meeting additions to agenda in-camera 4. 3. interest ... 2018/2018 04 18 boh... · (ispa): on may...

15
6. 7. BRANT COUNTY BOARD OF'HEALTH REGULAR AGENDA Wednesday, April 18,2018,9:30 a.m, Boardroom 1. CALL TO ORDER 2. CONF'LICT OF' INTEREST 3. 4. 5. IN-CAMERA MEETING ADDITIONS TO AGENDA APPROVAL OF'MINUTES 5.1 Brant County Board of Health Minutes of March 2l and March 28, 2018 * F'INANCIAL REPORT 6.1 2017 Audited Financial Statement *'* 6.2 2017 Ql Financial Statement ending March 31, 2018 * 6.3 Report from the Board of Health Finance & Audit Committee BUSINESS ARISING F'ROM PR.EVIOUS MINUTES 7.1 Report from the Chair 7.2 Report from the Medical Officer of Health 7.3 Report from the Executive Director * 7.4 Food Safety Disclosure Report 7.5 Ministry of Health Audit of Brant County Health Unit Update 7.6 alPHa Annual Conference-June 10- 12, 20 I 8 t 8. NEW BUSINESS 8.1 Reproductive Health Program Report * 8.2 Child Health Program Report * 8.3 Oral Health Program Report * 8.4 Human Resources Report * Motion to accept reports as presented. 9. CORRESPONDENCE None. 10. QUESTTONS / ANNOUNCEMENTS 11. FUTURE AGENDA ITEMS Au Mn S. Salole/Ms. D. Paxton Ms K. Kirby Ml J. Mills Chair Dr. M. Lock Dr. J, Tober No report Dr. J. Tober Dr. J. Tober t2 NEXT MEETING DATE Wednesday, May 16,2018,9:30 am. Revisions to Meeting Dates for May, September and December 2018 ADJOURNMENT Chair 13. *Altachments Ms R. Manning Ms. R. Manning Ms. C. Rajsic Mr. B. Richardson **Attqchments for Board of Health members only

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Page 1: MEETING ADDITIONS TO AGENDA IN-CAMERA 4. 3. INTEREST ... 2018/2018 04 18 BoH... · (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions

6.

7.

BRANT COUNTY BOARD OF'HEALTH REGULAR AGENDA

Wednesday, April 18,2018,9:30 a.m, Boardroom

1. CALL TO ORDER

2. CONF'LICT OF' INTEREST

3.

4.

5.

IN-CAMERA MEETING

ADDITIONS TO AGENDA

APPROVAL OF'MINUTES 5.1 Brant County Board of Health Minutes of March 2l and March 28, 2018 *

F'INANCIAL REPORT 6.1 2017 Audited Financial Statement *'* 6.2 2017 Ql Financial Statement ending March 31, 2018 * 6.3 Report from the Board of Health Finance & Audit Committee

BUSINESS ARISING F'ROM PR.EVIOUS MINUTES 7.1 Report from the Chair 7.2 Report from the Medical Officer of Health 7.3 Report from the Executive Director *

7.4 Food Safety Disclosure Report 7.5 Ministry of Health Audit of Brant County Health Unit Update 7.6 alPHa Annual Conference-June 10- 12, 20 I 8 t

8. NEW BUSINESS 8.1 Reproductive Health Program Report *

8.2 Child Health Program Report * 8.3 Oral Health Program Report * 8.4 Human Resources Report *

Motion to accept reports as presented.

9. CORRESPONDENCE None.

10. QUESTTONS / ANNOUNCEMENTS

11. FUTURE AGENDA ITEMS

Au

Mn S. Salole/Ms. D. Paxton Ms K. Kirby Ml J. Mills

Chair Dr. M. Lock Dr. J, Tober

No report Dr. J. Tober Dr. J. Tober

t2 NEXT MEETING DATE Wednesday, May 16,2018,9:30 am.

Revisions to Meeting Dates for May, September and December 2018

ADJOURNMENT Chair 13.

