Ottawa
Board of Health
MINUTES 3
Monday,
March 4, 2019, 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: K. Egli
Vice-Chair: T. DeGiovanni
Members: E. Banham, J. Cloutier, E. El-Chantiry, G. Gower, T. Kavanagh,
L. Leikin, S. Menard, S. Pinel, P. Tilley
The Ottawa Board
of Health met in the Champlain Room, 110 Laurier Avenue West, Ottawa, on Monday,
March 4, 2019 beginning at 5:00 PM.
The
Chair, Keith Egli, presided over the meeting.
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REGRETS
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Member Tilley sent regrets.
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DECLARATIONS OF PECUNIARY INTEREST
(INCLUDING THOSE ORIGINALLY ARISING FROM PRIOR MEETINGS)
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Member Leikin declared a deemed pecuniary interest on
Ottawa Board of Health Agenda 3, Item 3 - 2019 Draft Operating Budget for
the Ottawa Board of Health, Document 1, Page 5 - Ministry of Health and Long-Term
Care Programs & Standards - Chronic Disease Prevention & Well-Being,
and City Funded Programs – Mental Health, Substance Use & Injury
Prevention,
as a family
member is an Ottawa Public Health employee working in these areas.
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COMMUNICATIONS
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Four communication items have been received (held on
file with the Board of Health Secretary).
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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 5.
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1.
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CHAIR OF THE BOARD OF HEALTH VERBAL
REPORT
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ACS2019-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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RECEIVED
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Chair Egli provided the Board with an update on recent
events. The Chair’s verbal report took approximately 11 minutes. The attached
memo includes the Chair of the Board of Health Verbal Update.
As part of the Chair’s verbal update, the Board also
received a verbal report from Member Cloutier further to his attendance at
the alPHa Winter Symposium in Toronto on February 21, 2019.
The Board then voted to receive the verbal.
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2.
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MEDICAL OFFICER OF HEALTH VERBAL
REPORT
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ACS2019-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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RECEIVED
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Dr. Very Etches, Medical Officer of Health, provided
the Board with an update on recent activities and events and responded to
Members’ questions with respect to same. The discussion on this item lasted
approximately 13 minutes. The attached memo includes her Verbal Update. The
report was then received by the Board.
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3.
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2019
DRAFT OPERATING BUDGET FOR THE OTTAWA BOARD OF HEALTH
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ACS2019-OPH-PCS-0001
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That, at its meeting of March 4,
2019, the Board of Health for the City of Ottawa Health Unit:
3. Approve the
2019 Draft Operating Budget for the Ottawa Board of Health;
4. Upon the Board
of Health’s approval of the 2019 Draft Operating Budget for the Ottawa Board
of Health, direct staff to forward the report to Ottawa City Council, for
consideration on March 6, 2019 as part of the City Council’s approval of the
City of Ottawa 2019 Draft Operating and Capital budget; and
5. Upon approval
of the 2019 Draft Operating Budget for the Ottawa Board of Health by the
Board of Health and Ottawa City Council, direct the Medical Officer of Health
(or delegate), on behalf of the Board of Health, to forward the 2019 Annual
Service Plan and Budget Submission, based on the approved 2019 Operating
Budget for the Ottawa Board of Health, to the Ministry of Health and
Long-Term Care (MOHLTC) for consideration.
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CARRIED, as amended by
Motion 3/2
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Mr. Lou Flaborea, Manager of Performance &
Corporate Services, spoke briefly to a PowerPoint presentation, which served
to update the Board on the Budget approval process and timelines. Following
the presentation, Mr. Flaborea and Dr. Vera Etches responded to questions
from Board members. This discussion lasted approximately 26 minutes. The
Board then considered Motion 3/2.
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Motion 3/2
Moved by Member Pinel
That the Board of Health for the
City of Ottawa Health Unit:
1. Approve the 2019 Draft Operating Budget
for the Ottawa Board of Health, outlined at Document 1, as follows:
a.
Page
5 – Ministry of Health and Long-Term Care Programs & Standards:
i. Chronic Disease
Prevention & Well-Being*;
ii. Food Safety;
iii. Healthy Environments;
iv. Healthy Growth &
Development;
v. Immunization;
vi. Infectious &
Communicable Diseases;
vii. Safe Water;
viii. School Health;
ix. Substance Use &
Injury Prevention;
x. Foundational Standards
and Emergency Management; and
xi. Program Support;
b.
