Main Page Content

September 20, 2018

Prepared By:

Communications Department

Date:

September 7, 2018

Subject:

August Media Relations Recap Report

August Media Coverage

Total Media Coverage

49

Interview Requests

7

Mentions (In the news without direct interviews)

42

August 2018 Media Relations Recap - Media Coverage

Story Source

August 2018 Media Relations Recap - Story Source

Media Coverage

Outlet

Number of Stories

AM 800

7

Blackburn

9

CBC

10

CTV

10

Windsor Star

5

Windsorite.ca

8

TOTAL

49

News Release and Media Advisories

Date Type Headline Response

August 20, 2018

News Release

Six West Nile Virus Positive Mosquito Pools Found

7 Stories Reported

August 23, 2018

News Release

Student Suspensions Will Begin September 19th For Students Born Between 2008 to 2013 With Incomplete Immunization Records

5 Stories Reported

August 24, 2018

News Release

First Human Case of West Nile Virus Confirmed

6 Stories Reported

Stories Reported by the Media

AM 800

Publish Date

Title

August 9, 2018

Weekend Beach Testing Results

August 15, 2018

Colchester Beach Not Recommended For Swimming

August 20, 2018

Local Health Unit Needs Up To Date Immunization Records

August 20, 2018

Six Mosquito Pools Test Positive For West Nile Virus

August 22, 2018

Swimming Not Recommended At West Belle River Beach

August 23, 2018

Local CMHA Expands Suicide Prevention Awareness Week

August 24, 2018

First Human Case Of West Nile Virus In Windsor-Essex

   

Blackburn News

Publish Date

Title

August 1, 2018

All Beaches Open For Swimming

August 9, 2018

High Bacteria Levels Close Two Local Beaches

August 15, 2018

Swimming Not Recommended At One Local Beach

August 20, 2018

West Nile-Positive Mosquito Pools Found In Windsor-Essex

August 21, 2018

Swimming OK In All But One Local Beach

August 23, 2018

Are Your Child's Immunization Records Up To Date

August 24, 2018

Health Officials Identify First Human Case Of West Nile This Season

August 28, 2018

Two Local Beaches Not Fit For Swimming

August 31, 2018

Information Fair On Overdose Prevention

CBC News

Publish Date

Title

August 1, 2018

Windsor-Essex Beaches Open With A Warning Issued At One

August 1, 2018

Amid EpiPen shortage, a Canadian-based company has approval for an alternative

August 9, 2018

E. Coli Forces Closure Of Two Beaches In Windsor-Essex This Week

August 15, 2018

No Windsor-Essex Beach Closures But Colchester Beach Unsage

August 15, 2018

Hotel-Dieu CEO Says Overdose Prevention Sites Are 'Necessary' For Windsor-Essex

August 17, 2018

Algal Blooms No Longer Visible At Point Pelee

August 20, 2018

West Nile Virus Found In Chatham-Kent And Windsor-Essex Mosquitoes Again

August 22, 2018

Warning Issued For West Belle River Beach, No Closures

August 24, 2018

Windsor-Essex Health Unit Confirms First Human Case Of West Nile Virus For 2018

CTV News

Publish Date

Title

August 1, 2018

West Belle River Beach Deemed Unsafe For Swimming

August 9, 2018

Two Beaches Unsafe For Swimming In Windsor-Essex: Health Unit

August 8, 2018

Health Minister Discusses Opioid Problem In Windsor

August 15, 2018

Colchester Beach Not Recommended For Swimming

August 20, 2018

Six Windsor-Essex Mosquito Pools Test Positive For West Nile Virus

August 20, 2018

Two More Mosquito Traps In Chatham-Kent Test Positive For West Nile

August 22, 2018

Warning Issued For West Belle River Beach

August 22, 2018

Local Agencies Expand Suicide Prevention Awareness Campaign

August 23, 2018

Students Born Between 2008 and 2013 Face Suspension If Not Immunized

August 24, 2018

Health unit confirms this year’s first human case of West Nile Virus

Windsor Star

Publish Date Title

August 15, 2018

Ontario Freezes Pay Of Public Sector Execs Making $100 K Or More

August 17, 2018

Suicide Prevention: Keep Writing Your Story, Says Woman Who Lost Friend To Suicide

August 20, 2018

Six West Nile Pools Tested Positive This Past Week

August 23, 2018

Windsor-Essex County Health Unit Reminds Students To Get Immunizations

August 24, 2018

Summer's first local human case of West Nile virus confirmed

Windsorite.ca

Publish Date Title

August 1, 2018

Weekly Beach Report: Swimming Not Recommended One Local Beach

August 8, 2018

Updated: Weekly Beach Report: Wimming Not Recommended At Three Local Beaches

August 15, 2018

Weekly Beach Report: Swimming Not Recommended One Local Beach

August 20, 2018

Six West Nile Virus Positive Mosquito Pools Found

August 22, 2018

Weekly Beach Report: Swimming Not Recommended One Local Beach

August 23, 2018

Student Suspensions Will Begin September 19th For Students With Incomplete Immunization Records

August 24, 2018

First Human Case Of West Nile Virus Confirmed

August 29, 2018

Labour Day Weekend Beach Report: Swimming Not Recommended Two Local Beaches

The following individuals contributed to this report: Jennifer Jershy and Michael Janisse


View Document page

Prepared By:

Lorie Gregg, Director of Corporate Services

Date:

September 6, 2018

Subject:

Q2 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 Long-Term Care (“MOHLTC”) and 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 such as Vector-Borne Diseases and Small Drinking Water Systems, funded on a cost-shared basis to a maximum of 75% by the MOHLTC and certain surrounding municipalities within the geographic boundaries of Windsor and Essex County;
  • Related programs funded 100% by the MOHLTC;
  • Related programs funded 100% by the Ministry of Children and Youth Services (“MCYS”);
  • One-time business cases.

The second quarter financial report to the Board includes a budget to actual comparison and narrative for material variances for all programs listed. Forecasted financial results will be presented as a part of the Q3 and Q4 reporting.

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 second quarter of 2018.

 

 

2018 Budget

YTD Budget

YTD Actual 2018

YTD Actual 2017

Variance to Budget

% Spent

Salaries

12,946,856

6,473,428

5,906,244

5,987,092

567,184

46%

Employee Benefits

3,331,935

1,665,968

1,684,183

1,569,870

-18,215

51%

Travel and Meetings

39,650

19,825

9,064

11,082

10,761

23%

Mileage

198,531

99,266

94,109

99,005

5,157

47%

Professional Development

108,700

54,350

27,295

43,500

27,055

25%

Association and Membership Fees

45,000

22,500

34,525

40,140

-12,025

77%

Office Supplies

35,000

17,500

14,239

18,463

3,261

41%

Program Supplies

655,847

327,924

276,185

351,212

51,739

42%

Office Equipment Rental

144,000

72,000

70,113

61,537

1,887

49%

Publications

500

250

897

-

-647

179%

Purchased Services

105,000

52,500

24,498

55,746

28,002

23%

Promotional

8,829

4,415

400

7,250

4,015

5%

Board Expenses

22,294

11,147

8,714

1,131

2,433

39%

Professional Fees

128,600

64,300

32,748

30,643

31,552

25%

Bank Charges

17,900

8,950

8,046

9,386

904

45%

Rent

770,000

385,000

349,109

355,927

35,891

45%

Building Maintenance

145,200

72,600

81,854

69,107

-9,254

56%

Utilities

147,000

73,500

62,589

65,954

10,911

43%

Taxes

227,500

113,750

103,754

113,885

9,996

46%

Insurance

80,000

40,000

79,351

77,334

- 39,351

99%

Telephone

121,200

60,600

54,648

66,531

5,952

45%

Security

28,000

14,000

10,442

9,992

3,558

37%

Vehicle Expenses

2,100

1,050

279

766

771

13%

Postage and Freight

17,450

8,725

8,473

8,398

252

49%

Parking

88,000

44,000

41,746

33,866

2,254

47%

 

19,415,092

9,707,548

8,983,505

9,087,817

724,043

46%

Offset revenues

- 179,175

-89,588

-71,547

-48,429

-18,041

40%

 

19,235,917

9,617,960

8,911,958

9,039,388

706,002

46%

West Nile Virus

128,800

64,400

24,018

64,400

40,382

19%

 

19,364,717

9,682,360

8,935,976

9,103,788

746,384

46%

For the period January 1, 2018 to June 30, 2018, cash flows on account of the 2018 program year for this program are as follows:

MOHLTC $6,660,548
Corporation of the City of Windsor $1,491,516
Corporation of the County of Essex 1,246,642
$9,398,706

For material variances where the financial captions percentage spent exceeds 50%, an explanation has been provided:

  • Benefits: Expenditures in this financial caption relate to amounts paid/payable by the WECHU on account of medical, dental and extended health benefits as well as amounts paid on account of certain other payroll remittances (i.e. OMERS contributions, CPP, EI, EHT, WSIB). The dollar negative variance is not material and will be monitored over the remainder of the fiscal year with any remaining negative variances funded by the Salaries financial statement caption.
  • Association and Membership Fees:  Expenditures in this financial caption relate to memberships in an association or other group by virtue of professional requirements or to support initiatives associated with Public Health.  The majority of Association and Membership Fees are paid earlier in the fiscal year.  For the remainder of the year, fees will be lower and thus tracking will be in line with budget as the year progresses.
  • Publications:  Expenditures in this financial caption include costs of subscriptions.  The dollar value of this negative variance is not material and will be monitored and offset by other underutilized financial captions as the fiscal year progresses.
  • Building Maintenance:   Expenditures in this financial caption relate to amounts paid on account of building maintenance, grounds keeping and house keeping supplies.  At June 30, 2018, the negative variance of $9,254 resulted from:  i) annual elevator maintenance fees for the period May 1, 2018 to April 30, 2019 of $8,546 were paid; ii) grounds keeping costs for snow removal are typically higher in the first half of the fiscal year compared to the latter half (3 months of service from January to March of 2018 compared to 2 months of service from November to December of 2018); iii) additional costs incurred on account of unplanned HVAC repairs.  
  • Insurance:  Expenditures in this financial caption include costs associated with general liability insurance, property insurance, director and office insurance coverage as well as cyber coverage.   Insurance premiums are paid at the beginning of the year.  There will be no further insurance premiums in 2018 and this financial caption should remain underspent at year-end.

Risks:  Of noteworthy mention when considering the financial information above are the following:

  • Status of collective bargaining agreements – Collective bargaining agreements with CUPE (contract expired December 31, 2017) and ONA (contract expired March 31, 2018) remain outstanding.  As such, the WECHU may be required, dependent upon the results of negotiations, to make retroactive payment for contractual increases not yet reflected in the year-to-date financial results disclosed above.
  • Status of other labour related matters – Other labour related matters (i.e. pay equity; impacts associated with grievances) which remain unsettled, have not be reflected in the year-to-date financial results above given the uncertainty associated with the settlement of those matters.

Healthy Babies Healthy Children Program Financial Results

 

2018 Budget

YTD Budget

YTD Actual 2018

YTD Actual 2017

Variance to Budget

% Spent

Salaries and benefits

2,623,390

1,311,695

1,231,909

1,228,035

79,786

47%

Mileage and travel

60,000

30,000

25,162

25,018

4,838

42%

Professional Development

13,400

6,700

7,299

4,676

(599)

54%

Program Supplies

38,251

19,126

14,710

16,758

4,416

38%

Purchased Services

15,000

7,500

3,664

10,008

3,836

24%

Professional Fees

5,800

2,900

2,900

-

-

50%

 

2,755,841

1,377,921

1,285,644

1,284,495

92,277

47%

Funding - MCYS

(2,755,841)

(1,377,921)

(1,399,929)

(1,377,929)

22,008

51%

 

-

-

(114,285)

(93,434)

114,285

 

The Healthy Babies/Healthy Children Program is funded through the Ministry of Children and Youth 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 second quarter of 2018, the HBHC program is $92,277 underspent due in part to staffing vacancies associated with leaves of absence (i.e. maternity leaves, unpaid absences, etc.).  
Refer to the Risks discussion noted in the Cost-Shared Program Financial Results section of this report, as this would be relevant to this program.

