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THE CITY OF TORONTO

City Clerk's Division

Minutes of the Board of Health

Meeting No. 1

Monday, January 25, 1999 The Board of Health met on Monday, January 25, 1999, in Committee Room 1, 2nd Floor, City Hall, Toronto, commencing at 2:00 p.m. Members Present: In Camera Session 2:00 p.m.-7:15 p.m. 7:15 p.m.-7:35 p.m. Councillor Gerry Altobello x x Mr. Robert Davies x Councillor John Filion x x Councillor Anne Johnston x x Councillor Irene Jones Councillor Joan King x Councillor Joe Mihevc x x Dr. Rosanna Pellizzari x Councillor Michael Prue x x Ms. Elca Rennick x Also Present: Councillor Olivia Chow x Observers: Trustee Gerri Gershon, Toronto District School Board Trustee Elizabeth Hill, Toronto District School Board Members were present for some or all of the time period indicated. Confirmation of Minutes. On motion by Councillor Prue, the Minutes of the meeting of the Board of Health held on November 10, 1998, were confirmed. 1.1 Election of Chair and Vice-Chair. The Board of Health had before it the matter of the election of the Chair and Vice-Chair, as required under the Health Protection and Promotion Act. The Board also had before it a communication (January 13, 1999) from Councillor Irene Jones expressing interest in continuing her role as Chair or Vice-Chair on the Board of Health. The Secretary of the Board invited nominations for the office of Chair and Vice-Chair of the Board of Health. Councillor Altobello nominated Councillor Jones as Chair of the Board of Health. (Lost) Councillor Mihevc nominated Councillor Filion as Chair of the Board of Health. (Carried) Councillor Mihevc nominated Councillor Jones as Vice-Chair of the Board of Health. (Carried) (Councillor Filion; Councillor Jones - January 25, 1999) Councillor Filion assumed the Chair. 1.2 The State of the City s Health: Achieving Public Health Goals in the Millennium. The Board of Health had before it a report (January 14, 1999) from the Medical Officer of Health respecting the State of the City s Health: Achieving Public Health Goals in the Millennium, and recommending that the Board of Health endorse this report and refer it to the Community and Neighbourhood Services Committee, the Budget Committee and City Council. The Medical Officer of Health gave a presentation to the Board of Health with respect to the foregoing matter. Councillor Johnston moved that the Chair of the Board of Health be requested to seek a meeting of the Board with the Mayor, prior to consideration of the budget and in addition to the Budget Committee process, to discuss public health priorities. (Carried) Dr. Pellizzari moved the adoption of the report, with a direction that such report be forwarded to the Budget Committee as part of a package with other reports requiring budget approval. (Carried) (Budget Committee; Community and Neighbourhood Services Committee; Chair, Board of Health; Medical Officer of Health - January 25, 1999) 1.3 Update on Investing in Public Health. The Board of Health had before it a report (January 15, 1999) from the Medical Officer of Health providing an update on the Board s request for an investment strategy for Public Health; advising that comprehensive planning for Public Health programs and services, based on health needs and expected outcomes of interventions, remains a significant challenge for Public Health that will commence once the final management team is in place; further advising that the Board, along with staff and community stakeholders, will be involved in a planning process that will yield an investment strategy for the year 2000 and beyond; noting that investment options for 1999 are detailed in separate reports; and recommending that this report be received for information. The Board of Health received the aforementioned report. (Medical Officer of Health - January 25, 1999) 1.4 Meeting Provincial Standards across the City for Selected Public Health Programs and Services: Food Safety Program, Tuberculosis Control and Needle Exchange. The Board of Health had before it a report (January 18, 1999) from the Medical Officer of Health recommending that: (1) the Board of Health select one of the following service level options for the Food Safety Program and recommend the additional funding required within the 1999 budget approval process: (a) provision of an optimal service level for the City of Toronto, at an additional cost of $646,411.00 in 1999 (including a one-time cost of $61,000.00), and $1,756,234.00 in 2000 and subsequent years; or (b) provision of the minimum service level mandated by the Province, at an additional cost of $406,630.00 in 1999 (including a one-time cost of $39,900.00), and $1,100,189.00 in 2000 and subsequent years; (2) the Board of Health select one of the following service options for tuberculosis (TB) control and recommend the additional funding required within the 1999 budget approval process: (a) provision of an optimal service level for the City of