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December 19, 2019

Prepared By:

Neil Mackenzie, Manager, Chronic Disease and Injury Prevention

Date:

December 19, 2019

Subject:

Windsor and Essex County Living Wage Program

BACKGROUND

Income inequality has been recognized as one of the most significant social determinants contributing to poorer population health outcomes. As such, many communities across Ontario, nationally, and internationally have implemented living wage programs aimed to raise awareness, encourage adoption, and advance healthy public policy. In 2017, the Windsor-Essex County Health Unit (WECHU) agreed to take over the administration of the Windsor and Essex County Living Wage program from Pathway to Potential; Windsor and Essex County’s Social Investment Plan. The program re-launched in March 2018, and as of November 2019, there are 27 Certified Living Wage Employers.

CURRENT INITIATIVES

The 2020 Living Wage calculated for Windsor and Essex County is $15.52/hour for full and part time employees that do not receive health benefits from their employer. This represents a .37 cent per hour (2.4%) increase over the 2019 Living Wage. The 2020 Living Wage for full and part time employees who receive health benefits from their employer remains at $14.00/hour (current provincial minimum wage).

Purpose: To raise awareness about the minimum salary required to increase the likelihood of having a basic standard of living in Windsor and Essex County, and to advance policies, partnerships, and practices that promote health and well-being for our community.

Key Program Deliverables

Each year the living wage calculation is updated and shared with the community. See the attached Calculating a Living Wage for Windsor and Essex County 2020 report (Appendix A). The report is intended to provide an overview of the Living Wage, how it’s calculated, and assumptions that are made in the calculations. It is anticipated that the report will help raise awareness about the importance of paying at least a Living wage to all employees, in order to increase the likelihood that they can meet the basic cost of living in Windsor and Essex County.

The Living Wage Certification Program includes:

  • Promotion and recruitment activities;
  • An online intake and enrollment process;
  • Verification that applicants meet program eligibility criteria;
  • Support for employer implementation;
  • An employer Living Wage Certification package;
  • Program evaluation and reporting activities to support quality improvement; and,
  • Recognition at the annual Gord Smith Healthy Workplace and Bike Friendly Awards.

KEY CALCULATION CHANGES FOR 2020

In order to better support local communities in the Living Wage Calculation process, the Ontario Living Wage Network (OLWN) reviewed and updated the living wage calculation methodology in 2018.  This change allows local communities to spend less time calculating the living wage and helps standardize calculations throughout the province.

CONSULTATION

Members of the CAC serve in a consultative capacity, providing recommendations and advice to the WECHU Living Wage program administration team.  The most recent CAC meeting was held on October 24, 2019. At that meeting, the WECHU team delivered a presentation outlining the 2020 Living Wage calculation and relevant changes. They also shared the 2019 Living Wage evaluation report. The plan for promoting and recruiting Living Wage employers for 2020 was discussed.  Group feedback and discussion resulted in valuable input and advice that will be incorporated into the 2020 Living Wage Program.

Note: not all members of the CAC attended the meetings referred to above.

Community Advisory Committee Membership

  • Judy Lund (Working Toward Wellness Committee)
  • Michelle Suchiu (Executive Director, Workforce WindsorEssex)
  • Stephen Lynn (Coordinator of Social Planning, City of Windsor)
  • Jelena Payne (The Community Development and Health Commissioner, City of Windsor)
  • Luciano Carlone (Director of Finance and Corporate Services, Canadian Mental Health Association - Windsor-Essex County Branch)
  • Lorraine Goddard (CEO, United Way/Centraide Windsor-Essex County)
  • Robert Ross (Windsor-Essex Food Policy Council)
  • Greg Schlosser (Director, Human Resources, County of Essex)

The following individuals contributed to this report: Nicole Dupuis, Marc Frey, Neil MacKenzie, Ramsey D’Souza, Saamir Pasha, and Cathy Bennett.

APPENDICES

  • Appendix A – Calculating a Living Wage for Windsor and Essex County 2020 - Report coming soon

APPROVED BY:

Theresa Marentette, CEO


View Document page

Prepared By:

Lorie Gregg, Director of Corporate Services

Date:

December 19, 2019

Subject:

Q3 Financial Results

BACKGROUND

The Leadership Team of the Windsor-Essex County Health Unit (“the WECHU”) monitors financial results on an on-going basis for the following programs:

  • Mandatory programs funded to a maximum of 75% (“Cost-Shared”) by the Ministry of Health and 25% by  the Corporation of the City of Windsor, the Corporation of the County of Essex and the Corporation of the Township of Pelee (hereinafter referred to as the “Obligated Municipalities”);
  • Related programs funded 100% by the Ministry of Health;
  • Related programs funded 100% by the Ministry of Children, Community and Social Services (“MCCSS”).
  • One-time business cases funded 100% by the Ministry of Health.

The third quarter financial report to the Board includes a budget to actual comparison and narrative for material variances for all programs listed above, as well as forecasted financial results for the year-ending December 31, 2019.

COST-SHARED PROGRAM FINANCIAL RESULTS

The following is the financial information for the Cost-Shared programs including Vector-Borne Diseases and Small Drinking Water Systems for the period January 1, 2019 to September 30, 2019 with forecasted financial results for the year-ending December 31, 2019.

  2019 Budget YTD Budget September 30, 2019 Forecasted December 31, 2019 Variance September 30, 2019 Variance Forecasted December 31, 2019
Salaries 13,255,133 9,941,350 8,427,236 12,000,919 1,514,114 1,254,214
Employee benefits 3,575,890 2,681,918 2,348,178 3,231,358 333,740 344,532
Travel and meetings 48,752 36,564 5,910 19,374 30,654 29,378
Mileage 216,425 162,319 131,704 169,427 30,615 46,998
Professional development 109,100 81,825 25,943 48,690 55,882 60,410
Association and membership fees 45,000 33,750 34,457 43,833 (707) 1,167
Office supplies 40,000 30,000 23,362 42,000 6,638 (2,000)
Program supplies 714,626 535,970 457,760 938,202 78,210 (223,576)
Office equipment rental 142,000 106,500 77,907 129,862 28,593 12,138
Advertising and promotion 8,500 6,375 709 1,362 5,666 7,138
Purchased services 105,310 78,983 65,787 101,887 13,196 3,424
Board expenses 22,450 16,838 11,390 17,211 5,448 5,239
Professional fees 143,300 107,475 162,904 259,912 (55,429) (116,612)
Bank charges 20,000 15,000 14,346 18,766 654 1,234
Rent 770,000 577,500 575,878 766,215 1,622 3,785
Building maintenance 161,300 120,975 116,011 160,097 4,964 1,203
Utilities 155,000 116,250 93,677 135,857 22,573 19,143
Taxes 221,000 165,750 173,125 211,378 (7,375) 9,622
Insurance 83,500 62,625 79,749 79,749 (17,124) 3,751
Telephone 121,200 90,900 69,929 103,005 20,971 18,195
Security 17,500 13,125 51,445 53,396 (38,320) (35,896)
Vehicle expenses 2,100 1,575 694 911 881 1,189
Postage and freight 33,500 25,125 20,540 34,614 4,585 (1,114)
Parking 91,000 68,250 68,362 91,000 (112) -
  20,102,586 15,076,940 13,037,002 18,665,201 2,039,938 1,437,385
Offset revenue (200,000) (150,000) (143,510) (187,173) (6,490) (12,827)
  19,902,586 14,926,940 12,893,492 18,478,028 2,033,448 1,437,385
Vector-Borne Diseases 350,000 262,500 155,408 182,243 107,092 242,908
  20,252,586 15,189,440 13,048,900 18,660,271 2,140,540 1,667,466

For the period January 1, 2019 to September 30, 2019, cash flows relating to the 2019 program year are as follows:

Ministry of Health

$10,445,165

Corporation of the City of Windsor

2,349,140

Corporation of the County of Essex

1,745,296

Corporation of the Township of Pelee

1,695

 

$14,541,296

 

At September 30, 2019, the variance from budget to actual total expenditures amounted to $2,033,408. Specific variances are as follows:

  • Salaries and Employee benefits:  Expenditures in these financial captions relate to salaries and benefits paid to the WECHU staff in service of the Mandatory Cost-Shared Program.  The combined variance from budget of $1,847,854 is attributed to: 
    • Labour disruption involving the WECHU staff represented by the Ontario Nurses Association (“ONA”) for the period March 8th, 2019 to May 8th, 2019 (approximate savings of $996,000);
    • Given the uncertainty that arose with the April 11th, 2019, Ontario Provincial Budget, certain positions, predominantly non-union, remained unfilled (approximate savings of $450,000 );
    • Gapping resulting from vacancies (i.e. extended recruitment processes; voluntary departures; unpaid leaves; back-filling positions for unpaid leaves); 
    • Gapping due to under utilization of certain other compensation related provisions (i.e. overtime, benefits, etc.) (approximate savings of $110,441).
  • Travel and meetings, Mileage, Professional Development:  The combined variance associated with these financial captions was $117,151.  The aforementioned labour disruption had an impact on these financial captions, causing the WECHU to reprioritize certain less essential activities for those more critical to client service delivery, both during and subsequent to the labour disruption.   Adding to this was the release of the Ontario Provincial Budget, and the austerity measures that the WECHU put in place to ensure that financial resources would only be directed to mandatory travel, meetings and professional development (similar to those put in place by the Province of Ontario).
  • Program supplies:   Expenditures in this financial caption support the activities of the departments, those that directly support Public Health Programs as well as those “support” departments such as Information Technology and Communications.  At September 30, 2019, the variance compared to budget amounted to $78,210 and can be attributed to:  i) The aforementioned labour disruption; ii) Timing of program activities. 
  • Professional fees:  Expenditures in this financial caption include legal, audit and consulting fees paid to third parties.  The budget variance in Professional fees relates to an increase in legal costs to support the WECHU with collective bargaining (ONA only) and during the labour disruption (approximate impact $114,090). 
  • Office equipment rental:  Expenditures in this financial caption include the WECHU’s contractual lease payments on account of multi-function copiers and a large format printer used to support client service delivery.  While the monthly contractual lease payments are consistent (approximately 44% of the 2019 annual budget or $62,480) the overage costs (the term used to describe utilization) vary depending upon the print volume. 
  • Utilities and Telephone:  Expenditures in these financial statement captions include utilities for the Windsor and Leamington offices as well as all telecommunication (mobile, broadband, etc.).  The variance at September 30, 2019 of $43,544 is due to lower than anticipated usage coupled with certain cost-saving measures undertaken by the WECHU.
  • Security:  Expenditures in this financial caption include security costs contracted on an as needed basis for after-hours events at our Windsor office location.  The WECHU incurred additional security costs of $46,984 for the period March 8, 2019 to May 8th, 2019, on account of the labour disruption.

