ANNOUNCEMENTS/CEREMONIAL ACTIVITIES

The meeting began with four (4) ceremonies, as described below:

·         Recognition of contribution to the World Economic Forum report entitled “Migration and Its Impact on Cities” – Certificates were presented to employees who helped develop Ottawa’s submission: Eric Leclair, Inge Roosendaal, Marcella Tapia. Dr Carolyn Pim and Kim Trotter were also recognized in absentia.

·         Recognition of Centre for Addiction and Mental Health (CAMH) Difference Maker Award – A certificate was presented to Ben Leikin, recipient of this prestigious award.

·         Recognition of Ottawa Public Health’s Nomination for the 2017 Ottawa/Rideau River Spring Floods Response and Recovery – Michael Ferguson accepted a certificate on behalf of all those who contributed to the response and recovery effort.

·         Recognition of Dr. Levy’s last Board of Health meeting – A certificate was presented to Dr. Levy in appreciation of his years of service to and leadership of Ottawa Public Health.

ROLL CALL

Member Leikin was absent from the meeting.

REGRETS

Member Leikin sent regrets.

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

Member Taylor declared a deemed pecuniary interest on Ottawa Board of Health Agenda 20, Item 3 - 2018 Draft Operating Budget for the Ottawa Board of Health, Document 1, Page 5 - Cost Shared Programs, Foundational Standards, as his wife is an Ottawa Public Health employee working in this area.

CONFIRMATION OF MINUTES

Confirmation of the Minutes of the meeting of October 30, 2017

CONFIRMED

Confirmation of the Minutes of the meeting of November 14, 2017

CONFIRMED

COMMUNICATIONS

Nineteen communication items have been received (held on file with the Board of Health Secretary), including two Responses to Inquiries, as listed below.

Responses to Inquiries

Inquiry BOH 02-17 – Needle Hunters’ Hours of Operation

Inquiry BOH 03-17 - Ottawa Public Health Interactions with Injection Drug Users

MOTION TO INTRODUCE REPORTS

Motion 20/01

Moved by Vice Chair Poirier

BE IT RESOLVED THAT:

·         the Chair of the Board of Health Verbal Report;

·         the Medical Officer of Health Verbal Report;

·         the 2018 Draft Operating Budget for the Ottawa Board of Health Report; and

·         the Update on Dental Services Report be received and considered.

CARRIED

1.

CHAIR OF THE BOARD OF HEALTH VERBAL REPORT

ACS2017-OPH-BOH-0009

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 Chair’s verbal report took approximately four minutes. The attached memo includes the Chair of the Board of Health Verbal Update.

The report was then received by the Board.

RECEIVED

2.

MEDICAL OFFICER OF HEALTH VERBAL REPORT

ACS2017-OPH-MOH-0008

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

Dr. Isra Levy, Medical Officer of Health, and Dr. Very Etches, Interim Medical Officer of Health, provided the Board with an update on recent events. This verbal update lasted approximately fourteen minutes. The attached memo includes their Verbal Update.

The report was then received by the Board.

RECEIVED

3.

2018 DRAFT OPERATING BUDGET FOR THE OTTAWA BOARD OF HEALTH

ACS2017-OPH-PCS-0004

That, at its meeting of December 11, 2017, the Board of Health for the City of Ottawa Health Unit:

1.    Approve the 2018 Draft Operating Budget for the Ottawa Board of Health;

2.    Upon the Board of Health’s approval of the 2018 Draft Operating Budget for the Ottawa Board of Health, direct staff to forward the report to Ottawa City Council, for consideration on December 13, 2017 as part of the City Council’s approval of the City of Ottawa 2017 Draft Operating and Capital budget; and

3.    Upon approval of the 2018 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 2018 Annual Service Plan and Budget Submission based on the approved 2018 Operating Budget for the Ottawa Board of Health to the Ministry of Health and Long-Term Care (MOHLTC) for consideration.

Mr. Lou Flaborea, Manager of Performance and Corporate Services, spoke to a PowerPoint presentation, which served to update the Board on provincial funding announcements since the tabling of the Draft Budget and set the context for discussions. A copy of his presentation is held on file with the Board Secretary. Mr. Flaborea was accompanied by Ms. Brenda Gorton, Account Manager of Financial Services Unit.

