Main Page Content

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

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

View Document page

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)
View Document page

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

View Document page

May 20, 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:  April 15, 2021   
  6. Business Arising
  7. Consent Agenda
    1. INFORMATION REPORTS
      1. Consumption & Treatment Services Site (T. Marentette)
      2. Beach Water Sampling (N. Dupuis)

      3. Vector-Borne Surveillance Report (N. Dupuis)

      4. Syphillis and HIV in Windsor-Essex County (F. Lawal)

      5. March and April Communications Recap

    2. RECOMMENDTION REPORTS
      1. Healthy Babies Healthy Children (N. Dupuis/L. Gregg)
  8. New Business
    1. Fluoride Update (W. Ahmed) 
  9. Other Board of Health Resolutions/Letters
    1. Brian Masse, MPP, Windsor-West – Letter to Windsor-Essex County Health Unit – Vaccination
    2. Peterborough Public Health – Letter to Hon. Doug Ford – Stay at Home Order extended to June 2, 2021

    3. Municipality of Lakeshore – Letter to Hon. Doug Ford – Board Launches to be open in Ontario

  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 June 17, 2021 – Via Video
  12. Adjournment

View Document page

April 15, 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:  March 18, 2021   
  6. Business Arising
  7. Consent Agenda
    1. INFORMATION REPORTS
      1. March Communications Recap
    2. RECOMMENDTION REPORTS – None
  8. New Business
    1. CEO Quarterly Report (T. Marentette)
  9. Other Board of Health Resolutions/Letters
    1. Town of Kingsville – Letter to Hon. Doug Ford – Resolution - Health and Safety of our Communities 
  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 May 20, 2021 – Via Video
  12. Adjournment

View Document page

April 1, 2021

Meeting held virtually.

  1. Call to Order
  2. Agenda Approval
  3. Announcement of Conflict of Interest
  4. Board Elections - Vice Chair
  5. Committee of the Whole (Closed Session in accordance with Section 239 of the Municipal Act)
  6. Next Meeting: At the Call of the Chair April 15, 2021 – Via Video
  7. Adjournment

View Document page

March 18, 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. Special Board Budget Meeting: March 4, 2021
  6. Business Arising
  7. Consent Agenda
    1. INFORMATION REPORTS
      1. Ontario Active School Travel Fund Awarded to Windsor- Essex County (N. Dupuis)
      2. Risk Management (T. Marentette/M. Frey)
      3. January/February Communications Recap
    2. RECOMMENDTION REPORTS – None
  8. New Business
  9. Other Board of Health Resolutions/Letters
    1. Kingston, Frontenac & Lennox and Addington Public Health – Letter to Hon. Doug Ford, Premier of Ontario – Mandatory Sick Leave for Ontario Workers
    2. Kingston, Frontenac and Lennox & Addington Public Health – Letter to The Right Hon. Justin Trudeau – Land and Water Border Restrictions
    3. Peterborough Public Health – Letter to The Hon. Doug Ford, The Hon. Christine Elliott and The Hon. Monte McNaughton – Paid Sick Leave During an Infectious Disease Emergency
    4. Letter from the Municipality of Chatham-Kent Public Health – Letter to The Hon. Doug Ford – Paid Sick Leave during COVID-19 Pandemic and Beyond
    5. Letter from Queen's Park, Peggy Sattler, MPP, London West – Private Members Bill – Bill 239 – Stay Home if you are Sick Act – Advocating for paid sick days for Ontario workers to alleviate the spread of COVID-19
    6. Windsor-Essex County Health Unit – Letter to The Hon. Doug Ford – Mandatory Paid Sick Leave for Ontario Workers
  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 April 15, 2021 – Via Video
  12. Adjournment

View Document page

February 4, 2021

January 21, 2021

Meeting held via video.

  1. Call to Order
  2. BOARD ELECTIONS
  3. Agenda Approval
  4. Announcement of Conflict of Interest
  5. Update (W. Ahmed)
    1. COVID-19 Update
  6. Approval of Minutes
    1. Regular Board Meeting: December 17, 2020
  7. Business Arising
  8. Consent Agenda
    1. INFORMATION REPORTS
      1. Mosquito Surveillance and Control Program 2020 (K. McBeth)
      2. First Responder Curriculum Project – Mental Health Literacy and Resiliency – Building (N. Dupuis)
      3. December Communications Recap
    2. RECOMMENDATION REPORTS
  9. New Business
    1. Budget Timing (T. Marentette/L. Gregg)
    2. CTS Update – Next Steps (T. Marentette)
    3. W-E Vaccine Rollout Plan (T. Marentette)
  10. Other Board of Health Resolutions/Letters – For information
    1. Town of Kingsville – Letter to The Hon. Doug Ford, The Hon. Minister Christine Elliott, Medical Officer of Health, Dr. Wajid Ahmed and the Windsor-Essex County Board of Health – Resolution in Support of Small Businesses to remain open
    2. Town of Essex – Letter to The Hon. Doug Ford, The Hon. Minister Christine Elliott, Chief Medical Officer of Health, Dr. David Williams, Medical Officer of Health, Dr. Wajid Ahmed, and CEO Theresa Marentette, Windsor-Essex County Health Unit – Resolution requesting that immediate action be taken to deem Small Businesses as Essential Services
  11. Committee of the Whole (Closed Session in accordance with Section 239 of the Municipal Act)
  12. Next Meeting: At the Call of the Chair February 18 , 2021 – Via Video
  13. Adjournment

