Main Page Content

September 20, 2018

Prepared By:

Communications Department

Date:

July 4, 2018

Subject:

June Media Relations Recap Report

June Media Coverage

Total Media Coverage

46

Interview Requests

17

Mentions (In the news without direct interviews)

29

June 2018 Media Relations Recap - Media Coverage

Story Source

June 2018 Media Relations Recap - Story Source

Media Coverage

Outlet

Number of Stories

AM 800

8
Blackburn 6
Canada.com 1
CBC 4
Chatham This Week 1
CTV 5
Essex Free Press 1
Wallaceburg Courier Press 1
Watertoday.ca 1
Windsor Star 13
Windsorite.ca 3
TOTAL 44

News Release and Media Advisories

Date Type Headline Response

June 5, 2018

News Release

Mosquito Trap Reveals 2 Aedes albopictus Species in the Area

5 Stories Reported

June 12, 2018

News Release

Beach Water Test Results Available June 13

15 Stories Reported

June 15, 2018

Heat Warning

Windsor-Essex County Health Unit Issued Extended Heat Warning

1 Story Reported

June 18, 2018

Media Advisory

Health Unit First In Windsor-Essex To Receive Baby-Friendly Initiative Designation

3 Stories Reported

June 20, 2018

Media Advisory

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

1 Story Reported

June 26, 2018

News Release

Windsor-Essex County Health Unit Strives to Help Women Achieve Breastfeeding Goals

1 Story Reported

Stories Reported by the Media

AM 800

Publish Date

Title

June 5, 2018

Mosquitoes In Windsor-Essex Test Negative For Zika Virus

June 7, 2018

Oral Health Presentation Bring Fluoride Debate To Essex County Council

June 13, 2018

No Swimming At One Local Beach

June 20, 2018

Local Health Unit Recognized For Its Support For Breastfeeding

June 21, 2018

Health Unit Prepares For Changes To The Smoke-Free Ontario Act

June 21, 2018

Swimming Not Recommended At Four Area Beaches

June 26, 2018

Lynne Martin Show – Breastfeeding Reports Are Dismal

June 28, 2018

One Local Beach Not Recommended For Swimming

Blackburn News

Publish Date

Title

June 5, 2018

Mosquitoes Found In Windsor-Essex Not Carrying Zika Or West Nile

June 6, 2018

Several Sides Sink Their Teeth Into Vigorous Debate Over Fluoride

June 8, 2018

Mental Health Problems Too Prevalent In Windsor-Essex

June 13, 2018

Most Windsor-Essex Beaches Clear For Swimming

June 20, 2018

Four Local Beaches Have High Levels Of Bacteria

June 28, 2018

All Windsor-Essex Beaches Are Open For Swimming

Canada.com

Publish Date

Title

June 20, 2018

Health Unit Strives To Improve Dismal Local Breastfeeding Rate

CBC News

Publish Date

Title

June 5, 2018

Mosquito Trap In Windsor-Essex Captures Known Carriers Of Zika And West Nile Viruses

June 13, 2018

Eight Out Of Nine Beaches Tested In Windsor-Essex Cleared For Swimming

June 13, 2018

Health Unit Warns Businesses To Prepare For Legalized Pot Implications In The Workplace

July 2, 2018

New Rules Outlaw Cannabis Lounges, Windsor Owner Refuses To Shut Down

Chatham This Week

Publish Date

Title

June 20, 2018

Water Sampling Now Bare Minimum (Chatham This Week)

CTV News

Publish Date

Title

June 5, 2018

Two Mosquitos Known To Transmit Zika Found In Windsor-Essex Trap

June 13, 2018

Only One Windsor-Essex Beach Not Recommended For Swimming

June 15, 2018

Extended Heat Warning Issued For Windsor-Essex

June 15, 2018

https://windsor.ctvnews.ca/video?clipId=1420685

June 27, 2018

Most Windsor-Essex Beaches Deemed Safe For Swimming This Weekend

Essex Free Press

Publish Date Title

June 14, 2018

WECHU Oral Health Report Recommends Fluoridation Of Drinking Water (Pgs 8-9)

