Board of Health for AGENDA Board of Health Meeting ......Beausoleil, and Georgina Island First...

Board of Health for Peterborough Public Health

AGENDA Board of Health Meeting

Wednesday, January 8, 2020 – 5:30 p.m. Dr. J. K. Edwards Board Room, 3rd Floor

Jackson Square, 185 King Street, Peterborough

1. Call to Order Dr. Rosana Salvaterra, Medical Officer of Health 1.1. Welcome and Opening Statement

We respectfully acknowledge that Peterborough Public Health is located on the Treaty 20 Michi Saagiig territory and in the traditional territory of the Michi Saagiig and Chippewa Nations, collectively known as the Williams Treaties First Nations, which include: Curve Lake, Hiawatha, Alderville, Scugog Island, Rama, Beausoleil, and Georgina Island First Nations.

Peterborough Public Health respectfully acknowledges that the Williams Treaties First Nations are the stewards and caretakers of these lands and waters in perpetuity, and that they continue to maintain this responsibility to ensure their health and integrity for generations to come. We are all Treaty people.

1.2. Recognition of Outgoing Board of Health Chair – Councillor Kathryn Wilson

Dr. Rosana Salvaterra, Medical Officer of Health

2. Elections and Appointments 2.1. Elections

Cover Report

2.2. Committee Appointments

Cover Report a. 2020 Board of Health Members b. 2019 Committee Appointments c. Board Leadership and Committee Membership Selection Procedure (web

hyperlink) d. Terms of Reference, Governance Committee (web hyperlink) e. Terms of Reference, Indigenous Health Advisory Circle (web hyperlink) f. Terms of Reference, Stewardship Committee (web hyperlink)

BOH Meeting Agenda Jan 8 2020 - of 41

http://www.peterboroughpublichealth.ca/wp-content/uploads/2018/12/2-152-Board-Leadership-and-Committee-Membership-Selection.pdf

http://www.peterboroughpublichealth.ca/wp-content/uploads/2018/10/2-348-Governance-Committee-Terms-of-Reference.pdf

http://www.peterboroughpublichealth.ca/wp-content/uploads/2019/05/2-352-Indigenous-Health-Advisory-Circle-Terms-of-Reference.pdf

https://www.peterboroughpublichealth.ca/wp-content/uploads/2019/02/2-354-Stewardship-Committee-Terms-of-Reference.pdf

2.3. Provincial Appointments

Cover Report a. Procedure - Appointments, Provincial Representatives (web hyperlink)

3. Establishment of Date and Time of Regular Meetings

Cover Report

4. Establishment of Honourarium for 2020

Cover Report

5. Confirmation of the Agenda

6. Declaration of Pecuniary Interest

7. Consent Items to be Considered Separately

Board Members: Please identify which items you wish to consider separately from section 12 and advise the Chair when requested. For your convenience, circle the item(s) using the following list: 12 a b c d e f g 12.3.1 12.3.2

8. Delegations and Presentations (nil)

9. Confirmation of the Minutes of the Previous Meeting

Cover Report a. December 11, 2019

10. Business Arising From the Minutes

11. Staff Reports

12. Consent Items

12.1. Correspondence for Direction (nil)

12.2. Correspondence for Information

Cover Report a. CLFN – Community Alcohol Policies b. HFN – Community Alcohol Policies c. Health Canada – CTS


http://www.peterboroughpublichealth.ca/wp-content/uploads/2018/10/2-261-Appointments-Provincial-Representatives.pdf

d. Ministry of Health – CTS e. alPHa E-newsletter f. CAOs – Municipal Alcohol Policies g. Minister Elliott – Vaping Data

12.3. Staff Reports

12.3.1. Staff Report: Guarding Minds @ Work Update

Staff Report

12.3.2. No Money for Food is Cent$less Report (2019 Limited Incomes Report)

Cover Report a. No Money for Food is Cent$less Report

12.4. Committee Reports

13. New Business

13.1. Modernization of Public Health – PPH Response

Cover Report a. PPH Survey Response (to be circulated) b. Submission to Jim Pine, Special Advisor (to be circulated)

14. In Camera to Discuss Confidential Matters

15. Motions for Open Session 16. Date, Time, and Place of the Next Meeting

Wednesday, February 12, 2020, 5:30 p.m. Dr. J. K. Edwards Board Room, 3rd Floor, Jackson Square, 185 King Street, Peterborough

17. Adjournment ACCESSIBILITY INFORMATION: Peterborough Public Health is committed to providing information in a format that meets your needs. To request this document in an alternate format, please call us at 705-743-1000.

NOTICE: Proposed recommendations as noted within the posted agenda package may not be indicative of the final decision made by the Board of Health at the meeting. Should a member of the public or media outlet wish to confirm or clarify any Board position following the meeting, please contact the PPH Communications Manager or refer to the meeting summary issued shortly thereafter. Final motions are recorded in posted approved Minutes.


agorizzan

Cross-Out

PETERBOROUGH PUBLIC HEALTH BOARD OF HEALTH

TITLE: Elections

DATE: January 8, 2020

PREPARED BY: Alida Gorizzan, Executive Assistant

APPROVED BY: Dr. Rosana Salvaterra, Medical Officer of Health

PROPOSED RECOMMENDATION That the Board of Health for Peterborough Public Health consider the following recommendations for leadership positions for the Board of Health for 2020:

Board of Health Chairperson – Mayor Andy Mitchell

Board of Health Vice-Chairperson – Ms. Kerri Davies BACKGROUND Given that the Board follows Robert's Rules of Order for governing the calling of and proceedings of meetings (as per By-Law #3), elections must occur via nomination. Dr. Salvaterra will call for nominations for the position of Chairperson of the Board of Health for 2020. The elected Chairperson will call for nominations for the position of Vice-Chairperson of the Board of Health for 2020. In October, staff reached out to members to assess interest in leadership and committee appointments. The Governance Committee reviewed responses at their meeting on November 19, 2019, and has proposed the recommendation noted above.



