AGENDA MIDDLESEX-LONDON BOARD OF HEALTH Thursday, April 15, 2021, 7:00 p.m. Microsoft Teams MISSION - MIDDLESEX-LONDON HEALTH UNIT The mission of the Middlesex-London Health Unit is to promote and protect the health of our community. MEMBERS OF THE BOARD OF HEALTH Ms. Maureen Cassidy (Chair) Ms. Aina DeViet (Vice-Chair) Mr. John Brennan Ms. Kelly Elliott Ms. Tino Kasi Ms. Arielle Kayabaga Mr. Bob Parker Mr. Matt Reid Mr. Mike Steele Mr. Aaron O’Donnell SECRETARY-TREASURER Dr. Christopher Mackie DISCLOSURE OF CONFLICTS OF INTEREST APPROVAL OF AGENDA MINUTES Approve: March 18, 2021 – Board of Health meeting Receive: April 1, 2021 – Finance and Facilities Committee meeting 1 Item # Delegation Recommendation Information Link to Report Name and Number Overview and Lead Additional Information Reports and Agenda Items To provide an update about the April 1, Finance and Facilities Committee 2021 Finance and Facilities Committee Meeting Summary Report from April 1, 2021 meeting. April 1, 2021 1. X X X Agenda Lead: Mr. Matt Reid, Chair, Finance & (Report No. 18-21) Facilities Committee To provide an update on reports reviewed at the April 15, 2021 Governance Committee Meeting April 15, 2021 Governance Committee meeting. Summary 2. X X X Agenda Lead: Mr. Bob Parker, Chair, (Verbal) Governance Committee To provide the Board of Health the plan Addressing Anti-Black Racism: A on addressing anti-black racism in Plan for the Middlesex-London Appendix A Middlesex-London. Health Unit Appendix B Leads: Heather Lokko, Director, (Report No. 19-21) 3. X X Healthy Start/Chief Nursing Officer, Appendix C Joe Antone, Manager, Health Equity Program Update: and Indigenous Reconciliation and Dr. Health Equity and Indigenous Christopher Mackie, Medical Officer of Reconciliation Health To provide an update on COVID-19 matters within Middlesex-London. COVID-19 Disease Spread and Vaccine Update 4. X X Leads: Dr. Alexander Summers, Associate Medical Officer of Health (Verbal) and Dr. Christopher Mackie, Medical Officer of Health Summary Information Report for To provide the Board of Health a April summary report for April 2021 from the Appendix A 5. X Healthy Start and Healthy Living (Report No. 20-21) divisions. 2 Leads: Heather Lokko, Director, Program Update: Best Beginnings Healthy Start/Chief Nursing Officer and Maureen MacCormick, Director, Healthy Living To provide an update on external meetings attended by the Medical Medical Officer of Health Activity Officer of Health since the last Board of Report for April 2021 Health meeting. 6. X (Report No. 21-21) Lead: Dr. Christopher Mackie, Medical Officer of Health Correspondence and Information Items To receive correspondence item a) for April 2021 Correspondence 7. X information. OTHER BUSINESS Next Board of Health Meeting is Thursday, May 20th, 2021 at 7 p.m. CONFIDENTIAL The Middesex-London Health Unit’s Board of Health will move in a closed session to consider personal matters about an identifiable individual, including municipal or local board employees, matters that are subject to solicitor-client privilege, including communications necessary for that purpose, labour relations or employee negotiations, and to approve confidential minutes from the March 18, 2021 Board of Health meeting. ADJOURNMENT 3 PUBLIC SESSION – MINUTES MIDDLESEX-LONDON BOARD OF HEALTH Thursday, March 18, 2021, 7:00 p.m. Microsoft Teams MEMBERS PRESENT: Ms. Maureen Cassidy (Chair) Ms. Aina DeViet (Vice-Chair) Mr. Matt Reid Mr. John Brennan Ms. Arielle Kayabaga Mr. Bob Parker Ms. Kelly Elliott Mr. Mike Steele Mr. Aaron O’Donnell Ms. Tino Kasi OTHERS PRESENT: Dr. Christopher Mackie, Medical Officer of Health (Secretary- Treasurer) Ms. Stephanie Egelton, Executive Assistant to the Board of Health/MOH/AMOH and Communications Coordinator (Recorder) Dr. Alexander Summers, Associate Medical Officer of Health Ms. Emily Williams, Director, Healthy Organization/Interim CEO Mr. Dan Flaherty, Manager, Communications Ms. Heather Lokko, Director, Healthy Start/Chief Nursing Officer Mr. Alex Tyml, Online Communications Coordinator Mr. Stephen Turner, Director, Environmental Health and Infectious Disease Ms. Maureen MacCormick, Director, Healthy Living Mr. Joe Belancic, Manager, Procurement and Operations Mr. Mirek Pawelec, Manager, Finance Ms. Donna Kosmack, Manager, Southwest Tobacco Control Area Network/Acting Manager, Chronic Disease and Injury Prevention Ms. Jody Paget, Manager, Vaccine Preventable Disease Mr. Andrew Powell, Manager, Safe Water, Rabies and Vector Borne Disease Chair Maureen Cassidy called the meeting to order at 7:02 p.m. Ms. Arielle Kayabaga joined the meeting at 7:15 p.m. DISCLOSURE OF CONFLICT OF INTEREST Chair Cassidy inquired if there were any disclosures of conflicts of interest. None were declared. APPROVAL