Toronto, at an additional cost of $726,159.00 in 1999 (including one-time costs of $100,000.00) and $1,878,478.00 in 2000 and subsequent years; or (b) provision of the minimum service level mandated by the Province, at an additional cost of $567,572.00 in 1999 (including one-time costs of $87,000.00) and $1,441,715.00 in 2000 and subsequent years; (3) the Board of Health request Council through the Community and Neighbourhood Services Committee to advocate with the Board of Health and local hospitals for provincial funding to provide appropriate accommodation for people without housing who have active TB, in order to reduce disease transmission and promote a stable environment which will assist them to regain their health; (4) the Board of Health select one of the following service options for needle exchange for the purposes of HIV prevention and recommend the additional funding required within the 1999 budget approval process: (a) provision of an optimal service level for the City of Toronto, at an additional cost of $227,878.00 in 1999 (including one-time costs of $41,000.00 in 1999) and $560,634.00 in 2000 and subsequent years plus one- time capital costs of $82,000.00 in 2000; or (b) provision of the minimum service level mandated by the Province, at an additional cost of $180,565.00 in 1999 (including one-time costs of $41,000.00) and $418,696.00 in 2000 and subsequent years; (5) the Board of Health recommend that Council urge the Ontario Ministry of Health and Health Canada to provide funding for methadone programs and services in Toronto that serve hard-to-reach and high-needs clients; and (6) the Board of Health recommend to Council that the City s Methadone Works pilot program be ended on March 31, 1999, unless ongoing external funding is obtained to continue the program beyond that date. The Board also had before it the following communications: (i) (January 22, 1999) from Ms. Anne Dubas, President, Canadian Union of Public Employees (CUPE) Local 79, urging Councillors to support the optimal approach to meeting provincial standards for food safety, tuberculosis control and needle exchange services; and (ii) (January 21, 1999) from Ms. Rita Luty, Chair, Northern Health Area Community Health Board, advising that the Northern Health Area Community Health Board at its meeting held on January 21, 1999, adopted a motion in support of the selection of optimal service levels for the Food Safety Program, tuberculosis control and needle exchange for the purposes of HIV prevention, to be funded from new fiscal resources, and the pursuit of additional funding for methadone programs and services in Toronto. Dr. Barbara Yaffe, Director, Communicable Disease Control, Toronto Public Health, gave a presentation to the Board of Health on the aforementioned report. Mr. Denis Casey, Vice-President, Canadian Union of Public Employees, Local 79, appeared before the Board of Health in connection with the foregoing matter. Dr. Pellizzari moved: (1) the adoption of Option (a) in Recommendations Nos. (1), (2) and (4) embodied in the aforementioned report; and (2) the adoption of Recommendations Nos. (3), (5) and (6), which was carried, as amended. Councillor King moved the adoption of Option (b) in Recommendations Nos. (1), (2) and (4) embodied in the aforementioned report. (Redundant) Councillor Filion appointed Councillor Mihevc Acting Chair, and vacated the Chair. Councillor Filion moved that: (1) the foregoing motion by Dr. Pellizzari be amended to provide that the Board approve, in principle, Option (a) in Recommendations Nos. (1), (2) and (4) embodied in the aforementioned report, with a request that the Medical Officer of Health submit a report to the Board at its next meeting, scheduled to be held on February 22, 1999, on additional cost implications for the selected options in the context of the 1999 budget submission for public health; and (2) the Chair of the Board, the Medical Officer of Health and the Commissioner of Community and Neighbourhood Services be requested to review the Board of Health s position on service harmonization, and report back to the Board at its next meeting, scheduled to be held on February 22, 1999, which was carried. (Community and Neighbourhood Services Committee; Chair, Board of Health; Medical Officer of Health; Commissioner of Community and Neighbourhood Services; c: Ms. Anne Dubas; Ms. Rita Luty - January 25, 1999) (Clause No. 2, Report No. 1) Councillor Filion resumed the Chair. 