City of Toronto Logo Agenda

Regular



Board of Health


Meeting No. 30   Contact Candy Davidovits, Committee Administrator
Meeting Date Monday, May 3, 2010
  Phone 416-397-7767
Start Time 1:00 PM
  E-mail boh@toronto.ca
Location Committee Room 1, City Hall
  Chair   Councillor John Filion  


 

Board of Health

Councillor John Filion, Chair

Councillor Janet Davis, Vice-Chair

Councillor Raymond Cho

Councillor Paula Fletcher

Councillor Chin Lee

Councillor Gord Perks
Trustee Soo Wong
Alejandra Bravo

Eduardo Castro

Vaijayanthi Chari

Fiona Nelson

Lisa O’Brien

Valerie Sterling

 

Members of the Board and Staff: Please keep this agenda and the accompanying material until the City Council meeting dealing with these matters has ended.  The City Clerk’s Office will not provide additional copies.

 

Special Assistance for Members of the Public: City staff can arrange for special assistance with some advance notice.  If you need special assistance, please call 416‑397-7767, TTY 416-338-0889 or e-mail boh@toronto.ca.

 

Closed Meeting Requirements: If the Board of Health wants to meet in closed session (privately), a member of the Board must make a motion to do so and give the reason why the Board has to meet privately.  (City of Toronto Act, 2006)

 

Notice to people writing or making presentations to the Board of Health: The City of Toronto Act, 2006 and the City of Toronto Municipal Code authorize the City of Toronto to collect any personal information in your communication or presentation to City Council or its committees.

 

The City collects this information to enable it to make informed decisions on the relevant issue(s). If you are submitting letters, faxes, e-mails, presentations or other communications to the City, you should be aware that your name and the fact that you communicated with the City will become part of the public record and will appear on the City’s website. The City will also make your communication and any personal information in it – such as your postal address, telephone number or e-mail address – available to the public, unless you expressly request the City to remove it.

 

The City videotapes committee and community council meetings. If you make a presentation to a committee or community council, the City will be videotaping you and City staff may make the video tapes available to the public.

 

 

If you want to learn more about why and how the City collects your information, write to the City Clerk's Office, City Hall, 100 Queen Street West, Toronto ON M5H 2N2 or by calling 416-392-8032.

 

 

Declarations of Interest under the Municipal Conflict of Interest Act.

 

Confirmation of Minutes - March 22, 2010

 

Speakers/Presentations – A complete list will be distributed at the meeting.

 

Communications/Reports

 

HL30.1

ACTION 

 

 

 

Public Forum on the Proposed Metrolinx Service Expansion in the Georgetown South Corridor
Origin
(April 16, 2010) Report from Medical Officer of Health
Recommendations

The Medical Officer of Health recommends that:

 

1.         The Board of Health forward this report to Metrolinx to address the comments and concerns raised at the Public Forum and identified in this report.

 

2.         The Board of Health forward this report to the Parks and Environment Committee for information.

 

3          The Board of Health forward this report to the Toronto District School Board, the Toronto Catholic District School Board, the Ontario Minister of the Environment, the Ontario Minister of Transportation, the Member of Provincial Parliament for York South-Weston, and the Member of Provincial Parliament for Davenport.

Summary

A public forum All aboard? Diesel, electric and clean air: which way forward? was held on Monday, March 22, 2010, from 6:30 to 9:00 pm in the Council Chambers, Toronto City Hall. The Public Forum was hosted by City Councillor John Filion, Chair of the Toronto Board of Health, and Councillor Paula Fletcher, Chair of the Parks & Environment Committee. The purpose of the Forum was to increase dialogue between Metrolinx and the community on measures being taken to address health and environmental concerns about proposed expansions and to enable Metrolinx to consider additional input from the public.

 

Many issues and concerns were raised by participants in the Public Forum, the most common of which were: a) diesel exhaust will add to the health burden on local and vulnerable populations; b) the diesel train expansion does not benefit the local community; c) diesel locomotives are old, polluting technology; and d) electrification has not been sufficiently considered to date.

 

This report discusses and comments on the key issues and questions that arose during the Public Forum and recommends that it be forwarded to Metrolinx for their consideration and to address the comments and concerns that are identified in this report.

 

A second public forum will be organized to discuss the draft results of the GO System Electrification Study once they are available. The Medical Officer of Health and Metrolinx have agreed to participate in this second forum.

