Minutes - March 21, 2024 - Board of Health Meeting

Members Present: 

Matthew Newton-Reid (Chair)
Michael Steele (Vice-Chair)
Selomon Menghsha (attended virtually)
Skylar Franke
Michelle Smibert
Peter Cuddy
Michael McGuire (attended virtually)
Howard Shears
Emily Williams, Chief Executive Officer (ex-officio) (Secretary and Treasurer)
Dr. Alexander Summers, Medical Officer of Health (ex-officio)

Regrets:

Aina DeViet

Others Present:

Stephanie Egelton, Executive Assistant to the Board of Health (recorder)
Sarah Maaten, Director, Public Health Foundations
Jennifer Proulx, Director, Family and Community Health and Chief Nursing Officer
Dr. Joanne Kearon, Associate Medical Officer of Health
Mary Lou Albanese, Director, Environmental Health, Infectious Disease and Clinical Services
Cynthia Bos, Associate Director, Human Resources and Labour Relations
David Jansseune, Associate Director, Finance and Operations/Chief Financial Officer
Ryan Fawcett, Manager, Privacy, Risk and Client Relations
Angela Armstrong, Program Assistant, Communications
Abha Solanki, End User Support Analyst, Information Technology
Morgan Lobzun, Communications Coordinator
Linda Stobo, Manager, Social Marketing and Health Systems Partnerships
Andrew Powell, Manager, Safe Water, Tobacco Enforcement and Vector Borne Disease
Donna Kosmack, Manager, Oral Health and Clinical Support Services
Warren Dallin, Manager, Procurement and Operations
Jessica Wijesundera, Health Promotion Specialist, Social Marketing and Health Systems Partnerships
Daniel Neamtu, Nursing Student, Social Marketing and Health Systems Partnerships

Chair Matthew Newton-Reid called the meeting to order at 7 p.m.

Disclosure of Conflict of Interest

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

Approval of Agenda

Chair Newton-Reid noted that due to a recent announcement from Health Canada, there is a proposed updated Appendix B to Report No. 16-24 to be added to the agenda.

It was moved by S. Franke, seconded by M. Smibert, that the AGENDA for the March 21, 2024 Board of Health meeting be approved as amended.
Carried

Approval of Minutes

It was moved by H. Shears, seconded by M. Smibert, that the MINUTES of the February 15, 2024 Board of Health meeting be approved.
Carried

It was moved by M. Smibert, seconded by P. Cuddy, that the MINUTES of the February 15, 2024 Finance and Facilities Committee meeting be received.
Carried

New Business

alPHa Resolution: Permitting Applications for Automatic Prohibition Orders under the Smoke Free Ontario Act, 2017 for Vapour Product Sales Offences (Report No. 15-24)

Andrew Powell, Manager, Safe Water, Tobacco Enforcement and Vector Borne Disease introduced a proposed resolution for the Board of Health’s consideration at the Association of Local Public Health Agencies Annual General Meeting in June 2024.

A. Powell provided background information on automatic prohibitions within the Smoke Free Ontario Act. The Smoke Free Ontario Act is provincial legislation that regulates the sale, supply, display, and promotion of commercial tobacco and vapour products at retail outlets, as well as provisions for designated locations for smoking and vaping. Currently, the Health Unit is seeing a large increase of non-compliance by vapour product retailers despite the provisions under the legislation. Under the Smoke-free Ontario Act, routine non-compliance (two or more convictions) with tobacco sales offences results in the issuance of an automatic prohibition order for further tobacco sales under Section 22 of the Smoke-Free Ontario Act. At this time, there is no provision for automatic prohibitions under the legislation for vapour product violations.

Currently, test shopping and inspection practices by Health Unit staff are critical to promote and monitor retailer compliance, however, opportunity exists to strengthen controls within the retail space. A. Powell noted that operators (of vapour product retailers) have shared with the Health Unit’s Tobacco Enforcement Officers that the large revenue from sales of vapour products far exceeds both the fine amounts and the risk of product seizures. Operators have stated that this aspect is a cost of doing business.

