Board of Health Meeting Minutes 10 June 20, 2016



Ottawa Board of Health
MINUTES 10
Monday, June 20, 2016, 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
[email protected]

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, June 20, 2016 beginning at 5:00 PM.

The Chair, Shad Qadri, presided over the meeting.


 



ANNOUNCEMENTS/CEREMONIAL ACTIVITIES

There were no announcements or ceremonial activities.

 

ROLL CALL

All members were present.

 

REGRETS

No regrets were filed.

 

DECLARATIONS OF PECUNIARY INTEREST(INCLUDING THOSE ORIGINALLY ARISING FROM PRIOR MEETINGS)

No declarations of pecuniary interest were filed.

 

CONFIRMATION OF MINUTES

Confirmation of the Minutes of the meeting of April 18, 2016

CONFIRMED

 

COMMUNICATIONS

Sixteen communication items have been received (held on file with the Board of Health Secretary).

 

MOTION TO INTRODUCE REPORTS

 

Motion 10/01

Moved by Member Chernushenko

BE IT RESOLVED THAT the Chair of the Board of Health Verbal Report; the Medical Officer of Health Verbal Report; Ottawa Public Health’s Plan to Foster Mental Health in our Community; Developing an Adaptive Workforce for the Future report; Enhanced Harm Reduction Services in Ottawa – Data, Guiding Principle and Next Steps report; and Prohibiting the Use of Waterpipes in Public Places and Workplaces report be received and considered.

 

CARRIED

 

Following a ‘Consent Agenda’ process, the Board considered the held items in the following order: 1, 2, 3, 6 and 5.

1.

CHAIR OF THE BOARD OF HEALTH VERBAL REPORT

 

ACS2016-OPH-BOH-0003

 

That the Board of Health for the City of Ottawa Health Unit receive this report for information.

 

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 report recommendation was then put to the Board.

 

RECEIVED

 

2.

MEDICAL OFFICER OF HEALTH VERBAL REPORT

 

ACS2016-OPH-MOH-0005

 

That the Board of Health for the City of Ottawa Health Unit receive this report for information.

 

Dr. Isra Levy, Medical Officer of Health, provided the Board with an update on recent events. The attached memo includes the Medical Officer of Health Verbal Update.

The report recommendation was then put to the Board.

 

RECEIVED

 

3.

OTTAWA PUBLIC HEALTH’S PLAN TO FOSTER MENTAL HEALTH IN OUR COMMUNITY

 

ACS2016-OPH-HPDP-0004

 

That the Board of Health for the City of Ottawa Health Unit:

1.    Approve the focus areas and strategic initiatives for Ottawa Public Health’s Strategic Direction #2 – Fostering Mental Health in Our Community, as outlined below and discussed in this report:

a.    Mental health awareness and stigma reduction:

                                  i.    Have THAT talk optimal mental health and stigma reduction campaign;

                                ii.    Mental health epidemiological report;

b.    Towards a more resilient community:

                               iii.    Culture of alcohol moderation;

                               iv.    Reducing harms from prescription medication;

                                v.    Mentally healthy workplaces;

c.    Suicide prevention:

                               vi.    Suicide safer Ottawa; and

2.    Approve that the Chair of the Board of Health write a letter to the Ministry of Health and Long-Term Care requesting that it explicitly include mental health promotion requirements relating to surveillance, health assessment, health promotion and policy development in the 2016 revision of the Ontario Public Health Standards.

 

Ms. Jacqueline Roy, Program Manager, Prevention of Injury and Substance Misuse, Ottawa Public Health, and Mr. Kevin Barclay, Senior Integration Specialist, Champlain Local Health Integration Network, spoke to a PowerPoint presentation, which served to provide the Board with some context on this report. Ottawa Public Health staff took questions from Board members. This discussion lasted approximately 20 minutes. A copy of the presentation is held on file with the Board of Health Secretary.

Following the discussion, the report recommendations were put to the Board.

 

CARRIED

 

4.