Page
5 – Supplementary Programs:
i. Healthy Babies Healthy
Children; and
ii. Dental Program;
c.
Page
5 – City Funded Programs – Mental Health, Substance Use & Injury
Prevention*;
d.
Page
5 – Provincial Programs – Aids Bureau, Supervised Consumption Services;
e.
Page
5 – IT Reserve Fund Contribution; and
f.
Page
8 – User Fees;
2.
Upon
the Board of Health’s approval of the 2019 Draft Operating Budget for the Ottawa Board of
Health, direct staff to forward the report to Ottawa City
Council, for consideration on March 6, 2019 as part of the City Council’s
approval of the City of Ottawa 2019 Draft Operating and Capital budget; and
3.
Upon
approval of the 2019
Draft Operating Budget for the Ottawa Board of Health by the
Board of Health and Ottawa City Council, direct the Medical Officer of Health
(or delegate), on behalf of the Board of Health, to forward the 2019 Annual
Service Plan and Budget Submission based on the approved 2019 Operating
Budget for the Ottawa
Board of Health to the Ministry of Health and Long-Term Care
(MOHLTC) for consideration.
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CARRIED
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* DECLARATION OF PECUNICARY INTEREST
Member Leikin submitted a deemed pecuniary interest on
Ottawa Board of Health Agenda 3, Item 3 - 2019 Draft Operating Budget for
the Ottawa Board of Health, Document 1, Page 5 - Ministry of Health and
Long-Term Care Programs & Standards - Chronic Disease Prevention &
Well-Being, and City Funded Programs – Mental Health, Substance Use &
Injury Prevention, as a family member is an Ottawa Public Health employee
working in these areas.
Member Leikin did not take part in the discussion or
vote on these portions of the Budget.
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4.
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LET’S
CLEAR THE AIR (LCA) 3.0
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ACS2019-OPH-HPP-0002
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That the Board of Health for the
City of Ottawa Health Unit:
1. Approve the
proposed Let’s Clear the Air 3.0 Plan, as outlined in this report;
2. Direct Ottawa
Public Health staff to work with Emergency Protective Services staff on
harmonizing current City of Ottawa smoke-free by-laws;
3. Approve that
the Chair of the Board of Health write a letter to the Ontario Minister of
Health recommending that action be taken to reduce the appeal of vaping
products to youth and prohibit point of sale advertising of vaping products,
as outlined in Document 1 attached, and that the Mayor of Ottawa be provided
the opportunity to co-sign the letter;
4. Approve the
comments in response to the Health Canada Notice of Intent – Potential
Measures to Reduce the Impact of Vaping Products Advertising on Youth and
Non-users of Tobacco Products, as outlined in Document 2; and
5. Subject to the
approval of Recommendation 4, approve that the Chair of the Board of Health
write a letter to the federal Minister of Health recommending that measures
be introduced without delay to further restrict advertising of vaping
products, enhance health warnings and require plain and standard packaging
for vaping products, and that the Mayor of Ottawa be provided the opportunity
to co-sign the letter.
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CARRIED, as amended by
Motion 3/3
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Ms. Gillian Connelly, Manager of Healthy Communities, spoke
to a PowerPoint presentation, which served to provide the Board with some
context on this report. She was accompanied by Mr. Marino Francispillai,
Program Manager of the School & Mental Health & Substance Use Unit.
Following the presentation, Ms. Connelly, Mr. Francispillai and Dr. Vera
Etches responded to questions from Board members. This discussion lasted
approximately 30 minutes. Following these exchanges, the Board considered the
following motion and then adopted the report recommendations as amended.
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Motion 3/3
Moved by Member Leikin
WHEREAS tobacco products
sold within Canada are subject to a tobacco tax;
AND WHEREAS e-cigarettes
that contain nicotine products are not subject to a nicotine tax;
THEREFORE BE IT RESOLVED that the
letters referred to in recommendations 3 and 4 respectively include the
recommendation that the appropriate level of government introduce taxes on
nicotine products and ensure that corresponding revenue be directed towards
public health programming.
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CARRIED
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5.
