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October 21, 2021

Board Members Present:

Gary McNamara, Joe Bachetti, Tracey Bailey, Rino Bortolin, Fabio Costante, Gary Kaschak (4:07 pm), Judy Lund, Robert Maich (4:12 pm), Ed Sleiman, Larry Snively

Administration Present:

Nicole Dupuis, Dr. Shanker Nesathurai, Felicia Lawal, Kristy McBeth, Eric Nadalin, Dan Sibley, Lee Anne Damphouse

Administration Regrets:

Lorie Gregg


QUORUM:  Confirmed

  1. Call to Order
    Board Chair, Gary McNamara, called the meeting to order at 4:03 p.m.
  2. Agenda Approval

    Moved by: Judy Lund
    Seconded by: Rino Bortolin
    That the agenda be approved.
    CARRIED

  3. Announcement of Conflicts of Interest – None
  4. Board Elections

    1. Audit Committee Member
      Nominations for Audit Committee Member
      The Chair opened the floor for nominations for a Member of the Audit Committee, noting that Administration had received two (2) written nominations; one (1) for Tracey Bailey, and one (1) for Robert Maich.  The Chair asked for nominations from the floor (three times).  Given that there were no further nominations, nominations for an Audit Committee Member were closed.  The Chair asked Tracey Bailey if she accepted the nomination – Tracey Bailey accepted.  The Chair asked Robert Maich if he accepted the nomination – Robert Maich accepted.  Tracey Bailey and Robert Maich were appointed as a Members of the Audit Committee by acclamation.

      G. McNamara asked if Tracey Bailey, as Board Treasurer, would automatically be appointed to the Audit Committee.  N. Dupuis noted that this is not reflected as a requirement under the Audit Committee Terms of Reference or the Board By-Laws.  

      N. Dupuis also recommended that the WECHU recruit one external member to fulfill committee composition requirements, and to bring an outside perspective. 

      Moved by: Rino Bortolin
      Seconded by:  Gary Kaschak
      That the WECHU recruit an external Audit Committee Member.
      CARRIED

  5. Update (Dr. S Nesathurai)
    1. COVID-19 Update

      Dr. S. Nesathurai said that the Windsor-Essex region currently has a lower number of positive COVID-19 cases than what was being reported at the last Board of Health meeting, but the burden is still significant in our communities with outbreaks at businesses, schools and the hospitals.  Cohorts of over 300 young people have been dismissed from schools due to exposure to COVID 19, and our key goal is to keep schools open for instruction. Two thirds of eligible students are vaccinated and one third are not.  We are over a year and a half into the pandemic and health care workers are fatigued. 

      Although COVID-19 is the number one public health concern, Dr. S. Nesathurai wants to bring to light the current opioid crisis which requires more public attention.  In Ontario in 2020 about 2,400 people died from opioid related deaths compared to about 550 who perished in automobile accidents.  Opioid deaths are four time higher than car accidents.  In 2020 in Windsor-Essex we reported 420 cases and approximately 80 deaths.  We need to consider focusing our attention here.  About one-fifth, or twenty percent of individuals who die by overdose die with someone else in attendance. That is where Naloxone comes in to play and can help save a life.  We would ask those who are using not to use alone and to get a Naloxone kit.  COVID is a priority but we also need to focus on other public health priorities.  Naloxone kits are free of charge and our Windsor-Essex Community Opioid and Substance Strategy (WECOSS) website https://wecoss.ca/ has all of this information on where people can get one including the list of participating pharmacies.  E. Nadalin noted that there is a direct link on our website where to obtain these kits from various community partners and we act as a community hub.  The bulk of the kits are distributed to pharmacies, making them easily accessible when filling prescriptions.  

      Moved by: Judy Lund
      Seconded by: Ed Sleiman
      That the information be received.
      CARRIED

  6. Approval of Minutes
    1. Regular Board Meeting:  September 16, 2021

      Moved by: Judy Lund
      Seconded by: Joe Bachetti
      That the minutes be approved.
      CARRIED

  7. Business Arising
    1. Q2 Report to the Ministry (L Gregg)
      N. Dupuis noted that the WECHU submitted its Q2 Report to the Ministry.  We will defer this portion of the meeting to next month when L. Gregg is available to present

  8. Consent Agenda
    1. INFORMATION REPORTS
      1. Infection Prevention and Control Hub (K McBeth)
        The funding for this initiative flows through Ontario Health to our hospitals.  We are working in collaboration with Windsor Regional Hospital (WRH), and have an agreement to take over this work which aligns with the work of public health.

      2. COVID-19 Surveillance and Epidemiology (N. Dupuis)
        To be brought to the Board for information.

      3. Communications Recap
        To be brought to the Board for information.

        Moved by: Gary Kaschak
        Seconded by: Ed Sleiman
        That the above information be received.
        CARRIED

    2. RECOMMENDATION REPORTS - None
  9. New Business
    1. CEO Quarterly Compliance – July 31, 2021 to September 30, 2021 (N. Dupuis)
      N. Dupuis brought the report to the board for information, noting there is nothing out of the ordinary to report. 

      Moved by: Rino Bortolin
      Seconded by: Judy Lund 
      That the information be received.
      CARRIED

    2. Fall Immunization Plan
      N. Dupuis advised that the Ministry has requested a significant vaccination plan from the WECHU for the fall of 2021 and into the new year.  This plan includes all immunizations, i.e. Influenza, ISPA (Immunization of School Pupils Act) and COVID-19.  We are currently in a good position due to the hard work by our staff under the leadership of Kristy McBeth and community partners.  K. McBeth noted that the immunization plan is in three sections.

      1.    Influenza Vaccine 
      We are well underway with influenza vaccines.  The hospitals and LTCHs/RHs have received them in September.  The vaccine has also been distributed to 214 primary care providers and pharmacies, including the high dose vaccine for the 65 plus population.  To date, 115,200 influenza vaccines have been administered in our communities, an increase from 97,000 last year. We’ve seen an increase in demand and in our supply. The province is encouraging people to get the flu vaccine, and we have received guidance from the ministry on co-administering the flu and COVID-19 vaccines. NASI has indicated that it is safe to co-administer the COVID vaccine with other vaccines. We are working with our partners and mobile clinics, particularly in high-risk neighbourhoods, around messaging, and the vaccine is free to all residents of Ontario. Dr. S. Nesathurai said he believes there has been a drop globally around influenza cases due to masking and public health measures, but will circle back at the next board meeting with more information.

      2.    COVID-19 Vaccine
      COVID-19 vaccines commenced January 1, 2021 and will be ongoing to January 1, 2022.  We have completed 3rd doses locally for all of our LTCHs/RHs, and there will be some follow up for those who have not yet reached the 5 month timeline between vaccines. All of this work is being done in the background by our front line WECHU staff. Individuals who are considered high risk, immuno-compromised or vulnerable, are eligible for a 3rd dose of the vaccine. J. Bachetti asked about those that are homebound and if they are eligible for the 3rd dose.  K. McBeth advised that the LHIN had worked with homebound individuals on the first and second doses, but many are currently not eligible, depending on what their medical condition may be.  We can still support once they become eligible. 

      First and second doses are still considered priority and we continue to support the mass vaccination site at Sears.  Support from CRST, EMS and ESHC will continue with clinics in community centres, buses, parks, and other mobile locations.  We continue to work with school boards for the 12-17 age group.

      Immunization planning for the 5-11 year age group will be a big component for fall.  Providing options and more opportunity for vaccination is key. We are engaging with primary care providers and are hoping for an increased uptake for this group by accessing their family doctors.  Pharmacies and mobile sites will be an option as well to support this age group.  The strategy will be different for this group and we will need to revise various segments of the mass clinic, the size of syringes, chairs, mats on floor, to make them more comfortable and alleviate any feelings of anxiety. 

      E. Sleiman asked if vaccine has to occasionally be thrown out due to open vials or expiry.  K. McBeth said as part of vaccine management we never want to throw out supply.  There are limitations if vials are open and at the end of the day there are some doses that we cannot use as they are multi-use vials and have to be allocated.  Zero wastage is our goal.

      3.    School-age Immunization
      Due to school closures during the pandemic we had to change our school immunization strategy.  Our staff will be in the schools in November administering the first round of vaccines, and again in the spring for the second round.  We also have support from primary care providers. We will offer catch up clinics in December and January and are also offering in-house clinics in Windsor and Leamington. L. Snively asked if we had numbers of our youth vaccinated.  K. McBeth advised that our WECHU Epidemiology team has this information on the Dashboard on our website, broken down by age and postal code.  Numbers are going up, but not substantially.  We have seen a steady decline over the last month or so at our mobile clinics. Daily number were at 200-300 attendees, and now can be down to as low as single digits.  We have benefited greatly from the mass site at Sears, and pharmacies have picked up a good amount of traffic.

      Moved by: Larry Snively
      Seconded by: Gary Kaschak
      That the information be received.
      CARRIED

    3.  

      Project Governance Committee – Review of Membership 
      The Project Governance Committee’s (PGC) composition is made up of 6 Board of Health members; 2 City representatives (Rino Bortolin and Fabio Costante); 2 County representatives (Gary McNamara and Joe Bachetti); 2 provincial appointees (Judy Lund and Robert Maich) along with the CEO, Nicole Dupuis, and Director of Corporate Services, Lorie Gregg.  The Terms of Reference were included in this month’s board package for information.

    4. alPHa Fall Symposium
      Information on the alPHa Fall Symposium was brought forward for information.  The conference will be held virtually and is a one day session.  The cost for registration is $149 per person, plus HST.  In the past we have limited the number of attendees.  Given what is happening in public health and that the conference is being held virtually, we are encouraging any board or leadership team members who wish to attend to do so, and to reach out to Lee Anne Damphouse for registration.  An email went out to today with further conference details. G. McNamara said he would be interested in attending.

      Moved by: Judy Lund
      Seconded by: Ed Sleiman
      That the information be received.
      CARRIED

  10. Correspondence
    1. City of Hamilton, Mayor’s Office – Letter to Hon. Christine Elliott – Regional Modernization and Support for Local Public Health

    2. Haliburton, Kawartha, Pine Ridge District Health Unit – Letter to Hon. Christine Elliott – Ongoing government financial support for local public health

    3. Grey Bruce Public Health Unit – Letter to Hon. Christine Elliott – In support of Haliburton, Kawartha, Pine Ridge District Health Unit’s Letter to Christine Elliott – Ongoing government financial support for local public health

    4. Corporation of the City of Windsor – Council Services – Council Decision CR377/2021 to adopt a Regional Active School Travel Charter

      Moved by:  Rino Bortolin
      Seconded by: Ed Sleiman
      That items 10.1, 10.3, 10.4 be received for information, and that the WECHU prepare a letter of support for item 10.2.
      CARRIED

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

    The Board moved into Committee of the Whole at 4:55 pm
    The Board moved out of Committee of the Whole at 5:14 pm

  12. Next Meeting: At the Call of the Chair, or November 18, 2021 – Via Video

  13. Adjournment

    Moved by: Fabio Costante
    Seconded by: Judy Lund
    That the meeting be adjourned.
    CARRIED

    The meeting adjourned at 5:15 pm.

RECORDING SECRETARY: L. Damphouse

SUBMITTED BY: N. Dupuis

APPROVED BY:


View Document page
  1. Period covered by this report:  April 1, 2021 to June 30, 2021
  2. For the period covered by this CEO Quarterly Compliance Report:
    1. The undersigned has personal knowledge of the matters herein reported or has made due inquiry with respect to the same.
    2. Except as reported in any previous CEO Quarterly Compliance Report, the undersigned reports as follows:
      1. that the Health Unit has been in material compliance with all laws, regulations, orders, judgments or decrees applicable to it.  Without limiting the generality of the foregoing the Health Unit is current in respect of all tax and related withholding and remittances required by law;
      2. the Health Unit has been in material compliance with its By-laws;
      3. the Health Unit has been in material compliance with all other Board resolutions;
      4. the Health Unit has been in material compliance with all contracts and commitments to which the Health Unit is a party including without limitation all funding and accountability agreements;
      5. the Health Unit is current with respect to the payment of all remuneration (including salary and benefits) to its employees;
      6. there are no material variances between what is contemplated by the Operational Plan and what in fact transpired or appears likely to transpire
      7. more specifically, no material changes are required in respect of financial resource allocation plans to address shifts in need and capacity
      8. no material adverse change has occurred in the operations of the Health Unit or its assets and liabilities taken as a whole
      9. there have been no material breaches of the Ethics Code of Conduct by anyone who is subject to it;
      10. there have been no unplanned terminations of any Health Unit employees;
      11. there have been no claims made pursuant to any insurance policies maintained by the Health unit; and,
      12. nothing has come to the attention of the undersigned which would materially adversely change any previous CEO Quarterly Compliance Report, except as detailed below:
        Items (vi), (vii), and (viii) have been revised due to the COVID -19 pandemic as follows:

On March 17, 2020, the Province of Ontario enacted the Emergency Management and Civil Protection Act, R.S.O. 1990, c. E.9. (“the Act”), to support efforts to contain the spread of COVID-19, in our communities.  The Act supports public health units to, regardless of their collective bargaining agreements, suspend services, redeploy staff as deemed appropriate, modify hours of work, cancel and or defer vacations, utilize part-time/contract staff to perform the duties and responsibilities of bargaining unit staff and suspend the grievance process.