In addition, the Health Unit’s Tobacco Enforcement Officers have noted the following:
• That there is an increase in the number of facilities selling vapour products within the Middlesex-London jurisdiction;
• There is an overall decrease in compliance with provisions of the Smoke Free Ontario Act for vapour product;
• There has been an increase in warning and charges issues against vapour product retailers for sale to people under the age of 19;
• That retailers continue to offer for sale prohibited flavours of vapour products and e-cigarettes with nicotine concentrations more than 20mg/L; and
• That the fines and product seizures seem to be an insufficient deterrent.
A. Powell provided a recent example of the process of issuing an offence to a non-compliant vapour product retailer. A local convenience store had a history of non-compliance, which included selling flavoured vapour products containing nicotine concentrations more than 20 mg/mL, selling prohibited flavours of vapour products, selling of vapour products to youth without requesting age and identification, and non-compliance with display and promotion of vapour products. With the absence of being able to issue an automatic prohibition order for vapour related offences, the Health Unit issued a Section 13 order under the Health Promotion and Protection Act on January 9, 2024 to the convenience store. A Section 13 order can only be made by a Medical Officer of Health, Associate Medical Officer of Health or Public Health Inspector to cease activities that pose health risks to the community. A. Powell noted that while a Section 13 order is a necessary action at a specific time, a Tobacco Enforcement Officer is not designated under the Health Promotion and Protection Act to issue such order and must rely on their Public Health Inspector colleagues, Dr. Summers or Dr. (Joanne) Kearon.

The next steps on bringing awareness to the Province of Ontario on this matter is to bring a Board of Health supported resolution to the upcoming Association of Local Public Health Agencies Annual General Meeting (through Dr. Summers) to request an amendment to Section 22 of the Smoke-Free Ontario Act to include vapour product sales convictions within automatic prohibition order applications.

Board Member Michelle Smibert inquired on the monetary offence amount for a tobacco and vapour product offence under the Smoke Free Ontario Act. A. Powell noted that depending on the type of offence, the starting fine is $250 and increases up to thousands of dollars.

Board Member Skylar Franke inquired on the process for a Board of Health to bring a resolution to the Association of Local Public Health Agencies Annual General Meeting. Dr. Alexander Summers, Medical Officer of Health explained that the Association of Local Public Health Agencies (alPHa) represents all 34 health units in Ontario, and the Annual General meeting is an opportunity to review and pass resolutions from its members. Resolutions assist the association with supporting advocacy for healthy public policy development of certain topics, with 3-4 resolutions passed each year. Members debate discuss and vote on resolutions. Dr. Summers noted the eagerness of supporting this resolution in front of the Board as it is a concrete solution, and the ask is for tools of enforcement for vaping to be the same as tobacco violations. With a resolution such as this one, the Health Unit and members of alPHa can mobilize through the Province of Ontario to request to change policy and legislation.

Chair Newton-Reid noted the importance of the context within this resolution regarding automatic prohibitions and that it is a clear gap in legislation.

It was moved by M. Steele, seconded by S. Franke, that the Board of Health:
1) Receive Report No. 15-24 re: “alPHa Resolution: Permitting Applications for Automatic Prohibition Orders under the Smoke Free Ontario Act, 2017 for Vapour Product Sales Offences”; and
2) Direct staff to submit the draft resolution, attached as Appendix A, to the Association of Local Public Health Agencies (alPHa) for consideration at the Annual General Meeting on June 5, 2024.
Carried

Recommendation for Provincial and Federal Restrictions on Nicotine Pouches (Report No. 16-24)

Linda Stobo, Manager, Social Marketing and Health Systems Partnerships provided information on recommendations for federal and provincial restrictions on nicotine pouches.

L. Stobo provided an overview of newly available nicotine products in the marketplace. There is a growing range of available nicotine products which include “Sesh+” gum and “Zonnic” nicotine pouches. These products are currently approved for sale as natural health products. "Zonnic" nicotine pouches were authorized for sale by Health Canada on July 18, 2023, under the Natural Health Products Regulations and do not contain any tobacco. The nicotine pouch classification as a natural health product are not regulated under the Tobacco and Vaping Products Act or the Smoke-Free Ontario Act and are sold at convenience stores and gas stations without restrictions. L. Stobo added that these products are still harmful as a natural health product and harmful marketing is catered towards youth.

L. Stobo noted that nicotine pouches are incredibly harmful to youth. Use of these products could impact brain development, mood, learning and attention, impulse control, heart health and will lead youth to become addicted to nicotine as 1 pouch can have the nicotine level of 4 cigarettes. Currently, “Zonnic” is the only brand of nicotine pouches currently approved for sale in Canada, but other brands are being openly sold illegally in specialty vapour product stores. Schools are reporting increased nicotine sickness, symptoms of nicotine withdrawal, and nicotine pouch litter to public health. There are also emerging lawsuits with brands such as “Zyn” sold in the United States due to their addictive nature and the use of “Zynfluencers” to target youth on social media.

