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Minutes - March 17, 2022 - Board of Health Meeting

Members Present: 

Mr. Matt Reid (Chair)
Ms. Kelly Elliott (Vice-Chair)
Mr. John Brennan
Mr. Mike Steele
Ms. Mariam Hamou
Ms. Maureen Cassidy
Ms. Aina DeViet

Ms. Tino Kasi (Joined 7:02 p.m.; left 7:16 p.m.)

Regrets:

Mr. Selomon Menghsha

Others Present:

Ms. Carolynne Gabriel, Executive Assistant to the Board of Health and Communications Coordinator (Recorder)
Dr. Alexander Summers, Medical Officer of Health
Ms. Emily Williams, Chief Executive Officer/Director, Health Organization
Ms. Heather Lokko, Director, Healthy Start/Chief Nursing Officer
Ms. Maureen MacCormick, Director, Healthy Living
Ms. Mary Lou Albanese, Director, Environmental Health and Infectious Diseases
Ms. Rhonda Brittan, Manager, Healthy Communities and Injury Prevention
Mr. David Jansseune, Assistant Director, Finance
Ms. Cynthia Bos, Manager, Human Resources
Ms. Janet Roukema, Human Resource Specialist, Diversity and Inclusion
Mr. Dan Flaherty, Communications Manager
Mr. Jason Micallef, Marketing Coordinator, Communications
Mr. Parthiv Panchal, Information Technology, End User Support Analyst

 

Chair Matt Reid called the meeting to order at 7:01 p.m.

 

Disclosure of Conflict of Interest

Chair Reid inquired if there were any disclosures of conflicts of interest. None were declared.

Approval of Agenda

It was moved by Ms. Mariam Hamou, seconded by Ms. Kelly Elliott, that the AGENDA for the March 17, 2022 Board of Health meeting be approved.
Carried

 

Minutes

It was moved by Mr. John Brennan, seconded by Mr. Michael Steele, that the:
1) MINUTES of the February 16, 2022 Special Meeting of the Board of Health be approved;
2) MINUTES of the February 17, 2022 Board of Health meeting be approved;
3) MINUTES of the March 3, 2022 Special Meeting of the Board of Health be approved;
4) MINUTES of the March 7, 2022 Special Meeting of the Board of Health be approved;
5) MINUTES of the February 17, 2022 Governance Committee meeting be received; and
6) MINUTES of the March 3, 2022 Finance & Facilities Committee meeting be received.
Carried

Reports and Agenda Items

Finance & Facilities Committee Meeting Summary from March 3, 2022 (Report No. 11-22)

Mr. Steele, Chair, Finance and Facilities Committee introduced Ms. Emily Williams, CEO to introduce this report. Ms. Williams highlighted that: the budgeting process this year was expedited by the Ministry of Health by six weeks to accommodate the upcoming election; additional revenue sources are documented in the 2022 budget; some line items have been separated out in an effort to increase transparency for the Health Unit’s funders and the Board of Health; and the Health Unit was directed to add a one per cent increase in base funding by the Ministry which was applied to the 2019 funding rate.

Ms. Williams then introduced Mr. David Jansseune, Assistant Director, Finance who presented a PowerPoint presentation which provided an overview of the budget and budgeting process. The following were noted during Mr. Jansseune’s presentation:

  • To enable programs to be delivered, MLHU identifies two companies based upon their fiscal years, one occurring January to December and the other from March to April. Between these two companies there are six divisions and 61 departments, operating 47 programs.
  • The presented budget for 2022 is a departmental budget, which will need to be re-created into a program budget for the Ministry, known as the Annual Service Plan.
  • Funding sources for MLHU include:
    • Ministry of Health and Long-Term Care (MOH) (80%)
    • Ministry of Children, Community & Social Services (MCCSS) (4%)
    • City of London (12%)
    • The County of Middlesex (2%)
    • Public Health Agency of Canada (PHAC) (0.5%)
    • Public Health Ontario (0.2%)
    • Miscellaneous Revenue through Client Services (1.3%)
      Note: The percentage of funding is based on a total envelope of $65 million for 2022
  • The budgeting process for salaries and wages for 2022 used the amounts from 2021 ($20,383,659) as a baseline and then added 1.7% for inflation ($345,106) and 0.3% for step increases for staff as required by Collective Agreements ($67,497) to reach a 2022 budget baseline of $20,796,263. To the 2022 baseline was then added Board-approved PBMA investments (1.4%; $283,681; 4.5 FTE), the electronic medical records special project (1.0%; $200,000; 2 FTE), and CLIF funding, which has no budgetary impact as increased funding was received to offset the expenses.
  • Benefits with Canada Life are incorporated into the 2022 budget as they were negotiated in January 2022. Premiums for life, AD&D and LTD increased by 7.3% or $101,685 with additional increases on the ASO policy covering EHC (health, drug, vision) by 5.3% and dental by 10.6%.
  • General expenses include expenses other than salaries, wages and benefits. Determining general expenses was a rigorous process and involved comparing four years of actual expenses to four years of budgets. Increases in the general expenses budget included:
    • $138,952 for retiree benefits to align budget with actual spending;
    • $51,000 for six maintenance projects scheduled at the Strathroy and CitiPlaza offices;
    • $29,490 for cyber insurance;
    • a general increase of 5.6% ($449,315), $342,171 of which has no impact as there is offsetting increased funding; this leaves a balance of $107,144 for software licensing with Microsoft.
    • PBMA savings through an ASO cash withdrawal of $150,000 offset with $4,000 miscellaneous expenses.
  • Extraordinary costs are COVID-19-related and funded by the Province; as a result, they do not have a large impact on the budget. Within these costs are budgets for case and contact management, vaccine, and recovery. These budgets used a zero-based approach.
    • $12,517,509 budgeted for vaccine, based on 75% of the 2021 COVID-19 vaccine budget.
    • $13,981,346 budgeted for case and contact management, based on 14 Board-approved PBMA proposals.
    • $1,570,039 budgeted for recovery work based on 16 initiatives employing an FTE of 18.25.
  • The Health Unit’s second company includes programs with fiscal years from April to March and which are 100% funded; this means the funding equals the total expenditures. As such, this company has a net impact of zero to the main budget.
  • There is a budgeted gap of $1,613,768, up from $1,257,473 in 2021. The gap bridges the difference between expenses and funding/revenue to balance the budget. There is confidence that expenditures will be reduced, specifically in salary and wages. The budget is based on a full staffing complement, so the challenge will be met throughout the year through savings on the staffing line, including, delays in filling vacancies, new hires usually starting at a lower pay band, and staff redeployed to COVID-19 when programs are delayed with restarting.
  • The absence of inflationary compensation from the Ministry over the past three years has contributed to the budgeted gap.
  • There is a risk of losing mitigation funding next year, which would result in a $1.3 million gap in the budget.
  • The total budget for 2022 is $65,310,006.

It was moved by Mr. Steele, seconded by Ms. Aina DeViet, that the Board of Health:
1) Approve the 2022 Proposed Budget in the gross amount of $65,310,006 as illustrated in the attached Appendix A – Budget Summary;
2) Forward Report No. 05-22FFC and Appendix A – Budget Summary to the City of London and the County of Middlesex for information; and
3) Direct staff to submit the 2022 Proposed Budget in the various formats required by the different funding agencies and stakeholders.
Carried

Implementation of the Intervention for Health Enhancement and Living (iHEAL) (Report No. 12-22)

This report was introduced by Ms. Heather Lokko, Director, Health Start/Chief Nursing Officer. Ms. Lokko thanked the Board members who attended the iHEAL webinars. She outlined that in 2020 the Board of Health endorsed five priority recovery areas, of which domestic violence is one. Through the 2021 PBMA process, the Board of Health supported enhancing the public health nursing complement to support the iHEAL program.

Discussion about the report included:

  • The iHEAL program is a promising intervention delivered by public health nurses guided by trauma-and violence-informed care, relational practices, cultural safety, and harm reduction.
  • The intervention supports women who are in the transition of separating from an abusive partner.
  • The nurses visit the women in a safe place and focus on different components that women identify as priority topics. The program runs from six to eight months with typically 10 to 18 visits during the course of the program. The program is completely voluntary and flexible to meet the needs of the women participating.
  • MLHU is implementing the iHEAL program in three ways: as a standalone program, integrated into the Nurse Family Partnership (NFP), and integrated into the Healthy Babies Healthy Children program (HBHC).
  • Implementation of the program started with fairly intensive education for the initial nurses providing the intervention and their supervisors, then shifted the focus to community outreach, the violence against women (VAW) sector and other community partners which might refer women.
  • The report outlines the number of referrals the program has received, and in the past couple of weeks, the program has seen a spike in referrals. It is anticipated that the demand will significantly increase as more women become aware of the program.
  • A second cohort of education is coming up in a couple weeks and the team is looking forward to more nurses being able to provide this program.
  • An implementation research grant has been granted by the Public Health Agency of Canada which will be providing additional funding for this program.
  • Gender-based violence has been identified as an issue by the Women’s Caucus of Middlesex County Council, particularly in rural areas because they cannot access resources as easily and are often isolated in their homes. Additionally, there is only one women’s shelter in the County, located in Strathroy.
  • To spread awareness of the iHEAL program in the County, the program has been partnering with the Rural Women’s Resource Centre in Strathroy as well as with the Health Unit’s Healthcare Provider Outreach program, which connects with primary care providers and other providers like OB/GYNs who can refer their patients. Additionally, the Health Unit is connected with a number of community partners through other programs and services. Information about the program is on the MLHU website, and following the release of research results, the program can be promoted more publicly.
  • It is not yet known whether the resources the iHEAL program currently has are sufficient to meet the need since it is a new program. This year will provide a better sense if the program can meet demand with the resources it has.

It was moved by Ms. Maureen Cassidy, seconded by Ms. Elliott, that the Board of Health receive Report No. 12-22 re: “Implementation of the Intervention for Health Enhancement and Living (iHEAL)” for information.
Carried

Healthy Living Strategic Review (Report No. 13-22)

This report was introduced by Ms. Maureen MacCormick, Director, Healthy Living who introduced Ms. Rhonda Brittan, Manager, Healthy Communities and Injury Prevention. Ms. MacCormick outlined:

  • The Healthy Living Division currently has a unique opportunity because many program areas within the Division have been reduced or put on hold during the pandemic.
  • As the Division is repatriating staff back it is strategically looking at priorities across the entire division with the goal of enhancing the Division’s population health impact.
  • As per Appendix A to the report, the Division delivers a large number of public health programs and services which span a diverse and broad number of public health standards, protocols and guidelines and that covers a wide range of topic areas and includes areas like direct-client support, health promotion, health communication, education, harm reduction, and influencing healthy public policy.
  • The breadth of scope limits the Division’s ability to focus its efforts and maximize the impact at the population health level.
  • The Healthy Living Review will look to determine if the Division and its teams are structured and resourced to meet outcomes efficiently and will alter structure and resources as needed. The review will seek to determine what the most critical needs are, where there is a very strong public health value added from the programs, and what the Division’s core areas are. It will then look at enhancing those particular areas in the Division.
  • It is anticipated that there will be some changes in how the teams are structured within programs and across the Division as a result of this review.
  • Ms. Cassidy inquired if there is any research that investigates the impact of the pausing or reduction of the programs delivered by the Healthy Living Division during the pandemic over the past two years. Ms. MacCormick indicated that there is a body of research as well as anecdotes from community partners of unintended consequences from focusing on COVID-19 at the expense of other programs, for example, to chronic disease and substance use.
  • The Health Unit does a lot of mental health promotion; while it does not provide direct counselling-type interventions, mental health underpins much of the work at the Health Unit. Mental health, substance use, and violence have many common risk and protective factors and focusing on those can have a broader impact.

It was moved by Mr. Steele, seconded by Ms. Cassidy, that the Board of Health receive Report No. 13-22 re: “Healthy Living Strategic Review” for information.
Carried

Public Sector Salary Disclosure Act – 2021 Record of Employees’ Salaries and Benefits (Report No. 14-22)

This report was introduced by Ms. Williams. Discussion on the report included:

  • As per legislation, the Middlesex-London Health Unit, as a publicly funded organization, annually discloses the names, salaries, and taxable benefits of all employees who earn over $100,000.
  • In 2020, this list included 63 names from MLHU; in 2021 it included 94.
  • This increase in the number of MLHU staff who earned over $100,000 is due in part to:
    • Overtime which was earned in 2020 but was paid in 2021;
    • Unused vacation time in 2020 which was paid out in 2021 to minimize the 2021 vacation banks; and
    • Overtime accumulated in 2021 to enable comprehensive COVID-19 case and contact management and the COVID-19 vaccine campaign.
  • The Medical Officer of Health and Associate Medical Officer of Health salaries are prescribed by the Ministry of Health, the reason being to ensure equitable pay across all health units and to assist rural health units with their recruitment.
  • Unionized staff overtime is compensated as per collective agreements and non-unionized staff overtime is reimbursed at straight time.
  • In the first quarter of 2022 the amount of overtime accumulated has decreased and current forecasting predicts it will continue to decrease.