Wallaceburg Courier Press

Publish Date Title

June 20, 2018

Water Sampling Now Bare Minimum (Wallaceburg Courier Press)

Windsor Star

Publish Date Title

June 6, 2018

Daytime Biting Mosquitoes That Could Carry Zika Found In Windsor For Third Year

June 6, 2018

Looming Vaping Regulations Will Drive People To Smoke Cigarettes, Vaping Advocates

June 7, 2018

Health Unit Calls On Windsor, Essex County Municipalities To Add Fluoride To Water

June 13, 2018

Beach Monitoring Season Starts With Single Warning For High Bacteria

June 13, 2018

Reader Letter: Fluoridation Of Drinking Water Obsolete And Detrimental

June 14, 2018

Beware Of Ticks — Local Number Of Lyme Disease Cases Continues To Grow

June 14, 2018

Employers Seek Guidance For Workplace Rules For Marijuana

June 15, 2018

Lasalle Pharmacist Named Ontario's 2018 Pharmacist Of The Year

June 20, 2018

Health Unit Strives To Improve Dismal Local Breastfeeding Rate

June 22, 2018

Keep Taking Precautions Against Deer Ticks, Says Health Unit

June 28, 2018

Swimming Not Recommended At Belle River Beach

June 29, 2018

Heat Warnings Issued For Blistering Long Weekend

Windsorite.ca

Publish Date Title

June 13, 2018

Weekly Beach Report: Swimming Not Recommended At One Beach

June 20, 2018

Weekly Beach Report: Swimming Not Recommended At Four Beaches

June 27, 2018

Weekly Beach Report: Swimming Not Recommended At One Local Beach

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


View Document page

Prepared By:

Communications Department

Date:

August 1, 2018

Subject:

July Media Relations Recap Report

July Media Coverage

Total Media Coverage

45

Interview Requests

8

Mentions (In the news without direct interviews)

37

July 2018 Media Relations Recap - Media Coverage

Story Source

July 2018 Media Relations Recap - Story Source

Media Coverage

Outlet

Number of Stories

AM 800

8

Blackburn

5

CBC

10

CTV

8

The Square

1

Windsor Star

7

Windsorite.ca

5

Yahoo News

1

TOTAL

45

News Release and Media Advisories

Date Type Headline Response

July 6, 2018

Heat Warning

Windsor-Essex County Health Unit Ends Extended Heat Warning

3 Stories Reported

July 11, 2018

News Release

First West Nile Virus Positive Mosquito Pool Found

7 Stories Reported

July 12, 2018

Heat Warning

Windsor-Essex County Health Unit Issues Extended Heat Warning

0 Stories Reported

Stories Reported by the Media

AM 800

Publish Date

Title

July 4, 2018

Essex Council Say No To Fluoride

July 4, 2018

Three Lake Erie Beaches Not Recommended For Swimming

July 6, 2018

Relief! Heat Warning Lifted For Windsor-Essex

July 11, 2018

Three Local Beaches Not Recommended For Swimming

July 11, 2018

Signs Of West Nile In Windsor-Essex

July 18, 2018

Sandpoint Beach Closed Because Of High Bacteria Counts

July 25, 2018

Two Area Beaches Closed

July 31, 2018

One Local Beach Not Recommended For Swimming

Blackburn News

Publish Date

Title

July 4, 2018

Three Local Beaches Not Recommended For Swimming

July 11, 2018

Three Local Beach Warnings This Week

July 11, 2018

West Nile Virus Found In Windsor-Essex

July 18, 2018

Two Thirds Of Local Beaches Are Not Safe For Swimming This Week

July 25, 2018

Two Beaches Closed This Week

CBC News

Publish Date

Title

July 3, 2018

Windsor-Essex Remains Under Heat Warning Until Thursday

July 4, 2018

Essex Town Council Says 'No' To Fluoride In Drinking Water

July 10, 2018

'There's No Relief,' Street Help Says Heat Makes Life Even Harder For Homeless

July 11, 2018

3 Essex County Beaches Unsage For Swimming, Health Unit Warns

July 11, 2018

Mosquito Pool Test Positive For West Nile Virus In Windsor-Essex

July 19, 2018

First Beach Closure This Year In Windsor At Sandpoint Beach Due To E. Coli

July 25, 2018

Windsor Closes Second Beach In As Many Weeks After High E. Coli Levels In Colchester

