| 138512 | LETTER | N | N | MAIN | ACTION | AMENDED | N | Election of Chair for 2025 - Board of Health | 2025.HL21.1 | Y | Y | Y | Y | <p>Election of the Chair of the Board of Health under Part H, Section 22 of the Board of Health Procedures By-law, as amended, for a term of office starting January 20, 2025 and ending December 31, 2025, and until a successor is appointed.</p> | 21 | 1 | BOARD | HL | All | N | Letter | ACTION | Amended | Main | Board | … | … | … | … | … | … | … | … | … | … | … | … | … | ACTION | true | Amended | … | … | … | … | — | — | — | — | — |
| 138513 | LETTER | N | N | MAIN | ACTION | AMENDED | N | Election of Vice Chair for 2025 - Board of Health | 2025.HL21.2 | Y | Y | Y | Y | <p>Election of the Vice Chair of the Board of Health under Part H, Section 22 of the Board of Health Procedures By-law, as amended, for a term of office starting January 20, 2025 and ending December 31, 2025, and until a successor is appointed.</p> | 21 | 2 | BOARD | HL | All | N | Letter | ACTION | Amended | Main | Board | … | … | … | … | … | … | … | … | … | … | … |
| 138514 | REPORT | N | N | MAIN | ACTION | AMENDED | N | 2025 Board of Health Committees and Appointments | 2025.HL21.3 | Y | Y | Y | Y | <p>This report outlines the need for appointments of Board of Health members to three Committees of the Board of Health and one external Board for 2025:</p>
<ul>
<li>The Board of Health - Budget Committee;</li>
<li>The Board of Health - Performance Appraisal of the Medical Officer of Health Committee;</li>
<li>Our Health, Our City Implementation Panel Chair; and</li>
<li>The Association of Local Public Health Agencies' (alPHa) Board of Directors and Board of Health Section.</li>
</ul>
<p>In addition, this report provides an update on the Strategic Plan Development Committee and the Medical Officer of Health Hiring Committee.</p> | 21 | 3 | BOARD | HL | All | N | Report | ACTION | Amended | Main | Board | … | … | … | … | … | … |
| 138516 | REPORT | N | N | MAIN | ACTION | ADOPTED | N | 2024: A Year-in-Review of Toronto Public Health | 2025.HL21.4 | Y | Y | Y | Y | <p>This report provides an overview of Toronto Public Health's accomplishments and achievements in 2024. The provision of a year-end annual report is a requirement in the <a href="https://www.ontario.ca/page/ontario-public-health-standards-requirements-programs-services-and-accountability#section-3">Ontario Public Health Standards, 2021</a>, as set by the Ontario Minster of Health.</p>
<p> </p>
<p>This past year, Toronto Public Health entered a new chapter, emerging as a post-pandemic organization with a renewed commitment to adapting and improving to best serve the diverse needs of our city. Some highlights of achievements in 2024 include:</p>
<ul>
<li>Creating Toronto Public Health's Strategic Plan 2024 - 2028;</li>
<li>Providing vaccination to more than 42,000 children and youth, continuing to close the gap in vaccination rates that developed over the pandemic;</li>
<li>Launching online vaping prevention resources, an Integrated Respiratory Diseases Dashboard, and a refreshed Population Health Status Indicators Dashboard;</li>
<li>Hosting the Hastings Lecture Series event, Diverse Dialogues: Stigma and Breaking Barriers;</li>
<li>Establishing the Indigenous Wellness Committee in partnership with the Toronto Aboriginal Support Services Council; and</li>
<li>Enhancing partnerships with City divisions and the community, including to recommend a maximum indoor temperature for tenants, and to expand breastfeeding services.</li>
</ul>
<p>Looking to 2025, Toronto Public Health will continue to advance our strategic priorities, protecting and promoting the health of the more than three million residents of Toronto.</p> | 21 | 4 | BOARD | HL | All |
| 138515 | REPORT | N | N | MAIN | ACTION | AMENDED | N | Feedback from Toronto Public Health's Health and Homelessness Working Table | 2025.HL21.5 | Y | Y | Y | Y | <p>In January 2023 the Board of Health requested that the Medical Officer of Health develop a working table to review the intersection of health and homelessness. In response, Toronto Public Health convened a group of experts and individuals with lived and living experience, including representatives from healthcare, academia, frontline services, and various City of Toronto divisions to create the Health and Homelessness Working Table. This group participated in a series of eight meetings from August 2023 to May 2024.</p>
<p> </p>
<p>The primary objective of the Health and Homelessness Working Table was to provide input on and share recommendations addressing health-related issues affecting individuals experiencing homelessness in Toronto. Each meeting focused on specific health issues or populations, such as healthy environments, chronic disease management, refugees and asylum claimants, safety and injury prevention, mental health and substance use, and health across the lifespan.</p>
<p> </p>
<p>Throughout the series of meetings, participants emphasized the need for enhanced multi-sector collaboration involving all levels of government. They identified gaps and opportunities for improving access to and coordination of services between healthcare and social services, as well as for better communication and resource sharing with individuals experiencing homelessness. The overarching recommendation was the establishment of an intergovernmental collaborative group to address the needs of people experiencing homelessness, with consideration of the feedback provided by this group.</p>
<p> </p>
<p>Children's Services, Senior Services and Long-Term Care, Social Development, Finance and Administration, Toronto Shelter and Support Services, and Housing Secretariat were consulted in the development of this report.</p> | 21 |