View Document page

DATE

January, 2021

SUBJECT

First Responder Curriculum Project – Mental Health Literacy & Resiliency-Building


BACKGROUND - The First Responder Mental Health Coalition (FRMHC)

In recent years, there has been a growing recognition among national policy makers and legislators that first responders’ unique experiences result in mental health needs distinct from many other occupational groups. In 2016, the Ministry of Labour (MOL) amended the Workplace Safety & Insurance Act, Post-Traumatic Stress Disorder (1997) with Bill 163, Supporting Ontario’s First Responders Act, Post-Traumatic Stress Disorder (2016). Under Bill-163, all employers of first responders are required to develop, sustain, and implement post-traumatic stress disorder prevention plans.

In support of these legislative changes, the MOL issued a call for proposals for the 2017-2018 Occupational Health, Safety, and Prevention Innovation Program (OHSPIP). First responder organizations and other supporting agencies in Windsor-Essex County (WEC), including the Windsor-Essex County Health Unit (WECHU), formed a First Responder Mental Health Coalition (FRMHC) to prepare and submit a successful OHSPIP proposal.

In 2020, a five year sustainability plan was developed by the FRMHC for 2020-2025 to maintain the coalition beyond the OHSPIP grant and to build on the initiatives and programs established to date. In 2021, membership on the FRMHC includes all first responder organizations in WEC representing policing/law enforcement, fire and rescue, emergency medical services (EMS), and emergency healthcare, as well as several local partner agencies with a vested interest in promoting and supporting first responder mental health at the local level. These partner agencies include:

  • Canadian Mental Health Association – Windsor-Essex County Branch (CMHA-WECB)
  • Family Services Windsor-Essex (FSWE)
  • Windsor-Essex County Health Unit (WECHU)
  • Occupational Health Clinics for Ontario Workers (OHCOW)
  • St. Clair College

THE FIRST RESPONDER CURRICULUM PROJECT

As part of the 2017-2018 OHSPIP proposal, six project commitments were identified for the partnership to promote and support first responder mental health in WEC. The WECHU has taken a lead role in fulfilling the second project commitment outlined through the OHSPIP proposal:

“Work with representative(s) from St. Clair College to investigate the feasibility of developing a common mental health module to be included in all First Responder programs offered by the college (i.e., Pre-Service Firefighter Education and Training, Police Foundations, Paramedics)”.

The First Responder Curriculum Project was initiated by the WECHU in 2018 as a means to fulfill this project commitment. The purpose of the First Responder Curriculum Project is to develop a mental health literacy and resiliency-based curriculum module that can be embedded into local post-secondary programs for first responder students and allied health professionals, including firefighters, paramedics, police officers, nurses, and physicians.

Prior to the development of curricular content, the WECHU conducted a needs assessment to determine the key training needs and opportunities surrounding mental health literacy and resiliency-building for student and early-career first responders. The WECHU presented the final needs assessment results to the FRMHC on December 10th of 2020. Key informant interviews were conducted with 29 local representatives from the policing/law enforcement, fire and rescue, paramedic, emergency healthcare, and higher educational professions (n=28 interviews). The data was analyzed and key themes were identified that will drive the development and implementation of the curriculum module(s):

  • Curriculum Topics – The main training needs and opportunities for student and early-career first responders as related to personal/professional mental health literacy and resiliency include:
    • Resiliency-Building & Coping
    • Stigma Reduction & Help-Seeking Efficacy
    • Mental/Emotional Readiness for the Realities of the Role
    • Mental Health & Mental Illness – Theoretical, Conceptual, & Clinical Concepts
    • Strategic Uses of Social Supports
    • Early Intervention & Proactivity
    • Work-Life Balance
    • Team Building
  • Delivery Formats – Key themes supported the development of a hybrid online and in-person curriculum module with the embedment of lived experience from first responders in the profession (n=25).
  • Implementation Methods – Key themes supported the early and continual implementation of an adaptable, inter-professional curriculum module into the following post-secondary and new recruit training programs for local students and early-career first responders:
    • Pre-Service Firefighter Education & Training Program (St. Clair College)
    • Paramedic Program (St. Clair College)
    • Police Foundations Program (St. Clair College)
    • Bachelor of Nursing Program (St. Clair College & University of Windsor)
    • New recruit training programs at local first responder organizations in WEC, specifically volunteer recruit training programs at local fire departments