The WECHU, in its response to COVID-19 within the communities of Windsor and Essex County has:

  • Redeployed staff as considered appropriate to facilitate our response to the pandemic;

Date:   June 30, 2021                    

Signature(s):   

Nicole Dupuis, Chief Executive Officer
Lorie Gregg, Director, Corporate Services
Dan Sibley, Director, Human Resources


View Document page
  1. Period covered by this report:  July 31, 2021 to September 30, 2021
  2. For the period covered by this CEO Quarterly Compliance Report:
    1. The undersigned has personal knowledge of the matters herein reported or has made due inquiry with respect to the same.
    2. Except as reported in any previous CEO Quarterly Compliance Report, the undersigned reports as follows:
      1. that the Health Unit has been in material compliance with all laws, regulations, orders, judgments or decrees applicable to it.  Without limiting the generality of the foregoing the Health Unit is current in respect of all tax and related withholding and remittances required by law;
      2. the Health Unit has been in material compliance with its By-laws;
      3. the Health Unit has been in material compliance with all other Board resolutions;
      4. the Health Unit has been in material compliance with all contracts and commitments to which the Health Unit is a party including without limitation all funding and accountability agreements;
      5. the Health Unit is current with respect to the payment of all remuneration (including salary and benefits) to its employees;
      6. there are no material variances between what is contemplated by the Operational Plan and what in fact transpired or appears likely to transpire
      7. more specifically, no material changes are required in respect of financial resource allocation plans to address shifts in need and capacity
      8. no material adverse change has occurred in the operations of the Health Unit or its assets and liabilities taken as a whole
      9. there have been no material breaches of the Ethics Code of Conduct by anyone who is subject to it;
      10. there have been no unplanned terminations of any Health Unit employees;
      11. there have been no claims made pursuant to any insurance policies maintained by the Health unit; and,
      12. nothing has come to the attention of the undersigned which would materially adversely change any previous CEO Quarterly Compliance Report,

      except as detailed below:
      Items (vi), (vii), and (viii) have been revised due to the COVID -19 pandemic as follows:

On March 17, 2020, the Province of Ontario enacted the Emergency Management and Civil Protection Act, R.S.O. 1990, c. E.9. (“the Act”), to support efforts to contain the spread of COVID-19, in our communities.  The Act supports public health units to, regardless of their collective bargaining agreements, suspend services, redeploy staff as deemed appropriate, modify hours of work, cancel and or defer vacations, utilize part-time/contract staff to perform the duties and responsibilities of bargaining unit staff and suspend the grievance process. 

The WECHU, in its response to COVID-19 within the communities of Windsor and Essex County has:

  • Redeployed staff as considered appropriate to facilitate our response to the pandemic;

Date: September 30, 2021

Signature(s):

Nicole Dupuis, Chief Executive Officer


View Document page

September 16, 2021

Meeting held via video.

  1. Call to Order
  2. Agenda Approval
  3. Welcome and Introduction:  Dr. Shanker Nesathurai
  4. Announcement of Conflict of Interest
  5. Committee of the Whole (Closed Session in accordance with Section 239 of the Municipal Act)       
  6. Update (S. Nesathurai)
    1. COVID-19 Update  
  7. Approval of Minutes
    1. Regular Board Meeting:  July 22, 2021  
  8. Business Arising
  9. Consent Agenda
    1. INFORMATION REPORTS                                                                   
      1. Vaccine Distribution Update – COVID 19 Vaccine and UIIP (K. McBeth)  
      2. Q2 Financial Report (L. Gregg)
      3. Recruitment of a Medical Officer of Health (N. Dupuis)
      4. Appointment of an Acting Medical Officer of Health (N. Dupuis)
    2. RECOMMENDATION REPORTS
      1. Consumption and Treatment Services (E. Nadalin)
      2. Signing Authority – Dr. W. Ahmed (N. Dupuis)
  10. New Business
    1. Membership on Audit Committee and Project Governance Committee (N. Dupuis/L. Gregg)
    2. GEM Extension (N. Dupuis)
  11. Correspondence
    1. Windsor-Essex County Health Unit – Letter to Hon. Christine Elliott and Hon. Doug Ford – Appeal to the Province of Ontario – Public Health Funding
    2. Ministry of Health – Letter to WECHU Board Chair, Gary McNamara – Ontario government extending the one-time mitigation funding through 2022
    3. Northwest Public Health – Letter to Hon. Christine Elliott – Support to Establish the Infection Prevention and Control (IPAC) Hub Model as an ongoing program
    4. Peterborough Public Health – Letter to Hon. Christine Elliott – Funding increase to cost-shared base budget to accommodate additional FTE's to update the Environmental Health Database for the implementation of the Menu Labelling, Child Vision Health and Vision Screening, and Consumption and Treatment Services Compliance and Enforcement
  12. Next Meeting: At the Call of the Chair or October 21, 2021 – Via Video
  13. Adjournment


View Document page

PREPARED BY:

Lorie Gregg, Director of Corporate Services

DATE:

September, 2021

SUBJECT:

Q2 Financial Results


BACKGROUND

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

  • Mandatory and related programs funded to a maximum of 70% (“Cost-Shared”) by the Ministry of Health (“MOH”) and 30% by  the Corporation of the City of Windsor, the Corporation of the County of Essex and the Corporation of the Township of Pelee (hereinafter referred to as the “Obligated Municipalities”).
  • Related programs funded 100% by the MOH.  More specifically, this includes the Ontario Seniors Dental Care program and the AMOH/MOH Compensation Initiative.
  • Related programs funded 100% by the Ministry of Children, Community and Social Services (“MCCSS”). 
  • One-time business cases funded 100% by the MOH.

The second quarter financial report to the Board includes a budget to actual comparison and narrative for material variances for all programs listed above, except related programs funded 100% by the Ministry of Children Community and Social Services (MCCSS).  Forecasted financial results will be provided with the Q3 and Q4 financial report.

Related programs funded 100% by the MCCSS will be reported on in November of 2021.

COST-SHARED PROGRAM FINANCIAL RESULTS

The following is the financial information for the Mandatory and related programs funded on a cost-shared basis for the period January 1, 2021 to June 30, 2021.
  BUDGET 2021 YTD BUDGET
06 30 2021
YTD ACTUAL
06 30 2021
VARIANCE TO BUDGET
Salaries 13,438,229 6,719,115 6,304,061 415,053
Employee benefits 3,544,638 1,772,319 1,667,785 104,534

Other operating expenditures:

       
  Association and membership fees 53,250 26,625 36,519 (9,894)
  Mileage 272,925 136,463 107,060 29,403
  Professional development 82,605 41,303 5,791 35,511
  Travel meetings 65,451 32,726 - 32,726
  Advertising 4,000 2,000 - 2,000
  Bank charges 5,000 2,500 2,044 456
  Board expenses 9,978 4,989 - 4,989
  Office equipment rental 104,000 52,000 46,583 5,417
  Office supplies 39,000 19,500 9,840 9,660
  Postage and freight 30,500 15,250 3,877 11,373
  Professional fees:        
    Program -dentistry 150,000 75,000 12,219 62,781
    Program - legal 15,000 7,500 8,535 (1,035)
    Corporate - legal 172,000 86,000 73,219 12,781
    Corporate - audit 19,500 9,750 4,723 5,027
    Corporate - consulting 6,900 3,450 - 3,450
  Program supplies:        
    Programs 994,671 497,336 311,139 186,196
    Corporate 410,370 205,185 298,296 (93,111)
  Purchased services:        
    Programs 110,054 55,027 55,023 4
    Corporate 15,088 7,544 - 7,544
    Building maintenance 149,300 74,650 81,253 (6,603)
    Insurance 205,000 102,500 155,265 (52,765)
    Parking 37,500 18,750 18,204 546
    Property taxes 220,000 110,000 97,743 12,257
    Rent 770,000 385,000 383,898 1,102
    Security 14,914 7,457 4,317 3,140
    Telephone 150,500 75,250 55,863 19,387
    Utilities 159,000 79,500 50,038 29,462
    Vehicle 2,300 1,150 1,235 (85)
Total Other operating expenditures 4,268,806 2,134,403 1,822,684 311,719
Total Expenditures 21,251,673 10,625,837 9,794,530 831,306
Less: Offset revenue (153,359) (76,680) (55,514) (21,165)
Total Net expenditures 21,098,314 10,549,157 9,739,016 810,141

At June 30, 2021, the variance from budget to actual total expenses amounts to $810,141. Specific variances are as follows:

  • Salaries and Benefits:  Expenditures in these financial captions relate to salaries and benefits paid to the WECHU staff in service of the Mandatory Cost-Shared Program. Cumulatively, these financial captions are $519,587.  Substantial human resources were deployed to support COVID-19 Response and COVID-19 Vaccination Programs.  Salaries and benefits allocated to the Mandatory Program are not entirely an accurate depiction of the human resources working on Mandatory Programs at June 30, 2021.  A secondary analysis is being compiled for the purposes of Q2 reporting to the MOH delineating resources in a more granular fashion.  This report will be brought to the Board in October of 2021.
  • Mileage, Professional development, and Travel and meetings:  Expenditures in these financial captions support WECHU staff in the completion of their public health responsibilities.  Cumulatively, these financial captions are $97,640 underspent at June 30, 2021. Mandatory program activities continue to be impacted by COVID-19 Pandemic.  A substantial portion of the WECHU staff continue to work-from-home and employ virtual means to interact with clients, partners, etc.  Professional development is completed on an “as needed basis” taking into consideration staff capacity.
  • Association and Membership Fees:  Expenditures in this financial caption relate to memberships in an association or other group by virtue of professional requirements or to support initiatives associated with Public Health.  The majority of Association and Membership Fees are paid in the early in the fiscal year.  While overspent at June 30, 2021, the WECHU anticipates that this financial statement caption will remain within its overall budget for fiscal 2021.
  • Program supplies:   Expenditures in this financial caption support the functions of departments, those that directly support public health programs as well as those that support corporate service departments such as Information Technology and Communications.  Cumulatively the Program supplies financial caption is underspent $93,385.  Program related expenditures continue to be underspent due to the on-going focus on the COVID-19 Pandemic (underspent $186,196).  Corporately, the budget is overspent $93,111, which is primarily to the prepayment of Information Technology software licensing for calendar years 2021 and 2022. 
  • Professional fees:  Expenditures in this financial caption include legal, audit, consulting fees and dentistry services.  At June 30, 2021, this caption is underspent $83,004.  This variance is primarily associated with the variance in dentistry fees paid on account of the Healthy Smiles Ontario Program (HSO).  In February of 2021, the WECHU successfully recruited a second dentist FTE, whose time would be allocated evenly between the ODSCP and the HSO Program, reducing the requirement subcontracted dentistry services.
  • Building Maintenance:  Expenditures in this financial caption include costs to maintain Windsor, Essex and Leamington locations.  More specifically, these costs relate to building and equipment maintenance, grounds keeping and housekeeping supplies.  The variance here relates primarily to:  i) Costs incurred to install electrical for 12 desks in the Leamington office in the amount of $5,662;  ii)  Prepayment of certain maintenance costs for calendar years 2021 and 2022. 
  • Insurance:  Expenditures in this financial caption include costs associated with general liability insurance, property insurance, director and office insurance coverage as well as cyber coverage.   Insurance premiums are paid at the beginning of the year.  The WECHU anticipates that the budget for this financial statement caption will remain underspent for 2021. 
  • Utilities:  Expenditures in this financial caption include utility costs for the Windsor and Leamington offices.  Utilities are underspent $29,462 due to lower than anticipated utilization (i.e. staff working from home; environmental factors).
  • Vehicle:  Expenditures in this financial caption include vehicle maintenance, repair and fuel.  The WECHU incurred augmented fuel costs on account of: 1. Vaccine delivery to retirement homes, long-term care homes, pharmacies and physicians; 2. Supplies delivery to mass vaccination sites. It is anticipated that this financial caption will remain within budget for 2021.
  • Offset revenue:  Revenues included in the financial caption relate to interest, proceeds on sale of tangible capital assets, parking revenue, vaccine recoveries, sales of contraceptives as well as course fees relating to the food handler course and examination.  At June 30, 2021, offset revenue is under budget by $21,165.  More specifically:  i) nil interest was earned (under budget $2,500).  ii) Nil was earned on account of food handler courses (under budget $5,000).  iii) Nil was earned on account of vaccine recoveries (under budget $18,844).  iv)  $618 was earned on account of the sale of contraceptives (under budget $6,382). v)  $14,186 was earned on account of parking revenues (over budget $686).  vi)  $34,708 was earned on account of seasonal housing inspections (over budget $7,622).  vii)  Sale of tangible capital assets of $4,759 (over budget $4,259). viii)  $1,280 in user fees (under budget $970).