Following this presentation, the Board considered Motion 20/02, as outlined below:

Motion 20/02

Moved by Vice Chair Poirier

WHEREAS the Ministry of Health and Long-Term Care provided its 2017 funding letter to Ottawa Public Health on November 15, 2017, after the 2018 Draft Operating Budget for the Ottawa Board of Health had been tabled with the Board of Health and with City Council;

AND WHEREAS the above-referenced funding letter confirmed a previously announced $350,000 increase to Ottawa Public Health’s base funding for opioids and $559,000 in one-time funding for various programs and initiatives;

AND WHEREAS the above-referenced funding letter also indicated that the anticipated base increase of 2.5% for cost-shared programs for 2017 was not approved;

AND WHEREAS the net effect is a permanent reduction of $765,000 to the OPH budget, which will be accommodated by reducing staffing levels through attrition and by a small increase in gapping provisions;

AND WHEREAS the Provincial funding letter does not affect the assumptions made in developing the 2018 Draft Operating Budget but does change the 2017 and 2018 numbers that are reflected in Document 1;

AND WHEREAS staff has REVISED Document 1 to accurately reflect adjusted numbers;

AND WHEREAS the REVISED Document 1 continues to be in-line with the City’s guidelines for budget development, as outlined in Budget Directions reports approved by City Council;

THEREFORE BE IT RESOLVED that Document 1, as tabled with the Board of Health on October 30, 2017 and with City Council on November 8, 2017, be replaced with the REVISED Document 1, as circulated to Members of the Board of Health on Friday, December 8, 2017;

AND BE IT FURTHER RESOLVED that the REVISED 2018 Draft Operating Budget for the Ottawa Board of Health be forwarded to Ottawa City Council for consideration on December 13, 2017 as part of City Council’s approval of the City of Ottawa 2018 Draft Operating and Capital budget.

CARRIED

The following public delegations addressed the Board:

1.    Janice McFarlane*, Director of Mental Health and Housing Services, Pinecrest-Queensway Community Health Centre;

2.    Kaitrin Doll, Rideau-Rockcliffe Community Resource Centre, and Lynda Giffen, Sandy Hill Community Health Centre;

3.    Michele Penney, Somerset West Community Health Centre;

4.    Rakesh Misra, volunteer, Market Mobile; and

5.    Dawn Lyons*, Director of Community Services, Pinecrest-Queensway Community Health Centre.

Delegations marked with an * provided written submissions, which are held on file with the Board Secretary.

Ottawa Public Health staff then took questions from Board members. Discussions on this item lasted approximately 75 minutes.

At approximately 6:50 p.m., the Board considered Motion 20/03 as follows:

Motion 20/03

Moved by Vice Chair Poirier

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)© of the Procedure By-law.

CARRIED

Following the discussion, the Board considered Motions 20/04 and 20/05, as outlined below.

Motion 20/04

Moved by Member Taylor

WHEREAS several years previous Ottawa Public Health received one-time funding from the Ministry of Health and Long Term Care to work alongside partners to address bed-bug infestations in Ottawa;

AND WHEREAS bed bug infestations continue to be prevalent and cause distress and hardship for Ottawa residents, including vulnerable populations who require assistance in order to effectively address bed bug infestations;

AND WHEREAS Toronto Public Health received sustained funding to address bed bug infestations in the City of Toronto;

THEREFORE BE IT RESOLVED that Ottawa Public Health staff be directed to consult with City of Ottawa staff, including By-law and Regulatory Services staff, and community partners to articulate the appropriate needs request; 

AND THEREFORE BE IT FURTHER RESOLVED that the Chair of the Board of Health write a letter that requests that the Minister of Health and Long-Term Care provide sustained funding to Ottawa Public Health for the purpose of working with partners to address and mitigate bed bug infestations in the City of Ottawa.

