17 - July 25, 2023 County Council Agenda Packagew '„w�mAw7lffJJ1,,
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Elgin County Council
Regular Council Meeting
ORDERS OF THE DAY
Tuesday, July 25, 2023, 9:00 a.m.
Council Chambers
450 Sunset Drive
St. Thomas ON
NOTE FOR MEMBERS OF THE PUBLIC:
Please click the link below to watch the Council Meeting:
https://www.facebook.com/ElginCountyAdmin/
Accessible formats available upon request.
Pages
1. CALL TO ORDER
2. ADOPTION OF MINUTES 3
3. DISCLOSURE OF PECUNIARY INTEREST AND THE GENERAL NATURE
THEREOF
4. PRESENTING PETITIONS, PRESENTATIONS AND DELEGATIONS
5. COMMITTEE OF THE WHOLE
6. REPORTS OF COUNCIL, OUTSIDE BOARDS AND STAFF
6.1 Acting Manager of Planning - Town of Aylmer Official Plan Amendment 9
No. 23, 34 Sydenham Street East, Aylmer
6.2 Manager of Administrative Services/Deputy Clerk - Approval of Fees and 22
Charges 2023
6.3 Chief Administrative Officer/Clerk - Elgin Group Policing Agreement 33
7. COUNCIL CORRESPONDENCE
7.1 Items for Consideration
7.1.1 Municipality of Bayham with a letter requesting County Council's 50
support for the Municipality of Bayham's application to the
Disaster Mitigation and Adaptation Fund.
7.1.2 Letter from Southwestern Public Health regarding the revised 51
budget approval and municipal levy.
7.1.3 Letter from STEGH Foundation Interim Executive Director 118
requesting to schedule a delegation to County Council on
October 10, 2023 and inviting Councillors to a tour of the
hospital's diagnostic imaging suite in September.
7.1.4 Letter from the Ministry of Natural Resources and Forestry 120
regarding the Legacy Oil & Gas Wells Municipal Transfer
Payment Program
7.2 Items for Information (Consent Agenda)
7.2.1 Notice of Public Information Centre 1 and Study Design Report 129
Review Period - Highway 4 Widening and Proposed Talbotville
Bypass, Highway 3 Twinning Preliminary Design, Detail Design
and Class Environmental Assessment Study
8. OTHER BUSINESS
8.1 Statements/Inquiries by Members
8.2 Notice of Motion
8.3 Matters of Urgency
9. CLOSED MEETING ITEMS
9.1 Closed Meeting Minutes - July 11, 2023
9.2 Boundary Adjustment Matter
Municipal Act Section 239 (2) (h) information explicitly supplied in
confidence to the municipality or local board by Canada, a province or
territory or a Crown agency of any of them.
10. MOTION TO RISE AND REPORT
11. MOTION TO ADOPT RECOMMENDATIONS FROM THE COMMITTEE OF
THE WHOLE
12. CONSIDERATION OF BY-LAWS
12.1 By -Law No. 23-33 Fees and Charges 131
12.2 By -Law No. 23-34 Confirmation
13. ADJOURNMENT
139
Page 2 of 139
ELGIN COUNTY COUNCIL
MINUTES
July 11, 2023, 9:00 a.m.
Council Chambers
450 Sunset Drive
St. Thomas ON
Members Present: Warden Ed Ketchabaw
Deputy Warden Grant Jones
Councillor Dominique Giguere
Councillor Mark Widner
Councillor Jack Couckuyt
Councillor Andrew Sloan
Councillor Todd Noble
Councillor Mike Hentz
Councillor Richard Leatham
Staff Present: Don Shropshire, Chief Administrative Officer/Clerk
Brian Masschaele, Director of Community & Cultural Services
Jennifer Ford, Director of Financial Services/Treasurer
Nicholas Loeb, Director of Legal Services
Stephen Gibson, General Counsel
Jenna Fentie, Manager of Administrative Services/Deputy Clerk
Paul Hicks, Acting Manager of Planning (virtual)
Stefanie Heide, Legislative Services Coordinator
1. CALL TO ORDER
The meeting was called to order at 9:00 a.m. with Warden Ketchabaw in the
chair.
2. ADOPTION OF MINUTES
Moved by: Councillor Noble
Seconded by: Councillor Sloan
RESOLVED THAT the minutes of the meeting held on June 27, 2023 be
adopted.
Motion Carried.
3. DISCLOSURE OF PECUNIARY INTEREST AND THE GENERAL NATURE
THEREOF
1► •CTiO
4. PRESENTING PETITIONS, PRESENTATIONS AND DELEGATIONS
None.
5. COMMITTEE OF THE WHOLE
Moved by: Deputy Warden Jones
Seconded by: Councillor Couckuyt
RESOLVED THAT we do now move into Committee of the Whole Council.
Page 3 of 139
Motion Carried.
6. REPORTS OF COUNCIL, OUTSIDE BOARDS AND STAFF
6.1 Warden Ketchabaw - Warden's Activity Report June 2023 and
Community Flag Raising Requests
Warden Ketchabaw presented the report that provides a high-level
summary of the meetings and official functions he attended in June 2023.
Warden Ketchabaw also recommended Council support the flag raising
and proclamation requests from Childcan and the Elgin County Drowning
Prevention Coalition.
Moved by: Councillor Leatham
Seconded by: Councillor Hentz
RESOLVED THAT the report titled "Warden's Activity Report June 2023
and Community Flag Raising Requests" dated June 28, 2023 from
Warden Ketchabaw be received and filed; and
THAT County Council support the proclamation and flag raising requests
from the Elgin County Drowning Prevention Coalition and Childcan.
Motion Carried.
6.2 Acting Manager of Planning - Town of Aylmer Official Plan
Amendment No. 22, File No. AY OPA 23-01
The Acting Manager of Planning presented the report that provides
County Council with the information necessary to consider granting
approval to the Town of Aylmer Official Plan Amendment No. 22.
Moved by: Councillor Couckuyt
Seconded by: Councillor Noble
RESOLVED THAT the Council of the Corporation of the County of Elgin
approve Official Plan Amendment No. 22 to the Official Plan of the Town
of Aylmer; and
THAT staff be directed to provide notice of this decision in accordance
with the requirements of the Planning Act.
Motion Carried.
6.3 Acting Manager of Planning - Redline Revision, Belmont Estates
Phase 6, Municipality of Central Elgin, County of Elgin
The Acting Manager of Planning presented the report that provides
County Council with the information required to consider granting approval
to a proposed modification to the Draft Plan of Subdivision as prepared by
MTE Ontario Land Surveyors.
Moved by: Councillor Hentz
Seconded by: Deputy Warden Jones
RESOLVED THAT the Council of the Corporation of the County of Elgin
grants approval to a revised Draft Plan of Subdivision, that has the effect
of removing Block 183 from the Draft Plan of Subdivision, prepared by
MTE Ontario Land Surveyors, and dated May 10, 2023.
Motion Carried.
6.4 Director of Community and Cultural Services - Cloud Hosting
Services for Archives and Museum Database
2
Page 4 of 139
The Director of Community and Cultural Services presented the report
seeking Council's approval to migrate existing software services and
digitized files created by Elgin County Archives and Elgin County Museum
from County servers to a cloud hosted solution offered by Andornot
Consulting Inc. Gina De Waele, Assistant Archivist, was also present to
answer questions.
Moved by: Councillor Widner
Seconded by: Councillor Noble
RESOLVED THAT the report titled "Cloud Hosting Services for Archives
and Museum Database" dated June 29, 2023 from the Director of
Community and Cultural Services be received and filed; and
THAT the Chief Administrative Officer be authorized to execute an
agreement for Cloud hosting and software services between the County of
Elgin and Andornot Consulting Inc. for a minimum five-year term
beginning in 2023 with associated costs drawn from existing funds in the
2023 Information Technology budget and as part of future budget planning
subject to the terms and conditions laid out in the report titled "Cloud
Hosting Services for Museum and Archives Database".
Motion Carried.
7. COUNCIL CORRESPONDENCE
7.1 Items for Consideration
None.
7.2 Items for Information (Consent Agenda)
Moved by: Councillor Couckuyt
Seconded by: Councillor Leatham
RESOLVED THAT Elgin County Council supports the resolution from the
Council of the Town of Petrolia recommending amendments to the current
regulations for licensed home -based childcare operators to increase
allowable spaces; and
THAT a copy of this resolution be forwarded to Hon. Doug Ford, Premier
of Ontario, Hon. Michael Parsa, Minister of Children, Community & Social
Services, MPP Rob Flack, and the Municipalities of Ontario; and
THAT Correspondence Items 7.2.1 and 7.2.2 be received for information.
Motion Carried.
7.2.1 Southwestern Public Health Annual Report 2022
7.2.2 Letter from the Town of Petrolia to the Minister of Education
recommending the Ministry consider addressing concerns
regarding child care shortage in Petrolia, Lambton, and across
the province
8. OTHER BUSINESS
8.1 Statements/Inquiries by Members
The Warden wished Deputy Warden Jones a happy birthday.
8.2 Notice of Motion
8.3 Matters of Urgency
8.3.1 Warden Ketchabaw - Councillor Appointments to the Elgin County
Rural Initiatives and Planning Advisory Committee and the
Human Resources Committee
3
Page 5 of 139
Moved by: Councillor Sloan
Seconded by: Councillor Giguere
RESOLVED THAT Deputy Warden Jones be appointed to the Human
Resources Committee and that Councillor Leatham be appointed to
the Rural Initiatives and Planning Advisory Committee for the
remainder of 2023.
Motion Carried.
9. CLOSED MEETING ITEMS
Moved by: Councillor Noble
Seconded by: Deputy Warden Jones
RESOLVED THAT we do now proceed into closed meeting session in
accordance with the Municipal Act to discuss the following matters under
Municipal Act Section 239 (2):
Closed Meeting Item #1 - Closed Meeting Minutes - June 27, 2023
Closed Meeting Item #2 - Financial Update - Immaterial Anomaly
(a) the security of the property of the municipality or local board; and (b) personal
matters about an identifiable individual including municipal or local board
employees.
Closed Meeting Item #3 - OLT 23-000241/OLT 23-000242
(e) litigation or potential litigation, including matters before administrative
tribunals, affecting the municipality or local board; and (f) advice that is subject to
solicitor -client privilege, including communications necessary for that purpose.
Closed Meeting Item #4 - OLT 23-000137
(e) litigation or potential litigation, including matters before administrative
tribunals, affecting the municipality or local board; and (f) advice that is subject to
solicitor -client privilege, including communications necessary for that purpose.
Closed Meeting Item #5 - Boundary Adjustment Update
(h) information explicitly supplied in confidence to the municipality or local board
by Canada, a province or territory or a Crown agency of any of them.
Closed Meeting Item #6 - Contract Negotiations
(k) a position, plan, procedure, criteria or instruction to be applied to any
negotiations carried on or to be carried on by or on behalf of the municipality or
local board.
Motion Carried.
9.1 Closed Meeting Minutes - June 27, 2023
9.2 Director of Financial Services - Financial Update - Immaterial
Anomaly
9.3 Director of Legal Services - OLT 23-000241/OLT 23-000242
9.4 Director of Legal Services - OLT 23-000137
9.5 Chief Administrative Officer/Clerk - Boundary Adjustment Update
0
Page 6 of 139
9.6 Chief Administrative Officer/Clerk - Contract Negotiations
10. MOTION TO RISE AND REPORT
Moved by: Councillor Sloan
Seconded by: Councillor Widner
RESOLVED THAT we do now rise and report.
Motion Carried
Closed Meeting Item #1 - Closed Meeting Minutes - June 27, 2023
Moved by: Councillor Hentz
Seconded by: Councillor Sloan
RESOLVED THAT the Closed Meeting Minutes of the meeting held on June 27,
2023 be adopted.
Motion Carried.
Closed Meeting Item #2 - Financial Update - Immaterial Anomaly
Moved by: Councillor Leatham
Seconded by: Councillor Hentz
RESOLVED THAT the confidential report from the Director of Financial
Services/Treasurer be received for information.
Motion Carried.
Closed Meeting Item #3 - OLT 23-000241/OLT 23-000242
Moved by: Deputy Warden Jones
Seconded by: Councillor Sloan
RESOLVED THAT the Director of Legal Services proceed as directed.
Motion Carried.
Closed Meeting Item #4 - OLT 23-000137
Moved by: Councillor Noble
Seconded by: Councillor Giguere
RESOLVED THAT the Director of Legal Services proceed as directed.
Motion Carried.
Closed Meeting Item #5 - Boundary Adjustment Matter
Moved by: Councillor Widner
Seconded by: Deputy Warden Jones
RESOLVED THAT staff proceed as directed.
Motion Carried.
Closed Meeting Item #6 - Contract Negotiations
Moved by: Councillor Sloan
Seconded by: Deputy Warden Jones
RESOLVED THAT staff proceed as directed.
Motion Carried.
5
Page 7 of 139
11. MOTION TO ADOPT RECOMMENDATIONS FROM THE COMMITTEE OF THE
WHOLE
Moved by: Councillor Noble
Seconded by: Councillor Sloan
RESOLVED THAT we do now adopt recommendations of the Committee of the
Whole.
Motion Carried.
12. CONSIDERATION OF BY-LAWS
12.1 By -Law No. 23-32 Confirmation
BEING a By -Law to Confirm Proceedings of the Municipal Council of the
Corporation of the County of Elgin at the July 11, 2023 Meeting.
Moved by: Councillor Sloan
Seconded by: Councillor Noble
RESOLVED THAT By -Law No. 23-32 be now read a first, second, and
third time and finally passed.
Motion Carried.
13. ADJOURNMENT
Moved by: Councillor Noble
Seconded by: Councillor Sloan
RESOLVED THAT we do now adjourn at 10.28 a.m. to meet again on July 25,
2023 at 9.00 a.m.
Motion Carried.
Don Shropshire,
Chief Administrative Officer/Clerk.
Ed Ketchabaw,
Warden.
0
Page 8 of 139
'.Progfressive by Nature
...
RECOMMENDATIONS:
REPORT TO COUNTY COUNCIL
FROM: Paul Hicks, Acting Manager of Planning
DATE: July 25, 2023
SUBJECT: Town of Aylmer Official Plan Amendment
No. 23, 34 Sydenham Street East, Aylmer.
Owner / Applicant: 1000049344 Ontario Inc.
Municipality: Town of Aylmer
File No.: AY OPA 23-02
1. THAT the Council of the Corporation of the County of Elgin approve Official Plan
Amendment No. 23 to the Official Plan of the Town of Aylmer; and
2. THAT staff be directed to provide notice of this decision in accordance with the
requirements of the Planning Act.
INTRODUCTION:
The Council of the Town of Aylmer has adopted an amendment to their official plan,
known as Official Plan Amendment Number 23 (OPA No. 23) and have subsequently
forwarded the amendment to the County of Elgin for approval (see attached). In
accordance with Section 17 of the Planning Act, the Council of the County of Elgin, as
"Approval Authority," is required to make a decision on the adopted amendment in which
Council may approve, modify or refuse to approve the amendment. If Elgin County fails to
make a decision within 120 days after the amendment is received, any person or public
body may appeal to the Ontario Land Tribunal.
This report is intended to provide County Council with the information required to make
a decision on the adopted amendment.
DISCUSSION:
OPA No. 23 was adopted by Aylmer Council on June 7, 2023 (By-law No. 25-23). The
purpose of the amendment is to add a Special Policy Area to Section 4.2.3.6 of the
Aylmer Official Plan and re -designate the subject lands from "Low Density Residential'
to "Special Policy Area Medium Density Residential 3" to permit a general commercial
(office) use in the front of the building on the ground floor and permit a maximum of six
residential dwelling units in the remainder of the building.
Page 9 of 139
K
The proposal has proceeded through the standard application process, including the
preparation, review, and acceptance required technical studies and reports, as well as a
technical circulation to statutory review agencies and no comments or objections to the
proposed amendment were received. A public meeting required under the Planning Act
was subsequently held prior to Municipal Council's adoption of OPA No. 23 and no
member of the public were present (aside from the property owner) to make any
representations before Council.
County Staff have had the opportunity to review the proposal and associated application
materials against the requirements of the Planning Act, the Provincial Policy Statement,
the County Official Plan, and Town of Aylmer Official Plan and County Staff are satisfied
that the OPA meets all policy and regulatory requirements. Further staff note that the
proposed amendment has the support of both Aylmer Staff and Council.
FINANCIAL IMPLICATIONS:
There are no identified direct financial implications to the County with respect to the
approval of the proposal.
ALIGNMENT WITH STRATEGIC PRIORITIES:
Serving Elgin
❑ Ensuring alignment of
current programs and
services with community
need.
❑ Exploring different
ways of addressing
community need.
® Engaging with our
community and other
stakeholders.
Growing Elgin
® Planning for and
facilitating commercial,
industrial, residential,
and agricultural growth.
❑ Fostering a healthy
environment.
❑ Enhancing quality of
place.
LOCAL MUNICIPAL PARTNER IMPACT:
This amendment will directly impact the Town of Aylmer.
COMMUNICATION REQUIREMENTS:
Investing in Elgin
❑ Ensuring we have the
necessary tools,
resources, and
infrastructure to deliver
programs and services
now and in the future.
❑ Delivering mandated
programs and services
efficiently and
effectively.
The Notice of Decision will be sent to the applicant, the Town of Aylmer and those
prescribed under the Planning Act.
Page 10 of 139
K
CONCLUSION:
Based on the above analysis it is recommended that County Council approve OPA No.
23 of the Official Plan of the Town of Aylmer as the application:
• Meets the requirements of the Planning Act;
• Is consistent with the Provincial Policy Statement;
• Conforms to the County of Elgin Official Plan; and
• Constitutes good planning and is in the public interest.
All of which is Respectfully Submitted
Paul Hicks
Acting Manager of Planning
Approved for Submission
Don Shropshire
Chief Administrative Officer/Clerk
Page 11 of 139
AMENDMENT NO. 23
CERTIFIED TRUE COPY
DEPU: LEAK - TOWN OF AYLMER
JUNE 20, 2023
TO THE OFFICIAL PLAN FOR THE
CORPORATION OF THE TOWN OF AYLMER
(34 Sydenham Street East, Aylmer ON)
Page 12 of 139
THE APPROVAL PAGE
This Amendment to the Official Plan for the Town of Aylmer which has been adopted by the
Council of the Corporation of the Town of Aylmer, is hereby approved in accordance with Section
17 of the Planning Act, R.S.O.1990 c. P. 13, as Amendment No. 23 to the Official Plan for the
Town of Aylmer.
Date
Approval Authority
Page 13 of 139
AMENDMENT NO. 23
TO THE OFFICIAL PLAN FOR THE
CORPORATION OF THE TOWN OF AYLMER
Page
BY-LAW NO.25-23: ADOPTION BY-LAW FOR OFFICIAL PLAN AMENDMENT NO. 22 ii
CERTIFICATION THAT DOCUMENT IS A TRUE COPY iii
CERTIFICATION OF COMPLIANCE WITH PUBLIC INVOLVEMENT AND NOTICE
REQUIREMENTS iii
THE CONSTITUTIONAL STATEMENT iv
PART A - THE PREAMBLE
1.0 PURPOSE
2.0 LOCATION
3.0 BASIS
PART B -THE AMENDMENT
1.0 DETAILS OF THE AMENDMENT
2.0 INTERPRETATION
3.0 IMPLEMENTATION
I
2
2
2
Page 14 of 139
ADOPTION BY-LAW FOR OFFICIAL PLAN AMENDMENT NO, 23
11#10 Kela 0 m ll�a &MY
The Council' of the Corporation of the Town of Aylmer, under Sections 17 and 21 of the Pla Moi ng
Act hereby ENACTS as follows:
A - A
2. The Clerk is hereby authorized and directed to make application to the County of Elgin
for approval of the Official Phan Amendment No. 23 for the Town of Aylmer.
3, This By-11-aw shall come into force and take effect on the day of the final passing thereof.
ENACTED AND ADOPTED THIS 7TH IDAY OF JUNE, 2
Mayor
I (Corporate
Seal)
/derk
Certified! that the above is a TRUE COPY of By -Law No. 25-23 enacted and, adopted by the
Council of the Town of Aylmer on the-71— day of � , 2021
Deputy Clerk
Page 15 of 139
CERTIFICATION THAT DOCUMENT IS A TRUE COPY
I hereby CERTIFY that the enclosed document is a TRUE COPY of the Official Plan
Amendment No. 23 for the Town, of Aylmer as approved by the County of Elgin on the
day of 2023,
Mayor
(Corporate)
(Seal)
Clerk
CERTIFICATION OF COMPLIANCE WITH
1, OWEN JAG GARD, Clerk of the Town of Aylmer, hereby CERTIFY that the requirements for the
giving of notice, and the holding of at least one public meeting as set out in Subsection 17(9) of
the Planning Act. R.S.Q,. 1990 c. P. 13, and the giving of notice as set out in Subsection 17(17)
of the Planning Act, R.S-O- 1990 c. P. 13, have been complied with,
'Corporate
'64
04 (Seal)
Deputy Cle r,l�,V ///X
Page 16 of 139
PART A - THE PREAMBLE does not constitute part of this Amendment
PART B - THE AMENDMENT consisting of the following text and map (Schedule "A")
constitutes Amendment No. 23 to the Official Plan for the Town of Aylmer.
Page 17 of 139
PART A - THE PREAMBLE
1.0 PURPOSE
The purpose of this Amendment is to add a special policy area to Section 4.2.3.6 Site -
Specific Special Policy Areas to Residential Areas and redesignate the subject lands from
Low Density Residential to Special Policy Area Medium Density Residential 3 (MDR-3) to
permit a general commercial (office) use in the front of the building on the ground floor
and permit a maximum of six (6) residential dwelling units in the remainder of the building.
2.0 LOCATION
The subject lands are located on the south side of Sydenham Street East, comprising Part
of Lot 3 Block 1 Sydenham Street and Part of Alley, Plan 74 (being Parts 1 and 2 on RP
11 R-3249) and known municipally as 34 Sydenham Street East in the Town of Aylmer.
3.0 BASIS
Existing Use
The subject lands currently contain a vacant commercial use unit in the front of the building
on the ground floor and five (5) existing residential dwelling units in the remainder of the
building.
Proposed Use
The applicant proposes to reduce the size of the existing commercial unit and add an
additional residential dwelling unit to a maximum of six (6) residential dwelling units.
Town of Aylmer Official Plan
The subject lands are currently designated 'Low Density' in the Official Plan which does
not permit more than two residential units. The applicant has requested a change in land
use designation to permit commercial uses in the front of the building on the ground floor
and permit a maximum of six (6) residential dwelling units in the remainder of the building.
An amendment to the Zoning By -Law 59-99 to change the zoning of the subject lands
from Commercial Core (Cl) to Commercial Core Special Provision 2 (C1-2) is being
addressed concurrently and will implement this Official Plan Amendment upon its
approval.
Planning Rationale
Neighbouring land uses are characterized by low, medium and high density residential in
all directions and commercial uses. The proposal represents residential intensification and
will be compatible with neighbouring land uses. No significant increases in traffic on
Sydenham Street East are anticipated.
Page 18 of 139
PART B -THE AMENDMENT
All of this part of the document entitled Part B - The Amendment, consisting of the following text
and map (Schedule "A") constitutes Amendment No. 23 to the Official Plan for the Town of Aylmer.
1.0 DETAILS OF THE AMENDMENT
The Official Plan of the Town of Aylmer is hereby amended as follows:
1. Schedule "A" to the Official Plan of the Town of Aylmer is hereby amended by
changing the designation of those lands described on Schedule "A" attached hereto
from 'Low Density Residential' to 'Special Policy Area Medium Density Residential
3 (MDR-3)'.