Background Information
HL30.1 - Public Forum on the Proposed Metrolinx Service Expansion in the Georgetown South Corridor - Staff Report and Attachment 1
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29428.pdf)


HL30.2

ACTION 

 

 

 

Improving Toronto's Idling Control By-law: Update
Origin
(April 22, 2010) Report from Medical Officer of Health
Recommendations

The Medical Officer of Health recommends that:

 

1.         City Council grant authority to submit any bills required to amend Toronto Municipal Code Chapter 517, Idling of Vehicles and Boats, generally in accordance with Attachment 1 to this report, subject to any necessary refinements as may be identified by the Medical Officer of Health, the General Manager of Transportation Services and the City Solicitor.

 

2.         City Council forward this report to the Toronto Police Services Board and the Toronto Transit Commission for information.

Summary

Toronto Public Health led a review of Toronto’s idling control bylaw to determine how it could be improved. The review considered the benefits of reducing idling of vehicles, idling control bylaws in other jurisdictions, reasons why people idle, and information gathered during stakeholder consultations.

 

Consultation with stakeholders indicated that the bylaw could be more effective if it was easier to understand and easier for the City to enforce. Suggestions for improvement included decreasing the allowed idling time, clarifying the language in the bylaw, removing some of the exemptions, and strengthening enforcement.

 

Reducing permitted idling time from three minutes to one minute would reduce emissions of greenhouse gases and air pollutants, and make the bylaw easier to enforce. A revised bylaw would also offer the opportunity to renew efforts to reduce idling in Toronto. Education and outreach could increase public knowledge about the impact of idling on greenhouse gas emissions and target specific areas or sectors which are a consistent source of complaints.

 

This report updates a report that was on the November 2009 Board of Health agenda by responding to the Board of Health’s request for additional information about enforcing the bylaw.

Financial Impact

Changes to the idling control bylaw will require amendments to educational materials currently distributed by Transportation Services and Toronto Public Health. This includes pamphlets, web-based information, and signs. The total cost of updating the educational material is estimated at $14,700.

 

Transportation Services will provide $4,700 in their 2010 Operating Budget to cover sign revisions. The cost of updating other educational materials, estimated at $10,000 will be equally split between Transportation Services and Toronto Public Health, and will be absorbed within their respective 2010 Operating Budgets.

 

The Deputy City Manager and Chief Financial Officer has reviewed this report and agrees with the financial impact information.

Background Information
HL30.2 - Improving Toronto's Idling Control By-law: Update - Staff Report and Attachments 1 and 2
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29606.pdf)

HL30.2 - Attachment 3 - Letter from Councillor Howard Moscoe
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29607.pdf)


HL30.3

ACTION 

 

 

 

2010/2011 Student Nutrition Program Service Subsidies
Origin
(April 16, 2010) Report from Medical Officer of Health
Recommendations

The Medical Officer of Health recommends that:

 

1.         City Council enter into agreements totalling $3,796,576 with the Angel Foundation for Learning ($712,863.97) and the Toronto Foundation for Student Success ($3,083,712.03) to administer the Community Partnership and Investment Program funding to eligible student nutrition programs across the City of Toronto.

 

2.         City Council grant authority to the Medical Officer of Health to take the necessary action to give effect to Recommendation 1. including the execution of agreements with the Angel Foundation for Learning and the Toronto Foundation for Student Success on behalf of the City.

 

3.         The Board of Health forward this report for information to the Ontario Minister of Children and Youth Services, the Ontario Minister of Health Promotion, the Toronto District School Board and the Toronto Catholic District School Board.

Summary

This report recommends allocations of the Toronto Partners for Student Nutrition (TPSN) Steering Committee regarding the 2010/2011 Student Nutrition Program service subsidy allocations.  The proposed combined allocations to the Angel Foundation for Learning and the Toronto Foundation for Student Success total $3,796,576.  An amount of $298,538.60 will be held for appeals/late applications.  This includes an enhancement of $541,249 from 2009 as part of a five year plan to strengthen student nutrition programs in Toronto.

Financial Impact

This report recommends that the 2010 approved Operating Budget of $3,796,576 for the Student Nutrition Program to be allocated to the Angel Foundation for Learning ($712,863.97) and the Toronto Foundation for Student Success ($3,083,712.03), with $298,538.60 in reserve for appeals/late applications.

 

The Deputy City Manager and Chief Financial Officer has reviewed this report and agrees with the financial impact information.

Background Information
HL30.3 - 2010/2011 Student Nutrition Program Service Subsidies - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29433.pdf)


HL30.4

ACTION 

 

 

 

2010 Public Health Champion Awards
Origin
(April 15, 2010) Report from Medical Officer of Health
Recommendations

The Medical Officer of Health recommends that:

 

1.         The Public Health Champion Awards Selection Committee continue to be comprised of three members of the Board of Health and one member from each of the four Local Health Committees.

