THE CITY of TORONTO City Clerk's Office Minutes of Board of Health
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THE CITY OF TORONTO City Clerk’s Office Minutes of Board of Health Meeting 8 September 26, 2005 The Board of Health met on Monday, September 26, 2005 in Committee Room 1, 2nd Floor, City Hall, Toronto, commencing at 1.10 p.m. Attendance Members were present for some or all of the time periods indicated. 1:10 p.m. to 6:30 p.m. Councillor John Filion, Chair X Trustee Sheila Cary-Meagher X Councillor Oliva Chow X Cathy Crowe X Councillor Janet Davis X Councillor Glenn De Baeremaeker X Councillor Paula Fletcher, Vice-Chair X Nathan Gilbert Brian Hyndman Councillor Joe Mihevc X Fiona Nelson X Rhonda Roffey Valerie Sterling X Councillor Filion in the Chair. Confirmation of Minutes On motion by Fiona Nelson, the Minutes of the meeting of the Board of Health on July 11, 2005 were confirmed. Chair/MOH Announcements: Councillor John Filion, Chair of the Board of Health, announced Cathy Crowe, Board Member, as being this year’s recipient of the Honorary Doctor of Laws Degree from McMaster University, Hamilton, Ontario. Cathy Crowe has pioneered street health nursing in this country and is a strong and eloquent nursing voice, advocating affordable housing as a key determinant of health. - 2 - Board of Health Minutes Monday, September 26, 2005 Dr. David McKeown, Medical Officer of Health, announced that the following Toronto Public Health staff were awarded two gold medals and one bronze medal in the recent Ontario Public Sector Quality Fairs, which awards will be presented on October 6, 2005 at the National Trade Centre – Exhibition Place, where these programs will be displayed: (1) The Toronto Heart Health Partnership – a group of approximately 72 partner organizations committed to improving the heart health of our citizens – won a gold medal - Linda Ferguson, Manager, CDP; - Paula Waddell, CDP Integration Coordinator; - Zaheeda Daya, CDP Integration Coordinator; and - Susan Plante, CDP Integration Coordinator (2) Dine Safe Program – a unique and innovative example of transparency in public disclosure also won a gold medal - Sylvanus Thompson, Healthy Environment Manager, QA (3) The Provincial Eat Smart Program that works in partnership with restaurant owners, schools and workplace cafeteria service providers to improve healthy menu options offered to patrons and policy supports to encourage healthy eating environments, won a bronze meal - Sari Simkins, Manager, CDP; and - Joanne Figliano-Scott, Consultant, Health Promotion. The following distinguished visitors from the City of Montreal Public Health Department were also introduced to the Board: - Dr. Richard Lessard, Public Health of Montreal; - Dr. Louis Drouin, Chief of the Urban Environment and Health Sector in the Public Health Department of Montreal’s Health and Social Services Agency; and - Dr. John Carsley, Chief of the Health Protection Sector in the Public Health Department of Montreal’s Health and Social Services Agency. 8.1 Presentation by Dr. David Butler-Jones, Chief Public Health Officer, Public Health Agency of Canada The Board of Health received the presentation by Dr. David Butler-Jones, Chief Public Health Officer, Public Health Agency of Canada and expressed thanks and appreciation to Dr. Butler-Jones for his presentation and visit. 8.2 Toronto Public Health 2006 Operating Budget The Board of Health considered a report (September 23, 2005) from the Medical Officer of Health, presenting the Toronto Public Health (TPH) 2006 Operating Budget request to the Board of Health. - 3 - Board of Health Minutes Monday, September 26, 2005 Recommendations: It is recommended that: (1) a Toronto Public Health 2006 Operating Budget of $214,140.1 thousand gross and $66,004.5 thousand net including a base budget of $197,475.6 thousand gross and $59,486.7 thousand net, and New and Enhanced Services of $16,664.5 thousand gross and $6,517.8 thousand net, be approved; (2) the list of adjustments included in the Toronto Public Health 2006 Operating Budget and Summarized in Table 3, “Summary of 2006 Base Changes from 2005 Approved Budget” of this report totaling an increase of $3,389.1 thousand gross and a reduction of $11,305.2 thousand net, be approved; (3) the list of adjustments included in the Toronto Public Health 2006 Operating Budget and Summarized in Table 4, “Summary of 2006 New and Enhanced Services” totaling $16,664.5 thousand gross and $6,517.8 thousand net, be approved; (4) City Council continue to invest sufficient municipal funds to strengthen public health services in Toronto as recommended by the Walker expert panel and the Campbell commission, and to leverage new one-time provincial funding to promote and protect the health of the Toronto population; (5) City Council be requested to direct any reduction in TPH 2006 municipal funding to municipal services that enhance the health of the City’s population and that the Medical Officer of Health be provided an opportunity for input into the choices made; (6) this report is forwarded to the Budget Advisory