COVID-19 RESPONSE PROGRAM

  BUDGET 2021 YTD BUDGET
06 30 2021
YTD ACTUAL
06 30 2021
VARIANCE TO BUDGET
Salaries and employees benefits 2,889,843

1,444,922

1,062,040

382,882

Other operating expenditures:

       
  Mileage 25,000 12,500 2,899 9601
  Program supplies:        
    Communication and awareness 46,199 23,100 - 23,100
    Other 25,440 12,720 18,449 (5,729)
    Telephone 10,832 5,416 2,281 3,135
  Purchased services:        
    Case and contact management support 549,504 274,752 407,636 (132,884)
    Legal 30,528 15,264 - 15,264
    Translation and interpretation 82,426 41,213 6,613 34,600
  Travel and meetings 2,000 1,000 - 1,000
Total operation expenditures 3,661,772 1,830,886 1,499,917 330,969

The COVID-19 Response Program was established to respond to the on-going impact of the COVID-19 Pandemic in Windsor and Essex County.  The budget for this program included 30 FTEs, more specifically: one (1) director FTE, five (5) Manager FTEs, nine (9) Registered Practical Nurse FTEs, seven (7) Public Health Nurse FTEs, four (4) Public Health Inspector FTEs, one (1) Epidemiologist FTE and three (3) Support Staff FTEs.

Variances from budget at June 30, 2021 are as follows:

  • Salaries and benefits are underspent $382,882:  The staffing complement of this program has evolved from January to June of 2021, in response to the changes in local case counts.  Additionally, the Province of Ontario provided human resource support for case and contact management at no cost.  This provided the WECHU the opportunity to deploy nursing resources to support COVID-19 Vaccinations in March of 2021.

Programs supplies

  • Communication and awareness is underspent $23,100: At June 30, 2021, $ nil was spent on communication and awareness campaigns associated with the COVID-19 Pandemic (excluding vaccine).  The WECHU has determined that there is a greater need for human resource capacity to support the Communications Department and, by extension, the messaging and media associated with public health measures as well as COVID-19 vaccination efforts.  As such, these financial resources will be expended on staffing to support this area.  Recruitment will occur in Q3 of 2021.

Purchased services

  • Case and contact management support is overspent $132,884:  At June 30, 2021, 6,645 hours were acquired from Global Excel Management to support case and contact management.   The budget for case and contact management support of $549,504 was intended for a 6-month period. While on a pro-rata basis, the budget for case in contact management is overspent, the amount expended at June 30, 2021, is within the budgeted amount for the initial term of the contract.
  • Translation and interpretation is underspent $34,600:  Translation and interpretation costs were lower than anticipated in the area of case and contact management.  Higher than anticipated translation and interpretation costs were experienced as for the COVID-19 Vaccination Program.

COVID-19 VACCINE PROGRAM

  BUDGET 2021 YTD BUDGET
06 30 2021
YTD ACTUAL
06 30 2021
VARIANCE TO BUDGET

Salaries and employees benefits

4,778,996

2,389,498

2,861,282

(471,784)

Other operating expenditures:

       
  Mileage 129,653 64,827 89,123 (24,297)
  Association and membership fees - - 100 (100)
  Program supplies:        
    Communication and awareness 71,639 35,820 1,883 33,937
    Information Technology 79,478 39,739 115,512 (75,773)
    Medical 57,321 28,661 60,736 (32,076)
    Personal protective equipment 160,780 80,390 48,515 31,875
    Other 25,440 12,720 82,612 (69,892)
    Telephone 33,171 16,586 5,094 11,492
  Purchased services:        
    Other 231,929 115,965 340,214 (224,250)
    Sharps disposal 50,000 25,000 23,535 1,465
    Transportation 232,681 116,341 1,154 115,187
    Translation and interpretation 20,861 10,431 49,129 (38,699)
  Travel and meetings 2,000 1,000 5 995
Total expenditures 5,873,949 2,936,975 3,678,894 (741,920)
         
Less: Offset Revenue - - - -
Total net expenditures 5,873,949 2,936,975 3,678,894 (741,920)

As per the approved budget (March of 2021), the COVID-19 Vaccine Program supports 63 FTEs comprised of two (2) manager FTEs, one (1) health promotion specialist FTE, ten (10) public health nurse FTEs, forty (40) registered practical nurses FTEs and ten (10) support staff FTEs.  Similar to the COVID-19 Response Program, the composition of the COVID-19 Vaccination Program evolved with vaccination requirements, as well as the availability of vaccine within Windsor and Essex County. 

Variance from budget at June 30, 2021 are as follows:

  • Salaries and benefits are overspent $471,784: Additional human resource capacity was added at all levels to support three mass immunization clinics, mobile vaccination events as well as vaccine distribution to physicians and pharmacies in Windsor and Essex County. 
  • Mileage is overspent $24,297:  The budget for this financial caption did not contemplate the additional human resource capacity (in excess of 63 FTEs) as well as the length of time mass vaccination sites would remain in operation.

Program supplies

  • Communications and awareness is underspent $33,937:  At June 30, 2021, a nominal amount was expended on account of communication and awareness campaigns associated with COVID-19 Vaccinations.  The WECHU leveraged its YouTube broadcasts, media releases, website and social media (relatively in expensive), for communicating messaging.  Similar to the discussion noted under the COVID-19 Response Program, the WECHU has determined that there is a greater need for human resource capacity to support the Communications Department and, by extension, the messaging and media associated with public health measures as well as COVID-19 vaccination efforts. As such, these financial resources will be expended on staffing to support this area.  Recruitment will occur in Q3 of 2021.
  • Information technology is overspent $75,773: Additional hardware was acquired to support COVID-19 Vaccination staff.  Computer hardware such as laptops, monitors, keyboards, mice, printers and cables were acquired ($97,721).  Tablets were acquired to support the check-in and queuing process at each of the mass clinics ($10,137).  Upgraded temperature control and monitoring equipment was acquired for the WECHU vaccine fridges and freezers ($4,975).
  • Medical equipment is overspent $32,076:  This financial caption includes the cost of acquiring medical equipment and supplies to support COVID-19 vaccinations in various settings (i.e. long-term care and retirement homes; mobile events; mass clinics; physician offices).    Supplies included: Epi pens, needles, syringes, drape sheets, bandages, alcohol swabs, etc.  In the latter part of Q1, the Province of Ontario included vaccine administration supplies with its shipment of vaccine.  The WECHU continued to acquire and use its own needles and syringes for the administration of Moderna up to June 30, 2021, as our vaccination supplies more consistently drew additional doses per vial of Moderna.  This was critical at this time due to the limited supply of vaccine in Windsor and Essex County.
  • Personal protective equipment is underspent $ 31,875:  This financial caption includes costs associated with rental and or purchase of isolation gowns, the purchase of N95 masks, and the purchase of nitrile gloves, hand sanitizer and similar supplies to support COVID-19 Vaccinations in various settings.  In the latter part of March 2021, certain personal protective equipment were distributed with vaccine shipments, eliminating the need for the WECHU to continue to acquire these supplies.
  • Other is overspent $69,892:  This financial caption included:  Tents, generator and security for pop-up events ($6,080); Office supplies ($19,570); Licensing for scheduling application ($35,839); Copier/printer charges for printing resources ($9,388); Calibration and electrical for vaccines freezers ($5,418); other general supplies ($6,317).

Purchased services

  • Other is overspent $224,250:  This financial caption includes amounts paid to independent contractors and paid volunteers (immunizers) augmenting the WECHU capacity to administer COVID-19 Vaccinations in various settings.  More specifically:
    • Total hours incurred on account of direct client service at a mass vaccination clinic were 7,109 hours or $199,937. 
    • Total hours incurred on account of call centre activities, support booking vaccination appointments were 1,637 hours or $100,681. 
    • Total hours incurred on account of other activities associated with planning were 216 hours or $6,520.
      In addition, costs were incurred on account of legal, namely the writing and review of legal agreements with the COVID-19 Vaccination Program totaling $33,075.
  • Transportation is underspent $115,187:  The budget for this financial caption was developed based on the WECHU’s COVID-19 Vaccination plan submitted to the Ministry of Health in January of 2021.  The WECHU plan focused on the distribution and administration of vaccines through physicians and pharmacies thus resulting in the WECHU incurring additional costs associated with transportation (couriers).  The provincial vaccination plan varied from the WECHU plan, with a focus on vaccine administration at mass vaccination clinics.  Physicians and pharmacists were on-boarded later on in the process.
  • Translation and interpretation was overspent $38,699:  This financial caption includes translation and interpretation costs to support mass vaccination clinics and mobile clinics.  The budget did not appropriately contemplate the volume of vaccinations to be delivered in a mass vaccination setting.

ONTARIO SENIORS DENTAL CARE PROGRAM

  BUDGET
2021
YTD BUDGET
06 30 2021
YTD ACTUAL
06 30 2021
VARIANCE
TO BUDGET
YTD ACTUAL
06 30 2020

Salaries and employees benefits

1,086,828

543,414

473,601

69,813

435,570

Other operating expenditures:

         
  Association and membership fees 2,000 1,000 1,253 (253) 1,294
  Mileage 15,000 7,500 4,683 2,817 3,142
  Professional Development 3,000 1,500 - 1,500 2,035
  Program supplies and other:          
    Bank Charges 1,000 500 263 237 183
    Clinic supplies and other 397,372 198,686 140,939 57,747 100,705
    Office supplies 4,000 2,000 - 2,000 833
  Purchased services:          
    Professional services 150,000 75,000 82,746 (7,746) 9,508
    Security 11,500 5,750 3,753 1,997 1,742
  Travel and meetings 4,000 2,000 - 2,000 4
Total expenditures 1,674,700 837,350 707,238 130,112 555,016
           
Less: Offset Revenue - - 1,907 1,907 -
Total net expenditures 1,674,700 837,350 705,331 132,019 555,016

The Ontario Seniors Dental Care Program (OSDCP) supports eleven and one-half (11.5) FTEs comprised of one and one-half (1.5) manager FTEs, one and one-half (1.5) dentist FTEs, three (3.0) dental hygienist FTEs, three (3.0) dental assistant FTEs, one (1) health promotion specialist FTE and two (2) support staff FTEs.

Variances from budget at June 30, 2021 are as follows:

  • Salaries and benefits are underspent $69,813 - This variance predominantly relates to: i) Deployment of one (1) manager FTE for the period January 1, 2021 to April 30, 2021, to support COVID-19 Response, representing a decrease in salaries and benefits of $43,571; ii) Delay in the recruitment of a second dentist supporting the OSDCP, and Healthy Smiles Ontario Program, representing a decrease in salaries and benefits of $8,600.
  • Mileage, Travel and meetings, Professional Development are underspent $6,317 - These financial captions continue to be underutilized due to the on-going impact of the COVID-19 Pandemic.   Virtual or telephone conferencing continues to be leveraged to engage with clients and/or partners.  Professional development is completed on an “as needed basis”.
  • Clinical supplies and other are underspent $57,747 - This financial caption is directly impacted by client volumes/visits.  For the period January to June 2020, the WECHU dental clinic had 272 visits from 148 OSDCP clients.  For the period January to June 2021, the WECHU dental clinic had 1,590 visits from 582 OSDCP clients.  Year-over-year increase in expenses is reasonable.  In terms of the variance from budget, the WECHU is relatively early in its experience administering the OSDCP.  The WECHU will continue to collect data on the experience/utilization of supplies to support a more accurate estimate of expenditures in future budget processes.
  • Professional services are overspent by $7,746 - This financial caption includes translation and interpretation costs, fees paid on account of a denturist and dentist, lab fees and fees paid on account of oral surgery referrals.  In terms of the variance from budget, and similar to clinical supplies and other, the WECHU is still relatively early in its experience administering the OSDCP.  The WECHU will continue to collect data and experience to support more accurate estimates of professional services expenditures in subsequent budgeting processes.  Details of Professional services as at June 30, 2021 are as follows:
Service Amount
Translation and interpretation $9,760
Denturist and lab fees 58,286
Dentistry including oral surgery 13,782
Other 918
Total 82,746

FINANCIAL INFORMATION FOR RELATED PROGRAMS FUNDED 100% BY THE MOHLTC

  2021/2022
BUDGET
YTD ACTUAL
06 30 2021
VARIANCE
TO BUDGET
Mandatory programs: Public Health Inspector
Practicum Program
20,000 - 20,000
School-Focused Nurses Initiative 1,900,000 339,892 1,560,108
  1,920,000 339,892 1,580,108

Note:  All funding approvals are for the period April 1, 2021 to March 31, 2022.

