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THUNDER BAY DISTRICT HEALTH UNIT BOARD OF HEALTH MEETING AGENDA 2020-11 November 18, 2020 1:00 PM Microsoft Teams Meeting Pages 1. CALL TO ORDER Chair: Mr. James McPherson 2. ATTENDANCE AND ANNOUNCEMENTS 3. DECLARATIONS OF CONFLICT OF INTEREST 4. AGENDA APPROVAL RES 1: THAT the Agenda for the Regular Board of Health Meeting to be held on November 18, 2020, be approved. 5. INFORMATION SESSION 1 6. MINUTES OF THE PREVIOUS MEETINGS 6.1. Thunder Bay District Board of Health 7 The Minutes of the Thunder Bay District Board of Health (Regular and Closed Session) Meeting held on October 21, 2020, for approval. RES 2: THAT the Minutes of the Thunder Bay District Board of Health (Regular and Closed Session) Meeting held on October 21, 2020, be approved 7. MATTERS ARISING FROM THE MINUTES 8. BOARD OF HEALTH (CLOSED SESSION) MEETING RES 3a: THAT the Board of Health move into Closed Session to receive information relative to labour relations or employee negotiations. 9. DECISIONS OF THE BOARD 9.1. 2021 Mandatory Program Budgets 16 Report No. 37-2020 (Finance) relative to providing the Board of Health with the proposed 2021 Mandatory Program (Cost-Shared) Budgets. RES 4: THAT with respect to Report No. 37 – 2020 (Finance), we recommend that the: 1. 2021 Mandatory Core Program Budget (Cost-Shared) be approved at $15,724,603 including 40 net full time equivalent (FTE) positions, for submission to the Ministry of Health; 1. Municipal Levy be set at $3,213,543; 1. 100% Indigenous Communities: Indigenous Partnerships budget be approved at $99,500, with 1.0 FTE and submitted to the Ministry of Health; 1. 100% Indigenous Communities: Street Outreach budget be approved at $110,000, with 1.0 FTE and submitted to the Ministry of Health; 1. 100% Indigenous Communities: Public Health budget be approved at $400,000, with 1.0 FTE and submitted to the Ministry of Health; 1. 100% Ontario Seniors Dental Care Program budget be approved at $612,400, with 2.9 FTEs and submitted to the Ministry of Health; 1. 100% Northern Fruit and Vegetable Program budget be approved at $661,600, with 3.5 FTEs and submitted to the Ministry of Health; 1. Land Development Program budget be approved at $193,488 including 2.0 FTE positions; 1. 100% Public Health Inspector Practicum budget be approved at $10,000, and be submitted to the Ministry of Health; 1. Director of Corporate Services and Manager of Finance be authorized to complete any administrative requirements of the respective budget submission processes, as required; and 1. Director of Corporate Services and Manager of Finance be authorized to arrange appropriate financing for the funding of the Health Unit operations, if 9.2. Employee Benefit Plan Renewal 105 Report No. 38-2020 (Finance) relative to providing the Board of Health with recommendations for the renewal of the Employee Benefit Plan. RES 5: THAT with respect to Report No. 38 – 2020 (Finance / Human Resources), we recommend the renewal of the Employee Group Benefit Plan with Green Shield Canada and Sun Life Financial through the Association of Local Public Health Agencies (alPHa) Employee Group Benefit Consortium Plan as presented for the policy term of December 1, 2020 to November 30, 2021; AND THAT the Director of Corporate Services and the Manager of Finance be authorized to complete any administrative requirements of the renewal. 9.3. Income Solutions to Address Food Insecurity 110 Report No. 41-2020 (Healthy Living) relative to providing the Board of Health with recommendations for food insecurity and poverty reduction advocacy. RES 6: THAT with respect to Report No. 41-2020 (Healthy Living), we recommend examining income solutions to reduce food insecurity in Canada; AND THAT a letter be sent to the federal government on behalf of the Board of Health in support of this recommendation. 10. COMMUNICATIONS FOR INFORMATION 10.1. Ontario Senior's Dental Program 115 Report No. 32-2020 (Oral Health) relative to providing the Board of Health with an update on the Ontario Senior's Dental Program, for information. 10.2. Third Quarter Interim Financial Statements 117 Report No. 40-2020 (Finance) relative to providing the Board of Health with the interim financial report for the quarter ended September 30,2020, for information. 10.3. COVID-19 Financial Implications 125 A memorandum from Mr. L. Dyll, Director of Corporate Services, dated November 18, 2020, relative to providing the additional information on the financial implications of the COVID-19 pandemic, for information. 10.4. COVID-19 (Coronavirus) Update Dr. J. DeMille, Medical Officer of Health and Chief Executive Officer, will provide an update to the Board of Health on the status of the coronavirus pandemic in the Thunder Bay District Health Unit, for information. 