Chatham-Kent Board of Health Agenda Wednesday, April 21, 2021 10:30 AM
Closed session: Skype Open Session: GoTo Webinar Meeting
To Attend:
Ms. Noreen Blake Mr. Joshua Caron Councillor Joe Faas (Chair) Mr. Michael Genge Ms. Magdiel Hoste Councillor Karen Kirkwood-Whyte Councillor Brock McGregor (Vice Chair) Councillor Carmen McGregor Teresa Bendo, Director, Public Health Dr. David Colby, Medical Officer of Health Dr. April Rietdyk, General Manager, Community Human Services Lisa Powers, Executive Assistant, Community Human Services
1. Call of the Roll
2. Disclosures of Pecuniary Interest (Direct or Indirect) and the General Nature Thereof
3. Recess to Closed Session
That the Chatham-Kent Board of Health move into a Closed Session Meeting pursuant to Section 239 of the Municipal Act, 2001, as amended, for the following reasons: a) Personal matters about an identifiable individual, including municipal or local board employees with regard to a complaint received to the Chatham-Kent Board of Health.
4. Adjournment of Closed Session
“That Chatham-Kent Board of Health adjourn the Closed Session Meeting of April 21, 2021.”
5. Resumption of Open Session Meeting – 11:00 AM.
6. Minutes of the Board Meeting of March 17, 2021, page 301
Page 2 of 2 Chatham-Kent Board of Health Agenda Wednesday, April 21, 2021 10:30 AM
7. Education and Training
a) COVID-19 and Vaccines update, by Dr. David Colby, Medical Officer of Health
b) Vaccination Uptake in Chatham-Kent, by Teresa Bendo, Director, CK Public Health
8. Business Arising From the Minutes - None
9. New Business
A. Items Requiring Action - None
B. Information Reports to be Received
a) Director’s Report for the Month of April 2021, page 701 b) Service Plan Submission, page 705 c) Mitigating the Human and Social Impacts of COVID-19 (presentation by Laura Zettler, Program Manager/Epidemiologist), page 749 C. Items to be Received and Filed
a) Association of Local Public Health Agencies (alPHa) Information Break, dated March 18, 2021, page 901
b) alPHa Fitness Challenge, page 907
c) Resolution from the Corporation of the City of North Bay regarding allocation of COVID-19 vaccines, page 909
10. Non-Agenda Items
11. Motions of Closed Session
12. Time, Date and Place for the Next Regular Meeting of the Board:
Wednesday, May 19, 2021 11:00 AM, virtual meeting.
13. Adjournment
301
Chatham-Kent Board of Health Minutes Wednesday, March 17, 2021 11:00 AM
Call to Order Present: Councillor Joe Faas (Chair) Councillor Karen Kirkwood-Whyte Councillor Brock McGregor (Vice-Chair) Councillor Carmen McGregor Ms. Noreen Blake Mr. Joshua Caron Mr. Michael Genge Teresa Bendo, Director, Public Health Dr. David Colby, Medical Officer of Health Dr. April Rietdyk, General Manager, Community Human Services Lisa Powers, Executive Assistant, Community Human Services
Regrets: Ms. Magdiel Hoste
1. Provision for Declaration of Pecuniary Interest
No member of the Board declared a pecuniary interest on any matter on the open session agenda.
2. Minutes of the Board Meeting of February 17, 2021
Mr. Genge moved, seconded by Councillor Kirkwood-Whyte:
“That the minutes of the Board of Health meeting of February 17, 2021 be approved.”
The Chair put the Motion.
Motion Carried
3. Business Arising from the Minutes
a) Paid Sick Leave During COVID-19 and Beyond
The Board reviewed a letter sent from administration to the Premier.
Mr. Genge moved, seconded by Councillor B. McGregor:
“That the letter on paid sick leave during COVID-19 and beyond be accepted.”
The Chair put the Motion. 302 Chatham-Kent Board of Health Minutes Page 2 of 7 March 17, 2021
Motion Carried
4. Education/Training
a) COVID-19 and vaccines update, by Dr. David Colby, Medical Officer of Health In an effort to update the Board, Dr. Colby shared a PowerPoint highlighting the following points:
• Most new cases in Chatham-Kent appear to be stemming from social gatherings
• Two additional vaccines have been approved for use in Canada since the last Board meeting; Johnson & Johnson and AstraZeneca
• The booster program has been adjusted to allow for vaccination of as many people as possible with a first dose; booster will now be at sixteen weeks from date of first dose
• Chatham-Kent is currently number one in Ontario in population vaccination rates
In response to a question from the Board regarding the strategy around Temporary Foreign Workers (TFW), Dr. Colby indicated this group falls under Phase 2 of the provincial roll-out plan. The federal government has just rolled out a new plan with regard to transportation and enhanced quarantine measures for TFW, however there is currently no plan in pace to vaccinate as soon as they arrive in Canada.
In response to a question from the Board regarding confusion around indoor gathering limits in homes, Dr. Colby indicated that technically in the Red-Control level, five people are allowed indoors with physical distancing in place, however it is not recommended to have visitors from outside your household.
In response to a question from the Board regarding booster vaccine for Indigenous adults currently not living on-reserve, Dr. Colby indicated that the booster vaccine will be available to this group at the 16 week mark past their first dose. Indigenous Elder Care Center residents and Indigenous adults living on-reserve will be on the original four week booster schedule.
Ms. Blake moved, seconded by Mr. Caron:
“That the COVID-19 and vaccine update by Dr. Colby be received.”
The Chair put the Motion.
Motion Carried 303 Chatham-Kent Board of Health Minutes Page 3 of 7 March 17, 2021
5. New Business
A. Items Requiring Action - None
B. Information Reports to be received
a) Director’s Update for the Month of March, 2021, prepared by Teresa Bendo
This report is for the information of the Board of Health.
Background
The purpose of this report is to provide an overview of current events or issues arising at Public Health.
Comments
COVID-19 Vaccination Plan- Progress
At the time of the writing of this report, the CK Vaccination Team is solidly in phase 1A/ 1B of its phased vaccination plan. Individuals in phase 1A and 1B are being immunized in parallel as per the provincial direction.
Progress to date includes:
First doses have been completed for residents of long term care, high risk retirement homes, and Indigenous Elder care homes in Chatham-Kent. Second doses are near completion for residents of long term care, high risk retirement homes, and Indigenous Elder care homes in Chatham-Kent.
First doses have begun for:
• Staff and essential care givers of long term care homes and high risk retirement homes
• Alternative level of care patients in hospital. A process is in place to continually identify and immunize those patients.
• Health care workers in accordance with Ministry of Health guidance.
• Adults age 80 and up, with individuals age 75 and up beginning March 10
• Staff, residents, essential care givers in other retirement homes and other congregate living homes for seniors.
• Indigenous adults living on a reserve 304 Chatham-Kent Board of Health Minutes Page 4 of 7 March 17, 2021
As part of its mobile clinic strategy, the Vaccination Team is working with the staff of the temporary municipal shelter to immunize its residents. The team is working with Ska:na Family Learning Centre, the United Way Homelessness/Indigenous situation table and others to plan pop up clinics for individuals experiencing homelessness and First Nation, Metis, and Inuit Peoples.
On March 8, the province issued an updated schedule for second doses, requesting the time interval of the second dose of COVID-19 vaccines be extended up to 16 weeks. Residents of long-term care homes, retirement homes, Elder Care Lodges and Assisted Living facilities who are at the greatest risk of both exposure to COVID-19 and serious illness and death will continue to receive vaccine at the intervals described in the product monographs.
The recruitment for additional immunizers and support staff for the mass immunization clinic is well underway.
Ongoing Training/Education in Public Health Topics
In 2020, CK Public Health declared racism a public health issue. The following resources explore race and health equity.
Let’s Talk: Whiteness and health equity
This brief read helps to:
• reflect on your racial identity and your responses to discussions of racism, Whiteness and White supremacy; • identify examples of how Whiteness shows up in public health; • describe the impact of Whiteness on health and well-being; and • identify entry points for public health organizations to disrupt Whiteness in practice and policy.
Time commitment: 20 minutes
Let’s Talk: Racism and health equity
This second brief read helps to:
o describe key concepts related to race and racism; o explain the relationship between racism and wellbeing; o identify entry points for anti-racism work in public health; and o support a conversation in your organization about how to develop strategies to eliminate racism.
Time commitment: 20 minutes 305 Chatham-Kent Board of Health Minutes Page 5 of 7 March 17, 2021
Racism in the time of COVID-19
This 2 minute video by Doctors without Borders shares how COVID-19 is disproportionately impacting racialized people because of longstanding racial inequities in health care. Although the content is American, the same disproportionate impacts are seen here in Canada (here is the detailed report: COVID-19 – What we know so far about…Social Determinants of Health).
Consultation
There was no consultation involved in producing this information report.
Financial Implications
There are no financial implications with this information report.
b) Improvements for CK Public Health’s Harm Reduction Program, prepared by Emily Guerin, Public Health Educator
This report is for the information of the Board of Health.
Background
On January 13, 2020, Council passed a motion requesting that CK Public Health provide recommendations regarding improvements to the harm reduction program. Council further requested that the recommendations in the report be informed by consultations conducted by CK Public Health with community partners. As a result, CK Public Health conducted interviews, focus groups, and surveys with community partners to inform and prepare a recommendation report outlining the strengths and opportunities for improvement of its harm reduction program.
On February 1, 2021, a recommendation report regarding improvements for CK Public Health’s harm reduction program was presented to Council. A copy of this report is attached as Appendix A. The report recommended that: 1. Mandatory training on safe sharps disposal practices be continued for all municipal staff, students, and volunteers to complete upon hire.
2. Enhanced safe sharps disposal training be implemented for municipal staff, students, and volunteers who are at higher risk of encountering sharps in their work.
3. Existing applicable policies be updated to include awareness related to mental health and substance use stigma and these updated polices be reviewed by all staff. 306 Chatham-Kent Board of Health Minutes Page 6 of 7 March 17, 2021
4. Enhanced training on mental health and substance use stigma be implemented for all municipal staff who interact with residents from vulnerable populations.
5. The amount of $10,500 be approved to purchase and install seven 24-hour sharps disposal bins across Chatham-Kent, and that this purchase be funded from the approved 2020 Drug Strategy.
6. The amount of $18,000 be approved to establish a contract with a biohazardous waste disposal company to regularly empty the bins, and that this purchase be funded from the approved 2020 Drug Strategy. Ongoing costs for this project will be referred to the 2022 budget process.
7. Administration be directed to explore options for a sharps disposal waste depot for the community.
Comments
The purpose this report is to update the Board on the information and recommendations presented to Council. The recommendations were approved unanimously with an amendment to extend the training on mental health and substance use to interested members of Municipal Council. After the report was approved, CK Public Health reconvened to begin considering next steps. As a result, CK Public Health will be connecting with various municipal departments, community partners, and people with living/lived expertise (PWLE) of substance use to determine how best to implement and evaluate the recommendations. The implementation and evaluation plan will be brought to the Board for review prior to updating Council. Consultation There was no consultation involved in producing this information report. Consultation will occur with the development of the implementation and evaluation plan. Financial Implications
There are no financial implications resulting from this information report.
Councillor Kirkwood-Whyte moved, seconded by Councillor C. McGregor:
“That the two reports be received as information.”
The Chair put the Motion.
Motion Carried
C) Items to be Received and Filed 307 Chatham-Kent Board of Health Minutes Page 7 of 7 March 17, 2021
Councillor C. McGregor moved, seconded by Ms. Blake:
“That items a through c be received and filed”
a) Association of Local Public Health Agencies (alPHa) Information Break, dated February 19, 2021
b) Letter from alPHa to Premier Ford, regarding Keeping Ontario Safe and Open,
c) June 2021 alPHa AGM Notice and Calls
In regard to item c, Councillor C. McGregor highlighted the notice of AGM, and encouraged all members of the Board to attend if possible. Ms. Powers will share the details when available.
The Chair put the Motion. Motion Carried
6. Non-Agenda Items - None
7. Time, Date and Place for the Next Meeting of the Board
The next meeting of the Board will be held virtually on Wednesday, April 21, 2021, with the open portion of the meeting to start at 11:00 AM.
8. Adjournment
Moved by Mr. Genge that the meeting be adjourned at 11:45 AM.
Joe Faas, Chair 308 701
Municipality Of Chatham-Kent
Community Human Services
Public Health Unit
Information Report
To: Board of Health
From: Teresa Bendo, Director, Public Health
Date: April 6, 2021
Subject: Director’s Report for the Month of April, 2021 ______
This report is for the information of the Board of Health.
Background
The purpose of this report is to provide an overview of current events or issues arising at Public Health.
Comments
COVID-19 Vaccination Plan – Progress Update
As the Province experiences a third wave of COVID-19, the CK Vaccination Team continues to expand vaccination options for CK residents. As part of its plan, the CK Vaccination Team is using a multi-pronged approach to reach residents:
1. Mass immunization clinic at the John D. Bradley Convention Centre - The Bradley Centre clinic continues to operate as vaccine is available.
2. Pop-up clinics targeting priority populations and congregate settings - A number of smaller, targeted clinics have ‘popped up’. As the team progresses through the Province’s phased plan, these pop-up clinics will continue to meet the specialized needs of some priority populations.