L. Stobo informed the Board of Health that there was an announcement on March 20 from Health Canada that they are pursuing legislative and regulatory mechanisms in the short term to put in place safeguards to address youth access and appeal to nicotine replacement products, including restrictions on advertising, flavours, and place of sale. As a result of this recent announcement, staff has drafted a proposed letter from the Board to the Minister of Health outlining support for these short-term measures.

Vice-Chair Michael Steele sought confirmation if smoking cessation gum (such as “Nicorette” nicotine gum) is regulated under different legislation than nicotine pouches. L. Stobo explained that smoking cessation gum is located in a pharmacy and considered a drug due to the amount of nicotine within the product and its purpose and are legislated under food and drug legislation. The nicotine pouches are considered a natural health product, potentially due to the documentation that was provided to Health Canada when seeking licensing. Dr. Summers added that the marketing of these types of products is profoundly different today than when smoking cessation gum was first introduced and marketed.

It was moved by M. Smibert, seconded by P. Cuddy, that the Board of Health:
1) Receive Report No. 16-24 re: “Recommendation for Provincial and Federal Restrictions on Nicotine Pouches” for information;
2) Endorse the Windsor-Essex County Board of Health Resolution Report, attached as Appendix A; and
3) Direct staff to submit a letter to Health Canada on behalf of the seven public health units in southwestern Ontario, attached as Appendix B.
Carried

Q4 2023 Risk Register Update (Report No. 17-24)

Ryan Fawcett, Manager, Privacy, Risk and Client Relations provided an update on the Middlesex-London Health Unit’s Risk Registry for Q4 2023.

R. Fawcett noted that there were ten (10) risks identified in Q3 of 2023, with no new risks being identified or removed from the registry in Q4. For residual risks in Q4, five (5) were classified as being minor risks and five (5) were classified as being moderate risks. One (1) political risk related to public health modernization and mergers was changed from significant risk to moderate risk.

There were no questions or discussion.

It was moved by S. Franke, seconded by H. Shears, that the Board of Health:
1) Receive Report No. 17-24 re: “MLHU Q4 2023 Risk Register Update” for information; and
2) Approve the Q4 Risk Register (Appendix A).
Carried

Privacy Program – Information and Privacy Commissioner (IPC) Statistical Reports (Report No. 18-24)

R. Fawcett provided an update on the Middlesex-London Health Unit’s privacy program and submission of 2023 privacy information statistical reports submitted to the Information and Privacy Commissioner of Ontario.

R. Fawcett provided a brief overview of the framework of legislation and reporting within the Privacy Office. The applicable legislation includes the Personal Health Information Protection Act (PHIPA), the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), the Health Protection and Promotion Act and the Ontario Public Health Standards. The Privacy Office (at the Health Unit) completes annual statistical reporting to the Information and Privacy Commissioner of Ontario in accordance with the requirements set out in the Personal Health Information Protection Act (PHIPA), O. Reg 329/04, and the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA).

The Health Unit’s Privacy Office submits three (3) annual statistical reports to the Information and Privacy Commissioner of Ontario: confirmed privacy breaches under the Personal Health Information Protection Act, access and correction requests under the Personal Health Information Protection Act, and access and correction requests under the Municipal Freedom of Information and Protection of Privacy Act. In 2023, there were zero (0) privacy breaches, twenty-one (21) access requests under the Personal Health Information Protection Act and seven (7) access requests under the Municipal Freedom of Information and Protection of Privacy Act.

Statistical reporting to the Information and Privacy Commissioner of Ontario is due on March 1 of each year. The Privacy Office submitted the Health Unit’s reporting on February 16. R. Fawcett noted that all staff and Board Members have completed their annual privacy attestations, and the Privacy Office will continue to audit and provide education throughout the year.

Board Member S. Franke inquired to R. Fawcett how the Health Unit learns that a privacy breach has occurred. R. Fawcett explained that through the Privacy Office, regular audits are conducted on systems with sensitive information, such as client personal health information. R. Fawcett provided an example of the Clinical Connect program, where searches of same surnames by authorized users would be flagged for the Privacy Office. R. Fawcett noted that the Privacy Office works with program leaders to confirm access and added that all searches in Clinical Connect in 2023 were legitimate.