Nurse Practitioner Program Financial Results

 

2018 Budget

YTD Budget

YTD Actual 2018

YTD Actual 2017

Variance to Budget

% Spent

Salaries and benefits

139,000

69,500

73,284

71,307

- 3,784

53%

 

139,000

69,500

73,284

71,307

- 3,784

53%

Funding - MCYS

- 139,000

- 69,500

- 69,508

- 63,717

8

50%

 

-

-

3,776

7,590

- 3,776

 

The Nurse Practitioner Program is funded through the Ministry of Children and Youth 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.

The 2018 budget submission to the MCYS includes a one-time grant request for $5,210 representing the forecasted overage in Salaries and Benefits for the year-ending December 31, 2018.  As at the date of this report, our one-time funding request has not been approved.  The WECHU will continue to monitor this unfavourable variance and anticipate that it will ultimately be funded by the Cost-Shared Budget.

Financial Information for Related Programs Funded 100% by the MOHLTC

Healthy Smiles Ontario

2018 Budget

YTD Budget

YTD Actual 2018

YTD Actual 2017

Variance to Budget

% Spent

Salaries and Benefits

1,206,022

603,011

557,685

534,555

45,326

46%

Admin and Accommodation

33,149

16,575

16,575

25,000

(0)

50%

Travel and Meetings

8,000

4,000

647

1,134

3,353

8%

Mileage

10,000

5,000

8,031

6,270

(3,031)

80%

Professional Development

5,100

2,550

2,976

2,571

(426)

58%

Association and Membership Fees

300

150

546

443

(396)

182%

Office Supplies

4,500

2,250

342

341

1,908

8%

Program Supplies

100,229

50,115

66,269

31,437

(16,154)

66%

Purchased Services

162,400

81,200

31,805

30,625

49,395

20%

Total expenditures

1,529,700

764,851

684,876

632,376

79,974

45%

Offset revenue

-

-

(6,300)

-

6,300

0%

Funding - MOHLTC

(1,529,700)

(764,850)

(704,400)

(554,400)

(60,450)

46%

 

-

-

(25,824)

77,976

25,824

 

The 2018 Annual Service Plan and Budget Submission included a budget of $1,529,700 for Healthy Smiles Ontario (“HSO”), inclusive of the $120,900 augment approved by the MOHLTC on May 7th, 2018.

At June 30, 2018, the net underspent budget amounted to $79,974.  Material variances are detailed below:

  • The base funding approval of $120,900 included an addition of 1 FTE (dental assistant) of $71,471 Salaries and benefits that the WECHU would not operationalize until such time as an approval was received.  The budget impact of this deferral resulted in an approximate underspend of $35,735. 
  • In Q2 of 2018 additional Program Supplies costs of $16,425 were incurred on account equipment replacements.
  • Purchased services were underspent at June 30, 2018, due to the following:  i) The May 7th, 2018 augment to base funding included additional funding for purchased services of $36,400 for contract dentistry.  The WECHU is currently in the process of completing the requisite policy work to procure the services of a contract pediatric dentist.  It is anticipated that this dentist will be in place by Q4 of 2018.  ii) The WECHU had only 2 contract dentists for Q1.  A third contact dentist was added in March of 2018 servicing our Leamington dental clinic; iii) Fees paid to contract dentists are typically one month behind.
  • Offset revenue of $6,300 was earned in Q1 of 2018 on account of the sale of three autoclaves using a third party auction site as required by the WECHU policies and procedures for disposing of tangible capital assets.

Refer to the Risks discussion noted in the Cost-Shared Program Financial Results section of this report, as this would be relevant to this program.

Smoke-Free Ontario and Electronic Cigarettes Acts

2018 Budget

YTD Budget

YTD Actual 2018

YTD Actual 2017

Variance to Budget

% Spent

Salaries and benefits

519,217

259,608.50

258,241

255,699

1,368

50%

Mileage

35,800

17,900

16,815

15,740

1,085

47%

Travel and Meetings

6,245

3,122.50

1,794

1,675

1,329

29%

Professional Development

5,500

2,750

4,291

839

(1,541)

78%

Association and Membership Fees

156

78

-

-

78

0%

Program Supplies

44,582

22,291

12,421

14,288

9,870

28%

Purchased Services

25,200

12,600

7,653

7,295

4,947

30%

Total expenditures

636,700

318,350

301,215

295,536

17,135

47%

Funding - MOHLTC

(636,700)

(318,350)

(318,349)

(318,349)

(1)

50%

 

-

-

(17,134)

(22,813)

17,134

 

Enclosed above is the financial information associated with the WECHU’s requirements to:

  • Comply and adhere to the Electronic Cigarettes Act:  Public Health Unit Guidelines and Directives: Enforcement of the Electronic Cigarettes Act;
  • 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 June 30, 2018, the total unspent budget amounted to $17,135.  The most notable variance relates to the Professional Development financial caption.  In Q1 of 2018, an individual was sent to a non-violence conflict resolution train-the-trainer course amounting to $4,180.  The unfavourable budget variance in the Professional Development financial caption continues to be monitored with any remaining budget overage to be offset against the favourable variance Program Supplies financial caption.

Refer to the Risks discussion noted in the Cost-Shared Program Financial Results section of this report, as this would be relevant to this program.

Other MOHLTC Related Programs

2018 Budget

YTD Budget

YTD Actual 2018

YTD Actual 2017

Variance to Budget

% Spent

Chief Nursing Officer Initiative

121,500

60,750

55,838

57,495

4,912

46%

Enhanced Food Safety - Haines Initiative

53,800

26,900

19,122

505

7,778

36%

Enhanced Safe Water

32,900

16,450

914

7,449

15,536

3%

Harm Reduction Program Enhancement

250,000

125,000

116,232

-

8,768

46%

Infection Prevention and Control Nurses Initiative

90,100

45,050

49,323

6,667

(4,273)

55%

Infectious Diseases Control Initiative

461,700

230,850

216,307

223,702

14,543

47%

Needle Exchange Program Initiative

63,000

31,500

31,500

-

-

50%

Social Determinants of Health Nurses Initiative

180,500

90,250

97,348

93,075

(7,098)

54%

Total expenditures

1,253,500

626,750

586,584

388,893

40,166

47%

Funding - MOHLTC

(1,253,500)

(626,750)

(308,875)

(246,375)

11

25%

 

-

-

277,709

142,518

40,177

 

A description of other related programs is included below:

Chief Nursing Officer Initiative:  Under the Organizational Requirements of the Ontario Public Health Standards, the Chief Nursing Officer role serves to enhance health outcomes of the community at individual, group and population levels:  i) Through contributions to organizational strategic planning and decision making; ii) By facilitating recruitment and retention of qualified, competent public health nursing staff; iii) By enabling quality public health nursing practice.  This funding envelope supports 1 FTE meeting certain qualifications as required by the Ontario Public Health Standards.  At June 30, 2018, there are no negative variances to report on.

Enhanced Food Safety – Haines Initiative:  Base funding for this initiative supports the enhancement of the Board of Health’s capacity to deliver the Food Safety Program as a result of the Provincial Government’s response to Justice Haines’ recommendations in his report “Farm to Fork:  A Strategy for Meat Safety in Ontario”.  At June 30, 2018, there are no negative variances to report on.  It is anticipated that these funds will be fully expended by Q4 of 2018.

Enhanced Safe Water:  Base funding for this initiative supports the enhancement of the Board of Health’s capacity to meet the requirements of the Safe Water Program Standard under the Ontario Public Health Standards.  At June 30, 2018, there are no negative variances to report on. It is anticipated that these funds will be fully expended by Q4 of 2018.

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 June 30, 2018, there are no negative variances to report on.

Infection Prevention Control Nurses Initiative:  Base funding for this initiative supports one additional infection prevention and control nursing FTE having certain qualifications.  At June 30, 2018, negative variances of $4,273 have resulted as salaries and benefits for this position have exceeded the approved funding.  Negative variances will be absorbed by the Cost-Shared Budget.

Infectious Disease Control Initiative:  Base funding for this initiative supports 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 June 30, 2018, there are no negative variances to report on.
Needle Exchange Program Initiative:  Base funding for this initiative supports the purchase of needles and syringes, and their associated disposal costs, for the Board of Health’s Needle Exchange Program.  At June 30, 2018, there are no negative variances to report on.

Social Determinants of Health Nurses Initiative:  This initiative was established to support 2 public health nursing FTEs with specific knowledge and expertise in social determinants of health and health inequities issues, and to provide enhanced supports internally and externally to the Board of Health to address the needs of priority populations impacted most negatively by the social determinants of health.  At June 30, 2018, negative variances of $7,098 have resulted as salaries and benefits for these positions have exceeded the approved funding.  Negative variances will be absorbed by the Cost-Shared Budget.

Refer to the Risks discussion noted in the Cost-Shared Program Financial Results section of this report, as this would be relevant to these programs.

Financial Information for Related Programs Funded 100% by the MOHLTC

 

2018 Budget

YTD Actual 2018

Variance to Budget

% Spent

Mandatory Programs: Potassium Iodide Distribution Program

167,000

19,492

147,508

12%

Mandatory Programs: Public Disclosure System

20,000

8,548

11,452

43%

Capital: Windsor Office Project

275,000

36,861

238,139

13%

Needle Exchange Program Initiative

10,100

-

10,100

0%

Public Health Inspector Practicum Program

20,000

10,789

9,211

54%

Vector-Borne Diseases Program: Enhanced Mosquito Surveillance

46,700

16,480

30,220

35%

Total expenditures

538,800

92,170

446,630

 

Mandatory Programs:  Potassium Iodide Distribution Program:  One-time funding to improve nuclear emergency preparedness and increase knowledge amongst residents living within the primary and secondary zone of the Fermi 2 nuclear generating station.  Eligible costs include Potassium Iodide pill packs, and staff salaries, project materials, printing and postage associated with the distribution of KI packs and ongoing communication campaigns.  It is anticipated that funds will be utilized by March 31, 2019.

Mandatory Programs:  Public Disclosure System:  One-time funding must be used to update software and inspection forms to meet the new disclosure requirements under the Ontario Public Health Standards.  Eligible costs include software update, disclosure, and migration.  Implementation of the disclosure system is planned for November of 2018 and will require 3rd party resources as well as internal resources for support (i.e. Information Technology; Healthy Environments).  It is anticipated that funds will be utilized by March 31, 2019.

Needle Exchange Program Initiative:  One-time funding for extraordinary costs associated with delivering the Needle Exchange Program.  Eligible costs include purchase of needles/syringes and associated disposal costs.  One-time funds were expended in Q3 of 2018.

Public Health Inspector Practicum Program:  One-time funding must be used to hire the approved Public Health Inspector Practicum positions.  Eligible costs include student salaries, wages and benefits, transportation expenses associated with practicum positions, equipment and educational expenses.  The practicum placements commence in May and conclude in August annually.  It is anticipated that these funds will be utilized in Q3 of 2018.

Vector-Borne Diseases Program:  Enhanced Mosquito Surveillance:  One-time funding must be used for an enhanced surveillance program.  Eligible costs include salaries for students, supplies and additional equipment, identification and testing expenses, promotional costs and mileage.  It is anticipated that these funds will be utilized by Q4 of 2018 with the conclusion of this year’s surveillance program.

Capital:  One-time funding must be used to assist with costs to complete the capital planning requirements for a Stage 2 – Business Case submission.  Utilization of these funds is dependent upon the status of the work being completed internally and by third party consultants based upon the direction from the WECHU’s Board. 

Approved by:

Theresa Marentette


View Document page

Prepared By:

Lorie Gregg, Director of Corporate Services

Date:

August 29, 2018

Subject:

Q2 Reporting

Background

The Windsor-Essex County Health Unit (“the WECHU”) administers programs that are funded in whole or in part by the Ministry of Health and Long-Term Care and Ministry of Children and Youth Services (hereinafter referred to collectively as “Ministries”).  Quarterly, the WECHU is required to report to the Ministries the year-to-date budget to actual financial results for those programs as well provide forecasted annual financial results.

