13. ADJOURNMENT - Brant County Health Unit

BRANT COUNTY BOARD OF HEALTH
REGULAR AGENDA
June
17r2015,9:30 a.m, Boardroom
Wednesday,
CALL TO ORDER
CONFLICT OF INTEREST
IN-CAMER,A, MEETING
ADDITIONS TO AGENDA
APPROVAL OF'MINUTES
5.1 Brant County Board of Health, May 20,2015
6.
*
FINANCIAL REPORT
6.1 Report on the Audit Committee Meeting of June 17,2015
BUSINESS ARISING FROM PREVIOUS MINUTES
7.1 Report from the Chair
7.2 Report from the Medical Officer of Health *
7.3 Report from the Executive Director *
7.4 Food Safety Disclosure Report t
7.5 Annual alPHa Conference Report
8.
AII
Chair Mills
Chair
Dr. M. Lock
Dr. J. Tober
Mr. J. Kowal
Councillor Kings, Councillor Neumann, Dr. J. Tober
NEW BUSINESS
8.1 Rabies Prevention and Control Program Report *
Mn J. Kowal
Mn J. Kowal
Mr. J. Kowal
Mr. J, Kowal
Dr. J. Tober
8.2 Vector-Borne Diseases Program Report *
8.3 Health Hazard Prevention and Management Program Report *
8.4 Emergency Preparedness Program Report *
8.5 2014 Annual Report t
Motion to accept reports as presented,
9.
CORRESPONDENCE (Board members may request ø copy of ltems that are not attached from Board of Health Seuetary)
9.1 Correspondence from City of Brantford, dated li4ay 20,2015,re proclamation of Community Water
Fluoridation Day on June 20,2015
9.2 Correspondence from Simcoe Muskoka District Health Unit, dated May 28,2015, re basic income guarantee.
9.3 Correspondence from Ontario Association of Public Health Dentistry, dated June 8, 2015, re fluoridation,
10. QUESTIONS / ANNOUNCEMENTS
11. FUTURE AGENDA ITEMS
12. NEXT MEETING DATE
July 1 5 and August 19, 2015 meetings
Wednesday, September 9, 201 5
13.
will
be at the call of the Chair'
ADJOURNMENT
*Attqchments
chair
**Attachmenls
for Board of Health members only
DATE: June 17,2015
#: 7.2
FROM:
Dr. Malcolm Lock
REPORT
Medical Officer of Health
Medical Offìcer of Health's Report
RE:
l.l. An unimmunízed chíld from Grey Bruce has been
d¡agnosed with tetanus, lt is the f¡rst recorded case of
tetanus in Grey Bruce.
The child has been hosp¡talized and is in critical
4.1. June 4,2015: Ebola virus
disease (EVO) case incidence
continues to fluctuate in Guinea
and Sierra Leone, with
approximately l3 new confirmed
cases reported in the pastweek in
each country.
4. Ebola Virus Disease
condition.
Tetanus (lockjaw) is rare in Ontario, on average one
case per year, lt is a serious disease caused when
tetanus spores get into a cut or puncture wound, Tetanu
s spores are found everywhere, in soil, dust, and
manure,
2.1. more than 100 cases
measles a week are
2. Guinea: Measles
5.1. More than 31,460 suspected
and confirmed cases of
ch¡kungunya fever have been
reported
Ch¡kungunya is an arboviral
infection transmitted by
mosquitoes.
6.1. More than 300 cases
of cholera a day are
5. Honduras: Chikungunya
I
dog
bringing the
total number of laboratory-confirmed
cases to 4l (including 1 case
exported to Ghina and 4 deaths).
3.2. index case is a South
Korean traveler who returned
from a trip to Bahrain
3. Middle East Respiratory
7. France: Rabies
currently occurring
3.'1. Since June 5, 2015,
6. Tanzania: Cholera Update
7.1. I imported case of canine
rabies. The dog, infected in
Algeria, bit at least t human and
of
Syndrome Coronavirus
(MERS-CoV) South Korea
3.3. Four of the 5 cases are hospital-acquir
ed tertiary cases, br¡nging the total number
of tertiary cases to l0 (including 1 death).
