Public Health Committee

That Report BOH24015, respecting an Update on the Hamilton Opioid Action Plan – June 2024, be received. Result: Motion

That Report BOH24016, respecting Suspect Drug-Related Deaths and Opioid- Related Paramedic Calls (January-March 2024), be received. Result: Motion

That Report BOH24011, respecting Canada’s Pharmacare Plan: Impact on Population Health, be received. Result: Motion

That Report BOH24012, Public Health Services 2023 Annual Performance and Accountability Report, be received. Result: Motion

That Report BOH24010(a), Expansion of Subsidy for Air-Conditioning to Low- Income Households, be received. Public Health Committee June 3, 2024 Minutes 24-005 Page 4 of 19 Result: Motion

(a) That the Heat Response Strategy attached as Appendix “A” to Report BOH24010, with the exception of Action Numbers 6, 7, 9 and 10 be approved, as amended by including the following actions with proposed timelines for implementation: (i) To expand and align the eligibility of the existing Ontario Works air conditioner subsidy of $350 available to Social Assistance households, to include all low-income households who are most vulnerable to heat because of a severe medical condition, toward the purchase an energy efficient air conditioner; and that this expansion be funded through the Climate Change Reserve #108062 at an upset limit, including contingency, not to exceed $52,500.00; (e) That staff be directed to undertake an analysis of the expanded air conditioner subsidy program to further inform the work of the city’s extreme heat response and report back to the Public Health Committee by Q4 2024. Result: Main Motion, As Amended,

(a) That the April 1, 2024, to March 31, 2025, Child and Adolescent Services Program budget, funded by the Ministry of Health, be approved; (b) That the Medical Officer of Health or delegate be authorized and directed to submit a letter to request for increased base funding of $103,931 to cover the budget shortfall and the impact of the continued capped funding along with the 2024-2025 budget to the Ministry of Health; (c) That if the Ministry of Health does not provide Public Health Services with additional funding to cover the budget shortfall then Council approve funding of $77,948 to allow the continuation of the program with the current staffing complement until December 31, 2024, to be funded first from any Child and Adolescent Services program surplus, then from any Healthy and Safe Communities Departmental Surplus and lastly from any Corporate Surplus or any source deemed appropriate by the General Manager of Corporate Services; (d) That if the Ministry of Health does not provide Public Health Services with additional funding to cover the budget shortfall, then staff be directed to include the annualized estimated cost indexed for inflation of $165,000 for the program pressure resulting from capped Ministry funding and annual cost increases of staff salaries and benefits in the 2025 Tax Operating Budget submission; and, (e) That the Medical Officer of Health or delegate be authorized and directed to execute all agreements, contracts, extensions, and documents, includi

(a) That the April 1, 2024, to March 31, 2025, Healthy Babies Healthy Children program budget be approved; (b) That the Medical Officer of Health or delegate be authorized and directed to submit a letter to request for increased base funding of $108,323 to cover the budget shortfall and the impact of the continued capped funding along with the 2024-2025 budget to the Ministry of Children, Community and Social Services; (c) That if the Ministry of Children, Community and Social Services does not provide Public Health Services with additional funding to cover the budget shortfall then Council approve funding of $81,242 to allow the continuation of the Healthy Babies Healthy Children program with the current staffing complement until December 31, 2024, to be funded first from any Healthy Babies Healthy Children program surplus, then from any Healthy and Safe Communities Departmental Surplus and lastly from any Corporate Surplus or any source deemed appropriate by the General Manager of Corporate Services; Public Health Committee June 3, 2024 Minutes 24-005 Page 7 of 19 (d) That if the Ministry of Children, Community and Social Services does not provide Public Health Services with additional funding to cover the budget shortfall of then staff be directed to include the annualized estimated indexed for inflation cost of $210,000 for the program pressure resulting from capped Ministry funding and annual cost increases of staff salaries and benefits in the 2025 Tax Operating Budget

(a) That the Medical Officer of Health, or delegate, be authorized and directed to execute all agreements, contracts, extensions, and documents, including Public Health Committee June 3, 2024 Minutes 24-005 Page 8 of 19 submission of budgets and reports required to give effect to the Indigenous and Newcomer Vaccine Ambassador Project; and (b) That Confidential Appendix “A” to Report BOH24017, respecting Indigenous and Newcomer Vaccine Ambassador Project, be received and remain confidential. Result: Motion