Q2 Reporting

The Q2 reporting to the Ministries include the following:

  • Q2 2018 Standards Activity Reports as of June 30, 2018 submission to the Ministry of Health and Long-Term Care;
  • Healthy Babies Healthy Children Quarterly Financial Report – 2018 2nd quarter submission to the Ministry of Children and Youth Services;
  • Prenatal and Postnatal Nurse Practitioner Program Financial Report – 2018 2nd quarter submission to the Ministry of Children and Youth Services

Approved by:

Theresa Marentette


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Prepared By:

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

Date:

August 14, 2018

Subject:

Quarter #2 Planning Report

Background

Following the completion of the 2018 planning cycle and the submission of the new Annual Service Plan (ASP) required by the Ministry of Health and Long Term Care (MOHLTC), the Planning and Strategic Initiatives (PSI) department undertook an assessment of its planning processes in order to look for ways to better align our planning approach with the MOHLTC requirements in the development of new planning and reporting structure for 2019 and beyond.

Current Initiatives

Planning for 2019

The PSI department worked with the Information Technology (IT) department to align our planning system with the MOHLTC requirements to ensure a single, integrated approach to planning for 2019. Changes to the process include the incorporation of Ministry terminology, the inclusion of intervention performance indicators, and increased planning support for staff and managers. The PSI department has provided several planning training sessions with staff and management from all divisions. Work with managers and departments has continued over the summer months to align the 2019 organizational planning outcomes with the MOHLTC requirements, in order to maximize efficiency and ensure consistency across the organization.

Reporting Structure

The MOHLTC has yet to provide standard reporting structures for the ASP. Upon receiving the updated reporting templates and guidelines the PSI department will work with the IT department to integrate these requirements into the planning system.

Consultation

The following individuals contributed to this report:

  • Kristy McBeth, Director, Knowledge Management
  • Marc Frey, Manager, Planning & Strategic Initiatives

Approved by:

Theresa Marentette


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2018 Q2 WECHU Strategic Plan Progress - At a Glance

Communication and Awareness

Objective

2018 Q1

2018 Q2

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

Progressing Progressing

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

Progressing Progressing

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

Progressing Progressing

Organizational Development

Objective

2018 Q1

2018 Q2

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

Objective Met Objective Met

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

Progressing Progressing

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

Progressing Progressing

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

Progressing Progressing

Partnerships

Objective

2018 Q1

2018 Q2

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

Work Needed Progressing

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

Progressing Progressing

Evidence-based Public Health Practice

Objective

2018 Q1

2018 Q2

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

Progressing 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 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.

Objective Met Objective Met

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

Progressing Progressing

Communication and Awareness

OBJECTIVE

GOAL

Q2 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.

Marketing and Communications plan still to be developed. 5 policies and procedures are developed and under review. They address elements of organizational branding across media channels.

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.

Community engagement plan still to be developed. Enhanced focus on organizational branding has been implemented.

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

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

The employee engagement strategy is currently being implemented. Baseline measurements associated with internal communication will be generated in Q4.

Partnerships

OBJECTIVE

GOAL

Q2 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.

Partnership tool is developed and is currently under review. Piloting will be the next step.

2.2 Increase the number of internal partnerships.

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

The updated planning tool now includes more detail about internal partnerships for the 2019 planning cycle.

Organizational Development

OBJECTIVE

GOAL

Q2 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.

The Risk Registry was updated with mitigation plans incorporated into the 2019 planning approach.

The planning system has been updated to incorporate ministry requirements, and training has been provided to all teams. Background work on our quality improvement plan approach is in progress.

Proposals for potential approaches to maintain AODA adherence have been developed.

 

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.

Exploring options related to ongoing change management training.

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

The leadership team has continued to review the risk registry.

Key risk indicators, each with a reporting schedule, will be developed this year.

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

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

The employee engagement strategy is currently being implemented. Baseline measures for employee engagement are currently being collected. Baseline measurements will be generated in Q4.

Evidence-Based Public Health Practice

OBJECTIVE

GOAL

Q2 UPDATE

4.1 Establish organizational supports for client-centered service strategies.

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

Through Q2, existing client satisfaction efforts to collect and act on client satisfaction data continued to operate. This has involved one external-facing department and all internal facing departments. Client experience in other departments is yet to be planned out.

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.

Management and staff received training on the WECHU’s Public Policy Toolkit and Guidance Document.

There were 6 activities focused on healthy public policy completed in Q2 under the Substance Use and Injury Prevention Standard, Chronic Diseases Prevention and Well-being Standard, and the 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, and the Infectious and Communicable Diseases Prevention and Control 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.

In the 2018 planning process, 100% of the population health assessment requirements (7), the research, knowledge, exchange, and communication requirements (3) were being addressed by at least one work plan. Moving forward, the way in which this objective is measured and reported is under review and the SPC may consider incorporating the achievement of ASP objectives and indicators related to these requirements into the goal for this objective.

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.

The WECHU’s health equity strategy was approved by the Leadership Team, and presented to the Board of Health (BoH) as an information report. Strategy launch presentation and engagement sessions were completed with the Management Team and 86% of the departments to date.

A health equity-focused planning tools evaluation and summary report was completed. Recommended improvements to the tools and procedures are in the process of being implemented.

A health equity focused education session was provided to the BoH in Q3.


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Prepared By:

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

Date:

July 12, 2018

Subject:

Strategic Plan Q2 Report

Background

The 2017-2021 WECHU Strategic Plan allows our organization to identify key roles, priorities and directions and sets out what we plan to accomplish, how we plan to do it, and how our progress will be measured. The plan is based on four strategic priorities: Communication and Awareness, Partnerships, Organizational Development, and Evidence-Based Public Health Practice.

In early 2018, the Planning and Strategic Initiatives department implemented a corporate tracking system to monitor Strategic Plan performance and to provide quarterly and annual updates to the BoH. In the first quarter of 2018, progress was made on a number of objectives, while more work was needed to move others forward. 

Current Initiatives

In the second quarter of 2018, progress continued on most of the strategic objectives.  The 2018 Q2 Strategic Plan Progress Report provides updates on each objective with corresponding next steps (see appendix A). 

Consultation

The following individuals contributed to this report:

  • Kristy McBeth, Director, Knowledge Management
  • Marc Frey, Manager, Planning & Strategic Initiatives
  • Ramsey D’Souza, Manager, Epidemiology & Evaluation
  • Michael Janisse, Manager, Communications
  • Jennifer Johnston, Health Promotion Specialist, Planning & Strategic Initiatives
  • Jessica Kipping-Labute, Policy Advisor, Planning & Strategic Initiatives
  • Dave Jansen, Performance Improvement and Accountability Coordinator, Planning & Strategic Initiatives

Approved by:

Theresa Marentette


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Prepared By:

Jenny Diep, Health Promotion Specialist

Date:

August 30, 2018

Subject:

Supervised Injection Services (SIS) Community Consultation Project

Background

Locally in Windsor-Essex County (WEC), we are facing increased morbidity and mortality related to the use of opioids and other drugs.  There were 382 opioid-related emergency department visits in WEC in 2015, which is 3.6-times greater than in 20031.  The rate of opioid-related emergency department visits in Windsor was 2.8-times greater than the rate in Essex County.  There were 24 opioid-related deaths in WEC in 2015; 19 deaths were in the city of Windsor1. Furthermore, the number of hepatitis C cases, a blood-borne infection, increased from 143 reported cases in 2016 to 181 reported cases in 20172.  In 2017, out of the 164 confirmed cases that reported at least one risk factor other than unknown, injection drug use was reported by 62% of cases (101 cases)3.  There have been 211 documented needle-related calls from January 1, 2014 to February 5, 2018 to local municipal service (3-1-1), predominantly in downtown Windsor4.  Number of needle-related calls have significantly increased, from 43 in 2016 to 121 in 2017 (City of Windsor, 3-1-1 calls)4.

Overdose Prevention Sites (OPS) and Supervised Consumption Services (SCS)

In December 2017, in response to overdose-related deaths, Health Canada announced that it would provide temporary class exemptions to provinces and territories demonstrating evidence of an urgent public health need. This allowed for possession and use of controlled substances on exempted sites, known as OPS. This provided a space for people to consume drugs in a safe environment, where staff or volunteers can provide overdose response measures as required. This interim measure allowed communities to plan for a long-term solution, such as a SCS.

 

A SCS is a legally sanctioned site that provides a location where people can bring their own illicit substances to consume under safer conditions and supervised by trained workers who can respond to an overdose as needed5. A SCS includes SIS, and offers treatment, health, and social services for people who are ready to stop or reduce their drug use. An OPS may not have these services in place as a temporary site, while a SCS aims to connect people who use drugs to health and social services. A SCS reflects harm reduction principles, which recognizes that individuals with substance use issues may not wish or be able to abstain from substance use, and thus, seeks to minimize the harms associated with drug use6. It is a part of Health Canada’s Canadian drugs and substances strategy. Benefits of SISs, as acknowledged by the Government of Canada7, include:

  • Reduced overdose-related morbidity and mortality8,9;
  • Reduced injecting and discarding of needles in public space9;
  • No evidence of increased drug-related crime or loitering or rates of drug use9;
  • Increased access to withdrawal management and treatment services and other health and social services5,9;
  • Reduced transmission of blood-borne infections, such as hepatitis C and HIV, through decreased needle sharing8,9; and
  • Reduced health care costs, ambulance calls, use of emergency departments, and hospital admissions8,9.

Prior to the establishment of a supervised consumption site (SCS) and also a requirement of Health Canada’s application for exemption under Section 56.1 of the Controlled Drugs and Substances Act, community engagement is essential to informing the need and feasibility for a SIS and predicting its success5.  Similar projects have been conducted in London, Toronto, Hamilton, and Waterloo in Ontario.  These projects similarly reflect such projects in British Columbia.

Locally, organizations have expressed interest in applying for a SCS in Windsor.

Current Initiatives

As part of the Windsor-Essex Community Opioid & Substance Strategy (WECOSS) under the Harm Reduction Pillar, the Windsor-Essex County Health Unit (WECHU) is leading the Supervised Injection Services Community Consultation Project (SIS-CC) to assess the need and acceptability of SIS in WEC.  The study will:

  • Explore the need for SIS in WEC;
  • Explore the design, potential locations, and conditions under which an SIS would be preferred by potential clients and stakeholders in Windsor; and
  • Assess community perceptions of SIS and identify any concerns and strategies to mitigate such concerns.

This project will involve a mixed methods approach (i.e., quantitative and qualitative):

  1. Analysis of local surveillance data. Existing surveillance data regarding morbidity and mortality related to opioid and substance use, including hepatitis C rates, public discarding of needles, health care service use related to opioid use, and harm reduction service use.
  2. In-person surveys with people who inject drugs (PWIDs). The 45-minute survey explores drug use and injection practices, perceptions of SIS and its implementation (e.g., policies, hours, location), experiences of overdose, health and drug treatment. Peer researchers will be trained to recruit and administer the survey. Peer researchers are hired staff who have had lived experience with injection drug use, and may more likely be able to build a rapport with potential participants to complete the survey.
  3. Public Online survey with the Windsor-Essex County community. The 5-minute online survey involves questions related to perceptions of drug use and SISs and its implementation. This survey may identify additional needs outside of Windsor, and thus, inform future community consultation projects.
  4. Interviews with key informants. A 30-minute interview will be conducted with identified key informants and community leaders including harm reduction service providers, local politicians, key leaders from community service agencies/organizations, advocacy groups and emergency services from Windsor.
  5. Focus groups with key stakeholder groups. A 1.5-hour focus group will be conducted with individuals from key stakeholder groups that have an interest in drug-using populations and can be affected by or affect policy and implementation (or non-implementation) of SIS.  These include first responders (police, fire, and emergency medical services), representatives from municipal government departments, community services agencies/organizations, and community, neighbourhood and business groups from Windsor.

The project will be promoted through social media and the Health Unit and WECOSS websites, which is currently being developed.  More information about SIS, SCS, OPS, and the project will be provided on the WECOSS website.