Committee for its consideration; and (7) the appropriate City officials be authorized and directed to take the necessary action to give effect thereto. The Board of Health also had before it the following communications: (i) (July 27, 2005) from Councillor Shelley Carroll; (ii) (September 26, 2005) from Nathalie Karvonen, Executive Director, Toronto Wildlife Centre; and (iii) (September 26, 2005) from A. Terpstra, International Institute of Concern for Public Health, Fluoride Toxicity Research Collaborative. The following persons appeared before the Board of Health: - Christina Girgulis, Cat Advocacy Team; - 4 - Board of Health Minutes Monday, September 26, 2005 - Ferne Finkins, Cat Advocacy Team; - Aliss Terpstra, International Institute of Concern for Public Health; and - Nathalie Karvonen, Toronto Wildlife Centre. A. Councillor Davis moved that the Board of Health recommend to the Budget Advisory Committee that the staff recommendations in the Recommendations Section of the report (September 23, 2005) from the Medical Officer of Health, be adopted, subject to: (a) Recommendations (1), (2) and (3) being amended by adding the words “in principle”, at the end of each recommendation, so that the recommendations read as follows: “(1) Toronto Public Health 2006 Operating Budget of $214,140.1 thousand gross and $66,004.5 thousand net including a base budget of $197,475.6 thousand gross and $59,486.7 thousand net, and New and Enhanced Services of $16,664.5 thousand gross and $6,517.8 thousand net, be approved in principle; (2) the list of adjustments included in the Toronto Public Health 2006 Operating Budget and Summarized in Table 3, “Summary of 2006 Base Changes from 2005 Approved Budget” of this report totaling an increase of $3,389.1 thousand gross and a reduction of $11,305.2 thousand net, be approved in principle; and (3) the list of adjustments included in the Toronto Public Health 2006 Operating Budget and Summarized in Table 4, “Summary of 2006 New and Enhanced Services” totaling $16,664.5 thousand gross and $6,517.8 thousand net, be approved in principle;” (b) Recommendation (5) being amended to read as follows: “(5) City Council be requested to direct any reduction in TPH 2006 municipal funding to municipal services that enhance the health of the City’s population and that the Medical Officer of Health in consultation with the Board of Health Budget Subcommittee and interested Board members, provide recommendations on these additional programs and services to appropriate City staff.” B. Councillor Chow moved that the Board of Health recommend to the Budget Advisory Committee that a new recommendation be added to the staff recommendations as follows: “that the 2006 Toronto Public Health dental budget include an amount of $83,509. thousand gross and $29,228. thousand net for two positions (one Dental Hygienist and one Dental Assistant), to identify and refer for care, pregnant women and new mothers in shelters in need of dental cleaning and treatment.” - 5 - Board of Health Minutes Monday, September 26, 2005 C. Councillor Olivia Chow moved that drown proof swimming lessons for grade 3 students be considered as part of the $4.8 million collaborative initiatives that promote public health and community safety. D. Councillor Glenn De Baeremaeker moved that: The 2006 Toronto Public Health Operating Budget be increased by $800,000.00 with $500,000.00 allocated for a Trap/Neuter/Release Program and $300,000.00 be allocated to the Toronto Wildlife Centre; and that the Medical Officer of Health be requested to report back on the benefits of these programs during consideration of the 2006 Toronto Public Health Operating Budget; and The Medical Officer of Health be requested to report back to the Board of Health on the creation of a community health innovation grants program, develop priority issues and provide options for funding levels of $2 million and $4 million, such report to be completed in time to be considered with the 2006 Toronto Public Health Operating Budget. E. Councillor Glenn DeBaeremaker moved that the Medical Officer of Health be requested to report back to a future meeting of the Board on the possible introduction of a spaying/neutering program and a Trap, Neuter and Release Program; such report to be completed in time to be considered with the 2006 Toronto Public Health Operating Budget. F. Councillor Glenn DeBaeremaker moved that the Medical Officer of Health report back to the Board of Health regarding the merits of supporting the Toronto Wildlife Centre, and other similar groups, as a means of providing Animal Care services to the citizens of Toronto, and outlining possible funding options within the 2006 Toronto Public Health Operating Budget; such report to be completed in-time to be considered with the 2006 Toronto Public Health Operating Budget. G. Valerie Sterling moved that the Medical Officer of Health be requested to include a proposal for a dental clinic in the north east part of the City and that costs for such a proposal be included within the 2006 Toronto Public Health Operating Budget.