Board of Health

That Report BOH23007, respecting Consumption and Treatment Services Site Application Process, be received. Result: Motion

(i) That the application from The AIDS Network for a second Consumption and Treatment Services site located at 746 Barton Street, be endorsed; (ii) That Hamilton Public Health staff partner with community agencies currently applying to operate Consumption and Treatment Services in Hamilton, specifically to provide active support in the areas of community engagement, site confirmation, an evaluative framework, and develop an open data program that demonstrates the community impact of consumption treatment services in Hamilton; and (iii) That staff be directed to provide an evaluative framework with open data that demonstrates the community impact of Consumption and Treatment Services operations in Hamilton Community Engagement. Result: Motion

(i) Appointment of Chair and Vice-Chair (Item 1) (a) Appointment of Chair That Councillor Tadeson be appointed as Chair of the Physician Recruitment and Retention Steering Committee for the balance of the 2018-2022 term of Council. (b) Appointment of Vice-Chair That Councillor Hwang be appointed as Vice-Chair of the Physician Recruitment and Retention Steering Committee for the balance of the 2018-2022 term of Council. (ii) Working Group of the Physician Recruitment and Retention Steering Committee Report 23-001, February 10, 2023 (Item 10.1) (a) Summary Report Regarding Proposal to Transfer Program into the Greater Hamilton Health Network (Item 10.1) That the Summary Report Regarding Proposal to Transfer Program into the Greater Hamilton Health Network, attached hereto as Appendix A, be received. Result: Motion

That the Board of Health authorize and direct the Medical Officer of Health to: (i) Receive, utilize and report on funding from Health Canada’s Substance Use and Addictions Program to fund a collaborative Harm Reduction Outreach Project between Public Health Services’ Mental Health and Street Outreach Program and The AIDS Network; (ii) Enter into an agreement between the City of Hamilton, Public Health Services, and Health Canada to receive the funding for the Harm Reduction Outreach Project, satisfactory in form to the City Solicitor; and, (iii) Enter into a collaborative agreement with The AIDS Network to provide Harm Reduction Outreach staff to implement services in the Harm Reduction Outreach Project, satisfactory in form to the City Solicitor. Result: Motion

WHEREAS, The geographic analysis of opioid-related deaths across Ontario shows that larger urban centres, including Hamilton, exhibited the largest increase in both rates and in the absolute number of cases of opioid-related deaths during the pandemic; WHEREAS, Between 2005 and 2021, Hamilton had a higher rate of opioid-related deaths than the provincial average; WHEREAS, Opioid-related deaths continue to rise year-after-year in Hamilton. In 2019, 106 Hamilton deaths are probable or confirmed to be opioid-related. In 2020, those numbers increased to 128 and in 2021, those numbers increased to 170; WHEREAS, From June 2021 to May 2022, 29 deaths in the Hamilton homeless population were reported. 16 of those deaths were reported to be overdose-related and 30% died while accessing shelter; WHEREAS, There is a need for sustained funding to maintain harm reduction services including safer use spaces; WHEREAS, Adequately funded harm reduction services would create cost-savings to other municipal and frontline services; WHEREAS, The YWCA Hamilton has been operating a safer use space since late April 2022 to present. As of January 19, 2023, the program has served 176 unique guests and successfully reversed 34 drug poisonings. There have been zero calls made to police and one call made to EMS that did not require transfer to hospital; WHEREAS, The meaningful engagement and involvement of people with lived and living experience of drug use and homelessness is vital; WHEREAS, The City of

That the agenda for the February 13, 2023 Board of Health be approved, as amended. Result: Motion

That the Minutes of the January 16, 2023 meeting of the Board of Health be approved, as presented. Result: Motion

That the following items be approved, as presented: (a) Correspondence from Loretta Ryan, Executive Director, Association of Local Public Health Agencies (alPHa), respecting Program Update and Speaker Line-Up for the alPHa Winter Symposium and Section Meetings (Item 5.1) Recommendation: Be received (b) Correspondence from John Sudak respecting a Consumption and Treatment Services Site at 746 Barton Street, Hamilton. Recommendation: Be Received. Page 8 of 17 Board of Health February 13, 2023 Minutes 23-002 Page 9 of 17 Result: Motion