DEVELOPING AN ADAPTIVE WORKFORCE FOR THE FUTURE

 

ACS2016-OPH-IQS-0005

 

That the Board of Health for the City of Ottawa Health Unit approve the strategic initiatives for Ottawa Public Health’s Strategic Direction – Develop an Adaptive Workforce for the Future, as outlined in this report.

 

CARRIED

 

At 6:45 p.m., Member Chernushenko moved a motion to extend the meeting.

 

MOTION 10/02

Moved by Member Chernushenko

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.

 

CARRIED

 

The Board dealt with this item following its consideration of item 6.

5.

ENHANCED HARM REDUCTION SERVICES IN OTTAWA – DATA, GUIDING PRINCIPLE AND NEXT STEPS

 

ACS2016-OPH-CP-0001

 

That the Board of Health for the City of Ottawa Health Unit:

1.    Receive for information this report, including the accompanying technical report, outlining statistical data about problematic substance use in Ottawa, including prevention, harm reduction and treatment options as well as Supervised Injection Services (SIS) models in existence elsewhere and estimated implementation costs;

2.    Adopt a guiding principle stating Ottawa Public Health’s support for evidence-informed enhancements to harm reduction services, including SIS, as outlined in this report; and

3.    Direct Ottawa Public Health staff to facilitate a consultative process with the community, service providers and other interested stakeholders with respect to the addition of supervised injection services (SIS) as part of the various enhancements to harm reduction programming for Ottawa, as outlined in this report.

 

Mr. Andrew Hendriks, Manager; Clinical Programs, Ms. Pamela Oickle, Program Manager, Sexual Health; and Ms. Dara Spatz Friedman, Epidemiologist, Ottawa Public Health, spoke to a PowerPoint presentation, which served to provide the Board with some context on this report.

Following this presentation, Dr. Louise McNaughton-Filion, Regional Supervising Coroner, East Region, then presented a PowerPoint to the Board, and answered questions from Board Members.

Ms. Lise Girard, Practice Lead, Champlain Local Health Integration Network, and Director of Mental Health and Addictions Program, Ottawa Withdrawal Management Centre, then spoke to a PowerPoint and took questions from the Board.

Copies of these presentations are held on file with the Board of Health Secretary.

 

The following delegations addressed the Board on this item. Those persons whose names are marked with an asterisk (*) provided written submissions, copies of which are held on file with the Board of Health Secretary.

·         Mr. Stan Kupferschmidt, Somerset West Community Health Centre (agreed with the report recommendations)

·         Ms. Catherine Hacksel, Drug Users Advocacy League (agreed with the report recommendations)

·         Mr. Patrick Ladouceur, Centretown Community Health Centre (agreed with the report recommendations)

·         Ms. Karen James, Addiction Action Recovery Committee (agreed with the report recommendations)

·         Ms. Kelly Florence, Ottawa Network of Peer Action for Harm Reduction  (agreed with the report recommendations)

·         Mr. Cameron MacLeod, Board member of the Ontario Association of Ontario Health Centres (agreed with the report recommendations)

·         Dr. Lisa Bromley, Family physician, focused practice in addiction medicine, including methadone treatment (agreed with the report recommendations)

·         Dr. Robert Cushman, Former Medical Officer of Health, Ottawa Public Health and former CEO of the Champlain Local Health Integration Network (agreed with the report recommendations)

·         Ms. Louise Lafond, Member, Campaign for Safer Consumption Sites (agreed with the report recommendations)

·         Mr. Ray Harrison, Needle Exchange and Safer Inhalation (NESI) Program (agreed with the report recommendations)

·         Mr. Darren Noftall, Sandy Hill Community Health Centre (agreed with the report recommendations)

·         Ms. Mika Conboy, Somerset West Community Health Centre (agreed with the report recommendations)

·         Ms. Jennifer Bigelow, Resident (agreed with the report recommendations)

·         Ms. Randy Fast, Resident (agreed with the report recommendations)

The following organization provided a written submission but did not address the Board. A copy of the submission is held on file with the Board Secretary:

·         Canadian HIV/AIDS Legal Network

After hearing from the delegations, Ottawa Public Health staff took questions from Board members. This discussion lasted approximately 210 minutes.

 

Chair Qadri then introduced the following motion.