1.5 Harmonization of Dental and Oral Health Services. The Board of Health had before it a report (January 15, 1999) from the Medical Officer of Health recommending that the Board of Health select one of the following options for harmonizing dental services in the City: (1) that the Public Health dental treatment programs be harmonized to provide services to individuals who lack dental benefits and cannot afford to pay for dental care, including children of low-income families, ESL and other new immigrant adolescents, high risk mothers enrolled in another Public Health program, independent living seniors, and institutionalized seniors (with low income defined in accordance with the definition used by Statistics Canada); that if this service level option is adopted, the following recommendations apply: (a) that services be harmonized in the short term by extending the hours of some or all of the current clinic facilities to 8:00 a.m. - 7:00 p.m., at an additional annualized operating cost of $1.9 million for all sites in the former City of Toronto or $900,000.00 for four sites as detailed in the report; and (b) that the Board consider upgrading the current dental clinic facilities in Etobicoke to allow the clinic to operate with extended hours as described in (a), at an additional annualized operating cost of $200,000.00 plus one- time costs of $100,000.00 to upgrade the equipment and facility; that if Option (1) is not adopted, the following options should be considered: (2) that the existing treatment budget of $3.6 million be reallocated across the entire City; or (3) that the 100 percent municipally funded dental treatment programs be eliminated, for annualized savings of $3.6 million; and further recommending that: (4) an internal work group of staff in Social Services and Public Health divisions be established to report on the implications of providing basic dental benefits to adult participants of the Ontario Works Program who currently have access to emergency services only; and (5) the Board of Health advocate to the provincial and federal government that dental and oral health are primary health care issues and should be funded accordingly, especially for those groups who cannot access basic dental care due to the cost. The Board also had before it the following communications: (i) (January 22, 1999) from Ms. Anne Dubas, President, Local 79, Canadian Union of Public Employees, urging Members of the Board of Health to support Option (1) for the provision of dental services; and (ii) (January 21, 1999) from Ms. Rita Luty, Chair, Northern Health Area Community Health Board, advising that the Northern Health Area Community Health Board at its meeting held on January 21, 1999, adopted a motion in support of Recommendations Nos. (1), (4) and (5) of the report of the Medical Officer of Health. The Board also had before it the following communications in support of various dental services: (iii) (January 22, 1999) from Mrs. B.J. Black; (iv) (January 22, 1999) from Ms. Jean Smith, Special Projects Coordinator, and Ms. Veronica Burris, Nurse Manager, Barton Place Long Term Care Facility; (v) (January 22, 1999) from Ms. Anne Chan, Executive Director, Mon Sheong Foundation; (vi) (January 22, 1999) from Ms. Zenona Piotrowska; (vii) (January 25, 1999) from Ms. Georgina Paszkowski; and (viii) (January 21, 1999) from Mr. Soli Uranwala. Ms. Hazel Stewart, Regional Director - York/Etobicoke, and Dr. Mary Kudrac, Manager, Dental Care, Toronto Public Health, gave a presentation to the Board of Health with respect to the aforementioned report. The following persons appeared before the Board of Health in connection with the foregoing matter: - Mr. Denis Casey, Vice-President, Canadian Union of Public Employees, Local 79; - Mr. Bong Kim Tran; - Ms. Shirley Bulmer; - Mr. Michael Sigal, Chairman, Head of Pediatric Dentistry, University of Toronto Dental School; - Mr. Joel Rosenbloom, West Central Health Clinic; - Mr. Steve Gaetz, Shout Clinic; - Ms. Evie F. Jesin, College of Dental Hygienists of Ontario; and - Councillor Olivia Chow, Downtown. A. Councillor Johnston moved that the Medical Officer of Health be requested to submit a report to the Board on the extension of services to the following areas: (1) the use of subsidies for private facilities to enable seniors to visit their own dentists; and (2) the use of schools, which was carried. B. Councillor Altobello moved: (1) the adoption of Option (1) embodied in the aforementioned report; and further that: (a) services be harmonized in the short term by extending the hours of some or all of the current clinic facilities to 8:00 a.m. - 7:00 p.m., at an additional annualized operating cost of $1.9 million for all sites in the former City of Toronto; and (b) the Board upgrade the current dental clinic facilities in Etobicoke to allow the clinic to operate with extended hours as described in (a) above, at an additional annualized operating cost of $200,000.00 plus one-time costs of $100,000.00 to upgrade the equipment and facility; (2) the adoption of Recommendations Nos. (4) and (5); (3) that a dental clinic be opened in the east end of the City at a capital cost of $100,000.00 and additional annualized operating cost of $350,000.00; and (4) that the Medical Officer of Health be requested to submit a report to the next meeting of the Board, scheduled to be held on February 22, 1999, on community-based clinics compared to fee-for-service, including costs and benefits and a comparison of the most cost- effective