*Altachments

Ms R. Manning Ms. R. Manning

Ms. C. Rajsic Mr. B. Richardson

**Attqchments for Board of Health members only

Page 2: MEETING ADDITIONS TO AGENDA IN-CAMERA 4. 3. INTEREST ... 2018/2018 04 18 BoH... · (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions

0 0 0 0 0 0

$2,232,215 $252,352 22.5% $9,938,268 $9,735,716 $202,552 $9,895,914 $2,438,458 24.6%

32,233 15,425 16,808 12.0% 128,933 128,933 0 128,933 11,466 8.9%

(15,649) 84,500

8,700 0

23.3% 2,926,165 2,848,614 1 2, 787,514 623,339 22.4%

3

(75,000) ( ,000) ,000

Mandatory Prog rams-Cost Shared Salaries Benefits Mileage Staff Development Supplies Building Maintenance & Operations Utilities Professional Fees Total MP Expenses

75% Spec. Funding (SDWS, VBD)

100% Funded MCYS MOH-Public Health

MOH-Smoke-Free Ontario Health Canada/Misc. Total 100% Funded

Grand Total

2Ot7-tg Funding to affect Surplus

NRT carried from 2OL7

Needle Exchange carried from 2077

Panorama carried from 2077

cRAND TOTAL WITH 2017-18 Funding

Budget 2018

YTD

BRANT COUNW HEALTH UNIT Forthe 3 Months Ending March 31,2018

1,616,407 415,621

9,850 29,125

282,939 75,675 21,500 33,450

$2,484,567

Actual 2018

YTD

(Over)/Under

Variance % spent

YTD 2o1B

1,511,906 403,778

7,822 10,948

135,409 133,577

20,640 8,135

104,501 11,843 2,028

18,177

147,530 (57,902)

860 25,315

257,684 353,150 100,425 20,283

Budget 2018

23.4o/o

24.3o/o

19.9%

9.4o/o

'12.0o/o

44.1o/o

24.0o/o

6.1o/o

731,541

3,248,342

265,544 294,525

92,474 17,756

Forecast 2018

REPORT #: FROM:

RE:

6,465,629 1,662,485

39,400 116,500

1,131,754 302,700

86,000 133,800

681,761 49,780

2,929,401 318,941 22s%

(7,860) 2s.B%

58,625 2o.B%

7,951 23.0%

2,527 21.e%

6n- DATE: Apr. 18,2018 Ms. Kathy Kirby Director, Corporate Services Financial Statement ending Mar. 31,2018

3,248,342

Variance 2018

6,304,138 1,621,424

39,400 116,500

1,131,754 302,700

86,000 133,800

(30,000)

(28,000)

133

2,796,40t 451,94t 2t.5%

161,491 41,061

Budget WD lo spent

2017 2017 2017

1,030,735 1,412,600

401,700 81,130

30,000

28,000

75,000

133

6,495,810 1,526,690 n.5%

1,799,047 450,582 2s.o%

32,386 6,655 20.5%

107,183 26,145 24.4%

778,609 247,607 31.8%

435,879 139,551 32.0%

86,000 19,204 22.3%

161,000 22,024 13.2%

12,993,366 12,713,263

1,046,384 1 ,328,100

393,000 81 ,130

12,993,366 L2,580,263

(30,000)

(28,000)

(75,000)

77,55

280,10

1,046,384 274,056 26.2%

1,267,000 202,232 16.0%

393,000 115,492 2e.4%

81,130 31,559 3as%

(133,000)

30,000

28,000

75,000

12,812,361 3,073,263 24.0%

133,000

4L3,LO3 12,8L2,361. 3,073,263 23.99%

Page 3: MEETING ADDITIONS TO AGENDA IN-CAMERA 4. 3. INTEREST ... 2018/2018 04 18 BoH... · (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions

BRANT COUNTY BOARD OF HEALTH REPORT #: 7.3

FROM: Jo Ann Tober

RE:

Changes to the Health Promotion and Protection Act, the Immunization of School Pupil's Act and Related Regulations - As part of the government's continued efforts to better reflect current evidence and practice for public health programs and services, the government has recently approved amendments to a number of regulations under the Health Protection and Promotion Act (I{PPA) and the Immunization of School Pupils lcl (ISPA), and new regulations made under the FIPPA. A summary of the legislative and regulatory amendments is included below:

Immunization of School Pupils Act (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions in Schedule 2 that would amend the ISPA to:

¡ Require mandatory education sessions for parents who request a non-medical exemption - this requirement was effective as of September I't,2017 .

o Require health care providers to report to their local medical officer of health the record(s) of immunizations administered to children that protect against the nine designated diseases in the ISPA.

o Recently, changes were approved to the regulation under the ISPA to specifo the requirements for health care providers to report immunizations for diseases specified under the ISPA directly to local medical officers of health. These amendments will come into force on July 1't, 2018.