An application to the University of Windsor Research Ethics Board (REB) has been submitted and pending final approval we expect to launch the survey in late September with data collection continuing to the end of 2018.

References

  1. Windsor-Essex County Health Unit. (2017, June). Opioid misuse in Windsor-Essex. Retrieved from https://www.wechu.org/about-us/reports-and-statistics/opioid-misuse-windsor-essex-county.
  2. Windsor-Essex County Health Unit. (2018). Monthly infectious disease report – February 2018. Windsor, ON: Windsor-Essex County Health Unit.
  3. Data Source: Integrated Public Health Information System (iPHIS), Ministry of Health and Long-Term Care [extracted 2018 Jun 8]
  4. Data Source: City of Windsor, 3-1-1 calls [extracted 2018 Feb 05]
  5. Government of Canada. (2017, July 6). Supervised consumption site: Guidance for application form. Retrieved from https://www.canada.ca/en/health-canada/services/substance-abuse/supervised-consumption-sites/guidance-document.html.
  6. Canadian Mental Health Association. (2018). Harm reduction. Retrieved from https://ontario.cmha.ca/harm-reduction/.
  7. Government of Canada. (2017, May 26). Statement from the Minister of Health – Health Canada authorizes four new supervised consumption sites. Retrieved from https://www.canada.ca/en/health-canada/news/2017/05/statement_from_themi....
  8. Ng, J., Sutherland, C., & Kolber, M.R. (2017). Does evidence support supervised injection sites. Canadian Family Physician, 63(11), 866.
  9. Kennedy, M.C., Karamouzian, M., & Kerr, T. (2017). Public health and public order outcomes associated with supervised drug consumption facilities: A systematic review. Current HIV/AIDS Reports, 14(5), 161-183. https://doi.org/10.1007/s11904-017-0363-y

Approved by:

Theresa Marentette


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Prepared By:

Jessica Kipping-Labute

Date:

September 10, 2018

Subject:

“Vote for Health” Municipal Election Survey

Background

Municipal governments and elected representatives can shape the health of communities through the design and delivery of local policies, programs, and services.  Working with partners and decision makers to achieve these outcomes is part of the Ontario Public Health Standards (OPHS), and is one objective of the Windsor-Essex County Health Unit’s (WECHU) 2017-2021 Strategic Plan. 

Under the Foundational Standard of the OPHS, Public Health Units (PHUs) are to share reports, advisories, and healthy public policy recommendations.  As well, PHUs are to contribute to policy work aimed at reducing barriers to positive health outcomes. Specifically, leading, supporting, and participating with stakeholders on policy development to decrease health inequities. In the Program Standards PHUs are to use data to influence and inform the development of local healthy public policies.

Current Initiatives

On September 5th, the WECHU launched ‘Vote for Health’, a voluntary survey distributed to all local council and mayoral candidates running in the upcoming 2018 municipal election. The survey asks about how municipal candidates would prioritize their efforts based on seven identified local health priority areas. These areas include dental health, substance misuse, food insecurity, mental illness, built environment, and climate change. These priority areas were identified based on local data, results from the WECHU’s 2016 Community Needs Assessment, and the Association of Local Public Health Agencies’ (alPHa) Municipal Election Policy Priorities document. This approach was adapted with permission from the Simcoe Muskoka District Health Unit and modified to specifically address locally relevant aspects. The results of the survey will be posted on WECHU’s website in late September. The information collected from municipal candidates does not necessarily reflect the views of the WECHU, but instead provides an opportunity for candidates to share their views on local public health issues with the community.

The purpose of the survey is to:

  • Raise awareness of local public health issues.
  • Provide an opportunity for municipal candidates to share their views on these public health issues.
  • Provide residents with municipal candidate’s views on these public health issues to support informed decision-making when voting in the October municipal election.

Support the development of healthy public policy during and after the election period.

Consultation

The following individuals contributed to this report:

  • Kristy McBeth, Director, Knowledge Management Division
  • Marc Frey, Manager, Planning & Strategic Initiatives Department

Approved by:

Theresa Marentette


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Board Members Present:

Gary McNamara, Joe Bachetti, Mark Carrick, Dr. Deborah Kane, Judy Lund, Richard Meloche, Gord Queen, Ed Sleiman, John Scott, Michelle Watters

Board Member Regrets:

Dr. Ken Blanchette, Paul Borrelli, Bill Marra, Dr. Carlin Miller, Hilary Payne

Administration Present:

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

Administration Regrets: 

Nicole Dupuis

Guests: 

J. Lee, A. Wesley-James, S. Pulickal (Colliers Project Leaders)

  1. Call to Order
    The meeting was called to order at 4:00 p.m.
  2. Agenda Approval
    It was moved
    That the agenda be approved - CARRIED
  3. Announcement of Conflicts of Interest - None
  4. Approval of Minutes
    1. Regular Board Meeting: June 21, 2018.
      It was moved
      That the minutes be approved - CARRIED
  5. Committee of the Whole (CLOSED SESSION, in accordance with Section 239 of the Municipal Act)

    It was moved

    That the Board move into Committee of the Whole at 4:02 p.m.

    CARRIED

    It was moved

    That the Board move out of Committee of the Whole at 5:02 p.m.

    CARRIED

  6. Consent Agenda:
    1. Information Reports
      The following information reports were presented to the Board.

       

      It was moved

      That the information reports be received.

      CARRIED

      1. Q2 Reporting (L. Gregg)
      2. Q2 Financial Results (L. Gregg)
      3. Q2 Strategic Plan Report (K. McBeth)
      4. Q2 Planning Report (K. McBeth)
      5. Supervised Injection Services (T. Marentette)
      6. Vote for Health Municipal Election Survey (T. Marentette)
      7. Media Recap (June – August 2018)
      8. CEO Quarterly Compliance (April – June 2018)
  7. Business Arising – none
  8. Board Correspondence – Circulated
  9. New Business
    1. 2017 Annual Report (K. McBeth)

      The WECHU 2017 Annual Report can be accessed via our website and features various articles for 2017, i.e. Baby Friendly Initiative, Mosquito surveillance, Opioid crisis, immunizations, accountability and funding information.  Our 2017 Annual Report will be shared on social media and is a good link to other services that the health unit offers.

      It was moved

      That the report be received

      CARRIED

    2. 2018 BOH Competency Based Self-Evaluation (K. McBeth)

      The Board of Health Competency Based Self-Evaluation is completed annually.  A link will be sent the first week of October, and Board of Health members will have 3 weeks to complete the evaluation.  Individual reports will be generated for each Board member noting their strengths and how they match up to the Board as a whole.

      It was moved

      That the above information be received

      CARRIED

  10. Board Correspondence/Other Health Unit Letters/Resolutions
    1. Mandatory Food Literacy Curricula in Schools – For Support
      1. Kingston, Frontenac and Lennox & Addington Health Unit – Letter to Minister Responsible for Early Years & Child Care, Hon. Indira Naidoo-Harris
      2. Peterborough Public Health – Letter to Deputy Premier, Hon. Christine Elliott
    2. The Toronto Board of Health – Student Nutrition Program – For Support – Memo to Board of Health in Ontario
    3. The Toronto Board of Health – Toronto Overdose Action Plan – For Support – Reinforce with provincial and federal governments the urgency of the opioid poisoning emergency, and the critical need to scale up actions in response
    4. Association of Local Public Health Agencies – Supervised Consumption Facilities – For Support
    5. Ontario Physical and Health Education Association (OPHEA) – Ministry of Education – Sexual Health Education Component curriculum reverting back to the 1998 version – For Support – Requesting that WECHU align our position with school boards in the Windsor-Essex region leading into the 2018/2019 school year

      It was moved

      That the Board support agenda items 10.1 to 10.5

      CARRIED

    6. Smoke-Free Ontario Act, 2017 – Delay in Implementation – For information Only
      1. Sudbury & District Public Health – Letter to Premier Ford
      2. Timiskaming Health Unit – Letter to Hon. Christine Elliott, Minister of Health and Long Term Care
      3. Kingston, Frontenac and Lennox & Addington Health Unit – Letter to Hon. Christine Elliott, Minister of Health and Long Term Care
      4. Windsor-Essex County Health Unit – Letter to Premier Ford
      5. Municipality of Chatham-Kent Public Health Unit – Letter to Premier Ford
      6. – Letter to Premier Doug Ford

      It was moved

      That the agenda items 10.6 be received for information

      CARRIED

  11. Next Meeting: At the Call of the Chair, or October 18, 2018 in Essex, Ontario
  12. Adjournment

    The meeting adjourned at 5:15 pm.

RECORDING SECRETARY:

SUBMITTED BY:

APPROVED BY:


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June 21, 2018

  1. Call to Order
  2. Agenda Approval
  3. Announcement of Conflict of Interest
  4. Approval of Minutes
    1. Regular Board Meeting:  May 17, 2018
  5. Presentations
    1. Smoke-Free Ontario Act, Changes/Highlights (E. Nadalin)
  6. Consent Agenda
    1. Information Reports:
      1. Q1 Reports Submitted to Ministry
      2. Changes in Public Health Disclosure Requirements
      3. Ticks and Lyme Disease Surveillance
      4. Baby Friendly Initiative – Journey to Designation
      5. Smoke-Free Ontario Act, 2017 – New Regulations
      6. Health Equity Strategy
      7. May Media Relations Recap
    2. Recommendation Reports:
      1. 2017 Annual Financial Statements
  7. Business Arising
    1. Board of Health Retreat – February 21, 2019 (T. Marentette)
    2. WECHU Letter in Support of Fluoride (W. Ahmed) (Handout)
    3. Oral Health Report to Essex County Council (W. Ahmed)
  8. Board Correspondence – Circulated
  9. New Business
    1. Board of Health Education Sessions (T. Marentette)
  10. Other Board of Health Resolutions/Letters – For Support/Information
    1. Dedicated funding for Local Public Health Agencies from Cannabis Sales Taxation Revenue – Hastings Prince Edward Public Health – For Support
    2. Mandatory Food Literacy Curricula in Ontario Schools – Kingston, Frontenac and Lennox & Addington Public Health – For Support
    3. Canada's Tobacco Strategy – alPHa – For Information (Handout)
  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 Sept. 20, 2018 – Windsor
  13. Adjournment

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Prepared By:

Ashley Kirby, Health Promotion Specialist, Eric Nadalin, Manager, Chronic Disease and Injury Prevention 

Date:

May 25, 2018

Subject:

Smoke-Free Ontario Act 2017 – New Regulations

Background

The Smoke-Free Ontario Act (SFOA) came into effect in May of 2006 imposing regulatory changes which led to significant reductions in smoking and tobacco use across Ontario. These changes led to over 180,000 less smokers across the province, including nearly 13,000 fewer in Windsor-Essex County alone (Canadian Community Health Survey, 2014). In the Spring of 2017, the Minister of Health and Long-Term Care and the government of Ontario committed to the modernization of the Smoke-Free Ontario Act updating the smoking and vaping laws in Ontario to address emerging smoking products which continue to come to market and to continue to make progress toward achieving the lowest smoking rates in the province. Effective July 1, 2018 the Smoke-Free Ontario Act 2017 (SFOA 2017) regulations will repeal the existing SFOA and Electronic Cigarettes Act, 2015 (ECA). The SFOA 2017 will regulate the sale, supply, use, display, and promotion of tobacco and vapour products (e-cigarettes), and the smoking and vaping of medical cannabis. 

Places of Use

The SFOA, 2017 will prohibit the smoking of tobacco, the vaping of any substance, and the smoking of medical cannabis in all enclosed public spaces and workplaces, as well as additional prohibited places, such as children’s playgrounds and sporting fields, which were prohibited under the former SFOA. The SFOA 2017, will further protect Ontarians from second hand smoke and vapour by prohibiting the smoking of tobacco, the use of e-cigarettes, and the smoking and vaping of medical cannabis in additional places that were not previously prohibited under the SFOA. A summary of these prohibitions and a comparison to the previous version and municipal bylaws can be found in Table 1 below.