Current Initiatives

The WECHU is currently transitioning into the curriculum development and implementation phases of the project. In 2021, project leads at the WECHU will use the needs assessment findings to inform the development of educational and instructional components for the curriculum. The WECHU continues to consult and collaborate with local representatives on the FRMHC for knowledge, expertise, and support in solidifying key areas for curricular content, structural design, and student engagement in the curriculum module.

In collaboration with several interested members on the FRMHC, project leads at the WECHU plan to coordinate  follow-up meeting(s) with the first responder higher educational group at St. Clair College early in 2021 to update their team on the recent initiatives completed for this project and to solidify partnered strategies for implementation. Future consultations with leadership at St. Clair College, as well as representatives on the FRMHC, will inform the processes and operations undertaken in 2021-2022 to pilot, implement, and evaluate the curriculum module following its initial development and review.


View Document page

DATE

January 21, 2021

SUBJECT

Mosquito Surveillance and Control Program 2020


BACKGROUND

The Environmental Health Department conducts annual monitoring and testing of mosquito populations in Windsor and Essex County (WEC) as part of the WECHU’s Zoonotic and Vector-borne Diseases Program.

Mosquito Surveillance and Testing

Adult mosquito surveillance runs from May to early October every year and may extend depending on the weather and temperatures. Species-specific traps are deployed in various locations throughout WEC to capture mosquitoes for testing and identification to determine the presence of West Nile, Eastern Equine Encephalitis (EEE) Virus, and Zika Virus in our community. Invasive mosquito species Aedes aegypti (Yellow Fever Mosquito) and Aedes albopictus (Asian Tiger Mosquito) are also monitored each year through our Enhanced Mosquito Surveillance Program. These species are known carriers of diseases such as Zika, Malaria, Dengue, and Chikungunya. The WECHU received a federal grant from the Public Health Agency of Canada’s Infectious Disease and Climate Change Program (August 2019 to March 2022)  to study the effects of climate change and mosquito populations in our local communities. For the 2020 season, an additional 14 traps were placed in Leamington to monitor mosquito populations as part of this grant.

During this year’s season:

  • Total number of mosquitoes trapped: 205,569
  • Total number of pools tested: 2,052
  • Number of positive pools for West Nile virus : 30
  • Number of positive pools for Zika virus: 0
  • Number of positive pools for EEE virus: 0

Mosquito Control

The mosquito control program involves applying larvicide to catch basins and standing water sites such as ditches and lagoons that hold water. All municipalities in WEC have standing water by-laws in place. In 2020, over 135,000 treatments of larvicide were applied to roadside catch basins and standing water sites.

Human Cases

The WECHU follows up on all human cases of West Nile Virus. Cases are investigated to assess if additional mosquito control activities are required. In 2020, there were two confirmed and one probable case of WNV in WEC. To date, there have been no human cases of Zika Virus identified in WEC.

Education and Awareness Raising Activities

Fight the Bite public awareness campaign was launched in June and included key messages that focused on preventing mosquito bites, removal of standing water and the cause and symptoms of West Nile Virus. These messages were communicated through the WECHU website, radio, billboard and bus shelter ads, social media, and print materials.

CURRENT INITIATIVES

All activities, including monitoring and testing mosquitoes and education regarding personal protection from mosquito bites and removing standing water, will continue in 2021.  Targeted promotion and messaging will be used to reach priority populations and inform the public of hot spots identified through previous monitoring efforts.


View Document page

December 17, 2020

Meeting held via video.