3. Recent expansion to pharmacies - A small number of pharmacies have begun vaccinations. This program will expand to include all the pharmacies in Chatham- Kent that have expressed a desire to participate in the program as additional vaccine becomes available.
4. Pilots have begun with Primary Care - Primary Care offices play a key role in vaccination administration. Pilot projects are currently underway. 702
Director’s Report for the Month of April, 2021 Page 2 of 3
5. CK-Emergency Medical Services (EMS) in-home immunizations - There are a number of CK residents who are homebound with chronic illnesses. CK-EMS and Primary Care partners are working together to identify these individuals to provide them with in-home vaccinations.
Residents now have the option to book their appointment by calling the COVID-19 Vaccine Booking Line at 519-351-1010 or going on-line at www.GetYourShotCK.ca.
Ongoing Training/Education in Public Health Topics
Understanding and Addressing Vaccine Hesitancy
In this webinar, hosted on February 22, 2021 by The Centre for Vaccine Preventable Diseases, Dalla Lana School of Public Health, Dr. Maya Goldenberg presented on ‘Understanding and Addressing Vaccine Hesitancy’.
Time commitment: 52 minutes Supports: COVID-19 Vaccine Response, Communications, and Health Promotion
Let's Talk: Populations and the Power of Language
This four-page brochure explores the language public health practitioners and organizations use to label populations that are identified by their social, economic, geographic, or other demographic characteristics. It examines how terminology influences how we frame problems and solutions, make decisions, and implement activities that seek to reduce inequities between groups.
Time commitment: 10-20 minutes Supports: Foundational Standards, Communications
Consultation
There was no consultation involved in producing this information report.
Financial Implications
There are no financial implications with this information report.
Prepared by:
______Teresa Bendo, MBA Director, Public Health 703 Director’s Report for the Month of April, 2021 Page 3 of 3
Reviewed by:
______April Rietdyk, RN, BScN, MHS, PhD PUBH General Manager Community Human Services
This report addresses the following requirement(s) of the Ontario Public Health Standards: Public Health Practice Domain:
Board of health are held accountable for achieving a high standards and quality of practice in the delivery of public health programs and services.
705
Municipality Of Chatham-Kent
Public Health
Community Human Services
Information Report
To: Board of Health
From: Teresa Bendo, Director, Public Health
Date: April 4, 2021
Subject: 2021 Service Plan Submission ______
This report is for the information of the Board of Health.
Background
The Board of Health is required to submit an annual Service Plan to the Ministry of Health as per CK Public Health’s accountability agreement. The deadline was April 2, 2021.
Comments
The 2021 service plan was submitted to the Ministry on April 1, 2021 and is contained in Appendix 1.
Given the increased demands at the local level regarding COVID-19, the Ministry scaled back the 2021 Annual Service Plan template and asked only that public health units complete specific sections (i.e., financial/budget sections, one-time requests).
Public health units were given the opportunity to request additional one-time funding to support 2021 COVID-19 extraordinary costs, including costs associated with administering the COVID-19 Vaccine Program.
CK Public Health requested a base budget of $10,070,057 for the following:
Mandatory Programs cost shared at 70/30 $ 9,488,857 Ontario Seniors Dental Care Program at 100% provincial funding $ 581,200
CK Public Health also requested one-time funding of $1,365,681 for the following:
Seniors dental clinic renovations $ 562,500 COVID 19 extraordinary costs- case and contact management $ 359,318 COVID 19 extraordinary costs- vaccination clinic $ 443,863 706 Chatham Kent Public Health Unit – 2021 Service Plan Submission 2
Financial Implications
Financial implications are indicated in the Service Plan submission.
Prepared by:
______Teresa Bendo, MBA Director, Public Health
Reviewed by:
______April Rietdyk, RN, BScN, MHS, PhD PUBH General Manager Community Human Services
Attachment: Appendix 1: 2021 Service Plan Submission
This report addresses the following requirement(s) of the Ontario Public Health Standards (2018): Fiduciary Requirements Domain
Board of health are held accountable for using ministry funding efficiently for its intended purpose. 707 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
Staff Allocation to Programs
Social Associate Program Infection Chief Nursing Program Public Health Registered Registered Nurse Determinants Public Health Dental Dental Health Program Medical Officer Manager/ Project Officer Prevention and Dentist Officer Director Nurse Nurse Practical Nurse Practitioner of Health Inspector Hygienist Assistant Promoter of Health Supervisor Control Nurse Nurse F.T.E.# 0.25 Total Population Health Assessment $ 16,462
F.T.E.# 0.06 0.25 1.00 0.50 Total Health Equity $ 7,188 21,740 86,960 32,924
F.T.E.# 0.25 0.03 0.25 Total Effective Public Health Practice $ 25,910 2,389 16,462
F.T.E.# 0.04 0.07 0.08 Total Emergency Management $ 3,887 6,522 6,015
F.T.E.# - 0.11 0.18 1.00 2.03 Total Chronic Disease Prevention and Well-Being $ - 11,142 14,237 54,054 129,229 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# - 0.18 1.00 Ontario Seniors Dental Care Program $ 14,237 54,054 F.T.E.# 0.03 Healthy Eating $ 2,591 F.T.E.# 0.02 1.00 Physical Activity & Sedentary Behaviour $ 2,591 74,056 F.T.E.# 0.02 0.70 Mental Health Promotion $ 2,591 36,287 F.T.E.# 0.02 0.15 Age Friendly $ 1,555 5,926 F.T.E.# 0.02 0.18 UV Exposure $ 1,814 12,960
F.T.E.# 0.06 2.90 Total Food Safety $ 5,733 224,055 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.06 2.90 Food Safety $ 5,733 224,055
F.T.E.# 0.06 0.92 Total Healthy Environments $ 5,256 70,987 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.03 0.50 Health Hazards $ 2,628 39,001 F.T.E.# 0.03 0.42 Rabies $ 2,628 31,986
F.T.E.# 0.06 3.50 Total Healthy Growth and Development $ 6,478 275,642 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.05 Preconception
1 of 6 708 2021 Annual Service Plan and Bu Board of Health for the Chatham-Kent Health Un
Staff Allocation to Programs
Tobacco Youth Youth Program Program SFOA Control TCAN Other SFO Program Other Program Nutritionist Dietitian Epidemiologist Development Engagement Student Communicatio Data Analyst Total Coordinator Support Staff Inspector Coordinator/ Coordinator staff Evaluator Program Staff Specialist Coordinator ns Staff Manager F.T.E.# 0.13 0.06 0.44 Total Population Health Assessment $ 14,375 4,629 35,466
F.T.E.# 0.06 1.87 Total Health Equity $ 4,629 153,441
F.T.E.# 0.13 0.66 Total Effective Public Health Practice $ 9,257 54,018
F.T.E.# 0.10 0.50 0.79 Total Emergency Management $ 5,405 34,243 56,072
F.T.E.# 1.00 1.00 - 0.35 5.67 Total Chronic Disease Prevention and Well-Being $ 82,755 74,056 - 18,408 383,881 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.25 1.43 Ontario Seniors Dental Care Program $ 13,004 81,295 F.T.E.# 1.00 1.00 0.03 2.06 Healthy Eating $ 82,755 74,056 1,351 160,753 F.T.E.# 0.03 1.05 Physical Activity & Sedentary Behaviour $ 1,351 77,998 F.T.E.# 0.02 0.74 Mental Health Promotion $ 1,351 40,229 F.T.E.# - 0.17 Age Friendly $ - 7,481 F.T.E.# 0.02 0.22 UV Exposure $ 1,351 16,125
F.T.E.# 0.40 3.36 Total Food Safety $ 21,622 251,410 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.40 3.36 Food Safety $ 21,622 251,410
F.T.E.# 0.20 1.18 Total Healthy Environments $ 10,810 87,053 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.10 0.63 Health Hazards $ 5,405 47,034 F.T.E.# 0.10 0.55 Rabies $ 5,405 40,019
F.T.E.# 0.45 0.88 4.89 Total Healthy Growth and Development $ 33,326 43,979 359,425 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.16 0.21 Preconception
2 of 6 709 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
Staff Allocation to Programs
Social Associate Program Infection Chief Nursing Program Public Health Registered Registered Nurse Determinants Public Health Dental Dental Health Program Medical Officer Manager/ Project Officer Prevention and Dentist Officer Director Nurse Nurse Practical Nurse Practitioner of Health Inspector Hygienist Assistant Promoter of Health Supervisor Control Nurse Nurse Preconception $ 4,348 F.T.E.# 0.01 0.33 Healthy Pregnancy & Preeparation for Parenting $ 1,296 28,262 F.T.E.# 0.03 1.50 Breastfeeding $ 2,591 121,743 F.T.E.# 0.40 Mental Health Promotion $ 27,373 F.T.E.# 0.02 0.72 Growth & Development $ 2,591 51,929 F.T.E.# 0.50 Positive Parenting $ 41,987
F.T.E.# 0.06 1.88 Total Immunization $ 6,220 144,788 Unalloc. F.T.E. ------Validation Unalloc.$ ------Community Based Immunization Outreach F.T.E.# 0.02 0.28 (excluding vaccine administration) $ 1,555 23,914 F.T.E.# COVID-19 Vaccine Program $ F.T.E.# 0.02 0.50 Immunization Monitoring and Surveillance $ 1,555 38,262 F.T.E.# 0.01 0.90 Vaccine Administration $ 1,555 65,220 F.T.E.# 0.01 0.20 Vaccine Management $ 1,555 17,392
Total Infectious and Communicable Diseases F.T.E.# 0.75 3.57 15.00 0.75 3.72 1.50 1.20 Prevention and Control $ 77,731 358,697 1,149,160 65,220 297,044 105,856 73,321 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.75 3.54 15.00 0.75 2.90 1.50 1.20 COVID-19 Program $ 77,731 356,308 1,149,160 65,220 233,264 105,856 73,321 F.T.E.# 0.03 0.82 Vector-Borne Diseases Program $ 2,389 63,780
F.T.E.# 0.06 0.72 Total Safe Water $ 5,494 56,795 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.06 0.72 Small Drinking Water Systems Program $ 5,494 56,795
F.T.E.# 0.06 0.27 1.60 Total School Health - Oral Health $ 5,441 17,520 75,135 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.03 0.20 1.00 Healthy Smiles Ontario Program $ 2,591 12,497 47,568
3 of 6 710 2021 Annual Service Plan and Bu Board of Health for the Chatham-Kent Health Un
Staff Allocation to Programs
Tobacco Youth Youth Program Program SFOA Control TCAN Other SFO Program Other Program Nutritionist Dietitian Epidemiologist Development Engagement Student Communicatio Data Analyst Total Coordinator Support Staff Inspector Coordinator/ Coordinator staff Evaluator Program Staff Specialist Coordinator ns Staff Manager Preconception $ 7,996 12,344 F.T.E.# 0.10 0.18 0.62 Healthy Pregnancy & Preeparation for Parenting $ 7,406 8,996 45,960 F.T.E.# 0.10 0.16 1.79 Breastfeeding $ 7,406 7,996 139,736 F.T.E.# 0.18 0.58 Mental Health Promotion $ 8,996 36,369 F.T.E.# 0.15 0.16 1.05 Growth & Development $ 11,108 7,996 73,624 F.T.E.# 0.10 0.04 0.64 Positive Parenting $ 7,406 1,999 51,392
F.T.E.# 1.50 - 3.44 Total Immunization $ 81,081 - 232,089 Unalloc. F.T.E. ------Validation Unalloc.$ ------Community Based Immunization Outreach F.T.E.# 0.30 (excluding vaccine administration) $ 25,469 F.T.E.# - - COVID-19 Vaccine Program $ - - F.T.E.# 0.52 Immunization Monitoring and Surveillance $ 39,817 F.T.E.# 0.91 Vaccine Administration $ 66,775 F.T.E.# 1.50 1.71 Vaccine Management $ 81,081 100,028
Total Infectious and Communicable Diseases F.T.E.# 0.37 - 4.07 0.75 0.75 32.43 Prevention and Control $ 43,126 - 217,981 55,542 55,542 2,499,220 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.37 - 3.97 0.75 0.75 31.48 COVID-19 Program $ 43,126 - 212,576 55,542 55,542 2,427,646 F.T.E.# 0.10 0.95 Vector-Borne Diseases Program $ 5,405 71,574
F.T.E.# 0.10 0.88 Total Safe Water $ 5,405 67,694 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.10 0.88 Small Drinking Water Systems Program $ 5,405 67,694
F.T.E.# 0.90 2.83 Total School Health - Oral Health $ 48,649 146,745 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.90 2.13 Healthy Smiles Ontario Program $ 48,649 111,305
4 of 6 711 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
Staff Allocation to Programs
Social Associate Program Infection Chief Nursing Program Public Health Registered Registered Nurse Determinants Public Health Dental Dental Health Program Medical Officer Manager/ Project Officer Prevention and Dentist Officer Director Nurse Nurse Practical Nurse Practitioner of Health Inspector Hygienist Assistant Promoter of Health Supervisor Control Nurse Nurse F.T.E.# 0.03 0.07 0.40 Oral Health Assessment and Surveillance $ 2,850 5,023 18,378 F.T.E.# 0.20 Oral Health Awareness $ 9,189
F.T.E.# 0.04 0.05 0.10 Total School Health - Vision $ 3,887 3,529 5,405 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.04 0.05 0.10 Child Visual Health and Vision Screening $ 3,887 3,529 5,405
F.T.E.# 0.05 1.35 0.25 Total School Health - Immunization $ 4,923 92,836 21,740 Unalloc. F.T.E. ------Validation Unalloc.$ ------Immunizations for Children in Schools and Licensed F.T.E.# 0.05 1.35 0.25 Child Care Settings $ 4,923 92,836 21,740
F.T.E.# 0.06 0.90 Total School Health - Other $ 5,182 61,977 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.03 - 0.52 Comprehensive School Health $ 2,591 - 36,037 F.T.E.# 0.03 0.38 Healthy Sexuality $ 2,591 25,940
F.T.E.# 0.18 1.95 0.66 1.07 Total Substance Use and Injury Prevention $ 18,398 143,193 50,062 79,610 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.04 0.64 0.66 Smoke-Free Ontario $ 4,405 44,713 50,062 F.T.E.# 0.03 0.13 Alcohol & other substance use prevention $ 2,591 10,497 F.T.E.# 0.06 0.50 1.00 Harm Reduction $ 6,219 43,480 74,056 F.T.E.# 0.01 0.18 Falls Prevention $ 1,296 10,287 F.T.E.# 0.01 0.07 Other Injuries $ 1,296 5,554 F.T.E.# 0.03 0.50 Naloxone Expansion Program $ 2,591 34,216 F.T.E.# - Needle Syringe Program $
F.T.E.# Grand Total - 1.00 - 4.50 - 24.90 1.00 - - 1.00 - 9.00 - 2.00 2.70 5.30 $ - 103,641 - 450,315 - 1,895,858 86,960 - - 86,960 - 704,958 - 141,142 134,594 348,008