Table 1: Summary of Regulation Changes Related to Places of Use
Topic/Regulation Current:
Smoke-Free Ontario Act/
Electronic Cigarettes Act
As of July 1st:
Smoke-Free Ontario Act 2017
Impact on Municipal Bylaws
Prohibited Products
  • Smoke or hold lighted tobacco.
  • Smoke or hold lighted tobacco.
  • Smoking or vaping of medical cannabis.
  • Use of an electronic cigarette.

Inclusion of smoking or vaping of medical cannabis and use of an electronic cigarette

Smoke-free Bylaws Impacted:

Municipality of Leamington
Bylaw: 311-13

Smoking/Vaping Prohibition on School Grounds
  • A school as defined in The Education Act.
  • A school as defined in The Education Act.
  • Public areas within 20m of any point on the perimeter of a school.
  • Inclusion of Smoking or vaping of medical cannabis and use of an electronic cigarette.

School property not referenced in any local municipal Bylaws.

Smoke-free Bylaws Impacted:

None.

Smoking/Vaping Prohibition on Children’s Playgrounds and Play Areas
  • Children’s playgrounds
  • Public areas within 20m of any point of the perimeter of a children’s playground.
  • No change for prohibited spaces.
  • Inclusion of Smoking or vaping of medical cannabis and use of an electronic cigarette.

These regulations will continue to supersede outdoor smoking Bylaws in municipalities which provide exemptions for parking lots or designated smoking areas within 20m from the perimeter of playgrounds and play areas.

Smoke-Free Bylaws Impacted:

Town of Amherstburg
Bylaw: 2016-113

Town of Essex
Bylaw: 1228

Town of Tecumseh
Bylaw: 2014-60

City of Windsor
Bylaw: 113-2006

Town of LaSalle
Bylaw: 7775

Smoking/Vaping Prohibition for Sporting Areas
  • Sporting areas
  • Spectator areas
  • Public areas within 20m of any point on the perimeter of a sporting area or spectator area.
  • No change for prohibited spaces.
  • Inclusion of smoking or vaping of medical cannabis and use of an electronic cigarette.

These regulations will continue to supersede outdoor smoking Bylaws in municipalities which provide exemptions for parking lots or designated smoking areas within 20m from the perimeter of sporting areas or spectator areas.

Smoke-Free Bylaws Impacted:

Town of Amherstburg
Bylaw: 2016-113

Town of Essex
Bylaw: 1228

Town of Tecumseh
Bylaw: 2014-60

City of Windsor
Bylaw: 113-2006

Town of LaSalle
Bylaw: 7775

Smoking/Vaping Prohibition on Recreation Centre Property
  • No provincial regulations, but most municipal recreation centers are covered in Smoke-Free Bylaws.
  • The outdoor grounds of a community recreation facility and public areas within 20m of any point on the perimeter of the grounds.
  • Inclusion of smoking or vaping of medical cannabis and use of an electronic cigarette.

These regulations will supersede outdoor smoking Bylaws in municipalities which provide exemptions for parking lots or designated smoking areas on recreation centre property or within 20m of any point on the perimeter of the property.

Smoke-Free Bylaws Impacted:

Town of Amherstburg
Bylaw: 2016-113

Town of Essex
Bylaw: 1228

Town of Tecumseh
Bylaw: 2014-60

City of Windsor
Bylaw: 113-2006

Town of LaSalle
Bylaw: 7775

Smoking/Vaping Prohibitions of Restaurant and Bar Patios
  • Restaurant and bar patios
  • Restaurant and bar patios
  • Public areas within 9m of any point on the perimeter of a restaurant or bar patio.
  • Inclusion of smoking or vaping of medical cannabis and use of an electronic cigarette.

These regulations will supersede outdoor smoking Bylaws in municipalities which provide exemptions for designated smoking areas within 9m of any point on the perimeter of a bar or restaurant patio, such as those which are in operation as part of a fair or festival.

Smoke-free Bylaws Impacted:

Town of Amherstburg
Bylaw: 2016-113

Town of Essex
Bylaw: 1228

Town of Tecumseh
Bylaw: 2014-60

City of Windsor
Bylaw: 113-2006

Town of LaSalle
Bylaw: 7775

Display and Promotion

The SFOA, 2017 will also prohibit the display and promotion of tobacco products, branded tobacco product accessories, and vapour products and any other prescribed product or substance at places where they are sold or offered for sale. While these regulations were in place for tobacco products under the previous legislation, the regulations related to electronic cigarettes and other prescribed products and substances are new and specific to SFOA 2017.

The regulation will include exemptions for Tobacconists and Specialty Vape Shops to display these products if specific conditions are met. These exemptions require business owners to register annually with the Board of Health and abide by the conditions outlined below: 

  • Tobacconists: permitted to display and promote vapour products, if a minimum of 85% of the store's revenues or inventory is dedicated to speciality tobacco products. These requirements have expanded from 50% under the previous Act.
    • The other 15% of store's revenue/inventory can be dedicated to items associated or branded with the name of the tobacconist or a brand of tobacco.
  • Speciality vape stores: permitted to display and promote vapour products, if a minimum of 85% of the store's revenues or inventory is dedicated to vapour products.
    • Are not permitted to sell tobacco products, the other 15% of store's revenue/ inventory can be dedicated to items associated or branded with the name of the vape store or a brand of vape product.

Current Initiatives

Prior to the implementation of the SFOA 2017, our Health Unit will be reaching out to effected stakeholders in the following ways:

  • Meeting with municipalities to educate them on the impact that the Act will have on recreation facilities, sporting areas, parks and playgrounds. As well as how these new regulations will interact with existing smoke-free outdoor space bylaws.
  • Written and in person support to vendors who currently sell e-cigarettes, tobacconists, and speciality vape shops to aid them in complying with SFOA 2017.
  • Written and in person contact with restaurant and bar owners as well as fair and festival organizers to notify them of the restrictions around smoking within 9 metres of patios.
  • Written notification, along with in person meetings with our school board liaison committee and principals to provide education and enforcement expertise regarding the smoke-free space within 20 metres of their school property.
  • Contact owners of medical cannabis vape lounges to inform them that as of July 1st, their current operations will not be compliant with SFOA 2017.
  • Shared work plan being developed among southwest regional health units to create public education materials and a consistent enforcement approach across eight health unit regions.

Consultation:

The following individuals contributed to this report:

  • Southwest Tobacco Control Area Network Steering Committee
  • Southwest Tobacco Control Area Network Enforcement Subcommittee
  • Middlesex-London Health Unit

References:

  • Canadian Community Health Survey. (2014). Tobacco Informatics Monitoring System. Retrieved May 29, 2018

Approved by:

Theresa Marentette, Acting CEO


View Document page

Prepared By:

Communications Department

Date:

June 4, 2018

Subject:

May Media Relations Recap Report

May Media Coverage

Total Media Coverage

35

Interview Requests

14

Mentions (In the news without direct interviews)

21

May 2018 Media Relations Recap - Media Coverage

Story Source

May 2018 Media Relations Recap - Story Source

Media Coverage

Outlet

Number of Stories

AM 800

5

Amherstburg River Town Times

1
Blackburn 4
Canada.com 2
CBC 5
CTV 4
University of Windsor News

1

Windsor Star 6
Windsorite.ca 2
Yahoo News 1
TOTAL 31

News Release and Media Advisories

Date Type Headline Response
May 15, 2018 Media Advisory

Windsor-Essex County Health Unit Board Of Health Meeting - May 2018

1 Story Reported
May 16, 2018 Media Advisory

Windsor-Essex County Health Unit Starting Active Tick Surveillance

5 Stories Reported
May 18, 2018 News Release

Launch Of The 2018 West Nile Virus Campaign

9 Stories Reported
May 28, 2018 News Release

Windsor-Essex County Health Unit Issues Special Weather Statement

3 Stories Reported
May 28, 2018 News Release

WTW Luncheon Series: Marijuana In The Workplace – Managing The Impact Of Legalization

2 Stories Reported
May 31, 2018 News Release

World No Tobacco Day is May 31, 2018

0 Stories Reported

Stories Reported by the Media

AM 800

Publish Date

Title

May 7, 2018

Essex County Dental Society Wants Fluoride Back In Windsor Water

May 8, 2018

Listen In: Mosquito Season Not Far Away

May 17, 2018

Local Health Unit Kicks Off Tick Surveillance Program

May 17, 2018

Access To Care Key For Health Unit Heading Into Election

May 28, 2018

Health Unit Issues Heat Statement

Amherstburg River Town Times

Publish Date

Title

May 19, 2018

Distribution Of KI Pills "Steady," Town May Look To Other Methods To Distribute

The Rest

Blackburn News

Publish Date

Title

May 5, 2018

Flu Season Finished At Windsor Regional Hospital

May 7, 2018

Dentists Call For Fluoride’s Return

May 15, 2018 Orkin Takes On Fight Against Mosquitos In Windsor
May 22, 2018 Drastic Jump In West Nile Virus Across Windsor-Essex

Canada.com

Publish Date

Title

May 18, 2018

Tick surveillance underway at local natural areas

May 22, 2018

West Nile Virus Numbers In Windsor-Essex Increase As Health Unit Begins Annual Prevention Program

CBC News

Publish Date

Title

May 3, 2018

cbc.ca/player/play/1225239619867 @ 5 mins 35 seconds - Resource no longer available

May 7, 2018

Fluoride Debate Pushed Back As Windsor Council Asks Staff To Submit A Report

May 17, 2018

Tick Season Is here and the health unit in Windsor-Essex is on the lookout

May 21, 2018 Health Unit begins battle against West Nile Virus
May 22, 2018

How A Tick Bite Sent This Essex Woman's Life Into A 'Vicious Circle'

CTV News

Publish Date

Title

May 8, 2018

Fluoride Debate Put On Hold In Windsor

May 17, 2018

Tick Surveillance Program Begins In Windsor-Essex

May 18, 2018

Health Unit To Launch 2018 West Nile Virus Campaign

May 28, 2018

Spring Heatwave: Windsor-Essex Officials Warn Of Heat-Related Illnesses

University of Windsor News

Publish Date Title

May 15, 2018

GLIER Researchers To Provide Updates From Citizen Scientist Water Collection

Windsor Star

Publish Date Title

May 3, 2018

University Finds Legionella Bacteria In Water Pipes Of Six Buildings

May 8, 2018

Decision On Fluoridation Delayed

May 18, 2018

Tick Surveillance Underway At Local Natural Areas

May 22, 2018

West Nile Virus Numbers In Windsor-Essex Increase As Health Unit Begins Annual Prevention Program

May 28, 2018

Expect A Fast, Hot Start To Summer In Windsor-Essex, Says Weather Network

May 28, 2018

Luncheon Health Lecture To Focus On Pot In The Workplace

Windsorite.ca

Publish Date Title

May 21, 2018

Larviciding Program Set To Get Underway

May 28, 2018

Health Unit To Hold Luncheon Series To Discuss Marijuana In The Workplace

Yahoo News

Publish Date Title

May 21, 2018

Health Unit Begins Battle Against West Nile Virus

The following individuals contributed to this report: Jennifer Jershy and Michael Janisse


View Document page

Prepared By:

Debbie Silvester, Manager Healthy Families

Date:

June, 2018

Subject:

Baby Friendly Initiative – Journey to Designation

Background

The WECHU’s official road to Baby Friendly Designation started in 2012. However, the promotion and support of breastfeeding has been an integral part of the programs and services provided to pregnant and breastfeeding women and their families for decades.

In 2012, the Ministry of Health and Long-term Care added the Baby Friendly Initiative (BFI) as an accountability indicator for the Family Health standard. The ministry provided guidelines for the process based on the Breastfeeding Council of Canada’s (BCC) Baby Friendly Designation process.

The purpose of the Baby Friendly Initiative is to protect, promote and support breastfeeding. It ensures pregnant families and families with infants have the information they need to make an informed decision on how to feed their infants. It supports not only families who choose to breastfeed but also those who cannot or choose not to breastfeed.  It encourages community partners to work together to promote breastfeeding and ensure families have consistent evidence based breastfeeding information as well as local program and services to help families when they need additional breastfeeding supports.