July 30, 2018

Beach Closures Mean Unsafe Sand Too, Says Water Quality Specialist

CTV News

Publish Date

Title

July 4, 2018

Essex Council Says Resounding ‘No’ To Fluoridated Water

July 5, 2018

Three Of Nine Local Beaches Post High Bacteria Counts

July 6, 2018

Extended Heat Warning Ends In Windsor-Essex, Chatham-Kent

July 11, 2018

High Bacteria Counts At Three Windsor-Essex Beaches Prompt Warning From Health Unit

July 11, 2018

First Sign Of West Nile Virus This Season Found In Windsor

July 18, 2018

Sandpoint Beach Closed Due To High Bacteria Counts

July 25, 2018

Two Windsor-Essex Beaches Closed To Swimmers

The Square

Publish Date Title

July 12, 2018

West Nile Mosquito Pool Found

Windsor Star

Publish Date Title

July 2, 2018

Highway 3 Reopened After Extreme Heat Buckled Road

July 3, 2018

Province Pauses New Rules Outlawing Cannabis Lounges For Medical Users

July 5, 2018

Essex Councillors Vote Against Fluoridating Drinking Water

July 12, 2018

First Positive West Nile Mosquito Pool Found

July 12, 2018

Health Unit Warns Three Local Beaches Unsafe For Swimming

July 18, 2018

'Danger!' — Pollution Spike Leads To Sand Point Beach Shutdown

July 19, 2018

Nursing Student's App Aimed At Saving Opioid Overdose Victims

Windsorite.ca

Publish Date Title

July 4, 2018

Weekly Beach Report: Swimming Not Recommended At Three Local Beaches

July 11, 2018

Weekly Beach Report: Swimming Not Recommended At Three Local Beaches

July 11, 2018

First West Nile Virus Positive Mosquito Pool Found

July 18, 2018

Weekly Beach Report: One Beach Closed, Swimming Not Recommended At Five Others

July 25, 2018

Weekly Beach Report: Two Beaches Closed, Swimming Not Recommended At One Other

Yahoo News

Publish Date Title

July 30, 2018

Beach Closures Mean Unsafe Sand Too, Says Water Quality Specialist (shared article from CBC)

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


View Document page

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:


View Document page

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

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


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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


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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


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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

2018 Q1 WECHU Strategic Plan Progress - At a Glance

Communication and Awareness

Objective

2017

2018
Q1

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.

Work Needed Progressing

Organizational Development

Objective

2017

2018
Q1

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.

Work Needed Progressing

Partnerships

Objective

2017

2018
Q1

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

Progressing Work Needed

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

Work Needed Progressing

Evidence-based Public Health Practice

Objective

2017

2018
Q1

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.

Progressing 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

Q1 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.

Corporate marketing and communications plan still to be developed. Policies and procedures are being updated and developed to address 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.

Employee engagement strategy implementation begins at the start of Q2. Measurements associated with internal communication will be generated as a result of these activities. Activities include: team meeting discussion question on intranet, new web-based all staff meeting, engagement survey with section on internal communication measures.

Partnerships

OBJECTIVE

GOAL

Q1 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.

Development of the partnership tool is still in progress. The tool is in the final stages of development and is currently being revised.

2.2 Increase the number of internal partnerships.

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

19% of work plans included in the 2018 Operational Plan referenced objective 2.2. The PSI department is working to refine the way in which internal partnerships are identified for the 2019 planning cycle.

Organizational Development

OBJECTIVE

GOAL

Q1 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.

Four corporate level quality improvement activities have been identified for 2018 and are underway, including: maintaining the risk registry and mitigation plans, continuing to improve our planning approach for 2019, developing corporate quality improvement plans, and creating standard procedure for the meeting AODA requirements.

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

Working with leads from LT, the risk registry has been significantly updated through the PSI department. All high risks, and many moderate risks, have identified “actions required” to be implemented moving forward. The risk registry will soon include Key Risk Indicators (KRI’s), each with a reporting schedule. An information report was provided to the Board of Health in April 2018 to apprise them of these updates.

