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From YouTube: Board of Health - November 27, 2017
Description
Board of Health, meeting 23, November 27, 2017
Agenda and background materials:
http://app.toronto.ca/tmmis/decisionBodyProfile.do?function=doPrepare&meetingId=11878
A
B
C
You
mr.
chair
and
I
won't
take
very
much
time
on
our
agenda,
but
there
are
a
few
Human
Resources
announcements
that
I
would
like
to
share
with
the
Board
of
Health
and
with
those
of
you
that
are
here
in
the
room.
First
of
all,
it's
my
pleasure
to
welcome.
We
have
a
new
director
of
our
Finance
and
Administration
Directorate.
Althea
Hutchison
has
just
joined
us
today
and
she
here
there.
She
is
in
the
room
selfie
if
you'd
like
to
stand
up
so
that
we
can
welcome
you
properly.
C
So
we
generally
reserved
that's
correct
she's
responsible
for
money,
but
we
tend
to
reserve
the
grilling
for
the
second
of
the
four
hours
in
your
tenure,
so
I
think
you're
safe,
at
least
for
this
particular
meeting.
But
by
way
of
introduction,
Althea
does
come
with
us
with
a
very
to
us.
I
should
say
with
a
very
impressive
resume.
She
was
the
executive
director
of
strategic
planning
and
financial
services
with
service
Alberta,
where
she
spent
the
last
almost
19
years
about
got
it
right.
C
So
a
seasoned
leader,
lots
of
Finance
and
Administration
background
in
a
very
welcome
addition
to
the
senior
management
team
at
Toronto,
Public,
Health
and,
as
I
said,
if
you
could
just
reserve
the
tough
questions
for
her
until
at
least
maybe
day,
two.
That
would
be
very
welcome
and
now
for
a
really
big
announcement
which
actually
I
have
to
tell
you
is
very,
very,
very
bittersweet
for
me
and
actually
a
little
difficult
to
do.
C
We
have
provided
this
announcement
to
other
colleagues
within
the
field,
but
today
is
the
official
last
Board
of
Health
meeting
for
a
very
dear
mentor
and
colleague,
dr.
Barbara
Yaffe
associate
medical
officer
of
Health
and
director
of
communicable
disease
control
here
at
Toronto,
Public
Health,
I'm
gonna,
just
read
a
little
bit
here
simply
because
dr.
Yaffe
has
such
a
storied
and
important
career
that
I
don't
want
to
miss
anything.
C
C
She
served
as
a
medical
officer
of
health
in
the
former
city
of
North
York
for
four
years
and
has
a
Blee
served
as
Acting
medical
officer
of
health
for
the
City
of
Toronto
on
two
occasions
at
least
not
counting
all
the
times
that
I
know
she's
had
to
fill
in
on
vacations
and
when
folks
have
been
away
on
leave.
She's
played
a
very
significant
role
in
a
major
leadership
role
in
pretty
much
every
public
health
issue.
C
I
can
think
of
that
has
affected
this
city
since
1982,
and
you
know
whether
we're
talking
about
everything
from
SARS
to
the
current
opioid
overdose
crisis.
She
has
been
an
invaluable
member
of
the
Toronto
Public
Health
team
and
has
actually
been
a
mentor
and
a
beacon
for
many
of
us
who
have
come
and
trained
either
at
Toronto,
Public,
Health
or
through
the
Ontario
public
health
system.
C
So
I
know
that
I
can
say
without
a
doubt
that
I
am
truly
truly
grateful
to
Barbara
for
one
her
personal
mentorship
to
me
and
to
for
all
the
contributions
that
she's
made
to
public
health
in
the
City
of
Toronto
and
frankly,
because
of
the
nature
of
her
role
throughout
the
province
of
Ontario
and
I
would
argue
nationally
so
Barbara.
What
can
I
say?
Thank
you.
Thank
you.
Thank
you
for
your
many
years
of
service
and
all
that
you
have
done
to
advance
public
health
in
this
city.
You
will
be
missed.
C
This
is
just
the
announcement
at
the
Board
of
Health.