WHEREAS, the City of Hamilton supports voluntary blood and plasma donation and aims to protect our public collection system, recognizing the importance of blood donation as a public good; WHEREAS, Canada’s tainted blood crisis resulted in the loss of approximately 8,000 lives and the subsequent Royal Krever Commission recommended Canada operate a fully voluntary, non-remunerated blood and plasma donation system; WHEREAS, within Ontario’s healthcare system blood donations are viewed as a public resource; WHEREAS, the integrity of the of the public, voluntary donor system must be protected; Public Health Committee June 3, 2024 Minutes 24-005 Page 9 of 19 WHEREAS, in Ontario, the Voluntary Blood Donations Act, stipulates that it is against the law for private companies to pay donors and for donors to receive payment for their blood or plasma; WHEREAS, paid plasma collection schemes are known to target and exploit the most vulnerable members of communities; and WHEREAS, this resolution reaffirms the principles of voluntary, non-remunerated blood and plasma donation and aims to protect the integrity of Canada’s public blood system and the integrity of blood donors. THEREFORE, BE IT RESOLVED: (a) That the City of Hamilton designates itself a “Paid-Plasma Free Zone” and declares that private for-profit blood collection companies are not permitted to operate in the city; (b) That the City of Hamilton resolves to protect marginalized and vulnerable populations from exploitation result

That the agenda for the June 3, 2024, Public Health Committee be approved, as amended. Result: Motion

That the Minutes of the April 29, 2024, meeting of the Public Health Committee be approved, as presented. Result: Motion

That the following Communication items be approved, as presented: (a) Correspondence from Angela Diano, Executive Director, ALPHA-1 Canada, respecting Item 11.1, Resolution to declare the City of Hamilton a “No Paid Plasma Zone” (Item 5.1) Recommendation: Be received and referred to the consideration of Item 11.1. (b) Correspondence from Christine Duncan-Wilson, Chair, Immunity Canada, respecting Item 11.1, Resolution to declare the City of Hamilton a “No Paid Plasma Zone” (Item 5.2) Recommendation: Be received and referred to the consideration of Item 11.1. (c) Correspondence respecting Item 10.1(a) - Sub-section (a)(i) to Report BOH24010, Heat Response Strategy, from the following individuals (Item 5.3): (a) Joshua Weresch (Item 5.3(a)) (b) ACORN Hamilton, Canadian Environmental Law Association, Hamilton Community Legal Clinic and Environment Hamilton (Added Item 5.3(b)) Recommendation: Be received and referred to the consideration of Item 10.1(a). Result: Motion

That the following delegation requests, be approved, for today’s meeting: (i) Delegation Requests respecting Item 11.1, Resolution to Declare the City of Hamilton a "No Paid Plasma Zone" (Item 6.1): (a) Kat Lanteigne, Executive Director, BloodWatch.org (Item 6.1(a)) (b) Christine Duncan-Wilson, Immunity Canada (Item 6.1(b)) (c) Jennifer van Gennip, Network of Rare Blood Disorder Organizations (NRBDO) (Item 6.1(c)) (d) Anthony Marco, Hamilton and District Labour Council (Item 6.1(d)) (e) Donna Hartlen, GBS/CIDP Foundation of Canada (Item 6.1(e)) (f) Krista Laing, Canadian Union of Public Employees (Added Item 6.1(f)) (ii) Delegation Requests respecting Item 10.1(a) - Sub-section (a)(i) to Report BOH24010, Heat Response Strategy, (Item 6.2): (a) Daniel Chin, Hamilton and District Apartment Association (Added Item 6.2(a)) (b) James Kemp (Added Item 6.2(b)) Result: Motion

That the following delegations respecting Item 11.1, Resolution to Declare the City of Hamilton a “No Paid Plasma Zone”, be received and referred to the consideration of Item 11.1: (a) Kat Lanteigne, Executive Director, BloodWatch.org (Item 7.1(a)) (b) Christine Duncan-Wilson, Immunity Canada (Item 7.1(b)) (c) Jennifer van Gennip, Network of Rare Blood Disorder Organizations (NRBDO) (Item 7.1(c)) (d) Anthony Marco, Hamilton and District Labour Council (Item 7.1(d)) (e) Donna Hartlen, GBS/CIDP Foundation of Canada (Item 7.1(e)) (f) Krista Laing, Canadian Union of Public Employees (Item 7.1(f)) Result: Motion

That the following delegations respecting Item 10.1(a) - Sub-section (a)(i) to Report BOH24010, Heat Response Strategy, be received and referred to the consideration of Item 10.1(a): (a) Daniel Chin, Hamilton and District Apartment Association (Item 7.2(a)) (b) James Kemp (Item 7.2(b)) Result: Motion

That Report BOH24010, respecting Heat Response Strategy, be amended by adding sub-section (e), as follows: (e) That staff be directed to undertake an analysis of the expanded air conditioner subsidy program to further inform the work of the city’s extreme heat response and report back to the Public Health Committee by Q4 2024. Result: Amendment

That the following amendments to the Public Health Committee’s Outstanding Business List, be approved: (1) Items Considered Complete and to be Removed (Item 13.1(a)): (i) Pharmacare Information Report Added: February 5, 2024 (PHC Report 24-002, Item 1(b)) Addressed as Item 9.3 on today's agenda. (ii) Heat Response Strategy Public Health Committee June 3, 2024 Minutes 24-005 Page 18 of 19 Added: April 29, 2024 (PHC Amended Report 24-004, Item 2) Addressed as Item 10.1 on today’s agenda Result: Motion

That, there being no further business, the Public Health Committee be adjourned at 12:59 p.m. Result: Motion