That the following Delegation Requests for the February 13, 2023 Board of Health meeting, be approved: (i) Steven Roman Soos, respecting Declaring a State of Emergency for Opioid Overdoses and Death in the City of Hamilton (Item 6.1) (ii) Tim McClemont, The AIDS Network, respecting Support for the AIDS Network’s Application to Operate a Proposed Consumption Treatment Services Program at 746 Barton Street East, Hamilton (Item 6.2) (iii) Olivia Mancini, Canadian Drug Policy Coalition, respecting Safer Use Spaces in Shelters (Item 6.3) (iv) Marcie McIlveen, Hamilton Social Medicine Response Team (HAMSMaRT), respecting Safe Use in Shelter and the Need for a Second Consumption and Treatment Services Site (Item 6.4) (v) Kim Ritchie, Canadian Drug Policy Coalition: Harm Reduction Working Group, respecting the Prevention of Overdose Related Deaths for those Experiencing Homelessness (Item 6.5) Page 9 of 17 Board of Health February 13, 2023 Minutes 23-002 Page 10 of 17 (vi) Daniel Freiheit, respecting the Prevention of Future Emergency Declarations Regarding the Opioid Crisis in Hamilton (Added Item 6.6) (vii) Dr. Claire Bodkin, HAMSMaRT respecting Safe Use in Shelter and the Need for a Second Consumption and Treatment Services Site (Added Item 6.7) (viii) Scott Gervais, respecting Safe Use Spaces in Hamilton Shelters (Added Item 6.8) (ix) Walter Furlan, respecting Opposition to the Proposed Consumption and Treatment Services Site (Added Item 6.9) Result: Motion

That the following delegations, be received: (i) Steven Roman Soos, respecting Declaring a State of Emergency for Opioid Overdoses and Death in the City of Hamilton (Item 7.1) (ii) Tim McClemont, The AIDS Network, respecting Support for the AIDS Network’s Application to Operate a Proposed Consumption Treatment Services Program at 746 Barton Street East, Hamilton (Item 7.2) (iii) Olivia Mancini, Canadian Drug Policy Coalition, respecting Safer Use Spaces in Shelters (Item 7.3) (iv) Marcie McIlveen, Hamilton Social Medicine Response Team (HAMSMaRT), addressed the Board respecting Safe Use in Shelter and the Need for a Second Consumption and Treatment Services Site (Item 7.4) (v) Kim Ritchie, Canadian Drug Policy Coalition: Harm Reduction Working Group, addressed the Board respecting the Prevention of Overdose Related Deaths for those Experiencing Homelessness (Item 7.5) Page 11 of 17 Board of Health February 13, 2023 Minutes 23-002 Page 12 of 17 (vi) Daniel Freiheit, respecting the Prevention of Future Emergency Declarations Regarding the Opioid Crisis in Hamilton (Added Item 7.6) (vii) Dr. Claire Bodkin, HAMSMaRT respecting Safe Use in Shelter and the Need for a Second Consumption and Treatment Services Site (Added Item 7.7) (viii) Scott Gervais, respecting Safe Use Spaces in Hamilton Shelters (Added Item 7.8) (ix) Walter Furlan, respecting Opposition to the Proposed Consumption and Treatment Services Site (Added Item 7.9) Result: Motion

That the presentation by Karima Kanani, Partner, Miller Thomson LLP respecting the Board of Health Governance Education Session, be received. Page 12 of 17 Board of Health February 13, 2023 Minutes 23-002 Page 13 of 17 Result: Motion

That the Presentation respecting a Respiratory Diseases Update, be waived and received. Result: Motion

That the Presentation respecting a Respiratory Diseases Update, be

That Report BOH23008, respecting Opioid Emergency Response, be

That the Board of Health recess at 1:55 p.m. for a 10 minutes. Result: Motion

That the following amendments to the Outstanding Business List, be approved, as amended: (a) Items Requiring New Due Dates: 1. Municipal Actions to Reduce harms Associated with Alcohol Use (BOH19032) OBL Item: 2019-V Current Due Date: On Hold Due to COVID-19 Page 15 of 17 Board of Health February 13, 2023 Minutes 23-002 Page 16 of 17 Proposed New Due Date: July 2023 2. Child & Adolescent Services 2021-2022 Budget & Base Funding Increase of Five Percent (BOH21010) OBL Item: 2021-G Current Due Date: On Hold Due to COVID-19 Proposed New Due Date: April 2023 (b) Items Considered Complete and Needing to be Removed: 1. Consumption and Treatment Services and Wesley Day Centre (Referred to the Board of Health from the Emergency and Community Services Committee on June 19, 2020) OBL Item: 2020-I 2. Correspondence from Anita Dubeau, Board of Health Chair, Simcoe Muskoka District Health Unit, respecting a Response to the Opioid Crisis in Simcoe Muskoka and Ontario-Wide OBL Item: 2022-D 3. Correspondence from the Timiskaming Health Unit, respecting Decriminalization of Personal Possession of Illicit Drugs OBL Item: 2022-F 4. Matters related to the Respiratory Disease Update Date Completed: January 16, 2023 (BOH Report 23-001 - Item 2) OBL Item: 2022-G 5. Opioid Emergency Response OBL Item: 2023-A Opioid Emergency Response (BOH23008) (City Wide)

That, there being no further business, the Board of Health be adjourned at 2:36 p.m. Result: Motion