Agenda

Consolidated



Board of Health


Meeting No. 27   Contact Nancy Martins, Committee Administrator
Meeting Date Monday, December 9, 2013
  Phone 416-397-4579
Start Time 1:00 PM
  E-mail boh@toronto.ca
Location Committee Room 1, City Hall
  Chair   Councillor Joe Mihevc  


Board of Health

Councillor Joe Mihevc (Chair)

Councillor Raymond Cho

Councillor Sarah Doucette (Vice Chair)

Councillor John Filion

Councillor Gord Perks

Councillor Wong-Tam

Trustee Pamela Gough

Abdul Fattah

Monte Harris

David Laws

Suman Roy

Jennifer Sarjeant

Rumina Velshi

 

Members of the Board and Staff:  Please keep this agenda and the accompanying material until the City Council meeting dealing with these matters has ended.

 

Special Assistance for Members of the Public:  City staff can arrange for special assistance with some advance notice.  If you need special assistance, please call 416‑397-4579, TTY 416-338-0889 or e-mail boh@toronto.ca.

 

Closed Meeting Requirements:  If the Board of Health wants to meet in closed session (privately), a member of the Board must make a motion to do so and give the reason why the Board has to meet privately (City of Toronto Act, 2006).

 

Notice to people writing or making presentations to the Board of Health:  The City of Toronto Act, 2006 and the City of Toronto Municipal Code authorize the City of Toronto to collect any personal information in your communication or presentation to City Council or its committees.  The City collects this information to enable it to make informed decisions on the relevant issue(s). If you are submitting letters, faxes, e-mails, presentations or other communications to the City, you should be aware that your name and the fact that you communicated with the City will become part of the public record and will appear on the City’s website. The City will also make your communication and any personal information in it - such as your postal address, telephone number or e-mail address - available to the public, unless you expressly request the City to remove it.

 

The City makes a video record of committee and community council meetings. If you make a presentation to a committee or community council, the City will be video-recording you and City staff may make the video record available to the public.

 

If you want to learn more about why and how the City collects your information, write to the City Clerk's Office, City Hall, 100 Queen Street West, Toronto ON M5H 2N2 or by calling 416-397-4579.


toronto.ca/council

This agenda and any supplementary materials submitted to the City Clerk can be found online at www.toronto.ca/council. Visit the website for access to all agendas, reports, decisions and minutes of City Council and its committees.

 

 

 

Declarations of Interest under the Municipal Conflict of Interest Act.

 

Confirmation of Minutes – November 4, 2013

 

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

 

Communications/Reports

HL27.1

Presentation 

 

 

Ward:All 

From the Ground Up: Assessing the Risks and Maximizing the Benefits of Gardening on Urban Soils
Summary

Presentation from Josephine Archbold, Public Health, Healthy Public Policy.

Background Information
(December 9, 2013) Presentation on "From the Ground Up: Assessing the Risks and Maximizing the Benefits of Gardening on Urban Soils
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64774.pdf)


HL27.2

Presentation 

 

 

Ward:All 

Premature Death Among Members of Toronto's Aboriginal Community: Walking in Their Shoes
Summary

Presentation from Dr. Chandrakant P. Shah, Staff Physician, Anishnawbe Health Toronto.

Background Information
(December 9, 2013) Presentation from Dr. Chandrakant P. Shah, Staff Physician, Anishnawbe Health Toronto. Presentation from Dr. Shah, Anishnawbe Health Toronto on Premature Death Among Members of Toronto's Aboriginal Community: Walking in Their Shoes
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64614.pdf)

Presentation - Part 2 from Dr. Chandrakant P. Shah, Staff Physician, Anishnawbe Health Toronto. Presentation from Dr. Shah, Anishnawbe Health Toronto on Premature Death Among Members of Toronto's Aboriginal Community: Walking in Their Shoes
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64668.pdf)

Communications
(June 12, 2013) Submission from Miguel Avila-Velarde, Toronto Cop Watch (HL.New.HL27.2.1)

HL27.3

ACTION 

 

 

Ward:All 

Health Impacts Associated with Billy Bishop Toronto City Airport Expansion
Origin
(November 25, 2013) Report from the Medical Officer of Health
Recommendations

The Medical Officer of Health recommends that:

 

1.         The Board of Health recommend that City Council plan for the most health-supporting use of the airport lands upon expiry of the current Tripartite Agreement, consistent with the vision for the Central Waterfront in the City's Official Plan.

 

2.         The Board of Health recommend to City Council that while the Tripartite Agreement remains in effect, any change to operations and associated transportation infrastructure should ensure that existing health impacts are reduced.