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OTTAWA
PUBLIC HEALTH SUBMISSION TO HEALTH CANADA ON PROPOSED REGULATIONS FOR
CANNABIS EDIBLES, EXTRACTS AND TOPICALS
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ACS2019-OPH-HPP-0004
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That the Board of Health for the City
of Ottawa Health Unit receive the Medical Officer of Health’s submission to
Health Canada in response to proposed regulation of edible cannabis, extracts
and topicals, as outlined in Document 1, and approve the recommendations
contained therein.
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CARRIED
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Dr. Vera Etches, Medical Officer of
Health, and Gillian Connelly, Manager of Healthy Communities, responded to
questions from Board members. This discussion lasted approximately 11
minutes. The report recommendation was then approved by the Board.
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MOTION TO ADOPT REPORTS
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Motion 3/4
Moved by Member Pinel
BE IT RESOLVED THAT the Chair of the Board of
Health Verbal Report, the Medical Officer of Health Verbal Report, and the
reports titled 2019 Draft Operating Budget for the Ottawa Board of Health,
Let’s Clear the Air (LCA) 3.0, Ottawa Public Health Submission to Health
Canada on Proposed Regulations for Cannabis Edibles, Extracts and Topicals,
and Update: Consultation on Opioids, Substance Use and Mental Health in
Ottawa, be received and adopted.
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CARRIED
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CONFIRMATION BY-LAW
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Motion 3/5
Moved by Member Pinel
BE IT RESOLVED THAT Confirmation
By-law no. 2019-2, 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 March 4, 2019, be read and passed.
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CARRIED
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ADJOURNMENT
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The Board adjourned the meeting at 6:45 p.m.
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NEXT MEETING
Regular Meeting
Monday, 15 April 2019 - 5:00 PM, Champlain Room, 110
Laurier Avenue West
_____________________________ _____________________________
BOARD SECRETARY
BOARD CHAIR
Ottawa Board
of Health Meeting
Notes for Chair Keith Egli’s Verbal Report
Monday, March 4, 2019
Good evening everyone, Bonsoir,
For my verbal update this evening I
would like to begin by highlighting my recent visit to Ottawa Public Health.
During this visit I had the opportunity to meet with OPH staff and learn about
OPH programs and services. I got to meet with several program managers from the
health promotion, health protection and Communication and Community Engagement
teams to discuss the public health services offered and how their teams are
managing their jobs with professionalism. Not only did this visit provide me
with insight into the amount of work that gets done behind the scenes, it also
gave me an opportunity to acknowledge the individuals performing this work.
I would like to thank all OPH
employees for their continuous efforts and commitment in prioritizing people’s
health and well-being.
As many of you will have heard, last
month Councillor Jeff Leiper suffered a heart attack while shovelling snow. He
was rushed to hospital, received the care he needed, and is now thankfully
recovering. As a life-long smoker, this incident caused him to make the
decision to quit smoking. Councillor Leiper has chosen to use this opportunity
to shine a light on the importance of maintaining a healthy lifestyle and to
inspire others to make healthy decisions.
In this context, I would also like to
thank Ottawa Public Health for continuously raising awareness about the harms
of tobacco, for always promoting healthy choices through its social media
platforms and for offering services and resources to help people quit smoking.
I would now like to share with you
Councillor’s Leiper video message.
(Video message to play)
As you know, Ottawa Public Health is a
member of the Association of Local Public Health Agencies (alPHa), a non-profit organization that
provides leadership to Ontario’s boards of health and public health units, and
lends expertise on the governance, administration and management of health
units. The Association also collaborates with governments and other health
organizations, advocating for a strong, effective and efficient public health
system in the province. Membership includes Board of Health members, Medical
Officers of Health and Associate Medical Officers of Health, as well as senior
public health managers.
alPHa held its Winter Symposium on
February 21, 2019. Member Cloutier took that opportunity to attend the meeting
to learn more about public health’s role in mental health and to discuss
emerging issues provincially.
I would like to invite Member Cloutier
to provide a verbal report on his attendance at the alPha Winter Symposium.
(Member Cloutier verbal
report on alPHa attendance)
Thank you Member Cloutier.
As you know, alPHa will be
holding its Annual General Meeting and Conference from June 9th to 11th.
Members have until March 29th to submit their expressions of
interest and I would encourage all members to attend at least once during their
term.
That concludes my verbal report. I
welcome any questions.