Health Protection and Promotion Act (IIPPA): o In December, 2017,the government approved regulatory amendments to: improve the provision

of safe food and ensure public health and safety at Ontario's recreational camps, pools and spas;

to enhance prevention measures for infectious diseases; and a number ofhousekeeping changes to address inconsistencies and reflect updated terminology and practice in the delivery of public health services. Some of these changes came into force on January lst, 2018 with the remaining changes to come into effect on July 1st, 2018.

o On December 12,2017, Bill 160, the Strengthening Quality and Accountability for Patients Act, 2017 (SQAPA) received Royal Assent, Bill 160 included, in Schedule 3, amendments to the HPPA. These amendments included a new authority to permit the regulation of certain recreational water facilities (such as splash pads and wading pools), and personal services settings as well as to permit the voluntary merger of specified public health units.

o Recently, the government approved the regulatory amendments associated \ /ith SQAPA, plus unrelated HPPA regulation amendments permitting parents to opt-out of antibiotic treatment in the eyes of their neÌv born, and other technical amendments.

o I consolidated Designation of Diseases regulation, which is a Minister's regulation, will come into force on May lst, 2018.

o Finally, amendments have been made to Regulation 950 under the Provincial Offences Act (POA). These amendments update existing offences associated with food premises, camps and rabies immunization regulations as well as establishing new offences in relation to the Public Pools regulation and the new Personal Service Settings regulation.

.| ...4

Executive Director's Report

DATE: April 18,2018

Page 4: MEETING ADDITIONS TO AGENDA IN-CAMERA 4. 3. INTEREST ... 2018/2018 04 18 BoH... · (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions

The above noted regulations were filed on March 29th,2018 and changes are available on e-laws: o Health Protection and Promotion Act: https:i/www.ontario.callaws/statute/90h07 o Immunization of School Pupils Act:https:llwww.ontario.callawsistatute/90i01

Ontario Public Health Standards (OPHS) and Related Initiatives: Implementation Session - the Ministry of Health is hosting a meeting for Medical Officers of Health and Chief Executive Offrcers on Tuesday April24,20l8. The objectives of this meeting are to provide an overview of recent legislative and regulatory changes and share key streams of work underway to support the implementation of the modernized OPHS and related initiative.s.

Ministry Audit - The Ministry of Health audit is still continuing with a couple of audit staff on site for some days each week. No requests have been received for meetings with Board members to date.

Page 5: MEETING ADDITIONS TO AGENDA IN-CAMERA 4. 3. INTEREST ... 2018/2018 04 18 BoH... · (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions

health Recent changes in in public un their current mand commitments and them.

THE CHANGING FACE OF PUBLIC HEALTH 2018 alPHa Annual General Meeting & Conference June 10, tl &L2 Novotel Toronto Centre Hotel 45 The Esplanade, Toronto, ON

the Ontario public health system have resulted its taking on new responsibilities in addition to ate. The conference will explore these new provide perspectives on how to best deliver on

REGISTRATION NOW OPEN Take advantage of the Early Bird rate (ends May 9) - Click HERE to registerl Learn more about registration here

BOOK YOUR ACCOMMODATIONS by MAY 22 A limited block of hotel guestrooms has been reserved; book early to avoid disappointment Click HERE to book a room Learn more about the hotel here

TlØ1"L

AffYÈ / Eartiertime for finat 2orT-r8 alPHa Board of

W Direcrors meeting.

alPHa Association of Local PUBLIC HEALTH Agencies

/ Special pre-conference activity: A free guided

walking tour of downtown Toronto's St.

Lawrence neighbourhood led by a former chief planner for the city, Robert Millward, focusing on the built form and public health. Participatìon is optional. lf attending, please pre-register by indicating as such in the online registration.

/ Sunday's registration desk will open earlier this year. Pick up your nametag and folder to avoid next day lineups.

