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 - November 16, 2009

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

Communications/Reports

The Medical Officer of Health recommends that:

1.         City Council increase the Toronto Public Health 2009 Operating Budget for one-time funding of $135.0 thousand gross and $0.0 net, provided by the Ministry of Health and Long-Term Care (MOHLTC) to reimburse the cost for implementation of flu assessment centres during the fall of 2009 as part of the City’s H1N1 pandemic response.

2.         This report be forwarded directly to the City Council meeting of January 26, 2010 for approval.

The purpose of this report is to request a budget adjustment to Toronto Public Health’s (TPH) 2009 Operating Budget.  This adjustment reflects 100 per cent funding from the Ontario Ministry of Health and Long-Term Care (MOHLTC) Emergency Operations Centre, for the reimbursement of extraordinary costs to implement flu assessment centres, as part of the City’s response to the second wave of H1N1 in fall of 2009.

Toronto Public Health implemented five flu assessment centres in partnership with other health service organizations in the city i.e. hospitals, family health teams and community health centres.  The flu assessment centres provided temporary relief for hospital emergency room services and primary care, offering alternate point of care access for patients who required influenza assessment, treatment and referral in accordance with the planning and response principles outlined in the Ontario Health Plan for an Influenza Pandemic (OHPIP) and the Toronto Public Health Plan for an Influenza Pandemic (TPHPIP).

The table below summarizes the requested one-time budget adjustment to Toronto Public Health’s 2009 Operating Budget.

This 100 per cent funding will be provided by the MOHLTC to reimburse TPH for the cost of supplies and materials that were ordered for the centres’ operations, as well as the contracted staff and overtime costs for TPH staff.

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

The Medical Officer of Health recommends that:

1.         City Council approve an increase of $165.0 thousand gross and $0.0 net to Toronto Public Health’s 2010 Operating Budget to reflect confirmed 2010 funding from the Heart and Stroke Foundation of Canada, the lead agency for Coalition Linking Action and Science Prevention (CLASP) funding;

2.         City Council authorize the Medical Officer of Health to award, execute and amend Purchase of Service contracts with Dr. Larry Frank of the University of British Columbia, and Dr. Mary Thompson of the University of Waterloo for research services on the Built Environment and Health Project, and

3.         This report be forwarded to the City Council meeting of January 26, 2010 for approval.

Funding for the CLASP project will be administered through the Heart and Stroke Foundation of Canada. TPH’s previously approved share for the period October 2009 to March 2012 was $199,932. TPH’s new and additional share for the period February 2010 to March 2012 is $415.0 thousand.

The table below summarizes the annual cash flow for the duration of the project. For 2010, an increase of $165.0 thousand gross and $0.0 net is required to Toronto Public Health’s 2010 Operating Budget.

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

The Medical Officer of Health recommends that:

1.         The Board of Health appoint the individuals listed in confidential Attachment 3 to the AIDS Prevention Community Investment Program Review Panel and the Drug Prevention Community Investment Program Review Panel for 2010.

The Medical Officer of Health recommends that:

1.         The Board of Health approve the participation of the Board of Health’s representative or alternate at all alPHa Board meetings, alPHa Board of Health Section meetings and alPHa semi-annual meetings/conferences in 2010 and pay expenses associated with this participation.

2.         The Board of Health encourage the participation of its members at any alPHa Board of Health Section meetings and semi-annual meetings/conferences held in Toronto in 2010 and pay expenses associated with this participation within the approved 2010 budget.

The Medical Officer of Health recommends that:

1.         City Council approve an increase of $93.0 thousand gross and $0.0 net to Toronto Public Health’s 2010 Operating Budget to reflect confirmed 2010 funding from the Ontario Ministry of the Environment, the lead agency for disbursing Natural Resources Canada funding to members of the Ontario Regional Adaptation Collaborative.

2.         City Council authorize the Medical Officer of Health to award, execute, and amend Purchase of Service contracts with Dr. Claus Rinner of Ryerson University, Dianne Patychuk of Steps to Equity, and Dr. Kate Bassil of Simon Fraser University for research and geospatial analysis services on the heat vulnerability mapping project.

3.         This report be forwarded to the City Council meeting of January 26, 2010 for approval.

Funding for the ORAC project will be administered through the Ontario Ministry of the Environment.  TPH’s share for the period February 2010 to March 2012 is $135.0 thousand.

The table below summarizes the annual cash flow for the duration of the project.  For 2010, an increase of $93.0 thousand gross and $0.0 net is required to Toronto Public Health’s 2010 Operating Budget and an additional $42.0 thousand gross and $0.0 net is required in 2011.

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