Ottawa Board
of Health Meeting
Notes for Dr. Vera Etches Verbal Report
Monday, March 4, 2019
Thank you Chair, and good evening,
bonsoir, kwe everyone.
I want to begin by thanking the Board
members who participated in an orientation session on February 26th.
We discussed what legislation governs Ottawa Public Health, the provincial
accountability framework for public health units, and key areas of work into
the future. This included a discussion of the rationale for acknowledging that
we do our work on unceded Algonquin Anishnaabeg territory. There was support
for continuing to work on reconciliation with First Nations, Metis and Inuit
peoples to promote the health of all people in Ottawa.
Today marks the public launch of the
City’s Official Plan review. The Official Plan prepares us for the future by
guiding how the city grows and develops. It shapes the places where we live,
work and play. This includes where growth happens, how natural areas are
preserved or accessed, the planning of infrastructure, and planning for new
communities as well as existing communities that are undergoing change. La façon dont la ville
planifie l’aménagement aura un impact sur la santé et le bien-être des membres
de nos communautés à l’avenir.
Promoting healthy built environments
is about creating conditions that allow people to be healthy and to thrive.
As our City continues to grow and
become more diverse, the new Official Plan will need to keep pace to ensure the
City grows to become healthier and more livable.
The Official Plan review was launched
today through the release of a series of discussion papers on broad issues that
will affect how the city grows. We are pleased that one of those papers, led by
OPH, is about “the Building Blocks for a Healthy Ottawa.” This paper describes
the health implications of the way communities are built by exploring the
issues of transportation, housing, food systems, natural environments and
neighbourhood design. It outlines the ways in which communities can be planned,
built and used so that people have more opportunities to lead healthy lives.
The Official Plan can be a policy
prescription for heath. It can be an important piece of the puzzle in reducing
chronic diseases and injuries, promoting mental heath, and decreasing exposures
to environmental hazards. Il est excitant de constater que la
santé est l’un des principaux problèmes sur lesquels la Ville souhaite
s’investir pour informer le nouveau Plan officiel.
OPH looks forward to continuing to
contribute to the Official Plan review process by providing a perspective for
how communities can be planned in a way that is mindful of, and concerned with,
impacts on people’s health.
Ottawa Public Health works with the
City on many initiatives. Another critical area of collaboration is for emergency
preparedness and response. We do know that warmer weather is likely upon
us and given the amount of snow we received this winter, the OPH team is
working with the City as members of the 2019 Spring Freshet Taskforce to
prevent, mitigate and help manage any risk of flooding this year. Meetings are
scheduled to start this Thursday. OPH actively engaged in updating
communications, education material to best prepare residents.
Next, I would like to bring
attention to our successful Ottawa Summit on Opioids, Substance Use and Mental
Health, which was held on Feb 7th.
The Summit, a joint
initiative between Ottawa Public Health and The Royal brought together 200
people including those with lived experience, clinicians, researchers,
educators, police, paramedics, funders, and people working in social services.
The event provided an opportunity to gauge the current state of mental health
and substance use approaches, with a focus on addressing the risks of opioid
use, and to identify and prioritize future opportunities for collaboration
across the sector.
Participants voted on the
top three ideas for action in three categories: Preventing stigma and
problematic substance use; Emerging harm reduction initiatives that can reduce
harms associated with opioid use; and Collaborating and integrating across the
system to increase access and uptake of services. A summary report is included
with the agenda for today’s meeting
Addressing the opioid
crisis under a framework to improve mental health and substance use services
more broadly is a unique approach. The commitment of people from across so
many sectors, and with lived experience, is inspiring and I look forward to
seeing how Ottawa’s approach will make a difference for people.
Je vous tiendrai au courant
des progrès de la mise en œuvre des priorités identifies et des possibilités
connexes découlant du plan de la province pour investir envers l’amélioration
de la santé mentale et la toxicomanie.
Speaking of the province,
significant plans to shift approaches to health system governance, planning and
funding were announced recently. No changes for how Ottawa Public Health is
governed or operated have been proposed and we will continue to monitor the
evolving provincial approach. Ottawa Public Health’s focus will remain
preventing disease and injury, promoting health and protecting the health of
the population, with attention to priority populations facing barriers to
health. Partnership with the health care system will remain important for our
mission.
Chair that concludes my
verbal report. I am happy to answer any questions. Merci.