Agenda · Board Of Health — 2025-04-01

CivicBeam

Agenda · Board Of Health — 2025-04-01 | CivicBeam

Agenda

Related view: Decisions — final actions

Navigate: Meeting page · Recent decisions (council-wide) · Council roster

Status summary

Published schedule before the meeting—not the final vote sheet.

Board of Health · 2025-04-01

10 structured lines in this file · ward references on 1 line.

Top takeaways

Counts and lines derived only from fields in this file—not predictions or editorial ratings.

Scheduled disposition tags on file: Approved: 8 · Amended: 1 · Deferred: 1
1 distinct ward reference value on scheduled lines.

Items needing attention

Amendments, deferrals, referrals, non-approval, and title-keyword matches ranked by CivicBeam—up to eight. Hover or focus tags for what each label means.

Noise Action Plan Update — deferred
DeferredHigh impact
Update on the City of Toronto’s Downtown Homelessness and Addicti… — amended
Amended
City Approved Toronto Public Health 2025 Operating Budget — approved
High impact
City Approved Toronto Public Health 2025 Capital Budget and 2026-… — approved
High impact
Toronto Public Health Operating Budget for the Year Ending on Dec… — approved

Item-by-item record

Expand rows for detail. Filters apply to this list only (same data as the summaries above).

Filter item list

10 lines in this record.

#	Item	Type	Wards
2025.HL23.1	Indigenous Wellness Committee: Update	ACTION	All
2025.HL23.2	Environmental and Occupational-Related Cancer Prevention in Toronto: Public Health Actions	ACTION	All
2025.HL23.3	Noise Action Plan Update	ACTION	All
2025.HL23.4	City Approved Toronto Public Health 2025 Operating Budget	ACTION	All
2025.HL23.5	City Approved Toronto Public Health 2025 Capital Budget and 2026-2034 Capital Plan	ACTION	All
2025.HL23.6	Toronto Public Health Operating Budget for the Year Ending on December 31, 2024	ACTION	All
2025.HL23.7	Toronto Public Health Capital Budget for the Year Ending on December 31, 2024	ACTION	All
2025.HL23.8	Update on the City of Toronto’s Downtown Homelessness and Addiction Recovery Treatment (HART) Hub	ACTION	All
2025.HL23.9	Update from the Medical Officer of Health Hiring Panel	ACTION	All
2025.HL23.10	Update on the Legal Challenge of the Community Care and Recovery Act	ACTION	All

Source verification

This page is based on a public City meeting record. The City remains the authoritative source. Use these links to open the same source file or city references in a new tab.

Full source fields (advanced)

Same public record as above, shown as structured fields. Most readers can skip this block.

Options

Include Financial Impact: true
Include Agenda Instructions: true
Legdoc Url: https://www.toronto.ca/legdocs
Include Origin Date From: true
Public Published

Monitor this topic

Alerts are not active until you save a monitor and add an email recipient.

Report data issue — opens your email app with this page’s record type, identifier, and URL prefilled. CivicBeam does not store reports on this site.

