPH take action,
reacting to alarming and serious events. The employees of Ottawa Public Health
have managed this emerging crisis by strengthening community partnerships and
broadening our strategy of prevention education and harm reduction. Ottawa
Public Health’s ultimate aim is to eliminate overdoses and deaths due to opioid
misuse. I thank each and every one of you, our residents and community
partners for the role you have played in addressing this significant community
issue.
I wish now to update the
Board on two recent events. The first is Ottawa Public Health’s involvement in
Crime Prevention Ottawa’s Forum on Family Violence. According to Statistics
Canada, “more than 320,000 people were victims of a violent crime in 2014, with
26 percent having been victimized by a family member”. Family violence takes
various forms and impacts young and old. While at this forum, Ottawa Public
Health was able to showcase our health unit’s efforts in working with families.
Dr. Levy moderated the Forum’s panel, encouraging a fundamental discussion on
family violence as well as highlighting our work as part of our Healthy Babies,
Healthy Children program and our participation in the Ottawa Elder Abuse
Response Committee. We look forward to continuing to work with Crime Prevention
Ottawa and other partner organizations to reduce the incidence of family
violence.
Second, I’d like to provide
an update on the most recent All-Staff event which took place March 21. This
year’s All-Staff meeting was indeed a memorable one. Those in attendance were
encouraged to Reflect on Change and Embrace Equity. What an opportunity
it was to learn, particularly from three Indigenous elders who challenged us
about our own assumptions and beliefs. We had significant conversations
regarding Indigenous health and learned a great deal about indigenous culture.
We were joined by Deputy Minister of the Ontario Ministry of Indigenous
Relations and Reconciliation, Deborah Richardson, our keynote speaker for the
meeting. Several board members, Members Pinel, Tilley and Councillors Fleury,
Qaqish, Taylor and Chernushenko were all able to join us. It was a very special
meeting and I think an excellent educational opportunity for all employees who
were able to attend in-person or via Livestream. As we look to the future,
I trust that we will continue to learn from those shared experiences and focus
on actions that promote reconciliation.
Thank you to all. That
concludes my verbal report for this evening.
DATE: April 3, 2017
3 avril 2017
FILE NUMBER: ACS2017-OPH-MOH-0002
SUBJECT: MEDICAL OFFICER OF HEALTH VERBAL REPORT
OBJET :
RAPPORT VERBAL DU MÉDECIN CHEF EN SANTÉ PUBLIQUE
Check upon delivery
Bonsoir, good evening.
I was going to start this
evening with an update on the ongoing opioid issue and the work of Ottawa’s
Overdose Prevention Taskforce, which you will recall we discussed at our last
meeting. However, given recent developments I have discussed with Chair Qadri
my recommendation that you receive a formal report on this subject tonight, and
I am grateful that he has, and you have, agreed to entertain that report. Mr.
Hendriks and Dr Etches will be outlining developments, and the rationale for a
recommendation to you for advocacy relating to federal legislation, later this
evening.
Last week I participated in
the annual Ontario Public Health Convention. This event, sponsored by Public
Health Ontario, alPHa, and the Ontario Public Health Association, has become
the preeminent scientific meeting relating to Public Health practice in
Ontario, and almost 900 participants were there. I am proud to say that OPH was
well represented, and many of our staff did presentations. Dr Pim was a plenary
speaker, and shared with participants the extraordinary contributions of our
volunteers and staff to the refugee program last year, through a scientific
lens. I also moderated a session on Evaluating Emergency Preparedness, which
addressed outbreak prevention with focused discussions on Zika, Ebola and other
infectious disease threats. And, as you may have seen in the press, while the
convention was going on, our routine work here dealing with flu and
gastrointestinal outbreaks, and possible measles and mumps exposures in the
community, was keeping the teams busy too.
The Ontario convention is
also an opportunity for the Ministry to provide updates on its priorities and
work, and we heard presentations from the Deputy Minister of Health, Assistant
Deputy Minister for Population and Public Health, and the Provincial Chief MOH.
All spoke about Health System Transformation and the view of the Ministry
relating to the role of public health in that transformation. Essentially, there
are three things to keep in mind:
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Firstly,
the role of Public Health in Ontario - what the Ministry will be asking Boards
of Health to do in the future,
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Secondly,
the role of Public Health in health system transformation - how Medical
Officers of Health and Boards of Health will relate to Local Health Integration
Networks in the future, and,
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Thirdly,
how Public Health will be structured and governed in the future.
With respect to the first
issue, what we will be required to do in the future, you will remember that the
Ministry recently released a draft of proposed new public health standards, and
that we are currently in a period of consultation regarding the content of
these new standards, which are expected to take effect in January 2018. There
is suggestion of a period of transition that will allow for adaptation and
adoption of the standards over a longer period of time, to facilitate alignment
with existing budgetary and operational planning cycles.
The consultation period
ends on April 21, 2017. A preliminary review of the draft standards suggests
that implementing them may well require substantial reorientation of resources,
and structural and functional change in the organisation. We have initiated
processes to ensure that every member of staff at OPH has an opportunity to
reflect on the implications of the proposed new standards, and participate in
team meetings that will inform both responses to the Ministry consultations and
future operational planning and organisational needs. We also welcome any of
your thoughts in this regard, and you will recall that we hosted a regional
consultation session for the Ministry here in Ottawa last month, where staff
and Board members from OPH and from neighbouring health units had dialogue with
Ministry officials on the subject. We will be submitting written input to the
Ministry prior to the consultation deadline, and we will certainly circulate
that to each of you in advance for your information and input should you
wish.
Now, with respect to the 2nd
point, that of relationships with the LHIN, you will recall that I mentioned at
our retreat last fall that there is a ministry working group, one of 17,
working on issues relating to implementation of the Patients First
legislation. It is my understanding that it will be making recommendations by
May of this year.
And regarding the 3rd
point, future structure and governance issues, you’ll also recall the recent
memo from the Minister announcing the Expert Panel that has now started work,
and – we understand – is also on track to report in the spring. So, a lot of
work is going on at the Ministry, with the potential for significant impact on
our operations, partnerships and accountabilities in the future. I will,
of course, continue to update you on these issues moving forward.
Before I end, I also want
to advise you that last Friday the City of Ottawa’s Legal Services group was
informed of a legal challenge to the City’s Water Pipe (Hookah) By-law.
As I understand it, the
challenge is on the grounds that the By-law violates the Charter of Rights
and Freedoms as it is allegedly discriminatory against the cultural rights
of a specific group of Canadians (Arab-Canadians). Of course, as this
issue unfolds we will be ready to help the City’s Legal Services group and By-law
and Regulatory Services Branch in whatever way we can, and we understand that
their intention will be to vigorously defend against the By-law challenge. (We
know, of course, that similar Water Pipe By-laws from the Toronto and the
Vancouver have previously withstood judicial scrutiny, though one of those
judgments is currently subject to an appeal).
I will shortly, with your
permission Mr. Chair, make some comments about our annual report for 2016, but
that concludes my update, and I am happy to answer any questions.
Merci beaucoup.