 

2.         Local Health Committees be requested to appoint one member each to the 2010 Selection Committee.

 

3.         The Selection Committee convene in September 2010 and report its selections to the November Board of Health meeting.

 

4.         The Medical Officer of Health and the Public Health Champion Awards Selection Committee implement the revisions outlined in this report to the nomination and promotional processes and timelines for 2010.

 

5.         Upon completion of the 2010 awards cycle, the Medical Officer of Health report to the Board of Health on a comprehensive evaluation of all three years of the Public Health Champion Awards with recommendations for the future of the awards.

Summary

The Public Health Champion Awards were established as a legacy initiative commemorating the 125th anniversary of public health in Toronto in 2008. The awards provide recognition to individuals and organizations that have made an outstanding contribution to public health in Toronto. This report summarizes key findings from the evaluation of the 2009 Public Health Champion Awards and recommends the nomination and selection process for the 2010 awards.

Financial Impact

There are no financial implications arising from this report.

Background Information
HL30.4 - 2010 Public Health Champion Awards - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29608.pdf)

HL30.4 - Attachment 1 - Public Health Champion Awards Call for Nominations
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29609.pdf)


HL30.5

ACTION 

 

 

 

Delegation of Authority for Purchase of Service Contracts
Origin
(April 23, 2010) Report from Medical Officer of Health
Recommendations

The Medical Officer of Health recommends that:

 

1.        City Council authorize the Medical Officer of Health to award, amend and execute, on an ongoing annual basis, purchase of service contracts for the Diabetes Prevention Strategy Program (Appendix B), and the Dental Care to Street Youth and Low Income Adults program (Appendix C), within the approved budget and in accordance with established provincial criteria and fee structures.

 

2.        The Board of Health include these service contracts in its annual report to the Executive Committee on the purchase of service contracts that have been awarded under the delegation of authority.

Summary

The purpose of this report is to seek delegated authority to conclude service agreements for the Diabetes Prevention Strategy program and the Dental Care to Street Youth and Low Income Adults program.

Financial Impact

This report has no financial impact beyond what has already been approved by Council in the 2010 Operating Budget for Toronto Public Health (TPH). Appendix A attached summarizes the service contracts by program for 2010.

Background Information
HL30.5 - Delegation of Authority for Purchase of Services Contracts - Staff Report and Appendices A - C
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29628.pdf)


HL30.6

ACTION 

 

 

 

Service Agreements Awarded and Executed by the Medical Officer of Health for 2010
Origin
(April 23, 2010) Report from Medical Officer of Health
Recommendations

The Medical Officer of Health recommends that:

 

1.         The Board of Health forward this report to the Executive Committee for its information. 

Summary

The purpose of this report is to provide information on the purchase of service contracts awarded and executed by the Medical Officer of Health for 2010, according to the delegation of authority by City Council.

Financial Impact

This report has no financial impact beyond what has already been approved by Council in the 2010 Operating Budget for Toronto Public Health (TPH). Appendix A attached summarizes the service contracts by program for 2010.

Background Information
HL30.6 - Service Agreements Awarded and Executed by the Medical Officer of Health for 2010 - Staff Report and Appendices A - H
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29625.pdf)


HL30.7

ACTION 

 

 

 

2009 Performance Appraisal for the Medical Officer of Health
Confidential Attachment - Personal matters about an identifiable individual, including municipal or local board employees
Origin
(March 22, 2010) Letter from Board of Health Sub-Committee to Conduct the 2009 Performance Appraisal for the Medical Officer of Health
Recommendations

The Board of Health Sub-Committee to Conduct the 2009 Performance Appraisal for the Medical Officer of Health recommends to the Board of Health that:

 

1.         The recommendations in Confidential Attachment 1 be approved.

 

2.         Confidential Attachment 1 remain confidential as it contains personal information about an identifiable individual, including municipal or local board employees.

Summary

The Board of Health Sub-Committee to Conduct the 2009 Performance Appraisal for the Medical Officer of Health met on March 22, 2010, to consider the 2009 Performance Appraisal for the Medical Officer of Health and forwarded its recommendations to the Board of Health.