TITLE: Committee Appointments




PROPOSED RECOMMENDATIONS 1. That the Board of Health for Peterborough Public Health appoint members to its Committees

as follows:

Indigenous Health Advisory Circle Councillor Nodin Knott Mr. Michael Williams Councillor Kathryn Wilson Councillor Kim Zippel Governance Committee Mr. Andy Sharpe Mr. Greg Connolley Councillor Don Vassiliadis Deputy Mayor Bonnie Clark Stewardship Committee Councillor Henry Clarke Ms. Kerri Davies Deputy Mayor Matthew Graham Ms. Catherine Praamsma

2. That the Board of Health for Peterborough Public Health appoint the following community

members to the Indigenous Health Advisory Circle:

Ms. Lori Flynn, Nogojiwanong Friendship Centre

Ms. Kari Lepine, Métis Nation of Ontario Peterborough and District Wapiti Métis Council BACKGROUND The Governance Committee met on November 19, 2019. At that meeting, the Committee supported the recommendations outlined in item 1. The Indigenous Health Advisory Circle met on December 10, 2019. Circle members were supportive of the community appointees noted in item 2.


Supporting documentation has been included (and linked) where available, please see below. A few items of note:

The Chairperson serves as an ex-officio member on all Committees to which he/she has not been appointed a member.

With respect to community members, Lori Flynn has served on the IHAC since 2016; Ms. Lepine has replaced Andy Dufrane from the Métis Nation of Ontario who departed in 2019. Staff are pursuing additional representatives from local Indigenous organizations to join the Circle.

Attachments: a. 2020 Board of Health Members b. 2019 Committee Appointments c. Board Leadership and Committee Membership Selection Procedure (web hyperlink) d. Terms of Reference, Governance Committee (web hyperlink) e. Terms of Reference, Indigenous Health Advisory Circle (web hyperlink) f. Terms of Reference, Stewardship Committee (web hyperlink)


http://www.peterboroughpublichealth.ca/wp-content/uploads/2018/12/2-152-Board-Leadership-and-Committee-Membership-Selection.pdf

http://www.peterboroughpublichealth.ca/wp-content/uploads/2018/10/2-348-Governance-Committee-Terms-of-Reference.pdf

http://www.peterboroughpublichealth.ca/wp-content/uploads/2019/05/2-352-Indigenous-Health-Advisory-Circle-Terms-of-Reference.pdf

https://www.peterboroughpublichealth.ca/wp-content/uploads/2019/02/2-354-Stewardship-Committee-Terms-of-Reference.pdf

2020 Board of Health for Peterborough Public Health

Deputy Mayor Bonnie Clark, County of Peterborough Councillor Henry Clarke, City of Peterborough Mr. Gregory Connolley, Provincial Appointee Ms. Kerri Davies, Provincial Appointee Deputy Mayor Matthew Graham, County of Peterborough Mayor Andy Mitchell, County of Peterborough Councillor Nodin Knott, Curve Lake First Nation Representative Ms. Catherine Praamsma, Provincial Appointee Mr. Andy Sharpe, Provincial Appointee Councillor Don Vassiliadis, City of Peterborough Councillor Kathryn Wilson, Hiawatha First Nation Representative Mr. Michael Williams, Provincial Appointee Councillor Kim Zippel, City of Peterborough


2019 Appointments to Committees

The Board Chairperson is an ex-officio member of all committees. Governance Committee Deputy Mayor Bonnie Clark Mr. Greg Connolley Ms. Kerri Davies Mr. Michael Williams Councillor Don Vassiliadis Indigenous Health Advisory Circle Councillor Nodin Knott Chief Phyllis Williams Councillor Kim Zippel Ms. Lori Flynn, Nogojiwanong Friendship Centre Mr. Andy Dufrane, Métis Nation of Ontario Peterborough and District Wapiti Métis Council Stewardship Committee Councillor Henry Clarke Mayor Andy Mitchell Ms. Catherine Praamsma Mr. Andy Sharpe



TITLE: Provincial Appointments




PROPOSED RECOMMENDATION That the Board of Health for Peterborough Public support the renewal of provincial appointments for Catherine Praamsma, Kerri Davies and Greg Connolley. BACKGROUND The Governance Committee met last on November 19, 2019. At that meeting, the Committee requested that the above-noted recommendation come forward to the Board for consideration. Peterborough Public Health Board membership currently consists of five (5) provincial appointments. Term expiry dates for those appointments are as follows:

Catherine Praamsma (April 26, 2020)

Michael Williams (April 26, 2020)

Kerri Davies (October 21, 2020)

Greg Connolley (November 18, 2020)

Andy Sharpe (March 3, 2021)

As per Board Policy 2-261, the incumbents with terms expiring in 2020 were contacted to determine their interest in renewal. Catherine Praamsma, Kerri Davies and Greg Connolley expressed interest in renewing their terms. Alida Gorizzan, Executive Assistant, contacted the Ministry’s Agency Liaison and Public Appointments Unit to confirm the maximum number of years an appointee can serve given that two members have already served six years each. The Ministry confirmed that appointees can serve a maximum of ten years, and noted that they would be eligible for reappointment. The Ministry was also asked about renewal timelines given there have been some boards of health with vacancies that remain unfilled. They responded that “it usually takes about four weeks to get all the approvals for reappointments. When we receive the reappointment packages, we need to obtain Ministry’s direction on the reappointment. After we receive it, the approval process starts.” Staff have been advised that some local public health agencies have experienced longer delays in filling these appointments.


ATTACHMENTS Attachment A – 2-261 – Procedure – Appointments, Provincial Representatives (web hyperlink)


http://www.peterboroughpublichealth.ca/wp-content/uploads/2018/10/2-261-Appointments-Provincial-Representatives.pdf


TITLE: Date and Time of Regular Meetings




PROPOSED RECOMMENDATION

That the regular meetings for the Board of Health for Peterborough Public Health in 2020 be held on the following dates starting at 5:30 p.m., or at the call of the Chairperson:

Dates: January 8, February 12, March 11, May 13, September 9, November 11,

December 9.