SEE NEXT PAGE FOR A DRAFT PROGRAM OUTLINE

LOOK FOR FURTHER PROGRAM DETAILS IN THE COMING WEEKS at www.alphaweb.org

Sunday, June L0 2 -4 PM

Sunday,Junel-0 4-6PM

Sunday,Junel0 2-6PM

Page 6: MEETING ADDITIONS TO AGENDA IN-CAMERA 4. 3. INTEREST ... 2018/2018 04 18 BoH... · (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions

alPHa Assoclatlon of Local PUBTIC HEATTH Agencies

DRAFT PROGRAM OUTLINE *

*content subject to change; all sessions take place at conference hotel unless otherwise indicated

SUNDAY, JUNE 10

THE CHANGING FACE OF PUBLIC HEALTH z9tgAnnual General Meeting & Conference

June 10, LL &t2 Novotel Toronto Centre Hotel

45 The Esplanade, Toronto

2- 4Pl\A (newtimel) Final meetingof 2OI7-1-8 alPHa Board of Directors

2-6PM Registration

4 - 6 PM Free guided walking tour; outdoors (rain or shine)

6 - 7 PM Welcome Reception

MONDAI JUNE 11

7_8AM 8-104M 1-OAM-4PM

6 - 8:30 PM

TUESDAY, JUNE 12

7:30 - 8:30 AM

8:30 AM - 12 PM

12:30 - 1 PM

1PM

Registration (incl. resolutions voting registration) & Breakfast

AGM & Resolutions Session

Plenary/Breakouts

President's Reception & Awards Dinner

Platinum Supporter:

r)""1".t:-.. Ì"tÍL'|åå_ .,.*ð¡.i* tj*ã$ålã I ir,r,.:ri''

¡^tlx[tt foR Ht^tl H

Registration & Breakfast

Section Meetings for Board of Health Members, MOHs/AMOHs

lnaugural meeting of 2018-19 alPHa Board of Directors

Conference Ends (following lunch)

5¿a a'x t* å.rb{i û¡ ,i"t !- . .. r. :,t! ¡

Pttrrtt^tf,ñt ror¡B [â tÀHÌÊ

SPECIAL THANKS TO THE TOLLOWING:

Bronze Supporter:

SANOFI PÅSTñLJI?

Page 7: MEETING ADDITIONS TO AGENDA IN-CAMERA 4. 3. INTEREST ... 2018/2018 04 18 BoH... · (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions

BRANT COUNTY BOARD OF'HEALTH REPORT # 8.1

FROM: Ronda Manning, Manager, Healthy Growth and

RE: Reproductive Health Program Report

Overview¡ The goals of the Reproductive Health program as outlined in the previous Ontario Public Health Standards are to enable individuals to achieve optimal preconception health, experience a healthy pregnancy, have the healthiest newborns possible and be prepared for parenthood. Components of the Reproductive Health program include prenatal classes, online prenatal education and the Canada Prenatal Nutrition Program.

Prenatal Activities

Prenatal classes are offered both in-person and online. In-person prenatal education is provided by a public health nurse and covers topics such as physical and emotional wellness in pregnancy; breast- feeding; baby care; safety; birth experience; and coping skills as a new parent. The online prenatal program is 'Gift of Motherhood' and is offered free of charge. Gift of Motherhood elearning is an option for families who cannot attend an in-person prenatal class or prefer home-based education. It is an interactive web-based program that includes animated illustrations, videos and quizzes.

In2017: . Brant County Health Unit (BCHU) offered a 4-week in-class group prenatal series called

Preparation for Parenting which 142 pregnant women along with a support person attended (120 in 2016). In2017, 147 registrants participated in online prenatal education (136 in 2016).

. Brant County's use of cannabis of pregnant women was 5.8% compared to Ontario at l.7Yo. Therefore, BCHU has developed a communication plan to deliver evidence-informed content of standardized key messaging. This includes a new resource on the effects of cannabis use during pregnancy and tracking the dissemination of this resource in the community with a strong uptake by Brant County obstetricians.

. Regular attendance began at the obstetrician monthly meetings with sharing of information and collaborative strategies to support prenatal women in Brant County.