In addition to the budget to actual analysis above, the WECHU has provided forecasted financial results for the year-ending December 31, 2019.  These forecasted financial results consider actual year-to-date results at November 30, 2019, as well as estimates of expenditures for the remaining 31-day period.  Total forecasted expenditures for the year-ending December 31, 2019 are anticipated to be $1,424,558 underspent when compared to budget.  Material variances between forecast to budgeted financial results are detailed below:

  • Salaries and Employee benefits: For the year-ended December 31, 2019, Salaries and Employee benefits are forecasted to be $1,592,568 underspent.  This is attributed to:
    • The aforementioned labour disruption (approximate savings of $996,000);
    • Austerity measures taken by the WECHU resulting from the release of the 2019 Ontario Provincial Budget (approximate savings of $617,526);
    • Gapping resulting from vacancies (i.e. extended recruitment processes; voluntary departures; unpaid leaves; back-filling positions for unpaid leaves); 
    • Finalization of negotiations with the WECHU employees represented by the Canadian Union of Public Sector Employees (“CUPE”) resulting in a one-time bonus to said staff.  The Board of Health approved a one-time bonus to the non-union group of the same amount (approximate impact of $126,000).
  • Program supplies:  For the year-ended December 31, 2019, Program supplies are forecasted to be overspent by $223,576.  This is primarily attributed to:
    • Costs associated with translation of the WECHU’s food handler courses into multiple languages (approximate impact of $17,000).
    • Implementation costs associated with the Ceridian Dayforce Project (approximate impact of $26,000).
    • Acquisition of two vaccine fridges to replace existing vaccine fridges nearing “end of life” (approximate impact of $21,042).
    • Acquisition of nicotine replacement therapy/tobacco cessation supports (approximate impact of $50,000).
    • Acquisition of information technology hardware (i.e. computers, servers, etc.) to replace existing equipment before “end of life” due to hardware defects (approximate impact of $30,000) and accelerating replacement to reduce budgetary pressures in 2020 (approximate impact of $20,000).
  • Professional fees:  For the year-ended December 31, 2019, Professional fees are forecasted to be overspent by $116,612.  The forecasted variance in Professional fees is attributed to the labour disruption. 
  • Security:  For the year-ended December 31, 2019, Security is forecasted to be overspent $35,896.  The forecasted variance in Security is attributed to the labour disruption.

HEALTHY BABIES HEALTHY CHILDREN PROGRAM FINANCIAL RESULTS

  2019 Budget YTD Budget September 30, 2019 September 30, 2018 Variance 2019 Budget
Salaries and benefits 2,629,189 1,971,892 1,628,323 1,826,354 343,569
Mileage 60,000 45,000 36,672 36,443 8,328
Travel and meetings 3,000 2,250 92 7,678 2,158
Professional development 10,400 7,800 1,220 21,408 6,580
Program supplies 38,252 28,689 12,997 6,425 15,692
Purchased services 15,000 11,250 3,379 4,350 7,871
  2,755,841 2,066,881 1,682,683 1,902,658 384,198
           
Funding - MCCSS (2,755,841) (2,066,881) (2,066,885) (2,066,885) 4
  - - (384,202) (164,227) 384,202

The Healthy Babies/Healthy Children Program is funded through the Ministry of Children, Community and Social Services.  This Program supports 27.0 FTEs comprised of managers (2), nurses (17), family home visitors (4), social worker (1), and support staff (3).  The objective of the Program is to ensure a healthy future for children and their families. 

For the period January 1, 2019 to September 30, 2019, the HBHC program underspent compared to budget in the amount of $384,202.  Factors contributing this include:  i) Labour disruption involving the WECHU staff represented by the ONA for the period March 8th, 2019 to May 8th, 2019.  This resulted in a variance in Salaries and benefits of approximately $280,000 and Mileage of $6,000 and likely attributed to under utilization of Professional development of $6,580 and Program supplies of $15,692;  ii)  Lower than anticipated Purchased services (i.e. translation) because of our use of an Arabic speaking nurse to address the needs of our community.

As reported at the November 4th, 2019, Budget meeting, the MCCSS modified the funding year for this Program from the calendar year to an April to March timeframe, aligning the funding year to the Province of Ontario’s fiscal year.  It is the WECHU’s understanding that reporting for this Program will be for the 15-months ending, March 31, 2020.  Administration will report forecasted financial results in February of 2020 for this program.

NURSE PRACTITIONER PROGRAMS

  2019 Budget YTD Budget September 30, 2019 September 30, 2018 Variance 2019 Budget
Salaries and benefits 146,617 109,963 85,217 101,671 24,746
Mileage - - 181 - 181
  146,617 109,963 85,398 101,671 24,565
Funding - MCCSS (139,000) (104,250) (104,254) (104,254) 4
  7,617 5,713 (18,856) (2,583) 24,569

The Nurse Practitioner Program is funded through the Ministry of Children, Community and Social Services.  This Program supports 1 FTE (nurse practitioner).  The objectives of the Program are to promote healthy pregnancy, birth and infancy for children, improve parenting and family supports, strengthen early childhood development, learning and care.

At September 30, 2019, this Program is underspent by $24,569 due to the labour disruption involving the WECHU staff represented by the ONA for the period March 8th, 2019 to May 8th, 2019.

As reported at the November 4th, 2019, Budget meeting, the MCCSS modified the funding year for this Program from the calendar year to an April to March timeframe, aligning the funding year to the Province of Ontario’s fiscal year.  It is the WECHU’s understanding that reporting for this Program will be for the 15-months ending, March 31, 2020.  Administration will report forecasted financial results in February of 2020 for this program.

FINANCIAL INFORMATION FOR RELATED PROGRAMS FUNDED 100% BY THE MINISTRY OF HEALTH

  2019 Budget YTD Budget Actual September 30, 2019 Forecasted December 31, 2019 Variance September 30, 2019 Variance Forecasted December 31, 2019
  Salaries and benefits 1,207,326 905,495 866,391 1,185,063 39,104 22,263
  Admin and accommodation 31,445 23,584 23,584 31,445 - -
  Travel and meetings 8,000 6,000 361 500 5,639 7,500
  Mileage 10,000 7,500 10,498 13,429 (2,998) (3,429)
  Professional development 5,500 4,125 2,386 3,024 1,739 2,476
  Association and membership fees 300 225 535 535 (310) (235)
  Office supplies 4,500 3,375 44 500 3,331 4,000
  Program supplies 100,229 75,172 107,981 158,591 (32,809) (58,362)
  Purchased services 162,400 121,800 91,075 136,613 30,725 25,787
  Total expenditures 1,529,700 1,147,275 1,102,855 1,529,700 44,420 -
  Funding - Ministry of Health (1,529,700) (1,147,275) (1,147,281) (1,529,700) 6 -
    - - (44,426) - 44,426 -

The Healthy Smiles Ontario (“HSO”) program is funded through the Ministry of Health.  This program supports 14.25 FTEs comprised of a manager (0.75), dental assistants (5.5), dental hygienists (5.5), a health promotion specialist (0.5), and support staff (2).  This program provides preventative, routine, and emergency and essential dental treatment for children and youth, from low-income families, who are 17 years of age and under.

For the period January 1, 2019 to September 30, 2019, the HSO budget is underspent $44,426.  The most notable variances are as follows:

  • A variance of $39,104 related to Salaries and benefits.  This is due to the reallocation of FTE resources to other program initiatives such as the Ontario Seniors Dental Program (approximate savings of $21,645) as well as gapping resulting from timing of recruitment (approximate savings of $7,500).
  • A variance of $32,809 related to Program supplies.  The timing of the acquisition of Program supplies varies annually. 
  • A variance of $30,725 related to Purchased Services, which includes professional services provided by dentists as well as translation.  As reported in at Q1 of 2019, there were fewer available dentists’ hours in the months of February and March.  Subsequent to March 31, 2019, additional dentists’ hours are available. 

Forecasted financial results for the year-ending December 31, 2019, indicate that the HSO program budget will be fully expended with amounts from Salaries and benefits being redirected to fund operating expenditures (more specifically Program supplies).

  2019 Budget YTD Budget Actual September 30, 2019 Forecasted December 31, 2019 Variance September 30, 2019 Variance Forecasted December 31, 2019
Salaries and benefits 546,350 409,763 413,762 577,709 (3,999) (31,359)
Mileage 30,000 22,500 25,382 35,680 (2,882) (5,680)
Travel and meetings 3,045 2,284 784 2,392 1,500 653
Professional development 3,380 2,535 - - 2,535 3,380
Program supplies 28,725 21,544 7,315 36,077 14,229 (7,352)
Purchased services 25,200 18,900 12,525 22,992 6,375 2,208
Total expenditures 636,700 477,525 459,768 674,850 17,757 (38,150)
Funding - Ministry of Health (636,700) (477,525) (466,779) (636,700) (10,746) -
  - - (7,011) 38,150 7,011 (38,150)

Base funding for the Smoke-Free Ontario Strategy Initiative must be used in the planning and implementation of comprehensive tobacco control activities across prevention, cessation, prosecution, and protection and enforcement at the local and regional levels.  Boards of Health must comply and adhere to the Smoke-Free Ontario Strategy: Public Health Unit Tobacco Control Program Guidelines and the Directives:  Enforcement of the Smoke-Free Ontario Act. 

At September 30, 2019, this program is underspent by $17,757.   In May of 2019, the Ministry of Health approved certain one-time funding up to March 31, 2019 for cannabis related activities.  The total one-time funding approval amounted to $96,700, of which, $37,656 was expended in fiscal 2018, and $44,158 was expended in Q1 of 2019, thus taking pressure off the calendar 2019 budget for this program initiative.  

Forecasted financial results for the year-ending December 31, 2019, indicate that this program budget will be overspent $38,150.  This overage relates to an additional FTE resource (Tobacco Enforcement Officer) added for fiscal 2019 only, to assist with increased work load with the legalization of cannabis in October of 2018.  The overage for this program will be funded from the Cost-Shared Mandatory Program Budget.

  2019 Budget YTD Budget Actual September 30, 2019 Forecasted December 31, 2019 Variance September 30, 2019 Variance Forecasted December 31, 2019
Nursing Initiative 437,253 327,940 264,498 392,100 63,442 45,153
Enhanced Food Safety - Haines Initiative 53,800 40,350 42,269 53,800 (1,919) -
Enhanced Safe Water 32,900 24,675 13,786 32,900 10,889 -
Harm Reduction Program Enhancement 250,000 187,500 170,378 228,760 17,122 21,240
Infectious Diseases Control Initiative 466,517 349,888 326,924 444,304 22,964 22,213
Needle Exchange Program Initiative 63,000 47,250 47,250 63,000 - -
Total expenditures 1,303,470 977,603 865,105 1,214,864 112,497 88,606
Funding - Ministry of Health (1,253,500) (940,125) (940,146) (1,253,500) 21 -
  49,970 37,478 (75,041) (38,636) 112,518 88,606

A description of other related programs is included below:

Nursing Initiative: The Amending Agreement for 2019 received August 20, 2019, aggregates the following program initiatives under “Nursing Initiatives”.  These include:  the Chief Nursing Officer Initiative; the Infection Prevention and Control Nursing Initiative; and the Social Determinants of Health Nursing Initiative.  Base funding for these initiatives support the salaries and benefits of 4 nursing FTE’s or greater, with certain specific qualifications.  At September 30, 2019, the aggregate underspent budget amounted to $63,442, which resulted from the labour disruption involving the WECHU staff represented by the ONA for the period of March 8th, 2019 to May 8th, 2019.  At December 31, 2019, this program initiative is forecasted to be underspent by $45,153.  The 2019 budget for this initiative included salary and benefit overages ($45,153) associated with three of the four assigned FTEs, which, subsequent to the labour disruption, are forecasted to be negated.