There
will
be
a
proper
celebration.
I
assure
you
of
Barbara's
many
contributions
to
local
public
health,
but
I
didn't
think
it
was
appropriate
that
we
let
Barbara
fees
last
meeting
at
the
Board
of
Health
go
without
some
kind
of
mention
so
Barbara.
Thank
you
very
much.
C
B
Well,
let
me
also
add
my
note
of
thanks
and
congratulations.
I've
been
on
public
health
really
throughout
my
political
career,
including
two
terms
before
the
megacity
and
I.
Think
that's
where
we
first
met
when
we
were
trying
to
do
a
six
board
of
health
play
for
no
smoking
in
restaurants.
I
think
that's
where
we
we
met.
You
were
the
lead.
Medical
officer
of
health
for
North,
York
and
I
would
say.
Barbara
Yaffe,
you've
been
the
constant
in
the
midst
of
change
for
all
these
years,
and
I
am.
B
Yours
is
one
of
the
retirements
that
I'm
gonna
go
to
because
because
you've
got
such
good
service
here
and
all
willing
to
speak
truth
to
power
with
that
little
gentle
chuckle.
That
makes
it
all
kind
of
easier
to
swallow.
So
I
I
know
I,
speak
for
all
the
board
and
saying
that
you
are
really
going
going
to
be
missed
and
we
wish
you
the
best
and
to
help
Thea.
The
only
tough
question
that
we
have
is
that
you
haven't
come
from.
D
D
B
B
23
point
to
the
impact
of
implementation
of
the
integrated,
healthy
smiles
Ontario
program
on
Toronto,
Public
Health
dental
program,
and
he
holds
there
moved
by
councillor
Shan,
all
in
favor,
opposed
if
any
that's
carried,
2017
Board
of
Health
self-evaluation
recommendation
is
to
move
for
a
receipt
by
Peter
all
in
favor
of
any
that's
carried
budget
variance
the
capital
budget.
Twenty
three
point:
four:
ending
September
30th
2017
by
Angela
any
debate
all
in
favor
of
post.
B
D
To
thank
every
single
person
who
is
involved
with
the
spider
program
with
a
focus
program
with
all
the
programs
mentioned
in
this
report.
You
can't
start
to
understand
how
much
this
has
helped
counselors
be
able
to
help
our
residents.
So
thank
you
so
so
much
and
I
know
it's
going
to
only
expand
and
get
better,
but
I
think
it's
really
good
to
put
it
in
in
writing.
D
B
This
is
for
those
folks
when
you're
knocking
on
doors
as
an
elected
official
and
you
meet
someone,
and
you
know
that
there's
just
a
desperate
need
and
you
haven't
the
foggiest
idea
how
to
manage
it,
and
so
now
we
have
a
program
that
basically
helps
whether
it's
a
property
issue
of
mental
health
issue
or
a
hoarding
issue.
There's
a
team
of
people
that
help
you
with
that.
Okay,
so
motion,
that's
a
receipt
motion,
I!
B
Think,
yes,
how
all
in
favor
yes
receive
for
information
all
in
favor
opposed
if
any,
that's
carried
twenty
three
point:
seven,
which
is
the
proposed
2018
schedule
a
board
of
health
meetings.
Now,
just
I'll
just
add
this
you'll
notice
that
the
last
date
is
July
16th.
Our
election
period
starts
August
1st,
so
it
was
thought
that
we
should
not
well.
We
won't
have
a
meeting
after
that
point.
However,
the
if
there
is
we
we're
on
a
slightly
different
schedule
and
have
different
parameters
than
city
council
meetings.
B
So
if
there
is
a
meeting
after
whatever
the
data
is
mid-october,
when
the
election
is
called
in
the
time
that
of
the
new
year,
when
the
new
councillors
are
appointed
to
the
new
board,
then
it
will
be
called
at
the
call
of
the
chair,
of
course,
in
consultation
with
of
Health.
So
there
might
be
a
meeting
after
October
in
November.