  1. Call to Order
  2. Introduction: Felicia Lawal, Acting Director, Health Protection
  3. Agenda Approval
  4. Announcement of Conflict of Interest
  5. Update (W. Ahmed)
    1. COVID-19 Update
  6. Approval of Minutes
    1. Regular Board Meeting: November 19, 2020
  7. Business Arising
  8. Consent Agenda
    1. INFORMATION REPORTS
      1. Healthy Families Department and Healthy Babies, Healthy Children Program Updates (N. Dupuis)
      2. Oral Health Program Update (N. Dupuis)
      3. Influenza Vaccine Update (K. McBeth)
      4. Q2 Financial Report (L. Gregg)
      5. November Communications Recap
    2. RECOMMENDTION REPORTS
      1. Bill 216 – An Act to amend the Education Act – Food Literacy (N. Dupuis)
  9. New Business
    1. Long-term Service Awards (T. Marentette)
    2. Records Management (L. Gregg)
  10. Other Board of Health Resolutions/Letters – For information
    1. WECHU Letter to The Honourable Justin Trudeau – Federal Government Supervision of Self-Isolation Period for Arriving Migrant Workers
    2. Grey-Bruce Public Health Unit – Letter from Board Chair Mitch Twolan – Public Health Regionalization
    3. Timiskaming Health Unit – Letter to The Honourable Stephen Lecce, The Honourable Christine Elliott, The Honourable Ernie Hardeman – Bill 216 Food Literacy for Students Act 2020
  11. Committee of the Whole (Closed Session in accordance with Section 239 of the Municipal Act) 27
  12. Next Meeting: At the Call of the Chair January 21, 2021 – Via Video
  13. Adjournment

View Document page

DATE

December 17, 2020

SUBJECT

Influenza Vaccine Update


BACKGROUND

The Windsor-Essex County Health Unit (WECHU) plays a key role in the implementation of the Ministry of Health’s Universal Influenza Immunization Program (UIIP) which offers influenza vaccine free of charge each year to all individuals six months of age and older who live, work, or attend school in Ontario. The WECHU receives influenza vaccine shipments from the Ontario Government Pharmacy (OGP) and is responsible for the distribution to local health care providers and approved facilities in the community.  Allocation to providers is based on total community allocation, number of clients to be served, past usage by the provider, available fridge space, and the proportion of high-risk clients the provider is responsible for. As of December 1, 2020, there were no laboratory-confirmed cases of influenza in Windsor and Essex County.

SUMMARY OF VACCINE ALLOCATION & DISTRIBUTION

The WECHU received initial shipments of the influenza vaccine on September 28 and October 5.  In total, the WECHU received 127, 150 doses of the vaccine from the Ministry. Of these, 31,800 were the High Dose Trivalent Inactivated Vaccine (HD-TIV) for individuals 65 and over.

As of November 27, the WECHU has distributed 89% (113,960 doses) of our total allocation of the influenza vaccine, and 100% (31,800 doses) of the HD-TIV to the community, including 41 long-term care facilities and retirement homes, 4 hospitals, and approximately 200 healthcare providers. The OGP distributed the influenza vaccine directly to 101 pharmacies in WEC that were approved by the Ministry of Health, and at the time this report was written, pharmacies have administered 43,955 doses to WEC residents.

 

QIV

High Dose - TIV

Total

# of doses of flu vaccine the WECHU has received from the Ministry

97,850

31,800

127,650

# of doses of flu vaccine the WECHU has distributed to the Community

82,160

31,800

 

113,960

 

The initial supply of influenza vaccine is prioritized for the immunization of high-risk individuals, such as residents and staff of long-term care homes and retirement homes. Overall, the WECHU has distributed 5,655 influenza vaccine doses to 19 long-term care homes, and 2,240 doses to 22 retirement homes in WEC. A further breakdown is provided below:

 

QIV

High Dose – TIV

Total

# of doses of flu vaccine the WECHU has distributed to Long-Term Care Homes

3,000

2,655

5,655

# of doses of flu vaccine the WECHU has distributed to Retirement Homes

790

1,450

2,240

 

HIGH DOSE -TIV

On November 16th, the Ontario Ministry of Health notified all Health Units that Fluzone High Dose is out of stock, and will not be available for the remainder of the season. However the standard dose of Quadrivalent Influenza Vaccine (QIV) is still available, and there is no preferential recommendation for high dose over QIV.

ADVERSE EVENTS FOLLOWING IMMUNIZATION

Concerns were identified through the Adverse Events Following Immunization reporting system, and the administration of a specific lot of FluLaval Tetra was suspended. Investigation is underway nationally, and the WECHU has contacted all healthcare providers on record who had received the affected vaccine to halt its use until further notice. The WECHU will continue to update healthcare providers as more information is received from the Ministry of Health.

CURRENT INITIATIVES

Although the WECHU is not administering the influenza vaccine to clients this year, we continue to support widespread availability of the influenza vaccine in our community by working collaboratively with many community partners, including those in primary care, to identify service gaps and promote vaccine uptake.

The WECHU continues to raise awareness of the risks of contracting influenza (especially for high-risk groups), and the importance of being vaccinated amongst the COVID-19 pandemic through our social media platforms (i.e., Facebook, Twitter, and Instagram).


View Document page

PREPARED BY

Lorie Gregg, Director of Corporate Services

DATE

December 17, 2020

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 related programs funded 100% by the Ministry of Children, Community and Social Services (“MCCSS”).  These programs are:

  • Healthy Babies Healthy Children Program;
  • Prenatal and Postnatal Nurse Practitioner Program.