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.

Employee engagement strategy implementation begins in Q2.

Evidence-Based Public Health Practice

OBJECTIVE

GOAL

Q1 UPDATE

4.1 Establish organizational supports for client-centered service strategies.

 

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

Data collection and analysis of internal client experience survey has continued, with quarterly reporting now for the IT and Facilities Departments. The research protocol for the external facing department client experience survey has been renewed until 2021 through the University of Windsor’s Research Ethics Board. 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.

The Public Policy Toolkit and Guidance Document is complete. It will be launched in Q2 with training provided for staff and management. There were two activities focused on healthy public policy completed in Q1 under the Chronic Disease Prevention and Healthy Environments Standard. There are activities focused on healthy public policy in progress under the Chronic Diseases Prevention and Well-being Standard, Substance Use and Injury Prevention Standard, and Healthy Environments 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.

100% of the population health assessment requirements (7), the research, knowledge, exchange, and communication requirements (3) are being addressed by at least one work plan identified in the 2018 planning process. Moving forward, 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.

A corporate health equity strategy was developed and presented to LT. Once implemented, progress towards achieving the goal of the health equity strategy will demonstrate evidence of programs and services using health equity approaches. In addition, the 3 health equity-focused planning tools will be evaluated and a summary report prepared by the end of Q2.


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

Board Members Present:

Joe Bachetti, Mark Carrick, Dr. Deborah Kane, Judy Lund, Bill Marra, Gary McNamara, Richard Meloche, Dr. Carlin Miller, Hilary Payne, John Scott, Ed Sleiman, Michelle Watters

Board Member Regrets:

Gord Queen, Dr. Ken Blanchette

Administration Present:

Dr. Wajid Ahmed, Nicole Dupuis, Lorie Gregg, Theresa Marentette, Kristy McBeth, Dan Sibley, Konrad Farrugia (Recorder)

Administration Regrets:

None.

Introductions: 

L. Gregg introduced the Amy Wolters as the new Manager of Finance.
N. Dupuis introduced Kelly Farrugia as the new Co-Manager of Healthy Schools

  1. Call to Order
    The meeting was called to order at 4:03 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: March 15, 2018.
      It was moved
      That the minutes be approved.
      CARRIED
  5. Presentations
    1. 1st Quarter Financial Results

      L. Gregg presented 1st quarter financial results to the Board of Health. The cost-shared financial results were reviewed in order to present a more wholesome view of WECHU’s programs. Specifically, L. Gregg provided explanations for variances related to Association and Membership Fees, Program Supplies, Publications, Taxes, and Insurance IT Licensing Fees, and Property Taxes.

      An overview of the 1st quarter financial results was also presented for the Healthy Babies
      Healthy Children Program and the Nurse Practitioner Program. It was noted that in the 2018 budget submission to the Ministry of Children and Youth Services included a one time grant request to cover forecasted overage in salaries and benefits or the Pre/Postnatal Nurse Practitioner Program.

      The budgeted amount for the Healthy Smiles Ontario program was discussed. An enhancement of $120,900 was received. There are items in the base funding that have not yet been operationalized.

  6. Consent Agenda
    1. Information Reports
      1. 1st Quarter Financial Results
      2. 1st Quarter Update – Strategic Plan
    2. Recommendation Reports
      1. Provincial Election Priorities

        Whereas, tobacco use remains the number one preventable cause of death in Ontario; and

        Whereas, oral diseases, including dental caries and periodontal disease, are among the most prevalent and preventable chronic diseases; and

        Whereas, Ontario’s universal health care system does not include dental care for adults and nearly 1 in 3 Windsor-Essex County residents report having no form of dental insurance coverage; and

        Whereas, rates of opioid use and opioid-related harms continue to increase in Windsor-Essex County and across the province; and

        Whereas, cannabis legalization presents a number of public health concerns and a comprehensive education, harm reduction, and regulatory framework would help to reduce risks associated with youth; and

        Whereas, 1 in 5 Canadians struggle with mental health issues and illness every year and the
        difference in funding between mental and physical health has led to a dearth of services available to those struggling with mental health issues and illness; and