Location: Dr. J. K. Edwards Board Room, Jackson Square, 185 King Street, Peterborough.

Date: April 8

Location: TBD, Township of Havelock-Belmont-Methuen

Date: June 10

Location: Lower Hall, Administration Building, 123 Paudash St., Hiawatha First Nation.

Date: October 14

Location: Board Room, Curve Lake Health Centre / Oshkiigmong MnoBmaadziwin Gamiing, 38 Whetung Street East, Curve Lake First Nation.



TITLE: Establishment of Honourarium for 2020




PROPOSED RECOMMENDATION That the Board of Health for the Peterborough Public Health approve a 1.7% increase in honourarium for its members, representing a total amount of $154.16. BACKGROUND The Board has an established policy and procedure for establishing honorariums for meeting attendance (policy 2-150) and for review of remuneration (2-153). Based on these policies, the Governance Committee is to request Board approval for changes to honorarium amounts at the first Board Meeting of the year and that the request be based on wage increases for unionized staff or the Ontario Consumer Price Index (CPI), whichever is less. The Governance Committee met last on November 19, 2019 to address this matter. In 2019, the Board approved a 1.0 % increase in honorarium paid retroactive to January 1, 2018 and a 1.5% increase effective January 1, 2019. According to Statistics Canada, the CPI Inflation rate for 2019 (available to September 2019) was 1.7%. Staff wage increases were/are 1.75% for all three unions in 2020. Therefore, the lower amount of increase at 1.7% is recommended. The current honorarium rate is $151.58 per meeting. Based on the above-noted increases, the 2020 rate would be $154.16.


http://www.peterboroughpublichealth.ca/wp-content/uploads/2018/10/2-150-Remuneration-of-Members.pdf

http://www.peterboroughpublichealth.ca/wp-content/uploads/2018/10/2-153-Board-Remuneration-Review.pdf

https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=1810000413&pickMembers%5B0%5D=1.14


TITLE: Meeting Minutes, December 11, 2019

DATE: December 11, 2019

PREPARED BY: Natalie Garnett, Board Secretary


PROPOSED RECOMMENDATIONS That the Board of Health for Peterborough Public Health approve the minutes of the meeting held on December 11, 2019. ATTACHMENTS Attachment A – Board of Health Minutes, December 11, 2019


Board of Health for Peterborough Public Health

DRAFT MINUTES Board of Health Meeting

Wednesday, December 11, 2019 – 5:30 p.m. Dr. J.K. Edwards Board Room

Jackson Square, 185 King Street

In Attendance: Board Members: Deputy Mayor Bonnie Clark

Councillor Henry Clarke Mr. Gregory Connolley Councillor Nodin Knott Mayor Andy Mitchell Ms. Catherine Praamsma Mr. Andy Sharpe Mr. Michael Williams (via telephone) Councillor Kathryn Wilson, Chair Councillor Kim Zippel

Regrets: Ms. Kerri Davies Deputy Mayor Matthew Graham Councillor Don Vassiliadis

Staff: Ms. Brittany Cadence, Manager of Communications and IT Ms. Donna Churipuy, Director of Public Health Programs Ms. Natalie Garnett, Recorder

Ms. Alida Gorizzan, Executive Assistant Dr. Rosana Salvaterra, Medical Officer of Health Mr. Larry Stinson, Director of Operations

1. Call to Order

Councillor Wilson, Chair, called the meeting to order at 5:36 p.m. Staff Recognition – Acknowledgement of Years of Service Kerri Tojcic, Computer Technician Analyst (25 years) Anne Gallant, Health Promoter (25 years) Tracey Stevens, Registered Dental Hygienist (30 years)


2. Confirmation of the Agenda

MOTION: That the agenda be adopted as amended (7.4). Moved: Mr. Connolley Seconded: Councillor Clarke Motion carried. (M-2019-147)

3. Declaration of Pecuniary Interest

4. Consent Items to be Considered Separately

MOTION: That the following items be passed as part of the Consent Agenda: 9.1.1, 9.1.2, 9.2 a-l, 9.3.1 and 9.4.1 a-e. Moved: Councillor Zippel Seconded: Deputy Mayor Clark Motion carried. (M-2019-148) MOTION (9.1.1): That the Board of Health for Peterborough Public Health:

receive the letter dated October 30, 2019, from the City of Hamilton regarding a request for weekly data reports on vaping cases, for information;

send a letter supporting their position to the Ontario Minister of Health requesting that reports of severe pulmonary disease sent to Ontario’s Chief Medical Officer of Health by Peterborough Regional Health Centre be shared with Peterborough Public Health’s Medical Officer of Health.

Moved: Councillor Zippel Seconded: Deputy Mayor Clark Motion carried. (M-2019-148) MOTION (9.1.2): That the Board of Health for Peterborough Public Health:

receive for information the letter dated December 3, 2019, from Public Health Sudbury & Districts regarding e-cigarette and aerosolized product prevention and cessation; and,

send a letter supporting their resolution to the Minister of Health with copies to the Premier of Ontario, Ontario Chief Medical Officer of Health, local MPPs, Opposition Health Critics, the Attorney General of Ontario, the Association of Local Public Health Agencies and Ontario Boards of Health.