means of reaching the largest number of residents, which was carried. C. Dr. Pellizzari moved that the Medical Officer of Health be requested to: (1) explore potential sites and co-operation with universities, colleges, technical schools, community health centres and hospitals to optimize geographic access to dental services across the new City of Toronto; and (2) submit a report to the Board on the recommendations of the Homelessness Task Force which apply to oral dental care, which was carried. D. Councillor King moved that consideration of the foregoing matter be deferred until the next meeting of the Board, scheduled to be held on February 22, 1999, pending submission of the reports requested from the Medical Officer of Health. (Withdrawn) Councillor Filion appointed Councillor Altobello Acting Chair, and vacated the Chair. E. Councillor Filion moved that the Chair of the Board of Health and the Medical Officer of Health be requested to: (1) seek a meeting with the Minister of Health to urge the Province to pay for basic dental care; and (2) meet with the Ontario Dental Association to discuss the provision of basic dental care for those Toronto residents who, due to financial hardship, are unable to pay for dental care, which was carried. Councillor Filion resumed the Chair. The following is the action therefore taken by the Board of Health: The Board of Health: (1) recommended to the Budget Committee the adoption of Option (1) embodied in the aforementioned report; and further that: (a) services be harmonized in the short term by extending the hours of some or all of the current clinic facilities to 8:00 a.m. - 7:00 p.m., at an additional annualized operating cost of $1.9 million for all sites in the former City of Toronto; (b) the Board upgrade the current dental clinic facilities in Etobicoke to allow the clinic to operate with extended hours as described in (a) above, at an additional annualized operating cost of $200,000.00 plus one-time costs of $100,000.00 to upgrade the equipment and facility; and (c) a dental clinic be opened in the east end of the City at a capital cost of $100,000.00 and additional annualized operating cost of $350,000.00; (2) adopted Recommendations Nos. (4) and (5); (3) requested the Chair of the Board of Health and the Medical Officer of Health to seek a meeting with the Minister of Health to urge the Province to pay for basic dental care; (4) requested the Chair of the Board of Health and the Medical Officer of Health to meet with the Ontario Dental Association to discuss the provision of basic dental care for those Toronto residents who, due to financial hardship, are unable to pay for dental care; (5) requested the Medical Officer of Health to submit a report to the next meeting of the Board, scheduled to be held on February 22, 1999, on community-based clinics compared to fee-for-service, including costs and benefits and a comparison of the most cost- effective means of reaching the largest number of residents; (6) requested the Medical Officer of Health to explore potential sites and co-operation with universities, colleges, technical schools, community health centres and hospitals to optimize geographic access to dental services across the new City of Toronto; and (7) requested the Medical Officer of Health to submit a report to the Board on: (I) the recommendations of the Homelessness Task Force which apply to oral dental care; and (ii) the extension of services to the following areas: (a) the use of subsidies for private facilities to enable seniors to visit their own dentists; and (b) the use of schools. (Budget Committee; Chair, Board of Health; Medical Officer of Health; Commissioner of Community and Neighbourhood Services; c: Interested Parties - January 25, 1999) 1.6 Harmonization of Food Access Grants. The Board of Health had before it a report (January 15, 1999) from the Medical Officer of Health recommending that the Board of Health select one of the following service options for Food Access Grants, and request the Municipal Grants Review Committee to recommend the additional funding required within the 1999 budget approval process: (1) establish an optimal service level for City-wide Food Access Grants at a new cost of $1,000,000.00 in operating grants, and $500,000.00 for capital grants targeted outside the former Toronto with $152,370.00 for grants administration, for an additional cost of $550,790.00 in 1999 and $1,652,370.00 in 2000 and subsequent years; or (2) establish a partnership funding model for City-wide Food Access Grants as in Option A outlined in the report, with the City of Toronto contributing $750,000.00 and seeking additional funding of $750,000.00 from community foundations (if additional funds cannot be secured, the program would operate at a reduced level based on the municipal funding portion of $750,000.00 and any matching funds which could be secured), with an additional cost of $300,790.00 in 1999, and $902,370.00 in 2000 and subsequent years; or (3) do not reestablish a Food Access Grants program. The Board also had before it the following communications: (i) (January 22, 1999) from Ms. Anne Dubas, President, Canadian Union of Public Employees (CUPE) Local 79, urging Members of the Board of Health to reject Option C of the aforementioned report in the strongest terms; and (ii) (January 21, 1999) from Ms. Rita Luty, Chair, Northern Health Area Community Health Board, advising that the Northern Health Area Community Health Board at its meeting held on January 21, 1999 adopted a motion in support of Option (2), which recommends the establishment of a partnership funding model for City-wide Food Access Grants. Ms. Carol Timmings, Regional Director, Scarborough/East York, Toronto Public Health, gave a presentation to the Board of Health with respect to the aforementioned report. Mr. Denis Casey, Vice-President, Canadian Union of Public Employees, Local 79, appeared before the Board of Health in connection with the foregoing matter. Councillor Mihevc moved the adoption of the option set out in Recommendation No. (1) of the aforementioned report, and that the Board of Health recommend to the Municipal Grants Review Committee the additional funding required within the 1999 budget approval process. (Carried) Councillor Prue moved that the Medical Officer of Health be requested to seek private sector funding, and to submit a report thereon to the Board of Health later in the year. (Carried) (Municipal Grants Review Committee; Medical Officer of Health; c: Ms. Anne Dubas; Ms. Rita Luty - January 25, 1999) 1.7 Toronto Task Force for the Frail Non-Receptive Older Adult. The Board of Health had before it a report (January 15, 1999) from the Medical Officer of Health recommending that: (1) the Board of Health adopt the recommendations made in the report by the Toronto Task Force for the Frail Non-Receptive Older Adult; (2) the report be forwarded to the Toronto District Health Council for their consideration; (3) the Board strongly advocate that the Ministry of Health - Long Term Care Division move quickly to fund the implementation of a service model for frail non-receptive seniors as detailed in the report, accompanied by a strong evaluation component; (4) Public Health continue to work with community agencies and advocate for improved services for this population; and (5) Public Health develop a consistent approach to this target population across the City through the redistribution of existing resources, pending the Ministry of Health s implementation of a service model for this population. The Board also had before it a copy of the Report of the Toronto Task Force For Frail Non-Receptive (FNR) Older Adults dated October 1998, entitled Serving Toronto s Frail Non-Receptive Older Adults , which recommended as follows: 1.0 that this community-wide FNR Model be received and endorsed by the Medical Officer of Health and subsequently by the Toronto Board of Health; 2.0 that the Toronto Board of Health should recommend to the Ministry of Health that: 2.1 Assistance and Intervention (Seniors) is a vital service for frail older adults and should be continued as part of the services funded by the Ministry of Health; 2.2 Assistance and Intervention (Seniors) services should be enhanced by a minimum of $2,406,000.00 per year for direct services; 2.3 a Gatekeeper Program should be funded for $218,000.00 (over a period of five years) to undertake the necessary public awareness and education; 2.4 enhance CCACs funding by $200,000.00 per year to provide intake and referral for the FNR; and 2.5 appropriately fund CCACs and community-based agencies for translator services; 3.0 that Community Care Access Centres and Intervention and Assistance Services (Seniors) funded agencies initiate enhanced training and assessment for workers to better recognize and respond to situations of older adults living at-risk; 4.0 that the soon-to-be-established Home Care Evaluation and Research Centre at the University of Toronto undertake a study of the frail non-receptive older adult and the impact of receiving early intervention versus no intervention; 5.0 that the Ontario Hospital Association, the Ontario Medical Association, Community Care Access Centres and the provincial Regional Geriatric Program make improved discharge planning from hospital a high priority for improvement by the year 2000; and 6.0 that the Longterm Care Task Force of the Toronto District Health Council endorse the Toronto FNR Model and act as an advocate on behalf of the population of frail older adults who may not be receptive to services and reside in Toronto. On motion by Councillor King, the Board of Health adopted the aforementioned report from the Medical Officer of Health. (Mr. Michael O Keefe, Chair, Toronto District Health Council; The Honourable Cameron Jackson, Minister of Long Term Care with Responsibility for Seniors; Medical Officer of Health; c: Ms. Barbara Buckspan, Chair, Long Term Care, Toronto District Health