Enhanced Food Safety – Haines Initiative:  This initiative was established to support implementing the Food Safety Program Standard under the Ontario Public Health Standards (“OPHS”).  At September 30, 2019, there is a minor negative variance of $1,919 due to timing of purchases.  This program initiative is not forecasted to be overspent at December 31, 2019.   

Enhanced Safe Water:  This initiative was established to increase the Board of Health’s capacity to meet the requirements of the Safe Water Program Standard under the OPHS.  At September 30, 2019, there is no negative variance to report on.   This program initiative is not forecasted to be overspent at December 31, 2019.

Harm Reduction Program Enhancement:  Base funding for this initiative supports the Board of Health in the activities associated with its Local Opioid Strategy.  More specifically it supports 2.5 FTEs dedicated to working on activities associated with:  i) Our local opioid response; ii) Naloxone Distribution and Training;  iii)  Opioid Overdose Early Warning and Surveillance.   At September 30, 2019, the budget for this program initiative is underspent by $17,122, which resulted from the labour disruption involving employees represented by the ONA (approximately $15,000) for the period March 8th, 2019 to May 8th, 2019.  At December 31, 2019, this program initiative is forecasted to be underspent $21,240.  In addition to the labour disruption noted above, gapping associated with certain other positions resulted.  Recruitment is currently underway but is not anticipated to be concluded before year-end.

Infectious Disease Control Initiative:  This initiative was established to support the hiring of infectious diseases control positions (4.5 FTEs) and supporting these staff to monitor and control infectious diseases.  They serve to enhance the Board of Health’s ability to handle and coordinate increased activities related to outbreak management.  At September 30, 2019, the budget for this program initiative is underspent by $22,964, which resulted from the labour disruption involving employees represented by the ONA for the period March 8th, 2019 to May 8th, 2019.  The 2019 budget for this initiative included salary and benefit overages ($4,817) associated with the 4.5 FTEs allocated to this program, which, subsequent to the labour disruption, are forecasted to be negated.

Needle Exchange Program Initiative:  This initiative was established to support the purchase of needles and syringes, and their associated disposal costs, for the Board of Health’s Needle Exchange Program.  At September 30, 2019, there are no negative variances to report on. This program initiative is not forecasted to be overspent at December 31, 2019.

FINANCIAL INFORMATION FOR RELATED PROGRAMS FUNDED 100% BY THE MINISTRY OF HEALTH

  2019/2020 Budget YTD Actual June 30, 2019 Variance to Budget % Spent
Mandatory Programs: Enhanced Mosquito Surveillance 60,000 27,805 32,195 53.6%
New Purpose-Built Vaccine Refrigerators 11,600 10,521 1,079 90.7%
Public Health Inspector Practicum 10,000 10,000 - 100%

Mandatory Programs - Enhanced Mosquito Surveillance: 

This one-time funding supports an enhanced surveillance program.  Eligible costs include salaries for students, supplies and additional equipment, identification and testing expenses, promotional costs and mileage.  At September 30, 2019, there are no negative variances to report on. 

New Purpose-Built Vaccine Refrigerators: 

This one-time funding supports the acquisition of one new twenty-five (25) cubic foot purpose-built refrigerator used to store publicly funded vaccines.  At September 30, 2019, the new purpose-built vaccine refrigerator has been acquired.  No additional costs are anticipated.

Public Health Inspector Practicum Program: 

This one-time funding supports the hiring of approved Public Health Inspector Practicum positions.  Eligible costs include student salaries, wages and benefits, transportation expenses associated with practicum positions, equipment and educational expenses.  This funding relates to practicum placements for the four-month period, which commenced May of 2019 and concluded in August of 2019.  At September 30, 2019, the funding has been expended.

APPROVED BY

Theresa Marentette, CEO


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Prepared By:

Communications Department

Date:

December 3, 2019

Subject:

November Media Relations Recap Report

November Media Coverage

Total Media Coverage

86

Interview Requests

38

Mentions (In the news without direct interviews)

42
Requests for Information 6

November 2019 Media Relations Recap - Media Coverage

November 2019 Media Relations Recap - Story Source

Media Coverage

Media Outlet

Number of Requests/Stories

AM 800

15

Blackburn

12

CBC

19

CTV

13

Lakeshore News

1

Radio-Canada (French)

2

St. Clair College/Mediaplex

7

University of Windsor News

1

Windsor Star

15

Windsorite.ca

1

TOTAL

86

News Release, Media Advisories and Media Statements

Date Type Headline Response

November 1, 2019

Media Advisory

Windsor-Essex County Health Unit Board of Health Budget Meeting

6 Stories Reported

November 19, 2019

Media Advisory

Windsor-Essex County Health Unit Board of Health Meeting at Essex Office

3 Stories Reported

November 20, 2019

News Release

Flu Season is Here!

2 Stories Reported

November 21, 2019

WECOSS: Media Advisory

Community Opioid and Substance Strategy Launches Youth Cannabis Awareness Program

4 Stories Reported

November 25, 2019

WECOSS: News Release

Community Opioid and Substance Strategy Launches Youth Cannabis Awareness Program

1 Story Reported

Stories Reported by the Media

AM 800

Publish Date

Title

November 1, 2019

Layoffs Loom At Local Health Unit

November 1, 2019

Alert Issued After A High Number Of Overdoses

November 4, 2019

Video: Health Unit Board Approves 'Austerity Budget'

November 5, 2019

Lakeshore Residents Divided On Retail Cannabis Stores

November 7, 2019

Another Overdose Alert Issued For Windsor-Essex

November 7, 2019

MPP Gretzky Raises Concerns Over Health Unit Cuts

November 7, 2019

Dealing With Drug Overdoses A Daily Norm At WRH

November 12, 2019

Video: Health Unit Evacuates Westcourt Place

November 15, 2019

More Opioid Related ED Visits

November 20, 2019

Flu Season Is Here Warns Windsor-Essex County Health Unit

November 22, 2019

Windsor-Essex County Health Unit Declares Climate Change Emergency

November 22, 2019

No Sign Of The Flu So Far In Windsor-Essex

November 23, 2019

Video: Local Boards Deal With Lead In Water At Several Schools

November 25, 2019

Substance Abuse Strategy To 'Empower' Youth In Windsor-Essex

November 25, 2019

Video: Local Video Helps Children Deal With Mental Health In The Family

Blackburn News

Publish Date

Title

November 1, 2019

Alert Issued In Windsor-Essex For Drug-Related Hospital Visits

November 5, 2019

Lakeshore Weighs In On Retail Pot

November 5, 2019

Battle Over Laid-Off Nurses Reaches Queen Park

November 6, 2019

Gretzky: Econ Statement Doesn't Address Cuts, Disabilities

November 7, 2019

Second Overdose Alert Issued In Winsor-Essex

November 7, 2019

Opioid Overdoses Taking Toll On Staff, Says Hospital

November 12, 2019

Update: Health Unit Calls For Evacuation Of Fire-Affected Building

November 12, 2019

RNAO CEO Addresses

November 15, 2019

Class Action Lawsuit To Be Filed In Westcourt Place Fire

November 15, 2019

‘This Is A Business That Will Open'

November 25, 2019

Youth Cannabis Awareness Program Launched

November 29, 2019

Municipal Leaders Meet To Discuss Climate Change

CBC News

Note: Digital stories were not available for nine of CBC’s requests.

Publish Date

Title

November 1, 2019

Health Unit Nurses Handed Layoff Notices In Windsor

November 5, 2019

Nice To Have That Option': Windsorites Support Legislation That Would Permit Dogs On Patios

November 4, 2019

As Lean As We Can Be': Windsor-Essex Health Unit's 2020 Budget Has Roughly $500,000 Shortfall

November 8, 2019

City Of Windsor Opposes Proposed Downtown Cannabis Retail Store Location

November 11, 2019

Open, Closed And Remembrance Day Ceremonies In Windsor-Essex

November 12, 2019

Windsor Councillor To Raise Questions About Cannabis Retail Store At Next Council Meeting

November 15, 2019

10 Drug-Related Visits To Emergency Department In Just One Day, Says Windsor-Essex Health Unit

November 18, 2019

City Council, Not Administration, Will Deal With Proposed Cannabis Locations

November 25, 2019

Higher Education: Cannabis Awareness Program For Youth Launches In Windsor-Essex

December 1, 2019

HIV Infection Decline In Windsor-Essex In 2019

CTV Windsor News

Note: Digital stories were not available for two of CTV’s requests.

Publish Date

Title

November 1, 2019

Layoffs Expected At Windsor Essex County Health Unit

November 1, 2019

Alert Issued After 5 Opioid-Related ER Visits In Windsor-Essex

November 4, 2019

Health Unit Board Approves Lean 2020 Budget

November 7, 2019

Another Alert Issued Over Opioid-Related ER Visits

November 7, 2019

Online Tool Launched To Help People Overcome Substance Abuse Addictions

November 8, 2019

Flu Vaccine Shortage For Staff Reported At Windsor Regional Hospital

November 12, 2019

Downtown Windsor High-Rise Evacuated For The Nigh After Car Fire

November 15, 2019

10 Drug-Related Visits, Naloxone Used Twice By Windsor-Essex EMS Over Past Day

November 22, 2019

Windsor-Essex School Boards Deal With Lead In Water At Several Schools

November 20, 2019

Flu Season Is Here Warns Windsor-Essex County Health Unit

November 22, 2019

List Grows Of Climate Change Emergency Declarations In Windsor-Essex

St. Clair College/Mediaplex

Note: Digital stories were not available for five of St. Clair College’s requests.

Publish Date Title

November 5, 2019

Health Unit Warns Of Spike In Windsor Opioid Cases

November 13, 2019

Opioid Overdose Alerts In Windsor

University of Windsor News​​​​​​​

Publish Date Title

November 29, 2019

Study To Focus On Cancer Patients In The Workplace

Windsor Star

Note: Digital stories were not available for three of Windsor Star’s requests.