Moved: Councillor Zippel Seconded: Deputy Mayor Clark Motion carried. (M-2019-148) MOTION (9.2 a-l): That the Board of Health for Peterborough Public Health receive the following for information: a. Letter dated November 18, 2019 to Minister Elliott regarding previously communicated

timelines related to the modernization of public health and dissolution of boards of health.

b. Letter dated November 20, 2019 to Jim Pine, Provincial Advisor, extending an invitation to hold a consultation session in Peterborough.

c. Letter dated November 22, 2019 to MPP Smith regarding support for the Virtual Care Clinic and 360 Nurse Practitioner-Led Clinic.

d. Letter dated November 27, 2019 to the Association of Local Public Health Agencies (alPHa) Board of Directors regarding access to the recent conference.

e. Letter dated November 28, 2019 to Minister Hajdu regarding vaping. f. Letter dated November 28, 2019 from Minister Smith, Ministry of Children, Community

and Social Services, in response to the Board Chair’s initial letter dated June 17, 2019, regarding autism services.

g. Letter dated November 29, 2019 from Carmen McGregor, alPHa President, in response to the Board Chair’s letter on November 28, 2019.

h. Email dated December 6, 2019 from the Ontario Public Health Association regarding a recap of the Speech from the Throne.

Correspondence from alPHa: i. E-newsletter dated November 18, 2019 j. Email dated November 19, 2019 providing an overview of the Ministry webinar on public

health and emergency health services modernization. k. Email dated November 20, 2019 requesting input for the public health modernization

survey. Correspondence from other Local Public Health Agencies: l. City of Hamilton Board of Health regarding Co-payment for dentures. Moved: Councillor Zippel Seconded: Deputy Mayor Clark Motion carried. (M-2019-148)

MOTION (9.3.1): That the Board of Health for Peterborough Public Health receive the staff report, Ontario Seniors Dental Care Program Implementation, for information. Moved: Councillor Zippel Seconded: Deputy Mayor Clark Motion carried. (M-2019-148)


MOTION (9.4.1): That the Board of Health for Peterborough Public Health: - receive meeting minutes of the Governance Committee from September 3, 2019, for

information; and, - approve the following by-laws and policies:

- 2-90 Human Rights and Discrimination (reviewed, no changes) - 2-92 Workplace Violence and Harassment Prevention (reviewed, no changes) - 2-151 Volunteer Remuneration (revised) - 2-280 Complaints, Public (revised)

Moved: Councillor Zippel Seconded: Deputy Mayor Clark Motion carried. (M-2019-148)

5. Delegations and Presentations

6. Confirmation of the Minutes of the Previous Meeting

a. November 14, 2019 MOTION: That the minutes of the Board of Health for the Peterborough Public Health meeting held on

November 14, 2019 be approved as circulated. Moved: Ms. Praamsma Seconded: Mr. Connolley Motion carried. (M-2019-149)

7. Business Arising From the Minutes

7.1 Curve Lake First Nation – Safe Drinking Water

MOTION: That the Board of Health for Peterborough Public Health receive the update, Curve Lake First Nation Communal Water System, for information.

Moved: Ms. Praamsma Seconded: Mr. Connolley Motion carried. (M-2019-150)


7.2 Planet Youth

MOTION: That the Board of Health for Peterborough Public Health receive the update, Planet Youth

Implementation, for information. Moved: Councillor Clarke Seconded: Deputy Mayor Clark Motion carried. (M-2019-151) 7.3 Off Road Vehicles

Mayor Mitchell advised that he will not be voting on this item as he is a member of the County Master Plan Committee. Deputy Mayor Clark advised that she would not be voting on this item as she is waiting for the County to establish a position on this matter.

MOTION:

That the Board of Health for Peterborough Public Health:

send a letter to the Ministers of Transportation and Health expressing concern that Bill 107, the Getting Ontario Moving Act, 2019 will decrease road safety and increase the risk of injury related to off road vehicle (ORV) use; and,

copy the Premier of Ontario, Chief Medical Officer of Health, local MPPs, Opposition Health Critics, the Association of Local Public Health Agencies and Ontario Boards of Health.

Moved: Councillor Zippel Seconded: Mr. Connolley Motion carried. (M-2019-152)

7.4 Consumption and Treatment Site Update

MOTION: That the Board of Health for Peterborough Public Health receive the update on

Consumption and Treatment sites, for information; and, That the draft letter of support be approved as presented. Moved: Ms. Praamsma Seconded: Mr. Connolley Motion carried. (M-2019-153)


8. Staff Reports

8.1 Staff Presentation – Health in Official Plans: A Toolkit Project Update Ms. Janet Dawson, Health Promoter provided a presentation on “Health in Official Plans: A Toolkit Project Update”. MOTION: That the Board of Health for Peterborough Public Health receive the following for information: Staff Presentation: Health in Official Plans: A Toolkit Project Update Moved: Deputy Mayor Clark Seconded: Mr. Connolley Motion carried. (M-2019-154)

8.2 Staff Presentation – Peterborough Public Health’s 130th Anniversary in Review

Ms. Brittany Cadence, Manager of Communications and IT, provided a presentation on the 130th Anniversary celebrations for Peterborough Public Health. MOTION: That the Board of Health for Peterborough Public Health receive the following for information: Staff Presentation: Peterborough Public Health’s 130th Anniversary in Review. Moved: Councillor Clarke Seconded: Mayor Mitchell Motion carried. (M-2019-155)

8.3 Oral Report – Board of Health Modernization Working Group Update MOTION: That the Board of Health for Peterborough Public Health receive the oral report, Board of Health Modernization Working Group Update, for information. Moved: Councillor Zippel Seconded: Mr. Connolley Motion carried. (M-2019-156)

9. Consent Items

10. New Business


11. In Camera to Discuss Confidential Matters

12. Motions from In Camera for Open Session 13. Date, Time, and Place of the Next Meeting

The next meeting will be held Wednesday, January 8, 2020 at 185 King Street, Peterborough, at 5:30 p.m.