Public Health Inspector Practicum Program:  This one-time funding supports the hiring of two Public Health Inspector Practicum positions.  Eligible costs include student salaries, wages and benefits, transportation expenses associated with practicum positions.  At June 30, 2021, a recruitment for public health inspector practicum students had not yet been completed.

School-Focused Nurses Initiative:  This funding supports the hiring of 19 nurses to creating additional capacity to provide rapid-response support to school boards and schools, facilitating public health and preventative measures related to the COVID-19 Pandemic.  At June 30, 2021, $339,892 were incurred on account of salaries and benefits. The WECHU anticipates being on-budget for this program initiative at March 31, 2022.

Approved by: Nicole Dupuis


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Board Members Present:

Gary McNamara, Joe Bachetti, Tracey Bailey, Rino Bortolin, Fabio Costante, Judy Lund, Robert Maich, Ed Sleiman, Larry Snively

Border Member Regrets:

Gary Kaschak

Administration Present:

Nicole Dupuis, Dr. Shanker Nesathurai, Lorie Gregg, Felicia Lawal, Kristy McBeth, Eric Nadalin, Dan Sibley, Lee Anne Damphouse


QUORUM:  Confirmed

  1. Call to Order
    Board Chair, Gary McNamara, called the meeting to order at 4:05 p.m.
  2. Agenda Approval

    Moved by: Rino Bortolin 
    Seconded by: Ed Sleiman
    That the agenda be approved.
    CARRIED

  3. Welcome and Introduction:  Dr. Shanker Nesathurai, Acting Medical Officer of Health 
    G. McNamara introduced Dr. Shanker Nesathurai to the Board of Health and welcomed him to the Windsor-Essex County Health Unit as Acting MOH.  G. McNamara thanked him for standing in and offering his expertise and to help lead the WECHU.  Dr. Nesathurai addressed the Board of Health and said he was happy to be of assistance.

  4. Announcement of Conflicts of Interest – None
  5. Committee of the Whole
    Moved by:  Larry Snively
    Seconded by:  Rino Bortolin 
    That the Board move into Committee of the Whole at 4:10 pm
    CARRIED

    Moved by:  Judy Lund
    Seconded by:  Fabio Costante 
    That the Board move out of Committee of the Whole at 5:21 pm
    CARRIED

  6. Update (Dr. Shanker Nesathurai)
    1. COVID-19 Update

      Dr. S. Nesathurai provided an update on COVID-19 in our region.  The burden of COVID-19 in Windsor-Essex is greater now than it was during the 3rd wave.  One in eleven who go for testing are testing positive for COVID-19. We have two dozen cohorts, or more, excluded from schools, daycares and employers, and want to work on containment in a strategic manner to ensure it does not spread out of control when the virus enters these institutions. 

      Our key priority is to keep the schools open and focus on educational instruction, especially in the elementary school level.  University can always be taught virtually but it is challenging to teach socialization to those in the elementary school grades.  Public health measures like masking, keeping two meters distance indoors, and parents not sending children to school who are ill will help in containing the virus and keeping schools open.  

      We currently have 70,000 people in our region eligible to receive the COVID-19 vaccine who are not vaccinated.  Those that are fully vaccinated are less likely to get infected, and if you do happen to get the virus, you are less likely to be hospitalized and the risk of death is reduced.  If you are vaccinated you are less likely to contract and transmit the virus.  Hospital resources and over capacity are a concern but these situations are preventable when more individuals are fully vaccinated. 

      The actions that each one of us takes will contribute to controlling the pandemic and achieving our goals as a community.  In public health we make judgements, we work with the data we have and we base our planning around this.  

      Moved by: Judy Lund
      Seconded by: Rino Bortolin
      That the information be received.
      CARRIED

  7. Approval of Minutes
    1. Regular Board Meeting:  July 22, 2021

      Moved by: Joe Bachetti
      Seconded by: Judy Lund
      That the minutes be approved.
      CARRIED

  8. Business Arising – None
  9. Consent Agenda
    1. INFORMATION REPORTS
      1. Vaccine Distribution Update – COVID 19 and UIIP (K. McBeth)
        K. McBeth noted that there are various key stakeholders in our communities talking to their clients about the benefits of vaccine.  We are partnering with CRST providing mobile clinics, along with 120 pharmacies and over 100 primary care providers who are administering the vaccine.  Our mass clinic at Sears is on a bus route and centrally located for ease of attending.  N. Dupuis advised that we are working with various partners, i.e. ESHC, EMS, CMHA and social services to target high priority areas with low vaccination rates.  WECHU is also in partnership with Transit Windsor (Destination Vaccination) where buses are provided and used as mobile vaccination sites in high priority areas.  Individuals can walk up and get vaccinated, and these have been well attended. 

        F. Costante said that there have been quite a few pop-up clinics in his Ward and they have been quite successful.  K. McBeth said attendance at these clinics can range greatly in terms of day to day numbers.  There have been days where we have had 4-5 people at a clinic and also as many as 80-90 people.  Attendance of 50-100 people in a day is considered highly successful to us as this point. 

        Dr. Nesathurai said that one of our challenges is about building alliances with the people we serve.  The vaccines are made available and we all need to reach out to various communities that may not have had positive relationships with health services.  Unfortunately, infectious or communicable diseases seem to disproportionately affect the disadvantaged.

      2. Q2 Financial Report 
        L. Gregg provided a brief update on the Q2 Financial Report.  We received approval from the Ministry of Health in July for $17M in total base funding for mandatory programs and the Seniors Dental Program. We have been approved for Mitigation Funding to bridge the gap, i.e. for the 70%-30% ministry and municipal funding allocations, for one more year in 2022.  Various initiatives in response to COVID-19 were discussed.

      3. Recruitment of the Medical Officer of Health
        This Resolution was brought to the August Board of Health meeting in Committee of the Whole and is provided here for information purposes in our regular September Board of Health meeting.

      4. Appointment of an Acting Medical Officer of Health
        This Resolution was brought to the August Board of Health meeting in Committee of the Whole and is provided here for information purposes in our regular September Board of Health meeting.
        Moved by:  Judy Lund
        Seconded by:  Gary Kaschak
        That the above information be received.
        CARRIED

    2. RECOMMENDATION REPORTS
      1. Consumption and Treatment Services (E. Nadalin)
        E. Nadalin advised the Board that WECHU has been involved in the process to locally establish a Consumption and Treatment Services (CTS) for quite some time. We have gone through process of a feasibility study to determine acceptance of such a facility in our community, have received 448 responses to the community survey, conducted 13 interviews and have targeted residents with 3 virtual Town Halls sessions. We issued RFQ’s and RFP’s to landlords in our communities for potential sites, and have landed on two potential locations within the N9A postal code area. These two potential sites are: 

        101 Wyandotte Street East, Windsor, ON
        This location is on the corner of Wyandotte Street East and Goyeau and is situated across from the Windsor-Detroit Tunnel entrance and McDonald’s Restaurant.  This building has 3 entrances and shares an alley with 628 Goyeau Street.

        628 Goyeau Street, Windsor, ON
        This location is on Goyeau Street and is also situated cross from the Windsor-Detroit Tunnel entrance and McDonald’s Restaurant.  This building has 2 entrances and shares an alley with 101 Wyandotte Street East, and proved to be more cost-effective.

        Our CTS Advisory Committee has endorsed 628 Goyeau Street, Windsor, ON as the preferred location and we are asking that the Board of Health to support and endorse this location.

        R. Bortolin applauded the efforts of WECHU and the entire CTS Committee and is eager to see this initiative progress further.

        Moved by:  Rino Bortolin
        Seconded by:  Ed Sleiman
        That the Windsor-Essex County Board of Health endorse and support the CTS Advisory Committee’s decision of 628 Goyeau as the preferred location for the Consumption and Treatment Site in Windsor, ON
        CARRIED

      2. Signing Authority – Dr. W. Ahmed
        Dr. Wajid Ahmed resigned as Medical Officer of Health from the Windsor-Essex County Board of Health effective September 12, 2021.  Therefore, we ask that the Board accept his resignation and that any signing authority that Dr. Ahmed has under the organization be revoked as of that date.

        Moved by: Judy Lund
        Seconded by: Rino Bortolin
        That the Board accept Dr. Ahmed’s resignation as Medical Officer of Health of the Windsor-Essex county Health Unit, and that any signing authority Dr. Ahmed has under the organization be revoked. 
        CARRIED

  10. New Business
    1. Membership on Audit Committee and Project Governance Committee (N. Dupuis/L. Gregg)
      L. Gregg advised that currently Tracey Bailey (Treasurer) is the only Board member on the Audit Committee.  Historically, and as noted in our Terms of Reference, we have had three Audit Committee members.  We are looking to nominate one more board member as well as an external member.  Nominations will be held at the October Board meeting.

      We are also looking to resurrect our Project Governance Committee.  Currently, and according to our Terms of Reference, the composition for the committee must consist of: two Board Members who have been appointed by The Corporation of the City of Windsor Council; two Board Members who have been appointed by Essex County Council; two Board Members who have been appointed by the Ontario Lieutenant Governor in Council and ex officio, the Project Sponsor.  We are also looking to engage an external stakeholder to take part in this committee. 

      Moved by: Larry Snively
      Seconded by: Fabio Costante
      That the above information be received.
      CARRIED

    2. GEM Extension (N. Dupuis)
      N. Dupuis advised that the WECHU wishes to extend its contract with GEM (Global Excel Management Inc.) wherein GEM provides Case Coordinators to assist with WECHU’s workload in Case and Contact Management due to COVID-19.  Our current agreement expires at the end of September and we would like to extend this to the end of year, due to the increasing number of positive COVID cases. We reached out to GEM last week and they are willing to work with us. 
      Moved by: Joe Bachetti
      Seconded by: Judy Lund
      That the contract with GEM be extended until the end of December 2021 
      CARRIED

      6:01 pm – R. Bortolin, F. Costante, T. Bailey left the meeting
      QUORUM – not met

  11. Correspondence
    1. Windsor-Essex County Health Unit – Letter to Hon. Christine Elliott and Hon. Doug Ford – Appeal to the Province of Ontario – Public Health Funding

    2. Ministry of Health – Letter to WECHU Board Chair, Gary McNamara – Ontario government extending the one-time mitigation funding through 2022

    3. Northwest Public Health – Letter to Hon. Christine Elliott – Support to Establish the Infection Prevention and Control (IPAC) Hub Model as an ongoing program

    4. Peterborough Public Health – Letter to Hon. Christine Elliott – Funding increase to cost-shared base budget to accommodate additional FTEs to update the Environmental Health Database for the Implementation of the Menu Labelling, Child Vision Health and Vision Screening, and Consumption and Treatment Services Compliance and Enforcement 

      The information was received.  

  12. Next Meeting: At the Call of the Chair, or October 21, 2021 – Via Video

  13. Adjournment

    The meeting adjourned at 6:10 pm.

RECORDING SECRETARY:

SUBMITTED BY:

APPROVED BY:


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ISSUE

The WECHU, in partnership with representatives on the advisory committee and the Windsor-Essex Community Opioid & Substance Strategy, launched a site-specific community consultation on June 17th of 2021 to gather community feedback about two candidate locations for a local Consumption and Treatment Services (CTS) facility. The purpose of the site-specific community consultation was to understand community perceptions about the feasibility and acceptability of a potential CTS facility at either of the candidate locations. The comprehensive community consultation plan encompassed several components for engaging the community: 

  • A widely promoted public survey with a total of 448 survey responses
  • 13 key informant interviews with businesses and agency stakeholders within a defined radius from the sites
  • 7 focus groups with area stakeholder groups
  • 3 Virtual Town Hall meetings that allowed community members to ask questions and voice concerns to a panel of eight expert speakers. Fifty-three (53) community members registered to participate.

BACKGROUND

After an extensive search and consultation with local property owners, the WECHU with support of the CTS advisory committee, identified two candidate locations for a potential CTS facility in Windsor’s downtown core - 101 Wyandotte Street East and 628 Goyeau Street. Both of the candidate locations satisfied each of the mandatory and complementary requirements for an eligible site, and both are situated in the preferred neighbourhood (N9A) identified through the initial Safe Injection Services Community Consultations Report. Prior to facilitating the community consultation process, crime prevention through environmental design audits (CPTED) were completed by Windsor Police Services in order to determine the safety of the candidate locations, and to guide any mitigating interventions for improving the surrounding safety of the sites and discouraging criminal activity. Through the CPTED audits, it was determined that the placement and orientation of both site locations would lend themselves sufficiently to establishing a manageable “Safe Consumption Zone” whereby public safety can be maintained with any risks identified to be mitigated. The WECHU proposed the two candidate locations to the Board of Health on June 17th of 2021, and a resolution was passed in support of the completion of the site-specific community consultation as focused to the assessment of these two potential sites.