The budgets for these programs were approved by the Board of Health for the WECHU on May 21, 2020.  On October 30, 2020, the budgets were formally submitted to the MCCSS along with financial information for the period April 1, 2020 to September 30, 2020.  Details of that submission is included in the narrative below.

Of noteworthy mention is the following:

  • The MCCSS required that financial information for the aforementioned programs, both budget and year-to-date actuals, be reported on a combined basis.  For consistency with the WECHU’s presentation of the 2020/2021 budgets on May 21, 2020, the WECHU has continued to report these programs separately.
  • The prior year’s comparative information for the aforementioned programs has not been presented due to the change the MCCSS change in fiscal years (was January to December; now April to March).

On September 30, 2020, the MCCSS launched the Transfer Payment Ontario (TPON) system.  The TPON will enhanced transfer payment business processes and reduce administrative burden on service providers, enhance efficiency and improve outcomes and the overall client experience.  More specifically, transfer payment recipients such as the WECHU will be able to submit financial and non-financial reporting requirements to the MCCSS on-line.

HEALTHY BABIES HEALTHY CHILDREN PROGRAM INITIATIVE

 

 

Annual Budget

Budget at 09 30 2020

Actual 09 30 2020

Variance – Budget from Actual

Salaries and benefits

2,583,600

1,311,695

1,067,842

176,209

Operating expenditures:

 

 

 

 

     Mileage

60,000

30,000

9,233

20,638

     Travel and meetings

3,000

1,500

3,000

1,500

     Professional development

10,400

5,200

10,400

5,200

     Program supplies

83,841

22,026

44,051

17,599

     Purchased services

15,000

7,500

15,000

6,382

Total operating expenditures

172,241

66,226

132,451

51,319

Total budget

2,755,841

1,377,921

2,755,841

227,528

The Heathy Babies Healthy Children Program Initiative supports 26 FTEs comprised of managers (2), nurses (16), family home visitors (4), social worker (1.0) and support staff (3.0).  The objective of the program is to ensure a healthy future for children and their families.  Total funding envelope for this program initiative is $2,755,841. 

PRENATAL AND POSTNAL NURSE PRACTITIONER PROGRAM INITIATIVE

 

Annual Budget

Budget at  09 30 2020

Actual 09 30 2020

Variance – Budget from Actual

Salaries and benefits

139,000

69,500

71,179

1,679

Total budget

139,000

69,500

71,179

1,679

The Nurse Practitioner Program Initiative supports 1.0 FTE (nurse practitioner).  The objectives of the program are to promote healthy pregnancy, birth and infancy for children, improve parenting and family supports, strengthen early childhood development, learning and care.  Total funding envelope for this program is $139,000.


View Document page

DATE

December 17, 2020

SUBJECT

Oral Health Program Update


BACKGROUND

The novel Coronavirus (COVID-19) has affected many public health services, including the WECHU’s oral health program. Those services include the Healthy Smiles Ontario (HSO) and the Ontario Seniors Dental Care Program (OSDCP) dental clinics, as well as in-school dental and vision screening programs.

ORAL HEALTH

Following guidance from the Royal College of Dental Surgeons of Ontario (RCDSO) and the Ministry of Health, the WECHU suspended all non-essential and elective dental services on Monday, March 16, 2020 and redeployed oral health staff to the COVID-19 response.  Dental screenings in schools were suspended and the clinic remained open in Windsor for emergency services only until June 22, providing 79 office visits from March.

Due to the shutdown, 2,377 OSDCP and HSO appointments had to be cancelled. Following the health care sector restart guidance from the Ministry of Health, the Windsor clinic resumed full operations at the end of June, while the reopening of the Leamington clinic was gradual and operational at the end of August. All oral health staff have returned to the department, while continuing to support the COVID-19 call centre as part of their regular duties. As of November 26, 2020, 93% of the 2,377 appointments have been contacted and rescheduled.

All dental screening and vision screening programs have been suspended at this time.

In the 2019/20 school year:

  • 73 schools of the 123 schools required for dental screening were completed
  • 8,300 children screened, approximately 6,673 children were un-screened under the oral health screening program
  • 2,840 (68%) of SK students attending 78 Windsor-Essex elementary schools received vision screening. 35 schools were not completed.

CURRENT INITIATIVES

COVID-19 has affected many public health programs and services, including future program operations. In addition, infection prevention and control measures call for limiting the number of essential visitors in the school. As a result, school dental and vision screening may not resume in 2020-2021.