        Now therefore be it resolved that the Windsor-Essex County Board of Health supports the Association of Local Public Health Agency’s five areas of provincial election priorities; and

        FURTHER THAT, the Windsor-Essex County Board of Health supports a provincial focus on the Tobacco Endgame, tobacco usage rate of less than 5% in Ontario by 2035, and a shift from tobacco “control” to a future that is free from commercial tobacco; and

        FURTHER THAT, the Windsor-Essex County Board of Health encourages the Ontario government to fund a, comprehensive, multifaceted action plan for the Ontario Opioid Strategy, including education, harm reduction and treatment. The action plan should include targets, deliverables, timelines and an evaluation component and be supported by Public Health Units and key community stakeholders; and

        FURTHER THAT, the Windsor-Essex County Board of Health encourages the provincial government to adopt and fund a comprehensive public health approach to cannabis legalization, regulation, restriction of access, education and harm reduction in Ontario. This approach should align the regulatory restrictions on cannabis with those on tobacco, as provided in the Smoke-Free Ontario Act; and

        FURTHER THAT, the Windsor-Essex County Board of Health supports CAMH’s request for the provincial government to address ongoing financial support inequities and “Erase the Difference” between physical and mental health funding in the Ontario.

        It was moved
        That the resolution be supported.
        CARRIED

    3. Media Coverage Summary Report
      It was moved
      That the consent agenda be received.
      CARRIED
  7. Business Arising
    1. Oral Health Presentation

      Dr. Ahmed updated the Board of Health on the City of Windsor council meeting that members of the Health Unit attended on May 7th. The Health Unit was on the agenda to present the Oral Health report. However, a City of Windsor councilor made a motion to have the Health Unit return to City of Windsor council after the provincial election takes place. The Health Unit is scheduled to bring forward the Oral Health report to Essex County council on June 6th.

      It was asked what the provincial government is doing to mandate fluoride throughout the
      province. N. Dupuis stated that the Board of Health submitted a letter to the province requesting that the province enact fluoride province-wide.

      G. McNamara, board chair, recommended that a letter in support of fluoride be issued to the current provincial political candidates. A letter to alPHa (Association of Local Public Health Agencies) should also be considered.

    2. KI Distribution Update

      Distribution of the KI pills in the Town of Amherstburg has started. Approximately 146 KI packages have been collected by Amherstburg residents. There are still a significant number of residents who have not yet picked up their KI package. Fire fighters in Amherstburg have now started going door-to-door to distribute KI packages. Once distribution in the primary zone has been completed distribution in the secondary zone will commence. Funding for the KI initiative has been secured until March 2019. G. McNamara thanked Dr. Ahmed and the now retired Deputy Fire Chief of Amherstburg Lee Tome for bringing this initiative forward.

  8. Board Correspondence – Circulated
  9. New Business
    1. Budget Update

      T. Marentette mentioned that the budget for 2018 was received from the Ministry of Health and Long-Term Care. T. Marentette notified all Board of Health members via email in advance of the board meeting. An increase of approximately $400k was received to the base funding for the cost-shared programs and $120k increase for Healthy Smiles Ontario. Five of ten one-time funding requests were approved. The one-time requests included the following:

      • Public Disclosure System
      • Potassium Iodide Distribution Program
      • Needle Exchange Program
      • Public Health Inspector Practicum Program
      • Vector-Borne Diseases Program: Enhanced Mosquito Surveillance

      Also, the Health Unit’s application for the Capital Project was pending approval. The funding for the Capital Project has now been received.

      T. Marentette mentioned that the budget submission is now tied to the Annual Service Plans. T. Marentette stated that the Health Unit did a great job articulating its needs to the Ministry of Health and Long-Term Care. The Health Unit remains underfunded yet continues to deliver great services.

    2. alPHa AGM/Conference – June 10-12, 2018

      T. Marentette mentioned that the alpha Annual General Meeting & Conference will be taking place in Toronto on July 10th-12th this year. An email went out to board members earlier. Any board member interested in attending should contact WECHU Administration. Currently, one board member has expressed interest and will be attending.