WHEREAS Ottawa Public Health and the Ottawa Board of Health have, in approving these report recommendations, adopted a statement of principle expressing support for initiatives that seek to improve access to harm reduction services, including Supervised Injection Services (SIS), for people affected by problematic substance use; and

WHEREAS Ottawa Public Health and the Ottawa Board of Health, in adopting this statement of principle, is also encouraging its community partners to actively seek opportunities to bring forward coordinated, timely and evidence-based proposals, either individually or collaboratively; and

WHEREAS Ottawa Public Health and the Ottawa Board of Health, in adopting this statement of principle, is committing to partnering on such initiatives where possible; and

WHEREAS both the Provincial and Federal levels of government have expressed support for enhancing harm reduction services, including Supervised Injection Services (SIS), for people affected by problematic substance use;

THEREFORE BE IT RESOLVED THAT any incremental operating costs, over and above existing operations, directly related to improvements in access to harm reduction services, including Supervised Injection Services (SIS), be funded from provincial and/or federal resources.

 

Member Fleury proposed an amendment to include capital costs and that funding be from sources ”other than Ottawa Public Health”, which Chair Qadri accepted as friendly.

MOTION 10/03

Moved by Chair Qadri

WHEREAS Ottawa Public Health and the Ottawa Board of Health have, in approving these report recommendations, adopted a statement of principle expressing support for initiatives that seek to improve access to harm reduction services, including Supervised Injection Services (SIS), for people affected by problematic substance use; and

WHEREAS Ottawa Public Health and the Ottawa Board of Health, in adopting this statement of principle, is also encouraging its community partners to actively seek opportunities to bring forward coordinated, timely and evidence-based proposals, either individually or collaboratively; and

WHEREAS Ottawa Public Health and the Ottawa Board of Health, in adopting this statement of principle, is committing to partnering on such initiatives where possible; and

WHEREAS both the Provincial and Federal levels of government have expressed support for enhancing harm reduction services, including Supervised Injection Services (SIS), for people affected by problematic substance use;

THEREFORE BE IT RESOLVED THAT any incremental operating and capital costs, over and above existing operations, directly related to improvements in access to harm reduction services, including Supervised Injection Services (SIS), be funded from provincial and/or federal resources other than OPH.

 

LOST on a division of 2 YEAS to 9 NAYS, as follows:

YEAS (2):      Member M. Qaqish and Chair S. Qadri

NAYS (9):      Vice-Chair J. Poirier and Members D. Chernushenko, M. Fleury, A. Kapur, L. Leikin, C. McKenney, S. Pinel, M. Taylor and P. Tilley

 

Vice-Chair Poirier then presented a motion to amend Document 3 – Problematic Substance Use in Ottawa – Technical Report.

Motion 10/04

Moved by Vice-Chair Poirier

WHEREAS staff has detected errors in Document 3 – Problematic Substance Use in Ottawa – Technical Report; and

THEREFORE BE IT RESOLVED THAT Document 3 be amended as follows:

·         Replace Table 1, found at page 7, with the attached REVISED Table 1 and correct any references to this Table within the body of the report;

·         Amend the title of Figure 7 to read “Proportion of unintentional opioid overdose deaths by age range, Ottawa, 2010-2014,” instead of “Proportion of unintentional drug overdose deaths by age range, Ottawa, 2010-2014 (n=110)” and correct any references to this Figure within the body of the report; and

·         Move Figure 7 so that it appears after Table 2, at page 18 rather than its current location at page 17.

 

CARRIED

 

Following the discussion, the report recommendations were put to the Board and voted on separately.

That the Board of Health for the City of Ottawa Health Unit:

1.    Receive for information this report, including the accompanying technical report, outlining statistical data about problematic substance use in Ottawa, including prevention, harm reduction and treatment options as well as Supervised Injection Services (SIS) models in existence elsewhere and estimated implementation costs;

 

CARRIED, as amended

 

2.    Adopt a guiding principle stating Ottawa Public Health’s support for evidence-informed enhancements to harm reduction services, including SIS, as outlined in this report; and

 

CARRIED
(with Chair Qadri and Member Qaqish dissenting)

 

3.    Direct Ottawa Public Health staff to facilitate a consultative process with the community, service providers and other interested stakeholders with respect to the addition of supervised injection services (SIS) as part of the various enhancements to harm reduction programming for Ottawa, as outlined in this report.