It was moved by Ms. Hamou, seconded by Ms. DeViet, that the Board of Health receive Report No. 14-22 re: “Public Sector Salary Disclosure Act – 2021 Record of Employees’ Salaries and Benefits” for information.
Carried

Health Unit General Insurance Policy Renewal (Report No. 15-22)

This report was introduced by Ms. Williams who introduced Mr. Jansseune.

Mr. Jansseune provided an overview of the Health Unit’s general insurance. The policy is for 12 months and is with Intact Insurance. The premium has increased from $92,000 to $104,000, much of which is for general liability. Mr. Jansseune noted that the Health Unit has not changed its coverage or deductible; however, the policy has added additional language around what is excluded for cyber security, which is not a concern as the Health Unit has a separate cyber insurance policy.

It was moved by Mr. Brennan, seconded by Ms. Cassidy, that the Board of Health approve the renewal of the Health Unit’s General Insurance Policy as outlined in Report No. 15-22 re: “Health Unit General Insurance Policy Renewal”.
Carried

Diversity and Inclusion Assessment: MLHU Employment Systems Review Update (Report No. 16-22)

This report was introduced by Ms. Williams who introduced Ms. Cynthia Bos, Manager, Human Resources. Ms. Bos then introduced Ms. Janet Roukema, Human Resources Specialist, Diversity and Inclusion. This position is new, approved through the 2021 PBMA process to move forward the recommendations of the Employment Systems Review from the Diversity and Inclusion Assessment.

Ms. Roukema highlighted the following:

  • The Employment Systems Review (ESR) included 88 recommendations, categorized into four categories: policy and document reviews (27 recommendations), recruitment and selection processes and practices (42 recommendations), office space (five recommendations), and employee perspectives (14 recommendations).
  • All 88 recommendations were scored and prioritized, considering the inputs required and impacts anticipated for each recommendation. The recommendations with logical linkages were then grouped together to ensure integrated implementation.
  • Twelve recommendations have been implemented over the past eight months. As organizational policies came up for review, relevant recommendations were incorporated into the updated policies. This practice will continue as additional policies come up for review in the coming months.
  • Preliminary meetings have occurred with Strategic Projects to finalize a project charter for completion of all recommendations from the ESR as well as smaller work plans for the groupings of recommendations.
  • The HR team is looking for opportunities to re-engage with the Diversity and Inclusion Advisory Committee.
  • The prioritization process identified that work on the Accessibility for Ontarians with Disabilities Act (AODA) policy and a stand-alone accommodation policy focusing on religion and other human rights-protected grounds should be prioritized first due to their strong legislative requirements.
  • Work will begin on an employment equity policy with the Health Equity and Indigenous Reconciliation Team (HEART) in the lead, the principles of which will be the foundation for a major project to implement the 42 recommendations related to recruitment and selection. A work plan for this project is expected to be in place by September 2022.
  • Work will also be done towards implementing the recommendations in the remaining groups, including a plan to communicate changes to all staff, training for leadership and all staff, and updating the Health Unit’s Code of Conduct and creating a new conflict of interest policy.

It was moved by Ms. Cassidy, seconded by Ms. Elliott, that the Board of Health:
1) Receive Report No. 16-22 re: “Diversity and Inclusion Assessment: MLHU Employment Systems Review Update” for information; and
2) Endorse the prioritization of recommendations within the Employment Systems Review for implementation at the Middlesex-London Health Unit
Carried

Verbal COVID-19 Disease Spread and Vaccine Campaign Update

Dr. Alexander Summers, Medical Officer of Health, provided a verbal update on the COVID-19 spread and vaccine campaign in London and Middlesex-County. This update included:

  • The last month has seen favourable trends when cases, hospitalizations and the ICU rate in the region are considered.
  • Updated projections from the COVID-19 Science Advisory and Modelling Consensus Tables were released today. The key findings included that:
    • COVID-19 case numbers, hospitalizations and ICU occupancies have stopped declining; however, there is considerable regional variation.
    • Transmission and hospital and ICU occupancy are anticipated to increase over the next few weeks as a result of the relaxation of public health measures; however, the increase is anticipated to be less than in January 2022 and for a limited period of time, if changes in behavior are only moderate.
    • The extent of the increases and of a person’s risk of contracting COVID-19 will depend on their number of close contacts, vaccination status, and the spread of the more transmissible BA.2 subvariant.
    • Older adults, those who are immunocompromised, those who are unvaccinated, and marginalized individuals and groups are still susceptible to severe illness from COVID-19.
    • A complete vaccine series (currently two doses in children, three doses in adults, four in long-term care residents and other eligible high-risk groups) is the best defense against getting and spreading COVID-19.
  • In London and Middlesex County, the Omicron wave has seen a significant spike and a quick decline which has plateaued. It must be noted that the numbers are an under-representation of actual cases due to current eligibility criteria for testing. The incident rate locally is consistently following the province.
  • The Science Table’s current projections for hospitalizations and ICU occupancy are not as significant as what was seen in the Omicron wave based on a scenario of a moderate increase in transmission. A moderate transmission scenario is predicated on increased contacts, 50 per cent mask use, and a rise in the BA.2 subvariant.
  • The impact of the vaccine and booster remains remarkable. Two doses of vaccine protect against severe outcomes; however, the immune protection begins to wane at seven months after the second dose. One month after a third dose produces notably higher levels of antibodies than two doses, and even six months after the booster dose, while the antibodies do reduce, they remain higher than one month after the second dose. It is likely that a fourth dose will be necessary, but the timelines are unknown.
  • Between December 18, 2022 and January 15, 2022 MLHU saw the rate of booster doses in the region rise remarkably among all age brackets. Since January the vaccination increase has plateaued, but there was still notable increase in the booster dose coverage among those aged 70 and above and those aged 50 to 54.
  • Modelling suggests booster doses reduced hospitalizations by 34 per cent and ICU occupancy by 30 per cent at the peak of the Omicron wave compared to if no boosters had been given.
  • The Science Table recommendations for all Ontarians include:
    • Have a complete vaccine series, including three doses for adults and four for eligible high-risk groups;
    • Use high-quality masks whenever necessary to protect vulnerable people and themselves; and
    • Stay home when sick or symptomatic.
  • The Science Table recommendations at the provincial and policy level include:
    • Continue improvement of ventilation and air filtration in public indoor spaces;
    • Create rapid paths to testing and treatment with a focus on equity;
    • Be prepared to renew mass COVID-19 vaccination campaigns, if needed;
    • Be prepared to renew vaccine certificates requiring a recent booster dose for high-risk settings, if needed;
    • Be prepared to reintroduce mask mandates, if needed; and
    • Maintain protective measures that are appropriate for the general health and wellbeing of those living and working in congregate care settings, such as long-term care.
  • Utilization of Section 22 Orders by local medical officers of health has received a lot of interest due to many provincial public health measures and mandates set to be lifted on Monday, March 21, 2022. Dr. Summers will not be issuing a Section 22 Class Order regarding masking at this time with regards to COVID-19 for the following reasons:
    • Section 22 Orders are supposed to be focused, time-limited, and used sparingly for a medical officer of health to respond to an urgently acute situation within their jurisdiction.
    • The Province has the jurisdiction to make the decision regarding mask mandates and has based its decision on the same data available to the Middlesex-London Health Unit. In the current situation, there is no new or emerging risk in the jurisdiction of the Middlesex-London Health Unit of which the provincial government is unaware. Therefore, should the Medical Officer of Health for the Middlesex-London Health Unit issue a Section 22 Order for masking, he would be overriding the decision of the democratically-elected Government of Ontario.
    • Examples of instances where a local Section 22 Order would be appropriate include: a COVID-19 outbreak in a long-term care home where staff and management refuse to follow public health measures; a new variant of COVID-19 emerging rapidly at the local level; and a new infectious disease outbreak in a congregate setting where there is insufficient time to determine the nature of the disease and its transmission.
    • Regardless of the lifting of the province-wide masking requirements, masking is still strongly recommended and has been demonstrated to reduce the risk of COVID-19 transmission, notably as an effective form of source control. Masking is an important tool for protecting the most vulnerable which is why it is still required in high-risk settings (e.g. long-term care homes, retirement homes). There is still autonomy for organizations to make decisions within their own context with regards to masking. As an example, MLHU is still requiring masking in its office spaces, as well as its clinical spaces where masks are still mandated as a healthcare setting.
    • Municipalities can consider if a local mask mandate is a tool they would like to implement, within the context of high vaccination coverage among those aged 12 and older, gradually increasing vaccination rates among those aged five to 11, and continued lower risk for severe disease.
  • Ms. Cassidy inquired what Dr. Summers thinks would need to occur for the Province to re-instate mandatory masking in all indoor public spaces. Dr. Summers indicated he believes there would need to be the arrival of a new variant with a completely different behavior type and response to vaccination, or a rapid rise in the severity of the disease.
  • Ms. Cassidy inquired if the COVID-19 case numbers and related deaths were lower than currently when London City Council implemented a by-law requiring masking in July 2020. Dr. Summers confirmed they were; however, the differences between the current situation and earlier in the pandemic when the by-law was implemented are the vaccination campaign and the improved knowledge regarding the transmissibility of COVID-19 and the efficacy of masking.
  • Ms. Cassidy inquired if Dr. Summers could provide insight into how long a masking by-law may be necessary, if enacted, to protect against COVID-19 during the remaining colder weather when people congregate inside. Dr. Summers hesitated to provide a timeline. While respiratory illnesses subside as the weather improves and people spend more time outdoors, there are many other considerations, such as a new variant, where masking could be beneficial. The unknowns make it challenging to say how long public health measures should be used. As an employer, the Middlesex-London Health Unit will continue to require masks in all clinical and office spaces until likely the end of April, at which time it will be reassessed.
  • Ms. Cassidy inquired if Dr. Summers expected to see a spike in COVID-19 cases five to seven days following St. Patrick’s Day. Dr. Summers indicated this could potentially happen; however, it would be difficult to draw a direct line back to any particular day. Typically, when a spike occurs following an event, it is also related to a broad change in public health policy and the and the collective mobility and behaviour of society.
  • Ms. Cassidy inquired if Dr. Summers would expect there to be fewer COVID-19 infections and lower hospitalization, ICU occupancy, and death rates if London City Council implemented a masking by-law. Dr. Summers indicated that this would be hard to measure at a local level. Theoretically, there would be a decline, but the willingness of the population to adhere as well as movement within the province between municipal jurisdictions would impact the outcomes of the by-law.
  • Ms. Hamou inquired if testing of wastewater for infection levels is still occurring. Dr. Summers indicated that there are several indicators which are still being monitored, including wastewater, hospitalization rates, ICU rates, deaths, and percent positivity. These indicators have been plateauing and it is expected that they will increase. Part of the transition from an emergency response to a longitudinal response is the fact that COVID-19 is endemic and it needs to be determined what interventions society will tolerate long-term. There are tools like vaccination, masking, and reducing social contact which are possible interventions, but it is unknown how long society will accept using those interventions.