Publish Date Title

November 1, 2019

Health Unit Issues Public Alert After Five Opioid Overdoses In Two Days

November 4, 2019

Health Unit Board Sets 2020 Budget

November 5, 2019

Health Unit's 2020 Budget Calls For Layoffs, Increased Funding By Municipalities

November 7, 2019

Overdose Alert For Windsor Upgraded By Local Watchdog Group

November 7, 2019

Windsor Regional Hospital Gets $1.6-Million To Open 20 Extra Beds During Flu Season

November 8, 2019

Frustration, Surprise At City Opposition To Ouellette Ave. Cannabis Store Location

November 13, 2019

Data Does Not Support Need For Police To Carry Naloxone, Dilkens Says

November 13, 2019

Downtown Councillor Vows To Challenge Planner's 'Judgement Call' Opposing Pot Store

November 15, 2019

Jarvis: Pot Store Decision An End Run Around Democracy

November 18, 2019

Council Takes Back Authority To Oppose/Endorse Cannabis Stores

November 26, 2019

Local Leaders Gather For Climate Action Symposium

November 30, 2019

Ontario Nurses Group Launches Petition To Get Windsor Police To Carry Naloxone

Windsorite.ca

Publish Date Title

November 1, 2019

Alert Issued After High Number Of Overdoses Reported

Note: Digital stories were not available for the Lakeshore News request (1), or Radio-Canada’s requests (2),

The following individuals contributed to this report: Jennifer Jershy, Marc Tortola, and Michael Janisse.


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Prepared By:

Darcie Renaud, Performance Improvement & Accountability Coordinator (PIAC), Planning & Strategic Initiatives Department

Date:

December 19, 2019

Subject:

2019 Operational Plan Reporting Q3 Status 

BACKGROUND

In 2018, the Ministry of Health, introduced a new Annual Service Plan (ASP) that Health Units are required to submit each year. An electronic planning and reporting system was created to support the development of the ASP and to monitor operational plan progress throughout the year. In this system, work plans are developed for all public health interventions. These interventions directly address the programs provided by the WECHU. The WECHU’s ASP provides details about planned expenditures and program plans for 2019, including 268 initially planned interventions tied to 61 programs. The Ministry of Health requires program activity and financial reports in Q2 and Q4 of the implementation year, and an annual summary report. In addition, status updates are provided for interventions quarterly. 

CURRENT INITIATIVES

The appended report reflects the quarterly Board of Health summary report for Q3 of 2019. This report includes overall status information for the 223 interventions that were in progress in Q3 of 2019. A majority of the interventions were either on target or completed, though some interventions were cancelled or deferred until the following year. Proposed changes to public health operations and the 2019 labour disruption continued to influence the progress of some interventions, though to a lesser degree than in Q2. The most common reason given for deferral, cancellation, or variance was human resource issues (35%), followed by adjusted program priorities (27%), and the 2019 labour disruption (18%). Further detail is provided about the status of programs based on the related interventions that were planned for in Q3 of 2019.

CONSULTATION

The following individuals contributed to this report:

  • Marc Frey, Manager, Planning & Strategic Initiatives

APPROVED BY:

Theresa Marentette, CEO


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WECHU Strategic Plan Progress - At a Glance

Communication and Awareness

Objective

2019 Q3

1.1. 60% of survey respondents are aware of the programs and services offered by the WECHU by 2021.

Progressing

1.2 60% of survey respondents have seen or heard about the WECHU by 2021.

Progressing

1.3 60% of survey respondents are satisfied with internal communication efforts in the WECHU by 2021.

Progressing

Organizational Development

Objective

2019 Q3

3.1. A minimum of 2 organization-wide quality improvement activities will occur annually through to 2021.

Progressing

3.2. 100% of the WECHU staff are trained in change management strategies by 2021.

Progressing

3.3. 100% of corporate risks identified as high have mitigation strategies developed and implemented by 2021

Progressing

3.4. 80% of the WECHU staff have a positive view of organizational culture by 2021.

Progressing

Partnerships

Objective

2019 Q3

2.1. 100% of program/service driven departments implement a formal feedback process with at least one external partnership by 2021.

Progressing

2.2. At least 20% of activities in the operational plan identify formal internal partnerships by 2021.

Progressing

Evidence-based Public Health Practice

Objective

2019 Q3

4.1. 100% of departments collect corporate level client satisfaction data by 2021.

Progressing

4.2. 100% of the Ontario Public Health Standards (OPHS) 2018 program areas have at least one activity focused on healthy public policy development by 2021.

Progressing

4.3. 100% of the OPHS population health assessment requirements (7), the research, knowledge exchange, and communication requirements (3) and the related protocols are being addressed by 2021.

Progressing

4.4. 100% of our programs and service departments have adopted a health equity approach to an activity by 2021.

Progressing

Communication and Awareness

OBJECTIVE

GOAL

Q3 UPDATE

1.1 Strengthen the community’s awareness of our programs and services by developing and implementing a corporate communications strategy.

60% of survey respondents are aware of the programs and services offered by the WECHU by 2021.

In Q3, 70% of respondents to the 2019 Corporate External Client Experience Survey reported being somewhat to very familiar with Health Unit programs and services. 
The proposed merger of public health units has halted the development of a formal marketing and communications strategy for the Windsor-Essex County Health Unit. The WECHU is working to strengthen specific marketing and communication tactics identified in the Community Needs Assessment, i.e., email marketing.

1.2 Increase the WECHU’s visibility by developing and implementing a community engagement approach.

60% of survey respondents have seen or heard about the WECHU by 2021.

In Q3, 64% of respondents to the 2019 Corporate External Client Experience Survey reported having seen or heard about the WECHU in the last 3 months. The proposed merger of public health units has halted the development of a formal  community engagement approach. We remain committed to providing engaging content and client service to the community through our current media channels.

1.3 Improve communication within the WECHU by developing and implementing an internal communication strategy.

A Net Promoter Score (Internal Communications) greater than 30

In Q3, the Average Net Promoter Score for internal communications was 15.34.

Redevelopment of the intranet is underway by the Communications department. 

Partnerships

OBJECTIVE

GOAL

Q3 UPDATE

2.1 Increase the effectiveness of partnerships through formal feedback mechanisms.

100% of program/service driven departments implement a formal feedback process with at least one external partnership by 2021.

The E&E department has developed and implemented a process to track and evaluate external partnerships. This process has been integrated into the 2020 planning process.

2.2 Increase the number of internal partnerships.

At least 20% of activities in the operational plan identify formal internal partnerships by 2021.

The E&E department has implemented a process to track and evaluate all internal partnerships, and incorporated the process into the 2020 planning process. 

Organizational Development

OBJECTIVE

GOAL

Q3 UPDATE

3.1 Improve performance by striving towards operational excellence and a focus on continuous quality improvement.

A minimum of 2 organization-wide quality improvement activities will occur annually through to 2021.

Improvements have been completed and were used in the 2019 planning approach. In consideration of the proposed merger of public health units (PHUs), work towards Silver Level Accreditation has been deferred, but preliminary work has been completed to develop a Continuous Quality Improvement framework that aligns with approaches being taken by other PHUs across Ontario.

 

3.2 Increase our readiness to adapt to internal and external factors through effective change management practices.

100% of the WECHU staff are trained in change management strategies by 2021.

In Fall 2019, staff will be able to self-select to participate in professional development opportunities related to navigating change. Next steps related to meeting the goal for this strategic objective will be considered, with recommendations developed in 2020. 

3.3 Enhance our understanding and monitoring efforts of identified corporate risks to embrace opportunities, create flexibility, and preserve organizational assets.

 

100% of corporate risks identified as high have mitigation strategies developed and implemented by 2021

Of the 15 total work plans developed to address corporate risks, 73% are on target or are complete. In total, 3 of the 4 mitigation work plans for the high (inherent) risks are on target or are complete. 

3.4 Improve organizational culture through people development and employee engagement strategies.

A Net Promotor Score (Engagement) greater than 30

In Q3, the Net Promoter Score for engagement was 5.56. Alterations to corporate communication and engagement efforts are in progress. Further effort in these areas will continue throughout the year.

Evidence-Based Public Health Practice

OBJECTIVE

GOAL

Q3 UPDATE

4.1 Establish organizational supports for client-centered service strategies.

100% of departments collect corporate level client satisfaction data by 2021.

Aspects of this objective continue to be on hold in Q3 due to staffing changes. However, some client experience related corporate measurement approaches are in the process of implementation. Initial plans for thorough client experience measurement procedures will be developed in this calendar year.

4.2 Develop and implement a framework to support healthy public policy.

100% of the Ontario Public Health Standards (OPHS) 2018 program areas have at least one activity focused on healthy public policy development by 2021.

There were 6 activities focused on healthy public policy completed in Q3 under the Chronic Diseases Prevention and Well-Being Standard, Substance Use and Injury Prevention Standard, and Healthy Environments Standard. There are activities focused on healthy public policy in progress under the Chronic Diseases Prevention and Well-being Standard, Substance Use and Injury Prevention Standard, the Healthy Environments Standard, School Health Standard and the Healthy Growth and Development Standard.

4.3 Enhance local data collection efforts and analysis to support knowledge exchange both internally and externally.

100% of the OPHS population health assessment requirements (7), the research, knowledge exchange, and communication requirements (3) and the related protocols are being addressed by 2021.

Work plans created in M-Files through the 2020 planning process are being tracked and updated with the reflected OPHS standards. Review to be completed in Q4.

4.4 Develop and implement protocols that ensure all programs and services are using a health equity approach.

100% of our programs and service departments have adopted a health equity approach to an activity by 2021.

89% of programs have adopted a health equity approach.


View Document page

Prepared By:

Darcie Renaud, Performance Improvement & Accountability Coordinator (PIAC), Planning & Strategic Initiatives Department

Date:

December 19, 2019

Subject:

Q3 Strategic Plan Report

BACKGROUND

The 2017-2021 WECHU Strategic Plan sets out our plan to enhance our delivery of quality public health programs and services to all residents in Windsor and Essex County. The current strategic plan details our organization’s vision, mission, values, and our four strategic priorities. Each quarter, the Board of Health (BoH) receives a report on the status of progress made towards the Strategic Priorities in that quarter.

CURRENT INITIATIVES

The 2019 Q3 Strategic Plan Progress Report provides the objectives under each strategic priority with corresponding updates to measure our advancement towards achieving the goal. Progress has continued on many of the strategic objectives, however, uncertainty around the proposed merger of public health units by the Ontario government has resulted in the delay and/or deferral of a number of plans related to the WECHU’s strategic objectives.

CONSULTATION

The following individuals contributed to this report:

  • Marc Frey, Manager, Planning & Strategic Initiatives 
  • Michael Janisse, Manager, Communications
  • Ramsay D’Souza, Manager, Evaluation & Epidemiology

APPROVED BY:

Theresa Marentette, CEO


View Document page

Reporting Structure

This report provides a status summary for all of the 2019 Annual Service Plan program interventions that were in progress in Q3 (July 1st to September 30th).

All active interventions received a status update using the following categories:

  • On Target (the intervention is progressing at the planned pace)
  • Variance (the intervention is behind the planned pace)
  • Complete (the intervention has been completed)
  • Deferred (current work on the intervention has been stopped – with potential to continue next year)
  • Cancelled (the intervention will no longer occur)

If the intervention was identified as ‘Variance’, ‘Deferred’, or ‘Cancelled’, a reason was provided. In these cases, the most relevant reason was selected from the following list:

  • 2019 Labour Disruption (the labour disruption resulted in changes to the intervention)
  • Adjusted Program Priorities (program priority alterations resulted in changes to the intervention)
  • Human Resource Issue (staffing circumstances resulted in changes to the intervention)
  • Partnership Limitations (external partner(s) did not to meet their obligations)
  • Public Health Emergency (a significant public health emergency resulted in changes to the intervention)
  • Resource Limitation (financial, material, or internal support limitations resulted in changes to the intervention)

It is important to note that reporting reflects a summary of progress made on interventions based on the predetermined milestones for the intervention. This does not necessarily represent the amount or scope of work captured under each program.

