Ottawa Board of Health
MINUTES 16
Monday, June 19, 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
[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 19, 2017 beginning at 5:00 PM.
The
Chair, Shad Qadri, presided over the meeting.
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ANNOUNCEMENTS/CEREMONIAL ACTIVITIES
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Chair Qadri introduced Elders Sally Webster, Senator
Reta Gordon and Thomas Louttit, who offered opening prayers in recognition of
National Aboriginal History Month.
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ROLL CALL
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Member Pinel was absent from the meeting.
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COMMUNICATIONS
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Twenty-three 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 16/01
Moved by Member Kapur
BE IT RESOLVED THAT the Chair of the
Board of Health Verbal Report; Medical Officer of Health Verbal Report;
Public Health Support for Actions that Promote Reconciliation and Advance
Indigenous Health Equity: Update; Update on Ottawa Public Health’s
Immunization Strategy; Update on Ottawa Public Health’s Plan to Foster Mental
Health in Our Community; Legalization of Cannabis – A Public Health Approach
to Minimize Harms of Use; Harm Reduction and Overdose Prevention – Overview
and Update; and 2017 Operating Budget Q1 – Board of Health for the City of
Ottawa Health Unit Status 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 Appointment of an Associate
Medical Officer of Health – In Camera – Personal Matters About an
Identifiable Individual - Reporting Out Date: Upon Council
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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, 4, 6, and 7.
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1.
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CHAIR
OF THE BOARD OF HEALTH VERBAL REPORT
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ACS2017-OPH-BOH-0003
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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 Chair’s verbal report took approximately 10 minutes. The attached
memo includes the Chair of the Board of Health Verbal Update.
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-0003
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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 16 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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4.
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UPDATE
ON OTTAWA PUBLIC HEALTH’S IMMUNIZATION STRATEGY
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ACS2017-OPH-HPDP-0004
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That the Board of Health for the
City of Ottawa Health Unit:
1.
Receive,
for information, an update on implementation of Ottawa Public Health’s
Immunization Program: a multi-phased immunization strategy; and
2.
Approve
that the Chair of the Board of Health write a letter to the Minister of
Health and Long-Term Care recommending that social determinants of health
data be collected and analysed in the Panorama database.
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Ms. Marie-Claude Turcotte, Program Manager, Vaccine
Preventable Disease, accompanied by Ms. Gillian Connelly, Manager, Health
Promotion and Disease Prevention, and Dr. Carolyn Pim, Associate Medical
Officer of Health, spoke to a PowerPoint presentation, which served to
provide the Board with some context on this report. Staff then took questions
from Board members. This discussion lasted approximately 13 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.
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CARRIED
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6.
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LEGALIZATION
OF CANNABIS – A PUBLIC HEALTH APPROACH TO MINIMIZE HARMS OF USE
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ACS2017-OPH-HPDP-0006
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That the Board of Health for the
City of Ottawa Health Unit:
1.
Receive,
for information, an overview of Bills C-45 and C-46, as described in this
report and detailed in Document 1; and
2.
Approve
that the Board of Health make recommendations to the federal government with
respect to:
a.
Regulating
and restricting access to edible cannabis products within the current
legalization time frame, as described in this report; and
b.
Strengthening
restrictions on packaging and labelling to require THC content and dose per
serving size, health warnings, and plain packaging of cannabis products as
described in this report.
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Ms. Gillian Connelly, Manager, Health Promotion and
Disease Prevention, accompanied by Ms. Jessica Brett, Public Health Nurse,
Chronic Disease Prevention, spoke to a PowerPoint presentation, which served
to provide the Board with some context on this report. The presentation took
approximately six minutes. A copy of the presentation is held on file with
the Board of Health Secretary.
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The following delegations addressed the Board on the Legalization
of Cannabis – A Public Health Approach to Minimize Harms of Use report. Ms.
McDonald also provided a written submission, a copy of which is held on file
with the Board of Health Secretary.
·
Ms. Carol
McDonald*, Ottawa Council on Smoking or Health- (agreed with report
recommendations)
·
Mr.
Robert Cunningham, Canadian Cancer Society (agreed with report
recommendations)
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At 6:55 p.m., Member Kapur moved a motion to extend the
meeting.
MOTION 16/02
Moved by Member Kapur
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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After hearing from the delegations, staff took
questions from Board members. This discussion lasted approximately 32
minutes.
Following the discussion, the report recommendations
were put to the Board.
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CARRIED
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DIRECTIONS TO STAFF:
1.
That
the Board of Health communication to the federal government, further to
recommendation 2, include reference to issues within provincial jurisdiction
on which the Board is on record as having supported a certain position, such
as minimum age, alignment with the Smoke-Free Ontario Act, etc., and
that a copy of this submission also be sent to the provincial government.
2.