Agenda Items

Agenda Item Id	Communication Type Cd	Urgent	In Camera	Publish Type Cd	Consideration	Status	Statutory	Title	Reference	Publish Decision Ind	Publish Motion Ind	Publish Vote Ind	Publish Ruling Ind	Recommendation Wep	Financial Impact Wep	Agenda Item Summary	Ai Meeting Number	Ai Order Number	Db Publish Label Cd	Agenda Cd	Wards	Pre Meeting Event Ind	Staff Report	Communication Type Desc	Consider Type Desc	Item Status Desc	Publish Type Desc	Decision Body Publish Label	Speaker Interested Persons	Committee Communications	Council Communications	Committee Attachments	Council Attachments	Committee Motions	Council Motions	Committee Rulings	Council Rulings	Committee Declared Interests	Council Declared Interests	Decision Type Desc	Has Decison Information	Consent Item Status Desc	Pre Meeting Speakers List	Pre Meeting Interested Persons	Post Meeting Speakers List	Post Meeting Interested Persons
139529	REPORT	N	N	MAIN	ACTION	ADOPTED	N	Indigenous Wellness Committee: Update	2025.HL23.1	Y	Y	Y	Y	<p>The Acting Medical Officer of Health recommends that:</p> <p> </p> <p>1. The Board of Health request the Medical Officer of Health to report back to the Board with an update on Toronto Public Health’s Indigenous Health Strategy progress by Q1 2026.</p> <p> </p> <p>2. The Board of Health request the Acting Medical Officer of Health to share this report with the City of Toronto Indigenous Affairs Office and Social Development, Finance and Administration Division to demonstrate how the work of the Indigenous Wellness Committee aligns with the City of Toronto Reconciliation Action Plan’s Strategic Action #13.</p>	<p>There is no financial impact associated with the adoption of the recommendation in this report.</p>	<p class="Body">In April 2023, the Medical Officer of Health provided an <a href="https://secure.toronto.ca/council/agenda-item.do?item=2023.HL3.1">update</a> to the Board of Health on developing a mental health and addictions strategy for the City of Toronto. At that time, the Board of Health recommended that the Medical Officer of Health co-develop a parallel strategy with Indigenous organizations and communities to ensure that approaches and actions support the unique needs of urban Indigenous people living in Toronto.</p> <p class="Body"> </p> <p class="Body">In response to this recommendation, Toronto Public Health staff co-hosted two Indigenous Wellness Roundtables with the Toronto Aboriginal Social Supports Council in October 2023, to determine next steps with Indigenous organizations. The main recommendation was to establish an Indigenous Wellness Committee, co-led by Toronto Public Health and Indigenous organizations.</p> <p class="Body"> </p> <p class="Body">This report provides a progress update on the work of the Indigenous Wellness Committee and includes recommendations to the Board of Health for continued communication about Toronto Public Health’s Indigenous Health Strategy.</p>

Meeting

Meeting Id

25805

Decision Body Id

2564

boh@toronto.ca

Special Meeting Cd

Meeting Number

Mtg Status Cd

COMPLETE

Official Chair Member Id

3822

Official Chair Salutation Cd

COUNCILR

Current Process Id

Minutes Confirm Date

1746417600000

Publish Vice Chair Ind

Display Minutes Confirm Ind

Mtg Status Desc

Complete

Term Year

2025

Official Chair First Name

Chris

Official Chair Last Name

Moise

Official Chair Salutation Desc

Councillor

Tier

Agenda Published

false

Decision Published

false

Minutes Published

false

Show Map

false

Show Bill

false

Agenda

Agenda Id: 44303
Show Status Cd: ON
Agenda Instructions Wep: <table style="width: 100.0%; border-collapse: collapse; border: none;" width="100%"> <tbody> <tr style="height: 13.5pt;"> <td style="width: 100.0%; border: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 13.5pt;" colspan="2" width="100%"> Board of Health </td> </tr> <tr style="height: 55.15pt;"> <td style="width: 50.0%; border: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; height: 55.15pt;" width="50%"> Councillor Chris Moise, Chair Councillor Alejandra Bravo, Vice Chair Abinaya Chandrabalan Councillor Lily Cheng Lindsay Kretschmer Trustee Ida Li Preti </td> <td style="width: 50.0%; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; height: 55.15pt;" width="50%"> Charles Ozzoude Councillor Anthony Perruzza Suman Roy Ramanjeet Singh Councillor Michael Thompson Stephanie Zhou </td> </tr> </tbody> </table>   This meeting of the Board of Health will be conducted with members participating in person and remotely.   Directors of the Board and participating City Officials will be provided with the video conference details closer to the meeting date.   To provide comments or make a presentation to the Board of Health:   The public may submit written comments or register to speak to the Board on any item on the agenda.   Written comments may be submitted by writing to <a href="mailto:boh@toronto.ca">boh@toronto.ca</a>.   To speak to the Board, please register by e-mail to <a href="mailto:boh@toronto.ca">boh@toronto.ca</a> or by phone at 416-397-4592. Registered speakers will be provided with instructions on how to participate in the meeting.   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 416-397-4592, TTY 416-338-0889 or e-mail <a href="mailto:boh@toronto.ca">boh@toronto.ca</a>.   Closed Meeting Requirements: If the Board of Health wants to meet in closed session (privately), a director 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 and Boards. 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.   Many Committee, Board, and Advisory Body meetings are broadcast live over the internet for the public to view. If you speak at the meeting you will appear in the video broadcast. Video broadcasts are archived and continue to be publicly available.   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 call 416-397-4592.    <a href="http://app.toronto.ca/tmmis/index.do">toronto.ca/council</a>   This agenda and any supplementary materials submitted to the City Clerk can be found online at <a href="http://app.toronto.ca/tmmis/index.do">toronto.ca/council</a>. Visit the website for access to all agendas, reports, decisions, and minutes of City Council and its Committees and Boards.   Declarations of Interest under the Municipal Conflict of Interest Act   Confirmation of Minutes - February 10, 2025 <p style="margin: 0px; font-family: 'Times New Roman', Times, serif, Arial, Helvetica, sans-serif; font-size: 16px; color: #000000; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">  <p style="margin: 0px; font-family: 'Times New Roman', Times, serif, Arial, Helvetica, sans-serif; font-size: 16px; color: #000000; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Speakers/Presentations - The speakers list will be posted online at 8:30 a.m. on April 1, 2025 <p style="margin: 0px; font-family: 'Times New Roman', Times, serif, Arial, Helvetica, sans-serif; font-size: 16px; color: #000000; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">  <p style="margin: 0px; font-family: 'Times New Roman', Times, serif, Arial, Helvetica, sans-serif; font-size: 16px; color: #000000; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Communications/Reports