 

3.         The Board of Health recommend that City Council endorse the mitigation measures applicable to current airport operations, as set out in the report from the Deputy City Manager, Cluster B, for consideration by Executive Committee on December 5, 2013.

 

Summary

The Billy Bishop Toronto City Airport (BBTCA) is located on the Toronto Islands, close to residential areas, parks, and Toronto’s downtown. A Tripartite Agreement signed by City Council, the Federal Government, and the Toronto Port Authority governs the airport's operations until its expiry in 2033 and currently prohibits jet aircraft or expansion of the airport’s runways. In Spring 2013, Porter airlines requested that the Tripartite Agreement be amended to permit jets at the BBTCA.

 

The public and especially some in the communities near the BBTCA have expressed concern that the airport’s current operations may be harmful to health and that the proposed expansion could worsen the situation.

 

A rapid Health Impact Assessment commissioned by Toronto Public Health at the request of the Board of Health concluded that this evolving area is home to some vulnerable populations and that many sources currently contribute to health risks in the area. The airport, even in its current form, contributes to existing air quality and noise-related health concerns. Traffic conditions, which increase the risk of injuries or fatalities and hamper access to recreational, health, and community services in the area are expected to worsen with expansion. Current and expanded operations at the BBTCA may also have negative impacts on health risk from air pollution, climate change, water quality, feelings of safety in the community, and enjoyment of parks and cultural and social events along the Waterfront.

 

The findings suggest that the long-term presence of the airport on the City's Central Waterfront has a more important impact on health than the proposed incremental changes to the airport's operations. The current vision in the City's Official Plan for the Central Waterfront as a densely populated, vibrant area that celebrates and provides connections to the lakefront aligns with the characteristics of a Healthy City. Optimal protection and enhancement of the health of Central Waterfront residents and the city as a whole calls for a reduction of current and future airport impacts.

Financial Impact

There are no financial implications arising from the adoption of this report.

Background Information
(November 25, 2013) Report from the Medical Officer of Health on Health Impacts Associated with Billy Bishop Toronto City Airport Expansion
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64222.pdf)

(December 9, 2013) Presentation from the Medical Officer of Health - Health Impacts Associated with Billy Bishop Toronto City Airport Expansion
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64825.pdf)

Communications
(July 3, 2013) E-mail from Elizabeth Littlejohn (HL.Main.HL27.3.1)
(October 15, 2013) Letter from Brian Iler, Chair, CommunityAIR (HL.Main.HL27.3.2)
(http://www.toronto.ca/legdocs/mmis/2013/hl/comm/communicationfile-41901.pdf)

(October 16, 2013) E-mail from Elizabeth Littlejohn (HL.Main.HL27.3.3)
(October 16, 2013) E-mail from B. Menezes (HL.Main.HL27.3.4)
(December 4, 2013) E-mail from Lawrence Yu (HL.New.HL27.3.5)
(December 5, 2013) E-mail from Marie Angela Sampson (HL.New.HL27.3.6)
(December 8, 2013) E-mail from Maxyne Baker (HL.New.HL27.3.7)
(December 8, 2013) E-mail from Jo McCaig-Olthuis (HL.New.HL27.3.8)
(December 8, 2013) E-mail from Louis K. (HL.New.HL27.3.9)
(December 8, 2013) Letter from Monika Weiss (HL.New.HL27.3.10)
(December 9, 2013) E-mail from Max Fleming (HL.New.HL27.3.11)
(December 9, 2013) Submission from Elizabeth Littlejohn, Sustainable Design Researcher (HL.New.HL27.3.12)
(December 9, 2013) Submission from Sarah Miller (HL.New.HL27.3.13)

HL27.4

ACTION 

 

 

Ward:All 

Creating a Healthier Toronto Through the Official Plan: 2013 Update
Origin
(November 24, 2013) Report from the Medical Officer of Health
Recommendations

The Medical Officer of Health recommends that:

 

1.         The Board of Health forward this report to the Chief Planner and Executive Director of City Planning for consideration in the Five-Year Official Plan Review.

Summary

The City of Toronto is undertaking a five-year review of its Official Plan (OP). This report provides comments on proposed amendments to OP policies on employment lands which were adopted by the Planning and Growth Management Committee at its meeting on November 21, 2013; and an update on Toronto Public Health's (TPH) ongoing efforts to enhance health and health equity principles in the OP.

 

Proposed changes to OP policies for employment lands will support healthy transportation options to work (transit, walking and cycling) that promote physical activity and decrease traffic-related air pollution. Walkable access to nutritious food stores, other retail, services and amenities are key features of a healthy neighbourhood. New policies proposed for OP amendment will require that redevelopment in residential and mixed-use areas consider options for walking to shopping and other services. TPH is collaborating with City Planning on the implementation of the Residential Apartment Commercial zoning designation which will help improve conditions in disadvantaged Apartment Neighbourhoods.