3.4. 30 secondary cases have been
reported in close contacts (spouse, attendi
ng physician, nurses, and hospital
roommates
3.5. According to WHO exposure times
may have been as short as 5 minutes to
a few hours.
ties in Gyeonggi, Chungbuk, and Ghungnam
provinces and in Seoul, have been temporarily
BRANT COUNTY BOARD OF HEALTH
REPORT #: 7,3
FROM:
Jo Ann Tober
RE:
Executive Director's Report
DATE: June 17,2015
Low Income Dental Integration Status Update - A bulletin was posted on the Ministry of Health
and Long-Term Care's website on May 3l announcing that the New Integrated Dental Program is to
begin in January 2016. We are awaiting further details from the Ministry.
Updated Board of Health E-Learning Module
- The Ministry of Health has announced the release
of an updated Board of Health E-Learning Module which is now available on the Public Health section of
the e-Health Ontario portal at the following address:
i o. ca./norta l/servel'. ut?onen=5 1 2&o b tlD:324
This module provides an orientation to the public health sector and to specific roles and responsibilities
under the Health Protection and Promotion Act with respect to the oversight and delivery of public health
programs and services in Ontario. The module includes overviews of the Ontario Public Health Standards
and the Ontario Public Health Organizational Standards.
Implementation of the Child Care and Early Years A,ct,2014 and New Regulations-This
Act received royal assent in December 2014 and will modernize and strengthen the Ontario Child Care
System. The Act will replace the Day Nurseries Act and will set a foundation for a high quality
integrated system of child care and early years services for children aged 0 to 12. This legislation applies
to both unlicensed and licensed child care and will strengthen compliance and health and safety in child
care settings.
Making Healthier Choices Act, 2015
- The government passed the Making Healthier Choices Act,
intended
help Ontario's children and families make healthier food
26,2015
which
is
to
2015 on May
choices, protect people from the harmful effects oftobacco use, and regulate electronic cigarettes. The
Act has three parts.
1. The requirement for large chain restaurants and other food services premises with 20 or more
locations in Ontario who sell ready-to-eat and prepared foods to post calories on menus.
2. Amendments to the Smoke-Free Ontario Act which increases penalties for selling tobacco to
children/youth, a ban on the sale of flavored tobacco products, and further limits to smoking in
public areas.
3. A prohibition on the sale of e-cigarettes to minors, regulations to the display and promotion of ecigarettes, and the ban of their use in places designated smoke-free,
Information on the legislation can be found at http://news.ontario.calm 132891 .
BRANT COUNTY BOARD OF HEALTH
REPORT #: 7.4
DATE: June 1.7' 2015
FROM:
Jeff Kowal, Manager
Environmental Health and Emergency Preparedness
RE:
City of Brantford/County of Brant Food Disclosure By-Law Report
The Board of Health requires that reports of premises convicted of food safety violations or
issued Orders under the Health Protection and Promotion Act be provided. These reports are
intended to provide the community with information about the food safety status of local
premises.
Court notification on the following was received:
The following premise was convicted of violations pertaining to Ontario Food Premises
Regulation 562, under the Health Protection and Promotion Act, R.S.O. 1990, Chapter H.7
.
Angels Family Diner
125 King George Rd
Brantford, ON
"Serve milk in other than original container."
2. "Fail to have test reagent available at place of sanitization.
3. "Operate premise in manner permitting a health hazard,"
1.
s60.00
$60.00
$460.00
BRANT COUNTY BOARD OF HEALTH
RBPORT #: 8.1
FROM:
Jeff Kowal, Manager,
Environmental Health and Emergency Preparedness
RE:
Rabies Prevention and Control Program Report
DATE: June 17,2015
The Ontario Public Health Standards require Boards of Health to prevent the occurrence of
rabies in humans. Rabies control activities involve the investigation of scratch/bite incidents,
confinement of implicated animals, distribution of rabies vaccine to some victims and
arrangement of animal testing for rabies infection.
To date, Environmental Health and Emergency Preparedness staff investigated 100% of the
animal bite/scratch incidents reported to the Brant County Health Unit. During the past six
months, Public Health Inspectors investigated 126 biting incidents, including 68 dogs, 49 cats,
2bats,3 raccoons, I Coatie, and 3 rodents. It was necessary to order the destruction of 4 animals
for rabies testing. All specimen results were negative.
In compliance with the Ministry of Health and Long-Term Care Protocol, Rabies vaccine and the
associated Immune Globulin were distributed to 15 individuals as of May 31,2015.