5 of 6 712 2021 Annual Service Plan and Bu Board of Health for the Chatham-Kent Health Un
Staff Allocation to Programs
Tobacco Youth Youth Program Program SFOA Control TCAN Other SFO Program Other Program Nutritionist Dietitian Epidemiologist Development Engagement Student Communicatio Data Analyst Total Coordinator Support Staff Inspector Coordinator/ Coordinator staff Evaluator Program Staff Specialist Coordinator ns Staff Manager F.T.E.# 0.50 Oral Health Assessment and Surveillance $ 26,251 F.T.E.# 0.20 Oral Health Awareness $ 9,189
F.T.E.# 0.10 0.29 Total School Health - Vision $ 5,405 18,226 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.10 0.29 Child Visual Health and Vision Screening $ 5,405 18,226
F.T.E.# 0.75 2.40 Total School Health - Immunization $ 40,541 160,040 Unalloc. F.T.E. ------Validation Unalloc.$ ------Immunizations for Children in Schools and Licensed F.T.E.# 0.75 2.40 Child Care Settings $ 40,541 160,040
F.T.E.# 0.50 1.46 Total School Health - Other $ 27,027 94,186 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.30 0.85 Comprehensive School Health $ 16,216 54,844 F.T.E.# 0.20 0.61 Healthy Sexuality $ 10,811 39,342
F.T.E.# 0.15 1.00 0.25 5.26 Total Substance Use and Injury Prevention $ 8,108 59,787 18,514 377,672 Unalloc. F.T.E. ------Validation Unalloc.$ ------F.T.E.# 0.04 1.00 0.25 2.63 Smoke-Free Ontario $ 2,027 59,787 18,514 179,508 F.T.E.# 0.04 0.20 Alcohol & other substance use prevention $ 2,703 15,791 F.T.E.# 0.01 1.57 Harm Reduction $ 676 124,431 F.T.E.# 0.03 0.22 Falls Prevention $ 1,351 12,934 F.T.E.# 0.03 0.11 Other Injuries $ 1,351 8,201 F.T.E.# 0.53 Naloxone Expansion Program $ 36,807 F.T.E.# - Needle Syringe Program $ -
F.T.E.# Grand Total 1.00 1.45 0.50 - 10.00 1.00 - - - 1.00 - - 0.50 1.00 - - 67.85 $ 82,755 107,382 57,501 - 534,421 59,787 - - - 74,056 - - 34,243 74,057 - - 4,976,638
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Standards Population Health Assessment Health Equity Effective Public Health Practice Emergency Management Chronic Disease Prevention and Well-Being Food Safety Healthy Environments Healthy Growth and Development Immunization Infectious and Communicable Diseases Prevention and Control Safe Water School Health - Oral Health School Health - Vision School Health - Immunization School Health - Other Substance Use and Injury Prevention
Yes/No Yes No
BOH Membership Municipal Provincial
BOH Membership Council Citizen Representative
Apportionment Population Assessment Combined Population/Assessment Other
Board of Health the District of Algoma Health Unit the Brant County Health Unit the Chatham-Kent Health Unit the Durham Region Health Department the Eastern Ontario Health Unit the Grey Bruce Health Unit the Haldimand-Norfolk Health Unit the Haliburton, Kawartha, Pine Ridge District Health Unit the Halton Region Health Department the City of Hamilton, Public Health Services the Hastings & Prince Edward Counties Health Unit the Huron Perth Health Unit the Kingston, Frontenac and Lennox & Addington Health Unit the Lambton Health Unit the Leeds, Grenville & Lanark District Health Unit 714
the Middlesex-London Health Unit the Niagara Region Public Health Department the North Bay Parry Sound District Health Unit the Northwestern Health Unit Ottawa Public Health the Oxford Elgin St. Thomas Health Unit Peel Public Health the Peterborough County-City Health Unit the Porcupine Health Unit the Renfrew County & District Health Unit the Simcoe Muskoka District Health Unit the Sudbury and District Health Unit the Thunder Bay District Health Unit the Timiskaming Health Unit the City of Toronto Health Unit the Region of Waterloo, Public Health the Wellington-Dufferin-Guelph Health Unit the Windsor-Essex County Health Unit York Region Public Health One-Time Request Categories Capital COVID-19 Extraordinary Costs COVID-19 Vaccine Program Extraordinary Costs Extraordinary Costs New Purpose-Built Vaccine Fridges PHI Practicum Smoke-Free Ontario Tablets Source of Funding Mandatory Programs (Cost-Shared) Ontario Seniors Dental Care Program (100%) Unorganized Territories (100%) Unorganized Territories: Indigenous Communities (100%) Unorganized Territories: Northern Fruit and Vegetable Program (100%)
Source of Funding Mandatory Programs (Cost-Shared) Ontario Seniors Dental Care Program (100%) Unorganized Territories (100%) Unorganized Territories: Indigenous Communities (100%) Unorganized Territories: Northern Fruit and Vegetable Program (100%) 715
How to Use the 2021 Annual Service Plan Template
The following content is intended to provide assistance to boards of health in completing the 2021 Annual Service Plan (ASP) and navigating through the workbook. For details on what narrative and data boards of health are expected to include in each section of the ASP, please refer to the “Introduction and Instructions” worksheet in the ASP workbook.
Cover Page 1. Open the template and click on the Enable Macros message box or the Enable Content button with the yellow bar at the top and accept other message boxes that may appear. The ASP template will not work if you do not Enable Macros (Enable Content) first. 2. To begin completing the ASP click on the Start button. 3. It is strongly recommended that you read the How to Use the ASP Template before starting to complete the template. 4. You can print the entire template by clicking the Print Workbook. The above steps are illustrated in Figure 1 Figure 1
2
3 1 4
IMPORTANT to know before completing the template a) It is strongly recommended that you only copy and paste the CONTENT of a single cell at a time to avoid potential errors. If you try to copy and paste multiple cells in a row or a column at once, you will receive an error message and the ASP template will be closed. Please follow the steps below to copy and paste. 1) Double click on a cell that you want to copy content from 2) Select the content 3) Press Ctrl + C to copy 4) Double click on the cell that you want to paste the content
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Figure 2
Note: The Structure worksheet has been pre-populated with standardized programs that boards of health are required to report on. To add more programs under a Program Standard, update the total number of programs and rows will automatically be added. When modifying the Annual Service Plan Structure a button "Update" will appear on top of the page. Before leaving the worksheet you must click on the Update button to ensure any changes you made are reflected in the rest of template. When you click the Update button, a message box (Please Wait …) will appear and the process of updating the rest of the worksheets begins. When updating is complete a second message box "The Annual Service Plan is Updated!" will appear. By clicking OK the Update button will disappear and you can proceed with completing the other worksheets in the ASP template. (Figure 3) Figure 3
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Staff Allocation to Programs For each of the four Foundational Standards, allocate the total FTE and dollar ($) Amount for the each position category only (there are no Validation rows for the Foundational Standards). For each of the Program Standards, enter the total FTE and dollar ($) Amount for each position category in the Program Standard title row. You will then be required to allocate the total FTE and dollar ($) Amount for each Program under the Program Standard (validation rows are included to flag any validation errors in allocating the positions for each Program). If there are any validation errors, the applicable cells will turn from blue to yellow and the data in the validation rows content will be red. Once the validation errors are corrected, data will return to a blue coloured font and validation cells will no longer be yellow. (Figures 4 and 5) Figure 4
Figure 5
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Allocation of Expenditures a) Percentage (%) of Benefits - Input a total % of benefits for the entire organization at the top of this worksheet. This will then calculate an average % of benefits under each Foundational Standard and each Program under the Program Standards. Benefits cells have been left unlocked so that the board of health can revise benefits data as needed. (Figure 6)
Figure 6
b) For each of the four Foundational Standards and each Program under each Program Standard, manually allocate total expenditures across the expenditure categories, as well as allocate funding sources to balance against expenditures. Funding sources must be identified for each Foundational Standard and each program under the Program Standards. Funding sources are populated by selecting from a drop down menu when a funding sources cell is selected. If expenditures and funding sources do not balance, a validation error in red will appear in the applicable funding sources cell, as well as the cell at the start of each row. The amount that requires balancing will be indicated in the cell at the end of each row. (Figures 7 & 8) Figure 7
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Figure 8
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Ministry of Health 2021 Annual Service Plan and Budget Submission Board of Health for: the Chatham-Kent Health Unit
Version 1.0 721 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
Introduction and Instructions
Introduction
NOTE: The Introduction and Instructions provide a broad overview of the intent of the Annual Service Plan and Budget Submission each year. The Ministry of Health recognizes the tremendous efforts underway by boards of health to respond to COVID-19; therefore, boards of health are not required to complete specific sections of the Annual Service Plan for the 2021 funding year, including the Community Assessment and narrative Program Plans. The sections that are required for completion in 2021 are flagged in the instructions below. The Annual Service Plan and Budget Submission (the “Annual Service Plan”) is prepared by boards of health to communicate their program plans and budgeted expenditures for a given year. Information provided in the Annual Service Plan will describe the programs and services boards of health are planning to deliver in accordance with the Ontario Public Health Standards: Requirements for Programs, Services, and Accountability (the "Standards"), based on local needs and budgets at the program level. As part of the Annual Service Plan, boards of health will describe the needs of the population they serve using the most recent available data. There is an opportunity for boards of health to provide high-level indices of the population they serve along with more specific data for unique sub-populations with common indicators of risk. This information is critical to prioritizing programs and services for the community as a whole and ensuring identified populations receive tailored support as required. The knowledge gained from implementation of the Foundational Standards will inform the preparation, implementation, and monitoring of the Annual Service Plan.
The Standards allow for greater flexibility in program delivery in several Program Standards including, but not limited to, Chronic Disease Prevention and Well-Being, Healthy Growth and Development, School Health, and Substance Use and Injury Prevention. In the Annual Service Plan, boards of health will identify local priorities within each individual program area, and provide a summary of the data used to support their assessment of community need and their program delivery decisions, while also meeting all requirements under the Standards. Please note that boards of health are required to include budget information on Ministry of Health (ministry) funded public health programs only (both cost-shared and 100% funded programs) and must include 100% of budgeted expenditures (municipal and provincial portions) for these programs. Additionally, details provided in the Annual Service Plan should be based on the board of health's existing funding/approved budget and assume no change to the provincial base funding allocation (see Schedule A of your board of health's most recent Public Health Funding and Accountability Agreement (Accountability Agreement)). Any costs expected to be incurred over and above the board of health's existing funding/approved budget may be requested in the One-Time Funding Requests worksheets provided in the Annual Service Plan.
For the 2021 funding year, boards of health are expected to take all necessary measures to continue to respond to COVID-19 in their catchment areas, support the ministry in the provincial roll-out of the COVID-19 Vaccine Program, and continue to maintain critical public health programs and services as identified in board of health approved pandemic plans.
While many of the activities associated with COVID-19, including costs associated with administering the COVID-19 Vaccine Program, fall within the scope of mandatory public health programs delivered by boards of health in accordance with the Standards, the ministry acknowledges that the very short timeframe and resources required to monitor, detect, and contain COVID-19 in the province may result in increased expenses. In recognition of these unique circumstances, boards of health have the opportunity to request one-time funding to support 2021 COVID-19 extraordinary costs as part of the Annual Service Plan. Similar to previous processes, these costs must be those over and above what can be managed from within the board of health's existing funding/approved budget and that boards of health continue to track these costs separately.