That
the Board of Health communication to the federal government also include
reference to public health measures that should be in place prior to
legalization, such as public education, health promotion, marketing, etc.
3.
That
staff look into what would need to be put into place, at the municipal level,
in order to protect Ottawa residents from potential legislative and/or
regulatory loopholes with respect to cannabis smoking in public.
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7.
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HARM
REDUCTION AND OVERDOSE PREVENTION – OVERVIEW AND UPDATE
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ACS2017-OPH-CP-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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Mr. Andrew Hendriks, Manager, Clinical Programs, and
Ms. Gillian Connelly, Manager, Health Promotion and Disease Prevention, 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 43 minutes. A copy of the
presentation is held on file with the Board of Health Secretary.
Following the discussion, the report
recommendation was put to the Board.
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RECEIVED
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8.
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2017
OPERATING BUDGET Q1 – BOARD OF HEALTH FOR THE CITY OF OTTAWA HEALTH UNIT
STATUS REPORT
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ACS2017-OPH-IQS-0006
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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 16/03
Moved by Member Kapur
WHEREAS staff has detected an error
in Document 1 - Ottawa Public Health 2017 1st Quarter Operating Status Report
whereby the line item in reference to “Clean Needle Distribution” indicates a
YTD % Spent of 100% whereas it should indicate 3%;
THEREFORE, BE IT RESOLVED THAT
Document 1 be replaced with the attached REVISED version.
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CARRIED
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9.
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APPOINTMENT
OF AN ASSOCIATE MEDICAL OFFICER OF HEALTH – IN CAMERA – PERSONAL MATTERS
ABOUT AN IDENTIFIABLE INDIVIDUAL. REPORTING OUT DATE: UPON COUNCIL APPROVAL.
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ACS2017-OPH-MOH-0004
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Issued separately
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The Board approved the report recommendations without
discussion, thereby eliminating the need to move In Camera.
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That the Board of Health for the
City of Ottawa Health Unit refer the following to Council, subject to the
candidate providing a written acceptance of offer and proof of Fellowship
from the Royal College of Physicians of Canada prior to June 22, 2017:
1.
That
Council recommend the appointment of Dr. Geneviève Cadieux as Associate
Medical Officer of Health to the Minister of Health and Long-Term Care in
accordance with the City of Ottawa Act, 1999 and the Health
Protection and Promotion Act; and
2.
Subject
to approval of recommendation 1, that Council transmit its recommendation for
approval of the appointment to the Minister of Health and Long-Term Care.
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REFERRED
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NOTICE
In Camera Items are not subject to
public discussion or audience. Any person has a right to request an
independent investigation of the propriety of dealing with matters in a
closed session. A form requesting such a review may be obtained, without
charge, from the City’s website or in person from the Chair of this meeting.
Requests are kept confidential pending any report by the Meetings
Investigator and are conducted without charge to the Requestor.
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MOTION TO ADOPT REPORTS
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Motion 16/04
Moved by Member Kapur
BE IT RESOLVED THAT the Chair of the
Board of Health Verbal Report; Medical Officer of Health Verbal Report;
Public Health Support for Actions that Promote Reconciliation and Advance
Indigenous Health Equity: Update; Update on Ottawa Public Health’s
Immunization Strategy; Update on Ottawa Public Health’s Plan to Foster Mental
Health in Our Community; Legalization of Cannabis – A Public Health Approach
to Minimize Harms of Use; Harm Reduction and Overdose Prevention – Overview
and Update; 2017 Operating Budget Q1 – Board of Health for the City of Ottawa
Health Unit Status Report; and Appointment of an Associate 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 16/05
Moved by Member Kapur
BE IT RESOLVED THAT Confirmation
By-law no. 2017-3, 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 19, 2017, be read and passed.
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CARRIED
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INQUIRIES
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Vice-Chair Poirier on behalf of Member McKenney
This
past weekend saw hundreds of participants at the Association of
Community Organizations for Reform Now
(ACORN) Canada National Convention in Ottawa. ACORN Canada and Ottawa ACORN
are advocating for municipalities to establish Landlord licensing.
While
the majority of regulations for landlord licensing would likely fall under
the purview of Building Code Services and Property Standards, could Ottawa
Public Health identify its role in ensuring landlords maintain units as to
minimize health risks to residents and best practices found in other
municipalities surrounding this? This would include, but not be limited to,
the maintenance of the heating, ventilation, air circulation and plumbing
systems; and the prevention and control of pests.
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ADJOURNMENT
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The Board adjourned the meeting at 7:50 p.m.
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NEXT MEETING
Monday, September 18, 2017 - 5:00 PM, Champlain Room, 110
Laurier Avenue West
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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: June
19, 2017
19 juin
2017
FILE NUMBER: ACS2017-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 and thank you very much
for joining us.
