/IS:1><121\ Town of Bracebridge ~ BRACEBRIDGE Council Correspondence The Heart of Muskoka TO: Mayor G. Smith and Members of Town Council S. Rettie, Chief Administrative Officer COPY: Management Team Media FROM: L. McDonald, Director of Corporate Services/Clerk DATE: November 17, 2020 CIRCULATION: Item # Description SECTION “A” – STAFF INFORMATION MEMOS: A1 Nil. SECTION “B” – GENERAL CORRESPONDENCE: Communication from the Simcoe Muskoka District Health Unit, regarding the 2019-2020 B1 Annual Community Report. Communication from Mia Brown, Program Manager, Substance Use and Injury Prevention B2 Program, Simcoe Muskoka District Health Unit, dated November 2020 regarding Simcoe Muskoka Opioid Strategy. Resolution from Matt MacDonald, Director of Corporate Services/City Clerk, City of Belleville, B3 dated November 10, 2020 regarding Proposing Changes to the Municipal Elections Act – Extension of Nomination Period. Resolution from Tanya Daniels, City Clerk, City of Brantford, dated November 12, 2020 B4 regarding Bill 218 – Ranked Ballots for Municipal Elections. Page 1. ANNUAL COMMUNITY REPORT Medical officer of health + Board Chair message As reported in the 2018-2019 Annual Report, the Board of Health and the What is less visible is our preventive work that sets the stage for good Medical Officer of Health were challenged, like all health units, with the health in the long term, the work that is done in our immunization and province’s plans to transform the public health system. dental programs, and our family health teams. That work has been on hold While we were unclear what the announcement was going to mean for our due to the pandemic, and we now have thousands of children who have future, we began to prepare for the possibility of significant change by both missed their Grade 7 vaccinations, hundreds of low-income families who reviewing our mandate and operations while mounting a vigorous response have been unable to access our dental clinics, and many more families who highlighting the importance of public health. We could not have foreseen have not received the in-home health unit and breastfeeding support to that in just a year the world would be consumed by a pandemic that has help their children get a healthy start in life. New programs, like in-school disrupted our societies and economies – indeed our entire way of life. vision screening, are still on hold. Sexual health clinics, tobacco cessation workshops, infection prevention and control inspections, prenatal classes, Public health plays a critical and necessary role in the health and well-being and inspections of restaurants and other food service providers are a few of our communities and that has never been more obvious than now. Since of the other health unit programs and services that will need to resume as the activation of our Incident Management System on January 24, 2020, we our economy and our businesses continue to reopen, while we balance the have worked full out in an effort to control the spread of COVID-19 in our demands of our COVID-19 response. region. At peak community transmission of COVID-19 in April, the health unit had paused most routine programming and had redeployed about 180 staff Our federal, provincial and municipal governments have done a to the Infectious Diseases and Health Connection programs. More than 50 commendable job responding to the pandemic, as has public health with its other staff remained in their department and program, but devoted 100% support of that response. We have averted thousands of cases and deaths in of their time to COVID-19 work. As we write this message, the pandemic Simcoe Muskoka, through flattening of the curve, provincial policy, and case continues and most of the health unit’s employees continue to work on and contact management, and have avoided overwhelming our health care COVID-19, including shifts and weekends for those in the Infectious Diseases, system. Our partners in health, in local government, and in our communities COVID-19 and Health Connection programs. have also responded admirably. While the pandemic had dominated our work for most of 2020, it’s important The pandemic is something we are going to live with for some time and the to acknowledge that responding to threats to the health of our communities next months and beyond are going to be among the most challenging the is at the core of what public health does. In 2019 our health unit investigated people of our communities may ever experience. We will continue to offer two Legionella outbreaks, vaccinated hundreds of residents of Muskoka and the leadership and support that our communities expect, while working to Barrie in response to a Hepatitis A outbreak and exposure, and worked with ensure that the excellent public health