Board of Health
The full agenda, as filed
All 5 items in the clerk’s order. Each carries the city’s own words: the staff recommendation, what the body decided, and its status. Nothing below is written by us.
HL8.1received
Toronto Urban Health Fund Indigenous Funding Stream
Sharon Witruk, Senior Manager, Indigenous Collaboration and Partnerships, United Way Greater Toronto, will give a presentation on Toronto Urban Health Fund Indigenous Funding Stream.
The Board of Health received the item for information.
HL8.2adopted
2019 Toronto Urban Health Fund Allocations and Review Process
This report outlines the Toronto Urban Health Fund's funding priorities, review process, and funding recommendations for the Board of Health's approval. The Toronto Urban Health Fund Review Panel recommends the allocation of $755,166 for 14 one-year projects that focus on HIV prevention, harm reduction, and/or child and youth resiliency to be used between July 1, 2019 and June 30, 2020. This report also recommends that the Board of Health approve the third year of funding for 40 three-year projects that it approved in 2017.
The Board of Health: 1. Requested the Medical Officer of Health to allocate $755,166 for 14 one-year projects in 2019, as recommended by the 2019 Toronto Urban Health Fund Review Panel and outlined in Appendices B and C to the report (June 21, 2019) from the Co-Chair, Toronto Urban Health Fund Review Panel. 2. Requested the Medical Officer of Health to allocate a total of $2,675,894 in 2019 from the Toronto Urban Health Fund to carry out third-year activities for the 40 three-year projects that were approved by the Board of Health in 2017. 3. Requested the Medical Officer of Health to execute Funding Agreements with the approved applicants.
Staff recommendation as filed
The Co-Chair, 2019 Toronto Urban Health Fund Review Panel recommends to the Board of Health that: 1. The Medical Officer of Health allocate $755,166 for 14 one-year projects in 2019, as recommended by the 2019 Toronto Urban Health Fund Review Panel and outlined in Appendices B and C to this report. 2. The Medical Officer of Health allocate a total of $2,675,894 in 2019 from the Toronto Urban Health Fund to carry out third-year activities for the 40 three-year projects that were approved by the Board of Health in 2017. 3. The Medical Officer of Health execute Funding Agreements with the approved applicants.
HL8.3amended
Toronto Urban Health Fund Funding Priorities and Objectives for the Years 2020 to 2026
This report outlines changes to the Toronto Urban Health Fund's funding objectives for its three streams: prevention of HIV through sexual transmission, harm reduction, and child and youth resiliency. The updated priorities and funding objectives reflect the epidemiology of HIV, substance use, and overdose data for Toronto and are informed by community consultation.
The Board of Health: 1. Approved the proposed Toronto Urban Health Fund funding objectives for the three following streams for the funding period from 2020 to 2026, as outlined in Attachment 1 to the report (June 21, 2019) from the Medical Officer of Health: a. prevention of HIV through sexual transmission; b. harm reduction; and c. child and youth resiliency. 2. Requested the Medical Officer of Health to include $422,000 for the Toronto Urban Health Fund Indigenous Funding Stream in Toronto Public Health's 2020 Operating Budget Submission.
Staff recommendation as filed
The Medical Officer of Health recommends that: 1. The Board of Health approve the proposed Toronto Urban Health Fund funding objectives for the three following streams for the funding period from 2020 to 2026, as outlined in Attachment 1: a. prevention of HIV through sexual transmission; b. harm reduction; and c. child and youth resiliency.