Phone

Phone Id: 24879
Area Code: 416
Phone Number: 397-4592

Mmis User

User List Id: 801
User First Name: Gina
User Last Name: Ang
User Email: gang@toronto.ca
User Title: Committee Administrator
Enabled: false
User Full Name: Gina Ang
Account Non Expired: false
Account Non Locked: false
Credentials Non Expired: false

Decision Body

Decision Body Id

2564

Decision Body Name

Board of Health

Decision Body Publish Label Cd

BOARD

Committee Code

Committee Code Id: 16
Committee Code: HL

Decision Body Type

Tier: 2

Term

Term Id: 8
Term Type: 2022-2026
Trm Start Date: 1668488400000
Trm End Date: 1794632400000

Meetings

No entries

Location Dates

Meeting Location Date Id	Meeting Date	Start Time	Monitor Display Ind	Location
27200	1743480000000	1743514200000	Y	…

Speaker List Published

false

Meeting Reference

2025.HL23

Grouped Meeting Dates

April 1, 2025

Earliest Meeting Location Date

Meeting Location Date Id

27200

Meeting Date

1743480000000

Start Time

1743514200000

Monitor Display Ind

Location

Location Id: 601
Location Name: Committee Room 1, City Hall/Video Conference

Latest Meeting Location Date

Meeting Location Date Id

27200

Meeting Date

1743480000000

Start Time

1743514200000

Monitor Display Ind

Location

Location Id: 601
Location Name: Committee Room 1, City Hall/Video Conference

Grouped Council Consider Dates

139530

REPORT

MAIN

ACTION

ADOPTED

Environmental and Occupational-Related Cancer Prevention in Toronto: Public Health Actions

2025.HL23.2

The Acting Medical Officer of Health recommends that:   1. The Board of Health request the Acting Medical Officer of Health to continue to collaborate with Divisions, public health agencies, academic institutions, and community researchers as appropriate, on initiatives to better understand environmental exposure risks in Toronto such as:   a. Exploring collaborative research opportunities to update information on the air pollution burden of illness, including cancer.   b. Continuing participation as a knowledge user in the Study of Winter Air Pollution in Toronto (SWAPIT) and other air quality studies to inform local policies and action.   c. Undertaking an assessment of the quality improvement options for optimizing the ChemTRAC program's operations and effectiveness.   2. The Board of Health request the Acting Medical Officer of Health to continue contributing to environmental carcinogen risk reduction through provision of public health technical expertise to the City of Toronto or other levels of government on relevant initiatives.   3. The Board of Health request the Acting Medical Officer of Health to continue amplifying messages about relevant environmental carcinogens through participation in initiatives of other agencies or City divisions to reduce public health risks of environmental cancers.

There are no financial impacts associated with this report. The Chief Financial Officer and Treasurer has reviewed this report and agrees with the information as presented in the Financial Impact Section.