The deadline to submit the 2021 Annual Service Plan is April 2, 2021.
In order to further assist boards of health in completing the Annual Service Plan, a section outlining technical instructions on how to navigate through the Annual Service Plan worksheets is included as part of the Cover Page section of the template. Instructions The Annual Service Plan is organized according to the order of the Standards. Boards of health are required to provide budgeted financial data for each Foundational Standard, and for all programs and services planned under each Program Standard. For a list of admissible expenditures that can be included in the Annual Service Plan, refer to the current versions of the Accountability Agreement and Program-Based Grants User Guide (2017).
1 of 9 722 The Annual Service Plan includes multiple worksheets that are accessible from a menu on the left-hand side of the Annual Service Plan workbook. In each worksheet, cells that require input have been colour-coded blue. Cells that are pre- populated with data previously inputted are colour-coded white. Annual Service Plan Structure This worksheet sets the structure of the Annual Service Plan and requires each board of health to specify the number of programs to be delivered under each Program Standard, program titles, number of one-time funding requests including type/category of request and their titles, number of board of health members, and number of obligated municipalities to complete the apportionment worksheet. Space to enter titles for programs, and one-time funding requests will be visible once the board of health specifies the number required for each. These titles will automatically populate all appropriate sections in the Annual Service Plan (this worksheet must be completed/updated by boards of health prior to completing the Annual Service Plan). Note that for 2021 only, boards of health are not required to identify interventions for each program.
Boards of health can input a number value of up to 20 programs under each Program Standard. Information pertaining to the Foundational Standards is not required on this worksheet.
The ministry acknowledges that boards of health continue to use different program names for similar services, and there is a variation in the way boards of health group activities into programs. In order to address these challenges, the ministry is continuing the standardization of categories as part of the 2021 Annual Service Plan.
The ministry is requesting that boards of health provide budgeted financial data based on the following standardized categories:
Program Standard Standardized Program Name Applicable Requirements Examples of Activities Oral health services and activities provided outside of Chronic Disease Prevention and Well-Being or the requirements related to Healthy Smiles Ontario, the Non-Mandatory Oral Health Programs Healthy Growth and Development Ontario Seniors Dental Care Program, and School-based screening. See Schedule B of the most recent Accountability See Schedule B of the most recent Accountability Chronic Disease Prevention and Well-Being Ontario Seniors Dental Care Program Agreement. Agreement. Applicable requirements include: working with community partners to improve public knowledge and Examples of activities include: community outreach, confidence in immunization programs and services; consultations and partnerships on immunization and providing consultation to community partners on immunization practices; activities to improve public immunization and immunization practices; working Community Based Immunization Outreach (excluding knowledge and confidence in immunization programs Immunization with school boards and schools to identify vaccine administration) and services; and, activities to improve health opportunities to improve public knowledge and professional knowledge and understanding of confidence in immunization for school-aged children; immunization and the Ontario immunization schedule. and, assessing, maintaining records, and reporting on immunizations administered at board of health-based clinics.
Examples of activities include: data entry and management of clinics, including Universal Influenza Applicable requirements include: conducting Immunization Program (UIIP); monitoring, epidemiological analysis of surveillance data for vaccine investigating, and documenting, as appropriate, preventable diseases, vaccine coverage, and adverse adverse events following immunization (AEFI); events following immunization, including monitoring of promotion of reporting of AEFIs by health care trends over time, emerging trends, and priority providers to the local board of health; epidemiological populations; having a contingency plan to deploy board analysis of surveillance data for vaccine preventable of health staff capable of providing vaccine preventable Immunization Immunization Monitoring and Surveillance diseases, vaccine coverage, and AEFI, including diseases outbreak management and control; promoting monitoring of trends over time, emerging trends, and the reporting of adverse events following immunization priority populations; and, outbreak management by health care providers to the local board of health; (excluding immunization clinical services). 2 of 9
(excluding immunization clinical services). 723 and, monitoring, investigating, and documenting all suspected cases of adverse events following Excludes activities related to the Immunization of immunization that meet the provincial reporting School Pupils Act (ISPA)/ Child Care and Early Years Act criteria and promptly report all cases. (CCEYA) data collection, entry, monitoring and reporting.
Applicable requirements include: providing provincially Vaccine administration for provincially funded funded immunization programs and services to eligible immunization programs for eligible persons in the persons in the board of health (Immunization board of health, including: School-based clinics for Immunization Vaccine Administration Standard); and, providing provincially funded Hepatitis B, Human Papillomavirus and Meningococcal immunization programs to eligible students in the ACYW; community-based clinics and other catch-up board of health through school-based clinics (School immunization services (not school-based); and, UIIP Health Standard). clinics.
Applicable requirements include: providing comprehensive information and education to promote effective inventory management for provincially funded vaccines; promoting appropriate vaccine inventory Examples of activities include: provision of information management ((a) prevention, management, and and education to promote effective inventory Immunization Vaccine Management reporting of cold chain incidences, (b) prevention, management for provincially funded vaccines; and, management, and reporting of vaccine wastage); and, activities related to the storage, handling and ensuring that the storage and distribution of distribution of vaccines. provincially funded vaccines is in accordance with the Vaccine Storage and Handling Protocol, 2018 (or as current).
Costs associated with organizing and overseeing the COVID-19 immunization campaign within local Vaccine administration for the COVID-19 Vaccine Immunization COVID-19 Vaccine Program communities, including the development of local COVID- Program. 19 vaccination campaign plans.
Infectious and Communicable Diseases Prevention See the Infectious Diseases Protocol, 2018 (or as See the Infectious Diseases Protocol, 2018 (or as Vector-Borne Diseases Program and Control current). current).
Costs associated with monitoring, detecting, and Infectious and Communicable Diseases Prevention containing COVID-19 in the province (excluding See the Infectious and Communicable Diseases COVID-19 Program and Control activities associated with supporting the ministry in the Prevention and Control Standards and Protocols. roll-out of the COVID-19 Vaccine Program).
See the Small Drinking Water Systems Risk Assessment See the Small Drinking Water Systems Risk Assessment Safe Water Small Drinking Water Systems Program Guideline, 2018 (or as current). Guideline, 2018 (or as current).
Examples of activities include: program eligibility assessment and client-level oral health navigation (e.g., li i l d fi i l li ibilit d t i ti li t 3 of 9 724 clinical and financial eligibility determination, client enrollment support into the various streams of Healthy See the Oral Health Protocol, 2018 (or as current) School Health (Oral Health) Healthy Smiles Ontario Program Smiles Ontario, assistance with finding a dental home); (sections 9, 10 and 11). post-screen notification and follow-up; oral health service delivery (e.g., clinics/mobile buses providing oral health services to Healthy Smiles Ontario clients); promotion and education (i.e., Oral Health and Healthy Smiles Ontario); and, other, if applicable.
Examples of activities include: pre-screen notification See the Oral Health Protocol, 2018 (or as current) (e.g., liaising with school boards, issuing pre-screen School Health (Oral Health) Oral Health Assessment and Surveillance (sections 2a, 2b, 2c, 3 and 4). notification letters); school risk level determination; screening and surveillance; and other, if applicable.
Examples of activities include: maintenance of records, assessment and reporting on the immunization status Applicable requirements include: enforcing the ISPA; of children in schools and licensed childcare centres; and, assessing, maintaining records, and reporting on ISPA suspension process; and, ISPA education sessions. Immunizations for Children in Schools and Licensed School Health (Immunization) the immunization status of children enrolled in licensed Child Care Settings childcare settings and the immunization status of Excludes all activities related to vaccine administration children attending schools in accordance with the ISPA. such as school clinics and catch-up clinics for ISPA vaccines. Those activities should be included under “Immunization/ Vaccine Administration.”
Parent Notification Form-A (PNF-A): Notifies the parents/guardians of children who have been screened and identified in need of visual health services and/or treatment within two business days of completing the screening. This form shall include a referral to an optometrist for a comprehensive eye exam.
Parent Notification Form-B (PNF-B): Notifies the parents/guardians of all other children who have been screened. This notification shall encourage parents/guardians to book an appointment with an See the Child Visual Health and Vision Screening School Health (Vision) Child Visual Health and Vision Screening optometrist for a comprehensive eye exam. Protocol, 2018 (or as current) (sections 3a and 3b). Child Vision Screening Reminder Letter: Sent 20 business days after the PNF-A to remind parents to book an optometrist appointment.
Vision Screening Assessment Form: Used by boards of health for each child screened, to record the results of each of the three vision screening tests and indicate 4 of 9 725 each of the three vision screening tests and indicate whether the overall result is pass, refer or automatic referral. This form is kept for board of health records and not issued to the student.
Implement Comprehensive Tobacco Control under the pillars of "prevention", "protection" and "cessation", including enhanced knowledge translation, coordination/collaboration among boards of health, and with a focus on priority populations. Prevention: Broad-based public education and awareness initiatives on youth vaping. Peer-to-peer Prevention: Initiatives to prevent individuals from youth engagement activities to address tobacco use becoming daily (and nicotine dependent) users of and vaping. tobacco and vapour products, including primary (initiation) and secondary (escalation) prevention of the Protection: Activities related to the enforcement of the use of tobacco and vapour products. SFOA, 2017. Local policy development that is beyond the SFOA, 2017 (e.g., smoke-free housing, smoke and Protection: Enforcement of the Smoke-Free Ontario vape-free workplace policies; smoke and vape-free Substance Use and Injury Prevention Smoke-Free Ontario Act, 2017 (SFOA, 2017) and its regulation. Initiatives to campuses). protect individuals from second-hand exposure to tobacco, vapour products, the smoking and vaping of Cessation: Maintaining an integrated network of cannabis (medical and recreational) and other emerging community partners in smoking cessation. Broad-based products. public education and awareness initiatives on the harms of tobacco and vapour product use. Cessation: Initiatives to motivate, encourage and support efforts to quit the use of tobacco and vapour The ministry does not support advocacy activities products. Initiatives to educate that focus on the harms targeting provincial and federal governments. of tobacco and vapour product use. Referrals to Telehealth Ontario and regional health partners (e.g., primary health care; community agencies) to increase access to cessation services.
The standardized programs listed above have been added to the Annual Service Plan Structure worksheet under the relevant Program Standard. Boards of health that deliver other programs under the above mentioned Program Standards may still include these programs as long as there is no duplication or overlap in the activities and services provided. In order to add additional programs under a Program Standard, boards of health must update the total number of programs under a Program Standard in the Structure worksheet.
It is also important to note the following: ● Programming related to substance use prevention (i.e., alcohol, cannabis, opioids, illicit and other substances, including tobacco) and harm reduction (i.e., Needle Exchange Program, Harm Reduction Program Enhancement) should be reflected under the Substance Use and Injury Prevention Standard (a program may target multiple substances or a specific substance); ● Programming related to menu labelling should be reflected under the Chronic Disease Prevention and Well-Being Program Standard; ● Some public health programs may be delivered under multiple Standards (boards of health are required to allocate these programs across all applicable Standards); and, ● For 2021, COVID-19 Programs (including the COVID-19 Vaccine Program) have been added as standardized programs under the Immunization Standard and Infectious and Communicable Diseases Prevention and Control Program Standard. Boards of health are required to provide budgeted financial data at 100% for both of these standardized programs as part of the Annual Service Plan, and will be required to continue to report budgeted financial data at 100% for these programs as part of the in-year 2021 Standards Activity Reports and Annual Report and Attestation.
5 of 9 726 Community Assessment - NOT REQUIRED Every year, boards of health are required to provide a high-level description/overview of the communities within their public health unit on this worksheet. However, for 2021, and as noted above, boards of health are not required to complete the Community Assessment as part of this year's Annual Service Plan. Program Plans - NOT REQUIRED Each year, boards of health are required to provide a narrative on all programs and services they plan to deliver under each Standard as follows:
Foundational Standards: Boards of health are required to describe how they plan to implement each of the four (4) Foundational Standards, and for the Emergency Management Foundational Standard describe the objectives and key partners/stakeholders.
Program Standards: Within each Program Plan worksheet, boards of health are required to provide summary narrative details on community needs/priorities, key partners/stakeholders, and programs/services that boards of health plan to deliver in a given year, including objectives that include timelines, and a description of all public health interventions within each program.
For 2021, and as noted above, boards of health are not required to complete program plans under each Standard as part of this year's Annual Service Plan. Budget Allocation and Summaries - REQUIRED Includes a set of worksheets to allocate staffing and other expenditures for each Foundational Standard, and for all programs under each Program Standard as identified in the Annual Service Plan.
Boards of health are required to identify sources of funding in the allocation of expenditures worksheet as per the board of health's most recent version of the Accountability Agreement (please note that sources of funding must be identified for programs to which they are applicable). For 2021, the sources of funding include:
Mandatory Programs (Cost-Shared): Refer to the cost-shared public health programs and services boards of health are required to deliver in accordance with the Health Protection and Promotion Act (HPPA) and the Standards.