14. Adjournment

MOTION: That the meeting be adjourned. Moved by: Deputy Mayor Clark Seconded by: Mr. Connolley Motion carried. (M-2019-157)

The meeting was adjourned at 7:21 p.m. Chairperson Medical Officer of Health


PETERBOROUGH PUBLIC HEALTH BOARD OF HEALTH TITLE: Correspondence for Information

DATE: December 11, 2019



PROPOSED RECOMMENDATIONS That the Board of Health for Peterborough Public Health receive the following for information:

a. Letter dated December 11, 2019 to Chief Whetung and Council regarding community

alcohol policies.

b. Letter dated December 11, 2019 to Chief Carr and Council regarding community alcohol policies.

c. Letter dated December 11, 2019 to Health Canada regarding an application for an exemption for a consumption and treatment service for Peterborough.

d. Letter dated December 11, 2019 to the Ministry of Health regarding an application for a

consumption and treatment service for Peterborough.

e. E-newsletter dated December 13, 2019 from the Association of Local Public Health Agencies (alPHa).

f. Letter dated December 16, 2019 to local Chief Administration Officers regarding municipal

alcohol polices.

g. Letter dated January 2, 2020 to Minister Elliott regarding a request for weekly data reports on vaping cases. (enclosure previously circulated)


Serving the residents of Curve Lake and Hiawatha First Nations, and the County and City of Peterborough

Jackson Square, 185 King Street, Peterborough, ON K9J 2R8 P: 705-743-1000 or 1-877-743-0101

F: 705-743-2897 peterboroughpublichealth.ca

December 11, 2019 Chief Emily Whetung and Council Curve Lake First Nation 22 Winookeedaa Road Curve Lake, ON K0L 1R0 Sent via email: [email protected] Dear Chief Whetung and Council Members: Re: Community Alcohol Policies and Policy Options to Mitigate Alcohol Harms Recent provincial changes regarding location and sales of alcohol have the potential to increase access to alcohol, therefore increasing consumption and harms. Peterborough Public Health is offering support to our local communities to assist with strengthening “Municipal Alcohol Policies” to ensure the safety and health of our residents. In case this is relevant for your First Nation community, we would like to reach out and extend our support in updating any polices regarding alcohol and special occasion permits (SOP). Current proposed changes that have an impact at the local level include:

Changes to SOPs through the Alcohol and Gaming Commission of Ontario (AGCO) loosening regulations on hours of sale, eliminating barriers around licensed areas for consumption, and ending the regulation on serving food at events.

New SOPs for Tailgating Events allowing patrons to bring their own alcohol to consume in a confined area for exclusive sporting events including professional sports, semi-professional sports, and post-secondary events.

Allowing communities to designate public spaces for the consumption of alcohol. This includes parks, beaches, and other community owned property.

Creating alcohol policies and by-laws allow communities the opportunity to mitigate the potential harms and costs associated with increased accessibility and consumption of alcohol. Increased accessibility and liberalization of alcohol consumption is a well-documented risk factor for problematic use leading to criminal behavior, violence, and chronic disease outcomes. This has the potential to impact costly services including maintenance, emergency services, and public health. In 2014, the total cost attributed to alcohol use in Canada was estimated at $14.6 billion. This includes the cost for healthcare services, criminal justice, loss of productivity, and direct costs.1 Increased access and acceptability of alcohol use will lead to increased harms for residents and therefore a higher burden of cost for communities. Local Councils play an important role in mitigating harms associated with alcohol consumption for their residents. These changes have created the opportunity to develop policies in the best interest of the public’s health and safety concerning alcohol consumption. The following list outlines some local strategies that can minimize the risk of alcohol related harms to residents through alcohol policies:


mailto:[email protected]


Restricting hours of sale to 11AM to 2AM for SOPs on First Nation lands

Prohibit Tailgating SOPs issued on First Nation lands

Revise minimum pricing requirement at SOP events and set prices for alcohol according to alcohol by volume (ABV) strength

Require that food be made available at all SOP events held on First Nation lands

Require designated sales and consumptions areas to have physical barriers to separate from alcohol free areas at SOP events

As a First Nations community, you have the unique opportunity to develop policies and by-laws that are in the best interest of your community. Developing an alcohol policy that aligns with the above proposal is one of the ways to reduce the potential risk of alcohol related harms to residents. If this is something we can offer assistance in doing, please reach out to Hallie Atter at 705-743-1000 or [email protected] for our support in developing and strengthening a community alcohol policy to maintain the health and safety of your residents.

Sincerely, Original signed by Rosana Salvaterra, MD, MSc, CCFP, FRCPC Medical Officer of Health

1. Canadian Center for Substance Use and Addiction. 2019. Canadian Substance Use Costs and Harms. https://csuch.ca/explore-

the-data/



https://csuch.ca/explore-the-data/





December 11, 2019 Chief Laurie Carr and Council Hiawatha First Nation 123 Paudash Street Hiawatha, ON K9J 0E6 Sent via email: [email protected] Dear Chief Carr and Council Members: Re: Community Alcohol Policies and Policy Options to Mitigate Alcohol Harms Recent provincial changes regarding location and sales of alcohol have the potential to increase access to alcohol, therefore increasing consumption and harms. Peterborough Public Health is offering support to our local communities to assist with strengthening “Municipal Alcohol Policies” to ensure the safety and health of our residents. In case this is relevant for your First Nation community, we would like to reach out and extend our support in updating any polices regarding alcohol and special occasion permits (SOP). Current proposed changes that have an impact at the local level include:

Changes to SOPs through the Alcohol and Gaming Commission of Ontario (AGCO) loosening regulations on hours of sale, eliminating barriers around licensed areas for consumption, and ending the regulation on serving food at events.

New SOPs for Tailgating Events allowing patrons to bring their own alcohol to consume in a confined area for exclusive sporting events including professional sports, semi-professional sports, and post-secondary events.

Allowing communities to designate public spaces for the consumption of alcohol. This includes parks, beaches, and other community owned property.