2. Section 4.2.3(6) Site Specific Special Policy Areas to Residential Areas is hereby
amended by adding the following:
(c) On lands located on the south side of Sydenham Street East, known
municipally as 34 Sydenham Street East, consisting of approximately
797.57 square meters (0.20 acres) of land area and identified on Schedule
"A" as "Special Policy Area MDR-3", the permitted uses shall include
commercial uses in the front of the building on the ground floor and a
maximum of six (6) residential dwelling units in the remainder of the
building.
2.0 INTERPRETATION
The interpretation of this Amendment shall be in accordance with the respective
policies of the Town of Aylmer Official Plan.
3.0 IMPLEMENTATION
The implementation of this Amendment shall be in accordance with amendments to the
Zoning By -Law, as provided for in Section 6 of the Official Plan of the Corporation of
the Town of Aylmer.
Page 19 of 139
A
This is Schedule "A" to Biy-law w
p.. _w_ of
O5
OFFICIAL
SCHEDULEW.-LAND USE PLAN Meters
DECISION
With respect to Official Plan Amendment No. 23 to the
Official Plan of the Town of Aylmer under 17(34) of the
Planning Act
I hereby approve all of Official Plan Amendment No. 23 to the Town of Aylmer Official
Plan as adopted by By-law No. 24-23.
Dated at the County of Elgin this 25t" day of July 2023.
Interim Chief Administrative Officer,
County of Elgin
Page 21 of 139
REPORT TO COUNTY COUNCIL
FROM: Jenna Fentie, Manager of Administrative
Services/Deputy Clerk
DATE: July 17, 2023
SUBJECT: Approval of Fees and Charges 2023
RECOMMENDATIONS:
THAT the report titled "Approval of Fees and Charges 2023" dated July 17, 2023 from
the Manager of Administrative Services/Deputy Clerk be received and filed; and
THAT the changes to fees and charges identified in "Schedule A" to the report titled
"Approval of Fees and Charges 2023" dated July 17, 2023 are approved and imposed
to commence on July 25, 2023.
INTRODUCTION:
The Management Team and County staff annually review the fees and charges levied
for administrative activities within each department to reflect cost recovery for material,
activities, and services. The attached by-law "Schedule A" reflects changes to fees and
charges as recommended by the Management Team.
RELEVANT LEGISLATION:
• Subsection 5(3) of the Municipal Act, 2001, S.O. 2001, c.25, as amended,
provides that a municipal power shall be exercised by by-law; and
• Section 9 of the Municipal Act, 2001 provides that a municipality has the
capacity, rights, powers and privileges of a natural person for the purpose of
exercising its authority under this or any other Act; and
• Section 10(1) of the Municipal Act, 2001 provides that a municipality may provide
any service or thing that the municipality considers necessary or desirable for the
public; and
• Section 10(2) of the Municipal Act, 2001 provides that a municipality may pass
by-laws respecting: in paragraph 7, Services and things that the municipality is
authorized to provide under subsection (1); and
• Section 391(1) of the Municipal Act, 2001 provides that a municipality may
impose fees or charges on persons: (a) for services and activities provided or
done by or on behalf of it; (b) for costs payable by it for services and activities
Page 22 of 139
2
provided or done by or on behalf of any other municipality or local board; and (c)
for the use of its property including property under its control; and
Section 69 of the Planning Act, R.S.O. 1990, c.P.13, as amended, provides that
a council of a municipality may by by-law, establish a tariff or fees for the
processing of applications made in respect to planning matters.
DISCUSSION
The following changes have been requested by each department:
Community and Cultural Services has requested wording changes to items included
under photographic prints, and scanning. An additional charge for lost and damaged
Yoto players was also added, as this is a newer item added to the library circulation and
was not previously captured in the fees and charges by-law.
Engineering Services has requested an increase to the fees associated with room
rentals at the County Administration Building, and an increase to the Single Move
Overweight Permit Fee to reflect cost recovery. Additionally, the permit fee for
Telecommunication Equipment Consent and Road User Agreement was changed in
order to more accurately reflect the agreement fee schedules.
Homes and Seniors Services has requested a rate change for services provided by
the Barber/Hairdresser at Terrace Lodge effective September 1, 2023, and a change in
Valet fees to reflect the market rate.
Human Resources has requested a change to research fees from $50.00/hour to on a
cost recovery basis to align with the provisions of the shared services agreement.
Planning Services has requested the addition of a paragraph indicating that the
County will seek reimbursement for additional costs incurred for professional services
related to technical studies/reports determined necessary by the Manager of Planning
or his/her designate.
Tourism Membership fees have either been reduced or eliminated as the fees are now
contained within the department budget. This allows for greater flexibility to promote
more businesses in Elgin County.
Provincial Offences fees have increased to recover costs associated with preparation
of transcripts.
FINANCIAL IMPLICATIONS:
Fees and charges imposed through the relevant by-law are on a cost recovery basis.
Page 23 of 139
ALIUNivitN I WITH STRATEGIC PRIORITIES:
Serving Elgin
❑ Ensuring alignment of
current programs and
services with community
need.
❑ Exploring different
ways of addressing
community need.
❑ Engaging with our
community and other
stakeholders.
Additional Comments:
Growing Elgin
❑ Planning for and
facilitating commercial,
industrial, residential,
and agricultural growth.
❑ Fostering a healthy
environment.
❑ Enhancing quality of
place.
LOCAL MUNICIPAL PARTNER IMPACT:
None.
COMMUNICATION REQUIREMENTS:
Investing in Elgin
® Ensuring we have the
necessary tools,
resources, and
infrastructure to deliver
programs and services
now and in the future.
❑ Delivering mandated
programs and services
efficiently and
effectively.
A copy of the approved by-law will be posted on the County website, and circulated to
all departments.
CONCLUSION:
This report recommends that the increases to fees and charges requested by
departments be implemented and that the County's Fees and Charges by-law be
amended to reflect cost recovery.
All of which is Respectfully Submitted
Jenna Fentie
Manager of Administrative Services/
Deputy Clerk
Approved for Submission
Don Shropshire
Chief Administrative Officer/Clerk
3
Page 24 of 139
COUNTY OF ELGIN
By -Law No. 220..,;°2„ °°i3
"A BY-LAW TO PROVIDE A SCHEDULE OF SERVICES AND ACTIVITIES SUBJECT
TO FEES AND CHARGES BY THE COUNTY OF ELGIN AND TO REPEAL
BY-LAW NO. ;Pi'I,t.µl .µ
WHEREAS, by virtue of s.9 of the Municipal Act, 2001, S.O. 2001, c.25, as amended, a
municipality has the capacity, rights, powers, and privileges of a natural person for the
purpose of exercising its authority under that or any other Act;
AND WHEREAS, by virtue of s.11 of the said Municipal Act, 2001, S.O. 2001, c.25, as
amended, an upper tier municipality may enact a by-law respecting, among other things,
public assets of the municipality acquired for purpose of exercising its statutory authorities,
economic well-being of the municipality, services and things that the municipality is
otherwise authorized to provide, and protection of persons and property;
AND WHEREAS Section 391 of the Municipal Act, 2001, S.O. 2001, c.25, as amended,
states that a municipality and a local board may pass by-laws imposing fees or charges on
persons for services or activities provided or done for persons;
AND WHEREAS the Corporation of the County of Elgin did pass By -Law No. , II "'L......'L.6 2k2...22
imposing fees or charges on services or activities provided to persons by the County of
Elgin's various departments;
AND WHEREAS the Corporation of the County of Elgin has deemed it advisable to amend
the fees and charges applicable to some of its services or activities, and to make provision
for the addition of taxes where appropriate.
NOW THEREFORE the Municipal Council of the Corporation of the County of Elgin enacts
as follows:
THAT Schedule "A" attached hereto and forming part of this by-law setting out services
and activities which are subject to fees and charges, and taxes where applicable, and the
amount of such fees or charges be and is hereby adopted.
2. THAT By -Law No. tl.......:a..l :I''d' and any by
that is contrary to this one be and is
hereby repealed.
3. THAT this by-law shall come into force and take effect upon its passing.
READ A FIRST, SECOND AND THIRD TIME AND FINALLY PASSED THIS ',:5tn DAY OF
APRII, I R IL "111('20Z3.
Don Shropshire,
Chief Administrative Officer/Clerk.
Ed Ketchabaw,
Warden.
Page 25 of 139
SCHEDULE "A"
By Law No. ;' 6 „ ...°I' 33
The Corporation of the County of Elgin has deemed it advisable to provide activities and services
that are subject to fees and charges. The following list details such activities and services and
the fees and charges that will apply:
Please note that the fees and charges below include taxes, where applicable.
GENERAL (authority under the Municipal Act)
Photocopies for the public throughout all County of Elgin Departments:
Copy charge per printed page
- per printed side (black & white) $0.25
- per printed side (colour) $1.00
Document Commissioning Fee: $20.00
FINANCIAL SERVICES (authority under the Municipal Act)
Late payment of County Levy 15%/year
(i.e. - installment due on the 15th and not received until the 16th, one day of interest would be charged)
COMMUNITY & CULTURAL SERVICES - Archives (authority underthe Municipal Act)
Long -Distance Research $40.00 per hour
Photocopying/Internet Printing
Letter/Legal $0.25
11 x 17 $0.50
Microfilm Reader -Printer:
Letter/Legal - per page $0.50
11 x 17 - per page $0.75
Scans $0.25
Photograph Prints:
4 x 6
$17.00
4 x 6 - additional print
$10.00
5 x 7
$20.00
5 x 7 - additional print
$12.00
8 x 10
$30.00
8 x 10 - additional print
$17.00
11 x 14
$40.00
11 x 14 - additional print
$30.00
Larger Sizes
On a case by case basis
Digital irinage II:::hd;:dto/dd;:dd; iu irirud::int files for
personal use $10.00
:..:.:..::.. .......:::p., :.......�, w 4:.::.. q: �:.::...................................................................................................................................................................................................................................................................................................................................................................
,„.,N�,,.,µ.�IIIIIIIlWW�4
N
Digital ir::iRa3.c II:::''hd;:dto/dd::dd; iu irirud::int files for
publication/exhibition/display/commercial use $20.00
image scanning
$10.00
Scanning:
Document scanning as $5.00
Recordable CD $2.50
Supplies:
Acid -free storage box $20.00
Newspaper storage box $50.00
Acid -free file folders $1.00
General archival supplies Market value
Page 26 of 139
Shipping
Actual cost with a $5.00 minimum cost
COMMUNITY & CULTURAL SERVICES - Libraries (authority underthe Public Libraries Act)
Library Fines:
Fines are subject to Elgin County Library's fine -free plan to eliminate overdue fines on all library
materials by December 31, 2024.
Fax Machine:
Sending:
First Page $1.50
- Each Additional Page $0.50
Receiving
Per Page $0.50
Interlibrary Loan — Borrowing:
Canadian Library or University — plus shipping (if they charge) Discretion of Loaning Library
U.S. Library or University — plus shipping (if they charge) Discretion of Loaning Library
Microfilm — plus shipping (where applicable) $4.00
Printing:
Black & White/Colour — per printed side
Lost or Damaged Materials:
All Material Types
Bag of Books
$0.25
Actual Cost plus $5.00 Processing
$160.00
If actual cost is unknown, the following rates are charged:
Other Materials — Lost or Damaged:
DVDs/Videos
$20.00
P layaways
$80.00
Wonderbooks
$70.00
Microfilms
$30.00
Music CDs
$20.00
Game Kits
$20.00
Program Kits
$20.00
Computer Kits
$80.00
Park Permits
$100.00
Library Card Replacement
$1.00
Books — Lost or Damaged:
Hardcover
$30.00
Magazines
$5.00
Paperbacks
$10.00
Audio Books
$50.00
Reference Books
$50.00
Room Rentals (no charge for non-profit group) $25.00
Library Fine Threshold $20.00
Fines are subject to Elgin County Library's fine -free plan to eliminate overdue fines on all library
materials by December 31, 2024.
3D Printing Filament $0.10/gram
Exam Proctoring Donation basis
Book, Magazine & DVD/CD Discards Donation basis
Page 27 of 139
COMMUNITY & CULTURAL SERVICES -Museum (authority underthe Municipal Act)
Admission
Membership:
Annual
Lifetime
Programs Delivered:
Donation basis
Adult off -site programs
plus travel paid at the rate established by the County for use of personal vehicles
School tours and children's group tours
(designed for children under the age of 14)
- Chaperones are no charge
School programs offered in -school
(designed for children under the age of 14) - including rented teacher's kit
Note: Fees for programs delivered by the Museum may vary according to the program
ENGINEERING SERVICES (authority underthe Municipal Act)
County Road Maps
Meeting Room Rental Rates: (authority under the Municipal Act)
$5.00
$100.00
$33.90
$1.75
$3.00
$5.00
For use of meeting rooms in the County Administration Building by outside groups:
Il....uw;..r..".."aR uun IL.3.."„.,:IrdIr..".."ulru Jt... #�...._) $56 W4-$ 7 _ II.."Ir 3 Ih.."u.�Ir alruuu1uulraL�alru uu1.,aL�Sa\1...,
2�5 II'D aIr IlhiouIr alwri"aIr":aa::::l":aIr
(,:::)..IuuF Itu(u(3 IIIICoo �u / Gu iq e" s II I uuin IIIoar,ir""""u°I°u 4m�I�uu" �"� tl 8: ) � �,hd N II""Ir �i"°"u.,�Ir
,. \i":u r "' 25 IID":u Ir Ili":"u Ir theIr":uu::1Y.1 ":u Ir
Electric Vehicle Charging Station Fee: $2.40/hr
Oversize/Overweight Moving Permit: (authority under the Highway Traffic Act)
Permit for moving heavy vehicles, loads, objects or structure in excess of dimensional & weight
limits set out in the Highway Traffic Act:
Single Move Fee (if action is requested with greater than 10 business days' notice) $200.00
Single Move Fee (if action is requested with less than 10 business days' notice) $400.00
...\i .. Ir, .. II W i u , r .. „..: a .. Ir a h„.,: a i(.. 3, 5 .,i ..i II .; � „.,:IL, y., Ir .."\i„.,:II Ir ...,iu. � u Ir ..s „..:
II If"II II II""11II II""'IfII IL,ll II""If"II of tl 0 bi.,lls II II""ll4i:"ss days' II""llo'u III,., tl,.., ) Ogg:: . 99 $ tl , 300. 00
Annual Oversize Moving Permit Fee $500.00
Preparation of Road User Agreement / Telecommunication Equipment (Where Applicable
by Agreement)
Consent and Road User Agreement
Road User Agreements
(authority under the Municipal Act)
$1,000.00
Annual fees shall be a minimum of $500 with no upset limit. Project type and the amount of road
property affected shall dictate the annual fee and associated encumbrances. Taxes not
applicable and fees may be added to the property tax roll for collection, on behalf of the County,
by a local municipality.
Telecommunication Equipment Consent and Road User Agreement
Permit Fee
$200.00 base fee plus " i::i.':I'15/u.I�°u
wig2!5r....pe,F.....114G4: u.ea.r:.... GIP ....IIp :Irk.
thelpeef)
(Applicable to each approved telecommunications equipment installation location)
Page 28 of 139
Contract Administration Fee $100.00 (Where applicable by Agreement per year for
each year of term of Agreement)
Road Occupancy Permit (authority under Public Highway & Transportation Improvement Act)
To regulate the construction or alteration of any entranceway, private road or other facility that
permits access to County Roads:
Request greater than 5 days notice $200.00
Request less than 5 days notice $400.00
Tender Documents (Hard Copy) (authority under the Municipal Act) $50.00
Cost Recovery Damage to Public Property Caused During a Collision Actual Cost
(authority under the Municipal Act)
LONG-TERM CARE HOMES (authority under the Long -Term Care Act, 2007)
Adult Day Programs
Barber/Hairdresser (Terrace Lodge):
Shampoo and Set
Shampoo, Cut & Set
Ladies' Haircut only
Men's Haircut only
Shampoo, Perm & Set
Shampoo, Perm, Cut & Set
Shampoo, Colour & Set
m'I/Ili::u"i°ull:d;:dd::d, Il:d: irn°u r'i:/
Shampoo, Colour, Cut & Set
Men's Cut & Dry
Ladies' Cut & Dry
Bang Trim
Shampoo Only
Comb Out & Curling Iron
Beard Trim
Set Only (No Shampoo)
Cut & Set (No shampoo)
Shampoo & Blowout
Conditioning Treatment
Foils'/ Head
Braids/Updo
Cut/Set/Curl
Sham poo/Cut/Set/Curl
Bobier Villa & Elgin Manor
Cable TV/Internet
Foot Care through Contract Provider
Fees as set by the Province
effective Jwie.i.) .
:eit 1, :'... .
2'5.00 c :. .:
$38.00
As per Contracted Service Provider
Market Rate
Market Rate
Dental Care Services through Contract Provider Market Rate
Optometry Care Services through Contract Provider Market Rate
Wheelchair Seating Assessment Fees
Wheelchair and mobility equipment repair fees (Contract Provider) Market Rate
Guest Room Accommodation — 1 Guest Maximum
- per night including breakfast at Elgin Manor & Bobier Villa $55.00
Meals on Wheels for Community Clients:
- per meal
VON Page 29 of 139 $7.00
WECHC
Double Portions (VON & WECHC)
Medication not Covered by Health Card 65 &
Non-prescription Drugs
Newspaper
(October 1, 2021 - September 30, 2022)
$7.15
(October 1, 2022 — September 30, 2023)
$7.00
(January 5, 2022 — January 4, 2023)
$7.15
(January 5, 2023 — January 4, 2024)
$3.50
Cost of drug plus $2.00 - ODB co -payment
Preferred Accommodation Rate Upon Admission:
Market Rate
Resident fees are charged in accordance with the rates set by the Province of Ontario which
may change from time to time.
Purchases Services
Resident requested sundry products, therapy services, supplies, etc. Market Rate
Resident Basic Accommodation Rate:
Resident Fees are charged in accordance with the rates set by the Province of Ontario which
may change from time to time.
Note: Residents may apply for a rate reduction based on annual income
Resident — Replacement Key
Staff Replacement Name Tags
Room Rental
Determined by Homes' Director
Loss of Fob
$10.00
. �91
$42.50
- minimum fee may apply
$11.50
Transportation/Accompaniment of Staff Market transportation rate, plus, if accompanied
by staff the employee's hourly rate of pay times
the length of absence from the workplace, plus
benefits if applicable. (Minimum of 4 hours may
apply)
Valet (mending or clothing)
Visitor Meals:
Full Course Meals (lunch)
Full Course Meals (supper and breakfast)
Under the age of 5 years
Volunteers
Special Event Meals
Under the age of 5 years
Volunteers
Diner's Club for Community Seniors
(including HST) (effective January 5, 2023)
Wander Guard System — Replacement Strap/Tag
HUMAN RESOURCES (authority under the Municipal Act)
County Sponsored Training Programs:
Participation by Public Partners
Accessibility Training Services
ai l,,et II:Rate
$10.00
$7.00
$2.50
$4.50
$15.00
$6.00
$6.00
$7.15
Market Rate
Cost Recovery Basis
Cost Recovery Basis
Identification Badge Photo
Loss of Employee Identification Badge 30 of 139 $5.00
Research
Responding to Professional Service Requests
LAND DIVISION (authority under the Planning Act)
Application for Consent $1,250.00
Application for Validation Title $1,250.00
Stamping of Deed $300.00
Validation Certification $300.00
If an Application for Consent/Validation is:
(i) withdrawn at least fourteen (14) days prior to the hearing date $50.00 will be retained. If
amended at least fourteen (14) days prior to the hearing date, an additional $50.00 will be
charged.
(ii) withdrawn after the time limit set in (i), the entire fee will be retained. If amended after the
time limit set in (i), an additional $50.00 will be charged.
(iii) requested to be reconsidered once consent has been granted, in order to alter the original
decision in a minor way, it will be treated as if it were a new application, and a fee of
$300.00 must accompany the letter explaining the reason for the change.
(iv) requested to be deferred from having action taken on it, by the applicant, in writing, whether
after or before a hearing date has been set, a fee of $300.00 must accompany the request
for deferral.
PLANNING APPLICATION FEES (authority under the Planning Act)
Plans of Subdivision or
Plans of Vacant Land Condominium: $4,000.00
Extension to draft plan approval $500.00
Plans of Condominium
(all other types excluding vacant land): $1,500.00
Exemption from draft approval: $1,000.00
Extension to draft approval: $500.00
County Official Plan Amendment: $4,000.00
Local Official Plan Amendment: $1,000.00
(municipally - initiated Official Plan Amendment exempt)
Part lot control exemption:
$500.00
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I".IIa't"t4ri"'I s siuch as a If.116ls4iii' assessirrieint study
TOURISM FEES (authority under the Municipal Act)
Memberships FEE per year
Tourism Membership:
Elgin County Members (Elgin County businesses only) " .:L.99 $50 (+HST)
Affiliate II�vler!in clr'„w Advd::'Irfiisd::'Irs (businesses located outside of Elgin County's tax base)
$2'00 (+HST)
Page 31 of 139
Tourism Signage:
Elgin County Tourism Members (Elgin County businesses and those $150 (+HST)
businesses that pay the Affiliate Member fee to be part of the Elgin
County Tourism Membership Program)
Tourism Signage Re-entry Fee $350/sign
Pi: III it:m Il4i:5 imullll..''
(.....Ildwwj
........P ............................................ (waived ...........=:...........Go ....D................. a........ ..:......
jkffllluat II w:I b r ....(buiigessqs GG„Ixtqd Guts� de...of I Rgir; ta � R W: ) $2,437....E'4I
PROVINCIAL OFFENCES (authority under the Provincial Offences Act)
Photocopies
Certified Copies
- per certification
Transcripts
- per page for first
copy (papeir)
��De,ir Dage ll'::ol
II'iirst
d;;d;:dpy (,d::Ild: ctird;:dun)
II,., ,...Ir II,., a „ ,... II
,..d Ir II II Irs (
copy (,14., a II,., ,... Ir) ,_ days
,., ,...Ir ,., a „ ,...
,..d Ir II Irs t
copy (,... ,... ,.. Ir,..d In II ,.. ) ,_ days
II,., ,...Ir II,., a „ ,... II
,..d Ir II II Irs (
copy (,14., a II,., ,... Ir) ... (II"1i Ir.
IL., ...Ir IL., „.,: ... II
..d Ir II a Ir s (
copy (.... II ..... Ir..d an a .. (h Ir .
- per page for additional
copies
Note: The above items are not applicable to Judiciary and County Prosecutor.
NSF Cheques
$1.00
$3.50
Cost of Collection A range of 10% to 45% for Collection Agents.
All other costs of enforcement as incurred.
Cost of Collecting Delinquent Fines to be charged 25% of the fine amount
back to the Defendant as a percentage of the Fine.
Note: Fees for copies and transcripts are set by the Ministry.
Page 32 of 139
/Iroo; 0
, gin,
RECOMMENDATIONS:
REPORT TO COUNTY COUNCIL
FROM: Don Shropshire, CAO/Clerk
DATE: July 25, 2023
SUBJECT: Elgin Group Policing Agreement
THAT the Report to Council, dated July 25, 2023 and entitled Elgin Group Policing
Agreement be received and filed.
THAT the report be sent to the local Councils in Bayham, Malahide, Central Elgin,
Southwold, Dutton-Dunwich and West Elgin for their consideration to approve the
agreement for an additional two years.
INTRODUCTION:
The current agreement with the Ontario Provincial Police (OPP) to provide policing
services to aforementioned six Municipalities expires on December 31, 2023 or the date
The Community Policing and Safety Act (CPSA) 2019 comes into force.