In order to meet the requirement of providing rabies information on an ongoing basis to the
community, Health Unit staff display rabies/vaccination materials at the Health Unit and
distribute similar materials to operators of veterinary practices and the Humane Society office.
Rabies messaging for children is also promoted through the dissemination of a rabies colouring
book to all primary students attending elementary schools in Brantford and Brant County. The
vaccination of household pets is promoted through the verification of current vaccination status
by Public Health Inspectors during dog and cat bite investigations.
BRANT COUNTY BOARD OF HEALTH
REPORT #: 8.2
DATE: June 17' 2015
FROM:
Jeff Kowal, Manager, Environmental Health and Emergency Preparedness
RE:
Vector-borne Disease Prevention Program Report (formerly West Nile Virus)
The Vector-borne Disease Prevention program will remain the same as previous years, consisting
adult mosquito trapping and larviciding catch basins to reduce the local mosquito populations in
urban areas.
of
For the 2014 operational season, surveillance indicators follow:
Positive Humans
Brant
Ontario
Canada
2014
0
8
Positive Mosquito Pools
Brant
Ontario
2014
0
52
15
2015 Vector-Borne Disease Prevention Activities
During the 2015 season, the core Vector-bome disease prevention activities will include:
1.
Community outreach/education: West Nile Virus (WNv) pamphlets will be mailed to all
customers of Brantford and Brant County Power. Materials will also be distributed to various
municipal veterinary clinics, and pet shop retailers.
2.
WNv Telephone Hotline: A dedicated extension with 24-hour voicemail service will be
maintained for members of the public to call with questions and report standing water
complaints. The WNv Technician will monitor this line and respond to calls within one
business day. In 2014, Health Unit staff responded to 22 complaints and issued 18 Orders
under the City of Brantford Standing V/ater By-Law.
3.
Surryeillance:
o Mosquitoes will be trapped weekly from June to August at 10 sites. These traps will be
located in high density urban areas in the towns of St. George, Scotland, Paris, Oakland,
Burford, and the City of Brantford. The adult mosquitoes collected will be identified for
species and tested for the presence of WNv.
o Larval testing: From June to August, 38 sites will be tested weekly for mosquito larva
throughout the City and County. These sites include 19 storm-water management ponds
and 3 ditches in the City of Brantford, Also included in Brant County are 12 storm-water
management ponds, 3 sewage lagoons in Cainsville, and I ditch area.
o Human surveillance: Passive surveillance will identify human cases of WNv in the City
of Brantford and County of Brant.
4.
Larviciding:
A Request for Proposal was issued March 2015 for larvicide applicators to apply two
treatments of larvicide (methoprene) to all catch basins on municipally-owned property
throughout Brantford and Brant County. GDG Environmental was chosen to be the
larviciding contractor for 2015.
BRANT COUNTY BOARD OF HEALTH
RBPORT #: 8.3
DATE: June
FROM:
Jeff Kowal, Manager,
Environmental Health and Emergency Preparedness
RE:
Health Hazard Prevention and Manaqement Proqram Report
17' 2015
The Ontario Public Health Standards require all public health units to prevent or reduce adverse health
outcomes resulting from exposure to all biological, physicaland chemical agent public health hazards.
During the period of January I through June l, 2015, Public Health Inspectors responded to 144 Health
Hazard Complaints from the public, The type and number of complaint responses are summarized in the
table below:
Health Hazard Com plaints
January 1, 2015 -June 1, 2015
Jan-June 1,2015
Complaint Type
Food Safety
40
Infection Control
66
West Nile Virus-Standing V/ater
2
Smoke Free Ontario
7
Heat By-law
6
Sewage
0
Water Quality
I
Air Quality
2
Public Pool Safety
0
Environmental Safety
20
TOTAL
t44
All public inquiries were responded to in accordance with the Ontario Public Health Standards. The
Brant County Health Unit maintains a 24-hour on-call response capability for Health Hazard emergencies.
BRANT COUNTY BOARD OF HEALTH
REPORT #: 8.4
FROM:
Jeff Kowal, Manager,
Environmental Health and Emergency Preparedness
RE:
Emergencv Preparedness Program Report
DATE: June 17,2015
The Ontario Public Health Standards require that health units prepare for and effectively respond
to public health emergencies on a 2417 basis.