The WECHU has partnered with the Southwest Ontario Aboriginal Health Access Centre (SOAHAC) to provide free oral health screenings for First Nation, Métis, and Inuit (FNMI) people and their families. A Registered Dental Hygienist (RDH) from the WECHU works at the SOAHAC Windsor location bi-weekly, providing dental screenings and oral hygiene instruction to their clients. This service had been shut down due to COVID-19 but was reinstated on November 23, 2020.

ORAL HEALTH PROGRAMS

Baby Oral Health Program (BOHP)

Parents of babies born at Windsor Regional Hospital usually receive an infant dental education kit. Despite being put on hold due to COVID-19, this service resumed in July. So far this year, 1,802 bags were delivered to the hospital for distribution.

WECHU Healthy Smiles Ontario and Ontario Seniors Dental Care Plan

PROGRAM

# of CLIENTS

# of VISITS

OSDCP (WECHU)

408

1,392

OSDCP (CKPHU)

26

76

HSO – EESS

379

769

HSO – CORE

727

1,062

HSO - PSO

846

1,229

TOTAL

2,386

4,528

We have a high patient volume and due to reduced clinical services for four months, we have experienced a slight backlog in treatment. Approximately 40-45 HSO and OSDCP clients are seen daily across the two clinic locations. We are currently booking into March 2021 for certain dental procedures. From January 2020 to November 2020 the WECHU saw 2,386 HSO and OSDCP clients for 4,528 appointments.

The OSDCP began at the WECHU in January 2020, providing free, routine dental services for low-income seniors 65 years of age or older. Since the program’s provincial implementation in November 2019, 1,002 seniors from the Windsor-Essex area enrolled in the program. Each client requires a new patient exam. To date we have completed 405 new patient exams therefore, we can determine that we have seen 40% of the seniors that have enrolled into the OSDCP program in this region. Our contract denturist has completed 88 denture consultations.

Currently, we have one full-time dentist, four contract dentists and a contract denturist. We plan to bring on a second full-time dentist in 2021.


View Document page

DATE

December 17, 2020

SUBJECT

Healthy Families Department and Healthy Babies, Healthy Children Program Update


BACKGROUND

Healthy Babies, Healthy Children Program (HBHC) is a provincial home visiting program designed to help children get a healthy start in life through nursing and peer support. The program supports the most vulnerable and marginalized families in our community with the goal of improving developmental outcomes. HBHC has three entry stages namely; Prenatal; Postpartum; and Early Identification; and requires screening to identify a family at risk (screen score 2 or >). The HBHC screen identifies a family experiencing a need, issue or risk that may compromise healthy child development; and/or parenting ability; and who may benefit from a more thorough evaluation and receipt of HBHC program services or other community services. HBHC staff utilize standardized assessments and evidence-based interventions to work on family centred goals and develop a Family Service Plan that monitors the progress and achievement of those goals. HBHC is a free voluntary home-visiting program compromised in WECHU of 16 nurses, 4 Family Home Visitors (lay providers) and Social Workers (SW) that support families with:

  • healthy pregnancy and prenatal care
  • developing a positive relationship with their child
  • promoting child’s growth and development
  • connecting families to resources and programs within their community
  • working together with families to help give their child the best start in life

PROGRAM UPDATE

As a result of COVID-19, pandemic-related redeployment significant adjustments were made to service delivery.  Beginning in March 2020, in-person home visits with families were discontinued due to the COVID-19 pandemic. Two nurses and one social worker continued to support 138 existing HBHC families. All visits with families moved to virtual and phone support and any new qualifying parents who wished to participate in the program were placed on a waitlist until June (48). These forms of communication have inherent limitations (e.g., inability to provide hands-on demonstration or effectively observe the home environment) and many clients did not have access to the technology needed to facilitate meaningful interactions. To maintain engagement and support client progress, staff needed to customize service delivery to meet client needs. The HBHC Social Worker has since worked to improve client access to the internet via financial aide.

The Healthy Family’s department hotline has remained operational, triaging calls on healthy growth & development, community resources and breastfeeding. The Lactation Consultant (LC) was also available to provide breastfeeding support over the phone or virtually to both HBHC clients and community members. Due to the cancellation of services and limited supports available to new mothers during the pandemic, the Healthy Families department prioritized calls to all mothers the HF within 48-72 hours of birth.

Lack of departmental engagement of physicians and midwives during this time likely contributed to the significant reduction in referrals to the HBHC program. Overall, referrals decreased by 14% over the pandemic compared to the same period in 2019. This may also be in part due to the absence of HBHC Hospital Liaison nurse.  Prenatal referrals have been the most significantly affected. Only 22 prenatal referrals were received during this time, compared to 160 in 2019. This change warrants further investigation since prenatal intervention within the HBHC program can improve pregnancy outcomes and better prepare families to navigate the challenging newborn stage of parenting.