Cancer-causing agents in the environment, or environmental carcinogens, contribute to some of the most common cancers in Ontario. Some carcinogens are in the environment from human activities (for example, pollution from cars or industry) while others are part of the natural environment (for example, radon and solar radiation). The severity and frequency of exposures to environmental cancer-causing agents are potentially modifiable. Some environmental exposures can be outside the control of individuals.   The burden of environmental cancers is felt across the city. As a public health unit, Toronto Public Health (TPH) has a role in environmental cancer prevention and in reducing exposures at the community level. Toronto Public Health contributes to community cancer prevention and exposure reduction by working with other levels of government and partners, and by taking action within local public health's scope and mandate. Toronto Public Health's prevention activities include increasing public awareness of primary cancer prevention, responding to public complaints, participating in research studies, enforcing existing laws, and advocating for laws to prevent exposures to environmental carcinogens.   Occupational cancers are related to workplace exposures. The hierarchy of hazard controls is a framework for actions to help protect worker health and safety in workplaces.  Many provincial laws exist to protect workers from occupational exposures to hazards.      This report highlights Toronto Public Health's participation in existing strategies to prevent cancer. The report also identifies opportunities to enhance multi-level government efforts to reduce the burden of cancer from environmental and occupational carcinogens in Toronto.

BOARD

All

…

Report

ACTION

Adopted

Main

Board

…

Decision information not found

false

Adopted

…

139532

REPORT

MAIN

ACTION

POSTPONE

Noise Action Plan Update

2025.HL23.3

The Acting Medical Officer of Health recommends that:     1. The Board of Health request the Medical Officer of Health collaborate with Municipal Licensing and Standards to assess changes made through the Implementation Review of the Noise By-law in Item EC9.5 that is intended to minimise the health impacts of noise.

There are no financial impacts associated with the recommendations of this report. The Chief Financial Officer and Treasurer has reviewed this report and agrees with the information as presented in the Financial Impact Section.

Noise is raised by Toronto residents as an issue of concern. To address this concern, the City of Toronto has many initiatives guided by the <a href="https://www.toronto.ca/legdocs/mmis/2019/hl/bgrd/backgroundfile-138868.pdf">2019 Noise Action Plan</a> and the updated City of Toronto <a href="https://www.toronto.ca/legdocs/municode/1184_591.pdf">Noise By-law</a>. Toronto Public Health’s (TPH) mandate is determined by the Ontario Public Health Standards. Noise is not described as an environmental health hazard in the Ontario Public Health Standards. Toronto Public Health consults and provides advice to other City divisions in their work to mitigate the impacts of excessive noise.    The 2019 Noise Action Plan contains recommended actions within the authority of each City division to reduce excessive noise in Toronto. Although the COVID-19 pandemic resulted in pauses to some City operations, Toronto Public Health and other City divisions have since made substantial progress in the Noise Action Plan. For example, Municipal Licensing and Standards completed the Noise By-law Review in 2024 in consultation with Toronto Public Health, other City divisions, and stakeholders. The review identified new efforts to mitigate noise in Toronto.     This report, as requested by City Council through Item <a href="https://secure.toronto.ca/council/agenda-item.do?item=2024.EC9.5">2024.EC9.5</a>, Implementation Review of the Noise By-law, provides an updated review of the health impacts of noise. The latest research continues to describe excessive noise exposure impacts on cardiovascular, cognitive, sleep, and mental health outcomes. These are smaller relative impacts than other environmental and social determinant of health factors on these outcomes. This means that while there is evidence to support links between excessive noise and adverse health impacts on individuals, the population-level impact of noise is limited relative to other factors that cause population morbidity and mortality.

BOARD

All

…

Report

ACTION

Deferred

Main

Board

…

Decision information not found

false

Deferred

…

139602

LETTER

MAIN

ACTION

AMENDED

Update on the City of Toronto’s Downtown Homelessness and Addiction Recovery Treatment (HART) Hub

2025.HL23.8

Councillor Chris Moise recommends that:   1.The Board of Health receives this for information.