Ontario Seniors Dental Care Program (100%): Provides comprehensive dental care to eligible low-income seniors to help reduce unnecessary trips to the hospital, prevent chronic disease and increase quality of life for seniors.
Unorganized Territories (100%): Refers to the public health programs and services boards of health are required to deliver in unorganized territories (areas without municipal organization) in accordance with the HPPA and the Standards. Only boards of health that received base funding from the ministry for the delivery of this program in 2020 will have the option to identify this as a funding source.
Unorganized Territories / Indigenous Communities (100%): Refers to the public health programs and services for Indigenous Communities (on reserve). Only boards of health that received base funding from the ministry to assist with Indigenous programming in 2020 will have the option to identify this as a funding source.
Unorganized Territories / Northern Fruit and Vegetable Program (100%): Ensures a coordinated approach to increasing consumption and awareness of fresh fruits and vegetables in combination with healthy eating and physical activity education to school-aged children and their families in Northern Ontario. Only boards of health that received base funding from the ministry for the delivery of this program in 2020 will have the option to identify this as a funding source.
Funding received at 100% for the MOH/AMOH Compensation Initiative should not be included in the Annual Service Plan.
The Budget worksheets are organized as follows:
Staff Allocation to Programs: Boards of health are required to input the total number of full-time equivalents (FTEs) and total budget for each position title under each Standard in the light blue cells. The total FTEs and total budget are inputted in the same row as the title for that Standard. For Program Standards, boards of health are then required to allocate the total FTEs and budget to each program listed under that Program Standard. Cells will be yellow until all FTEs and budgets have been allocated. Data inputted in this worksheet will pre-populate salaries and wages in the Allocation of Expenditures worksheet. Boards of health are also required to allocate a budget for each Foundational Standard. Medical Officer of Health & Administrative Staff: Boards of health are required to input the total FTEs and total budget for the Medical Officer of Health position and each administrative position in this separate worksheet. Data inputted in this worksheet will pre-populate salaries and wages in the Allocation of Expenditures worksheet, in the indirect costs section.
6 of 9 727 Allocation of Expenditures: Salaries and wages will pre-populate from the staffing worksheets. Benefits are calculated based on the average percentage (%) of benefits entered for the entire organization at the top of this worksheet. Benefits can also be entered directly in each cell as benefits cells have been left unlocked for this purpose. All other expenditure categories should be manually allocated in each Foundational Standard and each program under the Program Standards. Costs associated with the Office of the Medical Officer of Health, administration and other overhead/organizational costs are to be inputted in the section at the end of this worksheet as an indirect cost and are not to be allocated across the Standards. Sources of funding must be identified for each Foundational Standard and each program under the Program Standards. Sources of funding are populated by selecting from a drop-down menu. Please refer to the "How to Use the ASP Template" section from the Cover Page for any troubleshooting help with the budget worksheets.
Budget Summaries: This worksheet includes three (3) budget summaries that reflect budget data at 100% (municipal and provincial portions): 1) Budget Summary by Funding Source that summarizes budget data and the provincial share; 2) Summary of Expenditures; and, 3) Summary of Staffing. The budget summaries are not a budget request for additional funding and should reflect costs as part of the board of health’s existing funding/approved budget. Any requests for one-time funding may be included in the One-Time Funding Requests worksheets.
For the purposes of calculating the final variance in the Budget Summary by Funding Source worksheet, any one-time mitigation funding approved for the board of health for the 2021 funding year (if applicable) has been included to offset any increased contribution to municipalities as a result of the 70% (provincial) / 30% (municipal) cost-sharing change that came into effect as of January 1, 2020.
For 2021, and as mentioned above, boards of health are required to provide total budgeted financial data for the COVID-19 Program and the COVID-19 Vaccine Program in the same manner as other programs under the Standards (at 100%). The ministry is aware that these figures are estimates and may change given the ongoing board of health response to COVID-19 and impacts to other critical public health programs and services. Any extraordinary costs expected to be incurred over the board of health's existing funding/approved budget may be requested as a one-time request in the One-Time Funding Request worksheets. Boards of health will be required to continue to report budgeted financial data at 100% for these programs as part of the in-year 2021 Standards Activity Reports and Annual Report and Attestation.
One-Time Funding Requests Any requests for one-time funding must be identified in the one-time funding requests worksheet in this workbook. Prior to completing the one-time request worksheet, boards of health must input the total number of one-time requests in the Annual Service Plan Structure worksheet and include the category/type of project and title for each request. This information will then pre-populate the One-Time Requests worksheet. A Summary worksheet automatically populates total one-time funding requested. Given the current fiscal environment and ongoing activities associated with COVID-19, there is a limit of up to six (6) one-time funding requests (including one-time requests for COVID-19 Extraordinary Costs and the COVID-19 Vaccine Program). The following categories/projects are eligible for submission as one-time requests:
Capital: The ministry will consider one-time funding requests for minor capital and infrastructure improvement projects for the period of April 1, 2021 to March 31, 2022 to support the delivery of critical public health programs and services. The projects must meet the following criteria: be a very urgent and minor infrastructure renewal project that can be completed by March 31, 2022; is not part of an existing approved project that is funded by the ministry; is a tangible Asset or capital leased Asset that will have a useful life extending beyond one year and is intended to be used on a continual basis; extends the useful life of the Asset or improves the facility’s quality or functionality; is capitalizable; costs between $5,000 and $1.0M, inclusive; does not require an increase to the operating budget; and, the board of health is not planning to move to a new site over the next 24 months.
COVID-19 Extraordinary Costs: The ministry will consider one-time funding requests for extraordinary costs incurred or expected to be incurred over and above the board of health's existing funding/approved budget for the period of January 1, 2021 to December 31, 2021 associated with monitoring, detecting, and containing COVID-19 in the province (excluding costs associated with the COVID-19 Vaccine Program). Examples of appropriate eligible COVID-19 extraordinary costs include, but are not limited to: ● Staffing - salaries and benefits, inclusive of overtime for existing or redeployed public health unit staff (including management staff directly engaged in COVID-19 activities), staff redeployed from associated regional governments, new temporary or casual staff; salaries and benefits associated with overtime worked by indirect staff (e.g., finance, HR, legal, communications, etc.) and management staff (where local board of health policies permit such arrangements) that have not been redeployed directly to COVID-19, but have incurred overtime due to working on COVID-19 related activities. ● Travel and Accommodation - for staff delivering COVID-19 service away from their home base, or for staff to conduct the infectious disease surveillance demands (swab pick ups and laboratory deliveries). ● Supplies and Equipment - small equipment and consumable supplies (including laboratory testing supplies and personal protective equipment) not already provided by the ministry, and information and information technology upgrades related to tracking COVID-19 not already approved by the ministry. ● Purchased Services - security services, cleaning services, hazardous waste disposal, transportation services including courier services and rental cars, data entry or information technology services for reporting COVID-19 data to the ministry from centres in the community that are not operated by the public health unit or increased services required to meet pandemic reporting demands, outside legal services, and additional premises leased or rented. ● Communications - language interpretation/translation services, media announcements, public and provider awareness, signage, and education materials regarding COVID-19. ● Other Operating - recruitment activities, staff training.
7 of 9 728 COVID-19 Vaccine Program Extraordinary Costs: The ministry will consider one-time funding requests for extraordinary costs incurred or expected to be incurred over and above the board of health's existing funding/approved budget for the period of January 1, 2021 to December 31, 2021 associated with organizing and overseeing the COVID-19 immunization campaign within local communities, including the development of local COVID-19 vaccination campaign plans. Examples of appropriate eligible COVID-19 Vaccine Program extraordinary costs include, but are not limited to: ● Staffing - salaries and benefits, inclusive of overtime, for existing staff or redeployed public health unit staff (including management staff directly engaged in COVID-19 activities), staff redeployed from associated regional government, and new temporary or casual staff; and, salaries and benefits associated with overtime worked by indirect staff (e.g., finance, HR, legal, communications, etc.) and management staff (where local board of health policies permit such arrangements) that have not been redeployed directly to COVID-19, but have incurred overtime due to working on COVID-19 related activities. Activities include providing assistance with meeting provincial and local requirements for COVID-19 surveillance and monitoring (including vaccine safety surveillance, adverse events and number of people vaccinated), administering the COVID-19 vaccine, managing COVID-19 Vaccine Program reporting requirements, and planning and deployment of immunization/vaccine clinics. ● Travel and Accommodation - for staff delivering COVID-19 Vaccine Program services away from their home base, including transporting vaccines, and transportation/accommodation for staff of mobile vaccine units. ● Supplies and Equipment- supplies and equipment associated with the storage and handling of the COVID-19 vaccines (including vaccine refrigerators, freezers, coolers, etc.), small equipment and consumable supplies (including personal protective equipment) not already provided by the ministry, supplies necessary to administer the COVID-19 vaccine (including needles/syringes and disposal, sterile gauze, alcohol, bandages, etc.) not already provided by the ministry, information and information technology upgrades related to tracking COVID-19 immunization not already approved by the ministry. ● Purchased Services - security services, cleaning services, hazardous waste disposal, transportation services (e.g., courier services, transporting clients to vaccination clinics), data entry or information technology services for reporting COVID-19 data related to the Vaccine Program to the ministry from centres in the community that are not operated by the public health unit or increased services required to meet pandemic reporting demands, outside legal services, and additional premises leased or rented. ● Communications - language interpretation/translation services, media announcements, public and provider awareness, signage, and education materials regarding COVID-19 immunization outreach. ● Other Operating - recruitment activities, staff training.
For COVID-19 Extraordinary Costs and COVID-19 Vaccine Program Extraordinary Costs, the following are examples of non-admissible expenditures: ● Costs associated with delivering other public health programs and services. ● Lost revenues for public health programs and services not considered a direct COVID-19 cost. ● Any COVID-19 costs directly incurred by other organizations and/or third parties (where a Memorandum of Understanding or Service Level Agreement between the board of health and that other organization and/or third party that sets out clear performance expectations and ensures accountability for the funds is not in place). ● Sick time, vacation, or banked overtime. ● Costs that are reimbursable from other sources. ● Costs associated with COVID-19 case and contact management self-isolation sites. ● Costs associated with municipal by-law enforcement. ● Electronic Medical Records (EMRs) systems.
Please also note that costs associated with implementation of the Public Health Case and Contact Management I&IT Solution, School-Focused Nurses Initiative (salaries and benefits), and Infection Prevention and Control Hub Program will be captured through separate processes and are not to be reported as COVID-19 extraordinary costs at this time.
Extraordinary Costs (Non-COVID-19): The ministry will consider one-time funding requests for extraordinary costs incurred or expected to be incurred over and above the board of health's existing funding/approved budget for the period of January 1, 2021 to December 31, 2021 associated with the provision of the Standards, excluding COVID-19 expenses (i.e., infrequent and unexpected costs incurred over and above regular business/programming).
New Purpose-Built Vaccine Refrigerators: The ministry will consider one-time funding requests for the period of April 1, 2021 to March 31, 2022 to support the purchase of new purpose-built vaccine refrigerators. The one-time funding request should include costs for peripheral devices (e.g., temperature monitoring and recording device, voltage safeguard, alarm), freight, refrigerator setup, warranty and applicable taxes. Please ensure that the request includes: a rationale as to why a new purpose-built vaccine refrigerator is required (e.g., refrigerator failure or imminent likelihood of failure, new sub-office, refrigerator capacity, currently using non purpose-built refrigerators, etc.); the size of the refrigerator(s) (in cubic feet); and, the number of refrigerators required. Extraordinary costs associated with the purchase of new purpose-built vaccine refrigerators to support the COVID Vaccine Program should be requested as part of the COVID-19 Vaccine Program One-Time Request Business Case.
8 of 9 729 Public Health Inspector Practicum Program: The ministry will consider one-time funding requests for the period of April 1, 2021 to March 31, 2022 to support one (1) or more public health inspector practicum position(s). Each practicum position is eligible for up to $10,000 in one-time funding to cover student salaries, wages and benefits, transportation expenses associated with the practicum position, equipment, and educational expenses. A maximum of 25 practicum placements may be supported under this program. Please ensure that the request for one-time funding includes: the ability of the hosting board of health to comply with the requirements of the Canadian Institute of Public Health Inspectors (CIPHI) Board of Certification (BOC) for field training for a 12-week period; and, the availability of a qualified supervisor/mentor to oversee the practicum student’s term.
Smoke-Free Ontario (SFO) Enforcement Tablet Upgrades – The ministry will consider one-time funding requests for the purchase of tablets for the period of April 1, 2021 to March 31, 2022 to support the Tobacco Inspection System software for mobile units. The request may include costs for peripheral devices (e.g., car chargers, batteries, mouse, keyboard, mobile printers, etc.) and applicable taxes. Please ensure that the request includes: a rationale as to why a new tablet is required (e.g., upgrading of existing hardware, efficiency to conduct inspections, equipment required for new personnel etc.); if the tablet will be used to support other board of health software for inspection purposes (e.g., Hedgehog); and, the number of tablets required.
One-time requests will be considered by the ministry at 100%; however, approval of one-time requests must not be assumed and will be dependent upon the availability of ministry funding. Please note that if the ministry does not approve a one-time request, boards of health will be responsible for 100% of the one-time and ongoing costs associated with the request. Similarly, if a board of health’s approved budget for any one-time request exceeds the ministry’s approved funding, then the board of health is responsible for those extra costs.