 

TPH supports policies that promote city-wide access to affordable daycare and works to ensure children and others are protected from potential environmental health hazards at such facilities.  If adopted, proposed revisions to OP policies will prevent the siting of sensitive land uses such as workplace daycares, schools and places of worship in employment areas, uses which were previously permitted. TPH will continue to dialogue with City Planning on addressing issues arising from sensitive land uses in employment areas. 

Financial Impact

There are no financial impacts arising from the adoption of this report.

Background Information
(November 24, 2013) Report and Attachment 1 from the Medical Officer of Health on Creating a Healthier Toronto Through the Official Plan: 2013 Update
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64210.pdf)

Communications
(December 5, 2013) E-mail from Sharon Yetman (HL.New.HL27.4.1)

HL27.5

ACTION 

 

 

Ward:All 

Proposed Menu Labelling Legislation for Ontario
Origin
(November 20, 2013) Report from the Medical Officer of Health
Recommendations

The Medical Officer of Health recommends that:

 

1.         The Board of Health commend the provincial government for making a commitment to introduce menu labelling legislation this winter that would require chain restaurants to post calories and other nutrition information on the menu/menu board, and for engaging key stakeholders in consultations, including public health, on the design, implementation, and enforcement of this legislation.

 

2.         The Board of Health endorse the Medical Officer of Health's recommendations in relation to the design, implementation, enforcement, and evaluation of the proposed provincial menu labelling legislation contained in his submission to the Minister of Health and Long-Term Care (Attachment 1).

 

3         The Board of Health forward this report to the Ontario Public Health Association, the Association of Local Public Health Agencies, the Ontario Society of Nutrition Professionals in Public Health, the Ontario Medical Association and the Registered Nurses Association of Ontario.

Summary

On October 9th, 2013, the Provincial Minister of Health and Long-Term Care announced that the provincial government will be introducing menu labelling legislation this winter that would require chain restaurants to post calories and other nutrition information on the menu/menu board of large chain restaurants. The provincial government is designing the legislation in consultation with diverse sectors, including public health, and engaging local public health agencies in discussions of implementation as they will be expected to enforce the legislation.

 

Toronto Public Health (TPH) was represented at the consultations through provincial organizations such as the Ontario Public Health Association among others. The Medical Officer of Health (MOH) has also provided the Minister directly with a submission clearly outlining the Board of Health's position that legislation should mandate the posting of sodium values alongside calories on the menu/menu board and the Board's recommendations on how this information should be provided by chain restaurants with ten or more locations nationwide.

 

To maximize the impact of this legislation, the MOH has also recommended province-wide public education on how to use menu labelling. As Ontario is the first jurisdiction in Canada to require menu labelling, the MOH also recommends the provincial government support evaluation of the implementation and impact of this legislation. 

 

The MOH recommends that the Board of Health commend the Government of Ontario and the Minister of Health and Long-Term Care for taking provincial leadership on this issue, and endorse the additional recommendations to the provincial government found in Attachment 1. 

 

In light of the provincial government's commitment to legislate menu labelling, TPH is delaying further work to develop a municipal menu labelling bylaw for Toronto and will continue to seek out opportunities for engagement with the provincial government on implementation and enforcement and other issues that have implications for local public health agencies.

Financial Impact

This report has no financial implications.

Background Information
(November 20, 2013) Report from the Medical Officer of Health on Proposed Menu Labelling Legislation for Ontario
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64208.pdf)

(November 5, 2013) Attachment 1 - Letter to Minister of Health and Long-Term Care from the Medical Officer of Health on Healthy Kids Consultation - Provincial Menu Labelling Legislation, November 1, 2013
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64209.pdf)


HL27.6

ACTION 

 

 

Ward:All 

Public Health Agency of Canada Funding for Toronto Public Health Food Strategy Initiatives
Origin
(November 21, 2013) Report from the Medical Officer of Health
Recommendations

The Medical Officer of Health recommends that:

 

1.         City Council approve a one-time Toronto Public Health 2014 Operating Budget Request of $232,335 gross and $0 net funded 100 percent by the Public Health Agency of Canada; and,

 

2.         Board of Health forward this report to the Budget Committee for consideration.

Summary

The Public Health Agency of Canada (PHAC) has confirmed its funding for Toronto Public Health (TPH) to complete food strategy projects focussed on procurement, healthy food retail and social finance to be initiated in 2013 and completed in 2015. TPH's Food Strategy team works collaboratively with diverse partners to implement food initiatives that support healthy eating, disease prevention, healthier communities and local, diverse economic development.