BACKGROUND AND DISCUSSION:
The terms of the current agreement with OPP has been in place since 2015. The CAOs
of each Municipality have been consulted and they support renewing the existing
agreement for an additional two years. It is expected that during this term the CPSA will
come into force and replace the existing agreement, until then we need to maintain an
agreement for policing services. This is the only option for policing services being
considered at this time.
A copy of the current agreement is included with this report.
FINANCIAL IMPLICATIONS:
The cost of services is calculated using a four-year rolling average so there is not
expected to be any significant change in the year to year costs. A copy of the 2023
Billing Statement, the 10-year historical trend and the Billing Model is included with this
report. Consideration needs to be given to the future requirements and cost for policing
Page 33 of 139
given ine expected growth in Elgin County. The OPP has been invited to join our local
Municipalities and the County of Elgin to plan for the expected growth.
ALIGNMENT WITH STRATEGIC PRIORITIES:
Serving Elgin
❑ Ensuring alignment of
current programs and
services with community
need.
❑ Exploring different
ways of addressing
community need.
® Engaging with our
community and other
stakeholders.
Additional Comments:
Growing Elgin
❑ Planning for and
facilitating commercial,
industrial, residential,
and agricultural growth.
❑ Fostering a healthy
environment.
❑ Enhancing quality of
place.
LOCAL MUNICIPAL PARTNER IMPACT:
Investing in Elgin
❑ Ensuring we have the
necessary tools,
resources, and
infrastructure to deliver
programs and services
now and in the future.
® Delivering mandated
programs and services
efficiently and
effectively.
Policing services in our local municipal partners in Bayham, Malahide, Central Elgin,
Southwold, Dutton-Dunwich and West Elgin are directly impacted by this report.
COMMUNICATION REQUIREMENTS:
The Report to Council needs to be considered by each of the six local Municipal
Councils.
CONCLUSION:
The County and local Municipal CAOs are recommending local Councils approve the
renewal of the current policing contract with the OPP for an additional two years.
All of which is Respectfully Submitted
Don Shropshire
Chief Administrative Officer/Clerk
2
Page 34 of 139
I MM, cii—t
—F I —�"F, .
Ell Group
Estiniated coasts for the period January Ito December 31, 2023
Pfewse refer to wwwopp,ca for 2023 Municipal Poll ing Willing General I riforma Ilion sunirmary for further details,
3
Base 5ervice Property Counts,
Housl0iolid 18,385
Cornnipiriclial and k1dustnal 873
70tal praperties 19,Z8
C�allls for Service fsee sunvnwpes,)
Totall aR munif,-,iipal4ites 178,5 76,9019
Munklipal portion 1, 49 13
Overtime (,ee rmte5l
Cowl t Security (see suinmary�
Prisoner'l'tansporlation ipler propiertycosll➢
Accommadation/Cleaning Serviceis (Pef Property rmt)
total 20123 Estimated Cost
20121, Year E n lif Adj ust rill n t lade U 0 wrl,"i ry b
Girand 2cmtall Billing for 2023
20123 Monthf,y Billing Aril
Cost per
Property lotal Cost
165,66 3, 190, �318
138.48 2,666,760
12,32
23 7,1 L9
613
118,1060
1.17
224532
41.87
93,796
329,62 6,328,575
64,236
OlPiP Municipal Policing Snapshot
Historical T'renids (2014-20123)
��*,OArov*ltki -,wx--4,zt-m
ainnuall lzed ll Of approximately 1 %
S393tA $390M $39RA $396M $407M 5413M $410 M $4 1 5M $419M S417M
— IBM no
2014 20115 2016 2'017 20118 2019 2020 2021 2022 2023,
w Total Municipal Policlingi Cost a Average Cost per Property
l`,Iole 2G W,(p021 figilm'is rilre r"'a's4A an r,,xhwl avid 2022,20'213 we esupuxnd orsl,, AH 11-0,,,,t,,,, ale n,M "A tou),vimes ra
pc,41aq, seracc, 5 to 3- yea' vowlMon con4ciO and riouaicqial chtoi'x,bilkrlil,
Page 35 of 139
wowam.m
12
Municipality gin G'ro'tip .... . . ................................................................................ ... .
Agreement Secton 10 -Group
Detachment Eh hi
?(,,�T 9 ov"As Mo Am*/ Aw c'o! r?T*? " yeag pA,)4C4n,rt#7n0d ft C40% havo O#On aAN,04,010v 2099
, 0 :a 0 , III * .
Page 36 of 139
This seconclAMENDING AGREEMENT is from the 30th day of December, 2022 to the 31 st
day of December, 2023
BETWEEN:
HER MAJESTY THE QUEEN IN RIGHT OF ONTARIO AS REPRESENTED BY THE
SOLICITOR GENERAL
("Ontario")
-and-
THE CORPORATION OF THE MUNICIPALITY OF WEST ELGIN
THE CORPORATION OF THE MUNICIPALITY OF BAYHAM
THE CORPORATION OF THE TOWNSHIP OF SOUTHWOLD
THE CORPORATION OF THE MUNICIPALITY OF CENTRAL ELGIN
THE CORPORATION OF THE MUNICIPALITY OF DUTTON/DUNWICH
THE CORPORATION OF THE TOWNSHIP OF MALAHIDE
("the Elgin Group")
BACKGROUND
A. The Parties entered into the Agreement forthe provision of Police Services under
Section 10 of the Police Services Act (the "Agreement") which commenced on
the 15t day of January 2015.
B. The Agreement includes all the Schedules and Appendices to the Agreement.
C. Pursuant to Section 29, the Parties may amend the Agreement by written
agreement.
D. The Parties wish to further amend the Agreement as set out in this second
Amending Agreement, by extending the duration of the contract to conclude on
the 315t of December, 2023, as supported by:
• Bylaw # 2022-49, dated the 21 st day of July, 2022 ofthe Council of the
Municipality of West Elgin (attached as Schedule "A-1 ").
• Bylaw # 2022-054, dated the 21 st day of July, 2022 of the Council of the
Municipality of Bayham (attached as Schedule "A-1 ").
• Bylaw # 2022-68, dated the 8th day of August, 2022 of the Council of the Township
of Southwold (attached as Schedule "A-1 ").
• Bylaw # 2727, dated thel8th day of August, 2022 of the Council of the Municipality
of Central Elgin (attached as Schedule "A-1 ").
• Bylaw # 2022-62, dated the 10th day August, 2022 of the Council of the
Municipality of Dutton Dunwich (attached as Schedule "A-1").
• Bylaw # 22-52, dated 21 st day of August, 2022 of the Council of the Township of
Malahide (attached as Schedule "A-1").
Page 37 of 139
NOW THEREFORE, the Parties agree as follows:
Section 26 of the Agreement shall be replaced with the following:
26. Notwithstanding the date upon which this Agreement is signed, the term of
this Agreement shall commence on the 1st day of January 2015, and shall
conclude on the earlier of (i) the 31s' day of December, 2023 or (ii) the date
that the Community Safety and Policing Act, 2019 comes into force.
Relevant terms and conditions of the Agreement, that are not specifically amended but
that relate to the amendments set out in this Amending Agreement shall be deemed to be
amended so as to give effect to the changes herein.
Except for the amendments set out herein, the terms and conditions of the Agreement
remain in full force and effect and time shall remain of the essence.
Notwithstanding the.date upon which this Amending Agreement is signed, this Amending
Agreement is effective as of the 30th day of December, 2022.
FOR ONTARIO
Deputy Solicitor General, Community Safety
FOR THE Corporation of
the. Municipality of West Elgin Ma,Yor
--4,
Chief Administrative Officer
Date signed by Municipality: ;'
FOR THE Corporation of
the Municipality of Bayham Ma
Ch 65f/ +nistrative Officer
Date/ signed by Municipality:— i ZZ
Page 38 of 139
FOR THE Corporation of
the Township of Southwold
FOR THE Corporation of
the Municipality of Central Elgin
FOR THE Corporation of
the Municipality of
Dutton/Dunwich
FOR THE Corporation of
the Township -of. Malahide
Date signed by Municipality:
Date signed by Municipality: .9/20/Ax
Chief Administrative Officer
,Date signed by Municipality:o
Page .39 of 139
Schedule "A-1"
BY-LAW'S OF THE MUNICIPAL COUNCIL
Elgin Group
THE CORPORATION OF THE MUNICIPALITY OF WEST ELGIN
THE CORPORATION OF THE MUNICIPALITY OF BAYHAM
THE CORPORATION OF THE TOWNSHIP OF SOUTHWOLD
THE CORPORATION OF THE MUNICIPALITY OF CENTRAL ELGIN
THE CORPORATION OF THE MUNICIPALITY OF DUTTON/DUNWICH
THE CORPORATION OF THE TOWNSHIP OF MALAHIDE
Page 40 of 139
IAUI"41CIPALI I "YOF
West Elgin
The Corporation Of The Municipality Of West Elgin
By -Law No. 2022-49
A BY-LAW TO AUTHORIZE THE MAYOR AND THE CLERK TO EXECUTE AN
AMENDING AGREEMENT WITH HER MAJESTY THE QUEEN IN RIGHT OF ONTARIO
AS REPRESENTED BY THE SOLICITOR GENERAL FOR THE PROVISION OF POLICE
SERVICES FOR THE ELGIN GROUP MUNICIPALITIES
Whereas the Municipal Act, 2001 S.0, c.25, as amended, authorizes municipalities to
enter into agreements; and
Whereas under Section 4(1) of the Police Services Act, R.S.O. 1§90, c.P. 15, municipalities
are required to provide adequate and effective police services in accordance with its
needs; and
Whereas under Section 10 of the Police Services Act, R.S.O. 1990, c.P. 15, the Solicitor
General may enter into an agreement with the council of a municipality or jointly with the
councils of two or more municipalities for the provision of police services for the
municipality or municipalities by the Ontario Provincial Police; and
Whereas under Section 29, the Parties may amend the Agreement by written agreement;
and
Whereas the Corporation of the Municipality of West Elgin, the Corporation of the
Municipality of Bayham, the Corporation of the Municipality of the Township of Southwold,
the Corporation of the Municipality of Central Elgin, the Corporation of the Municipality of
Dutton Dunwich and the Corporation of the Municipality of the Township of Malahide
(herein after collectively called the "Elgin Group") seek to enter into a single amending
agreement for the provision of Police Services by the Ontario Provincial Police;
Now Therefore the Council of the Corporation of the Municipality of West Elgin enacts as
follows:
1. The Mayor and the Clerk are hereby authorized, on behalf of the Corporation of the
Municipality of West Elgin to enter into and execute under its corporate seal an
agreement for the provision of Police Services with the Solicitor General of Ontario.
Page 41 of 139
2. The Police Services agreement with the Solicitor General of Ontario shall also be
authorized by the five other Municipalities, being the other members of the Elgin
Group.
3. The Police Services amending agreement will commence on the 30th day of
December 2022 and will conclude on the 31st day of December 2023.
4. A copy of said amending agreement shall remain attached to and form part of this
by-law.
5. This By-law shall come into force and effect upon the final passing thereof.
Read a first, second, and third time and finally passed this 21st day of July, 2022.
D can McPhail Viana ethercott
Mayor Clerk
Page 42 of 139
THE CORPORATION OF THE MUNICIPALITY,OF BAYHAM
BY-LAW NO. 2022.054
A BY-LAW TO AUTHORIZE THE MAYOR AND CLERK TO EXECUTE AN AMENDING
AGREEMENT WITH�HER MAJESTY THE QUEEN IN RIGHT OF ONTAiRIO AS
REPRESENTED BY THE SOLICITOR GENERAL FOR THE PROVISION 01 POLICE
SERVICES FOR THE ELGIN GROUP MUMCIPALIYIES
WHEREAS the Municipal Act, 2001 S,61 c,2�, as arinended, authorizes -mUnicipalities to
enter into agreements;
AND WHEREAS under Section 4(1) of the Police Services .Act., R.5,0.1990, c.P_45j,
municipalities are rewired to provide adequate and effective police services in accordance
With its needs,
AND WHEIREAS under'Seetion 10 of the Pollee Services Act, ,R, .0, 1990, 6,P.15,-the
Solicitor General may enter into an agreement with'the council of -a municipality or)ointly
with'the councils of two or more municipolifles for the provision of police services for -the
municipality or municipalities by the. Ontario Provincial Police;
AND WHEREAS under..Sectlon 29,.tha Parties may amend the Agreement by written
ag reementt
AND WHEREAS the Corporati6n of the Municipality of West Elgin, the Corporation of the
Mumcipality of Bayham, the Corporation of the- Munlcippalrty of the Township of southwolds
the Corporation of the Municipality of Gontral Elgin, the Corporation of the Municipality. of
.Dutton D nwich and the Corporation of the Murlicipalityofthe Township of Malahide
(hereinafter collactivel.y called the "Elgin Oraup°) seek to enter into a single amending
agreement for the provision of Police $er0ces by the Ontario Provincial Police;
NOW THEREFORE THE OOUNCIL OF THE CORPORATION OF THE MUNICIPALITY
OF BAYHAM ENACTS AS FOLLOWS:
THAT -the Moyorand Clerk are hereb'yauthtrized,-on be half, of, the Corporation ofithe
Municipality of 'Bayham to enter 'into ah execute, under its corporate sell an
agreement for the provision of Police Services V,Tith the Solicitor General of 0.nta6a;
AND THAT the Police Services agreemontwitKtho Solicitor General of Ontario shall
also be authorized by the five other Municipalities,; being the rather members of the
EIg in Oroup
Page 43 of 139
AND THAT the Police Services amending agreement will commence on the 30i1 day
of December, 2022 and will conclude on the 316' day of Decen1her 2023:
4. AND THAT a copy of said amending agreement shall remain attached to and form
part of this by-law;
5. AND THAT this by-law shall come into force and effect upon the final passing thereof.
READ A FIRST, SECOND AND THIRD TIME AND FINALLY PASSED THIS 213t DAY
OF JULY 2022.
........
MAYOR
. . ... . .... . ............
L
Page 44 of 139
THE CORPORATION OF THE TOWNSHIP OF SOUTHWOLD
BY- LAW NO. 2022-68
Being a By-law to authorize the Mayor and the Clerk to execute an amending
agreement with her Majesty the Queen in Right of Ontario as represented by
the Solicitor General for the provision of police services for the Elgin Group
Municipalities
WHEREAS the Municipal Act, 2001 S.0, c.25, as amended, authorizes municipalities to
enter into agreements, and
AND WHEREAS under Section 4(l) of the Police Services Act, R.S.O. 1990, c.P.1
municipalities are required to provide adequate and effective police services in
accordance with its needs; I
WHEREAS under Section 10 of the Police Services Act, R.S.O. 1990, c.P.15, the Solicitor
General may enter into an agreement with the council of a municipality or jointly with the
councils of two or more municipalities for the provision of police services for the
municipality or municipalities by the Ontario Provincial Police;
AND WHEREAS under Section 29, the Parties may amend the Agreement by written
agreement;
AND WHEREAS the Corporation of the Municipality of West Elgin, the Corporation of
the Municipality of Bayham, the Corporation of the Municipality of the Township of
Southwold, the Corporation of the Municipality of Central Elgin, the Corporation of the
Municipality of Dutton Dunwich and the Corporation of the Municipality of the
Township of Malahicle (herein after collectively called the "Elgin Group") seek to enter
into a single amending agreement for the provision of Police Services by the Ontario
Provincial Police;
NOW THEREFORE the Council of the Corporation of the Township of Southwo
enacts as follows: i
Page 45 of 139
By-law No. 2022-68 OPP Agreement
Page 2
1. The Mayor and the Clerk are hereby authorized, on behalf of the Corporation of the
Township of Southwold to enter into and execute under its corporate seal an
agreement for the provision of Police Services with the Solicitor General of Ontario.
2, The Police Services agreement with the Solicitor General of Ontario shall also be
authorized by the five other Municipalities, being the other members of the Elgin
Group.
3. The Police Services amending agreement will commence on the 30", day of
December 2022 and will conclude on the 3111 day of December 2023.
4. A copy of said amending agreement shall remain attached to and form part of this
by-law.
5. This By-law shall come into force and effect upon the final passing thereof.
READ A FIRST AND SECOND TIME, CONSIDERED READ A THIRD TIME, AND
FINALLY PASSED THIS 81" DAY OF AUGUST, 2022. A
Mayor
Grant Jo es
101
CAO/
Jeff Carswell
Page 46 of 139
THE CORPORATION OF THE MUNICIPALITY OF CENTRAL ELGIN
BY-LAW NO. 2727
BEING ABY-LAW TO AUTHORIZE THE MAYOR AND THE CLERK
TO EXECUTE AN AMENDING AGREEMENTWITH HER MAJESTYTHE QUEEN IN RIGHT OF
ONTARIO AS REPRESENTED BY THE SOLICITOR GENERAL FOR THE PROVISION OF
POLICE SERVICES FOR THE ELGIN GROUP MUNICIPALITIES
WHEREAS the Municipal Act, 2001 S.O, c.25, as amended, authorizes municipalities to
enter into agreements; and
AND WHEREAS under Section 4(1) of the Police Services Act, R.S.O. 1990, c.P.15,
municipalities are required to provide adequate and effective police services in accordance
with its needs;
WHEREAS under Section 10 of the Police Services Act, R.S.O. 1990, c.P.15, the Solicitor
General may enter into an agreement with the council of a municipality or jointly with the
councils of two or more municipalities for the provision of police services for the municipality
or municipalities by the Ontario Provincial Police;
AND WHEREAS under Section 29, the Parties may amend the Agreement bywritten
agreement;
AND WHEREAS the Corporation of the Municipality'of West Elgin, the Corporation of the
Municipality of Bayham, the Corporation of the Municipality of the Township of Southwold,
the Corporation of the Municipality of Central Elgin, the Corporation of the Municipality of
Dutton Dunwich and the Corporation of the Municipality of the Township of Malahide
(herein after collectively called the "Elgin Group") seek to enter into a single amending
agreement for the provision of Police Services by the Ontario Provincial Police;
NOW THEREFORE the Council of the Corporation of the Municipality of Central Elgin
enacts as follows:
1. The Mayor and the Clerk are hereby authorized, on behalf of the Corporation of the
Municipality of Central Elgin to enter into and execute under its corporate seal an
agreement for the provision of Police Services with the Solicitor General of Ontario.
2. The Police Services agreement with the Solicitor General of Ontario shall also be
authorized by the five other Municipalities, being the other members of the Elgin Group.
3. The Police Services amending agreement will commence on the 30th day of December,
2022 and will conclude on the 315t day of December, 2023.
4. A copy of said amending agreement shall remain attached to and form part of this by-
law.
5. This By-law shall come into force and effect upon the final passing thereof.
READ A FIRST, SECOND, THIRD TIME AND FINALLY PASSED THIS 18th DAY OF
AUGUST 2022.
r-
S wa O/Cle Sally Ma ay r
Page 47 of 139
NN
Municipality of
Dutton Dunwich
By -Law No. 2022-62
A BY-LAW TO AUTHORIZE THE MAYOR AND CLERK TO EXECUTE AN
AMENDING AGREEMENT WITH HER MAJESTY THE QUEEN IN RIGHT OF
ONTARIO AS REPRESENTED BY THE SOLICITOR GENERAL FOR THE
PROVISION OF POLICE SERVICES FOR THE ELGIN GROUP MUNICIPALITIES
WHEREAS the Municipal Act, 2001, S.O. 2001, c.25, as amended, authorizes
municipalities to enter into agreements; and
WHEREAS under Section 4(1) of the Police Services Act, R.S.O. 1990, c.P.15.,
municipalities are required to provide adequate and effective police services in
accordance with its needs; and
WHEREAS under Section 10 of the Police Services Act, R.S.O. 1990, c.P.15., the
Solicitor General may enter into an agreement with the Council of a municipality or
jointly with the Councils of two or more municipalities for the provision of police
services for the municipality or municipalities by the Ontario Provincial Police; and
WHEREAS under Section 29, the Parties may amend the Agreement by written
agreement; and
WHEREAS the Corporation of the Municipality of West Elgin, the Corporation of the
Municipality of Bayham, The Corporation .of the Municipality of the Township of
Southwold, the Corporation of the Municipality of Central Elgin, The Corporation of
the Municipality of Dutton Dunwich and the Corporation of the Municipality of the
Township of Malahide (herein after collectively called the "Elgin Group") seek to enter
into a single amending agreement for the provision of Police Services by the Ontario
Provincial Police.
NOW THEREFORE the Municipal Council of the Corporation of the Municipality of
Dutton Dunwich enacts as follows:
1. The Mayor and the Clerk are hereby authorized, on behalf of the Corporation of
the Municipality of Dutton Dunwich to enter into and execute under its corporate
seal an agreement for the provision of Police Services with the Solicitor General
of Ontario.
2. The Police Services agreement with the Solicitor General of Ontario shall also be
authorized by the five other Municipalities, being the other members of the Elgin
Group.
3. The Police Services amending agreement will commence on the 30th day of
December 2022 and will conclude on the 315t day of December 2023.
4. A copy of said amending agreement shall remain attached and form part of this
by-law.
5. This by-law shall come into force and effect upon the final passing thereof.
READ a first and second time this loth day of August, 2022.
READ a third time and finally passed this loth day of August, 2022.
10
Robertmm ob urc yip=^
Tara Kretschmer, Acting Clerk
Page 48 of 139
By -Law No. 22-52
TOWNSHIP OF MALAHIDE
Being a By-law to authorize the Mayor and Clerk to execute
an amending agreement with her Majesty the Queen In Right of Ontario
as Represented by the Solicitor General for the provision of Police
Services for the Elgin Group Municipalities.
WHEREAS the Municipal Act, 2001 S.O, c.25, as amended, authorizes municipalities to
enter into agreements; and
AND WHEREAS under Section 4(1) of the Police Services Act, R.S.O. 1990, c.P.15,
municipalities are required to provide adequate and effective police services in accordance
with its needs;
WHEREAS under Section 10 of the Police Services Act, R.S.O. 1990, c.P.15, the Solicitor
General may enter into an agreement with the council of a municipality or jointly with the
councils of two or more municipalities for the provision of police services for the municipality
or municipalities by the Ontario Provincial Police;
AND WHEREAS under Section 29, the Parties may amend the Agreement by written
agreement;
AND WHEREAS the Corporation of the Municipality of West Elgin, the Corporation of the
Municipality of Bayham, the Corporation of the Municipality of the Township of Southwold,
the Corporation of the Municipality of Central Elgin, the Corporation of the Municipality of
Dutton Dunwich and the Corporation of the Municipality of the Township of Malahide
(herein after collectively called the "Elgin Group") seek to enter into a single amending
agreement for the provision of Police Services by the Ontario Provincial Police;
NOW THEREFORE the Council of the Corporation of the Township of Malahide enacts as
follows:
1. The Mayor and the Clerk are hereby authorized, on behalf of the Corporation of the
Township of Malahide to enter into and execute under its corporate seal an agreement
for the provision of Police Services with the Solicitor General of Ontario.
2. The Police Services agreement with the Solicitor General of Ontario shall also be
authorized by the five other Municipalities, being the other members of the Elgin
Group.
3. The Police Services amending agreement will commence on the 30th day of
December, 2022 and will conclude on the 315t day of December, 2023.
4. A copy of said amending agreement shall remain attached to and form part of this by-
law.
5. This By-law shall come into force and effect upon the final passing thereof.
READ a FIRST and SECOND time this 21st day of July, 2022.