Board of Health Membership Boards of health are required to provide details on board of health membership on this worksheet. Boards of health must enter the total number of board of health members in the Annual Service Plan Structure worksheet, which will provide sufficient space to complete details for each member. Apportionment of Board of Health Costs Boards of health are required to provide information on how their costs are apportioned to obligated municipalities, totalling 100%. Key Contacts and Certification by the Board of Health Boards of health are required to provide key contact details and indicate when the completed Annual Service Plan and Budget Submission was approved by the board of health on this worksheet. Do not include personal contact information. Contact information (e.g., emails, phone numbers and mailing addresses) should be those of the board of health or public health unit office. Boards of health are no longer required to sign the completed Annual Service Plan and Budget Submission.
9 of 9 730 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
Annual Service Plan Structure
NOTE: The Annual Service Plan Structure worksheet must be completed prior to completing the rest of worksheets. Chronic Disease Prevention and Well-Being # Programs 6 P 1) Ontario Seniors Dental Care Program P 2) Healthy Eating P 3) Physical Activity & Sedentary Behaviour P 4) Mental Health Promotion P 5) Age Friendly P 6) UV Exposure Food Safety # Programs 1 P 1) Food Safety Healthy Environments # Programs 2 P 1) Health Hazards P 2) Rabies Healthy Growth and Development # Programs 6 P 1) Preconception P 2) Healthy Pregnancy & Preeparation for Parenting P 3) Breastfeeding P 4) Mental Health Promotion P 5) Growth & Development P 6) Positive Parenting Immunization # Programs 5 P 1) Community Based Immunization Outreach (excluding vaccine administration) P 2) COVID-19 Vaccine Program P 3) Immunization Monitoring and Surveillance P 4) Vaccine Administration P 5) Vaccine Management Infectious and Communicable Diseases Prevention and Control # Programs 2 P 1) COVID-19 Program P 2) Vector-Borne Diseases Program Safe Water # Programs 1 1 of 3 731 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
Annual Service Plan Structure
NOTE: The Annual Service Plan Structure worksheet must be completed prior to completing the rest of worksheets. P 1) Small Drinking Water Systems Program School Health - Oral Health # Programs 3 P 1) Healthy Smiles Ontario Program P 2) Oral Health Assessment and Surveillance P 3) Oral Health Awareness School Health - Vision # Programs 1 P 1) Child Visual Health and Vision Screening School Health - Immunization # Programs 1 P 1) Immunizations for Children in Schools and Licensed Child Care Settings School Health - Other # Programs 2 P 1) Comprehensive School Health P 2) Healthy Sexuality Substance Use and Injury Prevention # Programs 7 P 1) Smoke-Free Ontario P 2) Alcohol & other substance use prevention P 3) Harm Reduction P 4) Falls Prevention P 5) Other Injuries P 6) Naloxone Expansion Program P 7) Needle Syringe Program One-Time Funding Requests # Requests 3 O1 Type Capital O1 Title Seniors Dental clinic renovations O2 Type COVID-19 Extraordinary Costs O2 Title case and contact management O3 Type COVID-19 Vaccine Program Extraordinary Costs O3 Title COVID vaccinations- mass clinic and mobile strategy Board of Health Membership # Members 8 Apportionment of Board of Health Costs # Municipalities 1 2 of 3 732 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
Annual Service Plan Structure
NOTE: The Annual Service Plan Structure worksheet must be completed prior to completing the rest of worksheets.
3 of 3 733 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
MOH & Administrative Staff
Position Titles F.T.E.# $
Medical Officer of Health 0.80 214,474
Chief Executive Officer 0.50 97,090
Director/ Business Administrator 1.00 141,591
Manager/Supervisor
Secretarial/Admin Staff 1.00 67,396
Financial Staff - -
I & IT Staff
Communications Manager/Media Coordinator 0.50 34,243
Volunteer Coordinator
Human Resources Staff/Coordinator
Maintenance/Caretaker/Custodian/Security
Other Administrative Staff
Total 3.80 554,794
1 of 1 734 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham -Kent Health Unit
Allocation of Expenditures
% of Benefits 27.77%
Population Health Assessment Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
Total Population Health Assessment 35,466 9,849 364 45,679 45,679 45,679 _ Health Equity Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
Total Health Equity 153,441 42,611 511 1,350 197,913 197,913 197,913 _ Effective Public Health Practice Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
Total Effective Public Health Practice 54,018 15,001 1,030 515 70,564 70,564 70,564 _ Emergency Management Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
Total Emergency Management 56,072 15,571 945 4,230 76,818 76,818 76,818 _ Chronic Disease Prevention and Well-Being Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Ontario Seniors Mandatory Total Funding Benefits Travel Program Dental Care Programs (Cost- Program Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Program (100%) Shared) Revenues
Ontario Seniors Dental Care Program 81,295 22,576 3,500 15,600 20,000 438,229 581,200 581,200 581,200
Healthy Eating 160,753 44,641 3,200 10,000 218,594 218,594 218,594
Physical Activity & Sedentary Behaviour 77,998 21,660 950 1,000 101,608 101,608 - 101,608
1 of 5 735 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham -Kent Health Unit
Allocation of Expenditures
Mental Health Promotion 40,229 11,172 600 550 52,551 52,551 52,551
Age Friendly 7,481 2,077 800 (25,000) 14,642 - - -
UV Exposure 16,125 4,478 500 150 21,253 21,253 21,253
Total Chronic Disease Prevention and Well-Being 383,881 106,604 9,550 15,600 - 20,000 (25,000) 464,571 975,206 581,200 394,006 - - - 975,206 _ Food Safety Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Program Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
Food Safety 251,410 69,817 10,000 (2,500) 2,500 331,227 331,227 331,227
Total Food Safety 251,410 69,817 10,000 - - - (2,500) 2,500 331,227 331,227 - - - - 331,227 _ Healthy Environments Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Program Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
Health Hazards 47,034 13,061 2,500 500 63,095 63,095 63,095
Rabies 40,019 11,113 2,000 650 53,782 53,782 53,782
Total Healthy Environments 87,053 24,174 4,500 - - - - 1,150 116,877 116,877 - - - - 116,877 _ Healthy Growth and Development Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Program Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
Preconception 12,344 3,428 1,000 300 17,072 17,072 17,072
Healthy Pregnancy & Preeparation for Parenting 45,960 12,763 900 3,000 62,623 62,623 62,623
Breastfeeding 139,736 38,805 2,500 7,000 188,041 188,041 188,041
Mental Health Promotion 36,369 10,100 2,200 900 49,569 49,569 49,569
Growth & Development 73,624 20,445 850 2,750 97,669 97,669 97,669
2 of 5 736 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham -Kent Health Unit
Allocation of Expenditures
Positive Parenting 51,392 14,272 750 2,250 68,664 68,664 68,664
Total Healthy Growth and Development 359,425 99,813 8,200 - - - - 16,200 483,638 483,638 - - - - 483,638 _ Immunization Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Program Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues Community Based Immunization Outreach 25,469 7,073 700 100 33,342 33,342 33,342 (excluding vaccine administration) COVID-19 Vaccine Program - - - 378,892 378,892 378,892 378,892
Immunization Monitoring and Surveillance 39,817 11,057 300 300 51,474 51,474 51,474
Vaccine Administration 66,775 18,543 1,000 2,000 88,318 88,318 88,318
Vaccine Management 100,028 27,778 850 260 128,916 128,916 128,916
Total Immunization 232,089 64,451 2,850 - - - - 381,552 680,942 680,942 - - - - 680,942 _ Infectious and Communicable Diseases Prevention Expenditures Sources of Funding and Control Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Program Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
COVID-19 Program 2,427,646 674,157 17,000 - 193,909 3,312,712 3,312,712 3,312,712
Vector-Borne Diseases Program 71,574 19,876 8,000 2,500 101,950 101,950 101,950 Total Infectious and Communicable Diseases 2,499,220 694,033 25,000 - - - - 196,409 3,414,662 3,414,662 - - - - 3,414,662 Prevention and Control _ Safe Water Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Program Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
Small Drinking Water Systems Program 67,694 18,799 3,000 500 89,993 89,993 89,993
Total Safe Water 67,694 18,799 3,000 - - - - 500 89,993 89,993 - - - - 89,993 _ School Health - Oral Health Expenditures Sources of Funding
3 of 5 737 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham -Kent Health Unit
Allocation of Expenditures
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Program Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
Healthy Smiles Ontario Program 111,305 30,909 3,750 10,400 15,000 171,364 171,364 171,364
Oral Health Assessment and Surveillance 26,251 7,290 400 100 34,041 34,041 34,041
Oral Health Awareness 9,189 2,552 75 - 11,816 11,816 11,816
Total School Health - Oral Health 146,745 40,751 4,225 10,400 - - - 15,100 217,221 217,221 - - - - 217,221 _ School Health - Vision Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Program Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
Child Visual Health and Vision Screening 18,226 5,061 400 50 23,737 23,737 23,737
Total School Health - Vision 18,226 5,061 400 - - - - 50 23,737 23,737 - - - - 23,737 _ School Health - Immunization Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Program Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues Immunizations for Children in Schools and Licensed 160,040 44,443 1,500 1,500 207,483 207,483 207,483 Child Care Settings Total School Health - Immunization 160,040 44,443 1,500 - - - - 1,500 207,483 207,483 - - - - 207,483 _ School Health - Other Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Program Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
Comprehensive School Health 54,844 15,230 2,000 1,000 73,074 73,074 73,074
Healthy Sexuality 39,342 10,925 1,000 500 51,767 51,767 51,767
Total School Health - Other 94,186 26,155 3,000 - - - - 1,500 124,841 124,841 - - - - 124,841 _ Substance Use and Injury Prevention Expenditures Sources of Funding
4 of 5 738 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham -Kent Health Unit
Allocation of Expenditures
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Total Funding Benefits Travel Program Programs (Cost- Program Wages Occupancy Charges Services Offset Expenditures Sources Expenditures Shared) Revenues
Smoke-Free Ontario 179,508 49,849 4,000 8,000 241,357 241,357 241,357
Alcohol & other substance use prevention 15,791 4,385 100 800 21,076 21,076 21,076
Harm Reduction 124,431 34,554 500 500 159,985 159,985 159,985
Falls Prevention 12,934 3,592 500 250 17,276 17,276 17,276
Other Injuries 8,201 2,277 200 100 10,778 10,778 10,778
Naloxone Expansion Program 36,807 10,221 500 250 47,778 47,778 47,778
Needle Syringe Program - - 70,000 70,000 70,000 70,000
Total Substance Use and Injury Prevention 377,672 104,878 5,800 - - - - 79,900 568,250 568,250 - - - - 568,250 _ Indirect Costs Expenditures Sources of Funding
Expenditure Other Salaries and Building Municipal Professional Recoveries & Total Mandatory Benefits Travel Program Programs (Cost- Wages Occupancy Charges Services Offset Expenditures Expenditures Shared) Revenues
Total Indirect Costs 554,794 154,066 15,000 563,278 505,482 30,000 622,386 2,445,006 2,445,006 - 2,445,006 _ Grand Total 5,531,432 1,536,077 95,875 589,278 505,482 50,000 (27,500) 1,789,413 10,070,057 10,070,057
5 of 5 739 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham -Kent Health Unit
Budget Summary
Base Funding Budget Provincial Approved Variance One-Time Variance after (at 100%) Share Allocation Surplus / (Deficit) Mitigation One-Time Mitigation Source of Funding Surplus / (Deficit) A B= A*Prov.Share C D = C - B E F = D + E Mandatory Programs (Cost-Shared) 9,488,857 6,642,200 6,642,200 - 968,000 968,000 Ontario Seniors Dental Care Program (100%) 581,200 581,200 581,200 - Total 10,070,057 7,223,400 7,223,400 -
Summary of Expenditures by Standard Expenditure Total Other Program Standards Salaries and Wages Benefits Travel Building Occupancy Municipal Charges Professional Services Recoveries & Offset Board of Health Expenditures Revenues Direct Costs Population Health Assessment 45,679 35,466 9,849 364 - - - - - Health Equity 197,913 153,441 42,611 511 - - - - 1,350 Effective Public Health Practice 70,564 54,018 15,001 1,030 - - - - 515 Emergency Management 76,818 56,072 15,571 945 - - - - 4,230 Chronic Disease Prevention and Well-Being 975,206 383,881 106,604 9,550 15,600 - 20,000 (25,000) 464,571 Food Safety 331,227 251,410 69,817 10,000 - - - (2,500) 2,500 Healthy Environments 116,877 87,053 24,174 4,500 - - - - 1,150 Healthy Growth and Development 483,638 359,425 99,813 8,200 - - - - 16,200 Immunization 680,942 232,089 64,451 2,850 - - - - 381,552 Infectious and Communicable Diseases Prevention 3,414,662 2,499,220 694,033 25,000 - - - - 196,409 and Control Safe Water 89,993 67,694 18,799 3,000 - - - - 500 School Health 573,282 419,197 116,410 9,125 10,400 - - - 18,150 Substance Use and Injury Prevention 568,250 377,672 104,878 5,800 - - - - 79,900 Total Direct Costs 7,625,051 4,976,638 1,382,011 80,875 26,000 - 20,000 (27,500) 1,167,027 Indirect Costs Indirect Costs 2,445,006 554,794 154,066 15,000 563,278 505,482 30,000 - 622,386 Total Expenditures 10,070,057 5,531,432 1,536,077 95,875 589,278 505,482 50,000 (27,500) 1,789,413
1 of 2 740 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham -Kent Health Unit
Budget Summary
Staff Allocation by Standard