 

CARRIED

 

The Board dealt with this item in advance of its consideration of item 5.

6.

PROHIBITING THE USE OF WATERPIPES IN PUBLIC PLACES AND WORKPLACES

 

ACS2016-OPH-HPDP-0005

 

1.    That the Board of Health for the City of Ottawa Health Unit recommend that the Community and Protective Services Committee recommend that Council approve:

a)    The Water Pipes in Public Places and Workplaces By-law that prohibits the use of water pipes in enclosed public places, enclosed workplaces, and outdoor patios, as described in this report and in the draft by-law attached as Document 2, to take effect December 1, 2016;

b)   Amendments to Encroachment By-law (2003-446, as amended), or any successor by-law respecting patios, that prohibit the use of water pipes in café seating and outdoor patio encroachments areas, as described in this report and in the draft by-law attached as Document 3, to take effect December 1, 2016;

c)    Amendments to the Parkdale Market By-law (2008-448, as amended) and the ByWard Market Program By-law (2008-449, as amended) that prohibit the use water pipes in stands, as described in this report and in the draft by-law attached as Document 4, to take effect December 1, 2016; and

d)   That the City Clerk and Solicitor finalize and make necessary adjustments to the draft by-laws referenced in Recommendations 1(a) to (c) inclusive, to give effect to the intent of Council.

 

Ms. Gillian Connelly, Manager, Health Promotion Disease Prevention; Ms. Debbie McCulloch, Program Development Officer, Health Promotion Disease Prevention; Mr. Omar Ansari, Associate Legal Counsel; Chief Roger Chapman, Ottawa Bylaw and Regulatory Services; and Chief Anthony Di Monte, A/General Manager of Emergency and Protective Services; 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 following delegations addressed the Board on this item. Those persons whose names are marked with an asterisk (*) provided written submissions, copies of which are held on file with the Board of Health Secretary.

·         Ms. Melodie Tilson, Director of Policy, Non-Smokers' Rights Association (agreed with report recommendations but disagreed with the timelines for implementation)

·         Mr. Mustafa Coja*, Program Manager, Ottawa Model for Smoking Cessation in Primary Care, University of Ottawa Heart Institute (agreed with report recommendations)

·         Ms. Carol McDonald*, Ottawa Council on Smoking or Health (agreed with report recommendations)

The following individuals provided written submissions but did not address the Board. Copies of their submissions are held on file with the Board Secretary:

·         Ms. Cheryl Parrott, Co-Chair Security Committee, Hintonburg Community Association

·         Ms. Julia Moussa, business owner

After hearing from the delegations, Ottawa Public Health staff took questions from Board members. This discussion lasted approximately 97 minutes.

 

Member Fleury then introduced the following motion.

 

Motion 10/05

Moved by Member Fleury

BE IT RESOLVED THAT the Board of Health for the City of Ottawa Health Unit recommend amending the phased-in enforcement of the proposed regulatory amendments so that the charging phase would commence January 1, 2017.

 

CARRIED

 

The report recommendations, as amended by Motion 10/05 and set out in full below for ease of reference, were then put to the Board and adopted.

1.    That the Board of Health for the City of Ottawa Health Unit recommend that the Community and Protective Services Committee recommend that Council approve:

a)    The Water Pipes in Public Places and Workplaces By-law that prohibits the use of water pipes in enclosed public places, enclosed workplaces, and outdoor patios, as described in this report and in the draft by-law attached as Document 2, to take effect December 1, 2016;

b)   Amendments to Encroachment By-law (2003-446, as amended), or any successor by-law respecting patios, that prohibit the use of water pipes in café seating and outdoor patio encroachments areas, as described in this report and in the draft by-law attached as Document 3, to take effect December 1, 2016;

c)    Amendments to the Parkdale Market By-law (2008-448, as amended) and the ByWard Market Program By-law (2008-449, as amended) that prohibit the use water pipes in stands, as described in this report and in the draft by-law attached as Document 4, to take effect December 1, 2016; and

d)   That the City Clerk and Solicitor finalize and make necessary adjustments to the draft by-laws referenced in Recommendations 1(a) to (c) inclusive, to give effect to the intent of Council.