READ a THIRD time and FINALLY PASSED this 21st day of July, 2022.
ayor, D. Mennill Clerk, A. Adams
Page 49 of 139
Municipality of
BAYHAM
A: P.O. Box 160, 56169 Heritage Line
Straffordville, ON NOJ 1Y0
T: 519-866-5521
F: 519-866-3884
E: a,y am@bayham.on.ca
W: www.bayham.on.ca
July 17, 2023
Council of the Corporation of Elgin County
450 Sunset Drive
St. Thomas, Ontario
N5R 5V1
Dear Members of Council,
a-. �00�� A, M
ty
I am writing today to request a letter of support for the Municipality of Bayham's application to
the Disaster Mitigation and Adaptation Fund (DMAF) for the purposes of funding the
replacement of storm water infrastructure in Port Burwell.
In 2015, the municipality received a detailed audit on the condition of storm water
drains/infrastructure in Port Burwell and Vienna. The report identified the deteriorated condition
of the current storm water systems, and that a significant investment (upwards of $20 million
over twenty years) would be needed to remedy the situation to current standards. In order to
manage the project and costs, the project was broken down into 11 phases for reconstruction.
To date, two phases of the project have been completed.
Since the reconstruction of the first two phases, available funding mechanisms from senior
levels of government have become less available. Bayham staff have identified a funding
opportunity through the DMAF program, and made application on an ambitious $20 million
reconstruction project in 2021, of which the County of Elgin provided a Letter of Support
towards the application. The 2021 application was unsuccessful, mainly because Bayham was
unable to adequately demonstrate an ability to own -source fund their share of the project.
Since that time, Bayham has taken steps to improve its ability to adequately fund its share of
project costs and are now making application to DMAF for storm water reconstruction on a
reduced scale (only 4 of the remaining 9 phases).
Bayham is anxious to move forward on our storm water project. Total costs for this project
continue to escalate, and if not engaged soon, will soon be out of reach for our residents. We
look forward to the County of Elgin's support for this project as we make application to the only
identified senior level of government funding opportunity available to assist us.
Sincerely,
e 0 e_17
Ed Ketchabaw, Mayor
Page 50 of 139
SOUTH�ESSTERPPublic Heal
Oxford Bgin St.Th'~noma
June 22, 2023
EIIqin 5,,.. Thornas SIte
1230
`_ t_ 11, u r e t, ""' ON
Mr. Don Shropshire, Interim Chief Administrative Officer
County of Elgin
450 Sunset Drive
St. Thomas, ON N5R 5V1
Dear Don,
Woodstock, Site
410 I , r el l
At the Board of Health meeting held on June 22"d, the board had thoughtful discussions
about the need for further investments to address declining population health in the
wake of Covid-19.
This discussion has been ongoing with the Board, who has considered whether more
could be done to improve population health outcomes in Elgin County, Oxford County,
and the City of St. Thomas, particularly in areas where this region lags the province in
health statistics.
The Board requested a report on what further public health investments could make
meaningful impact in the community. Through a review of local data, seven key areas
were identified that would benefit from further investments, including reducing negative
health impacts of climate change, addressing substance use issues among youth,
supporting expectant first-time mothers and their babies, promoting positive mental
health, ensuring timely childhood immunizations, enhancing infection prevention and
control in congregate settings, and strengthening local emergency preparedness and
response. It is important to recognize these are the areas most in need of extra support,
not the only areas we need to focus on.
At the June 22" d Board of Health meeting, the following resolution was passed:
That the Board of Health for Southwestern Public Health approve the Further
Investments in Public Health Priorities Report for June 22, 2023.
Evidence is a compass for public health decision making; what we knew to be true to
navigate the pandemic has had an impact on the community in ways we could not
predict. It is critical for us to pay attention to what has happened over the past three
Page 51 of 139
years, to address the challenges our community has faced, and to adjust our
programming to reflect today's needs and today's data.
SWPH will request that the Ministry of Health provide their portion of this additional base
funding for this mandatory program work. Given previous provincial funding increases
(except Covid-19 monies) have not been approved for the public health sector, the
Board of Health anticipates the full increase to be applied to the municipal levy. As
such, the revised SWPH Board of Health total levy is an additional $255,500 (2023
prorated amount of $766,500 with an anticipated start date of September 1 st). The
County of Elgin's portion of this additional levy is $61,254. Kindly remit $15,313.50
additional monies per month starting September 1, 2023. If the Ministry of Health does
indeed contribute to this additional public health investment, the Board will lessen the
levy to municipalities accordingly. The Board is still awaiting its 2023 funding approvals
from the Ministry of Health and we will share that with you when it is known.
If you have any questions, please don't hesitate to contact us.
Sincerely,
Mr. Joe Preston Cynthia St. John
Chair, Board of Health Chief Executive Officer
Southwestern Public Health Southwestern Public Health
copy.. Monica Nusink, Director of Finance, SWPH
Page 52 of 139
T&(oOPS�OUH�_SST!Public Heal,
February 21, 2023
Ms. Julie Gonyou, Chief Administrative Officer
County of Elgin
450 Sunset Drive
St. Thomas, ON N5R 5V1
Dear Julie,
����wruirirtr ou4�a�a t kf�i��+':^
1230
Sr. 1 Ira. r'er a^'�� ON
Woodstock, Site
4141 Mrllo-': r tug�k
sr, rG,r is~�r ON
MS 0,12
On behalf of the Board of Health, we are pleased to advise you that the Oxford Elgin St.
Thomas Board of Health approved the 2023 General Programs and Related Services
budgets at its February 9, 2023, Board meeting with the following resolution:
That the Board of Health for Southwestern Public Health approve the 2023
Budgets for General Cost -Shared program, for 100% Provincially funded ongoing
initiatives, and for 100% Provincially funded one-time initiatives, as presented
and that staff return a report on budget impacts required to improve key health
indicators.
Budget presented as follows:
$18,048,416 General Programs and Related Services budgets
$0 Cost -Shared Business Cases
$18,048,416 Final Total of Budgets and Business Cases
SWPH has requested that the Ministry assist with providing additional base funding
in the amount of 4.5% despite inflation nearing 7% particularly given that base
funding from the Ministry has not kept up with inflationary demands year over year.
The total cost shared budget for SWPH public health has been set at $18,048,416. The
total levy for the above noted budget for the County of Elgin is $1,190,283, however in
Page 53 of 139
the event that SWPH does not receive the requested base funding increase from the
Ministry of Health, the levy to the County will be adjusted accordingly and we will
advise you of the revised amount if required.
There are no cost shared one-time business cases in the 2023 budget as all requested
one-time business cases will be submitted as 100% Ministry of Health funded for 2023.
Please forward payment to Southwestern Public Health in monthly installments based
on the $1,190,283.
The Board of Health would appreciate the opportunity to present at a future council
meeting about public health matters including its recent budget discussions and
decisions. If you are amenable to that, staff can work with the staff of Elgin County to
arrange a date that works best for all.
A copy of the Board approved financial audited statements for the period ending
December 31, 2022 will be forwarded to the County of Elgin once that work is
completed, likely April 2023.
If you have any questions, please don't hesitate to contact us.
Sincerely,
Mr. Joe Preston Cynthia St. John
Chair, Board of Health Chief Executive Officer
Southwestern Public Health Southwestern Public Health
copy.. Monica Nusink, Director of Finance, SWPH
enclosure: 2023 General Programs and Related Services Budgets
Page 54 of 139
&A)-„" l
1'
SOUTHWESTERN
.�,�Ls
Public Health
Oxford � Elgln � st."rhompis
00wWMM"M"W4V
A1110
sou"rHWESTERN
0
ic Health
Oxford Elg�n - St.Thornas
2023 BUDGET
FOR
GENERAL PROGRAMS
SUPPORTED BY THE
ONTARIO PUBLIC HEALTH STANDARDS,
PROTOCOLS, AND GUIDELINES
(Requirements for Programs, Services, and Accountability)
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OOOOMMMOOMO Ifl?Z�l0l,
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Public �Health
Oxford - Ogin - st-niomas
General Programs
2023 Budget
p
Realities and Priorities
����Iiage
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STRATEGIC VISION, MISSION, AND VALUES
Hea[thy peop�e
in, vibrant
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VALUES
Evidence
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protecting and proirnotirig
Accountabiky
the health of A pele in
Quality
our communities, resu[fing
Equity
in better heaffli.
Forward -thinking
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Realities
Southwestern Public Health's 2023 Budget considers the current reality of its provincial
mandate, its continued development as a relatively new organization, the ongoing
COVID-19 pandemic response/recovery/backlog demands, and the current needs of its
communities. This budget has considerations such as:
✓ a continued leadership role in the response to the ongoing COVID-19 pandemic,
with a focus on outbreak management and vaccination while also imbedding this
work into our programs and services,
✓ the need to deliver public health programs and services in varying ways (in
person, virtually, mobile, etc.) to protect the health and safety of our staff, our
clients, and our communities,
✓ mandated delivery of Ontario Public Health Standards and Accountability
Requirements
✓ the demonstrated value for money offered by Ontario's public health system.
Specifically, studies have concluded that:
• every $1 spent on immunizing children with the measles -mumps -rubella
vaccine saves $16 In health Care Costs (Canadian Immunization Guide);
• every $1 spent on mental health and addictions saves $7 in health costs
and $30 dollars In lost productivity and social Costs (Every Door Is the Right Door:
Towards a Ten -Year Mental Health and Addictions Strategy);
• Every $1 invested in tobacco prevention programs saves up to $20 in
future health Care Costs (Building on our Gains, Taking Action Now: Ontario's Tobacco
Control Strategy for 2011-2016); and
• Every $1 spent on early childhood development and health care saves up
to $9 in future spending on health, social and Justice services (The Chief
Public Health Officer's Report on the State of Public Health in Canada, 2009).
✓ continued implementation of the current Strategic Plan for Southwestern Public
Health (SWPH) recognizing the need for flexibility given potential changes in our
communities due to the pandemic,
✓ provincial, municipal, and public demands of public health services, including for
example, work towards opioid crisis prevention, assistance with addressing local
Iiage
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Realities (continued)
health equity concerns such as poverty, education, housing and community
belongingness, studying the impacts of the global pandemic on health
outcomes, and continued access to home visiting support, sexual health
services, dental care, etc.,
✓ extensive catch up of the majority of public health programs put on hold
throughout the pandemic (i.e. routine immunizations, oral health screening,
healthy child development programs, climate change strategy development,
etc.)
✓ continued development of the new organization, its culture, its program and
service delivery framework (COVID-19 put a pause on much of this),
✓ enhanced staffing to support the COVID-19 pandemic response —recognizing
that staff recruitment has been challenging due to shortages in the labour
market,
✓ a continued emphasis on transparency, accountability, and reporting resulting in
frequent collection of greater amounts of data, performance targets, and
communication of such,
✓ a continued emphasis on risk management as outlined in the Board's 2023 risk
register and this resulting in the need for continued support for the prompt and
proactive identification, mitigation, monitoring and reporting of risks,
✓ the continued need for collaboration and integration with community and health
system partners (i.e., primary care, education, etc.), and
✓ recognition of staff burnout and fatigue with respect to the overall COVID-19
response and the challenges associated with maintaining staff wellness while
catching up on so much work that was paused.
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Future Focused
In order to achieve its vision of Healthy People in Vibrant Communities, SWPH must
have its eye on the future both near and far. SWPH considered what is on the horizon
when it completed its 2023 planning. These considerations are not in any particular
order.
✓ Capacity in the community and system for public health work
✓ Developing new priorities for 2024 and beyond
✓ Contain the spread of COVID-19
✓ The unintended consequences of the pandemic including the physical,
emotional, and mental health & well-being implications
✓ Strive for continued staff wellness
✓ Significant economic challenges at the individual, local, provincial, and federal
levels
✓ Future emergency readiness
✓ Strained health care system that was designed for less volume and acuity
✓ Individual and community impact of public health prevention, promotion, and
protection
✓ Sustained momentum to achieve outcomes
✓ Workforce recruitment and retention
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Priorities
Southwestern Public Health will:
✓ continue to contain COVID-19 but also recognize the need to incorporate COVID-19
as another infectious disease amongst many,
✓ continue to vaccinate our communities including potential future eligible cohorts with
focus on vaccine hesitant and resistant individuals,
✓ focus on its 1st strategic direction of working with partners and community members
to reduce health and social inequities, making measurable improvements in
population health,
✓ focus on our 2nd strategic direction of working with partners and community members
to transform systems to improve population health,
✓ focus on our 3rd strategic direction to build an organizational culture of innovation
and leadership that supports excellence in public health programs and services,
✓ continue to be a credible, reliable, and trusted voice for public health matters in the
community,
✓ continue to identify innovative approaches to our work so that we are the most
effective as possible and we don't duplicate work,
✓ continue to offer comprehensive programs and services using accessible and
relevant delivery methods for the communities it serves,
✓ continue to value partnerships and collaborative efforts with other agencies noting so
much of public health's work is connected to other work in the community,
✓ strive for compliance with the Ontario Public Health Standards and Accountability
Standards for general programs and related services as established by the Ministry
of Health (MOH) and the Ministry of Children, Community and Social Services
(MCCSS),
✓ strive to meet any performance targets established by the Ministry of Health as
outlined in the Accountability Agreement between the Ministry and SWPH, and
✓ continue to monitor population health status and needs in Oxford County, the City of
St. Thomas, and the County of Elgin, to evaluate public health programs and
services and to engage in continuous quality improvement to improve the safety,
efficiency, client-centredness, responsiveness, effectiveness, and timeliness of
SWPH programs and services
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2023 Budget: Summary
Southwestern Public Health
2023 BUDGET
Standard - Sectiion I IProgram 2023 Budget
,Jan 1 - Dec 31
Direct IProlgram and Services Costs
Food Safety
Food Safety (Education, Promofiori & hispection) 4891,426
Food Safety Total 4891,426
Healthy Environments
Chniate Charige 'I 22j 60
Healthy Eriviiirow-neiits (Health Hazard Ilrwesfigaflori aridl Resporise) 407,80,6
Healthy Environments T'€mtalll 29,966
Healthy Growth and DevellopmeM
Repl-OdUctive Health,/He4fthy Pregnancies
364,567
Bii-eastfeedhg
379,182
Pareiifir,ig
500,400
Healthy Growth and DevellopmeM Total
1, 244,149
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2023 Budget: Summary
Standard - Section I Program 20123 Budget,
Jan 1 - Dec 31
Immunization
]ITIMLIrlizatbn MoniIuIng and SUF-V6]IarCe '145,305
Vaccine Adriiibistrafioiiii '148,437
Vaccine PJanagerilent 'I 991,69f---)
Immunization'Total 493,437
MUFTM-Ke M., M.
Infection Prevention & Control
1,778,797
Tuberculosis IPrevenfiiion and Coiiitrol
27,860
Rabies Prevention and Control and Zoonofics
222,592
Sharps pro rare
70,900
Vector-Borrie Useases
216,694
SGXL16l Hr ealth
1,034,329
Infectious and Commuiniicable IDise,ases Prevention and Coint�irol Total
3,351,172
Safe Wader
Safe Water
'164,147
Safe Water Total
164,147
School IHealth - Oral IHealth
Healthy SrniiiIes C, )ntaii'Io
855,744
Schoolll Screening and Surve-iflance
344,358
School IHealth - Oral ((Health Total
1,200,102
School IHealth - limmuniza,flon
Scho6l IIrnrIIUrIiZati0rI
9177,166
School IHealth - limmunization Total
977,166
School IHealth - Other
Comprehensive School HealTh
1,114,009
School IHealth - Other Total
1:,,114,009
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2023 Budget: Summary
Stanidard - Sectioini Prograin 2023 Budget ,Jani'l - Dec 31
Sulastancer Usefflld IrIjILJIrY IPreventioni
SUbstaice Use 468,7 9-8
�Harim Reduction 208,242
Smoke Fire-e Ontario Strategy 213,245
Sulastancer Use fflld IrIjIrur IPreventioni Total 8,90,285,
FoLmdational Starxilards,
Emergency ManagerneirO 70,548
Effective IPoptic Health Practice 337,8M,
Flopulatioin Health Assessmant a87,478
F0,111111dational Starxilards, Total 795,965,
ChrortIc Disease and Iiiijury Preventjoil
0,11.1ift Envi iron ni ent 2 57,151
�Healthy Eating Behaviours
Mantal Health IIFronnotion
hnijuip� Prevenbcm
Health EqLIitY
Healthy Menu Choicems Act Enfarcement
�Physical Activity 'and Sedentary Behaviours
ChrortIc Disease room d Iluijuur IPreventjoiii
1118,790,
,9,5,12 C5
1180,3501
332,7&0
500
1,07,4ii
1,092,174
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2023 Budget: Summary
Direct IP'rograim and Services Costs Total 12,341,997
Progirarn and Services Support Costs
5,706,419
Progiriarn and Services Support Costs Total
5,7"06,419,
Tota],Cost Shared, -
1 84048'�41 6
100% Provincially IFunded Programs
(Dintaii-jo 'Seriior [),eiAal Care Prograirn
i'dedical Officer of Health Compeiisafim, Initiafive
Solaooli FOCLIsed Nurses Ilraiti6ative (C:ovid-19)
1,061,100
'156,04:3
450,0010
To—tWI-1,00% ProVJI,,.neiIaIIY Funded
Total General Cost -Shared, IFuniding and 100% Provincially Funded
1,91,7'15559
One -Time 100% IProvincial Funding Requests (April 1,, 2023 to
March 31,'202,4)
Public IHealth Ilrispeotor PraCtiCLIMI
Shiarps Program
Covid-19 (General response arid Vacchiatiori effort;:)
Irifection Preveritiori arid Coritirol HUb
Stignia EdUCE9tbrl 111111tiatIlIVE-1
CV16borafive Plarwing Schc,6 Board Work
20,000
60,000
2,487,762
805,000
24,500
10,000
Total
3,407,262
Progr rn"*l IIFunded Ilby Other Ministries
�IH,a,ilthy Babies Hle,'althy ChiWreii
Pre and Rost Nalal Wirse IPractiitiianer
1,653,53c9
139,000
Total IProg rarns Fun Berl by, Other M' in islriies,
1,792,53,9
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2023 Budget: Summary
2023 Budget - reflects a 4,.5% increase from all funding partners
City Of St.
Ministry Thomas Elgin, County Oxford'Coun,ty Total
Mnistry fUnding $ 11,584,66t $ 982,272 $ '1, 190,283 S 2,792,299 $ '16,549,516P
Total Funding $ 11,584,661 $ 982,272 $ 1,190,283 $ 2,792,299 $ 16,549,516
One Time Mlinistry mitigation funding to public health $ 296,550 $ 359,349 $ 843,0,01 $ 1,49,8,900 1
Total $ 11,584,661 $ 1,278,822 $ 1,549,632 $ 3,635,300 $ 18,048,416
ILevy increase, over prior year (Cash payment) $ 59,622 $ 2,996 $ 163,,333 $ 225,9521
Actual levy payment: (cash payment) $ 13,0183,561 $ 982�,272 $ 1,190,283 $ 2,792,3,92 $ 18,0148509
age
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2023 Budget: Summary
2 0 3" C1,110st" Shaie Overview
ua SaIarles & IBenefits me, Prograrn Costs s IFacififles & Office damn greet
m Corporate Services
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Population Health Highlights
Based on local need, and recent concerns, the following are statistical highlights of some of the
majority priorities across the organization in 2023.
COIII I )119
In 2022, SWPH entered a different stage of pandemic response -living with and managing
COVID-19. Various provincial and federal restrictions related to travel, masking and closures
were lifted and confirmed case counts throughout the year reflected these changes (Figure 1).
At the beginning of 2022, eligibility for COVID-19 PCR testing became restricted to high -risk
groups, which meant that the number of confirmed cases in the SWPH region was a severe
underestimate of the true burden of the disease.
Figure 1. Number of confirmed cases in the SWPH region, weekly,
January — December 2022
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While the number of individuals being tested for COVID-19 declined over time in 2022, the
percent positivity reached an all-time high in mid -October 2022, climbing to a record 22.5%
(Figure 2).
Figure 2. Number tested and percent positivity in the SWPH region,
weekly, January — December 2022
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Throughout 2022, the number of new COVID-19 hospitalizations was generally higher in the fall
and winter and lower in the spring and summer months (Figure 3).
Figure 3. Number of new hospitalizations in the SWPH region, weekly,
January — December 2022
40
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Vaccine uptake in the Southwestern Public Health region was initially high by the end of 2021,
when about 84% of the population aged 12 years and older had received at least 2 doses of the
vaccine. However, booster dose uptake in 2022 was much slower. As of November 9th, 2022,
approximately 1 in 4 SWPH residents age 12+ (24.2%) had their primary series of the vaccine
plus a booster dose in the last 6 months.
Going into 2023, SWPH staff will still be expected to continue COVID-19 case management,
reporting, and vaccine administration activities. It is also important to continue reporting on and
tracking COVID-19 and to reflect on the indirect health impacts of the pandemic.
Sexual health continues to be a priority area for Southwestern Public Health, with close to 500
confirmed sexually transmitted and bloodborne infections (STBBIs) in 2021 alone. While
chlamydia is the most commonly diagnosed STBBI in the region (an average of 435 confirmed
cases per year between 2017-2021), SWPH had a lower rate compared to Ontario and rates
decreased locally during the 5-year time period (Figure 4).
Rates also decreased locally for hepatitis C, however, the rate remained higher than the
provincial rate. In contrast, rates of gonorrhoea and infectious syphilis have been on the rise
locally, with the rate of gonorrhea doubling between 2018 and 2021 (Figure 4). New confirmed
cases of HIV and hepatitis B remain rare locally. Only 4 cases of HIV and 9 cases of hepatitis B
were diagnosed over the 5-year time period examined (Figure 4).
Comparing STBBIs in males and females in the SWPH region, females had higher rates of
chlamydia compared to males, while males had higher rates of infectious syphilis, gonorrhoea,
HIV and hepatitis C. Hepatitis B had similar rates between males and females.
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Figure 4. Rate of sexually transmitted diseases (per 100,000), SWPH, Ontario, 2017 — 2021
C:hlamydia Gonorrhoea Infectious Syphillis
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Youth that have sex at an early age may increase their risk of unplanned pregnancy and
sexually transmitted infections if they do not have access to adequate protection, knowledge,
and support to engage in safer sex. According to the results of the 2015/2016 Canadian
Community Health Survey, a higher proportion of youth (15 to 19 years) in the SWPH region
reported that they had had sexual intercourse in their lifetime compared to youth in Ontario
(56.2% versus 33.5%). While the teen pregnancy rate (15 to 19 years) steadily declined locally
from 2016-2020, it was significantly higher than the provincial rate for each of these years.
In 2023, SWPH staff will continue with STBBI case and contact management, providing no cost
or low-cost access to contraceptives and providing education and counselling around STBBIs,
contraceptives and pregnancy.
h°°iaiirrIllf"���Iv'r�ocflon
The rate of opioid-related emergency department (ED) visits, hospitalizations, and deaths have
all been steadily increasing since 2015. The rate of opioid-related ED visits and hospitalizations
have been higher locally compared to the province since 2018.
During the COVID-19 pandemic, there continued to be increases across all three indicators
locally and across Ontario. However, SWPH saw a larger increase in the rate of opioid-related
ED visits compared to the provincial rate, up from 95.2 visits per 100,000 population in 2020 to
162.3 visits per 100,000 population in 2021 (Figure 5).
C:Iiaf e III 16
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Figure 5. Rate of opioid-related emergency department visits (per
100,000), SWPH, Ontario, 2018 — 2021
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The rate of opioid-related hospitalizations is significantly higher than the provincial rate. In 2021,
the local rate of 31.9 hospitalizations per 100,00 was nearly double the provincial rate of 16.3
hospitalizations per 100,000 population (Figure 6).