Canada Prenatal Nutrition Program (CP|P)

The Canada Prenatal Nutrition Program (CPNP) is a community-based program delivered through the Public Health Agency of Canada (PFIAC). BCHU offers CPNP in 'drop-in' format to young mothers (21

years of age and younger) in an effort to promote health and provide support to improve the health and

well-being of this priority population. It runs in partnership with the Ontario Early Years Centre (OEYC) and the Grand River Community Health Centre (GRCHC). Program funding has been extended to 2021 by PHAC. Program goals include healthy eating including the development of food/cooking skills, attachment, healthy lifestyles including tobacco reduction, financial budgeting support, and healthy weights.

In2017: . Increased linkages with Health Unit programming have taken place such as Healthy Smiles

Ontario, Healthy Babies Healthy Children referrals, NutriSTEP screening, and the Triple P Positive Parenting Program.

DATE: April 18,2018

Development

Page 8: MEETING ADDITIONS TO AGENDA IN-CAMERA 4. 3. INTEREST ... 2018/2018 04 18 BoH... · (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions

BRANT COUNTY BOARD OF HEALTH REPORT #: 8,2 DATE: April 18,2018

FROM: Ronda Manning, Manager, Healthy Growth and Development

RE: Child Health including Healthy Babies Healthy Children Program Report

Ovewiew

The goals of the Child Health program as outlined in the previous Ontario Public Health Standards are to enable all children to attain and sustain optimal health and developmental potential. The Child Health program focuses on offering positive parenting; breastfeeding; healthy family dynamics; healthy eating; healthy weights and physical activity; and growth and development through a blend of universal and targeted public health strategies. These activities include the provision of the Healthy Babies Healthy Children program; breastfeeding/postpartum home visits; community outreach and partnership collaboration; and the "Family Line", a telephone support line.

Healthv Rehies Healthv Chil¡lren

Healtþ Babies Healthy Children (HBHC) is a program funded by the Ministry of Children and Youth Services (MCYS) designed to help children in Ontario have a healthy start in life and provide them with the opportunity to reach their potential. HBHC is a voluntary program delivered through all 36 public health units in Ontario in partnership with hospitals and other community partners. The program consists of universal screening with targeted assessments and interventions for families and children from the prenatal period until their transition to school. The program is delivered through a blended home visiting model to promote parental and family health; support adaptations to parenting; improve parenting capacity and parent-child relationships; foster child grow and development; and promote positive social support; and facilitate referals to appropriate services and community programs to build family strengths,

In 2017: o l274live births occurred within the Health Unit jurisdiction o l00Yo of families were screened in the immediate postpartum period (89.8 % in 2016).

300 families completed an In-Depth Assessment compared to 244 in 2016. For families that completed the program they received services for an average of 10.9 months.

. 1,188 home visits by Public Health Nurses GHÐ and746 home visits by Lay Home Visitors GFrv). o A Continuous Quality Improvement (CQD initiative continues in an effort to improve the process

and reach of the screening and follow-up of new mothers (focus is on postnatal follow-up) as well as an improved process for correct use of available tools and resources. This initiative is being led by MCYS.

o Postnatal screen reach increased from 89.9% in 2016 to 100% in 2017 . This is due to a province-wide implementation of the Better Outcomes Registry & Network (BORN) system in hospitals.

,)

Page 9: MEETING ADDITIONS TO AGENDA IN-CAMERA 4. 3. INTEREST ... 2018/2018 04 18 BoH... · (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions

Brant County Board of Health Report #8.2 Child Health Program

Postnartum /Breastfeedins Contacts

All clients had previously received a 48-hour phone call from a Public Health Nurse (PHN) with a new hospital liaison process implemented as of the end of April 2017 to increase face-to-face conversations with new mothers prior to discharge from hospital. The goal is to support the hospital-to-home process, and increase awareness of BCHU supports available to postnatal mothers. Clients who did not receive a face-to-face conversation continue to receive a 48-hour follow-up phone call, This process has increased the client contacts made with an increase in home visits from299 in20l6 to 327 in20l7. Clients may also selÊrefer.

X''amilv Line - Telenhone Sunnort

Parents and health professionals can call in to the Family Line weekdays from 8:30 am - 4:30 pm with questions related to healthy growth and development, parenting, breastfeeding and nutrition.

