BOARD OF HEALTH MEETING April 26, 2017 Sault Ste. Marie Community Rooms A and B www.algomapublichealth.com Meeting Book - April 26, 2017 - Board of Health Meeting Algoma Public Health Board of Health Meeting Table of Contents 1. Call to Order a. Declaration of Conflict of Interest 2. Adoption of Agenda a. April 26, 2017 - Agenda Page 5 3. Adoption of Minutes 4. Delegation/Presentations a. Oral Health Page 8 5. Business Arising a. Letter to Minister Eric Hoskins RE Opioid Page 21 6. Reports to Board a. Medical Officer of Health and Chief Executive i. Medical Officer of Health and Chief Executive Page 23 Officer Report ii. Ontario Public Health Standards Modernization Page 29 b. Finance and Audit Committee Report i. Committee Chair Report for April 2017 ii. Draft Financial Statements for the Period Ending Page 55 Feb 28 2017 iii. 2016 Draft Audited Financial Statements for the Page 62 Year Ending December 31, 2016 iv. Approved minutes February 8, 2017 Page 84 c. Governance Standing Committee Report i. Committee Chair Report for April 12, 2017 Page 87 ii. Approved Minutes March 1, 2017 Page 88 7. New Business 8. Correspondence a. Children's Marketing Restrictions, Federal Healthy Eating Strategy & Support for Bill S-228 & Bill C-313 Page 2 of 221 i. i. Letter to Minister Philpott from Perth District Page 91 Health Unit dated March 15, 2017 b. Support for Stop Marketing to Kids Coalition's Ottawa and Further Action on Sugary Drinks i. i. Letter to Ontario Boards of Health from Page 92 Middlesex-London Health Unit dated March 28, 2017 c. Tobacco Endgame i. i. Letter to Minister Philpott from Simcoe Page 145 Muskoka District Health Unit dated March 15, 2017 d. Legailization and Regulation of Cannabis i. i. Letter to APH Board from the Office of the Page 217 Prime Minister dated March 7, 2017 e. Low-Income Dental Program for Adults and Seniors i. i. Letter to Minister Hoskins from Porcupine Page 218 Health Unit dated March 28, 2017 f. Expert Panel on Public Health and the Health Menu Choices Act i. i. Letter to Minister Hoskins from Leeds, Grenville Page 219 & Lanark District Health Unit dated March 22, 2017 g. Anti-Contraband Tobacco i. i. Letter of Support from Municipality of Huron Page 221 Shores for APH Resolution #2016-109 dated March 30, 2017 9. Items of Information 10. Addendum 11. In Committee a. Agenda Items: i. a. Adoption of previous in-committee minutes dated March 22, 2017 ii. b. Litigation or Potential Litigation iii. c. Labour Relations and Employee Negotations 12. Open Meeting 13. Resolutions Resulting From In Committees Page 3 of 221 14. Announcements a. Next Board of Health Meeting - May 24, 2017 15. Adjournment Page 4 of 221 ALGOMA PUBLIC HEALTH BOARD OF HEALTH MEETING APRIL 26, 2017 @ 5:00PM SAULT STE MARIE ROOM A&B, SSM A*G*E*N*D*A 1.0 Meeting Called to Order Mr. Lee Mason, Board Chair a. Declaration of Conflict of Interest 2.0 Adoption of Agenda Items Mr. Lee Mason, Board Chair Resolution THAT the agenda items dated April 26, 2017 be adopted as circulated. 3.0 Adoption of Minutes of Previous Meeting Mr. Lee Mason, Board Chair a. March 22, 2017 Resolution THAT the Board of Health minutes for the meeting dated March 22, 2017 be adopted as circulated. 4.0 Delegations/Presentations. a. Oral Health Ms. Hannele Dionisi Manager of Oral Health 5.0 Business Arising from Minutes a. Letter to Minister Eric Hoskins RE Opioid Resolution Whereas opioid misuse is an issue of public health concern in all Northern communities the BOH for APH hereby supports and agrees with motion #12-17 passed by Sudbury district Health unit on February 16, 2017. 6.0 Reports to the Board a. Medical Officer of Health and Chief Executive Officer Report Dr. Marlene Spruyt i. Ontario Public Health Standards Modernization Medical Officer of Health Resolution THAT the report of the Medical Officer of Health and CEO for the month of April 2017 be adopted as presented. b. Finance and Audit Committee Report i. Committee Chair Report for April 2017 Mr. Ian Frazier, Committee Chair ii. Draft Financial Statements for the Period Ending February 28, Mr. Ian Frazier, 2017 Committee Chair Resolution THAT the Finance and Audit Committee report for the month of April 2017 be adopted as presented; and THAT the Financial Statements for the Period Ending February 28, 2017 be approved as presented. Page 5 of 221 Agenda Board of Health April 26, 2017 Page 2 iii. 2016 Draft Audited Financial Statements for the Year Ending December 31, 2016 iv. Approved minutes February 8, 2017 c. Governance Standing Committee Report Deborah Graystone, i. Committee Chair Report for April 12, 2017 Committee Chair Resolution THAT the Governance Standing Committee report for the month of April 2017 be adopted as presented. ii. Approved Minutes March 1, 2017 – for information only 7.0 New Business/General Business 8.0 Correspondence Mr. Lee