It was moved by Ms. DeViet, seconded by Ms. Elliott, that the Board of Health receive the Verbal update re: “COVID-19 Disease Spread and Vaccine Campaign” for information.
Carried

Acting Medical Officer of Health Activity Report for February (Report No. 17-22)

Ms. Cassidy expressed her happiness at seeing the title of Medical Officer of Health presenting this report.

It was moved by Ms. Cassidy, seconded by Ms. Elliott, that the Board of Health receive Report No. 17-22 re: “Acting Medical Officer of Health Activity Report for February” for information.
Carried

Chief Executive Officer Activity Report for February (Report No. 18-22)

It was moved by Ms. Cassidy, seconded by Ms. DeViet, that the Board of Health receive Report No. 18-22 re: “Chief Executive Officer Activity Report for February” for information.
Carried

Correspondence

It was moved by Mr. Steele, seconded by Ms. Hamou, that the Board of Health endorse item a) of correspondence.
Carried

 

Other Business

The next meeting of the Middlesex-London Board of Health is Thursday, April 14 at 7:00 p.m.

Confidential

At 8:36 p.m., it was moved by Ms. Elliott, seconded by Ms. Cassidy, that the Board of Health will move in-camera to approve previous confidential Board of Health minutes, for the purpose of educating or training the members, and to consider matters regarding identifiable individuals, including Board employees.
Carried

At 8:59 p.m., it was moved by Ms. Hamou, seconded by Ms. Cassidy, that the Board of Health rise and return to public session.
Carried

Adjournment

At 8:59 p.m., it was moved by Mr. Steele, seconded by Ms. Elliott, that the meeting be adjourned.
Carried

 

 

 

Matt Reid
Chair

Emily Williams
Secretary

 
Date of creation: April 14, 2022
Last modified on: May 12, 2022