Operational Plan Status Summary

Overall Quarterly Status Summary

There were 223 interventions in progress in Q3 2019. Figure 1 displays the percentage of interventions that were on target, reported a variance, were deferred, were cancelled, or were completed. A majority of interventions (64%) were either completed or on target. This is a slight increase from Q2, when 63% of plans were reported as completed or on target. 

Intervention Status by Status Type (Q3 2019)

Of the 223 interventions in progress, 36% (79) were deferred, cancelled, or reported a variance. Figure 2 provides a summary of the reasons for variances, deferrals, or cancellations as a percentage of the total number of variances, deferrals, and cancellations. 

Reason for Cancellation, Deferral, or Variance (Q3 2019)

Proposed changes to public health operations and the 2019 labour disruption continued to influence the progress of some interventions, though to a lesser degree than in Q2. The most common reason given for deferral, cancellation, or variance was human resource issues (35%), followed by adjusted program priorities (27%), and the 2019 labour disruption (18%). Combined, the labour disruption, program priority adjustments, and human resource issues accounted for 80% of the variances, deferrals, or cancellations of interventions. 

In some cases, managers and staff provided comments to further explain the reason for deferral, cancellation, or variance. Examples of human resources issues that affected the status of work plans included expected and unexpected leaves of absence and general staff turnover. When adjusted program priorities were cited, examples provided included the service delivery model change in the Healthy Schools department, changing priorities of partners and partnerships, and a need to focus more staff time than expected on other interventions. 

Program Quarterly Status Summary

All interventions are directly tied to programs and program objectives; Figure 3 displays a summary of the status updates for each WECHU program based on the number of interventions that were on target, varied from target, were completed, were deferred, or were cancelled. 

Intervention Status By Program (Q3 2019)


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Prepared By:

Phil Wong, Environmental Health Manager

Date:

December 19, 2019

Subject:

Lead in Drinking Water

BACKGROUND

According to Health Canada, lead in drinking water should be kept as low as reasonably achievable. The most significant contribution of lead in drinking water is generally from lead service lines that supply drinking water to your home. The best approach to eliminate lead exposure is to remove and replace the full lead service line. Lead service lines have not been used for many years but older homes and buildings (pre-1948) may still have lead pipes and service lines. Lead solder and brass fittings/fixtures are also common sources of lead exposure. This report will highlight some of the key regulations and provide some clarification on how lead exceedances are handled in the province of Ontario.

Standards vs. Guidelines and Duty to Report

The Canadian guideline for lead in drinking water was lowered in June 2019 to 5ppb (0.005mg/L) or as low as reasonably achievable. In Ontario, the Drinking Water Quality Standards Reg. 169/03 and the Safe Drinking Water Act, 2002, have the maximum acceptable concentration (MAC) for lead in drinking water as 10ppb (0.010mg/L). All municipal drinking water systems and designated facilities are legally required to meet the 10ppb MAC. Under the Act, all drinking water system operators have a duty to report microbiological, chemical and radiological exceedances to their local public health unit and the Ministry of Environment, Conservation and Parks (MECP). The WECHU’s role is to give direction, in the event of an exceedance, on corrective action to eliminate/reduce any health effects.

Municipal Systems

The Drinking Water Systems Reg. 170/03 outlines the sampling protocol and testing requirements for municipal drinking water systems. The MECP regulates these systems and calls for the implementation of an extended lead testing-program. Targeted testing and sampling is conducted by municipal drinking water operators in each municipality, and any lead service lines are replaced when identified. Homeowners on municipal systems are encouraged to contact their local providers for options on lead sampling and other services. Homeowners are notified by the municipal drinking water operator and the health unit if lead is identified through operator sampling. 

Schools and Child Care Centres

Schools and child care centres are required to sample their water for lead as per Ontario Regulation 243/07: Schools, Private Schools and Child Care Centres. This regulation, recently amended in 2017, increased lead sampling requirements in these facilities. There is a requirement for annual sampling and testing of lead in drinking water to ensure lead levels are below the provincial Ontario Drinking Water Quality Standards Reg. 169/03. It also requires flushing of plumbing in schools to help reduce lead levels in drinking water. Flushing has been shown to reduce lead levels in water and is a recognized lead reduction strategy. Schools and child care centres have replaced service lines, decommissioned fountains, installed NSF POU filters and have bottle filling stations when lead exceedances have been identified. The regulation is enforced by the MECP as schools and child care centres are designated facilities, and the health unit takes a lead role to provide guidance on health related issues.

Private Water Supplies

Homeowners using private water supplies within Ontario can send water samples for lead testing to an accredited private laboratory from the MECP list. There is a cost associated with lead testing at a private laboratory. Private homeowners can submit water samples to the Public Health Ontario Laboratory for bacteriological testing (E. coli and total coliforms) and this service is free for all private drinking water systems.

CURRENT INITIATIVES

Under the Ontario Public Health Standard’s Safe Drinking Water and Fluoride Monitoring Protocol, the health unit is mandated to provide 24/7 on-call support and response to all adverse drinking water events. Where water intended for human consumption may not be safe to consume, the health unit is required under the Health Protection Promotion Act to respond. The health unit initiates a response within 24 hours of receiving notification of any adverse event in the region. Boil Water and Drinking Water advisories, as well as legal orders to drinking water system operators, are issued regularly to prevent exposures to any microbiological, chemical or radiological exceedances. The health unit continues to work with municipal drinking water system operators, school boards and private well owners to provide awareness and education on safe drinking water.  

For more information on safe drinking water please visit the sites below:

APPROVED BY

Theresa Marentette


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Board Members Present:

Gary McNamara, Joe Bachetti, Rino Bortolin, Fabio Costante, Gary Kaschak, Judy Lund, John Scott, Ed Sleiman, Larry Snively  ​​​​​​

Board Member Regrets:

Tracey Bailey, Dr. Debbie Kane

Administration Present:

Theresa Marentette, Dr. Wajid Ahmed, Lorie Gregg, Nicole Dupuis, Kristy McBeth, Dan Sibley, Lee Anne Damphouse 

Staff Present:

Kim Casier, Eric Nadalin, Neil MacKenzie, Jen Jershey, Nicole Trajkovski, Denise Barbour, Barb Deter, Nancy Dumouchelle, Heather Gartner, Denise Hryniuk, Dawnice Kavanaugh


QUORUM:  Confirmed

  1. Call to Order
    Board Chair, Gary McNamara, called the meeting to order at 4:04 p.m.
  2. Agenda Approval
    Moved by: Fabio Costante
    Seconded by: Rino Bortolin
    That the agenda be approved.
    CARRIED
  3. Announcement of Conflicts of Interest – None
  4. Presentations
    1. WECHU Long-Term Service Award Presentation (G. McNamara/T. Marentette)
      T. Marentette and Board Chair, G. McNamara, presented long-term service awards for WECHU staff who have put in 20, 25 and 30 years at the health unit. T. Marentette noted that G. McNamara has been a member of the WECHU Board for 21 years this coming January.
      Moved by: Rino Bortolin
      Seconded by: Judy Lund
      To accept the presentations as received.
      CARRIED
  5. Approval of Minutes
    1. Regular Board Meeting: November 21, 2019
      Moved by: Larry Snively
      Seconded by: Rino Bortolin
      That the minutes be approved.
      CARRIED
  6. Consent Agenda
    1. INFORMATION REPORTS
      The following information reports were presented to the Board.
      1. Windsor and Essex County Living Wage Program (N. Dupuis)
        Brought to the Board for information.
      2. 2019 Nutritious Food Basket and Eating Well in Windsor-Essex (N. Dupuis)
        Brought to the Board for information.
      3. Q3 Financial Results (L. Gregg)
        Brought to the Board for information.
      4. 2019 Operational Plan Reporting Q3 Status (T. Marentette)
        Brought to the Board for information.
      5. 2019 Q3 Strategic Plan Report (T. Marentette)
        Brought to the Board for information.
      6. Upcoming 2020 Board of Health Competency Self-Evaluation (T. Marentette)
        Brought to the Board for information.
      7. Lead in Drinking Water (W. Ahmed/K. McBeth)
        Brought to the Board for information.
      8. Media Recap
        Brought to the Board for information.

      Moved by: Rino Bortolin
      Seconded by: Larry Snively
      That the Information Reports be received.
      CARRIED

    2. RECOMMENDATION/RESOLUTION REPORTS
      1. Healthy Smiles Ontario Funding
        N. Dupuis brought forward the Healthy Smiles Ontario Funding Resolution for Board of Health approval.
        Moved by: Rino Bortolin
        Seconded by: Fabio Costante
        That the Recommendation/Resolution Report be supported.
        CARRIED
  7. Business Arising – None
  8. Board Correspondence – Circulated
  9. New Business
    1. Strategic Planning Committee (T. Marentette)
      T. Marentette noted that there are 2 Board of Health vacancies on WECHU’s Strategic Planning Committee. The 2017-2021 WECHU Strategic Plan sets out our plan to enhance our delivery of quality public health programs and services to all residents in Windsor and Essex County. The Strategic Planning Committee will meet in early 2020, and each quarter the Board will receive a report on the status of progress made towards the Strategic Priorities in that quarter. Board members Judy Lund and Ed Sleiman volunteered to sit on this Committee.
      Moved by: Joe Bachetti
      Seconded by: Ed Sleiman
      That the above information be received.
      CARRIED
  10. Other Board of Health Resolutions/Letters – For Support
    1. City of Hamilton, Office of the Mayor – Letter to Hon. Minister Christine Elliott – Opposition to Co- Payment of Dentures Under the New Ontario Seniors Dental Care Program
    2. City of Hamilton, Office of the Mayor – Letter to Hon. Minister Patty Hajdu – Endorsement of Comprehensive Measures to Address the Rise of Vaping in Canada
    3. Sudbury and District Health Units – Letter to Hon. Minister Christine Elliott – E-Cigarette and Aerosolized Product Prevention and Cessation

    Moved by: John Scott
    Seconded by: Larry Snively
    That the above correspondence be supported as noted.
    CARRIED

  11. Committee of the Whole (CLOSED SESSION, in accordance with Section 239 of the Municipal Act)
    The Board moved into Committee of the Whole at 4:18 pm
    The Board moved out of Committee of the Whole at 4:20 pm
  12. Next Meeting: At the Call of the Chair, or January 16, 2020 in Windsor, Ontario
  13. Adjournment
    Moved by: Fabio Costante
    Seconded by: Judy Lund
    That the meeting be adjourned
    CARRIED
    The meeting adjourned at 4:22 pm.