Currently, HBHC has six (6) public health nurses supporting 161 clients on caseload. Staff have reported an increase in mental health concerns among their clients and increased severity for those with pre-existing anxiety and depression. This may be attributed, at least in part, to the financial strain, isolation, and general uncertainty caused by the pandemic as reported by some clients. In response, WECHU has hired an additional Social Worker for the HBHC program to focus on mental health-related issues. This Social Worker will consult with HBHC staff regarding mental health challenges, provide brief counselling directly to clients, and help clients access appropriate supports within the community.

Additionally, staff have reported that clients continue to struggle to afford healthy food for their families and access affordable housing. Pandemic-related income loss, along with the simultaneous increase in the price of food and housing have placed excessive strain on the program’s low-income families. This strain has left some families looking for ways to save on groceries, including prematurely discontinuing the use of infant formula. Transitioning from infant formula to fluid cow’s milk before nine months is linked to nutrient deficiency that can hinder a child’s lifelong growth and development potential. To ensure that clients have access to the funds they need to afford infant formula or support a nutritious diet for the breastfeeding mother, the department’s Registered Dietitian and HBHC Social Worker are developing a procedure to ensure clients are able to access the province’s Special Diet Allowance in a timely manner. The Special Diet Allowance provides additional funds to families on social assistance who are pregnant, breastfeeding, or reliant on infant formula.  The Social Worker is also continuing to investigate actions to improve access to affordable housing.  

During these unprecedented times, HBHC staff have remained committed to providing the best possible service to the most vulnerable families within our community. We have continued to work and develop processes with our community partners to ensure wrap around care for our families. Outreach to local midwives and physicians has begun with regard to increasing our Prenatal and Early-ID referrals. Additionally, Policies and Procedures have been prepared to safely reinitiate in-person home visits, on a case-by-case basis, in an on-going effort to improve client engagement and adequately address their needs.

COMPARISON OF WITH RISK SCREENS, 2019 & 2020

Entry Level into HBHC- April 1st-November 25, 2019/2020

Screens Completed

Screens with Risk >2

2019

2020

2019

2020

Prenatal

160

22

122

22

Postpartum

2564

2344

1203

1017

Early Identification-18 Month Screening Assessment

75

58

70

37

 


View Document page

November 19, 2020

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: October 15, 2020
  6. Business Arising
  7. Consent Agenda
    1. INFORMATION REPORTS
      1. Student Immunization Catch-up Plan (Grade 7/8) (K. McBeth)
      2. Potassium Iodide (KI) Tablet Distribution Continues during COVID-19 Pandemic (K. McBeth)
      3. Consumption and Treatment Services Site – Application Status (T. Marentette)
      4. October Communications Recap
    2. RECOMMENDTION REPORTS – None
  8. New Business
    1. CEO Quarterly Reports (T. Marentette)
    2. 2021 Board of Health Meeting Schedule
  9. Other Board of Health Resolutions/Letters – For information
    1. WECHU Letter to The Right Honourable Justin Trudeau and The Right Honourable Chrystia Freeland – Basic Income During and After the COVID-19 Pandemic
    2. Grey-Bruce Public Health Unit – Letter to The Honourable Patty Hajdu, the Honourable Marilee Fullerton and Ontario's Long- Term Care COVID-19 Commission – COVID-19 and Long-Term Care Reform – Supporting Simcoe Muskoka District Health Unit's letter regarding same 19
    3. Grey Bruce Public Health Unit – Letter to the Honourable Patty Hajdu and The Honourable Christine Elliott – Municipal Drug Strategy Coordinators Network Ontario, Safe Supply 23
  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 December 17, 2020 – Via Video
  12. Adjournment


View Document page

DATE:

November, 2020

SUBJECT:

Consumption and Treatment Services Site – Application Status


BACKGROUND

On April 1, 2019  the Board of Health of the Windsor-Essex County Health Unit (WECHU) passed a resolution in support of public health-led assessment of the feasibility of a Consumption and Treatment Services (CTS) site in the City of Windsor. In September of the same year, following the release of the Supervised Injection Services Community Consultations Report, the Board of Health subsequently resolved in support of the submission of an application for the creation of a site in the City of Windsor. This application to the provincial Ministry of Health would be accompanied by a corresponding submission to the Federal Government for an exemption to the Controlled Drugs and Substances Act, an additional necessary component for the legal operation of a CTS site. In addition, the September resolution supported the completion of a comprehensive community consultation to determine a suitable and accessible location for a CTS site in the City of Windsor

In order to facilitate this process, a CTS Stakeholder Advisory Committee was created including membership from the following agencies representing the multiple sectors with vested interest in the creation of a CTS:

  • The City of Windsor
  • The AIDS Committee of Windsor (Pozitive Pathways Community Services)
  • Windsor-Essex Community Health Centre
  • Hotel-Dieu Grace Healthcare
  • Canadian Mental Health Agency – Windsor-Essex County
  • Windsor Police Services
  • Windsor Downtown Mission

The WECHU also hired a Substance Use Coordinator to lead the site selection process and completion of the application. The coordinator role was initially responsible for facilitating the decision-making process amongst the Stakeholder Advisory Committee ultimately establishing the criteria and requirements for an eligible site. These requirements acomplement the mandatory criteria set out in the federal and provincial application documents and are outlined below:

  • Site must be 200m from a sensitive land use (e.g. parks, daycare centers, and schools) as well as 600m from other CTS sites OR If  located within 200m of a sensitive land use, application must include plans on how to address community concerns
  • Site must be easily accessible by public transit
  • Site must be within walking distance to areas known to be frequented by people who use drugs
  • Space should be greater than 590ft2 (for six consumption booths) or 385ft2 (for three booths)

Using these criteria, and in consultation with WECHU legal representation and procurement procedures, the WECHU issued a Request for Expressions of Interest (RFEOI) through the MERX Online Public Tenders solicitation database. With an expiry period of one week, the initial RFEOI did not result in any responses. A second, more widely promoted RFEOI was issued and received media coverage from all local major media outlets. Per the health unit’s standard procurement process the WECHU hosted an information Session with two interested parties to answer questions and provide further information on the site criteria and selection process. Ultimately, however this tender also expired without any submissions.

CURRENT INITIATIVES

With the RFEOI process not yielding any potential locations, the WECHU is once again consulting with the CTS Stakeholder Committee and working through the Substance Use Coordinator to determine if there is mutual interest in a shared space among partners. In addition, the WECHU will be reviewing eligible properties and hiring a Real Estate representative in order to guide an equitable and transparent strategy for proactively contacting property owners and managers who appear to meet the set criteria.

Prior to community consultations, environmental audits will be completed by Windsor Police Services in order to determine the safety of the area and guide any mitigating interventions which can improve the safety of the areas surrounding the site and discourage criminal activity.

Community consultations may include open Town Hall Meetings to all residents, as well as targetted meetings in the neighbourhoods in which the sites reside, and online surveys for residents who are unable to attend in-person meetings. Following the consultation process, any decisions regarding the site will require both Board of Health approval and the approval of the Municipality prior to the submission of the final CTS application.


View Document page

SUBMITTED BY:

Environmental Health Department

DATE:

November 9, 2020

SUBJECT:

Potassium Iodide (KI) Tablet Distribution Continues during COVID-19 pandemic


BACKGROUND

The Windsor and Essex County (WEC) region is located within the primary and secondary zones of two (2) nuclear installations – the Enrico Fermi 2 and the Davis-Besse. Although both installations are not located within Canadian borders, the impact they have on our region is the same in the event a nuclear emergency occurs.

According to the Canadian Nuclear Safety Commission (CNSC), all nuclear installations must ensure that potassium iodide tablets are pre-distributed and that pre-distribution includes a public education plan. Potassium iodide tablets are a stable iodine salt that blocks the thyroid from absorbing radioactive iodine during a nuclear incident. In the improbable event of a nuclear emergency, residents will receive instructions from local and provincial authorities to take their tablets to prevent the long-term development of thyroid cancer.

Since the Enrico Fermi 2 Nuclear Generating Station and the Davis – Besse Nuclear Power Station are not regulated by the CNSC, the responsibility for potassium iodide tablet distribution falls on the Windsor-Essex County Health Unit (WECHU), the Municipalities of Windsor and Essex County, and the Ministry of Health. In 2018, the WECHU acquired over 17,000 potassium iodide (KI) kits and coordinated a multi-phase approach that involved distribution to primary and secondary zone residents. Almost 3600 kits were distributed to residents during the first two phases, with an online registration and distribution method implemented for the 2019 season. A targeted communication campaign was completed in 2019, which focused on families with young children in the primary and secondary zone resulting in the distribution of an additional 6500 potassium iodide (KI) kits within the community.

CURRENT INITIATIVES

The ongoing distribution plan for KI tablets in 2020 was met a number of challenges due to the COVID-19 pandemic including post office delays and lack of volunteers to support community pick up centres. Despite some of these barriers, the WECHU has disseminated kits to over 10,600 households in our region this year. Distribution for the 2020 season ended in October due to temperature changes in the environment and will resume in the spring of 2021. The 2021 season, will see additional engagement with stakeholders such as schools, businesses and municipally owned buildings to discuss supply planning and storage in the event of a nuclear emergency.


View Document page