programs and services so important our partners in Muskoka to ensure those affected by severe flooding had the to the health of our residents are resumed as soon as we are able. information they needed for safe water and food. 2019 health unit financials Provincial Grant 77.5% 77.4% Cost Shared Mandatory & Related Programs 6.4% Healthy Smiles Ontario Municipal Levy 21% 6.3% Healthy Babies Healthy Children EXPENDITURES REVENUE 5.3% 100% Funded Programs & Initiatives $38,930,147 $38,696,759 3.4% Smoke-Free Ontario Other 1.5% 0.7% other 0.5% Ontario Seniors Dental Program 2019 year in numbers clinical services Environmental Health Community and Family department department Health Department ~ Personal service Client visits Food premises Recreational water Number of expectant Expectant parents setting and child to sexual health inspections facility inspections parents who registered in-person care inspections clinics 7,916 1,097 registered for online prenatal classes 1,307 3,580 prenatal classes 1,061 933 ~ Rabies exposure Tick Total number of Families who investigations submissions Children Community and parent/caregiver visits received Triple P - screened for institution outbreak: 1,719 380 to Breastfeeding Place Positive Parenting tooth decay Hep A investigation 1,882 Program support 23,305 946 from SMDHU 428 Number of Smoke- Number of large- Free Ontario Act scale incidents/ ~ inspections for emergencies Number of public Home visits Immunizations smoking and vaping or public health health nurses by public health Vaccines given administered including retail community-wide supporting school nurses and/or at schools compliance and test outbreaks requiring health and well- family home shopping with youth IMS activation being with number visitors 22,256 869 79 of schools adult pediatric 4,127 3,592 5 30 Program Foundations and Finance + Human Resources DepartmentS ~ ( smdhu.org ~ HealthSTATS \_) Number of times Health Visits to Number of times Visits to the Number of our Facebook posts Connection SMDHU website health unit mentioned Simcoe Muskoka staff as of were seen inquiries (homepage) in local news HealthSTATS website Dec 31, 2019 1,346,741 89,321 88,004 604 100,867 304 For more information about our programs and services: T. 705.721.7520 | TF. 1.877.721.7520 | www.simcoemuskokahealth.org ISSUE 2: NOV 2020 PILLAR AND PARTNERSHIP HIGHLIGHTS The past eight months have been very challenging to us all as COVID-19 has had far reaching impacts on our communities and the work of SMOS. Despite these challenges, SMOS members have continued to move key work plan activities forward, as highlighted below. EMERGENCY HARM REDUCTION MANAGEMENT TREATMENT The Needle Exchange Program and The Simcoe Muskoka Opioid Overdose The use of Suboxone in local emergency provision of Naloxone training and Outbreak Response Plan continues to departments was initiated, along with distribution, including advocacy and be used as a framework by regional the continued provision of education to capacity building with local hospitals stakeholders to prevent, mitigate, primary care providers on the treatment for the distribution of Naloxone through prepare for, respond to, and recover emergency departments, continues of Opioid Use Disorder. Local physician from emergencies related to opioid across our region. leads have recently been designated to overdose outbreaks. The Emergency assist in moving both of these activities Selection of site options for a Management Pillar maintains the Plan forward. supervised consumption site (SCS) and other resources on the in Barrie was completed by the SCS www.preventod.ca website. Selection Advisory Committee in October. Community consultations on those sites has now begun. ----1 STATISTICS CANADA PROJECT COVID-19 In September 2019, Statistics Canada Has the COVID-19 pandemic and the community-based public health prevention agreed to fund the SMOS Statistics measures put in place to help control the pandemic negatively affected the health and Canada Data Project. This project will well-being of the general population including the sub-population of those who use bring together anonymized data from substances? a variety of sources on individuals who This was the question posed as part of a situational assessment conducted by the Simcoe have experienced overdose events and Muskoka District Health Unit between April and July, 2020. The assessment’s final fatalities in Simcoe Muskoka. It will report, Mitigating Harms of COVID-19 Public Health Measures references a rapid review provide an analysis of the heath, justice recently completed by Public Health Ontario on the Substance Use-Related Harms and and social and economic circumstances Risk Factors during Periods of Disruption. Together the two reports help to answer