RECORDING SECRETARY:

SUBMITTED BY:

APPROVED BY:


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ISSUE

Healthy Smiles Ontario (HSO) is a publically funded dental care program for children and youth 17 years old and under from low-income households. The Ministry of Health introduced HSO in 2010 as a 100% provincially funded mandatory program for local health units, providing $1,529,700 in funding for children in Windsor-Essex (2019). HSO covers regular visits to a licensed dental provider within the community or through public health units.

In April 2019, the provincial government introduced its 2019 Budget Protecting What Matters Most (Minister of Finance, 2019). Following the release of the provincial budget, the Ministry of Health introduced changes to the funding models for health units effective January 2020. The changes in funding for local health units include a change from a 25% municipal share, 75% provincial cost-shared budget for mandatory programs to 30% and 70% respectively. In addition, the Ministry notified health units that formerly 100% provincially funded mandatory programs such as HSO would now share these costs with municipalities at the rate of 30%, a download of approximately $458,910.00 to local municipalities.

BACKGROUND

Oral health is vital to our general health and overall well-being at every stage of life. Most oral health conditions are largely preventable and share common risk factors with other chronic diseases, as well as the social determinants of health, such as income, employment and education, whereby those in the lowest income categories have the poorest oral health outcomes. Approximately 26% of children (0-5 yrs) and 22.6% of children and youth (0-17yrs) in Windsor-Essex County live in low-income households, compared to 19.8% and 18.4% in Ontario (Windsor-Essex County Health Unit, 2019). Tooth decay is one of the most prevalent and preventable chronic disease, particularly among children. In Windsor-Essex from 2011 to 2016, the number of children screened in school with decay and/or urgent dental needs increased by 51%.  Tooth decay is also the leading cause of day surgeries for children ages one to five. The rate of day surgeries in Windsor-Essex in 2016 was 300.6/100K compared to 104.0/100K for Ontario, representing a significant cost and burden to the healthcare system (WECHU Oral Health Report, 2018). For children, untreated oral health issues can lead to trouble eating and sleeping, affect healthy growth and development, speech and contribute to school absenteeism.

In 2016, the MOHLTC integrated six publicly funding dental programs into one 100% funded program, providing a simplified enrolment process and making it easier for eligible children to get the care they need. The HSO program was part of Ontario’s Poverty Reduction Strategy commitment to build community capacity to deliver oral health prevention and treatment services to children and youth from low-income families in Ontario. Windsor-Essex Health Unit operates two dental clinics, one in Windsor and one clinic in Leamington. The WECHU provides preventative and restorative services with a team of registered dental hygienists, general dentists and a pediatric dentist. There is about a six-month wait list for services in our current clinics. The number of preventative oral health services provided through the WECHU dental clinics has increased year over year from 1,931 in 2011 to 7,973 in 2017 (WECHU Oral Health Report, 2018).

Community dentists are not required to take patients under the Healthy Smiles Ontario program which can create barriers to accessing services. Changes to the funding model for HSO will not affect the services provided by local dentists and is only applied to local health units. Mixed model funding for public health units and private fee-for-service dental providers, poses a risk to the delivery of the HSO program in Ontario. Based on the data and analysis in the 2018 Oral Health report, the Windsor-Essex County Health Unit proposed recommendations to improve the oral health status in Windsor-Essex including: Improve access to oral health services within Windsor-Essex and advocate for improved funding for oral health services and expansion of public dental programs such as Healthy Smiles Ontario to priority populations. Given the growing urgent need and increase in dental decay among vulnerable children in Windsor-Essex and recognizing the existing barriers to access to care, the WECHU recommends that HSO retain its current funding and structure as 100% funded, merging it with the Ontario Seniors Dental Care Program to be a comprehensive dental care program for vulnerable children and seniors in Ontario.

PROPOSED MOTION

Whereas the WECHU operates a dental clinic in Leamington and Windsor for HSO eligible children with wait times for services exceeding 6 months, and

Whereas one in four children under five years (26.0%), one in five children under 17 years (22.6%), and one in ten seniors (11.4%) in Windsor and Essex County live in poverty, and

Whereas inadequate access and cost remain barriers to dental care for Windsor and Essex County residents, 23.7% report that they lack dental insurance that covered all or part of the cost of seeing a dental professional, and

Whereas indicators show an overall trend of declining oral health status among children in Windsor and Essex County compared to Ontario, and

Whereas the rate of oral health day surgeries for children in Windsor and Essex County (300.6/100K) far exceeds that of Ontario (100.4/100K), and

Whereas there is an increased difficulty in obtaining operating room time for dental procedures in Windsor-Essex with wait times exceeding 1 year for children in need of treatment, and

Whereas there is a chronic underfunding of the Healthy Smiles Ontario program creating barriers to accessing services among local dentists, and

Now therefore be it resolved that the Windsor-Essex County Board of Health recognizes the critical importance of oral health for vulnerable children and youth, and

FURTHER THAT, urges the Ministry of Health to reconsider its decision to download 30% of the funding of the Healthy Smiles Ontario Program to local municipalities, and

FURTHER THAT this resolution be shared with the Ontario Minister of Health, the Chief Medical Officer of Health, the Association of Municipalities of Ontario, local MPP’s, the Association of Public Health Agencies, Ontario Boards of Health, the Essex County Dental Society, the Ontario Association of Public Health Dentistry, the Ontario Dental Association and local municipalities and stakeholders.


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November 21, 2019

Flu shots will be offered to board members prior to the meeting at 3:30 p.m.

  1. Call to Order
  2. Agenda Approval
  3. Announcement of Conflict of Interest
  4. Presentations:
    1. Climate Change (W. Ahmed)
    2. Mental Health (N. Dupuis)
  5. Approval of Minutes
    1. Regular Board Meeting: October 17, 2019
    2. Special Meeting of the Board: November 4, 2019
  6. Consent Agenda
    1. INFORMATION REPORTS
      1. Mental Health Promotion Framework for Windsor-Essex: Introduction and Next Steps (N. Dupuis)
      2. Influenza Season 2019/2020 (K. McBeth)
      3. School Based Immunization Clinics 2019/2020 School Year (K. McBeth)
      4. Media Recap
    2. RESOLUTION/RECOMMENDATION REPORTS
      1. Local Response to Climate Change (K. McBeth)
  7. Business Arising
  8. Board Correspondence – Circulated
  9. New Business
    1. CEO Quarterly Compliance (T. Marentette)
  10. Other Board of Health Resolutions/Letters
  11. Committee of the Whole (Closed Session in accordance with Section 239 of the Municipal Act)
  12. Next Meeting: At the Call of the Chair or December 19, 2019 – Windsor
  13. Adjournment

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Prepared By:

Nicole Dupuis, Director of Health Promotion

Date:

November 21, 2019

Subject:

Mental Health Promotion Framework for Windsor-Essex County: Introduction and Next Steps

Background

In 2018, the revised Ontario Public Health Standards included mental health promotion as a new requirement for public health units in Ontario (Ministry of Health and Long-Term Care, 2018). In preparation for this work, the Windsor-Essex County Health Unit (WECHU) and Canadian Mental Health Association Windsor-Essex (CMHA) joined under a strategic partnership agreement for the prevention of mental illness and promotion of positive mental health through shared resources and leadership.

CMHA and WECHU have collaborated on a number of projects since the inception of their strategic partnership, including but not limited to the development of the suicide prevention coalition, suicide prevention awareness month, curriculum supports for First Responders, and gambling awareness and prevention. As a first step in partnership toward Mental Health Promotion, the CMHA and the WECHU identified the need to develop a Mental Health Promotion framework for Windsor-Essex. 

Current Initiatives

Early in 2019, the WECHU and CMHA began work on a local report for positive mental health. The shared vision of the report was to outline:

  • A mental health promotion framework for community adoption;
  • A shared community understanding and meaning of mental health promotion;
  • Current services and programs for mental health promotion in Windsor-Essex; and
  • Areas for future work and collaboration.

Over a six-month period, key stakeholders across Windsor-Essex were engaged in an environmental scan via focus group and online survey. The purpose of the scan was to understand current services related to mental health promotion in Windsor-Essex as well as to understand opportunities for future planning.

The results of the mental health promotion scan have been combined with the mental health promotion framework for the first report on Mental Health Promotion for Windsor-Essex. 

References

Ministry of Health and Long-Term Care. (2018). Ontario Public Health Standards: Requirements for Programs, Services and Accountability. Toronto: Ministry of Health and Long-Term Care.

Consultation

The following individuals consulted in the development of this report:

  • Claudia den Boer, Executive Director, Canadian Mental Health Association Windsor-Essex
  • Kim Willis, Director, Canadian Mental Health Association Windsor-Essex
  • Neil Mackenzie, Manager, Chronic Disease & Injury Prevention, Windsor-Essex County Health Unit
  • Alex Erikson, Mental Health Specialist, Windsor-Essex County Health Unit
  • Mindy Hartleib, PhD candidate, University of Windsor
  • Kelly Farrugia, Manager, Healthy Schools, Windsor-Essex County Health Unit
  • Felicia Lawal, Manager, Healthy Families, Windsor-Essex County Health Unit

Approved By:

Theresa Marentette, CEO


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Prepared By:

S. Manzerolle

Date:

November 21, 2019

Subject:

School Based Immunization Clinics 2019/2020 School Year

Background

Ontario’s school-based immunization program for students delivered by the WECHU includes immunization of eligible Grade 7 students against three diseases: Hepatitis B (HBV), Human Papilloma Virus (HPV), and Meningococcal Disease (Men-C- A,C,Y,W-135 vaccine). Hepatitis B vaccine protects against a virus that can permanently damage one’s liver and is a leading cause of liver cancer. Meningococcal vaccine (specifically Menactra) protects against a bacteria which causes inflammation of the lining of the brain and spinal cord and/or an infection of the blood. HPV vaccine protects against many types of cancers including cervical and other genital cancers, as well as genital warts.

Participation in the school-based vaccination program is voluntary, however students must have proof of immunization against Meningococcal disease (specifically with the Menactra vaccine) in accordance with the Immunization of School Pupils Act (ISPA) in order to attend school.

According to the Public Health Ontario Immunization Coverage Report for School Pupils in Ontario, for the 2017-18 school years, Ontario falls short in the uptake of these vaccines in meeting the national goal. In comparison to the province, however, the WECHU surpassed the Ontario average among 12 year olds for immunization with HBV, HPV, and Menactra vaccines. For the 2017-2018 school year (grade 7 students), the immunization coverage rates for the school based vaccines are as follows:  HBV - 71.9%, HPV - 60.9%, and Menactra - 82.9%

Current Initiatives

The WECHU implements the school-based immunization program across 130 elementary schools in Windsor and Essex County.  This includes students from four school boards as well as private and agency schools. The WECHU offers immunization in schools in two rounds: Fall (Sept-Dec) and Spring (April-June). Typically the first dose in a series of HPV and HBV vaccines are given during the first round, with the second dose, along with the single dose of Menactra, offered during the second round.