Tonight, I would like to begin by
highlighting some recent work happening at Ottawa Public Health.
May was a busy month for OPH, starting
with a significant mental health initiative. On May 4 2017, Ottawa Public
Health, in partnership with Bell Let’s Talk, launched the new have THAT talk
video series and activity guide. These evidence-based videos were developed
with 15 local and national partners in the mental health field as well as
individuals with lived experience. They offer tangible information on: How
to Talk about Your Mental Health; Reducing Stigma; Building
Resilience; Caring for Yourself, The Caregiver; and Building
Social Connections.
An activity guide was also developed
to accompany these new videos. We understand that this activity guide will be
used in all four school boards in Ottawa to support positive mental health, to
build resilience and coping skills and to reduce stigma. To date, the videos in
this campaign have been viewed over 400,000 times by people from all around the
world! Earlier this month, I might add, they were profiled in Globe and Mail.
May also saw us celebrating Nursing
Week. The theme of this year’s National Nursing Week was “Yes, this is
nursing”. The theme spoke to the expanding traditional and non-traditional
roles of nurses. Councillor Taylor shared opening remarks with OPH’s nurses and
I would like to echo his comments here to say thank you to all OPH nurses for
your continued dedication as professionals and as advocates of health
promotion, education and disease prevention.
Finally, in May, OPH launched its Secure
Your Meds campaign in collaboration with the Ottawa Overdose Prevention and
Response Task Force. As we discussed at the last Board meeting, the opioid
crisis in our community is a major challenge for all of us and we must take
action. This is one of the reasons OPH launched the Secure Your Meds
campaign, which encourages residents to secure medication in their household
and to return unused medication to a pharmacy. We know that 13% of Ottawa teens
use prescription drugs that were not prescribed for them and two-thirds got the
drugs from a parent, sibling or someone else in their household. With this in
mind, I think we all have a role to play and it can start in our homes:
securing any prescription medication and returning unused or expired
medications to your pharmacy.
Moving on to the marketing of unhealthy
food and drinks, OPH launched its public consultation campaign starting with an
online survey that went live last Monday to get feedback from the community.
Feedback is being received through various platforms, including, as mentioned,
the online survey at HaveYourSayOttawa.ca, in-person and web-based focus group
sessions. Invitations to in-person and virtual consultations were sent to
stakeholders including business, industry and sports and recreational
associations. This week, on June 21, OPH will be holding a Facebook Live Event
on our Parenting in Ottawa page, with a live video stream at noon featuring the
Heart and Stroke Foundation. I look forward to hearing about the results of
these consultation efforts as we look at ways to protect vulnerable populations
and support all residents in healthy eating and active living.
As many of you know, June is Employee
Recognition Month across the City of Ottawa, including at Ottawa Public Health.
Several Board members, including myself and Members Fleury and Tilley, are celebrating
Ottawa Public Health employees at various Employee Recognition events. On
behalf of the Board of Health, I would like to sincerely thank all Ottawa
Public Health employees for the work they do every day to make all of Ottawa’s
communities places where people are healthy, safe and actively engaged in their
well-being.
Employees have a lot to be proud of.
Last Friday, several Ottawa Public Health (OPH) employees were recognized by
the City Manager, Steve Kanellakos. He presented the 2017 City Manager’s Award
of Distinction to the Rideau Street Response Team for their exceptional
contribution, dedication and exemplarity service to our people in the category
of Collaboration and Relationship Building – Embodiment of the One City, One
Team Vision.
Hilda Chow, Program Manager of Chronic
Disease Prevention in the Health Promotion Disease Prevention Branch accepted
the award on behalf of her OPH colleagues. I would like to congratulate
employees who contributed to the Rideau Infrastructure Failure response,
including: Craig Calder, Brenda MacLean, Hilda Chow, Matthieu Frappier, Michael
Bennitz, Kerry Chouinard, Kathy Beauregard, Shana MacMahon, Zafar Ali,
Christine Taylor, Sharon Wing, Andrea Cooper, MacKenzie Turner, Denise Hébert,
Toni d'Ettorre, Eric Leclair, Dr. Robin Taylor, Kathy Downey, Siobhan Kearns,
Carly Wolff and Michael Ferguson.
Several other OPH colleagues were
recognized as nominees in the following categories:
Creativity and Innovation - Resident
and Community focused: Christiane Bouchard, Kinga Charbot, Vera Etches, Andrew
Hendriks, Ashley Levasseur, Tara Mann, Kim McDermid, Pamela Oickle, Tracy
Rizok, Suzanne Rowland and Zhaida Uddin were recognized for their exceptional
contributions to the success of two sexual health campaigns that offer
increased sexual health services for Ottawa youth.