Figure 6. Rate of opioid-related hospitalizations (per 100,000), SWPH,
Ontario, 2018 — 2021
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The rate of opioid-related deaths also increased steeply during the pandemic, increasing from
13.4 deaths per 100,000 population in 2020 to 21.9 deaths per 100,000 population in 2021. In
terms of harm reduction activities, the total number of naloxone kits distributed by pharmacies
and SWPH has also increased year over year, more than doubling between 2018 and 2021,
highlighting the growing need with the increased opioid-related harms.
The higher burden of opioid-related harms also increases the need to assess the feasibility of
consumption and treatment services in our region and a refined local opioid overdose response
plan, which will be large pieces of SWPH work planned for 2023.
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Q
��� IIII liii uir°iulafe Glhaung
Extreme temperatures increase the risk for environment -related illnesses such as heat stroke,
syncope (fainting), and exhaustion, as well as frost bite and hypothermia, especially for seniors
and other vulnerable populations in our community.
Locally, the rate of emergency department (ED) visits due to heat -related illnesses has
increased overtime until 2019 and remained high throughout the pandemic. The rate of ED visits
due to cold -related illnesses has fluctuated overtime but also continued to increase into 2021
when it reached an all time high of 26 visits per 100,000 population (Figure 7).
Figure 7. Emergency department rate for cold -related illnesses (per
100,000), SWPH, 2018 — 2021
The rising temperature also increases the risk of vector -borne illnesses, such as West Nile and
Lyme disease, as the warmer weather creates an ideal environment for mosquitos and ticks to
thrive. The rate of Lyme disease has been on the rise in recent years, reaching an all-time high
of 4.9 cases per 100,000 in 2022. This is higher compared to the rate of all neighbouring health
units (PHUs who share a border with SWPH) combined (Figure 8).
Figure 8. Lyme disease incidence rate (per 100,000), SWPH, surrounding
PHUs, 2016 — 2022
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:�kIiage III 18
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It is important to note that the COVID-19 pandemic had an impact on the volume of emergency
department visits in 2020 and 2021 meaning these trends may be an underestimate of the
impact of climate change over the last few years.
These trends highlight the need to continue issuing both heat and cold alerts, especially in
coordination with any provincial/federal alerts, to reduce harms to the community. The topic of
climate change will represent a large portion of work locally, and that work will be led by the
Medical Officer of Health.
IIII I liii IIII uir ui IIII III l liii ui
Mental Health
Improving the mental health of children and youth continues to be a priority for SWPH in 2023.
Based on responses to the 2019 Canadian Health Study on Children and Youth (CHSCY), more
youth aged 12 to 17 years in the SWPH region perceived their mental health to be poor or fair
compared to the rest of Ontario. Specifically, 15.5% of youth from the SWPH region reported
their mental health to be poor or fair compared to 13.2% in Ontario.
Interestingly, parents and/or guardians across the SWPH region and Ontario perceived their
child or youth's mental health to be better than the youth themselves did. In the SWPH region,
5.5% of parents and/or guardians reported that they perceived their child/youth's mental health
to be poor or fair, compared 15.5% of youth in the region. The discrepancy between perceived
mental health between parents and/or guardians and youth themselves was also observed at
the Provincial level (Figure 9).
Figure 9. Self -reported mental health among youth (12 to 17 years),
SWPH, Ontario, 2019
15.5%
13.2%
SWWFIFI Ontario
IIIIIIIIII Self reported rnental health reported as poor or fair
IIIIIII Youth's rnental health reported as poor or fair by parent
In 2019, 6.7% of youth in the SWPH region required or received services for their mental health
between 2018 and 2019. This is slightly higher than the 5.8% reported at the Provincial level,
though this difference is not statistically significant. Additionally, 20.6% of youth in the SWPH
region reported that they had considered attempting suicide or taking their own life between
2018 and 2019. This percentage is higher, though not statistically significant, than what was
reported among youth across Ontario (15.6%).
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Substance Use
Substance use among youth continues to be priority area for SWPH. Alcohol, tobacco, and
cannabis consumption are higher among youth from the SWPH region compared to all of
Ontario.
According to data from the 2019 CHSCY, significantly more youth aged 12-17 years from the
SWPH region had ever had a drink of alcohol; 40.2% of SWPH youth, compared to 25.3% of
Ontario youth. Furthermore, more youth from the SWPH region considered themselves to be
regular and occasional compared to youth across Ontario (Figure 10).
Figure 10. Self -reported alcohol use among youth (12 to 17 years),
SWPH, Ontario, 2019
402%
25.3%
1 73% 4.]%
I'ver had a drink Regular drinker
Occasional drin<er
IIIIIII SWVFIFI Youth IIIIIII Ontario Youth
A significantly higher percentage of youth from the SWPH region reported having used an e-
cigarette in the last 30 days according to the 2019 CHSCY (Figure 11). Specifically, 18.2% of
youth from the SWPH region reported using an e-cigarette in the last 30 days, compared to
11.4% of youth across Ontario.
A higher percentage of youth aged 12 to 17 years from the SWPH region reported having tried
cannabis at least once in their lifetime compared to Ontario. Though, the percentage of youth
that reported using cannabis more than once was similar.
Figure 11. Self -reported e-cigarette use among youth (12 to 17 years),
SWPH, Ontario, 2019
18.2%
3as
IIIIII SW FIFI Youth IIIIIII Ontario Youth
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&A) 5OU�fNW SVrIrN"�PIMN
Public Health
Oxford � Elvin � st.Thornaa
Parental Communication & Engagement
Parental engagement is a protective factor for the health of children and youth and is another
priority area for SWPH in 2023. According to data from the 2019 CHSCY, communication
between parents, care givers and their children or youth, and parental engagement is lower in
the SWPH region than Ontario (Figure 12). For example, 9.5% of youth in the SWPH region
reported that they never discussed daily activities with the parents between 2018 and 2019
compared to 5.1 % of Ontario youth. Additionally, significantly less youth from the SWPH region
reported discussing school with their parents daily (23.6%) compared Ontario youth (35.6%).
Figure 12. Self -reported interactions with parent or guardian among
youth (12 to 17 years), SWPH, Ontario, 2019
23.6%
9.5%
5.1%
illillillillillillilliillillillillillI
35.7%
Percent of youth that reported Percent of youth that reported
that they never discuss daily that they discuss school with
activities with parents parents daily
IIIIIII SWVFIFI Youth IIIIIII Ontario Youth
The health and wellbeing of children and youth are the focus of work for many different teams at
Southwestern public health into 2023.
age S!P,l
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FOOD SAFETY
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III u�..�u�.u,.u�.,�I:u�..��°.� ����, IIIu°�°.°IL..��cfiion
The goal of the Food Safety Program is to reduce the burden of food -borne illnesses.
To meet this goal, several interventions are applied, including the inspection of public
facilities that prepare and serve food, training of food handlers, educating the public
about safe food -handling practices and principles, timely and effective detection of
food -borne pathogens and response to community outbreaks.
a. Complete 100% of all high -risk routine food premises' inspections and prioritize
the inspection of food premises designated as moderate risk based on the
relative extent of the risk presented by the operation (e.g., compliance history).
Priority for inspections will consider those premises that were not inspected due
to public health inspectors being deployed during the COVID-19 response.
100% disclosure of inspection results and enforcement activities on Health
Inspect Southwestern and onsite at food premises' locations.
c. Implement a locally driven food safety campaign for the public that: i) provides
food safety tips via social media; ii) informs the public about the Health Inspect
disclosure campaign; and iii) communicates the food safety requirements for
preparing food for sale from a home residence.
d. Provide formal and provincially approved food safety training courses to the
community in a classroom setting. Informal education and food safety training
occurs during inspections and conversations with food premises operators.
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HEALTHY ENVIRONMENTS
IIII , ��� � IIII°�°,IIII IIIIIIIIIIIIC iiii ���� liii iiii����� iiii iiii°iiu , iiii°�°, Illh°°°°IIII liii IIII IIII liii IIII°�°,
This program aims to reduce public exposure to health hazards and to promote the
development of healthy built and natural environments that support health and mitigate
existing and emerging risks, including those of a changing climate.
III:���I rog ra u,.u,.0
a. Continuation of climate change vulnerability assessment.
b. Activation of a Heat Alert Response System (HARS).
c. Develop a SWPH climate change strategy
d. Review of municipal climate change plans. The review will provide us with a
better understanding of climate and equity -related health indicators and
supportive policies within Official plans. Further, it will facilitate a more proactive
and effective relationship between SWPH and municipal planning partners to
inform climate change and equity supportive policies.
rIII I e4 I B III Ia " a d I vei sgaou ad I::.ei rou e
a. A focus on safe housing issues related to mould, pest control, and other health
hazard issues using a health equity lens. This includes connecting with agencies
like Canadian Mental Health Association and provincial financial support
systems (e.g., ODSP) when needed. This focus also includes developing and
maintaining partnerships with stakeholders such as housing corporations.
b. Proactive initiatives involving federal and provincial inputs (from Health Canada
and Public Health Ontario) focused on radon awareness and open-air burning.
c. Completing routine migrant farm housing inspections at or above the required
inspection frequency to minimize injury or illness potential impacts. The use of
guidance from the province which includes COVID-19 mitigation strategies,
remain in place.
""ag S!!I"
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HEALTHY GROWTH AND DEVELOPMENT
IIII IIII ��
�aiii cl l n °tg II IIII liiig II ° °
:",,:;�" p..,u;.' :: „:: !"
14':. a �u�r� .... �; ,..� I: � .... �; ,..� I: �. ...
The goal of the Reproductive Health/Healthy Pregnancies program is to provide
prenatal care and interventions to improve modifiable risk and protective factors that
can better the health of the mother and child, families, and society overall.
To meet this goal:
a. Free prenatal education provided virtually and in -person. It is anticipated that 750
individuals will take part, and benefit from prenatal education in 2023.
b. Early identification of risk factors (chronic conditions, alcohol intake, smoking,
substance use, poor nutrition in pregnancy) for early intervention by a Public
Health Nurse.
c. Promotion of reproductive health/healthy pregnancies via print, website, and
social media channels.
d. Resource sharing with clients and community agencies.
::''. :3reasI:ieedliin
The goal of the Breastfeeding program is to support mothers to breastfeed as an
optimal source of nutrition to support healthy growth and cognitive development of their
infants.
To meet this goal:
a. Promotion of the benefits of breastfeeding via print, website, and social media
channels.
b. Providing information, consults and resources to families who are considering or
who have initiated breastfeeding.
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HEALTHY GROWTH AND DEVELOPMENT
�aiii cl u iiin
c. Using online infant feeding surveillance survey to gather statistics around infant
feeding practices in SWPH region to understand current situation and improve
service.
Approximately 2575 babies are born annually in the SWPH region. In 2023 it is
anticipated that 800 parents and their children will be served with over 1000 parent
interactions via our website and social media channels.
The goal of the Parenting program is to prepare parents for the transition from being
partners to parents.
To meet this goal:
a. Supporting positive parenting for healthy attachment between the parent and
child through individual or group support sessions.
b. Promotion of Know & Grow phone line and Healthy Growth & Development
program services via print, website, and social media channels.
c. Provide child management strategies to parents to promote positive behaviours
in children to support successful child development.
d. Mental health promotion, support, and referral to enhance the capacity of
individuals to increase control over their lives and improve their mental health.
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IMMUNIZATION
i 11,.11„I1, 11,111, u i..,u in liza i oin MINA oin li i:ori in g 8
The goal of the immunization monitoring and surveillance program is to effectively
monitor, investigate, and document all suspected adverse events following
immunization (AEFIs) that meet the provincial reporting criteria and promptly report all
cases to the Ministry of Health. This includes promoting the reporting of AEFIs by other
health care providers in the community to SWPH for follow up.
To meet this goal, several interventions will be applied:
a. 100% of AEFIS reported to SWPH will be actioned within five business days of
receipt with a comprehensive investigation and review by the medical officer of
health.
b. 100% of fridges storing publicly funded vaccines will have a fridge inspection
completed annually by SWPH.
c. 100% of fridge inspections are documented in the Ministry of Health's Panorama
system.
The goal of the vaccine administration program is to ensure that eligible persons,
including underserved and priority populations, have access to provincially funded
immunization programs and services.
To meet this goal, several interventions will be applied:
1. SWPH will act as the centralized distribution site for influenza vaccine and all
other publicly funded vaccines for local health care partners (primary care,
hospitals, workplaces, other health system partners).
2. SWPH will deliver all components of the provincial Universal Influenza
Immunization Program (UIIP) to ensure that 100% of individuals in our region will
be aware and able to access an influenza vaccine.
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IMMUNIZATION
3. SWPH will support 100% of pre -qualifying organizations for the UIIP with an
annual fridge inspection and support throughout the UIIP campaign for vaccine
logistics. SWPH is responsible for monitoring and inspective over 150 community
fridges annually.
4. SWPH will support 100% of calls from healthcare providers about vaccines and /
or the provincial schedule within 5 days.
5. SWPH will provide weekly multi -antigen vaccination clinics that are open to the
public (all ages) to "catch up" on missed vaccinations or to get up to date with the
provincial vaccination schedule at each primary office location.
3. 1011.'11,.1u.u,.0 11..,1a1 li l:Y Ilh.3� S,E�d ,� :: h
The goal of the community -based immunization outreach program is to promote and
provide provincially funded immunization programs and services to eligible persons in
our region including underserved and priority populations.
To meet this goal, several interventions will be applied:
a. Community influenza clinic appointments will be designed and held annually at
each SWPH site to ensure access for clients who are not eligible to receive flu
vaccine at a pharmacy (those under 2 years of age)
b. Smaller, more targeted clinics are held in the community for clients who may be
vulnerable to the complications of vaccine preventable diseases (like flu,
COVID19, Hepatitis A and B vaccine, etc.) who may otherwise lack regular
access to primary care. This would include the underhoused and clients
impacted by mental illness and addictions.
c. SWPH will provide monthly multi -antigen vaccination clinics (by appointment)
that are open to the public (all ages) to "catch up" on missed vaccinations or to
get up to date with the provincial vaccination schedule in community locations
including Aylmer and to be determined locations in Oxford County (locations
being sourced).
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IMMUNIZATION
i. Vacr: iin
The goal of the vaccine management program is to promote effective inventory
management for provincially funded vaccines in accordance with the provincial
requirements. This includes preventing, managing, and reporting of vaccine wastage
through the Ministry of Health's Panorama system. SWPH is required to ensure that the
storage and distribution of provincially funded vaccines, including health care partners,
is practiced in accordance with provincial requirements.
To meet this goal, several interventions will be applied:
a. 100% of adverse storage conditions reported are investigated by SWPH.
b. 100% adverse storage conditions investigations are documented in the Ministry
of Health's Panorama system.
c. Orders for vaccine from health system partners (primary care, hospitals, etc.) will
be process and distributed by SWPH on a weekly basis. SWPH supports over 70
health system partners who order vaccines on a weekly basis.
d. Wastage from health system partners (collected annually during annual fridge
inspections by SWPH) will be entered into the Ministry of Health's Panorama
system for reporting as required.
e. Vaccine stored by and distributed by SWPH will be monitored for maintenance in
cold chain temperatures 24/7 to ensure safety and viability of the products in
accordance with the provincial requirements for storage and handling.
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INFECTIOUS AND COMMUNICABLE DISEASES
PREVENTION AND CONTROL
kVi' a r
����������� IIII ������ �� �������� IIII'°�Ilu IIII'°�Ilu ����� IIII liii ���������� ����������� IIII IIII . IIII'���'��'��'� liii �� . ����������� �� . �� IIII'°�� IIII . ���� . IIII °�°�, liii �������� IIII �aIII cl��
IIII IIII liii �� IIII IIII liii �� IIII°�°�,� �����
The goal of the Infectious and communicable Diseases Prevention and Control program
is to reduce the burden of communicable diseases and other infectious diseases of
public health significance.
1. I11,fl:; �ctu011,.,us 8, (.,,�., a uu"'Ir""u L.,uu°ili�:m:fII Ile! 111...1�u,��..,,..�se! III a �.. ���., a �1.u�..�u � 1 .. 011°11:110II
a. Infection Prevention & Control:
Public health staff with specialty training in Infection Prevention and Control (IPAC)
investigate complaints from the public or internal disease investigations implicating
community health care sites in the transmission of blood -borne infections. Sites may
include medical and dental offices, surgical and non -surgical cosmetic services and
settings that provide personal services such as manicures and pedicures. IPAC is also
assessed while investigating outbreaks of infectious diseases at hospitals, long-term
care homes, retirement homes, congregate living settings and licensed childcare
centres. IPAC practices reduce the incidence of and the length of outbreaks in closed
facilities.
Where possible, SWPH takes a preventive approach, to ensure that any `lapses' in
infection prevention and control that could lead to disease transmission are identified
and addressed before a problem occurs. Ontario health units are mandated to post any
confirmed lapses in infection prevention and control on their websites. In addition,
SWPH routinely inspects approximately 360 personal service settings' premises that
provide esthetics, tattooing and hairdressing services.
Annual internal audits of all SWPH clinical services, education of staff and flagging of
potential issues are funded and conducted through this program.
All licensed childcare settings will receive an annual IPAC inspection and SWPH staff
will follow up on any infractions. Staff in childcare and congregate settings will receive
IPAC education, resources, and self -assessment tools to meet the needs of their
setting.
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INFECTIOUS AND COMMUNICABLE DISEASES
PREVENTION AND CONTROL
kVi' a r
����������� iiii ������ �� �������� iiii�����iiu iiii�����iiu ����� iiii liii ���������� ����������� IIII IIII . IIII'���'��'��'� liii �� . ����������� �� . �� IIII'°° IIII . ���� , iiii °�°�, liii �������� iiii �aiii cl��
All IPAC complaints will be investigated and IPAC lapses will be reported on the SWPH
website. SWPH staff will complete a follow-up inspection to ensure the required
corrective measures are implemented.
b. Institutional/Facility Outbreak Management:
To prevent outbreaks and to minimize adverse effects of an outbreak, SWPH staff
investigate reports of diseases of public health significance and provide direction to
long-term care and retirement home staff, staff of congregate settings and childcare
providers to minimize the spread of communicable diseases to others. During the
COVID-19 Pandemic the number of outbreak investigations increased significantly. In
2023 it is anticipated that the number of COVID-19 outbreak investigations will decrease
due to increased immunity from vaccine -induced immunity and natural immunity.
SWPH staff will respond as soon as possible to reports of an outbreak during business
hours and after hours and on weekends. An investigation will determine if an outbreak
exists, and control measures will be provided to the facility to limit the spread of
disease. Community partners will be informed of confirmed outbreaks in Long-term
Care Homes, Retirement Homes, and hospitals through posting of the Outbreak Status
Report. Resources about how to prevent and control outbreaks will be available on the
SWPH website and through education sessions.
c. Infectious Diseases
SWPH will investigate all reports of diseases of public health significance and report
confirmed cases to the Ministry of Health by entering required data into the provincial
reporting databases. Follow-up will be conducted with cases to inform them of actions to
limit the spread of infection. Where indicated the contacts of the case will be
investigated and SWPH will facilitate the provision of prophylaxis to limit the spread of
disease and inform contacts of steps to facilitate early identification of infection. Health
care providers will be informed of local surveillance data and how to respond to suspect
and confirmed cases of known and emerging diseases.
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INFECTIOUS AND COMMUNICABLE DISEASES
PREVENTION AND CONTROL
kVi' a r
����������� iiii ������ �� �������� iiii�����iiu iiii�����iiu ����� iiii liii ���������� ����������� IIII IIII . IIII'���'��'��'� liii �� . ����������� �� . �� IIII'°° IIII . ���� , iiii °�°�, liii �������� iiii �aiii cl��
2 . II uII e rcu.,u II oslis I:���I reve�� ux.u�fl on 8", (' ,"; orfl:roII
a. Early Identification
Identification and treatment of latent tuberculosis (LTBI) infection is a key strategy to
prevent the development of cases of active TB - a very contagious disease that can
lead to disability and death. SWPH receives notification of positive TB skin test results
and follows up with the client and their health care provider to ensure the best outcome
is achieved. Medication for the treatment of LTBI is publicly funded and distributed
through a partnership with local pharmacies. Identification, assessment, and
management of contacts of respiratory TB prevents secondary transmission)
Management of TB Cases.
An average of one case of active TB disease is reported to SWPH per year. SWPH
investigate suspect and confirmed TB cases within 24 business hours. Cases are
eligible for publicly funded treatment. For these cases, intensive case follow-up is
provided for approximately 6 months per case, including Directly Observed Therapy
(DOT). Testing of close contacts of a TB case is conducted by SWPH staff to identify
secondary cases.
3. :RaIl.)lip u;' III:1II 1 V(uu°ulaion �;'�u,C
Although the number of rabies -infected animals in the SWPH area is very low, rabies
remains a concern because it is a fatal disease with no cure. Animal exposures,
including from pets, wildlife, and livestock, are to be reported to SWPH for assessment
and follow-up. If rabies cannot be reliably ruled out, SWPH makes a post -exposure
vaccine available to the person(s) who were exposed. The risk of rabies is reduced in
vaccinated animals, and SWPH enforces provincial legislation that requires domestic
animals to be immunized against rabies. This program requires close working
relationships with area health care providers, animal control, police and local
veterinarians.
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INFECTIOUS AND COMMUNICABLE DISEASES
PREVENTION AND CONTROL
kVi' a r
����������� iiii ������ �� �������� iiii�����iiu iiii�����iiu ����� iiii liii ���������� ����������� IIII IIII . IIII'���'��'��'� liii �� . ����������� �� . �� IIII'°° IIII . ���� . iiii °�°�, liii �������� iiii �aiii cl��
11, ��II�,::�u1.,.. III a .. u,:.uuu 1,III1ee III II ' u�,::: irai.lri)
The Sharps Program is part of Ontario's harm reduction program and provides sterile,
single use drug use equipment to help prevent the spread of HIV, Hepatitis C and
Hepatitis B. Prevention is key as the cost of intervention for blood borne infections is
significantly high and contributes to economic losses, increased health care costs and
demands on social services. Equipment will be distributed through a variety of locations
including the main office sites, satellite sites operated by community partners and
through mobile outreach. Supporting clients with additional service referrals and
connections to other service providers is also part of this program.
. Vector III:3orne! Dseases dI..,uc!,:il110u°1
a. Program activities include developing and distributing educational materials that
promote public awareness of the need to protect against West Nile virus (WNV)
and Lyme disease (LD) (i.e., informational pamphlets on personal protection,
distribution of tick keys.)
Control and Surveillance
b. To test for the risk of West Nile virus (WNV) to the public, SWPH conducts
mosquito trapping on a weekly basis during the months of May to September. If
mosquitoes test positive for WNV, stand-by larvicide services will be deployed in
a targeted approach.
SWPH accepts ticks submitted by the public to support the determination of the
risk of Lyme disease in our area. Active surveillance also takes place in order to
determine specific areas where Lyme disease carrying ticks may be established
as a population.
age
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INFECTIOUS AND COMMUNICABLE DISEASES
PREVENTION AND CONTROL
kVi' a r
����������� iiii ������ �� �������� iiii�����iiu iiii�����iiu ����� iiii liii ���������� ����������� IIII IIII . IIII'���'��'��'� liii �� . ����������� �� . �� IIII'°° IIII . ���� , iiii °�°�, liii �������� iiii �aiii cl��
6. "1113 e! �i< IIi..,u a e! a IPial�
a. The main objective of the Sexual Health Program is to reduce the burden of
sexually transmitted communicable diseases — including rising case reports of
Syphilis, Chlamydia, Gonorrhea, and other infectious diseases of public health
importance - through timely testing, evidence -informed treatment, community
outreach and client and health care provider education. The sexual health clinics
at SWPH provide testing and treatment for sexually transmitted infections and
contraception services to high -risk priority populations that experience barriers to
accessing/using other health care providers' services.