The results from the community consultation yielded local support for a potential CTS facility at both of the candidate locations. A majority of survey respondents indicated that they would provide at least some degree of support for a CTS facility at 101 Wyandotte Street East (67%) and/or 628 Goyeau Street (68%). Relatedly, respondents most frequently indicated that they would provide equal support for a CTS facility at both of the candidate locations (39%), while 19% preferred 628 Goyeau Street and 13% preferred 101 Wyandotte Street East. Nineteen percent (19%) of all survey respondents did not support or prefer either location. Survey respondents who identified as living, working, owning a business, or going to school in the N9A postal code area (N=126) responded with similar perceptions to the full sample, with 33% providing equal support for both locations, 22% preferring 628 Goyeau Street, and 13% preferring 101 Wyandotte Street East. Nineteen percent (19%) of respondents in the N9A postal code area did not support or prefer either location.

Majority of the key informant interview and focus group participants demonstrated openness or support to a CTS facility at one or both of the proposed locations, with few expressing strong opposition to either location. Although many of the participants noted minimal differences between the two locations, the primary differentiators in terms of perceived benefits and concerns were tied to the traffic flow surrounding the locations and the visibility of the sites. Many of the participants cited that 628 Goyeau Street is a less visible and lower traffic area compared to 101 Wyandotte Street East, with the perceived advantages of being a safer site option with less risks of pedestrian and vehicular-related injuries or traffic disruptions. Many participants also referenced that 628 Goyeau Street would provide improved privacy for potential service users, many of whom are socially stigmatized and may be deterred by a highly visible and higher traffic location, such as 101 Wyandotte Street East. In contrast, some of the participants highlighted that the visibility of 101 Wyandotte Street East would be particularly advantageous for enhancing observation capabilities and ensuring the safety and security of the surrounding areas.  Overall, five of the seven focus groups reached a consensus of 628 Goyeau Street being the preferred or superior location, while 31% of key informants equally supported both locations, 31% preferred 628 Goyeau Street, and 23% preferred 101 Wyandotte Street East. Fifteen percent (15%) of key informants did not prefer either location.

The results collected through the consultation will be interpreted extensively by the WECHU and the CTS Stakeholder Advisory Committee to inform mitigating strategies to address the cited concerns.

PROPOSED MOTION

Whereas, Opioid overdose and opioid related mortality has been declared a public health crisis, and

Whereas, Opioid overdose and opioid related mortality is at an all time high in Windsor-Essex, and

Whereas, Consumption and Treatment Services have the potential to address opioid overdose and opioid related mortality, and

Whereas, the WECHU is required to submit an application for a CTS that includes a site location and an accompanying community consultation, and

Whereas, the CTS advisory committee has identified a preferred site based on the results of a comprehensive community engagement process led by the WECHU,

Whereas, a formal request to City Council is required in order to present the results of the evaluation and is necessary for an extended presentation time,

Now therefore be it resolved that the Windsor-Essex County Board of Health support the recommendation from the CTS Advisory Committee that the WECHU move forward with their application for the site located at 628 Goyeau Street, and

FURTHER THAT, the Board of Health support administration to continue with the next steps of the application process which includes seeking City of Windsor council approval for the proposed site, and

FURTHER THAT, administration enter into an agreement with the proposed landlord to secure the site for submission of an application.


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ISSUE

The Windsor-Essex County Health Unit (WECHU), in response to the resignation of the Medical Officer of Health (MOH), is required to recruit an Acting MOH.  This individual shall perform the duties of, and have the authority to exercise the powers of the MOH in accordance with the requirements of Section 69(2) of the Health Protection and Promotion Act, R.S.O. 1990

BACKGROUND

Part II, Section 4 of the Board of Health for the Windsor-Essex County Health Unit Consolidated By-laws (By-laws) speaks to the appointment of an Acting MOH by the Board.  The By-law requires that any appointments of greater than six (6) months be subject to approval in writing from the Ministry of Health and the Chief Medical Officer of Health. 

In addition, the Policy Framework on Medical Officer of Health Appointments, Reporting and Compensation established by the Ministry of Health indicates, “A board of health shall appoint forthwith a physician as acting medical officer of health”.  The Minister’s approval is not required for these appointments, as they are meant to be short-term in nature to permit boards of health to recruit the MOH position with a qualified physician on a full-time basis.

PROPOSED MOTION                                               

Whereas, the Medical Officer of Health has resigned effective September 12, 2021, and

Whereas, the WECHU has commenced a recruitment process in accordance with the By-laws, and

Whereas, an Acting Medical Officer of Health will be required to fulfill the duties of the Medical Officer of Health during the recruitment process

Now therefore be it resolved that the Windsor-Essex County Board of Health authorize and approve the Director of Human Resources and the Chief Executive Officer to communicate with the Ministry about a potential secondment and/or recruit a local physician for the role of Acting Medical Officer of Health.


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July 22, 2021

Meeting held via video.

  1. Call to Order
  2. Agenda Approval
  3. Announcement of Conflict of Interest
  4. Introduction: Welcome new Board of Health Member, Provincial Appointee, Robert Maich (G. McNamara)
    Introduction: Welcome Director, Health Promotion, Eric Nadalin
  5. Update (W. Ahmed)
    1. COVID-19 Update
  6. Approval of Minutes
    1. Regular Board Meeting: June 17, 2021
  7. Business Arising
    1. Consumption and Treatment Services Site Update (N. Dupuis)
  8. Consent Agenda
    1. INFORMATION REPORTS
      1. June Communications Recap
    2. RESOLUTIONS/RECOMMENDATION REPORTS
      1. 2020 Annual Financial Statements (L. Gregg)
      2. Active School Travel Charter for the Region of Windsor-Essex (E. Nadalin)
  9. New Business
    1. CEO Quarterly Compliance (April, 2021-June, 2021) (N. Dupuis)
  10. Correspondence
    1. Simcoe-Muskoka District Health Unit – Letter to Hon. Christine Elliott – Public Health Funding for 2022
    2. Peterborough Public Health – Letter to Hon. Christine Elliott – Public Health Funding for 2022
    3. North Bay Perry Sound District Health Unit – Letter to Hon. Christine Elliott – Public Health Funding for 2022
    4. Windsor-Essex County Health Unit – Letter to Hon. Christine Elliott and Hon. Doug Ford, Premier of Ontario – Public Health Funding for 2022
    5. Council of Ontario Medical Officers of Health (COMOH) – News Release urging Ontarians to get fully vaccinated

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SUBMITTED BY

Communications Department

DATE

July 2021

SUBJECT

June 2021 - Communications Recap


June Metrics

SOURCE MAY JUNE DIFFERENCE

News Releases Issued

10

9

-1

Media Advisories Issued

2

2

N/C

Media Statements or Notifications

35

31

-4

Media Requests Received1

69

41

-18

AM 800 Morning Segments2

12

13

+1

YouTube Live Media Briefing Videos3

21

16

-5

Wechu.org page views4

2,047,403

2,290,181

+242,778

YouTube Channel Subscribers

1,683

1,702

+19

Email Subscribers5

8,201

8,548

+347

Emails Distributed

52

50

-2

Facebook Fans

18,046

18,177

+131

Facebook Posts

186

174

-12

Twitter Follower

7,091

7,332

+241

Twitter Posts

171

155

-16

Instagram Followers

1,216

1,282

+66

Instagram Posts

29

18

-11

LinkedIn Followers

870

889

+19

LinkedIn Posts

91

85

-6

Media Exposure8

721

700

-21

Media Monitoring Highlights

This is a complex graphical representation of data. Please contact us for detail

Trending Themes

This is a complex graphical representation of data. Please contact us for detail

Top Sources

This is a complex graphical representation of data. Please contact us for detail

Media Participating in Teleconference for YouTube Live

  • AM 800 CKLW, Blackburn News, CBC Windsor, CTV Windsor, CFTV and the Windsor Star join every day. Radio Canada joined us in June on a few occasions.

Current Notable Projects

  • Maintaining marketing and communication efforts regarding ongoing vaccine rollout in the region.
  • Developing promotional campaign and engagement strategy encouraging more youth 12 to 17 years of age to get vaccinated.
  • Developing marketing and communication plans to launch public health programs that were on hold during the pandemic.

Data Notes:

Most requests are related to the local COVID-19 pandemic.

1. Media requests received is a compiled list of documented requests we captured for interviews, data clarification, or general request for information from the media. Given the volume of requests during COVID-19, many exchanges with the media through text messages or quick phone calls to answer questions may not be captured. In many instances, each request led to multiple interactions with reporters.

2. Dr. Ahmed joined Mike and Lisa on the AM 800 Morning Drive every morning at 8:06 a.m. starting on Wednesday, March 17, 2020. On August 17, 2020, we went to a Monday, Wednesday, and Friday schedule with holidays off. He continues to do join Mike and Lisa every other morning to keep the community informed.

3. YouTube Live videos started on June 23, 2020. Prior Public Health Update videos on YouTube were exported videos recorded through Facebook Live.

4. Website analytics are provided by Siteimprove. The metric provided is for page views to wechu.org. Previously, we were report on the local-updates webpage only.

6. Email subscribers are those individuals who signed up to receive promotional emails from the Windsor-Essex County Health Unit. The analytics are provided through Mailchimp.

7. Social media metrics are provided through Hootsuite.

8. Graphs and media exposure information in this report were generated using Meltwater Media Monitoring Solution. Significant changes in numbers can be partially attributed to configuration changes made to the new service to better monitor and report media activity. News stories may be duplicates or missing as the platform is currently being optimized to better track Windsor-Essex County Health Unit mentions in the media landscape.


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The accompanying financial statements of the Windsor-Essex County Health Unit (“Health Unit”) are the responsibility of the Health Unit’s management and have been prepared in compliance with legislation, and in accordance with Canadian public sector accounting standards for local governments established by the Public Sector Accounting Board of the Chartered Professional Accountants of Canada. A summary of the significant accounting policies are described in Note 1 to the financial statements. The preparation of financial statements necessarily involves the use of estimates based on management’s judgment, particularly when transactions affecting the current accounting period cannot be finalized with certainty until future periods.

Annual Financial Statements Report - 2020 (PDF)
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  1. Period covered by this report:  April 1, 2021 to June 30, 2021
  2. For the period covered by this CEO Quarterly Compliance Report:
    1. The undersigned has personal knowledge of the matters herein reported or has made due inquiry with respect to the same.
    2. Except as reported in any previous CEO Quarterly Compliance Report, the undersigned reports as follows:
      1. that the Health Unit has been in material compliance with all laws, regulations, orders, judgments or decrees applicable to it.  Without limiting the generality of the foregoing the Health Unit is current in respect of all tax and related withholding and remittances required by law;
      2. the Health Unit has been in material compliance with its By-laws;
      3. the Health Unit has been in material compliance with all other Board resolutions;
      4. the Health Unit has been in material compliance with all contracts and commitments to which the Health Unit is a party including without limitation all funding and accountability agreements;
      5. the Health Unit is current with respect to the payment of all remuneration (including salary and benefits) to its employees;
      6. there are no material variances between what is contemplated by the Operational Plan and what in fact transpired or appears likely to transpire
      7. more specifically, no material changes are required in respect of financial resource allocation plans to address shifts in need and capacity
      8. no material adverse change has occurred in the operations of the Health Unit or its assets and liabilities taken as a whole
      9. there have been no material breaches of the Ethics Code of Conduct by anyone who is subject to it;
      10. there have been no unplanned terminations of any Health Unit employees;
      11. there have been no claims made pursuant to any insurance policies maintained by the Health unit; and,
      12. nothing has come to the attention of the undersigned which would materially adversely change any previous CEO Quarterly Compliance Report, except as detailed below:

Items (vi), (vii), and (viii) have been revised due to the COVID -19 pandemic as follows:

On March 17, 2020, the Province of Ontario enacted the Emergency Management and Civil Protection Act, R.S.O. 1990, c. E.9. (“the Act”), to support efforts to contain the spread of COVID-19, in our communities.  The Act supports public health units to, regardless of their collective bargaining agreements, suspend services, redeploy staff as deemed appropriate, modify hours of work, cancel and or defer vacations, utilize part-time/contract staff to perform the duties and responsibilities of bargaining unit staff and suspend the grievance process. 

The WECHU, in its response to COVID-19 within the communities of Windsor and Essex County has:

  • Redeployed staff as considered appropriate to facilitate our response to the pandemic;

Date:   June 30, 2021                    

Signature(s):   

Nicole Dupuis, Chief Executive Officer
Lorie Gregg, Director, Corporate Services
Dan Sibley, Director, Human Resources


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Background

Active school transportation (AST) plays an important role in increasing students’ activity levels and associated improvements in mental and physical health. Common modes of active school transportation include walking, cycling, skateboarding, or scootering to and from school. Using active transportation for school travel can add two bouts of physical activity to a student’s day, helping them accumulate the recommended 60 minutes of activity daily from the Canadian 24-hour Movement Guidelines. Additionally, when more families use active transportation, there are fewer vehicles accessing the school zone leading to improvements in safety and air quality in the school community.