B
So
but
let's
see
what
kind
of
business
there
is
to
be
had
so
that
that's
the
proposal,
the
other
thing
that
I
would
say
just
only
because
of
Peter
asked
if
you're
wondering
what
your
obligations
are,
the
the
non
elected
folks.
You
are
on
the
board
until
the
new
people
are
chosen,
so
it
doesn't
end
with
the
end
of
term
of
council.
It
ends
with
the
selection
of
the
next
crowd.
Of
course,
I
hope.
B
The
new
citizen
reps
on
the
Board
of
Health
will
be
chosen,
and
at
that
time
then
you
may
continue
or
you
might
not
continue,
depending
on
the
will
of
council
at
that
at
that
at
that
time,
and
of
course,
whether
you
apply
or
not,
so
you
you're
still
with
us
at
least
for
another
call
it
year
and
a
half
is
about
by
just
in
terms
of
planning
your
own
schedules.
So
there
you
have
the
meeting
dates
you
move
by
trustee,
Glover
yeah,
all
in
favor,
opposed
if
any
that's
carried
okay.
B
E
E
So
it's
increasingly
understood
that
changing
our
food
choices
can
benefit
the
environment,
our
health
and
local
economies.
And
it's
an
it's
a
really
an
emerging
issue.
Health
Canada
will
be
weighing
in
in
early
2018
with
revised
food
guidelines
and
we're
very
pleased
to
see
that
the
City
of
Toronto,
through
the
Board
of
Health
and
some
other
departments
transformed,
he--oh,
etc
has
committed
resources,
just
not
only
studying
the
issue,
I
hope,
but
acting
as
well
and
encouraging
other
levels
of
government
to
act.
E
So
by
changing
our
eating
habits,
we
can
enjoy
the
following:
compelling
benefits
documented
by
the
UN,
Health,
Canada
and
other
sources.
So
first
you
know
this
came
out
of
your
climate
change
strategy.
So
the
the
headline
is
reducing
greenhouse
gas
emissions
that
contribute
to
climate
change.
The
UN
reports
that
18
percent
of
global
human
caused
greenhouse
gas
emissions
come
from
animal
agriculture.
E
If
we
go
the
route
of
reducing
these
high
carbon
foods,
companies
will
save
monies
money
in
reduced
sick
leave
by
their
employees.
People
individuals
will
save
money
on
their
grocery
bills
and
restaurant
meals.
We
will
create,
create
agricultural
food
processing
culinary
and
food
service
jobs
will
improve
water
quality
from
reduced
animal
waste.
Runoff
remember
what
caused
Walkerton
was
animal
waste
increase
energy
efficiency
by
relying
less
on
energy,
intensive
animal
animal
agriculture
and
contribute
to
a
sense
of
well-being
by
reducing
harm
animals.
E
The
good
news
is
that
many
people
are
starting
to
make
this
link
between
food
choices,
personal
health
and
well-being
and
environmental
health,
but
we
know
that
change
is
hard,
especially
when
it
comes
to
what
we
eat.
We
have
our
habits,
our
traditions,
our
cultural
norms.
This
is
going
to
be
tough
and
it
makes
sense
to
start
with
our
food
at
restaurants,
because
this
way
we
can
try
new
things.
Engaging
the
food
service
and
culinary
industries
will
be
a
critical
part
of
the
shift
to
lower
carbon
healthy
food.
Preparing
protein
rich
plant
foods,
like
legumes
pulses.
E
Nuts
and
seeds
is
not
common
practice
for
many
people
consuming
delicious
plant-based
foods
at
restaurants
will
help
people
in
the
transition
to
they'll
have
to
healthier
diets
and
the
rest
of
their
life
as
well,
so
diets
for
a
cool
planet.
The
report
you
receive
today
is
a
terrific
starting
point
and
I
really
applaud
the
authors.
What
we
need
now
is
a
plan
of
action,
so
I
see
the
recommendations
that
you're
making
to
other
levels
of
government,
but
I
really
propose
that
Toronto
Public
Health
assess
the
possibility
of
emulating
of
successful
program
in
the
u.s.
E
called
menus
of
change,
bringing
it
to
Toronto
and
report
back
to
this
Board
of
Health
on
the
fee
on
its
feasibility.