Council; Ms. Gayle Ure, Acting Executive Director, Long Term Care, Ministry of Health; Ms. Lianne Carnwarth, Regional Director, Ministry of Health - February 4, 1999) 1.8 Status Report: Review of the Recommendations of the Report of the Task Force on Health and Work for the City of Toronto. The Board of Health had before it a report (January 15, 1999) from the Medical Officer of Health recommending that: (1) the Board of Health recognize the critical link between employment and population health by supporting in principle the Report of the Task Force on Health and Work and its recommendations; (2) the Board of Health request City Council to receive the Report and undertake a full review of and report on how the City of Toronto can implement key recommendations, in particular Recommendation No. (17); (3) the Board of Health request City Council to ensure that these recommendations be considered in human resources policies as well as planning processes under development in the City of Toronto; (4) the Board of Health request that, in investigating the feasibility of a four-day work week, the City of Toronto begin by monitoring overtime currently worked in the City; and (5) the Board of Health and City Council advocate to Human Resources Development Canada for the initiation and development of a voluntary collective benefits insurance fund for all Canadians in the non-standard and contingent workforce. Mr. Mark Hudson, representing the citizens group 32 HOURS: Action for Full Employment , appeared before the Board of Health in connection with the foregoing matter, and submitted material with respect thereto. On motion by Councillor Mihevc, the Board of Health recommended to Council the adoption of the recommendations embodied in the aforementioned report, amended to read as follows: (1) the Board of Health and City Council recognize the critical link between employment and population health by supporting in principle the Report of the Task Force on Health and Work and its recommendations; (2) the Board of Health request City Council to receive the Report and undertake a full review of and report on how the City of Toronto can implement key recommendations, in particular Recommendation No. (17); and further that Health Unit staff work with Human Resources to put together terms of reference for the review, the terms of reference to be based on the City of Toronto response outlined in this report; (3) the Board of Health request City Council to ensure that these recommendations be considered in human resources policies as well as planning processes under development in the City of Toronto; (4) the Board of Health request that the Human Resources Division, in consultation with appropriate Health Unit staff, the City s bargaining units and any appropriate outside experts and organizations, prepare a comprehensive report on how the City might implement a four-day work week, and other shorter work time ideas, such report to include but not be limited to: (a) examining the use of overtime; (b) implications for collective bargaining (some elements of which may need to be in camera); (c) phase-in possibilities and opportunities; (d) other municipal models within Canada and abroad; and (e) areas where other levels of government need to become involved; and further, that the Board of Health request Human Resources staff, working with appropriate partners within and outside the municipal corporation, to organize a series of public round tables, or other public events, that promote a public discussion of shorter work time ideas; (5) the Board of Health and City Council advocate to Human Resources Development Canada for the initiation and development of a voluntary collective benefits insurance fund for all Canadians in the non-standard and contingent workforce, with a further report on how this advocacy can be done; and (6) the Executive Director of Human Resources and the Medical Officer of Health be requested to submit a report to both the Board of Health and the Corporate Services Committee in May 1999. (Clause No. 3, Report No. 1) 1.9 By-law Respecting Animals - Revisions. The Board of Health had before it a report (January 15, 1999) from the Medical Officer of Health providing supporting comments on the revisions to the By-law Respecting Animals, taking into account the concerns, suggestions and recommendations arising from the deputations, written comments, and submissions from the Animal Services Advisory Sub- Committee, the Board of Health and staff; and recommending that the Board of Health receive this report for information. The Board also had before it a report (January 14, 1999) from the City Solicitor presenting the Board with a harmonized animal control by-law; and recommending that authority be granted to introduce the necessary Bill in Council in the form or substantially in the form of the by-law attached to this report. The Board also had before it the following communications: - (December 1, 1998) from Ms. Wendy