Servant Leadership: Andrew Hendriks
was recognized for his on-going commitment and significant contributions to
Ottawa Public Health (OPH) in the areas of employee engagement, leadership
development, mentoring and on key public health files, most recently the Opioid
Prevention Taskforce. Hilda Chow was also recognized for her outstanding
leadership and tireless efforts in preventing chronic disease in the community.
The City Manager’s Award of Distinction
is the highest distinction an employee can receive under the City's Employee
Recognition Program. Please join me in congratulating all award recipients and
nominees.
Finally, I also want to thank my
colleagues on the Board for their dedication and leadership. Our Board members
are consistently acting as ambassadors and champions for OPH programs and
services and representing OPH across the community. For instance, on June 13,
Member Taylor attended an event on behalf of the City of Ottawa and Ottawa Public
Health to launch the Eat Together Ottawa campaign, which allows
communities to come together to share a meal. This initiative brings awareness
to our community about the impact food security and isolation can have on our
overall physical and mental health. Member Pinel has expressed interest in
getting involved in our Parenting in Ottawa outreach. These are just some of
the ways the Board is championing OPH in connection with the community.
I will end on that note of thanks.
That concludes my verbal report for this evening.
DATE: June
19, 2017
19 juin 2017
FILE
NUMBER: ACS2017-OPH-MOH-0003
SUBJECT: MEDICAL OFFICER OF HEALTH
VERBAL REPORT
OBJET :
RAPPORT VERBAL DU MÉDECIN CHEF EN SANTÉ PUBLIQUE
Check upon delivery
Bonsoir, good evening,
I too will begin my comments tonight
by honouring the Algonquin people and acknowledging that we are meeting on the
traditional territory of the Algonquin nation. I would also like to extend
respect to all First Nations, Inuit and Métis peoples, their ancestors, and
their Elders. And, thank you especially to the Elders here today. It was an
honour to have you open this meeting.
Ottawa Public Health has made it an
organisational priority to do whatever we can, with care, to ensure a
meaningful, sustained and long term commitment to promote reconciliation and
advance Indigenous health equity. We strive for a respectful dialogue and
partnership with Indigenous partners, and will continue to support activities
that enhance awareness and understanding of the historical context, local
diversity, and contemporary lived experience of Indigenous community members.
The report in your package today provides an overview of some of these
activities.
I do not want to speak for long
tonight. We have a fulsome agenda to work through, and I know that you are all
aware of the breadth and depth of the issues that have emerged and kept us busy
since we last met. If you do have any questions about the updates I have been
sending to you, for example about our involvement in the City’s flood response,
or about the provincial activities regarding Health System Transformation and
the ongoing consultations regarding the new Ontario Public Health Standards, I
will be happy to answer them. And, of course, I am happy to discuss the
progress that has been made recently on the opioids file, the high level of
engagement of provincial and national mayors, and the resource commitments
recently announced by the provincial government, all of which we have also
captured in a report before you later tonight.
With respect to Health System
Transformation and its immediate impacts on us, I want to thank each of you
again for the time you have given me recently. I have consulted with you,
community partners and all staff at OPH on organisational changes needed to
best prepare ourselves to deliver on the new provincial requirements and the
future public health needs of the community. I am keeping front and centre in
my thinking the importance of OPH being an agile organization, able to embrace
the opportunities for broader and greater impact and relevance that might come
with the changes. I have heard over 1700 comments and ideas from more than 70%
of our employees in the last month. Later this month, I will begin working with
a revamped senior leadership team to plan a new alignment of resources,
programs and portfolios ready for implementation in the fall, so that we can
begin to transition to our new work in 2018. My focus will be on ensuring
operational stability as we develop our proposed budget for 2018 and implement
the needed changes to ensure compliance and ongoing excellence into the future.
As this alignment exercise proceeds, I intend to maintain frequent and regular
communications across the organization.
I do want to assure you, also, as we
get into summer festivities in the city, that we are ready for the work that
needs to be done to support the city safely through the next few months. We
have staffing plans to deal with Canada 150 celebrations; we have, again,
proactively worked with festival organisers to minimise harm from the revelry
of various summer concerts; and we are linked closely to the City’s emergency
team so we can help respond to unforeseen events should any occur. We have also
developed a new electronic tool: a dashboard to track events, incidents and
outbreaks during the summer of 2017. This tool will track issues of public
health importance in the community such as extreme heat; infectious disease
activity, overdoses and injuries.
I also want to thank you, on behalf of
all the staff at OPH, for your ongoing interest and participation in the various
opportunities to see our frontline work, and especially to those of you that
are able to participate in this month’s employee appreciation celebrations.
Last week, the City of Ottawa’s General Manager’s annual staff recognition
awards were given and we had numerous OPH staff members nominated for different
awards as well as wonderful recognition for our participation in the Rideau
Street Infrastructure emergency response activities last summer.
Chair, that concludes my update for
tonight. I am happy to answer any questions.
Merci beaucoup.