Menus
of
change
was
started
six
years
ago
by
the
American
Culinary
Institute
and
Harvard
School
of
Public
Health
to
accelerate
the
trend
of
plant
forward,
which
is
defined
as
a
style
of
cooking
and
eating
that
emphasizes
and
celebrates,
but
isn't
limited
to
plant-based
foods,
and
that
reflects
evidence-based
principles
of
health
and
sustainability.
E
The
objectives
are
written
out
here:
I'll
just
read
them
quickly:
well,
actually,
I
won't,
because
I
only
have
a
few
seconds
left
so
you'll
have
to
refer
the
notes.
I
just
want
to
reinforce
that
we
have
to
come
to
other
levels
of
government
from
a
position
of
strength,
so
urging
other
government
to
act
when
Toronto
is
not
acting
itself
is
not
the
best
course
of
action.
I
really
think
that
Toronto
should
be
acting
to
implement
this.
This
report
and
I
really
encourage
you
to
issue
a
position
statement
on
low-carbon
food
as
well.
I
think
that's!
E
E
A
E
So
menus
of
change
is
this
successful
us
initiative
that
I'm
suggesting
that
be
brought
to
Toronto,
so
it
could
be
an
invitation
to
join
that
pollution.
Probe
is
is
approaching
a
number
of
different
funding
partners,
private
sector
governments,
academics
to
come
together
to
to
bring
this
initiative
forward,
so
that
would
be
I
think
the
most
concrete,
useful
step.
Thank.
A
B
E
Bring
they
have
a
Leadership
Council,
where
they're
working
with
food
service
and
culinary
organizations,
so
the
culinary
types
who
determine
menus
determine
the
curriculum
for
folks
that
are
studying
culinary
to
chain
to
make
the
shift.
They
hold
an
annual
summit
that
that
actually
helps
provide
concrete
tools,
so,
whether
it's
videos
or
tracking
the
greenhouse
gas
emission
reductions
that
are
resulting
from
these
changes,
concrete
tools
like
to
actually
help
them,
make
the
change
like
delicious
recipes,
etc.
Long
have
they
been
going.
B
B
E
B
A
May
be
what
you're
saying
about
the
food
strategy,
but
I
was
wondering,
like
the
deputation
with
a
report
like
this
be
with
Toronto
Food
Policy
Council
be.
Is
that
who's
implementing
the
food
strategy?
Is
there
a
link
there?
So
I
was
just
wondering
first
suggestions
or
recommendations
at
a
table
like
that
that
has
arms
within
the
city,
how
you
would
have
some
implementation
opportunities
through
that
council
so.
C
Through
the
chair,
the
short
answer
is
yes
right.
Toronto
food,
Health,
Policy
Council,
is
integrally
involved
in
the
work
of
the
Toronto
food
strategy
and,
as
we
reported
to
the
board,
not
that
long
ago
we
are
actually
actually
was
at
the
October
meeting.
We
are
proposing.
You
know
a
new
iteration
of
the
Toronto
food
strategy,
of
which
the
food
policy
council
would
be
an
integral
stakeholder
and
contributor.
C
So,
yes
and
I
think
that
when
we
talk
about
that
which
Toronto
Public
Health
can
do
in
respective
food,
we're
mindful
of
the
fact
that
there
is
a
federal
environment
and
that
there
is
some
action,
as
the
deputy
has
rightfully
pointed
out
at
the
federal
level,
Health
Canada
is
in
the
process.
They've
got
new
guidelines
coming
out
early
in
2018
I.
C
Think
our
new
food
strategy
gives
us
an
opportunity
to
make
sure
that
one
we're
cognizant
of
that
which
is
happening
at
the
federal
level
and
that
that
which
we're
doing
makes
sense
in
that
big,
larger
federal
policy
picture,
but
clearly
we're
extremely
committed.
As
indicated
through
this
report
and
its
accompanying
technical
report,
to
the
notion
of
diets
that
actually
promote
human
health
and
planetary
health
as
well,
and
environmental
health.
I.