In February 2021, an information report was presented to the Board of Health detailing a the reciept of funds from successful grant from Green Communities Canada (GCC); a leading organization promoting active school travel through their administration and oversight of the Ontario Active School Travel Fund (OAST).  The OAST fund was created in 2018 to support active travel initiatives in selected communities across the province. These projects are expected to have a significant and lasting impact in their communities by establishing a foundation for continuing growth in the area of active school travel. Through the successful application led by Windsor-Essex County Health Unit (WECHU), in collaboration with vested commumunity partners in November 2020 the WECHU recieved funding in the amount of $60,000 from the OAST fund. This funding is to be used toward active transportation initiatives for schools throughout Windsor-Essex County during 2021 into early 2022. 

Current Initatives:

Since the information report was presented to the Board of Health in February 2021, the following key intiatives and activities have been completed, as part of the grant application:

  • Formed an Active School Travel (AST) Regional Committee which includes the following community partners:
    • The Greater Essex County School Board
    • The Windsor Essex Catholic District School Board
    • Conseil Scolaire Catholique Providence
    • Windsor Essex Student Transportation Services
    • The City of Windsor
    • Windsor Police Services
    • Bike Windsor Essex
    • County of Essex
  • Hired and trained an Active Travel Planner to assist schools and boards in implementing plans and coordinate community education and outreach.
  • Terms of Reference Created for the AST Regional Committee.
  • Active School Travel Charter created to be signed by municipalities and school boards.
  • Established pilot school sites (6 schools); Confirmed and onboarded a main point of contact for future school working groups to lead school-focused interventions.
  • Conducted baseline surveys with students and family members at six pilot schools to determine typical travel modes to and from school.

Issue

As indicated above, one of the key initiatives completed by the Windsor-Essex County AST Regional Committee was the creation of an Active School Travel Charter (Attached). Active School Travel Charters help in strengthening regional coordination, collaboration, and leveraging our collective resources and knowledge that will help in supporting long-term program sustainability. Endorsing and adopting an Active School Travel Charter would demonstrate support and highlight the importance of active transportation-supporting programs, policies and infrastructure within Windsor-Essex County.

The Charter will help serve as a statement of principles to guide schools, school boards, municipalities, student transportation services, and other community partners to consider how activities and decisions can encourage more active transportation in our local communities. The Charter principles align with the Windsor-Essex County Health Unit’s mandates to support a comprehensive approach to physical and mental health promotion, increase levels of physical activity, reduce sedentary behaviours among children and youth, and make active living accessible and safe in our communities.  In order to gather support from key stakeholders within the community, WECHU would like to present this Active School Travel Charter to local municipalities and school boards to endorse and adopt as part of a regional initiative for Windsor-Essex County.

PROPOSED MOTION

Whereas According the to the 2020 Participaction Report Card on physical activity for children and youth, less than 1 in 5 children (5-11 year-olds) and youth (12-17 year-olds) in Canada are meeting national movement behaviour guidelines for physical activity, sedentary behaviours and sleep.

Whereas Active school transportation (AST) plays an important role in helping to increase students’ activity levels and associated improvements in mental and physical health. In addition, AST helps children/youth accumulate the recommended 60 minutes of activity daily from the Canadian 24-hour Movement Guidelines.

Whereas The Windsor-Essex County Health Unit was awarded funds for the Ontario Active School Travel Grant from Green Communities Canada (GCC) in the amount of $60, 000 which will be used to create initiatives, polices, and environmental supports around active school travel in Windsor-Essex County.

Whereas The Ontario Active School Travel Grant will help provide long-term sustainability and community partnerships to create and improve upon active school travel that is accessible and safe for children and youth in Windsor-Essex County.

Whereas The endorsement from the Windsor-Essex County Board of Health of an active school transportation charter that will help in strengthening regional coordination, collaboration, and leveraging our collective community resources and knowledge and add weight to the importance of active transportation-supporting programs, policies and infrastructure within Windsor-Essex County

Now therefore be it resolved that the Windsor-Essex County Board of Health supports the Windsor-Essex County Health Unit in presenting the AST initiatives and Active School Travel Charter to local municipalities and school boards in order for these key stakeholders to endorse the initiatives and adopt a regional Active School Travel Charter for Windsor-Essex County.

AND FURTHER that this resolution be shared with all local municipal councils, all local school boards, the Association of Local Public Health Agencies, Ontario Boards of Health, Ontario Public Health Association, and Green Communities Canada.


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ISSUE

Approval of the annual audited financial statements including:

  • Windsor-Essex County Health Unit for the year-ended December 31, 2020 (Appendix A)
  • Windsor-Essex County Health Unit Ministry of Children, Community and Social Service Program Initiatives for the year-ended March 31, 2021 (Appendix B)

 (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 July 15, 2021, 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:

  • Cash and short-term investments increased $2,898,405.  Refer to the Statement of Cash Flows for details.
  • Accounts receivable increased $128,765 due to the following:  a) Increase in grants receivable from the Province of Ontario of $59,531 over 2019.  This balance varies annually based upon the extent and timing of funding approvals for one-time business cases typically funded at a rate of 100%.  b)  Increase in other receivables of $90,273.  For 2020, a grant of $81,725 was outstanding because of the Infections Disease and Climate Change Program for the period January 1, 2020 to December 31, 2020.  For additional details, refer to note 3 to the annual financial statements.
  • Due to Province of Ontario increased $627,963.  This net increase is attributed to: a) the claw back of amounts owing for the 2019 settlement year in the amount of $85,701.  The claw back occurred in the January to March 2020 timeframe;  b)  The 2020 settlement amount of $713,446 comprised of $557,562 on account of the Ontario Seniors Dental Care Program (OSDCP), $4,070 on account of capital improvements to support the OSDCP, and $152,032 on account of the Temporary Pandemic Pay grant.  In the period of January through to March of 2021, $709,664 was clawed back.  For additional details, refer to note 4 to the annual financial statements. 
  • Due to Municipalities increased $1,593,773.  This increase is attributed to:  a) 2020 settlement resulting in $332,973 of contributions owing back to the Obligated Municipalities. b) Allocation of 2020 Mitigation funding to the Obligated Municipalities of $1,260,800.  The allocation of this funding is based upon the Obligated Municipalities’ pro-rata share of the population of Windsor and Essex County (2016 Census).  For additional details, refer to note 5 to the annual financial statements.
  • Due to Community Programs increased $331,213.  This financial statement caption includes amounts owing to other WECHU administered programs not included in these financial statements.  More specifically, this includes balances relating the Windsor-Essex County Health Unit Healthy Babies Healthy Children Program and the Windsor-Essex County Health Unit Nurse Practitioner Program.  These programs do not have separate bank accounts.  Funds received from the Ministry of Children, Community and Social Services are included in the primary WECHU bank account and are reconciled annually.
  • Accounts payable decreased $199,635.  Fluctuation in this caption is a function of the extent and timing of procurements in the 30-days prior to year-end. 
  • Accrued payable and deductions increased $552,587.  The increase is due to the timing of payroll compared at year-end, as well as accruals for certain other payroll related matters. For the year-ended December 31, 2020, five days remained outstanding as compared to two days for the year-ended December 31, 2019.
  • Deferred revenue increased $78,379.  The increase in deferred revenue over 2019, is attributed to the amount and timing of one-time business case approvals for the period April 1, 2020 to March 31, 2021 as compared to one-time business case approvals for the period April 1, 2019 to March 31, 2020.  Of the $805,630 of funding advanced associated with these approvals, $67,068 remained unspent at December 31, 2020.  In addition, the WECHU received a grant from the Greater Essex County District School Board of $20,000 to support the Windsor-Essex Community Opioid and Substance Strategy.
  • Tangible capital assets decreased $12,803.  The net decrease is attributed to:  i) Tangible capital asset additions of $279,141; ii) Amortization expense of $291,944.  Of the tangible capital assets acquired in the year, $217,420 were funded by the Ministry of Health using Mandatory Program funding (70%), and $61,721 were funded using Ontario Seniors Dental Care Program funding (100%). Refer to note 9 for additional details.

Statement of Operations and Accumulated Deficit:

  • Increase in Revenue from the Province of Ontario of $2,111,005. The net increase is attributed to the following:
    • Decrease in Mandatory funding of $1,260,800 due to the changes in the funding model from 2019 to 2020.
    • Increase in OSDCP funding of $830,674.  In the latter part of 2019, the Province of Ontario launched the OSDCP Initiative.  Therefore, the 2020 revenues are more representative of 12-months of program administration.
    • Increase in Other.  This is attributed to:  i)  Mitigation funding – In recognition of the changes in the funding model from 2019 to 2020, the WECHU was approved for Mitigation funding in the amount of $1,260,800; ii)  COVID-19 Extraordinary Cost funding for 2020 in the amount of $241,920; iii)  School-Focused Nurses Initiative funding for 2020 in the amount of $728,572.

The Ministry of Health funds the WECHU to a maximum of 70% of admissible expenditures.  Admissible expenditures for the purposes of the Ministry of Health Settlement Process is defined below:

Total General Program expenses at December 31, 2020

$ 23,578,931

Less: AMOH/MOH Compensation Initiative expenses

5,000

 

$ 23,573,931

Less: Non-admissible expenses

 

Amortization

(291,944)

Change in Employee Future Benefits Liability

(288,138)

Plus: Tangible capital asset additions - Mandatory Program

279,141

 

$ 23,272,990

Less: Offset revenue

(200,212)

Total admissible expenditures

$ 23,072,778 A

Ministry portion (70%)

$ 15,981,600 B

100% of admissible expenditures

$ 22,830,857 C (B/70%)

COVID-19 Extraordinary Costs (100%)

$ 241,291

Municipal portion (30%)

$ 6,849,257 D (C-B)

Mitigation funding

$ 1,260,800 E

Final contributions - Obligated Municipalities

$ 5,588,457 (D-E)

For additional details regarding funding from the Province of Ontario, refer to Schedule 2 of the annual financial statements.

  • Increase in Expenses of $3,482,835, primarily attributed to Salaries and benefits.  Specific details are as follows:
    • In 2019, the WECHU experienced a labour disruption involving employees represented by the Ontario Nurses Association for the period March 8th, 2019 to May 8th, 2019, resulting in salaries and benefits savings of approximately $635,000.
    • In 2019, in response to anticipated changes in the funding model, the WECHU made a decision to not fill certain positions (predominantly non-union), resulting in salaries and benefits savings of $663,000.
    • March 2020, COVID-19 pandemic.  The WECHU’s response to the pandemic resulted in substantial overtime paid in 2020 ($975,012) and the hiring of additional staff to support the response to COVID-19 in Windsor and Essex County.
    • Increase in salaries in benefits of $654,147 relating to the WECHU’s administration of the Ontario Seniors Dental Care Program.
    • Annual increases (cost of living and grid increases) for all employee groups (1%).

Windsor-Essex County Health Unit Ministry of Children, Community and Social Service Program Initiatives

The annual audited financial statements for the Windsor-Essex County Health Unit Ministry of Children, Community and Social Services Program Initiatives include financial information for the Nurse Practitioner Program and the Healthy Babies Healthy Children Program for the period April 1, 2020 to March 31, 2021. 

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 details on the increase of $633,533 from March 31, 2021.
  • Due to Ministry of Children, Community and Social Services:  The amount outstanding of $581,637 represents the settlement for the period April 1, 2020 to March 31, 2021.

Statement of Operations and Accumulated Deficit:

Year-over-year variations in the financial results are due to the following:

  • The variances noted between the March 31, 2021 figures and those of March 31, 2020 related primarily to the reporting timeframes.  The March 31, 2021, is a 12-month fiscal period while the March 31, 2020, is a 15-month fiscal period. 
  • Impact of the COVID-19 pandemic on service delivery for the period April 1, 2020 to March 31, 2021.

A summary of the settlement with the Ministry of Children, Community and Social Services is as follows:

Total Program expenses at March 31, 2021 

$ 2,221,930

Non-admissible expenses

 

Amortization

 (16,569)

Change in Employee Future Benefits Liability

7,019

Plus: Tangible capital asset additions - Mandatory Program

74,062

Other

 26,762

Total admissible expenditures

$ 2,313,205

Ministry approval

$ 2,849,841

Due to the Ministry of Children, Community and Social Services

$ 581,637

PROPOSED MOTION                         

Whereas, at its July 15, 2021, meeting, the Audit Committee reviewed the annual financial statements and recommended them to the Board for approval,

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

The annual audited financial statements for the Windsor-Essex County Health Unit for the year-ended December 31, 2020; and

The annual audited financial statements for the Windsor-Essex County Health Unit Ministry of Children, Community and Social Service Program Initiatives for the year-ended March 31, 2021.