  10. Other Board of Health Resolutions/Letters – Circulated
  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 5:02 p.m.
    CARRIED
    It was moved
    That the Board move out of Committee of the While at 5:02 p.m.
    CARRIED
  12. Next Meeting: At the Call of the Chair, or May 17th in Windsor, Ontario
  13. Adjournment
    The meeting adjourned at 5:03 pm.

RECORDING SECRETARY:

SUBMITTED BY:

APPROVED BY:


View Document page

Issue

The upcoming provincial election presents the opportunity to promote the endorsement of healthy public policies to key stakeholders vying for seats in Ontario’s Legislative Assembly. The Association of Local Public Health Agencies (alPHa) has released a set of provincial election priorities, spanning across numerous public health topic areas, to call on candidates in the 2018 provincial election to commit their support for a healthier Ontario through a strong local public health system.  These priorities were previously shared with provincial party leaders in December of 2017. The promotion of these priorities is an important step in continuing to advance the profile of public health issues.  Topical public health issues which would benefit from increased regulation, funding, or renewed attention include, tobacco, oral health, opioids, cannabis, and mental health.

In addition, The Centre for Addiction and Mental Health (CAMH) has called upon the three main political parties to “Erase the Difference” in funding between physical health and mental health/addictions. This proposal, in recognition that mental health and addiction agencies currently receive only 6.5% of Ontario’s health budget, is supported by the disproportionately high rates of mental health issues or mental illness as well as the relative burden of these conditions.

Background

The Association of Local Public Health Agencies have outlined five key areas of election policy priorities that focus on improving Ontarians’ health:

  • Tobacco Endgame in Ontario
  • Oral Health for Adults in Ontario
  • Universal Pharmacare Program
  • Public Health Approach to Cannabis in Ontario
  • Opioid Strategy Action Plan for Ontario

Tobacco

Tobacco remains the leading cause of preventable death and illness in Ontario with approximately 36 deaths per day as a result of tobacco use or related conditions. As one of the primary causes of lung disease, heart disease, lung cancer and many other illnesses there is growing support in Canada and globally for a tobacco endgame, with the adoption of endgame targets in Ireland, Scotland, Finland, and New Zealand. A Steering Committee for Canada’s Tobacco Endgame was convened in 2015 and identified an endgame goal of less than 5% tobacco use by 2035.

Oral Health

According to the World Health Organization (WHO), oral health is essential to general health and quality of life. In spite of this, many low income, and middle income Canadians suffer from pain, discomfort, disability, and loss of opportunity because of poor oral health. With under one-third of Ontario workers without employer dental benefits, and 13.9% of the Ontario population living on a low income, there exist significant and impactful financial barriers which prevent many marginalized and low-income adults from accessing preventive and acute dental care. Many acute dental complications which result in emergency department visits are avoidable with timely preventive care such as cleanings and fluoride treatments as well as fillings and extractions. In order to address the underlying causes of the disproportionate number of low-income adults and seniors without access to preventative dental treatments, we recommend that the Ontario government commit to a provincially funded oral health program for low-income adults and seniors in Ontario before 2025.

Opioids

Ontario has one of the highest prescription rates in Canada for opioids, a class of drugs that includes pain relievers such as fentanyl, morphine and OxyContin.  While these drugs can be an effective part of pain management for some medically supervised patients, opioids can be harmful and result in addiction and overdoses. Over the past 13 years, the province of Ontario has experience increasing opioid overdose fatalities and opioids have risen to become the third leading cause of accidental death in the province. In June 2016, Ontario made naloxone, a medicine designed to quickly reverse the effects of opioid overdose, available without a prescription at pharmacies across the province. In October of the same year, Ontario announced its Opioid Strategy to prevent opioid addiction and overdose. Recognizing that lives can be saved through a coordinated prevention, treatment, harm reduction, and enforcement response, many health regions, including Windsor-Essex County, have adopted this four pillar approach in their communities.