Due to the labour disruption at the WECHU in the spring, both the first and second round of the school-based immunization program for the 2019/2020 school year is currently in progress, targeting both the Grade 7 and Grade 8 cohorts.  The WECHU also provides catch-up and in-house immunization clinics outside of the school setting for eligible students for the HPV, HBV and Menactra vaccines; upcoming catch-up clinics will take place in November and December.

The WECHU is currently entering the final year of a five-year plan to improve immunization coverage rates and compliance with the ISPA.  The five-year plan has included an expanding number of student cohorts who are identified and targeted for record review annually.  Parents of students with out of date records receive a series of communications requesting updated immunization information. Families are provided with a deadline, before which they are required to update their immunization record, otherwise they face suspension from school for up to twenty days. The next school suspension, which will include all elementary school students (JK-8) will occur in March 2020.  The initial notices to families will be distributed during the week of November 11, 2019.

Approved By:

Theresa Marentette


View Document page

Prepared By:

S. Manzerolle, Manager, Healthy Schools Department

Date:

November 21, 2019

Subject:

Influenza Season 2019/2020

Background

The WECHU plays a key role in the implementation of the Ministry of Health’s Universal Influenza Immunization Program (UIIP) which offers influenza vaccine free of charge each year to all individuals six months of age and older who live, work, or attend school in Ontario.

Under the UIIP, the provincial supply of influenza vaccine doses is received from the Ontario Government Pharmacy (OGP) in predetermined increments dependent on vaccine availability and timing from each of the vaccine manufacturers. The WECHU receives influenza vaccine shipments from OGP and is responsible for the distribution to health care providers in the community.  Allocation to providers is based on total community allocation, number of clients to be served, past usage by the provider, available fridge space, and the proportion of high-risk clients of the provider. The initial supply of influenza vaccine is prioritized for the immunization of high-risk individuals (i.e. long-term care homes and hospitals). Immunization of the general population commences once the provincial supply is replenished. 

In preparation for, and over the course of the influenza season, the WECHU maintains ongoing communication with all providers and pharmacies and relays information about the timelines for vaccine availability. Tailored information packages including vaccine product information, ordering information, and promotional materials are also compiled and distributed to providers by the WECHU each influenza season.

Current Initiatives

Currently the Health Unit has received about 90% of our total influenza vaccine allocation for the 2019/2020 season.  The first large shipment was received at the beginning of October and was distributed to high-risk groups at long term care facilities, retirement homes, and hospitals. In particular, these facilities received 100% of the doses they required for their residents/patients.  Health Care Providers (HCPs) received small quantities for their high-risk patients with the first shipment of vaccine.

A second large shipment was received to the Health Unit mid-October and is being used to fill HCP orders in the community. In addition, there are approximately 100 pharmacies in Windsor and Essex County that were approved to provide influenza vaccine to individuals 5 years of age and older.

The WECHU will provide one public influenza clinic at the University of Windsor on November 18, 2019. The clinic provides influenza vaccine free of charge, and an Ontario Health Card is not required; the clinic is open to the public, however targets international students and their families.

In November, 2019 the WECHU will implement a public influenza or ‘flu’ campaign, which will support Immunize Canada’s key messages encouraging individuals and families to get the flu shot.  The campaign also includes materials aimed at groups such as health care workers, pregnant women, young children, and those 65 years and older.

Approved By:

Theresa Marentette, CEO


View Document page

Prepared By:

Communications Department

Date:

November 1, 2019

Subject:

October Media Relations Recap Report

October Media Coverage

Total Media Coverage

32

Interview Requests

19

Mentions (In the news without direct interviews)

11
Requests for Information 2

October 2019 Media Relations Recap - Media Coverage

[[chart-nid:5495,chart-view-mode:full]]

Media Coverage

Outlet

Number of Stories

AM 800

6

Blackburn

5

CBC

9

CTV

7

Mediaplex/St Clair College

2

The London Free Press

1

Windsor Star

2

TOTAL

32

News Release, Media Advisories and Media Statements

Date Type Headline Response

October 15, 2019

Media Advisory

Windsor-Essex County Health Unit Board Of Health Meeting

4 Stories Reported

October 16, 2019

News Release

Presence Of Eastern Equine Encephalitis (EEE) Virus In WEC

5 Stories Reported

October 17, 2019

Media Advisory

Health Unit Campaign Promotes Safety With Cannabis Edibles

3 Stories Reported

October 29, 2019

Media Advisory

Local Workplaces To Be Recognized For Commitment To Employee Health And Wellness

0 Stories Reported

October 31, 2019

News Release

Local Workplaces Recognized for Commitment to Employee Health and Wellness

0 Stories Reported

Stories Reported by the Media

AM 800

Publish Date

Title

October 16, 2019

Deadly EEE Virus Detected In Windsor Essex

October 18, 2019

The Flu Vaccine Has Arrived In Windsor-Essex

October 18, 2019

Health Unit Calls For Marketing Ban On Vaping Products

October 18, 2019

The TKO Show - Homemade Baby Food

October 25, 2019

Province To Ban Promotion Of Vaping Products

October 29, 2019

The TKO Show - Flu Shots, Pro's, And Why Get Them?

Blackburn News

Publish Date

Title

October 9, 2019

Housing A Big Topic At Ward 3 Meeting

October 16, 2019

Potentially Dangerous Virus Found In Local Mosquito Pool

October 17, 2019

Police Remind Public Of Laws Surrounding Edibles

October 18, 2019

Health Unit Moves To Ban Promotion Of Vaping Products

October 25, 2019

Province Cracks Down On Advertising For Vaping

CBC News

Note: Digital stories were not available for two of CBC’s requests.

Publish Date

Title

October 1, 2019

Flu Vaccine Coming To Windsor-Essex Later Than Expected, Says Pharmacist

October 11, 2019

First Shipment Of Flu Vaccine Received Last Week, Say Windsor-Essex Health Unit

October 16, 2019

Deadly Mosquito-Borne Virus Eastern Equine Encephalitis Found In Windsor

October 17, 2019

Windsor-Essex Health Unit Calls For Ban On Vaping Ads

October 25, 2019

CBC Windsor News October 25, 2019 (mention in clip at 09:00)

October 25, 2019

Windsor Police 'Not Slamming The Door' On Carrying Naloxone Kits, Says Police Chief

CBC Radio-Canada

Note: Digital stories were not available for two of CBC Radio-Canada’s requests.

Publish Date

Title

October 17, 2019

Le Bureau de santé de Windsor-Essex veut l'interdiction des publicités de vapotage

CTV Windsor News

Publish Date

Title

 

October 16, 2019

Windsor-Essex Mosquito Pool Tests Positive For Rare Virus

 

October 17, 2019

Flu Vaccine Shipments Arrive In Windsor-Essex

 

October 16, 2019

Windsor Police Issue Reminder About Cannabis Edibles

 

October 17, 2019

Policing Cannabis

 

October 18, 2019

Vaping Store Owner Opposed To Ban On Flavoured Products

 

October 25, 2019

Ontario To Ban Promotion Of Vaping Products In Convenience Stores

 

October 30, 2019

Dog Attack Prompts Warning From Windsor Man

 

The London Free Press

Publish Date Title

October 26, 2019

'Liquid Gold' - Leamington's Aphria Starts Rolling Out Cannabis Vape Products

Windsor Star

Publish Date Title

October 16, 2019

Mosquito Pool In Windsor-Essex Tests Positive For Rare Encephalitis Virus

October 26, 2019

Liquid Gold' - Leamington's Aphria Starts Rolling Out Cannabis Vape Products

Note: Digital stories (2) were not available for MediaPlex/St. Clair College.

The following individuals contributed to this report: Jennifer Jershy, Marc Tortola, and Michael Janisse.


View Document page

Board Members Present:

Gary McNamara, Joe Bachetti, Tracey Bailey, Rino Bortolin, Fabio Costante (4:11 pm), Dr. Deborah Kane (4:17 pm), Judy Lund (via phone), John Scott, Ed Sleiman, Larry Snively ​​​​​​

Board Member Regrets:

Gary Kaschak

Administration Present:

Theresa Marentette, Dr. Wajid Ahmed, Lorie Gregg, Nicole Dupuis, Kristy McBeth, Dan Sibley, Lee Anne Damphouse

Staff Present:

Alexis Erickson, Mike Janisse, Stacey Manzerolle, Neil MacKenzie, Jen Jershey, Nicole Trajkovski, Phil Wong, Adrina Zhong (WECHU medical student)

Guests:

Claudia Den Boer, CMHA


QUORUM:  Confirmed


  1. Call to Order
    Board Chair, Gary McNamara, called the meeting to order at 4:03 p.m.
  2. Agenda Approval
    Moved by: Ed Sleiman
    Seconded by: Rino Bortolin
    That the agenda be approved.
    CARRIED
  3. Announcement of Conflicts of Interest – None
  4. Presentations
    1. Climate Change (Dr. W. Ahmed)
      Dr. W. Ahmed brought forward a report on Climate change. Climate change has been noted as the biggest global health threat of the 21st century. It is defined as the long-term shift in weather conditions such as temperature, precipitation, extreme weather events and rising sea levels, and is expected to result in warmer temperatures, longer and hotter summers, more frequent and severe weather events such as tornados, hurricanes, thunderstorms, wildfires, floods and droughts.
      Health impacts of climate change are also felt by indirect exposure through various contamination pathways, transmission dynamics, agroecosystems, socioeconomics, demographics causing more air pollution, extreme weather related illness and death, water and food-borne diseases, ticks, vector-borne diseases and rodent-borne diseases, effects on crops causing food, water shortages, population displacement, and flooding.
      Effects of climate change are prevalent in our own region with periods of extended heat and the blue-green algae bloom in our lakes, the presence of invasive mosquito species not commonly found in our area and multiple 100-year storm events (significant rainfall) resulting in flooding.
      Public health plays a role in climate change through the 2018 Ontario Public Health Standards by following the 2018 Health Environments and Climate Change Guidelines which include assessing the heath vulnerability status of their communities, monitoring the impacts of climate change to inform local vulnerability plans, and engaging and collaborating with municipal stakeholders to address local impacts.
      The Windsor Essex Climate Change Collaborative is a partnership between local municipalities, the County of Essex, the WECHU, the University of Windsor and the Essex Regional Conservation Authority (ERCA) to address regional climate change vulnerabilities and risks facing various different sectors. The City of Windsor has updated their Climate Change Adaptation Plan and 444 Canadian municipalities have Climate Emergency Declarations (including Vancouver, Ottawa, Chatham-Kent, Sudbury, Sarnia, Guelph and Kingston just to name a few. Local declarations are the City of Windsor, Town of Amherstburg, County of Essex and the Town of Tecumseh.
      WECHU’s Next steps relevant to climate change activities include:
      •Completion of a Climate Change and Health Vulnerability Assessment Report (2019)
      •Participate with municipalities and other community agencies in local climate change planning processes
      •Develop and implement a stakeholder and community education and engagement plan
      •Develop resources for residents to increase knowledge of local climate change impacts
      •A Resolution on the Local Impacts of Climate Change be passed and that the Windsor-Essex County Board of Health adopt and implement climate change initiatives and programs that support municipalities and local organizations, both public and private, to take climate action and raise the public’s awareness about the health impacts of climate change in order to drive individual behaviour change in support of climate change action
      Dr. W. Ahmed acknowledged WECHU’s Environmental Health team for their work on this presentation.
    2. Mental Health (N. Dupuis)
      N. Dupuis brought forward a report on Mental Health Promotion (MHP) in Windsor-Essex. MHP is the process of enhancing the capacity of individuals and communities to increase control over their lives and improve their mental health. By working to increase self-esteem, coping skills, social connectedness and well-being, MHP empowers people and communities to interact with their environments in ways that enhance emotional and spiritual strength.
      In 2017, the WECHU and the Canadian Mental Health Association established a strategic partnership focused on mental health promotion and positive mental health and well-being. In 2018, the Ministry of Health and Long Term Care released the Mental Health Promotion Guide as part of the modernized public health standards.
      There is a need to understand the MHP landscape in Windsor-Essex. The goals of intervention are to affect modifiable social determinants of mental health in order to promote positive mental health outcomes. Mapping MHP activities along individual, social and structure domains will also identify areas of strength, and potential gaps in MHP coverage for the region as a whole and for priority populations. In order to facilitate a better understanding of what services are being offered in our community, a service map was developed and an environmental scan conducted. The service map allows users to visualize service providers and their programs, connections between organizations and existing referral pathways.
      Next steps:
      •Share the report and recommendations with stakeholders
      •Communicate and collaborate with community partners and organizations involved with MHP
      •Inform future MHP programming based on community needs
      •Build strategic goals and action plans based on findings from the environmental scan
      •Adopt a shared indicator framework for measuring processes and outcomes
      •Advocate for further resources for MHP
      We need to acknowledge that we have some very serious issues related to mental health, and not just locally. Rino Bortolin noted issues around addictions tied to mental health, and put forward a motion that WECHU administration identify advocacy components to bring to the Ministry of Health. The WECHU administration will follow up with an Advocacy letter to the Ministry to send a strong message and advocate for those suffering with addictions and funding for mental health.
      Moved by: Rino Bortolin
      Seconded by: Dr. Debbie Kane
      That the WECHU compose an Advocacy Letter around mental health concerns to the Ministry of Health
      CARRIED
      Moved by: Rino Bortolin
      Seconded by: Dr. Debbie Kane
      To accept the presentation as received
      CARRIED
  5. Approval of Minutes
    1. Regular Board Meeting: October 17, 2019
    2. Special Meeting of the Board: November 4, 2019
      Moved by: Joe Bachetti
      Seconded by: John Scott
      That the minutes be approved.
      CARRIED
  6. Consent Agenda
    1. INFORMATION REPORTS
      The following information reports were presented to the Board.
      1. Mental Health Promotion Framework for Windsor-Essex: Introduction and Next Steps
        Brought to the Board for information.
      2. Influenza Season 2019/2020 (K. McBeth)
        Brought to the Board for information.
      3. School Based Immunization Clinics 2019/2020 School Year (K. McBeth)
        Brought to the Board for information.
      4. Media Recap
        Brought to the Board for information.

      Moved by: Rino Bortolin
      Seconded by: Larry Snively
      That the Information Reports be received.
      CARRIED

    2. RECOMMENDATION/RESOLUTION REPORTS
      1. Local Response to Climate Change (K. McBeth)
        K. McBeth brought forward the Climate Change Resolution for Board of Health approval.
        Moved by: Rino Bortolin
        Seconded by: Fabio Costante
        That the Recommendation/Resolution Report be supported.
        CARRIED
  7. Business Arising – None
  8. Board Correspondence – Circulated
  9. New Business
    1. CEO Quarterly Compliance (T. Marentette)
      The CEO Quarterly Compliance Reports from July 1, 2019 to September 30, 2019 and April 1, 2019 to June 30, 2019 have been signed by CEO, T. Marentette. The April to June report acknowledged the ONA labour disruption in the spring.
      Moved by: Joe Bachetti
      Seconded by: Ed Sleiman
      That the above information be received.
      CARRIED
  10. Other Board of Health Resolutions/Letters – None
  11. Committee of the Whole (CLOSED SESSION, in accordance with Section 239 of the Municipal Act)
    The Board moved into Committee of the Whole at 4:43 pm
    The Board moved out of Committee of the Whole at 5:01 pm
  12. Next Meeting: At the Call of the Chair, or December 19, 2019 in Windsor, Ontario
  13. Adjournment
    Moved by: John Scott
    Seconded by: Rino Bortolin
    That the meeting be adjourned
    CARRIED
    The meeting adjourned at 5:02 pm.

RECORDING SECRETARY:

SUBMITTED BY:

APPROVED BY:


View Document page

ISSUE

Climate change means a long-term shift in weather conditions, such as temperature, rain/snowfall, extreme weather events, and rising sea levels. Climate change is expected to result in warmer temperatures, longer and hotter summers, more frequent and/or more severe weather events such as hurricanes/tornadoes, thunderstorms, wildfires, floods, and droughts. The impacts of climate change have the potential to influence health outcomes, and can impact health through temperature-related illnesses, poor air quality, water and foodborne diseases, exposure to ultraviolet rays, as well as increased risk of vector-borne diseases. (Government of Canada, 2019)

As a part of the modernization of the Ontario Public Health Standards in 2018, updates were made to the Health Hazard Response Protocol, 2019 and Healthy Environments and Climate Change Guideline, 2019 that require public health units, in collaboration with municipalities and local organizations, to address local impacts of climate change. This includes reducing exposure to environmental health hazards in the community, increasing public awareness of health hazards, and developing policies that address climate change. The Windsor-Essex County Health Unit (WECHU), in collaboration with municipalities and local partners, is currently working to identify and implement local mitigation and adaptation strategies in order to reduce the negative effects on public health related to climate change.   

BACKGROUND

As noted in the recent Community Needs Assessment 2019 Update, Windsor and Essex County (WEC) has experienced the impacts of climate change in recent years such as record levels of precipitation and severe storms, which have led to widespread flooding events and emergencies. In recent years, there have been periods of extended heat and annual algal blooms that greatly affect our local communities.  Between 1941 and 2012, the annual average temperature for the City of Windsor increased by almost 1°C based on data received from the Environment Canada weather station at Windsor Airport (City of Windsor, 2012). WEC experienced a consistent increase in annual precipitation with a 1 to 3% increase per decade from 1970 – 2000. Heavy rainfall events lasting for approximately 30 minutes increased by 5% per decade during 1971-2000 in Windsor (City of Windsor, 2012). Daily rainfall extremes have especially increased during the months of May, June, and July by 7% per decade during the baseline period. 

The favourable climatic conditions for vector borne diseases is present in Southwest Ontario, especially WEC, and are expected to expand over a wider geographical area by the 2050s and 2080s (Gough et al., 2016). The WECHU’s mosquito and tick surveillance programs have identified the presence and establishment of the lone star tick, and invasive mosquito species like the Aedes albopictus and possibly Aedes aegypti. The lone star tick is a vector for multiple pathogens and its bite can trigger an allergy to red meat. Aedes albopictus and Aedes aegypti mosquitoes transmit viruses not normally seen in Canada, such as Zika, Dengue fever, and Chikungunya.

In support of the development of a comprehensive local approach to address climate change, the WECHU is collaborating with Essex Region Conservation Authority (ERCA) and local municipalities to undertake development of a regional climate change strategy.  The strategy will include establishment of sector-based implementation teams (e.g., Land Use and Watershed planning, Human Health and Well- being, Water Resources, Nature and Ecosystems, Energy, and Agriculture) and each team will develop a ‘roadmap’ for their issue area. The WECHU will lead the Human Health and Well-being implementation team and will provide local evidence and understanding of the linkages between climate change and health within the WEC, identify promising evidence based interventions, and recognize local system gaps and strategies to address them.  

PROPOSED MOTION

Whereas, WEC is experiencing the environmental effects of climate change with examples such as extreme flooding in 2016 and 2017, heat waves, large algal blooms in our lakes, established population of the mosquito Aedes albopictus (a vector for Zika, Dengue fever, and Chikungunya) and food insecurity; and

Whereas, climate change impacts the health of individuals through temperature-related illnesses and mortality, extreme weather events, poor air quality, water and foodborne diseases, exposure to ultraviolet rays, increased risk of infectious diseases, as well as impacts local agri-business ; and

Whereas, climate change affects vulnerable populations disproportionately such as children, older adults, people with chronic illness, low income and homeless people, newcomers, migrant workers, and people living and working in rural and remote areas; and

Whereas, the WECHU is committed to ongoing collaborations with local organizations and municipalities in WEC on a regional climate change strategy in an effort to protect the safety, prosperity and livability of our region.

Now therefore be it resolved the Windsor-Essex County Board of Health encourages  municipalities to systematically incorporate climate change mitigation and adaptation strategies into new and existing policies and programs such as land use and building applications, and active transportation master plans in order to manage health risks associated with climate change; and

FURTHER THAT, the Windsor-Essex County Board of Health will adopt and implement climate change initiatives and programs that  support  municipalities and local organizations, both public and private, to take climate action and raise the public’s awareness about the health impacts of climate change in order to drive individual behaviour change in support of climate change action.

References:


View Document page

November 4, 2019

  1. Call to Order
  2. Agenda Approval
  3. Announcement of Conflict of Interest
  4. Consent Agenda
    1. RESOLUTION/RECOMMENDATION REPORT
      1. WECHU 2020 Budget (T. Marentette/L. Gregg)
  5. Business Arising
  6. New Business
  7. Committee of the Whole (Closed Session in accordance with Section 239 of the Municipal Act)
  8. Next Meeting: At the Call of the Chair or November 21, 2019 Essex
    Flu shots will be available for Board Members at 3:30 pm for those who wish to receive
  9. Adjournment

View Document page

October 17, 2019

  1. Call to Order
  2. Agenda Approval
  3. Announcement of Conflict of Interest
  4. Presentation: Vaping (W. Ahmed)
  5. Approval of Minutes
    1. Regular Board Meeting: September 19, 2019
  6. Consent Agenda
    1. INFORMATION REPORTS
      1. ProsperUs (T. Marentette)
      2. Media Recap
    2. RESOLUTION/RECOMMENDATION REPORTS
      1. Vaping (N. Dupuis)
  7. Business Arising
  8. Board Correspondence – Circulated
  9. New Business
    1. ENWIN Utilities – Fluoride Update (T. Marentette)
  10. Other Board of Health Resolutions/Letters – For Support
    1. Simcoe-Muskoka District Public Health – Letter to Hon. Ginette Petitpas Taylor and Hon. Christine Elliott – Vaping
    2. Kingston, Frontenac and Lennox & Addington Public Health – Letter to Hon. Christine Elliott – Vaping
  11. Committee of the Whole (Closed Session in accordance with Section 239 of the Municipal Act)
  12. Next Meeting: At the Call of the Chair or November 21, 2019 – Essex
  13. Adjournment

View Document page