Korver, D.V.M., Bowmanville Veterinary Clinic; - (November 30, 1998) from Ms. Betty Walker; - (December 2, 1998) from Mr. Michael Brassard; - (December 1, 1998) from Ms. Nancy Mueller, Chair, Community Standards Subcommittee of Crime S.C.O.P.E. Etobicoke Office; - (undated) from Miss Kristen Boychuk, North York; - (December 23, 1998) from Dale Gienow, President, Speaking of Wildlife Inc., Baltimore, Ontario; - (January 12, 1999) from Mr. Christopher Pritchard, Chief Technician, Department of Otolaryngology, St. Michael s Hospital, Toronto and Ms. Tracey Yvonne Young, Logistics Assistant, Communications Department, St. Michael s Hospital, Toronto; - (January 18, 1999) from Mr. Vern Campbell, East York, Ontario; - (January 19, 1999) from Mr. Rick Parker, Tottenham, Ontario; - (undated) from Mr. Vernon Nixon, Toronto, Ontario; - (January 22, 1999) from Mr. Christopher Holoboff, representing the Avicultural Advancement Council of Canada, Parrot Symposium of Canada, Budgerigar and Foreign Bird Society of Canada, Parrot Association of Canada; - (January 22, 1999) from Mr. John Nelson; - (January 22, 1999) from Ms. Barby Hall; - (January 22, 1999) from Dale and Jody Gienow, Speaking of Wildlife Inc.; - (January 25, 1999) Ms. Marlene Semple, Annex Animal Rescue; - (January 22, 1999) from Ms. Daniela Quaglia, Public Affairs Advisor, Toronto Humane Society; - (January 23, 1999) from Ms. Liz White, Director, Animal Alliance of Canada; - (January 23, 1999) from H. Makarewicz; - (January 24, 1999) from Ms. Holly Penfound, Director, Zoocheck Canada Inc. and Ms. Liz White, Director, Animal Alliance of Canada; - (January 22, 1999) from Ms. Adelaide Bell; - (January 25, 1999) from Ms. Anna Young; and - (January 25, 1999) from Ms. Merle Blain, President and Alternate Member, Etobicoke Humane Society. Councillor Filion appointed Councillor King Acting Chair, and vacated the Chair. Councillor Filion moved: (1) the adoption of the following set of principles regarding implementation of Part V of the By-law Respecting Animals: (I) the primary intention of Part V of the by-law is to ensure that lost cats are reunited with their owner wherever possible, or else adopted out after a minimum five-day holding period; (ii) that euthanasia will occur only after all reasonable attempts by staff have failed to secure a suitable home for the animal; and (iii) euthanasia in any other circumstance will only occur for reasons of health, safety or the humane treatment of a sick or injured animal; and that staff be directed to implement the by-law in accordance with these principles; and (2) the adoption of the aforementioned By-law Respecting Animals, subject to amending the by-law: (I) to permit the foster programs under the supervision of an affiliate or branch of the Ontario Society for the Prevention of Cruelty to Animals to rehabilitate squirrels, noting for information that the keeping of songbirds is not restricted in the by-law; and (ii) to enable the Medical Officer of Health to issue a muzzle order for a first dog bite on the owner s premises if in her opinion the bite is severe; (3) that revenue generated from cat registration fees be allocated to a special purpose account to assist with spay/neuter costs for animals adopted from municipal shelters; and (4) that authority be granted to introduce the necessary Bill in Council in the form or substantially in the form of the by-law attached to this report, as amended, which was carried. Councillor Mihevc moved that: (1) the By-law Respecting Animals be amended by striking out the words or euthanized in sections 13(1) and 20(1); (Carried) (2) the City Solicitor be requested to submit a report to Council on the addition to the Prohibited Animals List of the animals listed in the communication dated January 23, 1999, from Ms. Liz White, Director, Animal Alliance of Canada. (Withdrawn) (Clause No. 1, Report 1) 1.10 Child Nutrition Program. The Board of Health had before it a report (January 13, 1999) from the Medical Officer of Health providing an update on the Child Nutrition Program, as requested by the Board; advising that municipal funding for the program in Toronto has already leveraged close to 100 percent in additional contributions, and that future fundraising is projected to cover program costs this year; further advising that municipal funding has also provided the basis for city-wide consolidation of programs and increased opportunities to enhance nutritional quality of foods, cut food costs, provide staff training in nutrition and food safety, maintain volunteer food levels, and fulfil Mandatory Program requirements; noting that over 34,000 Toronto children now benefit from the program; and recommending that this report be received for information. The Board also had before it a communication (January 21, 1999) from Ms. Rita Luty, Chair, Northern Health Area Community Health Board, advising that the Northern Health Area Community Health Board at its meeting held on January 21, 1999, adopted a motion in