Chair Newton-Reid inquired on statistics from the previous year compared to 2023. R. Fawcett noted that access requests have increased in 2023, noting that metric scoring has changed since 2022. Personal health information access requests (under the Personal Health Information Protection Act) increased by 10 requests from the previous year, and the privacy breach metrics decreased.

It was moved by P. Cuddy, seconded by M. Smibert, that the Board of Health receive Report No. 18-24 re: “Privacy Program – Information and Privacy Commissioner (IPC) Statistical Reports” for information.
Carried

2024 Insurance Policies (Report No. 19-24)

R. Fawcett provided an update on the Middlesex-London Health Unit’s general liability and cyber insurance.

R. Fawcett noted that the Health Unit has acquired its general liability and cyber insurance packages for 2024. The general insurance costs have increased by 7%, with a cost of approximately $155,000. Cyber insurance costs have decreased by 8%, with a cost of approximately $46,000. Total costs are just over $200,000 for the year. It is noted that within the public sector that there is limited ability to go to market for insurance providers as there are limited providers that serve the sector. Cyber insurance is also difficult to obtain and maintain within the public sector.

General liability insurance is provided through Intact Public Entities Incorporated and the term is March 31, 2024 to March 31, 2025. Cyber insurance is provided by CFC (United Kingdom) and the term is March 1, 2024 to March 1, 2025.

Chair Newton-Reid noted that it was positive to see insurance premiums decrease, especially cyber insurance which generally does not decrease year to year. Emily Williams, Chief Executive Officer noted that there are a few factors assisting with obtaining and maintaining cyber insurance. The Information Technology team has been leading training activities for staff, such as fake phishing and scam attempts. The Information Technology team has also assisted with having a penetration test, where a legitimate and proficient hacker attempts to gain access to the Health Unit’s information technology systems. This activity had good results and provided risks to be addressed, which to date have been addressed by the Health Unit. E. Williams noted that the cyber insurance provider requests documentation of training activities and risk management to maintain coverage. The Health Unit also has fewer staff which has also factored into decreased cyber insurance costs.

It was moved by S. Franke, seconded by M. Smibert, that the Board of Health receive Report No. 19-24 re: “2024 Insurance Policies” for information.
Carried

MLHU Citi Plaza Dental Operatory Addition (Report No. 20-24)

Warren Dallin, Manager, Procurement and Operations and Donna Kosmack, Manager, Oral Health and Clinical Support Services provided the Board of Health with an update on the Citi Plaza Dental Operatory Addition.

D. Kosmack and W. Dallin provided background information to the Ontario Seniors’ Dental Care Program and the capital funding received by the Middlesex-London Health Unit. The Ontario Seniors’ Dental Care Program is a government-funded dental care program where free, routine dental services are provided for low-income adults who are 65 years and older. Middlesex-London has a waiting list, and to address these wait times, capital funding was provided in the amount of $348,170 from the Ministry of Health to expand from 2 (two) dental operatories to four (4). In November 2023, a project team was created with the Strategy, Planning and Performance, Oral Health and Clinical Support Services, and Procurement and Operations teams to retrofit and renovate the dental clinic in London (at Citi Plaza). CCS Engineering and Construction Inc. was selected through a formal Request for Proposal (RFP) procurement process and were the firm that built the Strathroy Dental Clinic.

W. Dallin noted that the dental clinic build would have two (2) phases. The first phase is to retrofit the existing operatories with new dental chairs to support client needs, patching flooring, and creating door windows. The length of this phase is expected to take the full week of March 18, with no dental clinics operating during this construction. The Oral Health and Clinical Support Services Team will be renting space from the Southwest Ontario Aboriginal Health Access Centre (SOAHAC) Dental Clinic for the week of March 18. Therefore, no appointments will be cancelled, and all patients will be seen at the SOAHAC clinic.

The second phase is to build (2) new operatories. The two (2) clinical rooms will be converted into two dental operatories, along with creating a supplies storage room. Construction will consist of adding plumbing, lead lining of the walls, changing the room sizes, and installation of cabinets and new dental equipment. All clinics will continue to operate during construction and patients will be rerouted from the reception area to the clinical space to avoid the construction area. Building permits have been submitted to the City of London, with this phase of the project to begin at the end of April and take five (5) weeks.