 

A one-time 2014 TPH Operating Budget increase of $232,335 gross and $0 net is requested in this report with 100 percent of the funding provided by PHAC. A one-time budget adjustment of $50,125 gross and $0 net will be included for consideration with the TPH 2015 Operating Budget Request.

Financial Impact

Funding of $311,760 has been approved by PHAC for work on healthy food access initiatives to be completed by TPH in collaboration with its community, institutional and private sector partners between November 2013 and March 31, 2015. A one-time adjustment of $29,300 gross and $0 net has been made to the 2013 TPH Operating Budget; one-time budget adjustments of $232,335 gross and $0 net in 2014 and $50,125 in 2015 are required to complete the allocation of funding to the completion of the project. No adjustments to TPH complement are required. The TPH 2014 Staff Recommended Operating Budget has been adjusted to reflect this new initiative.

 

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

Background Information
(November 21, 2013) Report from the Medical Officer of Health on Public Health Agency of Canada Funding for Toronto Public Health Food Strategy Initiatives
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64211.pdf)


HL27.7

ACTION 

 

 

Ward:All 

Appointment of 2014 Review Panel for the Toronto Urban Health Fund
Confidential Attachment - Personal matters about an identifiable individual, including municipal or local board employees
Origin
(November 18, 2013) Report from the Medical Officer of Health
Recommendations

The Medical Officer of Health recommends that:

 

1.         The Board of Health appoint the individuals listed in Confidential Attachment 2 to the Toronto Urban Health Fund Review Panel.

 

Summary

This report recommends members for the 2014 Toronto Urban Health Fund Review Panel, for appointment by the Board of Health. 

Financial Impact

There are no financial implications from this report.

Background Information
(November 18, 2013) Report and Attachment 1 from the Medical Officer of Health on Appointment of 2014 Review Panel for the Toronto Urban Health Fund
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64207.pdf)

(November 18, 2013) Confidential Attachment 2 - Appointment of 2014 Review Panel for the Toronto Urban Health Fund

HL27.8

ACTION 

 

 

Ward:All 

Toronto Agricultural Program
Origin
(November 22, 2013) Letter from City Council
Recommendations

City Council on November 13, 14, 15 and 18, 2013 adopted Item PE23.1, and in so doing, directed that a copy of this Item be forwarded to the Board of Health for information.

Summary

City Council on November 13, 14, 15 and 18, 2013 considered Parks and Environment Committee Item PE23.1 on Toronto’s Agricultural Program.  In adopting this Item as amended, City Council has, among other things, forwarded a copy to the Board of Health for information.

Background Information
(November 22, 2013) Transmittal from City Council on Toronto Agricultural Program
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64348.pdf)

(November 13, 2013) Committee Report from PE 23.1 Parks and Environment Committee on Toronto Agricultural Program
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64349.pdf)

(September 30, 2013) Report from the Deputy City Manager, Cluster A on Toronto Agricultural Program
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64347.pdf)


HL27.9

ACTION 

 

 

 

Bill 131 - Youth Smoking Prevention Act
Origin
(December 9, 2013) Letter from Councillor Joe Mihevc, Ward 21, St. Paul's West
Recommendations

That the Board of Health:

 

1.         Call on the Premier of Ontario, and all Ontario members of provincial parliament (MPPs) to support Bill 131 in its entirety;

2.         Call on the Government, Opposition, and NDP House Leaders to work together to ensure all Ontario MPPs support an expeditious passage of the proposed legislation in Spring 2014; and

3.         Call on all Ontario MPPs to ensure a timely proclamation of the Bill once passed, so that it comes in to force by Summer 2014.

Summary

On November 18, 2013, Bill 131 - Youth Smoking Prevention Act -  was introduced in the provincial legislature.  The proposed Act, which passed first reading, would make the following amendments to the Smoke Free Ontario Act (SFOA):

 

  • increase fines for those who sell tobacco to youth;
  • prohibit the sale of flavoured tobacco products; and
  • provide local Tobacco Enforcement Officers the authority to test for waterpipe tobacco use in indoor public places.
  • prohibit tobacco sales on post-secondary education campuses and specified provincial government properties;
  • prohibit smoking on playgrounds, sports fields, restaurant and bar patios, hospital grounds and select provincial government-owned properties.
Background Information
(December 9, 2013) Letter from Councillor Mihevc on Bill 131 - Youth Smoking Prevention Act
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64782.pdf)

(November 22, 2013) Attachment 1 - Letter from the Ontario Campaign for Action on Tobacco
(http://www.toronto.ca/legdocs/mmis/2013/hl/bgrd/backgroundfile-64783.pdf)