Current Initiatives

Journey Milestones:

  • May 2012 – Implementation of an external BFI multidisciplinary committee
    • Windsor Essex Baby Friendly Initiative and Healthy Families Committee was formed, comprised of community partners who provide services to pregnant and breastfeeding families (e.g., WECHU Healthy Families Department, local birthing hospitals, LaLeche League, Building Blocks for Better Babies, local Doulas, Early On Centres etc.).
  • August 2012 -  BFI Self-Appraisal Assessment completed
    • The Self-Appraisal was used to identify gaps and develop an overarching plan for the WECHU to achieve BFI designation.
  • Throughout 2013 – Development of BFI policy and Review of all Healthy Families Resources
    • An eLearning module was created to supplement the BFI Policy.
    • All healthy families teaching tools and client resources were reviewed for BFI compliance.
  • May 2014 – Annual corporate BFI Policy and eLearning modules launched
    • All health unit staff and board members completed the eLearning module and signed off on the BFI Policy. In addition, BFI leads were identified within each department.
  • April 2015 –Document Review forwarded to BCC Lead Assessor
    • It included a copy of all current Healthy Families teaching and client resources.
  • September 2015 - Process to gather local breastfeeding rates initiated
    • Began obtaining consents from postpartum moms prior to hospital discharge to contact them in 6 months to complete an infant feeding survey.
  • March 2016 -  Documentation Review finalized and Pre-Assessment Visit booked for Nov. 22, 2016
    • September through November 2016 – All Health Unit staff and board members were provided with education and resources in preparation for the Pre-Assessment Visit.
  • October 2016 – Initial analysis of infant feeding surveys completed
    • Local breastfeeding rate were required for the Pre-Assessment Visit.
  • November 22, 2016 – Pre-Assessment Visit
    • During the visit the Lead BCC BFI Assessor interviewed staff from every department along with several of our direct care staff from the Healthy Families department. The Lead Assessor also visited one of our community programs and contacted several of our clients.
    • In December the BCC Lead Assessor provided a report with requirements and recommendation that needed to be addressed before the WECHU was ready for the External Assessment Visit.
  •  March 2017 – External Assessment Visit booked for November 21, 22, and 23, 2017
    • BCC Lead Assessor approved the Health Unit’s plan to address the recommendations as outlined during the Pre-Assessment Visit and booked the External Assessment Visit.
  • June 14 2017 – A community event held for community partners
    • Information was provided on BFI and how community partners could support BFI messages with their prenatal families and families with young children.
  • September 2017 -  Second analysis of infant feeding surveys completed
    • Update of local Breastfeeding rates were required for the External Assessment Visit.
  • September through November 2017 – All staff and board members prepared for External Assessment Visit
    • All staff, senior management and board members were provided with education and resources in the event they were interviewed by a BCC Assessor.
  • November 21, 22, and 23, 2017 – External Assessment Visit
    • Lead BCC assessors and two additional BCC assessors visited all three health unit sites and conducted staff interviews, reviewed resources, attended community programs and contacted clients. The BCC assessors where impressed with how knowledgeable and prepared the health unit staff were during the interviews.
    • In December, as with the Pre-Assessment Visit the health unit was provided with a report that outlined additional requirements that needed to be addressed prior to receiving the BFI designation. Additional requirements included improving communication with our community partners about BFI and ensuring that spaces in the community WECHU utilizes for maternal and newborn programming are supportive of BFI and the WHO code.
    • March 2018 -  Health unit submitted plan to address concerns outlined in the External Assessment report.
  • April 13, 2018 – Received BFI Designation
    • The Lead Assessor reviewed the plan, requested clarification on resources to be distributed and education materials. Officially awarded the BFI designation after the Health Unit’s response.

While the Healthy Families Department lead the journey, it took all health unit board members, senior management, managers and staff working together to achieve Baby Friendly Designation. Community partners also played a significant role.  Without their willingness to incorporate key BFI messages into their programming; distribute BFI compliant resources; or work directly with us to improve access to community breastfeeding resources we would never have been able to meet all the requirements for Baby Friendly Designation.

Next Steps:

Receiving Baby-Friendly designation ends one leg of our journey and begins another. Re-designation is required every 5 years. We will continue to:

  • Support families to make an informed decision about feeding their babies.
  • Support breastfeeding anytime, anywhere.
  • Promote breastfeeding as the normal way of feeding a baby.
  • Promote exclusive breastfeeding for the first six months of a baby’s life, and continued breastfeeding for up to two years and beyond.
  • Provide breastfeeding education and supports to pregnant and breastfeeding families.
  • Provide individual education and supports to families who cannot or choose not to breastfeed their babies.
  • Provide annual education to health unit staff, senior management and board member on key baby-friendly messages. 
  • Monitor local breastfeeding rates and collaborate with community partners to develop strategies to improve breastfeeding outcomes.

Consultation:

The following individuals contributed to this report:

  • Debbie Silvester, Healthy Families Manager
  • Cathy Bennett, Healthy Families Manager
  • Amanda Ellard-Ryall, Healthy Families Manager

Reviewed by:

Nicole Dupuis, Director Health Promotion

Approved by:

Theresa Marentette, Acting CEO


View Document page

Prepared By:

Jennifer Johnston, Social Determinants of Health – Health Promotion Specialist, Planning and Strategic Initiatives Department

Date:

June, 2018

Subject:

Corporate Health Equity Strategy

Background

The Ontario Public Health Standards (OPHS) outline the minimum expectations for public health programs and services and direct what Boards of Health are required to do. The new modernized OPHS specify that Boards of Health must demonstrate that they are focusing efforts to increase opportunities for health disadvantaged groups to achieve higher levels of health and well-being. Achieving greater health equity in our community has the potential to increase the effectiveness of public health programs and services.

To advance this work, the WECHU’s Planning and Strategic Initiatives Department has developed a corporate health equity strategy. The strategy will help the organization more strategically document efforts, identify areas of opportunity, measure progress, and share successes. 

Based on results from the most recent Board of Health self-evaluation survey, health equity was also identified as an area requiring more information, training, and support. Reviewing the Health Equity Strategy will help increase Board of Health members’ understanding of this topic. An education session on health equity is being planned for the Board of Health in July of this year. 

Current Initiatives

The OPHS provide detailed expectations concerning what Boards of Health are required to do, but they do not include how these should be met. The WECHU’s Health Equity Strategy describes how the organization plans to address these requirements. It is a plan that supports all staff and the Board of Health to build health equity consideration into planning and service delivery.

The WECHU’s Health Equity Strategy is informed by an extensive literature review, consultations with experts in the field of public health equity action, and shaped by staff feedback. It is intended to direct organizational priorities around health equity and outline a shared understanding of equity focused approaches. To increase the effectiveness of the Health Equity Strategy, a detailed action plan is included. This action plan is based on a yearly quality improvement process, enabling the WECHU to continually revise specific approaches to better meet the needs of our staff and the community. This plan is being widely communicated to staff within the organization and will be included as a part of the health equity education session planned for the Board of Health this year.

Consultation:

The following individuals contributed to this report:

  • Kristy McBeth, Director, Knowledge Management Division
  • Marc Frey, Manager, Planning & Strategic Initiatives Department

Approved by:

Theresa Marentette, Acting CEO


View Document page

Prepared By:

Phil Wong, Manager, Environmental Health Department

Date:

June 11, 2018

Subject:

Changes in Public Disclosure Requirements

Background

Health Protection and Promotion Act – Regulatory Changes

The Health Protection and Promotion Act (HPPA) specifies the organization and delivery of public health services in the province of Ontario. The HPPA requires local boards of health such as the Windsor- Essex County Health Unit (WECHU) to oversee or ensure the provision of public health programs and services within their local municipalities.

On October 25th, 2017, proposed amendments to a number of regulations under the HPPA were posted on the Ontario Regulatory Registry. The changes were to modernize and update regulatory requirements to better reflect current evidence and practices for public health programs and services. The changes have addressed inconsistencies, removed redundancies and provide clarity for delivery of the public health services. Some of the changes came into effect on January 1st, 2018 with the remaining changes to come into effect on July 1st, 2018. There were over 110 amendments to the safe food and safe water regulations alone, with over 70% of the changes in the HPPA having direct impact on environmental health program delivery. Any changes to regulations during the modernization process subsequently effects corresponding environmental health protocols, guidance documents and other acts such as the Provincial Offences Act.

Below is a list of new or amended regulations that are enforced by Public Health Inspectors (PHIs) at the WECHU.

  • Personal Service Settings - Ontario Regulation 136/18
  • Food Premises - Ontario Regulation 493/17
  • Public Pools - Ontario Regulation 494/17
  • Public Spas Revocation - Ontario Regulation. 495/17
  • Transitional Small Drinking Water (repeal) - Ontario Regulation 499/17
  • Camps in Unorganized Territory - Ontario Regulation 502/17
  • Recreational Camps - Ontario Regulation 503/17
  • Communicable Disease General - Ontario Regulation 557/90
  • Rabies Immunization – Ontario Regulation 567/90
  • Control of West Nile Virus – Ontario Regulation 199/03

Ontario Public Health Standards - Standard Changes

On January 1st, 2018, the new Ontario Public Health Standards: Requirements for Programs, Services, and Accountability 2018 (OPHS) came into effect.  The OPHS outlines mandatory health programs and services which WECHU must comply with. Local boards of health such as the WECHU are accountable for implementing the standards including any protocols, guidelines and reference documents associated with it. Collectively, there has been a release of over 100 amendments to these documents with many still projected to be released on or after July 1st, 2018. 

Quality and Transparency

The standards require local boards of health to promote a culture of quality and transparency, as well as accountability to community members, clients and other stakeholders. In order to demonstrate transparency, the WEHCU is required to publicly disclose results of all inspections or information in accordance with the following protocols:

  • Food Safety Protocol, 2018 (or as current);
  • Health Hazard Response Protocol, 2018 (or as current);
  • Infection Prevention and Control Complaint Protocol, 2018 (or as current);
  • Infection Prevention and Control Disclosure Protocol, 2018 (or as current);
  • Infection Prevention and Control Protocol, 2018 (or as current);
  • Recreational Water Protocol, 2018 (or as current);
  • Safe Drinking Water and Fluoride Monitoring Protocol, 2018 (or as current);
  • Tanning Beds Protocol, 2018 (or as current);
  • Tobacco Protocol, 2018 (or as current)/ Electronic Cigarettes Protocol, 2018 (or as current);

Summary of Changes

  • Online disclosure is mandatory for all inspections, complaints, convictions and closures
  • On site physical disclosure according to PHI request for all of the following:
    • Personal Service Settings i.e., barber shops, nail salons and tattoo parlors
    • Food premises i.e., restaurants, take out and fast food
    • Recreational water facilities i.e., pools, spas and splash pads
    • Recreational camps

Current Initiatives

In response to these requirements, an upgrade is being made to the Environmental Health Department’s inspection software to facilitate the availability of inspection results on our website.  The Environmental Health Department utilizes inspection software for all inspections, time tracking and investigations. WECHU was one of the first health units in Ontario to use inspection software, migrating from pen and paper to electronic documentation in the early 2000s. This disclosure will go live by the end of 2018.

Owners and operators of premises affected by these changes have been informed in writing in advance of the regulation coming into effect. Letters were mailed out to all municipalities for food premises, personal service settings owners/operators, and owners/operators of public pools and contained a summary of changes and action required in order to comply with the regulation. The Environmental Health Department and the Communications Department at the WECHU are working on a communication plan to launch the new on site physical disclosure requirement, projected to be launched by the end of 2018.

Additionally, the Environmental Health Department will be updating all web content, inspection forms, fact sheets and offering online and onsite operator/owner training courses that reflect the changes to the regulations. All of these updates will be completed by July 1st, 2018.

Data Sources:

 

Consultation:

The following individuals contributed to this report:

  • Karen Lukic, Health Promotion Specialist, Environmental Health Department

  • Mike Tudor, Manager, Environmental Health Department

  • Theresa Marentette, Acting CEO and Director, Health Protection Division

Approved by:

Theresa Marentette, Acting CEO


View Document page

Prepared By:

Amandeep Hans, Health Promotion Specialist, Environmental Health Department

Date:

June 11, 2018

Subject:

Ticks and Lyme Disease Surveillance

Background

Ticks are a relative to the spider and are a crawling, non-flying insect. They vary in size and colour. Ticks are very small (1 to 5 mm) when unfed and female ticks get larger and change colour when fed. Ticks are usually found in wooded areas or areas with long grass, where they attach themselves to humans and animals passing by.