Brant Triple P@

The Triple P@ - Positive'Parenting Program is an effective, evidence-based parenting program that gives parents simple and practical strategies to help them confidently manage their children's behaviour, prevent problems from developing and build strong, healthy relationships. Triple P@ is cunently used in 25 countries and has been shown to work across cultures, socio-economic groups and in many different kinds of family structures. There are five levels of Triple P@ in order to best suit the needs of the family.

ln2017: o BCHU continued to take a lead role in the coordination and co-chairing of the Brant Triple P@

Advisory Committee and Triple P@ Facilitators Committee. o Program development continued to determine the needs of the community and identif, additional

levels that can be provided in schools and for the general public. Three formats are cunently offered:

o Seminar topics: positive parenting; raising confident and competent children; and raising resilient children.

o Discussion group topics: hassle free shopping; managing fighting and aggression; developing good bedtime routines; and dealing with disobedience.

o Group Triple P@ consists of eight-week sessions, o An increased number of seminars and discussion groups were offered with full enrollment and

positive feedback from parents of increased knowledge and skills of useful take home strategies. o In 2017,there were 70 sessions held (40 in schools, 30 in community), led by 30 facilitators and

over 320 attendees participating.

Page2 April 18,2018

Page 10: MEETING ADDITIONS TO AGENDA IN-CAMERA 4. 3. INTEREST ... 2018/2018 04 18 BoH... · (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions

BRANT COUNTY BOARD OF HEALTII REPORT #: 8.3

FROM:

RE:

Dental Services:

The past year focused on the Healthy Smiles Ontario (HSO) program and requirements. In the new Ontario Public Health Standards, the requirement for public health to be involved in system navigation and oral health promotion activities has intensified. These activities will generate greater numbers accessing oral health services and increase demand for screening (assessment), prevention (cleaning) and treatment (dentist services).

Access to Dental Care Programs (All programs are for children/youth under 18 years old)

Fluoride Varnish (FV) Clinics - Starting in2016, clinics are provided by a Registered Dental Hygienist once monthly, by appointment, at the Brant County Health Unit (BCHU), Grand River Community Health Centre (GRCHC), and day care pilot.

o In 2017 there were 136 FV applications at BCHU and GRCHC, slightly down from 2016 as the GRCHC was under renovations

o There were also I 8 I applications in day cares in 2017 , significantly up from 20 I 6

Clinical Services - BCHU operates two fully-operational dental clinics, located in the Health Unit building and at the GRCHC on Colborne Street. Clinics screening or treatment clinics were offered 3

days a week starting in September.

o 152 for treatment o 354 clients screened at BCHU or GRCHC clinics o 9l non-HSO clients receiving any type of clinical service o 6l HSO-Preventive Services Only clients receiving preventive services ¡ 95 HSO-Core and HSO-Emergency and Essential Services Stream clients treated receiving

treatment or preventive services

SchooI screening -2017/2018 School Screening Results (Data source : OHISS 201712018)

o Proportion of Children in JK with Decayed, Missing or Filled Teeth decreased for both Public and Catholic school boards from25%o in2016117 to2l%o2017118. Across Public schools, this proportion decreased from 26%o in2016l17 to23Yo in2017l18, Across Catholic schools, this proportion decreased from 27%o in 2016ll7 to 16%o in 2017 l18 .

o Proportion of Children in JK, SK, and Grade 2 Requiring Dental Care decreased for both Public and Catholic school boards from l4Yo in2016117 to 13Yo in2017l20l8. Across Public schools, this proportion decreased from 15% in 2016l17 to l4%o in 2017 l18. Across Catholic schools, this proportion decreased from lZYo in2016l17 to l0%o in2017ll8.

Christina Rajsic, Director, Health Promotion

Oral Health Program Report

DATE: April 18,2018

Page 11: MEETING ADDITIONS TO AGENDA IN-CAMERA 4. 3. INTEREST ... 2018/2018 04 18 BoH... · (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions

Report to the Brant County Board of Health Report #8.3 Oral Health Program

Dental staff screened in all schools in the Health Unit's catchment area-Grand Erie District School Board, Brant Haldimand Norfolk Catholic District School Board and private schools-for a total of 789 I students screened.