Cannabis

Cannabis use carries health risks, including problems with brain functioning (e.g., drug-impaired driving), respiratory problems, and dependence. Canadian youth are among the top users of cannabis in the developed world. In April 2017, the federal government introduced Bill C-45, An Act respecting cannabis and to amend the Controlled Substances Act, the Criminal Act and other Acts. The Act seeks to legalize and regulate recreational cannabis in order to keep cannabis out of the hands of Canadian youth and to prevent organized crime from profiting from the illegal cannabis market.  As provinces and territories will be responsible for licensing and overseeing the distribution and sale of cannabis, there exists the opportunity to develop stringent regulations on promotions, advertising, and marketing, particularly to children and youth These policies have proven effective in tobacco control and should be applied to cannabis legalization. In addition, the government should develop a comprehensive framework to address and prevent cannabis-impaired driving. Indeed, the government should fund a public health approach to cannabis legalization including public education on: risk factors; safer consumption; and a strategy to address impaired driving; would help to mitigate concerns associated with the anticipated increased use as a result of legalization.

Mental Health (Erase the Difference)

Similar to physical health, mental health and illness can take many forms including anxiety disorders, depression/bipolar disorder, eating disorder, obsessive compulsive disorder, phobias/panic disorders, post-traumatic stress disorder, schizophrenia, and suicide. Mental health issues and mental illness affect one in five Ontarians every year however only 6.5% of Ontario’s health budget is allocated to the treatment of these conditions. Inadequate service systems and social alienation are a reality for those affected with poor mental health. A recognition of the importance and prevalence of mental illness and mental health issues warrants a reallocation of resources to help address the treatment “bottle neck”, which acts as a barrier to so many looking for help.

PROPOSED MOTION                       

Whereas, tobacco use remains the number one preventable cause of death in Ontario; and

Whereas, oral diseases, including dental caries and periodontal disease, are among the most prevalent and preventable chronic diseases; and

Whereas, Ontario’s universal health care system does not include dental care for adults and nearly 1 in 3 Windsor-Essex County residents report having no form of dental insurance coverage; and

Whereas, rates of opioid use and opioid-related harms continue to increase in Windsor-Essex County and across the province; and

Whereas, cannabis legalization presents a number of public health concerns and a comprehensive education, harm reduction, and regulatory framework would help to reduce risks associated with youth; and

Whereas, 1 in 5 Canadians struggle with mental health issues and illness every year and the difference in funding between mental and physical health has led to a dearth of services available to those struggling with mental health issues and illness; and

Now therefore be it resolved that the Windsor-Essex County Board of Health supports the Association of Local Public Health Agency’s five areas of provincial election priorities; and

FURTHER THAT, the Windsor-Essex County Board of Health supports a provincial focus on the Tobacco Endgame, tobacco usage rate of less than 5% in Ontario by 2035, and a shift from tobacco “control” to a future that is free from commercial tobacco; and

FURTHER THAT, the Windsor-Essex County Board of Health encourages the Ontario government to fund a, comprehensive, multifaceted action plan for the Ontario Opioid Strategy, including education, harm reduction and treatment.  The action plan should include targets, deliverables, timelines and an evaluation component and be supported by Public Health Units and key community stakeholders; and

FURTHER THAT, the Windsor-Essex County Board of Health encourages the provincial government to adopt and fund a comprehensive public health approach to cannabis legalization, regulation, restriction of access, education and harm reduction in Ontario. This approach should align the regulatory restrictions on cannabis with those on tobacco, as provided in the Smoke-Free Ontario Act; and

FURTHER THAT, the Windsor-Essex County Board of Health supports CAMH’s request for the provincial government to address ongoing financial support inequities and “Erase the Difference” between physical and mental health funding in the Ontario.

Approved by:

Theresa Marentette


View Document page

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:
Description Amount
Total General Program expenses at December 31, 2017 $18,518,025
Less:  Non-admissible expenses (471,827)
Less: Change in Employee Future Benefits Liability (24,296)
Less: 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

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April 19, 2018

  1. Call to Order
  2. Agenda Approval
  3. Announcement of Conflict of Interest
  4. Approval of Minutes
    1. Regular Board Meeting:  March 15, 2018
  5. Presentation –  Radon Study (P. Wong)
    Oral Health (Dr. Ahmed)
  6. Consent Agenda
    1. Information Reports
      1. Radon (T. Marentette)
      2. Risk Management (L. Gregg/K. McBeth)
      3. Quarterly Planning Update (K. McBeth)
      4. Seasonal Housing (T. Marentette)
    2. Recommendation Reports
      1. Reserves (T. Marentette/L. Gregg)
      2. Oral Health (N. Dupuis)
    3. Media Coverage Summary Report
  7. Business Arising
  8. Board Correspondence - Circulated
  9. New Business
    1. Board of Health alPHa Fitness Challenge (K. McBeth)
  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 May 17, 2018, Windsor
  13. Adjournment