Infectious and Chronic Disease Total Population Health Effective Public Emergency Healthy Healthy Growth and Communicable Substance Use and Position Title Health Equity Prevention and Well- Food Safety Immunization Safe Water School Health Board of Health Assessment Health Practice Management Environments Development Diseases Prevention Injury Prevention Being and Control
Program Staff F.T.E. # $ F.T.E. # $ F.T.E. # $ F.T.E. # $ F.T.E. # $ F.T.E. # $ F.T.E. # $ F.T.E. # $ F.T.E. # $ F.T.E. # $ F.T.E. # $ F.T.E. # $ F.T.E. # $ F.T.E. # $ Associate Medical Officer of Health ------Chief Nursing Officer 1.00 103,641 - - - - 0.25 25,910 ------0.75 77,731 ------Program Director ------Program Manager/Supervisor 4.50 450,315 - - 0.06 7,188 0.03 2,389 0.04 3,887 0.11 11,142 0.06 5,733 0.06 5,256 0.06 6,478 0.06 6,220 3.57 358,697 0.06 5,494 0.21 19,433 0.18 18,398 Project Officer ------Public Health Nurse 24.90 1,895,858 - - 0.25 21,740 - - 0.07 6,522 ------3.50 275,642 1.88 144,788 15.00 1,149,160 - - 2.25 154,813 1.95 143,193 Registered Nurse 1.00 86,960 ------0.75 65,220 - - 0.25 21,740 - - Registered Practical Nurse ------Nurse Practitioner ------Social Determinants of Health Nurse 1.00 86,960 - - 1.00 86,960 ------Infection Prevention and Control Nurse ------Public Health Inspector 9.00 704,958 ------0.08 6,015 - - 2.90 224,055 0.92 70,987 - - - - 3.72 297,044 0.72 56,795 - - 0.66 50,062 Dentist ------Dental Hygienist 2.00 141,142 ------0.18 14,237 ------1.50 105,856 - - 0.32 21,049 - - Dental Assistant 2.70 134,594 ------1.00 54,054 ------1.70 80,540 - - Health Promoter 5.30 348,008 0.25 16,462 0.50 32,924 0.25 16,462 - - 2.03 129,229 ------1.20 73,321 - - - - 1.07 79,610 Nutritionist 1.00 82,755 ------1.00 82,755 ------Dietitian 1.45 107,382 ------1.00 74,056 - - - - 0.45 33,326 ------Epidemiologist 0.50 57,501 0.13 14,375 ------0.37 43,126 ------Program Coordinator ------Program Support Staff 10.00 534,421 ------0.10 5,405 0.35 18,408 0.40 21,622 0.20 10,810 0.88 43,979 1.50 81,081 4.07 217,981 0.10 5,405 2.25 121,622 0.15 8,108 SFOA Inspector 1.00 59,787 ------1.00 59,787 Tobacco Control Coordinator/Manager ------TCAN Coordinator ------Youth Development Specialist ------Youth Engagement Coordinator 1.00 74,056 ------0.75 55,542 - - - - 0.25 18,514 Other SFO staff ------Student ------Communications Staff 0.50 34,243 ------0.50 34,243 ------Program Evaluator 1.00 74,057 0.06 4,629 0.06 4,629 0.13 9,257 ------0.75 55,542 ------Data Analyst ------Other Program Staff ------Total Program Staff 67.85 4,976,638 0.44 35,466 1.87 153,441 0.66 54,018 0.79 56,072 5.67 383,881 3.36 251,410 1.18 87,053 4.89 359,425 3.44 232,089 32.43 2,499,220 0.88 67,694 6.98 419,197 5.26 377,672 MOH & Administrative Staff F.T.E. # $ Medical Officer of Health 0.80 214,474 Chief Executive Officer 0.50 97,090 Director/ Business Administrator 1.00 141,591 Manager/Supervisor - - Secretarial/Admin Staff 1.00 67,396 Financial Staff - - I & IT Staff - - Communications Manager/Media Coordinator 0.50 34,243 Volunteer Coordinator - - Human Resources Staff/Coordinator - - Maintenance/Caretaker/Custodian/Security - - Other Administrative Staff - - Total MOH & Administrative Staff 3.80 554,794 Total Staffing 71.65 5,531,432
2 of 2 741 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
One-Time Funding Requests
1) Request Title: Seniors Dental clinic renovations
Category Capital Description :Chatham-Kent Public Health requires a dental clinic renovation to take place at an alternate location to allow for safe and efficient program delivery. Program Provide a detailed description and identify issue(s) and/or delivery at the current location no longer allows for safe distanced seating between existing staff, nor does it have space for onsite storage of the supplies needed to opportunities that have led to this request (e.g. increased run dental clinics. We are also faced with the challenge of a common entrance and small waiting room used by multiple programs; sexual health, immunizations, demand for services, legislative changes). Your description needle exchange program, and the dental program. These issues profoundly affects the delivery of services as appointments need to be reduced to accommodate should include details on the populations served and any other relevant data/demographics, and how the request other program schedules to allow for safe distancing. The alternate location will allow for safe delivery of the OSDCP and Healthy Smiles Ontario, without the need to relates to government and ministry priorities. reduce appointments to coordinate with other programs. This dental clinic would be connected to a large long term care facility with its own separate entrance. Risks / Impacts If funds are not provided for the renovation of the clinic, CK Publi Health will not have the means to provide dentist services as per the model outlined for the Ontario Describe the risks and/or direct impacts to programs and Seniors Dental program. It is imperative to move forward with the dental clinic renovation at the proposed space as the implementation of the OSDCP requires the services with not receiving any or all funding requested. clinic to meet the demand of our community (anticipated 1030 seniors will enroll and utilize the program) and the current building has reached its maximum capacity. Outcomes low income seniors who qualitfy for the ODSCP receive dental services What outcome(s) does the board of health intend to achieve with this request/project?
Can the project be completed by March 31, 2022? Yes What is the square footage of the facility? Is this an 1608 sq ft. The space is owned by the municipality of Chatham-Kent. CK Public Health is required to renovate the space to meet its needs. owned or leased facility? If leased, do terms require agency to repair / replace the areas / items proposed for the project?
Project Cost Item / Description Cost/Item Identify the cost per each Identify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST) . item. shell structure 3,500 interiors partitions & doors, finishes, fittings & equipment 204,000 mechanical & plumbing 155,000 electrical 75,000 construction allowances 78,700 professional fees , IT and security systems 46,300
1 of 5 742 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
One-Time Funding Requests
Total 562,500
2) Request Title: case and contact management
Category COVID-19 Extraordinary Costs Temporary staffing for COVID 19 Description Provide a detailed description of assumptions used to forecast extraordinary costs/pressures for 2021 and identify issue(s) and/or opportunities that have led to this request.
Risks / Impacts Describe the risks and/or direct impacts to programs and services with not receiving any or all funding requested.
Outcomes decreased amount of disease transmission, minimize mortality and morbidity of COVID-19 What outcome(s) does the board of health intend to achieve with this request/project?
Project Cost Item / Description Cost/Item Identify the cost per each Identify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST) . item.
Staffing (approximately 4 FTEs) 359,318
2 of 5 743 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
One-Time Funding Requests
Total 359,318
3) Request Title: COVID vaccinations- mass clinic and mobile strategy
Category COVID-19 Vaccine Program Extraordinary Costs Forecasted expenditures using average number of hours open per day (since initial opening) to December 31st 2021. Amounts may fluxiate substantially if the clinic Description Provide a detailed description of assumptions used to forecast moves into full time status. PH staff that are redeployed for immunization clinics are budgeted under regular COVID19. Only staff specifically hired for the extraordinary costs/pressures for 2021 and identify issue(s) immunization clinic are included in the clinic budget. and/or opportunities that have led to this request.
Risks / Impacts If funds are not received a minimal amount of vaccines will be administered. Describe the risks and/or direct impacts to programs and services with not receiving any or all funding requested. Outcomes 75 % of eliglible residents in Chatham- Kent are immunized in 2021, approximatley 67,500 residents, morbidity and mortality related to COVID-19 infection is What outcome(s) does the board of health intend to achieve minimized with this request/project?
Cost/Item Project Cost Item / Description Identify the cost per each Identify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST) . item.
Lease 99,000
Purchase of Service 207,475
Security 80,040
Other 139,553
Staffing (approximately 5.39 FTEs) 296,687
Mandatory Funding (378,892)
3 of 5 744 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
One-Time Funding Requests
Total 443,863
4 of 5 745 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
One-Time Funding Requests
One-Time Funding Requests Summary Amount
Seniors Dental clinic renovations 562,500
case and contact management 359,318
COVID vaccinations- mass clinic and mobile strategy 443,863
Total One-Time Funding Requested 1,365,681
5 of 5 746 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
Board of Health Membership
Type of Appointment Identify Municipality # Member First Name Member Last Name If Municipal (Municipal / Provincial) (if applicable) (Council / Citizen Representative) 1 Joe Faas Municipal Council Chatham-Kent 2 Karen Kirkwood-Whyte Municipal Council Chatham-Kent 3 Brock McGregor Municipal Council Chatham-Kent 4 Carmen McGregor Municipal Council Chatham-Kent 5 Noreen Blake Provincial Citizen Representative Chatham-Kent 6 Mike Genge Municipal Citizen Representative Chatham-Kent 7 Magdiel Hoste Municipal Citizen Representative Chatham-Kent 8 Joshua Caron Municipal Citizen Representative Chatham-Kent
1 of 1 747 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
Apportionment of Board of Health Costs
Method of Apportionment
if Other please explain
# Municipality Name % Share
1 Chatham-Kent 100.00% Total: (Must be 100.00%) 100.00%
1 of 1 748 2021 Annual Service Plan and Budget Submission Board of Health for the Chatham-Kent Health Unit
Key Contacts and Certification
Do not include personal contact information. Contact information (e.g., emails, phone numbers and mailing addresses) should be those of the board of health or a public health unit office. Key Contacts Board of Health / PHU Position First Name Last Name Phone + Extension Email City/Town Postal Code Office Mailing Address Chair, Board of Health Joe Faas 519-436-3208 [email protected] 435 Grand Ave W Chatham N7L 3Z4
Medical Officer of Health David Colby 519-352-7270 x 2500 [email protected] 435 Grand Ave W Chatham N7L 3Z4 Chief Executive Officer April Rietdyk 519-352-7270 x 2100 [email protected] 435 Grand Ave W Chatham N7L 3Z4 (if applicable) Business Administrator Teresa Bendo 519-352-7270 x 2400 [email protected] 435 Grand Ave W Chatham N7L 3Z4 Certification
Position Date Approved Board of Health Chair Medical Officer of Health / Chief Executive Officer Business Administrator (Verifies that the budget data provided in the Annual Service Plan and Budget Submission is accurate)
1 of 1 749
Municipality Of Chatham-Kent
Community Human Services
Public Health Unit
Information Report
To: Board of Health
From: Laura Zettler, Epidemiologist & Program Manager
Date: April 1, 2021
Subject: Mitigating the Human and Social Impacts of COVID-19 ______
This report is for the information of the Board of Health.
Background
On March 11, 2020, the World Health Organization declared COVID-19 a global pandemic. Governments at all levels, public health, and nonprofit organizations quickly began working towards ‘flattening the curve’ of COVID-19. Many large-scale public health measures and interventions were implemented by governments and public health officials to protect the public’s health and ensure the health care system did not get overwhelmed. While these measures were effective in slowing the spread of COVID-19, they have created and continue to create unintended impacts for individuals and communities.
Chatham-Kent (CK) declared a state of emergency on March 13, 2020 in response to the COVID-19 pandemic, and CK Public Health activated emergency response measures. In response to the public health interventions, the United Way of Chatham- Kent established a COVID-19 Community Response and Recovery Strategy. Community partners (including public health) have been identifying and working together to mitigate emergent local impacts which have unfolded over the last year. On June 29, 2020 the Municipality of Chatham-Kent’s Council passed a motion requesting recommendations for mitigating the negative community impacts of COVID-19. On September 21, 2020, Council received the first information report in response to this motion, outlining the human and social impacts of COVID-19.
Since that time, CK Public Health staff have worked to gather information for a follow-up report to Council, focused on recommendations to mitigate the unintended impacts of COVID-19. The partners working together under the United Way Response and Recovery Strategy, have grown into social planning tables that are shifting their collective attention from emergent needs to long-term (and long-standing) needs and issues in the community that all partners can work to collaboratively address. 750
Mitigating Human and Social Impacts of COVID-19 2
To prepare the follow-up report to Council, CK Public Health staff:
• Completed a scan of the available regional, provincial, and national literature to identify mitigation strategies for the human and social impacts of COVID-19 and areas of action for recovery;
• Reviewed current municipal work aimed at addressing the root causes of differences in health to identify areas of alignment and collaboration; and
• Met with the COVID-19 Response and Recovery Strategy Social Planning Tables hosted by the United Way of Chatham-Kent and the Municipality of Chatham- Kent Directors to gain insight on actions required for CK’s COVID-19 recovery.