Healthy Smiles Ontario Activities

o During the2016-17 and2017-18 school years, every child screened in elementary school received a "report card" on dental health, including HSO information in general. HSO-EESS forms were included in the report card for all children who qualified for the HSO program. Therefore, during fhe 2017 calendar year:

o 3857 elementary-aged school children received HSO information o 459 elementary-aged school children received HSO-EESS forms

¡ HSO was promoted on BCHU's Twitter and Facebook pages, gaining 9,909 views and 66 engagements (continues for 2018)

o HSO was promoted on BCHU's website, gaining 521 views (continues for 2018) o HSO was promoted by Public Health Nurses in high-need schools at llelcome to JK events.

Approximately 400 toothbrushes with attached information were handed out (continues for 2018) o HSO promoted to parents at Il'elcome Back to School BBQs-3 events attended with

approximately 75 HSO flyers distributed (continues for 2018) o HSO promoted at health fairs in 3 high schools-approximately 150 toothbrushes with attached

information handed out (continues for 2018).

Communication campaigns:

1. 66Brush Up on the Facts" Provincial Campaign

In partnership with the Ontario Association of Public Health Dentistry's (OAPHD) and34 other health units, BCHU willparticipate in "Brush Up on the Facts" provincial campaign in April that is focused on promoting the importance of oral health for children's growth and development. Baseline data regarding the number of inquiries is being collected in March of 201 8 and will be compared to April 20 I 8 inquiries. There will also be an evaluation report at the provincial level.

A local evaluation of the "Brush Up on the Facts" campaign will be completed in May 2018.

Planning: Expansions for 2018

. Increase screening, treatment and preventive services for clients up to 3 I based on priority needs . Reports back to schools on Oral health status per school: see attached sample Dental Screening Report for Graham Bell-Victoria School . Increase oral health promotion messaging in community: day cares, schools, day camps, etc. . Infection Prevention and Control (IPAC) standards met.

April 18,2018 Page2

Page 12: MEETING ADDITIONS TO AGENDA IN-CAMERA 4. 3. INTEREST ... 2018/2018 04 18 BoH... · (ISPA): On May 30,2017,the Protecting Patients Act, 2017 received Royal Assent, including provisions

www.bchu.org 194 Terrace Hill Street, Brantford, ON N3R 1G7 519-753-4937

-

Dental Screening Report 2014/15 – 2017/18

Thank you for supporting the Brant County Health Unit’s dental screening program at your school.

This brief report highlights the screening results for your school from 2014/15 to 2017/18. It also provides the overall results for your board and all Brant boards.

Two screening indicators were used: 1. Proportion of children in JK with

decayed, missing or filled teeth 2. Proportion of children in JK, SK

and Grade 2 requiring dental care

The screening results are used by Brant County Health Unit staff, school staff and community stakeholders to reduce barriers to good oral health.

If you have any questions, please contact the Public Health Nurse for your school: Laura Fretz [email protected] 519-753-4937 ext. 323

Sincerely, Christina Rajsic Director, Health Promotion [email protected]

Adapted with permission from the Middlesex-London Health Unit.

In 2017/18, the proportion of JK children with decayed, missing or filled teeth was lower than in 2014/15*.

Proportion of Children in JK with Decayed, Missing or Filled Teeth

In 2017/18, the proportion of children requiring dental care was similar to that in 2014/15*.

Proportion of Children in JK, SK & Grade 2 Requiring Dental Care**

* Difference is considered higher or lower if proportions differ by 20% or more **Dental care refers to a child qualifying for CINOT (Children in Need for Treatment) and/or HSO (Healthy Smiles Ontario) programs

2014/ 15

2015/ 16

2016/ 17

2017/ 18

Graham Bell- Victoria

23% 33% 63% 13%

GEDSB (Brant) 29% 28% 26% 23%

All Boards (Brant) 28% 28% 25% 21%

0%

20%

40%

60%

80%

Per c

e n t

( % )

2014/ 15

2015/ 16

2016/ 17

2017/ 18

Graham Bell- Victoria

22% 33% 26% 19%

GEDSB (Brant) 15% 13% 15% 14%

All Boards (Brant) 14% 12% 14% 13%

0%

10%

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Graham Bell -Victoria Public School