CARRIED

Motion 20/05

Moved by Vice Chair Poirier

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

1.    Approve the 2018 Draft Operating Budget for the Ottawa Board of Health, outlined at REVISED Document 1, as follows:

a.    Page 5 – Cost Shared Programs:

                                          i.    Infectious Diseases;

                                        ii.    Chronic Diseases & Injuries;

                                       iii.    Family Health;

                                       iv.    Foundational Standards *;

                                        v.    Environmental Health; and

                                       vi.    Emergency Preparedness;

b.    Page 5 – Public Health City Funded Programs:

                                          i.    City Funded Public Health Initiatives; and

                                        ii.    One-Time City Funded Programs;

c.    Page 5 – Provincially Funded Programs;

                                          i.    Infection Control;

                                        ii.    Healthy Smiles Ontario;

                                       iii.    Healthy Babies Healthy Children;

                                       iv.    SITE Expansion;

                                        v.    Smoke Free Ontario;

                                       vi.    Enhance Food Safety;

                                     vii.    Enhanced Safe Water;

                                    viii.    Needle Distribution and Retrieval;

                                       ix.    Social Determinants of Health;

                                        x.    Smoking Cessation – One-Time; and

                                       xi.    Harm Reduction; and

d.    Page 9 – User Fees;

2.    Upon the Board of Health’s approval of the REVISED 2018 Draft Operating Budget for the Ottawa Board of Health, direct staff to forward the REVISED report to Ottawa City Council, for consideration on December 13, 2017 as part of the City Council’s approval of the City of Ottawa 2018 Draft Operating and Capital budget; and

3.    Upon approval of the REVISED 2018 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 2018 Annual Service Plan and Budget Submission based on the approved REVISED 2018 Operating Budget for the Ottawa Board of Health to the Ministry of Health and Long-Term Care (MOHLTC) for consideration.

CARRIED

Motion 20/05 was divided for voting purposes.

* DECLARATION OF PECUNICARY INTEREST

Member Taylor submitted a deemed declaration of pecuniary interest on Ottawa Board of Health Agenda 20, Item 3, 2018 Draft Operating Budget for the Ottawa Board of Health, Document 1, Page 5 - Cost Shared Programs, Foundational Standards, as his wife is an Ottawa Public Health employee working in this area.

Member Taylor did not take part in the discussion or vote on this portion of the Budget.

The balance of the 2018 Draft Operating Budget for the Ottawa Board of Health and transmittal report were then put to the Board and CARRIED, as amended by Motions 20/02, 20/04 and 20/05.

CARRIED, as amended

4.

UPDATE ON DENTAL HEALTH SERVICES IN OTTAWA

ACS2017-OPH-HPP-0005

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

1.  Receive, for information, an update on dental health services in Ottawa; and

2.  Approve that Ottawa Public Health work in partnership with the Champlain Local Health Integration Network on a solution to increase emergency pediatric dental care capacity in Ottawa

CARRIED

MOTION TO ADOPT REPORTS

Motion 20/06

Moved by Vice Chair Poirier

BE IT RESOLVED THAT:

·         the Chair of the Board of Health Verbal Report;

·         the Medical Officer of Health Verbal Report;

·         the 2018 Draft Operating Budget for the Ottawa Board of Health Report, as amended; and

·         the Update on Dental Services Report be received and adopted.

CARRIED

INFORMATION PREVIOUSLY DISTRIBUTED

1

UPDATE ON OTTAWA PUBLIC HEALTH’S FOOD SAFETY PROGRAM: “OTTAWA SAFE” TRIAL PROJECT

ACS2017-OPH-HPS-0006-IPD

Motion 20/07

Moved by Member Fleury

That the Rules of Procedure be suspended to add the IPD titled “Update on Ottawa Public Health’s Food Safety Program “Ottawa Safe” Trial Project” to the Agenda for discussion.

CARRIED

Member Fleury spoke briefly on this item.

2

NEW ONTARIO PUBLIC HEALTH STANDARDS OVERVIEW - IPD

ACS2017-OPH-PQK-0002-IPD

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.

NOTICES OF MOTION (FOR CONSIDERATION AT SUBSEQUENT MEETING)

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

CONFIRMATION BY-LAW

Motion 20/08

Moved by Vice Chair Poirier

BE IT RESOLVED THAT Confirmation By-law no. 2017-7, 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 December 11, 2017, be read and passed.

CARRIED

INQUIRIES AND ANSWERS

There were no inquiries.

ADJOURNMENT

The Board adjourned the meeting at 7:02 p.m.