Background Information
HL30.7 - 2009 Performance Appraisal for the Medical Officer of Health - Letter from the Board of Health Sub-Committee to Conduct the 2009 Performance Appraisal for the Medical Officer of Health
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29559.pdf)


HL30.8

ACTION 

 

 

 

Budget Adjustments to the Toronto Public Health 2010 Approved Operating Budget
Origin
(April 16, 2010) Report from Medical Officer of Health
Recommendations

The Medical Officer of Health recommends that: 

 

1.         City Council make the following adjustment to the TPH 2010 Approved Operating Budget:

 

a.         a reduction of $1,410.2 thousand gross and $0.0 net, and a reduction of 4.0 permanent positions, to reflect confirmed funding from various Provincial ministries and external sources.

 

2.         The Board of Health forward this report to the Budget Committee for its consideration.

Summary

This report seeks approval for budget adjustments to the Toronto Public Health (TPH) 2010 Approved Operating Budget due to confirmation of funding from various Provincial ministries and external sources received after the submission of the 2010 Operating Budget request in November 2009.

Background Information
HL30.8 - Budget Adjustments to the Toronto Public Health 2010 Approved Operating Budget - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29446.pdf)


HL30.9

Information 

 

 

 

Update on City Council Approved Toronto Public Health 2010 Operating Budget
Origin
(April 16, 2010) Report from Medical Officer of Health
Summary

This report provides the Board of Health (BOH) with an update on the Toronto Public

Health (TPH) 2010 Operating Budget approved at the City Council meeting of April 15 and 16, 2010.

 

City Council approved a TPH 2010 Operating Budget of $219,539.0 thousand gross /

$44,161.9 thousand net, including a base budget of $217,306.9 thousand gross /

$44,402.5 thousand net and an adjustment of $2,232.1 thousand gross / -$240.6 thousand net relating to base budget reductions and service enhancements. This budget represents a decrease of $3,337.1 thousand or -0.9 per cent in gross expenditures and an increase of $342.7 thousand or 0.8 per cent in net expenditures from the 2009 Operating Budget.

Background Information
HL30.9 - Update on City Council Approved Toronto Public Health 2010 Operating Budget - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29445.pdf)


HL30.10

Information 

 

 

 

Toronto Public Health Capital Budget Variance Report for the Three Months Ended March 26, 2010
Origin
(April 15, 2010) Report from Medical Officer of Health
Summary

This report provides information to the Board of Health on the Toronto Public Health (TPH) Capital Budget variance for the three-month period ended March 26, 2010 (Appendix 1).

 

TPH spent $0.523 million or 9.6 per cent of the 2010 approved cash flow of $5.420 million as of March 26, 2010.  The year-end capital expenditure is projected to be $4.731 million or 87.3 per cent of the approved cash flow. The projected year-end under expenditure of $0.689 million will be carried forward to 2011.

Financial Impact

The Deputy City Manager and Chief Financial Officer has reviewed this report and agrees with the financial impact information.

Background Information
HL30.10 - Toronto Public Health Capital Budget Variance Report for the Tnree Months Ended March 26, 2010 - Staff Report
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29448.pdf)

HL30.10 - Toronto Public Health 2010 Capital Budget Variance Report for the Three Months Ended March 26, 2010 - Attachment 1
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29449.pdf)


HL30.11

Information 

 

 

Ward: All 

Pandemic Influenza Preparedness Update
Summary

The Medical Officer of Health will give an updatee on pandemic influenza preparedness in Toronto.


HL30.12

Information 

 

 

Ward: All 

Local Health Committee Minutes
Summary

Local Health Committees submitting the following:

 

-           Minutes of the Scarborough Local Health Committee meetings held on October 13, 2009, November 9, 2009, February 8, 2010, and March 15, 2010;

 

-           Minutes of the Toronto/East York Local Health Committee meetings held on January 12, 2010, and February 9, 2010; and

 

-           Minutes of the North Local Health Committee meeting held on February 10, 2010.

Background Information
HL30.12 - Scarborough Local Health Committee Minutes - October 13, 2009
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29395.pdf)

HL30.12 - Scarborough Local Health Committee Minutes - November 9, 2009
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29396.pdf)

HL30.12 - Scarborough Local Health Committee Miinutes - February 8, 2010
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29397.pdf)

HL30.12 - Scarborough Local Health Committee Minutes - March 15, 2010
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29398.pdf)

HL30.12 - Toronto/East York Local Health Committee Minutes - January 12, 2010
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-28494.pdf)

HL30.12 - Toronto/East York Local Health Committee Minutes - February 9, 2010
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-28495.pdf)

HL30.12 - North York Local Health Committee Minutes - February 10, 2010
(http://www.toronto.ca/legdocs/mmis/2010/hl/bgrd/backgroundfile-29389.pdf)