 

CARRIED

 

2.    That the Board of Health for the City of Ottawa Health Unit recommend amending the phased-in enforcement of the proposed regulatory amendments so that the charging phase would commence January 1, 2017.

 

CARRIED, as amended
(with Member Qaqish dissenting)

 

MOTION TO ADOPT REPORTS

 

Motion 10/06

Moved by Member Chernushenko

BE IT RESOLVED THAT the Chair of the Board of Health Verbal Report; the Medical Officer of Health Verbal Report; Ottawa Public Health’s Plan to Foster Mental Health in our Community; Developing an Adaptive Workforce for the Future report; Enhanced Harm Reduction Services in Ottawa – Data, Guiding Principle and Next Steps report, as amended; and Prohibiting the Use of Waterpipes in Public Places and Workplaces report as amended, be received and adopted.

 

CARRIED

 

MOTIONS OF WHICH NOTICE HAS BEEN GIVEN PREVIOUSLY

There were no motions of which notice had been given previously.

 

MOTIONS REQUIRING SUSPENSION OF THE RULES OF PROCEDURE

There were no motions requiring suspension of the rules of procedure.

 

NOTICES OF MOTION (FOR CONSIDERATION AT SUBSEQUENT MEETING)

There were no Notices of Motions (for consideration at subsequent meeting).

 

INFORMATION PREVIOUSLY DISTRIBUTED

1.

OTTAWA PUBLIC HEALTH’S IMMUNIZATION STRATEGY: UPDATE ON EVERY CHILD, EVERY YEAR

 

ACS2016-OPH-HPDP-0001-IPD

 

 

CONFIRMATION BY-LAW

 

Motion 10/07

Moved by Member Chernushenko

BE IT RESOLVED THAT Confirmation By-law no. 2016-3, 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 June 20, 2016, be read and passed.

 

CARRIED

 

INQUIRIES AND ANSWERS

There were no inquiries.

 

ADJOURNMENT

The Board adjourned the meeting at 10:24 p.m.

 

NEXT MEETING

Regular Meeting

Monday, October 17, 2016 - 5:00 PM, Champlain Room

_____________________________                    _____________________________

BOARD SECRETARY                                           BOARD CHAIR

 





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
[email protected]


EXPÉDITEUR : Conseiller Shad Qadri

Personne ressource :
Conseiller Shad Qadri
Président, Conseil de santé d’Ottawa
613-580-2424, poste 23681
[email protected]


DATE: June 20, 2016

20 juin 2016

FILE NUMBER: ACS2015-OPH-BOH-0003

SUBJECT: CHAIR OF THE BOARD OF HEALTH VERBAL REPORT

OBJET : RAPPORT VERBAL DU PRÉSIDENT DU CONSEIL DE SANTÉ

Check upon delivery

Good evening everyone,

Thank you for joining us at our June Board of Health meeting. As we look back on the spring and ahead to the summer I have a few updates and acknowledgements that I would like to share with you.

Aboriginal Awareness Day

First and foremost, I would like to note that last week our Deputy Mayor proclaimed tomorrow –  June 21 – Aboriginal Awareness Day in Ottawa. With that in mind, I would like to begin by honouring the Algonquin people, on whose traditional territory the City of Ottawa is located. I would like to extend this respect to all First Nations, Inuit and Métis peoples, their elders, their ancestors and their valuable past and present contributions to this land.

To honour Aboriginal Awareness Day, the City held an Aboriginal Awareness Day forum last week and was pleased to have Senator Murray Sinclair, Chair of the Truth and Reconciliation Commission as a keynote speaker. It was excellent to see Ottawa Public Health (OPH) employees in attendance. I know OPH is committed to providing culturally sensitive services and I hope those of you who participated were able to learn from the forum. 