The follow up recommendation report will be presented to Municipal Council at the April 26th meeting. The report focuses on two overarching areas for action, and provides steps that the Municipality of Chatham-Kent can take in addressing the impacts of COVID-19 and working towards a resilient and equitable recovery. These overarching recommendations are as follows:
1. Continue to strengthen key determinants of health
• Work towards adequate income for all residents • Support the CK Food Strategy • Continue to grow affordable housing options • Expand harm reduction services 2. Establish and implement a Municipal Diversity, Equity and Inclusion (DEI) Strategy
• Use equity as a central considerations for municipal planning, policy and decision-making by use of an equity and inclusion tool. • Enable consistent and collaborative data collection and sharing across the Municipality. • Use community engagement to guide planning, implementation and evaluation of municipal services. • Coordinate and align municipal initiatives related to sustainability, climate, economic development, and health. • Create and implement a plan to ensure equity and inclusion across municipal departments.
Specifically, the report will recommend that Municipal Council:
1. Accepts the report and its two key recommendation areas outlined above; and 751 Mitigating Human and Social Impacts of COVID-19 3
2. Direct administration to:
a. Move forward with planning and implementing actions to address the areas identified in this report; including formal consultation with the Community Response and Recovery Social Planning Tables and any other groups required to ensure community engagement; b. Support current and future conversations with the area’s Urban Indigenous people; c. Support strategic and education sessions with Council to prioritize action items; d. Update Council on progress and identified needs moving forward; and e. Dedicate human resources to operationalize a Municipal Diversity, Equity and Inclusion Strategy (DEI Strategy), specifically, hire a Diversity Equity and Inclusion Coordinator to be housed within Corporate Services of the Municipality. Comments
The purpose of this report is to update the Board of Health on the information gathered through this process and the recommendations that will be presented to Council. If these recommendations are approved, there will be implications for all Municipal departments and community partners, as this work will require collective understanding and effort to be successful. CK Public Health staff has worked to gather information from a variety of sources to learn about the human, social, and health impacts of the COVID-19 pandemic, and what needs to be done to mitigate these impacts. What has become clear is that COVID-19 has exacerbated long-standing issues in Chatham-Kent, and there is a need for collective and strategic action to address these issues and produce system-level change. The recommendations being put forward to Council are only a starting point to initiate this work and to think differently about how CK Public Health, municipal departments and community partners, plan and implement services.
Consultation
CK Public Health staff have reviewed literature and have gathered information from community partners participating in the COVID-19 Response and Recovery Strategy Social Planning Tables hosted by United Way of Chatham-Kent as well as the Municipality of Chatham-Kent Senior Management Team, to gain insight around local impacts and actions required for CK’s COVID-19 recovery. Consultation and engagement with Municipal departments, community partners, and priority populations in Chatham-Kent will be required in order to wholesomely develop and plan the work required to accomplish the recommendations outlined.
Financial Implications
There are no financial implications resulting from this report. Costs incurred were covered within the current budget. 752
Mitigating Human and Social Impacts of COVID-19 4
Prepared by: Reviewed by:
______Laura Zettler, MSc Teresa Bendo, Epidemiologist & Program Manager Director, Public Health
Reviewed by:
______April Rietdyk, RN, BScN, MHS, PhD PUBH General Manager Community Human Services
Attachments: None
This report addresses the following requirement(s) of the Ontario Public Health Standards: Foundational Standards – Population Health Assessment (1, 3, 6); Health Equity (1, 3, 4); Effective Public Health Practice (5, 6, 8) 901
March 18th, 2021
This update is a tool to keep alPHa's members apprised of the latest news in public health including provincial announcements, legislation, alPHa activities, correspondence, and events. Visit us at alphaweb.org.
Thank You!
Yesterday marked the one-year anniversary of the Ontario government declaring a state of emergency. Throughout the past year alPHa members have worked tirelessly to protect the health and safety of people from across the province. Thank you to our Medical Officers of Health, Associate Medical Officers of Health, Board of Health members, and Affiliate members for your service, dedication, and public health leadership.
COVID-19 Update
As part of the response to COVID-19, alPHa continues to represent the public health system and work with key stakeholders including the Ministry of Health, Office of the Chief Medical Officer of Health, Ontario Medical Association, Association of Municipalities of Ontario, Dalla Lana School of Public Health, primary care sector, and others. alPHa frequently shares Situation Reports and COVID-19-related news with the membership. If you are not receiving these, please get in touch with the contact person at your health unit who distributes information on behalf of alPHa.
Visit the Ministry of Health's page on guidance for the health sector View the Ministry's website on the status of COVID-19 cases Go to Public Health Ontario's COVID-19 website Visit the Public Health Agency of Canada's COVID-19 website
Conference and Annual General Meeting Update Ontario’s Public Health System 902
Challenges – Changes – Champions June 8, 2021 alPHa’s 2021 Conference and Annual General Meeting is online this year. The event will continue the conversation on the critical role of Ontario’s public health system and will include discussions on the response to COVID-19 and the future of public health.
In conjunction with the AGM, members were recently sent the following documents: • Notice of the 2021 alPHa Annual General Meeting • Call for 2021 alPHa Resolutions • Call for 2021 alPHa Distinguished Service Awards • Call for Board of Health Nominations alPHa Board of Directors
These documents and additional information about the AGM and Conference, including the event flyer, can be found here. The draft program and registrations are scheduled to go live on the alPHa website in mid-April. In the meantime, don’t forget to hold the date: June 8th!
A sponsorship package is available for the conference and can be accessed here.
Request for Photos
Do you have a photo showing alPHa members in action that we can share with attendees at the Annual Conference? We want to profile the key role that public health is playing in the pandemic response. Please send your images to: [email protected] alPHa Fitness Challenge
The alPHa fitness challenge is back! And this time…no paperwork!
All members are encouraged to engage in masked and physically distant fitness activities (on their own or with those in their household) that are at least 30 minutes in length during the month of May. Participate and share a picture on your Twitter account, tagging @PHAgencies #alPHa2021. You will be highlighted in the alPHa e- newsletter and during the AGM June 8th.
The Fitness Challenge flyer can be found here. (We will also post this soon on the website.)
Get ready to virtually meet and tips from our hosts NWHU!
As hosts of the alPHa AGM in June, NWHU wants to help you to prepare by sharing tips from their Healthy Meetings and Events Guide to help you prepare for a productive day. The tips are useful for all of your 903
meeting filled days! Help yourself by making the healthy choice the easy choice. Prepare for your day by packing a healthy lunch and snacks, filling up your water bottle, and scheduling in some opportunities to move (even just a little).
Looking for more? Implement a healthy meeting and event policy for your organization using resources available at NWHU Healthy Meetings and Events alPHa Correspondence
Through policy analysis, collaboration, and advocacy, alPHa’s members and staff act to promote public health policies that form a strong foundation for the improvement of health promotion and protection, disease prevention, and surveillance services in all of Ontario’s communities. Check out the most recent submissions.
Boards of Health: Shared Resources A resource page is available on the alPHa's website for Board of Health members to facilitate the sharing of and access to orientation materials, best practices, by-laws, resolutions, and other resources. If you have a best practice, by-law or any other resource that you would like to make available, please send a file or a link with a brief description to [email protected] and it will be posted in the appropriate library.
In addition, here are additional resources available on the alPHa website: • Orientation Manual for Board of Health • Review of Board of Health Liability (PowerPoint presentation • Governance Toolkit • Risk Management for Health Units • Healthy Rural Communities Toolkit • The Ontario Public Health Standards • Public Appointee Role and Governance Overview • Ontario Boards of Health by Region • List of Units sorted by Municipality • List of Municipalities sorted by Health Unit
PHO Courses
Information on PHO events and professional development opportunities can be found here: https://www.publichealthontario.ca/en/education- and-events/events#q=1 Topics include: infectious disease, emergency preparedness, immunization, environmental and occupational health, health promotion, chronic diseases, epidemiology, laboratory sciences and research.
New Releases 904
• Ministry of Health Transfer Orders: https://www.ontariohealth.ca/corporate-documents and https://www.health.gov.on.ca/en/news/bulletin/ - March 17, 2021 • Ontario is Expanding the Protection and Preservation of Green Spaces – March 15, 2021 • Ontario Provides Additional Protection for Retirement Home Residents and Staff – March 15, 2021 • Supporting Eastern Ontario’s Historic Sites, Parks and Attractions during COVID-19 – March 15, 2021 • Ontario Expanding Access to Mental Health and Addictions Services in Northwestern Ontario – March 15, 2021 • Ontario Launching Provincial Booking System for COVID-19 Vaccines – March 14, 2021 • Ontario Moving Three Regions to New Levels in the COVID-19 Response Framework – March 12, 2021 • Canada and Ontario Invest to Expand Community and Recreational Infrastructure in Toronto – March 12, 2021 • Ontario Takes Steps to Further Protect Nipissing Region Businesses from COVID-19 – March 12, 2021 • Ontario Supports Expanding Virtual Mental Health Services for Youth – March 11, 2021 • Ontario Activates Emergency Brake in Sudbury Public Health Region – March 11, 2021 • Ontario to Release 2021 Budget on March 24 – March 11, 2021 • Ontario Pharmacies and Primary Care Settings to Begin Offering COVID-19 Vaccinations – March 10, 2021 • Ontario Takes Further Action to Protect Homeless Shelters during COVID-19 – March 10, 2021 • Ontario Completes All First Dose COVID-19 Vaccinations in Northern Remote Indigenous Communities – March 8, 2021 • Ontario Accelerates Safe and Affordable Housing in Hamilton – March 5, 2021 • Ontario Ready to Rollout Phase Two of COVID-19 Vaccine Distribution Plan – March 5, 2021 • Toronto, Peel and North Bay-Parry Sound Public Health Regions Returning to Strengthened COVID-19 Response Framework – March 5, 2021 • Ontario Increasing Mental Health Supports for Indigenous Peoples, Families and Communities – March 4, 2021 • Ontario Renews Calls for Ottawa to Provide Fair Share of Health Care Funding – March 4, 2021 • Canada and Ontario Invest to Improve Recreational Infrastructure in Atikameksheng Anishnawbek – March 4, 2021 • Ontario Provides Additional Support for Municipalities During COVID-19 – March 4, 2021 • Ontario Provides More than $1 Billion in Support for Small Business – March 2, 2021 • Ontario Increasing Supports for Black Students – March 1, 2021 • Ontario Keeping Seniors Safe and Socially Connected during COVID-19 – March 1, 2021 905
• Ontario Activates Emergency Brake in Thunder Bay District Health Unit and Simcoe Muskoka District Health Unit – February 26, 2021 • Canada and Ontario Invest in Culture and Recreation Infrastructure in the City of Hamilton – February 25, 2021 • Ontario Supports the Greenbelt Foundation – February 23, 2021 • Ontario Administers over Half a Million Doses of COVID-19 Vaccines – February 19, 2021 • Stay-at-Home Order Extended in Toronto and Peel Public Health Regions Along with North Bay-Parry Sound – February 19, 2021 • Ontario Takes Action to Combat Racism and Hate Crimes – February 19, 2021
Association of Local Public Health Agencies 480 University Avenue, Suite 300 | Toronto ON | M5G 1V2 416-595-0006 | www.alphaweb.org | [email protected] 906 907
2021 alPHa FITNESS CHALLENGE
The alPHa Annual Fitness Challenge is coming soon! All members - Medical/Associate Medical Officers of Health, Board of Health members and Affiliates - are encouraged to engage in masked and socially-distant fitness activities (on their own or with those in their household) that are at least 30 minutes in length during the month of May. The more often that you do this, the better!
New for 2021 - We are making things simple. No more paperwork! Participate and share it on your Twitter account. Don't forget to include in your tweet: a picture, @PHAgencies and #alPHa2021. We will also profile your Fitness Challenge activities on alPHa's Twitter account, e-newsletter, website and at the alPHa Conference which is taking place online on June 8th. 908
HERE’S HOW TO PARTICIPATE
READY - Decide on an activity. SET - Participation of a minimum of 30 minutes of physical activity. GO! - Post your tweets with pictures and include @PHAgencies and #alPHa2021 REPEAT! - Keep participating!
Easy Tips to Get Active!
At Home - Work in the garden or mow the grass. Using a riding mower doesn't count! Rake leaves, prune, dig and pick up trash. Go out for a short walk before breakfast, after dinner or both! Start with 5-10 minutes and work up to 30 minutes.
At Work - Many of us have sedentary jobs and many of us are also working at home and missing the active transportation that we used to have going to and from work. Stand or walk around while talking on the telephone.
At Play - Play and recreation are important for good health. Look for opportunities to be active and have fun at the same time: Do these regularly.
Thank you for participating in the 2021 alPHa Fitness Challenge! 909 910