D. Kosmack noted that the retrofit of the existing operatories will allow for increased safety with glass inserts being added to the doors and new chairs that allow for enhanced client comfort and better ergonomics for staff. There are approximately 518 people on the waiting list and the additional operatory space will help to reduce this list. D. Kosmack noted that one of the new operatories that is being built will be larger in size to allow staff to see clients who need to remain in their wheelchair and cannot transfer to a dental chair.

Chair Newton-Reid inquired on what the current waitlist of 518 means for the operation of the dental clinics. D. Kosmack explained that the Strathroy Clinic was opened in July 2023, and 500 clients have been seen over a 9-month period.

Board Member Howard Shears inquired if the Strathroy Dental Clinic construction project was delivered on time and on budget. W. Dallin confirmed that it was and noted that it is not anticipated that the final costs of the current project will exceed what was funded by the Province of Ontario.

Board Member Selomon Menghsha inquired what would be an acceptable number on a waitlist for public health dental services in Middlesex-London. D. Kosmack noted that while ideally no waitlist for the public is desired, it is uncertain at this time if this is attainable. D. Kosmack added that the Middlesex-London community’s waitlist is on par with the size of the jurisdiction, noting in comparison that Toronto’s waitlist is very high and Northern Ontario does not have a waitlist – a couple of months for a waitlist would be appropriate for the Middlesex-London area. Dr. Summers noted that the Seniors’ Dental (Care) program remains a big program. The original client needs assessment was approximately 3000, and now it is approximately 6000 and growing. Health units have had to start from scratch to build the program and are now looking to re assess wait times. In addition, with the recent announcement of the Canadian Dental Care Program, there will be potential policy changes, and re-applying for additional capital and operating funds for the Middlesex-London program may be necessary. Dr. Summers added that private dental care wait times tend to be 2-3 weeks, and ideally the Health Unit would like to replicate this.

Chair Newton-Reid inquired if 4 operatories will be enough to serve the community. Dr. Summers noted that at this point, information is unknown due to unknown statistics and lack of being able to market the program broadly due to capacity. As previously stated, the details of the Canadian Dental Care Plan are also unknown and further based on how the private sector will see clients under the program.

Board Member H. Shears inquired on the staffing at the dental clinics. D. Kosmack noted that there are two (2) Dentists at 1.5 FTE, twelve (12) Dental Assistants with two (2) positions currently posted, 10 Registered Dental Hygienists, one (1) Program Assistant, two (2) Associate Managers and 1 (one) Manager.

It was moved by S. Franke, seconded by H. Shears, that the Board of Health receive Report No. 20-24 re: “MLHU Citi Plaza Dental Operatory Addition” for information.
Carried

Current Public Health Issues (Verbal)

Dr. Summers provided a verbal update on current public health issues within the region.

Respiratory Season Update

The Middlesex-London Region is in a non-high-risk period for respiratory illness. COVID-19 trends have decreased since the previous week, and COVID-19 activity in wastewater is decreasing. Influenza rates are the same as the previous week, with both influenza A and B present in the community. Influenza A rates are showing an increase in wastewater. Other respiratory viruses are stable, with a slight increase of coronavirus (not COVID-19). Dr. Summers emphasized the importance of masking in crowded spaces and continuing appropriate infection, prevention, and control measures.

Measles Update

On March 9, the Health Unit received confirmation of a positive measles case. A media release was issued due to the number of potential exposure sites in the City of London. Case and contact management was performed and post exposure prophylaxis (PEP) was provided to high-risk close contacts of the individual. Dr. Summers emphasized the infectious nature of measles – if an infected individual is in a room and leaves, the virus could be present for up to 2 hours after the individual leaves the room.

Vaccination continues to be the best protection against measles. If you were born after 1970:
• Check if you received 2 doses of a measles-containing vaccine (MMR or MMRV) – check your vaccination record or contact your primary health care provider; and
• If you haven’t received 2 doses or are unsure, contract your primary care provider about receiving a second dose.

Measles is still a dangerous illness throughout the world, with 2 million deaths per year. During the Ebola crisis in Congo, 2200 died of Ebola while 7800 died of measles during the same time.

Visit to Citi Plaza Dental Clinic from Minister Filomena Tassi, Federal Economic Development Agency for Southern Ontario and Member of Parliament for London North Centre, Peter Fragiskatos

On March 13, Minister Tassi (Federal Economic Development Agency for Southern Ontario) and MP Peter Fragiskatos (London North Centre) visited the Citi Plaza Dental Clinic to learn more about the work conducted and clients served.