Mental Health Week

Looking back to last month, during mental health week, OPH released The Mental Health Caregiver Guide along with the Canadian Mental Health Association, the Canadian Public Health Association, Military Family Services, and the Mental Illness Caregivers Association (MICA). The purpose of the guide is to provide a national resource to support caregivers of people of all ages who are living with mental illness or experiencing mental health challenges. I think this comprehensive guide presents an excellent opportunity to support and recognize the caregivers. The guide will support caregivers in our community in caring for themselves and for others.

Heather Crowe Park Rededication Ceremony

Also in May, Deputy Mayor Taylor, Councillor Leiper and I, along with OPH employees and community partners, celebrated the rededication of Heather Crowe Park. The name Heather Crowe will likely be familiar to many of you. Ms. Crowe was an Ottawa-area waitress and non-smoker, who was diagnosed with inoperable lung cancer in 2002 due to workplace second-hand smoke exposure. She was a tireless advocate for smoke-free legislation, travelling across Canada to speak with the public, politicians, hospitality workers, health professionals, and youth to discuss the effects of tobacco use. Heather passed away on May 22, 2006, nine days before the Smoke-Free Ontario Act came into effect. I was proud to join the numerous community members, family and friends in attendance to unveil a new memorial plaque in honour of Heather Crowe’s contributions to smoke-free public places.

Employee Recognition Month

Looking ahead to this week, I will be joining employees at the Mary Pitt Centre on Thursday to celebrate their success at an employee recognition event. June is employee recognition month at the City of Ottawa and Ottawa Public Health and there is much for employees to be proud of. What comes to mind for me, as a recent source of pride, is OPH’s response to the Rideau Street infrastructure challenges.

As you know, on the morning of Wednesday, June 8, a major road collapse occurred at Rideau Street near Sussex Drive. Immediately following the collapse, the City’s Emergency Management Team was activated and began response. Ottawa Public Health has been an important part of that response. I would like to thank Dr. Levy for his efforts and all OPH employees for their work in protecting the health of Ottawa residents by supporting this emergency response.

Last but not least, I would also like to congratulate two OPH employees who were nominated for City Manager’s Awards. First, I would like to acknowledge Kimberly MacAulay. Kimberly is a Public Health Nurse with the Family and School Health team and was nominated in the category of Emerging Leader. Congratulations Kimberly. Second, I would like to congratulate Nancy Kennedy who manages the OPH Dental Health program. I am pleased to announce that Nancy won the City Manager Award for Excellence in the category of Excellence in Resident Focused Service Delivery. She was nominated for her commitment to providing Ottawa’s most vulnerable residents with access to health care, education and preventative tools. In the past year, Nancy has led three major initiatives that have improved access to dental services for the city’s most marginalized populations. These initiatives include the establishment of a new dental clinic at the Wabano Centre for Aboriginal Health, the implementation of the new integrated Healthy Smiles Ontario Program, and the provision of dental treatment to Syrian refugees.

Please join me in giving Nancy and Kimberly a round of applause.

 


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
[email protected]



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
[email protected]


DATE: June 20, 2016

20 juin 2016

FILE NUMBER: ACS2016-OPH-MOH-0005

SUBJECT: MEDICAL OFFICER OF HEALTH VERBAL REPORT

OBJET : RAPPORT VERBAL DU MÉDECIN CHEF EN SANTÉ PUBLIQUE

Check upon delivery

Bonsoir, good evening,

I will speak to some of the key things that have been going on at Ottawa Public Health (OPH) since we last met. As you will appreciate, it’s been busy as always. I will touch briefly on provincial matters; our Accreditation Canada survey visit, which took place last week; and some local issues. Before I do that though, and given that tomorrow is National Aboriginal Day, I too want to acknowledge and honour the fact that this meeting is being held on traditional Algonquin territory, and to extend this respect to all First Nations, Inuit and Métis peoples.

First the Provincial Update

The province continues to be extremely active, and to generate a lot of activity for us.

Over the past month, the Ministry of Health and Long-Term Care undertook a financial audit of OPH’s 2015 accounts. It was completed on time and went very smoothly. No issues for action were identified.