OF AGENDA It was moved by Ms. Bob Parker, seconded by Mr. Matt Reid, that the AGENDA for the March 18, 2021 Board of Health meeting be approved. Carried APPROVAL OF MINUTES Public Session - 2 - 2021 March 18 Middlesex-London Board of Health Minutes It was moved by Ms. Kelly Elliott, seconded by Ms. Aina DeViet, that the MINUTES of the February 18, 2021 Board of Health meeting be approved. Carried It was moved by Ms. Kelly Elliott, seconded by Ms. Aina DeViet, that the MINUTES of the March 4, 2021 Finance and Facilities Committee meeting be received. Carried It was moved by Ms. Kelly Elliott, seconded by Ms. Aina DeViet, that the MINUTES of the February 18, 2021 Governance Committee meeting be received. Carried REPORTS AND AGENDA ITEMS Finance and Facilities Committee Meeting Summary (Report No. 12-21) Mr. Matt Reid, Chair of the Finance and Facilities Committee presented the meeting summary from March 4, 2021. It was moved by Mr. Reid, seconded by Ms. Elliott, that the Board of Health receive Report No. 06- 21FFC “Public Sector Salary Disclosure Act – 2020 Record of Employee’s Salaries and Benefits” for information. Carried It was moved by Mr. Reid, seconded by Ms. DeViet, that the Board of Health receive Report No. 07- 21FFC, “2020 Vendor / VISA Payments” for information. Carried It was moved by Mr. Reid, seconded by Mr. Mike Steele, that the Board of Health receive Report No. 08-21FFC, “2020 Board of Health Remuneration” for information. Carried It was moved by Mr. Reid, seconded by Mr. Steele, that the Board of Health receive Report No. 09- 20FFC, “Single Source Contract Award - KPMG” for information. Carried Overview of Health Unit Programs/Divisions Dr. Chris Mackie, Medical Officer of Health provided a brief overview on health unit programs/divisions with a presentation. The presentation included budget information, number of full-time staff, and highlights of each of the divisions. Summary Information Report – March 2021 re: Concentrations of Nicotine in Vaping Products (Report No. 13-21) Ms. Maureen MacCormick, Director, Healthy Living presented the March 2021 Summary Report. Ms. Donna Kosmack, Manager, Southwest Tobacco Control Area Network was also present to field questions. Discussion regarding this report included: • The health unit’s submission to Health Canada regarding the proposal to limit concentrations of nicotine in vaping products Public Session - 3 - 2021 March 18 Middlesex-London Board of Health Minutes • Ontario having restricted vaping product sales to specialty vape stores but is not a full solution • Vaping products are still accessible to youth online • The amount of nicotine (in vaping products) is excessive and youth are being attracted to the flavours and smells they give off • The awareness and knowledge of vaping risks are becoming more mainstream • Legislation throughout Canada differs by province on nicotine concentrations • Some vaping products can have up to 3 times as much nicotine as a cigarette It was moved by Ms. DeViet, seconded by Ms. Elliott, that the Board of Health receive Report No. 13- 21 re: Summary Information (March 2021) report re: “Concentrations of Nicotine in Vaping Products Regulations” for information. Carried Program Update: Southwest Tobacco Control Area Network Ms. Donna Kosmack, Manager, provided an update on the Southwest Tobacco Control Area Network. Program Update: Chronic Disease Prevention and Tobacco Control Ms. Donna Kosmack, Acting Manager, provided an update on the Chronic Disease Prevention and Tobacco Control program. Highlights of the Chronic Disease Prevention and Tobacco Control program included: • Enforcement of the Skin Cancer Prevention Act • Food literacy – deliver community-based food literacy programming with community partners; co-lead provincial collaborative exploring development/validation of food literacy measurement tool with priority populations • Middlesex-London Food Policy Council - support the strategic plan to create a healthy, sustainable and accessible food system in London and Middlesex County; support the development of a Middlesex London Food Directory • Increase awareness among youth and young adults about the harms associated with smoking tobacco and/or cannabis, vaping and the use of e-cigarettes or smokeless tobacco • Continued enhancement/evaluation of tobacco cessation services delivered by the Health Unit to reach priority populations • Support multi-unit dwelling, hospital and post-secondary institutions’ efforts to ensure compliance with the Smoke-free Ontario Act, 2017 including the development and promotion of smoke-free policies • Enforcement of provincial and municipal legislation that regulates the sale, distribution and use of tobacco, vapour and cannabis products Cold Chain Incident (Report No.