Ticks can spread many diseases including Lyme Disease, Rocky Mountain Spotted Fever, Powassan Virus Disease, and Tularemia. Blacklegged ticks (Ixodes scapularis, formerly called deer ticks) spread the bacteria that cause Lyme disease. The bacteria (Borrelia burgdorferi) are most likely to be transmitted after the tick has been attached to you for more than 24 hours.

The most common symptom of Lyme disease is an expanding bulls-eye skin rash. The rash can begin at the site of the tick bite between three and 30 days after exposure and usually grows in size for several days. Many people never get or see a rash. If the disease is left untreated, other symptoms may develop in the weeks following exposure, including rash, fever, chills, headache, fatigue, muscle and joint aches, problems with your heartbeat, breathing, balance and short-term memory. In rare cases Lyme disease may result in death.

Southwestern Ontario is an established area for Lyme disease. Closer to home, Point Pelee National Park has been identified as an endemic area for blacklegged deer ticks as well as the north shore of Lake Erie, particularly in areas around Long Point, Turkey Point, Rondeau Park and the St. Lawrence Islands National Park. Ticks can be active anytime the temperature is above freezing but the greatest risk of exposure to a tick is during the spring, summer and early fall months.

During the spring and early summer months, ticks can be very small (called nymphs) and once attached can often go unnoticed. This results in a higher chance of being infected with Lyme disease.

Anyone can get Lyme disease, but people who spend more time outdoors are at higher risk. These include: hikers, campers, hunters, people who live or work in an area near woods or overgrown bush, or people who have outdoor jobs. For Lyme disease, there are no vaccines to prevent the illness. Early detection is important to help reduce the risk of developing long-term health effects. Residents can reduce the risk of Lyme disease by using personal protection measures.

To prevent tick bites: 

  • Avoid walking in tall grass and stay on the centre of paths.
  • Cover up. Wear long- sleeved shirts and pants. Tuck your pants into your socks and wear closed toed shoes.
  • Use insect repellant containing DEET or Icaridin on exposed skin and clothing (read and follow directions for use on children). 
  • Do a full body check on yourself and your children after being outdoors. 
  • Shower within 2 hours of being outdoors.
  • Carefully remove any ticks with a tick key or a pair of tweezers.

Current Initiatives

The Windsor Essex County Health Unit’s (WECHU) role is to measure and evaluate the risk of tick-borne disease in our area.  To measure the local distribution and incidence of ticks and Lyme disease cases in Windsor and Essex County (WEC), WECHU uses three surveillance techniques:

Active surveillance involves dragging a white cloth through grassy areas. The ticks attach themselves to the cloth and can be easily spotted. Ticks collected on the cloth are sent to the lab for testing. Tick dragging is performed twice yearly to identify areas in WEC that have populations of blacklegged ticks. Areas for dragging are selected based on known tick habitats as well as areas deemed suitable for potential tick habitats.

Passive surveillance involves residents of Windsor and Essex County submitting ticks to the health unit for identification and subsequent testing if the tick is identified as a blacklegged tick. Passive surveillance is mainly for collection of data and should not be used for diagnostic purposes.

  • In 2017, 386 ticks were submitted through passive surveillance
    • Dermacentor variabills (329 ticks, 84.5%),
    • Ixodes scapularis (32 ticks, 8.2%),
    • Two tested positive for B. burgdorferi. (Lyme Disease)
    • Amblyomma americanum (7 ticks, 1.8%).

Human case surveillance is another important method to determine the level of risk in the community. Lyme disease is a disease of public health significance in Ontario. WECHU investigates reported cases of Lyme disease in the region, although the number of cases fluctuates from year to year.  In 2017, there were 7 cases of Lyme disease in WEC residents.

Table: Ticks and Lyme Disease Surveillance Summary, 2012 to 2017, Windsor-Essex County
Year Blacklegged ticks submitted (%) Other tick species submitted (%) Total ticks submitted that were identified Blacklegged ticks testing positive for B. burgdorferi(%) No. of Lyme Disease cases
2012 1 (2.3%) 43 (97.7%) 44 None 0
2013 4 (4.3%) 90 (95.7%) 94 2 ticks (50%) 3
2014 4 (9.5%) 38 (90.5%) 42 None 5
2015 11 (9.1%) 110 (90.9%) 121 4 ticks (36.3%) 6
2016 7 (4.2%) 160 (95.8%) 167 1 tick (14.3%) 2
2017 32 (8.3%) 354 (91.7%) 386 2 tick (6.25%) 7

Public education awareness campaign in 2017 included key messages that focused on different types of ticks, preventing tick bites, tick removal, tick submission and the cause and symptoms of Lyme disease. These messages were communicated through the WECHU website, social media, presentations and print materials (fact sheets). All surveillance related activities will continue in 2018. Tick dragging was done on May 17, 2018 at 2 sites: Ojibway Nature Centre and Chrysler Greenway. Twelve dog ticks and four black-legged ticks (males) were collected during the tick–dragging session. The black-legged ticks have been sent to the lab for further testing.

References

Consultation:

The following individuals contributed to this report:

  • Theresa Marentette, Acting CEO and Director, Health Protection Division

  • Phil Wong, Manager, Environmental Health Department

  • Mike Tudor, Manager, Environmental Health Department

  • Saamir Pasha, Epidemiologist, Epidemiology and Evaluation Department

Approved by:

Theresa Marentette, Acting CEO


View Document page

Board Members Present:

Dr. Ken Blanchette, Joe Bachetti, Paul Borrelli, Mark Carrick, Dr. Deborah Kane, Judy Lund, Richard Meloche, Hilary Payne, Gord Queen, Ed Sleiman, Michelle Watters

Board Member Regrets:

Gary McNamara, Bill Marra, Dr. Carlin Miller, John Scott 

Administration Present:

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

Administration Regrets: 

Nicole Dupuis.

  1. Call to Order

    The meeting was called to order at 4:00 p.m.

  2. Agenda Approval

    It was moved

    That the agenda be approved

    CARRIED

  3. Announcement of Conflicts of Interest – None.
  4. Approval of Minutes
    1. Regular Board Meeting: May 17, 2018.

      It was moved

      That the minutes be approved.

      CARRIED

  5. Presentations
    1. Smoke-Free Ontario Act, Changes/Highlights (E. Nadalin)

      E. Nadalin, Manager Chronic Disease and Injury Prevention, provided an overview of the current legislation. The MOHLTC had committed to modernizing the Smoke-Free Ontario Act (SFOA) in the spring of 2017, and these changes will take effect July 1, 2018. The SFOA regulates the sale, supply, use, display and promotion of tobacco and vaping products, as well as smoking and vaping of cannabis. (Non-medical cannabis will fall under the Cannabis Act). Modernization of the SFOA includes smoking prohibitions within School Grounds, Playgrounds and Play Areas, and Sporting and Spectator Areas.

      Restrictions apply for E-cigarettes under the Electronic Cigarettes Act (ECA), and products for sale will not be openly displayed. The ECA also prohibits the sale and supply of e-cigarettes to persons who are less than 19 years old.

      WECHU’s role is to ensure pubic compliance with regulations of tobacco and E-cigarette sales through enforcement by WECHU’s Tobacco Enforcement Officers, to support municipalities and businesses to make sure they are aware of the legislation and are compliant, and to provide community education and outreach.

    2. Association of Local Public Health Agencies (alPHa) BOH Conference Update (P. Borrelli)

      Board of Health member, P. Borelli, attended the alPHa Conference on June 10-12, 2018 in Toronto, and brought forward various points of interest. Due to the municipal elections taking place this fall, the next alPHa Conference is scheduled for February 2019.

      It was moved

      That the presentations be received for information.

      CARRIED

  6. Consent Agenda:
    1. Information Reports

      The following information reports were presented to the Board.

      1. Q1 Reports Submitted to Ministry
      2. Changes in Public Health Disclosure Requirements
      3. Ticks and Lyme Disease Surveillance
      4. Baby Friendly Initiative – Journey to Designation
      5. Smoke-Free Ontario Act, 2017 – New Regulations
      6. Health Equity Strategy
      7. May 2018 Media Relations Recap

        It was moved

        That the information reports be received.

        CARRIED

    2. Recommendation Reports
      1. Recommendation/Resolution Report – 2017 Annual Financial Statements – May 25, 2018

        ISSUE:

        Approval of the annual audited financial statements for the year-ended December 31, 2017 including:

        •Windsor-Essex County Health Unit (Appendix A)
        •Windsor-Essex County Health Unit Nurse Practitioner Program (Appendix B)
        •Windsor-Essex County Health Unit Healthy Babies Healthy Children Program (Appendix C) (hereinafter referred to collectively as “the annual financial statements”).

        BACKGROUND

        Paragraph 59(2) of the Health Protection and Promotion Act R.S.O. 1990 states that “A board of health shall cause to be prepared statements of its financial affairs in each year including but not limited to, (a) an annual statement of income and expenses; (b) an annual statement of assets and liabilities; (c) an annual estimate of expenses for the year.”

        The annual financial statements audited by KPMG LLP, independent external auditors appointed by the Corporation of the City of Windsor. On May 25th, 2018, the Audit Committee of the Windsor-Essex County Health Unit convened to review the annual financial statements and audit findings report with Administration and KPMG LLP. The Audit Committee has recommended the financial statements for approval to the Board. KPMG LLP is prepared to issue, pending approval by the Board, an unmodified audit opinion on the annual financial statements.

        Windsor-Essex County Health Unit

        The enclosed is a summary analytical review addressing material changes in financial statement captions year-over-year.

        Statement of Financial Position:

        • Accounts receivable increased $423,766 over 2016. This increase is primarily attributed to: i) A net increase in amounts receivable from the Province of Ontario due to timing of 2017 approvals of $217,448; ii) Increase in other receivables in the amount of $201,799 as current year’s balance included amounts outstanding from third parties for wellness services rendered. For additional details, refer to note 3 to the annual financial statements of the Windsor-Essex County Health Unit.

        • Due to Province of Ontario increased $157,338. This increase is attributed to the following: i) Increase in the balance outstanding relating to the 2016 settlement. In the prior year an amount remained receivable from the Ministry of Health and Long-Term Care. This receivable balance was offset against the total amount payable to the Ministry of Health and Long-Term Care. The Ministry subsequently cash flowed this in Q1 of 2017; ii) The 2017 settlement amount of $67,898. This amount relates to 100% Related Program funding and 100% funded One-time business case funding that remain unspent at the settlement date. Currently the 2016 settlement is under review. Once the review is concluded, the Ministry of Health and Long-Term Care will issue a settlement letter and claw back funding during the remainder of 2018. The 2017 settlement is due to the Ministry of Health and Long-Term Care May 31, 2017. The timing of the review of that settlement is unknown. For additional details refer to note 4 to the annual financial statements of the Windsor-Essex County Health Unit.

        • Due to Municipalities increased $561,872. This net increase is attributed to the following: i) Repayment of amounts outstanding to 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”) in the amount of $144,349; ii) 2017 settlement to the Obligated Municipalities in the amount of $706,221. For additional details, refer to note 5 to the annual financial statements of the Windsor-Essex County Health Unit.

        • Tangible capital assets decreased $274,418. This net decrease is attributed to: i) Tangible capital asset additions of $197,409; ii) Amortization expense in the amount of $471,827. Of the tangible capital assets acquired in the year, $106,400 were funded by the Ministry of Health and Long-Term Care using 100% Related Program funding or 100% funded One-time business cases. Refer to note 9 for additional details.