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June 17, 2021

Meeting held via video.

  1. Call to Order
  2. Agenda Approval
  3. Announcement of Conflict of Interest
  4. Update (W. Ahmed)
    1. COVID-19 Update
  5. Approval of Minutes
    1. Regular Board Meeting:  May 20, 2021
  6. Business Arising
  7. Consent Agenda
    1. INFORMATION REPORTS
      1. Temporary Foreign Workers COVID-19 Vaccination Strategy (N. Dupuis)
      2. COVID-19 COVID-19 Case and Contact Management (F. Lawal)

      3. Recruitment through the COVID-19 Pandemic (D. Sibley)
      4. COVID-19 Vaccine Rollout in Windsor-Essex (K. McBeth)

      5. May Communications Recap

    2. RESOLUTION/RECOMMENDTION REPORTS
      1. Consumption and Treatment Services Site Identification and Consultation (T. Marentette)

      2. CEO Transition (T. Marentette)

  8. New Business
  9. Correspondence
    1. The Town of Amherstburg – Letter to the Hon. Doug Ford, Premier of Ontario – COVID-19 Shutdown, Support for Small Business – In support of the Town of Essex’s Resolution dated April 14, 2021 regarding same
    2. The Corporation of the County of Essex – Letter to the Hon. Doug Ford, Premier of Ontario – Request for Discretionary Regional Reopening Strategy
  10. Committee of the Whole (Closed Session in accordance with Section 239 of the Municipal Act)
  11. Next Meeting: At the Call of the Chair July 15, 2021 – Via Video
  12. Adjournment

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DATE:

June 2021

SUBJECT:

Temporary Foreign Workers COVID-19 Vaccination Strategy


BACKGROUND

The agri-food sector in Windsor and Essex County has been impacted greatly by the COVID-19 pandemic. The congregate living arrangements that exist for many Temporary Foreign Workers (TFWs), similar to other congregate settings, create challenges for adhering to public health recommendations such as physical distancing and increase the risk for spread of COVID-19.  There are estimated to be between 8,000 -10,000 TFWs working and living in Windsor-Essex, majority in the Leamington and Kingsville area. There are approximately 255 farms operating in Windsor and Essex County with well over 1500 accommodations that are inspected annually by the health unit.  In 2020, there were nearly 50 COVID-19 outbreaks in agriculture settings.

In April 2021, the Ministry of Health released their Phase 2 guidance document for the prioritization of COVID-19 vaccination. Within the phase 2 guidance document, high risk congregate living settings were identified as a priority for vaccination including employer-provided living accommodations for temporary foreign agricultural workers.  

Current Initiatives

Between April 18 and May 6th, 2021, vaccine appointments were reserved for TFWs at the Nature Fresh Recreation Centre vaccination clinic in Leamington. During the 13 days of targeted clinics, 4,768 workers were scheduled for their first dose vaccination across 132 area farms.  As well the WECHU hosted two pop-up clinics the evening of May 20th and 21st in downtown Leamington providing additional opportunities to both documented and undocumented workers to be vaccinated. To date over 5200 temporary foreign workers in the region have received their first dose of COVID-19 vaccine. To achieve this the WECHU worked closely with partners at the Municipality of Leamington and partners of the Workplace Wellness for Agri-Food Workers Task Force to develop a comprehensive outreach and communication plan.  

Health Promotion Resources and outreach:

In order to promote COVID-19 vaccination, educate workplaces and workers and register temporary foreign workers for vaccination multiple health promotion strategies were used. The WECHU sent out an information memo to all farms via MailChimp that included vaccination information for employees and a link to a dedicated vaccine information page for temporary foreign workers (https://www.wechu.org/cv/covid-19-vaccine-information-temporary-foreign-workers). The website includes resources for workers developed by partnering organizations, Health Canada, the Ministry of Health and the WECHU and covers common vaccine concerns, myths and facts, accessibility, after care and frequently asked questions. Resources are available in multiple languages for viewing both in print and video. Resources were shared through the HUB Connect App, WhatsApp Groups, and social media. Health education videos in multiple languages were also shared and displayed at the vaccination site through TV monitors on site.

For mobile clinics the WECHU worked with key partners from the Workplace Wellness for Agri-Food Workers Task Force to identify outreach strategies, locations and timing of mobile clinics. Mobile clinics were supported on site with WECHU staff, staff from Essex-Windsor EMS and Erie Shores Health Care and staff and volunteers from the Migrant Worker Community Program.

Registration and Clinic logistics:

The WECHU created a dedicated pre-registration pathway for all farms with temporary foreign workers as well as a dedicated email for questions and inquiries. Farm operators were asked to identify the number of workers that were interested in receiving their vaccination, as well as provide information on mode of transportation to the site, cohorts and languages spoken by workers. The WECHU booked farms in blocks of time to ensure workers remained in their appropriate cohort.

Before vaccination day for each farm, the WECHU met with each farm operator to go over logistics for the day, including ensuring all workers had appropriate ID, completed consent (in their preferred language), FAQ documents and transportation arrangements.

On-site the WECHU utilized WE Speak centralized interpretation services to support on demand video interpretation at registration tables and within the vaccination clinic. Additionally the WECHU had support from local partners for in-person interpretation to ensure that individuals received care that was accessible and culturally appropriate. 

Farm Experience Evaluation

In order to better understand the effectiveness of this strategy, a feedback evaluation survey was sent to all farms at the end of the 3-week blitz.  There were 57 completed surveys, and the findings are as follows:

  • Vaccination Registration Process:
    • 80% received the initial registration email in a timely manner
    • 70% Agreed that the WECHU provided them with the resources they needed to help the worker make an informed choice
    • 71% felt supported during the registration process
  • Communication:
    • The following communication methods were rated as being very helpful and helpful:
      • Email – 93%
        WECHU Vaccine Webpage for TFWs* - 75% *Google Analytics report showed 1164 visits to the dedicated webpage, from 836 unique users during the 3-week time period (April 18 - May 6)
      • Phone call/Video meeting – 63%
      • Vaccine day logistics checklist – 73%
  • Vaccination Day Logistics:
    • 80% of respondents felt their workers were well supported at the vaccination clinic
    • 75% said the vaccination clinic was well organized and our workers were able to flow through the process without issue (arrival, registration, vaccination, waiting and exiting).
  • Feedback
    • Positive
      • Well organized
      • Process was quick at the vaccination centre
      • Very thankful
    • Suggestions for Improvement
      • Reduction in the number of spread sheets required
      • Increased flexibility with scheduling appointments
      • More information sharing directly with the workers
  • Successes and Challenges
    • Successes
      • High uptake by farms
      • Well established clinic location
      • Safely and efficiently immunized several thousand TFWs
      • Excellent partnerships from community agencies
      • COVax information uploaded ahead of time helped make day-of registration fast
      • “What to Expect on Vaccination Day” information and consent forms provided ahead of time and in multiple languages helped to reduce day-of questions
    • Challenges
      • Complicated registration system – multiple forms and emails
      • Farms having to coordinate group transportation that kept work cohorts separated
      • Tight timelines for all tasks
      • Resource intensive for everyone involved (WECHU, Farms, Partners)
      • Translations required in multiple languages for every resource
      • Addressing vaccine hesitancy amongst workers and farm owners

Overall, the targeted clinics for Windsor-Essex TFWs were well received and highly successful.  The partnership between the municipality of Leamington, the farm owner/operators, several community organizations and the WECHU was a critical component of the process.

Future Plans

Moving forward, there will be ongoing promotion of the community vaccine clinics to late adopters and newly arriving workers who did not accept airport vaccination. Targeted “pop-up” clinics have been held on off hours in evenings to address access and hesitancy issues. There will also be continued engagement with our community partners to ensure that every worker who would like a vaccine is able to receive one.

Agencies who provided direct support to this vaccine project include:

  • Municipality of Leamington
  • C.A.R.E for International Workers (made up of 9 different organizations)
  • Migrant Worker Community Program
  • Consulate of Mexico in Leamington
  • Occupational Health Clinics for Ontario Workers Inc. (OHCOW)
  • Ontario Greenhouse Vegetable Growers (OGVG)
  • Ontario Fruit and Vegetable Growers Association (OFVGA)
  • Windsor-Essex Local Immigration Partnership (WE-LIP)
  • Erie St. Clair LHIN
  • The Neighbourhood Organization (TNO)
  • Ontario Provincial Police
  • Workplace Wellness for Agri-Food Workers Task Force

Reference:

  1. National Collaborating Centre for Methods and Tools. (2020). Rapid Review: What factors increase the risk of COVID-19 outbreaks in congregate living settings? How do outcomes compare to outbreaks in community settings? https://www.nccmt.ca/knowledgerepositories/covid-19-rapid-evidence-service

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SUBMITTED BY

Communications Department

DATE

June 2021

SUBJECT

May 2021 - Communications Recap


May Metrics

SOURCE APRIL MAY DIFFERENCE

News Releases Issued

9

10

+1

Media Advisories Issued

1

2

+1

Media Statements or Notifications

35

35

0

Media Requests Received1

61

69

+8

AM 800 Morning Segments2

12

12

0

YouTube Live Media Briefing Videos3

20

21

+1

Wechu.org page views4

1,890,017

2,047,403

+157,386

YouTube Channel Subscribers

1,628

1,683

+81

Email Subscribers5

8,063

8,201

+138

Emails Distributed

49

52

+3

Facebook Fans

17,850

18,046

+196

Facebook Posts

136

186

+50

Twitter Follower

6,782

7,091

+309

Twitter Posts

124

171

+47

Instagram Followers

1,136

1,216

+80

Instagram Posts

18

29

+11

LinkedIn Followers

837

870

+33

LinkedIn Posts

90

91

+1

Media Exposure8

851

721

-130

Media Monitoring Highlights

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Trending Themes

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Top Sources

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Media Participating in Teleconference for YouTube Live

  • AM 800 CKLW, Blackburn News, CBC Windsor, CTV Windsor and the Windsor Star join every day. CFTV and Radio Canada joined us in May on a few occasions.

Current Notable Projects

  • Supporting ongoing vaccine rollout in the region.
  • Working on engagement strategy for parents and students regarding vaccine questions and answers.
  • Regular communication with the Ministry of Health about provincial initiatives and their planned launch dates.

Data Notes:

Most requests are related to the local COVID-19 pandemic.

1. Media requests received is a compiled list of documented requests we captured for interviews, data clarification, or general request for information from the media. Given the volume of requests during COVID-19, many exchanges with the media through text messages or quick phone calls to correct errors may not be captured. In many instances, each request led to multiple interactions with reporters.

2. Dr. Ahmed joined Mike and Lisa on the AM 800 Morning Drive every morning at 8:06 a.m. starting on Wednesday, March 17, 2020. On August 17, 2020, we went to a Monday, Wednesday, and Friday schedule with holidays off. He continues to do join Mike and Lisa every other morning to keep the community informed.

3. We changed the platform we broadcasted live videos from Facebook to YouTube at the end of June. YouTube Live videos started on June 23, 2020. Prior Public Health Update videos on YouTube were exported videos recorded through Facebook Live.

4. Website analytics are provided by Siteimprove. The metric provided is for page views to wechu.org. Previously, we were report on the local-updates webpage only.

6. Email subscribers are those individuals who signed up to receive promotional emails from the Windsor-Essex County Health Unit over the last 30 days. The analytics are provided through Mailchimp.

7. Social media metrics are provided through Hootsuite.

8. Graphs and media exposure information in this report were generated using Meltwater Media Monitoring Solution. Significant changes in numbers can be partially attributed to configuration changes made to the new service to better monitor and report media activity. News stories may be duplicates or missing as the platform is currently being optimized to better track Windsor-Essex County Health Unit mentions in the media landscape.


View Document page

DATE:

June 2021

SUBJECT:

COVID-19 Case and Contact Management


BACKGROUND

COVID-19 spreads through direct contact with the respiratory droplets of someone who is infected with the virus. Symptoms include fever, cough, shortness of breath and difficulty breathing.  On December 31, 2019, health authorities identified this novel coronavirus (COVID-19) through a series of reported cases of pneumonia in Wuhan, China. On March 20, 2020, the first confirmed case of COVID-19 was reported to the Windsor-Essex County Health Unit (WECHU).

The WECHU activated its Incident Management System (IMS) which resulted in a graduated redeployment of various staff at all levels to strategize and prioritize the COVID-19 response in our community. This model evolved over time to include a comprehensive COVID Response Team of managers, case Investigators, call centre staff, epidemiology, public health inspectors, school nurses, vaccine staff, IT and administrative assistants. In addition to these internal reassignments, Case Investigators and Contact Tracers were deployed from the centralized team of the Provincial Workforce to support these efforts.