Iia e III 3
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SAFE WATER
a�°IIII'''e a°te,, Illh°°°°IIII liii � IIII IIII liii � IIII ° °�,�
� is a III: 11 OC a a�u,.0 u
a. This program's goals are to prevent or reduce the burden of water -borne
illnesses related to drinking water and prevent or reduce the burden of water-
borne illnesses and injuries related to recreational water use. The goals are
achieved through several public health activities, including timely and effective
detection of and response to drinking water contaminants and illnesses, public
education regarding the potential risk of illnesses and injuries related to the use
of recreational water facilities and public beaches, and training and education of
owners/operators of public and private drinking water systems and recreational
water facilities.
i DiIi II Jiing \/Vaier
a. SWPH maintains inspection -related activities associated with regulated drinking
water systems. These include enforcement activities, adverse drinking water
advisories and monitoring of items that may result in the issuance of health
information advisories. perform drinking water system risk assessments and
post -drinking water advisories on the SWPH disclosure website.
b. Pre -opening, routine, and re -inspections of small drinking water system
inspections.
c. Conducting risk assessments of small drinking water systems.
::''. III:R.ecreMaio., III \/Var
a. SWPH applies an inspection -based program for recreational water facilities. This
includes pools, spas, and splash pads. Annual assessment of area beaches is
conducted which involves weekly sampling for bacterial contamination.
Disclosure of inspection results on SWPH disclosure website and onsite at
applicable recreational water locations.
b. Recreational water safety campaigns are conducted which target initiatives
around the risks associated with swimming. These are focused on the summer
months.
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SCHOOL HEALTH
The School Health program aims to achieve optimal health of school -aged children and
youth through partnership and collaboration with school boards and schools. To achieve
this goal, several interventions are applied in the following areas, including oral health
school screening, vision screening, healthy eating behaviours, healthy sexuality,
immunization, infectious disease prevention, mental health promotion, healthy
relationships, and substance use.
I Ora� I IIL..I (341I h rv'113' mpg oorv'113' :'re e i, li ux. g 8
a. Oral health screening is available to all children and youth ages 0 to 17. This
includes offering school -based oral health screening and surveillance to all
elementary schools. Students identified with need for urgent dental care or
preventative dental services are referred for treatment. Provincial funding for
oral health treatment for eligible children and youth is through the Healthy
Smiles Ontario program for families that cannot afford to pay for oral health
treatment needs.
... or in „',)chooIL..... 8, IIL uceunsed ,':')efl.uung
a. This program includes the completion of annual record reviews of thousands of
immunization records to assess the immunization status of children in licensed
childcares and registered schools. Staff work with families, health care
providers, licensed childcares and schools to notify, collect and update student
records annually. The goal is to reduce or eliminate the burden of vaccine -
preventable diseases through immunization or targeted exclusion. This is
accomplished by ensuring student records are up to date with Ontario's Publicly
Funded Immunization Schedule.
b. Staff offer immunization clinics in all publicly funded and private schools in
SWPH's jurisdiction. School -based vaccination clinics ensure students have
easier access to the vaccines required by the Immunization of School Pupils Act
(ISPA).
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SCHOOL HEALTH
a. SWPH will provide population health information and programming, including
social determinants of health and health inequities, relevant to the school
population to school boards and schools to identify public health needs in the
school community. This includes program activities on healthy eating
behaviours, healthy sexuality, substance use and harm reduction, physical
activity and mental health promotion, such as Healthy Relationships Plus
Program (HRPP). The HRPP is a highly evaluated program offered to grade 7/8
students in our higher -risk schools. This program focuses on relationship -
building and conflict -resolution skills.
i. Ilh...1(34 iah y "1113' iru,.0 li 11 e Ouna rio (')h...II,"�) O )
a. This program provides preventative, routine, and emergency dental services for
eligible children and youth 17 years of age and under from low-income
households.
Staff deliver routine preventative dental services for eligible children in various
clinical locations and facilitates enrollment to the appropriate Healthy Smiles
Ontario (HSO) streams (HSO-Core, HSO-Emergency and Essential Services,
and HSO-Preventative). Dental clinical services are provided in multiple fixed
dental clinics throughout our region including the introduction of a new mobile
vehicle offering outreach services.
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SUBSTANCE USE
t�iIII s°taiii ce, IJl se, Illh°°°°IIII liii IIII IIII liii IIII ° °�,�
The Substance Use and Injury Prevention program aims is to reduce the burden of
preventable injuries and substance use. To achieve this goal, several interventions are
applied in the following areas of focus, comprehensive tobacco control, falls, mental
health promotion and suicide risk, alcohol, cannabis, and opioid use.
a. Working with partners, including school boards, community organizations, and
workplaces, SWPH will de -normalize legal substances, implement substance
policies, and increase awareness of health risks.
b. SWPH will work with various stakeholders, including municipalities, to build the
capacity to implement a proven community -based substance use prevention
model called Planet Youth. In addition, staff will support the development of local
action tables and highlight protective factors caregivers can apply in their
everyday life to prevent or delay substance use in youth.
c. SWPH will continue working with community partners on implementing activities
set out in the local drug and alcohol strategies of the Oxford Mental Health and
Addiction Action Coalition and Elgin Community Drug and Alcohol Strategy.
d. SWPH will collaborate with provincial partners and researchers to counter the
effects of alcohol advertising and Alcohol Industry tactics by encouraging policies
and legislation that implement warning labels on alcohol containers, which will
support the public's right to know about the harms of alcohol.
e. Staff will use various communication strategies to promote the newly released
Canadian Guidance on Alcohol and Health document and raise awareness of the
harms related to alcohol use.
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SUBSTANCE USE
a. SWPH will engage clients of its sharps services to determine their level of
satisfaction with overall experience, staff interactions, and access to supplies.
b. The aim of the Ontario Naloxone Distribution program is to work with people with
lived experience and to work with community partners to increase access to
naloxone across the community. In collaboration with stakeholders and partners,
staff will explore strategies for expanding naloxone access based on need. The
number of naloxone kits distributed through SWPH has increased significantly
over the last year and it is estimated that there is potential for more than 1000
kits to be distributed at sharps programs and through community partners in
2023.
c. The Harm Reduction Program will continue to share timely information with
community partners via the Opioid Monitoring Dashboard which includes
information about what staff are hearing "on the ground" as well as statistics on
opioid prescribing, naloxone distribution, paramedic calls, opioid overdose and
drug -related emergency department visits, hospital admissions and opioid-
related deaths.
d. The SWPH Thresholds for a Community Opioid Overdose Response Plan will
be updated to inform the response to the worsening opioid crisis and provide
suitable thresholds for early warnings and surveillance.
e. Staff will collaborate with municipalities to provide an effective network of sharps
disposal initiatives throughout SWPH's region. SWPH will track the number of
sharps retrieved, compare quantities of sharps per area, implement a reporting
mechanism for community members to report sharps found, and continually
assess potential locations for sharps bins and kiosks.
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SUBSTANCE USE
SWPH will complete a feasibility study and situational assessment for
consumption and treatment services. The study will gather information from
community members, partner organizations and people with lived/living
experience to better understand perceptions and assess the need in the
communities of Oxford, Elgin, and St. Thomas. The final report will be used to
inform next steps.
g. Staff will develop and promote educational materials to address the stigma
experienced by individuals who use drugs and help remove the stereotypes
associated with drug use. Tailored messages and resources will be developed
for a variety of groups including the general public, healthcare providers, first
responders, and other relevant stakeholders.
u a u :ill : ,.. 111 u, 01'fl: vino
a. Promoting quit attempts among priority populations and providing
tobacco/vaping cessation training and resources to the public and partners,
including pharmacists, the Canadian Mental Health Association, Family Health
Teams, Community Health Centres, health care professionals, and schools.
b. Staff will strive for 100% completion of regular vendor education and the required
inspections, including a minimum of 1 youth access inspection for each e-
cigarette vendor and 1 display and promotion inspection for e-cigarettes.
c. Work with partners, including landlords, property managers, social housing
providers, workplaces, school boards, and municipalities, to create and/or update
policies and bylaws to reduce second-hand smoke and vapour exposure. In
addition, provide education and awareness of the Smoke -Free Ontario Act and
associated fines to partners and the public.
d. Support for the creation of additional smoke -free Multi -Unit Dwellings and smoke -
free public places, such as spots fields.
e. Staff will use social media platforms to target groups such as young adult males,
alternative youth ages13-18 and LGBTQ2S+ who are more likely to smoke or be
a part of social groups with higher rates of smoking.
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SUBSTANCE USE
t�iIII s°taiii c, IJl se,
f. Application of a compliance strategy that employs a balance of education,
inspection, and progressive enforcement, including prosecuting those in non-
compliance with the Smoke -Free Ontario Act. "Progressive enforcement" means
the use of warnings and graduated charging options to reflect the frequency and
severity of the level of non-compliance.
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2023 General Program Budgets
FOUNDATIONAL STANDARDS
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::ou.uux. d ul:lioi,4I ,�1113 uux. d urd
Foundational Standards supports programs and services to meet overarching
requirements of the Ontario Public Health Standards as they pertain to:
✓ population health assessment and surveillance
✓ health equity
✓ effective public health practice, which includes program planning, evaluation,
evidence -informed decision -making, research, knowledge exchange, quality
and transparency.
✓ emergency management
The above -mentioned standards include work in the following areas:
a. Performing ongoing population health assessment by producing updated
health status reports that includes topics such as mental health and
substance use.
b. Surveillance, which is most visible via our Opioid monitoring dashboard and
the COVID-19 Dashboard.
c. Continuing to provide data and information to many audiences. In particular to
programs and services to support evidence -based planning and evaluation
including analyses from the latest Canadian Community Health Survey and
the 2021 Census.
d. Supporting our annual program planning process by providing support, skill -
building, and guidance for staff throughout the process.
e. Exploring what are the indirect impacts of COVID-19 on our population
through data analysis to support program and service delivery.
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FOUNDATIONAL STANDARDS
tiiii cfwiircl
Supporting staff to strengthen the evidence for their programs, services, and
practices through research, evaluation, and situational assessments. For
example, a situational assessment is a systematic process that helps make
evidence informed program decisions. Our program planners support
program staff through the process of identifying and prioritizing community
need, based on the latest epidemiological data, understanding the risk and
protective factors affecting their chosen topic and by conducting a literature
review to understand the best interventions to address the factors they wish
to focus on in their work moving forward.
g. Completing the development and implementation of the Southwestern Public
Health program planning database to better support program planning as well
as budget development across the Health Unit.
h. COVID-19Continuing to build SWPH's internal capacity to respond to public
health emergencies including training, internal drills, and tabletop exercises
as appropriate.
Supporting the emergency planning activities and exercises of municipal
partners as able.
Supporting the ongoing development of policies, procedures and practices
that reflect continuous quality improvement principles.
k. Continuing to manage SWPH's privacy legislation adherence.
Continuing to build SWPH's capacity to incorporate ethical considerations into
public health decision -making.
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2023 General Program Budgets
CHRONIC DISEASE PREVENTION AND WELL-BEING
GIII iiraiii III aiii cl,IIII
The Chronic Disease Prevention and Well -Being program aims is to reduce the burden of
chronic diseases of public health importance and improve well-being. To achieve this goal,
several interventions are applied in the following areas of focus, the built environment, healthy
eating behaviours, mental health promotion, substance use, and physical activity.
a°1V11IC) 11,1111111 !11'1
a. Staff will provide population health data and evidence -informed
recommendations for municipalities to consider in reviewing their official and
master plans. Additionally, staff will partner with planning departments to support
the inclusion of health considerations into community design processes.
b. Well -designed communities can contribute to better health and well-being. The
neighbourhoods that people live in can influence things such as access to
healthy food, physical activity levels, safety, and mental health, to name a few.
c. SWPH will develop a strategy to incorporate and consider improvements to the
built environment across topic areas. For example, the built environment can
support positive mental health in our communities through access to greenspace,
recreation facilities, and places to gather and socialize. Promotion of active
transportation through access to trails, sidewalks, and safe cycling infrastructure
is also a contributor to residents' mental health and wellbeing and sense of
belonging in their community.
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CHRONIC DISEASE PREVENTION AND WELL-BEING
GIII IIII aiii IIII c aiii cl.
�. y Ill:������ a6 ang III:���3e�h avlio ii,,.,urs
a. The Nutritious Food Basket (NFB) survey tool monitors the cost and affordability
of healthy eating within the SWPH region. Through a partnership with the Ontario
Dietitians in Public Health Food Insecurity Work Group, staff will develop
dissemination materials of local NFB data and food insecurity research. This will
support local and provincial work in educating partners and the population on the
impacts of food insecurity in the SWPH region. SWPH will also support local
poverty coalitions and other community partner agencies working towards ending
poverty through poverty reduction and income inequality advocacy.
SWPH will collaborate with the Ontario Dietitians in Public Health Work Group,
Southwest Food Systems Network, and community food committees to conduct
literature searches for evidence -informed best practices regarding implementing
and delivering programs, initiatives, and policies to support sustainable food
systems. Environmental scans in Oxford County, Elgin County, and the City of
St. Thomas will identify gaps and opportunities to improve all aspects of our food
system, including production, access, consumption, and waste. Staff will engage
in multisectoral collaboration to address food -related challenges to improve
community food security and promote a healthy, equitable, and ecologically
responsible food system.
b. Initiatives such as the Good Food Box, Elgin Gleaners, community gardens, and
the Food Access Guides increase access to nutritious food within the SWPH
region. SWPH will support community partners with the expansion of existing
food access programs within the SWPH region.
3 Mei,flaII IIL.l eIPflq III:) a 011`11,.10: ion
a. Mental Health Promotion is a foundational component of public health and the
community we serve. Our interventions will reduce mental health stigma and
increase resident and community stakeholder knowledge of the factors that
promote positive mental wellness.
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CHRONIC DISEASE PREVENTION AND WELL-BEING
GIII IIII aiii IIII c aiii cl.
b. A needs assessment will be conducted to better understand staff knowledge and
skills in mental health literacy, trauma -informed practice and cultural humility and
safety. The results will be used to develop staff training, tools and resources, and
internal policies to support the integration of mental health promotion principles
into staff's work.
c. SWPH will increase mental health awareness by disseminating local data and
developing and running a mental health promotion educational campaign will
target population subgroups reporting the greatest decline in mental health
throughout the pandemic.
1. I ux.1 p i..,u Iry III:) u 13 V(3 11, lai on
a. A situational assessment on falls prevention will be completed to gather
information from various sources, including partner organizations, existing data,
and literature. The information will be analyzed, synthesized, and shared. The
findings will be used to inform program planning decisions.
b. SWPH will reconnect with the Elgin St Thomas Age Friendly Network to
exchange knowledge and collaborate on key age friendly community indicators
such as improved accessibility and availability of affordable housing and
transportation options for seniors.
IL. I e! a IPI hIII: q i..,u li l y
a. SWPH's Health Equity initiative aims to decrease health inequities such that
everyone has equal opportunities for optimal health and can attain their full
health potential without disadvantage due to social position or other socially
determined circumstances. To achieve this goal, staff will collaborate with priority
populations, municipalities, and other relevant stakeholders to create or modify
interventions that will address the social determinants of health and reduce
health inequities.
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CHRONIC DISEASE PREVENTION AND WELL-BEING
GIII IIII aiii IIII c aiii cl.
b. SWPH will continue to build front-line staff's internal capacity to incorporate
health equity principles and practices into their programs and services.
c. Training Active Bystanders workshops will be provided to internal and external
partners to teach bystanders to interrupt harm -doing and generate positive
actions by others. This will work to address stigma and discrimination within our
communities.
d. Staff will create a priority populations engagement strategy to identify the priority
populations in our catchment area as well as methods and strategies to
meaningfully engage those populations. The plan will identify the guiding
principles, goals and objectives, and the spectrum of community engagement.
e. A historically and culturally appropriate Land Acknowledgement guidance
document will be developed for use by SWPH staff. The resource will further
staff's knowledge and understanding of the Truth and Reconciliation report and
the 94 Calls to Action.
:�� . L.. �������,������ Ili: "III Meinii�..,u ����' III ��:��� li ��:��r������ ;���� Act � IIIIIIIIf�C u' 11'' ��:;�u ��:r,�������� u,.iirl ���������� ll.
a. SWPH will inspect all new premises within one year of opening. All premises that
are non -compliant on initial inspection will be re -inspected until compliance is
achieved. All complaints will be followed up within one (1) business day.
a. Public health will work with its regional and local partners to deliver the Act-i-
Pass Program. The Program provides recreation programs with no user fee to
grade 5 students in the SWPH region.
b. SWPH will continue to encourage physical activity and reduce sedentary
behaviour among adults by promoting active transportation and working with
partners to increase access to recreational opportunities.
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SUPPORTING COSTS
cf��)�StsIllh°°°°IIII liii� IIII IIII liii� IIII°°�,�
Public health is expected to achieve compliance with the standards outlined in the
Accountability Framework in the areas of program and service delivery, fiduciary
requirements, good governance and management practices, and public health practice.
There are several areas of program and service supports that enable programs and
services to meet the needs of our communities. In addition, SWPH is required to
comply with its accountability agreements between SWPH and the applicable Ministry.
Some requirements include:
✓ delivery of all mandated programs and services
✓ quarterly and annual financial reporting
✓ asset inventory maintenance
✓ effective procurement practices
✓ updating of policies and procedures
✓ board of health orientation and development
✓ developing and maintaining strategies in the areas of communications, human
resources, risk management, research and evaluation, and stakeholder
engagement
This involves leadership and support across the organization in the areas of:
✓ board governance including standing committees and ad hoc committees
✓ policy and procedure development, implementation, and adherence
✓ accountability and target monitoring
✓ financial management
✓ privacy of health information and personal information
✓ professional practice and continuous quality improvement
✓ communications internally and communications externally
✓ human resources
✓ communications, office management
✓ staff committees/working groups to support program delivery and compliance
✓ oversight of building and rental costs of three facilities as well as maintenance
✓ office equipment
✓ information technology management including hardware/software licenses
✓ training and development
✓ insurance
✓ audit services
✓ I e.g al matters................................................................................................................................................................
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Oxford - Ugin - st-niomas
100% Provincially Funded Programs
2023
Budget and Highlights
Included:
Ontario Seniors Dental Care Program (Senior Oral Care)
Medical Officer of Health Compensation Initiative
COVID-19- School Focused Nurses Initiative
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Ontario Seniors Dental Care Program
The goal of the Ontario Seniors Dental Care Program (OSDCP) is to reduce the burden
of oral diseases for eligible low-income seniors ages 65 and over. To meet this goal,
several interventions are applied including the delivery of oral health services for
enrolled OSDCP clients, oral health navigation, which includes supporting awareness of
access to and the utilization of the OSDCP program, along with the required data
collection and analysis.
a. Seniors SWPH dental staff provide or ensure the provision of oral health services for
enrolled OSDCP clients in accordance with the current OSDCP Schedule of Dental
Services and Fees (2020). Dental clinical services are provided in multiple fixed
dental clinics throughout our region including the introduction of a new mobile
vehicle offering outreach services.
b. Supporting awareness, access, and utilization of the OSDCP program, by
supporting seniors through health promotion and targeted outreach to priority
populations in our local community. Assisting seniors 65 and over to enroll in the
OSDCP program along with finding a dental home in one of dental clinics. Increasing
awareness of the available OSDCP services among our community partners and
providers along with utilizing referral networks to assist seniors in accessing OSDCP
services in our community.
c. Collecting and recording treatment data as specified by the Ministry for OSDCP
enrolled seniors who receive dental services in our multiple dental clinics. Analyze
and interpret OSDCP treatment date to inform future program planning.
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2023 Budget
Medical Officer
-100% Provincially Funded
of Health (MOH) Compensation
Initiative
All public health units are required to have a minimum of one (1) medical officer of
health as set out in the Health Protection and Promotion Act.
a. The Ministry of Health provides Boards of Health with an opportunity to apply for
a portion of funding towards the salary cost of eligible medical officers of health,
in part because the minimum salary for these positions is not determined by
SWPH but rather the Ontario Medical Association (OMA). Each year, the health
unit applies for this grant.
Iia e III 50
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COVID-19: School Focused Nurses Initiative
C (��„'l')VI IIII'���'�'��l""l °!IUD dIII (��)�(��) IIII ()�C tlse,cl II�Ihuiirse
This program was initially mandated for public health units during the height of the
COVID-19 pandemic response. The mandate was strictly for health units to hire
additional nurses to support schools with COVID-19 pandemic support in the areas of
COVID-19 prevention and mitigation, including safely reopening schools. Since then,
the Ministry of Health has indicated that this time -limited funding can also be utilized for
other important school focused programming.
a. Staff will provide rapid -response support to schools and boards in facilitating
public health and preventive measures, including screening, testing and
mitigation strategies.
b. Staff will deliver comprehensive school health programs including mental health
promotion and substance use; mandatory school health programs and supporting
school -based immunizations and sexual health services. Activities related to
COVID-19 and other respiratory and gastrointestinal illnesses will be completed
as needed.
c. SWPH will work with our school boards and private school partners to address
mental health promotion in schools, and support parents with some of the
pandemic -related stressors and substance use prevention programs.
d. Funding for this initiative, is currently for the school year of 2022-2023.
Iia e III 5 m
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0
0 �.
One -Time Funding Request
100% Provincially Funded
2023
Budget and Highlights
Included:
Public Health Inspector Practicum Program
Sharps Program
COVID-19 Specific Costs
Infection Prevention and Control (IPAC) Hub
Stigma Education Initiative
Collaborative Planning School Board Work
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One -Time Funding Request
100% Provincially Funded
Project Title:
Public Health Inspector Practicum
a. To provide a practicum for two students enrolled or who already have a degree in a
program of instruction approved by the Canadian Institute of Public Health
Inspectors (CIPHI) Board of Certification (BOC).
b. To be eligible to sit the Examination to obtain the Certificate in Public Health
Inspection (Canada), every candidate must satisfactorily complete a twelve (12)
week minimum practicum in the basic inspection programs.
c. This practicum must be coordinated by a qualified person who holds the CPHI(C) at
the supervisory level of the agency where the practicum is to take place. SWPH staff
coach and mentor student PHI candidates in preparation for their BOC exam for the
duration of the 12-week practicum.
d. SWPH benefits from the public health inspector practicum program as the students
support the completion of lower risk inspection activity under the mentorship of
certified public health inspectors. Additionally, students contribute by sharing
innovation and health promotion / education ideas to program delivery. As well,
student preceptors gain leadership and staff development opportunities.
Iia e III 53
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One -Time Funding Request
100% Provincially Funded
Project Title:
Sharps Program
The program aims to reduce the burden of preventable injuries and substance use
through the distribution of clean needles/syringes and other drug use supplies in the
community. This intervention has proven to be an evidence -informed effective method
in reducing blood -borne infections associated with injection drug use, such as HIV and
hepatitis C.
IIII ,aiirp
The goal of a comprehensive needle syringe and inhalation equipment program
(formerly known as a needle exchange program) is to distribute needles/syringes and
other drug use supplies as an effective method in reducing bloodborne infections (such
as HIV, Hepatitis B and C, syphilis) associated with injection or inhalation drug use.