Creating alcohol policies and by-laws allow communities the opportunity to mitigate the potential harms and costs associated with increased accessibility and consumption of alcohol. Increased accessibility and liberalization of alcohol consumption is a well-documented risk factor for problematic use leading to criminal behavior, violence, and chronic disease outcomes. This has the potential to impact costly services including maintenance, emergency services, and public health. In 2014, the total cost attributed to alcohol use in Canada was estimated at $14.6 billion. This includes the cost for healthcare services, criminal justice, loss of productivity, and direct costs.1 Increased access and acceptability of alcohol use will lead to increased harms for residents and therefore a higher burden of cost for communities. Local Councils play an important role in mitigating harms associated with alcohol consumption for their residents. These changes have created the opportunity to develop policies in the best interest of the public’s health and safety concerning alcohol consumption. The following list outlines some local strategies that can minimize the risk of alcohol related harms to residents through alcohol policies:



Restricting hours of sale to 11AM to 2AM for SOPs on First Nation lands

Prohibit Tailgating SOPs issued on First Nation lands

Revise minimum pricing requirement at SOP events and set prices for alcohol according to alcohol by volume (ABV) strength

Require that food be made available at all SOP events held on First Nation lands

Require designated sales and consumptions areas to have physical barriers to separate from alcohol free areas at SOP events

As a First Nations community, you have the unique opportunity to develop policies and by-laws that are in the best interest of your community. Developing an alcohol policy that aligns with the above proposal is one of the ways to reduce the potential risk of alcohol related harms to residents. If this is something we can offer assistance in doing, please reach out to Hallie Atter at 705-743-1000 or [email protected] for our support in developing and strengthening a community alcohol policy to maintain the health and safety of your residents.

Sincerely, Original signed by Rosana Salvaterra, MD, MSc, CCFP, FRCPC Medical Officer of Health


the-data/





From: [email protected] [mailto:[email protected]] Sent: Friday, December 13, 2019 9:55 AM To: Alida Gorizzan <[email protected]> Subject: alPHa Information Break - December 13, 2019

December 13, 2019

This update is a tool to keep alPHa's members apprised of the latest news in public health including provincial announcements, legislation, alPHa activities, correspondence and events.

Update on Public Health Modernization

The formal consultation of the Ontario government's plan to modernize public health and emergency health services was launched on November 18, 2019. The Ministry of Health is

seeking input from a variety of public health stakeholders, in a range of formats over the coming months. Along with many others, alPHa will be making a formal submission to the

consultation.

To this end, we are inviting feedback from members to inform a collective response. This

response is intended to reflect the major themes and top priorities that are common throughout the local public health sector while acknowledging that different local circumstances

will generate different points of view. alPHa's submission will build on its Statement of

Principles that was released on November 15.

Members are being asked to review the province's Discussion Paper and the alPHa Statement of Principles and provide answers to the questions posed in the consultation discussion paper.

Health units have been given a template by alPHa to complete and have been invited to submit

one completed template/response (per health unit) to the association by January 3, 2020. Please note that this is not intended to replace health units' own responses to the consultation.

alPHa encourages members to avail themselves of the various opportunities for input to ensure that local and collective voices are heard during this consultation.

Go to the Ministry of Health's public health consultations website


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We're Moving

Effective December 19, 2019, alPHa's office will be relocating to a new address -- 480

University Avenue, Suite 300, Toronto ON M5G 1V2. Our email addresses, phone

numbers and extensions will remain the same. Please update your records with this new address. We apologize in advance for any inconveniences you may experience during our move

in the week of December 16 and thank you for your patience.

Upcoming Winter 2020 Symposium & Section Meetings: February 20 & 21

alPHa will be holding its Winter 2020 Symposium on February 20 and Section Meetings on

February 21 at the Central YMCA in downtown Toronto. The Winter Symposium will be a full-day event featuring a morning workshop on leadership, collaboration and change management

with speaker and facilitator Tim Arnold followed by an afternoon dialogue on Public Health Modernization. Section meetings for board of health members and medical officers of health

will be held the next morning until noon at the same location. Stay tuned for more program and registration details in the new year. In the meantime, members are advised to start

booking their hotel accommodations at nearby hotels (see flyer below).

View the Winter Symposium & Section Meetings flyer here

Proceedings of Fall 2019 Symposium

A summary of the speaker sessions and events held during our Fall 2019 Symposium in November is now available. Included are links to speakers' slide presentations.

Download the Fall 2019 Symposium Proceedings here

Wrapping Up the Year

As the end of 2019 approaches, it is safe to say that much has been accomplished over the

past twelve months. alPHa sincerely thanks the Board of Directors and members for their leadership, resolve and support during an incredibly busy and memorable year.

Visit alPHa's web page on Public Health Modernization View alPHa's letters and correspondence for the past year here

Registration for TOPHC 2020 Now Open

Registration is now open for TOPHC 2020, the annual conference for public health professionals organized by Public Health Ontario in partnership with alPHa and the Ontario

Public Health Association. TOPHC 2020 will be held over three days from March 25 to 27 in


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Toronto. Register before February 12, 2020 to enjoy early-bird promotional pricing. Register here for TOPHC 2020

Government News Roundup

Public Health Agency of Canada releases new data on opioid-related harms - 2019/12/12

Ontario announces first 24 Ontario Health Teams - 2019/12/09

Financial Accountability Office (FAO) releases Q2 expenditure report - 2019/12/02

New federal Minister of Health, Patty Hajdu, announced - 2019/11/20

Province launches new Ontario Seniors Dental Care Program - 2019/11/20

Ontario government's website on Consultations on Modernizing Public Health and Emergency

Health Services - 2019/11/18

alPHa on Social Media

Did you know alPHa is on Twitter (@PHAgencies) and LinkedIn?

Stay updated on the latest news or connect to public health professionals by following alPHa on these platforms.

Follow alPHa's Twitter account here

Visit alPHa's LinkedIn page here

Upcoming Events - Mark your calendars!

Winter 2019 Symposium/Section Meetings - February 20 & 21, 2020, Central YMCA, 20 Grosvenor St., Toronto.

The Ontario Public Health Convention (TOPHC) 2020 - March 25-27, 2020; Beanfield Centre, 105 Princes' Blvd., Toronto. Register here. Early bird pricing ends February 12, 2020.