Last month, the Ministry of Children and Youth Services advised all public health units that officials will undertake a third party review of the Healthy Babies, Healthy Children program. As you know, many health units - including ours - have expressed concern regarding that program’s sustainability. The Ministry indicated that, once the third party consulting team is selected, they will solicit the input of public health units to determine each health unit’s unique needs and challenges. I will let you know how that develops.

Also in May (2016), the Minister of Health and Long-Term Care announced the government’s intention to introduce legislation requiring physicians to report vaccinations directly to local public health units, as part of their Immunization 2020 strategy. The Ministry also announced the expansion of its publicly funded immunization program to offer the Human Papillomavirus (HPV) vaccine to boys as well as girls. This is excellent news - access to this cancer-preventing vaccine will now be increasingly available to more youth in Ottawa. Logistically, implementing these changes is not a trivial matter for our Vaccine team, but I assure you that they are excited by this, and have already begun planning the roll out. And I expect that there will be support from the Ministry to help with any extraordinary costs related to this roll out.

The Ministry of Health and Long-Term Care has also asked for our assistance with the development of a provincial list of food service premises. That, as you will recall, relates to the Healthy Menu Choices Act, 2015, which will come into effect on January 1, 2017. Operators of food service premises with twenty or more location in Ontario will be required to post the caloric content of menu items. OPH has been actively participating in technical briefings on the Healthy Menu Choices Act Regulation and will be providing the ministry with a list of food service premises, which will be used to help with enforcing the Act.

After much speculation and anticipation we also have now seen where the province intends to move with respect to health care system transformation, as they have now introduced the Patients First Act.  Of note, government heeded the opinion of this board and of alPHa in not moving ahead to have your accountability now be managed by the LHIN. The proposed legislation; however, moves to create a formal relationship between LHINs and Medical Officers of Health, so the impact of this legislation will not be trivial, and I will be watching closely to assess, and to keep you apprised. 

On the tobacco control file, in the last two weeks, Bill 178 passed its third reading and received Royal Assent. Councillor Fleury addressed committee hearings related to this bill, to bring the Board’s perspective. The Bill amends the Smoke-Free Ontario Act to prohibit the smoking of any substance or product prescribed by regulation. It does not address the regulatory gap that you have been concerned about with respect to smoking Hookah pipes and Shisha, and that is why the item is on the agenda for later tonight.

2016 Performance Indicator Targets

Lastly on the provincial front, is the matter of the 2016 Performance Target indicators. At our last meeting we discussed performance results for 2015. The Ministry has now provided us with its expected 2016 performance targets. We will be bringing you a report on performance against these new targets in the fall.

Of note, too, is that the Ministry has also updated and modernized the Ontario Public Health Standards and 16 of the associated protocols. Staff are currently assessing the impact of the changes to the protocols on their work.

Accreditation Canada Survey Visit

Shifting gears, I want to report that last week we had a site survey by Accreditation Canada surveyors. This was an extraordinarily detailed and comprehensive review of our programs and operations by sharp eyed peer reviewers. They spent four days with us, interviewed many dozens of our staff, clients and partners, and reviewed thousands of pages of OPH materials. We expect to hear official results in the next few weeks, and of course I will share these with you as soon as I receive them. We will develop our next quality improvement plan with the benefit of those findings. I can tell you that an interim verbal report that was provided to me suggested that the results will be very positive.

Local Update

While staff were welcoming the Accreditation Canada surveyors last week, many of our Public Health Inspectors and other staff were assisting with the reconstruction efforts at the site of the sinkhole on Rideau Street. This work included meeting with many of the business operators and building owners to assist and educate primarily as it pertained to water quality and food safety, and we did need to issue various drinking water advisories to assure that water users were properly protected. Actually as of today, all drinking water advisories have now been lifted.

Chair, prior to concluding I want to also acknowledge the honour of one of our staff receiving the City Manager’s award of excellence and to congratulate Nancy Kennedy for her outstanding contributions in putting the needs of residents first by delivering exceptional service to the public.

Merci beaucoup-that concludes my report.

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