Therapeutic nurse -client relationships are developed providing a point of access into
health and social services for clients who may not otherwise have access to services or
have opportunities for education on safer drug use practices.
a. Due in part to the ongoing opioid crisis, demand for sterile harm reduction equipment
is on the rise in SWPH's region. It is essential that SWPH continues to meet this
growing demand to prevent the transmission of HIV, Hepatitis B and Hepatitis C
infections. The treatment of these infections further burdens the healthcare system
and, even more importantly, may impact the health and well-being of community
members and their ability to thrive. Both HIV and HCV can spread in the blood, and
a major risk factor for both HIV and HCV infection is injection drug use. Sharing
needles or other drug injection equipment increases the risk of contact with HIV- or
HCV-infected blood.
b. As part of this strategy, SWPH is collaborating with Regional HIV/AIDS Connection
and Canadian Mental Health Association Thames Valley Addiction and Mental
Health Services to facilitate the distribution and collection of harm reduction supplies
via a mobile outreach program.
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One -Time Funding Request
100% Provincially Funded
Sharps Program
IIII ,aiirp
c. The 2023 goals of the program include meeting or exceeding sharps return rates
found in similar Ontario jurisdictions and ensuring that sharps disposal options are
available to clients in areas where they are needed most. These goals align with the
recommendations found in the Ontario Public Health Standards, 2018 and the
Substance Use Prevention and Harm Reduction Guideline, 2018. Achieving these
goals will necessitate additional kiosks in known underserviced areas and regular
maintenance and disposal.
Iia e III 55
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One -Time Funding Request
100% Provincially Funded
Project Title:
COVID-19 (General Response/Vaccination)
Public Health staff are working collaboratively with local health care providers,
municipalities, community partners, and public health officials, including the Ministry of
Health, to support COVID-19 response activities. Local efforts are focused on minimizing
the risk in high -risk settings, by supporting immunization, and outbreak management to
reduce and prevent the spread of COVID 19. This includes -long-term care homes,
congregate living settings, and other residential facilities which are particularly vulnerable to
outbreaks.
a . (�:,� (�:,�III ((_; a se a in d O in �I:a ct
Case, contact, and outbreak management is pivotal in reducing the transmission of COVID-
19 in our region, especially for those at risk for severe illness and outcomes. Public Health
Investigators work collaboratively with partners and high -risk settings to manage and control
the spread of infection. This process is labour intensive and is compounded by the
emerging pathogenicity of this novel virus. They may also provide guidance about returning
to work, outbreak management, public health measures related to enhanced environmental
cleaning, self -monitoring, and general infection prevention and control measures. It is
anticipated that severe illness and the number of COVID-19 outbreaks will decrease in 2023
as COVID-19 booster rates increase. COVID-19 case, and outbreak management will
continue as a measure to control and prevent the spread.
COVID testing in partnership with our local hospitals and community partners to support the
operation of the COVID-19 assessment centres and other methods of testing in our region
for those at risk of severe illness and outcomes. The purpose of testing is also to
understand the transmission of the virus and thereby prevent others from acquiring the
disease.
i YIiage III 56
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One -Time Funding Request
100% Provincially Funded
COVID-19 General Response/Vaccination
Communications with members of the public, municipalities, and community partners on a
broad range of topics to support the community's well-being, safety, and resilience. This
includes education on infection prevention and control practices such as face coverings,
physical distancing, hand hygiene screening information to address vaccine hesitancy.
SWPH also advises what the current rules and restrictions are for specific settings -based
changes in provincial direction or significant announcements, the number of active cases or
local transmission in our region, and the continued COVID-19 vaccine eligible individuals
are factors that will impact the work of our team. partnerships to raise awareness of social
supports available.
Management of the Case and Contact Management (CCM) database for COVID-19 data
entry and outbreak management, including expansion of the CCM database to all diseases
of public health significance (DOPHS).
To further reduce the incidence rate of COVID-19, SWPH will continue to run immunization
clinics and mobile community clinics to immunize eligible people and vulnerable populations
with COVID-19 vaccine. SWPH will work in collaboration with community partners to
coordinate distribution and to administer COVID-19 vaccine. Public health continues to be
the primary distribution channel for primary care, hospitals and other health care settings
who provide vaccination. The storage and distribution of the vaccine will play a key role in
the management of the clinics to maintain the standardization of the identified product. The
continued distribution and administration of the vaccine includes the need for public health
nurses, registered practical nurses, supervisory support, clerical support, information
technology support, and facilities support to complete this important work in an efficient
manner.
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One -Time Funding Request
100% Provincially Funded
Project Title:
Infection Prevention and Control HUB
�aIII cl (III IIII��°�II A,C)Illh°°°°IIII llp IIIIIIIIIII'� Illh°°°°IIII liii � IIII IIII liii � IIII ��,�
a. As part of the province's comprehensive plan Keeping Ontarians Safe: Preparing for
Future Waves of COVID-19, local networks of IPAC expertise (IPAC Hubs) were
developed across the health system, that work to enhance IPAC practices in community
based, congregate living organizations (CLOs). These organizations include long-term
care homes, retirement homes, residential settings funded by the Ministry of Health
(MOH), residential settings for adults and children funded by Ministry of Children,
Community and Social Services (MCCSS), shelters, and supportive housing. Through
these new province -wide networks, CLOs are able to access IPAC expertise,
collaborative assistance and just -in -time advice, guidance, and direct support on IPAC
practices.
b. In collaboration with the Ministry of Health and other Ministries involved in this initiative,
Ontario Health identified hospitals and public health units from across the province to
lead local IPAC Hubs. Southwestern Public Health is the local IPAC Hub lead in this
area, that works to coordinate and collaborate with Satellite hubs and health system
partners in Oxford, Elgin, St. Thomas, Huron Perth, and London Middlesex to ensure
that this specialized guidance and support is available to our congregate living
organizations throughout the southwest region.
c. As the lead for the local IPAC Hub, SWPH is responsible for ensuring accountability for
funds transferred from the Ministry of Health to Satellite Hubs, including monitoring of
required deliverables.
St. Thomas, Elgin, and Oxford IPAC services for congregate living organizations are
administered by staff funded by the IPAC Hub. Services include support for IPAC
training, policies and procedures, outbreak preparedness and assistance with on -site
IPAC assessments.
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One -Time Funding Request
100% Provincially Funded
Project Title:
Stigma Education Initiative
St IIII��°�Ilu
a. SWPH is seeking $24,500 in one-time funding to develop a strategy to reduce the stigma
experienced by people who use substances. The strategy will include awareness raising
activities, training opportunities, and community engagement initiatives.
b. Stigma is negative attitudes, beliefs, or behaviours about or towards a group of people
because of their situation in life. It includes discrimination, prejudice, judgement, and
stereotypes. It can take different forms, including structural, interpersonal, and self -stigma.
c. People with lived experience with substance uselli.. (PWLE) are a vulnerable population with
unmet treatment needs regarding their health. These unmet needs have been attributed to
several barriers they face to accessing and using supportive services; noted among these
barriers is stigma. Stigma is a multi -layered barrier in that it can reduce the chances of
people seeking social support and erode the public and political will to provide this support.
d. Effectively addressing barriers to services due to the stigma against PWLE will require a
multifaceted approach. In addition to the local population, healthcare providers and law
enforcement will also be key target audiences for anti -stigma education and skill building
opportunities.
e. This funding will allow SWPH to develop a suite of communication materials, launch a
transit ad campaign ($11,000), subsidize, and promote registration among healthcare
providers for an anti -stigma online workshop ($10,000), and host community -based events
($ 3,500).
[-r] Note: People with Lived Experience of substance use (PWLE) is the term that will be used in this funding request, however
other terms referring to this vulnerable population in literature may include terms such as 'People who use substances' or
le who use drugs.'
Page 113 of 139 Iia e III 59
February
rj
V r'OUT11-WESTERN
Public Health
Oxiovd • Elyln � St..I human
One -Time Funding Request
100% Provincially Funded
Project Title:
Collaborative Planning School Board Work
a. SWPH is seeking $10,000 in one-time funding to embark on collaborative planning with
all publicly funded school boards in the region and our neighbouring public health unit
(Middlesex London Health Unit), with whom we share boards.
SWPH has a long history of offering services to area schools and working with the area
school boards to offer the best service possible in partnership with MLHU. This funding
request will enhance the depth of our work together. In addition, it will result in a shared
approach to address the following agreed -upon priorities:
i. Mental Health Promotion
ii. Substance Use Prevention
iii. Equity and Inclusivity
iv. Family Engagement
b. This funding will allow SWPH to hire an external facilitator and convene planning
meeting(s) with the school boards and public health partners. These meeting(s) will
establish data -sharing agreements, identify indicators to measure our work on the four
identified shared priorities and identify the actions that each party will take to improve the
wellness of our students over time. The external facilitator is required to allow all parties
to participate in the process. There is a considerable amount of data and information
available, and the facilitator will assist the group with selecting the best indicators and
actions possible. Through this process, SWPH will have increased access to local
children and youth data, which has been a longstanding gap. More importantly, this
planning will allow the partners to monitor the effectiveness of our shared work
supporting local children and families.
Page 114 of 139 Iia e III 60
February
rj
c'OUTu--ilWESTERN
•
Public Health
Oxiovd • Elyln � St..I human
S TFIS
100% Provincially Funded Programs
(by other Ministries)
2023
Budget and Highlights
Included:
Pre and Post Natal Nurse Practitioner Program
Healthy Babies Healthy Children
Page 115 of 139 Iia e III 6 m
February
rj
O UTI-ov ESTERN
•
Public Health
Oxiovd • Elyln � St..I human
2023 Budget -100% Provincially Funded
Pre and Post Natal Nurse Practitioner Program
IIII , �aiii cl II �,,Ia°ta� IIII IIII �,Itursei
1 a in II"^iiil a is a II III iil ii,,.,u r se! III:���I ra ct li li o n e� r III:���) iirog ura irrii
The objective of the Pre and Post Natal Nurse Practitioner Program is to increase access to
early, regular prenatal and postnatal primary health care for pregnant women, new mothers,
and their children until the child's transition to school.
To meet this objective:
a. Delivered in partnership with East Elgin Family Health Team, the Prenatal and Postnatal
Nurse Practitioner Program serves a population that includes Low German-speaking
Mennonite families, low-income families living below the poverty line, as well as families with
a higher -than -average number of children. Clients enjoy the full benefit of a multi -disciplinary
primary care team for comprehensive medical treatment. Approximately 1300 patients are
seen annually through this program.
Page 116 of 139 ""ge III'II"'
February
rj
V r'OUT11-MESTERN
Public Health
Oxiovd • Elyln � St..I human
2023 Budget
Healthy
-100% Provincially Funded
Babies Healthy Children
.� Ih...I ���������� �������� IPI:Ih y III[ ��������II li ���������� ���� IIL..I ���������� �������� IPI:Ih y 1����1`,1 III li II d re in
The goal of the Healthy Babies Healthy Children program is to provide services during the
prenatal period and to families with children from birth up to their transition to school, using
targeted program approaches with a universal screening opportunity at time of birth with the
intent to optimize newborn and child healthy growth and development and reduce health
inequities for families receiving service.
To meet this goal:
✓ Early identification and intervention screening.
✓ Blended home visiting services (Public Health Nurse & Parent Resource Worker).
✓ Service and system integration.
✓ Service co-ordination.
✓ Access to information and resources.
✓ Referral to/from community services.
✓ Promotion of Healthy Babies Healthy Children program services via print, website, and
social media channels.
For 2023, it is estimated that staff will complete over 1700 screens and conduct approximately
2300 home visits. In 2023, the implementation of a Public Health Nurse led 9-week post-partum
mood disorder support group to support clients within the community they reside to obtain
service.
Page 117 of 139 Iiage III 6
February 9, 2023
Warden Ed Ketchabaw and Members of Elgin County Council
County of Elgin
450 Sunset Drive
St. Thomas, ON N5R 5V1
Attention: Don Shropshire, Chief Administrative Officer
July 2 Oth 2023
Warden Ketchabaw and Members of Elgin County Council,
I am requesting the opportunity for Transforming Tomorrow Campaign Chair
Jeff Yurek, and a small delegation of St. Thomas Elgin General
Hospital (STEGH) and STEGH Foundation representatives to attend the
Tuesday, October 101h , 2023 Council meeting.
At that time, we took forward to sharing information about our MRI (magnetic
resonance imaging) - diagnostic imaging campaign and asking for your
financial support of our cornerstone project: the purchase and installation of
an MRI machine as well as the enhancement and expansion of the entire
diagnostic imaging suite, making improvements in nuclear medicine, x-ray and
ultrasound.
MRI complements other types of imaging by expanding the information
available to physicians so they can make a more definitive diagnosis and
determine the best course of treatment. Access to MRI technology will ensure
patients receive the best care possible, close to home.
By investing in our Transforming Tomorrow Campaign, Elgin County Council can
help end the need for nearly 5,000 patients annually that travel outside our
community for scans and also broaden these critical services which will
enhance health outcomes including, but not limited to:
-Improving stroke outcomes and reducing the length of stay at STEGH;
-Providing exceptional care to those who do not have a family physician
and who rely on our Emergency Department as their primary healthcare
provider for diagnosis and treatment;
-Supporting the local economy by making Elgin County a modern municipality
with strong healthcare and quality of life that appeals to companies wishing
to re -locate and/or grow their businesses.
St.Thiomas Elgin 519.631.2030 x 2246
General Hospital STEGHfoundation.ca I info@STEGHfoundation.ca
Foundation Charitable Registration #89081 6846 RR0001
Page 118 of 139
Warden Ed Ketchabaw and Members of Elgin County Council
Page 2
We will also be able to attract and retain highly skilled medical professionals,
keeping STEGH a leading provider of healthcare services.
Elgin County Council has a tremendous history of supporting the healthcare
needs of our families, friends and neighbours. Most recently, you made a
significant pledge to the North Tower Building project which opened its doors in
2018. This pledge was completed in March 2022.
Today, we are asking the Warden and Elgin County Councillors to consider a
multi -gear pledge of $2.5 million in support of the Transforming Tomorrow
campaign. Your continued commitment will ensure that our healthcare teams
can continue to deliver exceptional patient care through transformational
technology.
Jeff Yurek along with Hospital and Foundation Leadership would like to host a
tour of the Diagnostic Imaging Suite. We would like the opportunity to highlight
the wonderful services provided to Elgin County residents. During that tour we
will showcase our future plans for Diagnostic Imaging, including the MR1 Suite.
We would ask that Deputy Clerk Jenna Fentie provide the undersigned with a
date in September that will work for your Councillors.
Thank you in advance for the opportunity to present our case for support to you
on Tuesday, October 101h , 2023.
Sincerely,
Tonya Sheldon
STEGH Foundation Interim Executive Director
STEGH Vice President, Corporate Services & Chief Financial Officer
St.Thiomas Elgin 519.631.2030 x 2246
General Hospital STEGHfoundation.ca I info@STEGHfoundation.ca
Foundation Charitable Registration #89081 6846 RR0001
Page 119 of 139
Ministry of Natural Resources
and Forestry
Regional Operations Division
3rd Floor, North Tower
300 Water Street
Peterborough ON K9J 3C7
Tel: 705 875-8601
County of Elgin
450 Sunset Drive
St. Thomas, ON
N5R 5V1
July 7, 2023
Dear Warden Ketchabaw:
Minist&re de Richesses naturelles
et des Forks
Division des operations
regionales
3e etage, tour Nord
300, rue Water
Peterborough ON K9J 3C7
Tel: 705 875-8601
Ontario Q
RE: LEGACY OIL & GAS WELLS MUNICIPAL TRANSFER PAYMENT PROGRAM
On June 2, 2023, the Honourable Graydon Smith, Minister of Natural Resources and
Forestry announced $7.5 million in funding for municipalities as an early deliverable of
the government's comprehensive action plan to address risks from legacy oil and gas
wells and subsurface gas migration hazards (the "risks"). In conjunction with the
Minister's announcement, you received a letter on June 2, 2023 indicating that the
County of Elgin was eligible for funding through the legacy oil and gas wells municipal
transfer payment program (the "program").
Today, I am pleased to be able to share additional details about the program. The $7.5
million in funding will be allocated to municipalities over the next three years. For the
first year of the program (Year 1), $2.0 million in funding has been allocated for
predominantly rural municipalities located in southwestern Ontario where natural gas
migration may pose a higher risk to public health and safety and the environment. The
funds may be used to support the eligible activities focused on increasing understanding
of risk, building capacity for emergency preparedness and risk prevention. These
activities reflect the feedback we have received from the listening sessions the ministry
hosted to seek input into the early stages of the legacy oil and gas wells action plan
development. The County of Elgin is eligible for up to $280,000 in funding.
To receive funds, we are asking eligible municipalities to prepare and submit a
submission package in accordance with the attached, "Legacy Oil and Gas wells and
Subsurface Gas Migration Risks Municipal Transfer Payment Program Guidance", (the
"Guide"). The Guide provides further information on the eligible activities, the formal
submission process, including the required workplan, and other requirements for the
submission package.
To further support you in the preparation of submission packages and to answer any
questions you might have, the ministry will be hosting two virtual information sessions
on July 13, 2023 (10:00 am —11:00 am) and July 14, 2023 (1:30pm — 2:30 pm).
Municipal staff are encouraged to attend at least one of these two sessions. Meeting
invitations will be emailed to CAOs today.
Page 120 of 139
Municipalities should be aware that all Year 1 projects are to be completed with all
funds spent by March 1, 2024. Any unspent funds must be identified to the ministry
before March 1, 2024, and returned to the province before March 15, 2024. To ensure
that projects are completed by March 1, 2024, the final date for the submissions of
application packages will be September 15, 2023. If these timelines are going to
pose a challenge for your municipality, please discuss with ministry program staff as
soon as possible.
To streamline the application and funding process, ministry staff will be available to
meet with municipalities to discuss their project proposals in advance of their
submission. To request a pre -submission meeting or if you have any questions, please
contact Kathryn Baker, Senior Program Advisor, Strategic Petroleum Initiatives Section
(kathryn.baker@ontario.ca or 647-620-2796).
We look forward to our continuing engagement with municipalities in southwestern
Ontario as valuable partners as we work together to address the complex challenges
associated with legacy oil and gas wells. I am looking forward to your submissions and
understanding how you will apply this funding for the maximum benefit of your
municipality. As always if you have any questions or concerns don't hesitate to reach
out to myself or my team.
Regards,
Jennifer Barton
Assistant Deputy Minister
Regional Operations Division
Encl: Legacy Oil and Gas Wells and Subsurface Gas Migration Risks Municipal
Transfer Payment Program: Guidance — Year 1 (2023-2024)
Don Shropshire, Interim Chief Administrative Officer/Clerk, County of Elgin
Kathleen Anderson, Strategic Petroleum Initiatives Section, MNRF
Kathryn Baker, Strategic Petroleum Initiatives Section, MNRF
Lena Sayeau, Strategic Petroleum Initiatives Section, MNRF
Page 121 of 139
Date: Judy 5, 2023
Page 122 of 139
PROVINCIAL LEGACYWELLS ACTION PLAN
The Wnistry of Natural Resources and Forestry (M.NRF) is leading the develop'llient of a
comprehensive, action plan to help address risks from legacy oil and gas wells and subsurface
gas, migration hazards in southwestern Ontario. The developrnent of the Action Plan focuses an
increasing our understandung of risks, identifying actions to reduce risks:, and supporting
measures to einhanice emergency preparedness. Reducing the risks of legacy, oil and gas
infrastructure and subsurface gas migration (the "risks") involves a inumber of provincial mi6strjes
and municipalifies to, help ensure public health and safety, protectiion of drinking water, and other
environmental and resource protections, erniergency management, land Use planning and
development controls. As such, a, cooperative approach to identifying OPPOIdUnities andolutions
is &ticall to, moving forward and achieving a.SL1IccessfW OUtGOM8.
As part of the Acfion Plan, the government u,s investing $7.5 mflfiun over three years in a new
'Transfer Payment Program focused on supporting muni6palifies in their efforts to reduce risks
and enhance ernergenCyr preparedness vvitHn their communities,
The first year ofthe funding; program will be considered a pilot, recognii,zling that munidpalffies are
at variCLIS, stages, with sorne municipalities needing to build capacity and increase their
understanding of the risk in; their communities, while oth�ers are ready to make investments, and
take specific actions to, reduce and mitigate risks,
PROGRAM ELIGIBILITY
For the first year of the program (Year 1), fun6rigirwiH be distributed to selected MnidpafifieS in
southwestern Ontario, with funding directed to priority activities focused the rnWstry's Action Plan
goals of increase ng understanding of risk and building capa.cfty for emergency preparedness. The
government recoginizes the greatest need for funding is predominantly in rural municipa H ties,
where local gieol[ogy and naturally occurring petroleum resources can influence the risk, factors to
public health and safety and the environment
Page 123 of 139
ELIGIBLE ACTIVITIES
The Year 1 Fuiriffing letter (Funding Letter), accompanying this, guidance,, "indicates the arnount of
funding available and eligible actiOties catlegories.
Eligible activifies may include the following activities relating to the Action Ran priorities;
Understand Risks
. ................. -.—
Training - DevOoping and delivering internal training material related to understanding risks, from
legacy oil and gas well and gas, migration, hazards, on new procedures and/or eqOprnent. 'This
may indlude any, consulting seMces to develop appropfiate, material s.
Communications - Diev6loping and delivering education and outreach materials related to
emergency preparedness, This may include consulting services to develop appropriate inatedals.
Monitoring/Assessment - Developing and irnplementing monitoring programs, including
supporting studles, to, assess and address local risks from petroleum related hazards or
emergencies. This may include purchasing monitoring equipment, consulting services, to support
the development of monftodngi programs and, equipmentsellectoin. Please note, the funds, may
also be used for eligible costs, for equipment purchased since April 1, 2023, to support municipal
resp,onse and preparedness for petroleurn emergencies.
Enhance Pre
Capacity Building - Funding to strengthen Mjnncipal capadty to !support planning for and
resp,criding to petroleum emergencies.
Page 124 of 139
Emergency Response Planning .- Developing arid' updating munlcip,M emergency response
plans to include petro[eurn incident response. THsrnay inciude consulting services to Support the
preparation and process.
Tra'inin Il evelopiinq and delivering tralining material to first responders and other municipal
staff related to monitoring, mitigating, and managing petroleum hazards including any COnSUIting
services to develop the appropriate niaterials
Please note, a municipality may seek approvW from the MNF W Use the fUnds for other activities,
aligned with, the ministry's, Action Plan, goals of jncreasiirg understanding of the risks and building
capacity for ennergency preparedness, Such requests will be considered for eligibility on a case -
by -case basis, Municipalities can outline the, details of the proposed activities through the Project
Submission Pracess (below) and demonstrate how the proposed activities aligin with thiese goals,
All other Final Reporting, Fiflariciall Management and Project closure must be met, including the
requirement for the actNJty or, activities, to be, completed pribr to March 11, 2024,
PROJECT SUBMISSION PROCESS
....... .. ...... . ...... . .. ..... - ------- .. ... . ...... .. .... . . . ............... . ...... - .............. . ......... ... . . . .......... .. __ . ... . ....... . . ..... ...............
A Funding Letterwas sent to selected municipalftles from tfie MINIRIFIndlicatIng eligible activitles
and available funding,, along with'the detaills of the projectsublirlission process and tirneline,
St P l 5 l O t IliACKAGE
To receive Year I funding, a rnuNcipalfty MUSt provide a Submission package to MN'RF outilinling
fts proposed acfivitles, by the deadline set out in the rundIng Letter.