Last December, the Government of Ontario passed the Community Care and Recovery Act, requiring five Supervised Consumption Service (SCS) sites and Consumption and Treatment Services (CTS) sites in Toronto to close their doors no later than March 31, 2025. Alongside these legislative changes, the provincial government also announced a new funding stream to support the creation of Homelessness and Addiction Recovery Treatment (HART) Hubs, including a total of $378 million to implement these hubs across Ontario. The new Homelessness and Addiction Recovery Treatment (HART) Hub model will help address the needs of our most vulnerable communities, offering a comprehensive suite of supports, which can include, addiction care, primary care, supportive housing, employment support, and more. As part of the Homelessness and Addiction Recovery Treatment (HART) Hub announcement, Supervised Consumption Service sites impacted by the new legislation were encouraged to apply for funding, with an aim to transition their services to the new model. In response, Toronto Public Health (TPH) and partners across City divisions, healthcare, and community organizations submitted a Downtown Homelessness and Addiction Recovery Treatment (HART) Hub application to the Ministry of Health. The Ministry approved this application ‘in principle’ on January 2, 2025. The City of Toronto’s Downtown Homelessness and Addiction Recovery Treatment (HART) Hub application outlines a range of proposed services that could be implemented pending suitable funding. These include 24/7 Intake, Medical Monitoring and Referrals. Supportive Housing Connection, Substance Use Treatment and Primary Care, Outpatient Medical Specialty Services, Assertive Community Therapy, Withdrawal Management Beds, and more. Toronto Public Health has been working with partners to develop and implement plans for year one of the Hub, with some services initiating on April 1, and more becoming available throughout the year.   As we work to mitigate the impacts of the March 31 closures of Supervised Consumption Service sites and continue collaborating with our partners to establish our own Downtown Homelessness and Addiction Recovery Treatment (HART) Hub, I am requesting an update be provided to the Board of Health.

BOARD

All

…

Letter

ACTION

Amended

Main

Board

…

Decision information not found

false

Amended

…

139525

LETTER

MAIN

ACTION

ADOPTED

Update from the Medical Officer of Health Hiring Panel

2025.HL23.9

Councillor Chris Moise recommends that:   1. Re-open Item HL13.7, titled "Hiring Process for the Next Medical Officer of Health". 2. Delete Part 1 of its decision on Item HL13.7 and adopt the following: Establish a Medical Officer of Health Hiring Panel composed of the Chair, the Vice-Chair, and two citizen members of the Board of Health, and the Mayor. 3. Delete Part 2 of its decision on HL13.7 and adopt the following:   Appoint the following to the Medical Officer of Health Hiring Panel: Director Chris Moise Director Alejandra Bravo Director Stephanie Zhou Director Abinaya Chandrabalan Mayor Olivia Chow

I would like to provide you with an update on the hiring process for the Medical Officer of Health.   At our meeting on May 24, 2024, we struck a hiring panel to lead the hiring process. Phelps Group was selected to assist with the process and a search was carried out through the end of 2024. The hiring panel has now reconvened and has decided to restart the hiring process with an enhanced compensation package, which was approved by the Ministry, with the goal of reaching a broader pool of applicants. As Deputy Mayor Amber Morley is no longer a member of the Board of Health, the hiring panel is now constituted by the following voting members: <ul style="list-style-type: disc;"> <li>Councillor Chris Moise (Chair)</li> <li>Mayor Olivia Chow</li> <li>Councillor Alejandra Bravo</li> <li>Director Abinaya Chandrabalan</li> <li>Director Stephanie Zhou</li> </ul> Throughout the process, the hiring panel may engage with the Deputy City Manager, Community and Social Services, the City Manager’s office and the Ministry of Health in an advisory capacity. The following timeline outlines the next steps in the hiring process: <ul style="list-style-type: disc;"> <li>March - April: Candidate Outreach</li> <li>April 28 - May 2: Long List Definition</li> <li>May 5-9: First Round Interviews</li> <li>May 12-16: Second Round Interviews</li> <li>June 3: Medical Officer of Health Appointment at Board of Health</li> <li>June 25: Medical Officer of Health Appointment Approval at City Council</li> <li>June 27: Transmittal of Medical Officer of Health Appointment to the Minister</li> </ul> I will continue to provide updates at our Board of Health meetings as the hiring process unfolds.

BOARD

All

…

Letter

ACTION

Adopted

Main

Board

…

Decision information not found

false

Adopted

…