To date, Windsor and Essex County has 16,572 confirmed cases of COVID-19, with 427 deaths. With the introduction of Variants of Concern (VOCs), 1,798 preliminary of confirmed VOCs cases have been identified in this region. With the VOCs currently driving the third wave of the pandemic, youth and young adults have become increasingly more likely to become infected, or hospitalised from COVID-19.

CURRENT INITIATIVES

Based on the extent of cases and outbreaks experienced in Windsor-Essex County, the WECHU continues at the level where re-deployment of staff is required, and case and contact management of COVID-19 remains a priority.

Case and contact management involves interviewing and isolating all suspected and confirmed cases of covid-19 infection, and their contacts, in a timely manner. Objectives are aimed at; identifying and notifying cases and contacts of their exposure, providing education on Covid-19 transmission, offering community supports, and providing symptom monitoring. Furthermore, Case Investigators perform a risk assessment to determine how the case may have acquired the infection and to whom the case may have potentially transmitted the infection. Information is collected on all high-risk contacts connected to the case, while considering exposure settings and the nature and duration of the case’s interaction with the contact. The Contact Tracer communicates testing guidance and verifies compliance with self-isolation. As per Ministry standards, cases should be contacted within 24 hours of receipt of a positive lab result and contacts of cases are to be reached within 24-48 hours of notification to WECHU. Presently, WECHU is reaching 85-93% of cases and contacts within 24 hours, on any given week.

Our region’s experience with Covid-19 has been unique for many reasons, one being our close proximity to the United States, with a large number of essential health-care workers commuting between Ontario and Michigan on a daily basis, and posing a risk for new infection. Another being the number of outbreaks we have experienced within the Agri-Farm sector and other congregate living settings. WECHU’s high-risk priority populations continue to include those affiliated with school cohorts, workplaces with shared workspaces, acute care hospitals, long term care, rest/retirement homes, and those individuals living in congregate living settings; local shelters, correctional facilities, assisted-living facilities, and bunkhouse living situations.

Ongoing collaboration with our healthcare and community partners has been integral in the overall strategy to reduce the spread of infection in WEC. This involves liaising with Infection Control Practitioners in our local hospitals, physicians across the region, laboratories, workplace owners (including farm operators), and our municipal partners in both the City and County. Partnerships with the Canadian Red Cross (CRC) Hotel and the Interim Isolation and Recovery (IRC) Hotel, have worked to eliminate isolation barriers for temporary foreign workers and other vulnerable individuals in the community, such as those without a fixed address. Furthermore, WECHU has supported, in collaboration with community partners such as the Essex-Windsor Emergency Medical Service and the Erie Shores Healthcare Team, onsite monitoring and testing of Agri-Farm workers isolating at the CRC hotel.

Local surveillance testing continues as the WECHU works with assessment centres throughout the region to detect active cases of Covid-19. WECHU have aided in surveillance testing by deploying nursing staff as needed to congregate living settings, mobile drive through clinics, and to a lesser extent individual client homes.

As with other locations in the province, the WECHU has been responsible for overseeing cases within our jurisdiction who are a result of recent travel from overseas and are undergoing mandatory isolation under federal quarantine. Travel has been identified as a risk factor in the transmission of Covid-19 Variants of Concern (VOC) to our community. VOC’s appear to be more contagious and spread quicker.  As such, isolating cases of VOC’s immediately is of great importance. As the pandemic is progressing, isolation compliance is becoming more challenging, with some cases and contacts refusing to participate in isolation efforts. The staff of the WECHU continues to work closely with local enforcement authorities to ensure proper isolation requirements are followed including issuing orders under Section 22 of the Health Protection and Promotion Act.

Vaccination is a key public health measure in reducing the rate of infection in our community. The WECHU continues to work with municipal and hospital partners to provide access to COVID vaccines through mass vaccination clinics across the region. This has involved the hiring of new staff and redeployment of WECHU nursing staff from Case Management to aid in vaccination efforts, with the orienting of additional team members to Case Management on a semi-regular basis.

The Case and Contact Management System (CCM) is a core database for COVID-19 case and contact management developed by the Ministry specifically for use during this pandemic. The CCM database allows for timely reporting of cases, as well as provides a means for WECHU to establish links between cases, their contacts and potential outbreaks. WECHU strives to educate and train its staff in utilizing this new and evolving system by creating ongoing educational material, such as live training sessions and orientation documents including pre-recorded training videos and corresponding tip sheets on individual CCM topics. As Covid-19 infection continues to pivot, the Windsor Essex County Health Unit will continue to keep up-to-date with ministry guidance, thereby making every effort to continue to protect the health and wellbeing of our residents.


View Document page

DATE:

June 2021

SUBJECT:

COVID-19 Vaccine Rollout in Windsor and Essex County


BACKGROUND

The Windsor-Essex County Health Unit (WECHU) was mandated to lead the COVID-19 vaccine rollout in Windsor-Essex County (WEC). The projected population of eligible individuals for vaccination in WEC in 2021 is 438,001. In order to achieve a 75% threshold coverage rate, approximately 328,501 individuals must be immunized. Based on the two-dose vaccine requirement to complete the COVID-19 vaccine series, this equates to 657,002 doses that will need to be administered. In January of 2021, the WECHU developed a three-stage plan to support the provincial rollout of COVID-19 vaccine in our community.

In April 2021, the provincial government identified seven postal codes in WEC as COVID-19 "hot spots" that were prioritized for phase 2 of Ontario's Vaccine Distribution Plan. Hot spots are categorized as having historic and ongoing high rates of death, hospitalization and transmission of the COVID-19 disease. 

In WEC, the identified areas include: 

  • N8X – South Central Windsor
  • N8Y – Walkerville and East Windsor area
  • N9A – Downtown Windsor
  • N9B – Sandwich Towne and University of Windsor area 
  • N9C – Sandwich Towne
  • N8H – Leamington area
  • N9Y – Kingsville area

As of June 4, 2021, 253,255 (71.7%) WEC adults 18 years or older received at least 1 dose of a vaccine.

CURRENT INITIATIVES

Mass Immunization Clinics

In order to administer the COVID-19 vaccine to a larger proportion of individuals quickly there are 6 mass vaccination clinics supported full time across WEC, three of which are located in “hot spot” postal code areas. These sites are being supported by our municipal partners in both the City and County. In addition, Windsor Regional Hospital (WRH) continues to operate 2 sites. Daily client volumes range between 400 – 1000 and collectively 202,922 individuals have been immunized at one of the 6 clinics (184,767 with first doses, 18,155 with second doses). The mass immunization clinic model was the primary method to support the vaccination of approximately 6,000 temporary foreign workers (TFW) in April and early May and is currently the primary support for youth vaccinations (12-17 years old).

Pop Up Clinics

Pop up vaccination clinics are defined as clinics in the community that target a specific location with the objective of reducing barriers to access, with a time limited operational period. The WECHU has supported 9 single day pop up clinics in various WEC locations targeting specific hot spot communities and high risk populations, youth, and the urban Indigenous community. Pop up clinics have ranged between 400 and 800 individuals in a single day.

Mobile Strategy – Mobile Teams and Delivery

Mobile teams and delivery strategies operate with the objective of reaching a specific targeted priority population, usually in one day, with lists of individuals identified beforehand. WECHU staff, and partner groups including the CRST team, travel to pre-existing sites (some without pre-existing infrastructure) to provide vaccine to designated target populations. The WECHU began leading the first mobile strategy on January 1, 2021 targeting Long Term Care Homes (19) followed by registered Retirement Homes (24). All of these facilities have received both first and second doses for the majority of interested/eligible staff and residents. Maintenance plans to vaccinate new residents and staff on an ongoing basis are being implemented.

Additional mobile strategies have supported 24 locations, primarily high-risk congregate living facilities including:

  • The Southwest Detention Centre
  • Assisted living facilities
  • Private retirement homes
  • Lodging and boarding homes
  • Supportive housing for at risk populations
  • Community Living Windsor and Community Living Essex County locations

In addition, with coordination support from Home and Community Care Services, the WECHU has provided direct immunization support to approximately 200 registered homebound individuals. The WECHU has also provided support for non-registered homebound individuals through collaborations with primary care and the provision of direct client service (as required).

Pharmacy Rollout

WEC was designated as a pilot site for the vaccine rollout of AstraZeneca and 47 pharmacies have collectively administered over 37 000 doses to WEC residents over the age of 40 years.

Currently, 65 pharmacies are providing Pfizer-BioNTech or Moderna vaccines (first doses and second doses) throughout Windsor and Essex County (WEC); as well, 30 pharmacies are providing AstraZeneca 2nd doses throughout WEC. Local pharmacies are actively recruiting and vaccinating individuals aged 12 and older (for those with Pfizer-BioNTech allocations). For those with Moderna allocations, they are actively recruiting and vaccinating individuals 18 years and older. Pharmacies providing Pfizer-BioNTech or Moderna vaccines are also providing second doses to those 70 years of age or older.

Pharmacies who participated in the early pilot project began administering second doses of AstraZeneca to individuals who received their first dose of the AstraZeneca COVID-19 vaccine between March 10th and March 19th. As of June 3, 2021, 5,369 second doses of AstraZeneca have been administered to eligible individuals. The Ministry of Health will be providing 19,300 additional AstraZeneca doses to WEC pharmacies over the coming weeks.  

Health Care Provider Rollout

Starting as an early adopter of the health care provider rollout model, the WECHU engaged 8 primary care partners and locations in a pilot project using the Moderna vaccine in March/April. The pilot project involved strategic partnerships with local Family Health Teams, the Windsor-Essex Community Health Centre (multiple locations), and Nurse Practitioner Led Clinics in WEC.

In addition to the pilot project participants, the WECHU has on-boarded 46 physicians’ offices to administer both the Pfizer-BioNTech and the Moderna vaccines (based on available supply) to rostered patients in their offices and/or to the general public through physician-led clinics. As of June 2, 2021, 14,611 vaccinations had occurred through a physician-led office or clinic – this represents the 6th highest amount in the Province of Ontario. The WECHU continues to onboard new health care providers to the COVID-19 vaccination rollout on a weekly basis.


View Document page

DATE:

June 2021

SUBJECT:

Recruitment through the COVID-19 Pandemic


BACKGROUND

This report will outline recruitment for the Windsor-Essex County Health Unit throughout the ever-changing COVID-19 Pandemic. The needs of the community required additional staff across the entire Windsor-Essex County Health Unit organization.

CURRENT INITIATIVES

The below information will provide a snapshot of the Windsor-Essex County Health Unit’s staffing numbers in March 2020 and current day information.

As the WECHU moved through the pandemic, there has been increased staffing throughout Non-Union and Management, CUPE and ONA positions.

WECHU has recruited approximately 118 new WECHU staff members between the time periods of March 1, 2020 to June 1, 2021. In addition to this group of individuals WECHU has also organized over 100 volunteer staff members (paid and non-paid positions) to assist with the COVID-19 vaccine clinics. Furthermore WECHU’s recruitment efforts have been supported by the Ministry of Health who hired a consultant, Ian Martin, to bring on over 40 Case Managers and Case and Contact tracing staff to assist with the large volume of COVID-19 cases in the Windsor-Essex area. WECHU has also hired a number of independent consultants to assist with the vaccine clinics. In addition, the WECHU received external assistance from other health units in Summer 2020 due to decreased capacity and increased cases. 

At the end of February 2020, the Windsor-Essex County Health Unit had approximately 230 total staff members in the organization. As of June 1, 2021, there are approximately 320 total staff members representing an increase of 39.13%. At this time, ongoing recruitment continues which will increase the total overall number of WECHU staff.  

  • Non-Union/Management group had approximately 40 staff at the beginning of March 2020 and saw an increase of 47.5% in staffing by June 1, 2021 with a total of 59 permanent and contract employees.
  • CUPE group had approximately 123 staff at the beginning of March 2020 and saw an increase of 15.45% in staffing by June 1, 2021 with a total of 142 permanent and contract CUPE members.
  • ONA group had approximately 82 staff at the beginning of March 2020 and saw an increase of 48.78% in staffing by June 1, 2021 with a total of 122 permanent and contract ONA members. WECHU continues to onboard a number of new graduate nurses which will add to this overall total of contract ONA members.

Overall, the Windsor-Essex County Health Unit’s staffing during the COVID-19 pandemic has been greatly increased due to community needs. The Windsor-Essex County Health Unit has been able to support the community with the increase of staff amongst case and contact management, COVID-19 vaccine roll-out, and the reopening of schools throughout the year. The staff of the Windsor-Essex County Health Unit have been able to adapt and pivot into new programs and services throughout the last 15 months in order to ensure that the residents of Windsor-Essex were able to access the education and resources required throughout the pandemic. The Windsor-Essex County Health Unit has strived to continue other programs that provide resources and services to the community outside of COVID-19.


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