10.5. Public Health System Evaluation - COVID Response Dr. J. DeMille, Medical Officer of Health and Chief Executive Officer, will provide an overview of the report from the Council of Ontario Medical Officers of Health relative to public health system evaluation and lessons learned from the first peak of the COVID-19 pandemic, for information. 11. NEXT MEETING The next regularly scheduled meeting will be held on December 16, 2020. at 1:00 p.m. 12. ADJOURNMENT RES 7: THAT the Board of Health meeting held on November 18, 2020, be adjourned at _________ p.m. 13. RESOLUTION CORRESPONDENCE 127 Letter from Grey Bruce Health Unit, dated October 29, 2020, addressed to Minister Hajdu and Minister Elliott, relative to endorsing the call from the Municipal Drug Strategy Coordinators Network of Ontario regarding safer supply initiatives. Letter from Grey Bruce Health Unit, dated October 30, 2020, address to Minister Hajdu, Minister Fullerton and Ontario’s Long-Term Care COVID-19 Commission, relative to supporting correspondence from Simcoe Muskoka District Health Unit regarding the need to reform and redesign the Long-Term Care system in Canada. 11/17/2020 Addressing the Root Cause of Household Food Insecurity Presented to: Thunder Bay District Health Unit - Board of Health Presented by: Ivan Ho, Public Health Nutritionist Outline 1. Household Food Insecurity (HFI) 2. HFI Statistics 3. Impacts of COVID-19 on HFI 4. Income Solutions to HFI 5. Call to Action 6. Questions 1 1 11/17/2020 Household Food Insecurity (HFI) “Inadequate or insecure access to food primarily due to financial constraints” - PROOF Food Insecurity Policy Research Marginal Moderate Severe Proportion or percentage (%) of Worry about Compromise in Miss meals, households that running out of food quality and/or reduce food intake, and/or limited food quantity of food and at the most experience food selection extreme go day(s) insecurity without food Household Food Insecurity (HFI) Consequences of HFI - ↑Poor diets - ↑Chronic disease rates - ↑Premature death - ↓Productivity and learning (esp. youth) - ↓Mental health - ↑Healthcare costs 2 2 11/17/2020 HFI Statistics ● 1 in 3.5 28.2% Indigenous households ● 1 in 7.8 12.7% Canada households ● 1 in 7.5 Ontario 13.3% households ● 1 in 6.9 Thunder Bay 14.3% households (CCHS 2017-2018 - Based on PROOF method) HFI Statistics Household Food Insecurity in the District of Thunder Bay 14.6 14.4 14.4 14.3 Percent (%) 14.2 Household 14.0 Food 13.8 Insecurity 13.6 13.5 13.4 13.4 13.2 13.0 12.8 2009/2010 2011/2012 2013/2014 2017/2018 Data Source: Statistics Canada, Canadian Community (CCHS) 2009-2010, 2011-2012, 2013-2014 2017-2018 3 3 11/17/2020 Impacts of COVID-19 on HFI Loss of work Loss of income Increase in HFI Precarious work At a moment’s notice, HFI in Canada is hours loss of work leads to significantly higher decreased income during COVID-19 Reduced work hours which direct affects (14.6%) compared to Extensive job loss food affordability the 2017/2018 CCHS results (10.5%)* Uncertain food supply and increase in food prices Income Solutions to HFI Current solutions are not effective, not sustainable, and are not equitable ● Charitable food programs (i.e. Food Banks) ● Social supports /assistance (i.e. Ontario Works) 4 4 11/17/2020 Income Solutions to HFI Research has shown that HFI can be reduced through public policies that improve the financial circumstances of low-income households ↓ Poverty and ↑ Adequate Income Call to Action - BOH - Letter of Support - Continued monitoring of Food Affordability (Nutritious Food Basket Survey Annually or Biennially) - Support efforts to reduce racialized poverty 5 5 11/17/2020 Questions? 6 6 BOARD OF HEALTH MEETING MINUTES OF THE MEETING: OCTOBER 21, 2020 TIME OF MEETING: 1:00 P.M. PLACE OF MEETING: VIDEOCONFERENCE CHAIR: MR. JAMES MCPHERSON BOARD MEMBERS PRESENT: ADMINISTRATION PRESENT: Ms. Alana Bishop Dr. J. DeMille, Medical Officer of Health and Chief Mr. Norm Gale Executive Officer Ms. Deborah Harris Shallow Mr. L. Dyll, Director – Corporate Services Mr. Dave Hamilton Ms. T. Rabachuk, Director – Health Protection Ms. Maria Harding Ms. L. Roberts, Director – Health Promotion Mr. John MacEachern Ms. D. Gowanlock, Manager – Infectious Diseases Mr. James McPherson Ms. A. Jennings, Manager – Human Resources Ms. Karen O’Gorman Ms. K. Battigelli, Senior Public Health Nurse Ms. Kristin Oliver Ms. N. Kent, Administrative Assistant – Corporate Mr. Don Smith Services Mr. Greg Vallance Ms. S. Stevens, Executive Assistant and Secretary to Ms. Michelle Warywoda the Board of Health REGRETS: Mr. Jim Vezina 1. CALL TO ORDER The Chair called the meeting to order at 1:00 p.m. 2. ATTENDANCE AND ANNOUNCEMENTS The Chair presented regrets from Mr. Vezina. Board members were reminded that the meeting is being live-streamed on the Health Unit website. 7 Board of Health Meeting October 21, 2020 3. DECLARATIONS OF CONFLICT OF INTEREST There were no declarations of conflict of interest.