Page 125 of 139
A SUbMJSSiiOn package must include the, f6lowngi ilterns:�
1) Submission letter signedby the CAO
2) Project plan —inciud!N the following items:
a. Activities to be undertaken! a detailed description of the activities, how the
acfivifies align with the eligible activities and project goals (e.g.,, increasing
urderstan6ng of Osk, reducing risk, and enhancing emergency preparedness) and
the anticipated outcornes for the rnunicipalfty(ies). Please note, if submrtflng
requests for reimbursement of mon,itoiring equipment already purchased,
submission, packages should, include rationale to support equipment needs,
supporting purchase informafion, and reoe,ipts.
b. Mode of delivery: how the activity, wHII be delivered (e.g., by municipal staff or
contracted exlemaIlly)
c. Project timelineslestimated project tirnefines demonstrating a plan; to deliver the
project by March 1, 2024.
d. Coltaboratlion., F r unding provided to Upper tier muNciip*itins its, intended. to fund
activities undertaken by both the upper tier and the local lower tier munlicipatIties.
The subrnislbn from upper tier MUnliCipalibeS should demonstrate a Collaborative
process for developing the project plan and the prioritization of activities:
3) Project budget —an Hernized project budget
The Project Plan provided for in the submission will, not be effective, unfil approved in writing by
the MNIRIF.
Page 126 of 139
PROJECT REPORTING AND CLOZING PROCEDURES
Municipalities that receive funds, through this program will be required to provide repoiling as
follows':
INI-YEAR REPORTING AND BUIDGET CONHIRMATION
Project status and budget spenffiig are review+ ed in the I'n Year progress report submWed to
MNRF by December 1, 2023, The amount of the seconid payment instakment is based on these
In Report results. In the report, muinrcipalities w4l identify where there are surplusJunds.
FINAL REPORTING, FINANCIAL MANAGEMENT AND PROJECT CLOSURE
AM projects, are to be completed with all funds spent by March 1, 2024To prepare for finali
repoftiniq, all project invoioea must be reconciled against the approved allocation,
All, urn spent funds Must be identified before March 1, 2024, and returned to the pro0nice before
Mauch 15, 2024.. Returned fUnds submitted to the MN must be accompanied by a letter signed
by the CA0.
The final report, incWdiig receipts and invoices, will be submMed to MNRF to close-out the
project. tnvoices or general', ledger sunimahes must demonstrate that only the non-refundable
amoi-int of HT (I .76%) is indluided nn the cost of the project. Mvoices are to be organized by
project into separate files,
Page 127 of 139
PROJECT FUNDING SCHEDULE
Funding will be provided to municipalities in three installments as outlined in the table below.
Transfer Payment Agreement Sigined 50%
In -Year, Report — December 15, 2023,25%
Finali Report — March '1, 2024 25%
Paymentof the second and third funding installments Isdependent on demonstrating complletjon
of work as nuflined In previlous sections,
FUNDING FOR YEARS TWO AND, THREE
For Years 2 and 3 of the Transfer Payment Program, fts guij,dance and prograrn e4gjbiliity Ml be
updated to reflect progress of the pro uncial Action Plain and Input from muniicipalities.
Page 128 of 139
NOTICE OF PUBLIC INFORMATION CENTRE 1 AND STUDY DESIGN REPORT REVIEW PERIOD
Highway 4 Widening and Proposed Talbotville Bypass (GWP 3042-22-00),
Highway 3 Twinning (GWP 3041-22-00)
Preliminary Design, Detail Design and Class Environmental Assessment Study
THE STUDY
The Ontario Ministry of Transportation (MTO) has retained Stantec Consulting Ltd. to complete the Preliminary
Design, Detail Design and Class Environmental Assessment Study (Class EA) for improvements to Highway 3
from Highway 4 to Centennial Avenue (St. Thomas).
The following is being undertaken as
a Group `A' project (GWP 3042-22-
00) :
• a new Highway 3 alignment
bypassing Talbotville (also
known as the Talbotville
Bypass), connecting Highway 3
near Ron McNeil Line to
Highway 4; and
• the widening of existing Highway
4 (from the new Talbotville
Bypass to Clinton Line).
The following is being undertaken as
a Group `B' project (GWP 3041-22-
00) :
• the twinning of the existing
Highway 3 through St. Thomas
to the Township of Southwold
(Centennial Avenue to Ron
McNeil Line).
Construction will follow the
environmental assessment and
design phase.
THE PROCESS
This project is being completed in accordance with the Class Environmental Assessment (Class EA) for
Provincial Transportation Facilities (2000). Group `A' and `B' projects are considered approved under the
Environmental Assessment Act subject to compliance with the Class EA.
STUDY DESIGN REPORT REVIEW PERIOD
A Study Design Report (SDR) has been prepared and is available for public review and comment from August
17 to September 15, 2023 at www.highway3eigin.ca.The SDR summarizes the project Need and Justification,
the Alternatives to the Undertaking, the Class EA process, and the consultation program. Interested persons
are encouraged to review the SDR and provide comments by Friday, September 15, 2023.
PUBLIC INFORMATION CENTRE 1
A Public Information Centre (PIC) is being held to provide the public and stakeholders with an opportunity to
review the transportation needs assessment, existing conditions, alternatives to the undertaking and comment
on project activities to date. The PIC will be a drop -in format, with members of the Project Team available to
discuss the project and respond to any questions you may have. A copy of the SDR will also be made
available at the PIC.
The PIC is being held at the following date and location:
Date: August 17, 2023
Location: Talbotville United Church
10734 Sunset Dr, St Thomas, ON N5P 3T2
Time: 5:00 pm to 8:00 pm
COMMENTS
You are encouraged to participate in the study and to provide comments in writing to the Project Team. If you
wish to have your name added to the project mailing list, or have questions about this project, please contact:
Kevin Welker, P.Eng. Deanna Pizycki, P.Eng.
Project Manager Senior Project Engineer
Stantec Consulting Ltd. Ministry of Transportation
M: (226) 919-5979 M: (519) 859-7492
Email comments _ i way3el in.ca Email commentsa-i way in.ca
All media inquiries shall be directed to MTO's Communications Branch at (416) 327-1158 or
mto. media@ontario. ca.
Additional project information can be found at the study website where project information is made available as
the study progresses ( e i way3el in.ca).
We are committed to ensuring that government information and services are accessible for all Ontarians. For
communication supports or to request project information in an alternate format, please contact one of the
preceding Study Team members.
Information collected will be used in accordance with the Freedom of Information and Protection of Privacy Act.
With the exception of personal information, all comments will become part of the public record. If you have
accessibility requirements to participate in this project, please contact one of the team members listed above.
Ontario 0
COUNTY OF ELGIN
By -Law No. 23-33
"A BY-LAW TO PROVIDE A SCHEDULE OF SERVICES AND ACTIVITIES SUBJECT
TO FEES AND CHARGES BY THE COUNTY OF ELGIN AND TO REPEAL
BY-LAW NO. 22-26"
WHEREAS, by virtue of s.9 of the Municipal Act, 2001, S.O. 2001, c.25, as amended, a
municipality has the capacity, rights, powers, and privileges of a natural person for the
purpose of exercising its authority under that or any other Act;
AND WHEREAS, by virtue of s.11 of the said Municipal Act, 2001, S.O. 2001, c.25, as
amended, an upper tier municipality may enact a by-law respecting, among other things,
public assets of the municipality acquired for purpose of exercising its statutory authorities,
economic well-being of the municipality, services and things that the municipality is
otherwise authorized to provide, and protection of persons and property;
AND WHEREAS Section 391 of the Municipal Act, 2001, S.O. 2001, c.25, as amended,
states that a municipality and a local board may pass by-laws imposing fees or charges on
persons for services or activities provided or done for persons;
AND WHEREAS the Corporation of the County of Elgin did pass By -Law No. 22-26
imposing fees or charges on services or activities provided to persons by the County of
Elgin's various departments;
AND WHEREAS the Corporation of the County of Elgin has deemed it advisable to amend
the fees and charges applicable to some of its services or activities, and to make provision
for the addition of taxes where appropriate.
NOW THEREFORE the Municipal Council of the Corporation of the County of Elgin enacts
as follows:
THAT Schedule "A" attached hereto and forming part of this by-law setting out services
and activities which are subject to fees and charges, and taxes where applicable, and the
amount of such fees or charges be and is hereby adopted.
2. THAT By -Law No. 22-26 and any by-law that is contrary to this one be and is hereby
repealed.
3. THAT this by-law shall come into force and take effect upon its passing.
READ A FIRST, SECOND AND THIRD TIME AND FINALLY PASSED THIS 25t" DAY OF
JULY 2023.
Don Shropshire,
Chief Administrative Officer/Clerk.
Ed Ketchabaw,
Warden.
Page 131 of 139
SCHEDULE "A"
By -Law No. 23-33
The Corporation of the County of Elgin has deemed it advisable to provide activities and services
that are subject to fees and charges. The following list details such activities and services and
the fees and charges that will apply:
Please note that the fees and charges below include taxes, where applicable.
GENERAL (authority under the Municipal Act)
Photocopies for the public throughout all County of Elgin Departments:
Copy charge per printed page
- per printed side (black & white) $0.25
- per printed side (colour) $1.00
Document Commissioning Fee: $20.00
FINANCIAL SERVICES (authority under the Municipal Act)
Late payment of County Levy 15%/year
(i.e. - installment due on the 15th and not received until the 16th, one day of interest would be charged)
COMMUNITY & CULTURAL SERVICES - Archives (authority underthe Municipal Act)
Long -Distance Research $40.00 per hour
Photocopying/Internet Printing
Letter/Legal $0.25
11 x 17 $0.50
Microfilm Reader -Printer:
Letter/Legal - per page $0.50
11 x 17 - per page $0.75
Scans $0.25
Photograph Prints:
4 x 6
$17.00
4 x 6 - additional print
$10.00
5 x 7
$20.00
5 x 7 - additional print
$12.00
8 x 10
$30.00
8 x 10 - additional print
$17.00
11 x 14
$40.00
11 x 14 - additional print
$30.00
Larger Sizes
On a case by case basis
Digital photo/document files for personal use
$10.00
Digital photo/document files for publication/exhibition/display/commercial
use $20.00
Photo/document image scanning
$10.00
Scanning:
Document scanning as PDF
Recordable CD
Supplies:
Acid -free storage box
Newspaper storage box
Acid -free file folders
General archival supplies
$5.00
$2.50
$20.00
$50.00
$1.00
Market value
Shipping
Page 132 of 139 Actual cost with a $5.00 minimum cost
COMMUNITY & CULTURAL SERVICES - Libraries (authority underthe Public Libraries Act)
Library Fines:
Fines are subject to Elgin County Library's fine -free plan to eliminate overdue fines on all library
materials by December 31, 2024.
Fax Machine:
Sending:
First Page $1.50
- Each Additional Page $0.50
Receiving
Per Page $0.50
Interlibrary Loan — Borrowing:
Canadian Library or University — plus shipping (if they charge) Discretion of Loaning Library
U.S. Library or University — plus shipping (if they charge) Discretion of Loaning Library
Microfilm — plus shipping (where applicable) $4.00
Printing:
Black & White/Colour — per printed side
Lost or Damaged Materials:
All Material Types
Bag of Books
$0.25
Actual Cost plus $5.00 Processing
$160.00
If actual cost is unknown, the following rates are charged:
Other Materials — Lost or Damaged:
DVDs/Videos
$20.00
P layaways
$80.00
Wonderbooks
$70.00
Microfilms
$30.00
Music CDs
$20.00
Game Kits
$20.00
Program Kits
$20.00
Computer Kits
$80.00
Park Permits
$100.00
Yoto Players
$160.00
Library Card Replacement
$1.00
Books — Lost or Damaaed:
Hardcover
$30.00
Magazines
$5.00
Paperbacks
$10.00
Audio Books
$50.00
Reference Books
$50.00
Room Rentals (no charge for non-profit group) $25.00
Library Fine Threshold $20.00
Fines are subject to Elgin County Library's fine -free plan to eliminate overdue fines on all library
materials by December 31, 2024.
3D Printing Filament $0.10/gram
Exam Proctoring Donation basis
Book, Magazine & DVD/CD Discards Donation basis
Page 133 of 139
COMMUNITY & CULTURAL SERVICES -Museum (authority underthe Municipal Act)
Admission
Membership:
Annual
Lifetime
Programs Delivered:
Donation basis
Adult off -site programs
plus travel paid at the rate established by the County for use of personal vehicles
School tours and children's group tours
(designed for children under the age of 14)
- Chaperones are no charge
School programs offered in -school
(designed for children under the age of 14) - including rented teacher's kit
Note: Fees for programs delivered by the Museum may vary according to the program
ENGINEERING SERVICES (authority underthe Municipal Act)
County Road Maps
Meeting Room Rental Rates: (authority under the Municipal Act)
For use of meeting rooms in the County Administration Building by outside groups:
Central Elgin Boardroom (Suite #25)
West Elgin Boardroom (Suite #138)
Electric Vehicle Charging Station Fee:
$5.00
$100.00
$33.90
$1.75
$3.00
$5.00
$75 for 3 hour minimum inclusive;
$25 per hour thereafter
$65 for 3-hour minimum inclusive;
$25 per hour thereafter
Oversize/Overweight Moving Permit: (authority under the Highway Traffic Act)
$2.40/hr
Permit for moving heavy vehicles, loads, objects or structure in excess of dimensional & weight
limits set out in the Highway Traffic Act:
Single Move Fee (if action is requested with greater than 10 business days' notice) $200.00
Single Move Fee (if action is requested with less than 10 business days' notice) $400.00
Single Move Fee - Overweight, greater than 63,500 kg (approval requires a
minimum of 10 business days' notice) $1,300.00
Annual Oversize Moving Permit Fee $500.00
Preparation of Road User Agreement / Telecommunication Equipment (Where Applicable
by Agreement)
Consent and Road User Agreement
Road User Agreements
(authority under the Municipal Act)
$1,000.00
Annual fees shall be a minimum of $500 with no upset limit. Project type and the amount of road
property affected shall dictate the annual fee and associated encumbrances. Taxes not
applicable and fees may be added to the property tax roll for collection, on behalf of the County,
by a local municipality.
Telecommunication Equipment Consent and Road User Agreement
Permit Fee
$200.00 base fee plus $0.25/m
(Applicable to each approved telecommunications equipment installation location)
Page 134 of 139
Contract Administration Fee $100.00 (Where applicable by Agreement per year for
each year of term of Agreement)
Road Occupancy Permit (authority under Public Highway & Transportation Improvement Act)
To regulate the construction or alteration of any entranceway, private road or other facility that
permits access to County Roads:
Request greater than 5 days notice $200.00
Request less than 5 days notice $400.00
Tender Documents (Hard Copy) (authority under the Municipal Act) $50.00
Cost Recovery Damage to Public Property Caused During a Collision Actual Cost
(authority under the Municipal Act)
LONG-TERM CARE HOMES (authority under the Long -Term Care Act, 2007)
Adult Day Programs
Barber/Hairdresser (Terrace Lodge):
Shampoo and Set
Shampoo, Cut & Set
Ladies' Haircut only
Men's Haircut only
Shampoo, Perm & Set
Shampoo, Perm, Cut & Set
Shampoo, Colour & Set
Shampoo, Perm & Cut
Shampoo, Colour, Cut & Set
Men's Cut & Dry
Ladies' Cut & Dry
Bang Trim
Shampoo Only
Comb Out & Curling Iron
Beard Trim
Beard/Ears/Eyebrows/Nose
Set Only (No Shampoo)
Cut & Set (No shampoo)
Shampoo & Blowout
Conditioning Treatment
Foils'/ Head
Braids/Updo
Cut/Set/Curl
Sham poo/Cut/Set/Curl
Bobier Villa & Elgin Manor
Cable TV/Internet
Foot Care through Contract Provider
Fees as set by the Province
effective September 1, 2023
$25.00
$38.00
$22.00
$19.00
$65.00
$77.00
$50.00
$68.00
$60.00
$20.00
$23.00
$5.00
$7.00
$20.00
$7.00
$10.00
$22.50
$34.00
$25.00
$10.00
$38.00
$10.00
$42.00
$45.00
As per Contracted Service Provider
Market Rate
Market Rate
Dental Care Services through Contract Provider Market Rate
Optometry Care Services through Contract Provider Market Rate
Wheelchair Seating Assessment Fees
Wheelchair and mobility equipment repair fees (Contract Provider) Market Rate
Guest Room Accommodation — 1 Guest Maximum
- per night including breakfast at Elgin Manor & Bobier Villa $55.00
Meals on Wheels for Community Clients:
- per meal
VON Page 135 of 139 $7.00
WECHC
Double Portions (VON & WECHC)
Medication not Covered by Health Card 65 &
Non-prescription Drugs
Newspaper
(October 1, 2021 - September 30, 2022)
$7.15
(October 1, 2022 — September 30, 2023)
$7.00
(January 5, 2022 — January 4, 2023)
$7.15
(January 5, 2023 — January 4, 2024)
$3.50
Cost of drug plus $2.00 - ODB co -payment
Preferred Accommodation Rate Upon Admission:
Market Rate
Resident fees are charged in accordance with the rates set by the Province of Ontario which
may change from time to time.
Purchases Services
Resident requested sundry products, therapy services, supplies, etc. Market Rate
Resident Basic Accommodation Rate:
Resident Fees are charged in accordance with the rates set by the Province of Ontario which
may change from time to time.
Note: Residents may apply for a rate reduction based on annual income
Resident — Replacement Key
Staff Replacement Name Tags
Room Rental
Determined by Homes' Director
Loss of Fob
$10.00
. �91
$42.50
- minimum fee may apply
$11.50
Transportation/Accompaniment of Staff Market transportation rate, plus, if accompanied
by staff the employee's hourly rate of pay times
the length of absence from the workplace, plus
benefits if applicable. (Minimum of 4 hours may
apply)
Valet (mending or clothing)
Visitor Meals:
Full Course Meals (lunch)
Full Course Meals (supper and breakfast)
Under the age of 5 years
Volunteers
Special Event Meals
Under the age of 5 years
Volunteers
Diner's Club for Community Seniors
(including HST) (effective January 5, 2023)
Wander Guard System — Replacement Strap/Tag
HUMAN RESOURCES (authority under the Municipal Act)
County Sponsored Training Programs:
Participation by Public Partners
Accessibility Training Services
Market Rate
$10.00
$7.00
$2.50
$4.50
$15.00
$6.00
$6.00
$7.15
Market Rate
Cost Recovery Basis
Cost Recovery Basis
Identification Badge Photo
Loss of Employee Identification Badgege 136 of 139 $5.00
Research
Responding to Professional Service Requests
LAND DIVISION (authority under the Planning Act)
Application for Consent
Application for Validation Title
Stamping of Deed
Validation Certification
If an Application for Consent/Validation is:
Cost Recovery
$1,250.00
$1,250.00
$300.00
$300.00
(i) withdrawn at least fourteen (14) days prior to the hearing date $50.00 will be retained. If
amended at least fourteen (14) days prior to the hearing date, an additional $50.00 will be
charged.
(ii) withdrawn after the time limit set in (i), the entire fee will be retained. If amended after the
time limit set in (i), an additional $50.00 will be charged.
(iii) requested to be reconsidered once consent has been granted, in order to alter the original
decision in a minor way, it will be treated as if it were a new application, and a fee of
$300.00 must accompany the letter explaining the reason for the change.
(iv) requested to be deferred from having action taken on it, by the applicant, in writing, whether
after or before a hearing date has been set, a fee of $300.00 must accompany the request
for deferral.
PLANNING APPLICATION FEES (authority under the Planning Act)
Plans of Subdivision or
Plans of Vacant Land Condominium: $4,000.00
Extension to draft plan approval $500.00
Plans of Condominium
(all other types excluding vacant land): $1,500.00
Exemption from draft approval: $1,000.00
Extension to draft approval: $500.00
County Official Plan Amendment: $4,000.00
Local Official Plan Amendment: $1,000.00
(municipally - initiated Official Plan Amendment exempt)
Part lot control exemption:
$500.00
The applicant seeking approval in support of any development matter shall be required to
reimburse the County for the fees and expenses, if any, of the County's peer review
professionals related to technical studies/reports determined necessary by the Manager of
Planning, or his/her designate. Technical studies/reports include, but are not limited to: address
planning matters such as a planning justification report, relating to environmental and natural
matters such as a development assessment report or a hydrogeology study, to address
transportation matters such as a traffic impact assessment, to address servicing and
infrastructure matters such as a functional servicing report, and to address nuisance and hazard
matters such as a noise assessment study.
TOURISM FEES (authority under the Municipal Act)
Memberships FEE per year
Tourism Membership:
Elgin County Members (Elgin County businesses only) $50 (+HST)
Affiliate Advertisers (businesses located outside of Elgin County's tax base) $200 (+HST)
Page 137 of 139
Tourism Signage:
Elgin County Tourism Members (Elgin County businesses and those $150 (+HST)
businesses that pay the Affiliate Member fee to be part of the Elgin
County Tourism Membership Program)
Tourism Signage Re-entry Fee $350/sign
PROVINCIAL OFFENCES (authority underthe Provincial Offences Act)
Photocopies
Certified Copies
- per certification
Transcripts
- per page for first copy (paper)
- per page for first copy (electronic)
- per page for first copy (paper) RUSH 5 days
- per page for first copy (electronic) RUSH 5 days
- per page for first copy (paper) RUSH 24 hrs
- per page for first copy (electronic) RUSH 24 hrs
- per page for additional copies
Note: The above items are not applicable to Judiciary and County Prosecutor.
NSF Cheques
$1.00
$3.50
$8.70
$6.30
$9.60
$8.80
$12.55
$11.75
$0.80
Cost of Collection A range of 10% to 45% for Collection Agents.
All other costs of enforcement as incurred.
Cost of Collecting Delinquent Fines to be charged 25% of the fine amount
back to the Defendant as a percentage of the Fine.
Note: Fees for copies and transcripts are set by the Ministry.
Page 138 of 139
COUNTY OF ELGIN
By -Law No. 23-34
"A BY-LAW TO CONFIRM PROCEEDINGS OF THE MUNICIPAL COUNCIL OF
THE CORPORATION OF THE COUNTY OF ELGIN AT THE
JULY 25, 2023 MEETING"
WHEREAS, pursuant to Section 5.1 of the Municipal Act, 2001, S.O. 2001, c.25, as
amended, the powers of a municipality shall be exercised by its Council;
AND WHEREAS pursuant to Section 5.3 of the Municipal Act, 2001, S.O. 2001, c.25, as
amended, the powers of every Council shall be exercised by by-law;
AND WHEREAS it is deemed expedient that the proceedings of the Municipal Council of
the Corporation of the County of Elgin at this meeting be confirmed and adopted by by-law.
NOW THEREFORE the Municipal Council of the Corporation of the County of Elgin
enacts as follows:
THAT the actions of the Municipal Council of the Corporation of the County of Elgin,
in respect of each recommendation contained in the reports and each motion and
resolution passed and other action taken by the Municipal Council of the Corporation
of the County of Elgin, at its meeting held on July 25, 2023 be hereby adopted and
confirmed as if all such proceedings were expressly embodied in this by-law.
2. THAT the Warden and appropriate officials of the Corporation of the County of Elgin
are hereby authorized and directed to do all things necessary to give effect to the
actions of the Municipal Council of the Corporation of the County of Elgin referred to in
the preceding section hereof.
3. THAT the Warden and the Chief Administrative Officer, or alternate, are authorized
and directed to execute all documents necessary in that behalf and to affix thereto the
seal of the Corporation of the County of Elgin.
READ A FIRST, SECOND AND THIRD TIME AND FINALLY PASSED THIS 25T" DAY OF
JULY, 2023.
Don Shropshire, Ed Ketchabaw,
Chief Administrative Officer/Clerk. Warden.
Page 139 of 139