Mason, Board Chair a. Children’s Marketing Restrictions, Federal Healthy Eating Strategy & Support for Bill S-228 & Bill C-313 i. Letter to Minister Philpott from Perth District Health Unit dated March 15, 2017 b. Support for Stop Marketing to Kids Coalition’s Ottawa and Further Action on Sugary Drinks i. Letter to Ontario Boards of Health from Middlesex-London Health Unit dated March 28, 2017 c. Tobacco Endgame i. Letter to Minister Philpott from Simcoe Muskoka District Health Unit dated March 15, 2017 d. Legalization and Regulation of Cannabis i. Letter to APH Board from the Office of the Prime Minister dated March 7, 2017 e. Low-Income Dental Program for Adults and Seniors i. Letter to Minster Hoskins from Porcupine Health Unit dated March 28, 2017 f. Expert Panel on Public Health and the Health Menu Choices Act i. Letter to Minister Hoskins from Leeds, Grenville & Lanark District Health Unit dated March 22, 2017 g. Anti-Contraband Tobacco i. Letter of Support from Municipality of Huron Shores for APH Resolution #2016-109 dated March 30, 2017 9.0 Items for Information 10.0 Addendum 11.0 That The Board Go Into Committee Mr. Lee Mason, Board Chair Resolution THAT the Board of Health goes into committee. Agenda Items: a. Adoption of previous in-committee minutes dated March 22, 2017 Page 6 of 221 Agenda Board of Health April 26, 2017 Page 3 b. Litigation or Potential Litigation c. Labour Relations and Employee Negotiations 12.0 That The Board Go Into Open Meeting Mr. Lee Mason, Board Chair Resolution THAT the Board of Health goes into open meeting 13.0 Resolution(s) Resulting from In-Committee Session Mr. Lee Mason, Board Chair 14.0 Announcements: Mr. Lee Mason, Board Chair Next Board Meeting - May 24, 2017 DATE at 5:00pm Sault Ste. Marie, Room A&B, Sault Ste. Marie 15.0 That The Meeting Adjourn Mr. Lee Mason, Board Chair Resolution THAT the Board of Health meeting adjourns Page 7 of 221 Healthy Smiles Ontario (HSO) Program April 26, 2017 Hannele Dionisi RN, BScN Program Manager, Family Health and Oral Health Services Page 8 of 221 Ontario Public Health Standards 2008 Standard Requirement: Child Health Requirement #12: The board of health shall provide the Healthy Smiles Ontario (HSO) Program in accordance with the Healthy Smiles Ontario (HSO) Program Protocol, 2016 (or as current). This report addresses the following Strategic Directions: • Improve Health Equity • Collaborate Effectively Page 9 of 221 Facts about oral health in children • Tooth decay is the single most common chronic childhood disease. • Dental surgeries related to Early Childhood Caries is the most common procedure in preschool children at most Paediatric hospitals in Canada. • Emergency room visits ranked 8th out of 201 categories for Algoma youth in 2015. • Dental caries affect 60-90% of school children. • Dental treatment and emergencies are not covered by OHIP. • Not every Ontarian has access to appropriate dental care. • Caries rates are increasing in children 2-4 years of age. • 66% of JK/SK children screened in 2015-16 were caries free. Page 10 of 221 Oral health program • Oral Health Assessment and Surveillance • Monitoring of Community Water Fluoride Levels • Childcare Centre Screening • Prenatal Preventive Services • Child’s Oral Health Initiative Program (COHI) • Oral Health Education and Promotion • Healthy Smiles Ontario (HSO) Program Page 11 of 221 Healthy Smiles Ontario (HSO) Program • A FREE dental program that provides preventive, routine, and emergency dental services for children and youth 17 years of age and under from low income households. • Families with other forms of dental insurance are not automatically excluded. • Children are directly enrolled if they receive assistance under Temporary Care Assistance Assistance for Children with Severe Disabilities • Children are directly enrolled if they or their families receive: Ontario Works Ontario Disability Support Page 12 of 221 Add circles from HSO card What services are covered? • Regular visits to a dental care provider • Check-ups • Cleanings • Fillings • Scaling • X-rays • Tooth extractions • Emergency dental care • First dental visit by first birthday Page 13 of 221 Streams of the HSO program Eligibility Coverage Period Renewal HSO-Core Stream A household with One benefit year Eligibility will be an income equal (August 1st to July automatically st to or less than the 31 ) assessed each levels determined benefit year by the Ministry Page 14 of 221 Income eligibility requirements (HSO-Core) Number of dependent Family net income children in your household 1 child $22,401 or lower 2 children $24,096 or lower 3 children $25,791 or lower 4 children $27,486 or lower 5 children $29,181 or lower 6 children $30,876 or lower 7 children $32,571 or lower 8 children $34,266 or lower 9 children $35,961 or lower 10 or more children $37,656 or lower.