HL8.4adopted
Public Health Implications of the Proposed Increase in Access to Alcohol in Ontario
The Ontario Budget, released April 11, 2019, reiterated or proposed changes to how alcohol is sold across the province. This report examines the implications of these changes and responds to the Board of Health's request for a report with recommendations related to the expanded availability of retail sales and extended hours for the sale and consumption of alcohol in the City of Toronto. The Government of Ontario's changes to how alcohol is sold include: to expand retail alcohol sales to convenience and big box stores, to allow certain providers to serve alcohol starting at 9:00 a.m., to allow permits for "tailgating" at eligible sporting events, and to allow municipalities to designate public areas for alcohol consumption. The Province also recently announced plans to continue expanding alcohol sales in grocery stores and through Liquor Control Board of Ontario (LCBO) "Convenience Outlets" by year-end. Finally, Ontario's Special Advisor for the Beverage Alcohol Review released a report outlining recommendations for retail alcohol expansion that includes working with public health experts to mitigate the social costs related to alcohol. There is evidence that increasing access to alcohol, through greater retail availability and longer hours in which alcohol is sold, is associated with increased alcohol consumption and higher rates of alcohol-related harms. Overall, the proposed provincial changes significantly challenge efforts to promote responsible drinking, to protect the public's health and safety, and to address the potential economic costs of alcohol consumption. This report recommends that the Medical Officer of Health work with the City Manager to review the implications of provincial regulatory changes related to increased alcohol access on City services and policies, such as the Municipal Alcohol Policy, and determine appropriate actions. This will support the City's ongoing efforts to promote responsible alcohol consumption. It also recommends the Province consult with local public health units, including Toronto Public Health, and that this report be provided to the Ontario Ministry of Finance as input into their approach to increase access to alcohol, as well as to other relevant organizations for use in updating their programs and policies to support the incorporation of additional measures to mitigate the social and health harms associated with increased alcohol availability.
The Board of Health: 1. Requested the Medical Officer of Health to work with the City Manager to review the implications of provincial regulatory changes related to increased alcohol access on the City of Toronto's policies and services and to determine appropriate actions. 2. Requested the Minister of Finance to include local public health units, including Toronto Public Health, among the public health experts consulted on how to mitigate the social costs of increased alcohol access, as recommended in the report by Ontario's Special Advisor for the Beverage Alcohol Review. 3. Directed that the report (July 5, 2019) from the Medical Officer of Health be forwarded to the Ontario Ministry of Finance as input into their proposed approach to increase access to alcohol, which includes working with public health experts to mitigate the social costs of increased alcohol access, as recommended in the report by Ontario's Special Advisor for the Beverage Alcohol Review. 4. Directed that the report (July 5, 2019) from the Medical Officer of Health be forwarded to the Alcohol and Gaming Commission of Ontario, the Ontario Public Health Association, the University of Toronto, Ryerson University, York University, the Ontario College of Art and Design University, Centennial College, Humber College, Seneca College, and George Brown College for consideration in their programs and policies.
Staff recommendation as filed
The Medical Officer of Health recommends that: 1. The Board of Health request the Medical Officer of Health to work with the City Manager to review the implications of provincial regulatory changes related to increased alcohol access on City policies and services and determine appropriate actions. 2. The Board of Health request the Minister of Finance to include local public health units, including Toronto Public Health, among the public health experts consulted on how to mitigate the social costs of increased alcohol access as recommended in the report by Ontario's Special Advisor for the Beverage Alcohol Review. 3. The Board of Health forward this report to the Ontario Ministry of Finance as input into their proposed approach to increase access to alcohol, which includes working with public health experts to mitigate the social costs of increased alcohol access, as recommended in the report by Ontario's Special Advisor for the Beverage Alcohol Review. 4. The Board of Health forward this report to the Alcohol and Gaming Commission of Ontario, the Ontario Public Health Association, the University of Toronto, Ryerson University, York University, the Ontario College of Art and Design University, Centennial College, Humber College, Seneca College, and George Brown College for consideration in their programs and policies.
HL8.5amended
Impact of Provincial Budget Announcement
The Medical Officer of Health will give a presentation on Impact of Provincial Budget Announcement.
The Board of Health: 1. Requested the Medical Officer of Health to report to the Board of Health Budget Committee at its meeting on September 27, 2019 on the following: a. options for savings in Toronto Public Health's 2020 Budget that do not negatively impact the health status of Torontonians; b. revenue options; and c. an update on the development of an alternative proposal for the restructuring of public health in Ontario. 2. Requested the Medical Officer of Health to not implement an in-year hiring freeze in Toronto Public Health. 3. Directed that the confidential information contained in Confidential Attachment 1 to the presentation (June 27, 2019) from the Medical Officer of Health remain confidential in its entirely, as it relates to personal matters about identifiable individuals, including municipal or local board employees, and labour relations or employee negotiations.