        Statement of Operations and Accumulated Deficit:

        • Increase in Revenue from the Province of Ontario, Mandatory Programs, in the amount of $298,562. This increase is attributed to the year-over-year increase in the general program expenses. As you recall, the Ministry of Health and Long-Term Care funds the WECHU to a maximum of 75% of admissible expenditures. Admissible expenditures for the purposes of the Ministry of Health and Long-term Care Settlement Process is defined below:
         

        Total General Program expenses at December 31, 2017 $18,518,025
        Less: Non-admissible expenses
        Amortization (471,827)
        Change in Employee Future Benefits Liability (24,296)
        Other Accounting Adjustments (25,825)
        Plus: Tangible capital asset additions – Mandatory Program 91,009
        $ 18,087,086
        Less: Offset revenue (189,851)
        Total admissible expenditures $ 17,897,235
        Ministry portion (75%) $ 13,422,926
        Ministry approval $ 13,316,100
        Ministry funded expenditures $ 13,316,100

        • Increase in General Program Expenses in the amount of $739,870 is attributed to:
         •Net increase in permanent FTEs of 2 staff funded by the Cost-Shared Program;
         •Annual increases (cost of living and grid increases) as follows: i) ONA 2% annual; ii) CUPE 1.5% annual; iii) Non-union 2%;
         •Other employee obligations.

        Windsor-Essex County Health Unit Nurse Practitioner Program

        The Nurse Practitioner Program is funded by the Ministry of Children and Youth Services. The funding supports the salaries and benefits of the nurse practitioner whose role is to assist with promoting healthy pregnancy, birth and infancy for children, improve parenting and family supports, strengthen early childhood development, learning and care.

        Windsor-Essex County Health Unit Healthy Babies Healthy Children Program

        The Healthy Babies/Healthy Children Program is funded through the Ministry of Children and Youth 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.

        The enclosed is a summary analytical review addressing material changes in financial statement captions year-over-year.

        Statement of Financial Position:

        •Due from the Windsor-Essex County Health Unit: Refer to the statement of cash flow for the decrease of $111,757 from December 31, 2016.

        •Accounts payable: The decline in accounts payable in the amount of $50,487. At December 31, 2015 $40,800 was payable to a third party provider for scanning services of client files.

        •Due to Ministry of Children and Youth Services in the amount of $64,399. The net decrease was as a result of the following: 1. 2015 and 2015 settlements being reclaimed in 2017 amounting to $32,721. 2. Settlement for 2017 in the amount of $27,793; 3. Reduction of other amounts owing from pre-2000 settlements of $59,471.

        Statement of Operations and Accumulated Deficit:

        •Program Supplies: The decrease in program supplies in the amount of $41,913. As indicated above under the Accounts Payable caption a scanning project was undertaken in 2016 to archive client files with significant retention periods. The project was substantially concluded in 2016.

        •Purchased Services: The increase in purchased services in the amount of $15,323 resulting from an increase in translation services from 2016.

        PROPOSED MOTION

        Whereas, at its May 25th, 2018, meeting of the Audit Committee reviewed the 2017 annual financial statements and recommended them to the Board for the Board’s approval,

        Now therefore be it resolved that the Windsor-Essex County Board of Health approve the:

        •Windsor-Essex County Health Unit 2017 audited annual financial statements

        •Windsor-Essex County Health Unit 2017 Nurse Practitioner Program financial statements

        •Windsor-Essex County Health Unit 2017 Healthy Babies/Healthy Children Program financial statements

        It was moved

        That the resolution be supported.

        CARRIED

  7. Business Arising
    1. Board of Health Retreat – February 21, 2019 (T. Marentette)

      Due to scheduling conflicts, the Board of Health Retreat originally planned for February 10, 2017 has been postponed and rescheduled to take place during the February 21, 2019 regular Board meeting. Board of Health members are highly encouraged to attend.

    2. WECHU Letter in Support of Fluoride (W. Ahmed)

      The Board of Health requested that Dr. Ahmed write a letter to the leaders of various political parties to update their mandates in support of community water fluoridation, as opposed to placing the issue with municipalities. A letter via email was sent to the incoming Premier, and the Association of Local Public Health Agencies (alPHa) provided a letter of support to WECHU’s email.

    3. Oral Health Report to Essex County Council (W. Ahmed)

      The WECHU attended and presented the Oral Health Report to Essex County Council on June 6. Although the report was well received, the underlying discussion was that fluoridation is something that the province should address. The WECHU will present the Oral Health Report to Windsor City Council on December 17. Board of Health member, J. Lund, asked if there were any long term comparisons that would help bear weight to this issue. WECHU has comparables, but they are not long term. WECHU’s goal is to make this an oral health issue, and not specifically a fluoride issue. The majority of areas across Ontario do have community water fluoridation. Board of Health member, G. Queen, noted that the County of Essex does not own or run their water treatment plants, and WECHU may need to promote this issue to the municipalities, and not to Essex County Council.

      It was moved

      That the information presented be received.

      CARRIED

  8. Board Correspondence – Circulated
  9. New Business
    1. Board of Health Education Sessions (T. Marentette)

      T. Marentette noted the upcoming Board of Health Education Sessions taking place in Windsor on July 19 (Health Equity overview) and August 16 (Program overview and changes). Board members are encouraged to attend.

  10. Other Board of Health Resolutions/Letters – Circulated
    1. Dedicated funding for Local Public Health Agencies from Cannabis Sales Taxation Revenue – Hastings Prince Edward Public Health – For Support
    2. Mandatory Food Literacy Curricula in Ontario Schools – Kingston, Frontenac and Lennox & Addington Public Health – For Support

      It was moved

      That the Board support agenda items 10.1 and 10.2

      CARRIED

    3. Canada Tobacco Strategy – alPHa – For Information

      It was moved

      That the Board receive the report for information

      CARRIED

  11. Committee of the Whole (CLOSED SESSION, in accordance with Section 239 of the Municipal Act)

    It was moved

    That the Board move into Committee of the Whole at 4:36 p.m.

    CARRIED

    It was moved

    That the Board move out of Committee of the While at 4:52 p.m.

    CARRIED

  12. Next Meeting: At the Call of the Chair, or September 20, 2018 in Windsor, Ontario
  13. Adjournment

    The meeting adjourned at 5:17 pm.

RECORDING SECRETARY:

SUBMITTED BY:

APPROVED BY:


View Document page

May 17, 2018

Introduction of New Managers:
Kelly Farrugia, Manager, Healthy Schools
Amy Wolters, Manager, Accounting & Financial Reporting

  1. Call to Order
  2. Agenda Approval
  3. Announcement of Conflict of Interest
  4. Approval of Minutes
    1. Regular Board Meeting:  April 19, 2018
  5. Presentation
    1. 1st Quarter Financial Results (L. Gregg)
  6. Consent Agenda
    1. Information Reports
      1. 1st Quarter Financial Results (L. Gregg)
      2. 1st Quarter Update – Strategic Plan (K. McBeth)
    2. Recommendation Report
      1. Provincial Election Priorities (N. Dupuis)
    3. Media Coverage Summary Report (Handout)
  7. Business Arising
    1. Oral Health Presentation (Dr. Ahmed)
    2. KI Distribution Update (Dr. Ahmed)
  8. Board Correspondence - Circulated
  9. New Business
    1. Budget Update - (T. Marentette/L. Gregg) (Handout)
    2. alPHa AGM/Conference-June 10-12, 2018 (T. Marentette)
  10. Other Board of Health Resolutions/Letters - Circulated
  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 June 21, 2018, Essex
  13. Adjournment

View Document page

Prepared By:

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

Date:

April 10, 2018

Subject:

Strategic Plan Quarterly Report

Background

The 2017-2021 WECHU Strategic Plan allows our organization to identify key roles, priorities and directions and sets out what we plan to accomplish, how we plan to do it, and how our progress will be measured. The plan is based on four strategic priorities: Communication and Awareness, Partnerships, Organizational Development, and Evidence-Based Public Health Practice.

The plan was reviewed by the Strategic Planning Committee (SPC) at the beginning of 2018and a report provided to the WECHU Board of Health (BoH) which summarized the progress our organization made during the first year of implementation.

Current Initiatives

The Planning and Strategic Initiatives department has begun the implementation of a corporate tracking system to monitor Strategic Plan performance and to provide quarterly and annual updates to the BoH. In the first quarter of 2017, progress was made on a number of objectives. The 2018 Q1 Strategic Plan Progress Report provides updates on each objective with corresponding next steps (see appendix A).

Consultation:

The following individuals contributed to this report:

  • Kristy McBeth, Director, Knowledge Management
  • Marc Frey, Manager, Planning & Strategic Initiatives
  • Ramsey D’Souza, Manager, Epidemiology & Evaluation
  • Michael Janisse, Manager, Communications
  • Jennifer Johnston, Health Promotion Specialist, Planning & Strategic Initiatives
  • Jessica Kipping-Labute, Policy Advisor, Planning & Strategic Initiatives
  • Dave Jansen, Performance Improvement and Accountability Coordinator, Planning & Strategic Initiatives

Approved by:

Theresa Marentette


View Document page

Prepared By:

Communications Department

Date:

May 16, 2018

Subject:

April Media Relations Recap Report

April Media Coverage

Total Media Coverage

25

Interview Requests

19

Mentions (In the news without direct interviews)

6

April 2018 Media Relations Recap - Media Coverage

Story Source

April 2018 Media Relations Recap - Story Source

Media Coverage

Outlet

Number of Stories

AM 800

5
CBC 5

CTV

5

Windsor Star

4

Blackburn

2
St. Clair College Media Plex News

1

Watertoday.ca

1

Windsorite.ca

1

Yahoo News

1

News Release and Media Advisories

Date Type Headline Response
March 13, 2018 News Release Windsor Express, Windsor Lancers, and 2 Stories Reported St. Clair Saints Battle It Out at Sliced

2018!
2 Stories Reported
March 14, 2018 Media Advisory Windsor-Essex County Health Unit Board of Health Meeting 3 Stories Reported
March 16, 2018 News Release Windsor-Essex County Health Unit Re-Launches Living Wage Program 5 Stories Reported
March 20, 2018 News Release Grade 11 & 12 Students with Incomplete Immunization Records Suspended Today 7 Stories Reported

Links to Stories

AM 800

Publish Date

Title

April 4, 2018

Lyme Carrying Deer Ticks Found At Ojibway Prairie Complex

April 6, 2018

Health Unit Asking Parents To Brush Up On The Facts

April 20, 2018

Health Unit Want To Reintroduce Fluoride Into The Drinking Water

April 29, 2018

Radon Study Results Worrying Health Unit

April 29, 2018

Health Unit Launches Campaign For Rabies Month

Blackburn News

Publish Date

Title

April 23, 2018

Health Unit Urging Reintroducing Fluoride

April 26, 2018

Amherstburg To Begin Ki Pill Distribution

CBC News

Publish Date

Title

April 20, 2018

Windsor Health Unit Wants Fluoride Put Back Into The Water

April 25, 2018

To Drink Or Not To Drink? Fluoride Debate Set To Hit Council, Again

April 26, 2018

Potassium Iodide Pills To Be Distributed To Amherstburg Residents In Fermi Nuclear Plant's 'Primary Zone'

CTV News

Publish Date

Title

April 8, 2018

'Deliverbae' Delivers

April 25, 2018

Amherstburg Residents Near Nuclear Plant To Get Anti-Radiation Pills

April 29, 2018

Health Unit Launches Campaign For Rabies Month

May 4, 2018

Essex County Dentists Want Fluoride Back In Drinking Water

Watertoday.ca

Publish Date

Title

April 25, 2018

How Health Units Across the Province Are Coping

Windsor Star

Publish Date

Title

April 4, 2018

Deer Ticks That Can Carry Lyme Disease Found At Ojibway

April 4, 2018

Use Of Vapes On The Rise By High School Students

April 19, 2018

Province Narrows Down Potential Sites For Cannabis Retail Store In Windsor

April 20, 2018

Health Unit's Oral Healthcare Plan Calls For Return Of Fluoridation

Windsorite.ca

Publish Date

Title

April 26, 2018

Potassium Iodide (Ki) Pill Distribution To Start In Amherstburg

Yahoo News

Publish Date

Title

April 20, 2018

Windsor Health Unit Wants Fluoride Put Back Into The Water

The following individuals contributed to this report: Jennifer Jershy and Michael Janisse


View Document page