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Prepared By:

Communications Department

Date:

April 4, 2018

Subject:

March Media Relations Recap Report

March Media Coverage

Total Media Coverage

40

Interview Requests

31

Mentions (In the news without direct interviews)

9

March Media Relations Recap - Media Coverage

Breakdown of Top Stories

Topic

Requests for Interviews

Mentions in the News (no interviews)

CHC Smoke-Free Housing Policy

2

1

Dental Health Coverage/NDP

1

0

Dental Health Survey

1

0

ER Trips For Kids With Severe Allergies

1

0

Flu Update

2

1

Health Needs/Town Of Amherstburg

1

0

Living Wage

3

2

Measles

2

0

Online Nutrition Challenge

1

0

Opioids

3

1

Sliced

1

1

Student Immunizations and Suspensions

11

2

Ticks

1

1

Vaping and Student Health

1

0

March Media Relations Recap - Story Source

Media Coverage

Outlet

Number of Stories

CBC

10

AM 800

7

CTV

7

Windsor Star

6

Blackburn

4

Windsorite.ca

3

Advocator.ca

1

Windsor Business Magazine

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

Story Link

March 7, 2018

Sad But Not Surprised: Local Reaction To Latest Stats On Opioid-Related Deaths

March 16, 2018

Living Wage In Windsor-Essex Is $14.81/Hour According To Local Health Unit

March 19, 2018

Health Unit Put Focus On Nutrition With Sliced Competition

March 20, 2018

388 High School Students Suspended In Windsor-Essex

March 27, 2018

Suspensions Down Due To Incomplete Immunization Records

Advocator.ca

Publish Date

Story Link

March 31, 2018

Deer Ticks Found at Ojibway Prairie Complex. Do They Carry Lyme Disease?

Blackburn News

Publish Date

Story Link

March 13, 2018

Over 800 Students Face Suspension Next Week

March 20, 2018

Nearly 400 Students Suspended

March 23, 2018

Flu Season Not Over Yet in Windsor-Essex

CBC News

Publish Date

Story Link

March 12, 2018

Flu has already caused 18 deaths and 31 outbreaks, and the season is not over yet

March 15, 2018

Windsor Essex Community Housing Corporation implements smoke-free policy

March 16, 2018

Health officials say $14.81/hr is what it costs to live comfortably in Windsor-Essex

March 16, 2018

Immunization deadline for grade 11 and students is Monday

March 16, 2018

Detroit measles exposure prompts health unit to remind people to be vaccinated

March 20, 2018

Almost 400 students suspended over incomplete immunization records

March 29, 2018

Ticks that can transmit Lyme disease found at Ojibway Prairie Complex

CTV News

Publish Date

Story Link

March 8, 2018

Opioid-related deaths up across province in 2017, including Windsor-Essex

March 13, 2018

Health Unit reminds residents of online immunization reporting tool

March 16, 2018

Health unit says living wage in Windsor-Essex is $14.81/hour

March 19, 2018

Suspensions expected as immunization deadline looms for high school students

Windsor Star

Publish Date

Story Link

March 2, 2018

Social housing starts forbidding smoking in units, with little protest

March 6, 2018

Guidelines released to combat opioid epidemic call on doctors, hospitals to join fight

March 15, 2018

Travellers at Detroit airport might have been exposed to the measles

March 15, 2018

Health unit calculates 2018 local living wage at $14.81 an hour

Windsorite.ca

Publish Date

Story Link

March 16, 2018

Health Unit Re-Launches Living Wage Program

March 17, 2018

Photos: Annual Sliced Competition Cooks Up A Storm At Devonshire Mall

March 20, 2018

Students With Incomplete Immunization Records Suspended Today

Yahoo News

Publish Date

Story Link

March 15, 2018

Windsor Essex Community Housing Corporation implements smoke-free policy

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


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