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Next Steps for Schools

Many factors affect oral health. If your school would like support with the Teaching and

Learning Pillar of a comprehensive school health, BCHU is offering the following:

1) Interactive oral health lesson for Grade 2 students by BCHU Health Promoter

o Lesson will be 10 to 15 minutes in length

o Focus on:

Why teeth are important

Why children are losing their baby (primary) teeth and getting adult

(permanent) teeth

Adult teeth need good care to last a lifetime

o Lessons can be booked through school PHN

o Lessons are currently available only during May and June, 2018

2) Resources for educators

a. The following Reach and Teach Kits can be signed out through the school PHN:

Grade Kit Topics covered

Kindergarten Visiting the Dentist

Dental nutrition, tooth brushing and visiting the dentist. Includes dress up clothes, dental equipment, books, songs, experiments and activities

Grades 1, 2, 3 Dental Potpourri

Dental health, types of teeth, tooth safety, dental nutrition and tooth brushing. Includes posters, books, video and hands on learning activities

Grades 4, 5, 6 Nutrition, Tobacco, and Oral Health

Tooth safety and dental first aid, substance abuse and smoking as impacts on oral health, food labels, impact of sugar on dental health, and the media’s influence on purchasing decisions. Includes scientific experiments and other hands on activities, and critical analysis exercises

Grades 7, 8 Decision Making and Oral Health Impacts

Decision-making and oral health impacts, including mouth guard use, oral piercing, tobacco use and food and drink choices. Includes a variety of instructional strategies, such as scientific experiments, class discussions and activity sheets

b. The BCHU website provides access to online resources: www.bchu.org

Under the “educators” section there is an oral health button that links to a variety of dental websites with resources of specific value to educators.

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BRANT COUNTY BOARD OF'HEALTH REPORT# 8.4

FROM: Brent Richardson, Manager, Human Resources

RE: Human Resources Report

Occupational Health & Safetv

In accordance with the Occupational Health & Safety Act, all employee accidents and incidents are reported and reviewed by the Joint Health & Safety Committee. Management and staff are commended for being diligent in reporting and completing the forms and ensuring appropriate follow-up and resolution.

Summary of Accident and lncident Reports

20

15

Accidents (3): An unplanned event that causes harm to people or damage to property, for example, minor cuts, slips/trips (with minor injury), needle stick injury, etc,

Incidents (6): An unusual incidenVevent in the workplace that could have resulted in harm to people or damage to property had the circumstances been slightly different, for example, slips (without injury), and minor car accidents with no personal injury.

Staffïne ActiviW Any turnover in an organization has financial and program and service delivery impacts. Reasons for turnover at

Brant County Health Unit (BCHU) n2017 included securing full-time employment closer to home, full-time job opportunity, increasing potential for professional growth and retirement.

Turnover Rates

l0 ee I

W

I

DATE: April 18,2018

15

2009 20't0 20't1 2012 20'13 2014 2015 2016 2017

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2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

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Report to the Brant County Board of Health Report # 8.4 Human Resources Report

Attendance Manasement The Health Unit monitors absenteeism rates to assist employees and contain costs associated with absenteeism,

for example, lost productivity, quality of programs and services, workload issues, morale, benefit costs, etc.

BCHU is below the Provincial average of 6.9 days.

Average Sick Da¡ls Used

I 6

4 2

0

(Municinal) Freedom of Information & Protection of Privacv Act (M)X'IPPA) and Personal Health

Page 2

April 18,2018

Information Protection Act IPHIPA)

2008 2009 2010 201't 2012 2013 2014 2015 2016 2017

Year

Privacy legislation guidelines and best practices are embedded in policies and procedures of the Health Unit. All staff receive training on the legislation. It is incorporated into new staff orientation and information is

posted on the staff Intranet. Requests for information are responded to within the required 30 days and reports are submitted annually to the Information and Privacy Commission. BCHU responded to 254 requests in 2017; this was a36Yo increase over the 187 requests in 2016.

The Board Chair is the Head for the purposes of the MFIPPA, and delegates authority for administrative decisions and exercising the duties and responsibilities of the Freedom of lnformation (FOI) Co-ordinator under MFIPPA to the Manager of Human Resources.