Dr. Summers noted that as the preliminary details of the Canadian Dental Care Plan have been released, there are still questions on how this plan will coordinate with those served under the Ontario Seniors’ Dental Care Program. Oral health is health, and preventative services continue to be a struggle for many members of the community.

MLHU in the News

Since the previous Board of Health meeting, there has been media attention on the recent measles case, non-compliance by vapour product retailers, vaccination status while travelling, and nutritious food for low-income families.

Board Member H. Shears inquired on the status of follow-up for clients diagnosed with measles in the community. Dr. Summers noted that testing through primary care and hospital settings are occurring. Dr. Joanne Kearon, Associate Medical Officer of Health added that the Vaccine Preventable Disease Team is seeing a large increase in the ordering of the measles, mumps, and rubella (MMR) vaccine from health care providers.

Vice-Chair Steele inquired on the level of immunity of those who have been vaccinated against measles. Dr. Summers noted that there has been little activity of measles in 35 years and a lot has been put to the test in recent months. If a client has received 2 doses of vaccine, they are significantly less impacted by the spread of measles and those born before 1970 are even less likely to spread measles having likely been exposed to the disease prior to that date.

Board Member S. Franke noted that she had seen in the media that London is continuing to see residents without family doctors, and if there is any involvement with public health. Dr. Summers noted that within the community, there is a group (Middlesex-London Ontario Health Team Coordinating Council) of health system partners from the hospital, primary care, social services, and health unit partners, that has a physician recruiter. Dr. Summers noted the lack of family physicians means some Middlesex-London residents do not have a choice but to go to the emergency room for care. While public health is not responsible for physician recruitment, through the Coordinating Council the need is recognized. Dr. Summers added that L. Stobo’s team (Social Marketing and Health System Partnerships) can be involved in support efforts with health system partners on this matter.

It was moved by P. Cuddy, seconded by S. Franke, that the Board of Health receive the verbal report re: Current Public Health Issues for information.
Carried

Medical Officer of Health Activity Report for January and February (Report No. 21-24)

Dr. Summers presented his activity report for January and February.

There were no questions or discussion.

It was moved by S. Franke, seconded by M. Steele, that the Board of Health receive Report No. 21-24 re: “Medical Officer of Health Activity Report for January and February” for information.
Carried

Chief Executive Officer Activity Report for January and February (Report No. 22-24)

E. Williams presented her activity report for January and February.

There were no questions or discussion.

It was moved by P. Cuddy, seconded by S. Franke, that the Board of Health receive Report No. 22-24 re: “Chief Executive Officer Activity Report for January and February” for information.
Carried

Board of Health Chair Activity Report for January and February (Report No. 23-24)

Chair Newton-Reid presented his first activity report for January and February. Chair Newton-Reid noted that this report would be presented to the Board of Health every other month.

There were no questions or discussion.

It was moved by S. Franke, seconded by H. Shears, that the Board of Health receive Report No. 23-24 re: “Board of Health Chair Activity Report for January and February” for information.
Carried

Correspondence

It was moved by S. Franke, seconded by M. Smibert, that the Board of Health receive items a) and b) for information:
a) Public Health Sudbury & Districts re: Gender-based and Intimate Partner Violence
b) Middlesex-London Board of Health External Landscape for March
Carried

Other Business

The next meeting of the Middlesex-London Board of Health is Thursday, April 18, 2024 at 7 p.m. on Microsoft Teams.

Closed Session

At 8:04 p.m., it was moved by M. Steele, seconded by S. Franke, that the Board of Health will move into a closed session to consider matters regarding litigation or potential litigation, including matters before administrative tribunals, affecting the municipality or local board; advice that is subject to solicitor-client privilege, including communications necessary for that purpose; labour relations or employee negotiations, personal matters about an identifiable individual, including municipal or local board employees, and to approve previous closed session Board of Health minutes.
Carried

At 8:27 p.m., it was moved by P. Cuddy, seconded by M. Smibert, that the Board of Health return to public session from closed session.
Carried

Adjournment

At 8:27 p.m., it was moved by P. Cuddy, seconded by H. Shears, that the meeting be adjourned.
Carried

Matthew Newton-Reid
Chair

Emily Williams
Secretary