In order to meet this program requirement, Health Unit staff have modified the Brant County
Health Unit Emergency Response Plan and associated business continuity plan. This document is
now written in the Incident Management Systems (IMS) format. IMS is a standardized approach
to emergency management encompassing personnel, facilities, equipment, procedures and
communications.
All Health Unit management staff are IMS level-100 certified, and two managers have also
achieved Level-200 certification. Additionally, Health Unit managers and some community
partners have recently received an IMS in-service from Public Health Ontario.
Health Unit staff will also take part in Brantford's Emergency Response Exercise this September
which will test the community's ability to deal with a disruption of potable water service. This
exercise will be led by Brantford's Community Emergency Response Coordinator (CEMC) and
used to evaluate (IMS) practices.
The Brantford Emergency Response Committee met twice this year with Health Unit
participation. Brantford's Hazard Incident Risk Assessment (HIRA) was reviewed and updated
by committee members.
The Brant County Health Unit continues to maintain a24-hourlT-day response capability for
community emergencies, An event requiring activation of Brant's Emergency Operations
Centres (EOC's) has not arisen over the past 5 months.
B R A N T
C O U N T Y
H E A L T H
U N I T
ESTABLISHED 1946
Annual Report 2014
Take our courses
Call to register: 519-753-4937
Prenatal classes (in person
and online): ext. 463
Food safety training: ext. 470
Pool safety (online): ext. 470
Visit our clinics
Call for an appointment:
519-753-4937
Immunization
General: ext. 449
Flu: ext. 446
Travel: ext. 453
Sexual health: ext. 471
TB skin test: ext. 448
Quit smoking: ext. 455
Public Health is Everywhere
Since 1946, our staff have touched thousands of lives at home and in the
community. Every year we’re encouraged by the number of clients who attend
our programs such as immunization clinics, parenting groups, and food safety
classes. We’re also delighted when we receive Twitter posts that thank our staff
for their good work.
After all, results matter. It’s why we measure and improve the performance of our
services and programs. And why we encourage you to take part in our surveys,
talk to our staff, and engage us on social media. By working together, we build a
healthier community.
Jo Ann Tober, Executive Director
Dr. Malcolm Lock, Medical Officer of Health
Get parenting support
Visit our website at
www.bchu.org
Family drop-in centres
Breastfeeding clinics
Read our reports
Visit our website at
www.bchu.org
Brant Health Atlas
Food premises inspections
Beach postings
In October, students from high schools across Brant came out to our Youth Leadership Retreat.
We shared information about leadership, tobacco denormalization, and health promotion.
2014 approved budget
Other Funding
Sources
(e.g., Ministry of Children
and Youth Services, Health
Canada)
$1,415,402
Find information
Call us: 519-753-4937
Family health line: ext. 464
Healthy Babies Health Children
program: ext. 482
West Nile virus: ext. 444
Well water testing: ext. 470
Infectious diseases: ext. 454
2014 Board of Health
Robert Chambers, Chair
County of Brant Appointee
Janice Mills, Vice-Chair
Provincial Appointee
Greg Anderson
Provincial Appointee
Vince Bucci, Chair
City of Brantford Appointee
Marguerite Ceschi-Smith
City of Brantford Appointee
Debi Dignan-Rumble
City of Brantford Appointee
Helen Mulligan
County of Brant Appointee
Nancy Nichols
Provincial Appointee
Ministry of
Health and
Long-Term
Care Funding
$8,486,360
Municipal
Funding
$3,124,545
The Wellness Works program promotes activity
and healthy lifestyles.
Total Budget: $13,026,307
830 food handlers completed food safety training course
450 animal bites investigated and closed
38 ticks tested for Lyme disease
432 children received fluoride varnish
19 schools participated in Healthy Bites program
4,469 children screened for dental health at local schools
239 families received home visiting support
2,733 parents and 2,947 kids attended family drop-in centres
265 immunization clinics held
343 participants registered for quit-smoking clinics
2014 Approved Budget
Other Funding
Sources
(e.g. Health Canada)
$1,415,402
Ruby Toor
Provincial Appointee
Ministry of Health
and Long-Term
Care Funding
$8,486,360
Report your child’s immunizations
Municipal
Funding
$3,124,545
Questions? Let us help
519-753-4937 • email@bchu.org • www.bchu.org
Total Budget: $13,026,307
194 Terrace Hill Street, Brantford, ON N3R 1G7 • 519-753-4937
www.bchu.org