support of the Child Nutrition Program. The Board of Health received the aforementioned report. (Medical Officer of Health; c: Ms. Rita Luty - January 25, 1999) 1.11 Remuneration for Members of the Board of Health. The Board of Health had before it a communication (January 7, 1999) from Mr. Ronald T. Sapsford, Assistant Deputy Minister, Ministry of Health, approving remuneration of $125.00 per diem for members of the Board of Health retroactive to January 1, 1998. The Board also had before it a communication (January 21, 1999) from Ms. Rita Luty, Chair, Northern Health Area Community Health Board, advising that the Northern Health Area Community Health Board at its meeting held on January 21, 1999, adopted a motion in support of the remuneration of $125.00 per diem. The following persons declared an interest in the foregoing matter, in that they are citizen members of the Board: - Mr. Robert Davies; - Dr. Rosanna Pellizzari; and - Ms. Elca Rennick. The Board of Health received the aforementioned communication, and requested the Solicitor to prepare a by-law with respect to remuneration for citizen members for the next meeting of the Board, scheduled to be held on February 22, 1999. (City Solicitor, c: Ms. Rita Luty - January 25, 1999) 1.12 1997 Auditor s Report and Statement of Revenue and Expenditure for the Boards of Health for the Former City of Toronto Health Unit and Former Borough of East York Health Unit. The Board of Health had before it a transmittal letter (January 8, 1999) from its Budget Sub-Committee advising receipt of the 1997 Auditor s Report and Statement of Revenue and Expenditure for the Boards of Health for the former City of Toronto Health Unit and the former Borough of East York Health Unit, and forwarding same to the Board for its information. On motion by Councillor Mihevc, the Board of Health received the aforementioned transmittal letter. 1.13 Increase in Membership of Animal Services Advisory Sub-Committee of the Board of Health. The Board of Health had before it a communication (January 11, 1999) from Councillor Irene Jones, Chair, Animal Services Advisory Sub-Committee, recommending that: (1) the Board of Health expand membership of the Animal Services Advisory Sub-Committee to include a representative from a recognized special interest group relating to birds within the City of Toronto, for the period ending November 30, 2000, and until their successors are appointed; (2) PIJAC (Pet Industry Joint Advisory Council) be requested to confirm the name of their representative or name any other recognized organization from the pet trade industry within the City of Toronto, for the period ending November 30, 2000, and until their successors are appointed; and (3) the Toronto Cat Owners Association again be requested to name their representative on this sub-committee. The Board also had before it a communication (January 25, 1999) from Mr. Grant Crossman and Mr. Steve Marks, Co-Chairs, Ontario Exotic Pet Council, requesting the appointment of a representative of the Ontario Exotic Pet Council to the Animal Services Advisory Sub-Committee of the Board of Health. On motion by Councillor Prue, the Board of Health deferred consideration of the aforementioned communication until its next meeting, scheduled to be held on February 22, 1999. (Councillor Irene Jones; c: Co-Chairs, Ontario Exotic Pet Council - January 25, 1999) DEFERRED 1.14 Board of Health Meeting Schedule, May to July 1999. The Board of Health had before it a communication (January 18, 1999) from the Committee Administrator forwarding a suggested meeting schedule from May to July 1999 for consideration. On motion by Councillor Mihevc, the Board of Health referred the communication back to the Secretary of the Board to submit a revised schedule, taking into account the comments of the Board Members. 1.15 Appointment of Citizen Members to the Board of Health. The Board of Health had before it a confidential transmittal letter (January 11, 1999) from the Administrator, Nominating Sub-Committee of the Board of Health, forwarding recommendations with respect to the appointment of citizen members to the Board, for the Board s consideration. The following members declared an interest in the foregoing matter, in that they are citizen members of the Board: - Mr. Robert Davies; - Dr. Rosanna Pellizzari; and - Ms. Elca Rennick. Councillor Prue moved that the Board of Health recess to meet privately to give consideration to the aforementioned matter in accordance with subsection 55(7)of the Municipal Act, which was carried. The Board of Health recessed at 7:15 p.m. to meet in camera. The Board of Health reconvened in public session at 7:35 p.m. On motion by Councillor Prue, the Board of Health forwarded its recommendations to the Nominating Committee, such recommendations to remain confidential. (Nominating Committee - January 25, 1999) The Board of Health adjourned its meeting at 7:37 p.m. Chair.

 

   
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