| 138526 | REPORT | N | Y | MAIN | ACTION | AMENDED | N | Anticipated Service Impacts for Toronto Public Health and Emergency Responders due to the Closure of Supervised Consumption Sites in Toronto | 2025.HL21.6 | Y | Y | Y | Y | <p>On December 4, 2024, the Government of Ontario passed the <a href="https://www.ola.org/sites/default/files/node-files/bill/document/pdf/2024/2024-12/b223ra_e.pdf">Community Care and Recovery Act, 2024</a>. This legislation introduces new requirements for operating supervised consumption service sites in Ontario and will lead to a reduction in supervised consumption services available in Toronto by March 31, 2025. </p>
<p> </p>
<p>On <a href="https://secure.toronto.ca/council/agenda-item.do?item=2024.HL18.2">November 18, 2024</a>, the Board of Health requested the Medical Officer of Health, in consultation with the Toronto Police Service, Toronto Fire Services, and Toronto Paramedic Services to provide a summary of likely service impacts related to the anticipated closure of supervised consumption sites in Toronto. This staff report provides an overview of anticipated service impacts to Toronto Public Health's clinical service and emergency services in the city as a result of this provincial policy change.</p>
<p> </p>
<p>The Board of Health also requested the Medical Officer of Health, in consultation with the City Solicitor, to provide a summary of any legal issues related to the Provincial decision to close supervised consumption sites in Toronto. An overview of the legal implications and advice related to the closures of the supervised consumption sites is provided in the supplementary report from legal services.</p>
<p> </p>
<p>Supervised consumption sites are healthcare facilities that allow people to bring their own drugs to use in the presence of trained healthcare professionals. These facilities save lives, connect people to social services and are pathways to treatment. The new legislation will reduce access to an evidence-based clinical healthcare service leading to an anticipated increase in preventable fatal and non-fatal overdoses.</p>
<p> </p>
<p>Toronto Fire Services, Toronto Paramedic Services and Toronto Police Service were consulted in the development of this report.</p> |
| 138528 | REPORT | N | Y | MAIN | ACTION | NO_ACTN | N | Legal Issues Related to the Community Care and Recovery Act, 2024 | 2025.HL21.6a | Y | Y | Y | Y | <p>The Community Care and Recovery Act, 2024 (the “CCRA”) received Royal Assent on December 4, 2024. The CCRA creates new restrictions on harm reduction services in Ontario, including a prohibition on the operation of a supervised consumption site within 200m of a school, private school, child care centre, and EarlyON child and family centre. It also limits the power of boards of health and municipalities to apply for new exemptions under the Controlled Drugs and Substances Act, to apply for funding from Health Canada for safer supply services, and to support applications that relate to the aforementioned.</p>
<p> </p>
<p>Confidential Attachment 1 provides further information and advice regarding the Community Care and Recovery Act, 2024.</p> | 21 | 6 | BOARD | HL | All | N | Report | ACTION | No Action | Main | Board | … | … | … | … |
| 138680 | REPORT | N | Y | MAIN | ACTION | NO_ACTN | N | Update on the Court Application to Challenge the Constitutionality of the Community Care and Recovery Act, 2024 | 2025.HL21.6b | Y | Y | Y | Y | <p>The Community Care and Recovery Act, 2024 (the "CCRA") received Royal Assent on December 4, 2024. <span style="color: windowtext;">On December 9, 2024, a </span><a href="https://www.lolg.ca/docs/default-source/default-document-library/2024-12-09---issued-notice-of-application--the-neighbourhood-group.pdf?sfvrsn=2d0821d5_0">Notice of Application</a><span style="color: windowtext;"> was issued in the Ontario Superior Court of Justice which challenges the constitutionality of the </span><em>CCRA</em><span style="color: windowtext;"> (the "TNG Application").</span></p>
<p><span style="color: windowtext;"> </span></p>
<p>A supplementary report to Item <a href="https://secure.toronto.ca/council/agenda-item.do?item=2025.HL21.6">HL21.6</a> was submitted by the City Solicitor on legal issues related to the CCRA and TNG Application on January 7, 2025. This second supplementary report provides an update on the TNG Application and seeks instructions from the Board of Health regarding participating as an intervenor.</p> | 21 | 6 | BOARD | HL | All | N | Report | ACTION | No Action | Main | Board | … |
| 138530 | REPORT | N | N | MAIN | ACTION | ADOPTED | N | Enhancing Food Safety at Special Events | 2025.HL21.7 | Y | Y | Y | Y | <p>There are hundreds of special events in Toronto throughout the year and especially during the summer adding to the vibrancy of the city. Toronto Public Health (TPH) protects health at special events by providing guidance for water and food safety. Food safety rules can be complex, and food vendors at special events are held to the same standard as permanent food premises, but must achieve these standards while outside in crowded areas with limited infrastructure.</p>
<p> </p>
<p>The number of special events is expected to increase as the City <a title="EC7.1 - Strengthening Toronto’s Public Markets and Mid-Size Food Retail Infrastructure" href="https://secure.toronto.ca/council/agenda-item.do?item=2023.EC7.1">takes steps to grow the number of non-permanent food locations</a> by creating new spaces for events like farmers markets. While these are welcomed changes that support the city's vibrancy, they also significantly increase the workload for public health inspectors (PHIs). As special events are clustered in the summer months, concurrently with peak times for other work, TPH PHIs cannot inspect all special event food vendors. To reduce risks for food safety issues while managing operational constraints, TPH is introducing The Food Safety Management Plan (FSMP), a new, voluntary, tool for event organizers which promotes proactive and preventative approaches to special event food safety. The introduction of the FSMP tool is supported by additional educational resources for both organizers and vendors of special events.</p> | 21 | 7 | BOARD | HL | All | N |