June 2020 Annual General Meeting & Conference - (Tentative dates) June 10-12,

2020; Toronto.

alPHa is the provincial association for Ontario's public health units. You are receiving this update because you are a member of a board of health or an employee of a health unit.


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December 16, 2019 Chief Administrative Officers City of Peterborough County of Peterborough Lower-Tier Municipalities Sent via e-mail Dear Chief Administrative Officer: Re: Municipal Alcohol Policies and Municipal Policy Options to Mitigate Alcohol Harms Recent provincial changes regarding location and sales of alcohol have the potential to increase access to alcohol, therefore increasing consumption and harms. Current proposed changes impacting communities and municipalities include:

Changes to Special Occasion Permits (SOPs) through the Alcohol and Gaming Commission of Ontario (AGCO) loosening regulations on hours of sale, eliminating barriers around licensed areas for consumption, and ending the regulation on serving food at events.

New SOPs for tailgating events allowing patrons to bring their own alcohol to consume in a confined area for exclusive sporting events including professional sports, semi-professional sports, and post-secondary events.

Allowing municipalities to designate public spaces for the consumption of alcohol. This includes parks, beaches, and other municipal property.

Updating municipal alcohol policies (MAPs) allows municipalities the opportunity to mitigate the potential harms and costs associated with increased accessibility and consumption of alcohol. Increased accessibility and liberalization of alcohol consumption has been well documented as a risk factor for problematic use leading to criminal behavior, violence, and chronic disease outcomes. This has the potential to impact costly municipally funded services including maintenance, emergency services, and public health. In 2014, the total cost attributed to alcohol use was $14.6 billion. This includes the cost for healthcare services, criminal justice, loss of productivity, and direct costs.1 Increased access and acceptability of alcohol will lead to increased harms for residents and therefore a higher burden of cost for municipalities. Municipalities play an important role in mitigating harms associated with alcohol consumption for their residents. These changes now create opportunities for municipalities to develop policies in the best interest of the public’s health and safety with regards to alcohol consumption. The following outline some provisions that can be made at the municipal level to minimize the risk of alcohol related harms to their residents through MAPs:



Restricting hours of sale to 11AM to 2AM for SOPs on municipal property

Prohibit Tailgating SOP issued on municipal property

Revise minimum pricing requirement for SOPs and set prices for alcohol according to alcohol by volume (ABV) strength

Require that food be made available at all SOP events held on municipal property

Require designated sales and consumptions areas to have physical barriers to separate from alcohol- free areas

Peterborough Public Health is available to support all of our municipalities in updating their Municipal Alcohol Policies. Please contact Hallie Atter at [email protected] or call 705-743-1000 at 380 for support in strengthening your Municipal Alcohol Policy to maintain the health and safety of our residents. Sincerely, Original signed by Rosana Salvaterra, MD, MSc, CCFP, FRCPC Medical Officer of Health


the-data/





PETERBOROUGH PUBLIC HEALTH BOARD OF HEALTH – STAFF REPORT TITLE: Guarding Minds @ Work Update


PREPARED BY: Brittany Cadence, Manager, Communications & IT Services (Former Chair, Guarding Minds @ Work Steering Committee)

APPROVED BY: Larry Stinson, Director of Operations Dr. Rosana Salvaterra, Medical Officer of Health

PROPOSED RECOMMENDATIONS That the Board of Health for Peterborough Public Health receive the staff report, Guarding Minds @ Work Update, for information.

FINANCIAL IMPLICATIONS AND IMPACT There are no financial implications arising from this report. DECISION HISTORY At its June 10, 2015 meeting, the Board of Health formally adopted the National Standard on Psychological Health and Safety for the organization and endorsed the creation of the Guarding Minds at Work Steering Committee to oversee the implementation of the standard for Peterborough Public Health. Earlier status updates were provided to the Board of Health on November 9, 2016, January 13, 2018, and March 13, 2019. BACKGROUND Psychological health and safety is about safeguarding the psychological health of employees. A psychologically healthy and safe workplace is one that promotes employees’ psychological well-being and actively works to prevent harm to employee psychological health due to negligent, reckless or intentional acts. Guarding Minds @ Work (GM@W) is an evidence-based, guided process developed by Canadian mental health experts to support the implementation of the National Standard on Psychological Health & Safety in the Workplace. According to GM@W, psychological health comprises our ability to think, feel and behave in a manner that enables us to perform effectively in our work environments, our personal lives, and in society at large. Psychological safety is different - it deals with the risk of injury to psychological well-being that an employee might experience. Improving the psychological safety of a work setting involves taking precautions to avert injury or danger to employee psychological health. It is important to note that psychological health problems occur on a spectrum, from mild psychological difficulties on


https://www.guardingmindsatwork.ca/info/safety_what

one end to severe psychological disorders on the other. The most common psychological health problems in the workplace are anxiety and depression. These conditions account for a large proportion of the negative impacts on employees and employers. Peterborough Public Health asked its employees to complete the GM@W survey in 2016 and again in 2018. This survey measures staff perceptions of workplace health according to 13 psychosocial factors. Both surveys generated strong response rates of 85% or higher. When comparing results from the 2018 survey to the 2016 benchmarks, each psychosocial factor improved and one remained the same. According to the GM@W rating system, all indicators ranked either as a “minimal concern” or a “relative strength”. These survey results are foundational to the work of the GM@W Steering Committee in identifying priority psychosocial factors that could be improved through targeted workplace initiatives. Engagement (PF10) and Protection of Physical Safety (PF13) rated as the two highest indicators, and Organizational Culture (PF2) and Civility & Respect (PF4) rated as the two lowest. These results of the top and lowest ranking psychosocial factors are the same as in 2016, however all improved. A breakdown comparing 2016 and 2018 results is provided below:

In January 2019, the GM@W Committee presented the results of the 2018 survey to staff as part of the All-Staff half day as a way to inform the discussion of next steps. There continued to be strong support for continuing the work of developing all employee’s conflict management skills, and this was the major focus of the committee’s work throughout 2019. In March 2019, the committee hired non-violent communication expert Marion Little from the John Howard Society to develop two half-day sessions designed to coach staff on leading a conflict management exercise that could be delivered throughout the organization. An invitation went out to all staff to participate in these voluntary training sessions on March 18 and March 25,


and 27 staff signed up. Of this group, 11 staff joined the team of conflict management exercise facilitators who were responsible for delivering the exercise to their teams. Marion Little helped refine the conflict management exercise so it covered the key elements of understand the needs and feelings of people in conflict, and how through curious questioning, listening, self-awareness and self-care one can navigate through charged emotions to mutually resolve the problem at hand. The exercise consists of a powerpoint slide deck and video depicting a difficult conversation between a manager and employee. These materials are then used by facilitators to lead group work activities where participants learn to apply the concepts and techniques. In 2019, this exercise was delivered by facilitators six times at team meetings reaching a total of 74 employees. According to follow-up evaluations, these sessions were well-received by participants and generated positive change as staff gained more confidence dealing with conflict situations, both personally and at work. Throughout the year the GM@W Committee organized six one-hour booster sessions with Marion Little and the facilitator team to address any issues that may have arisen during the exercises and offer more coaching on conflict management. This work will continue into 2020 with a system to reach all staff and include the training as part of new staff/student orientation. With the provincial government’s sudden announcement in April 2019 of significant changes to the public health system and possible job losses caused by funding downloads and health unit amalgamations, the GM@W Committee recognized the need to address the psychological effect of this uncertainty on staff and the work environment. They developed a series of “Therapeutic Thursdays” from June until December that brought staff together over lunch hours to enjoy fun activities together. These events included line dancing, mindfulness training, a YouTube video on handling uncertainty, board games, mixed martial arts to music, and gingerbread house decorating. These events were modestly attended and fostered mutual support among those who took part. More importantly, it reflected that PPH is an organization that cares about its employees. The GM@W Committee meets again in January 2020 under the new leadership of Patti Fitzgerald, Manager of Infectious Disease Programs, and Julie Ingram, Manager of Environmental Health. The GM@W 2020 Work Plan will include another staff survey (this happens every two years) and also consider ways of enhancing staff resilience in light of the restructuring of Ontario’s public health system. STRATEGIC DIRECTION This work achieved to date and future plans to create a safe and supportive workplace helps PPH serve as a role model in implementing the new National Standard on Psychological Health and Safety, as well as fulfill objectives as set out in the Strategic Plan under the Quality and Performance strategic direction.



TITLE: No Money for Food is Cent$less (Limited Incomes Report, 2019)


PREPARED BY: Carolyn Doris, Manager, Family and Community Health


PROPOSED RECOMMENDATION That the Board of Health for Peterborough receive the report, No Money for Food is Cent$less (Limited Incomes Report, 2019), for information. ATTACHMENTS Attachment A – No Money for Food is Cent$less



www.basicincomecanada.org

www.nourishproject.ca/basic-income-peterborough-network

www.foodinpeterborough.ca/food-charter

www.foodinpeterborough.ca

www.nourishproject.ca

PETERBOROUGH PUBLIC HEALTH BOARD OF HEALTH TITLE: Modernization of Public Health – PPH Response




PROPOSED RECOMMENDATIONS That the Board of Health for Peterborough Public Health approve the following items for submission:

- Discussion Paper - Modernization of Public Health (Survey Response from PPH) - Position Paper - Submission to Jim Pine, Special Advisor

BACKGROUND On November 18, 2019, the province announced the release of discussion papers on the modernization of the public health sector and emergency health services (EHS). Feedback on the papers can be submitted via an online survey by February 10, 2020. In addition, the province also announced it would be conducting in-person consultation sessions in late 2019 and into early 2020 across Ontario. The Board of Health’s Modernization Working Group met that day, and again on November 26, 2019 and recommended the following:

- send an invitation (jointly with the City and County) to Jim Pine, Special Advisor, to hold a consultation in Peterborough;

- consult with staff to prepare a response to the online survey; and, - prepare a position paper for submission to Jim Pine.

An invitation was sent shortly thereafter, and a session was later confirmed for December 19, 2019. On this date, the provincial team overseeing the modernization of public health and EHS came to Peterborough for face-to-face consultations. Special Advisor Jim Pine facilitated a full day of meetings, with public health discussions in the morning. Also present were Executive Lead Alison Blair, Chief Medical Officer of Health Dr. David Williams, and their staff.

The consultation consisted of a number of open-ended questions and a free flowing of comments from the participants, representing boards of health, First Nations, local public health agencies and municipalities in the Durham, Haliburton, City of Kawartha Lakes, Northumberland and Peterborough areas.

PPH board members participated actively and made many good points. Among them was Mayor Andy Mitchell’s key points about the need for modernization, the importance of focusing on our communities as our key clients, the use of evidence for decision-making, and


the importance of governance. He emphasized that boards of health needed to have local accountability, and that budgets had to be affordable. He hoped that the province would consider models that made the best of both provincial and local efforts.

Important takeaways from the day were that this current process is a “reset” and that it represents a true consultation, congruent with the wishes of our board. The timelines have been adjusted, with February 10th still a firm deadline for the survey, but acknowledgement that the consultation will stretch to the end of February, with further discussions, as required, into the spring. Internal feedback was gathered for the survey until December 20th, and the Executive team worked on drafting the survey response and position paper over the remaining weeks in 2019. The Modernization Working Group is scheduled to meet on Monday, January 6, 2020, to review both documents. These will be circulated to board members for review as soon as they are finalized as they will require board approval on January 8, 2020. ATTACHMENTS Attachment A - Survey Response – Modernization of Public Health (to be circulated) Attachment B - Position Paper - Submission to Jim Pine, Special Advisor (to be circulated)


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